Product Proposal for securing your Life Goals

Bajaj Allianz Life

Smart Protection Goal
A Non Linked, Non Participating, Pure Life Term Insurance Plan
UIN: 116N174V02

Hi Mr. Sample,

Congratulations on taking the first step towards securing your Life Goals with Bajaj Allianz Life Insurance.

You have opted for Bajaj Allianz Life Smart Protection Goal, a term plan, which provides:

Key Features

Comprehensive Option to get back your Critical Illness Benefit Whole Life Cover Tax Benefits
Life Cover total premiums paid as Option Option
Maturity benefit
 Here's your illustration of Bajaj Allianz Life Smart Protection Goal

(10 years)

Age 28 38 68

(40 years)

You Pay You Get

Premium Life Insurance Cover ₹ 1,00,00,000
Including discounts (if any) and excluding GST From age 28 to 68

First year ₹ 21,080 Yearly

Second year onwards ₹ 22,190 Yearly

First Year Premium Discounts ( signifies Applicable | signifies Not-applicable )

Salaried Discount Insurance for All Discount

(5% discount for first time life insurance buyers)

Additional Coverages ( signifies Opted | signifies Not-opted )

2
Critical Illness Benefit Return of Premiums
on Maturity

^P r emiums ar e payable at the beginning o f year . P r o duc t featur es mentio ned abo ve ar e dependent o n benefit c ho s en.
P r emiums /Benefits ar e dependent o n the P o lic y ter ms , P r emium payment ter ms availed alo ng with o ther var iable fac to r s .
T he abo ve benefi ts /r etur ns s ho wn in the do c ument ar e fo r illus tr ative pur po s e o nly & mus t be r ead in c o njunc tio n with the Benefi t Illus tr atio n. Fo r mo r e details o n r is k
fac to r s , ter ms and c o nditio ns pleas e r ead s ales br o c hur e & po lic y do c ument (available o n www.bajajallianzlife.c o m) c ar efully befo r e c o nc luding a s ale.
T ax benefits as per pr evailing Inc o me tax laws s hall apply. P leas e c hec k with yo ur tax c o ns ultant fo r eligibility.
 Why Bajaj Allianz Life

Total Asset Under Net Worth Number of Lives

Managment (AUM) Covered

Individual Claim Get 1 day claim As against IRDAI

settlement Ratio Approval mandated 150%

*All figures as on 31 March 2023

For more details please refer to Company Factsheet
https://www.bajajallianzlife.com/content/dam/balic/pdf/financialinformation/Factsheet/none/Q1/Factsheet-FY-2022-2023.pdf

3
Bajaj A llianz L ife Insurance Co.L td., CIN : U66010P N 2001P L C015959 | IRDA I Reg.N o. 116 BEW ARE OF SPURIOUS PHONE CALLS AND FICTITIOUS /
Mail us: customercare@bajajallianz.co.in | Call on: T oll free no. 1800 209 7272 FRADULENT OFFERS -
Registered O ffice A ddress: Bajaj A llianz House, A irport Road, Yerawada, P une - 411006, IRDAI is not involved in activities like selling insurance policies,
Maharashtra announcing bonus or investment of premiums. Public
T he L ogo of Bajaj A llianz L ife Insurance Co. L td. is provided on the basis of license given receiving such phone calls are requested to lodge a police
by Bajaj Finserv L td.to use its "Bajaj" L ogo and A llianz SE to use its "A llianz" logo. complaint.
Quotation No : 60041725500

Bajaj Allianz Life Smart Protection Goal

A Non-Linked, Non-Participating, Individual Life Insurance Term Plan

Name of the Prospect/ Sample Sample Proposal No

Policyholder:
Age 28 years
Name of the Product: Bajaj Allianz Life Smart Protection Goal
Gender Male
Name of Life Assured Sample Sample Tag Line A Non-Linked, Non-Participating, Individual Life
Insurance Term Plan
Age 28 years
UIN: 116N174V02
Gender Male
Policy Term 40 years GST Rate (First Year): 18.00%
Premium Payment Term 10 years GST Rate (Second Year 18.00%
onwards):
Amount of Instalment Rs.24,874 Tobacco user No
Premium (including GST)
Mode Yearly Premium Category Medical
This benefit illus tra tion is intended to s how yea r-wis e premiums pa ya ble a nd benefits under the Policy

Policy Details
Sum Assured (Rs.) 1,00,00,000
Sum Assured on Death (at inception of the policy)(Rs.) 1,00,00,000
Maturity Benefit (Rs.) 0

Add-On Benefits Selected/Not Selected Sum Assured PT PPT

Critical illness Benefit No NA NA NA

Premium Summary
Particulars Base Plan Critical Illness Total Instalment Premium
Benefit
Instalment Premium (Including Premium for Add-ons) without GST 22,190 0 22,190
Salary Rebate, If available 0 0 0
Insurance for All Discount, If available 1,109 0 1,109
Geographical Extra 0 0 0
Instalment Premium without GST after discounts, if applicable 21,080 0 21,080
Instalment Premium with GST after discounts, if applicable (First Year only) 24,874 0 24,874
Instalment Premium with GST 2nd Year Onwards 26,184 0 26,184

Benefit Summary (Amount in Rupees)

Guaranteed Non-Guaranteed
Policy Annualised
Year Premium Survival Maturity Death Min. Guaranteed Surrender Value Special Surrender Value Surrender Value
Benefits Benefit Benefit (GSV) (SSV) Receivable
1 21,080 0 0 1,00,00,000 0 0 0
2 22,190 0 0 1,00,00,000 0 0 0
3 22,190 0 0 1,00,00,000 0 0 0
4 22,190 0 0 1,00,00,000 0 0 0
5 22,190 0 0 1,00,00,000 0 0 0
6 22,190 0 0 1,00,00,000 0 0 0
7 22,190 0 0 1,00,00,000 0 0 0
8 22,190 0 0 1,00,00,000 0 0 0
9 22,190 0 0 1,00,00,000 0 0 0
10 22,190 0 0 1,00,00,000 37,258 74,515 74,515

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Quotation No : 60041725500

Benefit Summary (Amount in Rupees)

Guaranteed Non-Guaranteed
Policy Annualised
Year Premium Survival Maturity Death Min. Guaranteed Surrender Value Special Surrender Value Surrender Value
Benefits Benefit Benefit (GSV) (SSV) Receivable
11 0 0 0 1,00,00,000 34,815 69,630 69,630
12 0 0 0 1,00,00,000 32,455 64,911 64,911
13 0 0 0 1,00,00,000 30,179 60,357 60,357
14 0 0 0 1,00,00,000 27,985 55,969 55,969
15 0 0 0 1,00,00,000 25,873 51,747 51,747
16 0 0 0 1,00,00,000 23,845 47,690 47,690
17 0 0 0 1,00,00,000 21,899 43,798 43,798
18 0 0 0 1,00,00,000 20,036 40,073 40,073
19 0 0 0 1,00,00,000 18,256 36,512 36,512
20 0 0 0 1,00,00,000 16,559 33,118 33,118
21 0 0 0 1,00,00,000 14,944 29,889 29,889
22 0 0 0 1,00,00,000 13,413 26,825 26,825
23 0 0 0 1,00,00,000 11,964 23,928 23,928
24 0 0 0 1,00,00,000 10,598 21,195 21,195
25 0 0 0 1,00,00,000 9,314 18,629 18,629
26 0 0 0 1,00,00,000 8,114 16,228 16,228
27 0 0 0 1,00,00,000 6,996 13,992 13,992
28 0 0 0 1,00,00,000 5,961 11,922 11,922
29 0 0 0 1,00,00,000 5,009 10,018 10,018
30 0 0 0 1,00,00,000 4,140 8,279 8,279
31 0 0 0 1,00,00,000 3,353 6,706 6,706
32 0 0 0 1,00,00,000 2,649 5,299 5,299
33 0 0 0 1,00,00,000 2,028 4,057 4,057
34 0 0 0 1,00,00,000 1,490 2,981 2,981
35 0 0 0 1,00,00,000 1,035 2,070 2,070
36 0 0 0 1,00,00,000 662 1,325 1,325
37 0 0 0 1,00,00,000 373 745 745
38 0 0 0 1,00,00,000 166 331 331
39 0 0 0 1,00,00,000 41 83 83
40 0 0 0 1,00,00,000 0 0 0

Notes & Disclaimers:

1. The above informa on must be read in conjunc on with Sales Literature & Policy document. In case of any conflict between this benefit
illustration and your policy document, the latter shall prevail.
2. The Annualized Premium is exclusive of taxes, underwriting extra premium and loadings for modal premiums if any
3. Benefit Option - Life Cover*
* This cover will be available with or without ROP. If ROP feature is chosen, then, ROP will be applicable to the premium paid w.r.t. the variant
and any add-on cover opted for.
4. Add-On Cover
Critical Illness Benefit (CIB): On the occurrence of CI to life assured during the CIB cover period.
5. The benefits illustrated are as of at end of the year
6. Sum Assured on Death - For Regular Premium and Limited Premium: Sum Assured on Death is defined as the higher of (a) 10 Times
Annualized Premium*, (b) 105% of total premiums paid* till date of death, (c) Sum Assured (or prevailing sum assured, if applicable),
* Annualised Premium -Total Premium/s payable in a Policy Year, excluding any Extra Premium, and GST, if any.
7. Tax benefits under the policy will be as per the prevailing Income Tax laws. We recommend that you seek professional advice for
applicability of tax benefit on premiums paid and benefits received.
8. For any further clarification, contact our sales representative or e-mail us on customercare@bajajallianz.co.in
I, ___ ____, have explained the premiums, charges and benefits I, ___ Sample Sample _____ , having received the informa on with
under the policy fully to the prospect / policyholder. respect to the above, have understood the above statement before
entering into the contract.

Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116.

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Quotation No : 60041725500

Tel:(020) 66026777.
Email: customercare@bajajallianz.co.in
www.bajajallianzlife.com