LIC's Index Plus (Plan No.

873)

Benefit Illustration

LIC's Index Plus (Plan No. 873)

A Unit Linked, Non-participating, Individual, Life Insurance Plan
(Unique Identification Number - 512L354V01)

SRI PANDEY PANKAJ

Distribution channel Offline Agency name Agency code 02180921
HARENDRA
Name of prospect PankajKumar Pandey Age of prospect 40 years Date of illustration 13-07-2024
Name of life assured PankajKumar Pandey Age of life assured 40 years Benefit UID
Mode of payment of
Policy term 25 years Premium paying term 25 years Monthly
premium
Sum assured 1,20,00,000 Instalment premium 1,00,000.00 GST rate 18.00%
Investment strategy
Fund opted Flexi smart growth fund Risk level Very high risk Self managed
opted for
LIC's Linked ADB rider Opted AB rider sum assured 10,00,000
Death benefit option 2 Sum assured multiple 10

How to read and understand this benefit illustration?

This benefit illustration is intended to show what charges are deducted from your premiums and how the unit fund, net of charges and taxes, may grow over the years of the
policy term if the fund earns a gross return of 8% p.a. or 4% p.a. These rates, i.e., 8% p.a. and 4% p.a. are assumed only for the purpose of illustrating the flow of benefits if
the returns are at this level. It should not be interpreted that the returns under the plan are going to be either 8% p.a. or 4% p.a.

Net yield mentioned corresponds to the gross investment return of 8% p.a., net of all charges but does not consider mortality, morbidity charges, underwriting extra, if any,
guarantee charges and cost of riders, if deducted by cancellation of units. It demonstrates the impact of charges exclusive of taxes on the net yield. Please note that the
mortality charges per thousand sum assured in general, increases with age.

The actual returns can vary depending on the performance of the chosen fund, charges towards mortality, morbidity, underwriting extra, cost of riders, etc. The investment risk
in this policy is borne by the policyholder, hence, for more details on terms and conditions please read sales literature carefully.

Part A of this statement presents a summary view of year-by-year charges deducted under the policy, fund value, surrender value and the death benefit, at two assumed rate
of return. Part B of this statement presents a detailed break-up of the charges, and other values.

Page 1
 LIC's Index Plus (Plan No. 873)

Part A:

(Amount in rupees)

At 4% p.a. gross investment return At 8% p.a. gross investment return

Other Other
charges charges Commissio
(including (including n (incl.
GST GST bonus
Annualized FMC and FMC and
Policy year (excluding (excluding commission
premium GST on GST on
Mortality GST on Fund at end Surrender Death Mortality GST on Fund at end Surrender Death ) payable to
FMC but FMC but
charges FMC and of year value benefit charges FMC and of year value benefit intermediar
excluding discontinua excluding discontinua
discontinua nce charge) discontinua nce charge) y
nce charge nce charge
and its and its
GST)* GST)*
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)

1 1200000 25927 105544 22019 1069125 1062045 12000000 25912 105680 22016 1091359 1084279 12000000 96600

2 1200000 25288 93022 16504 2200154 2194254 12000000 25168 93885 16482 2289003 2283103 12000000 54000

3 1200000 24413 111190 16346 3358981 3354261 12000000 24047 113525 16280 3563492 3558772 12000000 54000

4 1200000 23137 129808 16117 4546742 4544382 12000000 22335 134430 15972 4920391 4918031 12000000 54000

5 1200000 21570 148894 15835 5764469 5764469 12000000 20071 156691 15565 6365566 6365566 12000000 54000

6 1200000 19355 152136 12466 7093364 7093364 12000000 16817 164080 12009 7985915 7985915 12000000 54000

7 1200000 16235 173577 11918 8397329 8397329 12000000 12180 190757 11188 9653946 9653946 12000000 54000

8 1200000 12399 194629 11242 9736626 9736626 12000000 6183 218233 10123 11434315 11434315 12000000 54000

9 1200000 7348 216264 10347 11113537 11113537 12000000 380 247564 9093 13333906 13333906 13333906 54000

10 1200000 1678 238519 9342 12649695 12649695 12649695 0 278790 9040 15473587 15473587 15473587 54000

11 1200000 0 263297 9057 14104094 14104094 14104094 0 313948 9057 17628009 17628009 17628009 54000

12 1200000 0 286743 9074 15592780 15592780 15592780 0 349352 9074 19918096 19918096 19918096 54000

13 1200000 0 310744 9092 17116558 17116558 17116558 0 386984 9092 22352393 22352393 22352393 54000

14 1200000 0 335314 9111 18676253 18676253 18676253 0 426985 9111 24939982 24939982 24939982 54000

15 1200000 0 360465 9131 20512708 20512708 20512708 0 469504 9131 27930518 27930518 27930518 54000

16 1200000 0 390066 9152 22152462 22152462 22152462 0 518632 9152 30869389 30869389 30869389 54000

17 1200000 0 416514 9174 23830855 23830855 23830855 0 566919 9174 33993333 33993333 33993333 54000

18 1200000 0 443588 9197 25548795 25548795 25548795 0 618245 9197 37314005 37314005 37314005 54000

19 1200000 0 471304 9221 27307210 27307210 27307210 0 672802 9221 40843798 40843798 40843798 54000

Page 2
 LIC's Index Plus (Plan No. 873)

(Amount in rupees)

At 4% p.a. gross investment return At 8% p.a. gross investment return

Other Other
charges charges Commissio
(including (including n (incl.
GST GST bonus
Annualized FMC and FMC and
Policy year (excluding (excluding commission
premium GST on GST on
Mortality GST on Fund at end Surrender Death Mortality GST on Fund at end Surrender Death ) payable to
FMC but FMC but
charges FMC and of year value benefit charges FMC and of year value benefit intermediar
excluding discontinua excluding discontinua
discontinua nce charge) discontinua nce charge) y
nce charge nce charge
and its and its
GST)* GST)*
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)

20 1200000 0 499677 9247 29407047 29407047 29407047 0 730793 9247 44895882 44895882 44895882 54000

21 1200000 0 533538 9273 31256375 31256375 31256375 0 797351 9273 48903166 48903166 48903166 54000

22 1200000 0 563384 9301 33149261 33149261 33149261 0 863182 9301 53162818 53162818 53162818 54000

23 1200000 0 593937 9331 35086723 35086723 35086723 0 933157 9331 57690734 57690734 57690734 54000

24 1200000 0 625215 9362 37069808 37069808 37069808 0 1007537 9362 62503810 62503810 62503810 54000

25 1200000 0 657233 9394 39636933 39636933 39636933 0 1086599 9394 68133102 68133102 68133102 54000

*See 'Part B' for details

Force Majeure Conditions:

a. The Corporation shall value the funds (SFIN) on each day for which financial markets are open. However, the Corporation may value the SFIN less frequently in extreme
circumstances external to the Corporation, i.e. in force majeure events, where the value of the assets is too uncertain. In such circumstances, the Corporation may defer
the valuation of the assets for up to 30 days until the Corporation is certain that the valuation of SFIN can be resumed.
b. The Corporation will inform IRDAI of such deferment of the valuation of assets. During the continuance of the force majeure events, all requests for servicing the policy,
including policy related payment, shall be kept in abeyance.
c. The Corporation will continue to invest as per the investment pattern of the fund type opted by the policyholder. However, the Corporation reserves the right to change the
exposure of all or any part of the fund to money market instruments (as defined under Regulations 2(j) of IRDAI(Investment) Regulations, 2016) in circumstances
mentioned under points (a) and (b) above. The exposure of the chosen fund shall be reinstated within reasonable timelines once the force majeure situation ends.
d. Few examples of such circumstances as mentioned in point (a) & (b) above are:
i. When one or more stock exchanges which provide a basis for valuation of the assets of the fund are closed otherwise than for ordinary holidays.
ii. When, as a result of political, economic, monetary or any circumstances which are not in the control of the Corporation, the disposal of the assets of the fund would be
detrimental to the interests of the continuing policyholders.
iii. In the event of natural calamities, strikes, war, civil unrest, riots and bandhs.
iv. In the event of any force majeure or disaster that affects the normal functioning of the Corporation.
e. In such an event, an intimation of such force majeure event shall be uploaded on the Corporation’s website for information.

Page 3
 LIC's Index Plus (Plan No. 873)

IN THIS POLICY, THE INVESTMENT RISK IS BORNE BY THE POLICYHOLDER AND THE ABOVE INTEREST RATES ARE ONLY FOR ILLUSTRATIVE PURPOSE.

I, ________________________________________ (name), have explained I, ________________________________________ (name), having received

the premiums, charges and benefits under the product fully to the the information with respect to the above, have understood the above statement
prospect/policyholder. before entering into the contract.
Place : Place :
Date : Signature of agent/intermediary/official Date : Signature of prospect/policyholder

Page 4
 LIC's Index Plus (Plan No. 873)

Part B:

(Amount in rupees)

Gross yield (p.a.) 8.00% Net yield (p.a.) 6.39%

GST
(excluding
Premium Accident FMC
Annualize allocation dAnnualize GST on Policy Addition Fund (including Fund after Guarantee Refund of Fund at
Policy Mortality benefit Surrender Death
premium FMC and admin to the before d addition mortality end of
year d premium charge charge rider tax charge FMC value benefit
less PAC discontinu charge fund FMC charge year
(PAC) charge on FMC)
ance
charge)
(12)=(10)-
(1) (2) (3) (4)=(2)-(3) (5) (6) (7) (8) (9) (10) (11) (13) (14) (15) (16) (17)
(11)
1 1200000 96000 1104000 25912 22016 0 400 44967 1100639 9280 1091359 0 0 1091359 1084279 12000000

2 1200000 66000 1134000 25168 16482 0 400 133179 2316488 27485 2289003 0 0 2289003 2283103 12000000

3 1200000 66000 1134000 24047 16280 0 400 228342 3610617 47125 3563492 0 0 3563492 3558772 12000000

4 1200000 66000 1134000 22335 15972 0 400 329636 4988421 68030 4920391 0 0 4920391 4918031 12000000

5 1200000 66000 1134000 20071 15565 0 400 437501 6455857 90291 6365566 0 0 6365566 6365566 12000000

6 1200000 48000 1152000 16817 12009 1500 400 553255 8040095 114180 7925915 60000 0 7985915 7985915 12000000

7 1200000 48000 1152000 12180 11188 1575 400 682156 9794728 140782 9653946 0 0 9653946 9653946 12000000

8 1200000 48000 1152000 6183 10123 1654 400 814909 11602495 168180 11434315 0 0 11434315 11434315 12000000

9 1200000 48000 1152000 380 9093 1736 400 956627 13531333 197427 13333906 0 0 13333906 13333906 13333906

10 1200000 48000 1152000 0 9040 1823 400 1107511 15582153 228566 15353587 120000 0 15473587 15473587 15473587

11 1200000 48000 1152000 0 9057 1914 400 1277427 17891642 263633 17628009 0 0 17628009 17628009 17628009

12 1200000 48000 1152000 0 9074 2010 400 1448513 20217038 298942 19918096 0 0 19918096 19918096 19918096

13 1200000 48000 1152000 0 9092 2111 400 1630373 22688867 336474 22352393 0 0 22352393 22352393 22352393

14 1200000 48000 1152000 0 9111 2216 400 1823685 25316351 376369 24939982 0 0 24939982 24939982 24939982

15 1200000 48000 1152000 0 9131 2327 400 2029170 28109295 418777 27690518 240000 0 27930518 27930518 27930518

16 1200000 48000 1152000 0 9152 2443 400 2266655 31337178 467789 30869389 0 0 30869389 30869389 30869389

17 1200000 48000 1152000 0 9174 2565 400 2500037 34509286 515954 33993333 0 0 33993333 33993333 33993333

18 1200000 48000 1152000 0 9197 2694 400 2748115 37881157 567152 37314005 0 0 37314005 37314005 37314005

19 1200000 48000 1152000 0 9221 2829 400 3011816 41465372 621574 40843798 0 0 40843798 40843798 40843798

20 1200000 48000 1152000 0 9247 2970 400 3292124 45275305 679423 44595882 300000 0 44895882 44895882 44895882

21 1200000 48000 1152000 0 9273 3118 400 3613909 49648999 745833 48903166 0 0 48903166 48903166 48903166

Page 5
 LIC's Index Plus (Plan No. 873)

(Amount in rupees)

Gross yield (p.a.) 8.00% Net yield (p.a.) 6.39%

GST
(excluding
Premium Accident FMC
Annualize allocation dAnnualize GST on Policy Addition Fund (including Fund after Guarantee Refund of Fund at
Policy Mortality benefit Surrender Death
premium FMC and admin to the before d addition mortality end of
year d premium charge charge rider tax charge FMC value benefit
less PAC discontinu charge fund FMC charge year
(PAC) charge on FMC)
ance
charge)
(12)=(10)-
(1) (2) (3) (4)=(2)-(3) (5) (6) (7) (8) (9) (10) (11) (13) (14) (15) (16) (17)
(11)
22 1200000 48000 1152000 0 9301 3274 400 3932136 53974326 811508 53162818 0 0 53162818 53162818 53162818

23 1200000 48000 1152000 0 9331 3438 400 4270403 58572053 881319 57690734 0 0 57690734 57690734 57690734

24 1200000 48000 1152000 0 9362 3610 400 4629975 63459337 955527 62503810 0 0 62503810 62503810 62503810

25 1200000 48000 1152000 0 9394 3790 400 5012191 68654416 1034408 67620008 360000 153094 68133102 68133102 68133102

Page 6
 LIC's Index Plus (Plan No. 873)

(Amount in rupees)

Gross yield (p.a.) 4.00%

GST
(excluding
Premium Accident FMC
Annualize allocation dAnnualize GST on Policy Addition Fund (including Fund after Guarantee Refund of Fund at
Policy Mortality benefit Surrender Death
premium FMC and admin to the before d addition mortality end of
year d premium charge charge rider tax charge FMC value benefit
less PAC discontinu charge fund FMC charge year
(PAC) charge on FMC)
ance
charge)
(12)=(10)-
(1) (2) (3) (4)=(2)-(3) (5) (6) (7) (8) (9) (10) (11) (13) (14) (15) (16) (17)
(11)
1 1200000 96000 1104000 25927 22019 0 400 22616 1078269 9144 1069125 0 0 1069125 1062045 12000000

2 1200000 66000 1134000 25288 16504 0 400 65843 2226777 26622 2200154 0 0 2200154 2194254 12000000

3 1200000 66000 1134000 24413 16346 0 400 110776 3403771 44790 3358981 0 0 3358981 3354261 12000000

4 1200000 66000 1134000 23137 16117 0 400 156823 4610150 63408 4546742 0 0 4546742 4544382 12000000

5 1200000 66000 1134000 21570 15835 0 400 204025 5846963 82494 5764469 0 0 5764469 5764469 12000000

6 1200000 48000 1152000 19355 12466 1500 400 252851 7135599 102236 7033364 60000 0 7093364 7093364 12000000

7 1200000 48000 1152000 16235 11918 1575 400 305695 8520931 123602 8397329 0 0 8397329 8397329 12000000

8 1200000 48000 1152000 12399 11242 1654 400 357566 9881201 144575 9736626 0 0 9736626 9736626 12000000

9 1200000 48000 1152000 7348 10347 1736 400 410871 11279665 166128 11113537 0 0 11113537 11113537 12000000

10 1200000 48000 1152000 1678 9342 1823 400 465698 12717991 188296 12529695 120000 0 12649695 12649695 12649695

11 1200000 48000 1152000 0 9057 1914 400 526753 14317076 212983 14104094 0 0 14104094 14104094 14104094

12 1200000 48000 1152000 0 9074 2010 400 584503 15829113 236333 15592780 0 0 15592780 15592780 15592780

13 1200000 48000 1152000 0 9092 2111 400 643615 17376792 260233 17116558 0 0 17116558 17116558 17116558

14 1200000 48000 1152000 0 9111 2216 400 704120 18960951 284698 18676253 0 0 18676253 18676253 18676253

15 1200000 48000 1152000 0 9131 2327 400 766051 20582446 309738 20272708 240000 0 20512708 20512708 20512708

16 1200000 48000 1152000 0 9152 2443 400 838971 22491684 339222 22152462 0 0 22152462 22152462 22152462

17 1200000 48000 1152000 0 9174 2565 400 904081 24196404 365548 23830855 0 0 23830855 23830855 23830855

18 1200000 48000 1152000 0 9197 2694 400 970725 25941290 392495 25548795 0 0 25548795 25548795 25548795

19 1200000 48000 1152000 0 9221 2829 400 1038940 27727285 420076 27307210 0 0 27307210 27307210 27307210

20 1200000 48000 1152000 0 9247 2970 400 1108761 29555354 448307 29107047 300000 0 29407047 29407047 29407047

21 1200000 48000 1152000 0 9273 3118 400 1192139 31738395 482019 31256375 0 0 31256375 31256375 31256375

22 1200000 48000 1152000 0 9301 3274 400 1265570 33660970 511710 33149261 0 0 33149261 33149261 33149261

Page 7
 LIC's Index Plus (Plan No. 873)

(Amount in rupees)

Gross yield (p.a.) 4.00%

GST
(excluding
Premium Accident FMC
Annualize allocation dAnnualize GST on Policy Addition Fund (including Fund after Guarantee Refund of Fund at
Policy Mortality benefit Surrender Death
premium FMC and admin to the before d addition mortality end of
year d premium charge charge rider tax charge FMC value benefit
less PAC discontinu charge fund FMC charge year
(PAC) charge on FMC)
ance
charge)
(12)=(10)-
(1) (2) (3) (4)=(2)-(3) (5) (6) (7) (8) (9) (10) (11) (13) (14) (15) (16) (17)
(11)
23 1200000 48000 1152000 0 9331 3438 400 1340731 35628822 542099 35086723 0 0 35086723 35086723 35086723

24 1200000 48000 1152000 0 9362 3610 400 1417661 37643012 573205 37069808 0 0 37069808 37069808 37069808

25 1200000 48000 1152000 0 9394 3790 400 1496403 39704626 605042 39099583 360000 177350 39636933 39636933 39636933

Notes:

1. Refer the sales literature for explanation of terms used in this illustration.
2. The above illustrations are for indicative purpose. The annual charges shown above are sum total of charges deducted throughout the policy year as per the
frequency/conditions detailed in sales brochure/policy document.
3. This illustration is prepared by considering standard life (from medical, life style and occupation point of view).
4. In case LIC's Accidental Death Benefit rider is opted for, rider charges are included in other charges under part A. However, under part B, accident benefit rider charge is
shown separately.
5. Fund at the start shall be the amount available for investment in the first year and previous year's end fund for rest of the years.
6. Above calculations have been performed considering deductions of mortality charge, policy administration charges and tax charge on these charges at the start of each
policy month and deduction of FMC and Tax charge on FMC the end of each policy month.
7. Tax charge (currently GST) is subject to change from time to time.
8. Total death benefit is the amount payable immediately on death of the life assured, which is higher of (basic sum assured reduced by partial withdrawal made during the
two years period immediately preceding the date of death) or unit fund value or (105% of the total premiums received reduced by partial withdrawal during the two years
period immediately preceding the date of death), where basic sum assured is (7 times of annualized premium), for age greater than 50 years and (7 or 10 times of
annualized premium as per the choice), for age less than or equal to 50 years.
9. The death benefit has been calculated assuming that death occurs on completion of the policy year and the option of partial withdrawal has not been exercised.
10. In addition to death benefit, accident benefit sum assured is payable as per terms and conditions of the policy, if LIC's Accidental Death Benefit rider is opted for and
death occurs due to accident.
11. The above illustration assumes the policy is surrendered on completion of the policy year after addition of guaranteed addition in unit fund. In case the policy is
surrendered on or before 5 years' lock-in-period, surrender value shown above equals unit fund value at the end of policy year minus discontinuance charge minus tax
charge on discontinuance charge. This amount shall be transferred to the discontinued policy fund and the proceeds of the discontinued policy fund shall be payable on
completion of 5 years' lock-in-period. In case the policy is surrendered after expiry of 5 years' lock-in-period, the surrender value shall be payable immediately.
12. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.

Page 8
 LIC's Index Plus (Plan No. 873)

I, ________________________________________ (name), have explained I, ________________________________________ (name), having received

the premiums, charges and benefits under the product fully to the the information with respect to the above, have understood the above statement
prospect/policyholder. before entering into the contract.
Place : Place :
Date : Signature of agent/intermediary/official Date : Signature of prospect/policyholder

Page 9