BENEFIT ILLUSTRATION

[Date and Time of Illustration – 29 September 2024, 04:49 PM]

Name of the Prospect/Policyholder: Ms. Proposal No:

Age & Gender: 36 Years, Female Name of the Product: Max Life Smart Wealth Advantage Guarantee Plan
Name of the Life Assured: Ms. A Non-linked Non Participating Individual Life Insurance
Tag Line:
Age & Gender: 36 Years, Female Savings Plan
Policy Term: 32 Years Unique Identification No: 104N124V09
Premium Payment Term: 10 Years GST Rate (Base Policy, First Year): 4.50%
Amount of Installment Premium: `5,22,500 GST Rate (Base Policy, 2.25%
Mode of payment of premium: Annual GST Rate (Rider, First Year): NA
Annual Income Amount: `5,00,664 GST Rate (Rider, Subsequent NA
Income Start Year, if applicable: NA
Income Period, if applicable: 20 years
Deferment Period, if applicable: 2 years Max Life State: Andhra Pradesh
Policyholder Residential State: Andhra Pradesh

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Long Term Wealth Sum Assured on Maturity (in Rs.) 50,00,000
Sum Assured (at inception of the policy) upon Death (in
Death Benefit Multiple NA 55,00,000
Rs.)
Sum Assured (Inbuilt Additional Accidental Death
Policy Continuance Benefit Option Yes 27,50,000
Benefit) (in Rs.)
Special Date Option No Opted Special Date NA

Rider Details
Accidental Death & Dismemberment (ADD) Rider Accidental Death & Dismemberment (ADD) Rider Sum
NA NA
Term Assured (in Rs.)
Term Plus Rider Term NA Term Plus Rider Sum Assured (in Rs.) NA
Waiver of Premium (WOP) Plus Rider Term NA
Critical Illness and Disability Rider - Rider
NA Critical Illness and Disability Rider - Coverage Variant NA
Premium Payment Term and Rider Term
Critical Illness and Disability Rider - Rider Sum Assured NA

UIN: 104N124V09 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 1 of 5
 Premium Summary
Accidental Death & Waiver of Premium Critical Illness and
Term Plus Rider Total Installment
Base Plan Dismemberment Plus Rider Disability Rider
Premium
Rider

Installment Premium without GST (in Rs.) 5,00,000 0 0 0 0 5,00,000

Installment Premium with first year GST (in Rs.) 5,22,500 0 0 0 0 5,22,500
Installment Premium with GST 2nd year onwards
5,11,250 0 0 0 0 5,11,250
(in Rs.)

(Amount in Rupees)
Non
Guaranteed
Guaranteed
Single/ Total Other
Policy Money Back Accrued Inbuilt
Annualized Annual Auto Debit Total Benefits, if Total Minimum
Year Base Loyalty (In case of Guaranteed Additional Special
Premium Premium Booster Survival any (Sum Maturity Death Guaranteed
(BOY) (BOY) Income Income Life Long Additions (if Accidental Surrender
(EOY) Benefit Assured on Benefit (EOY) Benefit Surrender
(EOY) (EOY) Income) any) (EOY) Death Value (EOY)
(EOY) Maturity) Value (EOY)
Benefit
(EOY)

1 5,00,000 5,00,000 - - - - - - - - 55,00,000 - - -

2 5,00,000 5,00,000 - - - - - - - - 55,00,000 - 3,00,000 3,32,786

3 5,00,000 5,00,000 - - - - - - - - 55,00,000 - 5,25,000 5,44,114

4 5,00,000 5,00,000 - - - - - - - - 55,00,000 - 10,00,000 8,67,140

5 5,00,000 5,00,000 - - - - - - - - 55,00,000 - 12,50,000 12,85,656

6 5,00,000 5,00,000 - - - - - - - - 55,00,000 - 15,00,000 16,81,846

UIN: 104N124V09 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 2 of 5
 Non
Guaranteed
Guaranteed
Single/ Total Other
Policy Money Back Accrued Inbuilt
Annualized Annual Auto Debit Total Benefits, if Total Minimum
Year Base Loyalty (In case of Guaranteed Additional Special
Premium Premium Booster Survival any (Sum Maturity Death Guaranteed
(BOY) (BOY) Income Income Life Long Additions (if Accidental Surrender
(EOY) Benefit Assured on Benefit (EOY) Benefit Surrender
(EOY) (EOY) Income) any) (EOY) Death Value (EOY)
(EOY) Maturity) Value (EOY)
Benefit
(EOY)

7 5,00,000 5,00,000 - - - - - - - - 55,00,000 - 17,50,000 21,38,653

8 5,00,000 5,00,000 - - - - - - - - 55,00,000 - 20,66,680 26,64,018

9 5,00,000 5,00,000 - - - - - - - - 55,00,000 - 24,00,030 32,67,010

10 5,00,000 5,00,000 45,000 - - - - - - - 55,00,000 - 27,50,050 45,97,852

27,50,00
11 - - - - - - - - - - 55,00,000 28,33,400 50,11,327
0
27,50,00
12 - - - - - - - - - - 55,00,000 29,16,750 54,62,336
0
27,50,00
13 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 30,00,100 59,54,162
0
27,50,00
14 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 25,82,786 59,44,293
0
27,50,00
15 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 21,65,472 59,33,652
0
27,50,00
16 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 17,48,158 59,21,964
0
27,50,00
17 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 13,30,794 59,08,861
0
27,50,00
18 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 9,13,480 58,94,909
0
27,50,00
19 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 4,96,116 58,80,085
0

UIN: 104N124V09 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 3 of 5
 Non
Guaranteed
Guaranteed
Single/ Total Other
Policy Money Back Accrued Inbuilt
Annualized Annual Auto Debit Total Benefits, if Total Minimum
Year Base Loyalty (In case of Guaranteed Additional Special
Premium Premium Booster Survival any (Sum Maturity Death Guaranteed
(BOY) (BOY) Income Income Life Long Additions (if Accidental Surrender
(EOY) Benefit Assured on Benefit (EOY) Benefit Surrender
(EOY) (EOY) Income) any) (EOY) Death Value (EOY)
(EOY) Maturity) Value (EOY)
Benefit
(EOY)
27,50,00
20 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 78,802 58,63,284
0
27,50,00
21 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 58,45,278
0
27,50,00
22 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 58,25,755
0
27,50,00
23 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 58,04,270
0
27,50,00
24 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 57,81,249
0
27,50,00
25 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 57,55,481
0
27,50,00
26 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 57,28,103
0
27,50,00
27 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 56,97,572
0
27,50,00
28 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 56,64,675
0
27,50,00
29 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 56,28,990
0
27,50,00
30 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 55,89,887
0
27,50,00
31 - - - 4,17,220 83,444 - 5,00,664 - - - 55,00,000 - 55,46,988
0
27,50,00
32 - - - 4,17,220 83,444 - 5,00,664 - 50,00,000 50,00,000 55,00,000 - 55,00,664
0

UIN: 104N124V09 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 4 of 5
Notes:
• EOY: End of Year, BOY = Beginning of Year
• Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax.
• Total Annual Premium includes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any but excludes Goods and Service Tax.
• The Surrender Value payable shall be higher of ‘Minimum Guaranteed Surrender Value’ and ‘Special Surrender Value’. Any additional Surrender Value over and above the ‘Minimum
Guaranteed Surrender Value’ is not guaranteed.
• The above benefits are assuming income payment mode as Annual and with the assumption that no special date is opted by you. For details on other income payment modes and
special date options, please refer the Policy Document.
• The Net Rate of Return has been calculated based on the total survival (including auto-debit booster) and total maturity benefit, assuming that all premiums have been paid as and
when due (excluding applicable taxes, cesses and levies and rider premiums, if any).
• Refer Sales literature (Prospectus) and Policy Document for explanation of terms used in this illustration.
• Surrender value (both GSV and SSV) shown above is before payment of survival benefit applicable during the year of surrender.
• The above benefit illustration assumes that all premiums (excluding the first premium) are paid via auto debit mode of premium payment. Note that auto debit boosters are
applicable only on the premiums paid via auto debit mode of premium payment. Auto debit booster shall be payable only to the fully paid-up policies where all due premiums have
been paid.

I, ……………………………………………. (name),have explained the I, ……………………………………………. (name), having received the

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

Place Date:9/29/24 Signature / Thumb Impression / Electronic

Signature / Thumb Impression / Electronic
Date: 9/29/24 Signature of Prospect/ Policyholder
Signature of Agent/ Intermediary / Official

This system generated benefit illustration shall be treated as

UIN: 104N124V09 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 5 of 5