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SAMJHO HO GAYA.
Bajaj Allianz Life
Guaranteed Income Goal
A Non-Linked Non-Participating, Individual,
Life Insurance Savings Plan

^Conditions apply

Key Feature Document

Bajaj Allianz Life Guaranteed Income Goal is life, Individual, Non-Linked, Non-Participating, Regular & Limited premium payment plan with choice
Aim of the
of two variants - Income Benefit and Lumpsum Benefit and option to choose Extended Life Cover (ELC). For policies purchased through POS channel,
policy no medicals shall be conducted

Guaranteed Maturity Benefit

If Lumpsum Benefit option is chosen by you, on the maturity date, if all premiums are paid, your Guaranteed Maturity Benefit payable will be an
enhanced percentage of your Sum Assured which is called as Guaranteed Enhancer (GE).
For detailed GE numbers, please refer the table mentioned in the Sales Literature / Policy Document.
If Income Benefit option is chosen by you, on the maturity date, if all premiums are paid, your Guaranteed Maturity Benefit will be paid in yearly, half-
yearly, quarterly or monthly installments which are called as Guaranteed Maturity Installments (GMI) and will be paid for a period equal to your
Premium Payment Term (PPT).
For detailed GMI numbers, please refer the table mentioned in the Sales Literature / Policy Document.
Benefits
under the
Policy Death Benefit
Under Lumpsum Benefit (where all due premiums have been paid:)
i. Death Benefit during the Policy Term is the, Sum Assured on Death. The policy will terminate on payment of the Death Benefit.
ii. Death Benefit during ELC period (only if chosen) is the Sum Assured on Death, the policy will terminate on payment of the Death Benefit.
Under Income Benefit (where all due premiums have been paid:)
i. Death Benefit during the Policy Term is the Sum Assured on Death. The policy will terminate on payment of the Death Benefit.
ii. Death Benefit during payout period i.e. after the policy term is -
• If ELC is chosen then the Sum Assured on Death will be paid. The risk cover will terminate immediately and the Policy will terminate on
payment of last GMI.
• IF ELC is not chosen then remaining Maturity Instalments will be paid. The Policy will terminate on payment of last GMI.
Note:- Sum Assured on Death is the higher of (i) 10 times Annualized Premium, (ii) 105% of total premiums paid as on date of death, (iii) chosen Sum Assured,
For detailed terms & conditions, please refer the Sales Literature / Policy Document

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver. 1: English
 At the inception of the policy, you will have the option to choose the extended life cover under the policy.
(i) The amount of risk cover during the ELC period is equal to the Sum Assured on Death.
Extended
(ii) The ELC will start from the date of maturity and will continue for an ELC period equal to the duration of the PPT, starting from the date of
Life Cover maturity.
(ELC) (iii) On death the Sum Assured on Death will be paid
(iv) Once chosen at inception, the ELC cannot be removed from the policy.

You may avail loan under your policy, provided that your policy has acquired a surrender benefit. The maximum loan amount granted shall be up to
Loan 70% of the surrender benefit available under your policy as on date of the loan request being considered.

Grace A grace period of 30 days for yearly, half yearly & quarterly premium payment frequency and 15 days is available for monthly premium payment
Period frequency from the due date of Regular Premium payment, without any late fee.

Non- If you have not paid: If you have paid at least:

•First 2 full years Regular Premiums, then your Policy • First 2 full years Regular Premiums, your Policy will be converted to a Paid-up
payment will immediately and automatically lapse at the expiry Policy on the expiry of the Grace Period, with applicable Paid-up Sum Assured,
of of the Grace Period and no benefits will be payable Paid-up Sum Assured on Maturity & Paid-up Sum Assured on Death,
premium under the policy. • You will not be entitled to the full Policy benefits under a Paid-up Policy .

Surrender Benefit will be available under the policy if at least two full year’s premiums have been paid
Surrender You can surrender the policy anytime during the policy term under Lumpsum benefit and anytime up to the end of GMI period under Income benefit.
Benefit
The surrender benefit will be higher of the Guaranteed Surrender Value (GSV) or the Special Surrender Value (SSV).

You may revive your lapsed/ Paid-up Policy during the Revival Period of five (5) years from the due date of first unpaid premium,
Revival subject to the revival conditions under the Policy .

Waiting
No waiting period is applicable under the policy.
Period
.

Suicide In case of death of life assured due to suicide within 12 months from the date of commencement of risk or the date of latest revival of the policy,
Claim whichever is later, then the Nominee or beneficiary of the Policyholder shall be entitled to receive, the higher of 80% of the total premiums paid or the
surrender benefit as on the date of death, provided the policy is in force.
Provisions

Free You will have the option to review the terms and conditions of the policy and if you disagree to any of the terms & conditions, you will have an option
Look to return the policy within 15 days of the receipt of this policy and thirty (30) days in case of electronic policy and policy obtained through distance
mode stating the reasons for your objections.
Cancellation

Contact us Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit us: www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : customercare@bajajallianz.co.in,Call on : Toll free no. 1800 209 7272.

Do’s
• Do fill the proposal form very carefully and personally in CAPITAL letters in blue ink only
• Do provide true and complete information
• Do provide correct contact number, address and email ID, and update in case of any change, so that you can receive necessary
communication
• Do sign on all the documents provided by you (Self Attestation)
• Do provide your recent passport photograph
• Do draw cheque/ DD, in favour of “Bajaj Allianz Life Insurance Co. Ltd.”
Do’s & Don’ts • Do read the policy bond carefully upon receipt of the same.
• Do contact us if you do not receive the policy bond or any other communication from the Company within 30 days.
• Do read the enclosed Benefit Illustration carefully before signing
• Do register for Auto Debit Instructions/ ECS to ensure timely payments of your premium on due dates.
Don’ts
• Do not sign any blank proposal form
• Do not leave any column blank in the proposal form
• Do not conceal any facts as this could lead to dispute at the time of a claim
• Do not miss or delay your premium payment
• Do not rely on any commitments of any additional benefits made by anyone apart from what has been highlighted herein above.

Disclaimer: This document contains the highlights of the product Bajaj Allianz Life Guaranteed Income Goal UIN: 116N157V10 and is subject to the terms and conditions as contained in the sales
brochure or Policy Document. The terms and conditions as contained in the Policy Document shall govern the contractual relationship and shall be binding. For details on any of the matters highlighted
herein above, please refer to Policy Document upon receipt of the same by you. The standard terms and conditions of the product is also available on the Company website (at www.bajajallianzlife.com)

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver. 1: English
Quotation No : 60055305243

Bajaj Allianz Life Guaranteed Income Goal

A Non-Linked Non-Participating , Individual, Life Insurance Savings Plan

Name of the Prospect/ AB Name of the Product: Bajaj Allianz Life Guaranteed Income
Policyholder: Goal
Age (Years): 28 A Non-Linked Non-Participating ,
Gender Male Tag Line: Individual, Life Insurance Savings
Plan
Name of the Life Assured: AB
Unique Identification Number: 116N157V10
Age (Years): 28
GST Rate(First Year): 4.50%
Gender Male
GST Rate(2nd Year onwards): 2.25%
Policy Term (Years): 15
Premium Payment Term 12
(Years):
Amount of Instalment 52,252
Premium (Rs.):
Mode of Payment of Annual
Premium:

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option: Lumpsum Benefit Sum Assured (Rs.): 1,64,516

Extended Life Cover (ELC): No Sum Assured on Death (at 5,00,020

inception of the Policy) (Rs.):

Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST 50,002 0 50,002
Instalment Premium with First Year GST 52,252 0 52,252
Installment Premium with GST 2nd year 51,127 0 51,127
Onwards

(Amount in Rupees )
# ##

Guaranteed Non Guaranteed

Life Annualised Maturity Death Maturity Benefit Under Guaranteed Special Surrender Surrender Value
Policy Extended Life Surrender Value
Year Assured's Premium (Excl of Cover (ELC) Benefit EOYe Benefit^! EOYe Paid-Up Policy EOTe Value (SSV) EOYe Receivable EOYe
Age GST) (GSV) EOYe
1 28 50,002 0 0 5,00,020 0 0 0 0
2 29 50,002 0 0 5,00,020 1,65,887 30,001 15,680 30,001
3 30 50,002 0 0 5,00,020 2,48,830 52,502 28,136 52,502
4 31 50,002 0 0 5,00,020 3,31,774 1,00,004 44,903 1,00,004
5 32 50,002 0 0 5,00,020 4,14,717 1,25,005 67,219 1,25,005
6 33 50,002 0 0 5,00,020 4,97,661 1,50,006 96,642 1,50,006
7 34 50,002 0 0 5,00,020 5,80,604 1,75,007 1,35,139 1,75,007
8 35 50,002 0 0 5,00,020 6,63,548 2,40,010 1,85,176 2,40,010
9 36 50,002 0 0 5,00,020 7,46,491 2,70,011 2,49,845 2,70,011
10 37 50,002 0 0 5,25,021 8,29,435 3,50,014 3,33,082 3,50,014
11 38 50,002 0 0 5,77,523 9,12,378 4,12,517 4,39,723 4,39,723
12 39 50,002 0 0 6,30,025 9,95,322 4,80,019 5,75,706 5,75,706
13 40 0 0 0 6,90,854 9,95,322 5,10,020 6,90,854 6,90,854
14 41 0 0 0 8,29,169 9,95,322 5,40,022 8,29,169 8,29,169

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Quotation No : 60055305243

# ##

Guaranteed Non Guaranteed

Life Annualised Maturity Death Maturity Benefit Under Guaranteed Special Surrender Surrender Value
Policy Assured's Premium (Excl of Extended Life Surrender Value
Year Cover (ELC) Benefit EOYe Benefit^! EOYe Paid-Up Policy EOTe Value (SSV) EOYe Receivable EOYe
Age GST) (GSV) EOYe
15 42 0 0 9,95,322 9,95,322 0 0 0 0

Notes:
Annua lized premium excludes underwri ng extra premium, the premiums pa id towa rds the riders , if a ny a nd Goods a nd Service Ta x. Refer Sa les litera ture for
expla na tion of terms us ed in this illus tra tion.

EOY e: End Of Policy Yea r EOT e: End Of Policy Term

^! In ca s e of Dea th Benefit, the corres ponding number in the 'Policy Yea r' column s hould be rea d a s the Yea r in which Dea th ha ppens a t Yea r-End.
# In ca s e of 'Pa id-Up' Benefits , the corres ponding number in the 'Policy Yea r' column s hould be rea d a s the Number of Completed Yea rs ' Premiums Pa id.

## In ca s e of 'Surrender' Benefits , the corres ponding number in the 'Policy Yea r' column s hould be rea d a s the Yea r in which the Policy is Surrendered a t Yea r-End.

I, ___ _____ (name), have explained the premiums, charges and I, ___ A B _____ (name), having received the informa on with
benefits under the policy fully to the prospect / policyholder. respect to the above, have understood the above statement before
entering into the contract.

Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder

Disclaimers:
1. The a bove informa tion mus t be rea d in conjunction with Sa les Litera ture.
2. For a ny further cla rifica tion, conta ct our s a les repres enta tive or e-ma il us on cus tomerca re@ba ja ja llia nz.co.in.
3. The compa ny decla res tha t it ma y cha rge extra premium s ubject to underwriting of propos a l before is s ua nce of the policy.
4. The pla n provides (i) the gua ra nteed ma turity benefit in a lump-s um in Va ria nt 1 – Lump Sum Benefit a nd (ii) ma turity benefit in ins ta lments in Va ria nt 2 –
Income Benefit
5. For yea rly ins ta lments , the firs t MI a t the end of one (1) yea r [a s a percenta ge of Sum As s ured] is a s s hown below.

PT-PPT 5-5 10-5 12-5 7-7 10-7 12-7 10-10 12-12

As % of Sum Assured 40% 40% 50% 45% 45% 55% 50% 55%
Ea ch s ubs equent ins ta lment will be increa s ed by 5% (over the jus t previous ins ta lment).
For other ins ta lment frequencies , a fa ctor a s per the ta ble below will be a pplied on the MI %-a ges mentioned a bove.

Frequency Half-yearly Quarterly Monthly

Factor 0.49 0.24 0.08
6. Surrender Va lue (SSV) a s illus tra ted a bove a re only for the illus tra ve purpos e ba s ed on current SSV1 & SSV2 fa ctors . Thes e fa ctors a re not gua ra nteed a nd
compa ny will review thes e fa ctors from time to time, s ubject to IRDAI a pprova l.
7. Goods & Service Ta x would be levied a s per a pplica ble ta x la ws currently.
8. Premiums pa ya ble a nd benefits receiva ble a re eligible for ta x benefits , a s per exis ting ta x la ws .
9. All the benefits under this pla n a re gua ra nteed.

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116.
Tel:(020) 66026777.
Email: customercare@bajajallianz.co.in
www.bajajallianzlife.com

O.X.X