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L&C/Advt/2012/Mar/382

SALES BENEFIT ILLUSTRATION

Name of the Proposed Insured:

DHARMINDER

Age/Sex of the Proposed Insured:

30

Name of the Policyholder:

DHARMINDER

Age/Sex of the Policyholder:

30

Insurance Plan

Male

Male

UIN

Tata AIG Life MAHALIFE GOLD

MAHALIFE
110N029V01
GOLD

Agent Number:

4471705

Agent Name:

Benefit Period
(years)

Premium Paying
Period (years)

70

15

Proposal Number:

169455

Date:

27-Apr-12

Currency

Rupees

Payment Mode:

Semi-Annual

Sum Assured

First Modal Premium

1,000,000

44,370

Total

44,370

Total

44,370

Service Tax*
Total Premium Inclusive of Service Tax

1,371
45,741

Contact Phone Number:

* Service tax rate currently applicable for First year premium is 3.09% and for Renewal premiums is 1.55%
** Please refer to the Exclusion Page(s) attached to this Life Insurance Illustration for the exclusion on the rider(s) attached.
*Service tax is applicable as per governing laws and the same shall be borne by the policyholder. Tata AIG Life Insurance Company Limited reserves the right to recover from the Policyholder, any levies and duties (including service tax), as imposed by the government from
time to time.

Some benefits are guaranteed and some benefits are variable with return based on the future performance of your life insurance company (Tata AIG Life Insurance Company Ltd).
If your policy offers guaranteed returns then these will be clearly marked "guaranteed" in the illustration table on this page. If your policy offers variable returns the illustration will have two pages that will show two different rates of assumed future investment returns and
corresponding cash dividend rates. The above cash dividends have been determined using assumed future investment returns of 10% & 6% respectively. The rates used have been set by the Life Insurance Council. These assumed rates of return are not guaranteed and
they are not 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.
Note: This illustration is not an insurance contract. Read this benefit illustration along with a product brochure for detailed terms and conditions before concluding a sale.
Insurance is the subject matter of the solicitation

This product is underwritten by Tata AIG Life Insurance Company Ltd.

Policyholder's Initials/Signatutre___________

Tata AIG Life Insurance Company Ltd. (Regn No. 110)


Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076
For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 1 of 8

Tata AIG Life Insurance Company Ltd.


Version 1.0
169455

Projection Of Values (For Illustration Only)


Scenario:

High Cash Dividend Rate

Death Benefits on Policy Anniversary


Guaranteed

Policy

Insured

Anniversary

Age

0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68

Basic

Total

Guaranteed

Life Coverage

(6)

Rider

Total

Life

Premium Premium

Premiums*

Coverage

Total

88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000

1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000

88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

What you will get back


Non- Guaranteed

Accident Coverage
Total

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Annual Cash (2)


Dividend

0
0
0
0
0
0
31,000
31,000
31,000
31,000
62,000
62,000
62,000
62,000
62,000
62,000
62,000
62,000
62,000
62,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000

Guaranteed

Total Cash Dividend

(3)

Coupon

(1)

Payable Upto

0
0
0
0
0
0
31,000
62,000
93,000
124,000
186,000
248,000
310,000
372,000
434,000
496,000
558,000
620,000
682,000
744,000
837,000
930,000
1,023,000
1,116,000
1,209,000
1,302,000
1,395,000
1,488,000
1,581,000
1,674,000
1,767,000
1,860,000
1,953,000
2,046,000
2,139,000
2,232,000
2,325,000
2,418,000
2,511,000

Non-Guaranteed

Total Coupons(4) Cash Surrender (5) /Maturity


Values (7)

Paid Upto

0
0
0
0
0
0
0
0
0
0
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000

0
0
0
0
0
0
0
0
0
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
550,000
600,000
650,000
700,000
750,000
800,000
850,000
900,000
950,000
1,000,000
1,050,000
1,100,000
1,150,000
1,200,000
1,250,000
1,300,000
1,350,000
1,400,000
1,450,000

0
0
0
81,850
143,750
209,750
286,110
373,750
451,110
533,560
621,480
661,860
704,910
750,810
799,780
852,030
853,710
855,460
857,270
859,140
861,080
863,080
865,150
867,280
869,470
871,730
874,060
876,460
878,930
881,500
884,170
886,910
889,720
892,600
895,530
898,500
901,530
904,710
907,910

Policyholder's Initials/Signatutre___________
Tata AIG Life Insurance Company Ltd. (Regn No. 110)
Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076
For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 2 of 8

Tata AIG Life Insurance Company Ltd.


Version 1.0
169455

Projection Of Values (For Illustration Only)


Scenario:

High Cash Dividend Rate

Death Benefits on Policy Anniversary


Guaranteed

Policy

Insured

Anniversary

Age

39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70

69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

Basic

Total
Life Coverage

(6)

Rider

Total

Life

Premium Premium

Premiums*

Coverage

Total

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000

1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

What you will get back

Guaranteed

Non- Guaranteed

Accident Coverage
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Annual Cash

(2)

Dividend
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000
93,000

Guaranteed

Total Cash Dividend

(3)

Coupon

(1)

Payable Upto
2,604,000
2,697,000
2,790,000
2,883,000
2,976,000
3,069,000
3,162,000
3,255,000
3,348,000
3,441,000
3,534,000
3,627,000
3,720,000
3,813,000
3,906,000
3,999,000
4,092,000
4,185,000
4,278,000
4,371,000
4,464,000
4,557,000
4,650,000
4,743,000
4,836,000
4,929,000
5,022,000
5,115,000
5,208,000
5,301,000
5,394,000
5,487,000

Non-Guaranteed
(4)

Total Coupons Cash Surrender (5) /Maturity


Values

Paid Upto
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000

1,500,000
1,550,000
1,600,000
1,650,000
1,700,000
1,750,000
1,800,000
1,850,000
1,900,000
1,950,000
2,000,000
2,050,000
2,100,000
2,150,000
2,200,000
2,250,000
2,300,000
2,350,000
2,400,000
2,450,000
2,500,000
2,550,000
2,600,000
2,650,000
2,700,000
2,750,000
2,800,000
2,850,000
2,900,000
2,950,000
3,000,000
3,050,000

(7)

911,110
914,310
917,500
920,660
923,790
926,890
929,930
932,920
935,840
938,690
941,440
944,110
946,660
949,080
951,370
953,490
955,500
957,450
959,350
961,220
963,080
964,940
966,850
968,880
971,140
973,810
977,200
981,850
988,730
999,620
1,017,870
1,050,000

Policyholder's Initials/Signatutre___________
Tata AIG Life Insurance Company Ltd. (Regn No. 110)
Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076
For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 3 of 8

Tata AIG Life Insurance Company Ltd.


Version 1.0
169455

Projection Of Values (For Illustration Only)


Scenario:

High Cash Dividend Rate

Death Benefits on Policy Anniversary


Guaranteed

Policy

Insured

Anniversary

Age

Basic

Total

Rider

Total

Life

Premium Premium

Premiums*

Coverage

What you will get back

Guaranteed

Life Coverage

(6)

Non- Guaranteed

Accident Coverage

Total

Total

Annual Cash

(2)

Total Cash Dividend

Dividend

Guaranteed
(3)

Coupon

Payable Upto

(1)

Non-Guaranteed
(4)

Total Coupons Cash Surrender (5) /Maturity


Values (7)

Paid Upto

(1) Coupon is a guaranteed feature. Coupon is payable depending on the sum assured of the basic policy.
(2) Annual Cash Dividend is declared based on the investment, expenses, and mortality experience of the company and is not guaranteed.
This illustration assumes the Annual Cash Dividend if it is declared at the rates mentioned below:Policy Anniversary
6-9
10 - 19
20 & above
Annual Cash Dividend per 1,000 Basic
Sum Assured

31

62

93

(3) This illustration shows as the column "Total Cash Dividend Payable Upto" the progressive total of Annual Cash Dividends paid out.
(4) This illustration shows as the column "Total Coupons Paid Upto" the progressive total of coupon amounts paid out.
(5) Cash Surrender Value is available upon surrender of the policy. The company will guarantee a minimum basic cash surrender value of 30% of the premiums paid
(excluding the first year's premium and extra premiums, if any) on your basic policy provided three annual premiums have been paid in full.
(6) Life Coverage Total includes term rider coverage provided under the term rider, if attached to this policy.
(7) The last value shows the Maturity of the Policy. On maturity you will receive Life Coverage (Excluding that on attached term rider, if any) & Final Coupon i.e. Rs.
* Total Premiums are exclusive of Service Tax.

1,050,000

is payable.

Policyholder's Initials/Signatutre___________
Tata AIG Life Insurance Company Ltd. (Regn No. 110)
Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076
For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 4 of 8

Tata AIG Life Insurance Company Ltd.


Version 1.0
169455

Projection Of Values (For Illustration Only)


Scenario:

Low Cash Dividend Rate

Death Benefits on Policy Anniversary


Guaranteed

Policy
Anniversary

0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

Insured
Basic Rider
Total
Age Premium Premium Premiums*

30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68

88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
88,740
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Total

Life
Coverage

Life Coverage (6)


Total

1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000

1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000

What you will get back

Guaranteed

Non- Guaranteed

Guaranteed

Accident Coverage
Total

Annual Cash (2)


Dividend

Total Cash Dividend (3)


Payable Upto

Coupon (1)

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
7,000
7,000
7,000
7,000
14,000
14,000
14,000
14,000
14,000
14,000
14,000
14,000
14,000
14,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000

0
0
0
0
0
0
7,000
14,000
21,000
28,000
42,000
56,000
70,000
84,000
98,000
112,000
126,000
140,000
154,000
168,000
189,000
210,000
231,000
252,000
273,000
294,000
315,000
336,000
357,000
378,000
399,000
420,000
441,000
462,000
483,000
504,000
525,000
546,000
567,000

0
0
0
0
0
0
0
0
0
0
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000

Non-Guaranteed

Total Coupons(4)Cash Surrender (5) /Maturity


Values (7)
Paid Upto

0
0
0
0
0
0
0
0
0
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
550,000
600,000
650,000
700,000
750,000
800,000
850,000
900,000
950,000
1,000,000
1,050,000
1,100,000
1,150,000
1,200,000
1,250,000
1,300,000
1,350,000
1,400,000
1,450,000

0
0
0
81,850
143,750
209,750
286,110
373,750
451,110
533,560
621,480
661,860
704,910
750,810
799,780
852,030
853,710
855,460
857,270
859,140
861,080
863,080
865,150
867,280
869,470
871,730
874,060
876,460
878,930
881,500
884,170
886,910
889,720
892,600
895,530
898,500
901,530
904,710
907,910

Policyholder's Initials/Signatutre___________
Tata AIG Life Insurance Company Ltd. (Regn No. 110)
Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076
For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 5 of 8

Tata AIG Life Insurance Company Ltd.


Version 1.0
169455

Projection Of Values (For Illustration Only)


Scenario:

Low Cash Dividend Rate

Death Benefits on Policy Anniversary


Guaranteed

Policy
Anniversary
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70

Insured
Basic Rider
Total
Age Premium Premium Premiums*
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Life
Coverage
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000

Total
Life Coverage
Total

What you will get back

Guaranteed
(6)

1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000

Non- Guaranteed

Accident Coverage
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Annual Cash
Dividend

(2)

21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000
21,000

Guaranteed

Total Cash Dividend


Payable Upto

(3)

588,000
609,000
630,000
651,000
672,000
693,000
714,000
735,000
756,000
777,000
798,000
819,000
840,000
861,000
882,000
903,000
924,000
945,000
966,000
987,000
1,008,000
1,029,000
1,050,000
1,071,000
1,092,000
1,113,000
1,134,000
1,155,000
1,176,000
1,197,000
1,218,000
1,239,000

Coupon

(1)

50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000
50,000

Non-Guaranteed
(4)

Total Coupons Cash Surrender (5) /Maturity


Values (7)
Paid Upto
1,500,000
1,550,000
1,600,000
1,650,000
1,700,000
1,750,000
1,800,000
1,850,000
1,900,000
1,950,000
2,000,000
2,050,000
2,100,000
2,150,000
2,200,000
2,250,000
2,300,000
2,350,000
2,400,000
2,450,000
2,500,000
2,550,000
2,600,000
2,650,000
2,700,000
2,750,000
2,800,000
2,850,000
2,900,000
2,950,000
3,000,000
3,050,000

911,110
914,310
917,500
920,660
923,790
926,890
929,930
932,920
935,840
938,690
941,440
944,110
946,660
949,080
951,370
953,490
955,500
957,450
959,350
961,220
963,080
964,940
966,850
968,880
971,140
973,810
977,200
981,850
988,730
999,620
1,017,870
1,050,000

Policyholder's Initials/Signatutre___________
Tata AIG Life Insurance Company Ltd. (Regn No. 110)
Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076
For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 6 of 8

Tata AIG Life Insurance Company Ltd.


Version 1.0
169455

Projection Of Values (For Illustration Only)


Scenario:

Low Cash Dividend Rate

Death Benefits on Policy Anniversary


Guaranteed

Policy
Anniversary

Insured
Basic Rider
Total
Age Premium Premium Premiums*

Life
Coverage

Total
Life Coverage
Total

(6)

Accident Coverage
Total

(1) Coupon is a guaranteed feature. Coupon is payable depending on the sum assured of the basic policy.
(2) Annual Cash Dividend is declared based on the investment, expenses, and mortality experience of the company and is not guaranteed.
This illustration assumes the Annual Cash Dividend if it is declared at the rates mentioned below:Policy Anniversary
6-9
10 - 19
Annual Cash Dividend per 1,000 Basic Sum Assured

What you will get back

Guaranteed

14

Non- Guaranteed
Annual Cash
Dividend

(2)

Total Cash Dividend


Payable Upto

Guaranteed
(3)

Coupon

(1)

Non-Guaranteed
(4)

Total Coupons Cash Surrender (5) /Maturity


Values (7)
Paid Upto

20 & above
21

(3) This illustration shows as the column "Total Cash Dividend Payable Upto" the progressive total of Annual Cash Dividends paid out.
(4) This illustration shows as the column "Total Coupons Paid Upto" the progressive total of coupon amounts paid out.
(5) Cash Surrender Value is available upon surrender of the policy. The company will guarantee a minimum basic cash surrender value of 30% of the premiums paid
(excluding the first year's premium and extra premiums, if any) on your basic policy provided three annual premiums have been paid in full. The last value shows the Maturity of the Policy.
(6) Life Coverage Total includes term rider coverage provided under the term rider, if attached to this policy.
(7) The last value shows the Maturity of the Policy. On maturity you will receive Life Coverage (Excluding that on attached term rider, if any) & Final Coupon i.e. Rs.
1,050,000
* Total Premiums are exclusive of Service Tax.

is payable.

Policyholder's Initials/Signatutre___________
Tata AIG Life Insurance Company Ltd. (Regn No. 110)
Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076
For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 7 of 8

Tata AIG Life Insurance Company Ltd.


Version 1.0
169455

Declaration:
I have received a copy of this Sales Illustration and understand that any non-guaranteed benefits assumed in the Sales Illustration
are subject to change and are not guaranteed.

Signed:

___________________________

Name :

___________________________

Date:

___________________________

This is an illustrative document and not a contract. Your policy will contain the exact terms of coverage.

Authorised Official / Intermediary of Tata AIG Life Insurance Company Ltd.

Signed:

___________________________

Name :

___________________________

Date:

___________________________

Tax benefits are available as per Income-tax Act, 1961 and are subject to modifications made thereto from time to time. Tata AIG Life does not
assume the responsibility on tax implications mentioned any where in this document. Please consult your own tax consultant to know the tax
benefit available to you.

Tata AIG Life Insurance Company Ltd. (Regn No. 110)


Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076
For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 8 of 8

Tata AIG Life Insurance Company Ltd.


Version 1.0
169455