BENEFIT ILLUSTRATION
Tata AIA Sampoorna Raksha Promise
Name of the Prospect/Policyholder Pulkit Surana Proposal No: 17516403
:
Name of the Product: Tata AIA Sampoorna Raksha Promise
Age (years): 34
Tag Line: Non-Linked, Non-Participating, Pure Risk, Individual Life
Gender: Male Insurance Product
Name of the Life Assured: Pulkit Surana Unique Identification 110N176V01
Number:
Age (years) : 34
GST Rate : 18.00%
Gender: Male
GST Rate 2nd Year onwards 18.00%
Smoker : No
:
Policy Term (years): 26
Premium Payment Term (years): 26
Amount of Installment Premium 29,160
(Rs.):
Mode of Payment of Premium : Yearly
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Life Promise Sum Assured Rs. 2,00,00,000
Sum Assured on Death (at inception of the policy) Rs. 2,00,00,000
Rider Details
Tata AIA
Vitality
Yes Utilisation of Rewards (if Wellness program opted) Premium Discount
(Wellness
Program):
Details of Life
Insured/Partner under Benefit Payout
Rider Name the Benefit Option
/ Premium
Return
UIN^(Benefit Name Age Gender Lumpsum Income Increasing Income Income Last Income Benefit Premium Sum p.a. Year 1
of
Option / (yrs) (Rs.) Payout Income frequency per Year's Duration Option Payment Assured without Discount
premium
Benefit Type Rate* frequency Income (yrs) Term Term (Rs.) GST (Rs.)
chosen per option
Payout (Rs.)
Option) (Rs.) frequency
chosen
(Rs.)
VP - Pulkit 34 Male 1,00,000 Lumpsum NA NA NA NA 0 NO 26 26 1,00,000 45 5
Accidental Surana
Death
(Lumpsum
Benefit)
VP - Pulkit 34 Male 1,00,000 Lumpsum NA NA NA NA 0 NO 26 26 1,00,000 27 3
Accidental Surana
Total and
Permanent
Disability
(Lumpsum
Benefit)
VP - Pulkit 34 Male 5,00,000 Lumpsum NA NA NA NA 0 NO 26 26 5,00,000 1,785 291
CritiCare Surana
Plus
(Lumpsum
Benefit)
VH - Hospi Pulkit 34 Male 1,00,000 Lumpsum NA NA NA NA 0 NO 26 26 1,00,000 373 41
Care Surana
(Lumpsum
Benefit)
^VP:Tata AIA Vitality Protect, (A Non-Linked, Non- Participating Individual Health rider, UIN:110B046V03)
^VH Tata AIA Vitality Health, (A Non-Linked, Non- Participating Individual Health rider, UIN:110B045V02)
Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 22,482 2,230 24,712
Instalment Premium with First year GST (Rs.) 26,529 2,631 29,160
Instalment Premium post applicable discount with First year GST (Rs.) 23,876 2,230 26,106
Instalment Premium with GST 2nd year onwards (Rs.) 26,529 2,631 29,160
Discount applicable and Installment Premium payable 2nd year onwards will depend on the Wellness status of the Insured
Total Discount for first year premium Includes- Digital/Online Discount (10%)
(Amount in Rupees)
Guaranteed Non - Guaranteed
Policy Single/ Annualised Surrender
Year Premium Survival Benefit / Loyalty Other Benefits, Maturity Death Min Guaranteed Special Surrender Value
Additions if any Benefit Benefit Surrender Value Value
1 22,482 0 NA 0 2,00,00,000 0 0 0
2 22,482 0 NA 0 2,00,00,000 0 0 0
3 22,482 0 NA 0 2,00,00,000 0 0 0
4 22,482 0 NA 0 2,00,00,000 0 0 0
5 22,482 0 NA 0 2,00,00,000 0 0 0
6 22,482 0 NA 0 2,00,00,000 0 0 0
7 22,482 0 NA 0 2,00,00,000 0 0 0
8 22,482 0 NA 0 2,00,00,000 0 0 0
9 22,482 0 NA 0 2,00,00,000 0 0 0
10 22,482 0 NA 0 2,00,00,000 0 0 0
11 22,482 0 NA 0 2,00,00,000 0 0 0
12 22,482 0 NA 0 2,00,00,000 0 0 0
13 22,482 0 NA 0 2,00,00,000 0 0 0
14 22,482 0 NA 0 2,00,00,000 0 0 0
15 22,482 0 NA 0 2,00,00,000 0 0 0
16 22,482 0 NA 0 2,00,00,000 0 0 0
17 22,482 0 NA 0 2,00,00,000 0 0 0
18 22,482 0 NA 0 2,00,00,000 0 0 0
19 22,482 0 NA 0 2,00,00,000 0 0 0
20 22,482 0 NA 0 2,00,00,000 0 0 0
21 22,482 0 NA 0 2,00,00,000 0 0 0
22 22,482 0 NA 0 2,00,00,000 0 0 0
23 22,482 0 NA 0 2,00,00,000 0 0 0
24 22,482 0 NA 0 2,00,00,000 0 0 0
25 22,482 0 NA 0 2,00,00,000 0 0 0
26 22,482 0 NA 0 2,00,00,000 0 0 0
Note: "Annualized Premium” shall be the premium payable in a year under a non-single pay option chosen by the policyholder, excluding the taxes, rider premiums,
underwriting extra premiums, loading for modal premiums, if any.
"Single Premium” shall be the premium payable under a single pay option chosen by the policyholder, excluding the taxes, rider premiums, underwriting extra premiums,
if any.
#The benefits illustrated are as at the end of the policy year.
Policy sourced through Digital/Online mode
*Maturity benefit will be equal to 100% of the Total Premiums Paid (excluding loadings for the modal premium and discount).
I ______________ (name), have explained the premiums and benefits under the I ______________ (name), have received the information with respect to the
product fully to the prospect / policyholder. above, have understood the above statement before entering into the
contract.
Place:
Date: Signature of Agent / Intermediary / Official
Date: Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2024/Aug/2294 (Rider - L&C/Advt/2022/Sep/2271)
Tata AIA Life Insurance Company Ltd. (IRDA of India Regn No. 110) (CIN: U66010MH2000PLC128403)
Registered and Corporate Office: 14th Floor,Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai- 400013
Trade logo displayed above belongs to Tata Sons Ltd and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a license.
For more information, Call the Tata AIA Life Insurance Company Ltd Helpline number 1860-266-9966 (local charges apply) or Visit us at: www.tataaia.com
