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Exhibit 10.21
SPLIT-DOLLAR INSURANCE AGREEMENT
This Plan is adopted by agreement between the Company and the Owner:
DEFINITIONS
A. "Company" is SIMON MARKETING, INC. a California corporation of Los
Angeles, California.
B. "Insured" is ALLAN IRWIN BROWN.
C. "Insurer" is METROPOLITAN LIFE INSURANCE COMPANY.
D. "Owner" is FREDERIC N. GAINES, Trustee of The Allan I. Brown Insurance
Trust, under Declaration of Trust dated September 29, 1997.
E. "Policy" refers to the following policy on the life of the Insured
issued by the Insurer, together with any supplementary contracts issued by the
Insurer in conjunction therewith:
Metropolitan Life Insurance Company Policy No. 983 990 506 UV
F. "Premium Advance" is the amount equal to the cumulative total of the
Company's share of the premiums paid on the Policy.
RECITALS
A. The Owner is the owner of the Policy, and the Insured is a valued
employee of the Company. The Company wishes to continue this employment
relationship and, as an inducement thereto, is willing to assist the Owner in
the payment of premiums on the Policy as an additional form of compensation to
the Insured as its employee.
B. In exchange for such premium assistance, the Company shall have the
right to designate and change direct and contingent beneficiaries of the lesser
of an amount of the death proceeds equal to (a) the cash value of the Policy as
of the date to which premiums have been paid or (b) the premiums paid by the
Company to the Insurer.
C. This Plan is intended to qualify as a life insurance employee benefit
plan as described in Revenue Ruling 64-328.
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AGREEMENT
NOW THEREFORE, for value received, it is agreed:
1. PREMIUM PAYMENTS.
(a) All premiums on the Policy shall be paid by the Company as they
become due.
(b) Dividends on the Policy shall be applied as elected by the Owner.
2. RIGHTS OF PARTIES.
(a) The Owner shall be the sole and exclusive owner of the Policy.
This includes all rights of "owner" under the terms of the Policy including, but
not limited to, the right to designate beneficiaries, select settlement and
dividend options, borrow on the security of the Policy and to surrender the
Policy, except that the Owner shall not have the rights specified in subsection
2. (b) below. All such rights, except those specified in subsection 2. (b)
below, may be exercised by the Owner without the Company's consent.
(b) The Company shall have the right to designate and change the
beneficiaries of and assign the proceeds of the lesser of an amount of the death
proceeds equal to (a) the cash value of the Policy as of the date to which
premiums have been paid or (b) the premiums paid by the Company to the Insurer.
3. ASSIGNMENT
(a) The Owner shall have the right to assign any part or all of the
Owners' retained interest in the Policy and this Plan to any person, entity or
trust by execution of a written assignment delivered to the Insurer.
(b) The Company shall have the right to assign any part or all of the
Company's interest in the Policy and this Plan to any person, entity or trust by
execution of a written assignment delivered to the Owner and to the Insurer.
4. TERMINATION OF PLAN. This Plan shall terminate on the first to occur
of the following:
(a) Surrender of the Policy by the Owner, who has the sole and
exclusive right of surrender.
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(b) Delivery by either party hereto to the other of written notice of
termination.
(c) Termination of the Insured's employment with the Company for any
reason whatsoever other than the Employee's death.
5. THE INSURER. The Insurer shall be bound only by the provisions of and
endorsements on the Policy, and any payments made or action taken by it in
accordance therewith shall fully discharge it from all claims, suits and demands
of all persons whatsoever. It shall in no way be bound by or be deemed to have
notice of the provisions of this Plan.
6. AMENDMENT OF PLAN. The Owner and the Company may mutually agree to
amend this Plan and such amendment shall be in writing signed by the Owner and
the Company.
7. SPECIAL PROVISIONS. The following provisions are a part of this Plan
and are intended to meet the requirements of the Employee Retirement Income
Security Act of 1974:
(a) The named fiduciary shall be the secretary of the Company.
(b) The funding policy under this Plan is that all premiums on the
Policy be remitted to the Insurer when due.
(c) Direct payment by the Insurer is the basis of payment of benefits
under this Plan, with those benefits in turn being based on the payment of
premiums as provided in the Plan.
(d) For claims procedure purposes, the "Claims Manager" shall be the
secretary of the Company, as existing from time to time.
(i) If for any reason a claim for benefits Under this Plan is
denied by the Company, the Claims Manager shall deliver to the claimant a
written explanation setting forth the specific reasons for the denial, pertinent
references to the Plan section on which the denial is based, such other data as
may be pertinent and information on the procedures to be followed by the
claimant in obtaining review of his or her claim, all written in a manner
calculated to be understood by the claimant. For this purpose:
(A) The claimant's claim shall be deemed fried when
presented orally or in writing to the Claims Manager.
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(B) The Claims Manager's explanation shall be in writing
delivered to the claimant within ninety (90) days of the date the claim is
filed.
(ii) The claimant shall have sixty (60) days following his or her
receipt of the denial of the claim to file with the Claims Manager a written
request for review of the denial. For such review, the claimant or his or her
representative may submit pertinent documents and written issues and comments.
(iii) The Claims Manager shall decide the issue on review and
furnish the claimant with a copy within sixty (60) days of receipt of the
claimant's request for review of his or her claim. The decision on review shall
be in writing and shall include specific reasons for the decision, written in a
manner calculated to be understood by the claimant, as well as specific
references to the pertinent Plan provisions on which the decision is based. If a
copy of the decision is not so furnished to the claimant within sixty (60) days,
the claim shall be deemed denied on review.
THIS AGREEMENT is executed on February 4, 1998 at Los Angeles, California.
In the presence of
COMPANY
/s/ illegible signature By: /s/ Richard Lamishaw
- ----------------------------------- -------------------------------
CFO
OWNER
The Allan I. Brown Irrevocable
Trust
/s/ illegible signature By: /s/ Frederic N. Gaines
- ----------------------------------- -------------------------------
Frederic N. Gaines
Trustee
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ENDORSEMENT
Insured: ALAN I. BROWN
Re: Metropolitan Life Insurance Co. Policy No. 983 990 506 UV
Supplementing and amending the above policy, the undersigned owner of the
policy requests and directs that:
1. The Owner of the policy will be FREDERIC N. GAINES, Trustee of The
Allan I. Brown Insurance Trust, under Declaration of Trust dated September 29,
1997. The Owner alone may exercise all policy rights, except that the Owner will
not have the rights specified in Section 2. below.
Said Owner designates The Allan I. Brown Insurance Trust, under
Declaration of Trust dated September 29, 1997, or its successors as the direct
beneficiary of the excess proceeds over the lesser of (a) the cash value of the
Policy as of the date to which premiums have been paid or (b) the premiums paid
by SIMON MARKETING, INC. (hereinafter referred to as "Company") to the Insurance
Company for the policy.
The Insurance Company will have the right to rely on any statement
signed by said Owner setting forth the amount referred to above, and any
decisions made by the Insurance Company in reliance upon such statement will be
conclusive and will fully protect the Insurance Company.
2. The Company will have the right to designate and change the
beneficiaries of and assign the proceeds of the lesser of an amount equal to (a)
the cash value of the Policy as of the date to which premiums have been paid or
(b) the premiums paid by the Company to the Insurer. The provisions of this
Section 2. shall not limit the rights of the Owner as specified in Section 1.
above.
Unless otherwise designated, the Company designates itself or its
successors as the direct beneficiary of the proceeds specified in this Section
2.
3. All prior designations of beneficiaries of death proceeds are revoked.
4. Any collateral assignment made by the Owner will be deducted only from
the proceeds payable under Section 1. above.
5. Any assignment of proceeds specified in Section 2. above will be
limited to death proceeds only.
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6. Any indebtedness on the policy will first be deducted from the
proceeds payable under Section 1. above.
7. The exercise by the Owner of the right to surrender the policy or to
change the Insured(s) will terminate the rights of the Company specified in
Section 2. above.
8. The policy fights specified in Sections 1. and 2. above may be
exercised by the respective parties specified in Sections 1. and 2. above or
the. irrespective successors or transferees.
9. If no beneficiaries named in Sections 1. and 2. above are in existence
when the Insureds die, payment will be made to the Owner of each portion, or
that Owner's successors or assigns.
10. Each Owner of the proceeds specified in Sections 1. and 2. above will
have the right to exercise the conversion privilege if applicable to such
portion and will be the Owner of any new policy issued in lieu of such benefit.
Dated: ______________________
In the presence of
COMPANY
______________________________ By: /s/ Richard Lamishaw
--------------------------
CFO
OWNER
The Allan I. Brown Irrevocable
Trust
/s/ illegible signature By: /s/ Frederic N. Gaines
- ------------------------------ --------------------------
Frederic N. Gaines
Trustee
Recorded and Filed at the Office of Metropolitan
The company assumes no obligations at to the validity and sufficiency of
this agreement and does not pass upon its legality
on MAR 20, 1998 /s/ Louis J. Ragusa
----------------
Louis J. Ragusa
Vice-President and Secretary
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METLIFE
----------------------------------------------------------------------
METROPOLITAN LIFE
INSURANCE COMPANY
A Mutual Company Incorporated in New York State
----------------------------------------------------------------------
Metropolitan Life Insurance Company will pay the amount of insurance and
provide the other benefits of this policy according to its provisions.
/s/ Louis J. Ragusa /s/ Robert H. Benmosche
Louis J. Ragusa Robert H. Benmosche
Vice President and Secretary President and Chief Operating Officer
Insured ALLAN I BR0WN
Specified
Face Amount $6,500,000 AS OF MAR. 9, 1998
of Insurance
Policy Number 983 990 506 UV
Plan Flexible Premium Variable Life
FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY
Life insurance payable if the insured dies before the Final Date of Policy.
Cash Value, if any, less any policy loan and loan interest, payable on the
Final Date.
Adjustable death benefit.
Premiums payable while the insured is alive and before the Final Date of
Policy.
Premiums must be sufficient to keep the policy in force.
Not eligible for dividends.
THE CASH VALUE IN EACH INVESTMENT DIVISION OF THE SEPARATE ACCOUNT IS BASED ON
THE INVESTMENT EXPERIENCE OF THAT INVESTMENT DIVISION AND MAY INCREASE .OR
DECREASE DAILY. IT IS NOT GUARANTEED AS TO DOLLAR AMOUNT. SEE THE SEPARATE
ACCOUNT PROVISION ON PAGE 10.
THE CASH VALUE IN THE FIXED ACCOUNT WILL BE CREDITED WITH INTEREST AT A
GUARANTEED RATE SHOWN ON PAGE 3.1. WE MAY CREDIT ADDITIONAL INTEREST IN EXCESS
OF THE GUARANTEED RATE. SEE THE FIXED ACCOUNT PROVISION ON PAGE 9.
THE AMOUNT OR THE DURATION OF THE DEATH BENEFIT; OR BOTH, MAY BE VARIABLE OR
FIXED AS DESCRIBED IN THIS POLICY.
RIGHT TO EXAMINE POLICY-PLEASE READ THIS POLICY. YOU MAY RETURN IT TO US OR TO
THE REPRESENTATIVE THROUGH WHOM YOU BOUGHT IT AT ANY TIME BEFORE THE LATER OF
THE DATE WE RECEIVE YOUR SIGNED DELIVERY RECEIPT AND 10 DAYS FROM THE DATE THE
POLICY WAS DELIVERED TO YOU. IF YOU RETURN THIS POLICY WITHIN THIS PERIOD, THE
POLICY WILL BE VOID FROM THE BEGINNING. WE WILL REFUND ANY PREMIUM PAID. DURING
THAT PERIOD, THE NET PREMIUM PAYMENTS ALLOCATED TO THE SEPARATE ACCOUNT WILL BE
INVESTED IN THE MONEY MARKET PORTFOLIO. AT THE END OF THAT PERIOD, THE NET
PREMIUM WILL BE INVESTED IN THE SEPARATE ACCOUNT AS DESIGNATED.
See Table of Contents and Company address on the back cover.
READ THIS POLICY CAREFULLY. This policy is a legal contract between the policy
owner and Metropolitan Life Insurance Company.
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METROPOLITAN LIFE INSURANCE COMPANY
POLICY SPECIFICATIONS
DATE OF POLICY ................................................ MARCH 9, 1998
INSURED'S AGE AND SEX ......................................... 57 MALE
FINAL DATE OF POLICY .......................................... POLICY ANNIVERSARY AT AGE 95
DEATH BENEFIT ................................................. OPTION C (SEE PAGE 7)
OWNER ......................................................... SEE APPLICATION
BENEFICIARY AND
CONTINGENT BENEFICIARY ........................................ SEE APPLICATION
POLICY CLASSIFICATION ......................................... TABLE 05 NON-SMOKER
INSURED ALLAN I BROWN
SPECIFIED
FACE AMOUNT OF
INSURANCE ...... $6,500,000 AS OF MARCH 9, 1998 POLICY NUMBER 983990506UV C
PLAN ........... FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE
WITH TERM INSURANCE RIDER PROVIDING
TOTAL INSURANCE AMOUNT ................. $6,500,000.
THIS POLICY PROVIDES LIFE INSURANCE COVERAGE UNTIL THE FINAL DATE IF
SUFFICIENT PREMIUMS ARE PAID. THE PLANNED PREMIUM SHOWN BELOW MAY NEED TO
BE INCREASED TO KEEP THIS POLICY AND COVERAGE IN FORCE.
PLANNED PREMIUM OF $449,664.00 -- PAYABLE ANNUALLY
(TOTAL PREMIUM FOR LIFE INSURANCE BENEFIT. ANY SUPPLEMENTAL RATING AND ANY
ADDITIONAL BENEFITS LISTED BELOW)
ADDITIONAL BENEFITS
YEARLY RENEWABLE TERM RIDER AMOUNT: $0
INSURANCE RIDER RIDER PERCENT: 0% FIXED AT ISSUE
REFUND OF SALES CHARGE RIDER BENEFIT PERIOD: 3 YEARS
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POLICY SPECIFICATIONS (CONTINUED)
GUARANTEED INTEREST RATE FOR FIXED ACCOUNT .................... 4.0% A YEAR
.32737% A MONTH
.01075% A DAY
MINIMUM TOTAL INSURANCE AMOUNT: .......... $100,000 DURING FIRST 5 POLICY YEARS;
$ 50,000 AFTER 5TH POLICY YEAR
EXPENSES:
EXPENSE CHARGE IN POLICY YEARS 1 - 10:
NOT MORE THAN 13.5% (INCLUDING A SALES LOAD OF
NOT MORE THAN 9.0%) OF GROSS PREMIUMS RECEIVED
UP TO THE TARGET PREMIUM IN ANY POLICY YEAR
PLUS
NOT MORE THAN 3.5% (INCLUDING A SALES LOAD OF
NOT MORE THAN 0.0%) OF GROSS PREMIUM RECEIVED
OVER THE TARGET PREMIUM IN ANY POLICY YEAR
EXPENSE CHARGE IN POLICY YEARS 11 AND LATER:
NOT MORE THAN 7.5% (INCLUDING A SALES LOAD OF
NOT MORE THAN 3.0%) OF GROSS PREMIUMS RECEIVED
UP TO THE TARGET PREMIUM IN ANY POLICY YEAR
PLUS
NOT MORE THAN 3.5% (INCLUDING A SALES LOAD OF
NOT MORE THAN 0.0%) OF GROSS PREMIUM RECEIVED
OVER THE TARGET PREMIUM IN ANY POLICY YEAR
TARGET PREMIUM: $525,135.00
MAXIMUM UNDERWRITING CHARGE FOR
INCREASES IN SPECIFIED FACE AMOUNT ................................ $3.00/$1,000
MAXIMUM MORTALITY AND EXPENSE RISK CHARGE .......................... 0.9% A YEAR
.002454% A DAY
APPLIED TO
A PORTION OF THE CASH VALUE
EQUAL TO
THE CASH VALUE IN THE SEPARATE ACCOUNT
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TABLE OF GUARANTEED MAXIMUM RATES FOR EACH $1,000 OF TERM INSURANCE
(SEE "COST OF TERM INSURANCE" PROVISION ON PAGE 8).
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Age Monthly Rate* Age Monthly Rate* Age Monthly Rate*
- ---------------------------------------------------------------------------------------------
20 0.324 45 0.847 70 7.108
21 0.324 46 0.918 71 7.420
22 0.323 47 0.989 72 7.783
23 0.316 48 1.069 73 8.197
24 0.314 49 1.151 74 8.656
25 0.306 50 1.249 75 9.151
26 0.304 51 1.357 76 9.675
27 0.304 52 1.476 77 10.221
28 0.305 53 1.612 78 10.796
29 0.306 54 1.764 79 11.419
30 0.314 55 1.926 80 12.114
31 0.523 56 2.096 81 12.905
32 0.334 57 2.276 82 13.811
33 O.351 58 2.464 83 14.830
34 0.368 59 2.671 84 15.946
35 0.388 60 2.899 85 17.140
36 0.415 61 3.160 86 18.401
37 0.449 62 3.464 87 19.728
38 0.484 63 3.806 88 21.123
39 0.522 64 4.183 89 22.601
40 0.568 65 4.589 90 24.189
41 0.619 66 5.020 91 25.940
42 0.673 67 5.472 92 27.932
43 0.727 68 5.958 93 30.367
44 0.784 69 6.497 94 33.713
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* If there is a supplemental rating for the life insurance benefit, as shown on
page 3, the monthly deduction for such supplemental rating must be added to the
monthly rate determined from this table.
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DESCRIPTION OF INVESTMENT DIVISIONS IN THE SEPARATE ACCOUNT
THE ASSETS IN EACH INVESTMENT DIVISION OF METROPOLITAN LIFE SEPARATE ACCOUNT UL
(SEPARATE ACCOUNT) ARE INVESTED IN SHARES OF A DESIGNATED INVESTMENT COMPANY
PORTFOLIO. EACH PORTFOLIO REPRESENTS A DIFFERENT CLASS (OR SERIES) OF SHARES
ISSUED BY METROPOLITAN SERIES FUND, INC.
DIVISION 1- STATE STREET RESEARCH GROWTH PORTFOLIO-The investment objective
of this portfolio is to achieve long-term growth of capital and
income, and moderate current income, by investing primarily in
common stocks that are believed to be of good quality or to have
good growth potential or which are considered to be undervalued
based on historical investment standards.
DIVISION 2- STATE STREET RESEARCH INCOME PORTFOLIO-The investment objective
of this portfolio is to achieve the highest possible total
return, by combining current income with capital gains,
consistent with prudent investment risk and the preservation of
capital, by investing primarily in fixed-income, high-quality
debt securities.
DIVISION 3- METLIFE MONEY MARKET PORTFOLIO-The investment objective of this
portfolio is to achieve the highest possible current income
consistent with the preservation of capital and maintenance of
liquidity, by investing primarily in short-term money market
instruments.
DIVISION 4- STATE STREET RESEARCH DIVERSIFIED PORTFOLIO-The investment
objective of this portfolio is to achieve a high total return
while attempting to limit investment risk and preserve capital by
investing in equity securities, fixed-income debt securities, or
short-term money market instruments, or any combination thereof,
at the discretion of State Street Research.
DIVISION 5- STATE STREET RESEARCH AGGRESSIVE GROWTH PORTFOLIO-The investment
objective of this portfolio is to achieve maximum capital
appreciation by investing primarily in common stocks (and equity
and debt securities convertible into or carrying the right to
acquire common stocks) of emerging growth companies, undervalued
securities or special situations.
DIVISION 6- GFM INTERNATIONAL STOCK PORTFOLIO-The investment objective of
this portfolio is to achieve long-term growth of capital by
investing primarily in common stocks and equity-related
securities of non-United States companies.
DIVISION 7- METLIFE STOCK INDEX PORTFOLIO- The investment objective of this
portfolio is to equal the performance of the Standard & Poor's
500 Composite Stock Price Index (adjusted to assume reinvestment
of dividends) by investing in the common stock of companies which
are included in the index.
DIVISION 8- LOOMIS SAYLES HIGH YIELD BOND PORTFOLIO-The investment objective
of this portfolio is to achieve high total investment return
through a combination of current income and capital appreciation.
The Portfolio will normally invest at least 65% of its assets in
fixed income securities of below investment grade quality.
DIVISION 9- JANUS MID CAP PORTFOLIO- The investment objective of this
portfolio is to provide long-term growth of capital, It pursues
this objective by investing primarily in securities issued by
medium sized companies.
DIVISION 10- T. ROWE PRICE SMALL CAP GROWTH PORTFOLIO- The investment
objective of this portfolio is to achieve long-term capital
growth by investing in small growth companies.
DIVISION 11- SCUDDER GLOBAL EQUITY PORTFOLIO- The investment objective of this
portfolio is to achieve long-term growth of capital through a
diversified portfolio of marketable securities, primarily equity
securities, including common stocks, preferred stocks and debt
securities convertible into common stocks. The Portfolio invests
on a worldwide basis in equity securities of companies which are
incorporated in the U.S. or in foreign countries. It also may
invest in the debt securities of U.S. and foreign issuers. Income
is an incidental consideration.
INVESTMENT RETURNS WILL REFLECT FLUCTUATIONS IN THE MARKET VALUE OF SECURITIES.
PLEASE REFER TO THE CURRENT PROSPECTUS FOR METROPOLITAN SERIES FUND, INC. FOR A
COMPLETE DESCRIPTION OF THE FUND AND THE CURRENTLY AVAILABLE DESIGNATED
PORTFOLIOS.
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DESCRIPTION OF INVESTMENT DIVISIONS IN THE SEPARATE ACCOUNT
THE ASSETS IN EACH INVESTMENT DIVISION OF METROPOLITAN LIFE SEPARATE ACCOUNT UL
(SEPARATE ACCOUNT) ARE INVESTED IN SHARES OF A DESIGNATED INVESTMENT COMPANY
PORTFOLIO. EACH PORTFOLIO REPRESENTS A DIFFERENT CLASS (OR SERIES) OF SHARES
ISSUED BY METROPOLITAN SERIES FUND, INC.
DIVISION 1- GROWTH PORTFOLIO-The investment objective of this portfolio is to
achieve long-term growth of capital and income, and moderate
current income, by investing primarily in common stocks that are
believed to be of good quality or to have good growth potential
or which are considered to be undervalued based on historical
investment standards.
DIVISION 2- INCOME PORTFOLIO-The investment objective of this portfolio is to
achieve the highest possible total return, by combining current
income with capital gains, consistent with prudent investment
risk and the preservation of capital, by investing primarily in
fixed-income, high-quality debt securities.
DIVISION 3- MONEY MARKET PORTFOLIO-The investment objective of this portfolio
is to achieve the highest possible current income consistent with
the preservation of capital and maintenance of liquidity, by
investing primarily in short-term money market instruments.
DIVISION 4- DIVERSIFIED PORTFOLIO-The investment objective of this portfolio
is to achieve a high total return while attempting to limit
investment risk and preserve capital by investing in equity
securities, fixed-income debt securities, or short-term money
market instruments, or any combination thereof, at the discretion
of State Street Research.
DIVISION 5- AGGRESSIVE GROWTH PORTFOLIO-The investment objective of this
portfolio is to achieve maximum capital appreciation by investing
primarily in common stocks (and equity and debt securities
convertible into or carrying the right to acquire common stocks)
of emerging growth companies, undervalued securities or special
situations.
DIVISION 6- INTERNATIONAL STOCK PORTFOLIO-The investment objective of this
portfolio is to achieve long-term growth of capital by investing
primarily in common stocks and equity-related securities of
non-United States companies.
DIVISION 7- STOCK INDEX PORTFOLIO-The investment objective of this portfolio
is to equal the performance of the Standard and Poor's 500
Composite Stock Price Index (adjusted to assume reinvestment of
the dividends) by investing in the common stock of companies
which are included in the index.
INVESTMENT RETURNS WILL REFLECT FLUCTUATIONS IN THE MARKET VALUE OF SECURITIES.
PLEASE REFER TO THE CURRENT PROSPECTUS FOR METROPOLITAN SERIES FUND, INC. FOR A
COMPLETE DESCRIPTION OF THE FUND AND THE CURRENTLY AVAILABLE DESIGNATED
PORTFOLIOS.
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DEFINITIONS
This policy provides life insurance through flexible premium payments. Net
premiums are credited at your option to either a fixed interest account ("Fixed
Account") or a multifunded separate account ("Separate Account") or both.
Interest will be credited to the Cash Value in the Fixed Account. The Cash Value
in the Separate Account will vary with investment experience. The cost of
insurance and other charges will be deducted each month proportionately from the
Fixed Account and the Separate Account.
"You" and "your" refer to the owner of this policy.
"We", "us" and "our" refer to Metropolitan Life Insurance Company.
The "insured" named on page 3 is the person at whose death .the insurance
proceeds will be payable.
The "Specified Face Amount of Insurance" as of the Date of Policy is shown on
page 3. A new page 3 will be issued to show any change in the Specified Face
Amount of Insurance that has occurred at your request.
The "Date of Policy" is shown on page 3.
The "Final Date of Policy" is the policy anniversary on which the insured is age
95. If the insured is then living and you do not ask us to continue this policy,
we will pay you the Cash Surrender Value at the Final Date. Policy years and
months are measured from the Date of Policy. For example, if the Date of Policy
is May 5, 1993, the first policy month ends June 4, 1993 and the first policy
year ends May 4, 1994. Similarly, the first monthly anniversary is June 5, 1993,
and the first policy anniversary is May 5, 1994.
The "Designated Office" is our Executive Office at One Madison Avenue, New York,
N.Y. 10010. We may, by written notice, name other offices within the United
States to serve as Designated Offices.
The "Investment Start Date" is the date the first premium is applied to the
Fixed Account and/or Separate Account. It is the later of: (1)the Date of
Policy; and (2) the date we receive the first premium at our Designated Office.
"Issue Age" is the age of the insured shown on Page 3.
"Fixed Account" is the account under the policy to which we will add the
payments that you allocate to the Fixed Account. The Fixed Account is part of
our general account.
"Separate Account" is Metropolitan Life Separate Account UL, the account under
this policy to which we will add the payments that you allocate to any of the
Investment Divisions in the Separate Account.
"Policy Loan Account" is the account to which we will transfer the amount of any
policy loan from the Fixed and Separate Accounts.
"Cash Value" is the sum of: (a) the value in the Fixed Account"; (b) the value
in each investment division of the Separate Account; and (c) the value in the
Policy Loan Account.
"Cash Surrender Value" is the Cash Value less any policy loan and loan interest.
The "Adjusted Premiums" are added to the Specified Face Amount of Insurance to
compute the Option C Death Benefit. The Adjusted Premiums are initially equal to
zero and are increased by premiums and decreased by withdrawals, as they occur.
The Adjusted Premiums will never be less than zero.
To make this policy clear and easy to read, we have left out many
cross-references and conditional statements. Therefore, the provisions of the
policy must be read as a whole. For example, our payment of the
insurance-proceeds (see page 7) depends upon the payment of sufficient premiums
(see page 14).
To exercise your rights, you should follow the procedures stated in the policy.
if you want to request a payment, change the allocations of net premiums and/or
Cash Value, adjust the death benefit, change a beneficiary, change an address or
request any other action by us, you should do so on the forms prepared for each
purpose. You can get these forms from our Designated Office.
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PAYMENT WHEN INSURED DIES
INSURANCE PROCEEDS
If the insured dies before the Final Date of Policy, and while the policy is in
force, an amount of money, called the insurance proceeds, will be paid to the
beneficiary. The insurance proceeds are the sum of:
* The death benefit described below
PLUS
* Any insurance on the insured's life that may be provided by riders to
this policy
MINUS
* Any policy loan and loan interest
MINUS
* Any due and unpaid monthly deductions accruing during a grace period.
We will pay the insurance proceeds to the beneficiary after we receive proof of
death and a proper written claim.
DEATH BENEFIT
The death benefit under this policy will be either 1, 2 or 3 below, whichever is
chosen and is in effect at the time of death, but in no event less than the
minimum death benefit.
1. OPTION A: The Specified Face Amount of Insurance.
2. OPTION B: The Specified Face Amount of Insurance.
PLUS
The Cash Value on the date of death.
3. OPTION C: The Specified Face Amount of Insurance.
PLUS
The Adjusted Premiums.
See the Full and Partial Cash Withdrawal provision for the effect of a partial
withdrawal on the death benefit.
MINIMUM DEATH BENEFIT
In no event will the death benefit be less than the amounts described below:
MINIMUM DEATH BENEFIT
AGE ON DATE AS A PERCENTAGE OF THE
OF DEATH CASH VALUE
40 or younger 250%
41-45 243-215
46-50 209-185
51-55 178-150
56-60 146-130
61-65 128-120
66-7O 119-115
71-75 113-105
76-90 105
91-95 104-100
96 and over 100
The minimum death benefit percentage will decrease uniformly within the age
ranges shown.
DEATH BENEFIT ADJUSTMENT
At any time after the first policy year, while this policy is in force, you may
change the death benefit option or change (either increase or decrease) the
Specified Face Amount of Insurance, subject to the following:
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PAYMENT WHEN INSURED DIES (CONTINUED)
1. In the event of a change in the death benefit option, we will change
the Specified Face Amount of Insurance as needed.
2. The Specified Face Amount of Insurance may not be reduced to less than
the $100,000 during the first 5 policy years or to less than $50,000
after the 5th policy year.
3. For any change which would increase the death benefit, we may require
evidence satisfactory to us of insurability of the insured. Any
increased death benefit may be subject to the underwriting charge
shown on page 3.1. This charge is included in the monthly deduction
which coincides with or next follows the date the increase takes
effect.
4. No change in the death benefit will take effect unless the Cash
Surrender Value after the change is sufficient to keep this policy in
force for at least 2 months. Subject to this condition, a request for
a change in the death benefit will take effect on the monthly
anniversary which coincides with or next follows: (a) if evidence of
insurability is required, the date we approve the request; or, (b) if
not, the date of the request.
5. We will issue a new page 3 for this policy showing the change. We may
require that you send us this policy to make the change.
MONTHLY DEDUCTION
The deduction for any policy month is the sum of the following amounts,
determined on each monthly anniversary:
- The monthly cost of term insurance;
- The monthly mortality and expense risk charges;
- The monthly cost of any benefits provided by rider;
- For any month in which your request results in an increase in the
Specified Face Amount, the underwriting charge, as shown on page 3.1.
The monthly deduction (excluding the monthly mortality and expense risk charges)
will be charged proportionately to the Fixed Account and each Investment
Division of the Separate Account. The monthly mortality and expense risk charges
will be charged proportionately to values in each Investment Division of the
Separate Account.
COST OF TERM INSURANCE
Under all death benefit options, the amount of the term insurance for any policy
month is equal to:
- The death benefit divided by one plus the monthly guaranteed interest
rate shown on page 3.1;
MINUS
- The Cash Value.
The Cash Value used in this calculation is the Cash Value before the deduction
for the monthly cost of term insurance and for any disability waiver benefit,
but after the deduction for riders and any other charges.
The cost of term insurance for any policy month is equal to the amount of term
insurance multiplied by the monthly term insurance rate. After the Final Date
the cost of term insurance is zero. Monthly term insurance rates will be set by
us from lime to time, based on the insured's age, sex, and underwriting class.
But these rates will never be more than the maximum rates shown in the table on
page 4. Any changes in mortality charges will not recoup past losses. Any
adjustments in policy cost factors will be by class and based on changes in such
factors as mortality, persistency and expenses.
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FIXED ACCOUNT
VALUE
The value of the Fixed Account on the Investment Start Date is equal to:
1. The portion of the initial net premium which has been paid and
allocated to the Fixed Account;
MINUS
2. The portion of any monthly deductions charged to the Fixed Account.
The value of the Fixed Account on any day after the Investment Start Date is
equal to
1. The value on the preceding day, with interest on such values at the
current applicable rates.
PLUS
2. Any portion of net premium paid and allocated to the Fixed Account on
that day;
PLUS
3. Any amount transferred to the Fixed Account on that day;
MINUS
4. Any amount transferred from the Fixed Account on that day;
MINUS
5. Any cash withdrawal made from the Fixed Account on that day;
MINUS
6. The portion of any transfer charge allocated to the value of the Fixed
Account;
MINUS, IF THAT DAY IS A MONTHLY ANNIVERSARY,
7. The portion of the monthly deduction which is charged to the Fixed
Account, to cover the policy month which starts on that day.
INTEREST RATE
The guaranteed interest rate for the Fixed Account is shown on page 3.1.
We may declare rates of interest in excess of the guaranteed rate on amounts in
the Fixed Account at any time, subject to the following conditions: the rate of
excess interest on any net premiums paid during a month of the year will not
change until the first day of the same month in the following year. We also may
credit different rates of excess interest to premium payments made in different
months of the year and different rates of excess interest at the end of each
twelve-month period for Cash Value related to premiums received in a given
month of each prior year. Transfers made into the Fixed Account will be treated
as new premium payments for these purposes.
We will credit the guaranteed and any excess interest on every Valuation Date.
Once credited, that interest will be guaranteed and will become part of the
value in the Fixed Account from which monthly deductions are made. The monthly
deduction will be charged against the most recent premiums paid (and transfers
made) and interest credited.
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SEPARATE ACCOUNT
Separate Account UL is an investment account established and maintained by us,
separate from our general account or other separate investment accounts. It is
used for flexible premium variable life insurance policies, and if permitted by
law, may be used for other policies or contracts as well.
We own the assets in the Separate Account. Assets equal to the reserves and
other liabilities of the Separate Account will not be charged with liabilities
that arise from any other business we conduct. We may from time to time transfer
to our general account assets in excess of such reserves and liabilities.
Income and realized and unrealized gains or losses from assets, in the Separate
Account are credited to or charged against the Separate Account without regard
to our other income, gains or losses.
The Separate Account will be valued at the end of each Valuation Period.
A "Valuation Date" is each day on which there is enough trading in a portfolio's
securities that the current value of its shares could be materially affected. In
general, Valuation Dates will be days when the New York Stock Exchange is open
for trading. We reserve the right, on 30 days notice, to change the basis for
such Valuation Date, as long as the basis is not inconsistent with applicable
laws.
A "Valuation Period" is the period between successive Valuation Dates starting
at 4:00 P.M. New York City time, on each Valuation Date and ending at 4:00 P.M.,
New York City time, on the next Valuation Date. We reserve the right, on 30 days
notices to change the basis for such Valuation Period, as long as the basis is
not inconsistent with applicable laws.
INVESTMENT DIVISIONS
The "Investment Divisions" are part of the Separate Account. Each division holds
a separate class (or series) of stock of a designated investment company or
companies. Each class of stock represents a separate portfolio in an investment
company.
The Investment Divisions available on the Date of Policy are described on Page
5. We may from time to time make other Investment Divisions available to you. We
will provide you with written notice of all material details including
investment objectives and all charges.
OUR RIGHT TO MAKE CHANGES
We reserve the right to make certain changes if, in our judgment, they would
best serve the interests of the owners of policies such as this one, or would be
appropriate in carrying out the purposes of such policies. Any changes will be
made only to the extent and in the manner permitted by applicable laws. Also,
when required by law, we will obtain your approval of the changes and the
approval of any appropriate regulatory authority.
Example of the changes we may make include: .
- To operate the Separate Account in any form permitted under the
Investment Company Act of 1940, or in any other form permitted by law.
- To take any action necessary to comply with or obtain and continue any
exemptions from the Investment Company Act of 1940.
- To transfer any assets in an Investment Division to another Investment
Division, or to one or more separate accounts, or to our general
account, or. add, combine, or remove Investment Divisions in the
Separate Account.
- To substitute, for the investment company shares held in any
Investment Division, the shares of another class of the investment
company or the shares of another investment company or any other
investment permitted by law.
- To change the way we assess charges, but without increasing the
aggregate amount charged to the Fixed Account and any currently
available investment division of the Separate Account or available
portfolios of the fund.
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SEPARATE ACCOUNT (CONTINUED)
- To make any other necessary technical changes in this policy in order
to conform with any action this provision permits us to take.
If any of these changes result in a material change in the underlying
investments of an Investment Division in the Separate Account, we will notify
you of such change. If you have funds allocated to that division, you may then
make a new choice of Investment Divisions.
VALUE
The value of the Separate Account is the sum of the Cash Values in each of the
Investment Divisions.
The value in each Investment Division of the Separate Account on the Investment
Start Date is equal to:
1. The portion of the initial net premium which has been paid and is
allocated to the Investment Division;
MINUS
2. The portion of any monthly deductions charged to the Investment
Division.
The Cash Value in each Investment Division on subsequent Valuation Dates is
equal to:
1. The Cash Value in the Investment Division on the preceding Valuation
Date;
PLUS
2. Any increase due to the investment result in the Investment Division
of the Separate Account;
PLUS
3. Any net premium payments received during the current Valuation Period
which are allocated to the Investment Division;
PLUS
4. Any net amounts transferred to the Investment Division during the
current Valuation Period;
MINUS
5. Any decrease due to the investment result in the Investment Division
of the Separate Account;
MINUS
6. Any amounts transferred from the Investment Division during the
current Valuation Period;
MINUS
7. Any cash withdrawal from the Investment Division during the current
Valuation Period;
MINUS
8. The portion of any transfer charge allocated to the value in the
Investment Division;
MINUS, IF A MONTHLY ANNIVERSARY OCCURS DURING THE CURRENT VALUATION PERIOD,
9. The portion of the monthly deduction charged to the Investment
Division during the current Valuation Period to cover the policy month
which starts on that day.
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OWNER'S RIGHT TO CHANGE ALLOCATION
You can change the allocation of future net premiums among the Fixed Account
and/or the Investment Divisions of the Separate Account. You must allocate at
least 10% of net premiums to each alternative you choose. Percentages must be in
whole numbers. (For example, 33 1/3% may not be chosen.) You must notify us in
writing of a change in the allocation percentages. The change will take effect
immediately upon receipt at our Designated Office.
You may also change the allocation of the Cash Value. To do this, you may
transfer amounts among the alternatives at any time. A transfer charge of $25
will be deducted from the Cash Value from which amounts are transferred
proportionately among the Fixed Account and the Investment Divisions of the
Separate Account when each transfer is effected. However, no charge will be
assessed for transfers from policy loans and loan repayments. In addition,
during the first 24 policy months, no charge will be assessed for a complete
transfer of all amounts in the Investment Divisions of the Separate Account to
the Fixed Account. Transfers must be in either dollar amounts or a percentage in
whole numbers. The minimum amount that may be transferred is $50, or, if less,
the entire value in an Investment Division of the Separate Account or the entire
value in the Fixed Account. The maximum amount that may be transferred from the
Fixed Account in any policy year is the greater of $50 or 25% of the largest
amount in the Fixed Account over the last four policy years. The change will
take effect on the date we receive written notice from you at our Designated
Office.
EXCHANGE PRIVILEGE
During the first 24 months following the Date of Policy, the policy owner may
transfer the entire amount in the Separate Account to the Fixed Account and
allocate all future net premiums to the Fixed Account. This will serve as an
exchange of the policy for the equivalent of a flexible premium fixed benefit
life insurance policy. There will be no charge for this transfer.
PAYMENTS DURING INSURED'S LIFETIME
PAYMENT ON FINAL DATE OF POLICY
If the insured is alive on the Final Date of Policy, and you do not ask us in
writing to continue the policy, we will pay you the Cash Surrender Value.
Coverage under this policy will then end.
You may ask us in writing to continue this policy after the Final Date. If you
do, the death benefit will be equal to the Cash Value. The insurance proceeds
will equal the death benefit minus any outstanding policy loan and loan
interest.
FULL AND PARTIAL CASH WITHDRAWAL
We will pay you all or part of the Cash Surrender Value after we receive your
request at our Designated Office. The Cash Surrender Value will be determined
as of the date we receive your request. If you request and are paid the full
Cash Surrender Value, this policy and all our obligations under it will end. We
may require surrender of this policy before we pay you the full Cash Surrender
Value.
Each partial withdrawal of Cash Value must be at least $250. When a partial
withdrawal is made, we will reduce the Cash Value by the amount of the partial
withdrawal. The reduction in Cash Value will be allocated proportionately among
the value of the Fixed Account and each Investment Division of the Separate
Account.
The maximum amount that may be withdrawn from the Fixed Account in any policy
year is the greater of $50 or 25% of the largest amount in the Fixed Account
over the last four policy years.
If Option A is in effect, we will reduce the Specified Face Amount of Insurance
by the amount of the partial withdrawal. If Option C is in effect, and a partial
withdrawal results in the Adjusted Premiums becoming negative, the Adjusted
Premiums will equal zero, and the Specified Face Amount of Insurance will be
adjusted by this negative amount. A new page 3 will then be issued. We may
require that you send us this policy to make this change. Partial cash
withdrawals will not affect the Specified Face Amount of Insurance if Option B
is in effect.
If you request a partial withdrawal which would reduce the Cash Value to less
than $500, we will treat it as a request for a full cash withdrawal.
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PAYMENTS DURING INSURED'S LIFETIME (CONTINUED)
POLICY LOAN
You may also get cash from us by taking a policy loan. If there is an existing
loan you can increase it. The maximum amount available for a new or increased
loan will be the greater of the Cash Surrender Value less 2 monthly deductions
or 75% of the Cash Surrender Value. The smallest amount you can borrow at any
one time is $250. The loan will be allocated proportionately among the Fixed
Account and the Investment Divisions of the Separate Account.
When a loan is made, the Cash Value in each Investment Division of the Separate
Account equal to the portion of the policy loan allocated to each Investment
Division will be transferred to a Policy Loan Account within the general
account. Cash Value in the Fixed Account equal to that portion of the policy
loan allocated to that Account will also be transferred to the Policy Loan
Account.
Amounts in the Policy Loan Account will be credited with interest at a rate we
set but never less than the guaranteed rate shown on page 3.1. Interest credited
to the amounts in the Policy Loan Account will be allocated at least once a year
among the Fixed Account and the Investment Divisions of the Separate Account in
the same proportions as net premiums are then being allocated.
LOAN INTEREST
The rate of interest we set for a policy year may not be more than the higher
of:
(1) The Published Monthly Average for the calendar month ending 2 months
before the start of the policy year; and
(2) The Guaranteed Interest Rate plus no more than 1.0%
The Published Monthly Average means:
(3) Moody's Composite Bond Yield Average - Monthly Average Corporates, as
published by Moody's Investor Service, Inc. or any successor to that
service; or
(4) If that average is no longer published, a substantially similar
average, established by regulation issued by the insurance
supervisory official of the state in which this policy is delivered.
If the maximum limit for a policy year is at least 1/2% higher than the rate set
for the prior policy year, we may increase the rate to no more than that limit.
If the maximum limit for a policy year is at least 1/2% lower than the rate set
for the prior policy year, we will reduce the rate to at least that limit.
The loan interest rate will never be more than the maximum allowed by law and
will not change more than once a year and any change will occur on the
anniversary of the Date of Policy,
We will notify you of the loan interest rate when you make a loan. We will also
give you advance written notice of an increase in the loan interest rate of an
outstanding loan.
Interest is charged daily and is due at the end of each policy year. Interest
not paid within 31 days after it is due will be added to the loan principal. It
will be added as of the due date and will bear interest at the same rate as the
rest of the loan. It will be deducted proportionately from the value of the
Fixed Account and each Investment Division of the Separate Account and will be
transferred -to the Policy Loan Account. The amount transferred will be treated
as an increased loan
LOAN REPAYMENT
You may repay all or part (but not less than $25.00) of a policy loan at any
time while the insured is alive and this policy is in force. If any payment you
make to us is intended as a loan payment, rather than a premium payment, you
must tell us this when you make the payment. Otherwise, it will be treated as a
premium payment. Loan repayments will be allocated in the same manner as net
premium payments, except any amount borrowed from the Fixed Account will be
repaid to the Fixed Account first.
Failure to repay a policy loan or to pay ban interest will not terminate this
policy unless the Cash Surrender Value is insufficient to pay the monthly
deduction due on a monthly anniversary. In that case, the Grace Period provision
will apply (see page 14).
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PAYMENTS DURING INSURED'S LIFETIME (CONTINUED)
DEFERMENT
We reserve the right to defer calculation and payment of benefits in the
following circumstances.
1. If your policy is in force with a Cash Value in the Separate Account,
it will generally not be practical for us to determine the investment
experience of the Separate Account during any period when the New York
Stock Exchange is closed for trading (except for customary weekend and
holiday closings), or when the Securities and Exchange Commission
restricts trading or determines that an emergency exists. In such a
case and with respect to the Separate Account, we reserve the right to
defer: (a) determination, application, or payment of a cash
withdrawal value; (b) determination of policy loans except for a loan
to pay a premium to us; (c) a change in the allocation among the
Investment Divisions of the Separate Account; and (d) payment of the
death benefit.
2. If your policy is in force with a Cash Value in the Fixed Account, we
may defer paying a cash withdrawal value from the Fixed Account for up
to 6 months from the date we receive a request for payment. If we
delay for 30 days or more, interest will be paid at a rate not less
than the guaranteed rate shown on page 3.1 or at a rate required by
law; if greater.
3. We may delay making a loan from the Fixed Account, except for a loan
to pay a premium to us, for up to 6 months from the date you request
the loan.
PREMIUMS
PREMIUM PAYMENTS
Premiums are to be paid at our Designated Office. No insurance will take effect
before the first premium is paid. Other premiums may be paid at any time while
the policy is in force and before the Final Date of Policy in any amount subject
to the limits described below.
We will send premium notices, if requested in writing, according to the planned
premium shown on page 3. After the first, you may skip planned premium payments
or change their frequency and amount if the Cash Surrender Value is large enough
to keep your policy in force.
The planned premium is your self-determined level amount premium planned to be
paid at fixed intervals over a specified period of time. You are not required to
follow this schedule after the first premium payment. Payment of the planned
premium will not guarantee that this policy remains in force. Instead, the
duration of the policy depends on the policy's Cash Value.
LIMITS
The first premium may not be less than the planned premium shown on page 3. Each
premium payment after the first must be at least $100.
We may increase these minimum premium limits. No increase will take effect until
90 days after notice is sent.
The total premium paid in a policy year may not exceed the maximum we set for
that year. When we set the maximum for total premiums paid in a policy year, we
will take account of requirements in federal legislation. We will return to you
any premium paid in a policy year which exceeds the maximum.
GRACE PERIOD
If the Cash Surrender Value on any monthly anniversary is less than the monthly
deduction for that month, there will be a grace period of 61 days after that
anniversary to pay an amount that will cover two monthly deductions. We will
send you a notice at the start of the grace period. We will also send a notice
to any assignee on our records.
If we do not receive a sufficient amount by the end of the grace period, your
policy will end without value.
If the insured dies during the grace period, we will pay the insurance proceeds
minus any overdue monthly deduction.
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PREMIUMS (CONTINUED)
REINSTATEMENT
If the grace period has ended and you have not paid the required premium and
have not surrendered your policy for its Cash Surrender Value, you may reinstate
this policy while the insured is alive if you.
1. Ask for reinstatement within 3 years after the end of the grace
period;
2. Provide evidence of insurability satisfactory to us;
3. Pay a sufficient amount to keep this policy in force for at least 2
months after the date of reinstatement.
Any policy loan and interest due when the policy ends will be canceled. The
effective date of the reinstated policy will be the date we approve the
reinstatement application.
OWNERSHIP AND BENEFICIARY
OWNER
As owner, you may exercise all rights under your policy while the insured is
alive. You have the right to designate another entity to exercise your rights
with our consent. You may name a contingent owner who would become the owner if
you should die before the insured.
CHANGE OF OWNERSHIP
You may name a new owner at any time. If a new owner is named, any earlier
choice of a contingent owner, beneficiary, contingent beneficiary or optional
payment plan will be canceled, unless you specify otherwise.
BENEFICIARY
The beneficiary is the entity or entities and/or person or persons designated
by the policy owner to receive insurance proceeds upon the death of the insured.
You may name a contingent beneficiary to become the beneficiary if all the
beneficiaries cease to exist while the insured is alive. If no beneficiary or
contingent beneficiary exists when the insured dies, the owner (or the owner's
estate, if applicable) will be the beneficiary. While the insured is alive, the
owner may change any beneficiary or contingent beneficiary. If more than one
beneficiary exists when the insured dies, we will pay them in equal shares,
unless you have chosen otherwise.
HOW TO CHANGE THE OWNER OR THE BENEFICIARY
You may change the owner, contingent owner, beneficiary or contingent
beneficiary of this policy by written notice or assignment of the policy. No
change is binding on us until it is recorded at our Designated Office. Once
recorded, the change binds us as of the date you signed it. The change will not
apply to any payment made by us before we recorded your request. We may require
that you send us this policy to make the change.
COLLATERAL ASSIGNMENT
Your policy may be assigned as collateral. All rights under the policy will be
transferred to the extent of the assignee's interest. We are not bound by any
assignment or release thereof unless and until it is in writing and is recorded
at our Designated Office. We are not responsible for the validity of any
assignment.
EXCLUSION
SUICIDE
The insurance proceeds will not be paid if the insured commits suicide, while
sane or insane, within 2 years from the Date of Policy. Instead, we will pay the
beneficiary an amount equal to all premiums paid, without interest, less any
policy loan and loan interest and less any partial cash withdrawals. If the
insured commits suicide, while sane or insane, more than 2 years after the Date
of Policy but within 2 years from the effective date of any increase in the
death benefit, our liability with respect to such increase will be limited to
its cost.
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GENERAL PROVISIONS
THE CONTRACT
This policy includes any riders and, with the application attached at issue, and
any application added after issue, makes up the entire contract. All statements
in the application will be representations and not warranties. No statement will
be used to contest the policy unless it appears in the application.
LIMITATION ON REPRESENTATIVE'S OR OTHER PERSON'S AUTHORITY
No representative or other person except our President, a Vice-President, or the
Secretary may (a) make or change any contract of insurance; or (b) make any
binding promises about benefits; or (c) change or waive any of the terms of this
policy. Any change or waiver is valid only if made in writing and signed by our
President, Vice- President, or Secretary.
INCONTESTABILITY
We will not contest the validity of your policy after it has been in force
during the insured's lifetime for 2 years from the Date of Policy. We will not
contest the validity of any increase in the death benefit after such increase
has been in force during the insured's lifetime for 2 years from its effective
date.
AGE AND SEX
If the insured's age or sex on the Date of Policy is not correct., as shown on
page 3, we will adjust the benefits under this policy. If the insured dies
before a correction is made, the adjusted benefits will be the amounts bought by
the monthly deduction just before the date of death, based on the correct age
and sex. Otherwise we will recompute the value of the Cash Value by taking out
the monthly cost of term insurance for the life of the policy, using the level
of benefits bought by the monthly deduct ion just before we learned the correct
age and sex.
NONPARTICIPATION
This policy is not eligible for dividends; it does not participate in any
distribution of our surplus.
COMPUTATION OF VALUES
The Fixed Account Cash Value is computed using a guaranteed minimum interest
rate shown on page 3.1 .This value and the maximum term insurance rates shown on
page 4 are based on the 1980 Commissioners Standard Ordinary Mortality (sex
distinct) Table.
For substandard policy classifications, these values and rates are based on a
modified version of the 1980 CSO Mortality Table that reflects our mortality
experience.
We have filed a detailed statement of the method of computation with the
insurance supervisory official of the state in which this policy is delivered.
The values under this policy are equal to or greater than those required by the
law of that state.
ANNUAL REPORT
Each year we will send you a report showing the current death benefit, the Cash
Value and any outstanding policy loans for this policy.
It will also show the amount and type of credits to and deductions from the Cash
Value during the past policy year.
The report will also include any other information required by state laws and
regulations.
ILLUSTRATION OF FUTURE BENEFITS
At any time, we will provide an illustration of the future benefits and values
under your policy. You must ask in writing for this illustration. The first
illustration in any policy year will be furnished free of charge. Any subsequent
request in that policy year will be subject to a service fee set by us.
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METHODS OF PAYMENT
Unless otherwise requested, we may pay the insurance proceeds when the insured
dies, or the Cash Surrender Value on surrender or on the Final Date of the
policy, in one sum, or by placing the amount in an account that earns interest.
The payee will have immediate access to all or part of the account. If
requested, we will apply the amount under one or more of the following payment
plans:
OPTION 1.
Interest Income - The amount applied will earn interest which will be paid
monthly. Withdrawals of at least $500 each may be made at any time by written
request.
OPTION 2.
Installment Income for a Stated Period - Monthly installment payments will be
made so that the amount applied, with interest, will be paid over the period
chosen (from 1 to 30 years).
OPTION 2A.
Installment Income of a Stated Amount - Monthly installment payments of a chosen
amount will be made until the entire amount applied, with interest, is paid.
OPTION 3.
Single Life Income - Guaranteed Payment Period - Monthly payments will be made
during the lifetime of the payee with a chosen guaranteed payment period of 10,
15 or 20 years.
OPTION 3A.
Single Life Income - Guaranteed Return - Monthly payments will be made during
the lifetime of the payee. If the payee dies before the total amount applied
under this plan has been paid, the remainder will be paid in one sum as a death
benefit.
OPTION 4.
Joint and Survivor Life Income - Monthly payments will be made jointly to two
persons during their lifetime and will continue during the remaining lifetime of
the survivor. A total payment period of 10 years is guaranteed.
OTHER FREQUENCIES AND PLANS
Instead of monthly payments, you may choose to have payments made quarterly,
semiannually or annually. Other payment plans may be arranged with us.
CHOICE OF PAYMENT PLANS
A choice of a payment plan for insurance proceeds made by you in writing and
recorded by us while the insured is alive will take effect when the insured
dies. All other choices of payment plans will take effect when recorded by us or
later, if requested. When a payment plan starts, we will issue a contract which
will describe the terms of the plan. We may require that you send us this
policy. We may also require proof of the payee's age.
Payment plans may be chosen: (1) by you during the lifetime of the insured; or
(2) by the beneficiary within one year after the insured died and before any
payments have been made, if no choice was in effect on the date of death.
A choice of a payment plan will not take effect unless each payment under the
plan would be at least $.50.
LIMITATIONS
If the payee is not a natural person, the choice of a payment plan will be
subject to our approval. An assignment for a loan will modify a prior choice of
payment plan. The amount due the assignee will be payable in one sum and the
balance will be applied under the payment plan.
Payments may not be assigned and, to the extent permitted by law, will not be
subject to the claims of creditors.
PAYMENT PLAN RATES
Amounts applied under the interest income and installment payment plans will
earn interest at a rate we set from time to time.
Life income plan payments will be based on a rate set by us and in effect on the
date the insurance proceeds or cash value become payable.
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METHODS OF PAYMENT (CONTINUED)
MINIMUM PAYMENTS UNDER PAYMENT PLANS - Monthly payments under options 2, 3, 3A
and 4 for each $1,000 applied will not be less than the amounts shown in the
following Tables.
- -------------------------------------------------------------------------------------
OPTION 2. Installment Income for a Stated Period
Monthly Payments for each $1,000 applied
- -------------------------------------------------------------------------------------
Minimum Amount Minimum Amount Minimum Amount
Years of Each Monthly Years of Each Monthly Years of Each Monthly
Chosen Payment Chosen Payment Chosen Payment
- -------------------------------------------------------------------------------------
1 $84.47 11 $8.86 21 $5.32
2 42.86 12 8.24 22 5.15
3 28.99 13 7.71 23 4.99
4 22.06 14 7.26 24 4.84
5 17.91 15 6.87 25 4.71
6 15.14 16 6.53 26 4.59
7 13.16 17 6.23 27 4.47
8 11.68 18 5.96 28 4.37
9 10.53 19 5.73 29 4.27
10 9.61 20 5.51 30 4.18
- -------------------------------------------------------------------------------------
To determine the minimum amount for quarterly payment, multiply the above
monthly payment by 2.99; for semiannual by 5.96; and for annual 11.84.
- -------------------------------------------------------------------------------------
- --------------------------------------------------------------------------------------------------------
OPTION 3. Single Life Income - Guaranteed Payment Period OPTION 3A.
Minimum Amount of each Monthly Payment for each $1,000 Applied Single Life Income -
- ----------------------------------------------------------------------------- Guaranteed Return
Guaranteed Payment Period Minimum Amount of each
------------------------------------------------------------------- Monthly Payment for each
Payee's 10 years 15 years 20 years $1,000 Applied
Age ----------------------------------------------------------------------------------------------
Male Female Male Female Male Female Male Female
- --------------------------------------------------------------------------------------------------------
50 $4.29 $3.94 $4.23 $3.91 $4.15 $3.86 $4.11 $3.82
55 4.72 4.29 4.62 4.23 4.47 4.15 4.47 4.11
60 5.29 4.73 5.09 4.62 4.79 4.47 4.92 4.47
65 6.02 5.29 5.60 5.09 5.09 4.81 5.48 4.93
70 6.86 6.02 6.08 5.63 5.32 5.13 6.18 5.53
75 7.71 6.92 6.46 6.16 5.44 5.36 7.05 6.32
80 8.48 7.89 6.70 6.55 5.49 5.47 8.15 7.36
85 and over 9.07 8.74 6.82 6.77 5.51 5.50 9.54 8.70
- --------------------------------------------------------------------------------------------------------
- --------------------------------------------------------------------------
OPTION 4. Joint and Survivor Income - Guaranteed Period for 10 years
Minimum Amount of each Monthly Payment for each $1,000 Applied
- --------------------------------------------------------------------------
Age of One Male and Two Two
Both Payees One Female Males Females
- --------------------------------------------------------------------------
50 $3.64 $3.79 $3.54
55 3.93 4.11 3.80
60 4.30 4.55 4.13
65 4.80 5.13 4.57
70 5.47 5.90 5.17
75 6.33 6.80 6.00
- --------------------------------------------------------------------------
On request, we will provide additional information about amounts of minimum
payments.
18
26
METROPOLITAN LIFE INSURANCE COMPANY
ENDORSEMENT
1. The following replaces the last paragraph of the provision entitled COST OF
TERM INSURANCE:
The cost of term insurance for any policy month is equal to the amount
of term insurance multiplied by the monthly term insurance rate. After
the Final Date the cost of term insurance is zero. Monthly term
insurance rates will be set by us from time to time, based on the
insured's age and underwriting class. But these rates will never be
more than the maximum rates shown in the table on page 4. Any change
in mortality charges will not recoup past losses. Any adjustments in
policy cost factors will be by class and based on changes in such
factors as mortality, persistency and expense.
2. The following replaces the provision entitled AGE AND SEX:
AGE - If the insured's age on the Date of Policy is not correct as
shown on page 3, we will adjust the benefits under this policy. If
the insured dies before the correction is made, the adjusted benefits
will be the amounts bought by the monthly deduction just before the
date of death, based on the correct age. Otherwise, we will recompute
the value of the Cash Value by taking out the monthly cost of term
insurance for the life of the policy, using the level of benefits
bought by the monthly deductions just before we learned the correct
age.
3. The following replaces the first paragraph of the provision entitled
COMPUTATION OF VALUES:
COMPUTATION OF VALUES - The Fixed Account Cash Value is computed using
the guaranteed minimum interest rate shown on page 3.1. This value and
the maximum term insurance rates shown on page 4 are based on the 1980
Commissioner's Standard Ordinary Mortality Table B.
(continued on reverse side)
27
ENDORSEMENT (CONTINUED)
4. The following replaces the tables for Option 3 and Option 4 under the
Heading MINIMUM PAYMENTS UNDER PAYMENT PLAN:
- ------------------------------------------------------------------------------------------------------
OPTION 3. Single Life Income- OPTION 3A.
Guaranteed Payment Period Single Life Income-
Minimum Amount of each Monthly Guaranteed Return
Payment for each $1,000 Applied Minimum Amount of each
--------------------------------------------------------- Monthly Payment for each
Guaranteed Payment Period $1,000 Applied
- ------------------------------------------------------------------------------------------------------
Payee's
Age 10 years 15 years 20 years
- ------------------------------------------------------------------------------------------------------
50 $ 4.12 $ 4.08 $ 4.02 $ 3.97
55 4.51 4.44 4.32 4.29
60 5.02 4.87 4.65 4.70
65 5.67 5.36 4.97 5.21
70 6.46 5.88 5.24 5.85
75 7.34 6.33 5.41 6.68
80 8.21 6.64 5.48 7.75
85 and over 8.92 6.80 5.51 9.12
- ------------------------------------------------------------------------------------------------------
- ----------------------------------------------------------------------
OPTION 4. Joint and Survivor Life Income-
Guaranteed Period of 10 years
- ----------------------------------------------------------------------
Age of Minimum Amount of each Monthly
Both Payees Payment for each $1,000 Applied
- ----------------------------------------------------------------------
50 $3.64
55 3.93
60 4.30
65 4.80
70 5.47
75 6.33
- ----------------------------------------------------------------------
On request, we will provide additional information about amounts of minimum
payments.
/s/ Louis J. Ragusa
Louis J. Ragusa
Vice President and Secretary
28
Metropolitan Life Insurance Company
ENDORSEMENT
1. This endorsement replaces the MINIMUM DEATH BENEFIT provision found on page
7 of this policy.
2. Notwithstanding any other provision, the death benefit shall never be less
than (a) divided by (b), where
(a) - the Cash Value immediately before the death of the insured, and
(b) - the net single premium immediately before the death Of the insured
(computed on the basis of the 1980 CSO Mortality Table and on the
basis of interest at the greater of an annual effective rate of 4%
or the rate or rates guaranteed on issuance of this contract and as
otherwise required under section 7702 of the Internal Revenue Code)
for one dollar of death benefit.
3. Therefore, although the death benefit will be based on the death benefit
option in effect at the time of death, the death benefit will never be less
than an amount determined under paragraph 2 above. Generally, this means
that the death benefit will never be less than the Cash Value multiplied by
the minimum death benefit factor from the table on the reverse of this
endorsement.
/s/ Louis J. Ragusa
Louis J. Ragusa
Vice President and Secretary
29
TABLE OF MINIMUM DEATH BENEFIT FACTORS
- ------------------------------------------------------------------------------------------------------------------------
Age on Factors Age on Factors
Date of ------------------------------------------------- Date of ----------------------------------------
Death Male Female Unisex Death Male Female Unisex
- ------------------------------------------------------------------------------------------------------------------------
20 6.6164 7.8790 6.8329 58 2.0452 2.3617 2.1030
21 6.4251 7.6272 6.6326 59 1.9925 2.2951 2.0481
22 6.2375 7.3828 6.4358 60 1.9420 2.2305 1.9955
23 6.0525 7.1454 6.2422 61 1.8935 2.1679 1.9448
24 5.8703 6.9142 6.0518 62 1.8472 2.1075 1.8963
25 5.6905 6.6903 5.8648 63 1.8029 2.0494 1.8499
26 5.5133 6.4729 5.6812 64 1.7607 1.9939 1.8056
27 5.3393 6.2621 5.5012 65 1.7204 1.9407 1.7634
28 5.1696 6.0577 5.3251 66 1.6821 1.8899 1.7231
29 5.0035 5.8596 5.1536 67 1.6455 1.8410 1.6846
30 4,8414 5.6676 4.9865 68 1.6105 1.7940 1.6478
31 4.6843 5.4819 4.8242 69 1.5770 1.7486 1.6124
32 4.5317 5.3022 4.6668 70 1.5450 1.7047 1.5785
33 4.3838 5.1282 4.5145 71 1.5144 1.6623 1.5460
34 4.2411 4.9598 4.3672 72 1.4853 1.6218 1.5151
35 4.1029 4.7971 4.2246 73 1.4578 1.5831 1.4858
36 3.9695 4.6402 4.0871 74 1.4320 1.5466 1.4582
37 3.8410 4.4889 3.9548 75 1.4077 1.5121 1.4321
38 3.7173 4.3433 3.8272 76 1.3849 1.4796 1.4076
39 3.5983 4.2038 3.7045 77 1.3634 1.4489 1.3845
40 3,4837 4.0698 3.5867 78 1.3431 1.4198 1.3625
41 3.3737 3.9412 3.4735 79 1.3237 1.3921 1.3415
42 3.2680 3.8178 3.3649 80 1.3051 1.3658 1.3214
43 3.1666 3.6993 3.2604 81 1,2873 1.3409 1.302?
44 3.0690 3.5853 3.1601 82 1.2703 1.3172 1.2837
45 2.9753 3.4755 3.0635 63 1.2542 1.2950 1.2662
46 2.8852 3.3697 2.9707 84 1.2390 1.2741 1.2497
47 2.7986 3.2677 2.8815 85 1.2247 1.2544 1.2340
48 2.7153 3.1694 2.7956 86 1.2110 1.2358 1.2190
49 2.6351 3.0746 2.7130 87 1.1977 1.2180 1.2045
50 2.5581 2.9831 2.6335 88 1.1846 1.2007 1.1902
51 2.4839 2.8950 2.5571 89 1.1712 1.1835 1.1756
52 2.4128 2.8101 2.4837 90 1.1571 1.1660 1.1603
53 2.3447 2.7284 2.4132 91 1.1415 1.1475 1.1437
54 2.2794 2.6498 2.3458 92 1.1235 1.1272 1.1249
55 2.2170 2.5740 2.2812 93 1.1019 1.1038 1.1026
56 2.1572 2.5009 2.2194 94 1.0746 1.0754 1.0749
57 2.1000 2.4302 2.1600
- ------------------------------------------------------------------------------------------------------------------------
30
METROPOLITAN LIFE INSURANCE COMPANY
REFUND OF SALES CHARGE RIDER
If you request full surrender of your policy at any time during the Benefit
Period, in addition to any Cash Surrender Value, we will pay an amount equal to
any sales load deducted within 365 days prior to the date we receive your
request for full surrender at our Designed Office.
The Benefit Period is shown on page 3. It begins on the Date of Policy and
continues for the number of years shown.
Signed for Metropolitan Life Insurance Company.
/s/ Louis J. Ragusa
Louis J. Ragusa
Vice President and Secretary
31
METROPOLITAN LIFE INSURANCE COMPANY
ENDORSEMENT
This endorsement is a part of the policy to which it is attached.
You may cancel this policy at any time. In order to cancel the policy, we must
receive the policy and a written request signed by you for payment of the
policy's cash value or cash surrender value. The request must show the policy
number and the name of the Insured(s). The request must be signed by any other
owner, assignee, irrevocable beneficiary and any other person having a legal
interest in the policy.
We may need other information before we pay you the policy's cash value or cash
surrender value. For example, we may be required to ask you for federal and
state income tax withholding information.
/s/ Louis J. Ragusa
Louis J. Ragusa
Vice President and Secretary