Form No Description Pages - Max Life Insurance

PERIODIC DISCLOSURESFORM L-39-DATA ON SETTLEMENT OF CLAIMSNAME OF THE INSURER: MAX NEW YORK LIFE INSURANCE COMPANY LIMITEDREGISTRATION NO: 104; DATE OF REGISTRATION WITH IRDA : NOVEMBER 15, 2000STATEMENT for the Quarter Ending 31st March 2012Ageing of Claims* - IndividualNo. of claims paidS.No. Types of Claims On or before6 months - 11 month 1 - 3 months 3 - 6 monthsmaturityyear1 Maturity Claims 1,514 - - - - - 1,514 202 Survival Benefit 12,793 74 5 - - - 12,872 243 Annuities / Pension - - - - - - - -4 Death Claims - 1,869 491 23 2 38 2,423 565 For Surrender - 113,749 - - - - 113,749 4056 Other benefits - 54 7 4 2 - 67 2Ageing of Claims* - GroupNo. of claims paidS.No. Types of Claims On or before6 months - 11 month 1 - 3 months 3 - 6 monthsmaturityyear> 1 year1 Maturity Claims - - - - - - - -2 Survival Benefit - 1 1 - - - 2 03 Annuities / Pension - - - - - - - -4 Death Claims - 5,391 25 44 61 27 5,548 135 For Surrender 2 - - - - - 2 06 Other benefits - - - - - - - -The figures for individual and group insurance business need to be shown separately.*the ageing of claims, in case of the death of the claims will be computed from the date of completion of all the documentation.> 1 yearTotal No. of claimspaidTotal No. of claimspaidTotal amount ofclaims paid (` Crs)Total amount ofclaims paid (` Crs)35