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Group IRA
Annuity Certificate
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- - Purchase payment is payable in a single sum.
- - Annuity payments to begin on the settlement date.
- - This contract is nonparticipating. Dividends are not payable.
This annuity certificate summarizes the provisions of the Group Annuity Contract
specified on the enrollment application. It does not amend or modify any of the
provisions of the Group Contract. All rights, privileges and benefits are
governed by the provisions of the Group Contract. The Group Contract may be
inspected by the certificate owner or annuitant at the Contractholder's office
during office hours.
If the annuitant is living on the Settlement Date, we will begin to pay you
monthly annuity payments. Any payments made by us are subject to the Terms of
the Group contract.
We issue this certificate in consideration of your enrollment application, and
payment of the single purchase payment.
Signed for and issued by IDS Life Insurance Company, Minneapolis, Minnesota, as
of the certificate date shown below.
THIS GROUP ANNUITY CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT
FORMULA WHICH MAY RESULT IN BOTH UPWARD AND DOWNWARD ADJUSTMENTS IN
CASH SURRENDER BENEFITS. Surrenders are available without market value
adjustment on the last day of each certificate guarantee period.
NOTICE OF YOUR RIGHT TO EXAMINE THIS CERTIFICATE FOR SEVEN DAYS. If for any
reason you are not satisfied with this certificate, return it to us or our agent
within seven days after you receive it. We will then cancel this certificate and
refund all purchase payments you have made.
This certificate will then be considered void from the start.
President:
/s/ Richard W. Kling
Richard W. Kling
Secretary:
/s/ William A. Stoltzmann
William A. Stoltzmann
AMERICAN
EXPRESS
Financial
Advisors
IDS Life Insurance Company
IDS Tower 10
Minneapolis, Minnesota 55440
ANNUITANT: John Doe
CERTIFICATE NUMBER: XXX-XXXXXX
CERTIFICATE DATE: March 18, 1991
CERTIFICATE SETTLEMENT DATE: March 18, 2021
30371C (9/90)
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Guide to Certificate Provisions
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Definitions Important words and meanings/Page 3
The Annuity Contract Entire contract; Modification; Incontestability;
Misstatement of birthdate or sex/Page 4
Owner Owner's rights; Trust/Custodial ownership;
Change of ownership; Assignment/Page 4
Beneficiary and Payments Who is the beneficiary; Change of beneficiary;
to Beneficiary Payments to beneficiary/Page 5
Purchase Payment Payment of the purchase payment/Page 5
Accumulation Value, How the accumulation value is determined; Cash Surrender
Value, Surrender of the certificate for the cash and Market Adjusted Value
surrender value; How the market adjusted value
is determined; Annual statement of value/Page 6-7
Annuity Payment Plans When annuity payments begin; Different ways to
receive annuity payments/Page 8
Table of Settlement Rates Table showing monthly annuity payment amounts
for the various plans/Page 9
30371C
CERTIFICATE DATA
GROUP CONTRACTHOLDER: CITIZENS BANK OF GROUP
RHODE ISLAND CONTRACT
AS TRUSTEE OF THE NUMBER: 30371C-GP1
MARKET VALUE ANNUITY
GROUP TRUST
GROUP ANNUITY CERTIFICATE OWNER: John Doe
PURCHASE PAYMENT: $100,000.00
INITIAL GUARANTEE RATE: 8.00%
INITIAL GUARANTEE PERIOD: 5 Years
ACCUMULATION VALUE AT END OF INITIAL GUARANTEE PERIOD: $146,932.81
Surrender Charge Percentage
(Applied to Market Adjusted Value Surrendered)
Guarantee Contract Years as measured from the beginning of a
Period Guarantee Period
1 2 3 4 5 6 7 8
1 Year 1%
2 Years 2% 1%
3 Years 3% 2% 1%
4 Years 4% 3% 2% 1%
5 Years 5% 4% 3% 2% 1%
6 Years 6% 5% 4% 3% 2% 1%
7 Years 7% 6% 5% 4% 3% 2% 1%
8 Years 8% 7% 6% 5% 4% 3% 2% 1%
9 Years 8% 7% 6% 5% 4% 3% 2% 1%
10 Years 8% 7% 6% 5% 4% 3% 2% 1%
30371C
For renewal guarantee periods, the surrender charge percentages will be based on
the lesser of:
1. The length of the new guarantee period, or
2. The number of years remaining until the eighth
certificate anniversary.
There are no surrender charges on the last day of a guarantee period. There will
never be surrender charges beyond the eighth certificate anniversary.
ANNUITANT: John Doe
CERTIFICATE NUMBER: XXX-XXXXXX
CERTIFICATE DATE: December 6, 1990
CERTIFICATE SETTLEMENT DATE: December 6, 2010
30371C
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Definitions
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The following words are used often in this certificate. When we use these words,
this is what we mean:
the annuitant
The person on whose life monthly annuity payments depend.
you, your, owner
The owner of the certificate. The owner may be someone other than the annuitant.
The owner is shown in the enrollment application unless the owner has been
changed as provided in this certificate.
we, our, us
IDS Life Insurance Company
certificate date
It is the date from which certificate anniversaries, certificate years, and
certificate months are determined. Your certificate date is shown under
certificate data, in the certificate.
certificate anniversary
The same day and month as the certificate date each year that the certificate
remains in force.
initial guarantee period
The period during which the initial guarantee rate will be credited. It is shown
under certificate data, in the certificate.
initial guarantee rate
The rate of interest credited to the purchase payment as described in the
accumulation value section. It is shown under certificate data, in the
certificate.
renewal guarantee period
A renewal guarantee period will begin at the end of each guarantee period. It is
determined in accordance with the terms of the certificate.
renewal guarantee rate
The rate of interest credited to the renewal value as described in the
accumulation value section.
30371C
renewal date
The first day of a renewal guarantee period. It will always be on a certificate
anniversary.
current rate
The applicable interest rate contained in a schedule of rates established by us
from time to time for various guarantee periods.
accumulation value
The value of the purchase payment plus interest credited, adjusted for any
surrenders.
market adjusted value
The accumulation value adjusted by the market adjusted value formula.
market value adjustment
The market adjusted value minus the accumulation value.
renewal value
The accumulation value at the end of the guarantee period.
cash surrender value
The market adjusted value less any applicable surrender charge.
written request
A request in writing signed by you and delivered to us at our home office.
settlement
The application of the market adjusted value of a certificate to provide annuity
payments.
settlement date
The date on which annuity payments are to begin under a certificate. This date
may be changed as provided in the certificate.
Code
The Internal Revenue Code of 1986, as amended, and all related laws and
regulations which are in effect during the term of this certificate.
IRA
An Individual Retirement Annuity as described in Section 408 of the Code.
30371C
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The Annuity Contract
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What is the entire contract?
The entire contract consists of the Group Contract, the application of the Group
Contractholder, which is attached to the Group Contract, and the enrollment
application. The Group Contract is for the exclusive benefit of the IRA
annuitants and beneficiaries.
No one except one of our corporate officers (President, Vice President,
Secretary, or Assistant Secretary) can change or waive any of our rights or
requirements under the contract. That person must do so in writing. None of our
agents or other persons has the authority to change or waive any of our rights
or requirements under the contract.
In issuing this certificate, we have relied upon the applications. The
statements contained in the applications are, in the absence of fraud,
considered representations and not warranties. No statements made in connection
with the applications will be used by us to void the certificate or to deny a
claim unless that statement is part of the applications.
Can the contract be modified?
The contract may be modified by a written agreement with the contractholder
signed by one of our corporate officers (President, Vice President, Secretary or
Assistant Secretary). No modification will affect the amount or term of your
certificate unless it is required to conform the contract to any Federal or
State statutes.
We reserve the right to modify the contract to the extent necessary to qualify a
certificate issued under the contract as an IRA as described in Section 408 of
the Code or in any other applicable section of the Code.
When will the certificate become incontestable?
After this certificate has been in force during the annuitant's lifetime for two
years from the date of issue, we cannot contest the certificate.
30371C
What if the annuitant's birthdate or sex has been misstated?
If the annuitant's birthdate or sex has been misstated, payments under this
certificate will be based on what would have been provided at the correct
birthdate and sex. Any underpayments made by us will be made up immediately. Any
overpayments made by us will be subtracted from the future payments.
What laws govern this contract?
This contract is governed by the law of the state in which it is delivered. The
values and benefits of this certificate are at least equal to those required by
such state.
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Owner
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What are your rights as owner of this certificate?
As long as the annuitant is living and unless otherwise provided in the
contract, you may exercise all rights and privileges in the contract or allowed
by us. Your entire interest as owner is non-forfeitable.
What are your rights as owner if you are a trust or custodial account?
If you are a tax qualified trust or tax qualified custodial account, then your
trustees or custodians (or their successors) properly named by your trust or
custodial agreement may exercise all rights and privileges provided in this
certificate or allowed by us. You own this certificate for the exclusive benefit
of the annuitant and his or her beneficiary.
Can you change the ownership of this certificate?
This certificate may not be sold, assigned, transferred, discounted, or pledged
as collateral for a loan or as security for the performance of an obligation or
for any other purpose to any person other than as may be required or permitted
under Section 408 of the Code or under any other applicable section of the Code.
Your interest in this certificate may be transferred to your former spouse, if
any, under a divorce decree or a written instrument incident to such divorce.
However, if you are the trustee of a tax-qualified trust or the custodian of a
tax-qualified custodial account, you may transfer ownership of this certificate
to the annuitant or to a qualified successor trustee or custodian.
Any permitted transfers must be on a form approved by us. The change must be
made while the annuitant is living. Once the change is recorded by us, it will
take effect subject to any action taken or payment made by us before the
recording.
30371C
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Beneficiary and Payments
to Beneficiary
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What death benefits are paid if the annuitant or owner dies before settlement?
If the annuitant or owner dies before settlement while this certificate is in
force, we will pay the beneficiary:
1. the greater of the market adjusted value or the purchase payment
adjusted for any surrenders (if death occurred before the annuitant's
attaining age 75); otherwise
2. the market adjusted value (if death occurred on or after age 75).
The market adjusted value will be determined as of the date on which due proof
of death is received at our home office.
The above amount will be payable in a lump sum upon receipt of due proof of
death of the annuitant. The beneficiary may elect to receive payment any time
within 5 years after the date of death of the annuitant.
Instead of a lump sum, payment may be made under an annuity payment plan
provided amounts are calculated in accordance with the Code and:
1. the beneficiary elects the plan within 60 days after we receive due
proof of death; and
2. payments begin no later than:
a. one year after the date of death, in the case of a non-spouse
beneficiary; or
b. the date on which the annuitant would have attained age 70 1/2 if
later than one year after the date of death, in case of a spouse
beneficiary; and
3. the plan provides equal or substantially equal payments over a period
which does not exceed the life of the beneficiary or the life expectancy
of the beneficiary.
In this event, the reference to "annuitant" in the annuity payment plans section
will apply to the beneficiary.
30371C
To whom are the death benefits payable?
Benefits will be paid equally to all primary beneficiaries surviving the
annuitant. If none survive, proceeds will be paid equally to all contingent
beneficiaries surviving the annuitant. If no beneficiary survives the annuitant,
we will pay the benefits to you, if living, otherwise to your estate.
Who is the beneficiary?
The beneficiary or beneficiaries are as named in the enrollment application
unless you have since changed the beneficiary as provided below. If the
beneficiary has been changed, we will pay any benefits in accordance with your
last change of beneficiary request.
How do you change the beneficiary?
You may change the beneficiary any time while the annuitant is living by
satisfactory written request to us. Once the change is recorded by us, it will
take effect as of the date of your request, subject to any action taken or
payment made by us before the recording.
What is the spouse's option to continue this certificate?
If the annuitant's death occurs before the settlement date, the annuitant's
spouse, if designated as sole beneficiary, may elect in writing to forego
receipt of the death benefit and instead continue this certificate in force as
its owner and annuitant. The election by the spouse must be made within 60 days
after we receive due proof of death. In this event, the settlement date may not
be later than the April 1 following the calendar year in which the spouse
attains age 70 1/2.
What if the annuitant dies after settlement?
If the annuitant dies after settlement, the amount payable, if any, will be as
provided in the annuity plan then in effect.
30371C
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Purchase Payment
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What is the purchase payment for this certificate?
The purchase payment for this certificate is shown under certificate data. It is
a rollover IRA contribution or a combination rollover and active IRA
contribution as defined in and limited by the Code. It is payable to us on or
before the date we deliver this certificate. It must be paid or mailed to us at
our home office or to an authorized agent.
30371C
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Accumulation Value,
Cash Surrender Value,
Market Adjusted Value
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How is the accumulation value determined?
On the certificate date the accumulation value of this certificate is the
purchase payment. Thereafter interest accrues from day to day for the guarantee
period at the rate shown under certificate data. This rate represents an
effective annual yield. At no time while the certificate is in force shall
interest accrue at a rate less than 3% compounded annually. The accumulation
value will be adjusted for any amounts surrendered.
Are there premium tax charges?
We reserve the right to deduct an amount from the accumulation value of this
certificate at the time that any applicable premium taxes not previously
deducted are payable.
If a tax is payable at the time of your purchase payment and we choose to not
deduct it at that time, we further reserve the right to deduct it at a later
date.
How are renewal guarantee periods determined?
At the end of any guarantee period, a renewal guarantee period will begin. We
will notify you in writing 45 days before the renewal guarantee period. Each
renewal guarantee period will be one year unless you elect a different length
from those offered at the time. We must receive your written request at least 15
days before the renewal date. The renewal guarantee period may never extend
beyond the settlement date.
The accumulation value on the renewal date will be equal to the accumulation
value at the end of the guarantee period just ending. This value will earn
interest at the renewal guarantee rate. Upon written request, within 45 days of
the renewal guarantee period, we will notify you of the renewal guarantee rate
then in effect for certificates renewing at that time. The actual renewal
guarantee rate will be determined on the renewal date.
30371C
What is the market adjusted value and how is it determined?
The market adjusted value is the accumulation value on any date before the end
of the current guarantee period adjusted by a formula. The formula adjustment
reflects the relationship between:
1. the interest rate we are then crediting for new certificate sales and
renewals (Form 30371) for the time remaining in your certificate's
current guarantee period; and
2. the guaranteed interest rate applicable to your certificate's current
guarantee period.
The market adjusted value may be more or less than the accumulation value.
The market adjusted value formula is as follows:
market adjusted value = renewal value
(1 + ic + .0025)(N + t)
where: renewal value = the accumulation value at the end of your
current guarantee period.
N = the number of complete certificate years
to the end of your guarantee period.
t = the fraction of the certificate year
remaining to the end of your certificate
year (for example, if 180 days remain in a
365 day certificate year, t would be .493)
ic = the current rate offered for new
certificate sales and renewals (Form
30371) for the number of years left in
your guarantee period (straight line
interpolation between whole year rates).
If N is zero, ic is the rate for one year
guarantee periods.
The market value adjustment is as follows:
market value adjustment = market adjusted value - accumulation value
30371C
There will be no market value adjustment made on the last day of a guarantee
period.
Can you request surrender of any amounts under this certificate before
settlement?
Yes. By written request to us and subject to the rules below you may:
1. surrender this certificate for the total cash surrender value;
2. partially surrender this certificate for a part of the cash surrender value.
How is the cash surrender value determined?
The cash surrender value is the market adjusted value less a surrender charge.
The surrender charge is based on the amount surrendered and the certificate year
in which the surrender is made. The schedule of surrender charges is shown under
certificate data.
After the first certificate anniversary, surrender charges will not apply to
surrenders of amounts totaling up to 10% of the certificate accumulation value
as of the last certificate anniversary.
What are the rules for a surrender or partial surrender?
The amount surrendered and any applicable market value adjustment or surrender
charge will be deducted from the accumulation value of the certificate on the
date of surrender. You may surrender all or a portion of the cash surrender
value. However, the accumulation value that remains after a partial surrender
must be at least $2,000. Any partial surrender must be at least $250.
The surrender payment will normally be mailed to you within seven days of the
receipt of your written request.
Upon surrender of this certificate for the total cash surrender value, this
certificate will terminate. We may require that you return this certificate to
our home office before we pay the total cash surrender value.
30371C
Can we delay or suspend payment of a partial or full surrender?
We may defer payment of any partial or full surrender for a period not to exceed
6 months from the date we receive your surrender request or the period permitted
by state insurance law, if less. If we defer payment more than 30 days, we will
pay annual interest of at least 3% on the amount deferred.
Will you receive information about your certificate values?
Yes. Separate records are maintained for the interest of each IRA participant.
At least once a year we will send you a statement showing both the accumulation
value and the cash surrender value of this certificate. The statement will
specify the surrender charge and market value adjustment used to determine the
cash surrender value. This statement will be based on any laws or regulations
that apply.
We will also notify you 45 days before the end of a guarantee period concerning
renewal periods available and your right to surrender without a market value
adjustment on the last day of your guarantee period.
30371C
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Annuity Payment Plans
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When will annuity payments begin?
The first payment will be made as of the settlement date. Before payments begin,
we will require satisfactory proof that the annuitant is alive. We may also
require that you exchange this certificate for a supplemental contract which
provides the annuity payments.
Can you change the settlement date?
Yes. Tell us the new date by written request. If you select a new date, it must
be at least 30 days after we receive your written request at our home office.
The settlement date cannot be later than the later of:
1. the April 1 following the calendar year in which the annuitant attains
age 70 1/2; or
2. such other date, provided the Code allows you to satisfy the minimum
distribution requirements of Section 408(b)(3) of the Code with respect
to this certificate through a means other than settlement of this
certificate, including the ability to satisfy such distribution
requirements from other individual retirement accounts and/or individual
retirement annuities that you may own.
Notwithstanding either of the above, the settlement date cannot be later than
the later of:
1. the certificate anniversary nearest the annuitant's 85th birthday; or
2. the 10th certificate anniversary.
What are the annuity payment plans?
There are different ways to receive annuity payments. We call these plans.
Plan A - This provides monthly annuity payments for the lifetime of the
annuitant. No payments will be made after the annuitant dies.
30371C
Plan B - This provides monthly annuity payments for the lifetime of the
annuitant with a guarantee by us that payments will be made for a period of at
least five, ten, or fifteen years. You must select the guaranteed period.
Plan C - This provides monthly annuity payments for the lifetime of the
annuitant with a guarantee by us that payments will be made for a certain number
of months. We determine the number of months by dividing the market adjusted
value applied under this plan by the amount of the monthly annuity payment.
Plan D - We call this a joint and survivor life annuity. Monthly payments will
be paid for the lifetime of the annuitant and a joint annuitant.
When either the annuitant or joint annuitant dies, we will continue to make
monthly payments for the lifetime of the survivor. No payments will be paid
after the death of both the annuitant and joint annuitant.
Plan E - This provides monthly fixed dollar annuity payments for a period of
years. The period of years may be no less than 10 nor more than 30.
What are the requirements for selecting a plan?
You may elect by written notice to us at any time at least 30 days before the
settlement date to have the market adjusted value applied on the settlement date
to provide:
1. a lump sum payment as a result of a total surrender as provided under
the cash surrender value provision of this certificate; or
2. one of the annuity payment plans shown herein. Amounts payable under any
such annuity payment plan will be calculated in accordance with the
Code.
Any such annuity payment plan must be provided:
a. in equal or substantially equal payments over a period no longer
than the life of the annuitant or over the life of the annuitant
and a joint annuitant; or
b. in equal or substantially equal payments over a period which does
not exceed the life expectancy of the annuitant, or the life
expectancy of the annuitant and a joint annuitant.
c. in the case of a non-spouse beneficiary, payments must be such
that at least 50% of the present value of the certificate is
expected to be distributed within the life expectancy of the
annuitant.
30371C
If at least 30 days before the settlement date we have not received at our home
office your written request to select a plan, we will make payments according to
Plan B with payments guaranteed for 10 years, unless otherwise required by the
Code.
If the amount to be applied to a plan is not at least $2,000, or if payments are
to be made to other than a natural person, we have the right to make a lump sum
payment of the cash surrender value.
How will payments be made?
Payments will be made by us by check. The check must be personally endorsed by
the payee or payees as well as the annuitant (or joint annuitant under Plan D).
If the annuitant or joint annuitant does not endorse the check, other evidence
must be furnished to show that the annuitant or joint annuitant is still alive.
30371C
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Table of Settlement Rates
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What will be the amount of the monthly annuity payments?
The amount of each monthly annuity payment for each $1,000 of market adjusted
value applied under any payment Plan will be based on our Table of Settlement
Rates in effect at the time of the first payment. The amounts will not be less
than those shown in the table below. The amount of such payments under Plans A,
B, and C will depend upon the sex and the adjusted age of the annuitant on the
settlement date. The amount of such payments under plan D will depend on the sex
and the adjusted age of the annuitant and the joint annuitant on the settlement
date. Adjusted age means the age on the annuitant's nearest birthday minus an
"adjustment" based on the calendar year of birth of the annuitant as follows:
Calendar Calendar
Year of Year of
Annuitant's Adjust- Annuitant's Adjust-
Birth ment Birth ment
- ----- ---- ----- ----
Prior to 1920 0 1945 through 1949 6
1920 through 1924 1 1950 through 1959 7
1925 through 1929 2 1960 through 1969 8
1930 through 1934 3 1970 through 1979 9
1935 through 1939 4 1980 through 1989 10
1940 through 1944 5 After 1989 11
30371C
Amount of Each Monthly Annuity Payment Per $1,000 Applied
Plan A Plan B Plan C Plan D - Joint and Survivor
Adjusted Age of Female Joint Annuitant
Life 5 Years 10 Years 15 Years With Adj.
Adj. Income Certain Certain Certain Refund Male 10 Years 5 Years Same 5 Years 10 Years
Age* M F M F M F M F M F Age* Younger Younger Age Older Older
- -----------------------------------------------------------------------------------------------------------------------------------
55 5.29 4.84 5.26 4.83 5.20 4.80 5.09 4.74 5.05 4.71 55 4.11 4.27 4.45 4.62 4.79
56 5.39 4.92 5.36 4.91 5.29 4.87 5.17 4.81 5.13 4.77 56 4.15 4.32 4.51 4.70 4.88
57 5.49 5.00 5.47 4.99 5.38 4.95 5.25 4.88 5.21 4.85 57 4.19 4.37 4.57 4.77 4.96
58 5.61 5.09 5.58 5.08 5.48 5.03 5.33 4.96 5.30 4.92 58 4.24 4.43 4.64 4.85 5.06
59 5.73 5.19 5.70 5.17 5.59 5.12 5.42 5.04 5.40 5.00 59 4.28 4.49 4.71 4.94 5.16
60 5.86 5.29 5.82 5.27 5.70 5.22 5.51 5.12 5.50 5.09 60 4.34 4.55 4.79 5.03 5.27
61 6.00 5.40 5.96 5.38 5.82 5.32 5.60 5.21 5.60 5.18 61 4.39 4.62 4.87 5.13 5.38
62 6.16 5.52 6.10 5.50 5.95 5.42 5.69 5.30 5.72 5.27 62 4.45 4.69 4.96 5.24 5.50
63 6.32 5.65 6.26 5.62 6.08 5.53 5.79 5.39 5.83 5.37 63 4.51 4.77 5.06 5.35 5.64
64 6.49 5.78 6.42 5.75 6.21 5.65 5.89 5.49 5.96 5.48 64 4.57 4.85 5.16 5.48 5.78
65 6.68 5.92 6.60 5.89 6.35 5.77 5.98 5.58 6.09 5.59 65 4.64 4.94 5.27 5.61 5.93
66 6.88 6.08 6.78 6.03 6.50 5.90 6.08 5.69 6.23 5.71 66 4.71 5.03 5.38 5.75 6.09
67 7.09 6.24 6.98 6.19 6.65 6.04 6.18 5.79 6.38 5.83 67 4.79 5.13 5.51 5.90 6.27
68 7.31 6.42 7.18 6.36 6.81 6.19 6.28 5.90 6.53 5.97 68 4.87 5.24 5.64 6.06 6.46
69 7.56 6.61 7.40 6.54 6.97 6.34 6.37 6.01 6.69 6.11 69 4.96 5.35 5.78 6.24 6.66
70 7.82 6.81 7.64 6.74 7.14 6.50 6.47 6.12 6.86 6.26 70 5.06 5.47 5.94 6.43 6.87
71 8.09 7.04 7.88 6.95 7.31 6.67 6.55 6.22 7.04 6.42 71 5.16 5.60 6.10 6.63 7.11
72 8.39 7.28 8.14 7.17 7.48 6.84 6.64 6.33 7.23 6.59 72 5.26 5.74 6.28 6.84 7.36
73 8.71 7.54 8.41 7.41 7.65 7.02 6.72 6.44 7.43 6.77 73 5.38 5.89 6.47 7.08 7.62
74 9.05 7.83 8.70 7.67 7.83 7.21 6.80 6.54 7.64 6.97 74 5.50 6.05 6.68 7.33 7.91
75 9.41 8.14 9.00 7.95 8.00 7.40 6.87 6.64 7.86 7.17 75 5.63 6.22 6.90 7.60 8.22
*Adjusted age of annuitant. M = Male F = Female
The table above is based on the "1983 Individual Annuitant Mortality Table A"
assuming an interest rate of 4% per year compounded annually. Settlement rates
for any age, or any combination of age and sex not shown above, will be
calculated on the same basis as those rates shown in the table above. Such rates
will be furnished by us upon request. Amounts shown in the table below are based
on an assumed interest rate of 4% per year compounded annually.
Plan E - Dollar Amount of Each Monthly Fixed Dollar Annuity Payment Per $1,000 Applied
Years Monthly Years Monthly Years Monthly
Payable Payment Payable Payment Payable Payment
------- ------- ------- ------- ------- -------
10 $10.06 17 $6.71 24 $5.35
11 9.31 18 6.44 25 5.22
12 8.69 19 6.21 26 5.10
13 8.17 20 6.00 27 5.00
14 7.72 21 5.81 28 4.90
15 7.34 22 5.64 29 4.80
16 7.00 23 5.49 30 4.72
30371C
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Group IRA
Annuity Certificate
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- - Purchase payment is payable in a single sum.
- - Annuity payments to begin on the settlement date.
- - This certificate is nonparticipating. Dividends are not payable.
AMERICAN
EXPRESS
Financial
Advisors
IDS Life Insurance Company
IDS Tower 10
Minneapolis, Minnesota 55440
30371C