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Exhibit 16(4)(m) - Aetna Insurance Company of America | |
Home Office: 151 Farmington Avenue | |
P.O. Box 30670 | |
Hartford, Connecticut 06150-0670 | |
(800) 531-4547 | |
|
You may call the toll-free number shown above for answers to | |
questions or to resolve a complaint. | |
|
Aetna Insurance Company of America (We or Us), a stock company, agrees to pay | |
benefits according to the terms and conditions set forth in this Contract. | |
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Certificate of Group Annuity Coverage | |
|
Aetna certifies that an account is established for you under the Group Annuity | |
Contract and Certificate numbers shown below. | |
|
This certificate describes Group Annuity Contract provisions. It replaces any | |
and all prior certificates or endorsements issued to you under the stated | |
Contract and Certificate numbers. This Certificate is for information only and | |
is not a part of the Contract. | |
|
The variable features of the Group Contract are described in sections 6 and 12. | |
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Right to Cancel | | |
|
The Certificate Holder may cancel the Certificate within ten (10) days of | |
receiving it by returning it to Us at the address above or the person from whom | |
it was purchased. Within seven (7) days of the cancellation request, We will | |
return the Certificate Holder's Purchase Payment(s) made plus any increase, or | |
minus any decrease on the amount allocated to the Separate Account. | |
|
Signed at the home office on the Effective Date. | |
|
/s/ Dan Kearney | /s/ Maria F. McKeon | |
President | Secretary | |
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Contract Holder | Group Annuity Contract Number | |
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SPECIMEN | SPECIMEN | |
SPECIMEN | | |
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Certificate Holder | Certificate Number | |
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SPECIMEN | SPECIMEN | |
SPECIMEN | | |
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Annuitant Name | Type of Plan | |
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SPECIMEN | SPECIMEN | |
SPECIMEN | | |
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ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | |
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | |
FIXED DOLLAR AMOUNT. THIS CERTIFICATE CONTAINS A MARKET VALUE ADJUSTMENT | |
FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN | |
INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA | |
DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY. | |
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Table of Contents | | |
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<TABLE> | | |
<CAPTION> | | |
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<S> | | <C> |
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Right to Cancel | | 1 |
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Contract Schedule | | 5 |
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Separate Account | | 5 |
AICA Guaranteed Account (AG Account) | 5 |
Separate Account and AG Account | 5 |
Fixed Annuity | | 7 |
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Section 1. Definitions | | 8 |
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Section 2. | General Provisions | 10 |
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| The Contract | 10 |
| Certificates | 10 |
| Nonparticipating Contract | 10 |
| Misstatements and Adjustments | 10 |
| Reports | 10 |
| Premium Taxes | 10 |
| Protection of Proceeds | 10 |
| Evidence of Survival | 11 |
| Proof of Age | 11 |
| Change of Contract | 11 |
|
Section 3. | Ownership | 12 |
|
| Group Contract Holder | 12 |
| Certificate Holder Rights | 12 |
| Transfer of Ownership | 12 |
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Section 4. | Beneficiary Provisions | 12 |
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| Beneficiary | 12 |
| Change of Beneficiary | 13 |
| Death of Beneficiary | 13 |
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Section 5. Purchase Payments | 13 |
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| Purchase Payments | 13 |
| Allocation of Purchase Payments | 13 |
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Section 6. | Separate Account | 13 |
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| General | 13 |
| Investment Allocations to the Separate Account | 14 |
| Valuation of Assets | 14 |
| Accumulation Unit | 14 |
| Net Return Factor for Each Valuation Period | 14 |
| Administrative Charge | 15 |
| Mortality Risk Charge | 15 |
| Expense Risk Charge | 15 |
| Mortality and Expense Guarantee | 15 |
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Section 7. AG Account | 15 |
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| AG Account Guaranteed Interest Rate | 15 |
| Deposit Period | 15 |
| Guaranteed Term | 15 |
| Guaranteed Term(s) Groups | 15 |
| Maturity Date | 15 |
| Allocation of Net Purchase Payments to the AG Guaranteed Account | 16 |
| AG Account Guaranteed Term Maturity Date and Maturity Value | 16 |
| Withdrawals from the AG Account | 16 |
| Reinvestment | 17 |
| AG Account Market Value Adjustment (Factor) | 17 |
|
Section 8. Certificate Holder's Account Value; Transfers and Withdrawals | |
During the Accumulation Period | 18 |
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| Certificate Holder's Account Value | 18 |
| Transfers During the Accumulation Period | 18 |
| Withdrawals During the Accumulation Period | 19 |
| Deferred Sales Charge | 19 |
| Waiver of Deferred Sales Charge | 19 |
| Payment of Adjusted Certificate Holder Account Value | 19 |
| Systematic Withdrawal Option (SWO) | 20 |
|
Section 9. | Maintenance Charge | 21 |
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| Maintenance Charge | 21 |
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Section 10. Proceeds Payable on Death | 21 |
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| Death of the Certificate Holder Prior to the Annuity Date | 21 |
| Death Benefit Amount Prior to the Annuity Date | 21 |
| Death Benefit Payment Methods | 23 |
| Death of Certificate Holder On or After the Annuity Date | 23 |
| Death of the Annuitant | 23 |
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Section 11. Delay of Payments | 24 |
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| Delay of Payments | 24 |
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Section 12. Annuity Provisions | 24 |
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| Designation of Annuitant | 24 |
| Terms of Annuity Options | 25 |
| Annuity Unit | 26 |
| Annuity Unit Value | 26 |
| Annuity Net Return Factor | 26 |
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Annuity Options 27 </TABLE>
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Contract Schedule
Separate Account
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| | | |
Separate Account: | Variable Account B | |
|
Charges to the | A daily charge is deducted from the assets of the Separate |
Separate Account: | Account. The deduction is the daily equivalent of the |
| annual effective percentage shown below: | |
|
| (a) | During the Accumulation Period: | |
|
| | Administrative Charge | 0.15% |
| | Mortality Risk Charge | 0.35% |
| | Expense Risk Charge | 0.90% |
| | TOTAL Separate Account Charges | |
| | During Accumulation Period | 1.40% |
|
| (b) | During the Annuity Period | |
|
| | Administrative Charge Not To Exceed | 0.25% |
| | Mortality Risk Charge | 0.35% |
| | Expense Risk Charge | 0.90% |
| | TOTAL Maximum Separate Account Charges | |
| | During Annuity Period | 1.50% |
AICA Guaranteed Account (AG Guaranteed Account)
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Minimum Guaranteed | 3.0% |
Interest Rate | |
(effective annual rate | |
of return): | |
Separate Account and AG Account
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| | |
Minimum Initial | $1,500 | |
Purchase Payment: | | |
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Minimum Subsequent | $500 or $50 per month if paid by an automatic check plan |
Purchase Payment: | | |
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Maximum Subsequent | $1,000,000 without home office approval |
Purchase Payment: | | |
|
Transfers: | We allow an unlimited number of transfers during the |
| Accumulation Period. Twelve (12) transfers in any |
| calendar year are free. Thereafter, We reserve the right |
| to charge a transfer charge up to $10 for each subsequent |
| transfer. | |
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Maintenance Charge: | The annual maintenance charge is $30. | If the Certificate |
| Holder's Account is $50,000 or more on the date the |
| maintenance charge is to be deducted, the maintenance |
| charge is $0. | |
|
Deferred Sales | For each withdrawal from a Certificate Holder's Account, a |
Charge: | deferred sale charge for each Net Purchase Payment will be |
| determined as follows: | |
|
| Years from Receipt of | Deferred |
| Net Purchase Payment | Sales Charge |
| | |
| 0-1 | 7% |
| 1-2 | 6% |
| 2-3 | 5% |
| 3-4 | 4% |
| 4-5 | 3% |
| 5-6 | 2% |
| 6-7 | 1% |
| 7+ | 0% |
|
Waiver of Deferred | Section 8.05 provides for the following: | |
Sales Charge: | | |
(c) | At least 12 months after the date of the first Purchase Payment in an amount equal to or less than 15% of the Certificate Holder's Account Value. |
(d) | For a full withdrawal where the Certificate Holder's Account Value does not exceed $2,500 and no |
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| | |
| withdrawals have been taken from the Certificate |
| Holder's Account within the prior 12 months. | |
|
Systematic | (a) Specified Payment - Maximum Percentage: | 10% |
Withdrawal Option: | | |
| (b) Specified Period - Minimum Period: | 10 years |
|
| (c) Specified Percentage - Maximum Percentage: | 10% |
|
Death Benefit Factor: 4% | |
|
Death Benefit | There is no maximum death benefit amount. | |
Maximum Amount: | | |
|
Death Benefit | 85 years | |
Maximum Age: | | |
|
Fund for Allocation | Federated Prime Money Fund II | |
of Excess Guaranteed | | |
Death Benefit Value: | | |
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Latest Annuity Date: The Certificate Holder's 90th birthday.
Fixed Annuity
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| |
Minimum Guaranteed | 3.0% |
Interest Rate | |
(effective annual rate | |
of return): | |
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Section 1. Definitions
Payments applied to a Certificate Holder's Account accumulate to
provide future Annuity payments.
1.02 | Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of a Certificate Holder's Account Value attributable to a Separate Account during the Accumulation Period. |
1.03 | Adjusted Certificate Holder Account Value - The Certificate Holder's Account Value, plus or minus any aggregate AG Account Market Value Adjustment. |
1.04 | AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time. |
| The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Certificate Holders do not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct. |
1.05 | Annuitant - The natural person on whose life an Annuity payment is based. |
1.06 | Annuity - A series of payments We make for life, a definite period or a combination of the two. |
1.07 | Annuity Date - The date on which Annuity payments commence. |
1.08 | Annuity Options - Annuity payment methods available during the Annuity Period. |
1.09 | Annuity Period - The period of time during which Annuity payments are made. |
1.10 | Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment. |
1.11 | Beneficiary - The person(s) entitled to receive any death benefit under the Certificate Holder's Account. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, is |
treated | as the Beneficiary. Any other Beneficiary designation on |
record | with Us at the time of death is treated as a contingent |
Beneficiary. | |
1.12 | Certificate - The document issued to a Certificate Holder to evidence |
a | Certificate Holder's Account established under the group Contract. |
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1.13 | Certificate Holder - A person who has established a Certificate Holder's Account under a group Contract. We reserve the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder shall be a joint Certificate Holder. Any joint Certificate Holder must be the spouse of the other joint Certificate Holder. Joint Certificate Holders have joint ownership rights and both must authorize any exercising of those ownership rights unless otherwise allowed by Us. If the Certificate Holder's Account is owned by a nonnatural person, the death benefit will be paid at the death of the Annuitant and a new Annuitant may not be named. |
1.14 | Certificate Holder's Account - A record We establish for each Certificate Holder to maintain values under a group Contract. |
1.15 | Certificate Holder's Account Value - The dollar value as of any Valuation Period of all amounts accumulated in a Certificate Holder's Account. |
1.16 | Contract - This agreement between the Group Contract Holder and Us. |
1.17 | Dollar Cost Averaging - A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds and the one-year guaranteed term of the AG Account to any of the Funds. Dollar Cost Averaging is not available if the Systematic Withdrawal Option is in effect. |
1.18 | Effective Date - The date a Certificate is issued to a Certificate Holder. |
1.19 | Fund - One of the variable investment options which may be selected by a Certificate Holder. |
1.20 | General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts. |
1.21 | Group Contract Holder - The entity to which a group Contract is issued. |
1.22 | Home Office - Our headquarters, located at 151 Farmington Avenue, |
Hartford, | CT 06156. |
1.23 | Market Value Adjustment - An adjustment that may apply to a withdrawal |
made | from the AG Account before the end of a guaranteed term as stated |
in | Section 7.10. |
1.24 | Net Purchase Payment - The Purchase Payment less premium taxes, if |
applicable. | |
1.25 | Purchase Payment - The gross payment accepted by Us and allocated to |
the | Certificate Holder's Account. We reserve the right to refuse to |
accept | any Purchase Payment at any time for any reason. |
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1.26 | Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of the Separate Account, will not be charged with Our other liabilities. |
1.27 | Valuation Period - The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such business day, or such other day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct. |
1.28 | Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results. |
Section 2. General Provisions
endorsements attached or subsequently issued.
2.02 | Certificates - A Certificate is issued to each Certificate Holder whose Purchase Payment(s) is accepted by Us. The Certificate evidences a Certificate Holder's Account established under the Contract. |
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Certificates are not part of the Contract.
2.03 | Nonparticipating Contract - Neither the Group Contract Holder, Certificate Holder nor any Beneficiary have a right to share in our earnings. |
2.04 | Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request reimbursement or adjust future payments for any amount overpaid. We will pay the amount of any underpayment. |
2.05 | Reports - We furnish each Certificate Holder with a report showing the Certificate Holder's Account Value at least once each calendar year. |
| We also furnish an annual report of the Separate Account. |
2.06 | Premium Taxes - Any premium taxes paid to any governmental entity are charged against Purchase Payments or a Certificate Holder's Account. |
| We may, at our sole discretion, pay premium taxes when due and deduct that amount from the Certificate Holder's Account at a later date. Payment at an earlier date does not waive any right We may have to deduct amounts at a later date. |
2.07 | Protection of Proceeds - To the extent permitted by law, all payments under this Contract to a Certificate Holder or Beneficiary shall be free from legal process and the claim of any creditor. |
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2.08 | Evidence of Survival - The Company may require satisfactory evidence |
| of | the continued survival of any person(s) on whose life Annuity |
| payments | are based. |
2.09 | Proof of Age - The Company may require evidence of age of any |
| Annuitant | under Annuity Options 2 and 3 and of the designated second |
| Annuitant | under Annuity Option 3. |
2.10 | Change of Contract - Only our authorized officers may change the terms |
| of | this Contract. We will notify the Group Contract Holder in writing |
| at | least 30 days before the effective date of any change. Any change |
| will | not affect the amount or terms of any Annuity which begins before |
| the | change. |
| We | may make any change that affects the AG Account Market Value |
| Adjustment | with at least thirty (30) days' advance written notice to |
| the | Group Contract Holder and the Certificate Holder. Any such change |
| shall | become effective for any new guaranteed term and will apply to |
| all | present and future Certificate Holders' Accounts. |
| We | reserve the right to change the terms of the Systematic Withdrawal |
| Option | for future elections and discontinue the availability of this |
| option. | |
| Any | change to any of the following provisions under this Contract will |
| not | apply to Certificate Holder's Accounts in existence before the |
| effective | date of the change: |
| (a) | Net Purchase Payment (1.24) |
| (b) | AG Account Guaranteed Interest Rate (7.01) |
| (c) | Net Return Factor (6.05) |
| (d) | Certificate Holder's Account Value (1.15) |
| (e) | Deferred Sales Charge (8.04) |
| (f) | Annuity Unit Value (12.04) |
| (g) | Annuity Options (12.06) |
| (h) | Fixed Annuity Interest Rates (12.01) |
| (i) | Transfers (8.02). |
| Any | change that affects the Annuity Option and the tables for the |
| Annuity | Options may be made: |
| (a) | No earlier than twelve (12) months after the Effective Date; and |
| (b) | No earlier than twelve (12) months after the effective date of any prior change. |
| Any | Certificate Holder's Account established on or after the effective |
| date | of any change will be subject to the change. If the Group |
| Contract | Holder does not agree to any change under this provision, We |
| reserve | the right to not allow any new Certificate Holder's Accounts |
| to | be established under this Contract. This Contract may also be |
| changed | as deemed necessary by Us to comply with federal or state law. |
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Section 3. Ownership
Contract. The Contract and any amounts accumulated thereunder are not subject to the claims of the Group Contract Holder nor any of its
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creditors.
3.02 | Certificate Holder Rights - The Certificate Holder has all interest |
| and | right to amounts held in his or her Certificate Holder's Account. |
| The | Certificate Holder and any joint Certificate Holder are named on |
| the | Specifications page. The Certificate Holder and any joint |
| Certificate | Holder may exercise all the rights under the Certificate |
| Holder's | Account, subject to the rights of: |
| (a) | Any assignee under an assignment filed at our home office; and |
| (b) | Any irrevocably named Beneficiary. |
| Upon | the death of a Certificate Holder prior to the Annuity Date, a |
| spousal | Beneficiary may elect to continue the Certificate Holder's |
| Account | in his or her own name and retain all ownership rights and |
| privileges | or take distribution of the death benefit as defined in |
| Section | 10. |
3.03 | Transfer of Ownership - The Group Contract Holder may transfer |
| ownership | of this Contract. A written request, dated and signed, must |
| be | filed at our home office. |
| Any | transfer of ownership terminates the interest of any existing |
| Group | Contract Holder. It does not change the rights of any |
| Certificate | Holder. |
| A | Certificate Holder may transfer all of his or her rights under the |
| Contract. | We reserve the right not to accept an assignment or transfer |
| to | a nonnatural person. A written request, dated and signed by the |
| Certificate | Holder and any joint Certificate Holder, must be filed at |
| our | home office. After the transfer is recorded, it will take effect |
| as | of the date the request was signed. Any such transfer terminates |
| the | interest of any existing Certificate Holder. It does not change |
| the | Beneficiary, nor transfer the Beneficiary's interest. A transfer |
| will | not affect any payments We may make or actions We may take before |
| such | transfer has been recorded at our home office. |
Section 4. Beneficiary Provisions
contingent Beneficiary. At the death of the Certificate Holder prior to the Annuity Date, the Beneficiary(ies) named in our records will receive a death benefit as stated in Section 10. Upon the death of either joint Certificate Holder prior to the Annuity Date, the surviving joint Certificate Holder, if any, will be treated as the designated Beneficiary and any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. If the Certificate Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant.
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4.02 | Change of Beneficiary - The Certificate Holder may change the Beneficiary. A written request, dated and signed by the Certificate Holder, must be filed at our home office. If there are joint Certificate Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. |
| If the request reaches our home office and is recorded after the Certificate Holder dies, but before any payment is made, the change is valid. |
4.03 | Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Certificate Holder's death, We pay the death benefit in one sum to the Certificate Holder's estate. If the Certificate Holder is a nonnatural person, and all of the Beneficiaries and contingent Beneficiaries die prior to the Annuitant's death, We will pay the death benefit in one sum to the Certificate Holder. |
Section 5. Purchase Payments
Contract Schedule, the Certificate Holder may determine the amount and frequency of Purchase Payments. We reserve the right not to accept any Purchase Payment. We will declare from time to time the acceptability of additional Purchase Payments.
5.02 | Allocation of Purchase Payments - The Certificate Holder may elect to |
| have | each Net Purchase Payment accumulate: |
| (a) | On a variable basis invested in shares of one or more Funds in which the Separate Account invests; |
| (b) | For guaranteed terms offered in the current deposit period(s) under the AG Account; or |
| (c) | In a combination of any of the available investment options. |
| Net | Purchase Payments must be allocated in whole percentages. For |
| subsequent | Purchase Payments, if no allocation instructions are |
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received with the Purchase Payment, the allocation will be as indicated in the most recent directive from the Certificate Holder. If the same guaranteed term(s) are not available, the next shortest will be used. If no shorter guaranteed term is available, the next longer guaranteed term will be used.
Section 6. Separate Account
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General - The assets of the Separate Account, equal to the reserves
and other Contract liabilities that depend on the investment performance of the Separate Account are not chargeable with liabilities arising out of any other business We may conduct. Income, gains or losses of the Separate Account, realized or unrealized, are credited to or charged against the assets of the Separate Account without regard to Our other income, gains or losses.
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6.02 | Investment Allocations to the Separate Account - The assets of the |
| Separate | Account are segregated by Fund. If the shares of any Fund are |
| no | longer available for investment by the Separate Account or if in |
| our | judgment, further investment in such shares should become |
| inappropriate | in view of the purpose of the Contract, We may cease to |
| make | such Fund shares available for investment under the Contract |
| prospectively, | or We may substitute shares of another Fund for shares |
| already | acquired. We may also, from time to time, add additional |
| Funds. | Any elimination, substitution or addition of Funds will be done |
| in | accordance with applicable state and federal securities laws. We |
| reserve | the right to substitute shares of another Fund for shares |
| already | acquired without a proxy vote. |
6.03 | Valuation of Assets - The shares of the Funds will be valued at their |
| net | asset value at the end of each Valuation Period. |
6.04 | Accumulation Unit - A Net Purchase Payment that is allocated to one or |
| more | Funds is credited to the Certificate Holder's Account as |
| Accumulation | Units. The number of Accumulation Units credited is |
| determined | by dividing the applicable portion of the Net Purchase |
| Payment | by the Accumulation Unit value for the appropriate Fund. The |
| Accumulation | Unit value used is that which is computed for the next |
| Valuation | Period after which the Purchase Payment is received at our |
| home | office. Accumulation Units attributable to the initial Purchase |
| Payments | will be credited within two business days of acceptance. |
| Accumulation | Unit values may increase or decrease from Valuation |
| Period | to Valuation Period. |
6.05 | Net Return Factor for Each Valuation Period - The value of an |
| Accumulation | Unit for any Valuation Period is calculated by |
| multiplying | the Accumulation Unit value for the immediately preceding |
| Valuation | Period by the net return factor of the appropriate Fund for |
| the | current period. |
| The | net return factor for each Fund is equal to 1.0000000 plus the net |
| return | rate. |
| The | net return rate equals: |
| (a) | The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus |
| (b) | The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
| (c) | Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
| (d) | The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus |
| (e) | A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge. |
| The | net return rate may be more or less than zero (0) percent. |
| The | value of a share of the Fund is equal to the net assets of the |
| Fund | divided by the number of shares outstanding. |
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6.06 | Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.07 | Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.08 | Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.09 | Mortality and Expense Guarantee - We guarantee that the dollar amount |
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of each Annuity payment after the first will not be affected by
variations in mortality or expense experience.
Section 7. AG Account
Account earn a rate of interest that is guaranteed for a specified period of time. The rate will be credited daily and will never be less than the minimum guaranteed interest rate shown on the Contract Schedule. We determine the rate and it is not based on investment experience.
For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.
7.02 | Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG Account for one or more guaranteed terms. We reserve the right to extend the deposit period. |
7.03 | Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG |
| Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years. |
| During a deposit period, We may make available any number of guaranteed terms. The Certificate Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms. |
7.04 | Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the same length of time from the close of the deposit period until the designated Maturity Date. |
7.05 | Maturity Date - The last day of a guaranteed term. |
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7.06 | Allocation of Net Purchase Payments to the AG Account - When the |
| Certificate | Holder wishes to allocate all or any portion of a Net |
| Purchase | Payment to the Guaranteed Account, he or she must tell Us the |
| percentage | to apply to one or more of the AG Account guaranteed |
| term(s) | available during the current deposit period. If no allocation |
| instructions | are received, a Net Purchase Payment is allocated as |
| indicated | in the most recent directive from the Certificate Holder. If |
| the | same guaranteed term is not available for any amount allocated to |
| the | AG Account, We will allocate the amount to the next shortest |
| guaranteed | term available. If no shorter guaranteed term is available, |
| We | will allocate it to the next longest guaranteed term. |
7.07 | AG Account Guaranteed Term Maturity Date and Maturity Value - On the |
| maturity | date, the value of the total of all amounts allocated to that |
| guaranteed | term is called the maturity value. |
| When | Certificate Holders have assets in the AG Account, at least |
| eighteen | (18) days before a maturity date, We notify them of the: |
| (a) | Projected maturity value; and |
| (b) | Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period. |
| When | no allocation instructions are received and the assets in a |
| guaranteed | term have been reinvested by Us in another guaranteed term |
| on | the maturity date, the Certificate Holder may transfer or withdraw, |
| during | the month following the maturity date, the reinvested amount |
| with | interest earned (as of the date the request is received at our |
| home | office) without incurring a Market Value Adjustment. This |
| transaction | is allowed only once for each maturity date, regardless of |
| whether | the transfer or withdrawal is partial or full. |
7.08 | Withdrawals and Transfers from the AG Account - When the Certificate |
| Holder | requests a withdrawal or transfer from the AG Account, if |
| instructions | are not provided by the Certificate Holder, amounts are |
| withdrawn | on a pro rata basis from the guaranteed term(s) groups in |
| which | the Certificate Holder's Account is currently invested. Within a |
| guaranteed | term group, the amount to be withdrawn will be withdrawn |
| first | from the oldest deposit period. Withdrawals or transfers from an |
| AG | Account guaranteed term before the maturity date are subject to a |
| Market | Value Adjustment, except for: |
| (a) | A one month period following the maturity date described in 7.07; |
| (b) | Transfers under the Dollar Cost Averaging program; and |
| (c) | Withdrawals under the Systematic Withdrawal Option described in |
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Section 8.07.
Only a positive Market Value Adjustment will apply to amounts
transferred from the AG Account when the Certificate Holder elects
Annuity Option 2 or 3.
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7.09 | Reinvestment - We will mail a notice to the Certificate Holder before a guaranteed term's maturity date. This notice will contain the guaranteed terms available during the current deposit periods with their guaranteed interest rate(s) and projected maturity value. If no specific direction is given by the Certificate Holder prior to the maturity date, each maturity value will be reinvested in the current deposit period for a guaranteed term of the same duration. If a guaranteed term of the same duration is unavailable, each matured term value will automatically be reinvested in the current deposit period for the next shortest guaranteed term available. If no shorter guaranteed term is available, the next longer guaranteed term will be used. We will mail a confirmation statement to the Certificate Holder after the maturity date. This notice will state the guaranteed term and guaranteed interest rate(s) which will apply to the reinvested matured term value. |
7.10 | AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. Except as noted in Section 7.09, 10.02 and 12.01, an MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term. |
| The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows: |
x
---
365
(1+i)
------------
x
---
365
(1+j)
Where:
i | is the Deposit Period Yield |
j | is the Current Yield |
x | is the number of days remaining, (computed from Wednesday of the week of withdrawal) in the guaranteed Term. |
Determination of MVA factor parameters:
A yield is computed at the close of the last business day of each week of the deposit period. The yield will equal the average of the yields on U.S. Treasury Notes which matured during the last three months of the applicable guaranteed term.
The deposit period yield is the average of those yields for the
deposit period. If withdrawal is made prior to the close of the
deposit period, it is the average of those yields on each week
preceding withdrawal.
The current yield is the average of the yields on the last business
day of the week preceding withdrawal on the same U.S. Treasury Notes
included in the deposit period yield.
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If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.
Section 8. Certificate Holder's Account Value; Transfers and Withdrawals During the Accumulation Period
Holder's Account is determined by adding the value of the total of Accumulation Units attributed to the selected Fund(s) to the value of any amounts attributed to the AG Account.
8.02 | Transfers During the Accumulation Period - Before the Annuity Date, |
| the | Certificate Holder may transfer from any Fund or guaranteed term |
| of | the AG Account to: |
| (a) | Any other Fund; or |
| (b) | Any guaranteed term of the AG Account available in the current |
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deposit period.
Transfer requests can be submitted as a percentage or as a dollar amount. We may establish a minimum transfer amount. Within a guaranteed term group, the amount transferred is withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied.
The Certificate Holder may make an unlimited number of transfers during the Accumulation Period. The number of free transfers allowed is shown on the Contract Schedule. Transfers in excess of that number may be subject to the transfer charge shown on the Contract Schedule. Transfers under the Dollar Cost Averaging program do not count toward the annual limit. Transfers of a matured term value from the AG Account on or within one calendar month after a guaranteed term's maturity date do not count against the annual transfer limit.
Amounts applied to guaranteed terms of the AG Account may not be transferred to the Funds or to another guaranteed term during the deposit period or for 90 days after the close of the deposit period except for (1) matured term value(s) during the calendar month following the guaranteed term's maturity date; (2) amounts applied to an annuity option; (3) transfers from the one-year guaranteed term under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option.
Except as noted in Section 7.09, 10.02 and 12.01, transfers from
guaranteed terms of the AG Account before the Maturity Date are
subject to a Market Value Adjustment.
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8.03 | Withdrawals During the Accumulation Period - The Certificate Holder |
| may | withdraw all or a portion of the Certificate Holder's Account |
| Value | during the Accumulation Period by properly completing a |
| withdrawal | request form. Withdrawal requests can be submitted as a |
| percentage | or as a specific dollar amount. Net Purchase Payment |
| amounts | are withdrawn first, and then the excess value, if any. For |
| any | partial withdrawal, if instructions are not provided by the |
| Certificate | Holder, amounts are withdrawn on a pro rata basis from the |
| Fund(s), | and/or the guaranteed term(s) groups in which the Certificate |
| Holder's | Account is currently invested. Within a guaranteed term |
| group, | the amount to be withdrawn will be withdrawn first from the |
| oldest | deposit period, then from the next oldest, and so on until the |
| amount | requested is satisfied. |
| After | deduction of the maintenance charge, if applicable, the |
| withdrawn | amount shall be reduced by the applicable deferred sales |
| charge | and any applicable premium taxes. |
8.04 | Deferred Sales Charge - The deferred sales charge only applies to the |
| portion | of the amount withdrawn attributable to Net Purchase |
| Payment(s) | and varies according to the elapsed time since receipt of |
| the | Purchase Payment. The deferred sales charge is shown on the |
| Contract | Schedule. |
8.05 | Waiver of Deferred Sales Charge - No deferred sales charge is deducted |
| when | a Certificate Holder's Account Value is paid: |
| (a) | To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Certificate Holder as described in Section 10.02(b); |
| (b) | As a premium for an Annuity Option; |
| (c) | At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Certificate Holder's Account Value as shown on the Contract Schedule. This applies to the first withdrawal request, partial or full, in a calendar year. |
| | The Certificate Holder's Account Value is calculated as of the date the withdrawal request is received in good order at our home office. This waiver is not available to the Certificate Holder while a SWO is in effect; |
| (d) | For a full withdrawal where the Certificate Holder's Account Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months; |
| (e) | For a distribution made by Us under Section 8.06; or |
| (f) | For a distribution which is part of a SWO under Section 8.07. |
| We | reserve the right to allow the proceeds of a total withdrawal to be |
| reinstated | under the terms and conditions as established by Us from |
| time | to time. |
8.06 | Payment of Adjusted Certificate Holder Account Value - Upon 90 day's |
| written | notice to the Certificate Holder, We will terminate any |
| Certificate | Holder's Account if the Certificate Holder's Account Value |
| becomes | less than $1,500 immediately following any partial withdrawal. |
| We | do not intend to exercise this right in cases where the Certificate |
| Holder's | Account Value is reduced to $1,500 or less solely due to |
| investment | performance. When We make a distribution pursuant to this |
| provision, | the deferred sales charge will not be deducted. |
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8.07 | Systematic Withdrawal Option (SWO) - We will allow the Certificate |
| Holder | to establish a schedule of withdrawals to be made automatically |
| from | the Certificate Holder's Account Value. All distributed amounts |
| will | be withdrawn on a pro rata basis from the Fund(s) and/or the |
| guaranteed | term(s) groups of the AG Account in which the Certificate |
| Holder's | Account is invested. |
| The | Certificate Holder must elect one of the following SWO methods: |
| (a) | Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Certificate Holder's Account Value at time of the election as shown on the Contract Schedule. This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or |
| (b) | Specified Period: Payments which are made over a period of time which must be at least the minimum period as shown on the Contract Schedule. The annual amount paid each year is calculated by dividing the Certificate Holder's Account Value as of December 31 of the prior year by the number of payment years remaining; or |
| (c) | Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Certificate Holder's Account Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Certificate Holder's Account Value as of December 31 of the year prior to the payment by the designated percentage. |
| SWO | payments will cease at the Certificate Holder's death (or if the |
| Certificate | Holder is a nonnatural person, at the death of the |
| Annuitant) | . A beneficiary may elect to continue SWO as provided in |
| Section | 10.01. |
| In | our discretion, We may require a minimum initial Certificate |
| Holder's | Account Value for election of this option. SWO may be elected |
| by | submitting a completed and signed election form to Us. Once |
| elected, | this option may be revoked by submitting a written request to |
| Us. | SWO may be elected only once by the Certificate Holder or by a |
| spousal | Beneficiary. |
| Certificate | Holders should consult their tax adviser prior to |
| requesting | this distribution option. We are not responsible for any |
| adverse | tax consequences due to a Certificate Holder's receiving SWO |
| payments. | A ten (10) percent penalty tax may apply to distributions to |
| a | Certificate Holder who has not reached age 59 1/2. Upon death of the |
| Certificate | Holder, any payments will be made under the terms of |
| Section | 10. |
| Dollar | Cost Averaging is not available to Certificate Holders who have |
| elected | SWO. |
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Section 9. Maintenance Charge
shown in the Contract Schedule from the Certificate Holder's Account during the Accumulation Period. We will deduct the maintenance charge on the anniversary of the Effective Date of the Certificate for the Certificate Holder's Account. This maintenance charge is also deducted upon withdrawal of the entire Adjusted Certificate Holder's Account. The maintenance charge is deducted proportionately from each investment option used.
Section 10. Proceeds Payable on Death
event of the death of the Certificate Holder or a joint Certificate Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by the Certificate Holder. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, will be treated as the designated Beneficiary. Any other Beneficiary designation on record with Us at the time of death will be treated as a contingent Beneficiary. If the Certificate Holder is a nonnatural person, the death benefit will be payable to the Beneficiary(ies) at the death of the Annuitant.
A Beneficiary may request We pay the death benefit under one of the
methods described in Section 10.03. If the Beneficiary is the spouse
of the Certificate Holder, or the spouse of the Annuitant if the
Certificate Holder is a nonnatural person, he or she may elect to
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continue the Certificate Holder's Account in his or her own name and
exercise all the Certificate Holder's rights under the Contract.
10.02 | Death Benefit Amount Prior to the Annuity Date - |
| (a) | Except as set forth below, the amount of the guaranteed death |
| | benefit | value is equal to the greater of: |
| | (i) | The Certificate Holder's Account Value at the end of the Valuation Period during which We receive at our home office due proof of death and election of the type of payment to be made; or |
| | (ii) | The death benefit determined as of the Valuation Period corresponding to the date of death. |
Until the first Effective Date anniversary, the death
benefit is equal to the Purchase Payments made by the
Certificate Holder prior to the Effective Date anniversary
less any withdrawals and any amounts applied to an Annuity
Option.
For each Certificate year thereafter, the death benefit
during the Certificate year equals the death benefit at the
beginning of the Certificate year plus Purchase Payments
made during the year less any withdrawals and any amounts
applied to an Annuity Option.
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On each Effective Date anniversary, the death benefit is
determined as follows:
(A) | The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus |
(B) | Purchase Payments made by the Certificate Holder during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less |
(C) | Any withdrawals or amounts applied to an Annuity Option during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the Certificate year since the withdrawal or election of Annuity option; or |
(iii) | The Certificate Holder's Account Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option. |
Notwithstanding the foregoing, the death benefit under (ii) or
(iii) will not exceed the death benefit maximum amount shown on
the Contract Schedule.
The death benefit calculation described in (ii) and (iii) above,
applies until the Certificate Holder reaches the death benefit
maximum age shown on the Contract Schedule. If the Certificate
Holder is a nonnatural person, death provisions will be based on
the age of the Annuitant. Thereafter, the death benefit is only
adjusted for Purchase Payments, withdrawals and amounts applied to
Annuity Options. If the Certificate Holder reaches the death
benefit maximum age shown on the Contract Schedule prior to the
seventh anniversary of the Effective Date, the death benefit will
be the greater of (i) or (ii) above.
The excess, if any, of the guaranteed death benefit value over the
Certificate Holder's Account Value is determined when we receive
at our home office due proof of death and allocated to the Fund
shown on the Contract Schedule. The Certificate Holder's Account
Value plus any excess amount deposited becomes the Certificate
Holder's Account Value.
(b) | In the case of a spousal Beneficiary who continued the Certificate Holder's Account in his or her own name, the death benefit shall be equal to the Adjusted Current Value less any applicable deferred sales charge on any Purchase Payment made after We have received at our home office due proof of death of the joint Certificate Holder (or Annuitant, if applicable). |
When the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account within six months after the date of death, the amount withdrawn or transferred from the AG Account will be the greater of:
(1) The aggregate Market Value Adjustment amount (the amount resulting from the application of relevant Market Value Adjustment factors); or
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(2) The applicable portion of Certificate Holder's Account Value in
the AG Account.
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After the six-month period, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the aggregate Market Value Adjustment amount. Only a positive market value adjustment will apply, however, to amounts transferred from the AG Account when the Beneficiary elects Annuity Option 2 or 3.
At the death of a spousal Beneficiary who continued the Certificate Holder's Account in his or her own name, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the Aggregate Market Value Adjustment amount.
10.03 | Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Certificate Holder prior to the Annuity Date: |
| Method 1 - Lump sum payment of the death benefit; or |
| Method 2 - The payment of the entire death benefit within five years of the date of the Certificate Holder's death; or |
| Method 3 - Payment of the death benefit over the lifetime of the designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Certificate Holder. |
| Any portion of the death benefit not applied under Method 3 within one year of the date of Certificate Holder's death, or the death of the Annuitant if the Certificate Holder is a nonnatural person, must be distributed within five years of the date of death. |
| A spousal Beneficiary may elect to continue the Certificate Holder's Account in his or her name, elect a lump sum payment of the death benefit, or apply the Adjusted Certificate Holder's Account Value to an Annuity Option. |
10.04 | Death of Certificate Holder On or After the Annuity Date - If the Certificate Holder who is not the Annuitant, dies on or after the Annuity Date, the remaining payments under the Annuity Option elected will be made to the Beneficiary at least as rapidly as under the |
method | of distribution in effect at the Certificate Holder's death. |
10.05 | Death of the Annuitant - If the Annuitant, who is not a Certificate |
Holder, | dies on or before the Annuity Date, a new Annuitant may be |
named. | If no Annuitant is named, the Certificate Holder will be the |
Annuitant. | If the Certificate Holder is a nonnatural person, the death |
benefit | will be paid at the death of the Annuitant and no new |
Annuitant | may be named. If the Annuitant dies after the Annuity Date, |
the | death benefit, if any, will be payable to the Beneficiary as |
specified | in the Annuity Option elected. We will require proof of the |
Annuitant's | death. Death benefits will be paid at least as rapidly as |
under | the method of distribution in effect at the Annuitant's death. |
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Section 11. Delay of Payments
within seven days after a request is received in good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:
(a) | The New York Stock Exchange is closed for other than customary weekend and holiday closings; |
(b) | Trading on the Exchange is restricted; |
(c) | An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or |
(d) | The Securities and Exchange Commission so permits delay for the protection of security holders. |
The applicable rules of the Securities and Exchange Commission will
govern as to whether the conditions in (b) or (c) exist.
We also reserve the right to delay any type of payment from the AG
Account for up to six months.
| |
Section 12. Annuity Provisions | |
- ------------------------------------------------------------------------------- | |
|
|
|
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12.01 | Designation of Annuitant - The Certificate Holder and the Annuitant |
| need | not be the same person. The Certificate Holder names the |
| Annuitant | and during the Accumulation Period, may change the |
| designated | Annuitant. We change the Annuitant when We receive a |
| written | request in good order at our home office. We will not change |
| the | Annuitant when Annuity payments have commenced. |
| The | Certificate Holder elects an Annuity Option by telling Us to use |
| all | or any portion of the Certificate Holder's Account Value (minus |
| any | applicable premium taxes if not previously deducted) to purchase |
| Annuity | payments under an Annuity Option. If the Certificate Holder |
| elects | Annuity Option 1, the amount applied to purchase Annuity |
| payments | will be equal to the Adjusted Certificate Holder's Account |
| Value. | If the Certificate Holder elects Annuity Option 2 or 3, the |
| amount | applied to purchase Annuity payments will be the greater of: |
| (1) | The Adjusted Certificate Holder's Account Value; or |
| (2) | The Certificate Holder's Account Value. |
| When | an Annuity Option is chosen the Certificate Holder must designate |
| a: | |
| (a) | Fixed Annuity using the General Account; |
| (b) | Variable Annuity using any of the Funds available during the Annuity Period; or |
| (c) | Combination of (a) and (b). |
| If | a fixed Annuity is chosen, We will calculate the amount using an |
| interest | assumption no less than the percentage specified on the |
| Contract | Schedule. We may calculate the amount using a higher interest |
| rate. | |
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If a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use an Assumed Annual Net Return Rate of 3.5%
Payments are made on a monthly basis to the Certificate Holder unless the Certificate Holder requests a different mode of payment.
Once elected, an Annuity Option may not be revoked, except for Option 1 when elected on a variable basis.
12.02 | Terms of Annuity Options - The minimum first payment amount must be at |
| least | $50 per month and at least $250 per year. |
| If | the Certificate Holder elects a fixed Annuity and We determine that |
| the | Certificate Holder would receive larger payments by applying the |
| Certificate | Holder's Account Value, reduced by the deferred sales |
| charge, | to a single premium immediate Annuity currently offered by Us, |
| We | will make the larger payments. |
| We | determine the first payment of a variable Annuity, or the payment |
| amount | of a fixed Annuity, using the Annuitant's (and second |
| Annuitant's | if applicable) adjusted age which We calculate as follows: |
| (a) | If Annuity payments begin any time between July 1, 1992 and |
| | December | 31, 1999, the adjusted age is the Annuitant's age as of |
| | the | birthday closest in time to the Annuity Date reduced by one |
| | (1) | year. |
| (b) | If the Annuity begins any time between January 1, 2000 and |
| | December | 31, 2009, the adjusted age is the Annuitant's age as of |
| | the | birthday closest in time to the Annuity Date reduced by two |
| | (2) | years. |
| (c) | For each succeeding decade, the adjusted age is the Annuitant's |
| | age | as determined in (b), reduced by one additional year. |
| The | Annuity rates for Options 2 and 3 are based on mortality from 1983 |
| Table | A. |
| Assumed | Annual Net Return Rate is the interest rate used to determine |
| the | amount of the first Annuity payment under a variable Annuity. The |
| Separate | Account must earn this rate plus enough to cover the |
| mortality | and expense risks charges (which may include profit) and |
| administrative | charges if future variable Annuity payments are to |
| remain | level. |
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The Certificate Holder must give written notice to Us at least 30 days before the Annuity payments begin, electing or changing:
(a) | The date on which Annuity payments are to begin; |
(b) | The Annuity Option; |
(c) | Whether the payments are to be made monthly, quarterly, semiannually or annually; |
(d) | The investment options used to provide Annuity payments. |
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The first Annuity payment may not be earlier than one (1) calendar
year after the initial Purchase Payment, nor later than the later of
the:
(a) | First day of the month following the Annuitant's birthday shown on the Contract Schedule; or |
(b) | Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may request a lump sum payment. |
12.03 | Annuity Unit - The number of Annuity Units per Fund is based on the |
| amount | of the first variable Annuity payment which is equal to: |
| (a) | The portion of the Certificate Holder's Account Value (minus any premium taxes) applied to pay a variable Annuity; divided by, |
| (b) | 1000; multiplied by, |
| (c) | The payment rate for the Annuity Option chosen. |
| Such | amount, or portion, of the variable Annuity payment will be |
| divided | by the Annuity Unit value for the appropriate Fund on the |
| tenth | Valuation Period before the due date of the first payment to |
| determine | the number of each Fund's Annuity Units. The number of each |
| Fund's | Annuity Unit remains fixed. Each future payment is equal to the |
| sum | of the products of each Fund's Annuity Unit value multiplied by |
| the | appropriate number of units. The Fund's Annuity Unit value on the |
| tenth | Valuation Period prior to the due date of the payment is used. |
12.04 | Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit |
| value | is equal to: |
| (a) | The value for the previous Valuation Period; multiplied by, |
| (b) | The Annuity Net Return Factor for the Valuation Period; multiplied by, |
| (c) | A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663). |
| The | dollar value of a Fund(s) Annuity Unit values and payments may go |
| up | or down due to investment gain or loss. |
12.05 | Annuity Net Return Factor - The Annuity net return factor is used to |
| compute | all Separate Account Annuity payments for any Fund. |
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The Annuity net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate. The net return rate is equal to:
(a) | The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus, |
(b) | The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus, |
(c) | Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) | The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus, |
(e) | A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule. |
The net return rate may be more or less than zero (0) percent.
The value of a share of the Fund is equal to the net assets of the
Fund divided by the number of shares outstanding.
12.06 | Annuity Options |
| Option | 1 - Payments for a Stated Period of Time - An Annuity will be |
| paid | for the number of years chosen. The number of years must be at |
| least | 5 and not more than 30. |
| If | payments for this Annuity Option are made under a variable Annuity, |
| the | present value of any remaining payments may be withdrawn at any |
| time. | |
| Option | 2 - Life Income - An Annuity will be paid for the life of the |
| Annuitant. | If also chosen, We will guarantee payments for 60, 120, |
| 180, | or 240 months. |
| Option | 3 - Life Income Based upon the Lives of Two Annuitants - An |
| Annuity | will be paid during the lives of the Annuitant and a second |
| Annuitant. | Payments will continue until both Annuitants have died. |
| When | this Annuity Option is chosen, a choice must be made of: |
| (a) | 100% of the payment to continue after the first death; |
| (b) | 66 2/3% of the payment to continue after the first death; |
| (c) | 50% of the payment to continue after the first death; |
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(d) | Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or |
(e) | 100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant. |
We may make other options available as allowed by law.
27
<PAGE>
OPTION 1
Payments for a Stated Period of Time
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE>
<CAPTION>
| | | | | |
| Guaranteed | Monthly | Quarterly | Semi-Annual | Annual |
Years | Rate | Payment | Payment | Payment | Payment |
| | | | | |
<S> | <C> | <C> | <C> | <C> | <C> |
|
5 | 3.00% | 17.91 | 53.59 | 106.78 | 211.99 |
6 | 3.00% | 15.14 | 45.30 | 90.27 | 179.22 |
7 | 3.00% | 13.16 | 39.39 | 78.49 | 155.83 |
8 | 3.00% | 11.68 | 34.96 | 69.66 | 138.31 |
9 | 3.00% | 10.53 | 31.52 | 62.81 | 124.69 |
10 | 3.00% | 9.61 | 28.77 | 57.33 | 113.82 |
11 | 3.00% | 8.86 | 26.52 | 52.85 | 104.93 |
12 | 3.00% | 8.24 | 24.65 | 49.13 | 97.54 |
13 | 3.00% | 7.71 | 23.08 | 45.98 | 91.29 |
14 | 3.00% | 7.26 | 21.73 | 43.29 | 85.95 |
15 | 3.00% | 6.87 | 20.56 | 40.96 | 81.33 |
16 | 3.00% | 6.53 | 19.54 | 38.93 | 77.29 |
17 | 3.00% | 6.23 | 18.64 | 37.14 | 73.74 |
18 | 3.00% | 5.96 | 17.84 | 35.56 | 70.59 |
19 | 3.00% | 5.73 | 17.13 | 34.14 | 67.78 |
20 | 3.00% | 5.51 | 16.50 | 32.87 | 65.26 |
21 | 3.00% | 5.32 | 15.92 | 31.72 | 62.98 |
22 | 3.00% | 5.15 | 15.40 | 30.68 | 60.92 |
23 | 3.00% | 4.99 | 14.92 | 29.74 | 59.04 |
24 | 3.00% | 4.84 | 14.49 | 28.88 | 57.33 |
25 | 3.00% | 4.71 | 14.09 | 28.08 | 55.76 |
26 | 3.00% | 4.59 | 13.73 | 27.36 | 54.31 |
27 | 3.00% | 4.47 | 13.39 | 26.68 | 52.97 |
28 | 3.00% | 4.37 | 13.08 | 26.06 | 51.74 |
29 | 3.00% | 4.27 | 12.79 | 25.49 | 50.60 |
30 | 3.00% | 4.18 | 12.52 | 24.95 | 49.53 |
- -------------- ---------------------- ----------------- ------------------- ------------------- -------------------</TABLE>
28
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
Payments Guaranteed for a Stated Period of Months
<TABLE>
<CAPTION>
| | | | | | | | | | |
Adjusted | None | | | 60 | | 120 | | 180 | | 240 |
Age of | ----------------------------------------------------------------------------------------------------------------- |
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
| | | | | | | | | | | |
<S> | <C> | | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
|
50 | $ 4.27 | $3.90 | $4.26 | $ 3.90 | $ 4.22 | $ 3.89 | $ 4.17 | $ 3.86 | $ 4.08 | $ 3.82 |
51 | | 4.34 | 3.97 | 4.33 | 3.96 | 4.30 | 3.95 | 4.23 | 3.92 | 4.14 | 3.88 |
52 | | 4.43 | 4.03 | 4.41 | 4.03 | 4.37 | 4.01 | 4.30 | 3.98 | 4.20 | 3.93 |
53 | | 4.51 | 4.10 | 4.50 | 4.10 | 4.45 | 4.08 | 4.37 | 4.04 | 4.26 | 3.99 |
54 | | 4.60 | 4.18 | 4.59 | 4.17 | 4.54 | 4.15 | 4.45 | 4.11 | 4.32 | 4.04 |
|
55 | | 4.70 | 4.25 | 4.68 | 4.25 | 4.62 | 4.22 | 4.53 | 4.18 | 4.39 | 4.11 |
56 | | 4.80 | 4.34 | 4.78 | 4.33 | 4.72 | 4.30 | 4.61 | 4.25 | 4.45 | 4.17 |
57 | | 4.91 | 4.42 | 4.89 | 4.41 | 4.82 | 4.38 | 4.69 | 4.32 | 4.51 | 4.23 |
|
|
|
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| | | | | | | | | | |
| | | | | | | | | | Page 18 of 24 |
|
|
|
|
58 | 5.03 | 4.52 | 5.00 | 4.51 | 4.92 | 4.47 | 4.78 | 4.40 | 4.58 | 4.30 |
59 | 5.15 | 4.61 | 5.12 | 4.60 | 5.03 | 4.56 | 4.87 | 4.48 | 4.65 | 4.37 |
|
60 | 5.28 | 4.72 | 5.25 | 4.70 | 5.14 | 4.66 | 4.96 | 4.57 | 4.71 | 4.44 |
61 | 5.43 | 4.83 | 5.39 | 4.81 | 5.27 | 4.76 | 5.06 | 4.66 | 4.78 | 4.51 |
62 | 5.58 | 4.95 | 5.53 | 4.93 | 5.39 | 4.87 | 5.16 | 4.75 | 4.84 | 4.58 |
63 | 5.74 | 5.08 | 5.69 | 5.05 | 5.53 | 4.99 | 5.26 | 4.85 | 4.90 | 4.65 |
64 | 5.91 | 5.21 | 5.85 | 5.18 | 5.66 | 5.10 | 5.36 | 4.95 | 4.96 | 4.72 |
|
65 | 6.10 | 5.36 | 6.03 | 5.32 | 5.81 | 5.22 | 5.46 | 5.05 | 5.02 | 4.79 |
66 | 6.30 | 5.51 | 6.21 | 5.47 | 5.96 | 5.36 | 5.56 | 5.16 | 5.08 | 4.86 |
67 | 6.51 | 5.67 | 6.41 | 5.63 | 6.12 | 5.50 | 5.66 | 5.26 | 5.13 | 4.93 |
68 | 6.73 | 5.85 | 6.62 | 5.80 | 6.28 | 5.65 | 5.77 | 5.37 | 5.18 | 5.00 |
69 | 6.97 | 6.04 | 6.84 | 5.98 | 6.44 | 5.80 | 5.86 | 5.49 | 5.23 | 5.06 |
|
70 | 7.23 | 6.25 | 7.07 | 6.18 | 6.61 | 5.97 | 5.96 | 5.60 | 5.27 | 5.12 |
71 | 7.51 | 6.47 | 7.32 | 6.39 | 6.79 | 6.14 | 6.05 | 5.71 | 5.31 | 5.18 |
72 | 7.80 | 6.71 | 7.58 | 6.62 | 6.96 | 6.32 | 6.14 | 5.83 | 5.34 | 5.23 |
73 | 8.12 | 6.98 | 7.85 | 6.86 | 7.14 | 6.50 | 6.23 | 5.94 | 5.37 | 5.28 |
74 | 8.46 | 7.26 | 8.14 | 7.12 | 7.32 | 6.69 | 6.31 | 6.04 | 5.40 | 5.32 |
|
75 | 8.82 | 7.57 | 8.45 | 7.40 | 7.50 | 6.89 | 6.38 | 6.14 | 5.42 | 5.35 |
- ---------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ---------- -----------</TABLE>
Rates are based on mortality from 1983 Table a.
Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.
29
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE> <CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------
| | | | | | |
Adjusted Ages | | | | | |
- ------------------------------------- | | | | | |
| Second | | | | | |
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
| | | | | | |
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
|
55 | 50 | $ 3.69 | $ 4.05 | $ 4.27 | $ 3.69 | $ 4.13 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.25 |
55 | 60 | 3.06 | 4.47 | 4.71 | 4.06 | 4.36 |
|
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.55 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.70 |
60 | 65 | 4.49 | 5.01 | 5.32 | 4.48 | 4.85 |
|
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 5.10 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.32 |
65 | 70 | 5.07 | 5.75 | 6.17 | 5.05 | 5.54 |
|
70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.86 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 6.18 |
70 | 75 | 5.89 | 6.82 | 7.40 | 5.81 | 6.49 |
|
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.92 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.40 |
75 | 80 | 7.07 | 8.34 | 9.16 | 6.78 | 7.85 |
- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>
| |
Rates are based on mortality from 1983 Table a. | |
The rates assume the Annuitant is Male and the Second Annuitant is Female. | |
Rates for ages not shown will be provided on request and will be computed | |
on a basis consistent with the rates in the above tables. | |
|
|
30 | |
<PAGE> | |
|
|
OPTION 3 | |
|
Life Income for Two Payees | |
|
Amount of First Monthly Payment for Each $1,000 | |
After Deduction of any Charge for Premium Taxes | |
|
|
|
|
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Page 19 of 24
(Annuitant is Female and Second Annuitant is Male)
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE> <CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------
| | | | | | |
Adjusted Ages | | | | | |
- ------------------------------------- | | | | | |
| Second | | | | | |
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
| | | | | | |
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
|
55 | 50 | $ 3.75 | $ 4.07 | $ 4.26 | $ 3.75 | $ 3.98 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.06 |
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.12 |
|
60 | 55 | 4.06 | 4.47 | 4.71 | 4.06 | 4.37 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.47 |
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.54 |
|
65 | 60 | 4.49 | 5.01 | 5.32 | 4.48 | 4.89 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.02 |
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.14 |
|
70 | 65 | 5.07 | 5.75 | 6.17 | 5.05 | 5.60 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.79 |
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 5.96 |
|
75 | 70 | 5.89 | 6.83 | 7.40 | 5.81 | 6.63 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 6.92 |
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 7.15 |
- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.
31
<PAGE>
OPTION 1
Payments for a Stated Period of Time
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE>
<CAPTION>
| | | | | |
| Guaranteed | | | Semi-Annual | |
Years | Rate | Monthly Payment | Quarterly Payment | Payment | Annual Payment |
| | | | | |
<S> | <C> | <C> | <C> | <C> | <C> |
|
5 | 3.50% | 18.12 | 54.19 | 107.92 | 213.99 |
6 | 3.50% | 15.35 | 45.92 | 91.44 | 181.32 |
7 | 3.50% | 13.38 | 40.01 | 79.69 | 158.01 |
8 | 3.50% | 11.90 | 35.59 | 70.88 | 140.56 |
9 | 3.50% | 10.75 | 32.16 | 64.05 | 127.00 |
10 | 3.50% | 9.83 | 29.42 | 58.59 | 116.18 |
11 | 3.50% | 9.09 | 27.18 | 54.13 | 107.34 |
12 | 3.50% | 8.46 | 25.32 | 50.42 | 99.98 |
13 | 3.50% | 7.94 | 23.75 | 47.29 | 93.78 |
14 | 3.50% | 7.49 | 22.40 | 44.62 | 88.47 |
15 | 3.50% | 7.10 | 21.24 | 42.31 | 83.89 |
16 | 3.50% | 6.76 | 20.23 | 40.29 | 79.89 |
17 | 3.50% | 6.47 | 19.34 | 38.51 | 76.37 |
18 | 3.50% | 6.20 | 18.55 | 36.94 | 73.25 |
19 | 3.50% | 5.97 | 17.85 | 35.54 | 70.47 |
20 | 3.50% | 5.75 | 17.22 | 34.28 | 67.98 |
21 | 3.50% | 5.56 | 16.65 | 33.15 | 65.74 |
22 | 3.50% | 5.39 | 16.13 | 32.13 | 63.70 |
23 | 3.50% | 5.24 | 15.66 | 31.19 | 61.85 |
24 | 3.50% | 5.09 | 15.24 | 30.34 | 60.17 |
25 | 3.50% | 4.96 | 14.85 | 29.56 | 58.62 |
26 | 3.50% | 4.84 | 14.49 | 28.85 | 57.20 |
27 | 3.50% | 4.73 | 14.15 | 28.19 | 55.90 |
28 | 3.50% | 4.63 | 13.85 | 27.58 | 54.69 |
29 | 3.50% | 4.53 | 13.57 | 27.02 | 53.57 |
30 | 3.50% | 4.45 | 13.30 | 26.49 | 52.53 |
- -------------- ---------------------- ----------------- ------------------- ------------------- -------------------</TABLE>
32
<PAGE>
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Page 20 of 24
OPTION 1
Payments for a Stated Period of Time
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE>
<CAPTION>
| | | | | |
| Guaranteed | | | Semi-Annual | |
Years | Rate | Monthly Payment | Quarterly Payment | Payment | Annual Payment |
| | | | | |
<S> | <C> | <C> | <C> | <C> | <C> |
|
5 | 5.00% | 18.74 | 56.00 | 111.33 | 219.98 |
6 | 5.00% | 15.99 | 47.77 | 94.96 | 187.64 |
7 | 5.00% | 14.02 | 41.90 | 83.30 | 164.59 |
8 | 5.00% | 12.56 | 37.52 | 74.58 | 147.35 |
9 | 5.00% | 11.42 | 34.11 | 67.81 | 133.99 |
10 | 5.00% | 10.51 | 31.40 | 62.42 | 123.34 |
11 | 5.00% | 9.77 | 29.19 | 58.03 | 114.66 |
12 | 5.00% | 9.16 | 27.36 | 54.38 | 107.45 |
13 | 5.00% | 8.64 | 25.81 | 51.31 | 101.39 |
14 | 5.00% | 8.20 | 24.50 | 48.69 | 96.21 |
15 | 5.00% | 7.82 | 23.36 | 46.44 | 91.75 |
16 | 5.00% | 7.49 | 22.37 | 44.47 | 87.88 |
17 | 5.00% | 7.20 | 21.51 | 42.75 | 84.48 |
18 | 5.00% | 6.94 | 20.74 | 41.23 | 81.47 |
19 | 5.00% | 6.71 | 20.06 | 39.88 | 78.80 |
20 | 5.00% | 6.51 | 19.46 | 38.68 | 76.42 |
21 | 5.00% | 6.33 | 18.91 | 37.59 | 74.28 |
22 | 5.00% | 6.17 | 18.42 | 36.62 | 72.35 |
23 | 5.00% | 6.02 | 17.98 | 35.73 | 70.61 |
24 | 5.00% | 5.88 | 17.57 | 34.93 | 69.02 |
25 | 5.00% | 5.76 | 17.20 | 34.20 | 67.57 |
26 | 5.00% | 5.65 | 16.87 | 33.53 | 66.25 |
27 | 5.00% | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.00% | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.00% | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.00% | 5.28 | 15.77 | 31.35 | 61.95 |
- -------------- ---------------------- ----------------- ------------------- ------------------- -------------------</TABLE>
33
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months
<TABLE>
<CAPTION>
| | | | | | | | | | |
Adjusted | None | | | 60 | | 120 | | 180 | | 240 |
Age of | ----------------------------------------------------------------------------------------------------------------- |
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
| | | | | | | | | | |
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
|
50 | $ 4.56 | $ 4.20 | $ 4.55 | $ 4.19 | $ 4.51 | $ 4.18 | $ 4.45 | $ 4.15 | $ 4.36 | $ 4.11 |
51 | 4.64 | 4.26 | 4.62 | 4.25 | 4.58 | 4.24 | 4.51 | 4.21 | 4.42 | 4.16 |
52 | 4.72 | 4.32 | 4.70 | 4.32 | 4.66 | 4.30 | 4.58 | 4.26 | 4.48 | 4.21 |
53 | 4.80 | 4.39 | 4.79 | 4.38 | 4.74 | 4.36 | 4.65 | 4.32 | 4.53 | 4.27 |
54 | 4.89 | 4.46 | 4.87 | 4.46 | 4.82 | 4.43 | 4.73 | 4.39 | 4.59 | 4.32 |
|
55 | 4.99 | 4.54 | 4.97 | 4.53 | 4.91 | 4.50 | 4.80 | 4.46 | 4.65 | 4.38 |
56 | 5.09 | 4.62 | 5.07 | 4.61 | 5.00 | 4.58 | 4.88 | 4.53 | 4.72 | 4.44 |
57 | 5.20 | 4.71 | 5.17 | 4.70 | 5.10 | 4.66 | 4.96 | 4.60 | 4.78 | 4.50 |
58 | 5.32 | 4.80 | 5.29 | 4.79 | 5.20 | 4.75 | 5.05 | 4.68 | 4.84 | 4.57 |
59 | 5.44 | 4.90 | 5.41 | 4.88 | 5.31 | 4.84 | 5.14 | 4.76 | 4.91 | 4.63 |
|
60 | 5.57 | 5.00 | 5.53 | 4.99 | 5.42 | 4.93 | 5.23 | 4.84 | 4.97 | 4.70 |
61 | 5.71 | 5.11 | 5.67 | 5.09 | 5.54 | 5.03 | 5.32 | 4.93 | 5.03 | 4.77 |
62 | 5.86 | 5.23 | 5.81 | 5.21 | 5.66 | 5.14 | 5.42 | 5.02 | 5.09 | 4.84 |
63 | 6.02 | 5.36 | 5.97 | 5.33 | 5.79 | 5.25 | 5.51 | 5.11 | 5.16 | 4.91 |
64 | 6.20 | 5.49 | 6.13 | 5.46 | 5.93 | 5.37 | 5.61 | 5.21 | 5.21 | 4.98 |
|
65 | 6.38 | 5.64 | 6.31 | 5.60 | 6.07 | 5.49 | 5.71 | 5.31 | 5.27 | 5.05 |
66 | 6.58 | 5.79 | 6.49 | 5.75 | 6.22 | 5.63 | 5.81 | 5.41 | 5.32 | 5.12 |
67 | 6.79 | 5.95 | 6.69 | 5.91 | 6.38 | 5.76 | 5.91 | 5.52 | 5.38 | 5.18 |
68 | 7.02 | 6.13 | 6.89 | 6.08 | 6.53 | 5.91 | 6.01 | 5.63 | 5.42 | 5.25 |
|
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| | | | | | | | | | Page 21 of 24 |
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|
69 | 7.26 | 6.32 | 7.11 | 6.26 | 6.70 | 6.06 | 6.11 | 5.74 | 5.47 | 5.31 |
70 | 7.52 | 6.53 | 7.35 | 6.45 | 6.86 | 6.23 | 6.20 | 5.85 | 5.51 | 5.37 |
71 | 7.80 | 6.75 | 7.59 | 6.66 | 7.03 | 6.39 | 6.29 | 5.96 | 5.54 | 5.42 |
72 | 8.09 | 6.99 | 7.85 | 6.89 | 7.21 | 6.57 | 6.38 | 6.07 | 5.57 | 5.47 |
73 | 8.41 | 7.26 | 8.12 | 7.13 | 7.38 | 6.75 | 6.46 | 6.17 | 5.60 | 5.51 |
74 | 8.75 | 7.54 | 8.41 | 7.39 | 7.55 | 6.94 | 6.53 | 6.28 | 5.63 | 5.55 |
75 | 9.12 | 7.85 | 8.71 | 7.66 | 7.73 | 7.13 | 6.61 | 6.38 | 5.65 | 5.59 |
- --------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ----------- ----------</TABLE>
Rates are based on mortality from 1983 Table a.
Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.
34
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period of Months
<TABLE>
<CAPTION>
| | | | | | | | | | |
Adjusted | None | | | 60 | | 120 | | 180 | | 240 |
Age of | ----------------------------------------------------------------------------------------------------------------- |
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
| | | | | | | | | | |
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
|
50 | $5.48 | $5.12 | $5.46 | $5.11 | $5.41 | $5.09 | $5.34 | $5.06 | $5.24 | $5.01 |
51 | 5.55 | 5.17 | 5.53 | 5.17 | 5.48 | 5.14 | 5.40 | 5.11 | 5.29 | 5.05 |
52 | 5.63 | 5.23 | 5.61 | 5.23 | 5.55 | 5.20 | 5.46 | 5.16 | 5.34 | 5.10 |
53 | 5.71 | 5.30 | 5.69 | 5.29 | 5.62 | 5.26 | 5.53 | 5.22 | 5.40 | 5.15 |
54 | 5.80 | 5.37 | 5.77 | 5.36 | 5.70 | 5.33 | 5.60 | 5.27 | 5.45 | 5.20 |
|
55 | 5.89 | 5.44 | 5.86 | 5.43 | 5.79 | 5.39 | 5.67 | 5.34 | 5.51 | 5.25 |
56 | 5.99 | 5.52 | 5.96 | 5.51 | 5.87 | 5.47 | 5.74 | 5.40 | 5.56 | 5.31 |
57 | 6.10 | 5.60 | 6.06 | 5.59 | 5.97 | 5.54 | 5.82 | 5.47 | 5.62 | 5.37 |
58 | 6.21 | 5.69 | 6.17 | 5.67 | 6.06 | 5.62 | 5.90 | 5.54 | 5.68 | 5.42 |
59 | 6.33 | 5.79 | 6.29 | 5.77 | 6.17 | 5.71 | 5.98 | 5.61 | 5.74 | 5.48 |
|
60 | 6.46 | 5.89 | 6.41 | 5.87 | 6.28 | 5.80 | 6.06 | 5.69 | 5.79 | 5.55 |
61 | 6.60 | 6.00 | 6.55 | 6.97 | 6.39 | 5.90 | 6.15 | 5.77 | 5.85 | 5.61 |
62 | 6.75 | 6.11 | 6.69 | 6.08 | 6.51 | 6.00 | 6.24 | 5.86 | 5.91 | 5.67 |
63 | 6.91 | 6.23 | 6.84 | 6.20 | 6.64 | 6.10 | 6.33 | 5.95 | 5.96 | 5.73 |
64 | 7.09 | 6.37 | 7.00 | 6.33 | 6.77 | 6.22 | 6.42 | 6.04 | 6.02 | 5.80 |
|
65 | 7.27 | 6.51 | 7.18 | 6.46 | 6.91 | 6.34 | 6.52 | 6.13 | 6.07 | 5.86 |
66 | 7.47 | 6.66 | 7.36 | 6.61 | 7.05 | 6.46 | 6.61 | 6.23 | 6.12 | 5.92 |
67 | 7.68 | 6.82 | 7.55 | 6.76 | 7.20 | 6.60 | 6.70 | 6.33 | 6.16 | 5.99 |
68 | 7.91 | 7.00 | 7.76 | 6.93 | 7.35 | 6.74 | 6.80 | 6.43 | 6.21 | 6.04 |
69 | 8.15 | 7.19 | 7.98 | 7.11 | 7.51 | 6.89 | 6.89 | 6.54 | 6.25 | 6.10 |
|
70 | 8.41 | 7.39 | 8.21 | 7.30 | 7.67 | 7.04 | 6.97 | 6.64 | 6.28 | 6.15 |
71 | 8.69 | 7.62 | 8.45 | 7.51 | 7.83 | 7.21 | 7.06 | 6.74 | 6.32 | 6.20 |
72 | 8.99 | 7.86 | 8.70 | 7.73 | 8.00 | 7.38 | 7.14 | 6.85 | 6.35 | 6.25 |
73 | 9.31 | 8.12 | 8.97 | 7.97 | 8.16 | 7.55 | 7.21 | 6.95 | 6.37 | 6.29 |
74 | 9.65 | 8.41 | 9.26 | 8.23 | 8.33 | 7.73 | 7.29 | 7.04 | 6.39 | 6.33 |
|
75 | 10.02 | 8.72 | 9.55 | 8.50 | 8.50 | 7.92 | 7.35 | 7.14 | 6.41 | 6.36 |
- ---------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------- ----------- --------------</TABLE>
Rates are based on mortality from 1983 Table a.
Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.
35
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt
03/26/2018
|
Page 22 of 24 |
|
|
|
<TABLE> |
<CAPTION> |
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- ----------------- |
| | | | | | |
Adjusted Ages | | | | | |
- ------------------------------------- | | | | | |
| Second | | | | | |
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
| | | | | | |
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
|
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.42 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 |
55 | 60 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 |
|
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 |
60 | 65 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 |
|
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 |
65 | 70 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 |
|
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 |
70 | 75 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 |
|
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 |
75 | 80 | 7.33 | 8.62 | 9.45 | 7.02 | 8.13 |
- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.
36
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> <CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------Adjusted Ages
| | | | | | |
- ------------------------------------- | | | | | |
| Second | | | | | |
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
| | | | | | |
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
|
55 | 50 | $ 4.03 | $ 4.36 | $ 4.55 | $ 4.03 | $ 4.41 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 |
|
60 | 55 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 |
|
65 | 60 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 |
|
70 | 65 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 |
|
75 | 70 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 8.70 |
- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.
37 <PAGE>
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt
03/26/2018
Page 23 of 24
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> <CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------
| | | | | | |
Adjusted Ages | | | | | |
- ------------------------------------- | | | | | |
| Second | | | | | |
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
| | | | | | |
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
|
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.34 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
55 | 60 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
|
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
|
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
|
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
|
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 8.14 | 9.49 | 10.35 | 7.80 | 8.98 |
- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.
38
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Female and the Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> <CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------
| | | | | | |
Adjusted Ages | | | | | |
- ------------------------------------- | | | | | |
| Second | | | | | |
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
| | | | | | |
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
|
55 | 50 | $ 4.93 | $ 5.27 | $ 5.46 | $ 4.93 | $ 5.19 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
|
60 | 55 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
|
65 | 60 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
|
70 | 65 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
|
75 | 70 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 9.59 |
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt
03/26/2018
Page 24 of 24
</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.
39
<PAGE>
- --------------------------------------------------------------------------------Aetna Insurance Company of America Home Office: 151 Farmington Avenue P.O. Box 30670 Hartford, Connecticut 06150-0670 (800) 531-4547 Group Variable, Fixed, or Combination Annuity Contract Nonparticipating - --------------------------------------------------------------------------------
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.
40
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt
03/26/2018