Bajaj Allianz Life

iSecure
A Non-Linked, Non-Participating
Term Life Insurance Plan

Key Features of the plan

Aim of the Bajaj Allianz Life iSecure a non-linked, non-participating, individual, regular and limited premium level
policy cover pure risk premium Life insurance plan that secures your family’s financial needs

Maturity Benefit - No maturity benefit shall be payable on survival till the end of the policy term.

Death Benefit –
a) Individual Life

Benefits • In case of unfortunate death of life assured during the policy term, provided all premiums are
under the paid upto date, the Sum Assured will be payable as death benefit to the nominee .
Policy • The policy will terminate immediately on death of the life assured.
b) Joint Life
• The death benefit is payable on death of each life provided the policy is in force. The amount of
benefit payable is the sum assured in respect of the deceased life assured
• On death of any one of the life assureds, the policy will automatically continue on the surviving
life assured with a reduced premium. The reduced premium will be based on the age, lifestyle
category (if applicable), policy term, premium payment frequency and sum assured of the
surviving life assured as at the inception of the policy.
• The policy will terminate immediately on death of the surviving life assured
For policies purchased through POS channel, Waiting Period of sixty (60) days from Date of
commencement of risk or revival (whichever is latest) shall be applicable. During this period, the
death benefit due to any reason other than accidental death will be 100% of Total Premiums Paid till
date, excluding GST/any other applicable tax levied, subject to changes in tax laws and any extra
premium
Bajaj Allianz Life Insurance Co. Ltd.,
Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver. 1: English
Bonus No bonus is payable under this policy

Premium Premiums at regular intervals are payable for the entire policy term or for a limited term as chosen by
payment you

Non- pay- If due premium is not paid before the end of the grace period, your life cover under the plan will cease
ment of and, in such a case, no death benefit or paid-up value will be payable. You can revive the policy within a
premium revival period of five years from the due date of first unpaid premium, subject to the revival conditions.
You may revive your lapsed/paid-up policy during the revival period of five (5) years from the due date
Revival of first unpaid premium, subject to the revival conditions under the policy
For Regular Premium policies: Surrender value is not available.
For Limited Premium policies: Surrender Value is available only after the premium payment term. The
Surrender Surrender Value payable shall be higher of Guaranteed Surrender Value (GSV) and Special Surrender
Value Value (SSV)
The Company shall have the right to revise the SSV Factors from time to time, subject to prior approval
from the Authority.
The risk cover under the Policy/life assured will terminate, immediately and automatically, on the
earliest occurrence of the following events.
i) On the date of lapse
ii) On the date of death, if Death Benefit in Instalments has been chosen under the Policy
iii) On the date of first death, in case of Joint Life policy, wrt the deceased life assured
This Policy shall immediately and automatically terminate on the earliest occurrence of any of the
following events:
i) On the expiry of the Revival Period of five (5) years from the due date of the first unpaid Regular
Termination Premium
ii) On receipt of intimation of second death out of the Life Assured or Second Life Assured, in case of
joint life policy at the Company’s office.
iii) On the payment of all the last Death Benefit Instalment, if Death Benefit is Instalments has been
chosen under the Policy.
iv) On the Maturity Date.
v) On full surrender of the Policy
vi) On payment of refund in case of cancellation under Free-look.

You will have a free look period of thirty (30) days beginning from the date of receipt of the Policy
Document, whether received electronically or otherwise, to review the terms and conditions of the
policy. In the event You disagree to any of the policy terms or conditions, or otherwise and have not
made any claim, You shall have the option to return the policy to Us for cancellation, stating the reasons
Free Look for the same. Irrespective of the reasons mentioned, You shall be entitled to a refund of the premium
Cancelation paid subject only to a deduction of a proportionate risk premium for the period of cover and the
expenses, if any, incurred by the insurer on medical examination of the proposer and stamp duty
charges. The request for cancellation of the policy during free look period shall be processed and rider
premium shall be refunded within 7 days of receipt of such request.

Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116,
Visit us: www.bajajallianzlife.com,
Contact us
CIN : U66010PN2001PLC015959, Mail us : customercare@bajajallianz.co.in, Call on : Toll free no. 1800
209 7272

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver. 1: English
 Do's and Don'ts
Ÿ Do fill the proposal form very carefully and personally in CAPITAL letters in blue ink only
Ÿ Do provide true and complete information
Ÿ Do provide correct contact number, address and email ID, and update in case of any change, so that
you can receive necessary communication
Ÿ Do sign on all the documents provided by you (Self Attestation)
Ÿ Do provide your recent passport photograph
Do’s
Ÿ Do draw cheque/ DD, in favour of “Bajaj Allianz Life Insurance Co. Ltd.”
Ÿ Do read the policy bond carefully upon receipt of the same.
Ÿ Do contact us if you do not receive the policy bond or any other communication from the Company
within 30 days.
Ÿ Do read the enclosed Benefit Illustration carefully before signing
Ÿ Do register for Auto Debit Instructions/ ECS to ensure timely payments of your premium on due
dates.

Ÿ Do not sign any blank proposal form

Ÿ Do not leave any column blank in the proposal form
Ÿ Do not conceal any facts as this could lead to dispute at the time of a claim
Don’ts
Ÿ Do not miss or delay your premium payment
Ÿ Do not rely on any commitments of any additional benefits made by anyone apart from what has been
highlighted herein above.

Disclaimer
This document contains the highlights of the product Bajaj Allianz Life iSecure UIN: 116N109V05 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 above, 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.bajajallianz.com

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver. 1: English
Quotation No : 60060067628

Bajaj Allianz Life iSecure

A Non-Linked , Non-Participating , Term Life Insurance Plan.

Name of the First Life Assured: Prem . Name of the Product: Bajaj Allianz Life iSecure
Age (Years): 34 Tag Line: A Non-Linked Non-Participating Term
Gender Male Life Insurance Plan
Policy Term (Years): 51 Unique Identification Number: 116N109V05
Premium Payment Term GST Rate: 18.00%
51
(Years):
Amount of Instalment 6,109
Premium (in Rs.):
Mode of Payment of Semi-Annual
Premium:
Smoker (First Life): No

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Individual / Joint : INDIVIDUAL Sum Assured of first life (Rs.): 25,00,000

Sum Assured of second life Sum Assured on death( at

(Rs.): 0 inception of the policy ) of first 25,00,000
life (Rs.):
Sum Assured on death( at
inception of the policy ) of 0
second life (Rs.):

Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST 5,178 0 5,178
Installment Premium with First Year GST 6,109 0 6,109

(Amount in Rupees )
Guaranteed Non Guaranteed
Policy Annualised Premium
Year (Excl of GST) Maturity Death Benefit First Death Benefit Second Guaranteed Surrender Special Surrender Value Surrender Value
Benefit EOYe Life EOYe Life EOYe Value (GSV) EOYe (SSV) EOYe Receivable EOYe
1 10,355 0 25,00,000 0 0 0 0
2 10,355 0 25,00,000 0 0 0 0
3 10,355 0 25,00,000 0 0 0 0
4 10,355 0 25,00,000 0 0 0 0
5 10,355 0 25,00,000 0 0 0 0
6 10,355 0 25,00,000 0 0 0 0
7 10,355 0 25,00,000 0 0 0 0
8 10,355 0 25,00,000 0 0 0 0
9 10,355 0 25,00,000 0 0 0 0
10 10,355 0 25,00,000 0 0 0 0
11 10,355 0 25,00,000 0 0 0 0
12 10,355 0 25,00,000 0 0 0 0
13 10,355 0 25,00,000 0 0 0 0
14 10,355 0 25,00,000 0 0 0 0
15 10,355 0 25,00,000 0 0 0 0
16 10,355 0 25,00,000 0 0 0 0
17 10,355 0 25,00,000 0 0 0 0
18 10,355 0 25,00,000 0 0 0 0
19 10,355 0 25,00,000 0 0 0 0

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Quotation No : 60060067628

Guaranteed Non Guaranteed

Policy Annualised Premium
Year (Excl of GST) Maturity Death Benefit First Death Benefit Second Guaranteed Surrender Special Surrender Value Surrender Value
Benefit EOYe Life EOYe Life EOYe Value (GSV) EOYe (SSV) EOYe Receivable EOYe
20 10,355 0 25,00,000 0 0 0 0
21 10,355 0 25,00,000 0 0 0 0
22 10,355 0 25,00,000 0 0 0 0
23 10,355 0 25,00,000 0 0 0 0
24 10,355 0 25,00,000 0 0 0 0
25 10,355 0 25,00,000 0 0 0 0
26 10,355 0 25,00,000 0 0 0 0
27 10,355 0 25,00,000 0 0 0 0
28 10,355 0 25,00,000 0 0 0 0
29 10,355 0 25,00,000 0 0 0 0
30 10,355 0 25,00,000 0 0 0 0
31 10,355 0 25,00,000 0 0 0 0
32 10,355 0 25,00,000 0 0 0 0
33 10,355 0 25,00,000 0 0 0 0
34 10,355 0 25,00,000 0 0 0 0
35 10,355 0 25,00,000 0 0 0 0
36 10,355 0 25,00,000 0 0 0 0
37 10,355 0 25,00,000 0 0 0 0
38 10,355 0 25,00,000 0 0 0 0
39 10,355 0 25,00,000 0 0 0 0
40 10,355 0 25,00,000 0 0 0 0
41 10,355 0 25,00,000 0 0 0 0
42 10,355 0 25,00,000 0 0 0 0
43 10,355 0 25,00,000 0 0 0 0
44 10,355 0 25,00,000 0 0 0 0
45 10,355 0 25,00,000 0 0 0 0
46 10,355 0 25,00,000 0 0 0 0
47 10,355 0 25,00,000 0 0 0 0
48 10,355 0 25,00,000 0 0 0 0
49 10,355 0 25,00,000 0 0 0 0
50 10,355 0 25,00,000 0 0 0 0
51 10,355 0 25,00,000 0 0 0 0

EOYe : End Of Year

Notes:
Annualized Premium excludes underwriting extra premium, the premiums paid towards the riders, if any, and Goods & Service Tax.

I, ___________________________ (name), have explained the I, ___________________________ (name), having received the
premiums, charges and benefits under the policy fully to the informa on with respect to the above, have understood the above
prospect / policyholder. statement before entering into the contract.

Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder
Disclaimer:
1. The above information must be read in conjunction with Sales Brochure and the Policy Document of the product.

2. Further clarification can be sought by contacting company's sales representative or by sending an e-mail on
customercare@bajajallianz.co.in

3. The company declares that it may charge extra premium subject to underwriting of proposal before the acceptance of
risk.

4. The guaranteed death benefit in case of death during the policy term will be the prevailing sum assured.

5. In case of joint life policy, on the death of any one of the lives assured, the applicable sum assured is payable to the
surviving life assured and the policy will automatically continue on the surviving life assured with a reduced premium.

6. Surrender Benefit is payable under the Policy, only if the premium payment type is limited premium.

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Quotation No : 60060067628

i. For Limited Premium payment option during Premium Payment Term - No surrender value shall be payable
ii. For Limited Premium payment option after Premium Payment Term -surrender value is available and shall be
payable

7. The displayed Special Surrender Values (SSV) are only indicative and not guaranteed and therefore subject to change in
future.

8. The plan offers the flexibility to include the spouse after marriage in the existing individual policy, subject to applicable
terms and conditions.

9. Exclusions under the policy are mentioned in the Sales Brochure of the product.

10. If premiums are not paid by the end of the grace period, the policy will lapse immediately and no benefits under the policy
is payable. The policyholder can revive the policy within a revival period of five (5) years from the date of first unpaid
premium.

11. All benefits payable under the policy are subject to the tax laws and other financial enactments, as they exist from time to
time.

12. All the benefits mentioned under guaranteed section above are guaranteed.

Bajaj Allianz Life Insurance Co. Ltd.,

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

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 CUSTOMER INFORMATION SHEET / KNOW Y OUR POLICY.

This document provides key information about your policy. You are also advised to go through your policy
document.
We request you to kindly review the CIS and acknowledge the same through a link shared to you on your
registered mobile number/Email ID/WhatsApp.

Policy
Sr. Description in Simple Words
Title Clause
No. (Please refer to applicable Policy Clause Number in next column)
Number
Name of the
Insurance
Product and Bajaj Allianz Life iSecure Policy
1
Unique (UIN - 116N109V05) Schedule
Identification
Number (UIN)
Quotation
2 60060067628
number
Type of
Pure Risk Policy
3 Insurance
Schedule
Policy
Installment Premium (Rs) - 5,178
Mode of Premium Payment - Semi-Annual
Basic Policy Sum Assured on Death (Rs) - 25,00,000 Policy
4
Details Sum Assured on Maturity (Rs) - Not Applicable Schedule
Premium Payment Term (Years) - 51
Policy Term (Years) - 51
Benefits payable on maturity - Part C -

Not applicable Section 4

Benefits payable on death -
Part C -
Sum Assured shall be payable and the policy will terminate, provided the
Section 4
policy is in-force.
Survival Benefits excluding that payable on maturity - Part C -

Not Applicable Section 4

Surrender Value
Policy
5 Coverage/ben Payable only if the Premium Payment Term (PPT) is lesser than Policy Part D -
efits payable Term (PT) and will be applicable only post PPT
Surrender Value is higher of Guaranteed Surrender Value and Special Section 9
Surrender Value
If PPT is equal to PT, no Termination Value shall be applicable
Options to policyholders for availing benefits, if any, covered under
the policy - Not applicable
 Other benefits/options payable, specific to the policy, if any - Not
Applicable
Lock-in period for Linked Insurance product - Not applicable
Options
available (in Not
6 case of Linked Not applicable applicabl
Insurance e
Products)

Option
available(in Not
7 case of Not applicable applicabl
Annuity e
product)
Riders Opted if Policy
8 Not Opted
Any Schedule
Suicide Exclusion
Exclusions
(events where In case of death of the life assured due to suicide, within 12 months from the Part F -
insurance date of commencement of risk or the date of latest revival of the policy,
9 Section
coverage is whichever is later, the nominee or beneficiary of the policyholder shall be
not payable), if entitled to receive higher of 80% of the total premiums paid or the 11
any Termination Value as on the date of death, provided the policy is in force.
Not
Waiting / lien
10 Not Applicable Applicabl
Period, if any
e

Thirty (30) days for premium payment frequencies other than monthly and Part B -
11 Grace Period
fifteen (15) days for monthly frequency. Section 1

Free Look Part D -

12 Thirty (30) Days
Period Section 5
Non-Payment of Premiums (Lapse and Paid-up):
Part D -
Lapse, paid-up If premiums have not been paid before the expiry of the grace period, the Section 6
13 and Revival of policy will lapse and no benefit will be paid.
the Policy Revival Period: Part B -

Five (5) years from the due date of the first unpaid premium Section 1
Not
Policy Loan If
14 Not Applicable Applicabl
Applicable
e
 Turn Around Time (TAT) for claims settlement and brief procedure:

Link for Brief Procedure : https://www.bajajallianzlife.com/life-

insurance-claim-assistance.html
Link for Turn Around Time (TAT) for claims settlement:
https://www.bajajallianzlife.com/content/dam/balic/pdf/customer-
services/services-tat.pdf

Helpline/Call Centre Numbers:

Toll free no (24*7) : 1800 2201 02

Sr. Citizens Toll free no. : 1800 2269 70

Claims / Customer Care No: (022) 40881000 Part F -
15 Claims Section
Procedure Board No.: (022) 66867575
22
Contact details of the insurer:

Bajaj Allianz Life Insurance Company Limited

House, Ground Floor, Bajaj Allianz, Airport Rd, Yerawada, Pune,

Maharashtra 411006

Link for downloading claim form and list of documents required

including bank account details:

https://www.bajajallianzlife.com/life-insurance-claim-assistance.html

WhatsApp- 8806727272

Turn Around Time (TAT):

https://www.bajajallianzlife.com/content/dam/balic/pdf/customer-
services/services-tat.pdf

Helpline/Call Centre number: 1800 209 7272

Contact details of the insurer: In case you have any query, you may
communicate with the Company: Part G -
Policy
16 1. By post at: Customer Care Desk, Bajaj Allianz Life Insurance Company Section
Servicing
Ltd., Bajaj Allianz House, 5th floor, Airport Road, Yerawada, Pune – 26
411006
2. By Email: customercare@bajajallianz.co.in

Link for downloading applicable form and list of documents required

including bank account details:

https://bajajallianzlifeonline.co.in/online/portal/logon/serviceRequest.do?
user_name=WEBSITE&p_flag=0
 Contact details of Grievance Redressal Officer of the insurer:
Grievance Redressal Officer of the insurer - In case you do not receive a
response within 15 days or if you are not satisfied with the resolution, you
may approach Grievance Redressal Officer at gro@bajajallianz.co.in

Link for registering the grievance with the insurer’s portal:Insurance

company grievance portal- Part G
Grievances
17
/Complaints https://webpartner.bajajallianz.com/GrvOnlineApi/indexOnlineGrv.jsp#_ga=2 Section
.7272630.541013491.1717475077- 26 & 27
1601763320.1694668355&_gac=1.52751388.1715749803.EAIaIQobChMIy
_eqivKOhgMVdWsPAh0NFQrEEAAYASAAEgJObPD_BwE

Contact details of Ombudsman: Find your nearest Ombudsman office at

http://www.cioins.co.in/ombudsman

Declaration by the policyholder

I have read the above and confirm having noted the details
Place:
Date: (Signature of the Policy Holder)

Web-link for the product where sample policy document can be downloaded:
https://www.bajajallianzlife.com/term-insurance-plans/isecure-insurance-plan.html
Disclaimer:
In case of conflict in the content mentioned hereinabove, the terms and conditions mentioned in the policy
document shall prevail.