Dear Udayan Pandey,

Congratulations on taking a step towards protecting your health and life!

Today, protection is the need of the hour, and we are privileged that you have chosen us as your Protection partner. We are delighted that you have opted for one of our
comprehensive solutions - InstaProtect - that helps you look after your health and secures your financial future and that of your loved ones.
This solution comprises of Tata AIA Life Insurance Sampoorna Raksha Supreme,
Tata AIA Life Insurance Comprehensive Protection Rider and
Tata AIA Life Insurance Comprehensive Health Rider

Plan/Benefit options Benefit Description

Sampoorna Raksha Supreme Life Cover + Accelerated Terminal Illness

(Life/Life Plus option)
Criticare Plus Benefit Covers 40 Critical Illness
(including Cancer & Heart conditions)
HospiCare Benefit Covers Hospitalization/ICU admission costs

Accidental Total and Permanent Disability Covers Total & Permanent Disability due to accident

Accidental Death Benefit Covers death due to accident

At Tata AIA Life Insurance, we are committed to help you with solutions that provide comprehensive cover so that you and your family can enjoy life without any worries.
Best Wishes,
Tata AIA Life Insurance Company Limited

Tata AIA Life Insurance InstaProtect comprises of Tata AIA Life Insurance Sampoorna Raksha Supreme (Non Linked, Non Participating, Individual Life Insurance Plan)(UIN:110N160V02). Tata AIA Life Insurance Non-Linked
Comprehensive Protection Rider (NLCPR) (UIN: 110B033V02) - A Non-linked, Non-participating, Individual Health Rider;Tata AIA Life Insurance Non-Linked Comprehensive Health Rider (NLCHR) (UIN: 110B031V02) - A Non-linked, Non-
participating, Individual Health Rider. In case of any inconsistency between this letter and policy document, the policy document shall always prevail. Insurance cover is available under the solution. The solution is underwritten by
Tata AIA Life Insurance Company Ltd. The solution is not a guaranteed issuance and it will be subject to Company's underwriting and acceptance. For more details on risk factors, terms and conditions please read rider and product
sales brochure carefully before concluding a sale. L&C/Advt/2021/Sep/1688.
Tata AIA Life Insurance Company Limited (IRDAI Regn. No. 110) CIN: U66010MH2000PLC128403. Registered & 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 any information including cancellation, claims and complaints, please contact our Insurance
Advisor / Intermediary or visit Tata AIA Life's nearest branch office or call 1-860-266-9966 (local charges apply) or write to us at [email protected]. Visit us at: www.tataaia.com.
BEWARE OF SPURIOUS/ IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums. Public receiving such phone calls are requested to lodge a police complaint.
FRAUD PHONE CALLS!
BENEFIT ILLUSTRATION
Tata AIA Life Insurance Sampoorna Raksha Supreme
Name of the Prospect/Policyholder : Udayan Pandey Proposal No: 9337224324605
Age (years) : 29 Name of the Product: Tata AIA Life Insurance Sampoorna Raksha Supreme
Gender: Male Tag Line: Non-Linked, Non-Participating Life Insurance Plan
Name of the Life Assured : Udayan Pandey Unique Identification Number: 110N160V02
Age (years) : 29 GST Rate Year 1: 0.00%
Gender: Male GST Rate Year 2 onwards: 0.00%
Smoker : No
Policy Term : 35 years 00 Months
Premium Payment Term : 35 years 00 Months
Amount of Instalment Premium (Rs.) : 2,737
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 option Lumpsum(Rs): 7,00,000
Sum Assured (Rs): 7,00,000 Income Duration (months): 0
Sum Assured on Death (at inception of the policy) 7,00,000 Income p.a (Rs): 0
(Rs):

Rider Details
Details of Life Insured/Partner under the Benefit Option Benefit Payout Return Benefit Premium Sum Premium
Rider Name / UIN^(Benefit Option / Benefit Payout Income Income of Option Payment Assured without
Option) Name Age(yrs) Gender Lumpsum p.a. Duration premium Term Term (Rs.) GST (Rs.)
(Rs.) (Rs.) (yrs) option

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 2,737 0 2,737
Instalment Premium with First year GST (Rs.) 2,737 0 2,737
Instalment Premium with GST 2nd year onwards (Rs.) 2,737 0 2,737

(Amount in Rupees)

Guaranteed # Non - Guaranteed

Single/ Annualized
Policy Year Premium Survival Benefit / Min Guaranteed Special Surrender
Other Benefits, if any Maturity Benefit Death Benefit
Loyalty Additions Surrender Value Value
1 2,737 NA NA NA 7,00,000 0 NA
2 2,737 NA NA NA 7,00,000 0 NA
 (Amount in Rupees)

Guaranteed # Non - Guaranteed

Single/ Annualized
Policy Year Premium Survival Benefit / Min Guaranteed Special Surrender
Other Benefits, if any Maturity Benefit Death Benefit
Loyalty Additions Surrender Value Value
3 2,737 NA NA NA 7,00,000 0 NA
4 2,737 NA NA NA 7,00,000 0 NA
5 2,737 NA NA NA 7,00,000 0 NA
6 2,737 NA NA NA 7,00,000 0 NA
7 2,737 NA NA NA 7,00,000 0 NA
8 2,737 NA NA NA 7,00,000 0 NA
9 2,737 NA NA NA 7,00,000 0 NA
10 2,737 NA NA NA 7,00,000 0 NA
11 2,737 NA NA NA 7,00,000 0 NA
12 2,737 NA NA NA 7,00,000 0 NA
13 2,737 NA NA NA 7,00,000 0 NA
14 2,737 NA NA NA 7,00,000 0 NA
15 2,737 NA NA NA 7,00,000 0 NA
16 2,737 NA NA NA 7,00,000 0 NA
17 2,737 NA NA NA 7,00,000 0 NA
18 2,737 NA NA NA 7,00,000 0 NA
19 2,737 NA NA NA 7,00,000 0 NA
20 2,737 NA NA NA 7,00,000 0 NA
21 2,737 NA NA NA 7,00,000 0 NA
22 2,737 NA NA NA 7,00,000 0 NA
23 2,737 NA NA NA 7,00,000 0 NA
24 2,737 NA NA NA 7,00,000 0 NA
25 2,737 NA NA NA 7,00,000 0 NA
26 2,737 NA NA NA 7,00,000 0 NA
27 2,737 NA NA NA 7,00,000 0 NA
28 2,737 NA NA NA 7,00,000 0 NA
29 2,737 NA NA NA 7,00,000 0 NA
30 2,737 NA NA NA 7,00,000 0 NA
31 2,737 NA NA NA 7,00,000 0 NA
32 2,737 NA NA NA 7,00,000 0 NA
33 2,737 NA NA NA 7,00,000 0 NA
34 2,737 NA NA NA 7,00,000 0 NA
35 2,737 NA NA NA 7,00,000 0 NA
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.
I, …...................... (name), have explained the premiums and benefits under the product fully to I, Udayan Pandey, having received the information with respect to the above, have understood
the prospect / policyholder. the above statement before entering into the contract.

Place:
Date: 24 Apr 2022 Date: 24 Apr 2022
Signature of Agent / Intermediary / Official Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2021/May/0627 (Rider - L&C/Advt/2020/Dec/1539)
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