Form No Description Pages - Max Life Insurance

PERIODIC DISCLOSURESFORM L-36 :PREMIUM AND NUMBER OF LIVES COVERED BY POLICY TYPENAME OF THE INSURER: MAX NEW YORK LIFE INSURANCE COMPANY LIMITEDREGISTRATION NO 104: DATE OF REGISTRATION WITH IRDA : NOVEMBER 15, 2000For the Quarter 31st March 2012S. No.1.00 First year PremiumiParticularsIndividual Single Premium- (ISP)Premium( `Crs)No. ofPoliciesNo. of LivesSumInsured,Whereverapplicable(` Crs)Premium( `Crs)For the Quarter 31st March 2011 Upto the Quarter 31st March 2012No. ofPoliciesNo. of LivesSumInsured,Whereverapplicable(` Crs)From 0-10000 17 2 2 0 20 1 1 1 59 (2) (2) 13 76 457 432 27From 10,001-25,000 20 - - 1 21 - - 1 71 32 23 13 30 - - 5From 25001-50,000 8 (70) (70) 3 11 3 3 1 31 (115) (110) 6 17 10 10 3From 50,001- 75,000 2 (2) (2) 0 6 1 1 0 9 (4) (4) 1 9 3 3 2From 75,000-100,000 3 96 96 1 3 - - 0 15 586 546 3 6 5 5 1From 1,00,001 -1,25,000 1 1 1 0 2 - - 0 4 21 20 1 2 - - 0Above Rs. 1,25,000 10 32 32 3 10 1 1 0 41 169 166 9 62 251 251 23Premium( `Crs)No. ofPoliciesNo. of LivesSumInsured,Whereverapplicable(` Crs)Premium( `Crs)Upto the Quarter 31st March 2011No. ofPoliciesNo. of Lives- - - - - - - - - - - -ii Individual Single Premium (ISPA)- Annuity - - - - - - - - - - - -From 0-50000 - - - (0) 0 - - (0) - - - 0 0 2 2 1From 50,001-100,000 - - - - 0 1 1 (0) - - - 0 13 413 398 145From 1,00,001-150,000 - - - - - - - - - - - 0 3 70 67 36From 150,001- 2,00,000 - - - - 1 1 1 (0) 0 1 1 0 2 30 28 20From 2,00,,001-250,000 - - - - - - - - - - - 0 1 7 7 6From 2,50,001 -3,00,000 - - - - - - - - 0 2 2 0 0 5 5 5Above Rs. 3,00,000 - - - - - - - - 0 3 2 0 11 29 29 81- - - - - - - - - - - -iii Group Single Premium (GSP) - - - - - - - - - - - -From 0-10000 - - - - - - - - - - - -From 10,000-25,000 - - - - - - - - - - - -From 25001-50,000 - - - - - - - - - - - -From 50,001- 75,000 - - - - - - - - - - - -From 75,000-100,000 - - - - - - - - - - - -From 1,00,001 -1,25,000 - - - - - - - - - - - -Above Rs. 1,25,000 - - - - - - - - - - - -iv Group Single Premium- Annuity- GSPA - - - - - - - - - - - -From 0-50000 - - - - - - - - - - - -From 50,001-100,000 - - - - - - - - - - - -From 1,00,001-150,000 - - - - - - - - - - - -From 150,001- 2,00,000 - - - - - - - - - - - -From 2,00,,001-250,000 - - - - - - - - - - - -From 2,50,001 -3,00,000 - - - - - - - - - - - -Above Rs. 3,00,000 - - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - -v Individual non Single Premium- INSP - - - - - - - - - - - -From 0-10000 27 33,357 31,850 710 62 77,368 74,810 808 130 159,318 149,015 3,656 200 272,518 262,780 3,134From 10,000-25,000 149 84,575 81,219 2,160 160 86,185 83,540 2,075 476 274,442 261,942 6,986 640 352,294 348,256 9,704From 25001-50,000 124 32,033 30,744 1,461 111 28,676 28,072 1,436 371 94,409 91,263 4,523 354 90,928 88,615 5,350From 50,001- 75,000 30 5,154 5,005 432 21 3,400 3,394 276 83 13,883 13,633 1,148 60 8,944 8,906 904From 75,000-100,000 62 6,448 6,229 616 48 5,160 5,041 628 187 19,329 18,683 1,881 135 14,234 13,930 2,034From 1,00,001 -1,25,000 14 1,215 1,183 191 5 364 364 62 32 2,917 2,882 448 15 1,091 1,091 230Above Rs. 1,25,000 69 2,401 2,317 776 43 1,495 1,479 561 185 6,611 6,353 2,140 124 4,103 4,050 1,877- - - - - - - - - - - -- - - - - - - - - - - -vi Individual non Single Premium- Annuity- INSPA - - - - - - - - - - - -From 0-50000 1 (50) (50) (0) 15 43 43 (0) 9 (87) (86) 0 127 67,255 66,234 132From 50,001-100,000 0 (1) (1) (0) 2 2 2 (0) 1 (10) (10) (0) 24 2,813 2,770 26From 1,00,001-150,000 0 - - - 0 - - (0) 0 (3) (3) (0) 3 241 241 3From 150,001- 2,00,000 0 - - - 0 - - (0) (0) (9) (9) (0) 5 249 242 7From 2,00,,001-250,000 - - - - 0 - - (0) 0 (1) (1) (0) 2 62 60 2From 2,50,001 -3,00,000 (0) (1) (1) (0) 0 - - (0) 0 (2) (2) (0) 2 84 81 3Above Rs. 3,00,000 (0) (1) (1) (0) 1 1 1 (0) 0 (5) (5) (1) 11 161 161 12In ` CrsSumInsured,Whereverapplicable(` Crs)31