Tata AIA Pro-Fit Benefit Summary

In this policy, the investment risk in investment portfolio is borne by the policyholder.
Policyholder Details
Name of the Prospect/Policyholder : Plan Details
Age (years): 50
Package Name Tata AIA Pro-Fit
Gender: F
Name of the Life Assured: Product Name under Package Product Type UIN
Age (years): 50
Tata AIA Health Pro Unit Linked 110L180V01
Gender: F
Tata AIA Health Secure Unit Linked 110A050V01
Smoking Habit: No
Tata AIA VitaHealth Non-Linked 110N181V01
Mode of Payment of Premium: Annual
Annual Limit of HospiCash (in days): 15 Tata AIA Pro-Fit is a combination of Tata AIA Health Pro, A Non - Participating, Unit Linked, Individual Health Insurance
Per day benefit of HospiCash: 2500 Plan (UIN: 110L180V01), Tata AIA Health Secure, A Non -participating, Unit linked, Individual Health Rider (UIN:
Survival Period for CritiCash Benefit (in days): 7 110A050V01), Tata AIA VitaHealth Product, A Non - Participating, Non - Linked, Individual Health Product (UIN:
110N181V01).
Package Details
Fund details under Tata AIA Health Pro (Linked Product)
Product Name Premium Policy Sum Premium without GST(Rs.) Investible Fund Name Allocation Percentage Risk Profile
Payment Term Term Assured(Rs.) Premium
Nifty Alpha 50 Index Fund (ULIF 077 100% High
Tata AIA Health Pro - 15 40 19,30,000 68,132 68,132 30/09/24 NAF 110)
ATPPD
Tata AIA Health Secure 5 5 2,50,000
- CritiCash**
Tata AIA Health Secure 5 5 37,500
- HospiCash** Charges are deducted by the way
-
Tata AIA Health Secure of cancellation of units
5 5 2,50,000
- SurgiCash**
Tata AIA Health Secure 5 5 25,000
- OPD Prime
Tata AIA VitaHealth - 15 35 38,61,000
ATPPD
Tata AIA VitaHealth - 15 40 7,86,707 45,421
TTI
Tata AIA VitaHealth - 15 35 115,83,000
AD
Total Premium 1,13,553 68,132

Additional Benefit Details

Product Name Return of Balance Premium Restoration Waiver of Premium Diagnostic Test Overseas Treatment Booster Indexation Monthly Income Assurance AD Benefit
Tata AIA Health Pro - ATPPD NA NA NA NA NA NA NA NA
Tata AIA Health Secure - CritiCash NA No NA No No No No NA
Tata AIA Health Secure - HospiCash NA No NA No NA NA NA NA
Tata AIA Health Secure - SurgiCash NA No NA No NA No NA NA
Tata AIA VitaHealth - ATPPD Yes NA NA NA NA NA NA Yes
Tata AIA VitaHealth - TTI Yes NA NA NA NA NA NA Yes

Benefit Virtual Emotional Nutrition Preventive health Dental Out Patient Prescribed Prescribed Prescribed Chronic Care Digital Value Added
Category Consultations Wellness Management check up Wellness Consultations Diagnostics Pharmacy Physiotherapy Management Yoga Services
OPD Prime Yes Yes Yes Yes Yes NA NA NA NA Yes Yes Yes
 Package Premium Summary
Particulars Tata AIA Health Pro (Investible Tata AIA Health Secure Tata AIA VitaHealth Total Installment
Premium) Product Premium
Instalment Premium without GST (Rs.) 68,132 Charges are deducted by 45,421 1,13,553
Instalment Premium with First year GST (Rs.) 68,132 cancellation of units 47,465 1,15,597
Total Discount on First Year Installment Premium 0 4,099 4,099
Instalment Premium post applicable discount with First 68,132 43,181 1,11,313
year GST (Rs.)
Instalment Premium with GST and without discount 2nd 68,132 46,443 1,14,575
year onwards (Rs.)

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 - Smart Lady Discount (2%)/,Tata AIA Vitality Discount (10%)
Summary of Package Benefits
Non-Guaranteed Guaranteed
At 4%p.a. Gross Investment Return At 8%p.a. Gross Investment Return Sum Assured
Tata AIA Tata AIA Tata AIA Composite Composite Maturity
Policy Total Health Pro Vitalife Health Premium Benefit of
Booster Surrender Fund at End of Booster ATPPD
Year Annualized Annualised Annualised Secure allocated Fund at End Death Death Surrender
AD Benefit TTI Benefit Tata AIA
Premium* Premium Premium Charges towards Fund of Year Benefit^ (Package Value Year Benefit^ (Package Value Benefit& VitaHealth
Booster)# Booster)#
1 1,13,553 68,132 45,421 8,380 64,044 54,512 71,539 0 60,397 56,800 71,539 0 62,524 115,83,000 7,86,707 57,91,000 0
2 1,13,553 68,132 45,421 8,769 64,044 1,09,412 1,43,077 0 1,37,991 1,16,269 1,43,077 0 1,44,849 115,83,000 7,86,707 57,91,000 0
3 1,13,553 68,132 45,421 9,136 65,066 1,66,308 2,14,616 0 2,11,588 1,80,251 2,14,616 0 2,25,531 115,83,000 7,86,707 57,91,000 0
4 1,13,553 68,132 45,421 9,530 65,066 2,23,968 2,86,154 0 3,13,202 2,47,722 2,86,154 0 3,36,956 115,83,000 7,86,707 57,91,000 0
5 1,13,553 68,132 45,421 9,931 65,066 2,78,664 3,57,693 0 3,92,217 3,15,105 3,57,693 0 4,28,658 115,83,000 7,86,707 57,91,000 0
6 1,13,553 68,132 45,421 0 65,066 3,46,396 4,29,232 0 4,82,659 3,98,834 4,29,232 0 5,35,097 115,83,000 7,86,707 57,91,000 0
7 1,13,553 68,132 45,421 0 65,066 4,15,645 5,00,770 0 5,74,619 4,87,911 5,00,770 0 6,46,885 115,83,000 7,86,707 57,91,000 0
8 1,13,553 68,132 45,421 0 65,747 4,87,282 5,72,309 0 6,73,984 5,83,581 5,83,581 0 7,70,283 115,83,000 7,86,707 57,91,000 0
9 1,13,553 68,132 45,421 0 65,747 5,60,554 6,43,847 0 7,76,240 6,85,329 6,85,329 0 9,01,015 115,83,000 7,86,707 57,91,000 0
10 1,13,553 68,132 45,421 0 65,747 6,45,596 7,15,386 10,083 8,91,520 8,05,716 8,05,716 12,217 10,51,640 115,83,000 7,86,707 57,91,000 0
11 1,13,553 68,132 45,421 0 68,132 7,36,403 7,86,925 6,587 10,13,819 9,36,999 9,36,999 8,145 12,14,415 115,83,000 7,86,707 57,91,000 0
12 1,13,553 68,132 45,421 0 68,132 8,30,499 8,58,463 7,501 11,40,662 10,77,916 10,77,916 9,459 13,88,079 115,83,000 7,86,707 57,91,000 0
13 1,13,553 68,132 45,421 0 68,132 9,26,996 9,30,002 8,430 12,71,161 12,28,061 12,28,061 10,848 15,72,226 115,83,000 7,86,707 57,91,000 0
14 1,13,553 68,132 45,421 0 68,132 10,27,038 10,27,038 9,389 14,06,459 13,89,186 13,89,186 12,334 17,68,607 115,83,000 7,86,707 57,91,000 0
15 1,13,553 68,132 45,421 0 68,132 11,48,733 11,48,733 28,548 15,64,665 15,86,457 15,86,457 38,298 20,02,389 115,83,000 7,86,707 57,91,000 0
16 0 0 0 0 0 11,86,403 11,86,403 11,242 16,11,744 17,00,929 17,00,929 15,497 21,26,270 115,83,000 7,86,707 57,91,000 0
17 0 0 0 0 0 12,24,533 12,24,533 11,786 16,59,283 18,22,806 18,22,806 16,826 22,57,556 115,83,000 7,86,707 57,91,000 0
18 0 0 0 0 0 12,63,299 12,63,299 12,164 17,07,459 19,52,722 19,52,722 18,031 23,96,882 115,83,000 7,86,707 57,91,000 0
19 0 0 0 0 0 13,03,408 13,03,408 12,549 17,56,977 20,92,050 20,92,050 19,316 25,45,619 115,83,000 7,86,707 57,91,000 0
20 0 0 0 0 0 13,67,550 13,67,550 35,605 18,30,528 22,77,718 22,77,718 56,907 27,40,696 115,83,000 7,86,707 57,91,000 0
 Summary of Package Benefits
Non-Guaranteed Guaranteed
At 4%p.a. Gross Investment Return At 8%p.a. Gross Investment Return Sum Assured
Tata AIA Tata AIA Tata AIA Composite Composite Maturity
Policy Total Health Pro Vitalife Health Premium Benefit of
Annualized allocated Fund at End Death Booster Surrender Fund at End of Death Booster Surrender ATPPD
Year Annualised Annualised Secure AD Benefit TTI Benefit Tata AIA
Premium* Premium Premium Charges towards Fund of Year Benefit^ (Package Value Year Benefit^ (Package Value Benefit& VitaHealth
Booster)# Booster)#
21 0 0 0 0 0 14,08,503 14,08,503 13,464 18,80,890 24,37,965 24,37,965 22,347 29,10,352 115,83,000 7,86,707 57,91,000 0
22 0 0 0 0 0 14,49,922 14,49,922 13,983 19,31,719 26,09,160 26,09,160 24,106 30,90,957 115,83,000 7,86,707 57,91,000 0
23 0 0 0 0 0 14,92,543 14,92,543 14,396 19,83,749 27,92,820 27,92,820 25,800 32,84,026 115,83,000 7,86,707 57,91,000 0
24 0 0 0 0 0 15,36,402 15,36,402 14,819 20,37,017 29,89,851 29,89,851 27,616 34,90,466 115,83,000 7,86,707 57,91,000 0
25 0 0 0 0 0 16,08,402 16,08,402 41,952 21,18,427 32,52,964 32,52,964 81,300 37,62,989 115,83,000 7,86,707 57,91,000 0
26 0 0 0 0 0 16,55,943 16,55,943 15,839 21,75,377 34,83,251 34,83,251 31,918 40,02,685 115,83,000 7,86,707 57,91,000 0
27 0 0 0 0 0 17,03,887 17,03,887 16,440 22,32,730 37,29,205 37,29,205 34,440 42,58,048 115,83,000 7,86,707 57,91,000 0
28 0 0 0 0 0 17,53,440 17,53,440 16,919 22,91,692 39,93,070 39,93,070 36,874 45,31,322 115,83,000 7,86,707 57,91,000 0
29 0 0 0 0 0 18,04,652 18,04,652 17,411 23,52,314 42,76,145 42,76,145 39,483 48,23,807 115,83,000 7,86,707 57,91,000 0
30 0 0 0 0 0 18,88,936 18,88,936 49,277 24,46,007 46,53,821 46,53,821 1,16,272 52,10,892 115,83,000 7,86,707 57,91,000 0
31 0 0 0 0 0 19,44,531 19,44,531 18,602 25,11,011 49,84,651 49,84,651 45,662 55,51,131 115,83,000 7,86,707 57,91,000 0
32 0 0 0 0 0 20,00,220 20,00,220 19,304 25,76,110 53,37,960 53,37,960 49,283 59,13,850 115,83,000 7,86,707 57,91,000 0
33 0 0 0 0 0 20,57,777 20,57,777 19,862 26,43,076 57,16,996 57,16,996 52,780 63,02,295 115,83,000 7,86,707 57,91,000 0
34 0 0 0 0 0 21,17,262 21,17,262 20,433 27,11,970 61,23,628 61,23,628 56,527 67,18,336 115,83,000 7,86,707 57,91,000 0
35 0 0 0 0 0 26,01,239 22,15,529 57,815 28,27,090 70,51,533 66,65,823 1,66,503 72,77,384 115,83,000 7,86,707 57,91,000 3,85,710
36 0 0 0 0 0 22,80,116 22,80,116 21,819 25,35,075 71,41,031 71,41,031 65,401 73,95,990 0 7,86,707 19,30,000 0
37 0 0 0 0 0 23,33,274 23,33,274 22,615 25,91,928 76,37,288 76,37,288 70,581 78,95,942 0 7,86,707 19,30,000 0
38 0 0 0 0 0 23,88,252 23,88,252 23,183 26,52,384 81,69,714 81,69,714 75,525 84,33,846 0 7,86,707 19,30,000 0
39 0 0 0 0 0 24,45,071 24,45,071 23,729 27,24,265 87,40,904 87,40,904 80,789 90,20,098 0 7,86,707 19,30,000 0
40 0 0 0 0 0 30,84,835 27,89,230 3,09,731 30,84,835 106,64,899 103,69,294 11,02,049 106,64,899 0 7,86,707 19,30,000 2,95,605

*Total Annualized Premium is inclusive of premium of Tata AIA Health Pro and Tata AIA VitaHealth
# Composite Booster (Package Booster) shall be allocated provided all the due premiums under 'Tata AIA Health Pro Plan' and 'Tata AIA VitaHealth Product' have been paid till the date of booster accrual and both the policy shall be in force.
Tata AIA Health Secure rider charges are guaranteed for 5 years and rider may be renewed every 5 years. Charges from 6th year onwards i.e. on renewal, are basis current applicable rates and are shown for illustrative purposes only. The
charges at the time of renewal will be based on then prevailing rates as applicable. You will be notified of the exact charge through your monthly unit statement.
Premium allocated towards fund is net of all applicable charges.
Maturity Benefit above represents benefit payable under Tata AIA VitaHealth Product.
^Death benefit above represents death benefit under Tata AIA Health Pro Plan, which is higher of Fund value or 105% of Total premium paid less deductible partial withdrawals, if any.
In case of death of the Life assured, total death benefit payable would we sum of TTI benefit under Tata AIA VitaHealth and death benefit applicable under Tata AIA Health Pro
& ATPPD benefit above represents the combined ATPPD Sum Assured offered under Tata AIA Health Pro & Tata AIA VitaHealth.
The linked insurance product do not offer any liquidity during the first five years of the contract. The policy holder will not be able to surrender/withdraw the monies invested in linked insurance products completely or partially till the end of
the fifth year
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 benefits then these will be clearly marked
 'guaranteed' in the illustration table on this page. If your policy offers variable benefits then the illustration on this page will show two different rates of assumed future investment returns, of 8% p.a. and 4% p.a. These assumed rates of
return are not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your policy is dependant on a number of factors including future investment performance.
Tata AIA Pro-Fit is a combination of Tata AIA Health Pro, A Non - Participating, Unit Linked, Individual Health Insurance Plan (UIN: 110L180V01), Tata AIA Health Secure, A Non -participating, Unit linked, Individual Health Rider (UIN:
110A050V01), Tata AIA VitaHealth Product, A Non - Participating, Non - Linked, Individual Health Product (UIN: 110N181V01).Tata AIA Health Pro and Tata AIA VitaHealth is also available individually for sale.

I, ___________________________ (name), have explained the premiums and benefits under the policy fully to the I, , having received the information with respect to the above, have understood the above statement before
prospect / policyholder. entering into the contract.

Place:
Date: 20 Oct 2024 Date: 20 Oct 2024
Signature of Agent/ Intermediary/ Official Signature of Prospect / Policyholder

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: [Link]
Beware of Spurious Calls and Fictitious / Fraudulent Offers. IRDAI is not involved in activities like se ling insurance policies, announcing bonus or investment of premiums. Public receiving such phone calls are requested to lodge a police
complaint
Benefit Illustration
Name of the Prospect/Policyholder : Proposal No: 55668899
Gender: Female Name of the Product : Tata AIA VitaHealth
Age (years): 50 Tag Line : Non Participating, Non Linked, Individual Health Insurance
Name of the Life Assured: Plan
Gender: Female Unique Identification No.: 110N181V01
Age (years): 50 GST Rate: 4.50% for first year
Smoker: No 2.25% second year onwards
Policy Term (years): 40
Premium Payment Term (years): 15
Amount of Instalment Premium (Rs.): 43,181
Mode of Payment of Premium: Annual

Policy details
Policy Option Sum Assured Rs.
Accidental death benefit 115,83,000
Accidetal Total and Partial Permanent disability 38,61,000
Term and Terminal Illness 7,86,707

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 45,421 0 45,421
Instalment Premium with First year GST (Rs.) 47,465 0 47,465
Instalment Premium post applicable discount with First year GST (Rs.) 43,181 0 43,181
Instalment Premium with GST 2nd year onwards (Rs.) 46,443 0 46,443

(Amount in Rupees).
Guaranteed Non-Guaranteed
Policy Year Single/ Annualized Guaranteed Surrender Surrender Value
Premium Maturity Benefit AD Benefit TTI Benefit ATPPD Benefit Special Surrender Value
Value
1 45,421 0 115,83,000 7,86,707 38,61,000 0 9,745 9,745
2 45,421 0 115,83,000 7,86,707 38,61,000 31,795 20,469 31,795
3 45,421 0 115,83,000 7,86,707 38,61,000 47,692 32,271 47,692
4 45,421 0 115,83,000 7,86,707 38,61,000 90,842 45,257 90,842
5 45,421 0 115,83,000 7,86,707 38,61,000 1,13,553 59,546 1,13,553
6 45,421 0 115,83,000 7,86,707 38,61,000 1,36,263 75,270 1,36,263
7 45,421 0 115,83,000 7,86,707 38,61,000 1,58,974 92,576 1,58,974
8 45,421 0 115,83,000 7,86,707 38,61,000 1,86,702 1,11,628 1,86,702
9 45,421 0 115,83,000 7,86,707 38,61,000 2,15,686 1,32,611 2,15,686
10 45,421 0 115,83,000 7,86,707 38,61,000 2,45,924 1,55,729 2,45,924
11 45,421 0 115,83,000 7,86,707 38,61,000 2,77,416 1,79,008 2,77,416
12 45,421 0 115,83,000 7,86,707 38,61,000 3,10,163 2,04,414 3,10,163
 (Amount in Rupees).
Guaranteed Non-Guaranteed
Policy Year Single/ Annualized Guaranteed Surrender Surrender Value
Premium Maturity Benefit AD Benefit TTI Benefit ATPPD Benefit Special Surrender Value
Value
13 45,421 0 115,83,000 7,86,707 38,61,000 3,44,165 2,32,209 3,44,165
14 45,421 0 115,83,000 7,86,707 38,61,000 3,79,421 2,62,690 3,79,421
15 45,421 0 115,83,000 7,86,707 38,61,000 4,15,932 2,96,191 4,15,932
16 0 0 115,83,000 7,86,707 38,61,000 4,25,341 3,12,276 4,25,341
17 0 0 115,83,000 7,86,707 38,61,000 4,34,750 3,22,892 4,34,750
18 0 0 115,83,000 7,86,707 38,61,000 4,44,160 3,34,550 4,44,160
19 0 0 115,83,000 7,86,707 38,61,000 4,53,569 3,47,373 4,53,569
20 0 0 115,83,000 7,86,707 38,61,000 4,62,978 3,61,507 4,62,978
21 0 0 115,83,000 7,86,707 38,61,000 4,72,387 3,77,117 4,72,387
22 0 0 115,83,000 7,86,707 38,61,000 4,81,797 3,88,788 4,81,797
23 0 0 115,83,000 7,86,707 38,61,000 4,91,206 4,01,824 4,91,206
24 0 0 115,83,000 7,86,707 38,61,000 5,00,615 4,16,422 5,00,615
25 0 0 115,83,000 7,86,707 38,61,000 5,10,025 4,32,815 5,10,025
26 0 0 115,83,000 7,86,707 38,61,000 5,19,434 4,51,279 5,19,434
27 0 0 115,83,000 7,86,707 38,61,000 5,28,843 4,63,817 5,28,843
28 0 0 115,83,000 7,86,707 38,61,000 5,38,252 4,78,257 5,38,252
29 0 0 115,83,000 7,86,707 38,61,000 5,47,662 4,94,924 5,47,662
30 0 0 115,83,000 7,86,707 38,61,000 5,57,071 5,14,213 5,57,071
31 0 0 115,83,000 7,86,707 38,61,000 5,66,480 5,36,600 5,66,480
32 0 0 115,83,000 7,86,707 38,61,000 5,75,890 5,50,443 5,75,890
33 0 0 115,83,000 7,86,707 38,61,000 5,85,299 5,67,145 5,85,299
34 0 0 115,83,000 7,86,707 38,61,000 5,94,708 5,87,280 5,94,708
35 0 3,85,710 115,83,000 7,86,707 38,61,000 5,98,403 6,11,561 6,11,561
36 0 0 0 7,86,707 0 2,54,959 2,37,569 2,54,959
37 0 0 0 7,86,707 0 2,58,654 2,50,295 2,58,654
38 0 0 0 7,86,707 0 2,62,349 2,64,132 2,64,132
39 0 0 0 7,86,707 0 2,66,044 2,79,194 2,79,194
40 0 2,95,605 0 7,86,707 0 2,66,045 2,95,605 2,95,605

Notes:
1. Annualized Premium shall be the premium payable in a year chosen by the policyholder, excluding the taxes, underwriting extra premiums, discounts, rider premiums, loading for modal premiums, if any.
2. This illustration is not an insurance contract.
3. Some benefits are guaranteed and some are non-guaranteed under this plan. The guaranteed and non-guaranteed benefits have been clearly marked "Guaranteed" and "Non Guaranteed" respectively in the illustration table above
4. The applicable taxes, cesses, and levies, levied by the goverment from time to time, if any, shall be collected separately over and above the policy premiums.
5. Income Tax benefits would be available as per the prevailing income tax laws, subject to fulfillment of conditions stipulated therein. Tata AIA Life Insurance Company Ltd. does not assume responsibility on tax implication mentioned
anywhere in this document. Please consult your own tax consultant to know the tax benefits available to you.
6. Surrender Value shall be payable on completion of one policy year, provided one full years premium is paid for non-single pay policies. For Single Pay policies, the Surrender Value shall be payable immediately after it isissued. Surrender value
illustrated above is the value at the end of the Policy Year. Surrender value paid will be higher of Guaranteed Surrender Value and Special Surrender Value.
7. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.

I, ___________________________ (name), have explained the premiums and benefits under the policy fully to the I, , having received the information with respect to the above, have understood the above statement before
prospect / policyholder. entering into the contract.

Place:
Date: 20 Oct 2024 Date: 20 Oct 2024
Signature of Agent/ Intermediary/ Official Signature of Prospect / Policyholder

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: [Link]
Beware of Spurious Calls and Fictitious / Fraudulent Offers. IRDAI is not involved in activities like se ling insurance policies, announcing bonus or investment of premiums. Public receiving such phone calls are requested to lodge a police
complaint
BENEFIT ILLUSTRATION
Tata AIA Pro - Fit
Table 1 Table 2
Name of the Prospect/ Policyholder: Proposal No: 55668899
Age (yrs) : 50 Name of the Product: Tata AIA Pro - Fit
Name of the Life Assured: Tag Line: Non-Participating,Unit Linked, Individual Health Insurance Plan
Age of the Life Assured (yrs) : 50 Unique Identification Number: 110L180V01
Gender of the Life Assured Female GST Rate : 18.00%
Smoker No Investment Strategy Opted For NIL
Policy Term (yrs): 40 Funds opted for along with their risk level
Premium Payment Term (yrs): 15 Fund Name Allocation Percentage Risk Profile
Mode of Payment of Premium : Annual Nifty Alpha 50 Index Fund (ULIF 077 30/09/24
Survival Period for Criticash Benefit (in days) 7 100% High
NAF 110)

Table 3
Base Benefit / Rider Waiver of Return Indexation Restoration Diagnostic Overseas Monthly
Benefit Coverage Per Day Benefit No of Days per year Sum Assured (Rs.) Premium (Rs.) Premium^ of Benefit Benefit Test Treatment Income
Premium Benefit Booster Assurance
Tata AIA Health Pro Health Plus: Health - - 1930000 68132 NA NA NA NA NA NA NA
Benefit (ATPPD)
HospiCash 2500 15 37500 NA NA NA NA NA NA NA
SurgiCash - - 250000 Charges are deducted via NA NA NA NA NA NA NA
Tata AIA Health Secure cancellation of units
CritiCash - - 250000 NA NA NA NA NA NA NA
OPD Prime - - 25000 NA NA NA NA NA NA NA

Tata AIA Health Secure Rider, Non -participating, Unit Linked, Individual Health Rider (UIN: 110A050V01)
Table 4
Premium Summary
Total Instalment Premium (Rs) Base Plan (ULIP Plan) Investible Premium Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 68,132 0 68,132
Total Discounts on First Year Premium 0 0
Instalment Premium after Discount 68,132 0 68,132
Instalment Premium post applicable discount with GST (Rs.) 68,132 0 68,132

*Discount applicable and Installment Premium payable 2nd year onwards will depend on the Wellness status of the Insured
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 %
[Link] rates, i.e., 8 % [Link] 4 % [Link] 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 % [Link] 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 and taxes on the net yield. Please note that the mortality charges for death benefit and morbidity charges for Cancer Care (if opted) 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.
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 benefits then these will be clearly marked
"guaranteed" in the illustration table on this page. If your policy offers variable benefits then the illustration on this page will show two different rates of assumed future investment returns, of 8% p.a. and 4% p.a. These assumed rates of
return are not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your policy is dependant on a number of factors including future investment performance.
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 rates of return. Part B of this statement presents a detailed break-up of
the charges, and other values.

Table 5
Part A
(Amount in Rupees)
At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return
Policy Annualized Commission payable to
Year Premium Morbidity Mortality Other GST Fund at End Surrender Death Morbidity Mortality Other GST Fund at End Surrender Death Intermediary (Rs.)
Charges Charges Charges* of Year Value Benefit Charges Charges Charges* of Year Value Benefit
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 68,132 463 57 13,262 2,481 54,512 50,652 71,539 463 54 13,279 2,483 56,800 52,779 71,539 23,846
2 68,132 463 127 14,388 2,696 1,09,412 1,06,196 1,43,077 463 110 14,453 2,705 1,16,269 1,13,054 1,43,077 681
3 68,132 463 204 14,497 2,730 1,66,308 1,63,896 2,14,616 463 162 14,642 2,748 1,80,251 1,77,839 2,14,616 681
4 68,132 463 292 15,666 2,956 2,23,968 2,22,360 2,86,154 463 208 15,926 2,987 2,47,722 2,46,114 2,86,154 681
5 68,132 463 400 19,932 3,743 2,78,664 2,78,664 3,57,693 463 251 20,345 3,791 3,15,105 3,15,105 3,57,693 681
6 68,132 463 501 10,835 2,124 3,46,396 3,46,396 4,29,232 463 258 11,444 2,190 3,98,834 3,98,834 4,29,232 681
7 68,132 463 566 11,762 2,302 4,15,645 4,15,645 5,00,770 463 193 12,614 2,389 4,87,911 4,87,911 5,00,770 681
8 68,132 463 621 12,039 2,362 4,87,282 4,87,282 5,72,309 463 82 13,190 2,472 5,83,581 5,83,581 5,83,581 681
9 68,132 463 666 13,020 2,547 5,60,554 5,60,554 6,43,847 463 36 14,528 2,705 6,85,329 6,85,329 6,85,329 681
10 68,132 463 698 14,022 2,733 6,35,513 6,35,513 7,15,386 463 19 15,950 2,958 7,93,499 7,93,499 7,93,499 681
11 68,132 463 661 12,754 2,498 7,19,395 7,19,395 7,86,925 463 0 15,169 2,814 9,15,869 9,15,869 9,15,869 681
12 68,132 463 591 13,903 2,692 8,05,406 8,05,406 8,58,463 463 0 16,879 3,122 10,45,997 10,45,997 10,45,997 681
13 68,132 463 495 15,069 2,885 8,92,592 8,92,592 9,30,002 463 0 18,685 3,447 11,83,286 11,83,286 11,83,286 681
14 68,132 463 361 16,265 3,076 9,82,081 9,82,081 10,01,540 463 0 20,604 3,792 13,29,260 13,29,260 13,29,260 681
15 68,132 463 179 17,492 3,264 10,74,005 10,74,005 10,74,005 463 0 22,644 4,159 14,84,463 14,84,463 14,84,463 681
16 0 463 0 17,821 3,291 10,98,673 10,98,673 10,98,673 463 0 23,861 4,378 15,77,020 15,77,020 15,77,020 0
17 0 1,332 0 18,151 3,507 11,22,951 11,22,951 11,22,951 1,332 0 25,146 4,766 16,74,275 16,74,275 16,74,275 0
18 0 1,332 0 18,475 3,565 11,47,160 11,47,160 11,47,160 1,332 0 26,496 5,009 17,76,814 17,76,814 17,76,814 0
19 0 1,332 0 18,807 3,625 11,71,984 11,71,984 11,71,984 1,332 0 27,929 5,267 18,85,758 18,85,758 18,85,758 0
20 0 1,332 0 19,147 3,686 11,97,426 11,97,426 11,97,426 1,332 0 29,451 5,541 20,01,538 20,01,538 20,01,538 0
21 0 1,332 0 19,465 3,744 12,20,993 12,20,993 12,20,993 1,332 0 31,038 5,827 21,22,062 21,22,062 21,22,062 0
22 0 2,066 0 19,781 3,932 12,44,168 12,44,168 12,44,168 2,066 0 32,716 6,261 22,49,273 22,49,273 22,49,273 0
23 0 2,066 0 20,098 3,989 12,67,792 12,67,792 12,67,792 2,066 0 34,493 6,581 23,84,489 23,84,489 23,84,489 0
24 0 2,066 0 20,421 4,048 12,91,836 12,91,836 12,91,836 2,066 0 36,383 6,921 25,28,212 25,28,212 25,28,212 0
25 0 2,066 0 20,749 4,107 13,16,263 13,16,263 13,16,263 2,066 0 38,391 7,282 26,80,979 26,80,979 26,80,979 0
26 0 2,066 0 21,081 4,166 13,41,084 13,41,084 13,41,084 2,066 0 40,526 7,667 28,43,357 28,43,357 28,43,357 0
27 0 3,168 0 21,411 4,424 13,65,173 13,65,173 13,65,173 3,168 0 42,786 8,272 30,14,609 30,14,609 30,14,609 0
28 0 3,168 0 21,741 4,484 13,89,829 13,89,829 13,89,829 3,168 0 45,179 8,702 31,96,637 31,96,637 31,96,637 0
29 0 3,168 0 22,079 4,544 14,15,066 14,15,066 14,15,066 3,168 0 47,722 9,160 33,90,118 33,90,118 33,90,118 0
30 0 3,168 0 22,424 4,606 14,40,898 14,40,898 14,40,898 3,168 0 50,426 9,647 35,95,772 35,95,772 35,95,772 0
31 0 3,168 0 22,778 4,670 14,67,338 14,67,338 14,67,338 3,168 0 53,300 10,164 38,14,367 38,14,367 38,14,367 0
32 0 4,773 0 23,126 5,022 14,92,482 14,92,482 14,92,482 4,773 0 56,341 11,000 40,44,758 40,44,758 40,44,758 0
33 0 4,773 0 23,470 5,084 15,18,219 15,18,219 15,18,219 4,773 0 59,560 11,580 42,89,645 42,89,645 42,89,645 0
34 0 4,773 0 23,822 5,147 15,44,563 15,44,563 15,44,563 4,773 0 62,982 12,196 45,49,941 45,49,941 45,49,941 0
35 0 4,773 0 24,183 5,212 15,71,526 15,71,526 15,71,526 4,773 0 66,620 12,851 48,26,615 48,26,615 48,26,615 0
36 0 4,773 0 24,552 5,278 15,99,125 15,99,125 15,99,125 4,773 0 70,486 13,547 51,20,697 51,20,697 51,20,697 0
 At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return
Policy Annualized Commission payable to
Year Premium Morbidity Mortality Other GST Fund at End Surrender Death Morbidity Mortality Other GST Fund at End Surrender Death Intermediary (Rs.)
Charges Charges Charges* of Year Value Benefit Charges Charges Charges* of Year Value Benefit
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
37 0 16,275 0 24,830 7,399 16,13,629 16,13,629 16,13,629 16,275 0 74,494 16,338 54,19,252 54,19,252 54,19,252 0
38 0 16,275 0 25,028 7,435 16,28,474 16,28,474 16,28,474 16,275 0 78,666 17,089 57,36,593 57,36,593 57,36,593 0
39 0 16,275 0 25,231 7,471 16,43,669 16,43,669 16,43,669 16,275 0 83,101 17,888 60,73,900 60,73,900 60,73,900 0
40 0 16,275 0 25,439 7,509 16,59,221 16,59,221 16,59,221 16,275 0 87,814 18,736 64,32,432 64,32,432 64,32,432 0
**Other charges includes Premium Allocation Charge, Policy Admin Charge, Fund Management Charge and Rider Charges including loading, if any. See Part B for details
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 the premiums, charges and benefits under the policy I, ___________________________ (name), having received the information with respect to the above, have
fully to the prospect / policyholder. understood the above statement before entering into the contract.

Place:
Date: Signature of Agent/ Intermediary / Official Date: Signature of Prospect / Policyholder
Part B
Gross Yield 8% pa Net Yield 6.34 % (Amount in Rupees)
Annualized Extra
Annualized Premium Premium - Allocation Policy Additions
Policy Premium Allocation Premium Morbidity Mortality added allong GST Admin Guarantee Rider to the Fund FMC Fund at Surrender Death
Year (AP) Charge Allocation Charge Charge with Charge Charge Charges# Fund* before FMC End of Year Value Benefit
(PAC) Charges Premium
(EA)
1 68,132 4,088 64,044 463 54 341 2,483 0 0 8,380 0 56,876 811 56,800 52,779 71,539
2 68,132 4,088 64,044 463 110 0 2,705 0 0 8,769 0 1,16,424 1,596 1,16,269 1,13,054 1,43,077
3 68,132 3,066 65,066 463 162 0 2,748 0 0 9,136 0 1,80,490 2,440 1,80,251 1,77,839 2,14,616
4 68,132 3,066 65,066 463 208 0 2,987 0 0 9,530 0 2,48,051 3,330 2,47,722 2,46,114 2,86,154
5 68,132 3,066 65,066 463 251 0 3,791 3,107 0 9,931 0 3,15,524 4,241 3,15,105 3,15,105 3,57,693
6 68,132 3,066 65,066 463 258 0 2,190 3,107 0 0 0 3,99,365 5,271 3,98,834 3,98,834 4,29,232
7 68,132 3,066 65,066 463 193 0 2,389 3,107 0 0 0 4,88,559 6,441 4,87,911 4,87,911 5,00,770
8 68,132 2,385 65,747 463 82 0 2,472 3,107 0 0 0 5,84,357 7,698 5,83,581 5,83,581 5,83,581
9 68,132 2,385 65,747 463 36 0 2,705 3,107 0 0 0 6,86,240 9,036 6,85,329 6,85,329 6,85,329
10 68,132 2,385 65,747 463 19 0 2,958 3,107 0 0 0 7,94,554 10,458 7,93,499 7,93,499 7,93,499
11 68,132 0 68,132 463 0 0 2,814 3,107 0 0 4,142 9,17,082 12,062 9,15,869 9,15,869 9,15,869
12 68,132 0 68,132 463 0 0 3,122 3,107 0 0 4,198 10,47,379 13,772 10,45,997 10,45,997 10,45,997
13 68,132 0 68,132 463 0 0 3,447 3,107 0 0 3,228 11,84,847 15,578 11,83,286 11,83,286 11,83,286
14 68,132 0 68,132 463 0 0 3,792 3,107 0 0 3,274 13,31,012 17,497 13,29,260 13,29,260 13,29,260
15 68,132 0 68,132 463 0 0 4,159 3,107 0 0 3,317 14,86,418 19,537 14,84,463 14,84,463 14,84,463
16 0 0 0 463 0 0 4,378 3,107 0 0 3,324 15,79,101 20,754 15,77,020 15,77,020 15,77,020
17 0 0 0 1,332 0 0 4,766 3,107 0 0 3,259 16,76,493 22,039 16,74,275 16,74,275 16,74,275
18 0 0 0 1,332 0 0 5,009 3,107 0 0 2,467 17,79,176 23,389 17,76,814 17,76,814 17,76,814
19 0 0 0 1,332 0 0 5,267 3,107 0 0 2,421 18,88,264 24,822 18,85,758 18,85,758 18,85,758
20 0 0 0 1,332 0 0 5,541 3,107 0 0 2,404 20,04,199 26,344 20,01,538 20,01,538 20,01,538
21 0 0 0 1,332 0 0 5,827 3,107 0 0 0 21,24,882 27,931 21,22,062 21,22,062 21,22,062
 Gross Yield 8% pa Net Yield 6.34 % (Amount in Rupees)
Annualized Extra
Annualized Premium Premium - Allocation Policy Additions
Policy Premium Allocation Premium Morbidity Mortality added allong GST Admin Guarantee Rider to the Fund FMC Fund at Surrender Death
Year (AP) Charge Allocation Charge Charge with Charge Charge Charges# Fund* before FMC End of Year Value Benefit
(PAC) Charges Premium
(EA)
22 0 0 0 2,066 0 0 6,261 3,107 0 0 0 22,52,263 29,609 22,49,273 22,49,273 22,49,273
23 0 0 0 2,066 0 0 6,581 3,107 0 0 0 23,87,658 31,386 23,84,489 23,84,489 23,84,489
24 0 0 0 2,066 0 0 6,921 3,107 0 0 0 25,31,573 33,276 25,28,212 25,28,212 25,28,212
25 0 0 0 2,066 0 0 7,282 3,107 0 0 0 26,84,542 35,284 26,80,979 26,80,979 26,80,979
26 0 0 0 2,066 0 0 7,667 3,107 0 0 0 28,47,137 37,419 28,43,357 28,43,357 28,43,357
27 0 0 0 3,168 0 0 8,272 3,107 0 0 0 30,18,617 39,679 30,14,609 30,14,609 30,14,609
28 0 0 0 3,168 0 0 8,702 3,107 0 0 0 32,00,886 42,072 31,96,637 31,96,637 31,96,637
29 0 0 0 3,168 0 0 9,160 3,107 0 0 0 33,94,624 44,615 33,90,118 33,90,118 33,90,118
30 0 0 0 3,168 0 0 9,647 3,107 0 0 0 36,00,552 47,319 35,95,772 35,95,772 35,95,772
31 0 0 0 3,168 0 0 10,164 3,107 0 0 0 38,19,437 50,193 38,14,367 38,14,367 38,14,367
32 0 0 0 4,773 0 0 11,000 3,107 0 0 0 40,50,134 53,234 40,44,758 40,44,758 40,44,758
33 0 0 0 4,773 0 0 11,580 3,107 0 0 0 42,95,347 56,453 42,89,645 42,89,645 42,89,645
34 0 0 0 4,773 0 0 12,196 3,107 0 0 0 45,55,989 59,875 45,49,941 45,49,941 45,49,941
35 0 0 0 4,773 0 0 12,851 3,107 0 0 0 48,33,030 63,513 48,26,615 48,26,615 48,26,615
36 0 0 0 4,773 0 0 13,547 3,107 0 0 0 51,27,504 67,379 51,20,697 51,20,697 51,20,697
37 0 0 0 16,275 0 0 16,338 3,107 0 0 0 54,26,456 71,387 54,19,252 54,19,252 54,19,252
38 0 0 0 16,275 0 0 17,089 3,107 0 0 0 57,44,218 75,559 57,36,593 57,36,593 57,36,593
39 0 0 0 16,275 0 0 17,888 3,107 0 0 0 60,81,974 79,994 60,73,900 60,73,900 60,73,900
40 0 0 0 16,275 0 0 18,736 3,107 0 0 0 64,40,982 84,707 64,32,432 64,32,432 64,32,432
 Gross Yield 4% pa (Amount in Rupees)
Annualized Extra
Annualized Premium Premium - Allocation Policy Additions
Policy Premium Allocation Premium Morbidity Mortality added allong GST Admin Guarantee Rider to the Fund FMC Fund at Surrender Death
Year (AP) Charge (PAC) Allocation Charge Charge with Charge Charge Charges# Fund* before FMC End of Year Value Benefit
Charges Premium
(EA)
1 68,132 4,088 64,044 463 57 341 2,481 0 0 8,380 0 54,584 794 54,512 50,652 71,539
2 68,132 4,088 64,044 463 127 0 2,696 0 0 8,769 0 1,09,557 1,531 1,09,412 1,06,196 1,43,077
3 68,132 3,066 65,066 463 204 0 2,730 0 0 9,136 0 1,66,529 2,295 1,66,308 1,63,896 2,14,616
4 68,132 3,066 65,066 463 292 0 2,956 0 0 9,530 0 2,24,266 3,070 2,23,968 2,22,360 2,86,154
5 68,132 3,066 65,066 463 400 0 3,743 3,107 0 9,931 0 2,79,035 3,828 2,78,664 2,78,664 3,57,693
6 68,132 3,066 65,066 463 501 0 2,124 3,107 0 0 0 3,46,857 4,662 3,46,396 3,46,396 4,29,232
7 68,132 3,066 65,066 463 566 0 2,302 3,107 0 0 0 4,16,198 5,589 4,15,645 4,15,645 5,00,770
8 68,132 2,385 65,747 463 621 0 2,362 3,107 0 0 0 4,87,930 6,547 4,87,282 4,87,282 5,72,309
9 68,132 2,385 65,747 463 666 0 2,547 3,107 0 0 0 5,61,299 7,528 5,60,554 5,60,554 6,43,847
10 68,132 2,385 65,747 463 698 0 2,733 3,107 0 0 0 6,36,357 8,530 6,35,513 6,35,513 7,15,386
11 68,132 0 68,132 463 661 0 2,498 3,107 0 0 4,145 7,20,346 9,647 7,19,395 7,19,395 7,86,925
12 68,132 0 68,132 463 591 0 2,692 3,107 0 0 4,214 8,06,467 10,796 8,05,406 8,05,406 8,58,463
13 68,132 0 68,132 463 495 0 2,885 3,107 0 0 3,270 8,93,763 11,962 8,92,592 8,92,592 9,30,002
14 68,132 0 68,132 463 361 0 3,076 3,107 0 0 3,358 9,83,363 13,158 9,82,081 9,82,081 10,01,540
15 68,132 0 68,132 463 179 0 3,264 3,107 0 0 3,466 10,75,399 14,385 10,74,005 10,74,005 10,74,005
16 0 0 0 463 0 0 3,291 3,107 0 0 3,567 11,00,095 14,714 10,98,673 10,98,673 10,98,673
17 0 0 0 1,332 0 0 3,507 3,107 0 0 3,632 11,24,400 15,044 11,22,951 11,22,951 11,22,951
18 0 0 0 1,332 0 0 3,565 3,107 0 0 3,006 11,48,638 15,368 11,47,160 11,47,160 11,47,160
19 0 0 0 1,332 0 0 3,625 3,107 0 0 3,050 11,73,492 15,700 11,71,984 11,71,984 11,71,984
20 0 0 0 1,332 0 0 3,686 3,107 0 0 3,082 11,98,965 16,040 11,97,426 11,97,426 11,97,426
21 0 0 0 1,332 0 0 3,744 3,107 0 0 661 12,22,569 16,358 12,20,993 12,20,993 12,20,993
22 0 0 0 2,066 0 0 3,932 3,107 0 0 591 12,45,781 16,674 12,44,168 12,44,168 12,44,168
23 0 0 0 2,066 0 0 3,989 3,107 0 0 495 12,69,446 16,991 12,67,792 12,67,792 12,67,792
24 0 0 0 2,066 0 0 4,048 3,107 0 0 361 12,93,536 17,314 12,91,836 12,91,836 12,91,836
25 0 0 0 2,066 0 0 4,107 3,107 0 0 179 13,18,012 17,642 13,16,263 13,16,263 13,16,263
26 0 0 0 2,066 0 0 4,166 3,107 0 0 0 13,42,867 17,974 13,41,084 13,41,084 13,41,084
27 0 0 0 3,168 0 0 4,424 3,107 0 0 0 13,66,988 18,304 13,65,173 13,65,173 13,65,173
28 0 0 0 3,168 0 0 4,484 3,107 0 0 0 13,91,677 18,634 13,89,829 13,89,829 13,89,829
29 0 0 0 3,168 0 0 4,544 3,107 0 0 0 14,16,947 18,972 14,15,066 14,15,066 14,15,066
30 0 0 0 3,168 0 0 4,606 3,107 0 0 0 14,42,813 19,317 14,40,898 14,40,898 14,40,898
31 0 0 0 3,168 0 0 4,670 3,107 0 0 0 14,69,288 19,671 14,67,338 14,67,338 14,67,338
32 0 0 0 4,773 0 0 5,022 3,107 0 0 0 14,94,466 20,019 14,92,482 14,92,482 14,92,482
33 0 0 0 4,773 0 0 5,084 3,107 0 0 0 15,20,238 20,363 15,18,219 15,18,219 15,18,219
34 0 0 0 4,773 0 0 5,147 3,107 0 0 0 15,46,616 20,715 15,44,563 15,44,563 15,44,563
35 0 0 0 4,773 0 0 5,212 3,107 0 0 0 15,73,615 21,076 15,71,526 15,71,526 15,71,526
36 0 0 0 4,773 0 0 5,278 3,107 0 0 0 16,01,251 21,445 15,99,125 15,99,125 15,99,125
37 0 0 0 16,275 0 0 7,399 3,107 0 0 0 16,15,773 21,723 16,13,629 16,13,629 16,13,629
38 0 0 0 16,275 0 0 7,435 3,107 0 0 0 16,30,638 21,921 16,28,474 16,28,474 16,28,474
39 0 0 0 16,275 0 0 7,471 3,107 0 0 0 16,45,853 22,124 16,43,669 16,43,669 16,43,669
40 0 0 0 16,275 0 0 7,509 3,107 0 0 0 16,61,427 22,332 16,59,221 16,59,221 16,59,221
Notes:
1. Refer the sales literature for explanation of terms used in this illustration.
2. Fund management charge is based on the specific fund option(s) chosen.
3. Annualised premium excludes underwriting extra premium, frequency loadings on premiums, the premium paid towards the riders, if any, and Goods and Services Tax. .
4. *Additions to the Fund refers to return of Premium Allocation charges and return of mortality charges under the plan.
5. In case rider charges are collected explicitly through collection of rider premium, and not by way of cancellation of units, then, such charges are not considered in this illustration. In other cases, rider charges are included in Rider/Other
charges.
6. EA includes additional premium allocation for Female lives && Autodebit discount
7. #Rider Charges are including loadings, if any

I, ___________________________ (name), have explained the premiums, charges and benefits under the policy I, , having received the information with respect to the above, have understood the above statement before
fully to the prospect / policyholder. entering into the contract.

Place:
Date: 20 Oct 2024 Date: 20 Oct 2024
Signature of Agent/ Intermediary/ Official Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2023/Jul/2077 (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 number1860-266-9966 (local charges apply) or Visit us at: [Link]
Annexure to Tata AIA Health Pro
Policyholder Details
Name of the Prospect/Policyholder : Plan Details
Gender: Female Product Name under Package Product Type UIN
Age (years): 50 Tata AIA Health Pro Unit Linked 110L180V01
Name of the Life Assured: Tata AIA Health Secure Unit Linked 110A050V01
Gender: Female
Age (years): 50 Tata AIA Health Pro, A Non - Participating, Unit Linked, Individual Health Insurance Plan (UIN: 110L180V01), Tata AIA
Smoker: No Health Secure, A Non -participating, Unit linked, Individual Health Rider (UIN: 110A050V01)
Policy Term (years): 40 Fund details under Tata AIA Health Pro (Linked Product)
Premium Payment Term (years): 15 Fund Name Allocation Percentage Risk Profile
Total Annualized Premium (Rs.): 68,132 Nifty Alpha 50 Index Fund (ULIF 077
Mode of Payment of Premium: Annual 100% High
30/09/24 NAF 110)

Tata AIA Health Pro At 8%p.a. Gross Investment Return

Policy Year Annualised Premium Total AIA HealthSecure Charges Premium allocated towards Fund
Fund at End of Year Death Benefit^ Surrender Value
1 68,132 8,380 64,044 56,800 71,539 52,779
2 68,132 8,769 64,044 1,16,269 1,43,077 1,13,054
3 68,132 9,136 65,066 1,80,251 2,14,616 1,77,839
4 68,132 9,530 65,066 2,47,722 2,86,154 2,46,114
5 68,132 9,931 65,066 3,15,105 3,57,693 3,15,105
6 68,132 10,186 65,066 3,86,371 4,29,232 3,86,371
7 68,132 10,741 65,066 4,61,422 5,00,770 4,61,422
8 68,132 11,293 65,747 5,41,392 5,72,309 5,41,392
9 68,132 11,907 65,747 6,25,705 6,43,847 6,25,705
10 68,132 12,580 65,747 7,25,827 7,25,827 7,25,827
11 68,132 13,273 68,132 8,35,067 8,35,067 8,35,067
12 68,132 14,106 68,132 9,51,350 9,51,350 9,51,350
13 68,132 14,966 68,132 10,74,040 10,74,040 10,74,040
14 68,132 15,862 68,132 12,04,620 12,04,620 12,04,620
15 68,132 16,752 68,132 13,64,876 13,64,876 13,64,876
16 0 17,765 0 14,41,611 14,41,611 14,41,611
17 0 19,107 0 15,21,438 15,21,438 15,21,438
18 0 20,576 0 16,04,552 16,04,552 16,04,552
19 0 22,147 0 16,91,752 16,91,752 16,91,752
20 0 24,156 0 18,12,082 18,12,082 18,12,082
21 0 26,196 0 19,06,578 19,06,578 19,06,578
22 0 28,133 0 20,04,814 20,04,814 20,04,814
 Tata AIA Health Pro At 8%p.a. Gross Investment Return
Policy Year Annualised Premium Total AIA HealthSecure Charges Premium allocated towards Fund
Fund at End of Year Death Benefit^ Surrender Value
23 0 30,161 0 21,07,713 21,07,713 21,07,713
24 0 32,524 0 22,15,225 22,15,225 22,15,225
25 0 34,447 0 23,66,622 23,66,622 23,66,622
26 0 36,439 0 24,88,032 24,88,032 24,88,032
27 0 39,625 0 26,13,232 26,13,232 26,13,232
28 0 43,044 0 27,43,383 27,43,383 27,43,383
29 0 46,677 0 28,78,583 28,78,583 28,78,583
30 0 50,521 0 30,68,845 30,68,845 30,68,845
31 0 54,634 0 32,17,804 32,17,804 32,17,804
32 0 59,022 0 33,70,538 33,70,538 33,70,538
33 0 63,570 0 35,28,855 35,28,855 35,28,855
34 0 68,238 0 36,93,009 36,93,009 36,93,009
35 0 73,046 0 39,27,298 39,27,298 39,27,298
36 0 78,184 0 41,08,034 41,08,034 41,08,034
37 0 87,291 0 42,77,068 42,77,068 42,77,068
38 0 94,876 0 44,49,211 44,49,211 44,49,211
39 0 1,02,926 0 46,24,076 46,24,076 46,24,076
40 0 1,11,595 0 53,39,859 53,39,859 53,39,859

Tata AIA Health Secure rider charges are guaranteed for 5 years and rider may be renewed every 5 years. Charges from 6th year onwards i.e. on renewal, are basis current applicable rates and are shown for illustrative purposes only. The
charges at the time of renewal will be based on then prevailing rates as applicable. You will be notified of the exact charge through your monthly unit statement.
Premium allocated towards fund is net of all applicable charges.
^Death benefit above represents death benefit under Tata AIA Health Pro Plan, which is higher of Fund value or 105% of Total premium paid less deductible partial withdrawals, if any.
The linked insurance product do not offer any liquidity during the first five years of the contract. The policy holder will not be able to surrender/withdraw the monies invested in linked insurance products completely or partially till the end of
the fifth year
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 benefits then these will be clearly marked
'guaranteed' in the illustration table on this page. If your policy offers variable benefits then the illustration on this page will show two different rates of assumed future investment returns, of 8% p.a. and 4% p.a. These assumed rates of
return are not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your policy is dependant on a number of factors including future investment performance.
Tata AIA Health Pro, A Non-participating,Unit Linked, Individual Health Insurance Plan (UIN: 110L180V01) and Tata AIA Health Secure, A Non- Participating,Unit Linked, Individual Health rider (UIN: 110A050V01).Tata AIA Health Pro is also
available individually for sale.

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: [Link]
Beware of Spurious Calls and Fictitious / Fraudulent Offers. IRDAI is not involved in activities like se ling insurance policies, announcing bonus or investment of premiums. Public receiving such phone calls are requested to lodge a police
complaint