Max Life Smart Total Elite Protection

Max Life Smart Total Elite Protection Term Plan
A Non Linked Non Participating Individual Pure Risk Premium Life Insurance Plan
UIN: 104N125V03
PROSPECTUS
Life Insurance Coverage is available in this Product.
About Max Life Insurance

Max Life Insurance Company Limited is a Joint Venture between Max Financial Services Limited and Axis Bank Limited. Max
Financial Services Ltd. is a part of Max Group. Max Life offers comprehensive protection and long-term savings life insurance
solutions, through its multi-channel distribution including agency and third-party distribution partners. Max Life has built its
operations over two decades through a need-based sales process, a customer-centric approach to engagement and service delivery
and trained human capital. As per annual audited financials for FY2022-23, Max Life has achieved a gross written premium of
INR 25,342 Cr. For more information, please visit the Company’s website at www.maxlifeinsurance.com
Max Life Smart Total Elite Protection Term Plan

You have always strived to give your family the best in life and have ensured they fulfill their dreams. However, in your heart,
you always feel insecure about their future in your absence. Will your family be able to sustain the same lifestyle even in your
absence?
To put all your fears to rest and to provide you with peace of mind, Max Life Insurance offers Max Life Smart Total Elite
Protection Term Plan - a comprehensive protection solution which can be personalized for you and your loved ones at an
affordable price. Pay only for the benefits that suit your requirement – Max Life Smart Total Elite Protection Term Plan gives
you the freedom to design your own plan that suits your protection needs.
Key features of Max Life Smart Total Elite Protection Term Plan:
Every individual’s needs are different and with the plethora of features available under Max Life Smart Total Elite Protection
Term Plan to choose from, you can make your own term plan from the following options: -
 Death benefit
 Option to pay your premiums as per your budget
 Longer coverage duration: Choose your own desired policy term with coverage available up to age 85 years
 Accelerated Critical Illness Benefit*
 Accident Cover*
 Max Life Waiver of Premium Plus Rider*
 Max Life Critical Illness and Disability Rider*
 Special Exit Value
 Terminal Illness
 Cover Continuance Benefit
 Insta Payment on Claim Intimation
*on payment of additional premium
Snapshot of the Features:
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Additional/Accelerated
Sr. No Benefits Brief description
Sum Assured**
1 Death Benefit Base Max Life Smart Total Elite Protection Term Plan offers level
sum assured throughout the Policy Term.
Empower the nominee to choose the payout mode, at claims
stage:
2 Claim Payout Base  Lumpsum
 Monthly Income
 Part Lumpsum and Part Monthly Income
Get free coverage against the diagnosis of Terminal Illness and
Terminal
3 Accelerated accelerate** payout of Rs. 1 crore.
Illness
No additional premium to be paid
Option to receive all premiums paid back, in any policy year
Special Exit
4 NA starting 30th policy year, but not during the last 4 policy years.
Value
No additional premium to be paid (free of cost).
The Policyholder is allowed to defer the due premium for a
period of up to 12 months from the due date, while maintaining
Cover
the full risk cover under the base plan and attached riders (if
5 Continuance NA
any). This option is allowed to be exercised after completion of
Benefit
3 policy years provided all due premiums have been paid and the
policy is in-force.
An accelerated benefit of 2 Lacs out of base sum assured shall
Insta Payment
be payable within 1 working day from claim registration date
6 on Claim Accelerated
provided mandatory documents are submitted and the
Intimation
subsequent pay out shall be made after the claim is approved.
Enhance your life cover, with an additional health cover, with
Accelerated
7 Accelerated accelerated** lumpsum payout in case life insured is diagnosed
Critical Illness*
with any of the 40 critical illnesses.
Accident
8 Additional Additional coverage against the risk of Accidental death.
Cover*
Waiver of
Comprehensive protection (waiver of future premiums) against
9 Premium Plus NA
Disability & Critical Illness.
Rider*
Critical Illness
Comprehensive coverage against the risk of critical illness and
10 and Disability NA
disability.
Rider*
*On payment of Additional Premium
**Accelerated Sum Assured is the sum assured paid and reduced from the base sum assured.
Table of Contents:
Section Description Sub topics

A Benefits Under the Plan Death Benefits
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Terminal Illness
Accelerated Critical Illness
Accident Cover
Maturity Benefit
Special Exit Value
Cover Continuance Benefit
Insta Payment on Claim Intimation
Surrender Value
Rider
Higher Sum Assured discounts
Lower premium rates for female lives
B Other Benefits
Smoker/Non-smoker
Restriction on Travel/Occupation
Discounts
C Plan at a Glance Boundary Conditions
Sample Premium
D Illustrative examples
Examples
Free Look period
Nominations
Assignment
Grace Period
Revival
E Few Terms and Conditions
Suicide Exclusion
Statutory Impositions
Section 45
Section 41
Tax benefits
F Annexure Permanent Exclusions – Accelerated Critical illness benefit
Exclusions for Accident Cover
Section A - Benefits under the Plan:
Death Benefit:
On the death of the Life Insured anytime during the term of the policy, provided the policy is in-force, the Company will pay
the Guaranteed Death Benefit under the Plan. Guaranteed Death Benefit is defined as higher of:
a. For Single Pay - 1.25 times the Single Premium plus underwriting extra premium if any;
For Other Premium Payment Term - 10 times the Annualised Premium* plus underwriting extra premium, if any,
b. 105% of Total Premiums paid ^ plus underwriting extra premium plus loadings for modal premiums as on the date of death
c. Any absolute amount assured to be paid on death #
* “Annualised Premium” shall be the premium amount payable in a year chosen by the policyholder, excluding the taxes, rider
premiums, underwriting extra premiums and loadings for modal premiums, if any. The Annualised premium remains same
irrespective of the premium payment mode.
^ "Total Premiums Paid " means total of all the premiums received, excluding any extra premium, any rider premium and
taxes.
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# “Absolute Amount Assured to be Paid on Death” is the base sum assured at the time of death.
The details of benefits under this product are given below:
Guaranteed Death Benefit is payable on death of the Life Insured, provided the policy is in force.
Benefit is accelerated of Rs. 1 crore on diagnosis of Terminal Illness, provided the policy is in-force
Base Cover Size of benefits
Guaranteed Death Benefit will be paid to the beneficiary on death of the Life Insured.
Life Cover
A In case Accelerated Critical Illness (ACI) and/or Terminal Illness (TI) Benefit claim has been
paid, the Guaranteed Death Benefit amount shall be reduced to the extent of the claim paid
out on account of ACI/TI Benefit.
Further, the beneficiary at the claim stage can choose from the following payout options:
 Lumpsum, i.e. 100% of the Guaranteed Death Benefit will be paid as Lumpsum.
 *Monthly Income, i.e. monthly payment for a fixed period of 10 years starting from the next monthly anniversary
following the date of intimation of death. The monthly payment shall be determined basis the prevailing RBI Bank Rate
less 1% p.a. as on the date of intimation of death.
 Part Lumpsum and Part *Monthly Income (at the then prevailing RBI Bank Rate less 1% p.a.) i.e. the nominee can select
the proportion of Guaranteed Death Benefit payable as Lumpsum and the remaining Guaranteed Death Benefit would be
payable as Monthly Income. The proportion of Lumpsum and Monthly income amount can be chosen in multiple of 10%.
𝐺𝑢𝑎𝑟𝑎𝑛𝑡𝑒𝑒𝑑 𝐷𝑒𝑎𝑡ℎ 𝐵𝑒𝑛𝑒𝑓𝑖𝑡×𝑖

*Monthly Income = 1
(1− )×(1+𝑖)
(1+𝑖)120
1
Where, i = (1 + (𝑅𝐵𝐼 𝐵𝑎𝑛𝑘 𝑅𝑎𝑡𝑒 − 1%))12 − 1
Note: Default payout option shall be lump sum in case no payout option is exercised.
The option to convert lumpum into monthly income payout shall not be available under claims against Terminal Illness,
Accelerated Critical Illness and Accident Cover.
Commutation options: -
Please note that the nominee shall have the option to commute the outstanding income payments at any point in time. The
nominee will have to submit a written request for the same to the Company. On receipt of such a request, the Company shall pay
present value of all outstanding monthly incomes discounted at the rate of interest which was used to calculate the monthly
income.
Terminal Illness
On diagnosis of Terminal Illness, INR 1 Cr will be payable.
Terminal Illness benefit will accelerate the death benefit i.e. once a Terminal Illness claim is paid, the death benefit sum assured
will be reduced by the terminal illness claim amount. The Terminal Illness Benefit is payable only once during the Policy Term
and only one valid Terminal Illness Benefit claim will be admissible and payable under the Policy.
Post a Terminal Illness claim, all premiums falling due from the date of diagnosis of terminal illness (for the base policy and
options chosen) would be waived off and the policy shall continue till death of the life insured or the end of the policy ter m,
whichever is earlier.
Further, Accelerated Critical Illness benefit and Accident Cover shall terminate post diagnosis of terminal illness.
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Please note that post diagnosis of terminal illness of the life insured, the policyholder shall be allowed to surrender the policy.
Definition of Terminal Illness-
Should the Life Assured be diagnosed to be suffering from a disease which, in the opinion of a Registered Medical Practitioner
and the concurrence of Company’s appointed doctor, is likely to lead to the death of the Life Assured within six months from
the date of such certification from the registered medical practitioner (“Terminal Illness”)
Accelerated Critical Illness (ACI) Benefit
Accelerated Critical Illness (ACI) benefit is payable on diagnosis of any of the specified Critical Illness during the CI Benefit
cover period, provided the policy is in-force and meets the terms and conditions (Please refer to Annexure 1 for further details).
The ACI Sum Assured is fixed and level throughout the ACI policy term. You can choose any ACI Sum Assured in intervals of
5 lakhs subject to boundary condition as mentioned below: -
Minimum ACI Sum Assured that can be chosen Maximum ACI Sum Assured that can be chosen
Rs. 5 lakhs Rs. 50 lakhs
The ACI Sum Assured is payable on the first occurrence of any of the specified Critical Illnesses. Detailed definitions of
specified critical illnesses and exclusions are provided in Annexure 1. The ACI benefit is accelerated and not an additional
benefit which means that the policy will continue with the Death Benefit Sum Assured and future premium reduced by the extent
of the ACI Sum Assured paid.
The maximum total payout under ACI benefit is 100% of ACI Sum Assured. Once 100% of ACI Sum Assured is exhausted, no
further ACI claims can be made.
Benefits payable under ACI cover (provided the policy is in force) are as follows: -
a. Accelerated Critical Illness benefit pays 100% of of the ACI Sum Assured following a confirmed diagnosis of the Life
Assured suffering from one of the insured Critical Illness conditions (except Angioplasty) as specified during the ACI
benefit policy term.
b. Following a confirmed diagnosis of Angioplasty, ACI benefit pays lower of Rs. 5,00,000 or ACI Sum Assured.
c. The premium shall not reduce post payment of an angioplasty claim, unless it terminates the ACI benefit
If the first claim under the policy is for one of the insured Critical Illness conditions other than Angioplasty, then the ACI benefit
will be paid as detailed in (a) above and then the policy would terminate for CI benefit. If the first claim under the policy is for
Angioplasty, then ACI benefit will pay for the claim on Angioplasty as detailed above in (b) and the policy will continue with
reduced ACI Sum Assured for other insured Critical Illness conditions.
Following a valid Angioplasty claim,
a. ACI Sum Assured will be reduced by Rs. 5,00,000 and the reduced ACI Sum Assured (if any) will be available for any
subsequent ACI claim other than Angioplasty.
b. Only one valid ACI claim will be admissible under the policy for all conditions other than Angioplasty.
Following a valid ACI claim (other than Angioplasty claim),
a. ACI benefit will terminate on payment of 100% of the ACI Sum Assured.
b. The base policy death benefit Sum Assured is reduced by the amount of ACI claim paid.
c. The policy will continue till maturity with the reduced death benefit Sum Assured and other benefits (if any), provided
the policy is in force and all premiums are paid in full.
Premium payment on account of ACI benefit will cease after payout of ACI benefit and future premiums payable under the
policy will reduce proportionately and the base death benefit cover will continue with reduced Sum Assured and premium. The
premium shall not change post payment of an angioplasty claim, unless it terminates the ACI benefit.
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Other Terms and Conditions:
 The maximum maturity age for ACI Benefit cover will be equal to 75 years (age last birthday) subject to maximum
policy term of 50 years.
 Under ACI Benefit, the Premium Payment Term is equal to the Policy Term. The ACI benefit is not available with Single
pay and 5 Pay premium payment terms. Further, the Policy Term for ACI Benefit cannot exceed the Premium Payment
Term of Base Cover.
 The ACI Sum Assured will always be paid as a lump sum benefit.
 Accelerated CI Benefit shall cease on payment of the entire CI Sum Assured.
 Premium payment on account of Accelerated CI Benefit will cease after payment of the entire CI Sum Assured.
Additionally, future premiums payable under the policy for Base Cover will reduce proportionately (except for an
angioplasty claim) in accordance with the following formula:-
Premium on account of Base Sum Assured X (Reduced Base Sum Assured post payout of CI claim) / (Base Sum
Assured chosen at inception of the Policy)
 A waiting period of 90 days will be applicable for Accelerated Critical Illness benefit. Please note that the waiting
period is defined as the period of 90 days after the date of commencement of risk or date of policy issuance or date of
revival, whichever is later. No benefit will be payable if the critical illness is diagnosed within the waiting period. In
such case the critical illness benefit will terminate and Company will refund the premium paid corresponding to the
rider benefit. No waiting period shall be applicable if any of the listed conditions occur due to an accident.
 Only one ACI claim shall be payable during the policy term, except in case of an Angioplasty claim. Post an Angioplasty
claim (i.e. only one claim is admissible due to Angioplasty), the ACI Sum Assured will be reduced by Rs. 5 lacs and
the ACI benefit will continue with reduced ACI sum assured, if any.
 The death benefit premium rates under this plan are guaranteed for the entire policy term. However, for the ACI Benefit,
the premium rates under the plan are guaranteed for a period of five years only and can be revised thereafter basis
experience under the product by seeking prior approval from IRDAI. Once revised, the premium rates become
guaranteed for a period of next 5 years.
 You may choose to discontinue the benefit at any time during the policy term. The base policy and any additional
benefits will continue as is.
The ACI benefit can be attached any time during the premium payment term subject to underwriting requirements being met.
Termination of Accelerated Critical Illness Benefit:
The Accelerated Critical Illness Benefit will terminate immediately upon the occurrence of any of the following events,
whichever is earliest:
a) On the expiry date (end of ACI policy term) of the ACI benefit;
b) On payment of 100% of the ACI Sum Assured;
c) On cancellation or surrender of the policy by the policyholder or the insurer;
d) On payment of 100% of Guaranteed Death Benefit or suicide benefit;
e) On failure to revive/reinstate the policy within the applicable revival period of the policy;
f) On policyholder exercising to opt out or discontinue the ACI benefit.
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Accident Cover
On death due to an accident, 100% of Accident Cover Sum Assured will be payable as lump sum irrespective of the claim
payout option chosen by the nominee, upon approval of claim. This benefit shall be payable in addition to the death benefit
Sum Assured.
Please note, the Accident Cover can be added to the premium paying policy at any time during the policy term. A pro-rata
basis premium will be charged in case the benefit is added during the middle of the policy term and full premium will be
charged starting next policy anniversary.
Once the Accident Cover is terminated, the same cannot be added again.
Definitions:
“Death due to an Accident”: Death by accident means death is caused by violent, accidental, external and visible means as
revealed by an autopsy provided such death was caused directly by such accident and independent of any physical or mental
illness within 180 days of the date of accident.
“Accident”: An Accident means sudden, unforeseen and involuntary event caused by external, visible and violent means.
Please refer to Annexure 2 for exclusions under Accident Cover.
Termination of Accident Cover:
The Accident Cover will terminate immediately upon the occurrence of any of the following events, whichever is earliest:
 On the expiry date (end of Accident Cover policy term) of the Accident Cover;
 On payment of 100% of the Accident Cover Sum Assured;
 On cancellation or surrender of the policy by the policyholder or the insurer;
 On payment of 100% of Guaranteed Death Benefit or suicide benefit;
 On failure to revive/reinstate the policy within the applicable revival period of the policy;
 On policyholder exercising to opt out or discontinue the Accident Cover.
Please note that the Accident cover terminates on the expiry date of the Accident cover option. However, in a scenario where
accident happened during the term of Accident cover and death due to same accident happens after the Accident cover term but
within 180 days from the date of the Accident, a claim shall be paid on account of the same.
Maturity benefit
No maturity benefit is payable under the Product.
Special Exit Value

A Special Exit benefit, where the policyholder shall be returned the total premiums paid plus underwriting extra premiums paid
plus loadings for modal premiums, if any if the policyholder surrenders his/her policy. This option can be exercised in any policy
year starting 30th policy year, but not during the last 4 policy years.
Please note the following conditions for Special Exit Value:
 The policy has to be in-force at the time of availing this value.
 This value shall not be available for policy terms less than 40 years.
 This value shall be applicable on the base cover premium only and not to additional optional benefits like ACI and
Accident cover.
 The policy shall be terminated after availing this value.
 This is an inbuilt product feature and no additional premium is required to be paid.
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Cover Continuance Benefit
In this option, the policyholder is allowed to defer the due premium for a period of up to 12 months from the due date, while
maintaining the full risk cover under the base plan and attached riders, if any. In the event of a claim during this period, the
Company will pay the claim as applicable after deducting the unpaid premiums, if any, as on date of death or other insured event
covered under base product and attached riders. This option is allowed to be exercised after completion of 3 policy year provided
all due premiums have been paid and the policy is in-force. The duration of Cover Continuance Benefit shall be consecutive 12
policy months from the date of first unpaid premium. The Cover Continuance Benefit shall be available for multiple times with
a gap of 5 policy years from the expiry date of previous Cover Continuance Benefit.
During the Cover Continuance Benefit, the policy will remain in-force with the risk cover as per terms and conditions, along
with riders opted (if any).
At the end of Cover Continuance Benefit period, the policyholder is required to pay the due premiums, including the premium
applicable for the period of Cover Continuance Benefit period, i.e. the base cover premium and additional premium (if any) e.g.
ACI benefit premium, rider premium and accident cover premium inclusive of underwriting extra, loading for modal premiums
and any applicable taxes.
During the Cover Continuance Benefit, the policy will remain in-force with the risk cover as per terms and condition applicable
under Grace Period of the policy. This is an inbuilt product feature and no additional premium is required to be paid.
Eligibility Criteria:
 The option is available to all premium paying terms (Regular, Limited & Pay Till 60) except Single pay
Please note the following conditions specific to Cover Continuance Benefit:

 The option can be exercised only after paying 3 full years premium.
 The Cover Continuance Benefit shall be available for multiple times with a gap of 5 policy years from the expiry date
of previous Cover Continuance Benefit.
 Once the Cover Continuance Benefit is exercised, it shall continue for maximum of 12 consecutive policy months i.e.
one Cover Continuance Benefit shall mean 1 annual premium, 2 half-yearly premiums, 4 quarterly premium or 12
monthly premiums.
 There should be a gap of at least 5 policy years between the two Cover Continuance Benefit i.e. policyholder can opt
for next Cover Continuance Benefit after completion of 5 years from the expiry of last exercised Cover Continuance
Benefit. For example, if the policyholder opts for Cover Continuance Benefit in the 5th policy year for the first time.
The second Cover Continuance Benefit will be available to be exercised after 5 years, i.e. from the 11th policy year.
 In case the above due amounts are not paid within 30 days (15 days in case of monthly mode) of the commencement of
the next Policy Year after expiry of the Cover Continuance Benefit Period, the Policy (including Rider(s), if any) shall
lapse and no benefits shall be payable in the Policy or the Rider(s), if any) and company shall be entitled to recover the
same from any amounts or benefits payable under the Policy or Rider(s).
 This option can be exercised from the next premium anniversary, independent of the policy anniversary. For example,
for a monthly mode policy, a policyholder having paid 12 monthly premiums may choose not to pay the next 12 monthly
premiums.
 If the policyholder exercises the Cover Continuance Benefit in the last 5 years of the policy, then the next Cover
Continuance Benefit shall not be allowed.
 This option will only be applicable on the Base premium, ACI premium, Accident cover premium and rider premium,
if any.
 Policyholder can surrender the policy anytime along with this option even during the Cover Continuance Benefit year.
 The policyholder needs to intimate the company 30 days (15 days in case of monthly mode) before exercising Cover
Continuance Benefit. If a premium is unpaid with no prior intimation, the policy at the end of the grace period shall be
treated as per the terms & conditions.
 The policyholder needs to pay the total outstanding amount at the end of Cover Continuance Benefit period. For
example, if the policyholder exercises Cover Continuance Benefit in the 5th policy year then at the end of Cover
Continuance Benefit period, policyholder has to pay the due premium for previous year (5th year) along with the next
due premium (6th year)
 The Cover Continuance Benefit shall not be available during the last year of the premium paying term.
 No interest shall be levied on the premium due during the Cover Continuance Benefit period.
Page 8 of 31
Insta Payment on Claim Intimation:
Under this benefit, on receipt of intimation of death (along with required documents) after a waiting period of 1 year from the
date of policy issuance or revival, an accelerated benefit of 2 Lacs out of base sum assured shall be payable within 1 working
day from claim registration date provided all mandatory documents are submitted. The subsequent pay out shall be made after
the claim is approved.
Eligibility Criteria:
This benefit is payable post a minimum waiting period of 1 year from the inception of the policy or revival.
Please note the following Conditions specific to Insta Payment on Claim Intimation:
 This benefit can only be availed if the policy is in-force.
 This benefit is not payable in case of death during 1st policy year.
 On receipt of intimation of death, a payment of 2 Lac is payable as Insta Payment on Claim Intimation. The balance
Death benefit shall be payable at the time of claim settlement.
 Documents required for claim intimation are Death Certificate, Cancelled Cheque / Bank account de-tails, Claim
intimation form, KYC of nominee and Policy document.
 In case the Policy is during the Cover Continuance Benefit Period, then in case of death of the Life Insured, we will
deduct the due amounts from above accelerated death benefit of Rs. 2 Lacs.
 On assessment of documents submitted during claim assessment, additional documents may be sought by the company.
 In case of repudiation / rejection of claim, the amount will be recovered from the nominee
Early Exit Value

Provided the policyholder has paid all due premiums, an early exit value will be applicable under the policy in case the
policyholder surrenders the policy.
Early Exit Value:
The policy shall acquire an Early Exit Value subject to the criteria given below:
a. Single Pay: After payment of single premium.
b. Limited Pay: After payment of all due premiums.
c. Regular Pay: No Early Exit Value is applicable.
The Early Exit Value is determined basis the formula provided below:
70% x ((Total Premiums Paid plus underwriting extra premiums paid plus loading for modal premiums, if any) x (Unexpired
Term/Policy Term)
Additional Optional Benefit Applicability Surrender Benefit / Early Exit

Benefits Value
Accelerated Critical None Not available

Illness Benefit
Accident Cover Early Exit Value Same as mentioned above.
Reduced Paid Up (RPU) policy

Please note RPU is not applicable under this policy for Base cover or for any optional benefits chosen (ACI benefit and accident
cover).
Page 9 of 31
Section B - Other features
Rider
You can now make your term cover more comprehensive by adding the below mentioned riders:
A. Max Life Waiver of Premium Plus Rider (UIN:104B029V04): This rider provides waiver of all future premiums
under a policy and all other attaching riders on earlier happening of either of the following events provided the base
policy and attaching riders are in force:
 Critical Illness; or
 Dismemberment; or
 Death (only when Life Insured and Policyholder are different individuals, rider benefit will be paid on death of
the Policyholder)
The waiver of premium will happen for base benefit premium as well as for additional optional benefits applicable. If the
policyholder is same as life insured and the policyholder suffers from any of the listed critical illness under ACI benefit as well
as WOP+ benefits, then both ACI and WOP+ benefits will get triggered.
Please note the following:
i. The rider policy term and premium payment term would be same as base policy premium payment term.
ii. The rider premium cannot exceed 100% of the Annualised Premium plus underwriting extra premium plus loading
for modal premiums, if any, in a policy.
iii. The rider sum assured shall not exceed the base sum assured chosen at inception of the policy.
iv. The rider is not available under the Single Pay PPT of the product.
v. The rider can be attached any time during the premium paying term of the base plan, subject to minimum applicable
term of the rider.
vi. Refer to Waiver of Premium Plus Rider Prospectus document for more details.
Any rider will not be offered if the term of the rider exceeds outstanding term under the base policy.
There is no overlap in benefit offered under available riders & base product.
The rider(s) shall be offered in compliance with the provisions of IRDAI (Protection of Policyholders’ Interests) Regulation,
2017.
B. Max Life Critical Illness and Disability Rider (UIN: 104B033V01): This rider provides benefit upon diagnosis of
any of the critical illnesses covered.
Please note the following:

I. The rider policy term and rider premium payment term would be equal to the corresponding outstanding base
policy term and premium payment term. The Rider policy term can be less than the Base Plan’s Policy Term but
cannot exceed the Base Plan’s Policy Term.
II. The rider premium cannot exceed 100% of the Annualised Premium plus underwriting extra premium plus
loading for modal premiums, if any, in a policy.
III. The rider sum assured shall not exceed the base sum assured chosen at inception of the policy.
IV. The rider is not available under the Single Pay premium payment variant of the product.
V. The rider can be attached any time during the premium paying term of the base plan, subject to minimum
applicable term of the rider.
VI. Refer to Max Life Critical Illness and Disability Rider Prospectus document for more details.
VII. The rider shall not be available if the policyholder opts for Accelerated Critical Illness benefit as mentioned
above and vice versa. To further clarify, the policyholder can opt for any one benefit, and will not be offered
both Accelerated Critical Illness benefit and Max Life Critical Illness and Disability Rider at the same time
under the policy.
Page 10 of 31
VIII. Max Life Critical Illness and Disability Rider or any of its subsequent version may be attached with this product
or any future versions of this product.
High Sum Assured discounts

There are discounts built in the plan if higher Sum Assured is chosen.
Lower premium rates for female lives

There will be a 3-year age setback over males’ rates for female lives for all premium payment term except Pay till 60. Where
corresponding rate is not available, the lowest available premium rate for male will be used.
Non-Smoker/Smoker
Lower premium rates for nonsmokers however, the Accident cover and Accelerated CI benefit premium rates do not vary by
smoker status.
Restrictions on Travel/Occupations
There will be no restriction on travel or future occupation
Discounts
a. 5% discount (2% for Single Pay) for entire premium payment term, for Max Group Employees, Agents of Max Life,
Employees of Corporate Agents of Max Life.
b. First year discount of 12% (2% for Single Pay) for sales through exclusive web link sent to Salaried customers where
there is no direct marketing cost incurred.
c. First year discount of 12% (2% for Single Pay) for existing customers.
Please note that no two discounts mentioned above can be combined together.
Section C - Plan at a Glance:
Feature Specification
All individuals in accordance with Board approved underwriting policy of the
Coverage
Company
Minimum Age: - 18 years
Minimum / Maximum Age at Entry Maximum Age: -
(age last birthday) Regular Pay and Limited Pay: - 65 years
Pay till 60: - 44 years
Base Death Benefit: 85 years
Maximum Maturity Age (age last
Accelerated Critical Illness (ACI) Benefit: 75 years
birthday)
Accident Cover: 85 years
Subject to minimum Sum Assured and applicable premium rates.

Minimum Annual Premium Please note that all applicable taxes, cesses and levies as imposed by Government
from time to time are collected over and above the policy premium.
No Limit, subject to maximum Sum Assured limits determined in accordance with

Maximum Annual Premium the Board approved underwriting policy of the Company.
Page 11 of 31
Please note that all applicable taxes, cesses and levies as imposed by Government
from time to time are collected over and above the policy premium.
Minimum Policy Maximum Policy

Benefit Type
Term Term
Base Cover 10 Years 67 Years
10 Years 50 Years
(ACI)
Accident Cover 5 Years 67 Years
Policy Term The Policy Term for ACI Benefit cannot exceed the Premium Payment Term of Base
Cover.
The ACI benefit is not available under Single Pay and 5 Pay Premium Payment Term
of the product.
The Policy Term under Accident Cover shall be same as the remaining base benefit
Policy Term.
Base Death Benefit

Rs. 1,00,00,000
Minimum Sum Assured Accelerated Critical Illness (ACI) Benefit Option

Minimum: Rs. 5,00,000
Accident Cover Option

Minimum: Rs. 50,000
Base Death Benefit
No Limit, subject to limits determined in accordance with the Board approved

underwriting policy of the Company.
Accelerated Critical Illness (ACI) Benefit Option

Maximum:
a) ACI benefit: Rs. 50,00,000.
Maximum Sum Assured
Note:
- The ACI Sum Assured chosen at inception can only be in multiple of Rs.
5,00,000.
Accident Cover
Maximum:
a) Rs. 1,00,00,000.
Premium Available Base Available Available

Payment Term Policy Terms ACI Policy Accident
(PPT) Terms Cover Policy
Premium Payment Term
Terms
(to be chosen at inception; cannot be Single Pay 10 Years to 67 NA NA
changed subsequently) Years
Regular Pay 10 Years to 67 10 Years to 50 5 Years to 67
Years Years Years
Page 12 of 31
5 Pay 10 Years to 67 NA 10 Years to
Years 67 Years
10 Pay 15 Years to 67 10 Years 10 Years to
Years 67 Years
12 pay 17 Years to 67 10 Years to 12 10 Years to
Years Years 67 Years
15 Pay 20 Years to 67 10 Years to 15 10 Years to
Years Years 67 Years
Pay Till 60 Policy term should 10 Years to 6 Years to 67
The premium be greater than (60 less Entry Years
payment term will premium payment Age (Age last
be equal to (60 term and can be a birthday))
less Entry Age maximum of 67
(Age last years
birthday))
The premium payment term of the base benefit can only be chosen at policy inception
and cannot be changed subsequently.
Under ACI Benefit, the Premium Payment Term is equal to the Policy Term.
Under Accident cover, the premium payment term and policy term of the accident
cover will be subject to the outstanding premium payment term and policy term of
the base benefit, such that:
1) At inception, the accident cover policy term and premium payment term
shall be same as that of the base cover.
2) Post inception, the accident cover policy term shall be same as the
outstanding term of the base cover. The accident cover premium payment term shall
be the maximum premium payment term available under accident cover at the time
of opting for this option but not exceeding the base cover premium payment term.
For e.g. For a 15 pay 50 policy, Policyholder can opt for the accident cover (only
once) in any of the policy year 1 to policy year 10 with a premium payment term of:
 At inception: With policy term equal to 50 years and premium
payment term equal to 15 years
 Policy Year 2 and 3: premium payment term of 12 years, with
policy term same as outstanding base coverage term
 Policy Year 4 and 5: premium payment term of 10 years, with
 Policy Year 6 to 10: premium payment term of 5 years, with
Policy Loan Policy loan facility is not available under this product.
Annual, Semi – Annual, quarterly & monthly premium payment modes. The modal
factors are as follows:
Premium Payment Modes Modal Factors

Premium Mode Factor
Annual 1.000
Semi-annual 0.513
Page 13 of 31
Quarterly 0.261
Monthly 0.088
The premium payment mode can be changed anytime during the premium payment
term. Any change in premium payment mode will be effective from or coinciding
with the next premium due date as per the new premium payment mode selected by
the customer.
Section D – Illustrative Examples
Sample Illustration: Tarun a non-smoker, 30 year old doctor wants to safeguard his family from financial uncertainties that
could arise of his untimely demise. He purchases Max Life Smart Total Elite Protection Term Plan, online, for a sum assured of
Rs. 2 Crore and chooses a policy term of 40 years and chooses to pay premium annually for the entire policy term.
Below are the premiums applicable for a sample nonsmoker male life aged 30 years and coverage till age 70 years paying
premiums annually purchasing Max
Sample Premium Rates

Below are the premiums applicable for a sample nonsmoker male life aged 30 years and coverage till age 70 years paying
premiums annually purchasing Max Life Smart Total Elite Protection Term Plan online: -
Life
Death Regular
Cover Single Pay 5 Pay 10 Pay 12 Pay 15 Pay Pay till 60
Benefit Pay
Amount (in Rs. ) (in Rs. ) (in Rs. ) (in Rs. ) (in Rs. ) (in Rs. )
cover (in Rs. )
(in Rs. )
Life
2 crore 4,33,410 94,542 47,616 40,494 33,938 22,698 21,758
Cover
Below are the premiums applicable for a sample smoker male life aged 30 years and coverage till age 70 years paying premiums
annually purchasing Max Life Smart Total Elite Protection Plan online: -
Life
Death Regular
Cover Single Pay 5 Pay 10 Pay 12 Pay 15 Pay Pay till 60
Benefit Pay
Amount (in Rs. ) (in Rs. ) (in Rs. ) (in Rs. ) (in Rs. ) (in Rs. )
cover (in Rs. )
(in Rs. )
Life
2 crore 6,93,456 1,51,268 76,186 64,792 54,302 36,318 34,814
Cover
*Please note all premiums mentioned in the above two tables are excluding underwriting extra premium, taxes, cesses.
Page 14 of 31
Examples:
Life Cover: 100% of the Sum Assured chosen at policy inception will be paid to the beneficiary as lump sum, immediately
on death of the Life Insured.
Sample Illustration – Mr. Shankar is a 30-year-old software engineer (Non- smoker). He buys Max Life Smart Total Elite
Protection Term Plan Life Cover. The details of the policy are as follows: -
Premium Payment Annual Premium
Death Benefit cover Sum Assured Policy Term
Term (Exclusive of GST)
Life Cover Rs. 2 crore 40 years 40 years 21,758
Life Cover Rs. 2 crore 40 years 30 years 22,698
Case I:
After paying 5 premiums, he passes away. A lump sum benefit of Rs. 2 crore is paid out to his nominee and policy terminates
Case II:
He chooses the Pay till 60, in which he will be paying till retirement (age 60 years) and enjoy coverage till 70 years of age.
Discount on Limited Pay PPT
Mr. Gupta (age 30), non-smoker want a sum assured of Rs. 2 Crore under Max Life Smart Total Elite Protection Term Plan. He
has the following options to pick from:
A. Regular pay: His annual premium under Regular Pay with 40 Years Term = Rs. 21,758. The total premium paid by Mr.
Gupta under the regular pay is: 21,758* 40 = Rs. 8,70,320/-
B. Limited Pay (5 Pay): His annual premium under Limited Pay with 40 Years Term = Rs. 94,542. The total premium paid
by Mr. Gupta under Limited Pay (5 Pay) is: 94,542* 5 = Rs. 4,72,710/-
C. Limited Pay (10 Pay option): His annual premium under Limited Pay with 40 Years Term = Rs. 47,616. The total
premium paid by Mr. Gupta under Limited Pay (10 Pay) is: 47,616* 10 = Rs. 4,76,160/-
Premium difference between A & B: Rs. 3,97,610 (savings of 46%)
Premium difference between A & C: Rs3,94,160 (saving of 45%)
Terminal Illness
Mr. Ajay Kumar (age 30), non-smoker
Base Product Sum Assured Rs. 2 Crore for 40 years (SA), Regular Pay.
Premium - Rs. 21,758
After paying 9 annual premiums, unfortunately Mr. Kumar is diagnosed with a Terminal Illness. In this scenario, Terminal Illness
benefit of Rs. 1 crore will be paid and the Balance Rs. 1 crore shall be paid to the nominee on the death of Mr. Ajay Kumar.
Base Sum Assured Rs. 2 Crore for 40 years (SA). He also opts for ACI benefit of Rs. 10 lacs.
Page 15 of 31
Annual Premium - Rs. 25,258 (Excluding tax)
[ Death Benefit Premium - Rs. 21,758 & Accelerated CI Premium - Rs. 3,500]
After paying 9 annual premiums, unfortunately Mr. Kumar had a heart attack. In this scenario, Accelerated payout of Rs. 10
Lacs will be paid & the Policy continues with 1.90 Crores as Sum Assured.
The annual premium gets reduced from Rs. 25,258 to Rs. 20,670
Now, in the 13th years, unfortunately Mr. Kumar dies & therefore Payment of Rs. 1.90 Crores i.e. 100% of the balance sum
assured is paid to the nominee.
Accident cover
Base Sum Assured Rs. 2 Crore for 40 years (SA). He also opts for Accident Cover of 1 crore.
Annual Premium - Rs. 27,758 (Excluding tax)
[ Base Death Benefit Premium - Rs. 21,758 & Accident Cover Premium - Rs. 6,000]
Now, in the 10th years, unfortunately Mr. Kumar dies from an accident & therefore Payment of Rs. 3 crores i.e. 2 crore (100%
of the base sum assured) and 1 crore (100% of Accident cover) is paid to the nominee.
Important Notes: -
1. Kindly note that the above case studies are only examples and do not in any way create any rights and/or obligations.
2. You may be entitled to certain applicable tax benefits on your premiums and policy benefits. Please note that all the tax
benefits are subject to tax laws prevailing at the time of payment of premium or receipt of benefits by you. It is advisable to seek
an independent tax consultation.
3. Extra premium will be charged for substandard lives as per company’s Board approved underwriting policy.
4. Premium shown in all of the above illustrations is exclusive of GST.
Section E
Few important terms and conditions: (For other terms and conditions, please refer to the Policy Contract and Benefit
Illustration)
Free Look Period:

The policyholder has a period of 15 days (30 days if the policy is sourced through Distance Marketing modes) from the date of
receipt of the policy document, to review the terms and conditions of the Policy, where if the policyholder disagrees to any of
those terms or conditions, he / she has the option to return the Policy stating the reasons for his objections. The policyholder
shall be entitled to a refund of the premiums paid, subject only to deduction of a proportionate risk premium for the period of
cover and the expenses incurred by the company on medical examination of the lives insured and stamp duty charges.
The following distance marketing modes are applicable for this product:
 Voice mode, which includes telephone-calling;
Page 16 of 31
 Short Messaging service (SMS);
 Electronic mode which includes e-mail, and interactive television (DTH);
 Physical mode which includes direct postal mail and newspaper and magazine inserts.
Nomination:
Nomination shall be applicable in accordance with provisions of Section 39 of the Insurance Act 1938 respectively, as amended
from time to time.
Assignment:
Assignment shall be applicable in accordance with provisions of Section 38 of the Insurance Act 1938 respectively, as amended
from time to time.
Grace Period:
A grace period of thirty (30) days from the due date for payment of each premium will be allowed for all premium paying modes
except for monthly mode, where a grace period of only fifteen (15) days will be allowed.
During the grace period, the Company will accept the premium without late fee.
The insurance coverage continues during the grace period but if the Life Insured dies during the grace period, the Company will
deduct the unpaid premium (if any) till the date of death from the benefits payable under the Policy.
Revival of Policy:
In case of non receipt of premiums before the policy has acquired surrender benefit / early exit value, the policy will lapse and
no benefits shall be payable.
Once the policy has lapsed, it can only be revived within a revival period of five years from the due date of first unpaid premium,
subject to the following conditions:
 Policyholder paying all overdue premiums, together with late fee applicable on the date of revival and as determined by
the Company from time to time depending upon the number of days between the date of lapse and the date of revival of
the policy. The current late fee structure is mentioned below:
No. of Days between lapse and

Late fee
revival of policy
0-60 Nil
61-180 RBI Bank Rate + 1% p.a. compounded annually on due premiums.
>180 RBI Bank Rate + 3% p.a. compounded annually on due premiums.
 The Policyholder producing an evidence of insurability at his/her own cost which is acceptable to the Company; and
 The revival of the policy shall take effect only after revival of the policy is approved by Max Life Insurance basis the
Board approved underwriting policy and communicated to the policyholder in writing. Once the policy has been
revived, all benefits will get reinstated to original levels, which would have been the case had the policy remained
premium paying all throughout.
If a lapsed policy is not revived within five years, the policy shall be terminated and no value is payable to the policyholder.
Once the policy has acquired surrender value / early exit value, the policy shall not lapse and the following shall be applicable:
In case of premium discontinuance, the policy can be revived within a revival period of five years from the due date of first
unpaid premium, subject to the conditions mentioned above for revival of lapsed policy.
If the policy is not revived within a revival period of five years from the due date of first unpaid premium, an Early Exit Value
shall be paid to the policyholder and the policy shall be terminated.
Once the policy has been revived, all the benefits will get reinstated to original levels, which would have been the case had the
policy remained premium paying all throughout.
Page 17 of 31
The ‘RBI Bank Rate’ for the financial year ending 31 st March (every year) will be considered for determining the revival late
fee.
On grounds of simplicity and operational ease, the late fee is revised only if the RBI Bank Rate changes by 100 bps or more
from the RBI Bank rate used to determine the prevailing revival late fee (reviewed on every 31 st March).
As the interest rate will be reviewed at the beginning of each financial year, any change in revival late fee will be applicable
from 1st July to 30th June to allow sufficient time for making changes in the policy administration system.
The current revival late fee is based on RBI Bank rate of 6.75% p.a. prevailing as at 31st march 2023 plus relevant margins
stated in the table above.
For the avoidance of doubt, the Policy cannot be revived beyond the Policy Term.
For additional optional benefits: In case of non receipt of premium, the cover for additional optional benefits will lapse and no
benefits shall be payable. However, the cover for these additional optional benefits can be reinstated during the revival period
as per the applicable terms and conditions stated herein.
Suicide Exclusion:
Notwithstanding anything stated herein, if the Life Insured, whether sane or insane, dies by suicide within 12 months from the
Date of commencement of Risk of the policy (effective date of risk commencement) or the date of revival of policy, the policy
shall terminate immediately. In such cases, the Company shall only refund Total Premiums Paid plus underwriting extra premium
paid plus loading for modal premiums paid (but exclusive of taxes, cesses & levies as imposed by the Government from time to
time), to the nominee.
Availability of Product via online mode:

Product will be available for sale through online mode, if allowed.
Statutory impositions:
Premiums payable and benefits secured under your policy will be subject to applicable statutory levy, cess and taxes including
taxes at the prevailing rates as imposed by the Government from time to time. The Policyholder will be responsible for paying
these statutory impositions.
Section 45 of the insurance Act, 1938 as amended from time to time states that:
(1) No policy of life insurance shall be called in question on any ground whatsoever after the expiry of three years from the date
of the policy, i.e. from the date of issuance of the policy or the date of commencement of risk or the date of revival of the
policy or the date of the rider to the policy whichever is later.
(2) A policy of life insurance may be called in question at any time within three years from the date of issuance of the policy or
the date of commencement of risk or the date of revival of the policy or the date of the rider to the policy, whichever is later,
on the ground of fraud:
Provided that the insurer shall have to communicate in writing to the insured or the legal representatives or nominees of the
insured the grounds and materials on which such decisions are based.
Explanation I – For the purposes of this sub-section, the expression “fraud” means any of the following acts committed by
the insured or by his agent, with the intent to deceive the insurer or to induce the insurer to issue a life insurance policy:
a) the suggestion, as a fact of that which is not true and which the insured does not believe to be true;
b) the active concealment of fact by the insured having knowledge or belief of the fact;
c) any other act fitted to deceive; and
d) any such act or omission as the law specially declares to be fraudulent.
Page 18 of 31
Explanation II – Mere silence as to facts likely to affect the assessment of the risk by the insurer is not fraud, unless the
circumstances of the case are such that regard being had to them, it is the duty of the insured or his agent, keeping silence to
speak, or unless his silence is, in itself, equivalent to speak.
(3) Notwithstanding anything contained in sub-section (2) no insurer shall repudiate a life insurance policy on the ground of
fraud if the insured can prove that the mis-statement of or suppression of a material fact was true to the best of his knowledge
and belief or that such mis-statement of or suppression of a material fact are within the knowledge of the insurer:
Provided that in case of fraud, the onus of disproving lies upon the beneficiaries, in case the member is not alive.
Explanation – A person who solicits and negotiates a contract of insurance shall be deemed for the purpose of the formation
of the contract, to be the agent of the insurer.
(4) A policy of the life insurance may be called in question at any time within three years from the date of issuance of the policy
or the date of commencement of risk or the date of revival of the policy or the date of the rider to the policy, whichever is
later, on the ground that any statement of or suppression of a fact material to the expectancy of the life of the insured was
incorrectly made in the proposal or other document on the basis of which the policy was issued or revived or rider issued:
Provided that the insurer shall have to communicate in writing to the insured or the legal representatives or nominees of the
insured the grounds and material on which such decision to repudiate the policy of life insurance is based:
Provided further that in case of repudiation of the policy on the ground of misstatement or suppression of a material fact,
and not on the ground of fraud, the premiums collected on the policy till the date of repudiation shall be paid to the insured
or the legal representatives or nominees of the insured within a period of ninety days from the date of such repudiation
Explanation – For the purposes of this sub-section, the mis-statement of or suppression of fact shall not be considered material
unless it has a direct bearing on the risk undertaken by the insurer, the onus is on the insurer to show that had the insurer
been aware of the said fact no life insurance policy would have been issued to the insured.
(5) Nothing in this section shall prevent the insurer from calling 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 that
the age of the life insured was incorrectly stated in the proposal.
Prohibition of Rebates: Section 41 of the Insurance Act, 1938 as amended from time to time states:
(1) No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take or renew or
continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of
the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or
continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectuses
or tables of the insurer:
(2) Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend
to ten lakh rupees.
Tax benefits:
You may be entitled to certain applicable tax benefits on your premiums and Policy benefits. Please note that all the tax benefits
are subject to tax laws prevailing at the time of payment of premium or receipt of benefits by you. It is advisable to seek an
independent tax consultation.
Section F - Annexures
Annexure 1 – Critical Illness Definitions & Exclusion

ACI Benefit - Definitions and Exclusions
Below table provides the list of critical illnesses covered:
Page 19 of 31
1. Cancer of specified severity Cancer 21. Alzheimer's Disease
2. Angioplasty* 22. Motor Neurone Disease with Permanent Symptoms
3. First Heart Attack – of Specified Severity 23. Multiple Sclerosis with Persisting Symptoms
4. Open Heart Replacement or Repair of Heart Valves 24. Muscular Dystrophy
5. Surgery to aorta Heart and Artery Benefit 25. Parkinson’s Disease
6. Cardiomyopathy 26. Loss of Independent Existence
7. Primary Pulmonary hypertension 27. Loss of Limbs
8. Open Chest CABG 28. Deafness
9. Blindness 29. Loss of Speech Others
10. End Stage Lung Failure 30. Medullary Cystic Disease
11. End Stage Liver Failure 31. Systematic lupus Eryth with Renal Involvement
12. Kidney Failure Requiring Regular Dialysis 32. Third Degree Burns
13. Major Organ/ Bone Marrow Transplant 33. Aplastic Anaemia
14. Apallic Syndrome 34. Poliomyelitis
15. Benign Brain Tumour 35. Bacterial Meningitis
16. Brain Surgery 36. Encephalitis
17. Coma of specified Severity 37. Progressive supranuclear pals
18. Major Head Trauma 38. Rheumatoid arthritis
19. Permanent Paralysis of Limbs 39. Creutzfeldt - Jakob disease
20. Stroke resulting in permanent symptoms Brain and
40. Fulminant Hepatitis
Nervous System Benefit
The detailed definitions of all Critical illnesses covered along with relevant exclusions are mentioned below: -
Page 20 of 31
Critical Illness Definitions
The Accelerated Critical Illness benefit will be payable only if the incidence of any of the covered critical illness condition after
policy issuance is the first incidence of that covered critical illness in the lifetime of the policyholder
Please note, the standardized critical illness definitions stated above are in line with the stipulated definition as per the Guidelines
on standardization in Health insurance as circular Ref. IRDA/HLT/REG/CIR/146/07/2016 dated 29.07.2016. Further, medical
ethics point of view and medico-legal opinion has been taken for Non-standard Critical Illness definition.
1. Cancer of Specified Severity (malignant tumor)
A malignant tumour characterised by the uncontrolled growth & spread of malignant cells with invasion & destruction of normal
tissues. This diagnosis must be supported by histological evidence of malignancy. The term cancer includes leukemia, lymphoma
and sarcoma.
The following are excluded –
a. All tumors which are histologically described as carcinoma in situ, benign, pre-malignant, borderline malignant, low
malignant potential, neoplasm of unknown behavior, or non-invasive, including but not limited to: Carcinoma in situ of
breasts, Cervical dysplasia CIN-1, CIN -2 and CIN-3.
b. Any non-melanoma skin carcinoma unless there is evidence of metastases to lymph nodes or beyond;
c. Malignant melanoma that has not caused invasion beyond the epidermis;
d. All tumors of the prostate unless histologically classified as having a Gleason score greater than 6 or having progressed to
at least clinical TNM classification T2N0M0
e. All Thyroid cancers histologically classified as T1N0M0 (TNM Classification) or below;
f. Chronic lymphocytic leukaemia less than RAI stage 3
g. Non-invasive papillary cancer of the bladder histologically described as TaN0M0 or of a lesser classification,
h. All Gastro-Intestinal Stromal Tumors histologically classified as T1N0M0 (TNM Classification) or below and with mitotic
count of less than or equal to 5/50 HPFs;
2. Angioplasty
Coronary Angioplasty is defined as percutaneous coronary intervention by way of balloon angioplasty with or without stenting
for treatment of the narrowing or blockage of minimum 50 % of one or more major coronary arteries. The intervention must be
determined to be medically necessary by a cardiologist and supported by a coronary angiogram (CAG).
Coronary arteries herein refer to left main stem, left anterior descending, circumflex and right coronary artery.
Diagnostic angiography or investigation procedures without angioplasty/stent insertion are excluded.
3. First Heart Attack – of Specified Severity
The first occurrence of heart attack or myocardial infarction, which means the death of a portion of the heart muscle as a result
of inadequate blood supply to the relevant area. The diagnosis for Myocardial Infarction should be evidenced by all of the
following criteria:
a. a history of typical clinical symptoms consistent with the diagnosis of Acute Myocardial Infarction (for e.g. typical chest
pain)
b. new characteristic electrocardiogram changes
c. elevation of infarction specific enzymes, Troponins or other specific biochemical markers.
The following are excluded:
a. Other acute Coronary Syndromes
b. Any type of angina pectoris
c. A rise in cardiac biomarkers or Troponin T or I in absence of overt ischemic heart disease OR following an intra-arterial
cardiac procedure
4. Open Heart Replacement or Repair of Heart Valves
The actual undergoing of open-heart valve surgery to replace or repair one or more heart valves, as a consequence of defects in,
abnormalities of, or disease-affected cardiac valve(s). The diagnosis of the valve abnormality must be supported by an
echocardiography and the realization of surgery has to be confirmed by a specialist medical practitioner.
Page 21 of 31
Catheter based techniques including but not limited to, balloon valvotomy/valvuloplasty are excluded.
5. Surgery to Aorta
Undergoing of a laporotomy or thoracotomy to repair or correct an aneurysm, narrowing, obstruction or dissection of the aortic
artery. For this definition, aorta means the thoracic and abdominal aorta but not its branches. Surgery performed using only
minimally invasive or intra-arterial techniques such as percutaneous endovascular aneurysm repair are excluded.
6. Cardiomyopathy
The unequivocal diagnosis by a Consultant Cardiologist of Cardiomyopathy causing permanent impaired left ventricular function
with an ejection fraction of less than 25%. This must result in severe physical limitation of activity to the degree of class IV of
the New York Heart
Classification and this limitation must be sustained over at least six months when stabilized on appropriate therapy.
Cardiomyopathy directly related to alcohol or drug misuse is excluded.
New York Heart Classification
Class I. Patients with cardiac disease but without resulting limitation of physical activity. Ordinary physical activity does not
cause undue fatigue, palpitation, dyspnea, or anginal pain.
Class II. Patients with cardiac disease resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary
physical activity results in fatigue, palpitation, dyspnea, or anginal pain.
Class III. Patients with cardiac disease resulting in marked limitation of physical activity. They are comfortable at rest. Less than
ordinary activity causes fatigue, palpitation, dyspnea, or anginal pain.
Class IV. Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms of
heart failure or the anginal syndrome may be present even at rest. If any physical activity is undertaken, discomfort increases.
7. Primary Pulmonary Hypertension
An unequivocal diagnosis of Primary (Idiopathic) Pulmonary Hypertension by a Cardiologist or specialist in respiratory medicine
with evidence of right ventricular enlargement and the pulmonary artery pressure above 30 mm of Hg on Cardiac Cauterization.
There must be permanent irreversible physical impairment to the degree of at least Class IV of the New York Heart Association
Classification (NYHA) of cardiac impairment.
The NYHA Classification of Cardiac Impairment are as follows:
a. Class III: Marked limitation of physical activity. Comfortable at rest, but less than ordinary activity causes symptoms.
b. Class IV: Unable to engage in any physical activity without discomfort. Symptoms may be present even at rest.
Pulmonary hypertension associated with lung disease, chronic hypoventilation, pulmonary thromboembolic disease, drugs and
toxins, diseases of the left side of the heart, congenital heart disease and any secondary cause are specifically excluded.
8. Open Chest CABG
The actual undergoing of heart surgery to correct blockage or narrowing in one or more coronary artery(s), by coronary artery
bypass grafting done via a sternotomy (cutting through the breast bone) or minimally invasive keyhole coronary artery bypass
procedures. The diagnosis must be supported by a coronary angiography and the realization of surgery has to be confirmed by a
cardiologist
a. Angioplasty and/or any other intra-arterial procedures
9. Blindness
Total, permanent and irreversible loss of all vision in both eyes as a result of illness or accident.
The Blindness is evidenced by:
a. corrected visual acuity being 3/60 or less in both eyes or ;
b. the field of vision being less than 10 degrees in both eyes.
The diagnosis of blindness must be confirmed and must not be correctable by aids or surgical procedure
Page 22 of 31
10. End Stage Lung Failure
End stage lung disease, causing chronic respiratory failure, as evidenced by all of the following:
1. FEV1 test results consistently less than 1 litre measured on 3 occasions 3 months apart; and
2. Requiring continuous permanent supplementary oxygen therapy for hypoxemia; and
3. Arterial blood gas analyses with partial oxygen pressures of 55mmHg or less (PaO2 < 55 mmHg); and
4. Dyspnea at rest.
11. End Stage Liver Failure
Permanent and irreversible failure of liver function that has resulted in all three of the following:
1. permanent jaundice; and
2. ascites; and
3. hepatic encephalopathy.
Liver failure secondary to drug or alcohol abuse is excluded.
12. Kidney Failure requiring regular dialysis
End stage renal disease presenting as chronic irreversible failure of both kidneys to function, as a result of which either
regular renal dialysis (hemodialysis or peritoneal dialysis) is instituted or renal transplantation is carried out. Diagnosis has
to be confirmed by a specialist medical practitioner.
13. Major Organ / Bone Marrow Transplant
The actual undergoing of a transplant of:
1. One of the following human organs: heart, lung, liver, kidney, pancreas, that resulted from irreversible end-stage failure of
the relevant organ, or
2. Human bone marrow using haematopoietic stem cells. The undergoing of a transplant has to be confirmed by a specialist
medical practitioner.
1. Other stem-cell transplants
2. Where only Islets of Langerhans are transplanted
14. Apallic Syndrome
Universal necrosis of the brain cortex with the brain stem remaining intact. The definite diagnosis must be confirmed by a
consultant neurologist and this condition has to be medically documented for at least one (1) month with no hope of recovery.
15. Benign Brain Tumour
A life threatening, non-cancerous tumor in the brain, cranial nerves or meninges within the skull. The presence of the underlying
tumor must be confirmed by imaging studies such as CT scan or MRI.
This brain tumor must result in at least one of the following and must be confirmed by the relevant medical specialist:
a. Permanent Neurological deficit with persisting clinical symptoms for a continuous period of at least 90 consecutive
days or
b. Undergone surgical resection or radiation therapy to treat the brain tumor.
The following conditions are excluded:
a. Cysts, Granulomas, malformations in the arteries or veins of the brain, hematomas, abscesses, pituitary tumors, tumors
of skull bones and tumors of the spinal cord.
16. Brain Surgery
Page 23 of 31
The actual undergoing of surgery to the brain under general anaesthesia during which a craniotomy is performed. Keyhole
surgery is included however, minimally invasive treatment where no surgical incision is performed to expose the target, such as
irradiation by gamma knife or endovascular neuroradiological interventions such as embolizations, thrombolysis and stereotactic
biopsy are excluded. Brain surgery as a result of an accident is also excluded. The procedure must be considered necessary by a
qualified specialist.
17. Coma of specified Severity
A state of unconsciousness with no reaction or response to external stimuli or internal needs. This diagnosis must be supported
by evidence of all of the following:
1. No response to external stimuli continuously for at least 96 hours;
2. Life support measures are necessary to sustain life; and
3. Permanent neurological deficit which must be assessed at least 30 days after the onset of the coma.
The condition has to be confirmed by a specialist medical practitioner. Coma resulting from alcohol or drug abuse is excluded.
18. Major Head Trauma
Accidental head injury resulting in permanent Neurological deficit to be assessed no sooner than 3 months from the date of the
accident. This diagnosis must be supported by unequivocal findings on Magnetic Resonance Imaging, Computerized
Tomography, or other reliable imaging techniques. The accident must be caused solely and directly by accidental, violent,
external and visible means and independently of all other causes.
The Accidental Head injury must result in an inability to perform at least three (3) of the following Activities of Daily Living
either with or without the use of mechanical equipment, special devices or other aids and adaptations in use for disabled persons.
For the purpose of this benefit, the word “permanent” shall mean beyond the scope of recovery with current medical knowledge
and technology.
The Activities of Daily Living are:
a. Washing: the ability to wash in the bath or shower (including getting into and out of the bath or shower) or wash
satisfactorily by other means;
b. Dressing: the ability to put on, take off, secure and unfasten all garments and, as appropriate, any braces, artificial limbs
or other surgical appliances;
c. Transferring: the ability to move from a bed to an upright chair or wheelchair and vice versa;
d. Mobility: the ability to move indoors from room to room on level surfaces;
e. Toileting: the ability to use the lavatory or otherwise manage bowel and bladder functions so as to maintain a
satisfactory level of personal hygiene;
f. Feeding: the ability to feed oneself once food has been prepared and made available.
The spinal cord injury is excluded.
19. Permanent Paralysis of Limbs
Total and irreversible loss of use of two or more limbs as a result of injury or disease of the brain or spinal cord. A specialist
medical practitioner must be of the opinion that the paralysis will be permanent with no hope of recovery and must be present
for more than 3 months.
20. Stroke resulting in permanent symptoms
Any cerebrovascular incident producing permanent neurological sequelae. This includes infarction of brain tissue, thrombosis in
an intracranial vessel, haemorrhage and embolisation from an extracranial source. Diagnosis has to be confirmed by a specialist
medical practitioner and evidenced by typical clinical symptoms as well as typical findings in CT Scan or MRI of the brain.
Evidence of permanent neurological deficit lasting for at least 3 months has to be produced.
1. Transient ischemic attacks (TIA)
Page 24 of 31
2. Traumatic injury of the brain
3. Vascular disease affecting only the eye or optic nerve or vestibular functions.
21. Alzheimer's Disease
Progressive and permanent deterioration of memory and intellectual capacity as evidenced by accepted standardised
questionnaires and cerebral imaging. The diagnosis of Alzheimer’s disease must be confirmed by an appropriate consultant and
supported by the Company's appointed doctor. There must be significant reduction in mental and social functioning requiring
the continuous supervision of the life assured. There must also be an inability of the Life Assured to perform (whether aided or
unaided) at least 3 of the following 5 “Activities of Daily Living” for a continuous period of at least 6 months:
Activities of Daily Living are defined as:
1. Washing - the ability to wash in the bath or shower (including getting into and out of the bath or shower) or wash
2. Dressing - the ability to put on, take off, secure and unfasten all garments and, as appropriate, any braces, artificial limbs
3. Transferring - the ability to move from a bed to an upright chair or wheelchair and vice versa;
4. Toileting - the ability to use the lavatory or otherwise manage bowel and bladder functions so as to maintain a satisfactory
level of personal hygiene;
5. Feeding - the ability to feed oneself once food has been prepared and made available.
Alcohol related brain damage are excluded.
Coverage for this impairment will cease at age sixty-five (65) or on maturity data/expiry date, whichever is earlier.
22. Motor Neurone Disease with Permanent Symptoms
Motor neuron disease diagnosed by a Specialist Medical Practitioner as spinal muscular atrophy, progressive bulbar palsy,
amyotrophic lateral sclerosis or primary lateral sclerosis. There must be progressive degeneration of corticospinal tracts and
anterior horn cells or bulbar efferent neurons. There must be current significant and permanent functional neurological
impairment with objective evidence of motor dysfunction that has persisted for a continuous period of at least 3 months.
23. Multiple Sclerosis with Persisting Symptoms
The unequivocal diagnosis of Definite Multiple Sclerosis confirmed by a Consultant Neurologist. The diagnosis must be
evidenced by all of the following:
1. investigations including typical MRI findings which unequivocally confirm the diagnosis to be multiple sclerosis;
2. there must be current clinical impairment of motor or sensory function, which must have persisted for a continuous period
of at least 6 months, and
Neurological damage due to SLE is excluded .
24. Muscular Dystrophy
Muscular Dystrophy is a disease of the muscle causing progressive and permanent weakening of certain muscle groups. The
diagnosis of muscular dystrophy must be made by a consultant neurologist, and confirmed with the appropriate laboratory,
biochemical, histological, and electromyographic evidence. The disease must result in the permanent inability of the insured to
perform (whether aided or unaided) at least three (3) of the five (5) “Activities of Daily Living”.
Page 25 of 31
5. Feeding - the ability to feed oneself once food has been prepared and made available
25. Parkinson’s Disease
The unequivocal diagnosis of idiopathic Parkinson’s Disease by a consultant neurologist. This diagnosis must be supported by
all of the following conditions:
1. The disease cannot be controlled with medication; and
2. There are objective signs of progressive deterioration; and
3. There is an inability of the Life Assured to perform (whether aided or unaided) at least 3 of the following five (5) “Activities
of Daily Living” for a continuous period of at least 6 months:
5. Feeding - the ability to feed oneself once food has been prepared and made available.
Drug-induced or toxic causes of Parkinsonism are excluded.
26. Loss of Independent Existence
Loss of the physical ability through an illness or injury to do at least 3 of the 6 tasks listed below ever again.
The relevant specialists must reasonably expect that the disability will last throughout life with no prospect of improvement,
irrespective of when the cover ends or the insured person expects to retire. The company’s appointed doctor should also agree
that the disability will last throughout life with no prospect of improvement, irrespective of when the cover ends or the insured
person expects to retire.
The insured person must need the help or supervision of another person and be unable to perform the task on their own, even
with the use of special equipment routinely available to help and having taken any appropriate prescribed medication.
The tasks are:
1. Bathing - the ability to wash in the bath or shower (including getting into and out of the bath or shower) or wash
3. Getting in and out of bed - the ability to move from a bed to an upright chair or wheelchair and vice versa;
4. Maintaining personal hygiene - the ability to maintain a satisfactory level of personal hygiene by using the toilet or
otherwise managing bowel and bladder function.
5. Feeding oneself - the ability to feed oneself once food has been prepared and made available.
6. Getting between rooms – the ability to move indoors from room to room on level surface.
Loss of independent living must be medically documented for an uninterrupted period of at least six months. Proof of the same
must be submitted to the Company while the Person Insured is alive and permanently disabled. The company will have the right
to evaluate the insured person to confirm total and permanent disability.
Page 26 of 31
Loss of Independent Existence due to an injury should occur independently of any other causes within ninety (90) days of such
injury.
27. Loss of Limbs
The physical separation of two or more limbs, at or above the wrist or ankle level limbs as a result of injury or disease. This will
include medically necessary amputation necessitated by injury or disease. The separation has to be permanent without any chance
of surgical correction.
Loss of Limbs resulting directly or indirectly from self-inflicted injury, alcohol or drug abuse is excluded.
28. Deafness
Total and irreversible loss of hearing in both ears as a result of illness or accident. This diagnosis must be supported by pure tone
audiogram test and certified by an Ear, Nose and Throat (ENT) specialist. Total means “the loss of hearing to the extent that the
loss is greater than 90decibels across all frequencies of hearing” in both ears.
29. Loss of Speech
Total and irrecoverable loss of the ability to speak as a result of injury or disease to the vocal cords. The inability to speak must
be established for a continuous period of 12 months. This diagnosis must be supported by medical evidence furnished by an Ear,
Nose, Throat (ENT) specialist.
30. Medullary Cystic Disease
Medullary Cystic Disease is a disease where the following criteria are met:
1. The presence in the kidney of multiple cysts in the renal medulla accompanied by the presence of tubular atrophy and
interstitial fibrosis;
2. Clinical manifestations of anaemia, polyuria and progressive deterioration in kidney function; and
3. The diagnosis of medullary cystic disease is confirmed by renal biopsy
Isolated or benign kidney cysts are specifically excluded from this benefit
31. Systemic Lupus Erythematosus
The unequivocal diagnosis by a consultant physician of systemic lupus erythematosus (SLE) with evidence of malar rash, discoid
rash, photosensitivity, multi-articular arthritis, and serositis. There must also be hematological and immunological abnormalities
consistent with the diagnosis of SLE. There must also be a positive antinuclear antibody test. There must also be evidence of
central nervous system or renal impairment with either
1. Renal involvement with persistent proteinuria greater than 0.5 grams per day or a spot urine showing 3+ or greater
proteinuria
2. Central nervous system involvement with permanent neurological dysfunction as evidenced with objective motor or sensory
neurological abnormal signs on physical examination by a neurologist and present for at least 3 months. Seizures, headaches
and cognitive abnormalities are not considered under this definition as evidence of “permanent neurological dysfunction”.
Discoid lupus and medication induced lupus are excluded.
32. Third Degree Burns

There must be third-degree burns with scarring that cover at least 20% of the body’s surface area. The diagnosis must confirm
the total area involved using standardized, clinically accepted, body surface area charts covering 20% of the body surface area.
33. Aplastic Anaemia
Aplastic Anemia is chronic persistent bone marrow failure. A certified hematologist must make the diagnosis of severe
irreversible aplastic anemia. There must be permanent bone marrow failure resulting in bone marrow cellularity of less than 25%
and there must be two of the following:
Page 27 of 31
1. Absolute neutrophil count of less than 500/mm³
2. Platelets count less than 20,000/mm³
3. Reticulocyte count of less than 20,000/mm³
The insured must be receiving treatment for more than 3 consecutive months with frequent blood product transfusions, bone
marrow stimulating agents, or immunosuppressive agents or the insured has received a bone marrow or cord blood stem cell
transplant.
Temporary or reversible aplastic anemia is excluded and not covered in this policy.
34. Poliomyelitis
The occurrence of Poliomyelitis where the following conditions are met:
1. Poliovirus is identified as the cause; and
2. Paralysis of the limb muscles or respiratory muscles must be present and persist for at least 3 months as confirmed by a
consultant neurologist.
Other causes of paralysis such as Guillain-Barre syndrome are specifically excluded.
35. Bacterial Meningitis
Bacterial meningitis is a bacterial infection of the meninges of the brain causing brain dysfunction. There must be an unequivocal
diagnosis by a consultant physician of bacterial meningitis that must be proven on analysis of the cerebrospinal fluid. There must
also be permanent objective neurological deficit that is present on physical examination at least 3 months after the diagnosis of
the meningitis infection.
36. Encephalitis
Severe inflammation of the brain substance (cerebral hemisphere, brainstem or cerebellum) caused by viral infection and
resulting in permanent neurological deficit. This diagnosis must be certified by a consultant neurologist and the permanent
neurological deficit must be documented for at least 6 weeks.
37. Progressive supranuclear palsy
Progressive supranuclear palsy occurring independently of all other causes and resulting in permanent neurological deficit, which
is directly responsible for a permanent inability to perform at least two (2) of the Activities of Daily Living. The diagnosis of the
Progressive Supranuclear Palsy must be confirmed by a registered Medical Practitioner who is a neurologist
38. Severe Rheumatoid arthritis
The unequivocal diagnosis of Rheumatoid Arthritis must be made by a certified medical consultant based on clinically accepted
criteria. There must be imaging evidence of erosions with widespread joint destruction in three or more of the following joint
areas: hands, wrists, elbows, knees, hips, ankle, cervical spine or feet. There must also be typical rheumatoid joint deformities.
Degenerative osteoarthritis and all other forms of arthritis are excluded.
There must be history of treatment or current treatment with disease-modifying anti-rheumatic drugs, or DMARDs. Non-
steroidal anti-inflammatory drugs such as acetylsalicylic acid are not considered a DMARD drug under this definition.
39. Creutzfeldt - Jakob disease

Creutzfeldt-Jacob disease is an incurable brain infection that causes rapidly progressive deterioration of mental function and
movement. A neurologist must make a definite diagnosis of Creutzfeldt-Jacob disease based on clinical assessment, EEG and
imaging. There must be objective neurological abnormalities on exam along with severe progressive dementia.
40. Fulminant Viral Hepatitis
A submassive to massive necrosis of the liver by a hepatitis virus, leading precipitously to liver failure where the following
criteria are met.
1. Rapid decrease in liver size associated with necrosis involving entire lobules;
Page 28 of 31
2. Rapid degeneration of liver enzymes;
3. Deepening jaundice; and
4. Hepatic encephalopathy
Hepatitis infection or carrier status alone, does not meet the diagnostic criteria.
Medical Practitioner:
Medical Practitioner shall mean a person who holds a valid registration from the Medical Council of any State or Medical
Council of India or Council for Indian Medicine or for Homeopathy set up by the Government of India or State Government
and is thereby entitled to practice medicine within its jurisdiction and is acting within the scope and jurisdiction of his license,
provided such Medical Practitioner shall not include:
The Policyholder’s Spouse, Father (including step father) or Mother (including step mother), Son (including step son), Son’s
wife, Daughter, Daughter’s husband, Brother (including step brother) and Sister (including step sister) or Life insured /
policyholder under this policy.
Annexure 2 - Permanent exclusions for Accelerated Critical Illness Benefit
No CI benefit will be payable in respect of any listed condition arising directly or indirectly from or in consequence of or
aggravated by any of the following:
1. Pre-existing conditions or conditions connected to a Pre-Existing Condition
Pre-existing Disease means any condition, aliment, injury or disease:
a. That is/are diagnosed by a physician within 48 months prior to the effective date of the policy issued by the insurer or
b. For which medical advice or treatment was recommended by, or received from, a Physician within 48 months Prior to
the effective date of the policy
2. Self-inflicted injury, suicide, insanity and deliberate participation of the life insured in an illegal or criminal act
3. Use of intoxicating drugs / alcohol / solvent, taking of drugs except under the direction of a qualified medical practitioner.
4. War – whether declared or not, civil commotion, breach of Law with criminal intent, invasion, hostilities (whether war is
declared or not), rebellion, revolution, military or usurped power or wilful participation in acts of violence.
5. Aviation other than as a fare paying passenger or crew in a commercial licensed aircraft.
6. Treatment for injury or illness caused by avocations / activities such as hunting, mountaineering, steeple-chasing,
professional sports, racing of any kind, scuba diving, aerial sports, activities such as hand-gliding, ballooning, deliberate
exposure to exceptional danger.
7. Radioactive contamination due to nuclear accident.
8. Any treatment of a donor for the replacement of an organ.
9. Any illness due to pandemics
10. A condition for which any symptoms and or signs if presented and have resulted in a diagnostic illness or medical condition
within the initial waiting period of the issuance of the policy.
11. Any illness due to a congenital defect or disease which has manifested or was diagnosed before the date of commencement
of the policy
Annexure 3 – Accident Cover Exclusions

The life assured will not be entitled to any accidental death benefits directly or indirectly due to or caused, occasioned, accelerated
or aggravated by any of the following:
1. Suicide or self-inflicted injury, whether the life assured is medically sane or insane.
2. War, terrorism, invasion, act of foreign enemy, hostilities, civil war, martial law, rebellion, revolution, insurrection, military
or usurper power, riot or civil commotion. War means any war whether declared or not.
3. Taking part in any naval, military or air force operation during peace time.
4. Any condition that is pre-existing at the time of inception of the policy
Page 29 of 31
5. Committing an assault, a criminal offence, an illegal activity or any breach of law with criminal intent.
6. Alcohol or Solvent abuse or taking of Drugs, narcotics or psychotropic substances unless taken in accordance with the lawful
directions and prescription of a registered medical practitioner
7. Poison, gas or fumes (voluntary or involuntarily, accidentally or otherwise taken, administered, absorbed or inhaled).
8. Service in the armed forces, or any police organization, of any country at war or service in any force of an international body
9. Participation in aviation other than as a fare-paying passenger in an aircraft that is authorised by the relevant regulations to
carry such passengers between established aerodromes.
10. Taking part in professional sport(s) or any adventurous pursuits or hobbies. “Adventurous Pursuits or Hobbies” includes
any kind of racing (other than on foot or swimming), potholing, rock climbing (except on man-made walls), hunting,
mountaineering or climbing requiring the use of ropes or guides, any underwater activities involving the use of underwater
breathing apparatus including deep sea diving, sky diving, cliff diving, bungee jumping, paragliding, hand gliding and
parachuting.
11. Nuclear Contamination; the radioactive, explosive or hazardous nature of nuclear fuel materials or property contaminated
by nuclear fuel materials or accident arising from such nature.
Injury: Injury means accidental physical bodily harm excluding illness or disease solely and directly caused by external, violent,
visible and evident means which is verified and certified by a Medical Practitioner.
This benefit shall not be offered to those who disclose or otherwise known to be suffering, through medical examination at
underwriting, from any of exclusion above.
Annexure 4 – Policy Termination

Policy Termination:
The policy will terminate immediately upon the occurrence of any of the following events, whichever is earliest:
a) On the expiry date i.e. end of policy term;
b) On payment of suicide benefit;
c) On payment of 100% of the Guaranteed Death Benefit;
d) On cancellation or surrender of the policy by the policyholder or the insurer;
e) On failure to revive/reinstate the policy within the applicable revival period of the policy.
Important Notes:
 This is only a prospectus. It does not purport to be a contract of insurance and does not in any way create any rights and/or
obligations. All the benefits are payable subject to the terms and conditions of the Policy
 Benefits are available provided all premiums are paid, as and when they are due
 Extra premium may be charged for substandard lives
 All applicable taxes, cesses and levies as imposed by the Government from time to time, would be levied
 Life Insurance Coverage is available in this product
 All Policy benefits are subject to policy being in force
 Policyholder and Life Insured may be different under this product
Should you need any further information from us, please do not hesitate to contact on the below mentioned address and numbers.
We look forward to have you as a part of the Max Life family.
Page 30 of 31
CONTACT DETAILS OF THE COMPANY
Company Website
http://www.maxlifeinsurance.com
Registered Office
Max Life Insurance Company Limited
419, Bhai Mohan Singh Nagar, Railmajra, Tehsil Balachaur,
District Nawanshahr, Punjab -144533
Tel: (01881) 462000
Office Address
Max Life Insurance Company Limited
Plot No. 90C, Sector 18,
Gurugram – 122015, Haryana, India.
Tel No.: (0124) 4219090
Customer Service Number - 1860 120 5577
Customer Service Timings: 09:00 AM - 06:00 PM Monday to Saturday (except National holidays)
Disclaimers:
Max Life Insurance Company Limited is a Joint Venture between Max Financial Services Limited and Axis Bank Limited.
Corporate Office: 11th Floor, DLF Square Building, Jacaranda Marg, DLF City Phase II, Gurugram (Haryana)- 122002. For
more details on risk factors, terms and conditions, please read the prospectus carefully before concluding a sale. You may be
entitled to certain applicable tax benefits on your premiums and policy benefits. Please note all the tax benefits are subject to tax
laws prevailing at the time of payment of premium or receipt of benefits by you. Tax benefits are subject to changes in tax laws.
Insurance is the Subject matter of solicitation. Trade logo displayed belongs to Max Financial Services Ltd. and Axis Bank Ltd.
respectively and with their consents, are used by Max Life Insurance Co. Ltd. You can call us on our Customer Helpline No.
1860 120 5577. Website: www.maxlifeinsurance.com
ARN: Max Life /Ads/Prospectus/STEP V03/ March 2024 IRDAI Regn. No – 104
BEWARE OF SPURIOUS/FRAUD PHONE CALLS

• IRDAI is not involve in activities like selling insurance policies, announcing bonus or investment of premium
• Public receiving such phone calls are requested to lodge a police complaint.
Page 31 of 31

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Max Life Smart Total Elite Protection

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Max Life Smart Total Elite Protection Term Plan

Life Insurance Coverage is available in this Product.

About Max Life Insurance

Max Life Smart Total Elite Protection Term Plan

Snapshot of the Features:

Section Description Sub topics

Section A - Benefits under the Plan:

Base Cover Size of benefits

𝐺𝑢𝑎𝑟𝑎𝑛𝑡𝑒𝑒𝑑 𝐷𝑒𝑎𝑡ℎ 𝐵𝑒𝑛𝑒𝑓𝑖𝑡×𝑖

Accelerated Critical Illness (ACI) Benefit

Following a valid Angioplasty claim,

Following a valid ACI claim (other than Angioplasty claim),

Special Exit Value

Please note the following conditions specific to Cover Continuance Benefit:

Early Exit Value

Additional Optional Benefit Applicability Surrender Benefit / Early Exit

Accelerated Critical None Not available

Accident Cover Early Exit Value Same as mentioned above.

Reduced Paid Up (RPU) policy

Please note the following:

High Sum Assured discounts

Lower premium rates for female lives

Section C - Plan at a Glance:

Subject to minimum Sum Assured and applicable premium rates.

No Limit, subject to maximum Sum Assured limits determined in accordance with

Minimum Policy Maximum Policy

Base Death Benefit

Minimum Sum Assured Accelerated Critical Illness (ACI) Benefit Option

Accident Cover Option

No Limit, subject to limits determined in accordance with the Board approved

Accelerated Critical Illness (ACI) Benefit Option

Premium Available Base Available Available

Premium Payment Modes Modal Factors

Section D – Illustrative Examples

Sample Premium Rates

Discount on Limited Pay PPT

Premium difference between A & B: Rs. 3,97,610 (savings of 46%)

Premium difference between A & C: Rs3,94,160 (saving of 45%)

Mr. Ajay Kumar (age 30), non-smoker

Premium - Rs. 21,758

Accelerated Critical Illness

Mr. Ajay Kumar (age 30), non-smoker

Mr. Ajay Kumar (age 30), non-smoker

Annual Premium - Rs. 27,758 (Excluding tax)

4. Premium shown in all of the above illustrations is exclusive of GST.

Free Look Period:

No. of Days between lapse and

Availability of Product via online mode:

Annexure 1 – Critical Illness Definitions & Exclusion

32. Third Degree Burns

39. Creutzfeldt - Jakob disease

Annexure 2 - Permanent exclusions for Accelerated Critical Illness Benefit

Annexure 3 – Accident Cover Exclusions

Annexure 4 – Policy Termination

Customer Service Number - 1860 120 5577

BEWARE OF SPURIOUS/FRAUD PHONE CALLS

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