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    BenefitIllustration 1707117610281

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    satyaandsatya10
    This document provides an illustration of benefits for a life insurance policy. It shows annual premiums, death benefits, maturity benefits, surrender values, and policy details over a 10 year term. The illustration includes guaranteed and non-guaranteed values and disclosures about assumptions.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    BenefitIllustration 1707117610281

    Uploaded by

    satyaandsatya10
    7 views1 page
    This document provides an illustration of benefits for a life insurance policy. It shows annual premiums, death benefits, maturity benefits, surrender values, and policy details over a 10 year term. The illustration includes guaranteed and non-guaranteed values and disclosures about assumptions.

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    BenefitIllustration-1707117610281

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    © © All Rights Reserved

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    This document provides an illustration of benefits for a life insurance policy. It shows annual premiums, death benefits, maturity benefits, surrender values, and policy details over a 10 year term. The illustration includes guaranteed and non-guaranteed values and disclosures about assumptions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views1 page

    BenefitIllustration 1707117610281

    Uploaded by

    satyaandsatya10
    This document provides an illustration of benefits for a life insurance policy. It shows annual premiums, death benefits, maturity benefits, surrender values, and policy details over a 10 year term. The illustration includes guaranteed and non-guaranteed values and disclosures about assumptions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Name: Meenakshi Sundaram Sum Assured: 150000.

    00
    DateOf Birth: 15/05/1981 Policy Term: 10
    Age in(yrs): 42 PPT: 10

    Gender: Male Mode: YEARLY

    Benefit Illustration for SHRIRAM LIFE ASSURED INCOME PLAN V04


    128N053V04
    (This Benefit Illustration forms part of the Policy Document)

    Guaranteed Non Guaranteed


    Policy Total Annualized Survival Benefits / Other Benefits Maturity Benefit Death Benefit Min Guaranteed Special Surrender Value
    Year Premium paid till Loyalty Additions if any Surrender Value
    date
    1 15000 0.00 0 0 171750 0 0

    2 15000 0.00 0 0 171750 9000 5153

    3 15000 0.00 0 0 171750 15750 11336

    4 15000 0.00 0 0 171750 30000 20404

    5 15000 0.00 0 0 171750 43500 32890

    6 15000 0.00 0 0 171750 59400 49052

    7 15000 0.00 0 0 171750 78750 69490

    8 15000 0.00 0 0 171750 100800 94394

    9 15000 0.00 0 0 171750 125550 124433

    10 15000 0.00 0 0 171750 153000 159728

    11 0 0.00 0 171750 0 0 0

    Disclosures:
    (1) This is only an illustration and does not in any way create any rights and/or obligations.
    (2) This illustration is applicable to a healthy individual acceptance of the proposal is subject to underwriting.Premiums relating to riders and non-
    standard risks are excluded from the above.
    (3) The above amounts assume that all premiums have been paid on due date.
    (4) The surrender value payable will be the maximum of GSV and SSV.
    (5) Please contact nearest branch office for latest surrender values payable on your policy.

    Policy Details
    Death Benefit Pay-Out Option Lumpsum Sum Assured Rs. 150000.00
    Maturity Benefit Pay-Out Option Lumpsum Sum Assured on Death (at inception of the policy) Rs. 171750

    Premium Summary
    Base Plan Riders Total Instalment Premium
    Instalment Premium without GST 15000 0 15000
    Instalment Premium with First Year GST 15675 15675
    Instalment Premium with GST 2nd Year Onwards 15338 15338
    Notes:
    1) Annualized premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders,
    if any Goods & Service Tax.

    IRDAI Regn No:128


    I, .........................................., have explained the premiums, and benefits I, ........................................
    under the product fully to the prospect / Policyholder. having received the information with respect to the above, have
    understood the above statement before entering into the contract

    Date: Signature of Agent / Intermediary / Date : Signature of the Prospect/


    Official /Specified Person Policy holder's signature
    Place:

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