LIC's SIIP (Plan No.

852)

Benefit Illustration

LIC's SIIP (Plan No. 852)

A Unit Linked, Non-participating, Regular Premium, Individual, Life Insurance Plan
(Unique Identification Number - 512L334V01)

Distribution channel Offline Agency name Agency code

Name of prospect Hggg Bbfbb Age of prospect 54 years Date of illustration 30-03-2023
Name of life assured Hggg Bbfbb Age of life assured 54 years Benefit UID 230330233629574432
Mode of payment of
Policy term 10 years Premium paying term 10 years Yearly
premium
Sum assured 5,00,000 Instalment premium 50,000.00 GST rate 18.00%
Investment strategy
Fund opted Growth fund Risk level High risk Self managed
opted for
LIC's Linked ADB rider Not opted AB rider sum assured 0

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 rate
of return. Part B of this statement presents a detailed break-up of the charges, and other values.

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 LIC's SIIP (Plan No. 852)

Part A:

(Amount in rupees)

At 4% p.a. gross investment return At 8% p.a. gross investment return

Other Other
charges charges Commissio
(including (including n (incl.
GST GST bonus
Annualized FMC and FMC and
Policy year (excluding (excluding commission
premium GST on GST on
Mortality GST on Fund at end Surrender Death Mortality GST on Fund at end Surrender Death ) payable to
FMC but FMC but
charges FMC and of year value benefit charges FMC and of year value benefit intermediar
excluding discontinua excluding discontinua
discontinua nce charge) discontinua nce charge) y
nce charge nce charge
and its and its
GST)* GST)*
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)

1 50000 4140 4685 1465 41403 37863 500000 4133 4699 1464 43092 39552 500000 1750

2 50000 4112 4123 1235 85329 82969 500000 4080 4180 1229 90531 88171 500000 1750

3 50000 3979 4830 1211 130452 128682 500000 3897 4959 1196 141183 139413 500000 1750

4 50000 3769 5556 1173 176894 175714 500000 3604 5792 1144 195383 194203 500000 2250

5 50000 3477 6305 1121 224783 224783 500000 3190 6685 1069 253505 253505 500000 2250

6 50000 3077 5851 824 278293 278293 500000 2613 6417 740 320061 320061 500000 2250

7 50000 2529 6716 725 331223 331223 500000 1821 7516 598 389277 389277 500000 2250

8 50000 1889 7572 610 386170 386170 500000 848 8660 423 464042 464042 500000 2250

9 50000 1100 8462 468 443360 443360 500000 50 9895 279 544494 544494 544494 2250

10 50000 589 9386 376 536173 536173 536173 0 11214 270 659317 659317 659317 2250

*See 'Part B' for details

Force Majeure Conditions:

a. The Corporation shall value the funds (SFIN) on each day for which financial markets are open. However, the Corporation may value the SFIN less frequently in extreme
circumstances external to the Corporation, i.e. in force majeure events, where the value of the assets is too uncertain. In such circumstances, the Corporation may defer
the valuation of the assets for up to 30 days until the Corporation is certain that the valuation of SFIN can be resumed.
b. The Corporation will inform IRDAI of such deferment of the valuation of assets. During the continuance of the force majeure events, all requests for servicing the policy,
including policy related payment, shall be kept in abeyance.
c. The Corporation will continue to invest as per the investment pattern of the fund type opted by the policyholder. However, the Corporation reserves the right to change the
exposure of all or any part of the fund to money market instruments (as defined under Regulations 2(j) of IRDAI(Investment) Regulations, 2016) in circumstances
mentioned under points (a) and (b) above. The exposure of the chosen fund shall be reinstated within reasonable timelines once the force majeure situation ends.

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 LIC's SIIP (Plan No. 852)

d. Few examples of such circumstances as mentioned in point (a) & (b) above are:
i. When one or more stock exchanges which provide a basis for valuation of the assets of the fund are closed otherwise than for ordinary holidays.
ii. When, as a result of political, economic, monetary or any circumstances which are not in the control of the Corporation, the disposal of the assets of the fund would be
detrimental to the interests of the continuing policyholders.
iii. In the event of natural calamities, strikes, war, civil unrest, riots and bandhs.
iv. In the event of any force majeure or disaster that affects the normal functioning of the Corporation.
e. In such an event, an intimation of such force majeure event shall be uploaded on the Corporation’s website for information.

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

I, ________________________________________ (name), having received

I, ________________________________________ (name), have explained the information with respect to the above, have understood the above statement
the premiums and benefits under the policy fully to the prospect/policyholder. before entering into the contract.
Place : Place :
Date : Signature of agent/intermediary/official Date : Signature of prospect/policyholder

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 LIC's SIIP (Plan No. 852)

Part B:

(Amount in rupees)

Gross yield (p.a.) 8.00% Net yield (p.a.) 6.51%

GST
(excluding
Premium Accident FMC
Annualize allocation dAnnualize GST on Policy Addition Fund (including Fund after Guarantee Refund of Fund at
Policy Mortality benefit Surrender Death
premium FMC and admin to the before d addition mortality end of
year d premium charge charge rider tax charge FMC value benefit
less PAC discontinu charge fund FMC charge year
(PAC) charge on FMC)
ance
charge)
(12)=(10)-
(1) (2) (3) (4)=(2)-(3) (5) (6) (7) (8) (9) (10) (11) (13) (14) (15) (16) (17)
(11)
1 50000 4000 46000 4133 1464 0 0 3388 43791 699 43092 0 0 43092 39552 500000

2 50000 2750 47250 4080 1229 0 0 6928 91961 1430 90531 0 0 90531 88171 500000

3 50000 2750 47250 3897 1196 0 0 10704 143392 2209 141183 0 0 141183 139413 500000

4 50000 2750 47250 3604 1144 0 0 14741 198426 3042 195383 0 0 195383 194203 500000

5 50000 2750 47250 3190 1069 0 0 19066 257440 3935 253505 0 0 253505 253505 500000

6 50000 1500 48500 2613 740 0 0 23827 322478 4917 317561 2500 0 320061 320061 500000

7 50000 1500 48500 1821 598 0 0 29151 395293 6016 389277 0 0 389277 389277 500000

8 50000 1500 48500 848 423 0 0 34696 471202 7160 464042 0 0 464042 464042 500000

9 50000 1500 48500 50 279 0 0 40677 552889 8395 544494 0 0 544494 544494 544494

10 50000 1500 48500 0 270 0 0 47071 639795 9714 630080 5000 24237 659317 659317 659317

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 LIC's SIIP (Plan No. 852)

(Amount in rupees)

Gross yield (p.a.) 4.00%

GST
(excluding
Premium Accident FMC
Annualize allocation dAnnualize GST on Policy Addition Fund (including Fund after Guarantee Refund of Fund at
Policy Mortality benefit Surrender Death
premium FMC and admin to the before d addition mortality end of
year d premium charge charge rider tax charge FMC value benefit
less PAC discontinu charge fund FMC charge year
(PAC) charge on FMC)
ance
charge)
(12)=(10)-
(1) (2) (3) (4)=(2)-(3) (5) (6) (7) (8) (9) (10) (11) (13) (14) (15) (16) (17)
(11)
1 50000 4000 46000 4140 1465 0 0 1693 42088 685 41403 0 0 41403 37863 500000

2 50000 2750 47250 4112 1235 0 0 3396 86702 1373 85329 0 0 85329 82969 500000

3 50000 2750 47250 3979 1211 0 0 5143 132532 2080 130452 0 0 130452 128682 500000

4 50000 2750 47250 3769 1173 0 0 6940 179701 2806 176894 0 0 176894 175714 500000

5 50000 2750 47250 3477 1121 0 0 8792 228338 3555 224783 0 0 224783 224783 500000

6 50000 1500 48500 3077 824 0 0 10762 280145 4351 275793 2500 0 278293 278293 500000

7 50000 1500 48500 2529 725 0 0 12900 336439 5216 331223 0 0 331223 331223 500000

8 50000 1500 48500 1889 610 0 0 15018 392243 6072 386170 0 0 386170 386170 500000

9 50000 1500 48500 1100 468 0 0 17220 450322 6962 443360 0 0 443360 443360 500000

10 50000 1500 48500 589 376 0 0 19503 510398 7886 502512 5000 28661 536173 536173 536173

Notes:

1. Refer the sales literature for explanation of terms used in this illustration.
2. The above illustrations are for indicative purpose. The annual charges shown above are sum total of charges deducted throughout the policy year as per the
frequency/conditions detailed in sales brochure/policy document.
3. This illustration is prepared by considering standard life (from medical, life style and occupation point of view).
4. In case LIC's Accidental Death Benefit rider is opted for, rider charges are included in other charges under part A. However, under part B, accident benefit rider charge is
shown separately.
5. Fund at the start shall be the amount available for investment in the first year and prevoius year's end fund for rest of the years.
6. Above calculations have been performed considering deductions of mortality charge and tax charge on mortality charge at the start of each policy month and deduction of
FMC and Tax charge on FMC the end of each policy month.
7. Tax charge (currently GST) is subject to change from time to time.
8. Total death benefit is the amount payable immediately on death of the life assured, which is higher of (basic sum assured reduced by partial withdrawal made during the
two years period immediately preceding the date of death) or unit fund value or (105% of the total premiums received reduced by partial withdrawal during the two years
period immediately preceding the date of death), where basic sum assured is (10 * annualized premium), for age less than 55 and (7 * annualized premium), for age
greater than or equal to 55.

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 LIC's SIIP (Plan No. 852)

9. The death benefit has been calculated assuming that death occurs on completion of the policy year and the option of partial withdrawal has not been exercised.
10. In addition to death benefit, accident benefit sum assured is payable as per terms and conditions of the policy, if LIC's Accidental Death Benefit rider is opted for and
death occurs due to accident.
11. The above illustration assumes the policy is surrendered on completion of the policy year after addition of guaranteed addition in unit fund. In case the policy is
surrendered on or before 5 years' lock-in-period, surrender value shown above equals unit fund value at the end of policy year minus discontinuance charge minus tax
charge on discontinuance charge. This amount shall be transferred to the discontinued policy fund and the proceeds of the discontinued policy fund shall be payable on
completion of 5 years' lock-in-period. In case the policy is surrendered after expiry of 5 years' lock-in-period, the surrender value shall be payable immediately.
12. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.

I, ________________________________________ (name), having received

I, ________________________________________ (name), have explained the information with respect to the above, have understood the above statement
the premiums and benefits under the policy fully to the prospect/policyholder. before entering into the contract.
Place : Place :
Date : Signature of agent/intermediary/official Date : Signature of prospect/policyholder

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