BENEFIT ILLUSTRATION

[Date and Time of Illustration – 31 January 2025, 01:15 PM]

Name of the Prospect/Policyholder: Ms. SARATHA S .. Proposal No: 172319725

Age & Gender: 64 Years, Female Name of the Product: Max Life Smart Wealth Advantage Growth Par Plan

Name of the Life Assured: Ms. AMRITHA S Tag Line: A Non-Linked Participating Individual Life Insurance Savings Plan

Age & Gender: 37 Years, Female Unique Identification No: 104N135V02

GST Rate (Base Policy, First Year): 4.50%
Policy Term: 30 Years GST Rate (Base Policy, Subsequent Year): 2.25%
GST Rate (Rider Policy, First Year): NA
Premium Payment Term: 12 Years
GST Rate(Rider Policy,Subsequent Year): NA
Amount of Installment Premium: `3,07,230
Max Life State: Tamil Nadu
Mode of payment of premium: Annual Policyholder Residential State: Tamil Nadu

How to read and understand this benefit illustration?

This benefit illustration is intended 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 returns benefits then these will be
clearly marked “guaranteed” in the illustration table on the next/this page. If your policy offers variable returns benefits then the illustration on the next/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 illustrative, 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
Variant Name Insta Income Sum Assured on Maturity (in Rs.) 36,00,000
Policy Continuance Benefit Option No Additional Benefit on Maturity (only applicable for female lives) (in Rs.) 3,60,000
Payment Frequency for Guaranteed Income & Cash Bonus Annual in Advance Sum Assured on Death (at inception of the policy) (in Rs.) 35,40,000
Save the date Option No Date of first Survival Benefit payment Friday, January 31, 2025

Rider Details
Accidental Death & Dismemberment (ADD) Rider Premium Payment Term and Rider Term NA Accidental Death & Dismemberment (ADD) Rider Sum Assured (in Rs.) NA
Term Plus Rider Term - Premium Payment Term and Rider Term NA Term Plus Rider Sum Assured (in Rs.) NA
Waiver of Premium (WOP) Plus Rider Term NA Critical Illness and Disability Rider - Coverage Variant NA
Critical Illness and Disability Rider - Rider Premium Payment Term and Rider Term NA Critical Illness and Disability Rider - Rider Sum Assured NA

Premium Summary

Accidental Death & Waiver of Premium Critical Illness and Total Installment
Base Plan Term Plus Rider
Dismemberment Rider Plus Rider Disability Rider Premium

Installment Premium without GST (in Rs.) 2,94,000 0 0 0 0 2,94,000

Installment Premium with first year GST (in Rs.) 3,07,230 0 0 0 0 3,07,230
Installment Premium with GST 2nd year onwards (in Rs.) 3,06,750 0 0 0 0 3,06,750

UIN: 104N135V02 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 1 of 4
 (Amount in Rupees)

Non-Guaranteed Benefit @ 4% per Non-Guaranteed Benefit @ 8% per Total Benefits including Guaranteed and Non-
Guaranteed Benefits
annum investment return annum investment return Guaranteed Benefits

Age at the
Single/
Policy start of Total Total
Annualized Guaranteed
Year the Policy Survival Survival
Premium Additional Guaranteed Special Surrender Special Total Death Total Death
Year Survival Maturity Surrender Surrender (BOY) & (BOY) &
Death Accidental Cash Bonus Surrender Surrender Cash Bonus Value (GSV) Surrender Benefit Benefit
Benefit Benefit Benefit Benefit Maturity Maturity
Benefit Death Benefit (BOY) Value (GSV) Value (SSV) (BOY) (EOY) Value (SSV) @4% @8%
(BOY) (EOY) (EOY) (EOY) Benefit @ Benefit @
(EOY) (EOY) (EOY)
4% (EOY) 8% (EOY)
(4+6+8) (4+6+12)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

1 37 2,94,000 3,246 35,40,000 - - 27,600 - 59,154 59,154 1,09,362 - 45,544 45,544 35,40,000 35,40,000 30,846 1,12,608

2 38 3,00,000 3,246 35,40,000 - - 27,600 1,18,308 1,48,308 1,48,308 1,09,362 - 97,546 97,546 35,40,000 35,40,000 30,846 1,12,608

3 39 3,00,000 3,246 35,40,000 - - 27,600 2,22,463 2,67,463 2,67,463 1,09,362 - 1,56,699 1,56,699 35,40,000 35,40,000 30,846 1,12,608

4 40 3,00,000 3,246 35,40,000 - - 27,600 4,76,617 5,00,617 5,00,617 1,09,362 1,49,568 2,23,767 2,23,767 35,40,000 35,40,000 30,846 1,12,608

5 41 3,00,000 3,246 35,40,000 - - 27,600 5,95,771 6,55,771 6,55,771 1,09,362 1,86,960 3,38,717 3,38,717 35,40,000 35,40,000 30,846 1,12,608

6 42 3,00,000 3,246 35,40,000 - - 27,600 7,14,925 8,58,925 8,58,925 1,09,362 2,24,352 4,86,228 4,86,228 35,40,000 35,40,000 30,846 1,12,608

7 43 3,00,000 3,246 35,40,000 - - 27,600 8,34,080 10,86,080 10,86,080 1,09,362 2,61,744 6,89,977 6,89,977 35,40,000 35,40,000 30,846 1,12,608

8 44 3,00,000 3,246 35,40,000 - - 27,600 10,90,274 14,01,540 14,01,540 1,09,362 4,36,176 9,36,630 9,36,630 35,40,000 35,40,000 30,846 1,12,608

9 45 3,00,000 3,246 35,40,000 - - 27,600 13,80,998 17,68,985 17,68,985 1,09,362 6,45,138 12,25,444 12,25,444 35,40,000 35,40,000 30,846 1,12,608

10 46 3,00,000 3,246 35,40,000 - - 27,600 17,05,742 21,79,105 21,79,105 1,09,362 8,88,120 15,60,274 15,60,274 35,40,000 35,40,000 30,846 1,12,608

11 47 3,00,000 3,246 35,40,000 - - 27,600 20,65,077 26,37,644 26,37,644 1,09,362 11,65,692 19,48,763 19,48,763 35,40,000 35,40,000 30,846 1,12,608

12 48 3,00,000 3,246 37,80,000 - - 27,600 24,58,371 31,45,245 31,45,245 1,09,362 14,77,224 23,94,710 23,94,710 37,80,000 37,80,000 30,846 1,12,608

13 49 - 3,246 37,80,000 - 17,70,000 27,600 26,33,445 34,40,353 34,40,353 1,09,362 15,70,536 26,29,358 26,29,358 37,80,000 37,80,000 30,846 1,12,608

14 50 - 3,246 37,80,000 - 17,70,000 27,600 28,08,159 35,52,079 35,52,079 1,09,362 16,63,488 27,14,034 27,14,034 37,80,000 37,80,000 30,846 1,12,608

15 51 - 3,246 37,80,000 - 17,70,000 27,600 27,77,314 36,36,939 36,36,939 1,09,362 15,50,880 27,90,747 27,90,747 37,80,000 37,80,000 30,846 1,12,608

16 52 - 3,246 37,80,000 - 17,70,000 27,600 27,46,468 37,25,511 37,25,511 1,09,362 14,38,272 28,73,742 28,73,742 37,80,000 37,80,000 30,846 1,12,608

17 53 - 3,246 37,80,000 - 17,70,000 27,600 27,15,622 38,17,910 38,17,910 1,09,362 13,25,664 29,63,647 29,63,647 37,80,000 37,80,000 30,846 1,12,608

UIN: 104N135V02 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 2 of 4
 Non-Guaranteed Benefit @ 4% per Non-Guaranteed Benefit @ 8% per Total Benefits including Guaranteed and Non-
Guaranteed Benefits
annum investment return annum investment return Guaranteed Benefits

Age at the
Single/
Policy start of Total Total
Annualized Guaranteed
Year the Policy Survival Survival
Premium Additional Guaranteed Special Surrender Special Total Death Total Death
Year Survival Maturity Surrender Surrender (BOY) & (BOY) &
Death Accidental Cash Bonus Surrender Surrender Cash Bonus Value (GSV) Surrender Benefit Benefit
Benefit Benefit Benefit Benefit Maturity Maturity
Benefit Death Benefit (BOY) Value (GSV) Value (SSV) (BOY) (EOY) Value (SSV) @4% @8%
(BOY) (EOY) (EOY) (EOY) Benefit @ Benefit @
(EOY) (EOY) (EOY)
4% (EOY) 8% (EOY)
(4+6+8) (4+6+12)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

18 54 - 3,246 37,80,000 - 17,70,000 27,600 26,84,776 39,14,249 39,14,249 1,09,362 12,13,056 30,61,091 30,61,091 37,80,000 37,80,000 30,846 1,12,608

19 55 - 3,246 37,80,000 - 17,70,000 27,600 26,53,931 40,14,757 40,14,757 1,09,362 11,00,448 31,66,816 31,66,816 37,80,000 37,80,000 30,846 1,12,608

20 56 - 3,246 37,80,000 - 17,70,000 27,600 26,23,085 41,19,663 41,19,663 1,09,362 9,87,840 32,81,679 32,81,679 37,80,000 37,80,000 30,846 1,12,608

21 57 - 3,246 37,80,000 - 17,70,000 27,600 25,92,239 42,29,080 42,29,080 1,09,362 8,75,232 34,06,479 34,06,479 37,80,000 37,80,000 30,846 1,12,608

22 58 - 3,246 37,80,000 - 17,70,000 27,600 25,61,393 43,43,181 43,43,181 1,09,362 7,62,624 35,42,244 35,42,244 37,80,000 37,80,000 30,846 1,12,608

23 59 - 3,246 37,80,000 - 17,70,000 27,600 25,30,548 44,62,307 44,62,307 1,09,362 6,50,016 36,89,945 36,89,945 37,87,574 37,87,574 30,846 1,12,608

24 60 - 3,246 37,80,000 - 17,70,000 27,600 24,99,702 45,86,516 45,86,516 1,09,362 5,37,408 38,49,983 38,49,983 39,49,424 39,49,424 30,846 1,12,608

25 61 - 3,246 37,80,000 - 17,70,000 27,600 24,68,856 47,16,150 47,16,150 1,09,362 4,24,800 40,23,155 40,23,155 41,24,354 41,24,354 30,846 1,12,608

26 62 - - 37,80,000 - 17,70,000 28,419 24,40,437 49,27,024 49,27,024 1,12,608 3,12,192 42,77,881 42,77,881 43,80,951 43,80,951 28,419 1,12,608

27 63 - - 37,80,000 - 17,70,000 28,419 24,12,018 51,45,778 51,45,778 1,12,608 1,99,584 44,93,201 44,93,201 46,56,737 46,56,737 28,419 1,12,608

28 64 - - 37,80,000 - 17,70,000 28,419 23,83,598 53,72,471 53,72,471 1,12,608 86,976 46,76,939 46,76,939 49,53,140 49,53,140 28,419 1,12,608

29 65 - - 37,80,000 - 17,70,000 28,419 23,55,179 56,06,931 56,06,931 1,12,608 - 49,08,239 49,08,239 52,71,473 52,71,473 28,419 1,12,608

30 66 - - 37,80,000 39,60,000 17,70,000 28,419 - - - 1,12,608 - - - 56,06,254 56,06,254 60,99,459 61,83,648

UIN: 104N135V02 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 3 of 4
Notes:
1. Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax. Refer Sales literature for explanation of terms used in
this illustration.
2. EOY: End of Year, BOY = Beginning of Year, Arrears means Cash Bonus and Guaranteed Income shall be provided at EOY, Advance means Cash Bonus and Guaranteed Income shall be provided at BOY. For more details refer to
Prospectus.
3. The surrender benefit, death benefit and maturity benefit shown above are at the end of the Policy Year.
4. The Surrender Value is higher of the Guaranteed Surrender Value (GSV) and the Special Surrender Value (SSV).
5. Refer Sales literature (Prospectus) and Policy Document for explanation of terms used in this illustration.
6. Above benefits include terminal bonus payable,if any.
7. The above benefits are with assumptions that save the date option is not selected by you. For details on save the date option , please refer the Policy Document.
8. Under column 18 and 19, Maturity Benefit also includes the 'Terminal Bonus (if Declared) at Maturity'.

I, Ms. Saratha S (name),have explained the premiums, and benefits under the product fully to I, SARATHA S .. (name), having received the information with respect to the above, have
the prospect / policyholder. understood the above statement before entering into the contract.

Place: Date: 1/31/25

Signature / OTP Confirmation Date/ Thumb Impression / Signature / OTP Confirmation Date / Thumb Impression /
Date: 1/31/25 Electronic Signature of Agent / Intermediary / Official of the Electronic Signature of Prospect / Policyholder
insurer
This system generated benefit illustration shall be treated as signed by me.

UIN: 104N135V02 Max Life Insurance Company Limited having its Corporate Office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 4 of 4
Need analysis for SARATHA S .. Age 64

Occupation: Self Employed

Life stage Gross annual income(Rs.)

Married with children 1000000

Purpose of Insurance

Wealth accumulation/Investment

Any existing life insurance cover already held

No

Recommended products (as per standard product suitability matrix)

Max Life Smart Wealth Advantage Guarantee Elite Plan, Max Life Fast Track Super Plan, Max Life Platinum
Wealth Plan, Max Life Flexi Wealth Plus Plan, Max Life Smart Wealth Plan, Max Life Smart Wealth Income
Plan, Max Life Flexi Wealth Advantage Plan, Max Life Smart Capital Guarantee Solution, Max Life Smart
Wealth Advantage Guarantee Plan, Max Life Smart Wealth Advantage Growth Par Plan, Max Life Savings
Advantage Plan

Selected product

Max Life Smart Wealth Advantage Growth Par Plan

Nature of the selected product

Traditional

Premium payment term Policy term Mode of premium payment

12 30 Annual

Mandatory field for all customers

Customer Name SARATHA S ..

Proposal no(s) 172319725 PSM Date 31 Jan 2025

I / We are aware that suitability information has been collected from me/us and recommendation on
purchase of life insurance product has been made only basis such information and any product selected by
me/us that differs from such recommendation is on the basis of my/our personal choice.

Customer signature
Seller signature
(OTP confirmation date /
(This system generated form Ms. Saratha S ,
Thumb impression /
shall be treated as signed by 49280E
Electronic signature of
me)
prospect/ policyholder)