Professional Documents
Culture Documents
Policy Document
Policy Document
Policy Document
Part B
Definitions: (meaning of technical words used in Policy o) Policy Year is measured from the Policy Date and is a
Document): period of twelve consecutive calendar months and
a) Age is the Age at last birthday in completed years. includes every subsequent twelve consecutive calendar
months.
b) Annualized Premium shall be the premium amount
p) Policyholder is the owner of the Policy whose name is
payable in a year chosen by the policyholder, excluding
mentioned in the proposal form and may be a person
the taxes, rider premiums, underwriting extra premiums other than the Life Insured.
and loadings for modal premiums, if any.
q) Premium Payment Term means the number of Policy
c) Base Policy/ Basic Plan is the life insurance product Years for which the Policyholder is required to pay the
chosen by the Policyholder out of the various products premium.
offered by the Company. r) Rider is an optional Insurance cover which can be
d) Date of Commencement of Policy is the date of issue of purchased alongwith the Basic Plan. It provides
the Policy by the Company. additional benefits to the Policyholder/ Life Insured. It is
not a standalone document and should be read along
e) Life Insured is the person named in the Policy Schedule with Basic Plan.
and whose life is covered under the Policy.
s) Rider Premium: is the premium payable for the
Rider/(s) chosen by the Policyholder and is mentioned in
f) Limited Premium Payment Policy is a Policy wherein the Policy Schedule.
the Premium Payment Term is limited as compared to
the Policy Term. t) Sum Assured on Death means an assured amount
which becomes payable on the death of the Life Insured.
g) Maturity Date is the date on which the Policy Benefit
Period concludes and is shown as such in the Policy u) Sum Assured on Maturity means the guaranteed
Schedule. amount which becomes payable at the end of Maturity
Payout Period.
h) Modal Premium is the amount payable by the
Policyholder on the due dates in a policy year, including v) The Company /Company means Bharti AXA Life
modal factors as per the mode chosen by the Insurance Company Limited.
Policyholder w) You/Your/Yours refers to the Policyholder and shall
i) Nominee is the person nominated under the Policy to also include the Life Insured, where the Policyholder
receive the benefits under the Policy in the event of and Life Insured are different persons.
death of the Life Insured before Maturity Date. (this is **The terms defined above shall also act as a reference guide to
applicable where the policy holder and Life Insured are the Policy document in terms of IRDA Circular No.
the same.) IRDA/LIFE/CIR/MISC/050/03/2013dated12March2013'
j) Policy means and includes the Policy Document, the
proposal form for insurance submitted by the PART C
policyholder, the benefit illustration signed by the Benefits payable
policyholder, the Policy Schedule, the first premium
1. Death Benefit
receipt, any attached endorsements or supplements
together with all the addendums provided by the In case of unfortunate event of death of the Life Insured
Company from time to time, the medical examiner’s during the Policy Term, the following benefits will be
report and any other document/s called for by the payable to the Nominee, subject to Policy being in force.
Company and submitted by the Policyholder to enable The Sum Assured on death will be the higher of:
the Company to process the proposal. a) Sum Assured on Maturity
k) Policy Anniversary Date is the date which periodically b) 11 times Annualized Premium
falls after every twelve months starting from the Policy c) 105% of all premiums paid till date of death
Date whilst the Policy is in force. (excluding any additional charges as levied by the
l) Policy Date / Date of Commencement of Risk means Company over and above the standard premium
the date from which the Life Insurance coverage is rates).
applicable to the Policy and as specified in the Policy
Schedule. In the event of death of the Life Insured:‐
m) Policy Schedule is the cover page to the Policy, a. during the grace period allowed for payment of due
containing amongst others, the brief description of the premium:‐ the Death Benefit (after deducting the
Policy, the Policyholder and the Life Insured which unpaid due Premium) shall be payable
forms an integral part of the Policy. b. while the policy is in lapse status:‐ no benefit shall
n) Policy Term is the number of Policy Years for which the be payable
Policy is in effect, commencing from the Policy Date c. when the policy is in paid up status:‐ Paid up value
and ending on the Maturity Date and is mentioned in the as specified in Part D sub section 2B be payable
Policy Schedule.
d. during the Maturity Payout Period:‐ No Death Subject to the exclusions as mentioned in the Policy
Benefit shall be Payable in case of Death of Life Document, the death benefit shall be payable for death
Insured during the Maturity Payout Period. The under all situations (including death during declared or
unpaid Guaranteed Payout will be paid to the undeclared war, civil commotion, invasion, terrorism,
Nominee as per the Schedule mentioned in Part C Naxalite Operation and hostilities).
section 2 and the Sum Assured on Maturity will be
paid at the end of 20th year. The Nominee has an
option to take the Maturity Payout as a lump sum at 2. Maturity Benefit
anytime during the Maturity Payout Period. The If the Life Insured survives till the Maturity date of the
Lump sum shall be calculated as Net Present Value Policy and that all premiums are duly paid, then the
of future payouts. The Net Present Value is present benefits as mentioned below will be paid to the
value of all future payouts discounted at a certain Policyholder
rate. The rate at which it will be discounted is 1. Guaranteed Payout: A percentage of Sum Assured
guaranteed at 5% p.a. on Maturity is paid during the Maturity Payout
On death of the Policyholder (where the Policyholder Period till the end of the 19th year. The frequency of
and Life Insured are different), the Legal heirs of the the Guaranteed Payout will be Annual/Semi
Policyholder may succeed the erstwhile Policyholder. If Annual/Quarterly as chosen by the Policyholder.
none of the Legal heirs are willing to become the 2. Sum Assured: 100% of Sum Assured on Maturity is
Policyholder therein, then the surrender value as paid at the end of 20th year, from the Date of
applicable will be paid in accordance with the relevant Commencement of Policy.
provisions of the Policy to the person/s entitled to The percentage of Guaranteed Payout depends upon the
receive the same as per law and accordingly all Policy Policy Term, Premium Payment Term and the Premium
benefits shall stand extinguished. amount as mentioned below.
a. The Policyholder has an option to take the above In case of death of the Life Insured during the Maturity
mentioned Maturity Benefit as a lump sum at Payout Period (where the Policyholder and Life Insured
anytime during the Maturity Payout Period. The are different), the outstanding maturity benefits will be
lump sum shall be calculated as a Net Present Value paid to the Policyholder (Nominee)
of future payouts. The Net Present Value is present In case of death of the Life Insured during the Maturity
value of all future payouts discounted at a certain Payout Period (where the Policyholder and Life Insured
rate. The rate at which it will be discounted is are the same), the outstanding maturity benefits will be
guaranteed at 5% p.a. paid to the Nominee.
Maturity Payout Period In case of death of both the Life Insured and the nominee
For Policy term of 10 years Maturity Payout Period is during the Maturity Payout Period, the outstanding
from the end of 10th year till the end of 20th year. For maturity benefits will be paid to the legal heirs of the
Policy term of 12 years Maturity Payout Period is from policyholder.
the end of 12th year till the end of 20th year.
3. Surrender the grant of access to the eIA or the delivery date of the email
Subject to the Policy being in force: confirming the credit of the Insurance policy by the IR to the
eIA, whichever is later shall be reckoned for the purpose of
1. The Policy acquires a surrender value provided at least
computation of the free look period.
two Annualized Premium have been paid.
2. Discontinuance of due premiums
On surrender of the Policy a lump sum amount equal to 2A Lapsation of Policy
Guaranteed Surrender Value will be paid to the If the premium is not paid on the due date or during the
Policyholder subject to the Policy being in force and the grace period, the Policy shall lapse with effect from the
Policy gets terminated. The Guaranteed Surrender Value date of such unpaid premium. Lapsation of the Policy
is calculated as the Guaranteed Surrender Value factor shall extinguish all the rights and benefits which the
(as shown in Part D of section 3A) * Premiums paid till Policyholder is entitled to under the Policy.
the date of surrender. The Company shall declare special
surrender values as defined in Part D section 3B, at such 2B Paid Up Policy
other rates not less than the Guaranteed Surrender If the Policyholder has paid at least two Annualized
Values. These rates are not guaranteed and will be Premium/s and has not paid any further premiums due
declared by the Company from time to time, subject to to any reason, the Policy will automatically be
prior approval from IRDA. The Special Surrender Value converted into paid up. Once the Policy becomes paid
shall always be greater than or equal to the Guaranteed up the benefits will be reduced to a paid up value which
Surrender Value. will be payable either on death or at maturity or on
surrender of the Policy.
The maximum amount of loan will not exceed 70% or gender has been misstated, as declared in the proposal,
of the acquired Surrender Value. one of the following actions shall be taken:
The Policyholder shall assign the Policy absolutely a) If the correct Age is higher than the Age declared in
to and be held by the Company as security for the Proposal, the Annualised Premium payable
Repayment of the loan and interest/allied charges under the Policy shall be altered corresponding to
thereon; the correct Age of the Life Insured, from the Policy
The loan shall carry interest at the rate specified by Date and the Policyholder shall pay to the Company
the Company at the time of advancing the loan. The the accumulated difference between the original
interest rate in a policy loan is not fixed and could be premium as mentioned in the Proposal and such
reviewed by the Company on 1st of July every year. altered premium from the Policy Date up to the date
This interest rate shall not exceed the sum of (5% of such payment with interest at such rate and in
and the Base lending rate of State Bank of India at such manner as per the then prevailing internal
the time of declaration.) The rate of interest on guidelines of the Company . If the Policyholder fails
policy loan as on 1st July 2018 is 10.40% pa. to pay the difference of premium with the interest
thereon as mentioned above, subject to such other
In case the policy is in paid up status, then the terms and conditions, the Sum Assured will be
outstanding loan amount together with the interest changed on the basis of correct Age, gender and the
shall not be equal to or exceed the Surrender Value premium paid.
of the Policy at any point of time. In case the
outstanding loan amount with interest is greater than b) If the correct Age of the Life Insured is lower than
or equal to the surrender value, the policy shall stand the Age declared in the Proposal, the Annualized
terminated and all future benefits will cease to exist. Premium payable under the Policy shall be altered
corresponding to the correct Age of Life Insured
Other terms and conditions as prescribed by the from the Policy Date and the Company may, at its
Insurer from time to time. discretion, refund the accumulated difference
8. Termination between the original premium paid and the altered
The Policy will terminate on the earliest of the premium
following: c) If in accordance with the correct Age, it is not
c) On the date the Company receives valid application possible for the Company to alter the terms and
for surrender from the Policyholder and payment of conditions of the Policy or the Life Insured does not
surrender benefits or consent to any alterations proposed by the Company
d) The Maturity date of the Policy; or as mentioned above, the Policy shall stand cancelled
from the Policy Date and the premium paid shall be
e) Upon receipt of written intimation about the death of refunded subject to the deduction of expenses
Life Insured along with a supporting document to incurred and payments already made by the
the satisfaction of the Company; or Company under the Policy.
f) Settlement on Freelook request 2. Assignment and Nomination
9. Policy alterations / Modifications Assignment: Assignment should be in accordance with
Only a duly authorized officer of the Company has the provisions of sec 38 of the Insurance Act 1938 as amended
power to effect changes on the Policy/Plan at the request from time to time.
of the Policyholder, subject to the rules of the Company [A Leaflet containing the simplified version of the
and within the regulatory parameters. provisions of Section 38 is enclosed in appendix – I for
10. Advance Premium reference]
(i) Collection of advance premium shall be allowed within Nomination: Nomination should be in accordance with
the same financial year for the premium due in that provisions of sec 39 of the Insurance Act 1938 as amended
financial year. However, where the premium due in one from time to time.
financial year is being collected in advance in earlier [A Leaflet containing the simplified version of the
financial year, the same may be collected for a provisions of Section 39 is enclosed in appendix – II for
maximum period of three months in advance of the due reference]
date of the premium.
3. Incorrect information and No n Disclosure
(ii) The premium so collected in advance shall only be
adjusted on the due date of the premium. The Policyholder and the Life Insured under the Policy have
an obligation to disclose every fact material for assessment
PART E of the risk in connection with issuing the Policy. However, if
Part E is not applicable to this Policy. any of the information provided is incomplete or incorrect,
the Company reserves the right to vary the benefits, at the
PART F time of payment of such benefit or during the term of the
1. Misstatement of Age and Gender Policy. Further, if there has/had been non-disclosure of a
Without prejudice to Section 45 of the Insurance Act, 1938 material fact, the Company may treat your Policy as void
and other applicable laws in force, if the Life Insured’s Age from inception. In case fraud or misrepresentation, the
List of Ombudsman
(For the updated list You may refer to IRDA of India website)
If you have a grievance, approach the grievance cell of Insurance Company first. If complaint is
not resolved/ not satisfied/not responded for 30 days then You can approach The Office of the
Insurance Ombudsman (Bimalokpal)
Please visit our website for details to lodge complaint with Ombudsman.
NOIDA Tel.: 0120-2514250 / 2514252 / 2514253 State of Uttaranchal and the following
Office of the Insurance Ombudsman, Email : bimalokpal.noida@ecoi.co.in Districts of Uttar Pradesh:
Bhagwan Sahai Palace, 4th Floor, Agra, Aligarh, Bagpat, Bareilly,
Main Road, Naya Bans, Sector-15, Distt. Bijnor, Budaun, Bulandshehar, Etah,
Gautam Buddh Nagar U.P – 201301. Kanooj, Mainpuri, Mathura, Meerut,
Moradabad, Muzaffarnagar, Oraiyya,
Pilibhit, Etawah, Farrukhabad,
Firozbad, Gautambodhanagar,
Ghaziabad, Hardoi, Shahjahanpur,
Hapur, Shamli, Rampur, Kashganj,
Sambhal, Amroha, Hathras,
Kanshiramnagar, Saharanpur.
PUNE Tel.: 020-41312555 Maharashtra,
Office of the Insurance Ombudsman, Email: bimalokpal.pune@ecoi.co.in Area of Navi Mumbai and Thane
Jeevan Darshan Bldg., 3rd Floor, C. T.S No.s excluding Mumbai Metropolitan
195 to198, N.C. Kelkar Road, Narayan Peth, Region.
PUNE – 411030.
• IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of
premiums. Public receiving such phone calls are requested to lodge a police complaint.
Appendix I: Section 38 - Assignment and Transfer of Insurer, any person aggrieved by the refusal may prefer
Insurance Policies a claim to IRDAI within 30 days of receipt of the refusal
Assignment or transfer of a Policy should be in accordance letter from the Insurer.
with Section 38 of the Insurance Act, 1938 as amended from 12. The priority of claims of persons interested in an
time to time. The extant provisions in this regard are as insurance Policy would depend on the date on which the
follows: notices of assignment or transfer is delivered to the
01. This Policy may be transferred/assigned, wholly or in insurer; where there are more than one instruments of
part, with or without consideration. transfer or assignment, the priority will depend on dates
of delivery of such notices. Any dispute in this regard as
02. An Assignment may be effected in a Policy by an to priority should be referred to Authority.
endorsement upon the Policy itself or by a separate
instrument under notice to the Insurer. 13. Every assignment or transfer shall be deemed to be
absolute assignment or transfer and the assignee or
03. The instrument of assignment should indicate the fact of transferee shall be deemed to be absolute assignee or
transfer or assignment and the reasons for the transferee, except
assignment or transfer, antecedents of the assignee and
terms on which assignment is made. a. where assignment or transfer is subject to terms and
conditions of transfer or assignment OR
04. The assignment must be signed by the transferor or
assignor or duly authorized agent and attested by at least b. where the transfer or assignment is made upon
one witness. condition that
05. The transfer of assignment shall not be operative as i. the proceeds under the Policy shall become
against an insurer until a notice in writing of the transfer payable to Policyholder or nominee(s) in the
or assignment and either the said endorsement or event of assignee or transferee dying before the
instrument itself or copy there of certified to be correct insured OR
by both transferor and transferee or their duly authorized ii. the insured surviving the term of the Policy Such
agents have been delivered to the insurer. conditional assignee will not be entitled to obtain
06. Fee to be paid for assignment or transfer can be specified a loan on Policy or surrender the Policy. This
by the Authority through Regulations. provision will prevail notwithstanding any law or
custom having force of law which is contrary to
07. On receipt of notice with fee, the insurer should Grant a the above position.
written acknowledgement of receipt of notice. Such
notice shall be conclusive evidence against the insurer of 14. In other cases, the insurer shall, subject to terms and
conditions of assignment, recognize the transferee or
duly receiving the notice.
assigne named in the notice as the absolute transferee or
08. If the insurer maintains one or more places of business, assignee and such person
such notices shall be delivered only at the place where a. shall be subject to all liabilities and equities to which
the Policy is being serviced. the transferor or assignor was subject to at the date
09. The insurer may accept or decline to act upon any of transfer or assignment and
transfer or assignment or endorsement, if it has b. may institute any proceedings in relation to the
sufficient reasons to believe that it is Policy
a. not bonafide or c. obtain loan under the Policy or surrender the Policy
b. not in the interest of the Policyholder or without obtaining the consent of the transferor or
c. not in public interest or assignor or making him a party to the proceedings
d. is for the purpose of trading of the insurance Policy. 15. Any rights and remedies of an assignee or transferee of a
life insurance Policy under an assignment or transfer
10. Before refusing to act upon endorsement, the Insurer effected before commencement of the Insurance Laws
should record the reasons in writing and communicate (Amendment), 2014 shall not be affected by this section.
the same in writing to Policyholder within 30 days from [Disclaimer: This is not a comprehensive list of amendments of
the date of Policyholder giving a notice of transfer or Insurance Laws (Amendment), 2014 and only a simplified version
assignment. prepared for general information. Policy Holders are advised to refer
11. In case of refusal to act upon the endorsement by the to Original Insurance Law (Amendment), 2014. ]
02. On the ground of fraud, a Policy of Life Insurance may 09. The insurer can call for proof of age at any time if he is
be called in question within 3 years from entitled to do so and no Policy shall be deemed to be
a. the date of issuance of Policy or called in question merely because the terms of the Policy
are adjusted on subsequent proof of age of life insured.
b. the date of commencement of risk or
So, this Section will not be applicable for questioning
c. the date of revival of Policy or age or adjustment based on proof of age submitted
d. the date of rider to the Policy subsequently.
whichever is later. [Disclaimer: This is not a comprehensive list of amendments
For this, the insurer should communicate in writing to of Insurance Laws (Amendment),2014 and only a simplified
the insured or legal representative or nominee or version prepared for general information. Policy Holders
assignees of insured, as applicable, mentioning the are advised to refer to Original Insurance Law
ground and materials on which such decision is based. (Amendment), 2014. ]