capitalmultiplierplan-may11-1.8

8/6/2019 capitalmultiplierplan-may11-1.8

http://slidepdf.com/reader/full/capitalmultiplierplan-may11-18 1/7

w.e.f. May 11 / Ver 1.8

Name of Life Insured gauri Date of Quotation 24-Jul-11

Gender of Life Insured Male Err:508 Date of Birth of Life Insured 15-Jul-86

Do you want to backdate the policy? Yes Age #NAME?

If yes, kindly specify the backdation date 1-Apr-11 Tobacco User No

Plan Details

Basic Plan 234,845 15 15 #NAME? #NAME? #NAME? #NAME?

#NAME?

R i d e r s : #NAME?

Kotak Accidental Death Benefit 10000 15 8.82 4.50 2.29 0.75

Kotak Permanent Disability BenefitKotak Critical Illness Benefit

Kotak Term Benefit

Kotak Preferred Term Benefit

Kotak Life Guardian Benefit required ? No

Kotak Accidental Disability Guardian Benefit required ? No

Policy Fees (Rs.) 0 15 20 10

Total Premium incl of service tax (Rs.) #NAME? #NAME? #NAME? #NAME?

Is Proposer same as the Life Insured Yes

Age of Guardian as on last Birthday (in years) 27

Lumpsum Injection

Year Amount Date

1 0

2 0

3 0

4 0

5 0

6 0

7 0

8 0

9 0

10 0

11 0

12 013 0

14 0

15 0

16 0

17 0

18 0

19 0

20 0

21 0

22 0

23 0

24 0

25 0

26 0

27 0

28 0

29 0

30 0

Date of Maturity 4/1/2026

Post Vesting

Age at the time of Vesting (in years) 23

Accumulation account at the time of vesting (including Supplementary A/c) (Rs.) 200000

Cash Withdrawal on vesting (Rs.) 0

Net Vesting value (Rs.) 200000

Withdrawal per annum after vesting (Rs.) 10000

Kotak Mahindra Old Mutual Life Insurance Limited

Regd. Off:4th Floor, Vinay Bhavya Complex, 159 A ,CST Road, Kalina, Santacruz (East), Mumbai - 400 098, India.

Regn. No: 107. Toll Free No.: 1800 209 8800. Website: http://insurance.kotak.com

Insurance is the subject matter of the solicitation.

Kotak Capital Multiplier PlanUIN: 107N011V01

Sum Assured(Rs.)

Policy Term inYears

PremiumPaying Term

in Years

Yearly(Rs.)

Half Yearly(Rs.)

Quarterly(Rs.)

Monthly(Rs.)



w.e.f. May 11 / Ver 1.8

For Office Use Only (w.e.f. May 11/ Ver 1.8)

Proposal No:

Policy No:


Gender of Life Insured Male Date of Birth of Life Insured 15-Jul-86

Tobaco User No Age as on Last Birthday (in years) #NAME?

Is Backdation required? #NAME? Policy Term in Years 15

Date of Backdation #NAME? Age as per Backdation Date (in years) #NAME?

#NAME?

Basic Plan 234,845 15 #NAME? #NAME? #NAME? #NAME?

Kotak Accidental Death Benefit 10,000 15 9 5 2 1

Kotak Permanent Disability Benefit - -

Kotak Critical Illness Benefit - -

Kotak Term Benefit - -

Kotak Preferred Term Benefit - -

Kotak Life Guardian Benefit Rider No

No

Policy Fee - 15 20 10

Total Premium Incl of service tax (Rs.) #NAME? #NAME? #NAME? #NAME?Yes

Projected Values

End of Year

Fund Value Surrender Value Fund Value Surrender Value (Rs.)

1 #NAME? #NAME? #NAME? #NAME? #NAME? #NAME?



4 #NAME? #NAME? #NAME? #NAME? #NAME? #NAME?5 #NAME? #NAME? #NAME? #NAME? #NAME? #NAME?

























Kotak Capital Multiplier PlanUIN: 107N011V01

Sum Assured(Rs.)

Premium PayingTerm

in Years

Yearly(Rs.)

Half Yearly(Rs.)

Quarterly(Rs.)

Monthly(Rs.)

Kotak Accidental DisabilityGuardian Benefit Rider

Is Proposer same as the LifeInsured

Age of Guardian as on last Birthday(in years)

Premium(Rs.)

Benefits at lower rate2

(Rs.)Benefits at higher rate2

(Rs.)Guaranteed Death

BenefitCo

# N# N#

N# N# N# N# N# N# N# N# N# N# N# N# N#

N# N# N# N# N# N# N# N# N# N# N# N# N# N# N



w.e.f. May 11 / Ver 1.8

#NAME?

Terms & Conditions:

3) The premium stated in the input sheet is for a healthy individual and would be subject to underwriting.

4) The actual death benefit will be higher than is shown, if the accumulation account is higher than the Basic Sum Assured.

7) The values shown are for illustrative purposes only. Please see the plan brochure and policy document for the details.

Place Date

Signature/Right thumb impression of the Proposer

Name Signature




1) Some benefits are guaranteed and some benefits are variable with returns based on the future performance of the company. If the policy offers guaranteed benefits, thenthese will be clearly marked “Guaranteed” in the illustration table. If the policy offers variable benefits, then the illustrations will show these based on two different rates of assumed future investment returns. These assumed rates of return are not guaranteed. They are also not the upper and lower limits of what you might get back as the value

of your policy is dependent on a number of factors including future investment performance and the future profitability of the Company

2) The benefits at lower rate and higher rate are consistent with the projected return assumption of 6% p.a. and 10% p.a. respectively. This growth rate includes theguaranteed return of 3%.

5) The policy can be surrendered only after it has been in force for 3 years and 3 years premiums have been paid in full. The Guaranteed Surrender Value will be 30% of thebasic premiums paid after deducting the first year’s premium and any extra or rider premiums. The surrender value of any subsisting bonus addition already attached to thepolicy shall be added to this surrender value. The Company may consider paying a Special Surrender Value which will not be less than the Guaranteed Surrender Value.

6) Service Tax, Education Cess and Secondary and Higher Secondary Education Cess on Service Tax, is levied, at the applicable Tax rates in accordance with the prevailing TaxLaws, from time to time.

Section 41 of the Insurance Act, 1938 states:-(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 kindof 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 persontaking 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 beacceptance 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 conditionsestablishing that he is a bona fide insurance agent employed by the insurer.

(2) Any person making default in complying with the provision of this section shall be punishable with fine, which may extend to five hundred rupees.

Declaration by the Proposer

I/We confirm that I/we have read and understood the product features, benefits and risk factors, terms and conditions of the proposed plan as set forth in the relatedproduct brochure(s) and I/we submit the duly acknowledged sales illustration confirming my understanding of the plan.

Name and Signature of the Life Advisor/Specified person of CorporateAgent/Authorised Employee of Broker /Relationship Officer


Please putCompany Seal

here.



w.e.f. May 11 / Ver 1.8

For Office Use Only (w.e.f. May 11 / Ver 1.8)

Proposal No:

Policy No:


Gender of Life Insured Male Date of Birth of Life Insured 15-Jul-86

Tobaco User No Age as on Last Birthday (in years) #NAME?

Is Backdation required? #NAME? Policy Term in Years 15

Date of Backdation#NAME? Age as per Backdation Date (in years) #NAME?

Projected Values

YearFund Value Surrender Value Fund Value Surrender Value Maturity Benefit Death Benefit






























Kotak Capital Multiplier Plan - Lumpsum InjectionUIN: 107N011V01

ene s a ower ra e ene s a g er ra e uaran ee ene



w.e.f. May 11 / Ver 1.8

Terms & Conditions:

3) The premium stated in the input sheet is for a healthy individual and would be subject to underwriting.

4) The actual death benefit will be higher than is shown, if the accumulation account is higher than the Basic Sum Assured.


Commision for Lump Sum Injection is 2% of each Lump Sum injection

Place Date

Signature/Right thumb impression of the proposer

Name Signature

Regd. Off: 4th Floor, Vinay Bhavya Complex, 159 A ,CST Road, Kalina, Santacruz (East), Mumbai - 400 098, India.



1) Some benefits are guaranteed and some benefits are variable with returns based on the future performance of the company. If the policy offers guaranteed benefits,

then these will be clearly marked “Guaranteed” in the illustration table. If the policy offers variable benefits, then the illustrations will show these based on twodifferent rates of assumed future investment returns. These assumed rates of return are not guaranteed. They are also not the upper and lower limits of what you mightget back as the value of your policy is dependent on a number of factors including future investment performance and the future profitability of the Company

2) The benefits at lower rate and higher rate are consistent with the projected return assumption of 6% p.a. and 10% p.a. respectively. This growth rate includes theguaranteed return of 3%.

5) Service Tax, Education Cess and Secondary and Higher Secondary Education Cess on Service Tax, is levied, at the applicable Tax rates in accordance with theprevailing Tax Laws, from time to time.

ec on o e nsurance c , s a es:-

(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 anykind 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 shallany 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 ortables of the insurer.


I/We confirm that I/we have read and understood the product features, benefits and risk factors, terms and conditions of the proposed plan as set forth in therelated product brochure(s) and I/we submit the duly acknowledged sales illustration confirming my understanding of the plan.


Kotak Mahindra Old Mutual Life Insurance Limited.


here.



w.e.f. May 11 / Ver 1.8

For Office Use Only (w.e.f. May 11 / Ver 1.8)

Proposal No:

Policy No:


Age at the time of vesting (in years) 23

Projected Values

Year

1 23,485 10,000 199,800 10,000 205,9002 23,485 10,000 199,700 10,000 212,300

3 23,485 10,000 199,600 10,000 219,200

4 23,485 10,000 199,500 10,000 226,700

5 23,485 10,000 199,400 10,000 234,800

6 23,485 10,000 199,200 10,000 243,600

7 23,485 10,000 199,100 10,000 253,100

8 23,485 10,000 198,900 10,000 263,400

9 23,485 10,000 198,800 10,000 274,500

10 23,485 10,000 198,600 10,000 286,500

11 23,485 10,000 198,400 10,000 299,500

12 23,485 10,000 198,300 10,000 313,600

13 23,485 10,000 198,100 10,000 328,800

14 23,485 10,000 197,900 10,000 345,300

15 23,485 10,000 197,600 10,000 363,100

Kotak Capital Multiplier Plan - Post VestingUIN: 107N011V01

Basic Cover(Rs.)

Benefits at lower rate2

(Rs.)Benefits at higher rate2

(Rs.)

Withdrawals inthe middle of the

year

AccumulationAccount

Withdrawals inthe middle of the

year

AccumulationAccount



w.e.f. May 11 / Ver 1.8

Terms & Conditions:

3) Basic cover is available only if there is balance in Accumulation A/c and age of life assured is less than or equal to 75.


Place Date

Signature/Right thumb impression of the proposer

Name Signature





1) Some benefits are guaranteed and some benefits are variable with returns based on the future performance of the company. If the policy offers guaranteed benefits, then these willbe clearly marked “Guaranteed” in the illustration table. If the policy offers variable benefits, then the illustrations will show these based on two different rates of assumed futureinvestment returns. These assumed rates of return are not guaranteed. They are also not the upper and lower limits of what you might get back as the value of your policy isdependent on a number of factors including future investment performance and the future profitability of the Company

2) The benefits at lower rate and higher rate are consistent with the projected return assumption of 6% p.a. and 10% p.a. respectively. This growth rate includes the guaranteed returnof 3%.

4) Service Tax, Education Cess and Secondary and Higher Secondary Education Cess on Service Tax, is levied, at the applicable Tax rates in accordance with the prevailing Tax Laws,from time to time.

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 orrenewing 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.


I/We confirm that I/we have read and understood the product features, benefits and risk factors, terms and conditions of the proposed plan as set forth in the related productbrochure(s) and I/we submit the duly acknowledged sales illustration confirming my understanding of the plan.



here.

Documents

capitalmultiplierplan-may11-1.8