HDFC Standard Life Insurance Company Limited HDFC Group Unit Linked Plan Option B (N100) (UIN: 101L022V02

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HDFC GROUP UNIT LINKED PLAN OPTION B (N100) HDFC STANDARD LIFE INSURANCE COMPANY LIMITED Registered Office: Ramon House, H T Parekh Marg, 169, Backbay Reclamation, Churchgate, Mumbai 400 020 POLICY SCHEDULE In this policy, the investment risk in the investment portfolio is borne by the policyholder. Master Policy Number: Policyholder: Name of the Scheme: Sponsor of the scheme: Scheme Trustees: (Yes/No) Employer-Employee Scheme: (Yes/No) (If the answer is No then this product is not available to you) Tax Approval required for the scheme: (Yes/No) Scheme to provide Annuities: (Yes/No) Scheme for Gratuity Benefits: (Yes/No) Scheme for Superannuation Benefits: (Yes/No) (If the answer is No then this product is not available to you) Start Date of Policy: Policy Anniversary: Expected premium payment date: Expected Premium payment frequency: HDFC Group Unit Linked Plan Policy Provisions: Booklet Number. Death Benefit payable for each member = Minimum Number of Members: 10

s: Policy Administration : The Policy Administation charges are. Other s: Type of Current Amount of Fund Management 1.25% of fund per year Switch Miscellaneous s: Up to 12 switches free in a policy year per account. Any additional switch will be charged at Rs. 40 per switch per account. Ad-hoc Statement Premium Payment Account Withdrawal Premium Redirection

Type of Fund Management Switch Miscellaneous s: Ad-hoc Statement Premium Payment Account Withdrawal Premium Redirection Maximum Amount of 2.00% p.a. Switches will be charged at a maximum of Rs. 40 per switch per account increased by Rs. 4 each year over the period since commencement. Rs. 100 per transaction per account increased by Rs. 10 ** Simplified Instructions is as defined in the policy provisions. Premium Allocation Rate: Premium Year 1 Year 2 onwards Initial Lump Sum Contribution (ILC) 100% 100% All Premiums other than ILC 100% 100% Threshold Fund Level: Rs. 5,00,000 The fund value, net of any surrender charges, at which the policy will discontinue if premiums cease to be paid. Surrender : The Surrender s are. These are the current charges but are subject to change by us at any time and with prior approval from the Insurance Regulatory and Development Authority.

Additional Benefit for Large Schemes We will give additional units to schemes with large funds. The addition will be as below: Fund Value Amount to be added Less than 50 Lakh 0.350% Greater than or equal to 50 Lakh 0.450% Greater than or equal to 1 Crore 0.500% Greater than or equal to 2 Crores 0.600% Greater than or equal to 5 Crores 0.700% Greater than or equal to 10 Crores 0.750% Greater than or equal to 15 Crores 0.800% Greater than or equal to 20 Crores 0.850% The above are our current values but are subject to change by us at any time and with prior approval from the Insurance Regulatory and Development Authority. Initial fund choice: For current and all future premiums: Fund Name Liquid Fund Stable Fund Secure Managed Fund Defensive Managed Fund Balanced Managed Fund Equity Managed Fund Percentage Growth Fund Total 100% If the scheme provides gratuity benefits then it is not possible to invest in the Growth fund and Equity Managed Fund Additional Provisions: Place of signing Date of signing Signed by Signature Examined by Issued by

Unit pricing and cut-off time for applicability of Net Asset Value (NAV) Our current unit pricing and cut-off time is as per the following extract from the Insurance Regulatory and Development Authority s Guidelines for Unit-Linked Life Insurance Products. These times are subject to change by us at any time with prior approval from the Insurance Regulatory and Development Authority. 10.2 The unit pricing shall be computed based on whether the company is purchasing (appropriation price) or selling (expropriation price) the assets in order to meet the day to day transactions of unit allocations and unit redemptions i.e. the life insurer shall be required to sell/purchase the assets if unit redemptions/allocations exceed unit allocations/redemptions at the valuation date. 10.3 The Appropriation price shall apply in a situation when the company is required to purchase the assets to allocate the units at the valuation date as stated in 10.2. This shall be the amount of money that the company should put into the fund in respect of each unit it allocates in order to preserve the interests of the existing policyholders. 10.4 The Expropriation price shall apply in a situation when the company is required to sell assets to redeem the units at the valuation date as stated in 10.2. This shall be the amount of money that the company should take out of the fund in respect of each unit it cancels in order to preserve the interests of the continuing policyholders. 10.5. Computation of NAV: 10.5.1 when Appropriation price is applied: The NAV of a Unit Linked Life Insurance Product shall be computed as: Market value of investment held by the fund plus the expenses incurred in the purchase of the assets plus the value of any current assets plus any accrued income net of fund management charges less the value of any current liabilities less provisions, if any. This gives the net asset value of the fund. Dividing by the number of units existing at the valuation date (before any new units are allocated), gives the unit price of the fund under consideration. 10.5.2 When Expropriation price is applied: The NAV of a Unit Linked Life Insurance Product shall be computed as: Market Value of investment held by the fund less the expenses incurred in the sale of the assets plus the value of any current assets plus any accrued income net of fund management charges less the value of any current liabilities less provisions, if any. This gives the net asset value of the fund. Dividing by the number of units existing at the valuation date (before any units are redeemed), gives the unit price of the fund under consideration. 10.6 Uniform cut-off timings for applicability of Net Asset Value: The allotment of units to the policyholder should be done only after the receipt of premium proceeds as stated below: 10.6.1: Allocations (premium allocations, switch in): 10.6.1.1 In respect of premiums/funds switched received up to 3.00 p.m. by the insurer along with a local cheque or 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. 10.6.1.2 In respect of premiums/funds switched received after 3.00 p.m. by the insurer along with a local cheque or 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. 10.6.1.3 In respect of premiums received with outstation cheques/demand drafts at the place where the premium is received, the closing NAV of the day on which cheques/demand draft is realized shall be applicable. 10.6.2: Redemptions: 10.6.2.1 In respect of valid applications received (e.g. surrender,maturity claim, switch out etc) up to 3.00 p.m. by the insurer, the same day s closing NAV shall be applicable. 10.6.2.2 In respect of valid applications received (e.g. surrender, maturity claim, switch etc) after 3.00 p.m. by the insurer, the closing NAV of the next business day shall be applicable.