BENEFIT ILLUSTRATION

[Date and Time of Illustration – 30 August 2023, 10:04 AM]

Proposal No:

Name of the Prospect/Policyholder: Mr. Yamanappa Name of the Product: Max Life Flexi Wealth Plus
Tag Line: A Unit-Linked Non-Participating Individual Life Insurance Plan
Age & Gender: 29 Years, Male
Policy Option: NA
Name of the Life Assured: Mr. Yamanappa Unique Identification No: 104L115V02
GST Rate (Base Policy, First Year): 18.00%
GST Rate (Base Policy, Subsequent Year): 18.00%
GST Rate (Rider, First Year): NA
Age & Gender: 29 Years, Male
GST Rate (Rider, Subsequent Year): NA
Max Life State: Haryana
Policyholder Residential State: Haryana
Sum Assured: `1,00,00,000 Investment Strategy Opted for: Self Managed Portfolio Strategy
Policy Term & Premium Payment Term: 36 Years & 36 Years
Funds opted for along with their risk level
Amount of Installment Premium: `3,458 [Please specify the customer specific fund
Mode of payment of premium: Monthly option):
High Growth Fund (Risk Rating-Very High) : 100%

How to read and understand this benefit illustration?

This benefit illustration is intended to show what charges are deducted from your premiums and how the unit fund, net of charges and taxes, may grow over the years of the policy term if the fund earns a gross
return of 8% p.a. or 4% p.a. These rates, i.e., 8% p.a. and 4% p.a. are assumed only for the purpose of illustrating the flow of benefits if the returns are at this level. It should not be interpreted that the returns
under the plan are going to be either 8% p.a. or 4% p.a.
Net Yield mentioned corresponds to the gross investment return of 8% p.a., net of all charges but does not consider mortality, morbidity charges, underwriting extra, if any, guarantee charges and cost of riders, if
deducted by cancellation of units. It demonstrates the impact of charges exclusive of taxes on the net yield. Please note that the mortality charges per thousand sum assured in general, increases with age.
The actual returns can vary depending on the performance of the chosen fund, charges towards mortality, morbidity, underwriting extra, cost of riders, etc. The investment risk in this policy is borne by the
policyholder, hence, for more details on terms and conditions please read sales literature carefully.
Part A of this statement presents a summary view of year-by-year charges deducted under the policy, fund value, surrender value and the death benefit, at two assumed rates of return. Part B of this statement
presents a detailed break-up of the charges, and other values.
Note: Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your insurer carrying on life insurance business. If your policy offers guaranteed benefits then
these will be clearly marked “guaranteed” in the illustration table on this page. If your policy offers variable benefits then the illustration on this page will show two different rates of assumed future investment
returns. These assumed rates of return are not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your policy is dependent on a number of factors including actual
future investment performance.
Rider Details

Critical Illness and Disability-Secure Rider - Rider Premium Critical Illness and Disability-Secure Rider - Coverage Variant NA
NA
Payment Term and Rider Term Critical Illness and Disability-Secure Rider - Rider Sum Assured NA

Premium Summary
Base Plan Max Life Critical Illness and Disability-Secure Rider Total Installment Premium
Installment Premium without GST (in Rs.) 3,458 0 3,458
Installment Premium with first year GST (in Rs.) 3,458 0 3,458
Installment Premium with GST 2nd year onwards (in Rs.) 3,458 0 3,458

UIN: 104L115V02 Page 1 of 7

 Part A
(Amount in Rupees.)
At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return
Commission
Policy Annualized
payable to
Year Premium Mortality, Morbidity Fund at End Surrender Mortality, Fund at End Surrender
Other Charges* GST Death Benefit Other Charges* GST Death Benefit intermediary
Charges of Year Value Morbidity Charges of Year Value

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 41,494 8,586 3,278 2,136 28,088 24,548 1,00,00,000 8,586 3,281 2,136 28,672 25,132 1,00,00,000 -

2 41,494 8,761 3,253 2,162 57,121 54,761 1,00,00,000 8,760 3,271 2,165 59,440 57,080 1,00,00,000 -

3 41,494 8,933 3,447 2,229 86,875 85,105 1,00,00,000 8,930 3,495 2,237 92,187 90,417 1,00,00,000 -

4 41,494 9,302 3,650 2,332 1,17,130 1,15,950 1,00,00,000 9,296 3,746 2,347 1,26,799 1,25,619 1,00,00,000 -

5 41,494 9,668 4,068 2,473 1,47,653 1,47,653 1,00,00,000 9,656 4,228 2,499 1,63,147 1,63,147 1,00,00,000 -

6 41,494 10,130 4,489 2,632 1,78,334 1,78,334 1,00,00,000 10,111 4,733 2,672 2,01,225 2,01,225 1,00,00,000 -

7 41,494 10,589 4,915 2,791 2,09,177 2,09,177 1,00,00,000 10,560 5,263 2,848 2,41,149 2,41,149 1,00,00,000 -

8 41,494 11,240 5,343 2,985 2,39,956 2,39,956 1,00,00,000 11,197 5,817 3,063 2,82,804 2,82,804 1,00,00,000 -

9 41,494 11,886 5,772 3,178 2,70,671 2,70,671 1,00,00,000 11,827 6,396 3,280 3,26,309 3,26,309 1,00,00,000 -

10 41,494 12,723 6,200 3,406 3,01,090 3,01,090 1,00,00,000 12,641 7,000 3,535 3,71,554 3,71,554 1,00,00,000 -

11 41,494 13,552 4,016 3,162 3,34,361 3,34,361 1,00,00,000 13,443 5,017 3,323 4,21,877 4,21,877 1,00,00,000 -

12 41,494 14,567 4,432 3,420 3,67,239 3,67,239 1,00,00,000 14,422 5,664 3,615 4,74,231 4,74,231 1,00,00,000 -

13 41,494 15,672 4,843 3,693 3,99,609 3,99,609 1,00,00,000 15,481 6,337 3,927 5,28,647 5,28,647 1,00,00,000 -

14 41,494 16,961 5,245 3,997 4,31,235 4,31,235 1,00,00,000 16,713 7,035 4,275 5,85,046 5,85,046 1,00,00,000 -

15 41,494 18,434 5,636 4,333 4,61,881 4,61,881 1,00,00,000 18,113 7,758 4,657 6,43,351 6,43,351 1,00,00,000 -

16 41,494 20,090 6,014 4,699 4,91,302 4,91,302 1,00,00,000 19,678 8,504 5,073 7,03,483 7,03,483 1,00,00,000 -

17 41,494 22,023 6,373 5,111 5,19,139 5,19,139 1,00,00,000 21,495 9,272 5,538 7,65,250 7,65,250 1,00,00,000 -

18 41,494 24,327 6,710 5,587 5,44,908 5,44,908 1,00,00,000 23,651 10,059 6,068 8,28,344 8,28,344 1,00,00,000 -

19 41,494 26,907 7,017 6,106 5,68,227 5,68,227 1,00,00,000 26,046 10,860 6,643 8,92,557 8,92,557 1,00,00,000 -

20 41,494 29,953 7,290 6,704 5,88,480 5,88,480 1,00,00,000 28,857 11,673 7,295 9,57,455 9,57,455 1,00,00,000 -

21 41,494 33,466 7,520 7,377 6,05,032 6,05,032 1,00,00,000 32,074 12,492 8,022 10,22,585 10,22,585 1,00,00,000 -

UIN: 104L115V02 Page 2 of 7

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

22 41,494 37,450 7,699 8,127 6,17,228 6,17,228 1,00,00,000 35,689 13,310 8,820 10,87,477 10,87,477 1,00,00,000 -

23 41,494 41,911 7,818 8,951 6,24,392 6,24,392 1,00,00,000 39,694 14,122 9,687 11,51,640 11,51,640 1,00,00,000 -

24 41,494 46,858 7,869 9,851 6,25,817 6,25,817 1,00,00,000 44,082 14,921 10,621 12,14,557 12,14,557 1,00,00,000 -

25 41,494 52,113 7,845 10,793 6,20,993 6,20,993 1,00,00,000 48,673 15,702 11,588 12,75,903 12,75,903 1,00,00,000 -

26 41,494 57,692 7,738 11,777 6,09,380 6,09,380 1,00,00,000 53,467 16,462 12,587 13,35,329 13,35,329 1,00,00,000 -

27 41,494 63,515 7,543 12,790 5,90,518 5,90,518 1,00,00,000 58,375 17,195 13,603 13,92,573 13,92,573 1,00,00,000 -

28 41,494 69,600 7,253 13,834 5,63,914 5,63,914 1,00,00,000 63,400 17,899 14,634 14,47,352 14,47,352 1,00,00,000 -

29 41,494 75,871 6,863 14,892 5,29,156 5,29,156 1,00,00,000 68,461 18,570 15,666 14,99,464 14,99,464 1,00,00,000 -

30 41,494 82,444 6,366 15,986 4,85,682 4,85,682 1,00,00,000 73,647 19,206 16,713 15,48,587 15,48,587 1,00,00,000 -

31 41,494 89,150 5,757 17,083 4,33,116 4,33,116 1,00,00,000 78,794 19,803 17,747 15,94,574 15,94,574 1,00,00,000 -

32 41,494 96,399 5,028 18,257 3,70,586 3,70,586 1,00,00,000 84,248 20,357 18,829 16,36,852 16,36,852 1,00,00,000 -

33 41,494 1,04,030 4,169 19,476 2,97,388 2,97,388 1,00,00,000 89,848 20,861 19,928 16,75,004 16,75,004 1,00,00,000 -

34 41,494 1,12,473 3,167 20,815 2,12,290 2,12,290 1,00,00,000 95,941 21,308 21,105 17,08,165 17,08,165 1,00,00,000 -

35 41,494 1,21,781 2,006 22,282 1,13,962 1,13,962 1,00,00,000 1,02,541 21,685 22,361 17,35,395 17,35,395 1,00,00,000 -

36 41,494 1,32,223 667 23,920 15,22,004 15,22,004 1,00,00,000 1,09,835 21,980 23,727 31,33,698 31,33,698 1,00,00,000 -
*Other Charges includes all charges except Mortality, Morbidity Charges on the policy. See Part B for details

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

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

Place:
Date: 8/30/23 Signature / OTP Confirmation Date / Thumb Impression / Date:8/30/23 Signature / OTP Confirmation Date / Thumb Impression /
Electronic Signature of Agent/ Intermediary / Official Electronic Signature of Prospect/ Policyholder

This system generated benefit illustration shall be treated as signed by me.

UIN: 104L115V02 Page 3 of 7

 Part B Gross Yield 8% p.a. Net Yield 6.50% Amount in Rupees
Premium Annualized Premium - Policy
Policy Annualized Mortality Guarantee Other Additions to the Fund before Fund at End of Surrender Death
Allocation Premium Allocation GST Admin. FMC
Year Premium (AP) Charge Charge Charges* fund* FMC the Year Value Benefit
Charge (PAC) Charges - GST on PAC Charge

1 41,494 2,490 38,556 8,586 2,136 598 - - - 28,708 194 28,672 25,132 1,00,00,000

2 41,494 2,075 39,046 8,760 2,165 627 - - - 59,514 569 59,440 57,080 1,00,00,000

3 41,494 1,867 39,290 8,930 2,237 659 - - - 92,301 969 92,187 90,417 1,00,00,000

4 41,494 1,660 39,535 9,296 2,347 692 - - - 1,26,956 1,394 1,26,799 1,25,619 1,00,00,000

5 41,494 1,660 39,535 9,656 2,499 726 - - - 1,63,348 1,842 1,63,147 1,63,147 1,00,00,000

6 41,494 1,660 39,535 10,111 2,672 763 - - - 2,01,474 2,311 2,01,225 2,01,225 1,00,00,000

7 41,494 1,660 39,535 10,560 2,848 801 - - - 2,41,447 2,803 2,41,149 2,41,149 1,00,00,000

8 41,494 1,660 39,535 11,197 3,063 841 - - - 2,83,154 3,317 2,82,804 2,82,804 1,00,00,000

9 41,494 1,660 39,535 11,827 3,280 883 - - - 3,26,713 3,854 3,26,309 3,26,309 1,00,00,000

10 41,494 1,660 39,535 12,641 3,535 927 - - - 3,72,014 4,413 3,71,554 3,71,554 1,00,00,000

11 41,494 - 41,494 13,443 3,323 - - - - 4,22,400 5,017 4,21,877 4,21,877 1,00,00,000

12 41,494 - 41,494 14,422 3,615 - - - - 4,74,818 5,664 4,74,231 4,74,231 1,00,00,000

13 41,494 - 41,494 15,481 3,927 - - - - 5,29,301 6,337 5,28,647 5,28,647 1,00,00,000

14 41,494 - 41,494 16,713 4,275 - - - - 5,85,771 7,035 5,85,046 5,85,046 1,00,00,000

15 41,494 - 41,494 18,113 4,657 - - - - 6,44,148 7,758 6,43,351 6,43,351 1,00,00,000

16 41,494 - 41,494 19,678 5,073 - - - - 7,04,354 8,504 7,03,483 7,03,483 1,00,00,000

17 41,494 - 41,494 21,495 5,538 - - - - 7,66,197 9,272 7,65,250 7,65,250 1,00,00,000

18 41,494 - 41,494 23,651 6,068 - - - - 8,29,369 10,059 8,28,344 8,28,344 1,00,00,000

19 41,494 - 41,494 26,046 6,643 - - - - 8,93,662 10,860 8,92,557 8,92,557 1,00,00,000

20 41,494 - 41,494 28,857 7,295 - - - - 9,58,640 11,673 9,57,455 9,57,455 1,00,00,000

21 41,494 - 41,494 32,074 8,022 - - - - 10,23,851 12,492 10,22,585 10,22,585 1,00,00,000

22 41,494 - 41,494 35,689 8,820 - - - - 10,88,823 13,310 10,87,477 10,87,477 1,00,00,000

UIN: 104L115V02 Page 4 of 7

 Premium Annualized Premium - Policy
Policy Annualized Mortality Guarantee Other Additions to the Fund before Fund at End of Surrender Death
Allocation Premium Allocation GST Admin. FMC
Year Premium (AP) Charge Charge Charges* fund* FMC the Year Value Benefit
Charge (PAC) Charges - GST on PAC Charge

23 41,494 - 41,494 39,694 9,687 - - - - 11,53,065 14,122 11,51,640 11,51,640 1,00,00,000

24 41,494 - 41,494 44,082 10,621 - - - - 12,16,061 14,921 12,14,557 12,14,557 1,00,00,000

25 41,494 - 41,494 48,673 11,588 - - - - 12,77,482 15,702 12,75,903 12,75,903 1,00,00,000

26 41,494 - 41,494 53,467 12,587 - - - - 13,36,982 16,462 13,35,329 13,35,329 1,00,00,000

27 41,494 - 41,494 58,375 13,603 - - - - 13,94,297 17,195 13,92,573 13,92,573 1,00,00,000

28 41,494 - 41,494 63,400 14,634 - - - - 14,49,143 17,899 14,47,352 14,47,352 1,00,00,000

29 41,494 - 41,494 68,461 15,666 - - - - 15,01,320 18,570 14,99,464 14,99,464 1,00,00,000

30 41,494 - 41,494 73,647 16,713 - - - - 15,50,503 19,206 15,48,587 15,48,587 1,00,00,000

31 41,494 - 41,494 78,794 17,747 - - - - 15,96,548 19,803 15,94,574 15,94,574 1,00,00,000

32 41,494 - 41,494 84,248 18,829 - - - - 16,38,878 20,357 16,36,852 16,36,852 1,00,00,000

33 41,494 - 41,494 89,848 19,928 - - - - 16,77,077 20,861 16,75,004 16,75,004 1,00,00,000

34 41,494 - 41,494 95,941 21,105 - - - - 17,10,279 21,308 17,08,165 17,08,165 1,00,00,000

35 41,494 - 41,494 1,02,541 22,361 - - - - 17,37,543 21,685 17,35,395 17,35,395 1,00,00,000

36 41,494 - 41,494 1,09,835 23,727 - - - 13,78,231 17,57,641 21,980 31,33,698 31,33,698 1,00,00,000

Gross Yield 4% p.a. Amount in Rupees

Premium Annualized Premium - Policy
Policy Annualized Mortality Guarantee Other Additions to the Fund before Fund at End of Surrender Death
Allocation Premium Allocation GST Admin. FMC
Year Premium (AP) Charge Charge Charges* fund* FMC the Year Value Benefit
Charge (PAC) Charges - GST on PAC Charge

1 41,494 2,490 38,556 8,586 2,136 598 - - - 28,123 191 28,088 24,548 1,00,00,000

2 41,494 2,075 39,046 8,761 2,162 627 - - - 57,192 551 57,121 54,761 1,00,00,000

3 41,494 1,867 39,290 8,933 2,229 659 - - - 86,982 921 86,875 85,105 1,00,00,000

4 41,494 1,660 39,535 9,302 2,332 692 - - - 1,17,275 1,299 1,17,130 1,15,950 1,00,00,000

5 41,494 1,660 39,535 9,668 2,473 726 - - - 1,47,836 1,682 1,47,653 1,47,653 1,00,00,000

6 41,494 1,660 39,535 10,130 2,632 763 - - - 1,78,554 2,067 1,78,334 1,78,334 1,00,00,000

UIN: 104L115V02 Page 5 of 7

 Premium Annualized Premium - Policy
Policy Annualized Mortality Guarantee Other Additions to the Fund before Fund at End of Surrender Death
Allocation Premium Allocation GST Admin. FMC
Year Premium (AP) Charge Charge Charges* fund* FMC the Year Value Benefit
Charge (PAC) Charges - GST on PAC Charge

7 41,494 1,660 39,535 10,589 2,791 801 - - - 2,09,436 2,454 2,09,177 2,09,177 1,00,00,000

8 41,494 1,660 39,535 11,240 2,985 841 - - - 2,40,253 2,842 2,39,956 2,39,956 1,00,00,000

9 41,494 1,660 39,535 11,886 3,178 883 - - - 2,71,006 3,229 2,70,671 2,70,671 1,00,00,000

10 41,494 1,660 39,535 12,723 3,406 927 - - - 3,01,462 3,614 3,01,090 3,01,090 1,00,00,000

11 41,494 - 41,494 13,552 3,162 - - - - 3,34,775 4,016 3,34,361 3,34,361 1,00,00,000

12 41,494 - 41,494 14,567 3,420 - - - - 3,67,694 4,432 3,67,239 3,67,239 1,00,00,000

13 41,494 - 41,494 15,672 3,693 - - - - 4,00,103 4,843 3,99,609 3,99,609 1,00,00,000

14 41,494 - 41,494 16,961 3,997 - - - - 4,31,769 5,245 4,31,235 4,31,235 1,00,00,000

15 41,494 - 41,494 18,434 4,333 - - - - 4,62,452 5,636 4,61,881 4,61,881 1,00,00,000

16 41,494 - 41,494 20,090 4,699 - - - - 4,91,910 6,014 4,91,302 4,91,302 1,00,00,000

17 41,494 - 41,494 22,023 5,111 - - - - 5,19,782 6,373 5,19,139 5,19,139 1,00,00,000

18 41,494 - 41,494 24,327 5,587 - - - - 5,45,582 6,710 5,44,908 5,44,908 1,00,00,000

19 41,494 - 41,494 26,907 6,106 - - - - 5,68,930 7,017 5,68,227 5,68,227 1,00,00,000

20 41,494 - 41,494 29,953 6,704 - - - - 5,89,208 7,290 5,88,480 5,88,480 1,00,00,000

21 41,494 - 41,494 33,466 7,377 - - - - 6,05,781 7,520 6,05,032 6,05,032 1,00,00,000

22 41,494 - 41,494 37,450 8,127 - - - - 6,17,992 7,699 6,17,228 6,17,228 1,00,00,000

23 41,494 - 41,494 41,911 8,951 - - - - 6,25,164 7,818 6,24,392 6,24,392 1,00,00,000

24 41,494 - 41,494 46,858 9,851 - - - - 6,26,592 7,869 6,25,817 6,25,817 1,00,00,000

25 41,494 - 41,494 52,113 10,793 - - - - 6,21,762 7,845 6,20,993 6,20,993 1,00,00,000

26 41,494 - 41,494 57,692 11,777 - - - - 6,10,134 7,738 6,09,380 6,09,380 1,00,00,000

27 41,494 - 41,494 63,515 12,790 - - - - 5,91,249 7,543 5,90,518 5,90,518 1,00,00,000

28 41,494 - 41,494 69,600 13,834 - - - - 5,64,612 7,253 5,63,914 5,63,914 1,00,00,000

29 41,494 - 41,494 75,871 14,892 - - - - 5,29,811 6,863 5,29,156 5,29,156 1,00,00,000

UIN: 104L115V02 Page 6 of 7

 Premium Annualized Premium - Policy
Policy Annualized Mortality Guarantee Other Additions to the Fund before Fund at End of Surrender Death
Allocation Premium Allocation GST Admin. FMC
Year Premium (AP) Charge Charge Charges* fund* FMC the Year Value Benefit
Charge (PAC) Charges - GST on PAC Charge

30 41,494 - 41,494 82,444 15,986 - - - - 4,86,283 6,366 4,85,682 4,85,682 1,00,00,000

31 41,494 - 41,494 89,150 17,083 - - - - 4,33,652 5,757 4,33,116 4,33,116 1,00,00,000

32 41,494 - 41,494 96,399 18,257 - - - - 3,71,045 5,028 3,70,586 3,70,586 1,00,00,000

33 41,494 - 41,494 1,04,030 19,476 - - - - 2,97,756 4,169 2,97,388 2,97,388 1,00,00,000

34 41,494 - 41,494 1,12,473 20,815 - - - - 2,12,553 3,167 2,12,290 2,12,290 1,00,00,000

35 41,494 - 41,494 1,21,781 22,282 - - - - 1,14,103 2,006 1,13,962 1,13,962 1,00,00,000

36 41,494 - 41,494 1,32,223 23,920 - - - 15,21,281 725 667 15,22,004 15,22,004 1,00,00,000

*There are no charges included in other charges. Guaranteed Loyalty Additions and Wealth Boosters declared as per the product terms and conditions are included on Additions to the fund.
Notes: 1. Refer the sales literature for explanation of terms used in this illustration.
2. Fund management charge is based on the specific fund option(s) chosen.
3. In case rider charges are collected explicitly through collection of rider premium, and not by way of cancellation of units, then, such charges are not considered in this illustration. In other cases, rider charges are included in
other charges.

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

Place:
Date: 8/30/23 Signature / OTP Confirmation Date / Thumb Impression / Date:8/30/23 Signature / OTP Confirmation Date / Thumb Impression /
Electronic Signature of Agent/ Intermediary / Official Electronic Signature of Prospect/ Policyholder

This system generated benefit illustration shall be treated as signed by me.

UIN: 104L115V02 Page 7 of 7