BENEFIT ILLUSTRATION
[Date and Time of Illustration – 29 August 2025, 12:00 PM]
Name of the Prospect/Policyholder: Mr. praveen Proposal No:
Name of the Product: Axis Max Life Smart Wealth Plan
Age & Gender: 41 Years, Male
Tag Line: A Non-Linked Non Participating Individual Life Insurance Savings Plan
Name of the Life Assured: Mr. praveen Unique Identification No: 104N116V14
Age & Gender: 18 Years, Male GST Rate (Base Policy, First Year): 4.50%
Policy Term: 15 Years GST Rate (Base Policy, Subsequent Year): 2.25%
Premium Payment Term: 10 Years GST Rate (Rider, First Year): NA
Amount of Installment Premium: `1,88,100 GST Rate (Rider, Subsequent Year): NA
Mode of payment of premium: Annual
Annual Income Amount: NA Axis Max Life State: Haryana
Income Period, if applicable: NA Policyholder Residential State/Country: Haryana
Mode of Income, if applicable: NA
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Lump Sum Sum Assured (in Rs.) 20,70,000
Sum Assured on Death (at inception of the policy) (in Rs.) 19,80,000
Rider Details
Accidental Death & Dismemberment (ADD) Rider Premium
NA Accidental Death & Dismemberment (ADD) Rider Sum Assured (in Rs.) NA
Payment Term and Rider Term
Term Plus Rider Term NA Term Plus Rider Sum Assured (in Rs.) NA
Waiver of Premium (WOP) Plus Rider Term NA
Critical Illness and Disability Rider - Rider Premium Payment
NA Critical Illness and Disability Rider - Coverage Variant NA
Term and Rider Term
Critical Illness and Disability Rider - Rider Sum Assured NA
Premium Summary
Accidental Death & Waiver of Premium Plus Critical Illness and
Base Plan Dismemberment Rider
Term Plus Rider Rider
Total Installment Premium
Disability Rider
Installment Premium without GST (in Rs.) 1,80,000 0 0 0 0 1,80,000
Installment Premium with first year GST (in Rs.) 1,88,100 0 0 0 0 1,88,100
Installment Premium with GST 2nd year onwards (in Rs.) 1,84,050 0 0 0 0 1,84,050
UIN: 104N116V14 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 1 of 2
(Amount in Rupees)
Guaranteed Non Guaranteed
Single/ Annualized
Policy Year Total Annual Premium Other Benefits, if any
Premium Accrued Guaranteed Guaranteed Surrender Special Surrender Surrender Value
(Guaranteed Sum Maturity Benefit Death Benefit
Additions Value Value Payable (EOY)
Assured at Maturity)
1 1,80,000 1,80,000 - - - 19,80,000 - 75,081 75,081
2 1,80,000 1,80,000 - - - 19,80,000 1,08,000 1,61,362 1,61,362
3 1,80,000 1,80,000 - - - 19,80,000 1,89,000 2,60,117 2,60,117
4 1,80,000 1,80,000 - - - 19,80,000 3,60,000 3,72,758 3,72,758
5 1,80,000 1,80,000 - - - 19,80,000 4,50,000 5,00,832 5,00,832
6 1,80,000 1,80,000 - - - 19,80,000 5,40,000 6,46,065 6,46,065
7 1,80,000 1,80,000 - - - 19,80,000 6,30,000 8,10,315 8,10,315
8 1,80,000 1,80,000 - - - 20,67,696 8,02,224 9,95,654 9,95,654
9 1,80,000 1,80,000 - - - 24,27,570 9,95,166 12,04,354 12,04,354
10 1,80,000 1,80,000 - - - 28,16,100 12,08,520 14,38,919 14,38,919
11 - - - - - 30,41,460 13,11,480 15,47,516 15,47,516
12 - - 3,50,586 - - 32,84,820 15,19,436 19,45,345 19,45,345
13 - - 7,01,172 - - 35,47,620 17,27,572 23,94,955 23,94,955
14 - - 10,51,758 - - 38,31,480 19,35,527 29,01,928 29,01,928
15 - - 14,02,344 20,70,000 34,72,344 41,37,840 20,40,703 34,72,344 34,72,344
Notes:
• Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax.
• Total Annual Premium includes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any but excludes Goods and Service Tax.
• Refer Sales literature (Prospectus) for explanation of terms used in this illustration.
I, ……………………………………………. (name),have explained the premiums, and benefits I, praveen (name), having received the information with respect to the above, have understood
under the product fully to the prospect / policyholder. the above statement before entering into the contract.
Place: Signature / Thumb Impression / Electronic Signature of Date:8/29/25 Signature / Thumb Impression / Electronic Signature of
Date: 8/29/25 Agent/ Intermediary / Official of the insurer Prospect/ Policyholder
This system generated benefit illustration shall be treated as signed by me.
UIN: 104N116V14 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 2 of 2
