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Form No Description Pages - Max Life Insurance

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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. <strong>No</strong>.ParticularsPremium( `Crs)<strong>No</strong>. ofPolicies<strong>No</strong>. of LivesSumInsured,Whereverapplicable(` Crs)Premium( `Crs)For the Quarter 31st March 2011 Upto the Quarter 31st March 2012<strong>No</strong>. ofPolicies<strong>No</strong>. of LivesSumInsured,Whereverapplicable(` Crs)Premium( `Crs)<strong>No</strong>. ofPolicies<strong>No</strong>. of LivesSumInsured,Whereverapplicable(` Crs)Premium( `Crs)Upto the Quarter 31st March 2011<strong>No</strong>. ofPolicies<strong>No</strong>. of Lives- - - - - - - - - - - -vii Group <strong>No</strong>n Single Premium (GNSP) - - - - - - - - - - - -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 - - - - - - - - - - - -- - - - - - - - - - - -viii Group <strong>No</strong>n Single Premium- Annuity- GNSPA - - - - - - - - - - - -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 - - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - -2.00 Renewal year Premium - - - - - - - - - - - -i Individual - - - - - - - - - - - -In ` CrsSumInsured,Whereverapplicable(` Crs)From 0-10000 181 - 305,980 6,945 168 - 277,309 6,746 633 - 869,095 20,214 638 - 1,021,879 24,558From 10,000-25,000 563 - 453,144 15,934 511 - 426,728 15,482 1,948 - 1,019,636 36,075 1,685 - 1,456,625 53,285From 25001-50,000 264 - 94,466 6,075 210 - 78,320 5,306 862 - 205,414 13,468 707 - 269,817 18,386From 50,001- 75,000 51 - 15,876 1,612 39 - 14,756 1,506 169 - 28,354 2,964 143 - 54,773 5,597From 75,000-100,000 78 - 10,593 1,233 48 - 7,384 950 245 - 24,858 2,971 167 - 25,683 3,346From 1,00,001 -1,25,000 11 - 1,895 386 9 - 1,697 356 41 - 3,612 777 34 - 6,298 1,325Above Rs. 1,25,000 81 - 3,912 1,778 57 - 2,830 1,507 260 - 8,602 4,060 201 - 10,236 5,595- - - - - - - - - - - - - - - -ii Individual- Annuity - - - - - - - - - - - - - - - -From 0-10000 13 - 18,424 79 17 - 23,213 89 44 - 41,247 129 54 - 80,528 188From 10,000-25,000 27 - 38,498 157 19 - 23,604 62 114 - 70,984 304 55 - 76,254 152From 25001-50,000 13 - 6,108 43 9 - 3,457 22 60 - 14,003 104 22 - 8,642 47From 50,001- 75,000 3 - 1,327 13 2 - 732 6 11 - 1,944 20 4 - 1,976 15From 75,000-100,000 5 - 732 10 4 - 519 7 23 - 2,170 29 10 - 1,290 16From 1,00,001 -1,25,000 1 - 212 3 1 - 134 2 3 - 297 4 2 - 396 6Above Rs. 1,25,000 7 - 338 14 7 - 285 12 32 - 948 40 19 - 705 30- - - - - - - - - - - -iii Group - - - - - - - - - - - -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- Annuity - - - - - - - - - - - -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 - - - - - - - - - - - -32

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