Quotation No : 60073440362
Bajaj Allianz Life ACE
A Non linked, Participating, Individual Life Insurance Savings Plan
Name of the Prospect/ Policyholder: PRADIP PAUL Name of the Product: Bajaj Allianz Life ACE
Age: 29 Gender: Male Tag Line: A Non linked, Participating, Individual Life
Name of the Life Assured: PRADIP PAUL Insurance Savings Plan
Age: 29 Gender: Male Unique Identification Number: 116N186V03
Premium Payment Term: 12 GST Rate(First Year): 4.50%
Policy Term: 30 GST Rate(2nd Year onwards): 2.25%
Deferment Period: 0
Amount of Instalment Premium: 1,04,458
Mode of Payment of Premium: Annual
How to read and understand this benefit illustration?
This benefit illustration is intented to show year-wise premiums payable and benefits under the policy, at two assumed rates of
interest i.e., 8% p.a. and 4% p.a.
Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your insurer carrying on
life insurance business. If your policy offers guaranteed benefits then these will be clearly marked "guaranteed" in the illustration table
on this page. If your policy offers variable benefits then the illustrations on this page will show two different rates of assumed future
investment returns, of 8% p.a. and 4% p.a. These assumed rates of return are not guaranteed and they are not the upper or lower limits
of what you might get back, as the value of your policy is dependent on a number of factors including future investment performance.
Policy Details
Early Income Wealth Income Benefit Monthly
Frequency
Premium Allocation 95% 5% Goal Protection No
Benefit
Benefit Sum Assured* 4,19,936 34,226 Accumulate Income No
Benefits
Income Period 30 NA
Bonus Type Cash Bonus, Simple Revisionary Bonus and
Sum Assured on Death (at 11,22,000 Terminal Bonus
inception of policy)
*Benefit Sum Assured will be used for calculating Guaranteed Income and declaring Bonuses, and will not be payable on Maturity or
Death.
Premium Summary
Base Plan Riders Total Installment Premium
Instalment Premium without GST (including 99,960 0 99,960
2.00% discount in 1st year)
Installment Premium without GST(2nd year) 1,02,000 0 1,02,000
Instalment Premium with First Year GST 1,04,458 0 1,04,458
Installment Premium with GST 2nd year 1,04,295 0 1,04,295
Onwards
(Amount in Rupees )
O.X.X.A.X
Quotation No : 60073440362
Benefit Summary
Guaranteed Benefits Non Guaranteed Benefit @ 4% p.a. Non Guaranteed Benefit @ 8% p.a. Total Benefits including Guarantee and Non-Guaranteed Benefits
Annualized Accrued Accrued Survival and Survival and Death Death
Policy Premium Survival Death Maturity Simple Cash Guaranteed Special Simple Cash Guaranteed Special Surrender Surrender Maturity Maturity Benefit incl Benefit incl
Year (Excl of Benefit Benefit Benefit Reversionary Bonus Surrender Surrender Reversionary Bonus Surrender Surrender Value @4% Value @8% Benefit incl Benefit incl TB (if any) TB (if any)
Bonus Value (GSV) Value (SSV) Bonus Value (GSV) Value (SSV) TB (if any) TB (if any) @4% @8%
GST) @4% @8%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 99,960 15,958 11,22,000 0 308 3,989 0 25,663 770 23,936 0 25,733 25,663 25,733 19,947 39,894 11,22,000 11,22,000
2 1,02,000 15,958 11,22,000 0 616 3,989 21,355 52,705 1,540 23,936 3,181 52,854 54,011 54,084 19,947 39,894 11,22,308 11,22,770
3 1,02,000 15,958 11,22,000 0 924 3,989 47,338 81,278 2,310 23,936 5,553 81,517 83,826 83,945 19,947 39,894 11,22,616 11,23,540
4 1,02,000 15,958 11,22,000 0 1,232 3,989 1,24,328 1,11,549 3,080 23,936 44,713 1,11,889 1,24,328 1,17,929 19,947 39,894 11,22,924 11,24,310
5 1,02,000 15,958 11,22,000 0 1,540 3,989 1,55,423 1,43,698 3,850 23,936 55,924 1,44,151 1,55,423 1,51,358 19,947 39,894 11,23,232 11,25,080
6 1,02,000 15,958 11,22,000 0 1,848 3,989 1,86,524 1,77,914 4,621 23,936 67,152 1,86,770 1,86,524 1,86,770 19,947 39,894 11,23,540 11,25,850
7 1,02,000 15,958 11,22,000 0 2,156 3,989 2,17,634 2,14,406 5,391 23,936 78,398 2,39,195 2,23,772 2,39,195 19,947 39,894 11,23,848 11,26,621
8 1,02,000 15,958 11,22,000 0 2,464 3,989 2,56,911 2,53,388 6,161 23,936 97,826 3,09,108 2,63,855 3,09,108 19,947 39,894 11,24,156 11,27,391
9 1,02,000 15,958 11,22,000 0 2,772 3,989 3,07,419 2,95,095 6,931 23,936 1,28,498 3,90,337 3,07,419 3,90,337 19,947 39,894 11,24,464 11,28,161
10 1,02,000 15,958 11,22,000 0 3,080 3,989 3,62,017 3,39,775 7,701 23,936 1,63,276 4,84,806 3,62,017 4,84,806 19,947 39,894 11,24,772 11,28,931
11 1,02,000 15,958 11,22,000 0 3,388 3,989 4,09,487 3,87,698 8,471 23,936 1,90,944 5,93,941 4,09,487 5,93,941 19,947 39,894 11,78,375 11,82,996
12 1,02,000 15,958 11,22,000 0 3,696 3,989 4,71,250 5,53,282 9,241 23,936 2,32,926 7,45,772 5,68,743 7,45,772 19,947 39,894 12,85,200 12,87,517
13 0 15,958 11,22,000 0 4,004 3,989 4,75,908 5,74,210 10,011 23,936 2,17,826 7,98,797 5,89,541 7,98,797 19,947 39,894 12,85,200 12,96,318
14 0 15,958 11,22,000 0 4,312 3,989 4,80,584 5,96,526 10,781 23,936 2,02,768 8,20,492 6,11,640 8,20,492 19,947 39,894 12,85,200 13,02,318
15 0 15,958 11,22,000 0 4,621 3,989 4,73,038 6,20,354 11,551 23,936 1,75,518 8,43,401 6,34,547 8,43,401 19,947 39,894 12,85,200 13,08,848
16 0 15,958 11,22,000 0 4,929 3,989 4,77,755 6,45,833 12,321 23,936 1,60,562 8,68,005 6,59,613 8,68,005 19,947 39,894 12,85,200 13,15,881
17 0 15,958 11,22,000 0 5,237 3,989 4,82,496 6,73,119 13,091 23,936 1,45,669 8,94,893 6,86,377 8,94,893 19,947 39,894 12,85,200 13,23,484
18 0 15,958 11,22,000 0 5,545 3,989 4,87,265 7,02,385 13,862 23,936 1,30,846 9,23,853 7,15,001 9,23,853 19,947 39,894 12,85,200 13,31,664
19 0 15,958 11,22,000 0 5,853 3,989 4,79,827 7,33,828 14,632 23,936 1,03,864 9,54,647 7,45,059 9,54,647 19,947 39,894 12,85,200 13,40,546
20 0 15,958 11,22,000 0 6,161 3,989 4,84,666 7,67,663 15,402 23,936 89,214 9,88,443 7,77,979 9,88,443 19,947 39,894 12,85,200 13,50,132
21 0 15,958 11,22,000 0 6,469 3,989 4,89,547 8,04,122 16,172 23,936 74,671 10,24,959 8,13,368 10,24,959 19,947 39,894 12,85,200 13,60,559
22 0 15,958 11,22,000 0 6,777 3,989 4,94,477 8,43,468 16,942 23,936 60,249 10,64,493 8,51,475 10,64,493 19,947 39,894 12,85,200 13,71,753
23 0 15,958 11,22,000 0 7,085 3,989 4,87,223 8,85,985 17,712 23,936 55,930 11,06,682 8,91,959 11,06,682 19,947 39,894 12,85,200 13,83,929
24 0 15,958 11,22,000 0 7,393 3,989 4,92,272 9,31,997 18,482 23,936 58,445 11,53,843 9,36,351 11,53,843 19,947 39,894 12,85,200 13,97,089
25 0 15,958 11,22,000 0 7,701 3,989 4,97,396 9,81,864 19,252 23,936 61,145 12,03,486 9,84,381 12,03,486 19,947 39,894 12,85,200 14,11,309
26 0 15,958 11,22,000 0 8,009 3,989 5,02,604 10,36,001 20,022 23,936 64,058 12,68,738 10,36,443 12,68,738 19,947 39,894 12,85,200 14,28,540
27 0 15,958 11,22,000 0 8,317 3,989 4,95,671 10,94,883 20,792 23,936 66,604 13,40,646 10,94,883 13,40,646 19,947 39,894 12,85,200 14,47,328
28 0 15,958 11,22,000 0 8,625 3,989 5,01,092 11,59,060 21,562 23,936 70,047 14,18,787 11,59,060 14,18,787 19,947 39,894 12,85,665 14,67,788
29 0 15,958 11,22,000 0 8,933 3,989 5,31,125 12,29,179 22,333 23,936 75,046 15,03,881 12,29,179 15,03,881 19,947 39,894 12,90,848 15,03,881
30 0 15,958 11,22,000 12,87,754 9,241 3,989 0 0 23,103 23,936 0 0 0 0 13,16,942 16,58,676 12,96,995 16,18,782
There are mul ple product op ons in the product. I understand that returns vary under each op on. I have made choice of inves ng in more
than one product option considering my need and understanding the benefit under each option.
Notes: Annualized Premium excludes underwri ng extra premium, frequency loadings on premiums, the premiums paid towards the riders, if
any, and Goods & Service Tax. Refer Sales literature for explanation of terms used in this illustration.
1. The above benefit illustra on demonstrates premium paid at the beginning of the year and all the benefits (other than cash bonus and
guaranteed Income) are paid out at the end of year. Cash Bonus and Guaranteed Income will be paid as per the ming of payout opted by the
customer.
2. The Survival Benefits are payable during the policy year when they are due as per the frequency. Upon payment at Maturity (Last Payout),
the policy terminates, and no further benefits become payable. The Maturity benefit will be the sum of Sum Assured on Maturity plus
Accumulated Income benefits, if not paid earlier, plus Terminal Bonus (if declared).
3. The surrender value payable will be higher of Guaranteed Surrender Value or Special Surrender Value (including any Terminal Bonus
payable, if declared) and is illustrated under 'Total Surrender Benefit' columns.
4. Surrender value illustrated above is end of the policy year value. The Special Surrender Value (SSV) displayed above are not guaranteed and
only indica ve. The Company shall comply with prevailing guidelines w.r.t SSV issued by IRDAI from me to me. Upon payment of surrender
benefit, the policy terminates, and no further benefit becomes payable.
5. The death benefits shown above are at the end of the year. Upon payment of death benefit the policy terminates and no further benefit is
payable. Not Applicable for Policies with Goal Protection Benefit.
6. Income Tax benefits would be available as per the prevailing income tax laws.
7. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.
8. RB - Reversionary Bonus, TB - Terminal Bonus
9. On payment at Maturity (Last Payout), the policy terminates and no further benefits become payable.
I,……….A RIJITGHOSH….…….(name), have explained the premiums, I………P RA DI PPAUL………(name), having received the informa on
charges and benefits under the policy fully to the with respect to the above, have understood the above statement
prospect/policyholder. before entering into the contract.
Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder
Bajaj Allianz Life Insurance Co. Ltd.
O.X.X.A.X
Quotation No : 60073440362
Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116.
Tel: (020) 66026777.
Email: customercare@bajajallianz.co.in
www.bajajallianzlife.com
O.X.X.A.X
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 ACE Policy
1
Unique (UIN - 116N186V03) Schedule
Identification
Number (UIN)
Quotation Policy
2 60073440362
number Schedule
Type of
Policy
3 Insurance Non-Linked other than pure risk and pension
Schedule
Policy
Installment Premium for Year 1 (Rs): 99,960
Installment Premium Year 2 onwards (Rs): 1,02,000
Mode of Premium Payment: Annual
Basic Policy Policy
4 Sum Assured on Death (Rs): 11,22,000
Details Schedule
Sum Assured on Maturity (Rs): 12,87,754
Premium Payment Term (Years): 12
Policy Term (Years): 30
Benefits payable on maturity-
Part C
On maturity of the Policy, sum assured on maturity, accumulated income
Section 4
benefits (if any) and bonuses, if declared will be paid.
Benefits payable on death-
Part C
On death of Life assured during the policy term, sum assured on death,
105% of accumulated income benefits (if any) and bonuses, if declared will Section 4
be paid.
Survival Benefits excluding that payable on maturity -
i.) Option 1- Deferred Income: Guaranteed Income plus cash bonuses, if
declared will be paid after the end of the Premium Payment Term and
Deferment period and is payable till the end of policy term.
ii.) Option 2- Early Income: Guaranteed Income plus cash bonuses, if
declared will be paid after the end of Deferment period and is payable for
the end of policy term. Part C
iii.) Option 3- Increasing Income: Guaranteed Income plus cash bonuses, if Section 4
Policy
declared will be paid after the end of the Premium Payment Term and
5 Coverage/ben
Deferment period and is payable till the end of policy term. These incomes
efits payable
will be declared as a percentage of the Benefit Sum Assured. Benefit Sum
Assured is guaranteed to increase at 5% p.a. (on compounding basis) every
year. The increased Benefit Sum Assured will be used for calculation of
respective years Guaranteed Incomes and Cash bonuses.
iv.) Option 4- Wealth: No Survival benefit is paid.
Surrender Benefits
The policyholder will have the option to surrender the policy. The
surrender value payable will be the higher of the guaranteed surrender
value (GSV) or the special surrender value (SSV). Part D
The policy will acquire a GSV provided two (2) full years' regular
Section 8
premiums have been paid. SSV shall become payable after completion
of first (1st) policy year provided at least one (1) full
years' regular premium has been received.
A product option alone in a policy cannot be surrendered.
Options to policyholders for availing benefits, if any, covered under
the policy -
Part D
You can avail the policy survival benefits in yearly, half-yearly,
quarterly and monthly instalments (in advance or arrears) or Section
accumulate within the policy. The accumulated amount can be 10
withdrawn anytime during the policy term
Option to take Death/ Maturity Benefit in Installments
Other benefits/options payable, specific to the policy, if any:
No other benefit payable other than survival, maturity, surrender and death -
benefit
Lock-in period for Linked Insurance products:
-
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 Exclusions: In case of death of Life Assured due to suicide within
Exclusions
twelve (12) months from the Date of Commencement of Risk or the date of
(events where Part F
latest revival of the Policy, whichever is later, then, the Claimant shall be
insurance
9 entitled to receive the higher of 80% of the total premiums received till the Section
coverage is
date of death of the Life Assured or the Surrender Value, if any, available as 12
not payable), if
on the date of death, provided the Policy is in-force and the Policy will be
any
terminated. There are no other exclusions in the Policy.
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 30 Days
Period Section 5
1) Non- payment of premium -
If at least one (1) full years premium is not paid, the policy will,
Part D
immediately & automatically, lapse at the expiry of the grace period,
and no benefit other than the Accumulated income benefit, if any, will Section
be payable under the policy. The Accumulated income benefit, if any, 6
Lapse, paid-up
in the policy will be paid out at the end of grace period.
13 and Revival of
If at least one (1) full years premium has been paid and subsequent and
the Policy
premiums are not paid, then, the policy will be, immediately &
automatically, converted to a reduced paid-up policy at the expiry of Part B
the grace period.
Section 1
2) Revival of the policy - Within five (5) years from the due date of the first
unpaid premium, before the Maturity Date.
You will have the option to take Policy loan, subject to a maximum limit of Part D
Policy Loan If 80% of the [Surrender Value less TB on surrender (if any) less any AIB] +
14 Section
Applicable 50% of TB on surrender (if any). Loan interest rate applicable for the loan
will be as decided by the company from time-to-time. 11
1. 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-
web/pdf/customer-services/services-tat.pdf
2. Helpline/Call Centre Numbers:
1800-209-7272 (Toll Free)
Claims / Part F
Mail Us : customercare@bajajallianz.co.in
15 Claims Section
Procedure 3. Contact details of the insurer:
22
Bajaj Allianz Life Insurance Company Limited
House, Ground Floor, Bajaj Allianz, Airport Rd, Yerawada, Pune,
Maharashtra 411006
4. 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 – 25
411006
2. By Email: customercare@bajajallianz.co.in
Link for downloading applicable forms 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 14 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 Part G
Grievances company grievance portal - Section
17
/Complaints https://webpartner.bajajallianz.com/GrvOnlineApi/indexOnlineGrv.jsp#_ga=2 25 and
.7272630.541013491.1717475077- 26
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/tax-saving-investment-plans/bajaj-allianz-life-ace.html
Disclaimer:
In case of conflict in the content mentioned hereinabove, the terms and conditions mentioned in the policy
document shall prevail.
