Bajaj Allianz Life iSecure II

A Non-Linked Non-Participating Individual Life Insurance Term Plan

UIN : 116N208V01

Bajaj Allianz Life Insurance Company Limited

Bajaj Allianz Life iSecure II
PART A
FORWARDING LETTER

Name of the Policyholder _____________________________________________________________________________

Address ____________________________________________________________________________________________
___________________________________________________________________________________________________

Dear _____________________________________________

Sub: Issuance of the Policy under application for the life insurance policy dated_______________________,
We would like to thank you for investing your faith in us. Your Policy requires Regular Premiums to be paid for
_________________________________ years.
Please find enclosed herewith your Policy Document, a copy of the Proposal Form, Customer Information Sheet
(CIS) and documents mentioned herein below, based on which your Insurance Policy has been issued. This
Policy is issued subject to section 45 of the Insurance Act, 1938 and any amendment from time to time. In case
You have made any disclosures to the insurance agent/ Company official/insurance intermediary, which has not
been included in the Proposal Form, You are requested to intimate the Company of these disclosures in writing
within 15 days of the date of receipt of this Policy failing which it shall be inferred that the disclosures made in
the Proposal Form are full, complete and according to Your instructions and nothing has been concealed.

Document Type Specification of Documents provided Identification No

Proposal Form Proposal Form
Age proof
Identity Proof
Address Proof
1. You shall be provided a Free Look Period of 30 days beginning from the date of receipt of Policy Document,
whether received electronically or otherwise, to review the terms and conditions of such policy, except if
tenure of the policy is less than a year.
2. In the event You disagree to any of the Policy terms or conditions, or otherwise and have not made any
claim, You shall have the option to return the Policy to the Company for cancellation, stating the reasons for
the same.
3. Irrespective of the reasons mentioned, You shall be entitled to a refund of the Regular Premium paid subject
only to a deduction of a proportionate risk premium for the period of cover and the expenses, if any, incurred
by the insurer on medical examination of the proposer and stamp duty charges.
4. A request received by the Company for cancellation of the Policy during Free Look Period shall be processed
and Regular Premium shall be refunded within 7 days of receipt of such request, as stated in sub-section
(3) above
For any queries kindly write to us at the below mentioned address and we assure and strive to provide you the
best of services.

FOR BAJAJ ALLIANZ LIFE INSURANCE COMPANY LTD.

Authorised Signatory

Your Policy Servicing Branch Address: Bajaj Allianz Life Insurance Company Limited

Toll Free Numbers:

Company Website:
Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

Agency/ Intermediary Representative Details:

Name Code
Address
Phone Number e-Mail Id

Please read Policy Document, especially the following clauses on

Policy Benefits Termination

Non-payment of Regular Premium, Paid up benefits and Non-Forfeiture Free Look Period
Disclaimer: In case of dispute, English version of Policy document shall be final and binding.

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

PREAMBLE
The Company has received a Proposal Form, declaration and the first Regular Premium from the Policyholder
/ Life Assured as named in this Schedule. The said Proposal Form and declaration along with any statement,
report or other document leading to the issue of this Policy and referred to therein having been accepted and
agreed to by the Company and the Policyholder forms the basis of this contract of insurance. Both parties to
the Policy do hereby further accept and affirm that the Policy, in consideration of and subject to due receipt of
subsequent Regular Premium as set out in the Schedule, with all its parts (Policy Document, Annexures and
Endorsements, if any and Customer Information Sheet) shall be subject to the terms and conditions as set out
hereunder.
This Policy is issued on the basis of the information given and declaration made by the Policyholder in the
Proposal Form, which is incorporated herein and forms the basis of this Policy.

SCHEDULE
A Non-Linked Non-Participating Individual Life Insurance Term Plan
Name of the Policyholder ____________________________________________________________________________
Address ___________________________________________________________________________________________
Address ___________________________________________________________________________________________
Pin code _______________________________________________

Gender Date of Birth

Age at Entry Age

Name of the Life Assured _____________________________________________________________________

Address ___________________________________________________________________________________________
Address ___________________________________________________________________________________________
Pin code _______________________________________________

Gender Date of Birth

Age at Entry Age

Bajaj Allianz Life

Policy No. Product Name iSecure II
Product Code Variant
Unique Identification No: 116N208V01 Policy Commencement Date
Date of Commencement of Risk Date of Birth
Age at Entry Years Age Admitted?
Gender Smoker Category
Policy Term Years First Year Regular Premium (`)*
Premium Paying Term Years Subsequent Years Regular Premium (`)*
Premium Payment Frequency Extra Premium (`)
Maturity Date Sum Assured (`)
Maturity Benefit in Instalments Maturity Benefit (`)
Death Benefit in Instalments Maturity Benefit Instalment (`)
Death Benefit in Lumpsum (`) Monthly Death Benefit Instalment (`)
Death Benefit Instalment Period Years Due Date of Last Regular Premium
Proportion of Death Benefit in
Return of Premium (ROP) Instalments
Due Dates of Regular Premium
*Regular Premium includes Extra Premium, if any, but excludes any, applicable GST & cess. First Year Regular
Premium may be lower than Subsequent Regular Premium if any discounts are applied.

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

Additional Benefit Riders

Name of the Date of Rider Rider Sum Rider

Additional Rider Rider
Rider Life Commencement Premium Maturity As- Premi-
Benefits / UIN Term
Assured of Rider Paying Term Date sured um
Bajaj Allianz Life Fam-
ily Protect Rider (UIN :
116B056V01)
Bajaj Allianz Accidental
Death Benefit Rider /
(UIN:116B034V02)
Bajaj Allianz Accidental
Permanent Total/Partial
Disability Benefit Rider/
(UIN:116B036V02)
Bajaj Allianz Life
New Critical Illness
Benefit Rider
(UIN:116B058V01)
NA – Not Applicable

TOTAL PREMIUM PAYABLE FOR SELECTED PREMIUM PAYMENT FREQUENCY: ` ___________________

In Words: Rupees ……………………………………………………………………………….Only

Special Clauses, Exclusions and/or Conditions imposed on the Policy (if any):

Details of the Nominee

Nomi- Nomi- Nomi- Per- Relationship Appointee Name Appoin- Appointees

nee(s) nee(s) nee(s) centage to the Life [in case the Nomi- tee(s) Relationship
Name Age(s) Gender Share Assured nee(s) minor(s)] Gender to the Nominee
Years %
Years %
Years %
Years %
Years %

Agency/ Intermediary Representative Details:

Name Code
Address
Phone Number e-Mail Id

To whom the Benefits are Payable: The Benefits are payable to the Claimant, limited at all times to the monies
payable under this Policy.
The Policy shall be subject to and governed by the terms of the Policy Document along with the Schedule
contained herein and Endorsements if any, made from time to time and all these shall together form a single
agreement
Tax laws are subject to change. All taxes, including GST & cess, either existing or those that may apply in future
(including enhancements of existing taxes) will be charged extra over and above the Regular Premium amount.

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

Payment of such taxes shall be the responsibility of the Policyholder.

Bajaj Allianz Life Insurance Company does not provide any warranty or assurance that the Policyholder will be,
by virtue of purchasing this Policy, eligible for any income tax or other tax rebate or relief.

Signed on behalf of Bajaj Allianz Life Insurance Company Limited for Policy No. ______________

Issued on <date>
Affix Stamp
(`.____________)

Authorised Signatory:

ON EXAMINATION OF THE POLICY, if the Policyholder notices any mistake, the Policy Document is to be
returned for correction to the Company.

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

Part B 17. “Repudiation/Repudiate” is the rejection of a

Technical Terms used in your Policy and what they Death Claim under the provisions of Section 45
mean of the Act;
18. “Revive/Revival/Revived” is the restoration of
1. “Act” refers to the Insurance Act, 1938 and the a policy that had been discontinued due to non-
rules, regulations, guidelines, and circulars payment of premium. The option to Revive a
issued thereunder; policy is available for 5 years from the date of
2. “Appointee” is the person appointed to non-payment of premium;
represent and receive the death benefits under 19. “Rider” is an additional cover that can be opted
this policy on behalf of a minor nominee; by payment of additional premium.;
3. “Authority / IRDAI” shall mean the Insurance 20. “UIN” is the Unique Identification Number
Regulatory and Development Authority of India allotted to this product by the Authority/IRDAI;
4. “Endorsement” is the official written
communication by way of email or letter through Part C
which changes to this policy will take place; Things you must know about your Policy
5. “Grace Period” is an additional period available
for payment of any premium instalment after 1. The policy is a non-linked, non-participating,
the due date. 15-days would be offered where individual, life and pure risk premium and
the premium payment frequency is monthly, savings plan. It covers, death via three variants,
and 30-days would be offered for all other as chosen when applying for the policy with us.
premium payment frequencies;
6. “Goods and Service Tax (GST)” is charged based 2. There are three variants in this product, which
on the type of Policy communication address of are Variant 1 (Life), Variant 2 (Return of Premium)
the Policyholder. This may change subject to a and Variant 3 (Easy).
change in rate or change in the Policyholder’s
address as of the date of adjustment; 3. The benefits available are as under:
7. “Lapse” is the status of the policy after non- a. Death Benefit: Sum Assured will be paid to
payment of the premium during which no the nominee when the Life Assured under
benefit is payable; the Policy loses their life. Death Benefit is
8. “Laws” shall mean the laws at the time being in available under all variants.
force in the Republic of India;
b. Maturity Benefit, being the Return of
9. “Life Assured” is the person on whose life the
Premium paid is payable on Maturity of the
policy has been issued;
Policy where the total amount of premiums
10. “Maturity” is when the policy period has
paid under the Policy, shall be returned. This
elapsed, and the policy comes to an end;
will exclude any taxes, extra or additional
11. “Minor” shall mean any individual who is below premium that would have been applied
the age of 18 years as on the date of issuance of as per the company’s board approved
the policy; underwriting policy and any additional
12. “Nomination” is the process where the premium applied optional benefits that may
Policyholder (who is also the Life Assured) be availed by the Policyholder. This benefit
nominates a person or persons who would be is only available under the Variant 2 (Return
authorised to receive a Death Claim under the of Premium).
Policy and provide a valid discharge to us on
settlement of the claim; 4. Regular premiums are payable under the
13. “Nominee” is the individual specified by the Policy on monthly/quarterly/bi-annual/annual
Policyholder (who is also the Life Assured) frequencies, for a period detailed in the Policy
during the Nomination process; Schedule.
14. “Policy Year” means the 12 (twelve) month
period commencing from the Date of 5. If any premium due is not paid, then the Policy
Commencement as per the Schedule and every will Lapse, and no benefits will be payable under
12 (twelve) month period thereafter; Variant 1 (Life), and Variant 3 (Easy). During the
15. “Policyholder” is the legal owner of the policy; Grace Period the Policy benefits will continue.
16. “Proposer” is the person who proposes the life However, on completion of the Grace Period, if
insurance policy; the premium remains unpaid, then the Policy
Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

would lapse and can be revived as per applicable yearly. It may also require undergoing Medical
terms and conditions. Examinations, at the Policyholder’s expense.
After all parameters have been considered, the
6. Under Variant 2 (Return of Premium): Policy may either be:
a. If at least one Policy Year’s full premium has a. Revived with the same premium amount
not been paid, then the Policy will Lapse and and terms and conditions; or
no benefits will be payable. b. Revived with different premium amounts
b. However, if at least one Policy Year’s full and same terms and conditions; or
premium has been paid, then after the c. Refused revival and all amounts paid for the
completion of the first Policy Year the Policy revival shall be refunded
would have acquired surrender value. In This is entirely dependent on underwriting
this case, the Policy would not Lapse for guidelines and the discretion of the Company
non-payment of future premium and would
be converted to a paid-up policy. Paid- 9. Claim Process
up policies have a reduction in benefit in We will continue to do all we can to ensure all
proportion to the premiums paid against all claims we receive are honoured on time, every
the premiums due. time! As Life Goals enablers, it is the moment
of truth for each of us in the Company. To help
Part D us make this a seamless process, kindly make
Servicing of your Policy and options offered a note of the following, and update the nominee
as well. Death Benefits are only payable if an
7. Freelook Period intimation, has been received by us along with
You shall be provided a Free Look Period of 30 a. Written Notice of Intimation of Death or
days beginning from the date of receipt of Policy b. Original Death Certificate
document, whether received electronically or c. Medical cause of death certificate
otherwise, to review the terms and conditions d. If death is due to unnatural causes, copy
of such policy, except if tenure of the policy is of FIR (First Information Report) and PMR
less than a year. In the event You disagree to any (Post-Mortem Report);
of the Policy terms or conditions, or otherwise e. Any other documents that may be requested
and have not made any claim, You shall have on intimation of death of the Life Assured for
the option to return the Policy to the Company investigations or otherwise by the Company.
for cancellation, stating the reasons for the
same. Irrespective of the reasons mentioned, 10. Loan
You shall be entitled to a refund of the Regular Loan cannot be opted for under the Variant 1
Premium paid subject only to a deduction of a (Life) and Variant 3 (Easy). Loan can be availed
proportionate risk premium for the period of under Variant 2 (Return of Premium).
cover and the expenses, if any, incurred by the The Loan shall not be more than 50% of the
insurer on medical examination of the proposer Surrender Value that may be accrued under
and stamp duty charges. A request received by the Policy. Interest will be charged at 10% per
the Company for cancellation of the Policy during annum compounded half-yearly, which rate
Free Look Period shall be processed and Regular may be revised during the loan tenure by the
Premium shall be refunded within 7 days of Company from time to time. The loan interest
receipt of such request, as stated above. rate will be benchmarked to the G-Sec based
on the information from Financial Benchmark
8. Revival India Private Ltd (FBIL). It will be equal to 10-
In case you were unable to pay towards the Policy, year G-Sec yield PLUS 2% rounded-up to the
and it lapses, here is a way to revive it. A Lapsed next full interest rate. Any change in bases used
Policy may be revived within 5 years from the date for determination of applicable interest rate will
of non-payment of premium. Revival will require be subject to prior approval of IRDAI. On Death,
paying the arrears of premiums due under the Maturity and Surrender, any outstanding loan
Policy along with interest on each premium at amount along with interest payable at such time
the rate equivalent of 10 year G-Sec rate plus 2%, will be deducted from the Death Benefit, Maturity
rounded up to the higher interest rate (along with Benefit or Surrender Value before being released
applicable Taxes). The current applicable revival to the Policyholder.
interest rate is 10% p.a. compounded half- For any policy that is not fully paid up or in

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

force, only if the outstanding loan amount along e. No claims have been raised under the
with interest exceeds the Surrender Value, an Policy.
intimation will be given to the Policyholder to f. The Early Exit Value will be equal to the
pay the outstanding loan and interest amount total premiums paid under the Policy
within 30 (thirty) days, failing which the Policy excluding taxes and extra premium
will be foreclosed and the Surrender Value will charged along with modal loading, if
be adjusted towards the outstanding loan and any.
interest amount. Policies where the premiums g. Early Exit Value or Termination Value
due have been paid will not be foreclosed on whichever is higher will be paid.
the grounds of outstanding loan and interest h. Upon payment of Early exit value, the
amounts exceeding the surrender value. Policy terminates instantly.
i. No additional premium is required to be
11. Termination paid to avail this option.
Policy would terminate
a. if all Benefits are paid as per the terms of III. Under Variant 2 (ROP)
the Policy a. Maturity Benefit in Instalments:
b. On Surrender You can choose to receive the Maturity
c. On Repudiation as per the provisions of benefit in five (5) yearly instalments at
Section 45 of the Insurance Act, 1938; Date of Commencement of the Policy.
d. End of Revival period of a Lapsed Policy Each equal yearly instalment amount
e. Payment of Early Exit Value or Termination would be increased by 20%, resulting
Value; in a 20% increase in the Return of
f. on Maturity Premium payable. This option, once
chosen, cannot be removed.
12. Options and Flexibilities
b. Surrender
The following flexibilities will be available under
During any time of the Policy term after
the Policy:
completing the first Policy Year, and if
I. Under all variants:
at least one full Policy Year’s premium
a. Alteration of Premium Payment
has been paid, if you wish to close this
Frequency: Policyholder may alter
Policy, you may surrender it. If there is
the frequency of Premium payment,
any surrender value payable, it would
at any time, if the Policy has not
be higher of Guaranteed Surrender
Lapsed. Options of Premium payment
Value or Special Surrender Value.
frequencies are monthly, quarterly, bi-
Surrender Value shall not exceed
annual, or annual. It should be noted,
100% of all the premiums paid till
however, that bi-Annual, Quarterly and
the date of the surrender. Surrender
Monthly payment frequencies are only
Value payable will be as detailed on
allowed if auto-debit is activated for
our website. The Company will comply
payment.
with regulatory guidelines with respect
to Special Surrender Value as may be
II. Under Variant 1 (Life)
issued by the Insurance Regulatory and
Early Exit Value is an option available to the
Development Authority of India from
Policyholder in the first five (5) Policy Years
time to time.
immediately after the Life Assured turns 60
subject to:
IV. Under Variant 1 (Life) and Variant 2 (Return
a. The Life Assured’s age at the start of
of Premium)
the Policy must be less than or equal to
a. Health Management Services:
50 years;
Services like medical second opinion,
b. The Policy period chosen at the start of
medical case management, medical
the Policy should be not less than 35
consultation, etc. can be availed by the
years;
Policyholder/Life Assured, from the
c. The age of the Life Assured at the
service providers registered with us.
Maturity of the Policy should be at least
The availability of Health Management
70 years;
Services shall be at our discretion.
d. Policy should not have Lapsed

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

These services will be subject to the chosen to be given in instalments;

terms and conditions of the third or
party service provider and at the sole ii. any amount between the range
responsibility of the Policyholder/Life of 10% to 90% of the Death
Assured. Benefit may be selected to be
b. Auto Cover Continuation: paid in lumpsum and the rest in
A Policyholder can opt to defer the instalments.
payment of the due premium for one full The Claimant may, convert all
Policy Year. In this case, all benefits will future instalments to lumpsum.
continue to be available under the Policy Opting for conversion to lumpsum
during this deferment period. After the will discount the instalments
deferment period all due premiums will from the date of such request by
be required to be paid, failing which the 5%. The first instalment will be
Policy will Lapse or be converted to a payable as on the date of death
paid-up policy, whichever applicable. of the Life Assured. The premium
This option can only be availed: payable under the Policy will be
i. If at least three (3) full Policy Year discounted by a percentage as per
premiums have been paid; the instalment period chosen and
ii. If 30 (thirty) days’ notice has been the proportion of death benefit
given to us; taken in instalments.
iii. As long as the deferment is not on
the last Policy Year; V. Under Variant 1 (Life) and Variant 3 (Easy)
If this option is availed by a a. Termination Value:
Policyholder, the next time the If the Policy has its premium payment
feature can be opted would be only term the same as the Policy period,
after completion of three (3) full then, this option will not be available.
Policy Years. Option to Surrender However, if the premium payment term
and Terminate the policy will of the Policy is complete and all the
remain available during this premiums due under the Policy has
period. been received, and the policy has not
This feature can be opted for by Matured, the Policy can be terminated,
the Policyholder multiple times and Termination Value will be payable.
during the Policy period as long Termination Value will be calculated by
as the option is picked after a gap multiplying the termination factor with
of at least 5(five) full Policy Years the premiums paid. Termination factors
from the end of the deferred Policy are not guaranteed. Termination Value
Year. payable will be detailed on our website.
Policy will be allowed to be Termination Value will not be less than
terminated or surrendered during the Early Exit Value under the Policy as
the Auto Cover Continuance being may be applicable at the time of such
availed during a Policy Year. termination.
No interest shall be levied on the
deferred premium amount. Part E

c. Death Benefit Payment Option:

Not Applicable
On or before the commencement of the
Policy, the Policyholder may choose
to have the Death Benefit paid in Part F
instalments. If not selected, the default General Terms and Conditions of your Policy
mode of payment is in lumpsum. If
selected, the Death Benefit shall be 13. Exclusions:
paid in equal monthly instalments over In case the death of the Life Assured is due
5, 10, 20, 30 and 40 years as opted for to suicide within 12 months from the Date of
by the Policyholder. Commencement of the Policy Risk, or 12 months
i. The entire Death Benefit can be from the date the Policy has been Revived, then
either 80% of the total premiums paid till such
Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

date of death or Surrender Value, whichever Part G

is higher would be payable and Death Benefit
would not be payable in such cases. 20. Grievance Redressal
In case the Policyholder have any query or
14. Nomination and Assignment: compliant/grievance, you may contact the
Nomination would be governed by the provisions Grievance Officer of any nearest Customer Care
of Section 39 of the Insurance Act, 1938, as Centre at Branch Office of the Company during
amended from time to time and assignment the Company’s office hours from 9 am to 6 pm.
under the Policy would be governed by the Alternatively, you may communicate with the
provisions of Section 38 of the Insurance Act, Company:
1938, as amended from time to time. For any By post at: Customer Care Desk,
additional details please refer to Annexure AA Bajaj Allianz Life Insurance Company Ltd.,
and Annexure BB to this Policy. Bajaj Allianz House, Airport Road, Yerawada,
Pune - 411006
15. Fraud and Misrepresentation: By Phone at: Toll Free No. 1800 209 7272
The Policy has been issued based on the details, By Email: customercare@bajajallianz.co.in
declarations and documents provided to us by you.
However, if we receive or find any information, In case the Policyholder are not satisfied with the
which result in suspicion of misstatements at resolution provided to him by the above office, or
any stage, subject to the provisions of law at the have not received any response within 15 days,
time being in force, then we will decline to pay the or he has any suggestion in respect of this Policy
Benefits and Repudiate the claim. All such cases or on the functioning of the office, he may contact
will be dealt with in accordance with Section 45 the following official for resolution:
of the Insurance Act, 1938, a detailed write up of Grievance Redressal Officer,
which is provided in Annexure CC. Bajaj Allianz Life Insurance Company Ltd.
Bajaj Allianz House, 5th floor, Airport Road
16. Modification: Yerawada, Pune, District – Pune, Maharashtra
Any modifications to the Policy will be carried -411006
out by way of an endorsement letter, duly signed Tel. No: 1800- 209- 7272
by our authorised signatory. Email ID: gro@bajajallianz.co.in

17. Governing Law and Currency: If the Policyholder is not satisfied with the
The Policy will be governed by the provisions of response or does not receive a response from
Law at the time being in force in the Republic of the Company within fifteen (15) days, he may
India. Any amount payable to us or by us will be approach the IRDAI Grievance Cell Centre (IGCC)
paid in Indian Rupees. on the following contact details:
By Phone: TOLL FREE NO: 155255, 1800-4254-
18. Taxes: 732
Any payment of taxes, including GST, as may be By Email: complaints@irdai.gov.in
applicable, shall be borne by the Policyholder. By post at: Policyholder’s Protection &
Policyholder shall either pay himself or allow Grievance Redressal Department – Grievance
us to deduct the appropriate taxes as may be Redressal Cell
imposed by any law, order or circular at the time Insurance Regulatory and Development Authority
being in force, from any payable benefits, or of India
Premium received. Sy. No. 115/1, Financial District, Nanakramguda,
Gachibowli, Hyderabad – 500 032
19. Loss of Policy Document:
In the event the original Policy issued is lost or The Policyholder can also register his complaint
destroyed, you may request a copy of the Policy in the Bima Bharosa Shikayat Nivaran Kendra;
from us from our digital touch points, at any https://bimabharosa.irdai.gov.in
time. Please note that if you ask for a physical
print of the Policy document, you will be required 21. Ombudsman
to submit a duly stamped and notarised original a) In case you are not satisfied with the
Indemnity Bond along with charges for reprint, decision/resolution of the Company, you may
being Rs.100/- plus Stamp Duty payable. approach the Insurance Ombudsman if your

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

grievance pertains to any of the following: receipt of order of rejection or decision

i) Delay in settlement of claim by the Company or expiry of one month
ii) Any partial or total repudiation of from the date of sending the written
claims representation to insurer.
iii) Disputes over premium paid or payable Where the subject matter of complaint
in terms of insurance Policy should not be such where proceedings
iv) Misrepresentation of Policy terms and are pending before or disposed of
conditions by any court or consumer forum or
v) Legal construction of insurance policies arbitrator.
in so far as the dispute relates to claim
vi) Policy servicing related grievances THIS IS AN IMPORTANT DOCUMENT AND SHOULD
against insurers and their agents and BE PRESERVED SAFELY. PLEASE CHECK THE
intermediaries POLICY DOCUMENT UPON RECEIPT, AND IF ANY
vii) Issuance of Life insurance policy, which MISTAKE OR ERROR IS FOUND, THE SAME BE
is not in conformity with the proposal INFORMED IMMEDIATELY TO BAJAJ ALLIANZ
form submitted by the proposer LIFE INSURANCE COMPANY LIMITED
viii) Non-issuance of insurance policy after
receipt of premium All communications in relation to this Policy shall
Any other matter resulting from the violation be addressed to.
of provisions of the Insurance Act, 1938 Bajaj Allianz Life Insurance Company Ltd.,
or the regulations, circulars, guidelines or _______________________________
instructions issued by the IRDAI from time _______________________________
to time or the terms and conditions of the
Policy, in so far as they relate to issues Dated at ______ this ___Day of ________201_
mentioned at Sub-Section (i) to (vi) above. For and on behalf of Bajaj Allianz Life Insurance
b) The address of the Insurance Ombudsman Company Limited
is provided as Address and Contact details
of Ombudsman Centers attached herewith.
For the latest list of insurance ombudsman, Authorised Signatory
please refer to the IRDAI website at https:// Bajaj Allianz Life Insurance Company Limited
www.irdai.gov.in/ Bajaj Allianz House, Airport Road, Yerawada,
Please refer to the Ombudsman website at Pune - 411 006
http://www.coins.co.in/ombudsman.html IRDAI Reg. No.: 116| BALIC CIN:
c) The complaint should be made in writing U66010PN2001PLC015959
and duly signed by the complainant or by
his legal heirs, nominee or assignee with
full details of the complaint with supporting
documents, name and address of the
complainant, and the name of the branch
or office of the insurer against whom the
complaint is made
d) Also please note that as per provision 14(3)
of the Insurance Ombudsman Rules, 2017,
the complaint to the Ombudsman can be
made
i) Only if the grievance has been rejected
by the grievance redressal mechanism
of the Company or no reply is received
within a period of one month from
the date of receipt of the grievance
by the insurer or the Complainant is
not satisfied with the response of the
insurer.
ii) The complaint should be filed within
a period of one year from the date of

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01
Annexure – 2
Address & Contact Details of Ombudsmen Centres
In case you have any grievance, you may approach the Company Grievance Cell. In case you are not satisfied with the decision/res-
olution of the Company or if your complaint is not resolved/ not satisfied/not responded for 30 days, you may approach the Office of
Insurance Ombudsman, in line with the details provided hereinabove in the Policy Document, at the addresses given below:
Sr. Office of the
Contact Details Areas of Jurisdiction
No Ombudsman
Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash
Gujarat,
1 AHMEDABAD Building, 6th floor, Tilak Marg, Relief Road, Ahmedabad – 380 001.
Dadra & Nagar Haveli, Daman and Diu.
Tel.: 079 - 25501201/02/05/06, Email: bimalokpal.ahmedabad@cioins.co.in
Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Soudha
Building, PID No. 57-27-N-19,Ground Floor, 19/19, 24th Main Road, JP Nagar,
2 BENGALURU Karnataka.
1st Phase, Bengaluru – 560 078. Tel.: 080 - 26652048 / 26652049, Email: bi-
malokpal.bengaluru@cioins.co.in
Insurance Ombudsman, Office of the Insurance Ombudsman, Janak Vihar
Complex, 2nd Floor, 6, Malviya Nagar, Opp. Airtel Office, Near New Market,
3 BHOPAL Madhya Pradesh & Chhattisgarh
Bhopal – 462 003.
Tel.: 0755 - 2769201 / 2769202, Email:bimalokpal.bhopal@cioins.co.in
Insurance Ombudsman, Office of the Insurance Ombudsman, 62, Forest Park,
BHUBANESH-
4 BHUBANESHWAR-751 009. Tel.:- 0674-2596461 / 455 Odisha
WAR
Email :bimalokpal.bhubaneswar@cioins.co.in
Punjab, Haryana (excluding Gurugram, Farid-
Insurance Ombudsman, Office of the Insurance Ombudsman, S.C.O.
abad, Sonepat and Bahadurgarh), Himachal
5 CHANDIGARH No.101,102,103, 2nd Floor, Batra Building. Sector 17-D, CHANDIGARH-160 017.
Pradesh, Union Territories of Jammu & Kashmir
Tel.:- 0172-2706196 /468, Email:bimalokpal.chandigarh@cioins.co.in
, Ladakh & Chandigarh
Insurance Ombudsman, Office of the Insurance Ombudsman, Fathima Akhtar Tamil Nadu, Puducherry Town and Karaikal
6 CHENNAI Court, 4th Floor, 453, Anna Salai, Teynampet, CHENNAI-600 018. (which are part of Puducherry)
Tel.:- 044-24333668 /5284, Email bimalokpal.chennai@cioins.co.in
Insurance Ombudsman, Office of the Insurance Ombudsman, 2/2 A, Universal
Delhi & following Districts of Haryana - Guru-
7 NEW DELHI Insurance Bldg., Asaf Ali Road, NEW DELHI-110 002.
gram, Faridabad, Sonepat & Bahadurgarh
Tel.:- 011-23232481/23213504, Email:bimalokpal.delhi@cioins.co.in
Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Nivesh,
Assam , Meghalaya, Manipur, Mizoram,
8 GUWAHATI 5th Floor, Near Panbazar Over bridge, S.S. Road, GUWAHATI-781 001 (ASSAM).
Arunachal Pradesh, Nagaland and Tripura
Tel.:- 0361-2632204 / 2602205, Email:bimalokpal.guwahati@cioins.co.in
Insurance Ombudsman, Office of the Insurance Ombudsman, 6-2-46, 1st Floor,
“Moin Court”, Lane Opp. Saleem Function Palace, A.C. Guards, Lakdi-Ka-Pool, Andhra Pradesh, Telangana, Yanam and part of
9 HYDERABAD
HYDERABAD-500 004. Union Territory of Puducherry
Tel : 040-23312122, Email:bimalokpal.hyderabad@cioins.co.in
Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Nidhi – II
10 JAIPUR Bldg., Gr. Floor, Bhawani Singh Marg, Jaipur - 302 005. , Rajasthan
Tel.: 0141 - 2740363, Email: bimalokpal.jaipur@cioins.co.in
Insurance Ombudsman, Office of the Insurance Ombudsman,
Kerala , Lakshadweep, Mahe – a part of UT of
11 ERNAKULAM 2nd Floor, Pulinat Bldg., Opp. Cochin Shipyard, M.G. Road, ERNAKULAM-682
Puducherry
015. Tel : 0484-2358759 / 2359338 Email: bimalokpal.ernakulam@cioins.co.in
Insurance Ombudsman, Office of the Insurance Ombudsman, Hindustan Bldg.
West Bengal, Andaman & Nicobar Islands ,
12 KOLKATA Annexe, 4th Floor, 4, C.R. Avenue, Kolkata – 700 072.
Sikkim
Tel: 033- 22124339/(40) Email: bimalokpal.kolkata@cioins.co.in
Districts of Uttar Pradesh :
Laitpur, Jhansi, Mahoba, Hamirpur, Banda,
Chitrakoot, Allahabad, Mirzapur, Sonbhabdra,
Fatehpur, Pratapgarh, Jaunpur,Varanasi, Gazipur,
IInsurance Ombudsman, Office of the Insurance Ombudsman, 6th Floor, Jeevan Jalaun, Kanpur, Lucknow, Unnao, Sitapur, Lakh-
13 LUCKNOW Bhawan, Phase-II, Nawal Kishore Road, Hazratganj, LUCKNOW-226 001. impur, Bahraich, Barabanki, Raebareli, Sravasti,
Tel : 0522 -2231331/30, Email:bimalokpal.lucknow@cioins.co.in Gonda, Faizabad, Amethi, Kaushambi, Balram-
pur, Basti, Ambedkarnagar, Sultanpur, Mahara-
jgang, Santkabirnagar, Azamgarh, Kushinagar,
Gorkhpur, Deoria, Mau, Ghazipur, Chandauli,
Ballia, Sidharathnagar.
Insurance Ombudsman, Office of the Insurance Ombudsman, 3rd Floor, Jeevan
Goa, Mumbai Metropolitan Region
14 MUMBAI Seva Annexe, S.V. Road, Santacruz(W), MUMBAI-400 054. Tel:69038821/23/24/
(excluding Navi Mumbai & Thane)
25/26/27/28/28/29/30/31, Email: bimalokpal.mumbai@cioins.co.in
State of Uttarakhand and the following Districts
of Uttar Pradesh: Agra, Aligarh, Bagpat, Bareilly,
Bijnor, Budaun, Bulandshehar, Etah, Kannauj,
Office of the Insurance Ombudsman, Bhagwan Sahai Palace ,4th Floor, Main
Mainpuri, Mathura, Meerut, Moradabad, Muzaf-
Road, Naya Bans, Sector 15, Distt: Gautam Buddh Nagar, U.P-201301., Tel.:
15 NOIDA farnagar, Oraiyya, Pilibhit, Etawah, Farrukhabad,
0120-2514252/53
Firozbad, Gautam Buddh nagar, Ghaziabad,
Email: bimalokpal.noida@cioins.co.in
Hardoi, Shahjahanpur, Hapur, Shamli, Rampur,
Kashganj, Sambhal, Amroha, Hathras, Kanshi-
ramnagar, Saharanpur
Office of the Insurance Ombudsman, 2nd Floor, Lalit Bhawan, Bailey Road, Pat-
16 PATNA Bihar, Jharkhand
na 800 001. Tel.: 0612-2547068, Email:bimalokpal.patna@cioins.co.in
Office of the Insurance Ombudsman, Jeevan Darshan Bldg., 3rd Floor, C.T.S.
Maharashtra, Area of Navi Mumbai and Thane
17 PUNE No.s. 195 to 198, N.C. Kelkar Road, Narayan Peth, Pune – 411 030. ,
(excluding Mumbai Metropolitan Region )
Tel.: 020 - 41312555, Email: bimalokpal.pune@cioins.co.in

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

Annexure AA
Section 38 of Insurance Act, 1938 – Assignment and Transfer of Insurance Policies
Assignment or transfer of a Policy should be in accordance with section 38 of the Insurance Act, 1938, as
amended by Insurance Laws (Amendment) Act dated 20.03.2015. The extant provisions in this regard are as
follows:
1. This Policy may be transferred / assigned, wholly or in part, with or without consideration.
2. An Assignment may be effected in a Policy by an Endorsement upon the Policy itself or by a separate
instrument under notice to the Company.
3. The instrument of Assignment should indicate the fact of transfer or Assignment and the reasons for the
Assignment or transfer, antecedents of the Assignee and terms on which Assignment is made.
4. The Assignment must be signed by the transferor or assignor or duly authorized agent and attested by at
least one witness.
5. The transfer of Assignment shall not be operative as against the Company until a notice in writing of the
transfer or Assignment and either the said Endorsement or instrument itself or copy there of certified to
be correct by both transferor and transferee or their duly authorized agents have been delivered to the
Company.
6. Fee to be paid for Assignment or transfer can be specified by the IRDAI through Regulations.
7. On receipt of notice with fee, the insurer should Grant a written acknowledgement of receipt of notice. Such
notice shall be conclusive evidence against the Company of duly receiving the notice.
8. If the Company maintains one or more places of business, such notices shall be delivered only at the place
where the Policy is being serviced.
9. The Company may accept or decline to act upon any transfer or Assignment or Endorsement, if it has sufficient
reasons to believe that it is (a) not bona-fide or (b) not in the interest of the Policyholder / Life Assured or (c)
not in public interest or (d) is for the purpose of trading of the Policy.
10. Before refusing to act upon Endorsement, the Company should record the reasons in writing and communicate
the same in writing to Policyholder within 30 days from the date of Policyholder giving a notice of transfer or
Assignment.
11. In case of refusal to act upon the Endorsement by the Company, any person aggrieved by the refusal may
prefer a claim to IRDAI within 30 days of receipt of the refusal letter from the Company.
12. The priority of claims of persons interested in the Policy would depend on the date on which the notices of
Assignment or transfer is delivered to the Company; where there are more than one instruments of transfer
or Assignment, the priority will depend on dates of delivery of such notices. Any dispute in this regard as to
priority should be referred to IRDAI.
13. Every Assignment or transfer shall be deemed to be absolute Assignment or transfer and the Assignee or
transferee shall be deemed to be absolute Assignee or transferee, except
a. where Assignment or transfer is subject to terms and conditions of transfer or Assignment OR
b. where the transfer or Assignment is made upon condition that
i. the proceeds under the Policy shall become payable to Policyholder or Nominee(s) in the event of Assignee
or transferee dying before the Life Assured OR
ii. the Life Assured surviving the Policy Term
Such conditional Assignee will not be entitled to obtain a loan on Policy or surrender the Policy. This provision
will prevail notwithstanding any law or custom having force of law which is contrary to the above position.
14. In other cases, the Company shall, subject to terms and conditions of Assignment, recognize the transferee
or Assignee named in the notice as the absolute transferee or Assignee and such person
a. shall be subject to all liabilities and equities to which the transferor or assignor was subject to at the date of
transfer or Assignment and
b. may institute any proceedings in relation to the Policy
c. obtain loan under the Policy or surrender the Policy without obtaining the consent of the transferor or
assignor or making him a party to the proceedings
15. Any rights and remedies of an Assignee or transferee of the Policy under an Assignment or transfer effected
before commencement of the Insurance Laws (Amendment) Ordinance, 2014 shall not be affected by this
section.

[Disclaimer: Section 38 of the Insurance Act, as amended from time to time shall be applicable. Policy Holders are
advised to refer to Original text of Section 38 as amended from time to time for complete and accurate details. ]

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

Annexure BB
Section 39 of the Insurance Act, 1938 – Nomination by Policyholder
Nomination of a life insurance Policy is as below in accordance with Section 39 of the Insurance Act, 1938 as
amended by Insurance Laws (Amendment) 2015 dated 20.03.2015. The extant provisions in this regard are as
follows:
1. The Policyholder of a life insurance Policy on his own life may nominate a person or persons to whom money
secured by the Policy shall be paid in the event of his death.
2. Where the Nominee is a minor, the Policyholder may appoint any person to receive the money secured by the
policy in the event of Policyholder’s death during the minority of the Nominee. The manner of appointment to
be laid down by the Company.
3. Nomination can be made at any time before the maturity of the Policy.
4. Nomination may be incorporated in the text of the Policy itself or may be endorsed on the Policy communicated
to the Company and can be registered by the Company in the records relating to the Policy.
5. Nomination can be cancelled or changed at any time before Policy matures, by an Endorsement or a further
Endorsement or a will as the case may be.
6. A notice in writing of change or cancellation of Nomination must be delivered to the Company for the Company
to be liable to such Nominee. Otherwise, Company will not be liable if a bona-fide payment is made to the
person named in the text of the Policy or in the registered records of the Company.
7. Fee to be paid to the Company for registering change or cancellation of a Nomination can be specified by the
IRDAI through Regulations.
8. On receipt of notice with fee, the Company should grant a written acknowledgement to the Policyholder of
having registered a Nomination or cancellation or change thereof.
9. A transfer or Assignment made in accordance with section 38 of Insurance Act, 1938, shall automatically
cancel the Nomination except in case of Assignment to the Company or other transferee or Assignee for
purpose of loan or against security or its reAssignment after repayment. In such case, the Nomination will not
get cancelled to the extent of Company’s or transferee’s or Assignee’s interest in the Policy. The Nomination
will get revived on repayment of the loan.
10. The right of any creditor to be paid out of the proceeds of any Policy of life insurance shall not be affected by
the Nomination.
11. In case of Nomination by Policyholder whose life is insured, if the Nominees die before the Policyholder, the
proceeds are payable to Policyholder or his heirs or legal representatives or holder of succession certificate.
12. In case Nominee(s) survive the person whose life is insured, the amount secured by the Policy shall be paid
to such survivor(s).
13. Where the Policyholder whose life is insured nominates his/her (a) parents or (b) spouse or (c) children or (d)
spouse and children or (e) any of them
14. The Nominees are beneficially entitled to the amount payable by the Company to the Policyholder unless it is
proved that Policyholder could not have conferred such beneficial title on the Nominee having regard to the
nature of his title.
15. If Nominee(s) die after the Policyholder but before his share of the amount secured under the Policy is paid,
the share of the expired Nominee(s) shall be payable to the heirs or legal representative of the Nominee(s) or
holder of succession certificate of such Nominee(s).
16. The provisions of sub-section 13 and sub-section 14 shall apply to all life insurance Policies maturing for
payment after the commencement of Insurance Laws (Amendment) Act, 2015 (i.e 20.03.2015).
17. If Policyholder dies after maturity but the proceeds and benefit of the Policy has not been paid to him because
of his death, his Nominee(s) shall be entitled to the proceeds and benefit of the Policy.
18. The provisions of section 39 of the Insurance Act, 1938, are not applicable to any life insurance Policy to
which section 6 of Married Women’s Property Act, 1874, applies or has at any time applied except where
before or after Insurance Laws (Ordinance) 2014, a Nomination is made in favour of spouse or children or
spouse and children whether or not on the face of the Policy it is mentioned that it is made under section 39
of the Insurance Act, 1938. Where Nomination is intended to be made to spouse or children or spouse and
children under section 6 of MWP Act, it should be specifically mentioned on the Policy. In such a case only, the
provisions of section 39 of Insurance Act, 1938, will not apply.

[Disclaimer: Section 39 of the Insurance Act, as amended from time to time shall be applicable. Policy Holders are
advised to refer to Original text of Section 39 as amended from time to time for complete and accurate details.]

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)
Bajaj Allianz Life iSecure II
A Non-Linked Non-Participating Individual Life Insurance Term Plan
UIN : 116N208V01

Annexure CC
Section 45 of the Insurance Act, 1938, as amended from time to time – Policy shall not be called in question
on the ground of mis-statement after three years
Provisions regarding Policy not being called into question in terms of section 45 of the Insurance Act, 1938, as
amended by The Insurance Laws (Amendment) Act, 2015 dated 20.03.2015 are as follows:
1. No Policy of life insurance shall be called in question on any ground whatsoever after expiry of three (3) years
from (a) the Policy Commencement Date or (b) the Date of Commencement of Risk or (c) the date of latest
revival of the Policy or (d) the Date of Commencement of Rider; whichever is later.
2. On the ground of fraud, a Policy of life insurance may be called in question within three (3) years from (a) the
Policy Commencement Date or (b) the Date of Commencement of Risk or (c) the date of latest revival of the
Policy or (d) the Date of Commencement of Rider; whichever is later.
For this, the Company should communicate in writing to the Company or legal representative or Nominee
or Assignees of Policyholder, as applicable, mentioning the ground and materials on which such decision is
based.
3. For this, the Company should communicate in writing to the Company or legal representative or Nominee
or Assignees of Policyholder, as applicable, mentioning the ground and materials on which such decision is
based.
4. Fraud means any of the following acts committed by Life Assured or Policyholder or by his agent, with the
intent to deceive the Company or to induce the Company to issue the life insurance Policy:
a. The suggestion, as a fact of that which is not true and which the Life Assured or Policyholder does not believe
to be true;
b. The active concealment of a fact by the Life Assured or Policyholder having knowledge or belief of the fact;
c. Any other act fitted to deceive; and
d. Any such act or omission as the law specifically declares to be fraudulent.
5. Mere silence is not fraud unless, depending on circumstances of the case, it is the duty of the Life Assured or
Policyholder or his agent keeping silence to speak or silence is in itself equivalent to speak.
6. No Insurer shall repudiate a life insurance Policy on the ground of Fraud, if the Life Assured or Policyholder /
beneficiary can prove that the misstatement was true to the best of his knowledge and there was no deliberate
intention to suppress the fact or that such mis-statement of or suppression of material fact are within the
knowledge of the insurer. Onus of disproving is upon the Policyholder, if alive, or beneficiaries.
7. Life insurance Policy can be called in question within three (3) years on the ground that any statement of or
suppression of a fact material to expectancy of life of the Life Assured or Policyholder was incorrectly made
in the Proposal Form or other documents, basis which Policy was issued or revived or Rider issued. For this,
the Company should communicate in writing to the Life Assured or Policyholder or legal representative or
Nominee or Assignees of Policyholder, as applicable, mentioning the ground and materials on which decision
to repudiate the Policy of life insurance is based.
8. In case repudiation is on ground of mis-statement and not on fraud, the premium(s) collected on Policy till
the date of repudiation shall be paid to the Policyholder or legal representative or Nominee or Assignees of
Policyholder, within a period of 90 days from the date of repudiation.
9. Fact shall not be considered material unless it has a direct bearing on the risk undertaken by the Company.
The onus is on Company to show that if the Company had been aware of the said fact, no life insurance Policy
would have been issued to the Policyholder.
10. The Company can call for proof of age at any time if he is entitled to do so and no Policy shall be deemed
to be called in question merely because the terms of the Policy are adjusted on subsequent proof of age of
Life Assured. So, this Section will not be applicable for questioning age or adjustment based on proof of age
submitted subsequently.

[Disclaimer: Section 45 of the Insurance Act, 1938, as amended from time to time shall be applicable. Policy
Holders are advised to refer to Original text of Section 45 as amended from time to time for complete and accurate
details.]

Bajaj Allianz Life Insurance Co. Ltd. Policy Document Ver. 1 (122024)