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Benefit Illustration for 'Max Life Monthly Income Advantage Plan' UIN : 104N091V01 Savings - Non Linked Participating Plan Policy/ Proposal No: [ ] Date of Illustration - Oct 3, 2015 7:42:28 PM Personal Details Product Features Rider Details Name of Life Insured Mr.Raman Sum Assured R 30,00,000.00 ADD Rider Sum Assured, if opted N/A Age of Life Insured at Inception of the policy 36 Years Policy Term 22 Years ADD Rider Term, if opted N/A Gender of Life Insured Male Premium Payment Term 12 Years Term Plus Rider Sum Assured, if opted N/A Name of Policyholder Mr.Raman Premium Payment Mode Annual Term Plus Rider Term, if opted N/A Age of Policyholder at Inception of the policy 36 Years Gender of Policyholder Male State (for Service Tax) Other PREMIUM SUMMARY First Year Premium Renewal Premium Base premium payable annually R 2,01,420.00 R 2,01,420.00 Service Tax including Cess on Base premium and Total Rider premium payable annually R 7,049.70 R 3,524.85 Total Premium payable annually along with Service Tax & Cess R 2,08,469.70 R 2,04,944.85 Total Premium payable during the year exclusive of Service Tax & Cess R 2,01,420.00 R 2,01,420.00 Total Premium payable during the year along with Service Tax & Cess R 2,08,469.70 R 2,04,944.85 Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your Insurer carrying on life insurance business. If your policy offers guaranteed returns then these will be clearly marked "guaranteed" in the illustration table on the next page. If your policy offers variable returns then the illustration on the next page will show two different rates of assumed future investment returns. These assumed rates of return are illustrative, not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your policy is dependent on a number of factors including future investment performance. This is only an illustrative document. The benefits if guaranteed, are clearly mentioned. For variable benefits, investment rate of return of 4% and 8% are used as an illustration. Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurgaon 122 002 Page 1 of 5

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Page 1: Monthly in Come Plan

Benefit Illustration for 'Max Life Monthly Income Advantage Plan'

UIN : 104N091V01

Savings - Non Linked Participating Plan

Policy/ Proposal No: [ ]

Date of Illustration - Oct 3, 2015 7:42:28 PM

Personal Details Product Features Rider Details

Name of Life Insured Mr.Raman Sum Assured Rs 30,00,000.00 ADD Rider Sum Assured, if opted N/A

Age of Life Insured at Inception of the

policy

36 Years Policy Term 22 Years ADD Rider Term, if opted N/A

Gender of Life Insured Male Premium Payment Term 12 Years Term Plus Rider Sum Assured, if opted N/A

Name of Policyholder Mr.Raman Premium Payment Mode Annual Term Plus Rider Term, if opted N/A

Age of Policyholder at Inception of the

policy

36 Years

Gender of Policyholder Male

State (for Service Tax) Other

PREMIUM SUMMARY

First Year Premium Renewal Premium

Base premium payable annually Rs 2,01,420.00 Rs 2,01,420.00

Service Tax including Cess on Base premium and Total Rider premium payable annually Rs 7,049.70 Rs 3,524.85

Total Premium payable annually along with Service Tax & Cess Rs 2,08,469.70 Rs 2,04,944.85

Total Premium payable during the year exclusive of Service Tax & Cess Rs 2,01,420.00 Rs 2,01,420.00

Total Premium payable during the year along with Service Tax & Cess Rs 2,08,469.70 Rs 2,04,944.85

Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your Insurer carrying on life insurance business. If your policy offers guaranteed returns then these will be clearly marked "guaranteed" in the

illustration table on the next page. If your policy offers variable returns then the illustration on the next page will show two different rates of assumed future investment returns. These assumed rates of return are illustrative, not guaranteed and they are not

the upper or lower limits of what you might get back, as the value of your policy is dependent on a number of factors including future investment performance.

This is only an illustrative document. The benefits if guaranteed, are clearly mentioned. For variable benefits, investment rate of return of 4% and 8% are used as an illustration. Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurgaon 122 002

Page 1 of 5

Page 2: Monthly in Come Plan

YEARLY ILLUSTRATIVE DETAILS

(All cash flows are in Rs )

General Details Guaranteed Scenario 1 - Illustrated at 4% investment rate of return Scenario 2 - Illustrated at 8% investment rate of return

Policy Year Age of life

Assured

Premium Survival &

Maturity Benefit(1)

Death

Benefit(2)

Guaranteed

Surrender

Value(3)

Accrued

Reversionary

Bonus(4)

Terminal

Bonus(5)

Survival &

Maturity

Benefit(1)

Death

Benefit(2)

Special

Surrender

Value(3)

Accrued

Reversionary

Bonus(4)

Terminal

Bonus(5)

Survival &

Maturity

Benefit(1)

Death

Benefit(2)

Special

Surrender

Value(3)

(BOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY)

1 36 2,01,420 0 30,00,000 0 0 0 0 30,00,000 0 0 0 0 30,00,000 0

2 37 2,01,420 0 30,00,000 0 9,000 0 0 30,00,000 0 50,100 0 0 30,00,000 0

3 38 2,01,420 0 30,00,000 1,81,278 18,027 0 0 30,00,000 3,19,902 1,01,037 0 0 30,00,000 3,42,244

4 39 2,01,420 0 30,00,000 4,02,840 27,081 0 0 30,00,000 4,73,821 1,52,824 0 0 30,00,000 5,10,223

5 40 2,01,420 0 30,00,000 5,03,550 36,162 0 0 30,00,000 6,40,271 2,05,476 8,57,785 0 30,00,000 8,13,910

6 41 2,01,420 0 30,00,000 6,04,260 45,271 0 0 30,00,000 8,74,269 2,59,008 8,72,110 0 30,00,000 11,08,063

7 42 2,01,420 0 30,00,000 7,04,970 54,407 0 0 30,00,000 10,76,001 3,13,433 8,86,675 0 30,00,000 13,67,130

8 43 2,01,420 0 30,00,000 8,54,021 63,570 0 0 30,00,000 12,90,862 3,68,767 9,01,482 0 30,00,000 16,45,008

9 44 2,01,420 0 30,00,000 10,15,157 72,761 0 0 30,00,000 15,19,244 4,25,026 9,16,537 0 30,00,000 19,42,495

10 45 2,01,420 0 30,00,000 11,88,378 81,979 0 0 30,00,000 17,62,735 4,82,224 9,31,843 0 30,00,000 22,62,004

11 46 2,01,420 0 30,00,000 13,51,528 91,225 0 0 30,00,000 21,54,372 5,40,377 9,47,405 0 30,00,000 27,59,105

12 47 2,01,420 0 30,00,000 15,46,906 1,00,498 0 0 30,00,000 24,71,852 5,99,501 9,63,227 0 30,00,000 31,74,351

13 48 0 3,00,000 30,00,000 13,19,417 1,09,800 0 3,00,000 30,00,000 23,58,694 6,59,613 9,79,312 3,00,000 30,00,000 31,46,914

14 49 0 3,00,000 30,00,000 10,91,928 1,19,129 0 3,00,000 30,00,000 21,88,239 7,20,728 9,95,667 3,00,000 30,00,000 31,04,381

15 50 0 3,00,000 30,00,000 8,64,439 1,28,487 0 3,00,000 30,00,000 19,87,312 7,82,864 10,12,295 3,00,000 30,00,000 30,53,400

16 51 0 3,00,000 30,00,000 6,36,950 1,37,872 0 3,00,000 30,00,000 17,73,765 8,46,038 10,29,200 3,00,000 30,00,000 29,93,105

17 52 0 3,00,000 30,00,000 4,09,462 1,47,286 0 3,00,000 30,00,000 15,47,035 9,10,267 10,46,387 3,00,000 30,00,000 29,22,549

18 53 0 3,00,000 30,00,000 1,57,802 1,56,728 0 3,00,000 30,00,000 13,11,869 9,75,569 10,63,862 3,00,000 30,00,000 28,40,693

19 54 0 3,00,000 30,00,000 0 1,66,198 0 3,00,000 30,00,000 10,50,035 10,41,961 10,81,629 3,00,000 30,00,000 27,46,399

20 55 0 3,00,000 30,00,000 0 1,75,696 0 3,00,000 30,00,000 7,75,557 11,09,461 10,99,692 3,00,000 30,00,000 26,38,475

21 56 0 3,00,000 30,00,000 0 1,85,224 0 3,00,000 30,00,000 4,88,476 11,78,089 11,18,057 3,00,000 30,00,000 25,15,683

22 57 0 3,00,000 30,00,000 0 1,94,779 0 4,94,779 30,00,000 1,94,779 12,47,863 11,36,728 26,84,592 30,00,000 23,84,592

This is only an illustrative document. The benefits if guaranteed, are clearly mentioned. For variable benefits, investment rate of return of 4% and 8% are used as an illustration. Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurgaon 122 002

Page 2 of 5

Page 3: Monthly in Come Plan

TOTAL Rs 24,17,040 Rs 30,00,000 Rs 31,94,779 Rs 53,84,592

(BOY) - Beginning of Year (EOY) - End of Year

This is only an illustrative document. The benefits if guaranteed, are clearly mentioned. For variable benefits, investment rate of return of 4% and 8% are used as an illustration. Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurgaon 122 002

Page 3 of 5

Page 4: Monthly in Come Plan

IMPORTANT NOTES

Section A - Key definitions of the terms used in the above table

Max Life Insurance Company is the name of the Company and Max Life Monthly Income Advantage Plan is the name of the Savings-Non Linked Participating Insurance Plan. The name of the plan does not in any way indicate the future returns of the said

plan.

(1) Survival Benefit: Survival Benefit is equal to income instalments, each equal to 1/12th (One twelfth) of 10% (Ten percent) of Sum Assured payable on each monthly anniversary for 10 (Ten) consecutive policy years (i.e. 120 months) post the Premium

Payment Term.

Maturity Benefit: Maturity Benefit is equal to the sum of Reversionary Bonus (if any) and Terminal Bonus (if any), and shall be payable at the end of Policy Term.

(2) Death Benefit will be paid immediately on the death of the Life Insured and additionally the policy will continue with all the other benefits under the policy remaining intact. Therefore, the total benefit payable on the death of the life insured under the

plan are:

-- Death Benefit - It is payable immediately on the death of the Life Insured. The 'Death Benefit' is defined as higher of 11 times the annualized premium, 105% of all premiums paid as on the date of death, Guaranteed Sum Assured on Maturity or any

absolute amount assured to be payable on death. Please note that, the annualized premium includes extra premium, if any, but does not include loading for modal premium, service tax or cess. Absolute amount is equal to Sum Assured. This Sum Assured is

the amount chosen by the Policyholder basis which the premium amount for the policy is determined. Guaranteed Sum Assured on Maturity is 'zero' or 'nil' under this product as all the guaranteed benefit under the product is paid out in form of Survival

Benefits as mentioned above.

-- Policy Continuance Benefit - All the premiums (if any) coinciding with or following the date of death of the Life Insured, shall be waived off and the policy will continue as is and Survival & Maturity Benefits shall be payable to the nominee as and when

due.

Please note that subsequent to the death of the Life Insured, the policy cannot be surrendered and shall continue till the end of the policy term with all the benefits being paid as and when due.

(3) Surrender Value: Upon surrender, the policyholder will be paid the higher of the Guaranteed Surrender Value (GSV) or Special Surrender Value (SSV).

-- GSV is the minimum guaranteed amount that will be payable to the policyholder on surrender of the policy.

-- SSV is the non guaranteed amount that will be payable to the policyholder on surrender of the policy. SSV also includes the surrender value of Accrued Reversionary Bonus and surrender value of Terminal Bonus (if any). SSV factors can be changed

by the company with prior approval of the IRDAI basis significant change in investment returns and/or market values of underlying assets or demographic experience. The SSV will always be equal to or higher than GSV.

(4) Accrued Reversionary Bonus: Reversionary Bonus will be declared each year post completion of second policy year depending on the experience of the company. Once declared reversionary bonus is guaranteed to be paid out on the earlier of Surrender

(only cash value) or Maturity. Reversionary bonus is primarily driven by investment in fixed interest securities such as government and corporate bonds and is expected to be relatively less volatile as compared to Terminal Bonus.

(5) Terminal Bonus is an additional bonus paid only ONCE on the earlier of surrender or maturity, provided the policy has been in force for at least 5 complete policy years. Unlike Reversionary Bonus which once declared becomes guaranteed, Terminal

Bonus is NOT GUARANTEED and is expected to move in line with the value of the overall assets, more specifically with the value of the growth assets like equity/property. Under the economic scenario of lower investment returns, the Terminal Bonus is

likely to reduce. Please note that on surrender, only surrender value of Terminal Bonus, if any, is payable.

Section B � Additional information

-- This Benefit Illustration shall form a part of the policy document.

-- This is only an illustrative document. It does not purport to be a contract of insurance and does not in any way create any rights and/or obligations. Bonuses are not guaranteed, and bonus rates will be based on the actual company experience from time

to time.

-- Benefits secured under your policy shall become payable provided all contractual premiums are paid as and when they are due. The illustrative benefits above assume that all the contractual premiums will be paid on the due dates respectively.

-- Please note that this Benefit Illustration should be read in conjunction with the product brochure/ leaflet and Policy Contract (available at www.maxlifeinsurance.com), for understanding the product features and terms used in this illustration.

-- Service tax, education cess and other applicable taxes would be levied as per applicable laws and would be borne by the policyholder. Tax laws and the benefits arising under the policy are subject to change.

-- You may be entitled to certain applicable tax benefits on your premiums and policy benefits. Please note that all the tax benefits are subject to tax laws prevailing at the time of payment of premium or receipt of benefits by you/ your nominee.

This is only an illustrative document. The benefits if guaranteed, are clearly mentioned. For variable benefits, investment rate of return of 4% and 8% are used as an illustration. Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurgaon 122 002

Page 4 of 5

Page 5: Monthly in Come Plan

I ________________________________________________________ (Name), have explained the terms and conditions and the benefits of the policy to the prospect/policyholder.

Signature of Agent/Specified Person:

Name and ID:

Place:

Date:

Company Seal:

I ________________________________________________________ (Name), having received the information with respect to the above, have understood the above statement before entering into the contract. I understand and intend to continue paying the

above said premium amount for the complete Premium Payment Term of 12 Years and as per the opted frequency. I also understand that some of the benefits under the plan are non guaranteed.

Policyholder's Signature:

Policyholder's Name:

Date:

Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurgaon 122 002

2010.1.2.8.6.60.8655439536.0000015000000.000001.00000121333 100000001000000 10000018001000000 0 1

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