BENEFIT ILLUSTRATION
Tata AIA Sampoorna Raksha Promise
Name of the Prospect/Policyholder : R TIRUPATHI RAO Proposal No: 70031984371
Age (years) : 51 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 : R TIRUPATHI RAO product
Age (years) : 51 Unique Identification Number: 110N176V07
Gender: Male GST Rate : 18.00%
Smoker : No
Policy Term (years) : 20
Premium Payment Term (years) : 15
Amount of Instalment Premium (Rs.) : 6,436
Mode of Payment of Premium : Monthly
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Life Promise Sum Assured Rs. 1,00,00,000
Super Retirement Benefit Option No Sum Assured on Death (at inception of the policy) Rs. 1,00,00,000
Rider Details
Tata AIA Vitality (Wellness No
Program):
Details of Life Insured/Partner under the Benefit Option Benefit Payout
Last
Income Year's Return Premium
Rider Name / UIN^(Benefit of Benefit Premium Sum p.a. Year 1
Option / Benefit Payout Income Increasing Income per Income Income Option Payment Assured Discount
Option) Name Age(yrs) Gender Lumpsum (Rs.) Payout Income frequency frequency per Duration premium Term Term without
(Rs.) GST (Rs.) (Rs.)
Type Rate* chosen frequency (yrs) option
(Rs.) chosen
(Rs.)
CPR - Accidental Death
Benefit (Lumpsum & Fixed R TIRUPATHI RAO 51 M 50,00,000 Lumpsum NA NA NA NA 0 No 20 15 50,00,000 2,750 NA
Income)
^CPR: Tata AIA Life Insurance Non-Linked Comprehensive Protection Rider, UIN:110B033V04
Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 5,211 243 5,454
Instalment Premium with First year GST (Rs.) 6,149 287 6,436
Instalment Premium post applicable discount with First year GST (Rs.) 6,149 287 6,436
Instalment Premium with GST 2nd year onwards (Rs.) 6,149 287 6,436
(Amount in Rupees)
Guaranteed Non - Guaranteed
Policy Year Single/ Annualised Surrender Value^
Premium Survival Benefit / Other Benefits, if any Maturity Benefit Death Benefit Min Guaranteed Special Surrender Value
Loyalty Additions Surrender Value
1 59,014 NA NA NA 1,00,00,000 0 NA 0
2 59,014 NA NA NA 1,00,00,000 0 NA 0
3 59,014 NA NA NA 1,00,00,000 0 NA 0
4 59,014 NA NA NA 1,00,00,000 0 NA 0
5 59,014 NA NA NA 1,00,00,000 0 NA 0
6 59,014 NA NA NA 1,00,00,000 0 NA 0
7 59,014 NA NA NA 1,00,00,000 11,803 NA 11,803
8 59,014 NA NA NA 1,00,00,000 20,655 NA 20,655
9 59,014 NA NA NA 1,00,00,000 26,556 NA 26,556
10 59,014 NA NA NA 1,00,00,000 35,408 NA 35,408
11 59,014 NA NA NA 1,00,00,000 44,261 NA 44,261
12 59,014 NA NA NA 1,00,00,000 50,162 NA 50,162
13 59,014 NA NA NA 1,00,00,000 59,014 NA 59,014
14 59,014 NA NA NA 1,00,00,000 64,915 NA 64,915
15 59,014 NA NA NA 1,00,00,000 73,768 NA 73,768
16 0 NA NA NA 1,00,00,000 67,866 NA 67,866
17 0 NA NA NA 1,00,00,000 64,915 NA 64,915
18 0 NA NA NA 1,00,00,000 59,014 NA 59,014
19 0 NA NA NA 1,00,00,000 53,113 NA 53,113
20 0 NA NA NA 1,00,00,000 0 NA 0
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.
^Surrender value (if applicable) will be higher of GSV (Guaranteed Surrender value) and SSV (Special Surrender Value)
I, …...................... (name), have explained the premiums and benefits under the product fully to the prospect / I, R TIRUPATHI RAO , have received the information with respect to the above, have understood the above
policyholder. statement before entering into the contract.
Place:
Date: 11 Aug 2025 Date: 11 Aug 2025
Signature of Agent / Intermediary / Official Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2025/Jun/2431 (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
(I)V.96.00/FY2025-2026_Q2/RELEASE 01-07-25/EXPIRY 30-09-2025 00WEBSITENQPRSLV1N1 11-08-2025 01: 49 PM
