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This document contains the highlights of the product Bajaj Allianz Elite Assure UIN: 116N127V03 and is subject to the terms and conditions as contained in the policy document. The terms and
conditions as contained in the policy document shall govern the contractual relationship and shall be binding. For details on any of the matters highlighted herein below, please refer to policy
document upon receipt of the same by you. The standard terms and conditions of the product is also available on the Company website (at www.bajajallianzlife.com)

Key Feature Document

Bajaj Allianz
Elite Assure
A Non-linked Participating Endowment
Life Insurance Plan

Presenting Bajaj Allianz Elite Assure, a traditional savings plan that offers the most attractive return while protecting your family.

` Maturity Benefit: Death Benefit:

You will receive Guaranteed Maturity Benefit (GMB) In case of unfortunate death of the life assured
plus Guaranteed Loyalty Additions (GLA) plus Vested during the policy term the death benefit will be Sum
Bonus (VB) plus Interim Bonus (IB), if any, plus Terminal Assured on Death plus Guaranteed Loyalty Addi-
Bonus (TB), if any tions plus Vested Bonus, if any plus Interim Bonus, if
any plus Terminal Bonus, if any, subject to Guaran-
Surrender Benefit: teed Death Benefit of 105% of the total premiums*
You will have the option to surrender your policy paid till the date of death.
anytime, provided at least 1 full year’s premium has
Sum Assured on Death is the higher of:
been paid if premium payment term is less than 10
years or at least 2 full years’ premiums have been paid, if • Guaranteed Maturity Benefit
premium payment term is 10 years or more. The surren- • Sum Assured
der value shall be higher of the Guaranteed Surrender *Total premium is exclusive of extra premium, rider premium, Goods & Service
tax /any other applicable tax levied, subject to changes in tax laws, if any
Value (GSV) and the Special Surrender Value (SSV).
Note- Please refer Policy Document for more details and the table of applicable
GSV & SSV factors. Revival:
You may revive your lapsed/ Paid-up Policy during
Policy Loan: the Revival Period of five (5) years from the due
You will have an option to avail policy loan upto 90% of the date of first unpaid premium, subject to the revival
surrender value. conditions under the Policy.

Non Payment of Premium: Grace Period:

` If you don’t pay first year premium for PPT less than 10 years You will have a Grace Period of thirty (30) days for
or two premiums for PPT 10 and more, then your policy will frequencies other than monthly and fifteen (15)
your policy will lapse and no benefit will be payable. days for monthly frequency to pay your due premi-
If you have paid at least first year premium for PPT less than ums. During the Grace Period, the Policy is consid-
10 years or two premiums for PPT 10 and more, then your ered to be in-force.
policy will continue with reduced paid-up benefits.

Life Cover
Life cover of an individual will be throughout the policy term provided all due premiums have been paid.

Exclusions: Suicide Claim provision

In case of death of the life assured due to suicide within 12 months from the date of commencement of risk or the date of latest revival of
the policy, whichever is later, then the Nominee or the beneficiary of the Policyholder shall be entitled to receive, the higher of 80% of the
Total premiums paid or the surrender benefit as on the date of death, provided the policy is in force.

Free look Cancellation

Within 15 days of the receipt of this policy and thirty (30) days in case of electronic policy and policy obtained through distance mode, you will
have an option to review the terms and conditions of the policy and if you disagree to any of the terms & conditions, you will have an option to
return the policy stating the reasons for objections. You shall be entitled to a refund comprising of all premiums (excluding applicable taxes)
paid, less the proportionate amount of risk premium including proportionate amount of rider risk premium for the period the life assured was
provided cover and the expenses incurred by the company on account of medical examination and stamp duty charges
Tax Benefits
As per applicable tax laws as amended from time to time. You are requested to consult your tax consultant and obtain independent advice
for eligibility and before claiming any benefit under the policy.

Contact Us: Regd. Office Address: Bajaj Allianz life Insurance Co. ltd, Bajaj Allianz House, Airport Road, Yerwada, Pune - 411006., IRDAI Reg No.: 116, Visit us: www.baja-
jallianzlife.com, BALIC CIN : U66010PN2001PLC015959, Mail us : customercare@bajajallianz.co.in, Call on : Toll free no. 1800 209 7272, Fax No: 020-66026789
Quotation No : 60045551515

Bajaj Allianz Elite Assure

A Non-linked Participating Endowment Life Insurance Plan

Name of the Prospect/ Policyholder: Johny . Name of the Product: Bajaj Allianz Elite Assure
Age (Years): 27 Tag Line: A Non-linked Participating Endowment Life
Gender Male Insurance Plan
Name of the Life Assured: Johny . Unique Identification Number: 116N127V03
Age (Years): 27 GST Rate(First Year): 4.50%
Gender Male GST Rate(2nd Year onwards): 2.25%
Policy Term (Years): 15
Premium Payment Term (Years): 10
Amount of Installment Premium (Rs.): 50000.1100000
Mode of Payment of Premium: Annual
Guarantee Maturity Benefit 453598

How to read and understand this benefit illustration?

This benefit illustration is intented to show year-wise premiums payable and benefits under the policy, at two assumed rates of interest i.e., 8% p.a. and 4% p.a.
Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your insurer carrying on life insurance business. If your policy
offers guaranteed benefits then these will be clearly marked "guaranteed" in the illustration table on this page. If your policy offers variable benefits then the illustrations on
this page will show two different rates of assumed future investment returns, of 8% p.a. and 4% p.a. These assumed rates of return are not guaranteed and they are not the
upper or lower limits of what you might get back, as the value of your policy is dependent on a number of factors including future investment performance.

Policy Details
Sum Assured (Rs.): 5,00,001

Bonus Type: Compound Reversionary Bonus Sum Assured on Death (at inception of 5,00,001
the Policy) (Rs.):

Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST 50,000 0 50,000
Installment Premium with First Year GST 52,250 0 52,250
Installment Premium with GST 2nd year Onwards 51,125 0 51,125

(Amount in Rupees )
Total Benefits including Guaranteed and Non Guaranteed Benefits
Guaranteed Benefits
Non Guaranteed Benefit @4% p.a. Non Guaranteed Benefit @8% p.a. Surrender Benefit## Maturity Benefit Death Benefit

Accrued Accrued Maturity Accrued Maturity Total Total Total Total

Guaranteed Death Compound Guaranteed Special Benefit Compound Guaranteed Special Benefit Surrender Surrender Maturity Maturity Death Death
Annualized Loyalty Maturity Rev. Surrender Surrender Under Rev. Surrender Surrender Under Value Benefit Benefit Benefit Benefit
Life Benefit Value
Policy Assured Premium Additions ^! Benefit Bonus (if Value Value Paid-Up Bonus (if Value Value Paid-Up Receivable** Receivable** incl incl incl incl
Year (Excl of (GLA) declared) (GSV) (SSV) Policy# declared) (GSV) (SSV) Policy# Terminal Terminal Terminal Terminal
Age @
GST) Bonus , Bonus , Bonus , Bonus ,
EOY@ EOY EOY@ 4% EOY@ 8%
EOY@ EOY@ EOY@ EOY@ EOY@ EOY@ EOY@ EOY@ EOY@ if any if any if any if any
@4% @8% @4% @8%

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 27 50,000 0 5,00,001 0 0 0 0 0 15,422 0 0 0 0 0 0 0 5,00,001 5,15,423
2 28 50,000 0 5,00,001 0 0 30,000 60,975 1,28,822 31,369 30,297 70,749 1,60,191 60,975 70,749 0 0 5,00,001 5,31,370
3 29 50,000 0 5,00,001 0 0 52,500 97,383 1,93,233 47,858 53,109 1,13,369 2,41,091 97,383 1,13,369 0 0 5,00,001 5,47,859
4 30 50,000 0 5,00,001 0 0 1,00,000 1,38,256 2,57,644 64,907 1,01,122 1,61,496 3,22,551 1,38,256 1,61,496 0 0 5,00,001 5,64,909
5 31 50,000 0 5,00,001 0 0 1,25,000 1,84,021 3,22,055 82,537 1,26,954 2,15,698 4,04,591 1,84,021 2,15,698 0 0 5,00,001 5,82,538
6 32 50,000 0 5,00,001 0 0 1,50,000 2,35,145 3,86,465 1,00,765 1,53,287 2,76,593 4,87,231 2,35,145 2,76,593 0 0 5,00,001 6,00,766
7 33 50,000 0 5,00,001 0 0 1,75,000 2,92,133 4,50,876 1,19,614 1,80,401 3,44,857 5,70,490 2,92,133 3,44,857 0 0 5,00,001 6,19,615
8 34 50,000 0 5,00,001 0 0 2,20,000 3,55,533 5,15,287 1,39,103 2,28,721 4,21,234 6,54,390 3,55,533 4,21,234 0 0 5,00,001 6,39,104
9 35 50,000 0 5,00,001 0 0 2,74,501 4,25,946 5,79,698 1,59,255 2,88,397 5,06,537 7,38,953 4,25,946 5,06,537 0 0 5,00,001 6,59,256
10 36 50,000 31,752 5,31,753 0 0 3,38,864 4,80,833 0 1,80,092 3,60,774 6,01,660 0 4,80,833 6,01,660 0 0 5,31,753 7,11,845
11 37 0 63,504 5,63,505 0 0 3,70,787 5,00,684 0 2,01,637 4,05,034 6,57,486 0 5,00,684 6,57,486 0 0 5,63,505 7,65,142
12 38 0 95,256 5,95,257 0 0 4,12,609 5,33,223 0 2,23,915 4,65,753 7,18,634 0 5,33,223 7,18,634 0 0 5,95,257 8,19,172
13 39 0 1,27,007 6,27,008 0 0 4,62,154 5,67,878 0 2,46,950 5,44,115 7,85,627 0 5,67,878 7,85,627 0 0 6,27,008 8,73,958
14 40 0 1,58,759 6,58,760 0 0 5,23,724 6,04,791 0 2,70,769 6,49,460 8,59,041 0 6,04,791 8,59,041 0 0 6,58,760 9,29,529
15 41 0 1,90,511 6,90,512 6,44,109 0 0 0 0 2,95,398 0 0 0 0 0 6,44,109 9,39,507 6,90,512 9,85,910
Notes: Annualized premium excludes underwri ng extra premium, the premiums paid towards the riders, if any and Goods and Service Tax. Refer Sales literature for explana on of
terms used in this illustration.

EOY@ : End Of Year

^! In case of Death Benefit, the corresponding number in the 'Policy Year' column should be read as the Year in which Death happens at Year-End.
# In case of Maturity Benefit under a Paid-up Policy, the corresponding number in the 'Policy Year' column should be read as the Number of Years for which Premiums are Paid before the
Policy becomes Paid-up.
## In case of Surrender Benefits, the corresponding number in the 'Policy Year' column should be read as the Year in which the Policy is Surrendered at Year-End.

1
Quotation No : 60045551515

I, _____ ___, have explained the premiums, charges and benefits under the policy fully to I, ___ Johny . ____ , having received the informa on with respect to the above, have
the prospect / policyholder. understood the above statement before entering into the contract.

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

Disclaimers:
1. All of the above information must be read in conjunction with Sales Literature.
2. For any further clarification, contact our sales representative or e-mail us on customercare@bajajallianz.co.in
3. Guaranteed Loyalty Addi ons (GLA) will be a ached to the policy at the end of each policy year star ng from the end of 10th policy year. GLA will be a % of Guaranteed Maturity
Benefit and will depend on PPT:

PPT 5 Years 7 Years 10 Years 15 Years 20 Years 25 Years 30 Years

GLA 3% 7% 15%
4. On Death of the Policyholder,
'Death Benefit', which is higher of ('Sum Assured on Death' + 'Guaranteed Loyalty Additions' + ‘Vested Bonus’ + ‘Interim Bonus’ + ‘Terminal Bonus’, if any) OR
105% of total premiums paid ll date of death will be receivable where - Sum Assured on Death is higher of 'Base Sum Assured' (10 mes of Annualized Premium) and 'Guaranteed
Maturity Benefit'.

5. The 'Maturity Benefit' under the policy will be equal to 'Guaranteed Maturity Benefit' + 'Guaranteed Loyalty Addi ons' + ‘Vested Bonus' + ‘Interim Bonus’ + 'Terminal Bonus', if any. The
policy will terminate after the payment of 'Maturity Benefit'.

6. The company may declare a rate of Compound Reversionary Bonus. This rate will be expressed as a percentage of the Guaranteed Maturity Benefit. This percentage will be applied on
the Guaranteed Maturity Benefit plus already a ached reversionary bonuses under the policy to determine the amount of reversionary bonus to be added to the policy at that year end.
An interim bonus may also be declared. Furthermore, if the policy has completed ten (10) years and all due premiums have been paid, the company may declare a terminal bonus
(applied on the guaranteed maturity benefit), if any. The compound reversionary bonus, interim bonus and terminal bonus may vary with the policy term chosen by the policyholder.

7. The policy can be surrendered by the policyholder at any me, provided at least one (1) full year’s premiums have been paid, if the PPT is less than 10 years or at least two (2) full years
premiums have been paid, if the PPT is greater than or equal to 10 years. The surrender value receivable will be the higher of the Guaranteed Surrender Value (GSV) and the Special
Surrender Value (SSV). The policy will terminate on the Date of Surrender.
8. Any rider can be excluded at any time before the Maturity Date. The Rider Life Assured is eligible for Surrender Value on exclusion of the rider, if the Rider Premium Paying Term is less
than Rider Policy Term and two full year’s Rider Premiums have been paid .The Surrender Value of the chosen rider will be 70%*{(n-t)/n}^2*Total Premiums paid for that par cular rider
cover where n is the rider policy term and t is the elapsed dura on in years and frac on thereof from the date of commencement of the rider cover. Base policy will con nue as per its
own provisions even after cancellation of one or more rider(s).
9. The Surrender Value Receivable includes Base Policy Surrender Value and Rider Surrender Value.
10. The investment returns illustrated above are only for the illustra ve purpose as mandated by the IRDA and do not in any way indicate the upper and lower limits of investment
return.
11. Goods & Service Tax and Cess, if any would be payable as per applicable tax laws.
12. The Maturity Benefit demonstrated at 4% and 8% does not include Terminal Bonus. Terminal Bonus, if any, shall become payable along with Maturity Benefit or Death Benefit.

13. Premiums payable and benefits receivable are eligible for tax benefits, as per the then existing tax laws.
Insurance is a subject matter of solicitation.
Read this illustration along with the product brochure for detailed terms and conditions.

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116.
Tel:(020) 66026777. Fax:(020) 66026789.
Email: customercare@bajajallianz.co.in
www.bajajallianzlife.com