Tata AIA Life - Smart Sampoorna Raksha Pro - Rising India Fund

About Plan

Are you someone with aspirations for yourself and your loved ones, eager to turn your dreams into reality We understand the importance of planning in advance, which is why we introduce to you, Tata AIA Smart Sampoorna Raksha Pro - a blend of SECURITY, WEALTH, and GOALS. This plan ensures a high life cover for you in addition to a comprehensive financial protection for your loved ones. Acting as a comprehensive tool for your life-long goals, this plan is offered with multiple riders; which makes this plan a true shield for your future goals like children s education, comfortable retirement, comprehensive health coverage etc.

Features

- Offers high sum assured, to secure your loved ones from unforeseen events.

- Flexible premium payment term; with an option of whole life coverage.
- Customisable to exactly align with future goals.
- Choose from a range of debt and equity oriented funds.
- Generate a second income with new partial withdrawal strategies.
- Refund of 2X Premium Allocation Charges.
- Refund of 2X Mortality Charges.
- Smart lady benefit for female customers.

Entry Age Details

Minimum 18 years, Maximum 65 years

Maturity Age Details

Minimum Maturity Age: 38 years. Maximum Maturity Age depends on the Premium Payment Term(PPT)

Policy Term

Minimum 20 years, Maximum 82 years

Premium Payment Term

Minimum :
Limited Pay 5 years,
Regular Pay 20 years,

Maximum : Limited Pay
Policy term minus 1 years,
Regular Pay
Equal to Policy Term.

Premium payment mode

Annual, Half-Yearly, Quarterly and Monthly.

Death Benefits

In case of death of the life insured during the policy term and while the policy is in force, the Nominee will get, Highest of (i) the Basic Sum Assured net of all Deductible Partial Withdrawals , if any, from the Premium Fund Value, or (ii) the Premium Fund Value of this Policy or (iii) 105 percent of the total Premiums paid up to the date of death.

Maturity Benefits

On survival to the end of the policy term, you will receive the Total Fund Value, including Top-Up Premium Fund Value, valued at applicable NAV on the date of Maturity.

Tax Benefits

Income Tax benefits would be available as per the prevailing tax laws subject to fulfillment of conditions stipulated therein. Income Tax laws are subject to change from time to time. Tata AIA Life Insurance Company Ltd. does not assume responsibility on tax implication mentioned anywhere in this document. Please consult your own tax consultant to know the tax benefits available to you.

Rider Options

You have further flexibility to customize your product by adding the following non-participating premium-paying health riders:

1. Tata AIA Life Insurance Linked Comprehensive Protection Rider (UIN: 110A031V02 or any other later version) This rider provides coverage for various unforeseen events, such as death, disability due to accident, a wide range of critical illnesses, or terminal illness. It allows flexibility to receive benefit as combination of lump sum or income for fixed period, Income till survival of partner or Waiver of Premium. This rider can be opted either while taking the policy, or at the time of any policy anniversary.
2. Tata AIA Life Insurance Linked Comprehensive Health Rider (UIN: 110A032V02 or any other later version) The rider covers various unforeseen events and illnesses, including disability, hospitalization, and critical illnesses such as cancer and cardiac arrests. It also provides coverage against both major illnesses, and minor injuries or illnesses, while allowing multiple claim payouts. Rider can be opted either while taking the policy, or at the time of any policy anniversary.
3. Tata AIA Vitality Protect Plus (UIN: 110A048V03 or any later version) This rider provides coverage for various unforeseen events, such as death, disability due to accident, a wide range of critical illnesses, or terminal illness. It allows flexibility to receive benefit as combination of lumpsum or income for fixed period, Income till survival of partner or Waiver of Premium. This rider also motivates to live healthy lifestyle through
Tata AIA Vitality
our Wellness Program by offering rewards on achievements/ health goals.
4. Tata AIA Vitality Health Plus (UIN: 110A047V02 or any later version) The rider covers various unforeseen events and illnesses, including disability, hospitalization, and critical illnesses such as cancer and cardiac arrests. It also provides coverage against both major illnesses, and minor injuries or illnesses, while allowing multiple claim payouts. This rider also motivates to live healthy lifestyle through
Tata AIA Vitality
our Wellness Program by offering rewards on achievements/ health goals.
5. Tata AIA Sampoorna Health (UIN: 110A167V02 or any later version) The Tata AIA Sampoorna Health provides fixed benefit payouts as chosen by you for all your health requirements regardless of hospital medical bills. The rider provides fixed benefit payout for multistage 57 critical illnesses, unlimited Day Care procedures, surgeries, and hospitalization.
The following non-participating Unit-deducting riders can be added to the base plan:
1. Tata AIA Life Insurance Waiver of Premium (Linked) Rider (UIN: 110A026V02 or any later version) The Tata AIA Life Insurance Waiver of Premium (Linked) Rider which that insurance benefits under the plan continue to remain in place even if youare unable to pay the premiums towards the base plan owing to total and permanent disability.
2. Tata AIA Life Insurance Waiver of Premium Plus (Linked) Rider (UIN: 110A025V02 or any later version) The Tata AIA Life Insurance Waiver of Premium Plus (Linked) Rider ensures that insurance benefits under the plan continue to remain in place,even if you are unable to pay the premiums towards the base plan owing to total and permanent disability, or death of the proposer.
3. Tata AIA Life Insurance Accidental Death and Dismemberment (Long Scale) (ADDL) Linked Rider (UIN: 110A027V02 or any later version) Tata AIA Life Insurance Accidental Death and Dismemberment (Long Scale) (ADDL) Linked Rider provides a convenient solution that helps fill thefinancial gap for your family, in the event of an unfortunate death of the Life insured due to an accident.
4. Tata AIA OPD Care Rider (UIN: 110A166V02 or any later version) Tata AIA OPD Care provides end-to-end healthcare solutions. Under this rider, you can avail benefits like consultations with general physicians orspecialists, booking physiotherapy sessions, coverage for medicines prescribed, managing your nutrition intake, and accessing emotionalwellness tools like podcasts, guided meditation, and mood tracker.

Free Look Period

If You are not satisfied with the terms & conditions, You have the right to cancel the Policy by giving written notice to Us stating objections/ reasons and You will receive the non-allocated premium plus charges levied by cancellation of units plus fund value at the date of cancellation less (a)proportionate risk premium for the period of cover (b) medical examination costs, if any and (c) stamp duty, along with Goods and Services Tax and cess as applicable on above which has been incurred for issuing the Policy. Such notice must be signed by You and received directly by Us within 15days after You or person authorized by you receives the Policy. This period of 15 days shall stand extended to 30 days, if the policy is sourced through distance marketing mode.

Grace Period

If you are unable to pay your Regular Premium on time, starting from the date of first unpaid premium, a grace period of 30 days will be offered for policies on Annual, Half-Yearly or Quarterly Modes. For Policies on monthly mode the grace period would be 15 days. During this period your policy will be in force with the risk cover as per the terms & conditions of the policy. If the premium remains unpaid at the end of the Grace period and the Policy has not been completely withdrawn for its Total Fund Value it can be revived, within the period of three consecutive years from the date of discontinuance of the policy, subject to: (i) Policyholder s written application for revival; (ii) production of Insured s current health certificate and/or other evidence of insurability satisfactory to us, if required (iii) payment of all overdue Premiums.

Policy Loans

Policy Loan is not allowed in this plan.

Partial Withdrawal

Subject to policy being in force (including when the policy is reduced paid up), Partial Withdrawal is allowed any time after five policy anniversaries from the date of issuance of the policy. Under this facility, the policyholder can also opt for Systematic Withdrawal Plan (SWP), Chosen-Rate Withdrawal Plan (CWP) and Index-Based Withdrawal Plan (IWP).

- Partial withdrawals shall be made first from the Top-Up Premium Fund which has completed the lock in period and then from Regular/ Limited/Single / Premium Fund, if Top-Up Fund is insufficient.
- For the purpose of partial withdrawals, lock in period for the Top-up premiums will be five years or any such limit prescribed by IRDAI from time to time.
- The minimum amount that can be withdrawn is R 1,000/- subject to Total Fund Value (Regular + Top Up Fund) post such withdrawals not being less than an amount equivalent to two years Annualised Regular Premiums in case of Regular/Limited Pay or 10% of Single Premium in case of Single Pay.
- Maximum limit for partial withdrawal in a year, if any, will be as per BAUP and will be updated on the website from time to time.
- Any number of partial withdrawals can be made in a policy year and no charges shall be levied for making the partial withdrawals.
- The partial withdrawals shall not be allowed if it would result in termination of the contract.

Premium allocation Charges

Classic At the end of 10th, 11th 12th and 13th policy years, twice the total Premium Allocation Charges (excluding taxes) deducted 10 years prior (i.e.over the policy years 1,2 3 and 4 respectively) shall be added to the Fund Value in the form of addition of units. Such additions shall continuetill the policy is in force and all due premiums till date have been paid. This amount will be allocated among the funds in the same proportion as the value of total units held in each fund at the time of allocation.

Optima Not Applicable.

Mortality Charges

The Mortality Charge of the Basic Policy will be deducted by cancelling Units at the current NAV, from the Fund value of the Policy on each Policy Month Anniversary. In case of the Top-up Sum Assured, the same will be deducted from the Top-up Premium Fund Value. If the Fund Value is insufficient, then Mortality Charge will be deducted from the Top-up Premium Fund Value, if any and vice-versa. Mortality charge = Sum at Risk (SAR) multiplied by the applicable Mortality Rate for the month, based on the attained age of the Life insured. Sum at Risk in each month for Regular Account is the difference between: a) Maximum of (Basic Sum Assured net of all deductible partial withdrawals, if any, from the Fund Value or 1.05 times total premiums paid) and b) Fund Value at the time of deduction of Mortality Charge Sum at Risk in each month for Top-up Premium Account is the difference between: a) Maximum of (Top-up Sum Assured, from the relevant Top-up Premium Fund Value or 1.05 times total Top-up Premiums paid) and b) Top-up Premium Fund Value at the time of deduction of Mortality Charge.

Policy Administration Charges

Option 1: Classic

A Policy Administration Charge of 0.41% p.a. of Annualised premium for Regular/ Limited Pay/ and 0.075% of Single Premium from 5th policy year will be deducted by cancelling Units at the NAV from the Fund Value of the policy at the beginning of each policy month. This charge may be increased by upto a maximum of 5% p.a. compounded annually subject to a maximum of Rs.500 per month which are the current caps specified by the IRDAI and can change from time to time. The maximum Policy Administration Charge shall not exceed the limits as decided by IRDAI from time to time.
Option 2: Optima
Not Applicable

Switching Charges

There is no fund switching charge for both options.

Partial Withdrawal Charge

There are no partial withdrawal charges under this plan.

Discontinuance Charge

The Policyholder can discontinue paying premium anytime during the policy term by intimating to the company. However when the request for discontinuance from the policy is within the lock-in period of 5 years from policy inception, total fund value, net of discontinuance charges as on the date of discontinuance shall be put in the
Discontinued Policy Fund
. The
Proceeds of the Discontinued Policy
i.e. the fund value as on the date of discontinuance plus entire income earned after deduction of the fund management charges, subject to a minimum guarantee of interest @ 4% p.a. or as prescribed by IRDAI from time to time shall be paid to the Policyholder only after completion of the lock-in period.

Miscellaneous charges

Nil

Claim & Solvency Ratio

Claim Ratio	Solvency Ratio
99% (2023-24)	2% (March 2024)

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Frequently Asked Questions About Insurance

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What is health insurance? +

Health insurance is a type of coverage that pays for medical and surgical expenses incurred by the insured. It may also provide coverage for other types of health-related costs, such as prescription drugs, mental health services, and preventive care.

Why do I need health insurance? +

Health insurance helps protect you from high medical costs. It provides access to medical care when you need it, helping to pay for doctor visits, hospital stays, surgeries, prescription medications, and other health-related services.

What is a premium? +

A premium is the amount you pay for your health insurance every month. Depending on your plan, the premium may vary based on factors like age, location, and level of coverage.

What is a deductible? +

A deductible is the amount of money you must pay out-of-pocket before your health insurance starts covering your medical expenses. For example, if you have a deductible of $1,000, you must pay $1,000 out-of-pocket before your insurance starts covering your medical bills.

What are copayments and coinsurance? +

Copayment (copay): A fixed amount you pay for a covered health care service, typically when you get the service. Coinsurance: The percentage of the cost you pay for covered health services after you've paid your deductible. For example, if your coinsurance is 20%, you pay 20% of the bill, and the insurance company pays the remaining 80%.

What is an out-of-pocket maximum? +

The out-of-pocket maximum is the maximum amount you can spend on your health insurance. If you exceed this amount, your insurance company will pay 100% of your medical expenses.

What is the difference between in-network and out-of-network providers? +

In-network providers: Health care providers that have a contract with your health insurance plan to provide services at negotiated rates. Out-of-network providers: Providers that don't have a contract with your insurance plan. Services from these providers may cost more or not be covered at all.

What is a Special Enrollment Period (SEP)? +

The Special Enrollment Period (SEP) is a special time during the year when you can sign up for or make changes to your health insurance plan. If you miss this period, you may have to wait until the next one unless you qualify for a Special Enrollment Period (e.g., due to a life event like marriage or having a baby).

Can I keep my doctor with health insurance? +

If you have a preferred doctor, it’s important to check if they are in-network with your insurance plan. If they are not in-network, you may need to pay more out-of-pocket, or you may have to switch to another doctor who is in-network.

What is a Health Savings Account (HSA)? +

A tax-advantaged account for people with high-deductible health plans (HDHPs). The funds roll over from year to year and can be used for qualifying medical expenses.

What is a Flexible Spending Account (FSA)? +

A tax-advantaged account for people with low-deductible health plans (LDHPs). The funds roll over from year to year and can be used for qualifying medical expenses.

What is a Health Maintenance Organization (HMO)? +

An HMO is a type of health insurance plan that requires you to choose a primary care physician (PCP) and get referrals from them to see specialists. HMOs often have lower premiums and out-of-pocket costs but offer less flexibility in choosing providers.

What is a Preferred Provider Organization (PPO)? +

A PPO is a health insurance plan that offers more flexibility in choosing healthcare providers and doesn’t require referrals to see specialists. You can see any doctor, but you’ll pay less if you use in-network providers.

What is the difference between a Health Savings Account (HSA) and a Flexible Spending Account (FSA)? +

HSA: A tax-advantaged account for people with high-deductible health plans (HDHPs) The funds roll over from year to year and can be used for qualifying medical expenses. FSA: A tax-advantaged account for people with low-deductible health plans (LDHPs) The funds roll over from year to year and can be used for qualifying medical expenses.

What does the term "pre-existing condition" mean? +

A pre-existing condition is a medical condition that you had before you got your health insurance. It could include things like diabetes, high blood pressure, or heart disease.

Can I cancel my health insurance at any time? +

Yes, you can cancel your health insurance plan at any time. However, if you cancel outside the open enrollment period, you may not be able to get another plan until the next enrollment period unless you qualify for a Special Enrollment Period.

Are prescription drugs covered by health insurance? +

Many health insurance plans cover prescription medications, but the coverage may vary. Plans typically have a formulary, or list of covered drugs, and different drugs may have different levels of coverage, depending on whether they are generic, brand-name, or specialty drugs.

What is preventive care? +

Preventive care includes health services that help prevent illnesses, such as vaccinations, screenings, and annual checkups. Under the Affordable Care Act, most preventive services are covered by health insurance plans at no additional cost to the policyholder.

What should I do if my health insurance claim is denied? +

If your claim is denied, you can appeal the decision. Review the denial letter for reasons, contact your insurer for assistance, and file a written request for a hearing. If you win the appeal, you may be able to get a refund or other compensation.

How can I choose the best health insurance plan for me? +

When selecting a plan, consider factors like: Your health care needs (e.g., frequent visits, prescriptions) The plan’s network of doctors and hospitals The cost of premiums, deductibles, copays, and out-of-pocket maximums Coverage for specialized care or treatments Compare the different plans and benefits to find one that meets your needs.

What happens if I don't have health insurance? +

If you don’t have health insurance, you can still access some health care services, such as emergency care, in-network doctors, and in-network hospitals. You may be eligible for Medicaid, which provides some health care services at no cost to you.

What is life insurance? +

Life insurance is a contract between you and an insurance company, where you pay regular premiums in exchange for a lump sum payment (death benefit) to your beneficiaries upon your death.

What are the different types of life insurance? +

Term Life Insurance: Provides coverage for a specific period (e.g., 10, 20, or 30 years). If you pass away during this term, your beneficiaries receive the death benefit. It does not build cash value. Whole Life Insurance: Offers lifetime coverage with a death benefit and also builds cash value over time, which you can borrow against or use. Universal Life Insurance: A flexible policy that allows you to adjust the premiums and death benefit while also building cash value.

How much life insurance coverage do I need? +

The amount of coverage you need depends on factors like your income, debts, family needs, and long-term financial goals. A common rule is to have coverage worth 10 to 15 times your annual income, but this can vary based on your individual situation.

What is the difference between beneficiaries and policyholders? +

The policyholder is the person who owns the life insurance policy and pays the premiums, while the beneficiary is the person or group that receives the death benefit when the policyholder passes away.

Can I change my beneficiaries? +

Yes, you can change your beneficiaries at any time during the life of the policy, as long as the policy is in force and you follow the correct procedure with the insurance company.

What is the contestability period? +

The contestability period is the time during which you have the right to contest the decision of the insurer to pay the death benefit. This period varies depending on the type of life insurance policy and the insurer.

Does life insurance cover accidental death? +

Some life insurance policies include accidental death coverage, while others may require a separate rider for this benefit. Be sure to review your policy to understand what’s covered.

Can I cancel my life insurance policy at any time? +

Yes, you can cancel your life insurance policy at any time, provided you follow the correct procedure with the insurance company.

What is cash value? +

Cash value is the accumulated value of the life insurance policy that can be used to pay for expenses, such as medical bills or funeral expenses.

How do I borrow against cash value? +

You can borrow against the cash value of your life insurance policy, but it will need to be repaid, and any unpaid loan will reduce the death benefit.

What is the difference between whole life and universal life insurance? +

Whole life insurance provides coverage for a specific period (e.g., 10, 20, or 30 years) and builds cash value over time. Universal life insurance offers lifetime coverage with a death benefit and also builds cash value over time.

How are life insurance premiums determined? +

Life insurance premiums are based on factors like age, health, lifestyle (e.g., smoking), coverage amount, and type of policy. Generally, younger, healthier individuals pay lower premiums.

Can I borrow money from my life insurance policy? +

If you have a whole life or universal life policy, it may build cash value over time. You can borrow against this cash value, but it will need to be repaid, and any unpaid loan will reduce the death benefit.

What happens if I stop paying my life insurance premiums? +

If you stop paying premiums, your policy may lapse. For permanent policies like whole or universal life, the cash value may cover the premiums for a time, but eventually, if premiums are not paid, the policy will end.

What is auto insurance? +

Auto insurance is a contract between you and an insurance company that provides financial protection against damage or injury caused by accidents, theft, or other incidents involving your vehicle. It covers both liability and your vehicle's repair costs depending on the type of policy.

What types of auto insurance coverage are available? +

There are several types of auto insurance coverage, including liability, collision, comprehensive, uninsured/underinsured motorist, and additional coverage like roadside assistance and collision damage waiver.

How much auto insurance do I need? +

The amount of coverage you need depends on factors such as the value of your car, your driving habits, your state's legal requirements, and whether you own or lease your vehicle. A good starting point is to meet your state's minimum required coverage, but you may want additional coverage for added protection.

Can I cancel my auto insurance policy at any time? +

Yes, you can cancel your auto insurance policy at any time, provided you follow the correct procedure with the insurance company.

What is the difference between liability and comprehensive coverage? +

Liability coverage covers the damages and injuries caused by accidents, while comprehensive coverage also covers non-accident damages, such as theft or vandalism.

How do I choose the right auto insurance policy? +

When selecting an auto insurance policy, consider factors such as the type of coverage you need, your driving habits, the value of your vehicle, and your state's legal requirements.

What factors affect my auto insurance premium? +

Several factors impact your insurance premium, including: Your driving history (accidents, tickets), The make, model, and age of your car, Your location (accident rates in your area), Your age, gender, and marital status, The level of coverage you choose, Your credit score (in some states).

What is a deductible? +

A deductible is the amount you must pay out of pocket before your insurance policy starts to cover the remaining cost of repairs or claims. For example, if you have a $500 deductible and incur $2,000 in damages, you will pay $500, and your insurer will pay the remaining $1,500.

What is the difference between comprehensive and collision coverage? +

Collision coverage pays for repairs to your vehicle after a collision with another vehicle or object, regardless of who is at fault. Comprehensive coverage covers non-collision incidents, such as theft, vandalism, or damage from natural disasters.

Can I get uninsured/underinsured motorist coverage? +

Yes, uninsured/underinsured motorist coverage is available in some states. This coverage provides financial protection for you if another driver is uninsured or underinsured.

Is auto insurance required by law? +

Yes, in most states, you are required to have a minimum level of liability insurance. Some states also require additional coverage like Personal Injury Protection (PIP) or uninsured motorist coverage. The requirements vary by state, so it’s important to check your local laws.

What happens if I don’t have auto insurance? +

If you drive without insurance, you risk facing legal penalties, fines, and the possibility of your driver's license being suspended. If you're involved in an accident, you could be held responsible for the damages.

Can I add other drivers to my auto insurance policy? +

Yes, you can add other drivers, such as family members or friends, to your policy. However, their driving record and age may affect your premium. It's important to inform your insurer about all the drivers in your household.

What should I do if I get into an accident? +

If you're in an accident, follow these steps: Ensure safety by moving to a safe location if possible. Call the police and file a report. Exchange contact and insurance information with the other driver(s). Take photos of the accident scene, vehicle damage, and injuries. Notify your insurance company about the accident as soon as possible.

What is home insurance? +

Home insurance is a contract between you and an insurance company that provides financial protection against damage or loss caused by natural disasters, theft, or other incidents.

What types of home insurance coverage are available? +

There are several types of home insurance coverage, including flood, fire, burglary, and liability. You may also have coverage for water damage, mold, and other property damage.

How much home insurance do I need? +

The amount of home insurance coverage you need depends on the value of your property, the type of coverage you want, and your insurance provider. You may also need additional coverage for water damage, mold, and other property damage.

Can I cancel my home insurance policy at any time? +

Yes, you can cancel your home insurance policy at any time, provided you follow the correct procedure with the insurance company.

What is the difference between flood and fire coverage? +

Flood coverage covers damage caused by floods, while fire coverage covers damage caused by fires.

How do I choose the right home insurance policy? +

When selecting home insurance, consider factors such as the type of coverage you need, the value of your property, and your insurance provider.

What factors affect my home insurance premium? +

Factors such as the type of coverage you need, the value of your property, and your insurance provider can significantly impact your premium.