BENEFIT ILLUSTRATION
[Date and Time of Illustration – 10 June 2022, 04:37 PM]
Name of the Prospect/Policyholder: Mr. Proposal No:
Age & Gender: 49 Years, Male Name of the Product: Max Life Smart Secure Plus Plan
Name of the Primary Life Assured: Mr. Tag Line: Non-Linked Non-Participating Individual Life Insurance Savings Premium Plan
Age & Gender: 49 Years, Male Unique Identification No: 104N118V03
Risk Class: Non Smoker GST Rate (Base Policy, First Year): 4.50%
Name of the Secondary Life Assured, if applicable: NA GST Rate (Base Policy, Subsequent Year): 2.25%
Age & Gender: NA GST Rate (Rider, First Year): NA
Risk Class: NA GST Rate (Rider, Subsequent Year): NA
Policy Term: 36 Years
Premium Payment Term: 15 Years Max Life State: Andhra Pradesh
Amount of Installment Premium: `1,43,724 Policyholder Residential State: Andhra Pradesh
Mode of payment of premium: Annual
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Life Cover Sum Assured (in Rs.) 1,00,00,000
Return of Premium Option Yes Sum Assured on Death (at inception of the policy) (in Rs.) 1,00,00,000
Optional Benefit Details
Optional Benefit Name Applicability/ Opted Sum Assured Coverage Term Payment Term
Accelerated Critical Illness Cover No NA NA NA
Accident Cover No NA NA NA
Joint Life Benefit No NA NA NA
Premium Break No NA NA NA
Rider Details
Rider Name Applicability/ Opted Sum Assured Coverage Term Payment Term
Waiver of Premium (WOP) Plus Rider No NA NA NA
Critical Illness and Disability Rider No NA NA NA
Premium Summary
Accelerated Critical Waiver of Premium
Accidental Cover Critical Illness and Total Installment
Base Plan Joint Life Illness Cover Benefit Plus Rider
Benefit Disability Rider Premium
Installment Premium without GST (in Rs.) 1,37,535 0 0 0 0 0 1,37,535
Installment Premium with first year GST (in Rs.) 1,43,724 0 0 0 0 0 1,43,724
Installment Premium with GST 2nd year onwards (in Rs.) 1,40,630 0 0 0 0 0 1,40,630
UIN: 104N118V03 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
Single/ Annualized Premium
Policy Year Min Guaranteed Surrender
Survival Benefits/ Loyalty Special Surrender Value/
Other Benefits, if any Maturity Benefit Death Benefit Value/ Exit Value
Additions Special Exit Value
1 1,37,535 - - NA 1,00,00,000 - -
2 1,37,535 - - NA 1,00,00,000 82,521 82,521
3 1,37,535 - - NA 1,00,00,000 1,44,412 1,44,412
4 1,37,535 - - NA 1,00,00,000 2,75,070 2,75,070
5 1,37,535 - - NA 1,00,00,000 3,57,591 3,57,591
6 1,37,535 - - NA 1,00,00,000 4,45,613 4,45,613
7 1,37,535 - - NA 1,00,00,000 5,39,137 5,39,137
8 1,37,535 - - NA 1,00,00,000 6,29,517 6,29,517
9 1,37,535 - - NA 1,00,00,000 7,23,238 7,23,238
10 1,37,535 - - NA 1,00,00,000 8,20,298 8,20,298
11 1,37,535 - - NA 1,00,00,000 9,20,699 9,20,699
12 1,37,535 - - NA 1,00,00,000 10,24,439 10,24,439
13 1,37,535 - - NA 1,00,00,000 11,31,520 11,31,520
14 1,37,535 - - NA 1,00,00,000 12,41,941 12,41,941
15 1,37,535 - - NA 1,00,00,000 13,55,702 13,55,702
16 - - - NA 1,00,00,000 13,80,753 13,80,753
17 - - - NA 1,00,00,000 14,05,804 14,05,804
18 - - - NA 1,00,00,000 14,30,855 14,30,855
19 - - - NA 1,00,00,000 14,55,906 14,55,906
20 - - - NA 1,00,00,000 14,80,957 14,80,957
21 - - - NA 1,00,00,000 15,06,008 15,06,008
22 - - - NA 1,00,00,000 15,31,059 15,31,059
23 - - - NA 1,00,00,000 15,56,110 15,56,110
24 - - - NA 1,00,00,000 15,81,161 15,81,161
25 - - - NA 1,00,00,000 16,06,212 16,06,212
26 - - - NA 1,00,00,000 16,31,263 16,31,263
27 - - - NA 1,00,00,000 16,56,314 16,56,314
28 - - - NA 1,00,00,000 16,81,365 16,81,365
29 - - - NA 1,00,00,000 17,06,416 17,06,416
30 - - - NA 1,00,00,000 17,31,467 17,31,467
UIN: 104N118V03 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
Guaranteed Non Guaranteed
Single/ Annualized Premium
Policy Year Min Guaranteed Surrender
Survival Benefits/ Loyalty Special Surrender Value/
Other Benefits, if any Maturity Benefit Death Benefit Value/ Exit Value
Additions Special Exit Value
31 - - - NA 1,00,00,000 17,56,518 17,56,518
32 - - - NA 1,00,00,000 17,81,569 17,81,569
33 - - - NA 1,00,00,000 18,06,620 18,06,620
34 - - - NA 1,00,00,000 18,31,671 18,31,671
35 - - - NA 1,00,00,000 18,56,723 18,56,723
36 - - - 20,63,025 1,00,00,000 18,56,723 18,56,723
Notes:
• Annualized Premium includes base policy and additional benefits premium, if opted. It excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and
Service Tax.
• Guaranteed Death Benefit will be paid to the beneficiary, immediately on death of the Life Insured or diagnosis of terminal illness (capped at sum assured of 1 crore) on the Life Insured, whichever is earlier.
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:6/10/22 Signature / Thumb Impression / Electronic Signature of
Date: 6/10/22 Agent / Intermediary / Official Prospect / Policyholder
This system generated benefit illustration shall be treated as signed by me.
UIN: 104N118V03 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
