Benefit Illustration of ICICI Pru GIFT Pro

Name of the Policyholder : Ms. Name of the Product : ICICI Pru GIFT Pro
Age of the Policyholder at policy : 20-Aug-1991 (33 years) Tag Line : A Non-Participating Non-Linked
inception Life Individual Savings Product
Gender of the Policyholder : FEMALE
Name of the Life Assured : Ms. Unique Identification No. : 105N201V05
Age of the Life Assured at policy : 20-Aug-1991 (33 years) GST Rate for Year 1 : 4.50%
inception
Gender of the Life Assured : FEMALE GST Rate For Year 2 Onwards : 2.25%
Policy Term : 8 years Sales Channel : Broker
Premium Payment Term : 7 years
Annualized Premium : Rs. 100,000/-
Frequency of premium payment : Yearly

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.

Policy Details
Option of Low Cover Income Booster chosen : No
Sum Assured on Death (at inception of the policy) : Rs. 1,072,000
Guaranteed Income option chosen by you (Level Guaranteed Income or Increasing Level Guaranteed Income
Guaranteed Income) :
Option of Save the Date selected (Yes/No) : No
MoneyBack Benefit percentage chosen by you : 100%
Year of MoneyBack Benefit chosen by you : At the end of 15 years

Summary of Benefits payable

Guaranteed Income as per frequency chosen by you : Rs. 64,640
Frequency of Guaranteed Income : Annual
Guaranteed Income payable in a year : Rs. 64,640
Income Period : 7 years
MoneyBack Benefit : Rs. 700,000

Premium Summary
Base Plan ICICI Pru Non-Linked ICICI Pru Non-Linked ICICI Pru Non-Linked Total Instalment
Accidental Death and Accidental Death and Waiver of Premium Premium
Disability Rider Disability Rider Rider
(Accidental Death (Accidental Total &
Benefit option) Permanent Disability
Benefit option)
Instalment Premium without GST and Cesses, if any Rs. 100,000/- - - - Rs. 100,000/-
Instalment Premium with First Year GST and Cesses, Rs. 104,501/- - - - Rs. 104,501/-
if any
Instalment Premium with GST and Cesses, if any 2nd Rs. 102,251/- - - - Rs. 102,251/-
Year Onwards

Policy Annualized Guaranteed Benefits Non-Guaranteed Benefits

year premium
Guaranteed MoneyBack Benefit Maturity Benefit Death Benefit Min. Guaranteed Special Surrender Value Surrender Value
Income (A) (B) (A+B) Surrender Value (C) (D) Payable (Higher of C
and D)
1 100,000 0 0 0 1,072,000 15,000 63,654 63,654
2 100,000 0 0 0 1,072,000 60,000 136,861 136,861
3 100,000 0 0 0 1,072,000 105,000 220,712 220,712
4 100,000 0 0 0 1,072,000 200,000 316,410 316,410
5 100,000 0 0 0 1,072,000 250,000 425,278 425,278
6 100,000 0 0 0 1,072,000 300,000 548,779 548,779
7 100,000 0 0 0 1,072,000 630,000 688,519 688,519
8 0 0 0 0 1,072,000 630,000 740,486 740,486
9 0 64,640 0 64,640 0 0 0 0
10 0 64,640 0 64,640 0 0 0 0
11 0 64,640 0 64,640 0 0 0 0
12 0 64,640 0 64,640 0 0 0 0
13 0 64,640 0 64,640 0 0 0 0
14 0 64,640 0 64,640 0 0 0 0
15 0 64,640 700,000 764,640 0 0 0 0

Note: Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any and
Goods and Service Tax and Cesses.

Note:
1. In case of death of the Life Assured during Income Period, the Claimant shall continue to receive the benefits as and when due.
2. The Claimant shall also have an option to receive future benefits as a lump sum benefit which will be the present value of future payouts. Please
refer the policy document for more details.The Guaranteed Income, MoneyBack Benefit, surrender values and Death Benefit mentioned above are
illustrated assuming that the event occurs at the end of the year.
3. Please refer to your sales brochure and policy document for more details.

Important points to note:

Example To understand When Do benefits become payable (If Save the Date Is Not chosen) : If your last annual premium is paid on Jan 15,
2031 Then Guaranteed Income will start from :
• For Annual mode: Jan 15, 2034
• For Monthly mode: Feb 15, 2033
The surrender values and Death Benefit mentioned above are illustrated assuming that the event occurs at the end of the year.
Please refer to your sales brochure and policy document for more details.

I, __________________________________, have explained I, ______________________________, having received the

the premiums, and benefits under the policy fully to the information with respect to the above, have understood the
prospect / policyholder. above statement before entering into the contract.

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

ICICI Prudential Life Insurance Company Limited.

1089, Appasaheb Marathe Marg, Prabhadevi, Mumbai - 400025
Email: [email protected]
www.iciciprulife.com