12/08/2016

Mr. P VENUGOPAL
DNO 9 17 29 2 2 FLAT C EXCEL
ENCLAVE CBM COMPOUND
VISHAKAPATNAM
..
PLEASE NOTE VISAKAPATNAM
Premium Payment Term:5 Years Andhra Pradesh-530003
Policy maturity:10 Years
Mobile No:9177293060

Dear Mr. P VENUGOPAL, About Your Advisor

Name : ICICI Bank Ltd RLG
This is your life insurance policy. It is a legal document
and should be read carefully by you and your nominee.

We have highlighted 3 important points regarding your

Code/License Number : 00151827
policy that you should keep in mind: Contact Number : 1860 266 7766

Name of Your Plan : IPRU Wealth Builder II

Policy Number : 20205464 You have a period of 15/30 days* to review your
original policy from the date of its receipt. In case of
Your Mobile Number : 9177293060
any disagreement you can return the policy to us for
EmaiI ID cancellation. We will refund the premium paid after
: venuscada@[Link]
adjusting for NAV fluctuations if any, deduction of
stamp duty and any expenses borne by us for
Sum Assured (in `) : 600,000.00
conducting any medical test.
* 30 day free look period is applicable only for
Premium Amount (in `) # : 60,000.00 policies sourced through distance marketing.

Payment Frequency : Yearly

Next Premium Due Date : 11/08/2017

The claimant can speak to us on 1-860-266-7766 and
we will assist the claimant through the entire process.

If any of these details are incorrect or not as per your

expectations, please contact us immediately.

In case of questions, please feel free to reach us at any of our service centers mentioned below. We will be happy
to assist you.

Warm Regards,

Visit us at

V.V. Balaji
Chief- Technology & Operations

Write to us at: Email us at Customer Service Helpline

ICICI Prudential Life Insurance Co. Ltd. lifeline@[Link]
Unit No. 1A & 2A, Raheja Tipco Plaza,
Rani Sati Marg, Malad (east), Mumbai 400097
1860 266 7766
© 2016, ICICI Prudential Life Insurance Co. Ltd. Registered Address:1089, Appasaheb Marathe Marg, Prabhadevi, Mumbai-400025. Reg No: 105. Insurance is the subject matter of the
solicitation. Unique Identification Number as specified by IRDAI 105L139V01. Comp/doc/Nov/2012/1096. CIN: U66010MH2000PLC127837 Fax Number :+91-22-42058222

12/08/2016 20205464
 ICICI Pru Wealth Builder II is a plan which is designed to give you life cover and help you grow your wealth over the long-term.
This policy is unit linked which means that the benefits you receive will depend on the performance of the fund(s) you have selected.
This document has been designed to help you understand your policy better by explaining some of its features. The complete details
of the features is available in the Policy Document which has been sent as an attachment to the Welcome email. Do go through that
document as well to get a complete understanding of your policy.

How does this policy work?

At the time of entering this policy, you would have made three important choices:

The premium that you will pay

The number of years for which you will pay premium i.e. Premium Payment Term
The number of years after which your policy matures i.e. Policy Term

Since your policy benefits primarily depend on these three factors, please make sure that these details are mentioned correctly in
your Policy Certificate. You need to pay the premium amount for the Premium Payment Term.
Your premium will get invested in a fund of your choice. Your investment will grow as per the returns earned by the fund(s) chosen by
you. On completion of the Policy Term, the Fund Value at that point in time will be paid to you.

What fund options do I have?

You can also switch from one fund to another. You can make 4 switches in one year, free of cost.
If you don't want to choose a specific fund, you can opt for:

Automatic Transfer Strategy - Refer to section 5.1 of your Policy Document for more details
Lifecycle based portfolio strategy - Refer to section 5.1 of your Policy Document for more details

Over time, the Fund Value reflects the returns earned by the fund(s) selected by you.

What are the benefits that I get from this policy?

Maturity Benefit: At the end of your Policy Term, you will get your Fund Value as the Maturity Benefit. Your Fund Value will be
determined by the returns earned by the fund(s) you have selected.

There are 2 aspects that can help increase your Fund Value:

Loyalty Additions: Starting from the 6th year onwards, we will add 0.25% every year to your Fund Value if you stay investedfor
that year. Apart from staying invested, if you also pay your premium for that year, you will get an additional 0.25%.

Wealth Boosters: Starting from the 10th year onwards, we will add 3.25%* to your Fund Value once every 5 years. Fo
r
example, if your Policy Term is 30 years, you will get this in the 10th, 15th, 20th, 25th and the 30th year.
* 1.5% for One pay policies
Loyalty Additions and Wealth Boosters enhance your Maturity Benefit. So stay invested and pay all your premiums to get these
benefits. You can choose to get your Maturity Benefit as a lump-sum or spread over a period of time.
Life Insurance Benefit: In this policy, if the person whose life is covered dies during the Policy Term, we will pay the person specified
in your policy (the "Nominee") a lump-sum, which is commonly known as the Death Benefit.

This amount would be the maximum of the following 3 sums:

A. Sum Assured: This amount would be specified in your Policy Certificate
B. Fund Value at the time of death
C. 105% of total premiums paid till the time of death

The amount that will be paid out will be calculated as per the following table:
 For One Pay policies For Limited Pay and Regular Pay policies

If age at entry < 50 years If age at entry >= 50 years

Maximum of (A or B or C)
Maximum of (A+B or C) Maximum of (A or B or C)

The Nominee or any other family member can initiate the process of receiving this amount by visiting
[Link]/public/Life-Claims/[Link]

Partial Withdrawal Benefit: In case of any sudden requirement of money, you can withdraw money from your Fund Value. This
feature is called Partial Withdrawal. You can make a partial withdrawal after 5 years. In any year, you can withdraw up to 20% of your
Fund Value. Do note that making a Partial withdrawal will have an impact on your sum assured. Please refer to clause 3.9 of your
Policy Document for further details.

What are the charges I pay?

Premium Allocation Charge is deducted from the premium you pay. This charge is calculated as a percentage of premium. For
example, if you pay premium annually, the charge will be:

Year 1 Year 2 Year 3 Year 4 & 5 Year 6 onwards

6% 5% 4% 4% 2%

For One pay policies, the premium allocation charge is 3%.For more details on this charge, please refer section 1 of the Policy
Document.
Policy Administration Charge: is levied every month as a percentage of premium. The charge will be as follows:

Year 1 to Premium Payment Term Thereafter

0.21% per month 0.10% per month

For One pay policies, the policy administration charge will be `60 per month charged for the first 5 policy years.
Fund Management Charge (FMC) is a percentage of your Fund Value. FMC for Money Market Fund is 0.75% p.a. For the remaining 6
funds that you can choose from in this policy, the FMC is 1.35% p.a.
Mortality Charge This is the cost of your life insurance cover. This will vary depending on your Fund Value and the life insurance
cover that the policy offers.

What happens if I pay premiums for lesser number of years than what I had chosen or decide to close the
policy prematurely?

It is in your best interest that you pay premiums and stay invested for the number of years as selected by you. If you stop paying
premiums or close your policy, you will lose benefits such as Loyalty Additions and Wealth Boosters, amongst others.
If you close your policy after completion of 5 years, your Fund Value will be paid out to you and your policy will be closed.
If you close your policy before completion of 5 years, then there can be a lot of scenarios depending on how many years you have
paid premiums, whether you intend to resume paying premiums later etc.
For complete details on the various scenarios, please refer to section 4 of your Policy Document.

What benefit will I get with an Accidental Death Rider on my policy?

The rider on your policy, provides an additional Life insurance cover in case of an accidental death of the life assured in the policy.
The details of the exact cover amount and the rider premium that is deducted from your fund value is mentioned in your Policy
certificate.

IRDA Reg No: 105. CIN: U66010MH2000PLC127837.

© 2016, ICICI Prudential Life Insurance Co. Ltd. Registered Address: ICICI Prulife Towers, 1089, Appasaheb Marathe Marg, Prabhadevi,
Mumbai 400025. Reg No: 105. Insurance is the subject matter of the solicitation. UIN:105L139V01. Comp/doc/Aug/2015/453
 Original E-Welcome Kit
Policy Certificate IPRU ELITE LIFE UIN 105L1251V02
(This is a non-participating unit link plan)

This Policy is the evidence of a contract between ICICI Prudential Life Insurance Company Limited ("the Company") and the
Policy holder referred to below. This Policy is issued on the basis of the details provided by the Policy holder in proposal
form submitted along with the required declaration, personal statement, applicable medical reports, the first premium
deposit and any other document submitted which constitute evidence of the insurability of the Life Assured for the issuance of
the Policy. The Company hereby agrees to provide the benefits set out in this Policy subject to its terms and conditions.

Name of Life Assured : Mr. ROMESH KUMAR VARANASI

Address: VIP LANE, NEW STREET Category: Non-Medical

JEYPORE, OPPOSITE- HOTEL APSARA
DISTRICT- KORAPUT
ODISHA
ODISHA- 764001

Date of Birth: 16/02/1961 Age (in Years at time of Policy Commencement) : 55 Age Admitted: YES

Name of the Proposer : Mr. ROMESH KUMAR VARANASI

Policy No: 31854794 Policy Term (Years): 10

Date of Commencement of Policy : 21/10/2016 Date of Maturity: 21/10/2026
Premium Payment Option : 5 Pay Due Date of Last Premium : 21/10/2020

Premium Paying Term (PPT) :5 Nominee Name : RASHMI RANI VARANASI

in Years

Periodicity of Premium Payment : Yearly Appointee Name:

Policy sourced by Distance Marketing: N

Modal Premium (`): Sum Assured (`):

10,00,000.00 1,00,00,000.00

Service tax and cesses extra, as applicable, would be charged.

Benefits payable and other conditions: As specified in the policy document
Policy certificate, terms and conditions of the policy and the endorsements by the Company, if any, shall form an integral part of this
contract and shall be binding on the Company and the Policyholder.
The policy shall stand cancelled by the Company, without any further notice, in the event of dishonour of the first premium
deposit.

Signed for and on behalf of the ICICI Prudential Life Insurance Company Limited, at Head Office, Mumbai on 11 August 2016 (the
issuance date).

Authorized Signatory

V.V. Balaji Version UA6 : 1.0

Chief- Technology & Operations
Stamp Duty of Rs. 120.00 /- (One Hundred Twenty Rupees and Zero Paisa only) paid by GRN no MH001872520201617E dated 16th
June 2016, vide Deface No 0001248764201516 dated 22nd June 2016 respectively.
This is output of a digitally signed print file
Please examine the policy and approach the company immediately in case of any discrepancy

12/08/2016
 RENEWAL PREMIUM RECEIPT

Name of Policy Holder Mr. DEMARA KISHORE

Policy Name IPRU PURE PROTECT- 105N084V01

Policy Number Receipt Number Date of Receipt

20245734 F75074757 11/08/2024

Premium Details ( `) Payment Details

Premium Amount 26,780.00 Frequency of Payment Yearly

SGST 1,861.02 Cheque / Transaction No . 500907

CGST 1,861.02 Cheque / Transaction Date 11/08/2024

Bank Name ICICI BANK LTD

Total Premium (`) GSTIN: 37AAACI7351P1Z2

Total Premium Received 30,502.00 ST Regd. State: Andhra Pradesh SAC CODE: 997132

Consolidated revenue stamp duty paid: Notification No - Mudrank - 0715/0003653293201516/CR-322/M1-05/01/2006

Details of your Policy
Nominee Name Policy Detail

Policy Commencement Date 11/08/2009

Demara Niharika
Premium Payment Frequency Regular

SUMMARY OF INVESTMENTS (applicable only for Unit Linked Products) Date of Maturity 11/08/2039

Policy Term 30 Years

Transaction Summary (in `.)

Premium Amount: 60,000.00 Sum Assured

Charges Deducted basis Net Premium Invested 1,00,00,000

Premium Allocation Charge: -3,600.00 Mortality Charges: -138.94

Net Premium Invested:

Income Tax Benefits :
56,400.00 Policy Administration Charges: -126.00
Tax benefits on Life Insurance policy would be available u/s 80C, on Pension Policy u/s 80CCC & on Health Riders (if any) u/s 80D
Please note:
For premium payments (including top-ups) aggregating Rs.50,000 or more in a year, updating PAN details is mandatory. Option of submitting Form 60/61 is available in case
of no PAN.
The risk of the company under this policy starts with effect from the date of the issuance of this policy 11 August 2016 or the date of encashment of the first premium
deposit, whichever is later.
In any case, the Policy shall stand cancelled in cse of non-encashment of the First Premium Deposit by the Company.
This is an authenticated Receipt/Intimation/Statement. In case of any discrepancies, kindly notify us within 14 working days through any of our touch points mentioned on
page 1 of the policy document.
NRI customers are requested to retain a copy of the instrument/proof of transaction of the payment of premium. Such copy of instrument/proof of transaction would be
required to be produced at time of any payments request from you. It would help us in confirming the source/form of receipt of premium, which could aid the process of
repatriation at the Authorized dealer's end.

Other details :
UIN - Unique Identification Number specified by IRDAI IPRU Pure Protect II 105L139V01
 Policy Document - Terms and Conditions of your policy
AP: Annualised Premium FV: Fund Value including Top-up Fund Value,
ICICI Pru Wealth Builder II if any, on the Date of Discontinuance
In this Policy, the investment risk in investment portfolio is borne by the Policyholder. No Discontinuance Charge is applicable for Top-up premiums
Unique Identification Number (UIN) allotted by Insurance Regulatory and Mortality charge will be calculated on the Sum at Risk which depends
Development Authority (IRDAI) on Premium Payment Option and age at entry as described below.
UIN number: ICICI Pru Wealth Builder II:105L139V01 For all One Pay and Limited Pay and Regular Pay policies with age at
In this policy, the investment risk in investment portfolio is borne by the policyholder. entry greater than or equal to 50 years. Sum at Risk = Highest of, •
In this document, "you" or "your" will refer to the Policyholder or the Proposer i.e. the Sum Assured, including Top-up Sum Assured, if any (reduced by
owner of this policy and "we", "us", "our", "insurer" or "the Company" will refer to ICICI applicable partial withdrawals), • Fund Value (including Top-up Fund
Prudential Life Insurance Company Limited, or any of its successors. Value, if any), • Minimum Death Benefit
1. Product charges Less • Fund Value (including Top-up Fund Value, if any) For Limited
Mortality Pay and Regular Pay policies with age at entry less than 50 years.
Premiums are allocated to the chosen Funds after deducting the Charges Sum at Risk = Highest of, • Sum Assured, including Top-up Sum
Premium Allocation Charges shown below. The charges shown Assured, if any. Plus Fund Value (including Top-up Fund Value, if any)
are as percentages of premium. • Minimum Death Benefit.
Limited Pay and Regular Pay:
Less • Fund Value (including Top-up Fund Value, if any)Mortality
Premium Payment Year 6 charge will be deducted on a monthly basis by redemption of units.
Year 1 Year 2 Year 3 Year 4-5
Mode / Policy year onwards The mortality charges are given in Annexure III. No mortality charge
Annual 6% 5% 4% 4% 2% will be deducted while monies are in Discontinued Policy Fund (DP
Premium Fund). Mortality charges will be deducted until the earlier of
Half Yearly and Monthly 4% 4% 3.5% 3% 2%
Allocation intimation of death of the Life Assured and the end of the policy term.
Charge A discount of 1% in the premium allocation charge in Year 1 is given
Some of the charges may be revised from time to time, subject to regulatory
to customers who buy directly from the Company's website.
approval. For details, please refer to Annexure II.
One Pay:
Single Premium: 3%. A discount of 0.5% in the premium allocation is 2. Freelook period (15/30 days refund policy) You have an option to review the policy
given to customers who buy directly from the Company's website. post receipt of the Policy Document. If you are not satisfied with the terms and
All Top-up premiums are subject to an allocation charge of 2%. conditions of this policy, please return the policy document to the Company for
cancellation within: • 15 days from the date you received it, if your policy is not
Policy Administration Charge will be levied monthly. Policy purchased through Distance Marketing* • 30 days from the date you received it, if
Administration Charge will be as set out below:
your policy is purchased through Distance Marketing* On cancellation of the policy
Policy Administration Charge during the free look period, you shall be entitled to an amount which shall be equal
Premium
(% of Annual Premium) to non-allocated premium plus charges levied by cancellation of units plus Fund
Payment Option
Policy Year 1 to PPT Thereafter Value at the date of cancellation less Stamp duty expenses and expenses borne by
Policy Limited Pay and 0.21% p.m. 0.10% p.m. us on medical examination, if any, in accordance with the IRDAI (Protection of
Regular Pay (2.52% p.a) (1.20% p.a) Policyholders' Interests) Regulations 2000. The policy will terminate on payment of
Administration
Charge Policy Administration Charge this amount and all rights, benefits and interests under this policy will stand
Premium extinguished. *Distance Marketing includes every activity of solicitation (including
(% of Single Premium)
Payment Option lead generation) and sale of insurance products through the following modes: (i)
Policy Year 1 -5 Thereafter
One pay ₹ 60 p.m. (₹ 720 p.a.) Nil Voice mode, which includes telephone-calling (ii) Short Messaging service (SMS)
(iii) Electronic mode which includes e-mail, internet and interactive television
Policy administration charge is subject to a maximum ₹ 500 p.m. (DTH) (iv) Physical mode which includes direct postal mail and newspaper and
(₹ 6,000 p.a.). magazine inserts and (v) Solicitation through any means of communication other
This charge will be made by redemption of units.
than in person.
Fund Management Charge 3. Benefits available under the policy
Fund per annum (% of Fund Value)
3.1 Maturity Benefit i. On survival of the Life Assured till the date of maturity, we
Multi Cap Growth Fund will pay the Fund Value including Loyalty Additions, Wealth Boosters and Top-up
Multi Cap Balanced Fund Fund Value, if any, provided the policy has not already terminated. ii. On payment
Fund Bluechip Fund
1.35% of Maturity Benefit, the policy will terminate and all rights, benefits and interests
Maximiser V
Management under the policy will be extinguished. iii. Maturity Benefit may be taxable as per
Opportunities Fund
Charge (FMC) Income Fund prevailing tax laws.
Money Market Fund 0.75% 3.2 Death Benefit i. On the death of the Life Assured during the term of the policy
Discontinued Policy Fund (DP Fund) 0.50% Death Benefit will be payable to the nominee. ii. On death of the Life Assured,
This will be charged daily by adjustment to the Net Asset Value (NAV). provided monies are not in the Discontinued Policy Fund (DP Fund) • In case of One
Pay policies, Death Benefit = A or B or C whichever is highest Where, A = Sum
Switch Charges ₹ 100 per switch (After the first 4 free switches in a policy year)
Assured including Top-up Sum Assured, if any (reduced by applicable partial
Discontinuance Charges are described below.
withdrawals, if any) B = Fund Value including Top-up Fund Value, if any C =
One Pay:
Minimum Death Benefit • In case of Limited Pay and Regular Pay policies, w For age
Where the policy is Single premium > at entry less than 50 years, Death Benefit = (A+B) or C whichever is higher Where,
discontinued in the A = Sum Assured including Top-up Sum Assured, if any B = Fund Value including
₹ 25,000
policy year
Top-up Fund Value, if any C = Minimum Death Benefit
Lower of 1% of (SP or FV), subject to a
1. maximum of ₹ 6000 Minimum Death Benefit will be 105% of the total premiums paid including Top-up
Lower of 0.5% of (SP or FV), subject to a premiums, if any. #Sum Assured is deemed to include the Top-up Sum Assured, if
2. maximum of ₹ 5000 any. iii. The effect of partial withdrawal on the Sum Assured will be as stated in
Lower of 0.25% of (SP or FV), subject to a clause 3.9. iv. On death of the Life Assured while monies are in the DP Fund, Death
3. maximum of ₹ 4000 Benefit will be the DP Fund Value. v. On payment of Death Benefit, the policy will
Lower of 0.1% of (SP or FV), subject to a terminate and all rights, benefits and interests under the policy will be
4.
maximum of ₹ 2000 extinguished. vi. Death Benefit may be taxable as per prevailing tax laws.
5 and onwards NIL 3.3 Loyalty Addition Loyalty Additions will be allocated as extra units at the end of
SP: Single Premium every policy year, starting from the end of the sixth policy year, provided monies
FV:Fund Value including Top-upFund Value,ifany,on theDate ofDiscontinuance. are not in DP Fund. Each Loyalty Addition will 0.25% of the average of the Fund
Limited Pay and Regular Pay Values including Top-up Fund Value, if any, on the last business day of the last eight
Discontinuance Charge policy quarters. An additional Loyalty Addition of 0.25% is paid every year from the
Where the policy
end of year 6 if all premiums for have been paid. The additional loyalty additions
is discontinued
during the Annual Annual will also be calculated as described above. Loyalty Additions, including additional
policy year premium ≤ ₹ 25,000 premium > ₹ 25,000 loyalty additions, will be allocated between the funds in the same proportion as the
value of total units held in each fund at the time of allocation. The allocation of
Lower of 20% of (AP or FV), Lower of 6% (AP or FV), Loyalty Addition units is guaranteed and shall not be revoked by us under any
1 subject to a maximum subject to a maximum of circumstances
of ₹ 3,000 ₹ 6,000
Discontinuance Lowerof15%of(APorFV), Lower of 4% of (AP or FV), 3.4 Wealth Boosters Wealth Boosters will be allocated as extra units at the end of
Charge subject to a maximum subject to a maximum every fifth policy year starting from the end of the tenth policy year. Each Wealth
2 Booster will be a percentage of the average of Fund Values including Top-up Fund
of ₹ 2,000 of ₹ 5,000
Value, if any, on the last business day of the last eight policy quarters as shown in the
Lowerof10%of(APorFV), Lower of 3% of (AP or FV),
3 table below.
subject to a maximum subject to a maximum
of ₹ 1,500 of ₹ 4,000 Premium Payment option Wealth Booster
Lowerof5% of (APorFV), Lower of 2% of (AP or FV), One Pay 1.50%
4 subject to a maximum subject to a maximum Limited Pay and Regular Pay 3.25%
of ₹ 1000 of ₹ 2,000 Wealth Booster will be allocated between the funds in the same proportion as the
5 and onwards NIL NIL value of total units held in each fund at the time of allocation. The allocation of
Wealth Booster units is guaranteed and shall not be revoked by us under any allowed in multiples of ₹ 1,000. The multiple of ₹ 1,000 referred above may be
circumstances. changed from time to time as per the rules of the Company, subject to prior
3.5 Non-negative clawback additions In the process to comply with the reduction approval from the Regulator. v. Notwithstanding anything contained above in
in yield, we may arrive at specific non-negative claw-back additions, if any, to be relation to the increase of Sum Assured, once you have opted for decreasing the
added to the unit Fund Value, as applicable, at various durations of time after the Sum Assured, any subsequent increase may be subject to underwriting. You will
first five years of the contract. have to bear the cost of medical reports and any other charges, as applicable.
3.6 Switches i. If you select the Fixed Portfolio Strategy you have an option to 3.14 Settlement Option i. You have the option to receive the Maturity Benefit as a
switch units from one Fund to another. The option to switch units is not available if structured payout over a period of up to 5 years after maturity. This option has to be
your monies are invested in the LifeCycle based Portfolio Strategy. ii. This is done chosen prior to maturity. The payouts may be taken monthly (direct credits only),
by redeeming units from the first Fund and allocating the units in the second Fund, quarterly, half yearly or annually, all payable in advance. ii. The life insurance cover
based on the Net Asset Value (NAV) of the relevant Funds. iii. Currently, the and rider cover shall cease on the original date of maturity. No other options available
minimum amount per switch is ₹ 2,000/-. We may change this amount from time to under the product shall be available. iii. The available number of units under the Policy
time as per the rules of the company and subject to the Regulator's approval. iv. shall be divided by the residual number of instalments to arrive at a number of units
Switches will not be allowed if monies are in the DP fund. v. The first four switches for each instalment. Further, in case of investment in more than one Fund, the number
in any policy year are free of cost. Additional switches will be charged at ₹ 100 per of units to be withdrawn shall be in the same proportion of the units held at the time of
switch by redemption of units. vi. Any unutilized switch cannot be carried forward. payment of each instalment. The value of the payments will depend on the number of
3.7 Top-ups i. You have an option to pay Top-up premiums any time during the term units and the respective fund NAVs on the date of each payment. iv. The remaining
of the policy, except in the last five years before the date of maturity. ii. This will be Fund Value shall become payable in the event of death of the recipient of the Maturity
subject to underwriting and provided you have paid all the due premiums under Benefit during the settlement period. The Policy shall terminate on the said payment.
the policy. iii. Currently, the minimum Top-up premium is ₹ 2,000/- and we may v. The recipient of the Maturity Benefit has the option to take the remaining Fund Value
change the same from time to time as per the rules of the Company and subject to as a lump sum payment at any time during the settlement period. The Policy shall
prior approval of the Regulator. iv. There will be an increase in Sum Assured by the terminate on the said payment. vi. During the settlement period the money remains
Top-up Sum Assured on payment of Top-up premium. The minimum and invested in the respective funds and the investment risk in the investment portfolio is
maximum Sum Assured multiples for Top-up premiums will be the same as that for borne by the recipient of the Maturity Benefit. vii. Only the Fund Management Charge
the One Pay Premium Payment Option. However, instead of age at entry, age at the would be levied during the settlement period. Neither Loyalty Additions nor Wealth
time of paying the Top-up premium will be considered. Sum Assured multiples in Boosters will be added during this period.
between the minimum and the maximum limits are not available. v. There is a lock 3.15 Riders i. The riders mentioned below are available under this Policy. ii.
in period of five years for each Top-up premium from the date of payment of the However the benefit under the Riders shall become payable only if the same are
Top-up premium for the purpose of partial withdrawals only. We may change the opted for and premiums for the same are duly paid. These will be recovered by
lock in period from time to time subject to the approval from Regulator. vi. At any redemption of units. iii. The Riders can be chosen at the inception of the Policy or at
point during the term of the policy, the total Top-up premiums paid cannot exceed any Policy anniversary during the policy term, subject to underwriting. The riders
the sum of base premium(s) paid till that time. that are offered under this Policy are: • Unit Linked Accidental Death Rider. The
3.8 Premium Redirection i. This facility is applicable only if you have opted for Fixed details of the riders are mentioned in Annexure VI.
Portfolio Strategy, described in clause 5.1, and the monies are not in DP Fund. ii. This 3.16 Loans The Company will not provide loans under this policy.
clause is not applicable for One Pay premium payment option. iii. You have an option to 3.17 Change in Portfolio Strategy (CIPS) i. You have the option to switch amongst
specify the Funds and the proportion in which the future premiums are to be invested in the two available Portfolio Strategies, Fixed Portfolio Strategy and LifeCycle based
the Funds at the inception of the policy. iv. At the time of subsequent premiums, you may Portfolio Strategy. The option to switch Portfolio Strategy can be exercised only
change the proportion in which the said premiums are to be invested. Once you opt for once every policy year provided the monies are not in DP Fund. This facility will be
this feature, the fund allocation will apply for all subsequent premiums. v. This option is provided free of cost. ii. On moving to the LifeCycle based Portfolio Strategy, the
available without any charge and it will not be counted as a switch. existing Funds as well as all future premiums will be allocated between Multi Cap
3.9 Partial Withdrawals i. Irrespective of the portfolio strategy you select, partial Growth Fund and Income Fund as per the LifeCycle schedule mentioned in clause
withdrawals will be allowed after completion of five policy years provided the 5.1. iii. On moving to the Fixed Portfolio Strategy, you must specify the proportions
monies are not in DP Fund. ii. You will be entitled to make unlimited number of among the choice of funds available in which his existing funds and future premium
partial withdrawals as long as the total amount of partial withdrawals in a year does should be invested.
not exceed 20% of the Fund Value in a policy year. There is no charge for partial 4. Non forfeiture Benefits
withdrawal. iii. The minimum partial withdrawal amount is ₹ 2,000. We reserve the 4.1 Surrender i. Surrender means voluntary termination of the policy by you. ii.
right to change the minimum amount of partial withdrawal from time to time, Surrender during the first five policy years. During the first five policy years, on our
subject to prior approval from the Regulator. iv. Partial withdrawals are allowed receipt of intimation that you wish to surrender the policy, the Fund Value after deduction
only if the Life Assured is at least 18 years of age. Partial withdrawals will have the of applicable Discontinuance Charge, shall be transferred to the Discontinued Policy
following effect on the Sum Assured for a. All One Pay policies, and b. Limited Pay Fund (DP Fund). For treatment thereafter, please refer to the sections on treatment of the
and Regular Pay policies with age at entry greater than or equal to 50 years (i) policy while monies are in the DP Fund, as described in Clause 4.3, and policy revival, as
Where death of the Life Assured occurs before attaining age 60 years last birthday, described in clause 4.4 If the policy is not revived, you or the nominee, as the case may
Sum Assured will be reduced to the extent of partial withdrawals made in the two be, will be entitled to receive an amount not less than the Fund Value, which was
years immediately preceding the date of death. (ii) Where death of the Life Assured transferred to the DP Fund, on the earlier of death and the expiry of the lock-in period.
occurs after attaining age 60 years last birthday, Sum Assured will be reduced to Currently the lock-in period is five years from policy inception. iii. Surrender after
the extent of all partial withdrawals made after attaining age 58 years last birthday. completion of five policy years. On surrender after the completion of the fifth policy year,
v. Partial withdrawals will be made first from the Top-up Fund Value, as long as it you will receive the Fund Value including Top-up Fund Value, if any. No surrender penalty
supports the partial withdrawal, and then from the Fund Value built up from the will be levied and policy surrender will extinguish all rights, benefits and interests under
base premium(s). vi. Partial withdrawal will not be allowed if it results in termination the policy. Please see Flowchart 1 in Annexure IV
of the policy. 4.2 Premium Discontinuance This section is applicable only for Limited Pay and
3.10 Increase or Decrease of Premium Increase or decrease of premium is not Regular Pay policies a) Premium discontinuance during the first five policy years If a
allowed under this policy. due premium has not been paid, we shall send you a notice within a period of fifteen
3.11 Increase or Decrease of premium payment term i. This clause is not applicable days from the date of expiry of the grace period, requesting you to choose from the
for One Pay premium payment option. ii. You will have the option to increase the following options within a notice period of 30 days of receipt of such notice:
Premium Payment Term by notifying us, provided all due premiums have been paid,. Option Description Treatment
iii. You will have the option to decrease the Premium Payment Term by notifying us,
Pay overdue premium The policy will continue with risk cover,
provided at least five years' premiums have been paid,. iv. Increase or decrease in
(i) within the notice period benefits and charges, as per the terms and
Premium Payment Term must always be in multiples of one year.
and continue the policy conditions of the policy.
3.12 Increase/Decrease in Policy Term i. You have the option to increase or
decrease the policy term by notifying us. ii. Increase or decrease in policy terms is Discontinue the policy with On our receipt of this intimation, the Fund
allowed subject to the policy terms allowed under the given policy iii. An increase monies moving to the DP Value including Top-up Fund Value, if any,
in policy term is allowed, subject to underwriting. Sum Assured may increase Fund shall be credited to the DP Fund after
(ii) deduction of applicable Discontinuance
subject to the minimum sum assured conditions. iv. On decrease of policy term,
Sum Assured will not reduce unless it is requested by you. Charge. For treatment thereafter, please refer
to the sections on treatment of the policy
3.13 Increase or Decrease of Sum Assured i. Increase or decrease in Sum Assured while monies are in the DP Fund, as
will be allowed only on policy anniversaries, provided all due premiums till date described in clause 4.3 and policy revival, as
have been paid and provided monies are not in DP Fund. The cost of any medical described in clause 4.4.
reports and charges will be borne by you and deducted by redemption of units. ii.
No option is selected before the end Treatment will be as if option ii were selected.
Increase in Sum Assured is allowed any time, subject to underwriting, before the
of the notice period
policy anniversary on which the life assured is aged 60 years last birthday. iii. Such
increases would be allowed in multiples of ₹1,000 subject to maximum Sum Please see Flowchart 2.a. in Annexure IV. b) Premium discontinuance after completion
Assured multiples as specified in Annexure V. The multiple of ₹ 1,000 referred above of the fifth policy year If due premium has not been paid, we shall send you a notice
may be changed from time to time as per the rules of the Company, subject to prior within a period of fifteen days from the date of expiry of the grace period, requesting
approval from the Regulator. iv. Decrease in Sum Assured is allowed subject to the you to choose from the following options within a notice period of 30 days of receipt of
minimum Sum Assured restrictions under the product. Such decreases would be such notice:
 Option Description Treatment satisfactory evidence of health of the Life Assured, as required by us; b. Revival will
(i) Pay overdue premium within The policy will continue with risk cover, benefits be based on the prevailing Board approved underwriting policy. c. Revival of the
thenoticeperiodandcontinue and charges, as per the terms and conditions of policy may be on terms different from those applicable to the policy before the
thepolicy the policy. premiums were discontinued; Revival will take effect only on it being specifically
communicated by us to you. Any change in revival conditions will be subject to
(ii) Surrender the policy and On our receipt of this intimation, the
utilize the policy Policyholder will be entitled to the Fund Value approval from the Regulator.
proceeds including Top-up Fund Value, if any. 5. Investment and Fund Details
5.1 Fund name and details The accumulated premiums, less charges, will be invested
(iii) Convert the policy into The policy will continue with benefits and in the following funds:
a paid-up policy charges, as per the original terms and
conditions of the policy, however you are not % % Potential
Fund Name, Objective and SFIN Portfolio Allocation
required to pay premiums. You will have the (Min) (Max) Risk-Reward
option of resuming payment of premiums Profile
before the end of the two year revival period. i) Multi Cap Growth Fund: To Equity & e quity 80% 100%
(iv) Continue the policy for a The policy will continue with benefits and generate superior long-term related securities 0% 20% High
period of up to two years. charges as per the terms and conditions of returns from a diversified Debt Instruments 0% 20%
the policy. On payment of overdue portfolio of equity and equity M on e y M a r k e t &
premiums before the end of this period, the related instruments of large, Cash
policy will continue as per the policy terms mid and small cap companies.
and conditions. If the overdue premiums are SFIN : ULIF 085 24/11/09
not paid before the end of the two year LMCapGro 105.
revival period, then you will have the
following two options: iv. a. Convert the ii) Multi Cap Balanced Fund: Equity & equity 0% 60%
policy into a paid-up policy. The treatment To achieve a balance between related securities 20% 70% Moderate
thereafter will be as described in option (iii) capital appreciation and stable Debt Instruments 0% 50%
above. iv.b. Surrender the policy and returns by investing in a mix of M on e y M a r k e t &
receive the Fund Value including Top-up equity and equity related Cash
Fund Value, if any, at the end of the revival instruments of large, mid and
period. Thereafter this policy shall terminate small cap companies and debt
and all rights, benefits and interests under and debt related instruments.
this policy shall be extinguished. SFIN : ULIF 088 24/11/09
No option is selected before the Treatment will be as if option ii were selected. LMCapBal 105.
end of the notice period iii) Bluechip Fund: To provide long- E q u i t y & e q u i t y 80% 100%
Thereafter this policy shall terminate and all rights, benefits and interests under this term capital appreciation from related securities 0% 20% High
policy shall be extinguished. Please see Flowchart 2.b. in Annexure IV. equity portfolio predominantly Debt Instruments 0% 20%
4.3 Treatment of the policy while monies are in the DP Fund While monies are in investedinlargecapstocks. Money Market &
the DP Fund: • Risk Cover and Minimum Death Benefit will not apply. • A Fund SFIN : ULIF 087 24/11/09 Cash
Management Charge of 0.50% p.a. of the DP Fund will be made. No other charges LBluChip 105.
will apply. • From the date monies enter the DP Fund till the date they leave the DP
iv) Maximiser V: To achieve E q u i t y & e q u i t y 75% 100%
Fund, a minimum guaranteed interest rate declared by IRDAI from time to time will
long-term capital appreciation related securities 0% 25% High
apply. The current minimum guaranteed interest rate applicable to the DP Fund is
through investments primarily Debt Instruments 0% 25%
4% p.a. • A revival period of two years from the Date of Discontinuance of the
in equity and equity-related Money Market & Cash
policy applies. The Date of Discontinuance of the policy is the date on which the
instruments of large and mid
Company receives intimation from you about discontinuance of the policy or
cap stocks.
surrender of the policy, or the expiry of the notice period, whichever is earlier. If the
SFIN : ULIF 114 15/03/11
two year revival period is complete before the end of the fifth policy year and the
LMaximis5 105.
policy has not been revived, the DP Fund Value will be payable to you at the end of
the fifth policy year. Thereafter this policy shall terminate and all rights, benefits and v) Opportunities Fund: To E q u i t y & e q u i t y 80% 100%
interests under this policy shall be extinguished. Please see Flowchart 3.a. in generate superior long-term related securities 0% 20% High
Annexure IV. If the two year revival period is not complete before the end of the fifth returns from a diversified Debt Instruments 0% 20%
policy year and the policy has not been revived, we shall request you to choose portfolio of equity and equity Money Market & Cash
from the following options: related i nstruments o f
Option Description Treatment companies operating in four
(i) Revive the policy by paying Treatment will be as described in clause 4.4. important types of industries
overdue premiums, if any viz., Resources, Investment-
related, Consumption-related
(ii) Stay invested in the DP Revival is possible any time before the and Human Capital leveraged
Fund until the end of the completion of the fifth policy year. If the policy industries.
lock-in period is not revived before the completion of the fifth SFIN : ULIF 086 24/11/09
policy year, the DP Fund Value will be payable LOpport 105.
to the Policyholder at the end of the fifth policy
year. Thereafter this policy shall terminate and vi) Income Fund: To provide Debt Instruments 40% 100% Low
all rights, benefits and interests under this a c c u m u l a t i o n of i n c o m e Money Market & Cash 0% 60%
policy shall be extinguished. through investment in various
fixed income securities. The
(iii) Stay invested in the DP Revival is possible any time before the fund seeks to provide capital
Fund with the option to completion of the revival period. If the policy is appreciation while maintaining
revive before the end of not revived before the completion of the a suitable balance between
the revival period revival period, the DP Fund Value will be return, safety and liquidity.
payable to the Policyholder at the end of the SFIN : ULIF 089 24/11/09
revival period. Thereafter this policy shall LIncome 105.
terminate and all rights, benefits and interests
under this policy shall be extinguished. vii) Money Market Fund : To Debt Instruments 0% 50%
provide suitable returns Money Market & Cash 50% 100% Low
No option is selected before the Treatment will be as if option (ii) were selected.
through low risk investments
end of the notice period
in debt and money market
Please see Flowchart 3.b. in Annexure IV. instruments while attempting
4.4 Policy Revival For the purpose of this product, the treatment of withdrawal of to protect the capital deployed
surrender request in the first five policy years is the same as revival of a policy where in the fund.
premium is discontinued. In case of surrender or premium discontinuance during the SFIN : ULIF 090 24/11/09
first five policy years, the you can revive the policy by paying overdue premiums, if LMoneyMkt 105.
any, within two years from the Date of Discontinuance. On revival, Discontinuance In addition, on premium
Charge previously deducted, will be added to the DP Fund Value and Policy discontinuance or surrender,
Administration Charge and Premium Allocation Charge, if any, which were not during the first five policy
collected while monies were in the DP Fund, shall be levied. Monies will be invested in years, as described in Clause
the segregated fund(s) chosen by you at the NAV as on the date of such revival. On 4.2 a, the monies will be
revival, you will resume the enjoyment of the risk cover. In case of premium moved to the Discontinued
discontinuance after completion of five policy years, you can revive the policy within Policy Fund (DP Fund).
two years from the date of receipt of intimation that you wish to choose option (iv) viii) Discontinued Policy Fund: Money Market 0% 40%
described in Clause 4.2 (b). On revival, the policy will continue with benefits and SFIN : ULIF 100 01/07/10 instruments
charges, as per the terms and conditions of the policy. For the purpose of revival the LDiscont 105. Government securities 60% 100%
following conditions are applicable: a. You, at his or her own expense, furnishes
Portfolio Strategy You can choose among the following asset allocation share in our profits or surplus of the business in any manner whatsoever or make
strategies: • LifeCycle-based Portfolio Strategy • Fixed Portfolio Strategy. You may any claim in relation to our assets. All assets relating to the Fund shall be and shall
opt into or out of a Portfolio Strategy during the policy term. You can only have your remain in our absolute beneficial ownership and control. There is no trust created,
funds in one of the Portfolio strategies at any point in time. i, LifeCycle-based whether express or implied, by us in respect of the investments in your favour or
Portfolio Strategy a. Under this strategy, the Company's Multi Cap Growth Fund assignee or nominee of the policy or any other person.
will be used for equity exposure and the Income Fund for debt exposure. b. The 5.9 Fund closure Although the Funds are open ended, we may, as per Board
Fund Value will be allocated to the Multi Cap Growth and Income Fund as per the approved policy and subject to prior approval from IRDAI, completely close any of
Policyholder's age as described in the following schedule. the Funds on the happening of any event, which in our sole opinion requires the said
Fund to be closed. You shall be given at least three months' prior written notice of
Age (Last birthday) 0 – 25 26 – 35 36 - 45 46 – 55 56 – 65 66 – 80 our intention to close any of the Funds completely or partially except in ‘Force
Multi Cap Growth Fund 85% 75% 65% 55% 45% 35% Majeure' conditions as mentioned in clause 6.5, where we may give a shorter notice.
Income Fund 15% 25% 35% 45% 55% 65% In case of complete closure of a Fund, on and from the date of such closure, we shall
cease to issue and cancel units of the said Fund and cease to carry on activities in
Under this strategy, you have the option to make Partial Withdrawals. Partial respect of the said Fund, except such acts as are required to complete the closure. In
Withdrawals and different growth rates of the Multi Cap Growth and Income Fund such an event if the units are not switched to another Fund by you, we will switch the
may cause the actual fund weightings to differ from the above schedule. Since the said units to any other appropriate Fund with similar characteristics as per Board
objective is to allocate assets based on risk appetite at the current age, the approved policy, with due weightage for the respective NAVs at the time of
Policyholder funds will be regularly rebalanced to achieve the above allocations. switching, subject to prior approval from the Regulator. However, no fee would be
This will be done by automatic switching of units between the two funds at every charged by us for switching to another Fund or exiting from the policy in the event of
policy quarter. During the last ten quarters of the Policy term, the exposure in the complete closure of Funds.
Multi Cap Growth Fund will be systematically reduced as per the Policyholder's age 5.10 Foreclosure of the policy i. For Limited Pay and Regular Pay policies, after five
as described in the table below by automatic switches to the Income Fund. This is policy years have elapsed and all due premiums have been paid, if the Fund Value
done so that the Fund Value at the time of maturity is not adversely affected by short becomes nil, then the policy will terminate and no benefits will be payable. ii. For
term volatility in the equity market that Multi Cap Growth Fund invests in. One Pay policies, after five policy years have elapsed and provided the monies are
Multi not in the DP Fund, if the Fund Value becomes nil, then the policy will terminate and
Age no benefits will be payable. iii. On termination of the policy all rights, benefits and
Cap
(Last Exposure in the last ten quarters prior to maturity interests under the policy shall be extinguished iv. A policy cannot be foreclosed
Growth
birthday) before completion of five policy years.
Fund
From To 10 9 8 7 6 5 4 3 2 1 5.11 Applicability of NAV i. The allocation and redemption of Units for various
0 25 85% 76.5% 68.0% 59.5% 51.0% 42.5% 34.0% 25.5% 17.0% 8.5% 0.0% transactions will be at the NAV as described below:
26 35 75% 67.5% 60.0% 52.5% 45.0% 37.5% 30.0% 22.5% 15.0% 7.5% 0.0% Type of transaction Applicable NAV (where transaction
36 45 65% 58.5% 52.0% 45.5% 39.0% 32.5% 26.0% 19.5% 13.0% 6.5% 0.0% is received before cut-off time)
46 55 55% 49.5% 44.0% 38.5% 33.0% 27.5% 22.0% 16.5% 11.0% 5.5% 0.0% First premium deposit received by way NAV of the risk commencement date of the
56 65 45% 40.5% 36.0% 31.5% 27.0% 22.5% 18.0% 13.5% 9.0% 4.5% 0.0% of local cheque or pay order or policy
66 80 35% 31.5% 28.0% 24.5% 21.0% 17.5% 14.0% 10.5% 7.0% 3.5% 0.0% demand drafts payable at par
First premium deposit received by way NAV of the risk commencement date of policy
ii. Fixed Portfolio Strategy Under this strategy, the Policyholder may choose to of outstation cheque or pay order or or date of realization of the amount by us,
invest his or her money in any of the funds offered and in proportions of his or her demand drafts whichever is later
choice. The available funds are described above. A Policyholder who chooses the Renewal premiums received by way of NAV of the date of our receipt of instruction or
Fixed Portfolio Strategy may avail of the Automatic Transfer Strategy described direct debit, Electronic Clearing the due date, whichever is later
below. There would be no additional charge for selecting the Automatic Transfer System (ECS), credit card, etc.
Strategy. The Policyholder can choose to automatically transfer a fixed amount of Renewal premiums received by way of NAV of the date of our receipt of instrument or
his or her investments in the Money Market Fund or Income Fund to any one of the local Cheque or pay order or demand the due date, whichever is later
draft payable at par
following funds: Opportunities Fund, Multi Cap Growth Fund, Maximiser V, or
Renewal premiums received by way of NAV of the date of our receipt of instrument or
Bluechip Fund. This transfer will be done in equal instalments in not more than 12
outstation cheque or pay order or the due date or date of realization of the
monthly instalments. The Policyholder can opt for a transfer date of either 1st or demand draft amount by us, whichever is later
15th of every month. If the date is not mentioned, the funds will be switched on the
Partial withdrawal NAV of the date of our receipt of the request
1st of every month. If the 1st or 15th of the month is a non-valuation date then the
i. Free look cancellation NAV of the date of our receipt of the request or
next working day's NAV will be applicable. At the time of transfer, the required
ii. Death claim intimation of claim (Intimation for the
number of units will be withdrawn from Money Market Fund or Income Fund, at the purpose of claim must be in writing. The free
applicable unit value, and new units will be allocated in the chosen destination fund. look cancellation request must be in writing
The minimum transfer amount is ₹ 2,000. This value is subject to change from time or in the electronic mode or in any other
to time as per the rules of the Company and subject to prior approval of IRDAI. The manner as decided by us from time to time)
Automatic Transfer Strategy will be renewed and will be regularly processed for the Surrender after first five policy years NAV of the date of our receipt of the request
Policyholder till the Company is notified, through a written communication, to Loyalty Addition NAV of the date of allocation
discontinue the same. The Automatic Transfer Strategy will not be applicable if the Wealth Booster NAV of the date of allocation
source Fund Value is less than the amount nominated for transfer. TransfertotheDiscontinuedPolicyFund NAV of the Date of Discontinuance
5.2 Units The nominal value of the Units is ₹10 each. We allocate the Units in the
manner described below and the allocations may be made up to 1/1000th of a Unit ii. Currently, the cut-off time is 3.00 p.m. The cut-off time may be changed as per
or such other fraction as per Board approved policy. prevailing IRDAI guidelines. iii. If the transaction request is received before the cut
5.3 Net Asset Value (NAV) The Net Asset Value for the different Segregated Funds off time, the NAV declared at close of business that day will be applicable. iv. If the
shall be declared on a daily basis except on days on which the Banks or Exchange transaction request is received after the cut-off time then the NAV of the next
are closed or on account of political or economic ‘Force Majeure' conditions or if Valuation Date will be applicable. v. For all transactions on the last day of the
permitted by the Regulator. The Net Asset Value of each Segregated Fund shall be financial year, the NAV of that day would be applicable. The cut-off time will not be
computed as follows or by such other method as may be prescribed by regulation: applicable for such transactions. vi. The Units allocated will be reversed in case of
[Market value of investment held by the Fund plus value of current assets less value non realization of the premium amount. vii. We will follow the norms stated above
of current liabilities and provisions] Divided by, Number of units existing under the for any transactions, which are not specifically mentioned herein but involve
Fund at valuation date, before any new units are created or redeemed Allocation and redemption of Units.
5.4 Risks of investment in the Funds i. Any investment in any of the Funds available 6. General Conditions
under the policy is subject to market and other risks. ii. The investment risk in the 6.1 To whom are the benefits payable Benefits are payable to the Policyholder or
investment portfolio is borne by you. iii. There is no assurance that the objectives of the assignee(s) where a valid assignment (in accordance with Section 38 of the
any of the Funds will be achieved. iv. The NAV of any of the Funds may increase or Insurance Act, 1938) or the nominee(s) where a valid nomination has been
decrease as per the performance of financial markets. v. The past performance of registered by the Company (in accordance with section 39 of the Insurance Act,
any of the Funds does not indicate the future performance of these Funds. vi. The 1938), or the executors, administrators or other legal representatives who obtain
name of the product and the Funds do not in any manner indicate the quality or their representation to the estate of the Policyholder or to such person or persons as
future prospects or the returns that can be expected from these Funds. vii. The directed by a court of competent jurisdiction in India, limited at all times to the
Funds, except for DP Fund, do not offer a guaranteed or assured return. monies payable under this policy. We hereby agree to pay the appropriate benefits
5.5 Valuation date Valuation date is any date on which the NAV is declared by us. on proof: i. to our satisfaction of the benefits having become payable on the
5.6 Valuation of the Funds Valuation of Funds is the determination of the value of the happening of an event as per the policy terms and conditions, ii. of the title of the
underlying assets of the Funds. The valuation of the assets will be made as per the
said person or persons claiming payment, iii. of the correctness of the age of the Life
valuation norms prescribed by IRDAI and implemented by us.
Assured as stated in the proposal (if not previously admitted)
5.7 Investment of the Funds We will select the investments in accordance with its
6.2 Death of the nominee In the event of death of the nominee before the death of
Board approved investment policy, including derivatives and units of mutual
the Life Assured, you have an option to nominate some other person.
Funds, of the Fund at our sole discretion subject to the investment objectives of the
Fund and the applicable regulations in this regard. 6.3 Premium payment i. For Limited Pay and Regular Pay options, modes of
5.8 Your rights with respect to the Funds This policy enables you to participate premium payment permitted are: Annual, half-yearly or monthly. ii. You are
only in the investment performance of the Funds, to the extent of allocated units. It required to pay premiums on the due dates and for the amount mentioned in the
does not in any way confer any right whatsoever on you or on the Life Assured to policy schedule. iii. For Limited Pay and Regular Pay options, collection of advance
premium shall only be allowed in the following cases: a. Where the premium is the Insurance Act, 1938. Please refer to Annexure IV for details on this section. The
collected within the same financial year. b. The premium so collected in advance Policy is subject to the terms and conditions as mentioned in the Policy document
shall only be adjusted on the due date of the premium. iv. For Limited Pay and and is governed by the Laws of India.
Regular Pay options, the grace period for payment of premium is 15 days for 6.11 Suicide If the Life Assured, whether sane or insane, commits suicide for any
monthly mode of premium payment and 30 days for other frequencies of premium reason whatsoever within one year of the date of issuance of the policy, the policy
payment. v. You are required to pay premiums for the entire premium payment shall be void and only the Fund Value including Top-up Fund Value, if any, as
term. vi. We are not under any obligation to remind you about the premium due available on the date of death of the Life Assured, will be payable. As such, in effect,
date, except as required by applicable regulations. vii. You may pay premium no charges will apply after the date of death. If the Life Assured, whether sane or
through any of the following modes: a. Cash* b. Cheque c. Demand Draft d. Pay insane, commits suicide within one year from the date of revival, the policy shall be
Order e. Banker's cheque f. Internet facility as approved by us from time to time g. void and only the Fund Value including Top-up Fund Value, if any, as available on the
Electronic Clearing System / Direct Debit h. Credit or Debit cards held in your name date of death of the Life Assured will be payable. As such, in effect, no charges will
*Amount and modalities will be subject to our rules and relevant legislation or apply after the date of death If the Life Assured, whether sane or insane, commits
regulation viii. Any payment made towards first or renewal premium is deemed to suicide within one year from the effective date of any increase in the Sum Assured,
be received by us only when it is received at any of our branch offices or authorized then the amount of increase shall not be considered in the calculation of Death
collection points and after an official printed receipt is issued by us. ix. No person or Benefit. The policy will terminate of the said payment and all rights, benefits and
individual or entity is authorized to collect cash or self cheque or bearer cheque on interests will stand extinguished
our behalf. x. Cheque or demand drafts must be drawn only in favour of ICICI 6.12 Policy alterations Policy alterations would be allowed subject to the rules of
Prudential Life Insurance Company Limited. xi. Please ensure that you mention the the Company and the applicable guidelines at that point in time.
application number for the first premium deposit and the policy number for the 6.12 Communication address Our communication address is: Address Customer
renewal premiums on the cheque or demand draft. xii. Where premiums have been Service Desk ICICI Prudential Life Insurance Company Limited, Ground Floor &
remitted otherwise than in cash, the application of the premiums received will be Upper Basement, Unit No. 1A & 2A, Raheja Tipco Plaza, Rani Sati Marg, Malad
conditional on the realization of the proceeds of the instrument of payment, (East), Mumbai - 400097. Maharashtra. Facsimile: 022-42058222 E-mail:
including electronic mode. xiii. If you suspend payment of premium for any reason lifeline@[Link] Our website must be checked for updated contact details.
whatsoever, we will not be held liable. In such an event, benefits, if any, will be Notices and instructions sent by us to the Policyholders will be deemed served
available only in accordance with the policy terms and conditions. xiv. In case the seven days after posting or immediately upon receipt in the case of hand delivery,
payment made towards the first premium or renewal premium is not realized by us facsimile or e-mail. It is very important that you immediately inform us about any
due to any reason whatsoever, we shall not be duty bound to intimate the same to change in the address or the nominee particulars.
you. In such cases, you shall be solely responsible for the verification of such 6.13 Payment of claim i. Before payment of any claim under the policy, we will
realization and the consequences if the payment is not realized. require the following documents: a. Claimant's Statement b. Original Policy
6.4 Legislative changes i. This policy, including the premiums and the benefits document c. Death Certificate of the Life Assured issued by the local municipal
under the policy, will be subject to the taxes and other statutory levies as may be authority and medical authority d. Any other documents or information as may be
applicable from time to time. ii. You will be required to pay service tax, education required by us for processing of the claim depending on the cause of the claim ii. In
cess or any other form of taxes or charges or levies as per the prevailing laws, case the Claimant is unable to submit any of the above required documents, we
regulations and other financial enactments as may exist from time to time, may assist in procuring the documents on the claimant's behalf. iii. Claim payments
wherever applicable. iii. All benefits payable under the policy are subject to the tax are made only in Indian rupees.
laws and other financial enactments as they exist from time to time. iv. All 6.14 Electronic transactions All transactions carried out by you through Internet,
provisions stated in this policy are subject to the current guidelines issued by the electronic data interchange, call centres, teleservice operations (whether voice,
Regulator as on date. v. The policy terms and conditions may be altered based on video, data or combination thereof) or by means of electronic, computer,
any future legislative or regulatory changes. automated machines network or through other means of telecommunication will
6.5 Force Majeure Under ‘Force Majeure' situations, we may, in the general interest be valid and legally binding on you as well as on the Company. This will be subject
of the holders of unit linked policies and keeping in view unforeseen circumstances to the relevant guidelines and terms and conditions as may be made applicable by
or unusual market conditions, limit the total number of Units withdrawn on any day the Company. We reserve the sole right to terminate, stop or do away with all or any
from each Fund. Withdrawals from each of the Company's Funds may be limited to of the said facilities without any prior intimation to you.
5% of the total number of Units then outstanding from each respective Fund. In 6.15 Jurisdiction I. The policy is subject to the terms and conditions as mentioned
exceptional circumstances, such as unusually high volume of sale of investments in the policy document and is governed by the laws of India. II. Only the Courts,
within a short period, exceptional redemption, market conditions or political or Judicial, Quasi Judicial and Regulatory bodies created under laws or regulations
economic ‘Force Majeure' conditions, we may defer the partial withdrawal of Units prevailing in India for the time being in force will have the jurisdiction to consider or
and the surrender of the policy until such time as normality returns, based on the adjudicate disputes, if any, under this policy. III. All payments to or by us will be in
directions of the Regulator at that point in time. We reserve the right to value assets accordance with the prevailing Exchange Control regulations and other relevant
less frequently than daily under ‘Force Majeure' conditions, where the value of the laws and regulations of India.
assets may be too uncertain. In such circumstances the extent of deferment will be 6.16 Customer Service i. For any clarification or assistance, you may contact our
as per the directions of the Regulator at that time. Force Majeure consists of: i. advisor or call our Customer Service Representative (between 10.00 a.m. to 7.00
When one or more stock exchanges which provide a basis for valuation for a p.m., Monday to Saturday; excluding national holidays) on the numbers
substantial portion of the assets of the Fund are closed other than for ordinary mentioned on the reverse of the Policy Folder or on our website:
holidays ii. When, as a result of political, economic, monetary or any circumstances [Link]. Alternatively you may communicate with us at the Customer
out of our control, the disposal of the assets of the unit Fund is not reasonable or Service Desk details mentioned earlier. Our website must be checked for updated
would not reasonably be practicable without being detrimental to the interests of contact details. ii. Grievance Redressal Officer: If you do not receive any resolution
the remaining unit holders iii. During periods of extreme volatility of markets during or the resolution provided is not satisfactory, you may get in touch with our
which surrenders and switches would, in our opinion, be detrimental to the designated Grievance Redressal Officer (GRO). For GRO contact details please refer
interests of the existing unit holders of the Fund iv. In the case of natural calamities, to the "Grievance Redressal” section on [Link]. iii. Senior Grievance
strikes, war, civil unrest, riots or bandhs v. In the event of any disaster that affects Redressal Officer: If you do not receive any resolution or the resolution provided by
our normal functioning vi. If so directed by the Regulator the GRO is not satisfactory, you may write to our Senior Grievance Redressal
6.6 Age i. In case you have not provided proof of age of the Life Assured with the Officer (SGRO). For SGRO contact details please refer to the "Grievance Redressal”
Proposal, you will furnish such proof of age of the Life Assured as is acceptable to section on [Link]. iv. Grievance Redressal Committee: In the event
us and have the age admitted. ii. In the event the age so admitted (the "Correct that any complaint / grievance addressed to the SGRO is not resolved, you may
Age”) during the policy term is found to be different from the age declared in the escalate the same to the Grievance Redressal Committee at the address mentioned
Proposal, without prejudice to our rights and remedies including those under the below: ICICI Prudential Life Insurance Company Limited, Ground Floor & Upper
Insurance Act, 1938, we will take one of the following actions: Basement, Unit No. 1A & 2A, Raheja Tipco Plaza, Rani Sati Marg, Malad (East),
a. If the correct age of the Life Assured makes him ineligible for this product, we will Mumbai - 400097. Maharashtra.
offer a suitable plan as per our underwriting norms. If you do not wish to opt for the 6.17 Insurance Ombudsman: i. The Central Government has established an office
alternative plan or if it is not possible for us to grant any other plan, the policy will of the Insurance Ombudsman for redressal of grievances with respect to life
stand cancelled from the date of issuance and the Fund Value less premium insurance policies. As per provision 13(3) of the Redressal of Public Grievances
discontinuance charge will be returned and the policy will terminate thereafter. b. If Rules 1998, the complaint to the Ombudsman can be made only if: ii. The grievance
the correct age of the Life Assured makes him eligible for this policy, the revised has been rejected by the Grievance Redressal Machinery of the Insurance
mortality charges as per the correct age will be recovered from the next policy Company iii. Within a period of one year from the date of rejection by the Insurance
anniversary date. There could be a revision in the Sum Assured also depending on Company iv. In case you are not satisfied with the decision / resolution of the
the correct age of the Life Assured. The provisions of Section 45 of the Insurance Company, you may approach the Insurance Ombudsman at the address given
Act, 1938 as amended from time to time, shall be applicable. below if the grievance pertains to a. Any partial or total repudiation of claims or b.
6.7 Nomination Nomination under the Policy will be governed by Section 39 of the The premium paid or payable in terms of the policy c. Any claim related dispute on
Insurance Act, 1938 as amended from time to time. Please refer to Annexure II for the legal construction of the policies in so far as such dispute relate to claims or d.
details on this section. Delay in settlement of claims e. Non-issue of policy document to customers after
6.8 Assignment Assignment of the Policy will be governed by Section 38 of the receipt of premiums v. The complaint to the office of the Insurance Ombudsman
Insurance Act, 1938 as amended from time to time. Please refer to Annexure III for should be made in writing duly signed by the complainant (Policyholder) or by his
details on this section. legal heirs with full details of the complaint and the contact information of
6.9 Incontestability Incontestability will be as per Section 45 of the Insurance Act, complainant. Given below are details of the ombudsman office considering
1938. Please refer to Annexure IV for details on this section. address of the Policyholder mentioned in the application form. The Insurance
6.10 Non-Disclosure & Fraud Non-disclosure and Fraud will be as per Section 45 of Regulatory and Development Authority's or the Company's website must be
 checked for the updated contact details. 7. Annexure
1. Ahmedabad Centre: Office of the Insurance Ombudsman, 2nd floor, Ambica House, 7.1 Annexure I - Definitions In the policy document, unless the context otherwise
Near C.U. Shah College, 5, Navyug Colony, Ashram Road, Ahmedabad-380 014. requires: a. Allocation is attachment of Units to your policy at the applicable NAV.
Jurisdiction: Gujarat, Dadra & Nagar Haveli, Daman and Diu. Tel.: 079 - 27546150 / b. Fund is the pool of assets hypothecated to the unit-linked liabilities and invested
27546139, Fax: 079 - 27546142, Email: [Link]@[Link] to achieve the Fund's objective. The price of each Unit in a Fund depends on how
2. Bengaluru: Shri M Parshad Office, of the Insurance Ombudsman, Jeevan Soudha the investments in the Fund perform. The Fund is managed by the Company. c.
Building, PID No. 57-27-N-19, Ground Floor, 19/19, 24th Main Road, JP Nagar, 1st Fund Value is the value obtained by multiplying the number of Units allocated to
Phase, BENGALURU – 560 025. Jurisdiction: Karnataka. Tel.: 080 - 26652048 / your policy by their corresponding NAVs. d. Life Assured is the person on whose
26652049, Email: [Link]@[Link] life the policy contract has been issued. e. Net Asset Value (NAV) is the price of the
3. Bhopal Centre: Shri Raj Kumar Srivastav, Office of the Insurance Ombudsman, Unit calculated in Rupees. f. Policyholder is the owner of the policy at any point of
nd
Janak Vihar Complex, 2 Floor, 6, Malviya Nagar, Opp. Airtel Office, Near New time. g. Regulator is the authority that has regulatory jurisdiction and powers over
Market, Bhopal – 462 023. Jurisdiction: States of Madhya Pradesh and the Company. h. Unit is a portion or a part of the Fund.
Chattisgarh. Tel: Tel.: 0755 - 2769201 / 2769202, Fax: 0755 - 2769203, Email: 7.2 Annexure II - Revision of Charges We reserve the right to revise the following
[Link]@[Link] charges at any time during the term of the Policy. Any revision will apply with
4. Bhubneshwar Centre: Shri Biranchi Narayan Mishra, Office of the Insurance prospective effect and will be subject to prior approval from Regulator and if so
Ombudsman, 62, Forest Park, Bhubaneshwar-751 009. Jurisdiction: State of permitted by the then prevailing rules, after giving a notice to the policyholders. The
Orrisa. Tel.: 0674 - 2596461 /2596455, Fax: 0674 - 2596429, Email: following limits are applicable: • The Fund Management Charges may be increased
[Link]@[Link] up to the maximum allowable as per applicable regulation. • The Policy
5. Chandigarh Centre: Office of the Insurance Ombudsman, S.C.O. No. 101, 102 & Administration Charge may be increased to a maximum of 1.50% of premium per
nd month subject to the maximum permitted by IRDAI, currently a maximum of ₹ 6000
103, 2 Floor, Batra Building, Sector 17 – D, Chandigarh – 160 017. Jurisdiction:
States of Punjab, Haryana, Himachal Pradesh, Jammu & Kashmir, Chandigarh. Tel.: p.a. applies. • Switching charge may be increased to a maximum of ₹ 200 per switch.
0172 - 2 7 0 6 1 9 6 / 2 7 0 6 4 6 8, F ax: 0 172 - 2 7 0 8 2 7 4 , E ma i l: If you do not agree with an increase, you shall be allowed to cancel the units in the
[Link]@[Link] policy at the then prevailing NAV and terminate the Policy. The Premium Allocation
Charges, Discontinuance Charges and Mortality Charges are guaranteed for the term
6. Chennai Centre: Shri Virendra Kumar, Office of the Insurance Ombudsman,
of the policy.
Fathima Akhtar Court, 4th Floor, 453, Anna Salai, Teynampet, Chennai -600 018.
Jurisdiction: State of Tamil Nadu, Pondicherry Town and Karaikal (which are part of 7.3 Annexure III - Mortality Charges: Standard Mortality Charges per thousand
Pondicherry). Tel: Tel.: 044 - 24333668 / 24335284, Fax: 044 - 24333664, Email: Sum at Risk
[Link]@[Link] Age Sum 1,000,000 < Sum Assured Age Sum 1,000,000 < Sum Assured
7. New Delhi Centre: Smt Sandhya Baliga, Office of the Insurance Ombudsman, 2/2 last Assured Sum Assured last Assured Sum Assured
birthday =<1,000,000 < 5,000,000 > =5,000,000 birthday =<1,000,000 < 5,000,000 > =5,000,000
A, Universal Insurance Bldg., Asaf Ali Road, New Delhi – 110 002. Jurisdiction: 0 4.98 4.12 3.43 41 2.78 2.30 1.92
Delhi. Tel.: 011 - 23239633 / 23237532, Fax: 011 - 23230858, Email: 1 3.75 3.10 2.58 42 2.85 2.36 1.99
[Link]@[Link] 2 2.83 2.34 1.95 43 3.16 2.61 2.20
8. Ernakulam Centre: Shri [Link], Office of the Insurance Ombudsman, 2nd 3 2.14 1.77 1.47 44 3.51 2.90 2.44
Floor, Pulinat Bldg., Opp. Cochin Shipyard, M. G. Road, Ernakulam - 682 015. 4 1.62 1.34 1.12 45 3.74 3.06 2.55
Jurisdiction: State of Kerala, Lakshadweep, Mahe-a part of Pondicherry. Tel.: 0484 - 5 1.24 1.03 0.86 46 4.17 3.41 2.84
2358759 / 2359338, Fax: 0484 - 2359336, Email: [Link]@[Link] 6 0.97 0.81 0.67 47 4.66 3.81 3.17
9. Guwahati Centre: Office of the Insurance Ombudsman, Jeevan Nivesh, 5th Floor, 7 0.79 0.65 0.55 48 5.20 4.25 3.54
Near Panbazar Overbridge, S.S. Road, Guwahati-781 001. Jurisdiction: States of 8 0.68 0.56 0.47 49 5.77 4.72 3.93
Assam, Meghalaya, Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura. 9 0.63 0.53 0.44 50 5.81 4.93 4.06
Te l.: 036 1 - 2 1 3 2 2 0 4 / 2 1 3 2 2 0 5 , Fa x: 0 361 - 2 7 3 2 9 3 7 , E m a i l : 10 0.64 0.53 0.44 51 6.39 5.43 4.47
[Link]@[Link] 11 0.69 0.57 0.47 52 7.00 5.95 4.89
10. Hyderabad Centre: Shri [Link] Rao, Office of the Insurance Ombudsman, 12 0.76 0.63 0.52 53 7.63 6.48 5.33
6-2-46, 1st floor, "Moin Court", A. C. Guards, Lakdi-Ka-Pool, Hyderabad - 500 004. 13 0.85 0.70 0.59 54 8.29 7.04 5.79
Jurisdiction: States of Andhra Pradesh, Telangana, Yanam and part of Territory of 14 0.94 0.78 0.65 55 8.97 7.61 6.26
Pondicherry. Tel: 040-65504123/23312122, Fax: 040-23376599, E-mail: 15 1.04 0.86 0.72 56 9.68 8.22 6.76
[Link]@[Link] 16 1.12 0.93 0.78 57 10.44 8.86 7.29
11. Jaipur Centre: Shri Ashok K Jain, Office of the Insurance Ombudsman, Jeevan 17 1.20 0.99 0.83 58 11.25 9.55 7.85
Nidhi – II, Gr. Floor, Bhawani Singh Marg, Ambedkar circle, Jaipur - 302 005. 18 1.26 1.05 0.87 59 12.13 10.29 8.46
J u r i s d i c t i o n : S t a t e s of R a j a s t h a n . T e l . : 0 14 1 - 2 7 4 0 3 6 3 19 1.32 1.09 0.91 60 13.98 11.71 9.72
[Link]@[Link] 20 1.36 1.12 0.94 61 15.82 13.13 10.97
12. Kolkata Centre: Shri K.B Saha, Office of the Insurance Ombudsman, Hindustan 21 1.39 1.15 0.96 62 17.67 14.55 12.23
th
Bldg. Annexe, 4 Floor, 4, C.R. Avenue, Kolkata - 700 072. Jurisdiction: States of 22 1.41 1.17 0.97 63 19.17 15.78 13.26
West Bengal, Sikkim, Andaman & Nicobar [Link].: 033 - 22124339 / 22124340, 23 1.43 1.18 0.98 64 20.82 17.14 14.40
Fax : 033 - 22124341, Email: [Link]@[Link]
24 1.44 1.19 0.99 65 23.67 19.64 15.66
13. Lucknow Centre: Shri N P Bhagat, Office of the Insurance Ombudsman, 6th Floor,
25 1.45 1.20 1.00 66 25.78 21.39 17.04
Jeevan Bhawan, Phase-II, Nawal Kishore Road, Hazratganj, Lucknow - 226 001.
26 1.47 1.22 1.02 67 28.11 23.32 18.57
Jurisdiction: Districts of Uttar Pradesh: Laitpur, Jhansi, Mahoba, Hamirpur, Banda,
27 1.49 1.24 1.03 68 30.68 25.44 20.25
Chitrakoot, Allahabad, Mirzapur, Sonbhabdra, Fatehpur, Pratapgarh,
28 1.52 1.26 1.05 69 33.50 27.76 22.09
Jaunpur,Varanasi, Gazipur, Jalaun, Kanpur, Lucknow, Unnao, Sitapur, Lakhimpur,
29 1.56 1.29 1.08 70 39.46 32.45 26.16
Bahraich, Barabanki, Raebareli, Sravasti, Gonda, Faizabad, Amethi, Kaushambi,
30 1.59 1.31 1.09 71 45.42 37.13 30.23
Balrampur, Basti, Ambedkarnagar, Sultanpur, Maharajgang, Santkabirnagar,
31 1.61 1.32 1.09 72 51.38 41.82 34.30
Azamgarh, Kushinagar, Gorkhpur, Deoria, Mau, Ghazipur, Chandauli, Ballia,
32 1.67 1.38 1.14 73 56.22 45.72 37.47
Sidharathnagar. Tel.: 0522 - 2231330 / 2231331, Fax: 0522 - 2231310, Email:
33 1.76 1.44 1.19 74 61.53 49.99 40.94
[Link]@[Link]
34 1.86 1.53 1.26 75 72.17 59.23 48.10
14. Mumbai Centre: Shri A K Dasgupta, Office of the Insurance Ombudsman, 3rd Floor,
35 1.97 1.62 1.34 76 82.80 68.46 55.26
Jeevan Seva Annexe, S.V. Road, Santacruz (W), Mumbai-400 054. Jurisdiction:
36 2.11 1.73 1.43 77 93.44 77.70 62.42
Goa, Mumbai Metropolitan Region excluding Navi Mumbai & Thane. Tel: Tel.: 022 -
37 2.26 1.86 1.53 78 102.51 85.13 68.29
26106552 / 26106960, Fax: 022 - 26106052, Email: [Link]@[Link]
38 2.44 2.00 1.66 79 112.53 93.31 74.74
15. Noida: Shri Ajeesh Kumar, Office of the Insurance Ombudsman, Bhagwan Sahai
39 2.65 2.17 1.79 80 123.60 102.31 81.82
Palace, 4th Floor, Main Road, Naya Bans, Sector 15, Noida Distt - Gautam Buddh
40 2.72 2.23 1.86
Nagar, U. P - 201 301. Tel: 0120-2514250/2514251/2514253 Email:
[Link]@[Link] Jurisdiction: State of Uttaranchal and the following 7.4 Annexure IV - Flow charts for non-forfeiture benefits
Districts of Uttar Pradesh: Agra, Aligarh, Bagpat, Bareilly, Bijnor, Budaun, 1. Surrender
Bulandshehar, Etah, Kanooj, Mainpuri, Mathura, Meerut, Moradabad, Company receives intimation you
Muzaffarnagar, Oraiyya , Pili bhi t, Etawah, Farru kha ba d, Firozbad, want to surrender the policy
Gautambodhanagar, Ghaziabad, Hardoi, Shahjahanpur, Hapur, Shamli, Rampur,
Kashganj, Sambhal, Amroha, Hathras, Kanshiramnagar, Saharanpur.
16. Patna Centre: Shri Sadasiv Mishra, Office of the Insurance Ombudsman, 1st Floor,
Kalpana Arcade Building, Bazar Samiti Road, Bahadurpur, Patna 800 006.
Jurisdiction: States of Bihar, Jharkhand. Email: [Link]@[Link]
Has the intimation
17. Pune Centre: Shri [Link], Office of the Insurance Ombudsman, Jeevan
been received
Darshan Bldg., 2nd Floor, C.T.S. No.s. 195 to 198, N.C. Kelkar Road, Narayan Peth, during the first five
Pune – 411 030. Jurisdiction: Maharashtra, Area of Navi Mumbai and Thane policy years?
excluding Mumbai Metropolitan [Link].: 020 - 32341320, Email:
[Link]@[Link]
Policy schedule, terms and conditions of the policy and all the endorsements by Monies move to DP Fund. Please refer to Fund Value is payable
the Company, if any, will form an integral part of this contract and will be binding sections on Treatment of the policy while
on the parties (Ver UA6: 2) monies are in the DP Fund and Policy revival.
2. Premium Discontinuance 7.5 Annexure V – Maximum Sum Assured multiples
a) Premium discontinuance during the first five policy years Age at entry Base plan only Base Plan + ADR
Notice sent at the end of the grace period Upto 17 10 10
requesting you to choose from two options 18-25 30 15
26-30 25 15
31-35 15 10
36- 39 15 10
Option i chosen Option ii chosen No option chosen
40-45 10 10
46-50 10 7
Policy continues as Monies move to DP Fund. Please refer to 51-55 10 7
per the policy terms sections on Treatment of the policy while 56 - 62 10 -
and conditions monies are in the DP Fund and Policy revival. 63 - 65 7 -
b) Premium discontinuance after completion of the fifth policy year
Notes: • The above multiples are applicable for Limited Pay and Regular Pay
premium payment options only. • No Rider for One Pay premium payment option.
requesting you to choose from two options • The above multiples are applicable for a standard life only. • Rider premiums will
be levied by redemption of units from the Fund Value.
7.6 Annexure VI – Terms And Conditions for Rider ICICI Unit Linked Pru Accidental
Option i chosen Option ii chosen No option chosen Option iii chosen Option iv chosen Death Rider( UIN: 105A025V01) Terms And Conditions
Rider Document
Fund Value including The policy will 1. Terms You should know
per the policy terms Top-up Fund Value, if continue as a per the policy terms 1.1. Accident is a sudden, unforeseen and involuntary event caused by external
any, to be paid paid-up policy and visible means. 1.2. Accidental Death shall mean death: which is caused by
Bodily Injury resulting from an Accident and which occurs due to the said Bodily
Injury solely, directly and independently of any other causes and which occurs
within 180 days of the occurrence of such Accident 1.3. Bodily Injury means Injury
must be evidenced by external signs such as contusion, bruise and wound except
Yes in cases of drowning and internal injury. 1.4. Policy means and includes the Policy
within the revival Document, the proposal form for insurance submitted by the policyholder, the
benefit illustration signed by the policyholder, the Policy Specifications, the first
premium receipt, any attached endorsements or supplements together with all the
policy terms and conditions addendums provided by the Company from time to time, the medical examiner's
No
report and any other document/s called for by the Company and submitted by the
policyholder to enable it to process the proposal. 1.5. Rider Rider is a document for
additional benefit which is attached to a policy and is not a standalone document.
1.6. Rider Benefit is benefit as defined in Section 2 of this document. 1.7. Rider
Charges is equal to the amount deducted from Your Unit Fund, to provide for the
Option iv. a. chosen Option iv. b. chosen rider cover. 1.8. Rider risk commencement date is the date on which the rider
No option chosen
cover commences, as mentioned in the policy certificate or the endorsement letter.
Any benefits available under the rider shall be available only when the Accident
Fund Value including Top-up Fund occurs after the Rider Risk commencement date. The terms not defined
a paid-up policy Value, if any, to be utilised at the end hereinabove shall have the same meaning as attached to them in your base policy.
of the revival period 2. Benefits
1. Where the Life Assured meets with an accident, resulting in his death, anytime
3. Treatment of the policy while monies are in the DP Fund during the Rider Term, we shall pay the Rider Sum Assured. 2. Death due to
a. If the two year revival period is complete before the end of the fifth policy year accident must be caused by violent, external and visible means. The accident shall
Monies are in the DP Fund result in bodily injury or injuries to the Life Assured independently of any other
means. Such injury or injuries shall, within 180 days of the occurrence of the
accident, directly and independently of any other means cause the death of the Life
Assured. In the event of the death of the Life Assured after 180 days of the
Policy revived (by occurrence of the accident, the Company shall not be liable to pay this benefit. 3.
paying overdue There is no surrender value for the rider.
premiums, if any) 3. Exclusion
within the revival The benefit under this rider shall not be paid if death due to accident is caused: a. by
period? attempted suicide or self-inflicted injuries while sane or insane, or whilst the Life
Assured is under the influence of any narcotic substance or drug or intoxicating
Policy is revived DP Fund Value is payable at the liquor; or b. by engaging in aerial flights (including parachuting and skydiving)
end of the fifth policy year other than as a fare paying passenger on a licensed passenger-carrying
commercial aircraft operating on a regular scheduled route; or c. by the Life
b. If the two year revival period is not complete before the end of the fifth policy year Assured with criminal intent, committing any breach of law; or d. due to war,
Monies are in the DP Fund whether declared or not or civil commotion; or e. by engaging in hazardous sports
or pastimes, i.e. taking part in (or practicing for) boxing, caving, climbing, horse
racing, jet skiing, martial arts, mountaineering, off piste skiing, pot holing, power
boat racing, underwater diving, yacht racing or any race, trial or timed motor sport.
Any other additional exclusions under the Company's policy document pertaining
to this benefit shall form part of these exclusions.
overdue premiums, if any)
4. Terms and conditions
Rider Sum Assured Rider Sum Assured is equal to the lesser of: • Sum Assured of
the base plan •₹ 5,000,000 Rider Charges Rider charges shall be deducted from the
Policy is revived Notice sent to you before unit linked fund on a monthly basis. Rider charge will be equal to ₹45 per lakh of
completion of the lock-in period Rider Sum Assured every year. Rider Term Rider Term is equal to the outstanding
policy term of the base plan at the time of attachment, subject to a maximum cover
ceasing age of 65 years. Premium payment terms Premium paying term is equal to
Option i chosen Option iii chosen Option ii chosen No option chosen the policy term of the base plan to which the rider is attached, subject to a
maximum cover ceasing age of 65 years. This premium will be charged by
cancellation of Units from Your Fund Value. Revival The rider will be subject to the
Policy is revived
same revival conditions as that of the base policy. Non-forfeiture conditions • The
Company shall not be liable to pay the rider benefit if the monies under the base
policy are in the Discontinued Policy Fund at the time of accident. • The Company
shall not be liable to pay this benefit in case the death of the Life Assured occurs
premiums,ifany) within premiums,ifany) within after the date of termination of the base policy. • Rider cover and rider charges
shall cease from the policy anniversary following an intimation from You that You
want to discontinue the rider. On cancellation by the insurer In case of fraud or
misrepresentation, the rider along with the base plan, shall be cancelled
DP Fund Value is payable at Policy is revived immediately. Assignment Assignment will be as per Section 38 of the Insurance
the end of the revival period payable at the end of Act, 1938. Please refer to Annexure VI-A for details on this section. Nomination
 Nomination will be as per Section 39 of the Insurance Act, 1938. Please refer to policyholder or c. not in public interest or d. is for the purpose of trading of the
Annexure VI-B for details on this section. insurance policy. 10. Before refusing to act upon endorsement, the Insurer should
5. Miscellaneous record the reasons in writing and communicate the same in writing to Policyholder
5.1. This Rider (not being a standalone document) shall always be read in within 30 days from the date of policyholder giving a notice of transfer or
conjunction with the Policy Document /Policy for all intent and purposes. 5.2. assignment. 11. In case of refusal to act upon the endorsement by the Insurer, any
Relevant provisions of Insurance Act, 1938 For informative purpose and for your person aggrieved by the refusal may prefer a claim to IRDAI within 30 days of
ready reference, the relevant clauses of the Insurance Act, 1938 are reproduced receipt of the refusal letter from the Insurer. 12. The priority of claims of persons
below: Section 41 of the Insurance Act, 1938: 1. In accordance with Section 41 of interested in an insurance policy would depend on the date on which the notices of
the Insurance Act, 1938, no person shall allow or offer to allow, either directly or assignment or transfer is delivered to the insurer; where there are more than one
indirectly, as an inducement to any person to take or renew or continue an instruments of transfer or assignment, the priority will depend on dates of delivery
insurance in respect of any kind of risk relating to lives or property in India, any of such notices. Any dispute in this regard as to priority should be referred to
rebate of the whole or part of the commission payable or any rebate of the Authority. 13. Every assignment or transfer shall be deemed to be absolute
premium shown on the policy, nor shall any person taking out or renewing or assignment or transfer and the assignee or transferee shall be deemed to be
continuing a policy accept any rebate, except such rebate as may be allowed in absolute assignee or transferee, except a. where assignment or transfer is subject
accordance with the published prospectuses or tables of the insurer. Provided that to terms and conditions of transfer or assignment OR b. where the transfer or
acceptance by an insurance agent of commission in connection with a policy of life assignment is made upon condition that i. the proceeds under the policy shall
insurance taken out by himself on his own life shall not be deemed to be become payable to policyholder or nominee(s) in the event of assignee or
acceptance of a rebate of premium within the meaning of this sub section if at the transferee dying before the insured OR ii. the insured surviving the term of the
time of such acceptance the insurance agent satisfies the prescribed conditions policy Such conditional assignee will not be entitled to obtain a loan on policy or
establishing that he is a bona fide insurance agent employed by the insurer. 2. Any surrender the policy. This provision will prevail notwithstanding any law or custom
person making default in complying with the provisions of this section shall be having force of law which is contrary to the above position. 14. In other cases, the
punishable with fine which may extend to ten lakh rupees. insurer shall, subject to terms and conditions of assignment, recognize the
Section 45 of Insurance Act, 1938: Provisions regarding policy not being called into transferee or assignee named in the notice as the absolute transferee or assignee
question in terms of Section 45 of the Insurance Act, 1938, as amended by and such person a. shall be subject to all liabilities and equities to which the
Insurance Laws (Amendment) Act, 2015 are as follows: 1. No Policy of Life transferor or assignor was subject to at the date of transfer or assignment and b.
Insurance shall be called in question on any ground whatsoever after expiry of 3 may institute any proceedings in relation to the policy c. obtain loan under the
yrs from a) the date of issuance of policy or b) the date of commencement of risk or policy or surrender the policy without obtaining the consent of the transferor or
c) the date of revival of policy or d) the date of rider to the policy Whichever is later. assignor or making him a party to the proceedings. Any rights and remedies of an
2. On the ground of fraud, a policy of Life Insurance may be called in question assignee or transferee of a life insurance policy under an assignment or transfer
within 3 years from a) the date of issuance of policy or b) the date of effected before commencement of the Insurance Laws (Amendment) Ordinance,
commencement of risk or c) the date of revival of policy or d) the date of rider to the 2014 shall not be affected by this section.
policy whichever is later. For this, the insurer should communicate in writing to the Annexure VI-B – Section 39 – Nomination by policyholder
insured or legal representative or nominee or assignees of insured, as applicable, Nomination of a life insurance Policy is as below in accordance with Section 39 of
mentioning the ground and materials on which such decision is based. 3. Fraud the Insurance Act, 1938 as amended from time to time. The extant provisions in this
means any of the following acts committed by insured or by his agent, with the regard are as follows: 1. The policyholder of a life insurance on his own life may
intent to deceive the insurer or to induce the insurer to issue a life insurance policy: nominate a person or persons to whom money secured by the policy shall be paid
a) The suggestion, as a fact of that which is not true and which the insured does not in the event of his death. 2. Where the nominee is a minor, the policyholder may
believe to be true; b) The active concealment of a fact by the insured having appoint any person to receive the money secured by the policy in the event of
knowledge or belief of the fact; c) Any other act fitted to deceive; and d) Any such policyholder's death during the minority of the nominee. The manner of
act or omission as the law specifically declares to be fraudulent. 4. Mere silence is appointment to be laid down by the insurer. 3. Nomination can be made at any time
not fraud unless, depending on circumstances of the case, it is the duty of the before the maturity of the policy. 4. Nomination may be incorporated in the text of
insured or his agent keeping silence to speak or silence is in itself equivalent to the policy itself or may be endorsed on the policy communicated to the insurer and
speak. 5. No Insurer shall repudiate a life insurance Policy on the ground of Fraud, if can be registered by the insurer in the records relating to the policy. 5. Nomination
the Insured / beneficiary can prove that the misstatement was true to the best of his can be cancelled or changed at any time before policy matures, by an endorsement
knowledge and there was no deliberate intention to suppress the fact or that such or a further endorsement or a will as the case may be. 6. A notice in writing of
mis-statement of or suppression of material fact are within the knowledge of the Change or Cancellation of nomination must be delivered to the insurer for the
insurer. Onus of disproving is upon the policyholder, if alive, or beneficiaries. 6. Life insurer to be liable to such nominee. Otherwise, insurer will not be liable if a
insurance Policy can be called in question within 3 years on the ground that any bonafide payment is made to the person named in the text of the policy or in the
statement of or suppression of a fact material to expectancy of life of the insured registered records of the insurer. 7. Fee to be paid to the insurer for registering
was incorrectly made in the proposal or other document basis which policy was change or cancellation of a nomination can be specified by the Authority through
issued or revived or rider issued. For this, the insurer should communicate in Regulations. 8. On receipt of notice with fee, the insurer should grant a written
writing to the insured or legal representative or nominee or assignees of insured, acknowledgement to the policyholder of having registered a nomination or
as applicable, mentioning the ground and materials on which decision to repudiate cancellation or change thereof. 9. A transfer or assignment made in accordance
the policy of life insurance is based. 7. In case repudiation is on ground of mis- with Section 38 shall automatically cancel the nomination except in case of
statement and not on fraud, the premium collected on policy till the date of assignment to the insurer or other transferee or assignee for purpose of loan or
repudiation shall be paid to the insured or legal representative or nominee or against security or its reassignment after repayment. In such case, the nomination
assignees of insured, within a period of 90 days from the date of repudiation. 8. will not get cancelled to the extent of insurer's or transferee's or assignee's interest
Fact shall not be considered material unless it has a direct bearing on the risk in the policy. The nomination will get revived on repayment of the loan. 10. The
undertaken by the insurer. The onus is on insurer to show that if the insurer had right of any creditor to be paid out of the proceeds of any policy of life insurance
been aware of the said fact, no life insurance policy would have been issued to the shall not be affected by the nomination. 11. In case of nomination by policyholder
insured. The insurer can call for proof of age at any time if he is entitled to do so and whose life is insured, if the nominees die before the policyholder, the proceeds are
no policy shall be deemed to be called in question merely because the terms of the payable to policyholder or his heirs or legal representatives or holder of succession
policy are adjusted on subsequent proof of age of life insured. So, this Section will certificate. 12. In case nominee(s) survive the person whose life is insured, the
not be applicable for questioning age or adjustment based on proof of age amount secured by the policy shall be paid to such survivor(s). 13. Where the
submitted subsequently. policyholder whose life is insured nominates his a) parents or b) spouse or c)
Annexure VI-A – Section 38 – Assignment and Transfer of Insurance Policies children or d) spouse and children e) or any of them the nominees are beneficially
Assignment or transfer of a policy should be in accordance with Section 38 of the entitled to the amount payable by the insurer to the policyholder unless it is proved
Insurance Act, 1938 as amended from time to time. The extant provisions in this that policyholder could not have conferred such beneficial title on the nominee
regard are as follows: 1. This policy may be transferred/assigned, wholly or in part, having regard to the nature of his title. 2. If nominee(s) die after the policyholder but
with or without consideration. 2. An Assignment may be effected in a policy by an before his share of the amount secured under the policy is paid, the share of the
endorsement upon the policy itself or by a separate instrument under notice to the expired nominee(s) shall be payable to the heirs or legal representative of the
Insurer. 3. The instrument of assignment should indicate the fact of transfer or nominee or holder of succession certificate of such nominee(s). 3. The provisions
assignment and the reasons for the assignment or transfer, antecedents of the of sub-section 7 and 8 (13 and 14 above) shall apply to all life insurance policies
assignee and terms on which assignment is made. 4. The assignment must be maturing for payment after the commencement of Insurance Laws (Amendment)
signed by the transferor or assignor or duly authorized agent and attested by at Ordinance, 2014 (i.e 26.12.2014). 4. If policyholder dies after maturity but the
least one witness. 5. The transfer of assignment shall not be operative as against an proceeds and benefit of the policy has not been paid to him because of his death,
insurer until a notice in writing of the transfer or assignment and either the said his nominee(s) shall be entitled to the proceeds and benefit of the policy. • The
endorsement or instrument itself or copy there of certified to be correct by both provisions of Section 39 are not applicable to any life insurance policy to which
transferor and transferee or their duly authorised agents have been delivered to Section 6 of Married Women's Property Act, 1874 applies or has at any time applied
the insurer. 6. Fee to be paid for assignment or transfer can be specified by the except where before or after Insurance Laws (Ordinance) 2014, a nomination is
Comm/ WB II/ T&C/ 2.0

Authority through Regulations. 7. On receipt of notice with fee, the insurer should made in favour of spouse or children or spouse and children whether or not on the
Grant a written acknowledgement of receipt of notice. Such notice shall be face of the policy it is mentioned that it is made under Section 39. Where
conclusive evidence against the insurer of duly receiving the notice. 8. If the nomination is intended to be made to spouse or children or spouse and children
insurer maintains one or more places of business, such notices shall be delivered under Section 6 of MWP Act, it should be specifically mentioned on the policy. In
only at the place where the policy is being serviced. 9. The insurer may accept or such a case only, the provisions of Section 39 will not apply.
decline to act upon any transfer or assignment or endorsement, if it has sufficient
reasons to believe that it is a. not bonafide or b. not in the interest of the