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20250528_LIFE_Laporan Informasi dan Fakta Material_31890310_lamp1.pdf

Board change Needs review LIFE

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Page 1 OCR 0.908
@usic

Jakarta, 28 Mei 2025
Nomor: 27/MSL-CSEC/V/2025

Kepada Yth/ To:

Kepala Eksekutif Pengawas Pasar Modal, Keuangan Derivatif, dan Bursa Karbon

Otoritas Jasa Keuangan

Gedung Sumitro Djojohadikusumo
Jl Lapangan Banteng Timur No. 2-4
Jakarta 10710

Direksi

PT Bursa Efek Indonesia

Indonesia Stock Exchange Building Tower |
Jl Jend Sudirman Kav. 52 - 53

Jakarta 12910

Perihal: Perubahan Anggota Direksi dan Anggota Dewan Komisaris
Subject: Changes in the Members of the Board of Directors and the Board of Commissioners

Dengan hormat,

Untuk memenuhi ketentuan Peraturan Otoritas
Jasa Keuangan No. 33/POJK.04/2014 tentang
Direksi dan Dewan Komisaris Emiten atau
Perusahaan — Publik serta  POJK No.
31/POJK.04/2015 tentang Keterbukaan Atas
Informasi atau Fakta Material Oleh Emiten atau
Perusahaan Publik, bersama ini PT MSIG Life
Insurance Indonesia Tbk (“Perusahaan”)
menyampaikan informasi atau fakta material
sebagai berikut:

Nama Emiten / Name of Issuer
Bidang Usaha / Business Activity
Telepon / Telephone

Alamat Surat Elektronik / Email

Ian ian

28 Mei 2025
Jenis Informasi

Perubahan anggota Direksi dan anggota Dewan
Komisaris

Uraian Informasi
» Sehubungan dengan berakhirnya masa bakti

Bapak Toshinari Tokoi sebagai Komisaris dan
Bapak Ardhayadi Mitroatmodjo sebagai
Komisaris Independen pada saat
penyelenggaraan RUPS Tahunan tanggal 24
Juni 2025, Perusahaan bermaksud untuk
menyatakan pengakhiran masa bakti

Dear Sir,

To comply with Regulation of Financial Services
Authority No. 33/POJK.04/2014 concerning Board
Of Directors and Board of Commissioners of the
Issuers or Publicly Traded Companies, and POJK No.
31/POJK.04/2015  concerning Disclosure of
Material Information or Facts by Issuers or Public
Companies, PT MSIG Life Insurance Indonesia Tbk
(the “Company") hereby provide the following
information or material facts as follows:

: PT MSIG Life Insurance Indonesia Tbk
: Asuransi Jiwa / Life Insurance
1021-50597777

: Corsec@msialife.co.id

Date of Event
May 28", 2025

Type of Information

Changes in the members of the Board of Directors
and the Board of Commissioners

Description of Information

» In connection with the end of tenure period of
Mr. Toshinari Tokoi as Commissioner and Mr.
Ardhayadi Mitroatmodjo as Independent
Commissioner at the Annual GMS on June 24,
2025, the Company intends to declare the
termination of tenure period to be proposed to
obtain approval at the Annual General Meeting

PT MSIG Life Insurance Indonesia Tbk

Kantor Pusat

Sinarmas Land Plaza Sudirman, Lt. 6, Jln. Jend. Sudirman Kav. 21, Jakarta 12920, Indonesia.
Telepon: (021) 5059 7777. Customer Care: (02 1) 5060 9999, 2650 8300. Whatsapp: 088 1234 1088
Website: www.msiglife.coid

PT MSIG Life Insurance Indonesia Tbk berizin dan diawasi Otoritas Jasa Keuangan

Amenberer KIKI "SURANCe GROUP
Page 2 OCR 0.906
@nsic

dimaksud untuk selanjutnya dimintakan
persetujuan dalam Rapat Umum Pemegang
Saham Tahunan yang akan diselenggarakan
pada tanggal 24 Juni 2025 (“Rapat Umum
Pemegang Saham").

» Atas pengakhiran masa bakti tersebut,
Perusahaan berencana untuk mengangkat
penggantinya yakni Bapak Kimitake Sugiura
sebagai Komisaris serta Bapak Teuku Radja
Sjahnan sebagai Komisaris Independen,
dengan meminta persetujuan pemegang
saham melalui Rapat Umum Pemegang
Saham.

» Terkait dengan komposisi Direktur,
Perusahaan juga berencana — untuk
mengangkat Ibu Elly Susanti sebagai
Direktur Perusahaan, dengan meminta
persetujuan pemegang saham melalui Rapat
Umum Pemegang Saham.

Dam jadian, informasi, atau fakta
material tersebut  terh: k n
operasional, hukum, kondisi keuangan atau
kelangsungan usaha Emi Pe

Publik

Perubahan anggota Direksi dan Dewan Komisaris
Perusahaan sebagaimana disebutkan di atas
tidak berdampak terhadap kegiatan operasional,
hukum, kondisi keuangan atau kelangsungan
usaha Perusahaan.

Demikian informasi ini kami sampaikan, atas
perhatiannya kami ucapkan terima kasih.

Hormat kami / Sincerely yours,
PT MSIG Life Insurance Indonesia Tbk

, Legal & Corporate Secretary

PT MSIG Life Insurance Indonesia Tbk

Kantor Pusat

Sinarmas Land Plaza Sudirman, Lt 6, Jln. Jend. Sudirman Kav. 21, Jakarta 12920, Indonesia.
Telepon: (21) 5059 7777. Customer Care: (021) 5060 9939, 2650 8300. Whatsapp: 088 1234 1088
Website: www.msiglife.co.id

PT MSIG Life Insurance Indonesia Tbk berizin dan diawasi Otoritas Jasa Keuangan

Of Shareholders which will be held on June 24,
2025 ("General Meeting of Shareholders”).

» Upon the end of tenure period, the Company
plans to appoint his successor, namely Mr.
Kimitake Sugiura as Commissioner and Mr.
Teuku Radja Sjahnan as Independent
Commissioner, by reguesting the approval of
shareholders through the General Meeting of
Shareholders.

«  Regarding the composition of the Directors, the
Company also plans to appoint Ms. Elly Susanti
as a Director of the Company, by reguesting
shareholder approval through the General
Meeting of Shareholders.

The impact of the event, information or material
facts on the operational activities, legal matters,
financial condition or business continuity of the
Issuer or Public Company

Changes in the members of the Board of Directors
and Board of Commissioners of the Company as
mentioned above shall not have an impact on the
operational, legal, financial condition or business
continuity of the Company.

Please be informed accordingly, thank you for your
attention.

Awenerer KKKIRESIN "WsURaNce OROUp

File

File Open PDF
Source IDX
Size0.49 MB
Published28 May 2025
Pages2
Characters5,419
Text sourceOCR
OCR confidence0.907

Names mentioned 13 people and organisations named in the text · linked when the evidence is strong

linked person Toshinari Tokoi · Komisaris p.1 ×4
linked person Ardhayadi Mitroatmodjo · Komisaris Independen p.1 ×3
linked org Sinarmas Land p.1 ×2
linked person Kimitake Sugiura · Komisaris p.2 ×4
linked person Teuku Radja Sjahnan · Komisaris Independen p.2 ×3
linked person Elly Susanti · Direktur p.2 ×3
possible org Otoritas Jasa Keuangan p.1 ×4
possible org PT Bursa Efek Indonesia p.1
unresolved org PT Bursa Efek Indonesia Indonesia Stock Exchange Building p.1
unresolved org Indonesia Stock Exchange p.1
unresolved org Life Insurance Indonesia Tbk p.1 ×8
unresolved org Financial Services Authority p.1

Extraction attempts how the parser did, and what it refused

Nothing structured was extracted from this document — the attempts below say why.

Rule parser Needs review confidence 0.100 109 ms 13 Sep 2026 15:14

no e-reporting cover - issuer taken from the announcement

Raw output
{'announced_date': '2025-05-28',
 'changes': [],
 'event_date': None,
 'issuer_name': 'PT MSIG Life Insurance Indonesia Tbk\n'
                '        Insurance    Indonesia Tbk',
 'issuer_ticker': '',
 'letter_number': '',
 'positions': [],
 'source_shape': 'ROSTER',
 'subject': 'Komisaris Dewan Anggota dan Direksi Anggota Perubahan'}

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