BENEFIT ILLUSTRATION

Tata AIA Sampoorna Raksha Promise

Name of the Prospect/Policyholder : hitesh Proposal No: 1264214957769
Age (years) : 30 Name of the Product: Tata AIA Sampoorna Raksha Promise
Gender: Male Tag Line: Non-linked, non-participating, pure risk, individual life insurance
Name of the Life Assured : hitesh product
Age (years) : 30 Unique Identification Number: 110N176V01
Gender: Male GST Rate Year 1: 4.50%
Smoker : No GST Rate Year 2 onwards: 2.25%
Policy Term (years) : 35
Premium Payment Term (years) : 5
Amount of Instalment Premium (Rs.) : 74,053
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 Promise Plus Sum Assured Rs. 100,00,000
Sum Assured on Death (at inception of the policy) Rs. 100,00,000

Rider Details
Tata AIA Vitality (Wellness No
Program):
Details of Life Insured/Partner under the Benefit Payout
Benefit Option
Last
Rider Name / UIN^(Benefit Income Year's Return of Benefit Premium Sum Premium Year 1
Option / Benefit Payout premium Option Payment Assured p.a. Discount
Option) Lumpsum Income Increasing Income per Income Income
option Term Term (Rs.) without (Rs.)
Name Age(yrs) Gender (Rs.) Payout Income frequency frequency per Duration GST (Rs.)
Type Rate* chosen frequency (yrs)
(Rs.) chosen
(Rs.)

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 70,864 0 70,864
Instalment Premium with First year GST (Rs.) 74,053 0 74,053
Instalment Premium post applicable discount with First year GST (Rs.) 70,350 0 70,350
Instalment Premium with GST 2nd year onwards (Rs.) 72,458 0 72,458
Total Discount for first year premium Includes - Salaried Discount (5%)
 (Amount in Rupees)

Guaranteed Non - Guaranteed

Policy Year Single/ Annualised Premium Surrender Value^
Survival Benefit / Loyalty Other Benefits, if any Maturity Benefit Death Benefit Min Guaranteed Surrender Special Surrender Value
Additions Value

1 70,864 NA NA 0 1,00,00,000 0 27,294 27,294

2 70,864 NA NA 0 1,00,00,000 42,518 57,809 57,809

3 70,864 NA NA 0 1,00,00,000 74,407 91,032 91,032

4 70,864 NA NA 0 1,00,00,000 1,41,728 1,28,103 1,41,728

5 70,864 NA NA 0 1,00,00,000 1,77,160 1,68,715 1,77,160

6 0 NA NA 0 1,00,00,000 1,77,160 1,78,479 1,78,479

7 0 NA NA 0 1,00,00,000 1,77,160 1,87,491 1,87,491

8 0 NA NA 0 1,00,00,000 1,80,703 1,97,715 1,97,715

9 0 NA NA 0 1,00,00,000 1,87,790 2,08,223 2,08,223

10 0 NA NA 0 1,00,00,000 1,91,333 2,19,979 2,19,979

11 0 NA NA 0 1,00,00,000 1,98,419 2,22,195 2,22,195

12 0 NA NA 0 1,00,00,000 2,01,962 2,25,730 2,25,730

13 0 NA NA 0 1,00,00,000 2,09,049 2,29,620 2,29,620

14 0 NA NA 0 1,00,00,000 2,12,592 2,32,899 2,32,899

15 0 NA NA 0 1,00,00,000 2,19,678 2,35,604 2,35,604

16 0 NA NA 0 1,00,00,000 2,23,222 2,39,734 2,39,734

17 0 NA NA 0 1,00,00,000 2,30,308 2,43,395 2,43,395

18 0 NA NA 0 1,00,00,000 2,33,851 2,47,552 2,47,552

19 0 NA NA 0 1,00,00,000 2,40,938 2,51,276 2,51,276

20 0 NA NA 0 1,00,00,000 2,44,481 2,54,603 2,54,603

21 0 NA NA 0 1,00,00,000 2,51,567 3,36,604 3,36,604

22 0 NA NA 0 1,00,00,000 2,55,110 3,36,604 3,36,604

23 0 NA NA 0 1,00,00,000 2,62,197 3,36,604 3,36,604

 (Amount in Rupees)

Guaranteed Non - Guaranteed

Policy Year Single/ Annualised Premium Surrender Value^
Survival Benefit / Loyalty Other Benefits, if any Maturity Benefit Death Benefit Min Guaranteed Surrender Special Surrender Value
Additions Value

24 0 NA NA 0 1,00,00,000 2,65,740 3,36,604 3,36,604

25 0 NA NA 0 1,00,00,000 2,72,826 3,54,320 3,54,320

26 0 NA NA 0 1,00,00,000 2,76,370 3,54,320 3,54,320

27 0 NA NA 0 1,00,00,000 2,83,456 3,54,320 3,54,320

28 0 NA NA 0 1,00,00,000 2,86,999 3,54,320 3,54,320

29 0 NA NA 0 1,00,00,000 2,94,086 3,54,320 3,54,320

30 0 NA NA 0 1,00,00,000 2,97,629 3,54,320 3,54,320

31 0 NA NA 0 1,00,00,000 3,04,715 3,54,320 3,54,320

32 0 NA NA 0 1,00,00,000 3,54,320 3,54,320 3,54,320

33 0 NA NA 0 1,00,00,000 3,54,320 3,54,320 3,54,320

34 0 NA NA 0 1,00,00,000 3,54,320 3,54,320 3,54,320

35 0 NA NA 3,54,320 1,00,00,000 3,54,320 3,54,320 3,54,320

Note: "Annualized Premium” shall be the premium payable in a year under a non-single pay option chosen by the policyholder, excluding the taxes, rider premiums, underwriting extra premiums, loading for modal premiums, if any.
"Single Premium” shall be the premium payable under a single pay option chosen by the policyholder, excluding the taxes, rider premiums, underwriting extra premiums, if any.
#The benefits illustrated are as at the end of the policy year.
*Maturity benefit will be equal to 100% of the Total Premiums Paid (excluding loadings for the modal premium and discount).
Surrender Value shall be payable on completion of one policy year, provided one full years premium is paid for non-single pay policies. For Single Pay policies, the Surrender Value shall be payable immediately after it is issued. Surrender value
illustrated above is the value at the end of the POLICYYEAR.

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

Place:
Date: 28 Aug 2024 Date: 28 Aug 2024
Signature of Agent / Intermediary / Official Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2024/Aug/2294 (Rider - L&C/Advt/2022/Sep/2271)
Tata AIA Life Insurance Company Ltd. (IRDA of India Regn No. 110) (CIN: U66010MH2000PLC128403)
Registered and Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai- 400013
Trade logo displayed above belongs to Tata Sons Ltd and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a license.
For more information, Call the Tata AIA Life Insurance Company Ltd Helpline number1860-266-9966 (local charges apply) or Visit us at: www.tataaia.com