Product Proposal for achieving your Life Goals

Bajaj Allianz Life ACE

A Non linked, Participating, Individual
Life Insurance Savings Plan
UIN: 116N186V03

Hi Mr. ABC DEF,

Congratulations on taking the first step towards fulfilling your Life Goals with Bajaj Allianz Life Insurance. You
have opted for Bajaj Allianz Life ACE , a truly modular product where you are the one in charge of your financial
plan along with life cover

Key Features

Decide your Income Wide range of policy term Choice of premium Life Cover to Comprehensive Tax Benefits
amount and Income from 10 to 85 years or up payment term from 5 to secure your coverage through
start year to age 100 years 10 year or 12 years planned Life multiple riders
Goals
 Here's your illustration of Bajaj Allianz Life ACE

Age 10 16 84

(7 years)

(75 years)

You Pay You Get

Premium 1st Income Last Income
Including discounts (if any) and Guaranteed Income (A) ₹12,469 ₹12,469
excluding GST
(From Age 10 to 84)
First year
Cash Bonus (B) @8% ₹18,703 @8% ₹18,703
₹ 98,000 Yearly
(From Age 10 to 84) @4% ₹3,117 @4% ₹3,117
Second year Income Benefit (A+B) @8% ₹31,172 @8% ₹31,172
onwards (From Age 10 to 84) @4% ₹15,586 @4% ₹15,586
₹ 1,00,000 Yearly
Maturity Benefit (At age 84) @8% ₹75,92,698 @4% ₹9,47,032

Total Premium Total Benefits

₹ 6,98,000 @8% ₹ 99,30,598 @4% ₹ 21,15,982

Life Cover(At Inception)

11,00,000

Additional Coverages ( signifies Opted | signifies Not-opted )

Accidental death Benefit Accidental Permanent Total/Partial Family Income Benefit

Disability Benefit

Critical Illness Benefit Waiver of Premium benefit

2
Above Additonal Coverages Premiums are excluding GST
^Premiums are payable at the beginning of year; ^^Benefits to be received at the end of year. Product features mentioned above are dependent on benefit chosen.The assumed rate of returns indicated
at 4% and 8% are illustrative and not guaranteed and do not indicate the upper or lower limits of returns under the policy.The guaranteed benefits are dependent on the Policy terms, Premium payment
terms availed along with other variable factors.The above benefits/returns shown in the document are for illustrative purpose only & must be read in conjunction with the Benefit Illustration. For more
details on risk factors, terms and conditions please read sales brochure & policy document (available on www.bajajallianzlife.com) carefully before concluding a sale.Tax benefits as per prevailing Income
tax laws shall apply. Please check with your tax consultant for eligibility. Product features mentioned above are dependent on benefit chosen
 Why Bajaj Allianz Life

Total Asset Under AAA; Stable Number of Lives

Managment (AUM) Rating by CARE Covered

Claim settlement Get 1 Day Claim Solvency Ratio

Ratio Approval

~Individual Death Claim Settlement Ratio for FY 2023-2024. | ^Solvency ratio 432% as at 31 March 2024 against IRDAI mandated
150% | % 96.70% of non-investigative individual claims approved in one working day for FY 2023-24. 1 day is counted from date of
intimation of claim before 3 PM on a working day (excluding Non-NAV days for ULIP) at Bajaj Allianz Life offices | $For details refer to
press release published by CARE | **All figures as on 31 March, 2024 | #Individual & Group.

For more details please refer to Company Factsheet

https://www.bajajallianzlife.com/content/dam/balic/pdf/financialinformation/Factsheet/none/Q1/Factsheet-FY-2023-2024.pdf

3
Bajaj A llianz L ife Insurance Co.L td., CIN : U66010P N 2001P L C015959 | IRDA I Reg.N o. 116 BEW ARE OF SPURIOUS PHONE CALLS AND FICTITIOUS /
Mail us: customercare@bajajallianz.co.in | Call on: T oll free no. 1800 209 7272 FRAUDULENT OFFERS -
Registered O ffice A ddress: Bajaj A llianz House, A irport Road, Yerawada, P une - 411006, IRDAI or its officials do not involve in activities like selling
Maharashtra insurance policies, announcing bonus or investment of
T he L ogo of Bajaj A llianz L ife Insurance Co. L td. is provided on the basis of license given premiums. Public receiving such phone calls are requested to
by Bajaj Finserv L td.to use its "Bajaj" L ogo and A llianz SE to use its "A llianz" logo. lodge a police complaint.
Quotation No : 60080315947

Bajaj Allianz Life ACE

A Non linked, Participating, Individual Life Insurance Savings Plan

Name of the Prospect/ Policyholder: MUKESH . Name of the Product: Bajaj Allianz Life ACE
Age: 50 Gender: Male Tag Line: A Non linked, Participating, Individual Life
Name of the Life Assured: ABC DEF Insurance Savings Plan
Age: 10 Gender: Male Unique Identification Number: 116N186V03
Premium Payment Term: 7 GST Rate(First Year): 4.50%
Policy Term: Maturity Age 85 GST Rate(2nd Year onwards): 2.25%
Deferment Period: 0
Amount of Instalment Premium: 1,02,410
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 Annually

Frequency

Premium Allocation 95% 5% Goal Protection No

Benefit

Benefit Sum Assured* 3,11,714 2,46,096 Accumulate Income No

Benefits
Income Period 75 NA
Bonus Type Cash Bonus, Simple Revisionary Bonus and
Sum Assured on Death (at 11,00,000 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 98,000 0 98,000
2.00% discount in 1st year)
Installment Premium without GST(2nd year) 1,00,000 0 1,00,000
Instalment Premium with First Year GST 1,02,410 0 1,02,410
Installment Premium with GST 2nd year 1,02,250 0 1,02,250
Onwards
(Amount in Rupees )

D.X.E.A.X
Quotation No : 60080315947

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 98,000 12,469 11,00,000 0 2,215 3,117 0 35,359 5,537 18,703 0 35,656 35,359 35,656 15,586 31,172 11,00,000 11,00,000
2 1,00,000 12,469 11,00,000 0 4,430 3,117 29,036 72,121 11,074 18,703 3,518 72,750 73,420 73,731 15,586 31,172 11,02,215 11,05,537
3 1,00,000 12,469 11,00,000 0 6,645 3,117 58,578 1,10,405 16,611 18,703 12,323 1,11,405 1,12,958 1,13,460 15,586 31,172 11,04,430 11,11,074
4 1,00,000 12,469 11,00,000 0 8,859 3,117 1,38,138 1,50,335 22,149 18,703 76,515 1,51,747 1,56,534 1,57,254 15,586 31,172 11,06,645 11,16,611
5 1,00,000 12,469 11,00,000 0 11,074 3,117 1,72,718 1,92,038 27,686 18,703 95,758 1,93,907 1,99,518 2,00,487 15,586 31,172 11,08,859 11,22,149
6 1,00,000 12,469 11,00,000 0 13,289 3,117 2,07,319 2,35,641 33,223 18,703 1,15,055 3,07,015 2,44,279 3,07,015 15,586 31,172 11,11,074 11,27,686
7 1,00,000 12,469 11,00,000 0 15,504 3,117 2,41,945 2,97,425 38,760 18,703 1,34,412 4,17,688 3,07,091 4,17,688 15,586 31,172 11,13,289 11,33,223
8 0 12,469 11,00,000 0 17,719 3,117 2,26,596 3,04,474 44,297 18,703 1,03,832 4,58,645 3,13,577 4,58,645 15,586 31,172 11,15,504 11,38,760
9 0 12,469 11,00,000 0 19,934 3,117 2,18,274 3,11,832 49,834 18,703 80,321 4,63,468 3,20,696 4,63,468 15,586 31,172 11,17,719 11,44,297
10 0 12,469 11,00,000 0 22,149 3,117 2,02,981 3,19,492 55,371 18,703 49,882 4,69,169 3,27,740 4,69,169 15,586 31,172 11,19,934 11,49,834
11 0 12,469 11,00,000 0 24,363 3,117 1,94,719 3,27,444 60,909 18,703 26,519 4,74,841 3,35,401 4,74,841 15,586 31,172 11,22,149 11,55,371
12 0 12,469 11,00,000 0 26,578 3,117 1,79,488 3,35,681 66,446 18,703 24,492 4,81,254 3,42,972 4,81,254 15,586 31,172 11,24,363 11,60,909
13 0 12,469 11,00,000 0 28,793 3,117 1,71,291 3,44,199 71,983 18,703 25,814 4,87,449 3,51,150 4,87,449 15,586 31,172 11,26,578 11,66,446
14 0 12,469 11,00,000 0 31,008 3,117 1,63,129 3,53,000 77,520 18,703 27,223 4,94,677 3,59,585 4,94,677 15,586 31,172 11,28,793 11,71,983
15 0 12,469 11,00,000 0 33,223 3,117 1,48,004 3,62,090 83,057 18,703 28,375 5,02,181 3,67,935 5,02,181 15,586 31,172 11,31,008 11,77,520
16 0 12,469 11,00,000 0 35,438 3,117 1,39,919 3,71,488 88,594 18,703 29,975 5,09,943 3,76,917 5,09,943 15,586 31,172 11,33,223 11,83,057
17 0 12,469 11,00,000 0 37,653 3,117 1,24,875 3,81,215 94,132 18,703 31,331 5,18,157 3,85,851 5,18,157 15,586 31,172 11,35,438 11,88,594
18 0 12,469 11,00,000 0 39,867 3,117 1,16,878 3,91,299 99,669 18,703 33,151 5,27,235 3,95,465 5,27,235 15,586 31,172 11,37,653 11,94,132
19 0 12,469 11,00,000 0 42,082 3,117 1,08,929 4,01,772 1,05,206 18,703 35,094 5,36,777 4,05,438 5,36,777 15,586 31,172 11,39,867 11,99,669
20 0 12,469 11,00,000 0 44,297 3,117 94,035 4,12,668 1,10,743 18,703 36,821 5,47,122 4,15,454 5,47,122 15,586 31,172 11,42,082 12,05,206
21 0 12,469 11,00,000 0 46,512 3,117 86,198 4,24,015 1,16,280 18,703 39,045 5,57,836 4,26,240 5,57,836 15,586 31,172 11,44,297 12,10,743
22 0 12,469 11,00,000 0 48,727 3,117 71,425 4,35,844 1,21,817 18,703 41,077 5,69,590 4,37,125 5,69,590 15,586 31,172 11,46,512 12,16,280
23 0 12,469 11,00,000 0 50,942 3,117 63,721 4,48,177 1,27,354 18,703 43,630 5,82,015 4,48,833 5,82,015 15,586 31,172 11,48,727 12,21,817
24 0 12,469 11,00,000 0 53,157 3,117 56,090 4,61,029 1,32,892 18,703 46,366 5,94,476 4,61,029 5,94,476 15,586 31,172 11,50,942 12,27,354
25 0 12,469 11,00,000 0 55,371 3,117 41,537 4,74,411 1,38,429 18,703 48,949 6,09,164 4,74,411 6,09,164 15,586 31,172 11,53,157 12,32,892
26 0 12,469 11,00,000 0 57,586 3,117 34,067 4,88,326 1,43,966 18,703 52,089 6,24,085 4,88,326 6,24,085 15,586 31,172 11,55,371 12,38,429
27 0 12,469 11,00,000 0 59,801 3,117 34,849 5,02,768 1,49,503 18,703 55,098 6,39,905 5,02,768 6,39,905 15,586 31,172 11,57,586 12,43,966
28 0 12,469 11,00,000 0 62,016 3,117 36,494 5,17,730 1,55,040 18,703 58,686 6,56,875 5,17,730 6,56,875 15,586 31,172 11,59,801 12,49,503
29 0 12,469 11,00,000 0 64,231 3,117 37,885 5,33,193 1,60,577 18,703 62,162 6,75,786 5,33,193 6,75,786 15,586 31,172 11,62,016 12,55,040
30 0 12,469 11,00,000 0 66,446 3,117 39,724 5,49,138 1,66,114 18,703 66,235 6,94,182 5,49,138 6,94,182 15,586 31,172 11,64,231 12,60,577
31 0 12,469 11,00,000 0 68,661 3,117 41,665 5,65,543 1,71,652 18,703 70,561 7,15,609 5,65,543 7,15,609 15,586 31,172 11,66,446 12,66,114
32 0 12,469 11,00,000 0 70,876 3,117 43,359 5,82,379 1,77,189 18,703 74,799 7,44,289 5,82,379 7,44,289 15,586 31,172 11,68,661 12,71,652
33 0 12,469 11,00,000 0 73,090 3,117 45,510 5,99,615 1,82,726 18,703 79,651 7,74,873 5,99,615 7,74,873 15,586 31,172 11,70,876 12,77,189
34 0 12,469 11,00,000 0 75,305 3,117 47,419 6,17,219 1,88,263 18,703 84,423 8,07,197 6,17,219 8,07,197 15,586 31,172 11,73,090 12,91,974
35 0 12,469 11,00,000 0 77,520 3,117 49,787 6,35,156 1,93,800 18,703 89,817 8,41,298 6,35,156 8,41,298 15,586 31,172 11,75,305 13,11,345
36 0 12,469 11,00,000 0 79,735 3,117 52,264 6,53,388 1,99,337 18,703 95,484 8,76,325 6,53,388 8,76,325 15,586 31,172 11,77,520 13,31,451
37 0 12,469 11,00,000 0 81,950 3,117 54,500 6,71,872 2,04,875 18,703 1,01,075 9,14,053 6,71,872 9,14,053 15,586 31,172 11,79,735 13,54,106
38 0 12,469 11,00,000 0 84,165 3,117 57,195 6,90,567 2,10,412 18,703 1,07,287 9,52,713 6,90,567 9,52,713 15,586 31,172 11,81,950 13,77,577
39 0 12,469 11,00,000 0 86,380 3,117 59,646 7,09,427 2,15,949 18,703 1,13,416 9,93,217 7,09,427 9,93,217 15,586 31,172 11,84,165 14,02,815
40 0 12,469 11,00,000 0 88,594 3,117 62,553 7,28,406 2,21,486 18,703 1,20,158 10,36,569 7,28,406 10,36,569 15,586 31,172 11,86,380 14,30,867
41 0 12,469 11,00,000 0 90,809 3,117 65,562 7,47,453 2,27,023 18,703 1,27,155 10,81,851 7,47,453 10,81,851 15,586 31,172 11,88,594 14,60,858
42 0 12,469 11,00,000 0 93,024 3,117 68,319 7,66,516 2,32,560 18,703 1,34,047 11,29,080 7,66,516 11,29,080 15,586 31,172 11,90,809 14,92,846
43 0 12,469 11,00,000 0 95,239 3,117 71,520 7,85,544 2,38,097 18,703 1,41,524 11,78,268 7,85,544 11,78,268 15,586 31,172 11,93,024 15,26,891
44 0 12,469 11,00,000 0 97,454 3,117 74,458 8,04,479 2,43,635 18,703 1,48,871 12,30,506 8,04,479 12,30,506 15,586 31,172 11,95,239 15,64,130
45 0 12,469 11,00,000 0 99,669 3,117 77,829 8,23,268 2,49,172 18,703 1,56,772 12,84,771 8,23,268 12,84,771 15,586 31,172 11,97,454 16,03,586
46 0 12,469 11,00,000 0 1,01,884 3,117 80,924 8,41,850 2,54,709 18,703 1,64,510 13,42,200 8,41,850 13,42,200 15,586 31,172 11,99,669 16,46,443
47 0 12,469 11,00,000 0 1,04,098 3,117 84,436 8,60,168 2,60,246 18,703 1,72,765 14,02,868 8,60,168 14,02,868 15,586 31,172 12,01,884 16,92,827
48 0 12,469 11,00,000 0 1,06,313 3,117 88,005 8,78,162 2,65,783 18,703 1,81,163 14,66,853 8,78,162 14,66,853 15,586 31,172 12,04,098 17,42,862
49 0 12,469 11,00,000 0 1,08,528 3,117 91,272 8,95,768 2,71,320 18,703 1,89,329 15,34,226 8,95,768 15,34,226 15,586 31,172 12,06,313 17,96,672
50 0 12,469 11,00,000 0 1,10,743 3,117 94,924 9,12,921 2,76,857 18,703 1,97,936 16,05,054 9,12,921 16,05,054 15,586 31,172 12,08,528 18,54,376
51 0 12,469 11,00,000 0 1,12,958 3,117 98,250 9,29,551 2,82,395 18,703 2,06,251 16,79,398 9,29,551 16,79,398 15,586 31,172 12,10,743 19,16,093
52 0 12,469 11,00,000 0 1,15,173 3,117 1,01,935 9,45,575 2,87,932 18,703 2,14,936 17,58,587 9,45,575 17,58,587 15,586 31,172 12,12,958 19,83,215
53 0 12,469 11,00,000 0 1,17,388 3,117 1,05,610 9,60,902 2,93,469 18,703 2,23,599 18,42,729 9,60,902 18,42,729 15,586 31,172 12,15,173 20,55,925
54 0 12,469 11,00,000 0 1,19,602 3,117 1,08,903 9,75,412 2,99,006 18,703 2,31,834 19,31,900 9,75,412 19,31,900 15,586 31,172 12,17,388 21,34,396
55 0 12,469 11,00,000 0 1,21,817 3,117 1,12,487 9,88,948 3,04,543 18,703 2,40,267 20,26,128 9,88,948 20,26,128 15,586 31,172 12,19,602 22,18,784
56 0 12,469 11,00,000 0 1,24,032 3,117 1,15,620 10,01,285 3,10,080 18,703 2,48,099 21,25,365 10,01,285 21,25,365 15,586 31,172 12,21,817 23,09,223
57 0 12,469 11,00,000 0 1,26,247 3,117 1,18,942 10,12,094 3,15,617 18,703 2,55,880 22,30,840 10,12,094 22,30,840 15,586 31,172 12,24,032 24,07,211
58 0 12,469 11,00,000 0 1,28,462 3,117 1,22,011 10,20,857 3,21,155 18,703 2,63,027 23,43,652 10,20,857 23,43,652 15,586 31,172 12,26,247 25,14,272
59 0 12,469 11,00,000 0 1,30,677 3,117 1,24,327 10,26,747 3,26,692 18,703 2,68,817 24,60,275 10,26,747 24,60,275 15,586 31,172 12,28,462 26,27,560
60 0 12,469 11,00,000 0 1,32,892 3,117 1,26,337 10,28,393 3,32,229 18,703 2,73,317 25,83,719 10,28,393 25,83,719 15,586 31,172 12,30,677 27,51,212
61 0 12,469 11,00,000 0 1,35,106 3,117 1,28,011 10,29,981 3,37,766 18,703 2,77,502 27,16,380 10,29,981 27,16,380 15,586 31,172 12,32,892 28,84,175
62 0 12,469 11,00,000 0 1,37,321 3,117 1,30,058 10,31,487 3,43,303 18,703 2,82,094 28,79,392 10,31,487 28,79,392 15,586 31,172 12,35,106 30,28,297
63 0 12,469 11,00,000 0 1,39,536 3,117 1,31,787 10,32,873 3,48,840 18,703 2,86,419 30,61,843 10,32,873 30,61,843 15,586 31,172 12,37,321 31,85,538
64 0 12,469 11,00,000 0 1,41,751 3,117 1,33,918 10,34,090 3,54,378 18,703 2,91,220 32,58,864 10,34,090 32,58,864 15,586 31,172 12,39,536 33,54,824
65 0 12,469 11,00,000 0 1,43,966 3,117 1,36,126 10,35,058 3,59,915 18,703 2,96,214 34,72,044 10,35,058 34,72,044 15,586 31,172 12,41,751 35,39,805
66 0 12,469 11,00,000 0 1,46,181 3,117 1,38,100 10,35,671 3,65,452 18,703 3,01,150 37,04,334 10,35,671 37,04,334 15,586 31,172 12,43,966 37,39,498
67 0 12,469 11,00,000 0 1,48,396 3,117 1,40,601 10,35,772 3,70,989 18,703 3,06,877 39,59,577 10,35,772 39,59,577 15,586 31,172 12,46,181 39,59,577
68 0 12,469 11,00,000 0 1,50,610 3,117 1,43,019 10,35,134 3,76,526 18,703 3,12,922 42,36,755 10,35,134 42,36,755 15,586 31,172 12,48,396 42,36,755
69 0 12,469 11,00,000 0 1,52,825 3,117 1,46,193 10,33,432 3,82,063 18,703 3,20,331 45,35,951 10,33,432 45,35,951 15,586 31,172 12,50,610 45,35,951
70 0 12,469 11,00,000 0 1,55,040 3,117 1,49,979 10,30,198 3,87,600 18,703 3,29,274 48,65,417 10,30,198 48,65,417 15,586 31,172 12,52,825 48,65,417
71 0 12,469 11,00,000 0 1,57,255 3,117 1,54,345 10,24,756 3,93,138 18,703 3,40,188 52,75,335 10,24,756 52,75,335 15,586 31,172 12,55,040 52,75,335
72 0 12,469 11,00,000 0 1,59,470 3,117 1,60,467 10,16,133 3,98,675 18,703 3,54,968 57,21,674 10,16,133 57,21,674 15,586 31,172 12,57,255 57,21,674
73 0 12,469 11,00,000 0 1,61,685 3,117 1,68,367 10,02,929 4,04,212 18,703 3,74,717 62,09,466 10,02,929 62,09,466 15,586 31,172 12,59,470 62,09,466
74 0 12,469 11,00,000 0 1,63,900 3,117 1,80,186 9,83,124 4,09,749 18,703 4,03,214 67,37,759 9,83,124 67,37,759 15,586 31,172 12,68,600 67,37,759

D.X.E.A.X
Quotation No : 60080315947

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
75 0 12,469 11,00,000 7,80,918 1,66,114 3,117 0 0 4,15,286 18,703 0 0 0 0 9,62,618 76,23,870 12,93,782 75,92,698

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

Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder

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

D.X.E.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 60080315947
number Schedule
Type of
Policy
3 Insurance Non-Linked other than pure risk and pension
Schedule
Policy
Installment Premium for Year 1 (Rs)*: 98,000
Instalment Premium Year 2 onwards (Rs): 1,00,000
Mode of Premium Payment: Annual
Sum Assured on Death (Rs): 11,00,000
Basic Policy Sum Assured on Maturity (Rs): 7,80,918 Policy
4
Details Premium Payment Term (Years): 7 Schedule
Policy Term (Years): 75

*Instalment Premium includes Rider Premium, if opted but excludes

applicable GST & cess and Extra Premium (if any)
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
declared will be paid after the end of the Premium Payment Term and
Policy Deferment period and is payable till the end of policy term. These incomes
5 Coverage/ben will be declared as a percentage of the Benefit Sum Assured. Benefit Sum
efits payable 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.