Non-Linked, Non-Participating, Individual Life Insurance plan

Dear MR. null

We all want to ensure that our loved ones have a comfortable life and secured future. We all thrive to provide happiness and security to our family. We want
to make sure they are never short in terms of financial resources to live the life of their dreams, thereby providing a strong 'foundation' of financial security
for them. Presenting Tata AIA Life Insurance Sampoorna Raksha Supreme Plan, an insurance plan that provides financial protection to your family and
offers you the flexibility to choose the plan that suits your need.

Key Features

Option to choose from multiple options

Option for Whole Life coverage (till age 100 years)
Flexibility to receive death benefit payout as a Lumpsum or Income (up to 60 Months) or both
Option to Increase cover at Important milestones with Life stage option
Option to increase Sum Assured through top-ups
Inbuilt payor Accelerator benefit that advances 50% of Basic Sum Assured in event of a Terminal illness diagnosis
Option to get Income payouts at age 55, 60 or 65 onwards for a peaceful life
Option to avail medical second opinion/medical consultation/ personal medical case management
Flexibility to choose Policy Term and Premium Paying Term
Lower premium rate for Female lives
Enhance your protection with Optional Riders
Tax benefits, as per the applicable Income Tax laws

Section 41 of the Insurance Act, 1938, prohibits the intermediary from sharing his commission with the customer. It also prohibits the customer from
accepting a share of the commission. Any person making default in compliance with this Section is liable to payment of fine.'All payouts to the
intermediaries are within the limits prescribed under the Insurance Act, 1938, and IRDAI Rules & Regulations as amended from time to time
Please read the product brochure/ policy document for more details

Dear MR. null,

We are delighted that you have decided to secure your loved ones' financial future with a Life Cover of Rs. 5000000 through our Tata AIA Life Insurance
Sampoorna Raksha Supreme and Term Benefit with Accelerated Terminal Illness under Tata AIA Life Insurance Comprehensive Protection Rider.
As per the benefit illustration, in case of death / terminal illness during the Policy Term, you are entitled to a life cover of INR 5000000 which is inclusive of
sum assured of INR 5000000 under base plan (Tata AIA Life Insurance Sampoorna Raksha Supreme) & INR 0 under Term Benefit with Accelerated
Terminal Illness (Tata AIA Life Insurance Comprehensive Protection Rider).
For more details on life coverage / other eventualities as applicable under the product and riders, please refer benefit illustration and Terms and Conditions.
At Tata AIA Life Insurance, we are committed to help you with solutions that will provide Sampoorna Rakshakaran to your family so that you can enjoy life
without any worries.

Best Wishes
Tata AIA Life Insurance Company Limited

Disclaimer:
Insurance cover is available under the solution. The solution is underwritten by Tata AIA Life Insurance Company Ltd. This is not a guaranteed issuance
solution & it will be subject to Company's underwriting & acceptance. For more details on risk factors, terms & conditions please read sales brochure
carefully before concluding a sale.

#RakshakarankiReet
Tata AIA Life Insurance Company Limited (IRDAI Regn. No.110) CIN: U66010MH2000PLC128403. Registered & Corporate Office: 14th Floor, Tower
A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai - 400013. Trade logo displayed above belongs to Tata Sons Ltd & AIA Group Ltd.
& is used by Tata AIA Life Insurance Company Ltd under a license. For any information including cancellation, claims & complaints, please contact our
Insurance Advisor / Intermediary or visit Tata AIA Life's nearest branch office or call 1-860-266-9966 (local charges apply) or write to us at
[email protected]. Visit us at: www.tataaia.com.

IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of
BEWARE OF SPURIOUS PHONE CALLS
premiums. Public receiving
AND FICTIOUS / FRAUDULENT OFFERS
such phone calls are requested to lodge a police complaint.
 Name of the Prospect / Policyholder: null Proposal No: 12177444

Age (years) : 31 Gender: Male Name of the Product: Tata AIA Life Insurance Sampoorna Raksha
Supreme
Name of the Life Assured : Abc
Tag Line : Non-Linked, Non-Participating Life Insurance
Age (years) : 31 Gender: Male Smoker: No Plan
i
Policy Term : 44 Years 00 Income Start Age am Unique Identification No.: 110N160V03
months (years): NA red
GST Rate Year 1: 4.5%
Premium Payment Term : 12 Years 00 Income Rate:
months NA% GST Rate Year 2 onwards: 2.25%

Amount of Instalment Premium (Rs.): 45698 I am red I am red

Mode of Payment of Premium : Annual

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.

Policy Details
Policy Option: Life plus option Lumpsum(Rs): 5000000

Sum Assured (Rs): 5000000 Income p.a (Rs): 0

Sum Assured on Death (at inception of the policy) (Rs): 5000000 Income Duration (months): 0

Rider Details

Tata AIA Vitality

No
(Wellness Program)

Details of Life
Insured/Partner under the Benefit Payout
Rider Name/UIN^ Benefit Option Return of Benefit Premium Sum Premium p.a. Year 1
(Benefit Option/Benefit premium Option Payment Assured without GST Discount
Payout Option) Income Option Term Term (Rs.) (Rs.) (Rs.)
Lumpsum Income
Name Age(yrs) Gender Duration
(Rs.) p.a.(Rs.)
(years)
CPR - CritiCare Plus
Benefit (Lump Sum & Abc 31 M 2000000 NA NA No 44 12 2000000 17280 NA
Fixed income)

^CPR: Tata AIA Life Insurance Non-Linked Comprehensive Protection Rider, UIN:110B033V02

Premium Summary
Base Plan Riders Total Instalment Premium

Instalment Premium without GST (Rs.) 26450 17280 43730

Instalment Premium with First year GST (Rs.) 27640 18058 45698

Instalment Premium post applicable discount with First year GST (Rs.) 27640 18058 45698

Instalment Premium with GST 2nd year onwards (Rs.) 27045 17669 44714
 (Amount in Rupees)
Guaranteed# Non - Guaranteed #

Policy Single/ Annualised Survival

Year Premium Benefit / Other Benefits, if Maturity Death Min Guaranteed Surrender Special Surrender
Loyalty any Benefit * Benefit Value $ Value $
Additions
1 26450 NA NA 0 5000000 0 0

2 26450 NA NA 0 5000000 15870 3333

3 26450 NA NA 0 5000000 27773 5832

4 26450 NA NA 0 5000000 52900 7776

5 26450 NA NA 0 5000000 66125 11109

6 26450 NA NA 0 5000000 79350 13331

7 26450 NA NA 0 5000000 92575 17497

8 26450 NA NA 0 5000000 107916 19996

9 26450 NA NA 0 5000000 123786 24995

10 26450 NA NA 0 5000000 140185 30550

11 26450 NA NA 0 5000000 157113 33605

12 26450 NA NA 0 5000000 177744 39992

13 0 NA NA 0 5000000 180918 43325

14 0 NA NA 0 5000000 184092 46658

15 0 NA NA 0 5000000 187266 49991

16 0 NA NA 0 5000000 190440 53323

17 0 NA NA 0 5000000 193614 56656

18 0 NA NA 0 5000000 196788 59989

19 0 NA NA 0 5000000 199962 63321

20 0 NA NA 0 5000000 203136 66654

21 0 NA NA 0 5000000 209484 301530

22 0 NA NA 0 5000000 212658 301530

23 0 NA NA 0 5000000 215832 301530

24 0 NA NA 0 5000000 219006 301530

25 0 NA NA 0 5000000 222180 317400

26 0 NA NA 0 5000000 225354 317400

27 0 NA NA 0 5000000 228528 317400

28 0 NA NA 0 5000000 231702 317400

29 0 NA NA 0 5000000 234876 317400

30 0 NA NA 0 5000000 241224 317400

31 0 NA NA 0 5000000 244398 317400

32 0 NA NA 0 5000000 247572 317400

33 0 NA NA 0 5000000 250746 317400

34 0 NA NA 0 5000000 253920 317400

35 0 NA NA 0 5000000 257094 317400

36 0 NA NA 0 5000000 260268 317400

37 0 NA NA 0 5000000 263442 317400

38 0 NA NA 0 5000000 266616 317400

39 0 NA NA 0 5000000 272964 317400

40 0 NA NA 0 5000000 276138 317400

41 0 NA NA 0 5000000 279312 317400

42 0 NA NA 0 5000000 282486 317400

43 0 NA NA 0 5000000 285660 317400

 44 0 NA NA 333270 5000000 285660 333270

Note: "Annualized Premium" shall be the premium payable in a year under a non-single pay option chosen by the policyholder, excluding the taxes, rider
premiums, underwriting extra premiums, loading for modal premiums, if any.
"Single Premium" shall be the premium payable under a single pay option chosen by the policyholder, excluding the taxes, rider premiums, underwriting extra
premiums if any.

* Maturity benefit will be equal to 105% of the Total Premiums Paid (excluding loadings for the modal premium).
$ Surrender value payable (if any) is higher of Guaranteed Surrender Value and Special Surrender Value and is available provided at least full two years
premium is paid. Surrender value illustrated above is the end of the policy year value.

#The benefits illustrated are as at the end of the policy year.

Income Tax benefits would be available as per the prevailing income tax laws, subject to fulfillment of conditions stipulated therein. Tata AIA Life Insurance
Company Ltd. does not assume responsibility on tax implication mentioned anywhere in this document. Please consult your own tax consultant to know the tax
benefits available to you.

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

Place: i am red
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect/ Policyholder

Unique Reference Number - L&C/Advt/2022/Jun/1419 (Rider- L&C/Advt/2022/Sep/2271)

Tata AIA Life Insurance Company Ltd. (IRDA of India Regn No. 110) (CIN: U66010MH2000PLC128403)
Registered and Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai- 400013
Trade logo displayed above belongs to Tata Sons Ltd and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a license.
For more information, Call the Tata AIA Life Insurance Company Ltd Helpline number1860-266-9966 (local charges apply) or Visit us at: www.tataaia.com

(I)V.99.00/FY2023-2024_Q2/RELEASE 01-07-23/EXPIRY 31-10-2023 005605287O9SRSLV3N2 01-09-2023,02:19 PM