BENEFIT ILLUSTRATION

[Date and Time of Illustration – 12 February 2024, 06:15 PM]

Name of the Prospect/Policyholder: Mr. PRADEEP Proposal No:

Age & Gender: 35 Years, Male Name of the Product: Max Life Smart Wealth Advantage Guarantee Plan
Name of the Life Assured: Mr. PRADEEP Tag Line: A Non-linked Non Participating Individual Life Insurance Savings Plan
Age & Gender: 35 Years, Male Unique Identification No: 104N124V06
Policy Term: 47 Years GST Rate (Base Policy, First Year): 4.50%
Premium Payment Term: 12 Years GST Rate (Base Policy, Subsequent Year): 2.25%
Amount of Installment Premium: `3,13,500 GST Rate (Rider, First Year): NA
Mode of payment of premium: Annual
GST Rate (Rider, Subsequent Year): NA
Annual Income Amount: `4,93,081
Income Start Year, if applicable: NA
Income Period, if applicable: 30 years Max Life State: Maharashtra
Deferment Period, if applicable: 5 years Policyholder Residential State: Maharashtra

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.

Policy Details
Policy Option Long Term Wealth Sum Assured on Maturity (in Rs.) 36,00,000
Death Benefit Multiple NA Sum Assured (at inception of the policy) upon Death (in Rs.) 33,00,000
Policy Continuance Benefit Option Yes Sum Assured (Inbuilt Additional Accidental Death Benefit) (in Rs.) 16,50,000
Special Date Option No Opted Special Date NA

Rider Details

Accidental Death & Dismemberment (ADD) Rider Term NA Accidental Death & Dismemberment (ADD) Rider Sum Assured (in Rs.) NA

Term Plus Rider Term NA Term Plus Rider Sum Assured (in Rs.) NA
Waiver of Premium (WOP) Plus Rider Term NA
Critical Illness and Disability Rider - Rider Premium Payment
NA Critical Illness and Disability Rider - Coverage Variant NA
Term and Rider Term
Critical Illness and Disability Rider - Rider Sum Assured NA

Premium Summary
Accidental Death & Waiver of Premium Plus Critical Illness and Total Installment Premium
Base Plan Dismemberment Rider
Term Plus Rider Rider Disability Rider
Installment Premium without GST (in Rs.) 3,00,000 0 0 0 0 3,00,000
Installment Premium with first year GST (in Rs.) 3,13,500 0 0 0 0 3,13,500
Installment Premium with GST 2nd year onwards (in Rs.) 3,06,750 0 0 0 0 3,06,750

Net Rate of Return at Maturity : 6.16%

UIN: 104N124V06 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 1 of 4
 (Amount in Rupees)
Non Guaranteed
Guaranteed
Single/
Total Annual Other Benefits, if Inbuilt
Policy Annualized Money Back Accrued Minimum
Premium (BOY) Auto Debit any (Sum Additional Special
Year Premium (BOY) Base Income Loyalty Income (In case of Life Total Survival Guaranteed Total Maturity Guaranteed
Booster Assured on Death Benefit Accidental Surrender Value
(EOY) (EOY) Long Income) Benefit (EOY) Additions (if Benefit (EOY) Surrender Value
(EOY) Maturity) (EOY) Death Benefit (EOY)
any) (EOY) (EOY)

1 3,00,000 3,00,000 - - - - - - - - 33,00,000 - - -

2 3,00,000 3,00,000 - - - - - - - - 33,00,000 - 1,80,000 1,66,925
3 3,00,000 3,00,000 - - - - - - - - 33,00,000 - 3,15,000 2,72,994
4 3,00,000 3,00,000 - - - - - - - - 33,00,000 - 6,00,000 4,42,660
5 3,00,000 3,00,000 - - - - - - - - 33,00,000 - 7,50,000 6,65,503
6 3,00,000 3,00,000 - - - - - - - - 33,00,000 - 9,00,000 8,70,467
7 3,00,000 3,00,000 - - - - - - - - 33,00,000 - 10,50,000 11,06,946
8 3,00,000 3,00,000 - - - - - - - - 33,00,000 - 12,24,624 13,78,985
9 3,00,000 3,00,000 - - - - - - - - 33,00,000 - 14,05,404 16,91,120
10 3,00,000 3,00,000 - - - - - - - - 33,00,000 - 15,92,340 20,47,879
11 3,00,000 3,00,000 - - - - - - - - 34,65,000 - 17,85,432 24,55,651
12 3,00,000 3,00,000 33,000 - - - - - - - 37,80,000 - 19,84,680 34,68,627
13 - - - - - - - - - - 37,80,000 16,50,000 20,21,616 37,80,813
14 - - - - - - - - - - 37,80,000 16,50,000 20,58,552 41,21,287
15 - - - - - - - - - - 37,80,000 16,50,000 20,95,488 44,92,076
16 - - - - - - - - - - 37,80,000 16,50,000 21,32,424 48,96,073
17 - - - - - - - - - - 37,80,000 16,50,000 21,69,360 53,37,184
18 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 22,06,296 58,17,581
19 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 17,50,151 58,03,355
20 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 12,93,970 57,88,359
21 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 8,37,824 57,71,910
22 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 3,81,643 57,54,011
23 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 57,34,268
24 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 57,12,983
25 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 56,89,686
26 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 56,64,230
27 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 56,36,438
28 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 56,06,412

UIN: 104N124V06 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 2 of 4
 Non Guaranteed
Guaranteed
Single/
Total Annual Other Benefits, if Inbuilt
Policy Annualized Money Back Accrued Minimum
Premium (BOY) Auto Debit any (Sum Additional Special
Year Premium (BOY) Base Income Loyalty Income (In case of Life Total Survival Guaranteed Total Maturity Guaranteed
Booster Assured on Death Benefit Accidental Surrender Value
(EOY) (EOY) Long Income) Benefit (EOY) Additions (if Benefit (EOY) Surrender Value
(EOY) Maturity) (EOY) Death Benefit (EOY)
any) (EOY) (EOY)

29 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 55,73,518

30 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 55,37,745
31 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 54,98,688
32 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 54,55,856
33 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 54,09,405
34 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 53,59,051
35 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 53,03,703
36 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 52,43,592
37 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 51,78,149
38 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 51,06,666
39 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 50,29,037
40 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 49,43,934
41 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 48,51,684
42 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 47,50,634
43 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 46,40,766
44 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 45,21,133
45 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 43,90,585
46 - - - 4,10,901 82,180 - 4,93,081 - - - 37,80,000 16,50,000 - 42,48,089
47 - - - 4,10,901 82,180 - 4,93,081 - 36,00,000 36,00,000 37,80,000 - - 40,93,081

UIN: 104N124V06 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 3 of 4
Notes:
• EOY: End of Year, BOY = Beginning of Year
• Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax.
• Total Annual Premium includes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any but excludes Goods and Service Tax.
• The Surrender Value payable shall be higher of ‘Minimum Guaranteed Surrender Value’ and ‘Special Surrender Value’. Any additional Surrender Value over and above the ‘Minimum Guaranteed Surrender Value’ is not
guaranteed.
• The above benefits are assuming income payment mode as Annual and with the assumption that no special date is opted by you. For details on other income payment modes and special date options, please refer the Policy
Document.
• The Net Rate of Return has been calculated based on the total survival (including auto-debit booster) and total maturity benefit, assuming that all premiums have been paid as and when due (excluding applicable taxes, cesses
and levies and rider premiums, if any).
• Refer Sales literature (Prospectus) and Policy Document for explanation of terms used in this illustration.
• Surrender value (both GSV and SSV) shown above is before payment of survival benefit applicable during the year of surrender.
• The above benefit illustration assumes that all premiums (excluding the first premium) are paid via auto debit mode of premium payment. Note that auto debit boosters are applicable only on the premiums paid via auto debit
mode of premium payment. Auto debit booster shall be payable only to the fully paid-up policies where all due premiums have been paid.

I, Shivani Shivshankar Goenka (name),have explained the premiums, and benefits under the I, PRADEEP (name), having received the information with respect to the above, have
product fully to the prospect / policyholder. understood the above statement before entering into the contract.

Place: Signature / Thumb Impression / Electronic Signature of Date:2/12/24 Signature / Thumb Impression / Electronic Signature of
Date: 2/12/24 Agent/ Intermediary / Official Prospect/ Policyholder
This system generated benefit illustration shall be treated as signed by me.

UIN: 104N124V06 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 4 of 4
Need analysis for PRADEEP G NAIR Age: 35 years

Occupation: Salaried (Salaried/ Self employed/ others) Risk Profile : Low

(Details of prospect are mandatory)

Life stage: Select basis personal information of the customer (mandatory)

Close to retirement
Married with no
Single Single with Children Married with children or retired
children
(Prospect age >= 45 years)

Gross annual income(Rs.) (mandatory) Rs.2800000

Purpose of Insurance (mandatory, maximum 1 goal at a time)

Insurance need / Children’s Wealth

Investment Protection marriage/ Retirement accumulation/ Regular Income
objective education Investment

Tick the one

applicable

Any existing life insurance cover already held(mandatory) Yes No

Total sum assured (if answer to the above question is yes)

Recommended products (as per standard product suitability matrix)

[Max Life - Max Life Smart Wealth Plan, Max Life Smart Wealth Income Plan, Max Life Smart Wealth Advantage Growth
PAR Plan, Max Life Smart Wealth Advantage Guarantee Plan, Max Life Savings Advantage Plan;Bajaj Allianz - Bajaj
Allianz Life Magnum Fortune Plus II, Bajaj Allianz Life Guaranteed Income Goal, Bajaj Allianz Life Flexi Income Goal,
Bajaj Allianz Life Elite Assure, Bajaj Allianz Life ACE;LIC - LIC JEEVAN UMANG, LIC JEEVAN TARUN, LIC's Jeevan
Shiromani, LIC JEEVAN LABH, LIC NEW JEEVAN ANAND, LIC's Dhan Rekha, LIC BIMA SHREE, LIC's Bima Jyoti;]
 Selected product

Max Life Smart Wealth Advantage Guarantee Plan

Nature of the selected product

Traditional Static Text Combo

ULIP

Premium payment term Policy term Mode of premium payment

(recommended for selected product) (recommended for selected product) (recommended for selected product)

12 47 Annual

Mandatory field for all customers

Customer Name PRADEEP G NAIR

Proposal no(s)
PSM Date 2024-02-12
(If proposal is applied)

I / We are aware that suitability information has been collected from me/us and recommendation on purchase of life
insurance product has been made only basis such information and any product selected by me/us that differs from such
recommendation is on the basis of my/our personal choice.

Seller signature
Customer signature (This system generated form shall be
(OTP confirmation date / Thumb treated as signed by me)
impression / Electronic signature of
Shivani Shivshankar Goenka
prospect/ policyholder )
SP0069631167