Product Proposal for achieving your Life Goals

Bajaj Allianz Life ACE

A Non linked, Participating, Individual
Life Insurance Savings Plan
UIN: 116N186V02

Hi Mr. Dindyan Kumar,

Congratulations on taking the first step towards fulfilling your Life Goals with Bajaj Allianz Life Insurance. You
have opted for Bajaj Allianz Life ACE , a truly modular product where you are the one in charge of your financial
plan along with life cover

Key Features

Decide your Income Wide range of policy term Choice of premium Life Cover to Comprehensive Tax Benefits
amount and Income from 10 to 85 years or up payment term from 5 to secure your coverage through
start year to age 100 years 10 year or 12 years planned Life multiple riders
Goals
 Here's your illustration of Bajaj Allianz Life ACE

Age 41 45 50

(5 years)

(10 years)

You Pay You Get

Premium 1st Income Last Income
Including discounts (if any) and Guaranteed Income (A) ₹2,973 ₹2,973
excluding GST
(From Age 41 to 50)
First year
Cash Bonus (B) @8% ₹4,460 @8% ₹4,460
₹ 4,900 Monthly
(From Age 41 to 50) @4% ₹743 @4% ₹743
Second year Income Benefit (A+B) @8% ₹7,433 @8% ₹7,433
onwards (From Age 41 to 50) @4% ₹3,716 @4% ₹3,716
₹ 5,000 Monthly
Maturity Benefit (At age 50) @8% ₹3,12,876 @4% ₹3,01,978

Total Premium Total Benefits

₹ 2,84,572 @8% ₹ 3,87,206 @4% ₹ 3,39,138

Life Cover(At Inception)

6,28,572

Additional Coverages ( signifies Opted | signifies Not-opted )

Accidental death Benefit Accidental Permanent Total/Partial Family Income Benefit

Disability Benefit

Critical Illness Benefit Waiver of Premium benefit

2
Above Additonal Coverages Premiums are excluding GST
^Premiums are payable at the beginning of year; ^^Benefits to be received at the end of year. Product features mentioned above are dependent on benefit chosen.The assumed rate of returns indicated
at 4% and 8% are illustrative and not guaranteed and do not indicate the upper or lower limits of returns under the policy.The guaranteed benefits are dependent on the Policy terms, Premium payment
terms availed along with other variable factors.The above benefits/returns shown in the document are for illustrative purpose only & must be read in conjunction with the Benefit Illustration. For more
details on risk factors, terms and conditions please read sales brochure & policy document (available on www.bajajallianzlife.com) carefully before concluding a sale.Tax benefits as per prevailing Income
tax laws shall apply. Please check with your tax consultant for eligibility. Product features mentioned above are dependent on benefit chosen
 Why Bajaj Allianz Life

Total Asset Under Net Worth Number of Lives

Managment (AUM) Covered

Individual Claim Get 1 day claim As against IRDAI

settlement Ratio approval mandated 150%

* All figures as on 31 March 2023

For more details please refer to Company Factsheet
https://www.bajajallianzlife.com/content/dam/balic/pdf/financialinformation/Factsheet/none/Q1/Factsheet-FY-2022-2023.pdf

3
Bajaj A llianz L ife Insurance Co.L td., CIN : U66010P N 2001P L C015959 | IRDA I Reg.N o. 116 BEW ARE OF SPURIOUS PHONE CALLS AND FICTITIOUS /
Mail us: customercare@bajajallianz.co.in | Call on: T oll free no. 1800 209 7272 FRADULENT OFFERS -
Registered O ffice A ddress: Bajaj A llianz House, A irport Road, Yerawada, P une - 411006, IRDAI is not involved in activities like selling insurance policies,
Maharashtra announcing bonus or investment of premiums. Public
T he L ogo of Bajaj A llianz L ife Insurance Co. L td. is provided on the basis of license given receiving such phone calls are requested to lodge a police
by Bajaj Finserv L td.to use its "Bajaj" L ogo and A llianz SE to use its "A llianz" logo. complaint.
Quotation No : 60061514449

Bajaj Allianz Life ACE

A Non linked, Participating, Individual Life Insurance Savings Plan

Name of the Prospect/ Policyholder: Dindyan Kumar Name of the Product: Bajaj Allianz Life ACE
Age: 41 Gender: Male Tag Line: A Non linked, Participating, Individual Life
Name of the Life Assured: Dindyan Kumar Insurance Savings Plan
Age: 41 Gender: Male Unique Identification Number: 116N186V02
Premium Payment Term: 5 GST Rate(First Year): 4.50%
Policy Term: 10 GST Rate(2nd Year onwards): 2.25%
Deferment Period: 0
Amount of Instalment Premium: 5,121
Mode of Payment of Premium: Monthly
How to read and understand this benefit illustration?
This benefit illustration is intented to show year-wise premiums payable and benefits under the policy, at two assumed rates of
interest i.e., 8% p.a. and 4% p.a.

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 illustrations 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 dependent on a number of factors including future investment performance.

Policy Details

Early Income Wealth Income Benefit Monthly

Frequency

Premium Allocation 89% 11% Goal Protection No

Benefit

Benefit Sum Assured* 78,244 17,243 Accumulate Income No

Benefits
Income Period 10 NA
Bonus Type Cash Bonus, Simple Revisionary Bonus and
Sum Assured on Death (at 6,28,572 Terminal Bonus
inception of policy)

*Benefit Sum Assured will be used for calculating Guaranteed Income and declaring Bonuses, and will not be payable on Maturity or
Death.

Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST (including 4,900 0 4,900
2.00% discount in 1st year)
Installment Premium without GST(2nd year) 5,000 0 5,000
Instalment Premium with First Year GST 5,121 0 5,121
Installment Premium with GST 2nd year 5,113 0 5,113
Onwards
(Amount in Rupees )

O.X.X.A.X
Quotation No : 60061514449

Benefit Summary
Guaranteed Benefits Non Guaranteed Benefit @ 4% p.a. Non Guaranteed Benefit @ 8% p.a. Total Benefits including Guarantee and Non-Guaranteed Benefits
Annualized Accrued Accrued Survival and Survival and Death Death
Policy Premium Survival Death Maturity Simple Cash Guaranteed Special Simple Cash Guaranteed Special Surrender Surrender Maturity Benefit Maturity Benefit Benefit incl Benefit incl
Year (Excl of Benefit Benefit Benefit Reversionary Bonus Surrender Surrender Reversionary Bonus Surrender Surrender Value Value incl TB (if any) incl TB (if any) TB (if any) TB (if any)
Bonus Value (GSV) Value (SSV) Bonus Value (GSV) Value (SSV) @4% @8% @4% @8% @4% @8%
GST)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 56,000 2,973 6,28,572 0 155 743 0 34,265 388 4,460 0 34,387 34,265 34,387 3,716 7,433 6,28,572 6,28,572
2 57,143 2,973 6,28,572 0 310 743 26,987 72,268 776 4,460 19,756 72,529 72,268 72,529 3,716 7,433 6,28,727 6,28,960
3 57,143 2,973 6,28,572 0 466 743 49,074 1,14,383 1,164 4,460 38,260 1,14,804 1,14,383 1,14,804 3,716 7,433 6,28,882 6,29,348
4 57,143 2,973 6,28,572 0 621 743 99,750 1,61,003 1,552 4,460 85,380 1,61,605 1,61,003 1,61,605 3,716 7,433 6,29,038 6,29,736
5 57,143 2,973 6,28,572 0 776 743 1,24,733 2,27,433 1,940 4,460 1,06,837 2,28,241 2,27,433 2,28,241 3,716 7,433 6,29,193 6,30,124
6 0 2,973 6,28,572 0 931 743 1,21,167 2,40,564 2,328 4,460 99,782 2,45,950 2,40,564 2,45,950 3,716 7,433 6,29,348 6,30,512
7 0 2,973 6,28,572 0 1,086 743 1,17,630 2,54,631 2,716 4,460 92,797 2,62,013 2,54,631 2,62,013 3,716 7,433 6,29,503 6,30,900
8 0 2,973 6,28,572 0 1,241 743 1,51,267 2,69,700 3,104 4,460 1,23,034 2,77,276 2,69,700 2,77,276 3,716 7,433 6,29,658 6,31,288
9 0 2,973 6,28,572 0 1,397 743 2,24,942 2,85,843 3,492 4,460 1,93,364 2,94,360 2,85,843 2,94,360 3,716 7,433 6,29,814 6,31,676
10 0 2,973 6,28,572 3,00,427 1,552 743 0 0 3,880 4,460 0 0 0 0 3,05,694 3,20,309 6,29,969 6,32,064

There are mul ple product op ons in the product. I understand that returns vary under each op on. I have made choice of inves ng in more
than one product option considering my need and understanding the benefit under each option.
Notes: Annualized Premium excludes underwri ng extra premium, frequency loadings on premiums, the premiums paid towards the riders, if
any, and Goods & Service Tax. Refer Sales literature for explanation of terms used in this illustration.
1. The above benefit illustration demonstrates premium paid at the beginning of the year and all the benefits are paid out at the end of year.
2. The Survival Benefits are payable during the policy year when they are due as per the frequency. Upon payment at Maturity (Last Payout),
the policy terminates, and no further benefits become payable. The Maturity benefit will be the sum of Sum Assured on Maturity plus
Accumulated Income benefits, if not paid earlier, plus Terminal Bonus (if declared).
3. The surrender value payable will be higher of Guaranteed Surrender Value or Special Surrender Value (including any Terminal Bonus
payable, if declared) and is illustrated under 'Total Surrender Benefit' columns.
4. Surrender value illustrated above is end of the policy year value. The Special Surrender Value (SSV) displayed above are not guaranteed and
only indica ve. The Company shall comply with prevailing guidelines w.r.t SSV issued by IRDAI from me to me. Upon payment of surrender
benefit, the policy terminates, and no further benefit becomes payable.
5. The death benefits shown above are at the end of the year. Upon payment of death benefit the policy terminates and no further benefit is
payable. Not Applicable for Policies with Goal Protection Benefit.
6. Income Tax benefits would be available as per the prevailing income tax laws.
7. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.
8. RB - Reversionary Bonus, TB - Terminal Bonus
9. On payment at Maturity (Last Payout), the policy terminates and no further benefits become payable.

I,……….….…….(name), have explained the premiums, charges and I………Dindyan Kumar………(name), having received the informa on
benefits under the policy fully to the prospect/policyholder. with 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

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.A.X
 CUSTOMER INFORMATION SHEET / KNOW Y OUR POLICY.

This document provides key information about your policy. You are also advised to go through your policy
document.
We request you to kindly review the CIS and acknowledge the same through a link shared to you on your
registered mobile number/Email ID/WhatsApp.

Policy
Sr. Description in Simple Words
Title Clause
No. (Please refer to applicable Policy Clause Number in next column)
Number
Name of the
Insurance
Product and Bajaj Allianz Life ACE Policy
1
Unique (UIN - 116N186V02) Schedule
Identification
Number (UIN)
Quotation Policy
2 60061514449
number Schedule
Type of
Policy
3 Insurance Non-Linked other than pure risk and pension
Schedule
Policy
Installment Premium for Year 1 (Rs): 4,900
Installment Premium Year 2 onwards (Rs): 5,000
Mode of Premium Payment: Monthly
Basic Policy Policy
4 Sum Assured on Death (Rs): 6,28,572
Details Schedule
Sum Assured on Maturity (Rs): 3,00,427
Premium Payment Term (Years): 5
Policy Term (Years): 10
Benefits payable on maturity-
Part C
On maturity of the Policy, sum assured on maturity, accumulated income
Section 4
benefits (if any) and bonuses, if declared will be paid.
Benefits payable on death-
Part C
On death of Life assured during the policy term, sum assured on death,
105% of accumulated income benefits (if any) and bonuses, if declared will Section 4
be paid.
 Survival Benefits excluding that payable on maturity -

i.) Option 1- Deferred Income: Guaranteed Income plus cash bonuses, if

declared will be paid in arrears after the end of the Premium Payment Term
and Deferment period and is payable till the end of policy term.

ii.) Option 2- Early Income: Guaranteed Income plus cash bonuses, if

declared will be paid in arrears after the end of Deferment period and is
payable for the end of policy term. Part C
Policy iii.) Option 3- Increasing Income: Guaranteed Income plus cash bonuses, if Section 4
5 Coverage/ben declared will be paid in arrears after the end of the Premium Payment Term
efits payable and Deferment period and is payable till the end of policy term. These
incomes will be declared as a percentage of the Benefit Sum Assured.
Benefit Sum Assured is guaranteed to increase at 5% p.a. (on compounding
basis) every year. The increased Benefit Sum Assured will be used for
calculation of respective years Guaranteed Incomes and Cash bonuses.

iv.) Option 4- Wealth: No Survival benefit is paid.

Surrender Benefits

The policyholder will have the option to surrender the policy. The
surrender value payable will be the higher of the guaranteed surrender
value (GSV) or the special surrender value (SSV). Part D
The policy will acquire a GSV provided two (2) full years' premiums
Section 8
have been paid. SSV shall become payable after completion of first
(1st) policy year provided at least one (1) full years' premium has been
received.
A product option alone in a policy cannot be surrendered.
Options to policyholders for availing benefits, if any, covered under
the policy -
Part D
You can avail the policy survival benefits in yearly/ monthly instalments
Section
or accumulate within the policy. The accumulated amount can be
10
withdrawn anytime during the policy term
Option to take Death/ Maturity Benefit in Installments
Other benefits/options payable, specific to the policy, if any:

No other benefit payable other than survival, maturity, surrender and death -
benefit
Lock-in period for Linked Insurance products:
-
Not Applicable
Options
available (in Not
6 case of Linked Not Applicable Applicabl
Insurance e
Products)
 Option
available(in Not
7 case of Not Applicable Applicabl
Annuity e
product)
Riders Opted if Policy
8 Not Opted
Any Schedule

Exclusions Suicide Exclusions: In case of death of Life Assured due to suicide within
(events where twelve (12) months from the Date of Commencement of Risk or the date of
latest revival of the Policy, whichever is later, then, the Claimant shall be Part F
insurance
9 coverage is entitled to receive the higher of 80% of the total premiums received till the Section
not payable), if date of death of the Life Assured or the Surrender Value, if any, available as 12
any on the date of death, provided the Policy is in-force and the Policy will be
terminated. There are no other exclusions in the Policy.
Not
Waiting /lien
10 Not Applicable Applicabl
Period, if any
e

Thirty (30) days for premium payment frequencies other than monthly and Part B
11 Grace Period
fifteen (15) days for monthly frequency. Section 1

Free Look Part D

12 30 Days
Period Section 5
1) Non- payment of premium -

If at least one (1) full years premium is not paid, the policy will,
Part D
immediately & automatically, lapse at the expiry of the grace period,
and no benefit other than the Accumulated income benefit, if any, will Section
be payable under the policy. The Accumulated income benefit, if any, 6
Lapse, paid-up
in the policy will be paid out at the end of grace period.
13 and Revival of
If at least one (1) full years premium has been paid and subsequent and
the Policy
premiums are not paid, then, the policy will be, immediately &
automatically, converted to a reduced paid-up policy at the expiry of Part B
the grace period.
Section 1
2) Revival of the policy - Within five (5) years from the due date of the first
unpaid premium, before the Maturity Date.
You will have the option to take Policy loan, subject to a maximum limit of Part D
Policy Loan If 80% of the [Surrender Value less TB on surrender (if any) less any AIB] +
14 Section
Applicable 50% of TB on surrender (if any). Loan interest rate applicable for the loan
will be as decided by the company from time-to-time. 11
 1. Turn Around Time (TAT) for claims settlement and brief
procedure:
Link for Brief Procedure : https://www.bajajallianzlife.com/life-
insurance-claim-assistance.html
Link for Turn Around Time (TAT) for claims settlement:
https://www.bajajallianzlife.com/content/dam/balic/pdf/customer-
services/services-tat.pdf

2. Helpline/Call Centre Numbers:

Toll free no (24*7) : 1800 2201 02

Sr. Citizens Toll free no. : 1800 2269 70 Part F
Claims / Customer Care No: (022) 40881000
15 Claims Board No.: (022) 66867575 Section
Procedure 22
3. Contact details of the insurer:

Bajaj Allianz Life Insurance Company Limited

House, Ground Floor, Bajaj Allianz, Airport Rd, Yerawada, Pune,
Maharashtra 411006

4. Link for downloading claim form and list of documents required

including bank account details:

https://www.bajajallianzlife.com/life-insurance-claim-assistance.html

WhatsApp- 8806727272
Turn Around Time (TAT):

https://www.bajajallianzlife.com/content/dam/balic/pdf/customer-
services/services-tat.pdf

Helpline/Call Centre number: 1800 209 7272

Contact details of the insurer: In case you have any query, you may
communicate with the Company: Part G
Policy
16 1. By post at: Customer Care Desk, Bajaj Allianz Life Insurance Company Section
Servicing
Ltd., Bajaj Allianz House, 5th floor, Airport Road, Yerawada, Pune – 26
411006
2. By Email: customercare@bajajallianz.co.in

Link for downloading applicable forms and list of documents required

including bank account details:

https://bajajallianzlifeonline.co.in/online/portal/logon/serviceRequest.do?
user_name=WEBSITE&p_flag=0
 Contact details of Grievance Redressal Officer of the insurer:
Grievance Redressal Officer of the insurer - In case you do not receive a
response within 15 days or if you are not satisfied with the resolution, you
may approach Grievance Redressal Officer at gro@bajajallianz.co.in

Link for registering the grievance with the insurer’s portal:Insurance Part G
Grievances company grievance portal -
17 https://webpartner.bajajallianz.com/GrvOnlineApi/indexOnlineGrv.jsp#_ga=2 Section
/Complaints 26 and
.7272630.541013491.1717475077-
1601763320.1694668355&_gac=1.52751388.1715749803.EAIaIQobChMIy 27
_eqivKOhgMVdWsPAh0NFQrEEAAYASAAEgJObPD_BwE

Contact details of Ombudsman: Find your nearest Ombudsman office at

http://www.cioins.co.in/ombudsman

Declaration by the policyholder

I have read the above and confirm having noted the details
Place:
Date: (Signature of the Policy Holder)

Web-link for the product where sample policy document can be downloaded:
https://www.bajajallianzlife.com/tax-saving-investment-plans/bajaj-allianz-life-ace.html
Disclaimer:
In case of conflict in the content mentioned hereinabove, the terms and conditions mentioned in the policy
document shall prevail.