LIC’S HEALTH PROTECTION PLUS (PLAN NO.

902)
(UIN: 512L253V01)

IN THIS POLICY, THE INVESTMENT RISK IN INVESTMENT PORTFOLIO IS BORNE

BY THE POLICYHOLDER

Health is a major concern on everybody’s mind these days. With sky rocketing medical
expenses, the possibility of any illness leading to hospitalization or surgery is a constant
source of anxiety unless the family has actively provided for funds to meet such an
eventuality. Most families rarely provide for healthcare, and even if they do, it is grossly
inadequate.
Given this scenario, LIC has launched LIC’s Health Protection Plus plan, a unique long term
health insurance plan that can combine health insurance covers for the entire family
(husband, wife and the children) – Hospital Cash Benefit (HCB) and Major Surgical Benefit
(MSB) along with a ULIP component (investment in the form of Units) that is specifically
designed to meet Domiciliary Treatment Benefit (DTB) / Out Patient Department (OPD)
expenses for the insured members.

I. VITAL INFORMATION
1. AGE PRINCIPAL SPOUSE CHILD
INSURED INSURED INSURED
Min Policy Entry Age 18 18 3 months
– Age Last Birthday
Min Age – HCB Cover – 18 18 3 months
Age Last Birthday
Min Age – MSB Cover – 18 18 18
Age Last Birthday
Maximum Entry Age 55 55 17
Age Nearest Birthday

2. Premium Payment.
Mode of Payment: Yearly, Half-Yearly & Monthly (ECS Mode only)

MINIMUM ANNUAL PREMIUM CONDITIONS

Number of Lives Higher of the two conditions in each category listed below:
covered
Single Life 6 times the HCB of the Principal Insured OR Rs.5000 p.a.

Two Lives The arithmetic sum of 6 times the HCB of PI and 3 times the HCB of
the second insured. OR Rs.7500 p.a.
More than two The arithmetic sum of 6 times the HCB of PI and 3 times the HCB of
Lives each of the others insured OR Rs.10,000 p.a.
Annualized Premiums are payable in multiples of Rs.500.

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3. Sum Assured. The Principal Insured must first choose the respective levels of HCB for
each member to be covered under the policy. The sum assured for major surgical benefits
will be 200 times of the HCB you choose.

MAJOR SURGICAL PRINCIPAL SPOUSE CHILD INSURED

SUM ASSURED INSURED INSURED
200 times the HCB applicable to each insured life under the policy.

4. Other Terms of the Policy.

AGE NEAREST PRINCIPAL SPOUSE CHILD INSURED
BIRTHDAY INSURED INSURED
Max. HCB and MSB 75 75 25
Cover ceasing age
Premium Ceasing 65 Years Nearest Birthday of the Principal Insured
Age
DTB ceasing age No age limit No age limit 25

5. Addition of New Members. It is important for the Principal Insured (the person taking
the policy) to decide which of the existing family members are to be covered and include
them at the beginning (proposal stage) itself. Eligible existing family members cannot be
added at a later stage. New members can however be added under the following three
situations.

SITUATION WHEN TO THE COVER STARTS

INCLUDE? FROM
Marriage/remarriage of the Principal Within one year from The following policy
insured after taking the policy the date of marriage anniversary

A Child born or Legally adopted Health Cover starts from the policy anniversary
child less than 3 months after taking falling immediately after the child completes 3
the policy months

Legally adopted child is more than 3 From the policy anniversary falling after date of
months old adoption

• The new members will be eligible for the cover only if they satisfy the conditions of
minimum premium and benefits.
• New members must be included by the Principal Insured only. No new members will
be allowed after the death of the principal insured.
6. Increase/Decrease of Premiums. Increase or decrease of premiums is allowed during the
term of the policy. Increase in premium must be in multiples of Rs.500. In case of decrease,
the minimum premium conditions must be satisfied. However, increase/decrease in
premiums does not affect the level of health cover and HCB and MSB benefits.

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II. BENEFITS
1. Hospital Cash Benefit (HCB). A daily benefit is payable in case the insured is
hospitalized due to either accidental body injury or sickness. The quantum of benefit
depends upon the level of cover opted.

INITIAL DAILY BENEFIT (IDB)*#

INSURED Minimum Maximum
Principal Insured Rs.250 Rs.2500

Spouse/Child Rs.250 Rs.1500

*The Applicable Daily Benefit. IDB is applicable during the first year of risk cover. The
daily benefit will increase @5% simple p.a. of the IDB on each policy anniversary until it hits
a cap of 1.5 times the initial benefit.
IDB of the spouse cannot exceed the Principal Insured’s IDB; IDB of the children cannot
exceed the spouse’s IDB.
The initial HCB must be in multiples of Rs. 50.
#Initialdaily benefit that is payable in respect of stay in a non-ICU room or ward. In case the
insured is required to stay in the ICU of a hospital, an enhanced rate of daily benefit is
payable, which is twice the eligible daily cash benefit.
2. Major Surgical Benefit (MSB). In the event of the insured undergoing one of the major
surgeries defined in the Annexure I, a lump sum benefit (regardless of the actual costs
incurred) equivalent to the percentage of the sum assured mentioned against that surgery
will be payable on providing proper proof of surgery to the satisfaction of the corporation.
3. Domiciliary Treatment Benefit (DTB). The Principal Insured can claim an amount
equivalent to the actual expense he or she has incurred in respect of any domiciliary
treatment or to meet the medical expenses incurred over and above the hospital cash/major
surgical benefits in respect of either oneself or the others insured under the policy.

BEFORE CESSATION OF HCB AND MSB COVERS ON ALL MEMBERS COVERED

Minimum domiciliary claimable Rs.2500
Maximum amount that can be Up to 50% of the policy fund at the date of payment
claimed/ payable*
* Subject to a minimum balance of one annualized premium being left in the policy fund
after making the payment.
AFTER CESSATION OF HCB AND MSB COVERS ON ALL MEMBERS COVERED

Minimum domiciliary claimable Rs.2500*

No limit on maximum amount that can be claimed/ payable
* If the balance in the Policy Fund is less than Rs. 2,500/-, then the payment of entire
amount shall be made in one lump sum only.

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Note: i. A maximum of two payments will be allowed in a policy year subject to the above
conditions – on production of supporting proof of treatment and bills for expenses. DTB is
available only after at least 3 years premiums are paid.
ii. DTB is payable for the children covered until the health cover ceasing age.
4. Death Benefit. No death insurance cover is available under the plan. Following
benefits/charges will take place on the happening of unfortunate death of principal insured
(PI) and/or other insured member.
a) On death of the PI (if policy is The Policy Fund Value will be payable to the nominee/
issued on single life) or on legal heir.
death of all Insured members
(if more than one life is
covered under the policy).
b) On death of PI (if other The payment of premiums will cease and the cover will
Insured members are there). continue for the other Insured lives till the fund is
sufficient to recover all the charges or till the maximum
benefit ceasing age for each of the Insured lives,
whichever is earlier.
c) On death of insured The payment of premiums and the cover for PI and
member(s), other than PI other Insured members, if any, will continue.

III. CONDITIONS & RESTRICTIONS

1. Waiting Period. Both HCB and MSB covers are available subject to a waiting period from
the commencement of the risk cover specified hereunder – in respect of each insured
member:

WAITING PERIOD PRINCIPAL SPOUSE CHILD

FROM INSURED INSURED INSURED

Date of the cover 180 days 180 days 180* days

Date of reinstatement 90 days 90 days 90 days

of cover during the
revival period
No waiting period in respect of Accidental Bodily Injury.
*No waiting period in case of children for MSB from the date of cover.

2. Benefit Period Limits – Hospital Cash Benefit

HCB MAXIMUM ANNUAL BENEFIT MAXIMUM LIFETIME
PERIOD BENEFIT PERIOD
1 Year
st 2 year & after
nd

Principal Insured 18 days incl. 9 60 days incl. 30 365 days

Spouse Insured days for ICU days for ICU
Child Insured*
*Maximum period of HCB for an insured child until he or she completes 5 years age is
limited to 90 days.

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IMPORTANT NOTE: HCB is available only in respect of hospitalization in a ward or ICU
for continuous period of 24 hours or part thereof, over and above 48 hours, provided such
part stay exceeds 4 hours.

3. Conditions for Availing Major Surgery Benefit

MSB PRINCIPAL SPOUSE CHILD INSURED
INSURED INSURED
Maximum Annual 100% of the Sum Assured applicable in respect of the each
benefit insured member
Maximum Lifetime 3 times the Sum Assured applicable in respect of the each insured
Benefit member

NOTE: i. Various HCB and MSB Benefit limits and restrictions applicable under this policy
in respect of each insured shall solely and exclusively apply to that insured only and are not
transferable to any other insured.
ii. HCB/MSB is payable only if the hospitalisation/surgery is performed in India.

4. Limits on Availing Domiciliary Treatment Benefit. Same as mentioned under para II (3).

5. Termination of HCB and MSB Benefits in respect of each insured.

On attainment of the insured’s maximum cover ceasing age – 75 years nearest birthday for
PI/spouse insured and 25 years nearest birthday for the children insured
On reaching the maximum lifetime benefit limits under HCB (365 days) and MSB (3 times
the sum assured)
On the death of the insured or on the date of termination of the policy for any other reason
Insured spouse’s cover terminates on the date of divorce/ legal separation

6. Premium Discontinuance and Revival. The policy will lapse if the premiums are not
paid within the days of grace. The PI shall have the option to revive the policy any time
within a period of two years from the due date of first unpaid premium by payment of
arrears of premiums or by availing Premium Holidays. During the period of discontinuity,
the charges for HCB and MSB covers will continue to be deducted (even beyond two years)
from the policy fund till:
i. the policy fund has sufficient balance, or
ii. the lives covered reach the benefit ceasing age, or
iii. the maximum lifetime benefits are exhausted, or
iv. the policy is terminated due to death or any other reason, if any,
whichever is earlier.
In case the policy is not revived during the revival period and the balance in the Policy Fund
is not sufficient to recover the charges i.e. if the Policy Fund exhausts, the policy shall
compulsorily be terminated with a notice to the PI.
All other charges will also continue to be deducted from the Policy Fund till the fund
exhausts.
7. Premium Holidays. If the policy lapses after at least 3 years’ premiums have been paid
the Principal Insured has the option of either paying all the due premiums in full or avail of
premium holiday by just paying the latest installment premium without any interest. The
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premium holidays can be availed only as long as the policy fund has a balance of at least
one annualized premium at the time of revival.
8. Surrender. No surrender will be allowed.
9. Policy Loans. No policy loan will be available under this policy.
10. Assignment. No assignment will be allowed under this policy.
11. Tax Benefit: The premium payable under this product is eligible for Section 80(D)
benefit of Income Tax Act, 1961.
12. Risks borne by the Policyholder:
i) LIC’s Health Protection Plus is a Unit Linked Health Insurance product which is
different from the traditional insurance products and is subject to risk factors.
ii) The premium paid in Unit Linked Life Insurance policies are subject to investment
risks associated with capital markets and the NAVs of the units may go up or
down based on the performance of fund and factors influencing the capital market
and the insured is responsible for his/her decisions.
iii) Life Insurance Corporation of India is only the name of the Insurance Company
and LIC’s Health Protection Plus is only the name of the unit linked health
insurance contract and does not in any way indicate the quality of the contract, its
future prospects or returns.
iv) Please know the associated risks and the applicable charges, from your Insurance
agent or the Intermediary or policy document of the insurer.
v) The fund offered under this contract is the name of the fund and do not in any way
indicate the quality of these plans, their future prospects and returns.
vi) All benefits under the policy are also subject to the Tax Laws and other financial
enactments as they exist from time to time.
13. Cooling off period: If you are not satisfied with the “Terms and Conditions” of the
policy, you may return the policy to us within 15 days.

IV. EXCLUSIONS
1. Common Exclusions in respect of HCB &MSB Benefits:
No benefits are available hereunder and no payment will be made by the Corporation for
any claim for Hospital Cash Benefit and Major Surgical Benefit under this Policy on
account of Hospitalization directly or indirectly caused by, based on, arising out of or
howsoever attributable to any of the following:
a. “Pre-existing condition”- any medical condition or any related condition (e.g. illnesses,
symptoms, treatments, pains and surgery) that have arisen at some point prior to the
commencement of this coverage, irrespective of whether any medical treatment or
advice was sought. Any such condition or related condition about which the PI or
insured dependant know, knew or could reasonably have been assumed to have
known, will be deemed to be pre-existing. The following conditions will also be deemed
to be “pre-existing”:
i. Conditions arising between signing the application form and confirmation of
acceptance by the Corporation
ii. Any Sickness, illness, complication or ailment arising out of or connected to the pre-
existing illness

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b. Any Sickness that has been classified as an Epidemic by the -Central or State
Government.
c. Self afflicted injuries or conditions (attempted suicide), and/or the use or misuse of any
drugs or alcohol.
d. Any sexually transmitted diseases or any condition directly or indirectly caused to or
associated with Human Immuno Deficiency (HIV) Virus or any Syndrome or condition
of a similar kind commonly referred to as AIDS. .
e. War, invasion, act of foreign enemy, hostilities (whether war be declared or not), civil
war, rebellion, revolution, insurrection military or usurped power of civil commotion or
loot or pillage in connection herewith.
f. Naval or military operations(including duties of peace time) of the armed forces or air
force and participation in operations requiring the use of arms or which are ordered by
military authorities for combating terrorists, rebels and the like.
g. Any natural peril (including but not limited to avalanche, earthquake, volcanic
eruptions or any kind of natural hazard).
h. Participation in any hazardous activity or sports including but not limited to racing,
scuba diving, aerial sports, bungee jumping and mountaineering or in any criminal or
illegal activities.
i. Radioactive contamination.
j. Non-allopathic methods of surgery and treatment.

2. Additional Exclusions in respect of Hospital Cash Benefit:

No benefits are available hereunder and no payment will be made by the Corporation for
any claim for Hospital Cash Benefit under this Policy on account of Hospitalization
directly or indirectly caused by, based on, arising out of or howsoever attributable to any
of the following:
a. Hospitalization due to illness within the first 180 days from the Date of Cover
commencement or 90 days from the date of revival/reinstatement if revived after
discontinuance of the cover.
b. Removal of any material that was implanted in a former surgery before Date of Cover
commencement
c. Any diagnosis or treatment arising from or traceable to pregnancy (whether uterine or
extra uterine), childbirth including caesarean section, medical termination of pregnancy
and/or any treatment related to pre and post natal care of the mother or the new born.
d. Hospitalization for the sole purpose of physiotherapy or any ailment for which
hospitalization is not warranted due to advancement in medical technology
e. Any treatment not performed by a Physician or any treatment of a purely experimental
nature.
f. Any routine or prescribed medical check up or examination.
g. Medical Expenses relating to any hospitalization primarily for diagnostic, X-ray or
laboratory examinations
h. Circumcision, cosmetic or aesthetic treatments of any description, change of gender
surgery, plastic surgery (unless such plastic surgery is necessary for the treatment of
Illness or Accidental Bodily Injury as a direct result of the insured event and performed
with in 6 months of the same).
i. Hospitalization for donation of an organ.
j. Hospitalization for correction of birth defects or congenital anomalies

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k. Dental treatment or surgery of any kind unless necessitated by Accidental Bodily
Injury.
l. Convalescence, general debility, nervous or other breakdown, rest cure, congenital
diseases or defect or anomaly, , sterilization or infertility (diagnosis and treatment), any
sanatoriums, spa or rest cures or long term care or hospitalization undertaken as a
preventive or recuperative measure.

3. Additional Exclusions in respect of Major Surgical Benefit:

No benefits are available hereunder and no payment will be made by the Corporation for
any claim for Major Surgical Benefit under this Policy directly or indirectly caused by,
based on, arising out of or howsoever attributable to any of the following:
a. Surgeries not listed in the Surgical Benefit Annexure I
b. Surgery triggered by health related causes (and not by Accident) within the first 180
days from the commencement date or 90 days from the date of revival/reinstatement if
revived after discontinuance of the cover.
c. Any Surgery for which claim has already been made and paid by the Corporation.
d. Any treatment not performed by a Physician/Surgeon.
e. Any treatment including Surgery that is performed un-conventionally under
experimental conditions and purely experimental in nature.
f. Circumcision, cosmetic or aesthetic treatments of any description, change of life surgery
or treatment, treatment (including surgery) for obesity, plastic surgery (unless necessary
for the treatment of Illness or accidental Bodily Injury as a direct result of the insured
event and performed with in 6 months of the same).
g. Surgery for donation of an organ.
h. Removal or correction or replacement of any material that was implanted in a former
Surgery before Date of Cover commencement
i. Surgery for correction of birth defects or congenital anomalies.
j. Any diagnosis or treatment or surgery arising from or traceable to pregnancy (whether
uterine or extra uterine).

V. INVESTMENT OF FUNDS
The premiums allocated to purchase units will be strictly invested in a Health Protection
Plus Fund (Income and Growth – Low Risk) as follows:

A. Government/ Government Guaranteed/ Not less than 50%

Corporate Securities/ Debt
B. Short term investments: Money Market Not more than 90%
instruments including A above
C. Investment in listed equity shares Not less than 10% & Not more
than 50%

1. Method of Calculation of Unit price: Units will be allotted based on the Net Asset
Value (NAV) on the date of allotment. There is no Bid-Offer spread. The NAV will be
computed on daily basis and will be based on investment performance, Fund
Management Charge and whether the fund is expanding or contracting.

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a. Applicability of Net Asset Value (NAV): The premiums received up to 3 p.m. (as per
IRDA guidelines) by the servicing branch of the corporation by a local cheque or by a
demand draft payable at par at the place where the premium is received, the closing NAV
of the day on which premium is received shall be applicable. The premiums received after
such time by the servicing branch of the corporation by a local cheque or by a demand
draft payable at par at the place where the premium is received, the closing NAV of the
next business day shall be applicable.
b. Redeeming of Units: In respect of valid applications received for reimbursement of
medical expenses, death claim, etc up to such time by the servicing branch of the
Corporation closing NAV of that day shall be applicable. For the valid applications
received in respect of Domiciliary Treatment Benefit, death claim etc after 3 p.m. (as per
IRDA guidelines) by the servicing branch of the Corporation the closing NAV of the next
business day shall be applicable.
2. Charges under the Plan:
a. Premium Allocation Charge: This is the percentage of the premium appropriated
towards charges from the premium received. The balance known as allocation rate
constitutes that part of the premium which is utilized to purchase (Investment) units for
the policy. The allocation charges are as below:
FIRST YEAR THEREAFTER
30 % 6%

The above allocation charges shall be applicable for all premiums including any
additional premium paid in that particular policy year.
b. Health Insurance Charge: There will be two separate charges for the following
benefits:
i) Hospital Cash Benefit
ii) Major Surgical Benefits.
These charges will be taken every month in respect of all the members covered by
canceling appropriate number of units out of the Policy Fund.
These charges, during a policy year, will be based on the age nearer birthday, of each of
the members covered, as at the Policy anniversary coinciding with or immediately
preceding the due date of cancellation of units and hence may increase every year on each
policy anniversary. The charges will also depend on whether the person covered is male
or female and standard or sub-standard as per the underwriting decision.
If more than one member is covered under the policy then the total charges shall be based
on the individual ages of all the members and the amount of cover for each such member.
In case of Hospital Cash Benefit, the charges will be applied on the Initial Daily Benefit as
mentioned in the Policy Schedule.
The charges for Hospital Cash Benefit and/or Major Surgical Benefit will not be deducted
once the benefit terminates.

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Specimen charges for Rs. 100/- per day for HCB and Rs. 1000/- SA for MSB for standard
lives are given as under:
AGE HCB MSB
Male Life Female Life Male Life Female Life
5 24.43 24.43 0 0
15 20.71 20.71 0 0
25 31.39 24.34 1.02 1.38
35 33.59 29.96 1.58 1.75
45 49.29 53.20 3.54 2.64
55 76.08 72.53 7.28 5.16

c. Other Charges:
Policy Administration Charges Rs.75 per month during the first year and Rs. 25 per
month during the subsequent years.
Fund Management Charges Levied @ 1.25% per annum of the unit fund, at the
time of computation of NAV which will be done on
daily basis.
Bid/ Offer Spread Nil
Service Tax Charge A service tax charge shall be levied on the following
charges:
i) Policy Administration charge and Health
Insurance charges - by canceling appropriate
number of units out of the Policyholder’s Fund
Value on a monthly basis as and when the
corresponding Policy Administration and Health
Insurance charges are deducted.
ii) Premium allocation charge - at the time of
allocation of premium.
iii) Fund Management charge– at the time of
computation of NAV on daily basis.

The level of this charge will be as per the rate of

service tax as applicable from time to time. Currently,
the rate of service tax is 12% with an educational cess
at the rate of 3% thereon and hence effective rate is
12.36%.

d. Right to revise charges-The Corporation reserves the right to revise all or any of the
above charges except the Premium Allocation charge. The modification in charges will be
done with prospective effect with the prior approval of IRDA.
Although the charges are reviewable, they will be subject to the following maximum
limit:

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 - Policy Administration Charge-Rs. 150/- per month during the first policy year and
Rs.50/- per month thereafter, throughout the term of the policy.
- Fund Management Charge-The Maximum for Fund will be 2.5% p.a. of Unit Fund
- Hospital Cash Cover charges and Major Surgical Benefit charges shall not exceed by
more than 200% of the current rate.

Benefit Illustration :
Statutory warning
“Some benefits are guaranteed and some benefits are variable with returns based on the future
performance of the life insurance company. If your policy offers guaranteed returns then these will
be clearly marked “guaranteed” in the illustration table on this page. If your policy offers variable
returns then the illustrations on this page will show two different rates of assumed investment
returns. These assumed rates of return are not guaranteed and they are not upper or lower limits
of what you might get back as the value of your policy is dependant on a number of factors
including future investment performance.”

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 PRODUCT FEATURES :
1 Name of the Product: LIC's Health Protection Pl u 2 Unique Identification N o. 512L253V01

3 Sum Assured: 4 Policy Term :

5 Premium Paying Term: 30 Years 6 Mode of Premium Payment : Yearly

7 Amount of Instalment Premi um: 12000 8 Funds opted for: Health protection Plus Fund

9 Age: 35 Years 10 Number of lives covered: SINGLE MALE

11 Per day Hospital Cash Benefit (HCB): 2000 12 Per day Hospital Cash Benefi 4000

13 Major Surgical Benefit (MSB ): 400000 in ICU (HCB):

Statement of Various charges alongwith growth of the fund expected over the duration of the policy with assumed rate of interst as mentioned (All charges are in Rupees)
Assuming gross interest rate of 6% p.a. Assuming gross interest rate of 10% p.a.

Amount
Annual Available
Polic ised Premium for investment Fund Fund Maximum Guaranteed
Maxi mum Guaranteed
y Premiu Allocation ( out of Poli cy A dmi n Mgt Other Total A ddi ti on to Fund at S u rren d er D eat h B enefi t D uri ng
Mgt Other Total A ddi ti on to Fund at S u rren d er D eat h
Benefit During
Year m Charge premium ) C harge Charge Charges Charges Fund (if any) the End V al u e B en ef i t the year Charge Charges Charges Fund (if any) the End V al u e B en ef i t the year
HCB MSB HCB MSB
1 12000 3600 8400 900 86 1912 2898 401 5902 0 -- 54000 400000 88 1912 2900 668 6168 0 -- 54000 400000
2 12000 720 11280 300 207 1626 2132 961 16011 0 -- 189000 400000 214 1626 2141 1629 16936 0 -- 189000 400000
3 12000 720 11280 300 336 1691 2327 1562 26527 0 -- 198000 400000 355 1693 2348 2696 28565 0 -- 198000 400000
4 12000 720 11280 300 470 1767 2537 2187 37457 0 -- 207000 400000 507 1771 2577 3848 41115 0 -- 207000 400000
5 12000 720 11280 300 610 1874 2783 2836 48789 0 -- 216000 400000 670 1880 2850 5090 54636 0 -- 216000 400000
6 12000 720 11280 300 754 2015 3070 3507 60507 0 -- 225000 400000 846 2025 3171 6427 69172 0 -- 225000 400000
7 12000 720 11280 300 903 2246 3449 4199 72537 0 -- 234000 400000 1035 2259 3594 7860 84717 0 -- 234000 400000
8 12000 720 11280 300 1056 2389 3745 4912 84985 0 -- 243000 400000 1237 2407 3945 9398 101450 0 -- 243000 400000
9 12000 720 11280 300 1215 2547 4062 5650 97853 0 -- 252000 400000 1455 2572 4327 11053 119456 0 -- 252000 400000
10 12000 720 11280 300 1379 2732 4411 6412 111133 0 -- 261000 400000 1690 2764 4754 12833 138815 0 -- 261000 400000
11 12000 720 11280 300 1548 2913 4761 7198 124850 0 -- 270000 400000 1942 2953 5195 14748 159647 0 -- 270000 400000
12 12000 720 11280 300 1722 3135 5157 8009 138983 0 -- 270000 400000 2213 3185 5698 16807 182036 0 -- 270000 400000
13 12000 720 11280 300 1902 3355 5558 8845 153550 0 -- 270000 400000 2504 3417 6222 19020 206114 0 -- 270000 400000
14 12000 720 11280 300 2087 3581 5969 9707 168569 0 -- 270000 400000 2818 3656 6774 21402 232022 0 -- 270000 400000
15 12000 720 11280 300 2278 3830 6409 10595 184036 0 -- 270000 400000 3155 3921 7376 23964 259890 0 -- 270000 400000
16 12000 720 11280 300 2475 4064 6839 11511 199987 0 -- 270000 400000 3518 4172 7990 26721 289901 0 -- 270000 400000
17 12000 720 11280 300 2679 4248 7226 12456 216497 0 -- 270000 400000 3910 4375 8585 29695 322291 0 -- 270000 400000
18 12000 720 11280 300 2889 4509 7697 13433 233512 0 -- 270000 400000 4332 4657 9289 32900 357182 0 -- 270000 400000
19 12000 720 11280 300 3105 4774 8179 14440 251053 0 -- 270000 400000 4787 4947 10034 36354 394783 0 -- 270000 400000
20 12000 720 11280 300 3328 5073 8701 15476 269108 0 -- 270000 400000 5277 5274 10851 40075 435287 0 -- 270000 400000
21 12000 720 11280 300 3558 5364 9221 16544 287711 0 -- 270000 400000 5805 5595 11700 44086 478953 0 -- 270000 400000
22 12000 720 11280 300 3794 5681 9775 17644 306860 0 -- 270000 400000 6374 5946 12620 48409 526021 0 -- 270000 400000
23 12000 720 11280 300 4038 5988 10326 18777 326591 0 -- 270000 400000 6988 6292 13580 53071 576792 0 -- 270000 400000
24 12000 720 11280 300 4289 6307 10896 19944 346919 0 -- 270000 400000 7650 6653 14603 58100 631568 0 -- 270000 400000
25 12000 720 11280 300 4547 6652 11499 21145 367845 0 -- 270000 400000 8365 7045 15709 63525 690664 0 -- 270000 400000
26 12000 720 11280 300 4813 7003 12116 22382 389391 0 -- 270000 400000 9135 7448 16883 69380 754440 0 -- 270000 400000
27 12000 720 11280 300 5087 7452 12838 23653 411486 0 -- 270000 400000 9967 7954 18221 75694 823193 0 -- 270000 400000
28 12000 720 11280 300 5366 7960 13627 24955 434095 0 -- 270000 400000 10863 8527 19690 82500 897284 0 -- 270000 400000
29 12000 720 11280 300 5653 8456 14410 26288 457254 0 -- 270000 400000 11829 9093 21222 89837 977179 0 -- 270000 400000
30 12000 720 11280 300 5946 9048 15294 27651 480891 0 -- 270000 400000 12870 9761 22931 97745 1063273 0 -- 270000 400000
31 0 0 0 300 6102 9495 15897 28376 493369 0 -- 270000 400000 13847 10293 24439 105159 1143993 0 -- 270000 400000
32 0 0 0 300 6258 10113 16671 29101 505799 0 -- 270000 400000 14898 11003 26201 113148 1230939 0 -- 270000 400000
33 0 0 0 300 6413 10755 17468 29822 518153 0 -- 270000 400000 16032 11745 28077 121753 1324615 0 -- 270000 400000
34 0 0 0 300 6567 11418 18285 30537 530405 0 -- 270000 400000 17253 12519 30071 131026 1425571 0 -- 270000 400000
35 0 0 0 300 6719 12106 19125 31246 542526 0 -- 270000 400000 18569 13326 32195 141022 1534397 0 -- 270000 400000
36 0 0 0 300 6870 12820 19989 31946 554483 0 -- 270000 400000 19988 14171 34458 151798 1651737 0 -- 270000 400000
37 0 0 0 300 7018 13522 20841 32637 566280 0 -- 270000 400000 21518 15016 36834 163420 1778323 0 -- 270000 400000
38 0 0 0 300 7165 14237 21702 33318 577896 0 -- 270000 400000 23169 15886 39355 175960 1914928 0 -- 270000 400000
39 0 0 0 300 7309 14925 22534 33989 589351 0 -- 270000 400000 24952 16742 41994 189497 2062432 0 -- 270000 400000
40 0 0 0 300 7452 15565 23317 34652 600686 0 -- 270000 400000 26877 17566 44743 204120 2221810 0 -- 270000 400000

IN THIS POLICY, THE INVESTMENT RISK IS BORNE BY THE POLICY HOLDER AND THE ABOVE INTEREST RATES ARE ONLY FOR ILLUSTRATION PURPOSE.

Note: 1) Other charges includes the charges for HCB,MSB and service tax.
2)For fund at the end in the above benefit illustration, it is assumed that premiums have been paid as and when due and no domiciliary treatment benefit has been availed earlier.
3)Maximum HCB shown above is inclusive of 9 days stay in ICU in the first year and 30 days in subsequent years
4) Maximum life time benefit for HCB is 365 days and for MSB 3 times of the initial sum assured.

i. This illustration is applicable to a non-smoker male standard (from medical, life style and
occupation point of view) life.
ii. The non-guaranteed benefits (1) and (2) in above illustration are calculated so that they are
consistent with the Projected Investment Rate of Return assumption of 6% p.a.(Scenario 1) and
10% p.a. (Scenario 2) respectively. In other words, in preparing this benefit illustration, it is
assumed that the Projected Investment Rate of Return that LICI will be able to earn throughout
the term of the policy will be 6% p.a. or 10% p.a., as the case may be. The Projected Investment
Rate of Return is not guaranteed.
iii. The main objective of the illustration is that the client is able to appreciate the features of the
product and theflow of benefits in different circumstances with some level of quantification.
iv. LIC does not authorize its agents/intermediaries, staff and officials to express their opinion on the
future performance of the “ULIP” fund, excepting the above illustrative rate of 6% and 10%
growth.
v. Domiciliary Treatment Benefit can be claimed from the 3rd year onwards after at least three years
premiums have been paid.
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 vi. Maximum Hospital Cash Benefit can be claimed for 365 days.
vii. Maximum Major Surgical Benefit can be claimed upto three times of the Sum Assured

SECTION 41 OF INSURANCE ACT 1938

(1) No person shall allow or offer to allow, either directly or indirectly, as an
inducement to any person to take out 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:
provided that acceptance by an insurance agent of commission in connection with a policy
of life insurance taken out by himself on his own life shall not be deemed to be acceptance of
a rebate of premium within the meaning of this sub-section if at the time of such acceptance
the insurance agent satisfies the prescribed conditions establishing that he is a bona fide
insurance agent employed by the insurer.
(2) Any person making default in complying with the provisions of this section shall be
punishable with fine which may extend to five hundred rupees.

SECTION 45 OF INSURANCE ACT 1938 –INDISPUTABILITY CLAUSE

No policy of Life Insurance shall, after the expiry of two years from the date on which it was
effected, be called in question by an Insurer on the ground that a statement made in the
proposal for insurance or any report of a medical officer or referee or friend of the Insured
or in any other document leading to the issue of the Policy, was inaccurate or false, unless
the insurer shows such statement was on material matter or suppressed facts which it was
material to disclose and that it was fraudulently made by the policy holder and that the
policy holder knew at the time of making it that the statement was false or that it
suppressed facts which it was material to disclose.

Note: “Material” shall mean and include all important, essential and relevant information in
the context of underwriting the risk to be covered by the corporation.

Note: Conditions apply for which please refer to the Policy document or contact our nearest
Branch Office.

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