BENEFIT ILLUSTRATION
[Date and Time of Illustration – 16 June 2025, 10:26 AM]
Name of the Prospect/Policyholder: [Link]
Proposal No:
Name of the Product: Axis Max Life Smart Term Plan Plus
Age & Gender: 34 Years, Male
Tag Line: A Non-Linked Non-Participating Individual Pure Risk Life Insurance Plan
Name of the Life Assured:
[Link] Unique Identification No: 104N127V03
Age & Gender: 34 Years, Male GST Rate (Base Policy, First Year): 18.00%
Risk Class: Non-Smoker GST Rate (Base Policy, Subsequent Year): 18.00%
Policy Term: 41 Years GST Rate (Rider, First Year): 18.00%
Premium Payment Term: 15 Years GST Rate (Rider, Subsequent Year): 18.00%
Amount of Installment Premium: Rs.6025
Axis Max Life State: Haryana
Mode of payment of premium: Monthly
Policyholder Residential State: Haryana
Discount Applicable: Salaried Discount
Female Discount (throughout PPT): NA
First Year Discount%: 15.00%
First Year Discount: Rs.8241.16
Second Year & Onwards Discount%: NA
Second Year & Onwards Discount: NA
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Plan Variant Regular Cover Sum Assured (in Rs.) 1,50,00,000
Sum Assured on Death (at inception of the policy) (in Rs.) 1,50,00,000
Sum Assured Booster NA
Optional Benefit Details
Optional Benefit Name Applicability/ Opted Sum Assured Coverage Term Payment Term
Maternity Cover No NA NA NA
Rider Details
Rider Name Applicability/ Opted Sum Assured Coverage Term Payment Term
Waiver of Premium (WOP) Plus Rider Yes NA 15 Years 15 Years
Critical Illness and Disability Rider_Platinum Plus Yes 20,00,000 20 Years 15 Years
Accidental Death And DIsmemberment Rider No NA NA NA
UIN: 104N127V03 Page 1 of 3
Premium Summary
Accidental Death And
Dismemberment Waiver of Premium Critical Illness and Total Installment
Type Base Plan Maternity Cover
Rider Plus Rider Disability Rider Premium
Installment Premium without GST (in Rs.) 3,892 0 0 134 1,081 5,106
Installment Premium with first year GST (in Rs.) 4,592 0 0 158 1,275 6,025
Installment Premium with GST 2nd year onwards (in Rs.) 5,403 0 0 158 1,275 6,836
(Amount in Rupees)
Guaranteed Non Guaranteed
Policy Year Single/ Annualized Premium
Survival Benefits/ Other Benefits, if Early Exit Special Exit Value Guaranteed Special Surrender Surrender Value
Maturity Benefit Death Benefit
Loyalty Additions any Value Surrender Value Value Payable (EOY)
1 44,223 0 0 0 1,50,00,000 0 0 NA NA NA
2 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
3 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
4 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
5 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
6 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
7 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
8 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
9 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
10 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
11 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
12 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
13 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
14 52,028 0 0 0 1,50,00,000 0 0 NA NA NA
15 52,028 0 0 0 1,50,00,000 3,62,169 0 NA NA NA
16 0 0 0 0 1,50,00,000 3,48,239 0 NA NA NA
17 0 0 0 0 1,50,00,000 3,34,310 0 NA NA NA
18 0 0 0 0 1,50,00,000 3,20,380 0 NA NA NA
19 0 0 0 0 1,50,00,000 3,06,450 0 NA NA NA
20 0 0 0 0 1,50,00,000 2,92,521 0 NA NA NA
21 0 0 0 0 1,50,00,000 2,78,591 0 NA NA NA
22 0 0 0 0 1,50,00,000 2,64,662 0 NA NA NA
23 0 0 0 0 1,50,00,000 2,50,732 0 NA NA NA
UIN: 104N127V03 Page 2 of 3
Guaranteed Non Guaranteed
Policy Year Single/ Annualized Premium
Survival Benefits/ Other Benefits, if Early Exit Special Exit Value Guaranteed Special Surrender Surrender Value
Maturity Benefit Death Benefit
Loyalty Additions any Value Surrender Value Value Payable (EOY)
24 0 0 0 0 1,50,00,000 2,36,803 0 NA NA NA
25 0 0 0 0 1,50,00,000 2,22,873 0 NA NA NA
26 0 0 0 0 1,50,00,000 2,08,943 0 NA NA NA
27 0 0 0 0 1,50,00,000 1,95,014 0 NA NA NA
28 0 0 0 0 1,50,00,000 1,81,084 0 NA NA NA
29 0 0 0 0 1,50,00,000 1,67,155 0 NA NA NA
30 0 0 0 0 1,50,00,000 1,53,225 8,15,874 NA NA NA
31 0 0 0 0 1,50,00,000 1,39,296 8,15,874 NA NA NA
32 0 0 0 0 1,50,00,000 1,25,366 8,15,874 NA NA NA
33 0 0 0 0 1,50,00,000 1,11,437 8,15,874 NA NA NA
34 0 0 0 0 1,50,00,000 97,507 8,15,874 NA NA NA
35 0 0 0 0 1,50,00,000 83,577 8,15,874 NA NA NA
36 0 0 0 0 1,50,00,000 69,648 8,15,874 NA NA NA
37 0 0 0 0 1,50,00,000 55,718 8,15,874 NA NA NA
38 0 0 0 0 1,50,00,000 41,789 0 NA NA NA
39 0 0 0 0 1,50,00,000 27,859 0 NA NA NA
40 0 0 0 0 1,50,00,000 13,930 0 NA NA NA
41 0 0 0 0 1,50,00,000 0 0 NA NA NA
Notes:
1. Annualized Premium includes base policy and additional benefits premium, if opted. It excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and
Service Tax.
I, …………………………………………….(name),have explained the premiums, and benefits I, [Link](name), having received the information with respect to the above, have
under the product fully to the prospect / policyholder. understood the above statement before entering into the contract.
Place: Signature / Thumb Impression / Electronic Signature of Date:6/16/25 Signature / Thumb Impression / Electronic Signature of
Date: 6/16/25 Agent / Intermediary / Official of the insurer Prospect / Policyholder
This system generated benefit illustration shall be treated as signed by me.
UIN: 104N127V03 Page 3 of 3
