3/26/2018 International Marketing Group

Name: Lorenz Dejumo Blacer

Issue Age: 10
Total Contribution: 160,000
Coverage
15 years Number of Installments: 20
Period:
Units: 4
MBB In: 5 years

Mode: Quarterly

Total Fund
      Guaranteed Bene摈\ts interest rates of Insurance Bene摈\ts

Regular Yearly Treat

Anniv Age Contribution* (YT) MB MBB 3% 5% 10% Life AD&D TPD TI

0 10 8,000 40,000 40,000 40,000 40,000

1 11 8,000 40,000 40,000 40,000 40,000

2 12 8,000 40,000 40,000 40,000 40,000

3 13 8,000 40,000 40,000 40,000 40,000

4 14 8,000 40,000 40,000 40,000 40,000

5 15 2,400 2,400 2,400 2,400 40,000 40,000 40,000 40,000

6 16 2,800 5,272 5,320 5,440 40,000 40,000 40,000 40,000

7 17 3,200 8,630 8,786 9,184 40,000 40,000 40,000 40,000

8 18 3,600 12,489 12,825 13,702 40,000 40,000 40,000 40,000

9 19 4,000 16,864 17,467 19,073 40,000 40,000 40,000 40,000

10 20 4,400 21,770 22,740 25,380 40,000 40,000 40,000 40,000

11 21 4,800 27,223 28,677 32,718 40,000 40,000 40,000 40,000

12 22 5,200 33,239 35,311 41,190 40,000 40,000 40,000 40,000

13 23 5,600 39,837 42,676 50,909 40,000 40,000 40,000 40,000

14 24 6,000 47,032 50,810 62,000 40,000 40,000 40,000 40,000

15 25 40,000 88,443 93,351 108,199

16 26 91,096 98,018 119,019

17 27 93,829 102,919 130,921

18 28 96,644 108,065 144,013

19 29 99,543 113,468 158,415

20 30 145,400 247,929 264,542 319,656

21 31 255,367 277,769 351,622

22 32 263,028 291,657 386,784

23 33 270,919 306,240 425,463

24 34 279,047 321,552 468,009

25 35 287,418 337,630 514,810

26 36 296,041 354,511 566,291

27 37 304,922 372,237 622,920

28 38 314,069 390,848 685,212

29 39 323,491 410,391 753,733

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3/26/2018 International Marketing Group

30 40 333,196 430,910 829,106

31 41 343,192 452,456 912,017

32 42 353,488 475,079 1,003,218

33 43 364,092 498,833 1,103,540

34 44 375,015 523,774 1,213,894

35 45 386,266 549,963 1,335,284

36 46 397,854 577,461 1,468,812

37 47 409,789 606,334 1,615,693

38 48 422,083 636,651 1,777,263

39 49 434,745 668,484 1,954,989

40 50 447,788 701,908 2,150,488

41 51 461,221 737,003 2,365,537

42 52 475,058 773,853 2,602,090

43 53 489,310 812,546 2,862,299

44 54 503,989 853,173 3,148,529

45 55 519,109 895,832 3,463,382

46 56 534,682 940,623 3,809,721

47 57 550,723 987,655 4,190,693

48 58 567,244 1,037,037 4,609,762

49 59 584,262 1,088,889 5,070,738

50 60 601,789 1,143,334 5,577,812

51 61 619,843 1,200,500 6,135,593

52 62 638,438 1,260,525 6,749,152

53 63 657,592 1,323,552 7,424,068

54 64 677,319 1,389,729 8,166,474

55 65 697,639 1,459,216 8,983,122

TOTAL 42,000 40,000 145,400              

TOTAL GUARANTEED BENEFIT

227,400              
(YT + MB + MBB)

TOTAL INSURANCE BENEFIT

80,000              
(LIFE/TI/TPD + AD&D)

TOTAL GUARANTEED AND INSURANCE

307,400              
BENEFIT

Insurance Bene摈\ts:
Should the insured or payor pass away, become totally and permanently disabled or declared
PREMIUM PROTECT as terminally ill anytime during the saving period and before reaching the age of 70 years, the
policy shall be considered as fully paid.

This bene摈\t is applicable if the insured is a minor (ages 1 - 17). The policy shall be considered
PAYOR'S DEATH AND
fully paid should the payor (ages 18 - 64) pass away, become TPD or be declared as TI. The
DISABILITY BENEFIT
guaranteed bene摈\ts under the Money Saver policy shall be given as scheduled.

Should the insured pass away anytime from the e䐅耀ectivity of the policy until when the MB
LIFE INSURANCE becomes due or before age 85, whichever comes 摈\rst, the bene摈\ciary shall receive an amount
equal to the MB.

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3/26/2018
ACCIDENTAL DEATH and
DISABLEMENT (AD&D)
International Marketing Group
Should the insured pass away due to an accident anytime from the e䐅耀ectivity of the policy until
when the MB becomes due or before age 65, whichever comes 摈\rst, the bene摈\ciary shall
receive an amount equal to the MB. Or if the insured member becomes disabled due to a
covered accident, MB Life shall pay him that percentage of the MB corresponding to the injury
he su䐅耀ers. This will be given in addition to the life insurance bene摈\t.

Should the insured be declared TPD before reaching the age of 65 years, an amount equal to
MB will be given to the insured. TPD shall mean a disability caused by a bodily injury or
TOTAL AND PERMANENT
quali摈\ed illness which prevents the insured from engaging in any gainful activity and must
DISABILITY (TPD)
continue uninterruptedly for at least six (6) months. The payment of the TPD bene摈\t shall cause
the policy to terminate.

Should the insured be declared as terminally ill before reaching the age of 65 years, an amount
equal to MB will be given but not to exceed Php 2,000,000. If the insured outlives the life
TERMINAL ILLNESS (TI)
expectancy of 12 months, life insurance coverage shall be based on the reduced life bene摈\t.
Payment of premiums shall resume based on the reduced bene摈\t.

Note: The Yearly Treat, Maturity Bene摈\t and Money Back Bene摈\t shall be given as scheduled to the bene摈\ciary or insured,

regardless if any of the Insurance Bene摈\ts have been availed.

I accept the Terms and Conditions of the proposal.      Prepared By:

        

___________________________________________________________ ______________ ____________________________________________________

   
Signature over Printed Name of Proposed Insured Date Signed Signature over Printed Name of Coded Agent
        

___________________________________________________________
______________
    FOR U/W PURPOSES ONLY: Php 40,000.00
Signature over Printed Name of Applicant-owner/Payor Date Signed

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