BENEFIT ILLUSTRATION
[Date and Time of Illustration – 29 March 2025, 06:37 PM]
Name of the Prospect/Policyholder: Mr. Neethu Proposal No:
Age & Gender: 39 Years, Male Name of the Product: Max Life Smart Wealth Plan
Name of the Life Assured: Mr. Neethu Tag Line: A Non-Linked Non Participating Individual Life Insurance Savings Plan
Age & Gender: 39 Years, Male Unique Identification No: 104N116V14
Policy Term: 15 Years GST Rate (Base Policy, First Year): 4.50%
Premium Payment Term: 10 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: NA
Income Period, if applicable: NA Max Life State: Maharashtra
Mode of Income, if applicable: NA Policyholder Residential State/Country: Maharashtra
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Lump Sum Sum Assured (in Rs.) 34,50,000
Sum Assured on Death (at inception of the policy) (in Rs.) 33,00,000
Rider Details
Accidental Death & Dismemberment (ADD) Rider Premium
NA Accidental Death & Dismemberment (ADD) Rider Sum Assured (in Rs.) NA
Payment Term and Rider Term
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
UIN: 104N116V14 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 2
(Amount in Rupees)
Guaranteed Non Guaranteed
Single/ Annualized Total Annual Premium
Policy Year Other Benefits, if any
Premium Accrued Guaranteed Guaranteed Surrender Special Surrender Surrender Value
(Guaranteed Sum Maturity Benefit Death Benefit
Additions Value Value Payable (EOY)
Assured at Maturity)
1 3,00,000 3,00,000 - - - 33,00,000 - 1,28,455 1,28,455
2 3,00,000 3,00,000 - - - 33,00,000 1,80,000 2,75,519 2,75,519
3 3,00,000 3,00,000 - - - 33,00,000 3,15,000 4,43,269 4,43,269
4 3,00,000 3,00,000 - - - 33,00,000 6,00,000 6,34,014 6,34,014
5 3,00,000 3,00,000 - - - 33,00,000 7,50,000 8,50,244 8,50,244
6 3,00,000 3,00,000 - - - 33,00,000 9,00,000 10,94,753 10,94,753
7 3,00,000 3,00,000 - - - 33,00,000 10,50,000 13,70,513 13,70,513
8 3,00,000 3,00,000 - - - 34,46,160 13,37,040 16,80,908 16,80,908
9 3,00,000 3,00,000 - - - 40,45,950 16,58,610 20,29,494 20,29,494
10 3,00,000 3,00,000 - - - 46,93,500 20,14,200 24,20,316 24,20,316
11 - - - - - 50,69,100 21,85,800 25,99,489 25,99,489
12 - - 5,83,200 - - 54,74,700 25,32,060 32,55,889 32,55,889
13 - - 11,66,400 - - 59,12,700 28,78,620 39,98,574 39,98,574
14 - - 17,49,600 - - 63,85,800 32,24,880 48,37,247 48,37,247
15 - - 23,32,800 34,50,000 57,82,800 68,96,400 33,99,840 57,82,800 57,82,800
Notes:
• 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.
• Refer Sales literature (Prospectus) for explanation of terms used in this illustration.
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:3/29/25 Signature / Thumb Impression / Electronic Signature of
Date: 3/29/25 Agent/ Intermediary / Official of the insurer Prospect/ Policyholder
This system generated benefit illustration shall be treated as signed by me.
UIN: 104N116V14 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 2
84,39,15,3450000,0,300000,M
