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Aviva Life Insurance Company India Limited

401-A, 4th Floor, Block A, DLF Cyber Park


Sector -20, Gurgaon - 122016, Haryana

Premium Quotation
Proposed Plan Name: Aviva New Group Term Life (122N141V01) Quotation Date: 1-Feb-23
Client Name (Master Policy Holder): Taikisha Engineering India Private Limited Quote Valid Up To: 1-Mar-23

Plan Option OYRGTA : Option A Participation Mode: Compulsory

Nature of Business: Engineering Participation Rate NA


No. of Eligible Lives 555 Type of Group: Employer Employee Scheme
Weigthed Age of the Group: 41.33 Years Quotation for: (NB/RB) New Business

Commission As per IRDA Regulations Quotation Number: NB_AGTL003696_1

Benefit Summary

Total Premium Amount


Insurance Benefits Name Benefit Structure Total Sum Assured (Rs.) Unit Rate per 1000 Sum Assured
(Rs.)
Basic Life Insurance Cover (BLC) 5 times of annual CTC upto 1.5cr 1,830,531,960 2,604,847 1.423
**Total Premium Excluding Goods and Services Tax 2,604,847
Age limitations for this group Minimum Age allowed 22 last birthday Maximum Age allowed 58 last birthday
Free Cover Limit
Number of members whose sum assured
*Free Cover Limit
is exceeding FCL
Basic Life Insurance Cover (BLC) 15,000,000 0

* Free Cover Limit (FCL) is applicable only till age of 65 years last birthday and beyond this age complete underwriting will be applicable as per standard rules.
* Covid-19 related T&C's needs to be followed for all members.
* For all the members with sum assured more than FCL, complete individual underwriting will be applicable as per standard rules.
* Medical cost ( If any ) will be borne by the Master policy Holder.
* SA for members above age 75 last birthday will be limited to 5 lakhs only.

General Terms and Condition


1 ** Taxes including but not limited to Goods and Services Tax,Cess as applicable shall also be levied as notified by the goverment from time to time. Tax laws are subject to change.
2 These premium rates are based on the year wise death claim experience shared with Aviva.
3 The premium amount calculated above is for annual mode, for other than annual frequency, installment premium shall be calculated as given below:
Half yearly premium Annual premium * 0.5108
Quarterly Premium Annual premium * 0.2591
Monthly Premium Annual premium * 0.0871
4 The Mater Policy Holder/Member will not be able to change plan option once the policy get booked.
5 The sum assured should not exceed 10 times annual CTC of the employee.
6 Commission/Remuneration (if any) shall be payable as prescribed under approved File & Use of the plan.
7 The quote is valid for only full time employees of the company.
8 All the Employees should be on payroll of Indian organization irrespective of the currency of remuneration paid to them.
9 Currency of amount payable and receivable should be in Indian rupees and Master policyholder should be an Indian entity.
In case the group, consists of employees with foreign nationality, following shall be the eligibility criteria for such members:
(i) Employees should be on the roll of Master Policyholder.
10 (ii) Coverage shall be decided depending on the location (can be India, Home Country or Some other Country) at which the employee is posted.
(iii) In case the Employee is working outside India, Group Overseas Residency Underwriting Guidelines will be applicable for such member basis which the employee can be either covered at
standard rate or rate up or may be declined for coverage.

Employee(s) based or expected to be based at an overseas location for a period more than 182 days in a policy year (total stay in a year- includes travelling for office purpose/holidays) will be granted coverage on
11 the basis of Group Overseas Residency Underwriting Guidelines. The employee can either be covered at standard rate or rate up or may be declined. Master Policyholder will have to inform Aviva about such
employees from time to time. In addition to this, the Master policy holder will also have to inform Aviva about any Expats members if any in the policy from time to time.

12 Under this policy member are covered for any kind of death: either Natural, Accidental or due to illness.
The quote is based on the member data including the claims details & relevant risk factors i.e. salary, age, industry, occupation, geographic location etc, provided by the proposer/master policyholder. The quote
13
is valid only if the information provided by the proposer/master policyholder is “complete and correct”.
14 The premium rates mentioned above may vary if there is change in any material information provided to us.
15 The quote is valid for only those members who satisfy the "Active At Work" Clause.
All members shall be allowed to opt for coverage within 30 days of joining MPH / becoming eligible for this group term insurance scheme. No member shall be allowed coverage at a later date during the policy
16 year.

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