Proposal No:
Name of the Prospect/Policyholder: Ms. Abc Name of the Product: Axis Max Life Savings Advantage Plan
Age & Gender: 26 Years, Female Tag Line: A Non-Linked Participating Individual Life Insurance Savings Plan
Name of the Life Assured: Ms. Abc Unique Identification No: 104N111V03
Age & Gender: 26 Years, Female GST Rate: 4.50%
Policy Term: 10 Years Axis Max Life State: Punjab
Premium Payment Term: 5 Years Policyholder Residential State: Punjab
Amount of Installment Premium: `5,22,500
Mode of payment of premium: Annual
How to read and understand this benefit illustration?
This benefit illustration is intended 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 illustration 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
Policy Option Sum Assured (in Rs.) 20,08,677
Bonus Type Paid Up Additions Sum Assured on Death (at inception of the policy) (in Rs.) 55,00,000
Rider Details
Accidental Death & Dismemberment (ADD) Rider Premium
NA Accidental Death & Dismemberment (ADD) Rider Sum Assured (in Rs.) NA
Payment Term and Rider Term
Term Plus Rider Term NA Term Plus Rider Sum Assured (in Rs.) NA
Waiver of Premium (WOP) Plus Rider Term NA
Critical Illness and Disability Rider - Rider Premium
NA Critical Illness and Disability Rider - Coverage Variant NA
Payment Term and Rider Term
Critical Illness and Disability Rider - Rider Sum Assured NA
Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST (in Rs.) 5,00,000 - 5,00,000
Installment Premium with first year GST (in Rs.) 5,22,500 - 5,22,500
Installment Premium with GST 2nd year onwards (in Rs.) 5,11,250 - 5,11,250
UIN: 104N111V03 Page 1 of 2
(Amount in Rupees)
Total Benefits including Guaranteed and Non-Guaranteed
Non-Guaranteed Benefits Non-Guaranteed Benefits Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Maturity Benefit Death Benefit
Single/
Policy Annualized Total Maturity Total Death
Total Maturity Total Death
Year Premium Guranteed Guranteed Benefit, incl. Benefit, incl.
Special Special Benefit, incl. Benefit, incl.
Surrender Surrender Terminal of Terminal
Guaranteed Survival Death Maturity Paid Up Cash Surrender Surrender Paid Up Cash Surrender Surrender Terminal of Terminal
Value Value Bonus, if any Bonus, if any
Additions Benefit Benefit Benefit Additions Bonus Value Benefit Additions Bonus Value Benefit Bonus, if any Bonus, if any
(GSV) (GSV) @ @ 4%(5+7+8)
(SSV) (SSV) @ 4%(6+7+8) @
8%(6+12+13)
8%(5+12+13)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
2,88,94
1 5,00,000 1,10,477 - 55,00,000 - - - - 2,88,944 - - - 2,88,944 2,88,944 - - 56,10,477 56,10,477
4
6,29,85
2 5,00,000 1,10,477 - 55,00,000 - 16,283 12,675 3,96,122 6,29,855 26,825 16,049 4,00,393 6,35,734 6,35,734 - - 57,37,238 57,47,779
5
10,19,9 10,19,98 10,32,76 10,32,76
3 5,00,000 1,10,477 - 55,00,000 - 16,415 26,259 6,90,096 27,187 34,454 6,99,760 - - 58,64,129 58,85,444
84 4 7 7
12,49,24 14,64,9 14,64,94 12,65,63 14,85,77 14,85,77
4 5,00,000 1,10,477 - 55,00,000 - 16,556 40,811 27,539 55,463 - - 59,91,162 60,23,460
0 43 3 0 8 8
16,51,23 19,70,8 19,70,88 16,75,94 20,28,33 20,28,33
5 5,00,000 1,10,477 - 55,00,000 - 16,704 56,394 27,904 79,366 - - 61,18,344 69,07,424
8 89 9 6 6 6
17,53,92 21,30,6 21,30,69 1,06,49 17,88,85 25,91,96 25,91,96
6 - - - 55,00,000 - 16,840 73,035 28,271 - - 61,35,184 69,45,646
6 91 1 0 6 7 7
18,64,32 23,32,3 23,32,36 1,37,18 19,11,76 28,82,83 28,82,83
7 - - - 55,00,000 - 16,958 90,797 28,662 - - 61,52,141 69,84,397
5 66 6 7 7 2 2
1,09,75 23,58,57 25,13,7 25,13,71 1,71,82 24,21,22 31,46,14 31,46,14
8 - - - 55,00,000 - 17,106 29,044 - - 61,69,248 70,23,665
6 8 11 1 4 0 6 6
1,29,95 28,62,93 27,06,8 28,62,93 2,10,83 29,43,97 34,30,81 34,30,81
9 - - - 55,00,000 - 17,239 29,432 - - 61,86,487 70,63,457
7 7 34 7 2 6 7 7
27,61,93 1,51,47 29,53,86 29,13,4 29,53,86 2,54,68 30,57,06 38,13,31 38,13,31
10 - - - 55,00,000 17,378 29,818 29,53,865 38,13,315 62,03,865 71,03,770
2 9 5 10 5 2 8 5 5
Notes: Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax. Refer Sales literature for explanation of terms used in
this illustration.
I, ……………………………………………. (name), have explained the premiums, and benefits I, Abc (name), having received the information with respect to the above, have understood the
under the product fully to the prospect / policyholder. above statement before entering into the contract.
Place:
Date: 8/17/25 Signature / OTP Confirmation Date / Thumb Impression / Date:8/17/25 Signature / OTP Confirmation Date / Thumb Impression /
Electronic Signature of Agent/ Intermediary / Official of the Electronic Signature of Prospect/ Policyholder
insurer
This system generated benefit illustration shall be treated as signed by me.
UIN: 104N111V03 Page 2 of 2
