104N136V01

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Individual Death Claims Paid Ratio as per Audited Financial for FY 2022-2023 | * As per public disclosures 2022

ARN : Max Life Insurance/FCB/Brand/SEWA Smart BI/Elite/Agency_Sep23

 Max Life Secure Earnings & Wellness Advantage Plan (UIN: 104N136V01) (Elite Variant)

Sum Assured (SA) for Health Cover (in Rs.) 15,00,000

What you give:
Sum Assured on Death (in Rs.) 21,45,000
1
You shall pay Rs. 1,50,000 on Annual mode for 12 years. (at inception of the policy)
Your Policy Term is for 18 years. Sum Assured on Maturity (in Rs.) 6,30,000

Benefits during the premium payment term (from 1st Year till 12th Year) Benefits during the Policy Term from (1st Year till 18th Year)
Health Cover
Life Cover Guaranteed Saving Benefits2 (Accrued Benefit)
Benefit Name Benefit Brief Limit Amount Conditions
3
Fixed Daily 1. Maximum 30 days 21,45,000 Loyalty Wellness Total Savings 4Maturity
1% of
Hospitalization Benefit payable 15,000 of hospitalization in a Payable on Booster Booster Accrued Booster Benefit
SA Per
Cash Benefit in case of Per Day year. death (At (A) (B) Benefit (D) (C+D)
Day
(Non ICU) hospitalization Inception) 14,32,800 1,08,000 (EOY) 12,80,772 34,51,572
(Non ICU/ICU) 2. Maximum 300 days 79% of 6% of (C= A + B +
Fixed Daily 8
for more than 2% of of hospitalization 8
Total Total SA on
Hospitalization 30,000
24 hours SA Per during the premium Annualised Annualised Maturity)
Cash Benefit Per Day
( ICU) Day paying term Premium Premium 21,70,800

5% of 75,000 You can

Payable to Gets accrued Gets Total Accrued Gets added
Minor Payable on SA on on Benefit at the to the withdraw
nominee immediately accrued
Surgeries hospitalisation each each 1. Maximum 20% of at each end of accrued up to 20%
Surgery upon Death upon Premium
for a minimum surgery SA in a year (3,00,000) policy benefit at of Accrued
of life insured payment of Payment the end of Benefit
period for each anniversary Term =
2. Maximum 100% of during the each month post
24 hours premium Loyalty after the
for undergoing 10% of 1,50,000 SA during the PPT during the premium Booster (A) + 12 year
Wellness completion
Major medically SA on on (15,00,000) premium paying term of as Health
Surgeries each based on Booster (B) +
necessary surgery each paying term SA on premium Care
in India surgery Surgery wellness Maturity paying term Benefit
rating Option

Premium Paying Term: 12 Years

Annualized Premium: 1,50,000 Mr.
Total Annualised Premium Payable: 18,00,000

Surgical Care Benefit

Maturity Benefit4:
34,51,572
Fixed Daily Hospitalization Cash Benefit
Health Care Benefit Option

Your Policy Life Cover Policy

Starts Coverage
Year 1 Year 18
Ends
Age 32 Years Policy Term : 18 Years Age 50 Years
 BENEFIT ILLUSTRATION
[Date and Time of Illustration – 31 May 2024, 06:10 PM]

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

Age & Gender: 32 Years, Male Name of the Product: Max Life Secure Earnings & Wellness Advantage Plan
Name of the Life Assured: Mr. Tag Line: A Non-Linked Non Participating Individual Life Insurance Savings Plan
Age & Gender: 32 Years, Male Unique Identification No: 104N136V01
Policy Term: 18 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: `1,48,913 GST Rate (Rider, First Year): NA
Mode of payment of premium: Annual GST Rate (Rider, Subsequent Year): NA
Max Life State: Rajasthan
Policyholder Residential State: Rajasthan

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

Policy Details
Policy Option Elite Variant Sum Assured on Maturity (in Rs.) 6,30,000
Sum Assured on Death (at inception of the policy) (in Rs.) 21,45,000
Death Benefit Multiple 14.3
Sum Assured (in Rs.) 15,00,000
Wellness program opted Yes Wellness program first year premium discount 5.00 %

Rider Details

Accidental Death & Dismemberment (ADD) Rider Policy 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

Critical Illness and Disability Rider - Rider Premium Payment Critical Illness and Disability Rider - Coverage Variant NA
NA
Term and Rider Term
Critical Illness and Disability Rider - Rider Sum Assured NA

Premium Summary
Accidental Death & Critical Illness and Disability
Base Plan Dismemberment Rider
Term Plus Rider Total Installment Premium
Rider
Installment Premium without GST (in Rs.) 1,42,500 0 0 0 1,42,500
Installment Premium with first year GST (in Rs.) 1,48,913 0 0 0 1,48,913
Installment Premium with GST 2nd year onwards (in Rs.) 1,53,375 0 0 0 1,53,375

Proportion of life premium 92.59%

Proportion of health premium 7.41%

UIN: 104N136V01 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 3
 (Amount in Rupees)
Guaranteed Non Guaranteed

Maximum
Annualized Maximum
Policy Year Total Annual Fixed Daily Min Guaranteed
Premium (BOY) Loyalty Fixed Daily
Premium (BOY) Accrued Wellness Saving Booster Accrued Maturity Benefit Hospitalisation Death Benefit Surrender Value Special Surrender
Booster (EOY) Surgical Care
Benefit (BOY) Booster (EOY) (EOY) Benefit (EOY) (EOY) Cash Benefit (EOY) (EOY) Value (EOY)
Benefit for the
for the year 6 7 6
year

1 1,42,500 1,42,500 52,500 1,19,400 9,000 - 1,80,900 - 4,50,000 3,00,000 21,45,000 - -

2 1,50,000 1,50,000 2,33,400 1,19,400 9,000 - 3,61,800 - 4,50,000 3,00,000 21,45,000 90,000 89,890
3 1,50,000 1,50,000 4,14,300 1,19,400 9,000 - 5,42,700 - 4,50,000 3,00,000 21,45,000 1,57,500 1,58,412
4 1,50,000 1,50,000 5,95,200 1,19,400 9,000 - 7,23,600 - 4,50,000 3,00,000 21,45,000 3,00,000 2,36,400
5 1,50,000 1,50,000 7,76,100 1,19,400 9,000 - 9,04,500 - 4,50,000 3,00,000 21,45,000 3,75,000 3,40,005
6 1,50,000 1,50,000 9,57,000 1,19,400 9,000 - 10,85,400 - 4,50,000 3,00,000 21,45,000 4,50,000 4,65,051
7 1,50,000 1,50,000 11,37,900 1,19,400 9,000 - 12,66,300 - 4,50,000 3,00,000 21,45,000 5,25,000 6,13,588
8 1,50,000 1,50,000 13,18,800 1,19,400 9,000 - 14,47,200 - 4,50,000 3,00,000 21,45,000 6,48,000 7,87,818
9 1,50,000 1,50,000 14,99,700 1,19,400 9,000 - 16,28,100 - 4,50,000 3,00,000 21,45,000 7,83,000 10,13,119
10 1,50,000 1,50,000 16,80,600 1,19,400 9,000 - 18,09,000 - 4,50,000 3,00,000 21,45,000 9,30,000 12,76,107
11 1,50,000 1,50,000 18,61,500 1,19,400 9,000 - 19,89,900 - 4,50,000 3,00,000 21,45,000 10,89,000 16,10,594
12 1,50,000 1,50,000 20,42,400 1,19,400 9,000 - 21,70,800 - 4,50,000 3,00,000 21,70,800 12,60,000 20,01,912
13 - - 21,70,800 - - 1,73,664 23,44,464 - - - 23,44,464 13,32,000 22,09,006
14 - - 23,44,464 - - 1,95,372 25,39,836 - - - 25,39,836 14,04,000 24,16,100
15 - - 25,39,836 - - 1,95,372 27,35,208 - - - 27,35,208 14,76,000 26,23,195
16 - - 27,35,208 - - 2,17,080 29,52,288 - - - 29,52,288 15,48,000 28,64,805
17 - - 29,52,288 - - 2,38,788 31,91,076 - - - 31,91,076 16,20,000 31,40,931
18 - - 31,91,076 - - 2,60,496 34,51,572 34,51,572 - - 34,51,572 16,20,000 34,51,572

UIN: 104N136V01 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 3
Notes:
1. EOY: End of Year, BOY = Beginning of Year.
2. Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax.
3. Total Annual Premium includes underwriting extra premium, frequency loadings on premiums, discount applicable, the premiums paid towards the riders, if any but excludes Goods and Service Tax.
4. 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.
5. The Maturity Benefit includes wellness booster applicable for 3-star status each policy year, assuming that all premiums have been paid as and when due (excluding applicable taxes, cesses and levies and rider premiums, if any).
6. The amounts mentioned above for Fixed Daily Hospitalisation Cash Benefit and Fixed Surgical Care Benefit are the maximum annual limits. Actual benefit payable will be as per terms and conditions.
7. The amounts mentioned above for Fixed Daily Hospitalisation Cash Benefit pertain to non-ICU hospitalisation only.
8. The benefits shown above are excluding any withdrawals availed under the Health Care Benefit Option.
9. Premium rates are guaranteed for a period of three years and reviewable every three years thereafter.
10. Refer sales literature (prospectus) and policy document for benefit details and explanation of terms used in this illustration.

REFER SALES LITERATURE (PROSPECTUS) AND POLICY DOCUMENT FOR HEALTH BENEFIT DEFINITIONS, EXCLUSIONS AND LIMITS.

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

Place: Signature / Thumb Impression / Electronic Signature of Date:5/31/24 Signature / Thumb Impression / Electronic Signature of
Date: 5/31/24 Agent/ Intermediary / Official Prospect/ Policyholder
This system generated benefit illustration shall be treated as signed by me.

UIN: 104N136V01 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 3