NB 14AJIFGACTV2023 UL Edit

DATA REASURANSI POLIS PERORANGAN
(RIDERS_UNIT LINK)
VALUTA : RUPIAH
NAMA PEMPOL TGL LAHIR
NO. NO POLIS
(Tertanggung Tambahan) PEMPOL
1 11027706133 DUMMY 13/09/1997

2 11027706030 DUMMY 13/09/1979
3 11027706133 DEVY RIANANINGRUM 13/09/1997
4 11027706030 VANNY SAFITRI 01/07/1996
5 11027704475 WILLY HIDAYAT 30/09/1983
6 11027704510 RIDWAN SURYA PRATAMA 21/06/1988
7 11027704740 VEOLA ANGELICA NOBERT MESANG 02/02/2005
8 11027706887 DRA. NOOR DYAH ESTI K. 02/12/1956
9 09027706835 THESSALONICA TRIKASIH SANGLIMBO 15/11/2004
10 14027705194 H. MUHAMMAD RIFQIE AL FAHMIE 07/02/1998
11 19027705513 DHARMAWAN 19/09/1987
12 10027706598 WINDI FERYA MUSVITA 10/02/2001
13 10027707041 RIYAN WALDANI SUKMA 06/03/2001
14 11027706995 ERA MILLEANTO JAVIR 17/03/2000
15 02027704501 H. SUNARJA, DRS. 05/05/1955
16 20002770362 NAZWAN AKHMAL SULAEMAN 23/01/1999
17 13027705160 RENI NURDEWI 29/01/1977
18 12027706096 RADITHIA PRATAMA PUTRA 27/02/1987
19 13027706038 JULIUS ISHAK ABRAHAM 02/11/1939
20 08027705697 LYDIA THERESIA BOLANG 06/07/1998
21 13027707012 HENI GUSTINI 22/08/1983
22 17027706928 WIJI TURIYAH 18/03/1983
23 11027706413 NITA ANGGRAINI 21/03/1982
24 11027706905 IR. MUHAMMAD SIDIK PADMONO 27/03/1953
25 03027706525 DEA RETNO PUTRI 04/10/1997
26 15027706954 I GEDE EKA SUKMA ARYAWAN 05/12/1992
27 13027706785 LEONARDO ADISTA PRATAMA 28/07/1999
28 04027705116 PRIEST DANIEL LIMAHELU 27/11/1995
29 05027705220 INSANI KARTINI GURNING 21/04/1995
30 14027706025 HELDU DINATA 27/12/2005
31 19027706231 KEVIN PARERA 06/01/2000
32 03027706743 IMAM SUDRAJAT GULTOM 06/05/1994
33 09027707048 LISHA LARASHATY, SE 07/06/1994
34 18027706769 OSKY NOVITA RIZKY SIMANUNGKALIT 23/06/1994
35 11027706894 IR. MUHAMMAD SIDIK PADMONO 27/03/1953
36 02027706680 RADIMAN SAMBUDI, DRS 21/04/1952
37 14027705925 IWI 21/09/1982
38 21027706856 ALDEN WINAREN PUTRA 24/09/2003
39 18027706580 R. FEANNY VERONICA 08/02/1970
40 10027704917 ANDYKA WAHYU NUGROHO 13/03/1993
41 11027706781 FELICIA INDRIANI BUNAWAN 31/05/1993
42 16027704784 ANGGI SILVANA DEWI 11/08/1993
43 14027705076 GILBERT AURELIO LUNDJO 14/07/2002
44 14027706513 WEILLEN ANGEL KURNIADI 03/11/2002
45 19027706772 MUHAMMAD RIZQI ALEMTA 15/02/2004
46 07027706011 WELLY RINDI, S.T., S.E., M.T. 02/04/1978
47 11027706941 NUR FUAT 19/10/1978
48 17027706252 WIDIA WANTI 02/10/1982
49 18027705530 RONY FERDINAND PANGGABEAN 24/11/1988
50 05027705271 LUDINAR GURNING 10/08/1992
51 08027706149 YOLVINA IJIE 29/01/1992
52 15027705050 Yullianto 27/07/1992
53 13027704679 MUSLIM 04/02/1982
54 07027705077 PRANOTO DJATI 29/01/1977
55 11027706938 SRI ASRINGTYA S.IP 29/09/1977
56 11027706488 SETIAWAN BUDI HASTAMA 20/06/1991
57 11027706795 DRA. NOOR DYAH ESTI K. 02/12/1956
58 20027706867 MUHAMMAD HARIS 11/11/1991
59 08027705867 MENASE YUMAME 31/05/1999
60 13027704542 YUYUN YUNIARTI 29/05/2002
61 02027706810 LIE FA YIN 14/07/1959
62 14027705940 IWI 21/09/1982
63 11027706106 ANANG PRAYITNO 12/09/1969
64 12027706040 MUH ALIFUDIN AL JUNDI 05/03/1999
65 10027705218 TYSON ADHY PAMUNGKAS 30/04/1990
66 11027706313 TRISNA TYAS NUGRAHENI 24/08/1990
67 17027704996 M. RIKO SAPUTRA SINURAT 11/10/1990
68 11027705001 SUBAEBASNI, SE 16/12/1962
69 08027706604 ISMAEL IBRAHIM WATORA 28/08/1986
70 08027706691 BERTHA NOVITA GEFILEM 27/11/1986
71 13027705431 WIDA LESTARI 01/02/1982
72 05027706029 SAULINA SITORUS 12/01/1950
73 11027706752 FIAN ALFIAN 16/04/1989
74 13002762274 MUKTI ALI SIDIK 19/09/1995
75 07027706805 DZAMAR HAMDA YUDATAMA 24/10/1999
76 11027705691 FAJAR BAHARIANSYAH PRAKOSO 03/07/1998
77 11027706497 BASUKI RACHMAD 17/04/1971
78 03027706608 ENI HARYATI 14/10/1988
79 07027706678 RAFDEN SIHOMBING 17/04/1988
80 11002770203 AKMARI 04/08/1988
81 15027706226 AITA LISTA MARDIANA 05/03/1989
82 10027704939 BENYAMIN BOB HUMOSITO PANJAITAN 22/07/1974
83 21027705898 ROBERTUS AGUNG PRASETYA 18/06/1969
84 13027706206 MALIA HABI 13/10/1990
85 17027706457 SHINTA PRILIANITA WARDANI 27/03/1998
86 02027706676 DINA KUSUMADEWI 24/10/1997
87 03027706815 SUHARMAN 24/01/1998
88 14027706053 IWI 21/09/1982
89 02027705542 JEMMY TANSAH 10/06/1976
90 13027706073 DESI PURWANTINAH 31/12/1975
91 02027705222 REKCY RENDY DE ROZARI 08/12/1986
92 09027706912 ERNA MAAIL 11/12/1956
93 11027704473 CHARLES 06/03/1986
94 13027706609 YOVITA AMANDA 28/03/1986
95 16002769222 INSANA 24/03/1986
96 18027706668 TEDDY KURNIAWAN 06/10/1986
97 20027705164 TIARA AFRIANTI 04/04/1986
98 14002763363 HJ. NOOR AINA . NH. IR 16/10/1969
99 02027704725 SARI SUKMAWATI 09/03/1985
100 09027706599 YEUSY GENIPANGARI 10/05/1985
101 16002769220 SYAMSUL ANWAR 28/03/1985
102 06002762826 MUCHAMAD SUMEDI 17/12/1965
103 13027706153 EYET RUSMIATI 07/08/1970
104 17002757358 MAFUZIN 02/03/1983
105 13002757264 RINTA BELLA WULANSARI 21/12/1998
106 14002760618 REZA HOA 04/08/1995
107 04027706858 GLORIA MARCELLA TEWUH 21/08/1995
108 14002758028 JOJO 12/09/1994
109 18027705147 TIMBUL AMAN SIMORANGKIR 29/05/1994
110 03002758282 HANISAH AMALIA 03/06/1999
111 02002758334 FAKHRUR RAZI ANDI PRASETYA 12/11/1994
112 01002758267 TEDDY SUROYO 26/04/1977
113 08027705694 NELCE NUHAM 13/09/1986
114 14002758033 IRWANTO YUSUF 04/06/1986
115 11002758124 HERI SETYAWAN 25/06/1992
116 14002758025 ADITYA ADMOND YUSUF 21/05/1994
117 03027706567 HOLISA PITRI 29/09/1999
118 09027706594 Andi Muh Anugrah Egi Febrian 24/02/1997
119 14027705080 ERNI OKTANIA 03/10/1993
120 14027706172 RYAN JANY 15/06/1992
121 14027706918 NURMEINASARI SIREGAR 04/11/1957
122 01002758174 REZA MOHAMMAD SADDAD 30/03/1997
123 04027705424 ABDUL RAHMAN KUNTA 07/04/1995
124 02002758419 SRIYATI 18/08/1967
125 11027706606 RINANTI AGNES ARSADJAJA 28/01/1960
126 14027706746 FARIDA ISWA MIRDA 28/12/1991
127 08027706890 SADI TOWANSIBA 15/12/1985
128 03027706745 NIKEN OKTORA 12/10/1990
129 08027705084 PIUS MOTOMBRIE 29/07/1983
130 11027704743 BABY YULITHA ANTHONETHA 13/07/1990
131 11027704755 BABY YULITHA ANTHONETHA 13/07/1990
132 08027705858 ARLINCE PAULINA OSOK 18/02/1982
133 14027705700 AGUSTAN SAINING, S.HUT, M.SI 17/08/1977
134 02002760439 VC. DWI HARTININGRUM 27/09/1958
135 02027706749 WIJAYADI, SE.AK.MM 02/12/1967
136 02027706959 BASTIJAN KEN INDARTO SANJOTO 20/11/1969
137 02027707060 IMANSYAH KURNIAWAN 05/03/1974
138 19002758399 NUR ASYIKIN 28/10/1999
139 20002758433 IRWAN KRISWANTO 16/06/1988
140 13027706541 ALDI ERISTAN 12/06/1988
141 19002758099 NURHAYATI 05/08/1995
142 08027705213 WENAND WERIPANG 05/11/1981
143 03027706534 ARI KURNIASIH 03/09/1983
144 14002757455 YURI DARTATI, S. KEP 04/07/1989
145 14027706515 HENNY DIANA 10/05/1977
146 05002759892 MAYA ROSSI NADAPDAP 16/09/1987
147 14027705927 IMA 01/10/1988
148 01027706799 FEBRYAN RAMADANY 14/02/1996
149 08027705714 ROBERT MORIN 20/05/1977
150 14002757430 MELANIE ANGGRAINI, SH, MH 08/04/1986
151 14027706610 ASMI OKTAVIA 04/10/1987
152 01002760298 ADHITYA ATMAJA HADIPROJO 06/06/1991
153 08027705386 LUKMAN KASOP 13/02/1977
154 08027706952 YAFET VALENTHINUS WAINARISI 12/12/1977
155 02002759197 SUSILAWATI SARI 11/07/1962
156 04002757417 MARYAM LIHAWA 29/11/1988
157 08027705716 HERY RUMBIN 28/11/1976
158 19002757423 INDAH ARNI 28/03/1989
159 01027705723 ASTERIA UNIK PRABANDARI 21/06/1992
160 03002758394 KURNIA SARI 22/08/1980
161 08027705251 YOPI SUABEI 24/07/1975
162 16002757408 RENY SRI WAHYUNI 05/04/1999
163 16027706382 ANDI SUHANDI 15/02/1988
164 19027705885 SITA HERMAWANTI 06/03/1993
165 14002757285 FREDERICK MUHAMMAD TOENDAN 04/06/2004
166 08027705395 MAXSI NELSON AHOREN 31/03/1975
167 02002770411 RENI RACHMAWATI, S.PD 24/07/1986
168 14002757578 NUGRAHA NITI SUSANTI.T 02/05/1985
169 14027705195 INA BINTI AWUS BIN ADI 01/08/1986
170 14027705200 REDIE BIN SAIDI BIN MISRAN 15/10/1980
171 02027706940 SWI MARHATNANI ANGELIA SARI 31/03/1981
172 11002757364 I MADE BAYU ANDIKA 10/06/1982
173 11027706304 PRADHANA ADIMUKTI 28/08/1985
174 14002758078 RISNAWATIE, SH 08/09/1981
175 14027705923 UGUE 07/01/1982
176 08027704963 SEMUEL KAMBUAYA 04/09/1973
177 08027705718 AGUSTINA L. E. MAMPIOPER 31/07/1972
178 02002758048 M. SARI PRANANINGRUM 15/06/1969
179 02002759169 SUSILAWATI SARI 11/07/1962
180 02027705401 YOYOK SUBAGYO 03/04/1984
181 11002759616 INDAH PUSPASARI 12/03/1984
182 14002757359 DEWI KURNIATI, SE 16/12/1983
183 14027706748 RIO ARIZONA 21/07/1984
184 04002757411 HELMI PITOY 16/04/1985
185 03027706589 Dewi astuti 19/08/1993
186 08027706945 VITAROSA ENIKE MANOBY 27/03/1972
187 02002759649 LINDA SANTOSO 21/06/1985
188 15027706329 ILLEN SIMULYA 24/09/1986
189 14002758077 LILIWATI 02/06/1976
190 14027705933 IWI 21/09/1982
191 05002759209 MARULITUA MARPAUNG 07/03/1979
192 14027706449 WIKA 31/10/1997
193 14027706196 BUDI MANSYAH 06/09/1982
194 12027705451 RIJAL MUTTAQIEN FURQON 23/06/1999
195 11027706742 KARTIKA DWI YARMANTI 13/11/1978
196 11027706744 ALISA TRI WAHYUNI 13/08/1982
197 01002758321 SHOLIKHUL HUDA 15/07/1968
198 03027706602 SEPTIANI 26/09/2002
199 03027706812 NURUL HIDAYAH 03/08/1999
200 03027706814 RAMA KURNIAWAN 15/01/2003
201 11027706544 Romario Ryan Faria 27/01/1991
202 12027705722 NENI NURAINY 14/02/1973
203 12027706872 FOTUHO WARUWU 22/09/1973
204 14002758186 YAHYA B MAMUD 25/03/1975
205 19002758098 ZULKARNAIN 26/08/1976
206 21002758190 MARIA SRI WAHYUNI 31/05/1968
207 21002759431 LORENSIUS ENCI 13/11/1978
208 01027704864 STEFANI DYTIA CRISTANTI 07/04/1997
209 03027706716 RISMAN 04/06/1992
210 12002758449 YADI ARIFIN RASYID, SE 10/10/1969
211 14002757513 MUHAMMAD BARKATI 05/08/1975
212 15002758874 C. SANTY 31/12/1961
213 21027704599 MIYANA 04/06/1970
214 01002759276 PRAMUDYA TEGUH SUCIPTO 08/02/1976
215 03027706542 MULYADI 18/04/1987
216 04002759159 NURTINA UWE 27/08/1974
217 11027706601 NURAINI 15/11/1969
218 11027706816 MAMAN 19/12/1969
219 11027706831 HERLINA 21/04/1978
220 12027705442 YATI AISYAH BUDIARTI DAHLAN 19/06/1966
221 14002758463 IMELDA PERTIWI 07/05/1968
222 14002759653 HAJAR SUGIHANDOYO 12/09/1985
223 15027706896 HERMALINDA ILI LUDJI 18/01/1988
224 17027706251 WIDIA WANTI 02/10/1982
225 21002758227 SUHIMAH 29/08/1968
226 21027705461 SUMADI 16/08/1972
227 21027705485 SARBINI, S.SOS 22/08/1955
228 21027705488 DRA. JUBAROWATI 17/03/1956
229 21027706823 IFFAH INAYATI 26/09/1977
230 21027706868 WASIS PUJI MULYATI 08/05/1972
231 21027706955 SULASTRI 01/07/1954
232 21027706321 SAMBANIYAH 08/09/1978
233 03027704933 EGIK WIJAYA 27/11/1994
234 01002757281 SUJIWO PUTRANTO 13/09/1980
235 08027706549 ANTHON H. RUMBRUREN 27/08/1981
236 08027706824 CHRISTIANA AYELLO 15/05/1979
237 13027706675 HERNI KURNIATI 22/02/1978
238 08027706889 DULHAMIDIN FURU 21/11/1976
239 01027705348 FERRY WAWAN CAHYONO, S.PI, M.SI 11/02/1979
240 01002763381 IMAN TAUFIQ 22/05/1980
241 10002759510 DELFI ANDRI 30/12/1974
242 17027706853 WIJI TURIYAH 18/03/1983
RANGAN
X NAMA TERTANGGUNG TGL LAHIR
JENIS KELAMIN
PEMPOL (Tertanggung Utama) TERTANGGUNG
53 DUMMY P 13/09/1997
ANAK DUMMY P 01/07/2005
53 DEVY RIANANINGRUM P 13/09/1997
VANNY SAFITRI P 01/07/1996
WILLY HIDAYAT L 30/09/1983
RIDWAN SURYA PRATAMA L 21/06/1988
VEOLA ANGELICA NOBERT MESANG P 02/02/2005
PRADHANA ADIMUKTI P 28/08/1985
THESSALONICA TRIKASIH SANGLIMBO P 15/11/2004
H. MUHAMMAD RIFQIE AL FAHMIE L 07/02/1998
DHARMAWAN L 19/09/1987
WINDI FERYA MUSVITA P 10/02/2001
RIYAN WALDANI SUKMA L 06/03/2001
ERA MILLEANTO JAVIR L 17/03/2000
NURUL FAUZIAH FITRIASTUTI L 06/12/1987
NAZWAN AKHMAL SULAEMAN L 23/01/1999
RENI NURDEWI P 29/01/1977
RADITHIA PRATAMA PUTRA L 27/02/1987
MAURINE ATHALIA L 10/01/2003
LYDIA THERESIA BOLANG P 06/07/1998
HENI GUSTINI P 22/08/1983
WIJI TURIYAH P 18/03/1983
NITA ANGGRAINI P 21/03/1982
EUSY DIKTYANINGSIH L 08/12/1982
DEA RETNO PUTRI P 04/10/1997
I GEDE EKA SUKMA ARYAWAN L 05/12/1992
LEONARDO ADISTA PRATAMA L 28/07/1999
PRIEST DANIEL LIMAHELU L 27/11/1995
INSANI KARTINI GURNING P 21/04/1995
HELDU DINATA L 27/12/2005
KEVIN PARERA L 06/01/2000
IMAM SUDRAJAT GULTOM L 06/05/1994
LISHA LARASHATY, SE P 07/06/1994
OSKY NOVITA RIZKY SIMANUNGKALIT P 23/06/1994
ANGGA DIKMA KUSUMA L 15/11/1979
ERWIN PERMANA L 19/11/1984
SYAHRIL P 17/08/2003
ALDEN WINAREN PUTRA L 24/09/2003
R. FEANNY VERONICA P 08/02/1970
ANDYKA WAHYU NUGROHO L 13/03/1993
FELICIA INDRIANI BUNAWAN P 31/05/1993
ANGGI SILVANA DEWI P 11/08/1993
GILBERT AURELIO LUNDJO L 14/07/2002
WEILLEN ANGEL KURNIADI P 03/11/2002
MUHAMMAD RIZQI ALEMTA L 15/02/2004
WELLY RINDI, S.T., S.E., M.T. L 02/04/1978
NUR FUAT L 19/10/1978
RACHMAT ADILAH P 12/08/1978
RONY FERDINAND PANGGABEAN L 24/11/1988
LUDINAR GURNING P 10/08/1992
YOLVINA IJIE P 29/01/1992
YULLIANTO L 27/07/1992
MUSLIM L 04/02/1982
PRANOTO DJATI L 29/01/1977
SRI ASRINGTYA S.IP P 29/09/1977
SETIAWAN BUDI HASTAMA L 20/06/1991
AMELIA NOOR SATWIKA P 14/10/1991
MUHAMMAD HARIS L 11/11/1991
MENASE YUMAME L 31/05/1999
YUYUN YUNIARTI P 29/05/2002
EVERT CHRISTIAN P 21/11/1991
ANDIKA P 21/08/2000
ANANG PRAYITNO L 12/09/1969
MUH ALIFUDIN AL JUNDI L 05/03/1999
TYSON ADHY PAMUNGKAS L 30/04/1990
TRISNA TYAS NUGRAHENI P 24/08/1990
M. RIKO SAPUTRA SINURAT L 11/10/1990
SUBAEBASNI, SE L 16/12/1962
ISMAEL IBRAHIM WATORA L 28/08/1986
BERTHA NOVITA GEFILEM P 27/11/1986
ANDRI WAHYUDIN P 14/05/1984
KASTA GURNING, M.SC, M.PD. P 11/07/1989
FIAN ALFIAN L 16/04/1989
MUKTI ALI SIDIK L 19/09/1995
DZAMAR HAMDA YUDATAMA L 24/10/1999
FAJAR BAHARIANSYAH PRAKOSO L 03/07/1998
BASUKI RACHMAD L 17/04/1971
ENI HARYATI P 14/10/1988
RAFDEN SIHOMBING L 17/04/1988
AKMARI L 04/08/1988
ALBERTUS DEVI MUNANDAR P 09/05/1982
BENYAMIN BOB HUMOSITO PANJAITAN L 22/07/1974
ROBERTUS AGUNG PRASETYA L 18/06/1969
MALIA HABI P 13/10/1990
SHINTA PRILIANITA WARDANI P 27/03/1998
DINA KUSUMADEWI P 24/10/1997
SUHARMAN L 24/01/1998
WIKA P 31/10/1997
JEMMY TANSAH L 10/06/1976
DESI PURWANTINAH P 31/12/1975
REKCY RENDY DE ROZARI L 08/12/1986
VICTOR NUSSY P 05/11/1986
CHARLES L 06/03/1986
YOVITA AMANDA P 28/03/1986
INSANA P 24/03/1986
TEDDY KURNIAWAN L 06/10/1986
TIARA AFRIANTI P 04/04/1986
TANIA SARWO P 01/03/2006
SARI SUKMAWATI P 09/03/1985
YEUSY GENIPANGARI L 10/05/1985
SYAMSUL ANWAR L 28/03/1985
MUCHAMAD SUMEDI L 17/12/1965
EYET RUSMIATI P 07/08/1970
MAFUZIN L 02/03/1983
RINTA BELLA WULANSARI P 21/12/1998
REZA HOA L 04/08/1995
GLORIA MARCELLA TEWUH P 21/08/1995
JOJO L 12/09/1994
TIMBUL AMAN SIMORANGKIR L 29/05/1994
HANISAH AMALIA P 03/06/1999
FAKHRUR RAZI ANDI PRASETYA L 12/11/1994
KIVANA ROYNALDI YUSTANTO L 06/06/2001
NELCE NUHAM P 13/09/1986
VERANITA SOEGIARTO L 30/04/1994
HERI SETYAWAN L 25/06/1992
YENI LYANA L 01/12/1993
HOLISA PITRI P 29/09/1999
ANDI MUH ANUGRAH EGI FEBRIAN L 24/02/1997
RIANTO P 02/02/1992
RYAN JANY L 15/06/1992
MULANA INDRA MORA HASIBUAN P 25/09/1982
REZA MOHAMMAD SADDAD L 30/03/1997
ABDUL RAHMAN KUNTA L 07/04/1995
HILMI ARYA DZAKA P 14/12/1998
MARIA SETYO AYUNINGTYAS P 11/01/1992
FARIDA ISWA MIRDA P 28/12/1991
SADI TOWANSIBA L 15/12/1985
NIKEN OKTORA P 12/10/1990
PIUS MOTOMBRIE L 29/07/1983
BABY YULITHA ANTHONETHA P 13/07/1990
BABY YULITHA ANTHONETHA P 13/07/1990
ARLINCE PAULINA OSOK P 18/02/1982
DR. HJ. SARI MARLIANA, S.HUT, M.SI L 13/02/1981
ANTONIUS ARDIAN PRASETYO P 10/01/2001
YUMNA WIRATMAJA L 22/06/2000
KEN BUDI SAMPURNO L 06/05/2002
FAIZ ELFAHAD KURNIAWAN L 05/07/2005
NUR ASYIKIN P 28/10/1999
IRWAN KRISWANTO L 16/06/1988
ALDI ERISTAN L 12/06/1988
NURHAYATI P 05/08/1995
WENAND WERIPANG L 05/11/1981
ARI KURNIASIH P 03/09/1983
YURI DARTATI, S. KEP P 04/07/1989
HENNY DIANA P 10/05/1977
MAYA ROSSI NADAPDAP P 16/09/1987
IMA P 01/10/1988
FEBRYAN RAMADANY L 14/02/1996
ROBERT MORIN L 20/05/1977
MELANIE ANGGRAINI, SH, MH P 08/04/1986
ASMI OKTAVIA P 04/10/1987
ADHITYA ATMAJA HADIPROJO L 06/06/1991
LUKMAN KASOP L 13/02/1977
YAFET VALENTHINUS WAINARISI L 12/12/1977
AYUNITA MAYASARI P 02/12/1992
MARYAM LIHAWA P 29/11/1988
HERY RUMBIN L 28/11/1976
INDAH ARNI P 28/03/1989
ASTERIA UNIK PRABANDARI P 21/06/1992
RIFKY ARDHITIKA P 23/06/1979
YOPI SUABEI L 24/07/1975
RENY SRI WAHYUNI P 05/04/1999
ANDI SUHANDI L 15/02/1988
SITA HERMAWANTI P 06/03/1993
FREDERICK MUHAMMAD TOENDAN L 04/06/2004
MAXSI NELSON AHOREN L 31/03/1975
RENI RACHMAWATI, S.PD P 24/07/1986
NUGRAHA NITI SUSANTI.T P 02/05/1985
INA BINTI AWUS BIN ADI P 01/08/1986
REDIE BIN SAIDI BIN MISRAN L 15/10/1980
SWI MARHATNANI ANGELIA SARI P 31/03/1981
NONI AGUSTINA L 18/08/1984
PRADHANA ADIMUKTI L 28/08/1985
RISNAWATIE, SH P 08/09/1981
UGUE L 07/01/1982
SEMUEL KAMBUAYA L 04/09/1973
AGUSTINA L. E. MAMPIOPER P 31/07/1972
M. SARI PRANANINGRUM P 15/06/1969
DIMAS AGUNG ANGGA DWI PUTRA P 21/03/1990
YOYOK SUBAGYO L 03/04/1984
INDAH PUSPASARI P 12/03/1984
DEWI KURNIATI, SE P 16/12/1983
RIO ARIZONA L 21/07/1984
HELMI PITOY P 16/04/1985
DEWI ASTUTI P 19/08/1993
VITAROSA ENIKE MANOBY P 27/03/1972
LINDA SANTOSO P 21/06/1985
ILLEN SIMULYA P 24/09/1986
LILIWATI P 02/06/1976
M. IGUT P 28/07/1977
MARULITUA MARPAUNG L 07/03/1979
MASRI P 10/08/1983
BUDI MANSYAH L 06/09/1982
RIJAL MUTTAQIEN FURQON L 23/06/1999
KARTIKA DWI YARMANTI P 13/11/1978
ALISA TRI WAHYUNI P 13/08/1982
SHOLIKHUL HUDA L 15/07/1968
SEPTIANI P 26/09/2002
NURUL HIDAYAH P 03/08/1999
RAMA KURNIAWAN L 15/01/2003
ROMARIO RYAN FARIA L 27/01/1991
NENI NURAINY P 14/02/1973
FOTUHO WARUWU L 22/09/1973
ANGRA PRIYA KENNARD Y.B.M L 30/10/2003
ZULKARNAIN L 26/08/1976
MARIA SRI WAHYUNI P 31/05/1968
LORENSIUS ENCI L 13/11/1978
STEFANI DYTIA CRISTANTI P 07/04/1997
RISMAN L 04/06/1992
YADI ARIFIN RASYID, SE L 10/10/1969
MUHAMMAD BARKATI L 05/08/1975
C. SANTY P 31/12/1961
MIYANA L 04/06/1970
PRAMUDYA TEGUH SUCIPTO L 08/02/1976
MULYADI L 18/04/1987
NURTINA UWE P 27/08/1974
NURAINI P 15/11/1969
MAMAN L 19/12/1969
HERLINA P 21/04/1978
YATI AISYAH BUDIARTI DAHLAN P 19/06/1966
IMELDA PERTIWI P 07/05/1968
HAJAR SUGIHANDOYO L 12/09/1985
HERMALINDA ILI LUDJI P 18/01/1988
RANTI P 03/03/1965
SUHIMAH P 29/08/1968
SUHARTATI L 25/07/1976
GANJAR SATRIO S.SN L 06/03/1994
INDRI RAHMAWATI, ST M.SC P 07/05/1989
IFFAH INAYATI P 26/09/1977
WASIS PUJI MULYATI P 08/05/1972
SRI SULASTRI P 25/01/1984
SAMBANIYAH P 08/09/1978
EGIK WIJAYA L 27/11/1994
SUJIWO PUTRANTO L 13/09/1980
ANTHON H. RUMBRUREN L 27/08/1981
CHRISTIANA AYELLO P 15/05/1979
HERNI KURNIATI P 22/02/1978
DULHAMIDIN FURU L 21/11/1976
FERRY WAWAN CAHYONO, S.PI, M.SI L 11/02/1979
IMAN TAUFIQ L 22/05/1980
JYOTI ANANDA DENI L 26/11/2012
ABDUL RAJAMIN HSB P 31/05/2009
Tertanggun
X Pempol
g
KODE
MULAS N AKHAS
PRODUK
s.u 24 s.u 65
TERTANGGUNG
Tahun tahun
25 19/01/2023 74 74 74 19/01/2097 JL4BLN

17 11/01/2023 55 55 55 11/01/2096 JL4BLN
25 19/01/2023 74 74 74 19/01/2097 JL4BLN
27 11/01/2023 73 11/01/2096 JL4BLN
39 09/12/2022 60 09/12/2082 JL4BLN
34 09/12/2022 65 09/12/2087 JL4BLN
18 21/12/2022 82 21/12/2104 JL4BLN
38 06/03/2023 62 06/03/2085 JL4BLN
18 28/02/2023 81 29/02/2104 JL4BLN
25 20/12/2022 75 20/12/2097 JL4BLN
35 28/12/2022 64 28/12/2086 JL4BLN
22 17/02/2023 77 17/02/2100 JL4BLN
22 13/03/2023 77 13/03/2100 JL4BLN
23 12/03/2023 77 12/03/2100 JL4BLN
35 14/12/2022 65 14/12/2087 JL4BLN
24 03/12/2022 76 03/12/2098 JL4BLN
46 30/12/2022 54 30/12/2076 JL4BLN
36 27/01/2023 64 27/01/2087 JL4BLN
20 13/01/2023 79 13/01/2102 JL4BLN
24 30/12/2022 75 30/12/2097 JL4BLN
40 11/03/2023 60 11/03/2083 JL4BLN
40 07/03/2023 60 07/03/2083 JL4BLN
41 31/01/2023 59 31/01/2082 JL4BLN
40 06/03/2023 59 06/03/2082 JL4BLN
25 10/02/2023 74 10/02/2097 JL4BLN
30 10/03/2023 69 10/03/2092 JL4BLN
24 24/02/2023 76 24/02/2099 JL4BLN
27 19/12/2022 72 19/12/2094 JL4BLN
28 21/12/2022 72 21/12/2094 JL4BLN
17 11/01/2023 82 11/01/2105 JL4BLN
23 26/01/2023 76 26/01/2099 JL4BLN
29 27/02/2023 71 27/02/2094 JL4BLN
29 13/03/2023 71 13/03/2094 JL4BLN
29 28/02/2023 71 28/02/2094 JL4BLN
43 03/03/2023 56 03/03/2079 JL4BLN
38 22/02/2023 61 22/02/2084 JL4BLN
19 04/01/2023 80 04/01/2103 JL4BLN
19 28/02/2023 80 28/02/2103 JL4BLN
53 14/02/2023 46 14/02/2069 JL4BLN
30 13/12/2022 70 13/12/2092 JL4BLN
30 25/02/2023 70 25/02/2093 JL4BLN
29 14/12/2022 70 14/12/2092 JL4BLN
20 16/12/2022 79 16/12/2101 JL4BLN
20 09/02/2023 79 09/02/2102 JL4BLN
19 27/02/2023 80 27/02/2103 JL4BLN
45 11/01/2023 55 11/01/2078 JL4BLN
44 08/03/2023 55 08/03/2078 JL4BLN
44 27/01/2023 55 27/01/2078 JL4BLN
34 29/12/2022 65 29/12/2087 JL4BLN
30 23/12/2022 69 23/12/2091 JL4BLN
31 26/01/2023 69 26/01/2092 JL4BLN
30 17/12/2022 69 17/12/2091 JL4BLN
41 07/12/2022 59 07/12/2081 JL4BLN
46 20/12/2022 54 20/12/2076 JL4BLN
45 08/03/2023 54 08/03/2077 JL4BLN
32 09/02/2023 68 09/02/2091 JL4BLN
31 28/02/2023 68 28/02/2091 JL4BLN
31 28/02/2023 68 28/02/2091 JL4BLN
24 31/12/2022 76 31/12/2098 JL4BLN
21 08/12/2022 79 08/12/2101 JL4BLN
31 27/02/2023 68 27/02/2091 JL4BLN
22 05/01/2023 77 05/01/2100 JL4BLN
53 19/01/2023 46 19/01/2069 JL4BLN
24 16/01/2023 76 16/01/2099 JL4BLN
33 20/12/2022 67 20/12/2089 JL4BLN
32 31/01/2023 67 31/01/2090 JL4BLN
32 15/12/2022 67 15/12/2089 JL4BLN
60 22/12/2022 39 22/12/2061 JL4BLN
36 18/02/2023 63 18/02/2086 JL4BLN
36 20/02/2023 63 20/02/2086 JL4BLN
39 29/12/2022 61 29/12/2083 JL4BLN
34 27/01/2023 66 27/01/2089 JL4BLN
34 23/02/2023 66 23/02/2089 JL4BLN
27 29/07/2022 73 29/07/2095 JL4BLN
23 27/02/2023 76 27/02/2099 JL4BLN
24 30/12/2022 75 30/12/2097 JL4BLN
52 10/02/2023 48 10/02/2071 JL4BLN
34 27/02/2023 65 27/02/2088 JL4BLN
35 21/02/2023 65 21/02/2088 JL4BLN
34 03/12/2022 65 03/12/2087 JL4BLN
41 27/01/2023 59 27/01/2082 JL4BLN
48 19/12/2022 51 19/12/2073 JL4BLN
54 31/12/2022 46 31/12/2068 JL4BLN
32 26/01/2023 67 26/01/2090 JL4BLN
25 06/02/2023 75 06/02/2098 JL4BLN
25 22/02/2023 74 22/02/2097 JL4BLN
25 28/02/2023 74 28/02/2097 JL4BLN
25 12/01/2023 74 12/01/2097 JL4BLN
47 29/12/2022 53 29/12/2075 JL4BLN
47 13/01/2023 52 13/01/2075 JL4BLN
36 21/12/2022 63 21/12/2085 JL4BLN
36 07/03/2023 63 07/03/2086 JL4BLN
37 16/12/2022 63 16/12/2085 JL4BLN
37 16/02/2023 63 16/02/2086 JL4BLN
37 02/12/2022 63 02/12/2085 JL4BLN
36 28/02/2023 63 28/02/2086 JL4BLN
37 23/12/2022 63 23/12/2085 JL4BLN
17 08/09/2022 83 08/09/2105 JL4BLN
38 10/12/2022 62 10/12/2084 JL4BLN
38 15/02/2023 62 15/02/2085 JL4BLN
38 02/12/2022 62 02/12/2084 JL4BLN
57 11/08/2022 43 11/08/2065 JL4BLN
52 20/01/2023 47 20/01/2070 JL4BLN
39 12/01/2022 61 12/01/2083 JL4BLN
23 03/01/2022 76 03/01/2098 JL4BLN
27 30/06/2022 73 30/06/2095 JL4BLN
28 28/02/2023 72 28/02/2095 JL4BLN
27 01/03/2022 72 01/03/2094 JL4BLN
29 28/12/2022 71 28/12/2093 JL4BLN
23 30/03/2022 77 30/03/2099 JL4BLN
27 05/04/2022 72 05/04/2094 JL4BLN
21 30/03/2022 79 30/03/2101 JL4BLN
36 30/12/2022 63 30/12/2085 JL4BLN
28 04/03/2022 72 04/03/2094 JL4BLN
30 15/03/2022 70 15/03/2092 JL4BLN
28 01/03/2022 71 01/03/2093 JL4BLN
23 26/02/2023 76 26/02/2099 JL4BLN
26 27/02/2023 74 27/02/2097 JL4BLN
31 16/12/2022 69 16/12/2091 JL4BLN
31 24/01/2023 69 24/01/2092 JL4BLN
40 07/03/2023 59 07/03/2082 JL4BLN
25 18/03/2022 75 18/03/2097 JL4BLN
28 28/12/2022 72 28/12/2094 JL4BLN
23 13/04/2022 76 13/04/2098 JL4BLN
31 15/02/2023 68 15/02/2091 JL4BLN
31 22/02/2023 68 22/02/2091 JL4BLN
37 02/03/2023 62 02/03/2085 JL4BLN
32 27/02/2023 67 27/02/2090 JL4BLN
39 19/12/2022 60 19/12/2082 JL4BLN
32 15/12/2022 67 15/12/2089 JL4BLN
32 15/12/2022 67 15/12/2089 JL4BLN
41 31/12/2022 59 31/12/2081 JL4BLN
42 29/12/2022 58 29/12/2080 JL4BLN
21 30/06/2022 78 30/06/2100 JL4BLN
23 23/02/2023 77 23/02/2100 JL4BLN
21 09/03/2023 79 09/03/2102 JL4BLN
18 13/03/2023 82 13/03/2105 JL4BLN
22 13/04/2022 77 13/04/2099 JL4BLN
34 14/04/2022 66 14/04/2088 JL4BLN
35 15/02/2023 65 15/02/2088 JL4BLN
27 10/03/2022 73 10/03/2095 JL4BLN
41 21/12/2022 58 21/12/2080 JL4BLN
39 02/03/2023 60 02/03/2083 JL4BLN
33 24/01/2022 67 24/01/2089 JL4BLN
46 09/02/2023 54 09/02/2077 JL4BLN
35 23/06/2022 65 23/06/2087 JL4BLN
34 03/01/2023 65 03/01/2088 JL4BLN
27 27/02/2023 72 27/02/2095 JL4BLN
46 30/12/2022 54 30/12/2076 JL4BLN
36 21/01/2022 64 21/01/2086 JL4BLN
35 16/02/2023 64 16/02/2087 JL4BLN
31 30/06/2022 68 30/06/2090 JL4BLN
46 28/12/2022 54 28/12/2076 JL4BLN
45 10/03/2023 54 10/03/2077 JL4BLN
30 10/06/2022 70 10/06/2092 JL4BLN
33 20/01/2022 66 20/01/2088 JL4BLN
46 31/12/2022 53 31/12/2075 JL4BLN
33 20/01/2022 67 20/01/2089 JL4BLN
31 30/12/2022 69 30/12/2091 JL4BLN
43 25/04/2022 57 25/04/2079 JL4BLN
47 21/12/2022 52 21/12/2074 JL4BLN
23 20/01/2022 77 20/01/2099 JL4BLN
35 31/01/2023 65 31/01/2088 JL4BLN
30 31/12/2022 70 31/12/2092 JL4BLN
18 03/01/2022 82 03/01/2104 JL4BLN
48 26/12/2022 52 26/12/2074 JL4BLN
36 02/12/2022 63 02/12/2085 JL4BLN
37 03/02/2022 63 03/02/2085 JL4BLN
36 20/12/2022 63 20/12/2085 JL4BLN
42 20/12/2022 57 20/12/2079 JL4BLN
42 09/03/2023 58 09/03/2081 JL4BLN
37 14/01/2022 62 14/01/2084 JL4BLN
37 31/01/2023 62 31/01/2085 JL4BLN
40 08/03/2022 59 08/03/2081 JL4BLN
41 03/01/2023 59 03/01/2082 JL4BLN
49 19/12/2022 50 19/12/2072 JL4BLN
50 30/12/2022 49 30/12/2071 JL4BLN
53 09/03/2022 47 09/03/2069 JL4BLN
32 10/06/2022 67 10/06/2089 JL4BLN
39 27/12/2022 61 27/12/2083 JL4BLN
38 16/06/2022 61 16/06/2083 JL4BLN
38 13/01/2022 61 13/01/2083 JL4BLN
39 23/02/2023 61 23/02/2084 JL4BLN
37 20/01/2022 63 20/01/2085 JL4BLN
29 15/02/2023 70 15/02/2093 JL4BLN
51 08/03/2023 49 08/03/2072 JL4BLN
37 20/06/2022 63 20/06/2085 JL4BLN
36 31/01/2023 63 31/01/2086 JL4BLN
46 08/03/2022 54 08/03/2076 JL4BLN
45 04/01/2023 54 04/01/2077 JL4BLN
43 30/05/2022 56 30/05/2078 JL4BLN
39 01/02/2023 60 01/02/2083 JL4BLN
40 25/01/2023 59 25/01/2082 JL4BLN
24 28/12/2022 76 28/12/2098 JL4BLN
44 25/02/2023 55 25/02/2078 JL4BLN
41 25/02/2023 59 25/02/2082 JL4BLN
54 04/04/2022 46 04/04/2068 JL4BLN
20 19/02/2023 79 19/02/2102 JL4BLN
24 27/02/2023 76 27/02/2099 JL4BLN
20 28/02/2023 79 28/02/2102 JL4BLN
32 10/02/2023 67 10/02/2090 JL4BLN
50 03/01/2023 50 03/01/2073 JL4BLN
49 28/02/2023 50 28/02/2073 JL4BLN
18 22/03/2022 81 22/03/2103 JL4BLN
46 09/03/2022 54 09/03/2076 JL4BLN
54 23/03/2022 46 23/03/2068 JL4BLN
44 20/06/2022 56 20/06/2078 JL4BLN
26 14/12/2022 74 14/12/2096 JL4BLN
31 22/02/2023 69 22/02/2092 JL4BLN
53 15/04/2022 47 15/04/2069 JL4BLN
46 28/01/2022 53 28/01/2075 JL4BLN
60 23/05/2022 39 23/05/2061 JL4BLN
53 08/12/2022 47 08/12/2069 JL4BLN
46 11/06/2022 53 11/06/2075 JL4BLN
36 12/02/2023 64 12/02/2087 JL4BLN
48 28/05/2022 52 28/05/2074 JL4BLN
53 15/02/2023 46 15/02/2069 JL4BLN
53 27/02/2023 46 27/02/2069 JL4BLN
45 28/02/2023 55 28/02/2078 JL4BLN
57 28/12/2022 43 28/12/2065 JL4BLN
54 18/04/2022 46 18/04/2068 JL4BLN
37 22/06/2022 63 22/06/2085 JL4BLN
35 02/03/2023 64 02/03/2087 JL4BLN
58 27/01/2023 42 27/01/2065 JL4BLN
54 01/04/2022 46 01/04/2068 JL4BLN
46 28/12/2022 53 28/12/2075 JL4BLN
29 29/12/2022 71 29/12/2093 JL4BLN
34 29/12/2022 66 29/12/2088 JL4BLN
45 28/02/2023 54 28/02/2077 JL4BLN
51 28/02/2023 49 29/02/2072 JL4BLN
39 09/03/2023 60 09/03/2083 JL4BLN
44 31/01/2023 55 31/01/2078 JL4BLN
28 14/12/2022 71 14/12/2093 JL4BLN
41 05/01/2022 58 05/01/2080 JL4BLN
41 13/02/2023 58 13/02/2081 JL4BLN
44 28/02/2023 56 28/02/2079 JL4BLN
45 20/02/2023 55 20/02/2078 JL4BLN
46 07/03/2023 53 07/03/2076 JL4BLN
44 04/01/2023 56 04/01/2079 JL4BLN
42 08/09/2022 57 08/09/2079 JL4BLN
10 13/06/2022 90 13/06/2112 JL4BLN
14 28/02/2023 86 28/02/2109 JL4BLN
PREMI CARA BAYAR
NAMA PRODUK M/N
ASURANSI PREMI ASURANSI
IFG LIFE PRIME PROTECTION N 1,000,000.00 BULANAN

IFG LIFE PRIME PROTECTION N 20,000,000.00 TAHUNAN
IFG LIFE PRIME PROTECTION N 500,000.00 BULANAN
IFG LIFE PRIME PROTECTION N 3,000,000.00 KUARTALAN
IFG LIFE PRIME PROTECTION N 6,000,000.00 SEMESTERAN
IFG LIFE PRIME PROTECTION M 3,000,000.00 SEMESTERAN
IFG LIFE PRIME PROTECTION M 500,000.00 BULANAN
IFG LIFE PRIME PROTECTION M 6,000,000.00 TAHUNAN
IFG LIFE PRIME PROTECTION M 700,000.00 BULANAN
JUA MAIN JRA AWAL MAIN
PRODUK PRODUK
TERM ADB (PA)
1,881,000,000.00 1,881,000,000.00 100,000,000.00 600,000,000.00

600,000,000.00 600,000,000.00 100,000,000.00 100,000,000.00
1,881,000,000.00 1,881,000,000.00 - -
1,793,000,000.00 1,793,000,000.00 - -
1,712,000,000.00 1,712,000,000.00 - -
1,515,000,000.00 1,515,000,000.00 - -
1,320,000,000.00 1,320,000,000.00 - -
1,269,000,000.00 1,269,000,000.00 - -
1,260,000,000.00 1,260,000,000.00 - -
1,178,000,000.00 1,178,000,000.00 - -
1,130,000,000.00 1,130,000,000.00 - -
1,068,000,000.00 1,068,000,000.00 - -
1,068,000,000.00 1,068,000,000.00 - -
1,068,000,000.00 1,068,000,000.00 - -
1,059,000,000.00 1,059,000,000.00 - -
1,025,000,000.00 1,025,000,000.00 - -
1,006,000,000.00 1,006,000,000.00 - -
1,000,000,000.00 1,000,000,000.00 - -
1,000,000,000.00 1,000,000,000.00 - -
978,000,000.00 978,000,000.00 - -
975,000,000.00 975,000,000.00 - -
975,000,000.00 975,000,000.00 - -
945,000,000.00 945,000,000.00 - -
945,000,000.00 945,000,000.00 - -
940,000,000.00 940,000,000.00 - -
938,000,000.00 938,000,000.00 - 938,000,000.00
884,000,000.00 884,000,000.00 - 884,000,000.00
848,000,000.00 848,000,000.00 - -
848,000,000.00 848,000,000.00 - -
838,000,000.00 838,000,000.00 - -
813,000,000.00 813,000,000.00 - -
805,000,000.00 805,000,000.00 - -
805,000,000.00 805,000,000.00 - -
805,000,000.00 805,000,000.00 - -
790,000,000.00 790,000,000.00 - -
785,000,000.00 785,000,000.00 - -
785,000,000.00 785,000,000.00 - -
785,000,000.00 785,000,000.00 - -
774,000,000.00 774,000,000.00 - -
761,000,000.00 761,000,000.00 - -
761,000,000.00 761,000,000.00 - -
761,000,000.00 761,000,000.00 - -
754,000,000.00 754,000,000.00 - -
754,000,000.00 754,000,000.00 - -
754,000,000.00 754,000,000.00 - -
742,000,000.00 742,000,000.00 - -
742,000,000.00 742,000,000.00 - -
742,000,000.00 742,000,000.00 - -
731,000,000.00 731,000,000.00 - -
720,000,000.00 720,000,000.00 - -
720,000,000.00 720,000,000.00 - -
720,000,000.00 720,000,000.00 - -
705,000,000.00 705,000,000.00 - -
698,000,000.00 698,000,000.00 - -
698,000,000.00 698,000,000.00 - -
691,000,000.00 691,000,000.00 - -
691,000,000.00 691,000,000.00 - -
691,000,000.00 691,000,000.00 - -
689,000,000.00 689,000,000.00 - -
685,000,000.00 685,000,000.00 - 685,000,000.00
683,000,000.00 683,000,000.00 - -
671,000,000.00 671,000,000.00 - -
657,000,000.00 657,000,000.00 - -
656,000,000.00 656,000,000.00 - -
652,000,000.00 652,000,000.00 - -
652,000,000.00 652,000,000.00 - -
652,000,000.00 652,000,000.00 - -
650,000,000.00 650,000,000.00 - -
629,000,000.00 629,000,000.00 - 629,000,000.00
629,000,000.00 629,000,000.00 - 629,000,000.00
624,000,000.00 624,000,000.00 - -
620,000,000.00 620,000,000.00 - -
620,000,000.00 620,000,000.00 - -
601,000,000.00 601,000,000.00 - -
599,000,000.00 599,000,000.00 - -
590,000,000.00 590,000,000.00 - -
587,000,000.00 587,000,000.00 - -
586,000,000.00 586,000,000.00 - -
586,000,000.00 586,000,000.00 - -
586,000,000.00 586,000,000.00 - -
586,000,000.00 586,000,000.00 - -
581,000,000.00 581,000,000.00 - -
573,000,000.00 573,000,000.00 - -
557,000,000.00 557,000,000.00 - 557,000,000.00
556,000,000.00 556,000,000.00 - -
547,000,000.00 547,000,000.00 - -
547,000,000.00 547,000,000.00 - -
547,000,000.00 547,000,000.00 - -
545,000,000.00 545,000,000.00 - 545,000,000.00
537,000,000.00 537,000,000.00 - 537,000,000.00
530,000,000.00 530,000,000.00 - -
530,000,000.00 530,000,000.00 - -
530,000,000.00 530,000,000.00 - -
530,000,000.00 530,000,000.00 - -
530,000,000.00 530,000,000.00 - -
530,000,000.00 530,000,000.00 - -
530,000,000.00 530,000,000.00 - -
529,000,000.00 529,000,000.00 - -
513,000,000.00 513,000,000.00 - -
513,000,000.00 513,000,000.00 - -
513,000,000.00 513,000,000.00 - -
510,000,000.00 510,000,000.00 - -
504,000,000.00 504,000,000.00 - 504,000,000.00
409,000,000.00 409,000,000.00 - -
314,000,000.00 314,000,000.00 - 314,000,000.00
474,000,000.00 474,000,000.00 - -
473,000,000.00 473,000,000.00 - -
473,000,000.00 473,000,000.00 - -
448,000,000.00 448,000,000.00 - -
439,000,000.00 439,000,000.00 - -
438,000,000.00 438,000,000.00 - -
430,000,000.00 430,000,000.00 - -
426,000,000.00 426,000,000.00 - 426,000,000.00
425,000,000.00 425,000,000.00 - -
423,000,000.00 423,000,000.00 - -
416,000,000.00 416,000,000.00 - -
411,000,000.00 411,000,000.00 - -
411,000,000.00 411,000,000.00 - 411,000,000.00
398,000,000.00 398,000,000.00 - -
398,000,000.00 398,000,000.00 - -
389,000,000.00 389,000,000.00 - -
387,000,000.00 387,000,000.00 - -
383,000,000.00 383,000,000.00 - 383,000,000.00
378,000,000.00 378,000,000.00 - 378,000,000.00
377,000,000.00 377,000,000.00 - -
377,000,000.00 377,000,000.00 - -
376,000,000.00 376,000,000.00 - -
351,000,000.00 351,000,000.00 - -
351,000,000.00 351,000,000.00 - 351,000,000.00
351,000,000.00 351,000,000.00 - -
351,000,000.00 351,000,000.00 - -
335,000,000.00 335,000,000.00 - 335,000,000.00
335,000,000.00 335,000,000.00 - -
333,000,000.00 333,000,000.00 - -
333,000,000.00 333,000,000.00 - -
333,000,000.00 333,000,000.00 - -
333,000,000.00 333,000,000.00 - -
333,000,000.00 333,000,000.00 - -
326,000,000.00 326,000,000.00 - -
325,000,000.00 325,000,000.00 - -
322,000,000.00 322,000,000.00 - -
321,000,000.00 321,000,000.00 - 321,000,000.00
313,000,000.00 313,000,000.00 - -
311,000,000.00 311,000,000.00 - -
304,000,000.00 304,000,000.00 - -
300,000,000.00 300,000,000.00 - -
300,000,000.00 300,000,000.00 - -
281,000,000.00 281,000,000.00 - -
281,000,000.00 281,000,000.00 - 281,000,000.00
278,000,000.00 278,000,000.00 - -
278,000,000.00 278,000,000.00 - -
277,000,000.00 277,000,000.00 - -
277,000,000.00 277,000,000.00 - 277,000,000.00
277,000,000.00 277,000,000.00 - 277,000,000.00
272,000,000.00 272,000,000.00 - -
272,000,000.00 272,000,000.00 - 272,000,000.00
266,000,000.00 266,000,000.00 - 266,000,000.00
266,000,000.00 266,000,000.00 - -
264,000,000.00 264,000,000.00 - -
260,000,000.00 260,000,000.00 - -
259,000,000.00 259,000,000.00 - 259,000,000.00
259,000,000.00 259,000,000.00 - -
259,000,000.00 259,000,000.00 - -
259,000,000.00 259,000,000.00 - -
257,000,000.00 257,000,000.00 - -
256,000,000.00 256,000,000.00 - 256,000,000.00
254,000,000.00 254,000,000.00 - -
254,000,000.00 254,000,000.00 - -
254,000,000.00 254,000,000.00 - -
246,000,000.00 246,000,000.00 - -
240,000,000.00 240,000,000.00 - -
237,000,000.00 237,000,000.00 - -
237,000,000.00 237,000,000.00 - -
233,000,000.00 233,000,000.00 - -
233,000,000.00 233,000,000.00 - -
232,000,000.00 232,000,000.00 - 232,000,000.00
232,000,000.00 232,000,000.00 - -
230,000,000.00 230,000,000.00 - -
228,000,000.00 228,000,000.00 - -
221,000,000.00 221,000,000.00 - -
221,000,000.00 221,000,000.00 - -
221,000,000.00 221,000,000.00 - -
221,000,000.00 221,000,000.00 - -
217,000,000.00 217,000,000.00 - 217,000,000.00
216,000,000.00 216,000,000.00 - -
214,000,000.00 214,000,000.00 - -
213,000,000.00 213,000,000.00 - -
213,000,000.00 213,000,000.00 - -
211,000,000.00 211,000,000.00 - -
211,000,000.00 211,000,000.00 - -
207,000,000.00 207,000,000.00 - -
204,000,000.00 204,000,000.00 - -
202,000,000.00 202,000,000.00 - -
300,000,000.00 300,000,000.00 - -
188,000,000.00 188,000,000.00 - -
215,000,000.00 215,000,000.00 - -
89,000,000.00 89,000,000.00 - -
315,000,000.00 315,000,000.00 - -
382,000,000.00 382,000,000.00 - 382,000,000.00
409,000,000.00 409,000,000.00 - -
263,000,000.00 263,000,000.00 - -
265,000,000.00 265,000,000.00 - -
54,000,000.00 54,000,000.00 - -
500,000,000.00 500,000,000.00 - -
156,000,000.00 156,000,000.00 - -
65,000,000.00 65,000,000.00 - -
97,000,000.00 97,000,000.00 - -
197,000,000.00 197,000,000.00 - -
205,000,000.00 205,000,000.00 - -
72,000,000.00 72,000,000.00 - -
114,000,000.00 114,000,000.00 - -
58,000,000.00 58,000,000.00 - -
62,000,000.00 62,000,000.00 - -
68,000,000.00 68,000,000.00 - 68,000,000.00
161,000,000.00 161,000,000.00 - -
112,000,000.00 112,000,000.00 - -
69,000,000.00 69,000,000.00 - -
102,000,000.00 102,000,000.00 - -
125,000,000.00 125,000,000.00 - -
47,000,000.00 47,000,000.00 - -
69,000,000.00 69,000,000.00 - -
139,000,000.00 139,000,000.00 - -
252,000,000.00 252,000,000.00 - -
78,000,000.00 78,000,000.00 - -
60,000,000.00 60,000,000.00 - -
91,000,000.00 91,000,000.00 - -
283,000,000.00 283,000,000.00 - -
156,000,000.00 156,000,000.00 - -
90,000,000.00 90,000,000.00 - -
78,000,000.00 78,000,000.00 - -
156,000,000.00 156,000,000.00 - -
77,000,000.00 77,000,000.00 - -
430,000,000.00 430,000,000.00 - -
73,000,000.00 73,000,000.00 - -
490,000,000.00 490,000,000.00 - 490,000,000.00
380,000,000.00 380,000,000.00 - -
404,000,000.00 404,000,000.00 - 404,000,000.00
309,000,000.00 309,000,000.00 - -
176,000,000.00 176,000,000.00 - -
168,000,000.00 168,000,000.00 - -
500,000,000.00 500,000,000.00 - -
500,000,000.00 500,000,000.00 - -
ADDB TPD CI HCP
RW
600,000,000.00 100,000,000.00 100,000,000.00 100,000.00

100,000,000.00 100,000,000.00 100,000,000.00 100,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,178,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - 1,059,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 838,000,000.00 -
813,000,000.00 - 813,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - 785,000,000.00 -
- - 785,000,000.00 -
- - 785,000,000.00 -
774,000,000.00 - - -
- - - -
- - - -
- - - -
- - 754,000,000.00 -
- - 754,000,000.00 -
- - 754,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 685,000,000.00 -
- - 683,000,000.00 -
- - 671,000,000.00 -
- - - -
- - - 500,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 599,000,000.00 -
- - 590,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
573,000,000.00 - - -
- - - -
- - 556,000,000.00 -
- - 547,000,000.00 -
- - 547,000,000.00 -
- - 547,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 409,000,000.00 - -
- 314,000,000.00 314,000,000.00 -
- - 474,000,000.00 -
- - 473,000,000.00 -
- - 473,000,000.00 -
- - 448,000,000.00 -
439,000,000.00 - 439,000,000.00 -
- - 438,000,000.00 -
430,000,000.00 - 430,000,000.00 -
- - 426,000,000.00 -
- - 425,000,000.00 -
- - 423,000,000.00 -
- - 416,000,000.00 -
411,000,000.00 - 411,000,000.00 -
- - 411,000,000.00 -
- - 398,000,000.00 -
- - 398,000,000.00 -
- - 389,000,000.00 -
387,000,000.00 - 387,000,000.00 -
- - 383,000,000.00 -
- - 378,000,000.00 -
- - 377,000,000.00 -
- - 377,000,000.00 -
376,000,000.00 - 376,000,000.00 -
- - 351,000,000.00 -
- - 351,000,000.00 -
- - 351,000,000.00 -
- - 351,000,000.00 -
- - 335,000,000.00 -
- - 335,000,000.00 -
- - 333,000,000.00 -
- - 333,000,000.00 -
- - 333,000,000.00 -
- - 333,000,000.00 1,000,000.00
333,000,000.00 - 333,000,000.00 -
- - 326,000,000.00 -
- - 325,000,000.00 -
322,000,000.00 - 322,000,000.00 -
- - 321,000,000.00 -
- - 313,000,000.00 -
- - 311,000,000.00 -
- - 304,000,000.00 -
- - 300,000,000.00 -
- - 300,000,000.00 -
- - 281,000,000.00 -
- - 281,000,000.00 -
- - 278,000,000.00 -
- - 278,000,000.00 -
277,000,000.00 - 277,000,000.00 -
- - 277,000,000.00 -
- - 277,000,000.00 -
- - 272,000,000.00 -
- - 272,000,000.00 -
- - 266,000,000.00 -
- - 266,000,000.00 -
264,000,000.00 - 264,000,000.00 -
- - 260,000,000.00 -
- - 259,000,000.00 -
- - 259,000,000.00 -
- - 259,000,000.00 -
259,000,000.00 - 259,000,000.00 -
- - 257,000,000.00 -
- - 256,000,000.00 -
- - 254,000,000.00 -
- - 254,000,000.00 -
- - 254,000,000.00 -
- - 246,000,000.00 -
- - 240,000,000.00 -
- - 237,000,000.00 -
- - 237,000,000.00 -
- - 233,000,000.00 -
- - 233,000,000.00 -
- - 232,000,000.00 -
- - 232,000,000.00 -
- - 230,000,000.00 -
- - 228,000,000.00 -
- - 221,000,000.00 -
- - 221,000,000.00 -
- - 221,000,000.00 -
- - 221,000,000.00 -
- - 217,000,000.00 -
- - 216,000,000.00 300,000.00
214,000,000.00 - 214,000,000.00 -
- - 213,000,000.00 -
- - 213,000,000.00 -
- - 211,000,000.00 -
- - 211,000,000.00 -
- - 207,000,000.00 -
- - 204,000,000.00 -
- - 202,000,000.00 -
- - - 1,000,000.00
- - - 700,000.00
- - - 700,000.00
- - 89,000,000.00 600,000.00
- - - 600,000.00
- - - 500,000.00
- - - 500,000.00
- - - 500,000.00
- - - 500,000.00
- - - 500,000.00
- - - 500,000.00
156,000,000.00 - 156,000,000.00 500,000.00
65,000,000.00 - - 500,000.00
97,000,000.00 - - 500,000.00
197,000,000.00 - 197,000,000.00 400,000.00
- - - 400,000.00
- - - 400,000.00
- - - 400,000.00
- - - 400,000.00
62,000,000.00 - - 400,000.00
- - 68,000,000.00 300,000.00
- - - 300,000.00
- - - 300,000.00
- - - 300,000.00
- - - 300,000.00
- - - 300,000.00
- - - 300,000.00
- - - 300,000.00
- - 139,000,000.00 300,000.00
- - - 300,000.00
- - - 300,000.00
60,000,000.00 - - 300,000.00
91,000,000.00 - - 300,000.00
- - - 300,000.00
- - - 300,000.00
90,000,000.00 - - 300,000.00
78,000,000.00 - - 300,000.00
- - - 300,000.00
- - - 200,000.00
430,000,000.00 - - -
73,000,000.00 - 73,000,000.00 -
- - - -
380,000,000.00 - - -
- - - -
309,000,000.00 - - -
176,000,000.00 - 176,000,000.00 -
168,000,000.00 - 168,000,000.00 -
- - - -
- - - -
JUA RIDER
HCP Waiver of Premium

ICU BDH KELAS
TPD
200,000.00 1,000,000.00 II 12,000,000.00

200,000.00 1,000,000.00 II 12,000,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 12,000,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 7,200,000.00
- - - -
- - - -
- - - -
1,000,000.00 5,000,000.00 X -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 6,000,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2,000,000.00 10,000,000.00 XX -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 6,000,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
600,000.00 3,000,000.00 VI -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2,000,000.00 10,000,000.00 XX -
1,400,000.00 7,000,000.00 XIV -
1,400,000.00 7,000,000.00 XIV -
1,200,000.00 6,000,000.00 XII -
1,200,000.00 6,000,000.00 XII -
1,000,000.00 5,000,000.00 X -
1,000,000.00 5,000,000.00 X -
1,000,000.00 5,000,000.00 X -
1,000,000.00 5,000,000.00 X -
1,000,000.00 5,000,000.00 X -
1,000,000.00 5,000,000.00 X -
1,000,000.00 5,000,000.00 X -
1,000,000.00 5,000,000.00 X -
1,000,000.00 5,000,000.00 X -
800,000.00 4,000,000.00 VIII -
800,000.00 4,000,000.00 VIII -
800,000.00 4,000,000.00 VIII -
800,000.00 4,000,000.00 VIII -
800,000.00 4,000,000.00 VIII -
800,000.00 4,000,000.00 VIII -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
600,000.00 3,000,000.00 VI -
400,000.00 2,000,000.00 IV -
- - - 6,000,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
JRAWaiver
JUA RIDER
JRA Waiver of Premium JRA Payor Death Benefit
Waiver TPD CI Waiver CI
480,000,000.00 12,000,000.00 480,000,000.00 -

576,000,000.00 12,000,000.00 576,000,000.00 20,000,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
504,000,000.00 12,000,000.00 504,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 6,000,000.00 276,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
316,800,000.00 7,200,000.00 316,800,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 12,000,000.00 348,000,000.00 -
- 12,000,000.00 348,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- 6,000,000.00 252,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 6,000,000.00 240,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
156,000,000.00 - - -
- - - -
- 6,000,000.00 228,000,000.00 -
- - - -
- - - -
- - - -
- 6,000,000.00 252,000,000.00 -
- 6,000,000.00 228,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 6,000,000.00 234,000,000.00 -
- - - -
- - - -
- - - -
- 6,000,000.00 240,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 7,200,000.00 216,000,000.00 -
- - - -
- - - -
- 12,000,000.00 312,000,000.00 -
- 6,000,000.00 192,000,000.00 -
- - - -
- - - -
- - - -
- 6,000,000.00 228,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 6,000,000.00 192,000,000.00 -
- 6,000,000.00 204,000,000.00 -
- - - -
- - - -
- 6,000,000.00 252,000,000.00 -
- 6,000,000.00 180,000,000.00 -
210,000,000.00 6,000,000.00 210,000,000.00 -
- 6,000,000.00 282,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 6,000,000.00 216,000,000.00 -
- - - -
- 6,000,000.00 168,000,000.00 -
- 6,000,000.00 174,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 6,000,000.00 234,000,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 6,000,000.00 126,000,000.00 -
222,000,000.00 - - -
- 4,200,000.00 100,800,000.00 -
- 12,000,000.00 288,000,000.00 -
- 12,000,000.00 252,000,000.00 -
- 12,000,000.00 240,000,000.00 -
- 12,000,000.00 228,000,000.00 -
- 10,000,000.00 210,000,000.00 -
- 9,000,000.00 207,000,000.00 -
- - - 25,000,000.00
- - - 24,000,000.00
JRA Payor TPD JRA Payor CI JRA
PDB PTPD PCI
- - - - -
84,000,000.00 ### 84,000,000.00 ### 84,000,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - ### 42,000,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - ### 18,000,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
350,000,000.00 - - - -
240,000,000.00 - - - -
TOTAL
Spouse Payor DB JRA Spouse Payor TPD JRA Spouse Payor CI
SPDB SP TPD
20,000,000.00 144,000,000.00 20,000,000.00 144,000,000.00 20,000,000.00

- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 6,000,000.00
- - - - -
- - - - 6,000,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 10,000,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
RETENSI MAIN
PRODUK
JRA TERM ADB (PA)
SP CI
144,000,000.00 500,000,000.00 100,000,000.00 500,000,000.00

- 500,000,000.00 100,000,000.00 100,000,000.00
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - 500,000,000.00
- 500,000,000.00 - 500,000,000.00
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - 500,000,000.00
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - 500,000,000.00
- 500,000,000.00 - 500,000,000.00
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - 500,000,000.00
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - 500,000,000.00
- 500,000,000.00 - 500,000,000.00
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - 500,000,000.00
- 409,000,000.00 - -
- 314,000,000.00 - 314,000,000.00
- 474,000,000.00 - -
- 473,000,000.00 - -
- 473,000,000.00 - -
- 448,000,000.00 - -
- 439,000,000.00 - -
- 438,000,000.00 - -
- 430,000,000.00 - -
- 426,000,000.00 - 426,000,000.00
222,000,000.00 425,000,000.00 - -
- 423,000,000.00 - -
222,000,000.00 416,000,000.00 - -
- 411,000,000.00 - -
- 411,000,000.00 - 411,000,000.00
- 398,000,000.00 - -
- 398,000,000.00 - -
- 389,000,000.00 - -
- 387,000,000.00 - -
- 383,000,000.00 - 383,000,000.00
- 378,000,000.00 - 378,000,000.00
- 377,000,000.00 - -
- 377,000,000.00 - -
- 376,000,000.00 - -
- 351,000,000.00 - -
- 351,000,000.00 - 351,000,000.00
- 351,000,000.00 - -
- 351,000,000.00 - -
- 335,000,000.00 - 335,000,000.00
- 335,000,000.00 - -
- 333,000,000.00 - -
- 333,000,000.00 - -
- 333,000,000.00 - -
- 333,000,000.00 - -
- 333,000,000.00 - -
- 326,000,000.00 - -
- 325,000,000.00 - -
- 322,000,000.00 - -
- 321,000,000.00 - 321,000,000.00
- 313,000,000.00 - -
- 311,000,000.00 - -
- 304,000,000.00 - -
- 300,000,000.00 - -
- 300,000,000.00 - -
- 281,000,000.00 - -
- 281,000,000.00 - 281,000,000.00
- 278,000,000.00 - -
- 278,000,000.00 - -
- 277,000,000.00 - -
- 277,000,000.00 - 277,000,000.00
- 277,000,000.00 - 277,000,000.00
- 272,000,000.00 - -
- 272,000,000.00 - 272,000,000.00
- 266,000,000.00 - 266,000,000.00
- 266,000,000.00 - -
- 264,000,000.00 - -
220,000,000.00 260,000,000.00 - -
- 259,000,000.00 - 259,000,000.00
- 259,000,000.00 - -
- 259,000,000.00 - -
- 259,000,000.00 - -
- 257,000,000.00 - -
- 256,000,000.00 - 256,000,000.00
- 254,000,000.00 - -
- 254,000,000.00 - -
- 254,000,000.00 - -
- 246,000,000.00 - -
- 240,000,000.00 - -
- 237,000,000.00 - -
- 237,000,000.00 - -
- 233,000,000.00 - -
- 233,000,000.00 - -
- 232,000,000.00 - 232,000,000.00
- 232,000,000.00 - -
- 230,000,000.00 - -
- 228,000,000.00 - -
- 221,000,000.00 - -
- 221,000,000.00 - -
- 221,000,000.00 - -
- 221,000,000.00 - -
- 217,000,000.00 - 217,000,000.00
- 216,000,000.00 - -
- 214,000,000.00 - -
- 213,000,000.00 - -
- 213,000,000.00 - -
- 211,000,000.00 - -
- 211,000,000.00 - -
- 207,000,000.00 - -
- 204,000,000.00 - -
- 202,000,000.00 - -
- 300,000,000.00 - -
- 188,000,000.00 - -
- 215,000,000.00 - -
- 89,000,000.00 - -
- 315,000,000.00 - -
- 382,000,000.00 - 382,000,000.00
- 409,000,000.00 - -
- 263,000,000.00 - -
- 265,000,000.00 - -
- 54,000,000.00 - -
- 500,000,000.00 - -
- 156,000,000.00 - -
- 65,000,000.00 - -
- 97,000,000.00 - -
- 197,000,000.00 - -
- 205,000,000.00 - -
- 72,000,000.00 - -
- 114,000,000.00 - -
- 58,000,000.00 - -
- 62,000,000.00 - -
- 68,000,000.00 - 68,000,000.00
- 161,000,000.00 - -
- 112,000,000.00 - -
- 69,000,000.00 - -
- 102,000,000.00 - -
- 125,000,000.00 - -
- 47,000,000.00 - -
- 69,000,000.00 - -
- 139,000,000.00 - -
- 252,000,000.00 - -
- 78,000,000.00 - -
- 60,000,000.00 - -
- 91,000,000.00 - -
- 283,000,000.00 - -
- 156,000,000.00 - -
- 90,000,000.00 - -
- 78,000,000.00 - -
- 156,000,000.00 - -
- 77,000,000.00 - -
- 430,000,000.00 - -
- 73,000,000.00 - -
- 490,000,000.00 - 490,000,000.00
- 380,000,000.00 - -
- 404,000,000.00 - 404,000,000.00
- 309,000,000.00 - -
- 176,000,000.00 - -
- 168,000,000.00 - -
- 500,000,000.00 - -
- 500,000,000.00 - -
RETENSI RID
ADDB TPD CI HCP

RW ICU
500,000,000.00 100,000,000.00 100,000,000.00 50,000.00 100,000.00

100,000,000.00 100,000,000.00 100,000,000.00 50,000.00 100,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
500,000,000.00 - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
500,000,000.00 - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - - - -
- - - 250,000.00 500,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000,000.00 - - - -
- - - - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200,000,000.00 - - -
- 200,000,000.00 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
439,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
430,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
411,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
387,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
376,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 500,000.00 1,000,000.00
333,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
322,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
277,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
264,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
259,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 150,000.00 300,000.00
214,000,000.00 - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - - 500,000.00 1,000,000.00
- - - 350,000.00 700,000.00
- - - 350,000.00 700,000.00
- - 89,000,000.00 300,000.00 600,000.00
- - - 300,000.00 600,000.00
- - - 250,000.00 500,000.00
- - - 250,000.00 500,000.00
- - - 250,000.00 500,000.00
- - - 250,000.00 500,000.00
- - - 250,000.00 500,000.00
- - - 250,000.00 500,000.00
156,000,000.00 - 156,000,000.00 250,000.00 500,000.00
65,000,000.00 - - 250,000.00 500,000.00
97,000,000.00 - - 250,000.00 500,000.00
197,000,000.00 - 197,000,000.00 200,000.00 400,000.00
- - - 200,000.00 400,000.00
- - - 200,000.00 400,000.00
- - - 200,000.00 400,000.00
- - - 200,000.00 400,000.00
62,000,000.00 - - 200,000.00 400,000.00
- - 68,000,000.00 150,000.00 300,000.00
- - - 150,000.00 300,000.00
- - - 150,000.00 300,000.00
- - - 150,000.00 300,000.00
- - - 150,000.00 300,000.00
- - - 150,000.00 300,000.00
- - - 150,000.00 300,000.00
- - - 150,000.00 300,000.00
- - 139,000,000.00 150,000.00 300,000.00
- - - 150,000.00 300,000.00
- - - 150,000.00 300,000.00
60,000,000.00 - - 150,000.00 300,000.00
91,000,000.00 - - 150,000.00 300,000.00
- - - 150,000.00 300,000.00
- - - 150,000.00 300,000.00
90,000,000.00 - - 150,000.00 300,000.00
78,000,000.00 - - 150,000.00 300,000.00
- - - 150,000.00 300,000.00
- - - 100,000.00 200,000.00
430,000,000.00 - - - -
73,000,000.00 - 73,000,000.00 - -
- - - - -
380,000,000.00 - - - -
- - - - -
309,000,000.00 - - - -
176,000,000.00 - 176,000,000.00 - -
168,000,000.00 - 168,000,000.00 - -
- - - - -
- - - - -
RETENSI RIDER
HCP Waiver of Premium Waiver of Premium Payor Death Benefit Payor TPD
BDH
TPD CI
500,000.00 200,000,000.00 200,000,000.00 - -

500,000.00 200,000,000.00 200,000,000.00 84,000,000.00 ###
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200,000,000.00 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200,000,000.00 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
2,500,000.00 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 156,000,000.00 - - -
- - - - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,000,000.00 - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - 192,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 192,000,000.00 - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - 200,000,000.00 - -
- - 180,000,000.00 - -
- 200,000,000.00 200,000,000.00 - -
- - 200,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,500,000.00 - 200,000,000.00 - -
- - - - -
- - 168,000,000.00 - -
- - 174,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,000,000.00 - - - -
3,500,000.00 - - - -
3,500,000.00 - - - -
3,000,000.00 - - - -
3,000,000.00 - - - -
2,500,000.00 - - - -
2,500,000.00 - - - -
2,500,000.00 - - - -
2,500,000.00 - - - -
2,500,000.00 - - - -
2,500,000.00 - - - -
2,500,000.00 - - - -
2,500,000.00 - - - -
2,500,000.00 - - - -
2,000,000.00 - 200,000,000.00 - -
2,000,000.00 - - - -
2,000,000.00 - - - -
2,000,000.00 - - - -
2,000,000.00 - - - -
2,000,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,500,000.00 - - - -
1,000,000.00 - 126,000,000.00 - -
- 200,000,000.00 - - -
- - 100,800,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - 200,000,000.00 - -
- - - 200,000,000.00 -
- - - 200,000,000.00 -
JRR MAIN PRODUK
Payor CI Spouse Payor Spouse Payor Spouse Payor
- 144,000,000.00 ### 144,000,000.00 1,381,000,000.00

84,000,000.00 - - - 100,000,000.00
- - - - 1,381,000,000.00
- - - - 1,293,000,000.00
- - - - 1,212,000,000.00
- - - - 1,015,000,000.00
- - - - 820,000,000.00
- - - - 769,000,000.00
- - - - 760,000,000.00
- - - - 678,000,000.00
- - - - 630,000,000.00
- - - - 568,000,000.00
- - - - 568,000,000.00
- - - - 568,000,000.00
- - - - 559,000,000.00
- - - - 525,000,000.00
- - - - 506,000,000.00
- - - - 500,000,000.00
- - - - 500,000,000.00
- - - - 478,000,000.00
- - - - 475,000,000.00
- - - - 475,000,000.00
- - - - 445,000,000.00
- - - - 445,000,000.00
- - - - 440,000,000.00
- - - - 438,000,000.00
- - - - 384,000,000.00
- - - - 348,000,000.00
- - - - 348,000,000.00
- - - - 338,000,000.00
- - - - 313,000,000.00
- - - - 305,000,000.00
- - - - 305,000,000.00
- - - - 305,000,000.00
- - - - 290,000,000.00
- - - - 285,000,000.00
- - - - 285,000,000.00
- - - - 285,000,000.00
- - - - 274,000,000.00
- - - - 261,000,000.00
- - - - 261,000,000.00
- - - - 261,000,000.00
- - - - 254,000,000.00
- - - - 254,000,000.00
- - - - 254,000,000.00
- - - - 242,000,000.00
- - - - 242,000,000.00
- - - - 242,000,000.00
- - - - 231,000,000.00
- - - - 220,000,000.00
- - - - 220,000,000.00
- - - - 220,000,000.00
- - - - 205,000,000.00
- - - - 198,000,000.00
- - - - 198,000,000.00
- - - - 191,000,000.00
- - - - 191,000,000.00
- - - - 191,000,000.00
- - - - 189,000,000.00
- - - - 185,000,000.00
- - - - 183,000,000.00
- - - - 171,000,000.00
- - - - 157,000,000.00
- - - - 156,000,000.00
- - - - 152,000,000.00
- - - - 152,000,000.00
- - - - 152,000,000.00
- - - - 150,000,000.00
- - - - 129,000,000.00
- - - - 129,000,000.00
- - - - 124,000,000.00
- - - - 120,000,000.00
- - - - 120,000,000.00
- - - - 101,000,000.00
- - - - 99,000,000.00
- - - - 90,000,000.00
- - - - 87,000,000.00
- - - - 86,000,000.00
- - - - 86,000,000.00
- - - - 86,000,000.00
- - - - 86,000,000.00
- - - - 81,000,000.00
- - - - 73,000,000.00
- - - - 57,000,000.00
- - - - 56,000,000.00
- - - - 47,000,000.00
- - - - 47,000,000.00
- - - - 47,000,000.00
- - - - 45,000,000.00
- - - - 37,000,000.00
- - - - 30,000,000.00
- - - - 30,000,000.00
- - - - 30,000,000.00
- - - - 30,000,000.00
- - - - 30,000,000.00
- - - - 30,000,000.00
- - - - 30,000,000.00
42,000,000.00 - - - 29,000,000.00
- - - - 13,000,000.00
- - - - 13,000,000.00
- - - - 13,000,000.00
- - - - 10,000,000.00
- - - - 4,000,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
18,000,000.00 - - - -
- - - - -
- - - 200,000,000.00 -
- - - - -
- - - 200,000,000.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 200,000,000.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
TERM ADB (PA) ADDB
- 100,000,000.00 100,000,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 438,000,000.00 -
- 384,000,000.00 -
- - -
- - -
- - -
- - 313,000,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 274,000,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 185,000,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 129,000,000.00 -
- 129,000,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 73,000,000.00
- 57,000,000.00 -
- - -
- - -
- - -
- - -
- 45,000,000.00 -
- 37,000,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 4,000,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
JRR Rider
TPD CI HCP
RW ICU BDH
- - 50,000.00 100,000.00 500,000.00

- - 50,000.00 100,000.00 500,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 978,000,000.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 859,000,000.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 638,000,000.00 - - -
- 613,000,000.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 585,000,000.00 - - -
- 585,000,000.00 - - -
- 585,000,000.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 554,000,000.00 - - -
- 554,000,000.00 - - -
- 554,000,000.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 485,000,000.00 - - -
- 483,000,000.00 - - -
- 471,000,000.00 - - -
- - - - -
- - 250,000.00 500,000.00 2,500,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 399,000,000.00 - - -
- 390,000,000.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 356,000,000.00 - - -
- 347,000,000.00 - - -
- 347,000,000.00 - - -
- 347,000,000.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
209,000,000.00 - - - -
114,000,000.00 114,000,000.00 - - -
- 274,000,000.00 - - -
- 273,000,000.00 - - -
- 273,000,000.00 - - -
- 248,000,000.00 - - -
- 239,000,000.00 - - -
- 238,000,000.00 - - -
- 230,000,000.00 - - -
- 226,000,000.00 - - -
- 225,000,000.00 - - -
- 223,000,000.00 - - -
- 216,000,000.00 - - -
- 211,000,000.00 - - -
- 211,000,000.00 - - -
- 198,000,000.00 - - -
- 198,000,000.00 - - -
- 189,000,000.00 - - -
- 187,000,000.00 - - -
- 183,000,000.00 - - -
- 178,000,000.00 - - -
- 177,000,000.00 - - -
- 177,000,000.00 - - -
- 176,000,000.00 - - -
- 151,000,000.00 - - -
- 151,000,000.00 - - -
- 151,000,000.00 - - -
- 151,000,000.00 - - -
- 135,000,000.00 - - -
- 135,000,000.00 - - -
- 133,000,000.00 - - -
- 133,000,000.00 - - -
- 133,000,000.00 - - -
- 133,000,000.00 500,000.00 1,000,000.00 5,000,000.00
- 133,000,000.00 - - -
- 126,000,000.00 - - -
- 125,000,000.00 - - -
- 122,000,000.00 - - -
- 121,000,000.00 - - -
- 113,000,000.00 - - -
- 111,000,000.00 - - -
- 104,000,000.00 - - -
- 100,000,000.00 - - -
- 100,000,000.00 - - -
- 81,000,000.00 - - -
- 81,000,000.00 - - -
- 78,000,000.00 - - -
- 78,000,000.00 - - -
- 77,000,000.00 - - -
- 77,000,000.00 - - -
- 77,000,000.00 - - -
- 72,000,000.00 - - -
- 72,000,000.00 - - -
- 66,000,000.00 - - -
- 66,000,000.00 - - -
- 64,000,000.00 - - -
- 60,000,000.00 - - -
- 59,000,000.00 - - -
- 59,000,000.00 - - -
- 59,000,000.00 - - -
- 59,000,000.00 - - -
- 57,000,000.00 - - -
- 56,000,000.00 - - -
- 54,000,000.00 - - -
- 54,000,000.00 - - -
- 54,000,000.00 - - -
- 46,000,000.00 - - -
- 40,000,000.00 - - -
- 37,000,000.00 - - -
- 37,000,000.00 - - -
- 33,000,000.00 - - -
- 33,000,000.00 - - -
- 32,000,000.00 - - -
- 32,000,000.00 - - -
- 30,000,000.00 - - -
- 28,000,000.00 - - -
- 21,000,000.00 - - -
- 21,000,000.00 - - -
- 21,000,000.00 - - -
- 21,000,000.00 - - -
- 17,000,000.00 - - -
- 16,000,000.00 150,000.00 300,000.00 1,500,000.00
- 14,000,000.00 - - -
- 13,000,000.00 - - -
- 13,000,000.00 - - -
- 11,000,000.00 - - -
- 11,000,000.00 - - -
- 7,000,000.00 - - -
- 4,000,000.00 - - -
- 2,000,000.00 - - -
- - 500,000.00 1,000,000.00 5,000,000.00
- - 350,000.00 700,000.00 3,500,000.00
- - 350,000.00 700,000.00 3,500,000.00
- - 300,000.00 600,000.00 3,000,000.00
- - 300,000.00 600,000.00 3,000,000.00
- - 250,000.00 500,000.00 2,500,000.00
- - 250,000.00 500,000.00 2,500,000.00
- - 250,000.00 500,000.00 2,500,000.00
- - 250,000.00 500,000.00 2,500,000.00
- - 250,000.00 500,000.00 2,500,000.00
- - 250,000.00 500,000.00 2,500,000.00
- - 250,000.00 500,000.00 2,500,000.00
- - 250,000.00 500,000.00 2,500,000.00
- - 250,000.00 500,000.00 2,500,000.00
- - 200,000.00 400,000.00 2,000,000.00
- - 200,000.00 400,000.00 2,000,000.00
- - 200,000.00 400,000.00 2,000,000.00
- - 200,000.00 400,000.00 2,000,000.00
- - 200,000.00 400,000.00 2,000,000.00
- - 200,000.00 400,000.00 2,000,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 150,000.00 300,000.00 1,500,000.00
- - 100,000.00 200,000.00 1,000,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
ider
Waiver of Premium Waiver of Premium Payor Death Benefit Payor TPD
TPD CI
280,000,000.00 280,000,000.00 - -
376,000,000.00 376,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
304,000,000.00 304,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 76,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
116,800,000.00 116,800,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 148,000,000.00 - -
- 148,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- 52,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 40,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 28,000,000.00 - -
- - - -
- - - -
- - - -
- 52,000,000.00 - -
- 28,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 34,000,000.00 - -
- - - -
- - - -
- - - -
- 40,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 16,000,000.00 - -
- - - -
- - - -
- 112,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- 28,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 4,000,000.00 - -
- - - -
- - - -
- 52,000,000.00 - -
- - - -
10,000,000.00 10,000,000.00 - -
- 82,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 16,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 34,000,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
22,000,000.00 - - -
- - - -
- 88,000,000.00 - -
- 52,000,000.00 - -
- 40,000,000.00 - -
- 28,000,000.00 - -
- 10,000,000.00 - -
- 7,000,000.00 - -
- - 150,000,000.00 -
- - 40,000,000.00 -
PREMI BRUTO
MAIN PRODUK
Payor CI Spouse Payor Spouse Payor Spouse Payor
DEATH TPD CI
* (Tarif premi re
- - - - 93,908.00
- - - - 6,800.00
- - - - 93,908.00
- - - - 87,924.00
- - - - 155,136.00
- - - - 86,275.00
- - - - 55,760.00
- - - - 89,204.00
- - - - 51,680.00
- - - - 46,104.00
- - - - 56,700.00
- - - - 38,624.00
- - - - 38,624.00
- - - - 38,624.00
- - - - 50,310.00
- - - - 35,700.00
- - - - 116,380.00
- - - - 49,000.00
- - - - 34,000.00
- - - - 32,504.00
- - - - 66,500.00
- - - - 66,500.00
- - - - 68,975.00
- - - - 62,300.00
- - - - 29,920.00
- - - - 31,536.00
- - - - 26,112.00
- - - - 23,664.00
- - - - 24,012.00
- - - - 22,984.00
- - - - 21,284.00
- - - - 21,045.00
- - - - 21,045.00
- - - - 21,045.00
- - - - 58,580.00
- - - - 33,060.00
- - - - 19,380.00
- - - - 19,380.00
- - - - 110,696.00
- - - - 18,792.00
- - - - 18,792.00
- - - - 18,009.00
- - - - 17,272.00
- - - - 17,272.00
- - - - 17,272.00
- - - - 51,304.00
- - - - 50,094.00
- - - - 50,094.00
- - - - 19,635.00
- - - - 15,840.00
- - - - 16,280.00
- - - - 15,840.00
- - - - 31,775.00
- - - - 45,540.00
- - - - 41,976.00
- - - - 14,516.00
- - - - 14,134.00
- - - - 14,134.00
- - - - 12,852.00
- - - - 12,580.00
- - - - 13,542.00
- - - - 11,628.00
- - - - 63,428.00
- - - - 10,608.00
- - - - 11,856.00
- - - - 11,552.00
- - - - 11,552.00
- - - - 111,300.00
- - - - 12,642.00
- - - - 12,642.00
- - - - 15,872.00
- - - - 10,200.00
- - - - 10,200.00
- - - - 6,868.00
- - - - 6,732.00
- - - - 6,120.00
- - - - 32,103.00
- - - - 7,310.00
- - - - 7,740.00
- - - - 7,310.00
- - - - 13,330.00
- - - - 21,465.00
- - - - 32,558.00
- - - - 4,332.00
- - - - 3,808.00
- - - - 3,196.00
- - - - 3,196.00
- - - - 3,196.00
- - - - 11,160.00
- - - - 9,176.00
- - - - 2,940.00
- - - - 2,940.00
- - - - 3,210.00
- - - - 3,210.00
- - - - 3,210.00
- - - - 2,940.00
- - - - 3,210.00
- - - - 1,972.00
- - - - 1,508.00
- - - - 1,508.00
- - - - 1,508.00
- - - - 5,830.00
- - - - 1,476.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 22,000,000.00 -
- - - - -
- - - 22,000,000.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 20,000,000.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
3,041,270.00
* (Tarif premi reasuransi rider adalah Bulanan, sehingga data yang dikirim ini hanya m
TERM ADB (PA) ADDB
* (Tarif premi reasuransi adalah Bulanan, sehingga data yang dikirim ini hanya memperhitun
- 5,400.00 12,200.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 5,400.00 12,200.00
Premi Bruto Rider
ehingga data yang dikirim ini hanya memperhitungkan 1 bulan. Mohon kepada Indore, saat penagiha dapat d
TPD CI HCP Waiver of Premium Waiver of Premium
Due to TPD CI
a yang dikirim ini hanya memperhitungkan 1 bulan. Mohon kepada Indore, saat penagiha dapat ditagihkan s
- - - 2,800.00 25,200.00
- - - 3,760.00 27,824.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 107,580.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 119,401.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 51,678.00 - - -
- 58,235.00 - 3,040.00 24,320.00
- - - - -
- - - - -
- - - - -
- - - - -
- 109,980.00 - - -
- 47,385.00 - - -
- 47,385.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 44,874.00 - - -
- 44,874.00 - - -
- 44,874.00 - - 5,624.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 41,710.00 - 1,168.00 8,760.00
- 65,688.00 - - -
- 41,919.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 16,872.00
- - - - 16,872.00
- - - - -
- - - - -
- - - - -
- - - - -
- 37,905.00 - - 4,160.00
- 39,000.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 39,160.00 - - 3,600.00
- 38,170.00 - - -
- 38,170.00 - - -
- 38,170.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
7,942.00 - - - -
2,280.00 10,830.00 - - -
- 33,428.00 - - 2,660.00
- 35,217.00 - - -
- 33,306.00 - - -
- 33,728.00 - - -
- 22,705.00 - - 4,160.00
- 29,036.00 - - 2,660.00
- 19,780.00 - - -
- 32,770.00 - - -
- 29,025.00 - - -
- 30,551.00 - - -
- 27,864.00 - - -
- 20,045.00 - - -
- 24,476.00 - - 3,264.00
- 26,928.00 - - -
- 26,928.00 - - -
- 46,494.00 - - -
- 20,570.00 - - 3,600.00
- 23,607.00 - - -
- 16,910.00 - - -
- 24,072.00 - - -
- 24,072.00 - - -
- 29,216.00 - - -
- 20,536.00 - - -
- 32,314.00 - - -
- 20,536.00 - - -
- 20,536.00 - - -
- 37,530.00 - - -
- 41,580.00 - - -
- 11,438.00 - - -
- 12,635.00 - - -
- 11,438.00 - - -
- 10,773.00 - - -
- 11,837.00 - - -
- 17,262.00 - - -
- 17,375.00 - - 1,760.00
- 14,884.00 - - -
- 33,638.00 - - -
- 24,182.00 - - 16,128.00
- 15,096.00 - - -
- 46,696.00 - - -
- 13,900.00 - - -
- 13,700.00 - - -
- 9,882.00 - - 2,660.00
- 36,369.00 - - -
- 11,310.00 - - -
- 10,842.00 - - -
- 10,472.00 - - -
- 34,573.00 - - -
- 31,801.00 - - -
- 9,864.00 - - -
- 9,792.00 - - -
- 29,634.00 - - -
- 8,976.00 - - -
- 8,704.00 - - 432.00
- 20,340.00 - - -
- 29,205.00 - - -
- 5,605.00 - - 4,160.00
- 8,201.00 - - -
- 8,083.00 - 100.00 1,090.00
- 4,617.00 - - 6,068.00
- 31,416.00 - - -
- 7,830.00 - - -
- 8,964.00 - - -
- 7,830.00 - - -
- 14,168.00 - - -
- 12,320.00 - - -
- 6,142.00 - - -
- 6,142.00 - - -
- 8,118.00 - - -
- 9,174.00 - - -
- 21,344.00 - - -
- 22,752.00 - - -
- 29,220.00 - - -
- 3,808.00 - - -
- 4,494.00 - - -
- 3,948.00 - - -
- 3,948.00 - - -
- 4,494.00 - - -
- 2,822.00 - - -
- 2,176.00 - - 1,728.00
- 10,906.00 - - -
- 2,158.00 - - -
- 1,885.00 - - -
- 4,939.00 - - -
- 4,543.00 - - -
- 2,373.00 - - -
- 856.00 - - -
- 492.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 3,264.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 220.00 -
- - - - -
- - - - 16,016.00
- - - - 13,988.00
- - - - 12,280.00
- - - - 10,528.00
- - - - 2,690.00
- - - - 1,449.00
- - - - -
- - - - -
10,222.00 ### - 11,088.00 243,817.00
saat penagiha dapat ditagihkan sesuai dengan masa asuransi yang sudah dijalani)
Payor Death Benefit Payor TPD Payor CI Spouse PayorSpouse PayorSpouse Payor
Death Benefit TPD CI

ha dapat ditagihkan sesuai dengan masa asuransi yang sudah dijalani)
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - 2,266.00
- - - - - -
- - - - - 2,266.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - 4,700.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
10,200.00 - - - - -
2,720.00 - - - - -
12,920.00 - - - - 9,232.00
REFUND PREMI
Pekerjaaan Kelas Risiko
TOTAL PREMI BRUTO BRUTO MAIN
Tertanggung Pekerjaan PRODUK
* (Tarif premi reasur

144,664.50 - - 46,954.00
38,384.00 - - 3,400.00
93,908.00 - - 46,954.00
87,924.00 - - 43,962.00
155,136.00 - - 77,568.00
86,275.00 - - 43,137.50
55,760.00 - - 27,880.00
89,204.00 - - 44,602.00
51,680.00 - - 25,840.00
153,684.00 Kepala Toko 1 23,052.00
56,700.00 Kepala Toko 1 28,350.00
38,624.00 - - 19,312.00
38,624.00 - - 19,312.00
38,624.00 - - 19,312.00
169,711.00 - - 25,155.00
35,700.00 Administrasi & Manajer 1 17,850.00
116,380.00 Admin Keuangan 1 58,190.00
49,000.00 - - 24,500.00
34,000.00 Admin Keuangan 1 17,000.00
32,504.00 - - 16,252.00
66,500.00 Kepala Toko 1 33,250.00
66,500.00 Kepala Toko 1 33,250.00
68,975.00 - - 34,487.50
62,300.00 - - 31,150.00
29,920.00 - - 14,960.00
31,536.00 Kepala Toko 1 15,768.00
26,112.00 Kepala Toko 1 13,056.00
23,664.00 - - 11,832.00
24,012.00 - - 12,006.00
74,662.00 Kepala Toko 1 11,492.00
106,879.00 Editor Film 1 10,642.00
21,045.00 - - 10,522.50
21,045.00 - - 10,522.50
21,045.00 Kepala Toko 1 10,522.50
58,580.00 - - 29,290.00
143,040.00 - - 16,530.00
66,765.00 Kepala Toko 1 9,690.00
110,696.00 Kepala Toko 1 55,348.00
18,792.00 - - 9,396.00
18,792.00 - - 9,396.00
18,009.00 Kepala Toko 1 9,004.50
62,146.00 Kepala Toko 1 8,636.00
62,146.00 Kepala Toko 1 8,636.00
51,304.00 - - 25,652.00
50,094.00 - - 25,047.00
50,094.00 Kepala Toko 1 25,047.00
19,635.00 Kepala Toko 1 9,817.50
15,840.00 - - 7,920.00
16,280.00 - - 8,140.00
15,840.00 Kepala Toko 1 7,920.00
31,775.00 Admin Keuangan 1 15,887.50
45,540.00 - - 22,770.00
41,976.00 - - 20,988.00
14,516.00 - - 7,258.00
14,134.00 - - 7,067.00
12,852.00 - - 6,426.00
64,218.00 Admin Keuangan 1 6,290.00
79,230.00 - - 6,771.00
53,547.00 Kepala Toko 1 5,814.00
63,428.00 - - 31,714.00
10,608.00 - - 5,304.00
11,856.00 - - 5,928.00
11,552.00 - - 5,776.00
11,552.00 Kepala Toko 1 5,776.00
111,300.00 - - 55,650.00
29,514.00 - - 6,321.00
29,514.00 - - 6,321.00
15,872.00 Admin Keuangan 1 7,936.00
10,200.00 - - 5,100.00
10,200.00 - - 5,100.00
6,868.00 - - 3,434.00
48,797.00 - - 3,366.00
45,120.00 - - 3,060.00
32,103.00 - - 16,051.50
7,310.00 - - 3,655.00
7,740.00 - - 3,870.00
7,310.00 - - 3,655.00
13,330.00 Kepala Toko 1 6,665.00
21,465.00 - - 10,732.50
4,332.00 Kepala Toko 1 2,166.00
46,568.00 Kepala Toko 1 1,904.00
41,366.00 - - 1,598.00
41,366.00 - - 1,598.00
41,366.00 Kepala Toko 1 1,598.00
11,160.00 - - 5,580.00
9,176.00 Admin Keuangan 1 4,588.00
2,940.00 - - 1,470.00
2,940.00 - - 1,470.00
3,210.00 - - 1,605.00
3,210.00 Kepala Toko 1 1,605.00
3,210.00 Kepala Toko 1 1,605.00
2,940.00 Kepala Toko 1 1,470.00
1,972.00 Kepala Toko 1 986.00
1,508.00 - - 754.00
1,508.00 - - 754.00
1,508.00 Kepala Toko 1 754.00
5,830.00 - - 2,915.00
1,476.00 Kepala Toko 1 738.00
7,942.00 Kepala Toko 1 -
13,110.00 - - -
35,217.00 - - -
26,865.00 - - -
31,696.00 - - -
19,780.00 - - -
32,770.00 - - -
30,551.00 - - -
20,045.00 - - -
27,740.00 - - -
24,170.00 - - -
23,607.00 - - -
16,910.00 - - -
24,072.00 - - -
29,216.00 - - -
20,536.00 - - -
32,314.00 - - -
20,536.00 - - -
20,536.00 - - -
37,530.00 - - -
11,438.00 - - -
12,635.00 - - -
11,438.00 - - -
10,773.00 - - -
17,262.00 Administrasi & Manajer 1 -
33,638.00 - - -
40,310.00 - - -
13,900.00 - - -
12,542.00 - - -
36,369.00 - - -
10,472.00 - - -
34,573.00 - - -
31,801.00 - - -
9,864.00 - - -
9,792.00 - - -
29,634.00 - - -
9,136.00 - - -
25,040.00 - - -
29,205.00 - - -
31,416.00 - - -
7,830.00 - - -
12,320.00 - - -
6,142.00 - - -
6,142.00 - - -
21,344.00 - - -
22,752.00 - - -
29,220.00 - - -
3,808.00 - - -
4,494.00 - - -
3,948.00 - - -
2,822.00 - - -
3,904.00 - - -
10,906.00 - - -
2,158.00 - - -
2,373.00 - - -
856.00 Kepala Toko 1 -
492.00 Kepala Toko 1 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- Kepala Toko 1 -
- Kepala Toko 1 -
- Administrasi & Manajer 1 -
3,264.00 - - -
- - - -
- - - -
- Kepala Toko 1 -
- Kepala Toko 1 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- Kepala Toko 1 -
- Kepala Toko 1 -
- Kepala Toko 1 -
- Kepala Toko 1 -
220.00 - - -
- - - -
16,016.00 - - -
13,988.00 - - -
10,528.00 - - -
2,690.00 - - -
1,449.00 - - -
10,200.00 - - -
5,984,439.50 - 99.00 1,520,635.00
* (Tarif premi reasuransi rider adalah Bulanan, sehingga data yang dikirim ini hanya m
TERM ADB (PA) ADDB
* (Tarif premi reasuransi adalah Bulanan, sehingga data yang dikirim ini hanya memperhitun
- 1,620.00 3,660.00
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- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1,620.00 3,660.00
Refund Premi Bruto Rider
sehingga data yang dikirim ini hanya memperhitungkan 1 bulan. Mohon kepada Indore, saat penagiha dapat
TPD CI HCP Waiver of Premium Waiver of Premium
Due to TPD CI
ta yang dikirim ini hanya memperhitungkan 1 bulan. Mohon kepada Indore, saat penagiha dapat ditagihkan s
- - 515.65 1,400.00 12,600.00
- - - 1,880.00 13,912.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 53,790.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 59,700.50 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 25,839.00 - - -
- 29,117.50 - 1,520.00 12,160.00
- - - - -
- - - - -
- - - - -
- - - - -
- 54,990.00 - - -
- 23,692.50 - - -
- 23,692.50 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 22,437.00 - - -
- 22,437.00 - - -
- 22,437.00 - - 2,812.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,855.00 - 584.00 4,380.00
- 32,844.00 - - -
- 20,959.50 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 8,436.00
- - - - 8,436.00
- - - - -
- - - - -
- - - - -
- - - - -
- 18,952.50 - - 2,080.00
- 19,500.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 19,580.00 - - 1,800.00
- 19,085.00 - - -
- 19,085.00 - - -
- 19,085.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
3,971.00 - - - -
1,140.00 5,415.00 - - -
- 16,714.00 - - 1,330.00
- 17,608.50 - - -
- 16,653.00 - - -
- 16,864.00 - - -
- 11,352.50 - - 2,080.00
- 14,518.00 - - 1,330.00
- 9,890.00 - - -
- 16,385.00 - - -
- 14,512.50 - - -
- 15,275.50 - - -
- 13,932.00 - - -
- 10,022.50 - - -
- 12,238.00 - - 1,632.00
- 13,464.00 - - -
- 13,464.00 - - -
- 23,247.00 - - -
- 10,285.00 - - 1,800.00
- 11,803.50 - - -
- 8,455.00 - - -
- 12,036.00 - - -
- 12,036.00 - - -
- 14,608.00 - - -
- 10,268.00 - - -
- 16,157.00 - - -
- 10,268.00 - - -
- 10,268.00 - - -
- 18,765.00 - - -
- 20,790.00 - - -
- 5,719.00 - - -
- 6,317.50 - - -
- 5,719.00 - - -
- 5,386.50 - - -
- 5,918.50 - - -
- 8,631.00 - - -
- 8,687.50 - - 880.00
- 7,442.00 - - -
- 16,819.00 - - -
- 12,091.00 - - 8,064.00
- 7,548.00 - - -
- 23,348.00 - - -
- 6,950.00 - - -
- 6,850.00 - - -
- 4,941.00 - - 1,330.00
- 18,184.50 - - -
- 5,655.00 - - -
- 5,421.00 - - -
- 5,236.00 - - -
- 17,286.50 - - -
- 15,900.50 - - -
- 4,932.00 - - -
- 4,896.00 - - -
- 14,817.00 - - -
- 4,488.00 - - -
- 4,352.00 - - 216.00
- 10,170.00 - - -
- 14,602.50 - - -
- 2,802.50 - - 2,080.00
- 4,100.50 - - -
- 4,041.50 - 50.00 545.00
- 2,308.50 - - 3,034.00
- 15,708.00 - - -
- 3,915.00 - - -
- 4,482.00 - - -
- 3,915.00 - - -
- 7,084.00 - - -
- 6,160.00 - - -
- 3,071.00 - - -
- 3,071.00 - - -
- 4,059.00 - - -
- 4,587.00 - - -
- 10,672.00 - - -
- 11,376.00 - - -
- 14,610.00 - - -
- 1,904.00 - - -
- 2,247.00 - - -
- 1,974.00 - - -
- 1,974.00 - - -
- 2,247.00 - - -
- 1,411.00 - - -
- 1,088.00 - - 864.00
- 5,453.00 - - -
- 1,079.00 - - -
- 942.50 - - -
- 2,469.50 - - -
- 2,271.50 - - -
- 1,186.50 - - -
- 428.00 - - -
- 246.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1,632.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 110.00 -
- - - - -
- - - - 8,008.00
- - - - 6,994.00
- - - - 6,140.00
- - - - 5,264.00
- - - - 1,345.00
- - - - 724.50
- - - - -
- - - - -
5,111.00 ### 515.65 5,544.00 121,908.50
saat penagiha dapat ditagihkan sesuai dengan masa asuransi yang sudah dijalani)
Payor Death Benefit Payor TPD Payor CI Spouse PayorSpouse PayorSpouse Payor

ha dapat ditagihkan sesuai dengan masa asuransi yang sudah dijalani)
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - 1,133.00
- - - - - -
- - - - - 1,133.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - 2,350.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
5,100.00 - - - - -
1,360.00 - - - - -
6,460.00 - - - - 4,616.00
PREMI NETTO
TOTAL REFUND PREMI
MAIN PRODUK
TERM ADB (PA)
* (Tarif premi reasuransi adalah Bulanan, sehingga d

66,749.65 46,954.00 - 3,780.00
19,192.00 3,400.00 - -
46,954.00 46,954.00 - -
43,962.00 43,962.00 - -
77,568.00 77,568.00 - -
43,137.50 43,137.50 - -
27,880.00 27,880.00 - -
44,602.00 44,602.00 - -
25,840.00 25,840.00 - -
76,842.00 23,052.00 - -
28,350.00 28,350.00 - -
19,312.00 19,312.00 - -
19,312.00 19,312.00 - -
19,312.00 19,312.00 - -
84,855.50 25,155.00 - -
17,850.00 17,850.00 - -
58,190.00 58,190.00 - -
24,500.00 24,500.00 - -
17,000.00 17,000.00 - -
16,252.00 16,252.00 - -
33,250.00 33,250.00 - -
33,250.00 33,250.00 - -
34,487.50 34,487.50 - -
31,150.00 31,150.00 - -
14,960.00 14,960.00 - -
15,768.00 15,768.00 - -
13,056.00 13,056.00 - -
11,832.00 11,832.00 - -
12,006.00 12,006.00 - -
37,331.00 11,492.00 - -
53,439.50 10,642.00 - -
10,522.50 10,522.50 - -
10,522.50 10,522.50 - -
10,522.50 10,522.50 - -
29,290.00 29,290.00 - -
71,520.00 16,530.00 - -
33,382.50 9,690.00 - -
33,382.50 9,690.00 - -
55,348.00 55,348.00 - -
9,396.00 9,396.00 - -
9,396.00 9,396.00 - -
9,004.50 9,004.50 - -
31,073.00 8,636.00 - -
31,073.00 8,636.00 - -
33,885.00 8,636.00 - -
25,652.00 25,652.00 - -
25,047.00 25,047.00 - -
25,047.00 25,047.00 - -
9,817.50 9,817.50 - -
7,920.00 7,920.00 - -
8,140.00 8,140.00 - -
7,920.00 7,920.00 - -
15,887.50 15,887.50 - -
22,770.00 22,770.00 - -
20,988.00 20,988.00 - -
7,258.00 7,258.00 - -
7,067.00 7,067.00 - -
7,067.00 7,067.00 - -
6,426.00 6,426.00 - -
32,109.00 6,290.00 - -
39,615.00 6,771.00 - -
26,773.50 5,814.00 - -
31,714.00 31,714.00 - -
5,304.00 5,304.00 - -
5,928.00 5,928.00 - -
5,776.00 5,776.00 - -
5,776.00 5,776.00 - -
55,650.00 55,650.00 - -
14,757.00 6,321.00 - -
14,757.00 6,321.00 - -
7,936.00 7,936.00 - -
5,100.00 5,100.00 - -
5,100.00 5,100.00 - -
3,434.00 3,434.00 - -
24,398.50 3,366.00 - -
22,560.00 3,060.00 - -
16,051.50 16,051.50 - -
3,655.00 3,655.00 - -
3,870.00 3,870.00 - -
3,655.00 3,655.00 - -
6,665.00 6,665.00 - -
10,732.50 10,732.50 - -
16,279.00 16,279.00 - -
2,166.00 2,166.00 - -
23,284.00 1,904.00 - -
20,683.00 1,598.00 - -
20,683.00 1,598.00 - -
20,683.00 1,598.00 - -
5,580.00 5,580.00 - -
4,588.00 4,588.00 - -
1,470.00 1,470.00 - -
1,470.00 1,470.00 - -
1,605.00 1,605.00 - -
1,605.00 1,605.00 - -
1,605.00 1,605.00 - -
1,470.00 1,470.00 - -
1,605.00 1,605.00 - -
986.00 986.00 - -
754.00 754.00 - -
754.00 754.00 - -
754.00 754.00 - -
2,915.00 2,915.00 - -
738.00 738.00 - -
3,971.00 - - -
6,555.00 - - -
18,044.00 - - -
17,608.50 - - -
16,653.00 - - -
16,864.00 - - -
13,432.50 - - -
15,848.00 - - -
9,890.00 - - -
16,385.00 - - -
15,645.50 - - -
15,275.50 - - -
15,065.00 - - -
10,022.50 - - -
13,870.00 - - -
13,464.00 - - -
13,464.00 - - -
23,247.00 - - -
12,085.00 - - -
11,803.50 - - -
8,455.00 - - -
12,036.00 - - -
12,036.00 - - -
14,608.00 - - -
10,268.00 - - -
16,157.00 - - -
10,268.00 - - -
10,268.00 - - -
18,765.00 - - -
20,790.00 - - -
5,719.00 - - -
6,317.50 - - -
5,719.00 - - -
5,386.50 - - -
5,918.50 - - -
8,631.00 - - -
9,567.50 - - -
7,442.00 - - -
16,819.00 - - -
20,155.00 - - -
7,548.00 - - -
23,348.00 - - -
6,950.00 - - -
6,850.00 - - -
6,271.00 - - -
18,184.50 - - -
5,655.00 - - -
5,421.00 - - -
5,236.00 - - -
17,286.50 - - -
15,900.50 - - -
4,932.00 - - -
4,896.00 - - -
14,817.00 - - -
4,488.00 - - -
4,568.00 - - -
12,520.00 - - -
14,602.50 - - -
4,882.50 - - -
4,100.50 - - -
4,636.50 - - -
5,342.50 - - -
15,708.00 - - -
3,915.00 - - -
4,482.00 - - -
3,915.00 - - -
7,084.00 - - -
6,160.00 - - -
3,071.00 - - -
3,071.00 - - -
4,059.00 - - -
4,587.00 - - -
10,672.00 - - -
11,376.00 - - -
14,610.00 - - -
1,904.00 - - -
2,247.00 - - -
1,974.00 - - -
1,974.00 - - -
2,247.00 - - -
1,411.00 - - -
1,952.00 - - -
5,453.00 - - -
1,079.00 - - -
942.50 - - -
2,469.50 - - -
2,271.50 - - -
1,186.50 - - -
428.00 - - -
246.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,632.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
110.00 - - -
- - - -
8,008.00 - - -
6,994.00 - - -
6,140.00 - - -
5,264.00 - - -
1,345.00 - - -
724.50 - - -
5,100.00 - - -
1,360.00 - - -
2,986,637.15 1,520,635.00 - 3,780.00
Premi Netto Rider
ADDB TPD CI HCP
ah Bulanan, sehingga data yang dikirim ini hanya memperhitungkan 1 bulan. Mohon kepada Indore, saat pen
8,540.00 - - - 515.65
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 53,790.00 -
- - - -
- - - -
- - - -
- - - -
- - 59,700.50 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 25,839.00 -
- - 29,117.50 -
- - - -
- - - -
- - - -
- - - -
- - 54,990.00 -
- - 23,692.50 -
- - 23,692.50 -
- - - -
- - - -
- - - -
- - - -
- - 22,437.00 -
- - 22,437.00 -
- - 22,437.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 20,855.00 -
- - 32,844.00 -
- - 20,959.50 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 18,952.50 -
- - 19,500.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 19,580.00 -
- - 19,085.00 -
- - 19,085.00 -
- - 19,085.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 3,971.00 - -
- 1,140.00 5,415.00 -
- - 16,714.00 -
- - 17,608.50 -
- - 16,653.00 -
- - 16,864.00 -
- - 11,352.50 -
- - 14,518.00 -
- - 9,890.00 -
- - 16,385.00 -
- - 14,512.50 -
- - 15,275.50 -
- - 13,932.00 -
- - 10,022.50 -
- - 12,238.00 -
- - 13,464.00 -
- - 13,464.00 -
- - 23,247.00 -
- - 10,285.00 -
- - 11,803.50 -
- - 8,455.00 -
- - 12,036.00 -
- - 12,036.00 -
- - 14,608.00 -
- - 10,268.00 -
- - 16,157.00 -
- - 10,268.00 -
- - 10,268.00 -
- - 18,765.00 -
- - 20,790.00 -
- - 5,719.00 -
- - 6,317.50 -
- - 5,719.00 -
- - 5,386.50 -
- - 5,918.50 -
- - 8,631.00 -
- - 8,687.50 -
- - 7,442.00 -
- - 16,819.00 -
- - 12,091.00 -
- - 7,548.00 -
- - 23,348.00 -
- - 6,950.00 -
- - 6,850.00 -
- - 4,941.00 -
- - 18,184.50 -
- - 5,655.00 -
- - 5,421.00 -
- - 5,236.00 -
- - 17,286.50 -
- - 15,900.50 -
- - 4,932.00 -
- - 4,896.00 -
- - 14,817.00 -
- - 4,488.00 -
- - 4,352.00 -
- - 10,170.00 -
- - 14,602.50 -
- - 2,802.50 -
- - 4,100.50 -
- - 4,041.50 -
- - 2,308.50 -
- - 15,708.00 -
- - 3,915.00 -
- - 4,482.00 -
- - 3,915.00 -
- - 7,084.00 -
- - 6,160.00 -
- - 3,071.00 -
- - 3,071.00 -
- - 4,059.00 -
- - 4,587.00 -
- - 10,672.00 -
- - 11,376.00 -
- - 14,610.00 -
- - 1,904.00 -
- - 2,247.00 -
- - 1,974.00 -
- - 1,974.00 -
- - 2,247.00 -
- - 1,411.00 -
- - 1,088.00 -
- - 5,453.00 -
- - 1,079.00 -
- - 942.50 -
- - 2,469.50 -
- - 2,271.50 -
- - 1,186.50 -
- - 428.00 -
- - 246.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
8,540.00 5,111.00 ### - 515.65
Premi Netto Rider
Waiver of Premium Waiver of Premium Payor Death Benefit Payor TPD Payor CI
Due to TPD CI Death Benefi

lan. Mohon kepada Indore, saat penagiha dapat ditagihkan sesuai dengan masa asuransi yang sudah dijalan
1,400.00 12,600.00 - - -
1,880.00 13,912.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,520.00 12,160.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,812.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
584.00 4,380.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 8,436.00 - - -
- 8,436.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,080.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,330.00 - - -
- - - - -
- - - - -
- - - - -
- 2,080.00 - - -
- 1,330.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,632.00 - - -
- - - - -
- - - - -
- - - - -
- 1,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 880.00 - - -
- - - - -
- - - - -
- 8,064.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,330.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 216.00 - - -
- - - - -
- - - - -
- 2,080.00 - - -
- - - - -
50.00 545.00 - - -
- 3,034.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 864.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,632.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
110.00 - - - -
- - - - -
- 8,008.00 - - -
- 6,994.00 - - -
- 6,140.00 - - -
- 5,264.00 - - -
- 1,345.00 - - -
- 724.50 - - -
- - 5,100.00 - -
- - 1,360.00 - -
5,544.00 121,908.50 6,460.00 - -
TOTAL PREMI BRUTO
Spouse PayorSpouse PayorSpouse Payor

si yang sudah dijalani)
- - - 77,914.85
- - - 19,192.00
- - - 46,954.00
- - - 43,962.00
- - - 77,568.00
- - - 43,137.50
- - - 27,880.00
- - - 44,602.00
- - - 25,840.00
- - - 76,842.00
- - - 28,350.00
- - - 19,312.00
- - - 19,312.00
- - - 19,312.00
- - - 84,855.50
- - - 17,850.00
- - - 58,190.00
- - - 24,500.00
- - - 17,000.00
- - - 16,252.00
- - - 33,250.00
- - - 33,250.00
- - - 34,487.50
- - - 31,150.00
- - - 14,960.00
- - - 15,768.00
- - - 13,056.00
- - - 11,832.00
- - - 12,006.00
- - - 37,331.00
- - - 53,439.50
- - - 10,522.50
- - - 10,522.50
- - - 10,522.50
- - - 29,290.00
- - - 71,520.00
- - - 33,382.50
- - - 33,382.50
- - - 55,348.00
- - - 9,396.00
- - - 9,396.00
- - - 9,004.50
- - - 31,073.00
- - - 31,073.00
- - - 33,885.00
- - - 25,652.00
- - - 25,047.00
- - - 25,047.00
- - - 9,817.50
- - - 7,920.00
- - - 8,140.00
- - - 7,920.00
- - - 15,887.50
- - - 22,770.00
- - - 20,988.00
- - - 7,258.00
- - - 7,067.00
- - - 7,067.00
- - - 6,426.00
- - - 32,109.00
- - - 39,615.00
- - - 26,773.50
- - - 31,714.00
- - - 5,304.00
- - - 5,928.00
- - - 5,776.00
- - - 5,776.00
- - - 55,650.00
- - - 14,757.00
- - - 14,757.00
- - - 7,936.00
- - - 5,100.00
- - - 5,100.00
- - - 3,434.00
- - - 24,398.50
- - - 22,560.00
- - - 16,051.50
- - - 3,655.00
- - - 3,870.00
- - - 3,655.00
- - - 6,665.00
- - - 10,732.50
- - - 16,279.00
- - - 2,166.00
- - - 23,284.00
- - - 20,683.00
- - - 20,683.00
- - - 20,683.00
- - - 5,580.00
- - - 4,588.00
- - - 1,470.00
- - - 1,470.00
- - - 1,605.00
- - - 1,605.00
- - - 1,605.00
- - - 1,470.00
- - - 1,605.00
- - - 986.00
- - - 754.00
- - - 754.00
- - - 754.00
- - - 2,915.00
- - - 738.00
- - - 3,971.00
- - - 6,555.00
- - - 18,044.00
- - - 17,608.50
- - - 16,653.00
- - - 16,864.00
- - - 13,432.50
- - - 15,848.00
- - - 9,890.00
- - - 16,385.00
- - 1,133.00 15,645.50
- - - 15,275.50
- - 1,133.00 15,065.00
- - - 10,022.50
- - - 13,870.00
- - - 13,464.00
- - - 13,464.00
- - - 23,247.00
- - - 12,085.00
- - - 11,803.50
- - - 8,455.00
- - - 12,036.00
- - - 12,036.00
- - - 14,608.00
- - - 10,268.00
- - - 16,157.00
- - - 10,268.00
- - - 10,268.00
- - - 18,765.00
- - - 20,790.00
- - - 5,719.00
- - - 6,317.50
- - - 5,719.00
- - - 5,386.50
- - - 5,918.50
- - - 8,631.00
- - - 9,567.50
- - - 7,442.00
- - - 16,819.00
- - - 20,155.00
- - - 7,548.00
- - - 23,348.00
- - - 6,950.00
- - - 6,850.00
- - - 6,271.00
- - - 18,184.50
- - - 5,655.00
- - - 5,421.00
- - - 5,236.00
- - - 17,286.50
- - - 15,900.50
- - - 4,932.00
- - - 4,896.00
- - - 14,817.00
- - - 4,488.00
- - - 4,568.00
- - 2,350.00 12,520.00
- - - 14,602.50
- - - 4,882.50
- - - 4,100.50
- - - 4,636.50
- - - 5,342.50
- - - 15,708.00
- - - 3,915.00
- - - 4,482.00
- - - 3,915.00
- - - 7,084.00
- - - 6,160.00
- - - 3,071.00
- - - 3,071.00
- - - 4,059.00
- - - 4,587.00
- - - 10,672.00
- - - 11,376.00
- - - 14,610.00
- - - 1,904.00
- - - 2,247.00
- - - 1,974.00
- - - 1,974.00
- - - 2,247.00
- - - 1,411.00
- - - 1,952.00
- - - 5,453.00
- - - 1,079.00
- - - 942.50
- - - 2,469.50
- - - 2,271.50
- - - 1,186.50
- - - 428.00
- - - 246.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 1,632.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 110.00
- - - -
- - - 8,008.00
- - - 6,994.00
- - - 6,140.00
- - - 5,264.00
- - - 1,345.00
- - - 724.50
- - - 5,100.00
- - - 1,360.00
- - 4,616.00 2,997,802.35
PT. ASURANSI JIWA IFG PT. ASURANSI JIWA IFG
TARIP PREMI REASURANSI TAHUNAN TARIP PREMI REASURANSI BULANAN
Link - TERM
Link - TERM INSURANCE
INSURANCE
PER 1.000 AT RISK PER 1.000 AT RISK
USIA RATE USIA

6 bln 3.91 6 bln
1 1.49 1
2 1.49 2
3 1.09 3
4 0.59 4
5 0.59 5
6 0.59 6
7 0.59 7
8 0.59 8
9 0.59 9
10 0.59 10
11 0.66 11
12 0.66 12
13 0.66 13
14 0.67 14
15 0.67 15
16 0.67 16
17 0.68 17
18 0.68 18
19 0.68 19
20 0.68 20
21 0.68 21
22 0.68 22
23 0.68 23
24 0.68 24
25 0.68 25
26 0.68 26
27 0.68 27
28 0.69 28
29 0.69 29
30 0.72 30
31 0.74 31
32 0.76 32
33 0.78 33
34 0.85 34
35 0.90 35
36 0.98 36
37 1.07 37
38 1.16 38
39 1.28 39
40 1.40 40
41 1.55 41
42 1.67 42
43 2.02 43
44 2.07 44
45 2.12 45
46 2.30 46
47 2.48 47
48 2.65 48
49 2.87 49
50 3.12 50
51 3.39 51
52 3.69 52
53 4.04 53
54 4.46 54
55 4.90 55
56 5.36 56
57 5.83 57
58 6.33 58
59 6.84 59
60 7.42 60
61 8.12 61
62 8.87 62
63 9.74 63
64 10.74 64
65 11.82 65
66 12.96 66
67 14.12 67
68 15.26 68
69 16.49 69
70 18.45 70
71 20.22 71
72 22.25 72
73 24.58 73
74 27.17 74
75 29.98 75
76 32.94 76
77 36.02 77
78 39.18 78
79 42.52 79
80 46.15 80
81 50.19 81
82 54.76 82
83 59.90 83
84 65.49 84
85 71.42 85
86 77.56 86
87 83.84 87
88 90.25 88
89 96.80 89
90 103.56 90
91 110.66 91
92 118.36 92
93 127.07 93
94 138.18 94
95 154.09 95
96 179.58 96
97 224.24 97
98 307.26 98
99 466.98 99
PT. ASURANSI JIWA IFG PT. ASURANSI JIWA IFG PT. ASUR
PREMI REASURANSI BULANAN TARIP PREMI REASURANSI BULANAN TARIP PREMI RE
ASURANSI IFG MANFAAT BERTAHAP PLUS (IFG MANTAP PLUS) - PERSONAL ACCIDENT
ASURANSI IFG MANFAAT BERTAHA
PER 1.000 AT RISK PER 1.000 SUM AT RISK (S.A.R) PER 1.000 SU
RATE Kelas Risiko A

0.391 1 0.036
0.149 2 0.054
0.149 3 0.072
0.109 4 0.090
0.059
0.059
0.059
0.059
0.059
0.059
0.059
0.066
0.066
0.066
0.067
0.067
0.067
0.068
0.068
0.068
0.068
0.068
0.068
0.068
0.068
0.068
0.068
0.068
0.069
0.069
0.072
0.074
0.076
0.078
0.085
0.090
0.098
0.107
0.116
0.128
0.140
0.155
0.167
0.202
0.207
0.212
0.230
0.248
0.265
0.287
0.312
0.339
0.369
0.404
0.446
0.490
0.536
0.583
0.633
0.684
0.742
0.812
0.887
0.974
1.074
1.182
1.296
1.412
1.526
1.649
1.845
2.022
2.225
2.458
2.717
2.998
3.294
3.602
3.918
4.252
4.615
5.019
5.476
5.990
6.549
7.142
7.756
8.384
9.025
9.680
10.356
11.066
11.836
12.707
13.818
15.409
17.958
22.424
30.726
46.698
TARIP PREMI REASURANSI BULANAN TARIP PREMI REASURANSI BULANAN
IFG MANFAAT BERTAHAP (IFG MANTAP) - PERSONAL ACCIDENT ASURANSI TAMBAHAN IFG TERM RIDER
PER 1.000 SUM AT RISK (S.A.R) PER 1.000 SUM AT RISK (S.A.R)
Kelas Risiko A USIA RATE

I 0.036 6 bln 0.391
II 0.054 1 0.149
III 0.072 2 0.149
IV 0.090 3 0.109
4 0.059
5 0.059
6 0.059
7 0.059
8 0.059
9 0.059
10 0.059
11 0.066
12 0.066
13 0.066
` 14 0.067
15 0.067
16 0.067
17 0.068
18 0.068
19 0.068
20 0.068
21 0.068
22 0.068
23 0.068
24 0.068
25 0.068
26 0.068
27 0.068
28 0.069
29 0.069
30 0.072
31 0.074
32 0.076
33 0.078
34 0.085
35 0.090
36 0.098
37 0.107
38 0.116
39 0.128
40 0.140
41 0.155
42 0.167
43 0.202
44 0.207
45 0.212
46 0.230
47 0.248
48 0.265
49 0.287
50 0.312
51 0.339
52 0.369
53 0.404
54 0.446
55 0.490
56 0.536
57 0.583
58 0.633
59 0.684
60 0.742
61 0.812
62 0.887
63 0.974
64 1.074
65 1.182
I JIWA IFG PT. ASURANSI JIWA IFG PT
URANSI BULANAN TARIP PREMI REASURANSI BULANAN TARIP PR
N IFG TERM RIDER ASURANSI TAMBAHAN IFG ACCIDENTAL DEATH BENEFIT ASURANSI TAMBAHAN IFG AC
AT RISK (S.A.R) PER 1.000 SUM AT RISK (S.A.R) PER 1
Kelas Risiko A
I 0.036
II 0.054
III 0.072
IV 0.090
TARIP PREMI REASURANSI BULANAN TARIP PREMI REASURANSI BULAN
URANSI TAMBAHAN IFG ACCIDENTAL DEATH AND DISMEMBERMENT BENEFIT ASURANSI TAMBAHAN IFG CRITICAL ILLNESS -
PER 1.000 SUM AT RISK (S.A.R) PER 1.000 SUM AT RISK (S.A.R
Kelas Risiko A Risiko B Total Rate USIA

I 0.036 0.045 0.081 17
II 0.054 0.068 0.122 18
III 0.072 0.090 0.162 19
IV 0.090 0.113 0.203 20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
TARIP PREMI REASURANSI BULANAN TARIP PREMI REASURANSI BULANAN
TAMBAHAN IFG CRITICAL ILLNESS - ACCELERATED ASURANSI TAMBAHAN IFG CRITICAL ILLNESS - ADDITIONAL
PER 1.000 SUM AT RISK (S.A.R) PER 1.000 SUM AT RISK (S.A.R)
MALE FEMALE USIA MALE FEMALE

0.044 0.074 0 0.057 0.081
0.044 0.074 1 0.057 0.081
0.044 0.074 2 0.057 0.081
0.044 0.074 3 0.057 0.081
0.047 0.075 4 0.057 0.081
0.050 0.076 5 0.057 0.081
0.053 0.080 6 0.057 0.081
0.057 0.084 7 0.057 0.081
0.061 0.090 8 0.057 0.081
0.065 0.096 9 0.057 0.081
0.067 0.095 10 0.057 0.081
0.071 0.103 11 0.057 0.081
0.075 0.108 12 0.057 0.081
0.080 0.109 13 0.057 0.081
0.086 0.108 14 0.057 0.081
0.095 0.108 15 0.057 0.081
0.098 0.108 16 0.057 0.081
0.106 0.109 17 0.057 0.081
0.115 0.110 18 0.057 0.081
0.122 0.114 19 0.057 0.081
0.135 0.120 20 0.057 0.081
0.156 0.130 21 0.060 0.086
0.180 0.144 22 0.063 0.089
0.208 0.161 23 0.065 0.095
0.239 0.182 24 0.069 0.100
0.276 0.207 25 0.074 0.110
0.317 0.235 26 0.078 0.116
0.362 0.269 27 0.081 0.122
0.406 0.307 28 0.085 0.129
0.456 0.376 29 0.090 0.136
0.511 0.431 30 0.096 0.137
0.566 0.489 31 0.105 0.136
0.619 0.551 32 0.114 0.136
0.676 0.618 33 0.118 0.136
0.736 0.693 34 0.130 0.137
0.796 0.771 35 0.140 0.139
0.864 0.855 36 0.147 0.145
0.941 0.947 37 0.163 0.166
1.027 1.047 38 0.190 0.188
1.128 1.154 39 0.218 0.214
1.224 1.272 40 0.251 0.246
1.328 1.378 41 0.288 0.278
1.442 1.492 42 0.333 0.308
1.568 1.608 43 0.383 0.339
1.723 1.746 44 0.430 0.378
1.871 1.892 45 0.486 0.413
2.003 2.029 46 0.544 0.449
2.138 2.184 47 0.610 0.495
2.276 2.358 48 0.665 0.561
49 0.726 0.667
50 0.790 0.711
51 0.865 0.779
52 0.934 0.888
53 1.010 0.974
54 1.093 1.053
55 1.191 1.152
56 1.300 1.269
57 1.407 1.400
58 1.482 1.515
59 1.619 1.642
60 1.744 1.716
61 1.900 1.921
62 2.044 2.081
63 2.168 2.232
64 2.294 2.402
65 2.577 2.594
G PT. ASURANSI JIWA IFG
ULANAN TARIP PREMI REASURANSI BULANAN
NESS - ADDITIONAL ASURANSI TAMBAHAN IFG TOTAL PERMANENT DISABILITY - ACCELERATED
(S.A.R) PER 1.000 SUM AT RISK (S.A.R)
USIA RATE
*hightlight kuning adalah rate asumsi untuk 17 0.010
18 0.010
19 0.010
20 0.010
21 0.010
22 0.010
23 0.010
24 0.010
25 0.010
26 0.010
27 0.010
28 0.010
29 0.010
30 0.010
31 0.010
32 0.010
33 0.011
34 0.013
35 0.014
36 0.015
37 0.015
38 0.015
39 0.016
40 0.018
41 0.020
42 0.022
43 0.025
44 0.028
45 0.031
46 0.033
47 0.036
48 0.039
49 0.043
50 0.047
51 0.052
52 0.058
53 0.066
54 0.076
55 0.089
56 0.103
57 0.119
58 0.137
59 0.156
60 0.178
61 0.203
62 0.230
63 0.259
64 0.293
65 0.329
PT. ASURANSI JIWA IFG
TARIP PREMI REASURANSI BULANAN
ASURANSI TAMBAHAN IFG TOTAL PERMANENT DISABILITY - ADDITIONAL
PER 1.000 SUM AT RISK (S.A.R)
USIA RATE
0 0.020 *hightlight kuning adalah rate asumsi untuk usia <17 tahun. Mohon
1 0.020
2 0.020
3 0.020
4 0.020
5 0.020
6 0.020
7 0.020
8 0.020
9 0.020
10 0.020
11 0.020
12 0.020
13 0.020
14 0.020
15 0.020
16 0.020
17 0.020
18 0.020
19 0.020
20 0.020
21 0.020
22 0.020
23 0.020
24 0.020
25 0.020
26 0.021
27 0.021
28 0.021
29 0.021
30 0.021
31 0.022
32 0.023
33 0.024
34 0.025
35 0.027
36 0.029
37 0.031
38 0.034
39 0.038
40 0.041
41 0.044
42 0.048
43 0.052
44 0.057
45 0.062
46 0.066
47 0.072
48 0.077
49 0.083
50 0.090
51 0.098
52 0.106
53 0.117
54 0.129
55 0.143
56 0.155
57 0.168
58 0.183
59 0.199
60 0.218
61 0.236
62 0.259
63 0.283
64 0.312
65 0.342
ASURANSI TAMBAHAN WAIVER OF PREMIUM DUE TO TOTAL TOTAL PERMANENT DISABILITY
USIA RATE
lah rate asumsi untuk usia <17 tahun. Mohon 0 0.01 *hightlight kuning adalah rate asumsi untuk usia <
1 0.01
2 0.01
3 0.01
4 0.01
5 0.01
6 0.01
7 0.01
8 0.01
9 0.01
10 0.01
11 0.01
12 0.01
13 0.01
14 0.01
15 0.01
16 0.01
17 0.01
18 0.01
19 0.01
20 0.01
21 0.01
22 0.01
23 0.01
24 0.01
25 0.01
26 0.01
27 0.01
28 0.01
29 0.01
30 0.01
31 0.01
32 0.01
33 0.01
34 0.01
35 0.01
36 0.02
37 0.02
38 0.02
39 0.02
40 0.02
41 0.02
42 0.02
43 0.03
44 0.03
45 0.03
46 0.03
47 0.04
48 0.04
49 0.04
50 0.05
51 0.05
52 0.06
53 0.07
54 0.08
55 0.09
56 0.10
57 0.12
58 0.14
59 0.16
60 0.18
61 0.20
62 0.23
63 0.26
64 0.29
65 0.33
TARIP PREMI REASURANSI BULANAN TARIP PREMI REASURANSI BU
ASURANSI TAMBAHAN WAIVER OF PREMIUM CRITICAL ILLNESS 51 ASURANSI TAMBAHAN PAYOR DE
PER 1.000 SUM AT RISK (S.A.R) PER 1.000 SUM AT RISK (S
USIA MALE FEMALE USIA

rate asumsi untuk usia < 0 0.044 0.074 *hightlight kuning adalah rate asumsi 0
1 0.044 0.074 1
2 0.044 0.074 2
3 0.044 0.074 3
4 0.044 0.074 4
5 0.044 0.074 5
6 0.044 0.074 6
7 0.044 0.074 7
8 0.044 0.074 8
9 0.044 0.074 9
10 0.044 0.074 10
11 0.044 0.074 11
12 0.044 0.074 12
13 0.044 0.074 13
14 0.044 0.074 14
15 0.044 0.074 15
16 0.044 0.074 16
17 0.044 0.074 17
18 0.044 0.074 18
19 0.044 0.074 19
20 0.044 0.074 20
21 0.047 0.075 21
22 0.050 0.076 22
23 0.053 0.080 23
24 0.057 0.084 24
25 0.061 0.090 25
26 0.065 0.096 26
27 0.067 0.095 27
28 0.071 0.103 28
29 0.075 0.108 29
30 0.080 0.109 30
31 0.086 0.108 31
32 0.095 0.108 32
33 0.098 0.108 33
34 0.106 0.109 34
35 0.115 0.110 35
36 0.122 0.114 36
37 0.135 0.120 37
38 0.156 0.130 38
39 0.180 0.144 39
40 0.208 0.161 40
41 0.239 0.182 41
42 0.276 0.207 42
43 0.317 0.235 43
44 0.362 0.269 44
45 0.406 0.307 45
46 0.456 0.376 46
47 0.511 0.431 47
48 0.566 0.489 48
49 0.619 0.551 49
50 0.676 0.618 50
51 0.736 0.693 51
52 0.796 0.771 52
53 0.864 0.855 53
54 0.941 0.947 54
55 1.027 1.047 55
56 1.128 1.154 56
57 1.224 1.272 57
58 1.328 1.378 58
59 1.442 1.492 59
60 1.568 1.608 60
61 1.723 1.746 61
62 1.871 1.892 62
63 2.003 2.029 63
64 2.138 2.184 64
65 2.276 2.358 65
PREMI REASURANSI BULANAN TARIP PREMI REASURANSI BULANAN
TAMBAHAN PAYOR DEATH BENEFIT ASURANSI TAMBAHAN PAYOR TOTAL PERMANENT DISABILITY
R 1.000 SUM AT RISK (S.A.R) PER 1.000 SUM AT RISK (S.A.R)
RATE USIA RATE

0.068 *hightlight kuning adalah rate asumsi u 0 0.010 *hightlight kuning adalah rate asumsi u
0.068 1 0.010
0.068 2 0.010
0.068 3 0.010
0.068 4 0.010
0.068 5 0.010
0.068 6 0.010
0.068 7 0.010
0.068 8 0.010
0.068 9 0.010
0.068 10 0.010
0.068 11 0.010
0.068 12 0.010
0.068 13 0.010
0.068 14 0.010
0.068 15 0.010
0.068 16 0.010
0.068 17 0.010
0.068 18 0.010
0.068 19 0.010
0.068 20 0.010
0.068 21 0.010
0.068 22 0.010
0.068 23 0.010
0.068 24 0.010
0.068 25 0.010
0.068 26 0.010
0.068 27 0.010
0.069 28 0.010
0.069 29 0.010
0.072 30 0.010
0.074 31 0.010
0.076 32 0.010
0.078 33 0.011
0.085 34 0.013
0.090 35 0.014
0.098 36 0.015
0.107 37 0.015
0.116 38 0.015
0.128 39 0.016
0.140 40 0.018
0.155 41 0.020
0.167 42 0.022
0.202 43 0.025
0.207 44 0.028
0.212 45 0.031
0.230 46 0.033
0.248 47 0.036
0.265 48 0.039
0.287 49 0.043
0.312 50 0.047
0.339 51 0.052
0.369 52 0.058
0.404 53 0.066
0.446 54 0.076
0.490 55 0.089
0.536 56 0.103
0.583 57 0.119
0.633 58 0.137
0.684 59 0.156
0.742 60 0.178
0.812 61 0.203
0.887 62 0.230
0.974 63 0.259
1.074 64 0.293
1.182 65 0.329
TARIP PREMI REASURANSI BULANAN TARIP PREMI REASURANSI BULAN
ASURANSI TAMBAHAN IFG PAYOR BENEFIT CRITICAL ILLNESS 51 ASURANSI TAMBAHAN IFG SPOUSE PAYOR D
PER 1.000 SUM AT RISK (S.A.R) PER 1.000 SUM AT RISK (S.A.R
USIA MALE FEMALE USIA

ning adalah rate asumsi u 0 0.044 0.074 *hightlight kuning adalah rate asumsi 0
1 0.044 0.074 1
2 0.044 0.074 2
3 0.044 0.074 3
4 0.044 0.074 4
5 0.044 0.074 5
6 0.044 0.074 6
7 0.044 0.074 7
8 0.044 0.074 8
9 0.044 0.074 9
10 0.044 0.074 10
11 0.044 0.074 11
12 0.044 0.074 12
13 0.044 0.074 13
14 0.044 0.074 14
15 0.044 0.074 15
16 0.044 0.074 16
17 0.044 0.074 17
18 0.044 0.074 18
19 0.044 0.074 19
20 0.044 0.074 20
21 0.047 0.075 21
22 0.050 0.076 22
23 0.053 0.080 23
24 0.057 0.084 24
25 0.061 0.090 25
26 0.065 0.096 26
27 0.067 0.095 27
28 0.071 0.103 28
29 0.075 0.108 29
30 0.080 0.109 30
31 0.086 0.108 31
32 0.095 0.108 32
33 0.098 0.108 33
34 0.106 0.109 34
35 0.115 0.110 35
36 0.122 0.114 36
37 0.135 0.120 37
38 0.156 0.130 38
39 0.180 0.144 39
40 0.208 0.161 40
41 0.239 0.182 41
42 0.276 0.207 42
43 0.317 0.235 43
44 0.362 0.269 44
45 0.406 0.307 45
46 0.456 0.376 46
47 0.511 0.431 47
48 0.566 0.489 48
49 0.619 0.551 49
50 0.676 0.618 50
51 0.736 0.693 51
52 0.796 0.771 52
53 0.864 0.855 53
54 0.941 0.947 54
55 1.027 1.047 55
56 1.128 1.154 56
57 1.224 1.272 57
58 1.328 1.378 58
59 1.442 1.492 59
60 1.568 1.608 60
61 1.723 1.746 61
62 1.871 1.892 62
63 2.003 2.029 63
64 2.138 2.184 64
65 2.276 2.358 65
66 2.415 2.557
67 2.530 2.780
68 2.642 2.968
69 2.758 3.179
. ASURANSI JIWA IFG PT. ASURANSI JIWA IFG
REMI REASURANSI BULANAN TARIP PREMI REASURANSI BULANAN
AN IFG SPOUSE PAYOR DEATH BENEFIT ASURANSI TAMBAHAN IFG SPOUSE PAYOR TOTAL PERMANENT DISABILITY
.000 SUM AT RISK (S.A.R) PER 1.000 SUM AT RISK (S.A.R)
RATE USIA RATE

0.068 *hightlight kuning adalah rate asumsi untuk 0 0.010
0.068 1 0.010
0.068 2 0.010
0.068 3 0.010
0.068 4 0.010
0.068 5 0.010
0.068 6 0.010
0.068 7 0.010
0.068 8 0.010
0.068 9 0.010
0.068 10 0.010
0.068 11 0.010
0.068 12 0.010
0.068 13 0.010
0.068 14 0.010
0.068 15 0.010
0.068 16 0.010
0.068 17 0.010
0.068 18 0.010
0.068 19 0.010
0.068 20 0.010
0.068 21 0.010
0.068 22 0.010
0.068 23 0.010
0.068 24 0.010
0.068 25 0.010
0.068 26 0.010
0.068 27 0.010
0.069 28 0.010
0.069 29 0.010
0.072 30 0.010
0.074 31 0.010
0.076 32 0.010
0.078 33 0.011
0.085 34 0.013
0.090 35 0.014
0.098 36 0.015
0.107 37 0.015
0.116 38 0.015
0.128 39 0.016
0.140 40 0.018
0.155 41 0.020
0.167 42 0.022
0.202 43 0.025
0.207 44 0.028
0.212 45 0.031
0.230 46 0.033
0.248 47 0.036
0.265 48 0.039
0.287 49 0.043
0.312 50 0.047
0.339 51 0.052
0.369 52 0.058
0.404 53 0.066
0.446 54 0.076
0.490 55 0.089
0.536 56 0.103
0.583 57 0.119
0.633 58 0.137
0.684 59 0.156
0.742 60 0.178
0.812 61 0.203
0.887 62 0.230
0.974 63 0.259
1.074 64 0.293
1.182 65 0.329
ASURANSI TAMBAHAN IFG SPOUSE PAYOR CRITICAL ILLNESS 51
USIA MALE FEMALE

0 0.044 0.074
1 0.044 0.074
2 0.044 0.074
3 0.044 0.074
4 0.044 0.074
5 0.044 0.074
6 0.044 0.074
7 0.044 0.074
8 0.044 0.074
9 0.044 0.074
10 0.044 0.074
11 0.044 0.074
12 0.044 0.074
13 0.044 0.074
14 0.044 0.074
15 0.044 0.074
16 0.044 0.074
17 0.044 0.074
18 0.044 0.074
19 0.044 0.074
20 0.044 0.074
21 0.047 0.075
22 0.050 0.076
23 0.053 0.080
24 0.057 0.084
25 0.061 0.090
26 0.065 0.096
27 0.067 0.095
28 0.071 0.103
29 0.075 0.108
30 0.080 0.109
31 0.086 0.108
32 0.095 0.108
33 0.098 0.108
34 0.106 0.109
35 0.115 0.110
36 0.122 0.114
37 0.135 0.120
38 0.156 0.130
39 0.180 0.144
40 0.208 0.161
41 0.239 0.182
42 0.276 0.207
43 0.317 0.235
44 0.362 0.269
45 0.406 0.307
46 0.456 0.376
47 0.511 0.431
48 0.566 0.489
49 0.619 0.551
50 0.676 0.618
51 0.736 0.693
52 0.796 0.771
53 0.864 0.855
54 0.941 0.947
55 1.027 1.047
56 1.128 1.154
57 1.224 1.272
58 1.328 1.378
59 1.442 1.492
60 1.568 1.608
61 1.723 1.746
62 1.871 1.892
63 2.003 2.029
64 2.138 2.184
65 2.276 2.358
66 2.415 2.557
67 2.530 2.780
68 2.642 2.968
69 2.758 3.179
IFG LIFE
TABEL HCP - BULANAN
RUPIAH
Pengembalian premi reasuransi : 10%
Manfaat PRIA Kelas Usia

Plan
Santunan harian ICU Santunan pembedahan Plan 17 25
I 50,000 100,000 500,000 I 3,176 3,956
II 100,000 200,000 1,000,000 II 6,339 7,897
III 150,000 300,000 1,500,000 III 9,501 11,837
IV 200,000 400,000 2,000,000 IV 12,664 15,778
V 250,000 500,000 2,500,000 V 15,826 19,719
VI 300,000 600,000 3,000,000 VI 18,989 23,659
VII 350,000 700,000 3,500,000 VII 22,151 27,600
VIII 400,000 800,000 4,000,000 VIII 25,314 31,541
IX 450,000 900,000 4,500,000 IX 28,476 35,481
X 500,000 1,000,000 5,000,000 X 31,639 39,422
XI 550,000 1,100,000 5,500,000 XI 34,940 43,516
XII 600,000 1,200,000 6,000,000 XII 38,033 47,380
XIII 650,000 1,300,000 6,500,000 XIII 41,173 51,295
XIV 700,000 1,400,000 7,000,000 XIV 44,324 55,223
XV 750,000 1,500,000 7,500,000 XV 47,479 59,156
XVI 800,000 1,600,000 8,000,000 XVI 50,637 63,092
XVII 850,000 1,700,000 8,500,000 XVII 53,796 67,029
XVIII 900,000 1,800,000 9,000,000 XVIII 56,956 70,967
XIX 950,000 1,900,000 9,500,000 XIX 60,117 74,905
XX 1,000,000 2,000,000 10,000,000 XX 63,278 78,844
IFG LIFE
TABEL HCP - TAHUNAN
RUPIAH
Pengembalian premi reasuransi : 10%
Manfaat PRIA Kelas Usia

Plan
Santunan harian ICU Santunan pembedahan Plan 17 25
I 50,000 100,000 500,000 I 31,764 39,560
II 100,000 200,000 1,000,000 II 63,389 78,967
III 150,000 300,000 1,500,000 III 95,014 118,373
IV 200,000 400,000 2,000,000 IV 126,639 157,781
V 250,000 500,000 2,500,000 V 158,264 197,187
VI 300,000 600,000 3,000,000 VI 189,889 236,595
VII 350,000 700,000 3,500,000 VII 221,513 276,001
VIII 400,000 800,000 4,000,000 VIII 253,138 315,407
IX 450,000 900,000 4,500,000 IX 284,763 354,815
X 500,000 1,000,000 5,000,000 X 316,388 394,221
XI 550,000 1,100,000 5,500,000 XI 349,404 435,164
XII 600,000 1,200,000 6,000,000 XII 380,334 473,801
XIII 650,000 1,300,000 6,500,000 XIII 411,727 512,951
XIV 700,000 1,400,000 7,000,000 XIV 443,237 552,232
XV 750,000 1,500,000 7,500,000 XV 474,792 591,561
XVI 800,000 1,600,000 8,000,000 XVI 506,371 630,919
XVII 850,000 1,700,000 8,500,000 XVII 537,960 670,288
XVIII 900,000 1,800,000 9,000,000 XVIII 569,561 709,667
XIX 950,000 1,900,000 9,500,000 XIX 601,166 749,054
XX 1,000,000 2,000,000 10,000,000 XX 632,776 788,443
Kelas Usia WANITA Kelas Usia
45 50 55 60 Plan 17 25 45
5,859 7,034 10,556 21,579 I 4,227 5,165 8,478
11,704 14,053 21,097 43,158 II 8,439 10,313 16,940
17,549 21,072 31,639 64,736 III 12,650 15,461 25,402
23,394 28,091 42,180 86,315 IV 16,862 20,610 33,864
29,239 35,111 52,722 107,894 V 21,073 25,758 42,326
35,084 42,130 63,264 129,473 VI 25,285 30,907 50,788
40,929 49,149 73,805 151,051 VII 29,496 36,055 59,250
46,774 56,168 84,347 172,630 VIII 33,708 41,204 67,712
52,619 63,187 94,889 194,209 IX 37,919 46,352 76,174
58,464 70,206 105,430 215,788 X 42,131 51,500 84,636
64,448 77,372 116,111 237,367 XI 46,500 56,810 93,256
70,224 84,318 126,583 258,945 XII 50,633 61,878 101,639
76,046 91,313 137,101 280,524 XIII 54,818 67,000 110,075
81,879 98,320 147,631 302,103 XIV 59,017 72,134 118,524
87,717 105,332 158,166 323,682 XV 63,220 77,275 126,978
93,558 112,346 168,703 345,261 XVI 67,426 82,418 135,434
99,399 119,362 179,241 366,839 XVII 71,634 87,563 143,893
105,242 126,378 189,781 388,418 XVIII 75,843 92,708 152,352
111,085 133,395 200,320 409,997 XIX 80,052 97,854 160,812
116,929 140,413 210,860 431,576 XX 84,262 103,001 169,272
Kelas Usia WANITA Kelas Usia

45 50 55 60 Plan 17 25 45
58,589 70,338 105,555 215,788 I 42,273 51,646 84,778
117,040 140,530 210,972 431,575 II 84,389 103,130 169,399
175,490 210,721 316,388 647,364 III 126,504 154,615 254,019
233,941 280,914 421,804 863,151 IV 168,619 206,098 338,639
292,391 351,105 527,221 1,078,939 V 210,734 257,583 423,259
350,841 421,297 632,637 1,294,727 VI 252,849 309,067 507,879
409,292 491,489 738,053 1,510,514 VII 294,964 360,552 592,500
467,742 561,681 843,470 1,726,303 VIII 337,079 412,036 677,120
526,192 631,873 948,886 1,942,090 IX 379,194 463,520 761,740
584,643 702,065 1,054,302 2,157,878 X 421,310 515,004 846,360
644,479 773,723 1,161,105 2,373,668 XI 465,003 568,102 932,558
702,240 843,179 1,265,832 2,589,450 XII 506,334 618,781 1,016,394
760,457 913,126 1,371,015 2,805,244 XIII 548,184 669,997 1,100,749
818,794 983,198 1,476,314 3,021,029 XIV 590,167 721,343 1,185,237
877,173 1,053,316 1,581,663 3,236,817 XV 632,202 772,748 1,269,777
935,576 1,123,458 1,687,032 3,452,605 XVI 674,264 824,179 1,354,344
993,995 1,193,617 1,792,414 3,668,391 XVII 716,341 875,625 1,438,929
1,052,420 1,263,782 1,897,808 3,884,182 XVIII 758,428 927,081 1,523,520
1,110,850 1,333,955 2,003,204 4,099,968 XIX 800,521 978,541 1,608,118
1,169,286 1,404,129 2,108,604 4,315,756 XX 842,620 1,030,008 1,692,720
Kelas Usia
50 55 60
9,077 10,910 21,579
18,139 21,805 43,158
27,201 32,699 64,736
36,262 43,593 86,315
45,324 54,488 107,894
54,385 65,382 129,473
63,447 76,276 151,051
72,508 87,171 172,630
81,570 98,065 194,209
90,632 108,960 215,788
99,851 120,012 237,367
108,834 130,828 258,945
117,869 141,695 280,524
126,917 152,577 302,103
135,971 163,463 323,682
145,027 174,352 345,261
154,085 185,243 366,839
163,144 196,134 388,418
172,203 207,026 409,997
181,263 217,919 431,576
Kelas Usia
50 55 60
90,774 109,102 215,788
181,390 218,046 431,575
272,006 326,989 647,364
362,621 435,933 863,151
453,237 544,876 1,078,939
543,853 653,820 1,294,727
634,469 762,764 1,510,514
725,084 871,707 1,726,303
815,700 980,651 1,942,090
906,316 1,089,595 2,157,878
998,514 1,200,122 2,373,668
1,088,340 1,308,276 2,589,450
1,178,693 1,416,952 2,805,244
1,269,174 1,525,766 3,021,029
1,359,711 1,634,628 3,236,817
1,450,275 1,743,520 3,452,605
1,540,853 1,852,427 3,668,391
1,631,439 1,961,341 3,884,182
1,722,033 2,070,263 4,099,968
1,812,632 2,179,190 4,315,756

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DATA REASURANSI POLIS PERORANGAN

NAMA PEMPOL TGL LAHIR

(Tertanggung Tambahan) PEMPOL

1 11027706133 DUMMY 13/09/1997

X NAMA TERTANGGUNG TGL LAHIR

PEMPOL (Tertanggung Utama) TERTANGGUNG

25 19/01/2023 74 74 74 19/01/2097 JL4BLN

NAMA PRODUK M/N

ASURANSI PREMI ASURANSI

IFG LIFE PRIME PROTECTION N 1,000,000.00 BULANAN

1,881,000,000.00 1,881,000,000.00 100,000,000.00 600,000,000.00

600,000,000.00 100,000,000.00 100,000,000.00 100,000.00

HCP Waiver of Premium

200,000.00 1,000,000.00 II 12,000,000.00

JRA Waiver of Premium JRA Payor Death Benefit

Waiver TPD CI Waiver CI

480,000,000.00 12,000,000.00 480,000,000.00 -

PDB PTPD PCI

20,000,000.00 144,000,000.00 20,000,000.00 144,000,000.00 20,000,000.00

144,000,000.00 500,000,000.00 100,000,000.00 500,000,000.00

ADDB TPD CI HCP

500,000,000.00 100,000,000.00 100,000,000.00 50,000.00 100,000.00

500,000.00 200,000,000.00 200,000,000.00 - -

- 144,000,000.00 ### 144,000,000.00 1,381,000,000.00

- - 50,000.00 100,000.00 500,000.00

Waiver of Premium Waiver of Premium Payor Death Benefit Payor TPD

TERM ADB (PA) ADDB

TPD CI HCP Waiver of Premium Waiver of Premium

Death Benefit TPD CI

* (Tarif premi reasur

TERM ADB (PA) ADDB

TPD CI HCP Waiver of Premium Waiver of Premium

Death Benefit TPD CI

* (Tarif premi reasuransi adalah Bulanan, sehingga d

ADDB TPD CI HCP

Due to TPD CI Death Benefi

Death Benefit TPD CI

USIA RATE USIA

RATE Kelas Risiko A

Kelas Risiko A USIA RATE

AT RISK (S.A.R) PER 1.000 SUM AT RISK (S.A.R) PER 1

Kelas Risiko A Risiko B Total Rate USIA

MALE FEMALE USIA MALE FEMALE

(S.A.R) PER 1.000 SUM AT RISK (S.A.R)

PER 1.000 SUM AT RISK (S.A.R)

ASURANSI TAMBAHAN WAIVER OF PREMIUM DUE TO TOTAL TOTAL PERMANENT DISABILITY

PER 1.000 SUM AT RISK (S.A.R)

ASURANSI TAMBAHAN WAIVER OF PREMIUM CRITICAL ILLNESS 51 ASURANSI TAMBAHAN PAYOR DE

PER 1.000 SUM AT RISK (S.A.R) PER 1.000 SUM AT RISK (S

USIA MALE FEMALE USIA

R 1.000 SUM AT RISK (S.A.R) PER 1.000 SUM AT RISK (S.A.R)

RATE USIA RATE

USIA MALE FEMALE USIA

.000 SUM AT RISK (S.A.R) PER 1.000 SUM AT RISK (S.A.R)

RATE USIA RATE

ASURANSI TAMBAHAN IFG SPOUSE PAYOR CRITICAL ILLNESS 51

PER 1.000 SUM AT RISK (S.A.R)

USIA MALE FEMALE

Pengembalian premi reasuransi : 10%