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Quotation Q17673123458509

The document outlines the details of the Tata AIA Fortune Guarantee Supreme insurance policy chosen by the prospect, including a 30-year policy term with a 10-year premium payment term. The policy offers a guaranteed income starting from year 6 for 25 years, with a maturity benefit of ₹11,000,000 and an annual premium of ₹100,000. It also includes options for premium payment frequency and special date income payouts, along with various benefits and conditions related to the policy.

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0% found this document useful (0 votes)
5 views5 pages

Quotation Q17673123458509

The document outlines the details of the Tata AIA Fortune Guarantee Supreme insurance policy chosen by the prospect, including a 30-year policy term with a 10-year premium payment term. The policy offers a guaranteed income starting from year 6 for 25 years, with a maturity benefit of ₹11,000,000 and an annual premium of ₹100,000. It also includes options for premium payment frequency and special date income payouts, along with various benefits and conditions related to the policy.

Uploaded by

30092025mitv
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Dear Sir,

Congratulations! Now you are one step closer to achieving your financial goals by choosing Tata AIA Fortune Guarantee Supreme.
Guaranteed Income:
You have the option to receive your guaranteed income in one of the following ways:
Annually in Advance
Annually,Monthly, quarterly or half-yearly in Arrears
Annually on a "special date" such as your birthdate, anniversary, etc.
Your plan details are as follows:
Policy term (years) 30
Premium payment term (years) 10

Mode of premium payment Annual

Premium installment as per chosen mode incl. GST ₹100000

Premium Offset Yes

You have chosen to receive guaranteed income in Advance.


Your income details are as follows:
Income Starts from year 6
No. of years for which you will receive income (Income period) 25

Guaranteed income installment as per chosen frequency ₹100000

Guaranteed maturity benefit ₹1100000

Your first policy anniversary will be one year from the date of commencement of policy. The date of commencement of policy will be
mentioned in your policy schedule.
If you have opted for special date, the date of first income payout will be the chosen special date that falls after 1st policy anniversary.
The date of first Income payout will be mentioned in your policy schedule.
Best Wishes,
Tata AIA Life Insurance Company Ltd.
Please read complete Sales brochure before concluding sales.

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 [Link] 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 customercare@[Link]. Visit us at: [Link]. UIN: 110N163V12

IRDAI or its officials do not involve in activities like selling insurance policies, announcing bonus or investment of premiums. Public
BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS / FRAUDULENT OFFERS
receiving such phone calls are requested to lodge a police complaint.
BENEFIT ILLUSTRATION

Tata AIA Fortune Guarantee Supreme

Name of the Prospect / Policyholder: Sir Proposal No: Q17673123458509


Age (years) : 40 Name of the Product: Tata AIA Fortune Guarantee Supreme
Gender: Male Tag Line: Individual, Non-Linked, Non-Participating Life Insurance Savings Plan
Name of the Life Assured 1 : Sir Unique Identification Number: 110N163V12
Age (years) : 40 GST Rate : 0.00% for first year
Gender: Male 0.00% second year onwards
Name of the Life Assured 2 : NA
Age (years) : NA
Gender: NA
Policy Term (years) : 30
Premium Payment Term (years) : 10
Amount of Instalment Premium (Rs.) : 100000
Mode of Payment of Premium : Annual
Death Benefit Multiple: 10

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Plan Option My Income Basic Sum Assured (first Death) Rs. 1000000
Benefit Premium Offset Variant Basic Sum Assured (Second Death, if any) Rs. NA
Income/Survival Benefit Frequency Annually in Advance Sum Assured on First Death (at inception of the policy) Rs. 1000000
Sum Assured on Second Death, if any (at inception of the
Return of Premium Benefit Yes NA
policy) Rs.
Income/Survival Benefit starts from year 6 Special Date2 NA
Income/Survival Benefit period (years) 25 Settlement Option5 NA
Premium Offset Yes

Total Annualized Premiums payable (A) Rs. 1000000 Total benefits during policy term (B) Rs. 2014720

Rider Details
Tata AIA Vitality (Wellness Program): No
Details of Life Insured/Partner under the Benefit Option Benefit Payout Premium
Return
Benefit Premium Sum p.a. Year 1
Rider Name / UIN^(Benefit Option / Benefit Payout Income Income of
Lumpsum Option Payment Assured without Discount
Option) Name Age(yrs) Gender p.a. Duration premium Term
(Rs.) Term (Rs.) GST (Rs.)
(Rs.) (yrs) option
(Rs.)

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 100000 0 100000
Instalment Premium with First year GST (Rs.) 100000 0 100000
Instalment Premium post applicable discount with First year GST (Rs.) 100000 0 100000
Instalment Premium with GST 2nd year onwards (Rs.) 100000 0 100000
Guaranteed Non - Guaranteed
Policy Year Single/ Annualized Premium 4
Survival Benefits1 Maturity Benefit Death Benefit Death Benefit4 (Second death, if any) Min. Guaranteed Surrender Value3 Special Surrender Value3 Surrender Value
(First Death)
1 100000 0 0 1000000 NA 0 56057 56057
2 100000 0 0 1000000 NA 60000 120423 120423
3 100000 0 0 1000000 NA 105000 194042 194042
4 100000 0 0 1000000 NA 200000 277934 277934
5 100000 0 0 1000000 NA 250000 373325 373325
6 100000 100000 0 1000000 NA 300000 481290 481290
7 100000 100000 0 1000000 NA 250000 498052 498052
8 100000 100000 0 1000000 NA 216000 522180 522180
9 100000 100000 0 1000000 NA 186000 552363 552363
10 100000 100000 0 1050000 NA 150000 587110 587110
11 20736 0 1050000 NA 70000 522161 522161
12 20736 0 1050000 NA 69264 537491 537491
13 20736 0 1050000 NA 68528 554021 554021
14 20736 0 1050000 NA 67792 571536 571536
15 20736 0 1050000 NA 67056 590211 590211
16 20736 0 1050000 NA 56320 610236 610236
17 20736 0 1050000 NA 55584 631696 631696
18 20736 0 1050000 NA 54848 654541 654541
19 20736 0 1050000 NA 54112 679166 679166
20 20736 0 1050000 NA 53376 705746 705746
21 20736 0 1050000 NA 42640 734236 734236
22 20736 0 1050000 NA 41904 764966 764966
23 20736 0 1050000 NA 41168 798286 798286
24 20736 0 1050000 NA 40432 834251 834251
25 20736 0 1050000 NA 39696 873031 873031
26 20736 0 1050000 NA 38960 915061 915061
27 20736 0 1050000 NA 28224 960501 960501
28 20736 0 1050000 NA 27488 1009791 1009791
29 20736 0 1062951 NA 26752 1062951 1062951
30 20736 1100000 1120736 NA 6016 1120736 1120736

Benefits during Settlement Period5 (applicable when Settlement option is opted 'Yes')
Proportion of Maturity Benefit opted to be taken as equal installments during settlement period (%) NA
Settlement period (years) NA
Frequency of payouts during Settlement period NA
Amount of each installment as per frequency chosen above (Rs.) NA
For the purpose of this illustration, the discounting rate used NA
Note: Single/Annualised premium excludes underwriting extra premium, loading for modal premiums, the premium paid towards the riders, if any, and Goods and Services Tax.
Note: Single/Annualised premium excludes underwriting extra premium, loading for modal premiums, the premium paid towards the riders, if any, and Goods and Services Tax.
1. Survival Benefit will be payable at the end of Survival Benefit frequency as chosen or on Special date. Please refer complete Terms and Conditions for more details on Survival Benefits.
2. If you have selected Special Date - a. The Survival Benefits will be paid out on the chosen special date. b. The last instalment of Survival Benefit will be paid on the date of maturity and not on the special date and hence, the last instalment will be
lower than the earlier Survival Benefits c. Income payable includes interest for the period between policy anniversary and special date chosen. This illustration assumes the date mentioned in the box below as the policy commencement date for the
purpose of calculation of policy anniversary. However, the actual interest calculation will be based on the policy commencement date mentioned in your policy schedule.
3. The surrender values mentioned above are illustrated at the end of the policy year and will be paid post deducting survival benefit already paid during that year (if any). Special Surrender value may be revised depending on the prevailing market
conditions.
[Link] Death Benefit shown above is at the end of the policy year. For single life policies and in case of Second Death for joint life policies, the death benefit illustrated above has been floored to Surrender value (which is inclusive of Non-Guaranteed
Special Surrender Value) payable at that point of time. Upon payment of Death benefit the policy terminates and no further benefits are payable
5. The instalments are derived using the rate equal to '5-year Gsec rate minus 50 bps' as on the end of financial year preceding maturity. The first instalment shall be paid on Maturity & the next as per chosen frequency, in advance. The 5 year G-sec
rate will be reviewed every year.
6. Income Tax benefits would be available as per the prevailing income tax laws, subject to fulfillment of conditions stipulated therein. Tata AIA Life Insurance Company Ltd. does not assume responsibility on tax implication mentioned anywhere in
this document. Please consult your own tax consultant to know the tax benefits available to you.
7. Please read Sales Brochure carefully before concluding a sale.
9. If Premium offset is opted, then the Survival Benefits during the PPT will be adjusted against the premium due to be paid.
10. The Return of Premium as illustrated in the guaranteed Maturity benefit column will be paid at the end of the last policy year depending upon the Income period opted in the policy.
11. If the policy becomes Reduced Paid-Up before the first survival benefit payout (first income payout of premium offset), the Premium Offset feature will be discontinued, and future income and death benefit shall be paid as per terms and
condition.

I, …...................... (name), have explained the premiums and benefits under the product fully to the prospect / I, Sir , having received the information with respect to the above, have understood the above statement before entering
policyholder. into the contract.

Place:
Date: 17-Jan-2026 Date: 17-Jan-2026
Signature of Agent / Intermediary / Official Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2025/Apr/1626 (Rider -L&C/Advt/2022/Sep/2271 )
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: [Link]

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