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20230718_LIFE_Informasi Transaksi Afiliasi_31342390_lamp1.pdf
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(5)sinarmas MSIGIife
Amemberor PENKISIAGI INSURANCE GROUP
No : 22/AISMSIG-CSEC/VII/2023
Kepada:
Kepala Eksekutif Pengawas Pasar Modal
Otoritas Jasa Keuangan
Jakarta
Dengan hormat,
Dalam rangka memenuhi ketentuan dalam Peraturan
Otoritas Jasa Keuangan No. 42/ POJK.04/2020 tentang
Transaksi Afiliasi dan Transaksi Benturan Kepentingan
(“POJK 42/2020”), dengan ini
informasi atas transaksi afiliasi, sebagai berikut:
kami melaporkan
Uraian transaksi afiliasi
Pada 17 Juli 2023, PT Asuransi Jiwa Sinarmas MSIG Tbk
(“Perusahaan”) membuat program tidak memaksa
untuk memberikan penghargaan kepada karyawan
dalam bentuk manfaat tunai. Manfaat tunai diberikan
dengan syarat bahwa manfaat tunai tersebut akan
disimpan dalam bentuk saham Perusahaan selama
18 Juli 2023
Dear Sir/Ma'am,
In order to comply with provisions under the Financial
Services Authority Regulation No. 42/POJK.04/2020
concerning Related Party Transactions and Conflict of
Interest Transactions ("POJK 42/2020"), we herewith
report the information regarding to related
transactions, as follows.
Details of related party transaction
On 17 July 2023, PT Asuransi Jiwa Sinarm 5 Tbk
(“the Company”) initiated a discretionary program for
rewarding its employees with cash benefit. Cash benefit
Is granted with conditions that it needs to be held in the
form of restricted share of the Company for 2 years (24
months) period and shall be released only if the employee
jangka waktu 2 tahun (24 bulan) dan akan dilepaskan
hanya jika karyawan tersebut tetap bekerja di
Perusahaan hingga periode tersebut berakhir.
In with the Company until ends of
'ock-up period.
Uraian program yang dimaksud adalah sebagai berikut: The detail of the program is as follows
Aspek/Aspei Uraian/Detail
Periode Program 1tahun/ye'
Prog Wuli/July 2023 — Juni/June 2024)
Periode lock-up
Lock
Jumlah karyawan yang akan
mendapatkan penghargaan
am Period
2 tahun/ years
o Period
Up
82 orang/employees
rployee
Program akan dilaksanakan sesuai dengan salah satu dari 3 skenario di bawah ini:
It will be executed following one of 3 scenarios below
Kisaran harga per
Skenario lembar saham Biaya Maksimal
Estimasi jumlah biaya Scenario The range price per Maximum cost
program share
Estir cost Fi Rp50 - Rp5.999 « Rp5.999x 100 saham/shares x 68
orang/persons x 12” - Rp 489.518.400, -
(maksimal/maximum)
# Rp5.999 x 200 saham/shares x 14
orang/persons x 12” - Rp 201.566.400, -
(maksimal/maximum)
program
PT Asuransi Jiwa Sinarmas MSIG Tbk.
Kantor Manajemen & Layanan Nasabah
Sinarmas MSIG Tower, Lt. 6, Jin. Jend. Sudirman Kav. 21, Jakarta 12920, Indonesia, Telepon: (021) 5059 7777 (Hunting), Fax. (021) 5060 8899
Kantor Pusat
Wisma Eka Jiwa, Lt. 8-9, Jln. Mangga Dua Raya, Jakarta Pusat 10730, Telepon: (021) 6257808, 50309999
PT Asuransi Jiwa Sinarmas MSIG Tbk. telah terdaftar dan berada di bawah pengawasan OJK |
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(5)sinarmas MSIGIife A Member of INSURANCE GROUP 2 Rp6.000 — Rp3.999 . Rp9.999 x 100 saham/shares x 68 orang/persons x 6" - Rp 407.959.200, - (maksimal/maximum) # Rp9.999x 200 saham/sharesx 14 orang/persons x 6” - Rp 167.983.200, - (maksimal/maximum) 3 ? Rp3.999 e Rp15.000x 100 saham/shares x 68 orang/persons x 4" - Rp 408.000.000, - €# Rp15.000x 200 saham/sharesx14 orang/persons x4" - Rp 168.000.000, - “) 12/6/4 adalah kemungkinan frekuensi maksimal, frekuensi pengalokasian saham akan berkurang jika harga saham naik (mengikuti skenario yang disediakan) “)12/6/4 is possible maximum freguency, freguency of allocation of stock will be reduced if the share price goes higher (following provided scenario) Hubungan antara para pihak Sesuai dengan POJK 42/2020, pegawai Perusahaan merupakan salah satu pihak yang memenuhi kriteria sebagai afiliasi Perusahaan. Penjelasaan, pertimbangan dan alasan dilakukannya transaksi afiliasi, dibandingkan dengan apabila dilakukan transaksi lain yang sejenis yang tidak dilakukan dengan pihak afiliasi Pertimbangan dan alasan Perusahaan melakukan transaksi afiliasi tersebut adalah: 1. Untuk mempertahankan supaya karyawan tertentu tetap bersama Perusahaan, dengan memberikan bonus tambahan, dengan syarat bahwa bonus akan disimpan dalam bentuk saham Perusahaan selama masa lock-up tertentu, 2. Untuk menyelaraskan kepentingan karyawan dan pemegang saham, yang akan meningkatkan kinerja Perusahaan secara keseluruhan. Pernyataan Dewan Komisaris dan Direksi Direksi dan Dewan Komisaris dengan ini menyatakan bahwa sepanjang pengetahuan dan keyakinan Direksi dan Dewan Komisaris Perusahaan, bahwa: # Transaksi tersebut bukan merupakan transaksi benturan kepentingan sebagaimana dimaksud dalam POJK 42/2020 mengingat tidak terdapat perbedaan antara kepentingan ekonomis Perusahaan dengan kepentingan ekonomis Relationship between the parties Based on POJK 42/2020, the Company's employees are one of the parties that meet the criteria for affiliation of the Company. Explanation, consideration and reason for conducting the related party transaction, compared to it that conducted with a non-related party The Company's consideration and reason for carrying out the related party transactions are. 1. To retain certain employees within AISM, by providing extra bonus, but with condition that the bonus will be held in form of LIFE shares with lock-up period. 2. To align the interest of employees and shareholders, and thus will improve overall Company's performance. Statement of the Board of Commissioners and Board of Directors The Board of Directors and the Board of Commissioners hereby state that to the best of the knowledge and belief of the Board of Directors and the Board of Commissioners of the Company, that: # The transaction is not @ conflict-of-interest transaction as referred to in POJK 42/2020 considering that there is no difference between the economic interests of the Company and the personal economic interests of the Board of
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(#)sinarmas MSIGIife A Member of INSURANCE GROUP pribadi Direksi, Dewan Komisaris. dan Pemegang Saham Utama atau Pengendali Perusahaan yang dapat merugikan Perusahaan karena Transaksi. material terkait transaksi afiliasi telah diungkapkan dalam laporan kepada OJK dan tidak menyesatkan. # Semua informasi Informasi tambahan Kami juga melampirkan informasi pendukung berupa salah satu Surat Pemberitahuan kepada karyawan, sebagai referensi tambahan. Demikian laporan ini kami sampaikan. perhatiannya, kami ucapkan terima kasih. Atas Hormat kami, € PT Asuransi Jiwa Sinarmas MSIG Tbk Wakil Presiden Direktur Direktur Directors, Board of Commissioners and Major or Controlling Shareholders of the Company which may harm the Company because of the Transaction. e All material information with respect to the related party transaction have been disclosed in the report to OJK and are not misleading. Additional information We also attach supporting information, i.e. one of the Notification Letter to employee, for your reference. Thus we convey accordingly. Thank you for your attention. pa ml Tomoyuki Monden
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sinarmas MSIG life A Member of INSURANCE GROUP Jakarta, 17 July 2023 Personal & Confidential Dear Mr. Aditya Indrawanto, lam delighted to confirm you have been awarded a discretionary program 2023 SMiLe Long Term Incentive Program (LTIP) as appreciation and to reward performance employees toward their overall contribution and success of PT Asuransi Jiwa Sinarmas MSIG Tbk. (“Company”). This LTIP provided as cash benefit to the overall compensation and benefits package, subject to fully non-disclosure to any third party without the prior consent of the Company and will temporarily be placed in the form of restricted of the Company shares to be vested or released if you remain your employment of the Company in 2 (two) years ahead and not under a notice of termination or resignation. Enclose with this letter is your LTIP certificate setting out information of the program and guideline to provide further details regarding the operation mechanism of your LTIP. Should you have any gueries regarding your LTIP, please contact Human Capital - Rewards & Service Delivery. I would like to take this opportunity to thank you for your continued contribution to our Company. Yours sincerely, f2 8 GEA Satoshi Shiratani Vice President Director PT Asuransi Jiwa Sinarmas MSIG Tbk. Kantor Manajemen & Layanan Nasabah Sinarmas MSIG Tower, Lt. 6, Jin. Jend. Sudirman Kav. 21, Jakarta 12920, Indonesia, Telepon: (021) SOS9 7777 (Hunting), Fax. (021) 5060 8899 Kantor Pusat Wisma Eka Jlwa, Lt. 8-8, Jin. Mangga Dua Raya. Jakarta Pusat 10730, Telepon: (021) 62578086, 50309994 01x | (PT Asuransi Jiwa Sinarmas MSIG Tbk. telah terdaftar dan berada dibawah pengawasan
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