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: Illustration of benefits for Bharti AXA Life Aajeevan Sampatti UIN : 130N050V01 Product Code : WLP15R
Policy No.:
Benefits and Premium Details Plan Name Bharti AXA Life Aajeevan Sampatti Policy Benefit Period 75 years Premium Payment Term 15 years Premium Mode Annual Proposer Details Sum Assured (Rs.) 500000 Proposer Name : RAVIKIRAN POTTIMURTHY Death Benefit (Rs.) 500500 Benefit Up to age 100 years Proposer Gender : Male Annual Regular Premium (Rs.) 45500 Age as on last birthday : 25 years Modal Premium Payable (Rs.) 45500 Service Tax Plus Educational Cess payable in the 1st year 1406 Service Tax Plus Educational Cess payable 2nd year onwards 705 Total Premium Payable By You in first year (Rs.) 46906 Total Premium Payable By You 2nd year onwards(Rs.) 46205 Illustration summary with statement growth of the Fund expected over the duration of the policy with assumed gross investment rate of 6% & 10% per annum
Personal Details Life To Be Insured : RAVIKIRAN POTTIMURTHY Age as on last birthday : 25 years Gender : Male
Guaranteed Benefits End of Policy Year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Annual Premium 45500 45500 45500 45500 45500 45500 45500 45500 45500 45500 45500 45500 45500 45500 45500 Death 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 Survival/Maturity 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500
Non Guaranteed Benefits at 6% Gross Investment Rate Per Annum Annual Cash Bonus 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 Surrender 58500 82000 107000 134500 164500 197500 233000 272000 284500 298500 313000 329500 347000 348000 349000 350000 351000 352500 353500 355000
Non Guaranteed Benefits at 10% Gross Investment Rate Per Annum Annual Cash Bonus 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 Surrender 58500 82000 107000 134500 164500 197500 233000 272000 284500 298500 313000 329500 347000 348000 349000 350000 351000 352500 353500 355000
Insurance is the subject matter of the solicitation. Bharti AXA Life Insurance Company Limited, Regd. Office-Unit 601 & 602, 6th Floor, Raheja Titanium, Off Western Express Highway,Goregaon (E), Mumbai-400 063,
Guaranteed Benefits End of Policy Year 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 Annual Premium Death 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 500500 Survival/Maturity 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500 27500
Non Guaranteed Benefits at 6% Gross Investment Rate Per Annum Annual Cash Bonus 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 Surrender 356500 357500 359000 361000 362500 364000 366000 367500 369500 371500 374000 376000 378500 381000 383500 386000 388500 391500 394500 397500 400500 403500 406500 409500 412500 416000 419000 422000 425000 428000 430500 433500 436000 438500 441000 443500 445500 447500 449500 451500 453500 455500 457500 459500 461500
Non Guaranteed Benefits at 10% Gross Investment Rate Per Annum Annual Cash Bonus 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 32750 Surrender 356500 357500 359000 361000 362500 364000 366000 367500 369500 371500 374000 376000 378500 381000 383500 386000 388500 391500 394500 397500 400500 403500 406500 409500 412500 416000 419000 422000 425000 428000 430500 433500 436000 438500 441000 443500 445500 447500 449500 451500 453500 455500 457500 459500 461500
Insurance is the subject matter of the solicitation. Bharti AXA Life Insurance Company Limited, Regd. Office-Unit 601 & 602, 6th Floor, Raheja Titanium, Off Western Express Highway,Goregaon (E), Mumbai-400 063,
Guaranteed Benefits End of Policy Year 68 69 70 71 72 73 74 75 Annual Premium Death 500500 500500 500500 500500 500500 500500 500500 500500 Survival/Maturity 27500 27500 27500 27500 27500 27500 27500 500000
Non Guaranteed Benefits at 6% Gross Investment Rate Per Annum Annual Cash Bonus 6000 6000 6000 6000 6000 6000 6000 Surrender 463500 466000 469000 472500 478000 486500 500000 -
Non Guaranteed Benefits at 10% Gross Investment Rate Per Annum Annual Cash Bonus 32750 32750 32750 32750 32750 32750 32750 Surrender 463500 466000 469000 472500 478000 486500 500000 -
This illustration is applicable only to employees of 'Bharti' and 'AXA' group of companies in India.
Insurance is the subject matter of the solicitation. Bharti AXA Life Insurance Company Limited, Regd. Office-Unit 601 & 602, 6th Floor, Raheja Titanium, Off Western Express Highway,Goregaon (E), Mumbai-400 063,
EXPLANATION AND INFORMATION ------------------------------------------------------------------------------------------------------------------------Explanation Aajeevan Sampatti ------------------------------------------------------------------------------------------------------------------------1. This benefit illustration explains the benefits and features of the proposed policy and is not a contract of insurance. 2 .The illustrated values based on the assumption of 6% and 10% gross investment rates per annum are not guaranteed and are for illustration purpose only. 3. The illustration is based on the standard risk class , without taking in to consideration your own circumstances. They will be determined according to our underwriting decision. 4. Some benefits are guaranteed and some are variable with returns based on the future performance of the insurance company. If your policy offers guaranteed returns then these will be clearly marked as "guaranteed" in the illustration table. If your policy offers variable returns then the illustrations will show two different rates of assumed future investment returns. 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 dependant on a number of factors including future investment returns. 5. Guaranteed Benefits include Guaranteed Survival Benefit. Non Guaranteed benefits include Annual Cash Bonuses. 6. Guaranteed Surrender Value(GSV) at any time is 30%(Thirty percent)of all premiums paid to that point excluding the premium paid in the first policy year, all extra premiums and any taxes. The GSV is paid only if at least three full years' premium has been paid. Survival benefits already paid would be deducted from the GSV. 7. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale. 8. Tax benefits are as per the current tax legislations and are subject to change in tax laws. Neither the company nor its agents can offer legal or tax advice. 9. Bharti AXA Life Insurance Company Ltd., Bharti AXA Life Aajeevan Sampatti, is the name of the Insurance Company, Product and does not in any way indicate the quality of the contract, its future prospects or returns.
------------------------------------------------------------------------------------------------------------------------Explanation Hospi Cash Rider (if applicable) ------------------------------------------------------------------------------------------------------------------------1. This benefit illustration explains the benefit and features of the proposed rider and is not a contract of insurance. 2. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale. 3. Tax benefits are as per Income Tax Act 1961 and are subject to amendments from time to time. Service tax and education cess will be levied as per prevailing rates. Neither the company nor its agents can offer legal or tax advice. 4. The illustration is based on the standard risk class, without taking in to consideration your own circumstances. They will be determined according to our underwriting decision. 5. Daily Hospital Cash benefit (DHCB) is the guaranteed benefit payable on a minimum Hospitalization of 48 hours of the Life Insured during the policy Benefit Period subject to the Policy being in effect. 6. The Premium rates will be subject to revision after every three years (upwards or downwards) subject to experience and will be guaranteed for a period of three years. 7. Bharti AXA Life Insurance Company Ltd., Bharti AXA Life Hospi Cash is the name of the Insurance Company, Rider and does not in any way indicate the quality of the contract, its future prospects or returns. 8. All benefits payable under the rider are subject to the Waiting Period and other exclusions as applicable. Please read sales brochure in conjunction with this benefit illustration carefully before concluding a sale.
Declaration by Proposer
I confirm that before entering in to the contract of insurance I have read and understood the product brochure and the information provided in this Illustration of benefits and understand that the policy Bond will be issued to me on this basis. However, if my final choice of sum assured results in the actual premium paid (payable) being different to that illustrated above, the Company shall issue a revised illustration with the Policy bond. Name of Proposer : ___________________________ Place: ___________________ Signature of proposer : ____________________________ Date: ___________________
Insurance is the subject matter of the solicitation. Bharti AXA Life Insurance Company Limited, Regd. Office-Unit 601 & 602, 6th Floor, Raheja Titanium, Off Western Express Highway,Goregaon (E), Mumbai-400 063,
3.
Policy Benefits
4.
Policy Exclusions
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Policy surrender
7.
Loans
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Benefit illustration
9.
Service tax
I confirm that I have understood the questions in the proposal form especially those related to personal, health, family history, occupation and income and answered them accordingly. I also understand that if there are any misstatements or non-disclosure in my answers, it might result in repudiation of claims. I am aware that under the Union Budget 2012-13, I would be eligible for Tax benefit under section 10(10D) of the IT Act, 1961and u/s 80C of the Income Tax Act 1961only if the annual premium payable under Bharti AXA Life Aajeevan Sampatti is upto 10% of the Base Sum Assured.I am fully aware of this fact and would like to proceed with purchasing this policy.
Bharti AXA Life Insurance Company Limited, Registered Office: Unit no 601 & 602, 6th floor Raheja Titanium, Off Western Express Highway, Goregaon (E), Mumbai-400 063 www.bharti-axalife.com, Regn. No. 130, Comp-July-2012-2033, UIN: 130N050V01 Insurance is the subject matter of the solicitation
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