REGISTRATION
UNDER THE SECURITIES ACT OF 1933
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Pre-effective
Amendment No.
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o
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Post-effective
Amendment No.
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o
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REGISTRATION
STATEMENT UNDER THE INVESTMENT COMPANY ACT OF
1940
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Amendment
No. 137
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þ
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Telephone:
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1-877-351-8808
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TDD:
Internet
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1-800-238-3035
www.nationwide.com
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U.S.
Mail:
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Nationwide
Life Insurance Company
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Corporate
Insurance Markets
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One
Nationwide Plaza (1-11-08)
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Columbus,
OH 43215-2220
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This
policy is NOT: FDIC insured; a bank deposit; available in every state;
or
insured or endorsed by a bank or any federal government
agency.
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||
This
policy MAY decrease in value to the point of being
valueless.
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Page
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In
Summary: Policy
Benefits
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4
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In
Summary: Policy
Risks
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6
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In
Summary: Fee
Tables
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8
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Policy
Investment
Options
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13
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Fixed
Account
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Variable
Investment Options
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Valuation
of Accumulation Units
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How
Sub-Account Investment Experience is Determined
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Transfers
Among and Between the Policy Investment
Options
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16
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Sub-Account
Transfers
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Fixed
Account Transfers
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Submitting
a Transfer Request
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The
Policy
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18
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Generally
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Policy
Owner and Beneficiaries
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Purchasing
a Policy
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Right
to Cancel (Examination Right)
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Premium
Payments
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Cash
Value
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Enhancement
Benefit
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Changing
the Amount of Base Policy Insurance Coverage
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The
Minimum Required Death Benefit
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Right
of Conversion
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Exchanging
the Policy
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Terminating
the Policy
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Assigning
the Policy
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Reports,
and Illustrations
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Policy
Charges
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23
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Premium
Load
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Base
Policy Cost of Insurance
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Sub-Account
Asset Charge
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Base
Specified Amount Charge
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Administrative
Charge
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Illustration
Charge
Policy
Rider Charges
Mutual
Fund Operating Expenses
A
Note on Charges
Information
on Underlying Mutual Fund Payments
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Policy
Riders and Rider
Charges
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29
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Change
of Insured Rider
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Supplemental
Insurance Rider
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Policy
Loans
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33
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Loan
Amount and Interest Charged
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Collateral
and Interest Earned
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Net
Effect on Policy Loans
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Repayment
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Lapse
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34
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Grace
Period
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Reinstatement
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Surrenders
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34
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Full
Surrender
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Partial
Surrender
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Table
of Contents (continued)
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The
Death
Benefit
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35
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Calculation
of the Death Benefit
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Death
Benefit Options
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Maximum
Death Benefit
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Changes
in the Death Benefit Option
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Incontestability
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Suicide
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Policy
Maturity
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37
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Extending
Coverage Beyond the Maturity Date
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Payment
of Policy
Proceeds
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38
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Taxes
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38
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Types
of Taxes
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Buying
the Policy
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Investment
Gain in the Policy
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Periodic
Withdrawals, Non-Periodic Withdrawals, and Loans
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Surrendering
the Policy
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Withholding
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Exchanging
the Policy for Another Life Insurance Policy
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Taxation
of Death Benefits
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Terminal
Illness
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Special
Considerations for Corporations
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Taxes
and the Value of Your Policy
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Business
Uses of the Policy
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Non-Resident
Aliens and Other Persons Who are not Citizens of the United
States
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Tax
Changes
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Nationwide
Life Insurance
Company
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43
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Nationwide
VLI Separate
Account-4
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43
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Organization,
Registration, and Operation
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Addition,
Deletion, or Substitution of Mutual Funds
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Voting
Rights
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Compensation
Paid to Insurance Agents Selling this Product
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Direct
Compensation
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Indirect
Compensation
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Legal
Proceedings
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45
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Nationwide
Life Insurance Company
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Nationwide
Investment Services Corporation
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Financial
Statements
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48
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Appendix
A: Sub-Account
Information
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49
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Appendix
B:
Definitions
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58
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Appendix
C: Blending Examples of Policy
Charges
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61
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·
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Change
of Insured Rider (available at no charge);
and
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·
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Supplemental
Insurance Rider.
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Band
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Band
1
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Band
2
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Band
3
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Band
4
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Single
Case Allowable Premium
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$100,000
- $249,999
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$250,000
- $499,999
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$500,000
- $999,999
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>$1,000,000
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Example
of Policy
Charge
Rate
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0.90%
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0.90%
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0.70%
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0.60%
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·
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Premium
Load
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·
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Base
Policy Cost of Insurance
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·
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Supplemental
Insurance Rider Cost of
Insurance
|
·
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Base
Sub-Account Asset Factor
Charge
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·
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Supplemental
Insurance Rider Asset Factor
Charge
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·
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Base
Policy Specified Amount
Charge
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·
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Supplemental
Insurance Rider Specified Amount
Charge
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·
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Illustration
Charge
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·
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Per
Policy Charge
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·
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change
the Death Benefit option;
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·
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increase
or decrease the Base Specified Amount and Rider Specified
Amount;
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·
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change
your beneficiaries; and
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·
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change
who owns the policy.
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·
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Take
a policy loan of no more than 90% of the Cash Value. The
minimum loan amount is $500.
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·
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Take
a partial surrender of at least
$500.
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·
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Surrender
the policy for its Cash Surrender Value at any time while the Insured
is
alive. The Cash Surrender Value will be the Cash Value, less
any Indebtedness, plus any Enhancement
Benefit.
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Transaction
Fees
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|||||
Charge
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When
Charge is Deducted
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Deduction
By Amount of Single Case Allowable Premium
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Premium
Load(1)
Target
Premium
Maximum
Current
Excess
Premium
Maximum
Current
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Upon
making a Premium payment
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Band
1
$100,000
- $249,999
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Band
2
$250,000
- $499,999
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Band
3
$500,000
- $999,999
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Band
4
>
$1,000,000
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10%
9%
10%
5%
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10%
5%
10%
3%
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10%
5%
10%
3%
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10%
5%
10%
3%
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||
Illustration
Charge(2)
Maximum
Current
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Upon
requesting an illustration
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$25
$0
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Periodic
Charges Other Than Mutual Fund Operating
Expenses
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|||||
Charge
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When
Charge is Deducted
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Amount
of Single Case Allowable Premium
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|||
Base
Policy Cost of Insurance(3)
Maximum
Minimum
Representative:
an individual issue age 45, non-tobacco, in the tenth policy
year, Death
Benefit option 1, issued on a short-form, non-medical
basis.
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Monthly
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Band
1
$100,000
- $249,999
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Band
2
$250,000
-
$499,999
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Band
3
$500,000
-
$999,999
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Band
4
>$1,000,000
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$83.34
per $1,000 of Net Amount At Risk.
$0.03
per $1,000 of Net Amount At Risk.
$0.37
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$83.34
per $1,000 of Net Amount At Risk.
$0.03
per $1,000 of Net Amount At Risk.
$0.30
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$83.34
per $1,000 of Net Amount At Risk.
$0.03
per $1,000 of Net Amount At
Risk.
$0.28
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$83.34
per $1,000 of Net Amount At Risk.
$0.03
per $1,000 of Net Amount At Risk.
$0.32
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Periodic
Charges Other Than Mutual Fund Operating
Expenses
|
|||||||
Charge
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When
Charge is Deducted
|
Amount
of Single Case Allowable Premium
|
|||||
Base
Policy Cost of Insurance(3)
Maximum
Minimum
Representative:
an individual issue age 45, non-tobacco, in the tenth policy year,
Death
Benefit option 1, issued on a short-form, non-medical
basis.
|
Monthly
|
Band
1
$100,000
- $249,999
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Band
2
$250,000
- $499,999
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Band
3
$500,000
- $999,999
|
Band
4
>$1,000,000
|
||
$83.34
per $1,000 of Net Amount
At
Risk.
$0.03
per $1,000 of Net Amount
At
Risk.
$0.37
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$83.34
per $1,000 of Net Amount At Risk.
$0.03
per $1,000 of Net Amount
At
Risk.
$0.30
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$83.34
per $1,000 of Net Amount
At
Risk.
$0.03
per $1,000 of Net Amount
At
Risk.
$0.28
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$83.34
per $1,000 of Net Amount At Risk.
$0.03
per $1,000 of Net Amount At Risk.
$0.32
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Periodic
Charges Other Than Mutual Fund Operating Expenses
(Continued)
|
||||||||||||
Supplemental
Insurance Rider Cost of Insurance(4)
Maximum
Minimum
Representative:
an individual issue age 45, non-tobacco, in the tenth policy year,
Death
Benefit Option 1, issued on a short-form, non-medical
basis.
|
Monthly
|
Amount
of Single Case Allowable Premium
|
||||||||||
Band
1
$100,000
- $249,999
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Band
2
$250,000
- $499,999
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Band
3
$500,000
- $999,999
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Band
4
>$1,000,000
|
|||||||||
$83.34
per $1,000 of Rider Net Amount at Risk.
$0.02
per $1,000 of Rider Net Amount at Risk.
$0.34
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$83.34
per $1,000 of Rider Net Amount at Risk.
$0.02
per $1,000 of Rider Net Amount at Risk.
$0.18
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$83.34
per $1,000 of Rider Net Amount at Risk.
$0.02
per $1,000 of Rider Net Amount at Risk.
$0.19
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$83.34
per $1,000 of Rider Net Amount at Risk.
$0.02
per $1,000 of Rider Net Amount at Risk.
$0.22
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|||||||||
Base
Sub-Account Asset Factor Charge(5)
(taken
proportionally from the
Sub-Accounts)
Maximum
Current
|
Monthly,
based on an annual rate
|
Amount
of Single Case Allowable Premium
|
||||||||||
Band
1
$100,000
- $249,999
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Band
2
$250,000
–
$499,999
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Band
3
$500,000
–
$999,999
|
Band
4
>$1,000,000
|
|||||||||
0.90%
0.50%
|
0.90%
0.35%
|
0.90%
0.30%
|
0.90%
0.25%
|
|||||||||
Supplemental
Insurance Rider Sub-Account Asset Factor Charge(5)
Maximum
Current
|
Monthly,
based on an annual rate
|
Amount
of Single Case Allowable Premium
|
||||||||||
Band
1
$100,000
- $249,999
|
Band
2
$250,000
- $499,999
|
Band
3
$500,000
- $999,999
|
Band
4
>$1,000,000
|
|||||||||
0.90%
0.50%
|
0.90%
0.35%
|
0.90%
0.30%
|
0.90%
0.25%
|
|||||||||
Base
Specified
Amount
Charge(6)
Maximum
Current
|
Monthly
|
Amount
of Single Case Allowable Premium
$0.40
per $1,000 of Base Specified Amount.
|
||||||||||
Band
1
$100,000
-$249,999
|
Band
2
$250,000
- $499,999
|
Band
3
$500,000
- $999,999
|
Band
4
>$1,000,000
|
|||||||||
$0.08
per $1,000 of Base Specified Amount
|
$0.065
per $1,000 of Base Specified Amount
|
$0.065
per $1,000 of Base Specified Amount
|
$0.065
per $1,000 of Base Specified Amount
|
|||||||||
Supplemental
Insurance Rider Specified Amount Charge(7)
Maximum
Current
|
Monthly
|
Amount
of Single Case Allowable Premium
$0.
40per $1,000 of Rider Specified Amount.
.
|
||||||||||
Band
1
$100,000
-$249,999
|
Band
2
$250,000
- $499,999
|
Band
3
$500,000
- $999,999
|
Band
4
>$1,000,000
|
|||||||||
$0.04
per $1,000 of Rider Specified Amount
|
$0.03
per $1,000 of Rider Specified Amount
|
$0.03
per $1,000 of Rider Specified Amount
|
$0.03
per $1,000 of Rider Specified Amount
|
|||||||||
Periodic
Charges Other Than Mutual Fund Operating Expenses
(Continued)
|
||||||||||||
Administrative
Charge
Maximum
Current
|
Monthly
|
$10
per policy.
$5
per policy.
|
||||||||||
Policy
Loan Interest Charge
(8)
Maximum
Current
|
Annually,
or on an increase or repayment of the loan
|
3.50%
of Indebtedness.
2.80%
of Indebtedness.
|
Total
Annual Mutual Fund Operating Expenses
|
||
Total
Annual Mutual Fund Operating Expenses
(expenses
that are deducted from the mutual fund assets, including management
fees,
distribution (12b-1) fees, and other expenses)
|
Minimum
0.52%
|
Maximum
1.48%
|
·
|
AIM
V.I. Capital Development Fund: Series I
Shares
|
·
|
AIM
V.I. International Growth Fund: Series I
Shares
|
·
|
AllianceBernstein
Growth and Income Portfolio: Class
A
|
·
|
AllianceBernstein
International Value Portfolio: Class
A
|
·
|
AllianceBernstein
Small/Mid Cap Value Portfolio: Class
A
|
·
|
American
Century VP Mid Cap Value Fund: Class
I
|
·
|
American
Century VP Value Fund: Class I*
|
·
|
American
Century VP Vista Fund: Class I
|
·
|
Asset
Allocation Fund: Class 2
|
·
|
Bond
Fund: Class 2
|
·
|
BlackRock
Large Cap Core V.I. Fund: Class II
|
·
|
Davis
Value Portfolio
|
·
|
Dreyfus
Investment Portfolios - Small Cap Stock Index Portfolio: Service
Shares
|
·
|
Dreyfus
Stock Index Fund, Inc.: Initial
Shares
|
·
|
Dreyfus
Variable Investment Fund – Appreciation Portfolio: Initial
Shares
|
·
|
Dreyfus
Variable Investment Fund – International Value Portfolio: Initial
Shares
|
·
|
Dreman
High Return Equity VIP: Class B
|
·
|
Dreman
Small Mid Cap Value VIP: Class B
|
·
|
Federated
Quality Bond Fund II: Primary
Shares
|
·
|
VIP
Contrafund® Portfolio: Service
Class
|
·
|
VIP
Equity-Income Portfolio: Service
Class*
|
·
|
VIP
Freedom 2015 Portfolio: Service Class♦
|
·
|
VIP
Freedom 2020 Portfolio: Service Class♦
|
·
|
VIP
Freedom 2025 Portfolio: Service Class♦
|
·
|
VIP
Freedom 2030 Portfolio: Service Class♦
|
·
|
VIP
Growth Portfolio: Service Class
|
·
|
VIP
Investment Grade Bond Portfolio: Service
Class*
|
·
|
VIP
Mid Cap Portfolio: Service Class
|
·
|
Franklin
Small Cap Value Securities Fund: Class
2
|
·
|
Templeton
Global Income Securities Fund: Class
2
|
·
|
Balanced
Portfolio: Service Shares
|
·
|
Forty
Portfolio: Service Shares
|
·
|
Global
Technology Portfolio: Service
Shares
|
·
|
International
Growth Portfolio: Service Shares
|
·
|
Legg
Mason Partners Small Cap Growth Portfolio: Class
I
|
·
|
Baron
Growth Opportunities Fund: Service
Class
|
·
|
Mid-Cap
Value Portfolio: Class VC
|
·
|
MFS
Value Series: Service Class
|
·
|
Research
International Series: Service Class
|
·
|
Federated
NVIT High Income Bond Fund: Class
I*
|
·
|
Gartmore
NVIT Emerging Markets Fund: Class I
|
·
|
Gartmore
NVIT International Equity Fund: Class I (Formerly, Gartmore NVIT
International Growth Fund: Class I)
|
·
|
Gartmore
NVIT Worldwide Leaders Fund: Class
I
|
·
|
NVIT
Government Bond Fund: Class (Formerly, Nationwide NVIT Government
Bond
Fund: Class I)
|
·
|
NVIT
International Index Fund: Class II
|
·
|
NVIT
Investor Destinations Funds: Class II (Formerly,
Nationwide NVIT Investor Destinations Funds:
Class II)
|
Ø
|
NVIT
Investor Destinations Conservative Fund: Class II ♦ (Formerly,
Nationwide NVIT Investor Destinations Conservative Fund: Class
II)
|
Ø
|
NVIT
Investor Destinations Moderately Conservative Fund: Class II♦
(Formerly, Nationwide NVIT Investor Destinations Moderately Conservative
Fund: Class II)
|
Ø
|
NVIT
Investor Destinations Moderate Fund: Class II ♦ (Formerly,
Nationwide NVIT Investor Destinations Moderate Fund: Class
II)
|
Ø
|
NVIT
Investor Destinations Moderately Aggressive Fund: Class II ♦
(Formerly, Nationwide NVIT Investor Destinations Moderately Aggressive
Fund: Class II)
|
Ø
|
NVIT
Investor Destinations Aggressive Fund: Class II ♦ (Formerly,
Nationwide NVIT Investor Destinations Aggressive Fund: Class
II)
|
·
|
NVIT
Mid Cap Index Fund: Class I
|
·
|
NVIT
Money Market Fund: Class V (Formerly, Nationwide NVIT Money Market
Fund:
Class V)
|
·
|
NVIT
Multi-Manager Large Cap Growth
Fund:
|
·
|
NVIT
Multi-Manager Mid Cap Growth Fund: Class
I
|
·
|
NVIT
Multi-Manager Mid Cap Value Fund: Class
I
|
·
|
NVIT
Multi-Manager Small Cap Growth Fund: Class I (Formerly, Nationwide
Multi-Manager NVIT Small Cap Growth Fund: Class
I)
|
·
|
NVIT
Multi-Manager Small Cap Value Fund: Class I (Formerly, Nationwide
Multi-Manager NVIT Small Cap Value Fund: Class
I)
|
·
|
NVIT
Multi-Manager Small Company Fund: Class I (Formerly, Nationwide
Multi-Manager NVIT Small Company Fund: Class
I)
|
·
|
NVIT
Nationwide Fund: Class I
|
·
|
NVIT
Short Term Bond Fund: Class I
|
·
|
Van
Kampen NVIT Multi Sector Bond Fund:
|
·
|
AMT
Partners Portfolio: I Class
|
·
|
AMT
Regency Portfolio: I Class
|
·
|
Oppenheimer
Capital Appreciation Fund/VA:
|
·
|
Oppenheimer
Global Securities Fund/VA:
|
·
|
All
Asset Portfolio: Administrative
Class
|
·
|
Foreign
Bond Portfolio (unhedged): Administrative
Class
|
·
|
Low
Duration Portfolio: Administrative
Class
|
·
|
Real
Return Portfolio: Administrative
Class
|
·
|
Total
Return Portfolio: Administrative
Class
|
·
|
Pioneer
Emerging Markets VCT Portfolio:
|
·
|
Pioneer
High Yield VCT Portfolio: Class I
Shares*
|
·
|
Putnam
VT Small Cap Value Fund: Class IB
|
·
|
Royce
Micro-Cap Portfolio: Investment
Class
|
·
|
T.
Rowe Price Equity Income Portfolio: Class
II
|
·
|
T.
Rowe Price New America Growth
Portfolio
|
·
|
T.
Rowe Price Personal Strategy Balanced
Portfolio
|
·
|
Capital
Growth Portfolio: Class I (Formerly, Equity Growth Portfolio: Class
I)
|
·
|
Emerging
Markets Debt Portfolio: Class I
|
·
|
Global
Real Estate Portfolio: Class II
|
·
|
Mid
Cap Growth Portfolio: Class I
|
·
|
Worldwide
Hard Assets Fund: Initial Class
|
·
|
Asset
Strategy Portfolio
|
·
|
Growth
Portfolio
|
·
|
Real
Estate Securities Portfolio
|
·
|
Science
and Technology Portfolio
|
·
|
Wells
Fargo Advantage VT Discovery Fund
|
·
|
Wells
Fargo Advantage VT Small Cap Growth
Fund
|
·
|
AIM
V.I. Basic Value Fund: Series I
Shares
|
●New
Year's Day
|
●Independence
Day
|
●Martin
Luther King, Jr. Day
|
●Labor
Day
|
●Presidents’
Day
|
●Thanksgiving
|
●Good
Friday
|
●Christmas
|
●Memorial
Day
|
(1)
|
trading
on the NYSE is restricted;
|
(2)
|
an
emergency exists making disposal or valuation of securities held
in the
separate account impracticable; or
|
(3)
|
the
SEC, by order, permits a suspension or postponement for the protection
of
security holders.
|
·
|
the
NAV per share of the mutual fund held in the Sub-Account as of the
end of
the current Valuation Period; and
|
·
|
the
per share amount of any dividend or income distributions made by
the
mutual fund (if the date of the dividend or income distribution occurs
during the current Valuation Period); plus or
minus
|
·
|
a
per share charge or credit for any taxes reserved for as a result
of the
Sub-Account's investment operations if changes to the law result
in a
modification to the tax treatment of the separate account;
and
|
|
(b)
|
is
the NAV per share of the mutual fund determined as of the end of
the
immediately preceding Valuation
Period.
|
·
|
the
dilution of the value of the investors' interests in the mutual
fund;
|
·
|
mutual
fund managers taking actions that negatively impact performance (i.e.,
keeping a larger portion of the mutual fund assets in cash or liquidating
investments prematurely in order to support redemption requests);
and/or
|
·
|
increased
administrative costs due to frequent purchases and
redemptions.
|
(1)
|
request
the taxpayer identification number, international taxpayer identification
number, or other government issued identifier of any of our policy
owners;
|
(2)
|
request
the amounts and dates of any purchase, redemption, transfer or exchange
request (“transaction information”);
and
|
(3)
|
instruct
us to restrict or prohibit further purchases or exchanges by policy
owners
that violate policies established by the underlying mutual fund (whose
policies may be more restrictive than our
policies).
|
·
|
the
date we certify that the complete application materials have been
submitted by the Owner and the underwriting conditions have been
satisfied; or
|
·
|
the
Policy Date; or
|
·
|
the
date the initial Premium is received at our Home
Office.
|
·
|
the
date the insurance carrier of the exchanged policy authorizes payment
of
such policy’s proceeds to us; or
|
·
|
the
date we certify that the complete application materials have been
submitted and the underwriting conditions have been satisfied, provided
there is sufficient Premium to pay policy charges for at least 3
months.
|
·
|
We
may require satisfactory evidence of insurability before accepting
any
additional Premium payment that results in an increase in the policy’s Net
Amount At Risk.
|
·
|
We
will refund Premium payments that exceed the applicable premium limit
established by the IRS to qualify the policy as a contract for life
insurance. We will monitor Premiums paid and will notify you when
the
policy is in jeopardy of becoming a modified endowment
contract.
|
1.
|
Accumulation
Unit values resulting from the Net Premium you have allocated to
the fixed
investment option:
|
2.
|
amounts
held in the Policy Loan Account;
and
|
3.
|
Accumulation
Unit values resulting from Net Premium you have allocated to the
Sub-Accounts.
|
·
|
gender
(if not unisex classified) of the
Insured;
|
·
|
the
elapsed time since the Policy Date;
|
·
|
Investment
Experience;
|
·
|
the
charges assessed to the policy;
|
·
|
the
pattern of renewal Premium payments you
make.
|
·
|
the
cash value accumulation test; or
|
·
|
the
guideline premium/cash value corridor
test.
|
|
·
|
Sub-Account
Asset Charges will no longer be deducted after conversion because
they are
only deducted from Cash Value allocated to the variable
Sub-Accounts.
|
|
·
|
All
other benefits, services, riders, and charges, including loans
and full
and partial surrenders, will continue and/or continue to be available
after your request for conversion, subject to the same terms applicable
prior to your request for
conversion.
|
·
|
we
receive your written request to our Home Office to terminate
coverage;
|
·
|
the
Insured dies;
|
·
|
the
Insured is alive on the Maturity Date (and you elect not to extend
coverage beyond the Maturity Date);
|
·
|
the
policy Lapses; or
|
·
|
you
surrender the policy for its Cash Surrender Value (which may result
in
adverse tax consequences).
|
·
|
the
Total Specified Amount;
|
·
|
Premiums
paid;
|
·
|
all
charges since the last report;
|
·
|
the
current Cash Value;
|
·
|
the
Cash Surrender Value; and
|
·
|
Indebtedness.
|
Single
Case Allowable Premium Band
1
|
Single
Case Allowable Premium Band
2
|
Single
Case Allowable Premium Band
3
|
Single
Case Allowable Premium Band
4
|
$100,000
- $249,999
|
$250,000
- $499,999
|
$500,000
- $999,999
|
>$1,000,000
|
Policy
Year
|
Amount
of Single Case Allowable Premium
|
|||
Band
1
$100,000
-$249,999
|
Band
2
$250,000
- $499,999
|
Band
3
$500,000
- $999,999
|
Band
4
>$1,000,000
|
|
1-5
|
9%
|
5%
|
5%
|
5%
|
6-10
|
4%
|
5%
|
5%
|
5%
|
11
and thereafter
|
4%
|
3%
|
3%
|
3%
|
Policy
Year
|
Amount
of Single Case Allowable Premium
|
|||
Band
1
$100,000
-$249,999
|
Band
2
$250,000
- $499,999
|
Band
3
$500,000
- $999,999
|
Band
4
>$1,000,000
|
|
1-5
|
5%
|
3%
|
3%
|
3%
|
6
–
10
|
4%
|
3%
|
3%
|
3%
|
11
and thereafter
|
4%
|
2%
|
2%
|
2%
|
Sub-Account
Asset Charge
|
|
Current
Base Policy Sub-Account Asset Factor Charges (shown as an annual
rate)1
|
Policy
Years
|
Amount
of Single Case Allowable Premium
|
|||
Band
1
$100,000
- $249,999
|
Band
2
$250,000
- $499,999
|
Band
3
$500,000
- $999,999
|
Band
4
>$1,000,000
|
|
1-10
|
0.50%
|
0.35%
|
0.30%
|
0.25%
|
11-20
|
0.30%
|
0.20%
|
0.15%
|
0.15%
|
21-30
|
0.20%
|
0.15%
|
0.15%
|
0.10%
|
31
and Afterwards
|
0.10%
|
0.05%
|
0.05%
|
0.05%
|
|
Base
Specified Amount Charge
|
Amount
of Single Case Allowable Premium
|
||||
Band
1
$100,000
- $249,999
|
Band
2
$250,000
- $499,999
|
Band
3
$500,000
- $999,999
|
Band
4
>$1,000,000
|
|
$0.08
per $1,000
|
$0.065
per $1,000
|
$0.065
per $1,000
|
$0.065
per $1,000
|
|
Policy
Rider Charges
|
·
|
Change
of Insured Rider--There currently is no charge associated with this
rider.
|
·
|
Supplemental
Insured Rider – If you purchase this rider and increase the Total
Specified Amount (i.e., by the Rider Specified Amount
attributable to the Supplemental Insurance Rider), then you will
increase
the overall monthly charges associated with this policy, even if
the Base
Specified Amount is not changed. If, however, you purchase the
rider and do not increase the Total Specified Amount and instead
reduce
the Base Specified Amount by an off-setting amount of Rider Specified
Amount, then electing the Supplemental Insurance Rider will potentially
reduce the overall monthly charges associated with the
policy. Please see the Policy Riders and Rider Charges section
of this prospectus for further information about the charges associated
with the Supplemental Insurance
Rider.
|
·
|
Sub-transfer
agent fees or fees pursuant to administrative service plans adopted
by the
underlying mutual fund, which may be deducted from underlying mutual
fund
assets; and
|
·
|
Payments
by an underlying mutual fund’s adviser or subadviser (or its
affiliates). Such payments may be derived, in whole or in part,
from the advisory fee, which is deducted from underlying mutual fund
assets and is reflected in underlying mutual fund
charges.
|
1.
|
At
the time of the change, the new Insured must have the same business
relationship to the Owner as did the previous
Insured.
|
2.
|
The
new Insured may be required to submit evidence of insurability to
us.
|
3.
|
The
new Insured must satisfy our underwriting
requirements.
|
4.
|
The
policy must be In Force and not be in a grace period at the time
of the
change.
|
5.
|
The
new Insured must have been at least age eighteen on the Policy
Date.
|
6.
|
The
Owner must make written application to change the
Insured.
|
·
|
Certain
benefits that are normally available under the policy may be reduced
or
eliminated when this rider is in
effect.
|
o
|
Adding
this rider results in a lower Enhancement
Benefit;
|
o
|
In
some years and/or at some ages, the cost of insurance charge for
the rider
is more expensive than the cost of insurance for the base policy;
and
|
o
|
You
may not extend the Maturity Date with respect to the Rider Specified
Amount.
|
·
|
The
rider’s death benefit terminates if the Insured is living on the Maturity
Date.
|
·
|
The
compensation rates payable to the selling broker-dealer are lower
on this
Rider than those on the base
policy.
|
·
|
Sub-Account
Asset Charge;
|
·
|
Specified
Amount Charge; and
|
·
|
Cost
of Insurance Charge
|
|
Current
Supplemental Insurance Rider Sub-Account Asset Factor Charges (shown
as an
annual rate)1
|
Policy
Years
|
Amount
of Single Case Allowable Premium
|
|||
Band
1
$100,000
- $249,999
|
Band
2
$250,000
- $499,999
|
Band
3
$500,000
- $999,999
|
Band
4
>$1,000,000
|
|
1-10
|
0.50%
|
0.35%
|
0.30%
|
0.25%
|
11-20
|
0.30%
|
0.20%
|
0.15%
|
0.15%
|
21-30
|
0.20%
|
0.15%
|
0.15%
|
0.10%
|
31
and Beyond
|
0.10%
|
0.05%
|
0.05%
|
0.05%
|
Amount
of Single Case Allowable Premium
|
|||
Band
1
$100,000
- $249,999
|
Band
2
$250,000
- $499,999
|
Band
3
$500,000
- $999,999
|
Band
4
>$1,000,000
|
$0.04
per $1,000
|
$0.03
per $1,000
|
$0.03
per $1,000
|
$0.03
per $1,000
|
|
1.
|
Base
Policy Death Benefit– The amount of the Death Benefit we allocate to
the base policy is calculated using the formula
below.
|
|
Total
NAAR = the total Net Amount At Risk which is the Death Benefit minus
the
Cash Value
|
|
2.
|
Supplemental
Insurance Rider Death Benefit– The amount of the Death Benefit we
allocate to the Supplemental Insurance Rider is calculated by taking
the
Death Benefit and subtracting the Base Policy Death Benefit (as calculated
in item 1 above).
|
·
|
The
date policy is surrendered or
terminated;
|
·
|
The
date the policy Lapses;
|
·
|
The
Insured’s death; or
|
·
|
The
date the Insured reaches Attained Age
120.
|
·
|
submitting,
at any time within three year after the end of the Grace Period and
before
the Maturity Date, a written request to reinstate the
policy;
|
·
|
providing
any evidence of insurability that we may
require;
|
·
|
paying
sufficient Premium to keep the policy In Force for 3 months from
the date
of reinstatement;
|
·
|
paying
sufficient Premium to cover all policy charges that were due and
unpaid
during the Grace Period; and
|
·
|
repaying
or reinstating any Indebtedness that existed at the end of the Grace
Period.
|
|
3.
the monthly cost of any additional benefits provided by any Riders;
plus
|
|
4.
the Base Policy Specified Amount Cost of
Insurance.
|
·
|
occurs
before the 15th
anniversary
of the Policy Date; and
|
·
|
when
added to any prior preferred policy surrenders taken in same policy
year,
does not exceed 10% of the Cash Surrender Value as of the beginning
of
that policy year.
|
·
|
the
Total Specified Amount as of the date of the Insured’s death,
or
|
·
|
the
applicable percentage, asspecified in the Policy Data Pages, of the
Enhanced Cash Value as of the date of the Insured’s
death.
|
·
|
the
Total Specified Amount plus the Cash Value as of the date of the
Insured’s death, or
|
·
|
the
applicable percentage, as specified in the Policy Data Pages, of
the
Enhanced Cash Value as of the date of the Insured’s
death.
|
·
|
(a)
plus (b), where:
|
·
|
the
applicable percentage, as specified in the Policy Data Pages, of
the
Enhanced Cash Value as of the date of the Insured’s
death.
|
(1)
|
no
changes to the Total Specified Amount will be
allowed;
|
(2)
|
the
Proceeds will equal the Cash Value;
|
(3)
|
Death
Benefit Options 2 and 3 will be changed to a revised Death Benefit
1 where
the death benefit equals the Cash Value
only;
|
(4)
|
no
additional Premium payments will be
allowed;
|
(5)
|
no
additional periodic charges will be deducted;
and
|
(6)
|
100%
of the policy's Cash Value will be transferred to the fixed
account.
|
·
|
the
value each year of the life insurance protection
provided;
|
·
|
an
amount equal to any employer-paid Premiums;
or
|
·
|
some
or all of the amount by which the current value exceeds the employer’s
interest in the policy; or
|
·
|
interest
that is deemed to have been forgiven on a loan that we deemed to
have been
made by the employer.
|
·
|
remove,
combine, or add Sub-Accounts and make new Sub-Accounts
available;
|
·
|
close
Sub-Accounts to allocations;
|
·
|
transfer
assets supporting the policies from one Sub-Account to another, or
from
one separate account to another;
|
·
|
combine
the separate account with other separate accounts, and/or create
new
separate accounts; and
|
·
|
modify
the policy provisions to reflect changes in the Sub-Accounts and
the
separate account to comply with applicable
law.
|
·
|
"Override
Compensation" paid to M Financial Group by us and by some
other insurance carriers and financial service
providers. Override compensation may be based upon such factors
as aggregate policy premiums paid to the carrier from sales by all
Member
Firms, aggregate assets placed under financial management from sales
by
all Member Firms, and profits earned and/or services utilized from
sales
by all Member Firms. The amount of compensation varies among
products and carriers. Products or services which involve
override commissions for M Financial Group could indirectly provide
incentives to agents to recommend such products or similar products
or
services that do not produce override commissions to M Financial
Group.
|
·
|
Reinsurance
profits (or, potentially losses) from the mortality,
investment, and persistency risks assumed by M Financial Re, including
risks related to your policy. Policy performance, charges, and
fees are identical regardless of whether or not a policy is reinsured
by M
Financial Re. Products or services that involve potential
reinsurance profits for M Financial Group could indirectly provide
incentives to agents to recommend such products over similar products
or
services that do not result in reinsurance profits to M Financial
Group.
|
·
|
Fee
payable in respect of underlying investment
options. M Financial Group or its subsidiaries
receive fees from some of the funds that are investment options under
this
policy (or from a fund's investment advisor or portfolio manager)
to the
extent you allocate Cash Value to that fund. In addition, M
Financial Investment Advisers, Inc., an affiliate of M Financial
Group, is
the investment adviser to certain funds and receives investment advisory
fees with respect to assets invested in those funds. Fees
payable to M Financial Group in respect of assets allocated to one
fund
may exceed fees payable in respect of assets placed in another
fund.
|
·
|
Brokerage
fees or commissions for securities transactions (including
the sale of this policy) executed by M Holdings Securities, the registered
broker-dealer subsidiary of M Financial Group. M Holdings
Securities retains a portion of these fees to cover its costs and
remits
the balance to the Member Firm or its selling
agent.
|
Appendix
A: Sub-Account Information
|
Investment
Adviser:
|
Invesco
Aim Advisors, Inc.
|
Sub-adviser:
|
Invesco
Trimark Investment Management, Inc.; Invesco Global
Asset
|
Management
(N.A.), Inc.; Invesco Institutional (N.A.), Inc.; Invesco
Senior
|
|
Secured
Management, Inc.; Invesco Hong Kong Limited; Invesco
Asset
|
|
Management
Limited; Invesco Asset Management (Japan) Limited;
Invesco
|
|
Asset
Management Deutschland, GmbH; and Invesco Australia
Limited
|
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
Invesco
Aim Advisors, Inc.
|
Sub-adviser:
|
Invesco
Trimark Investment Management, Inc.; Invesco Global
Asset
|
Management
(N.A.), Inc.; Invesco Institutional (N.A.), Inc.; Invesco
Senior
|
|
Secured
Management, Inc.; Invesco Hong Kong Limited; Invesco
Asset
|
|
Management
Limited; Invesco Asset Management (Japan) Limited;
Invesco
|
|
Asset
Management Deutschland, GmbH; and Invesco Australia
Limited
|
|
Investment
Objective:
|
Long-term
capital growth.
|
Investment
Adviser:
|
Invesco
Aim Advisors, Inc.
|
Sub-adviser:
|
Invesco
Trimark Investment Management, Inc.; Invesco Global
Asset
|
Management
(N.A.), Inc.; Invesco Institutional (N.A.), Inc.; Invesco
Senior
|
|
Secured
Management, Inc.; Invesco Hong Kong Limited; Invesco
Asset
|
|
Management
Limited; Invesco Asset Management (Japan) Limited;
Invesco
|
|
Asset
Management Deutschland, GmbH; and Invesco Australia
Limited
|
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
AllianceBernstein
L.P.
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
AllianceBernstein
L.P.
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
AllianceBernstein
L.P.
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
American
Century Investment Management, Inc.
|
Investment
Objective:
|
Long-term
capital growth with income as a secondary
objective.
|
Investment
Adviser:
|
American
Century Investment Management, Inc.
|
Investment
Objective:
|
Long-term
capital growth with income as a secondary
objective.
|
Investment
Adviser:
|
American
Century Investment Management, Inc.
|
Investment
Objective:
|
Long-term
capital growth.
|
Investment
Adviser:
|
Capital
Research and Management Company
|
Investment
Objective:
|
Seeks
to provide high total return (including income and capital
gains)
|
consistent
with the preservation of capital over the long
term.
|
Investment
Adviser:
|
Capital
Research and Management Company
|
Investment
Objective:
|
Seeks
to maximize current income and preserve capital by
investing
|
primarily
in fixed-income securities.
|
Investment
Adviser:
|
BlackRock
Advisors, LLC
|
Sub-adviser:
|
BlackRock
Investment Management International Limited
|
Investment
Objective:
|
The
fund seeks its investment objective of long-term capital growth
through
|
investment
primarily in a diversified portfolio of equity securities of
large-
|
|
cap
companies located in the United
States.
|
Investment
Adviser:
|
Davis
Selected Advisors, L.P.
|
Sub-adviser:
|
Davis
Selected Advisors - NY, Inc.
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
The
Dreyfus Corporation
|
Sub-adviser:
|
Mellon
Capital Management
|
Investment
Objective:
|
To
match performance of the S&P SmallCap 600
Index®.
|
Investment
Adviser:
|
The
Dreyfus Corporation
|
Sub-adviser:
|
Mellon
Capital Management
|
Investment
Objective:
|
To
match performance of the S&P
500.
|
Investment
Adviser:
|
The
Dreyfus Corporation
|
Sub-adviser:
|
Fayez
Sarofim
|
Investment
Objective:
|
Long-term
capital growth consistent with the preservation of
capital.
|
Investment
Adviser:
|
The
Dreyfus Corporation
|
Sub-adviser:
|
Boston
Company Asset Management
|
Investment
Objective:
|
Long-term
capital growth.
|
Investment
Adviser:
|
Deutsche
Investment Management Americas Inc.
|
Sub-adviser:
|
Dreman
Value Management L.L.C.
|
Investment
Objective:
|
High
rate of total return.
|
Investment
Adviser:
|
Deutsche
Investment Management Americas Inc.
|
Sub-adviser:
|
Dreman
Value Management L.L.C.
|
Investment
Objective:
|
Long-term
capital appreciation.
|
Investment
Adviser:
|
Federated
Investment Management Company
|
Investment
Objective:
|
Current
income.
|
Investment
Adviser:
|
Fidelity
Management & Research Company
|
Sub-adviser:
|
Fidelity
Research & Analysis Company
|
Investment
Objective:
|
Long-term
capital appreciation.
|
Investment
Adviser:
|
Fidelity
Management & Research Company
|
Sub-adviser:
|
Fidelity
Research & Analysis Company
|
Investment
Objective:
|
Reasonable
income.
|
Investment
Adviser:
|
Fidelity
Management & Research Company
|
Investment
Objective:
|
Seeks
high total return with a secondary objective of principal
preservation
|
as
the fund approaches its target date and
beyond.
|
Investment
Adviser:
|
Fidelity
Management & Research Company
|
Investment
Objective:
|
High
total return with a secondary objective of principal preservation
as
the
|
fund
approaches its target date and
beyond.
|
Investment
Adviser:
|
Fidelity
Management & Research Company
|
Investment
Objective:
|
Seeks
high total return with a secondary objective of principal
preservation
|
as
the fund approaches its target date and
beyond.
|
Investment
Adviser:
|
Fidelity
Management & Research Company
|
Investment
Objective:
|
High
total return with a secondary objective of principal preservation
as
the
|
fund
approaches its target date and
beyond.
|
Investment
Adviser:
|
Fidelity
Management & Research Company
|
Sub-adviser:
|
FMR
Co., Inc.
|
Investment
Objective:
|
Capital
appreciation.
|
Investment
Adviser:
|
Fidelity
Management & Research Company
|
Sub-adviser:
|
Fidelity
Investments Money Management, Inc.
|
Investment
Objective:
|
High
level of current income.
|
Investment
Adviser:
|
Fidelity
Management & Research Company
|
Sub-adviser:
|
Fidelity
Research & Analysis Company
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
Franklin
Advisory Services, LLC
|
Investment
Objective:
|
Long-term
total return.
|
Investment
Adviser:
|
Franklin
Advisors, Inc.
|
Investment
Objective:
|
High
current income, consistent with preservation of capital, with
capital
|
appreciation
as a secondary consideration.
|
Investment
Adviser:
|
Janus
Capital Management LLC
|
Investment
Objective:
|
Long-term
growth of capital, consistent with preservation of capital
and
|
balanced
by current income.
|
Investment
Adviser:
|
Janus
Capital Management LLC
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
Janus
Capital Management LLC
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
Janus
Capital Management LLC
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
Legg
Mason Partners Fund Advisor, LLC
|
Sub-adviser:
|
ClearBridge
|
Investment
Objective:
|
The
fund seeks long-term growth of
capital.
|
Investment
Adviser:
|
Lincoln
Investment Advisors Corporation
|
Sub-adviser:
|
BAMCO,
Inc.
|
Investment
Objective:
|
Capital
appreciation.
|
Investment
Adviser:
|
Lord,
Abbett & Co. LLC
|
Investment
Objective:
|
Capital
appreciation through investments, primarily in equity
securities,
|
which
are believed to be undervalued in the market
place.
|
Investment
Adviser:
|
Massachusetts
Financial Services Company
|
Investment
Objective:
|
Capital
appreciation.
|
Investment
Adviser:
|
Massachusetts
Financial Services Company
|
Investment
Objective:
|
Capital
appreciation.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Federated
Investment Management Company
|
Investment
Objective:
|
High
current income.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Gartmore
Global Partners
|
Investment
Objective:
|
Long-term
capital growth by investing primarily in equity securities
of
|
companies
located in emerging market
countries.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Gartmore
Global Partners
|
Investment
Objective:
|
Long-term
capital growth by investing primarily in equity securities
of
|
companies
in Europe, Australasia, the Far East and other regions,
including
|
|
developing
countries.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Gartmore
Global Partners
|
Investment
Objective:
|
Long-term
capital growth.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Nationwide
Asset Management, LLC
|
Investment
Objective:
|
To
provide a high level of income as is consistent with the preservation
of
|
capital.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
BlackRock
Investment Management, LLC
|
Investment
Objective:
|
To
match the performance of the Morgan Stanley Capital
International
|
Europe,
Australasia and Far East Index ("MSCI EAFE® Index") as closely
as
|
|
possible
before the deduction of Fund
expenses.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Investment
Objective:
|
To
maximize growth of capital consistent with a more aggressive level
of
|
risk
as compared to the other Investor Destinations
Funds.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Investment
Objective:
|
High
level of return consistent with a conservative level of risk compared
to
|
the
other Investor Destinations Funds.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Investment
Objective:
|
High
level of total return consistent with a moderate level of risk
as
|
compared
to other Investor Destinations
Funds.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Investment
Objective:
|
Growth
of capital, but also seeks income consistent with a
moderately
|
aggressive
level of risk as compared to the other Investor Destinations
Funds.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Investment
Objective:
|
High
level of total return consistent with a moderately conservative level
of
|
risk.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
BlackRock
Investment Management, LLC
|
Investment
Objective:
|
Capital
appreciation.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Nationwide
Asset Management, LLC
|
Investment
Objective:
|
High
level of current income as is consistent with the preservation of
capital
|
and
maintenance of liquidity.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Goldman
Sachs Asset Management; Neuberger Berman Management Inc.
and
|
Wells
Fargo Investment Management
|
|
Investment
Objective:
|
The
fund seeks long-term capital
growth.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Neuberger
Berman Management Inc. and American Century Investment
|
Management
Inc.
|
|
Investment
Objective:
|
The
fund seeks long-term capital
growth.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
American
Century Investment Management, Inc.; RiverSource
Investments,
|
LLC;
Thompson Siegel & Walmsley LLC
|
|
Investment
Objective:
|
The
fund seeks long-term capital
appreciation.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Oberweis
Asset Management, Inc.; Waddell & Reed Investment
Management
|
Company
|
|
Investment
Objective:
|
Capital
growth.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Aberdeen
Asset Management, Inc.; Epoch Investment Partners, Inc.;
J.P.
|
Morgan
Investment Management Inc.
|
|
Investment
Objective:
|
Capital
appreciation.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Aberdeen
Asset Management, Inc.: American Century Investment
|
Management
Inc.; Gartmore Global Partners; Morgan Stanley
Investment
|
|
Management;
Neuberger Berman Management, Inc.; Putnam Investment
|
|
Management,
LLC; Waddell & Reed Investment Management Company
|
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Aberdeen
Asset Management, Inc.
|
Investment
Objective:
|
Total
return through a flexible combination of capital appreciation
and
|
current
income.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Nationwide
Asset Management, LLC
|
Investment
Objective:
|
The
fund seeks to provide a high level of current income while
preserving
|
capital
and minimizing fluctuations in share
value.
|
Investment
Adviser:
|
Nationwide
Fund Advisors
|
Sub-adviser:
|
Van
Kampen Asset Management
|
Investment
Objective:
|
Above
average total return over a market cycle of three to five
years.
|
Investment
Adviser:
|
Neuberger
Berman Management Inc.
|
Sub-adviser:
|
Neuberger
Berman, LLC
|
Investment
Objective:
|
Capital
growth.
|
Investment
Adviser:
|
Neuberger
Berman Management Inc.
|
Sub-adviser:
|
Neuberger
Berman, LLC
|
Investment
Objective:
|
Growth
of capital.
|
Investment
Adviser:
|
OppenheimerFunds,
Inc.
|
Investment
Objective:
|
Capital
appreciation by investing in securities of well-known,
established
|
companies.
|
Investment
Adviser:
|
OppenheimerFunds,
Inc.
|
Investment
Objective:
|
Long-term
capital appreciation by investing a substantial portion of
its
|
assets
in securities of foreign issuers, "growth-type" companies,
cyclical
|
|
industries
and special situations that are considered to have
appreciation
|
Investment
Adviser:
|
Pacific
Investment Management Company LLC
|
Investment
Objective:
|
Maximum
total return consistent with preservation of capital and
prudent
|
investment
management.
|
Investment
Adviser:
|
Pacific
Investment Management Company LLC
|
Investment
Objective:
|
Maximum
total return consistent with preservation of capital and
prudent
|
investment
management.
|
Investment
Adviser:
|
Pacific
Investment Management Company LLC
|
Investment
Objective:
|
Maximum
total return consistent with preservation of capital and
prudent
|
investment
management.
|
Investment
Adviser:
|
Pacific
Investment Management Company LLC
|
Investment
Objective:
|
Maximum
real return consistent with preservation of real capital
and
|
prudent
investment management.
|
Investment
Adviser:
|
Pacific
Investment Management Company LLC
|
Investment
Objective:
|
Maximum
total return consistent with preservation of capital and
prudent
|
investment
management.
|
Investment
Adviser:
|
Pioneer
Investment Management, Inc.
|
Investment
Objective:
|
Long-term
growth of capital.
|
Investment
Adviser:
|
Pioneer
Investment Management, Inc.
|
Investment
Objective:
|
Maximize
total return through a combination of income and
capital
|
appreciation.
|
Investment
Adviser:
|
Putnam
Investment Management, LLC
|
Investment
Objective:
|
Capital
appreciation.
|
Investment
Adviser:
|
Royce
& Associates, LLC
|
Investment
Objective:
|
Long-term
capital growth.
|
Investment
Adviser:
|
T.
Rowe Price Investment Services
|
Investment
Objective:
|
Substantial
dividend income as well as long-term growth of capital
through
|
investments
in the common stocks of established
companies.
|
Investment
Adviser:
|
T.
Rowe Price Investment Services
|
Investment
Objective:
|
Long-term
growth of capital primarily in the common stocks of
companies
|
operating
in sectors T. Rowe Price believes will be the fastest growing in
the
|
|
United
States.
|
Investment
Adviser:
|
T.
Rowe Price Investment Services
|
Investment
Objective:
|
Seeks
capital appreciation and income from stocks and
bonds.
|
Investment
Adviser:
|
Morgan
Stanley Investment Management Inc.
|
Investment
Objective:
|
Long-term
capital appreciation by investing primarily in
growth-oriented
|
equity
securities of large capitalization
companies.
|
Investment
Adviser:
|
Morgan
Stanley Investment Management Inc.
|
Investment
Objective:
|
High
total return by investing primarily in fixed income securities
of
|
government
and government-related issuers and, to a lesser extent,
of
|
|
corporate
issuers in emerging market
countries.
|
Investment
Adviser:
|
Morgan
Stanley Investment Management Inc.
|
Investment
Objective:
|
The
Portfolio seeks to provide current income and capital
appreciation.
|
Investment
Adviser:
|
Morgan
Stanley Investment Management Inc.
|
Investment
Objective:
|
Long-term
capital growth by investing primarily in common stocks
and
|
other
equity securities.
|
Investment
Adviser:
|
Van
Eck Associates Corporation
|
Investment
Objective:
|
Long-term
capital appreciation by investing primarily in hard
asset
|
securities. Income
is a secondary consideration.
|
Investment
Adviser:
|
Waddell
& Reed Investment Management Company
|
Investment
Objective:
|
High
total return over the long run.
|
Investment
Adviser:
|
Waddell
& Reed Investment Management Company
|
Investment
Objective:
|
Capital
growth with a secondary objective of current
income.
|
Investment
Adviser:
|
Waddell
& Reed Investment Management Company
|
Sub-adviser:
|
Advantus
Capital Management, Inc.
|
Investment
Objective:
|
Total
return through a combination of capital appreciation and
current
|
Investment
Adviser:
|
Waddell
& Reed Investment Management Company
|
Investment
Objective:
|
Long-term
capital growth.
|
Investment
Adviser:
|
Wells
Fargo Funds Management, LLC
|
Sub-adviser:
|
Wells
Capital Management Incorporated
|
Investment
Objective:
|
Long-term
capital appreciation.
|
Investment
Adviser:
|
Wells
Fargo Funds Management, LLC
|
Investment
Objective:
|
Long-term
capital appreciation.
|
Appendix
B: Definitions
|
Accumulation
Unit– The measure of your investment in, or share of, a
Sub-Account after we deduct for transaction fees and periodic
charges. Initially, we set the Accumulation Unit value at $10
for each Sub-Account.
|
Allowable
Policy Premium – Except for a modified endowment
contract, the Seven-Pay Premium for the Total
Specified Amount, plus the applicable amount, if any, attributable
to
Section 1035 exchanges on the Policy Date or within twelve months
thereafter. For modified endowment contracts,
the premium paid on the Policy Date or within
twelve months thereafter, plus the applicable amount, if any,
attributable
to Section 1035 exchanges on the Policy Date or within twelve
months
thereafter.
|
Attained
Age– The Insured’s age on the Policy Date plus the number of
full years since the Policy Date.
|
Base
Specified Amount– The amount of Death Benefit coverage under the
policy on the Policy Date, excluding any Rider Specified
Amount. Subsequent to the Policy Date, the Death Benefit
coverage will equal or exceed this amount unless you request
a decrease in
the Base Specified Amount or take a partial surrender.
|
Beneficiary
– The person or legal entity to whom/which the Death Benefit
is
paid upon the Insured’s death.
|
Cash
Surrender Value – The amount payable to you upon a full surrender
of the policy. This amount is equal to the Enhanced Cash Value,
minus Indebtedness and outstanding policy charges.
|
Cash
Value – The sum of the value your allocations to the
Sub-Accounts, the fixed account, and the Policy Loan
Account.
|
Code
– The Internal Revenue Code of 1986, as
amended.
|
Death
Benefit – The amount of insurance coverage provided by the base
policy, and the Supplemental Insurance Rider, if purchased, upon
the
Insured’s death while the policy is In Force and before the Maturity
Date. The actual amount we pay to the Beneficiary is the amount
of insurance coverage provided by the base policy, and the Supplemental
Insurance Rider, if purchased, less any Indebtedness and any
due and
unpaid policy charges.
|
Enhanced
Cash Value – The sum of the policy’s Cash Value plus the
Enhancement Benefit, if applicable.
|
Enhancement
Benefit – An additional amount added to the policy’s Cash
Surrender Value upon a full surrender of the policy, provided
the
qualifying conditions have been satisfied.
|
Excess
Premium– The sum of (i) each Premium multiplied by the ratio
of
the Rider Specified Amount to the Total Specified Amount and
(ii) the
excess of (a) paid Premiums in a policy year multiplied by the
ratio of
the Base Specified Amount to the Total Specified Amount less
(b) the
Target Premium.
|
First
Year Case Premium – the sum of the First Year Policy Premiums for
the policies in a Single Case which are twelve months or more
beyond their
Policy Date.
|
First
Year Policy Premium – the actual Premium paid on the Policy Date
or within twelve months thereafter.
|
FDIC
– Federal Deposit Insurance Corporation.
|
Grace
Period– A 61-day period after which the policy will Lapse if
you
do not remit sufficient Premium to keep the policy In
Force.
|
Home
Office– Our Home Office is located at One Nationwide Plaza,
Columbus, Ohio 43215.
|
In
Force – The insurance coverage is in effect.
|
Indebtedness
– The total amount of all outstanding policy loans, including
principal and interest
due.
|
Insured
– The person whose life we insure under the policy and whose
death results in the payment the Death Benefit.
|
Investment
Experience– The market performance of a mutual fund (in which a)
Sub-Account invests.
|
Lapse
– The policy terminates without value.
|
Maturity
Date – The date on which insurance coverage provided by the
policy is scheduled to end. The policy is automatically
extended past the Maturity Date with modified benefits unless you
elect
otherwise. The Maturity Date is the anniversary of the Policy Date
on or
next following the Insured's 120th
birthday.
|
Maturity
Proceeds– The amount of money payable to you on the Maturity Date
if your policy is In Force. The Maturity Proceeds are equal to
the Cash Value minus any Indebtedness.
|
Minimum
Required Death Benefit– The least amount of Death Benefit that
will qualify the policy as life insurance under the
Code.
|
Net
Amount At Risk – The policy’s Death Benefit minus the policy’s
Cash Value.
|
Net
Asset Value (NAV) – The price of a share of a mutual fund in
which a Sub-Account invests. It is calculated by subtracting
the mutual fund’s liabilities from its total assets, and dividing that
figure by the number of shares outstanding. We use the NAV to
calculate the value of Accumulation Units. The NAV does not
reflect deductions we make for charges we take from
Sub-Accounts. Accumulation Unit values do reflect these
deductions.
|
Net
Premium – The amount of Premium applied to your policy after the
deduction of the Premium Load.
|
Policy
Data Page(s)– The Policy Data Page contains more detailed
information about the policy, some of which is unique and particular
to
the Owner, the Beneficiary and the Insured. The charges shown
on the Policy Data Page reflect the guaranteed maximum policy charges,
which may not be the amount you will actually be
charged. Please request an illustration for specific
information about your particular charges.
|
Policy
Date – The date we begin assessing charges under the policy,
as
shown on the Policy Data Page. Policy years and months are
measured from this date. This date will be the date the initial
Premium is paid, unless you request and we approve another
date.
|
Policy
Loan Account– An account used as collateral for policy
loans. Upon approval of a policy loan, we transfer an amount
from the Cash Value that equals the policy loan amount to this
account. Amounts transferred from the Sub-Accounts will be in
the same proportion as your Sub-Account allocations, unless you
instruct
otherwise. We will only transfer amounts from the fixed account
if the loan amount exceeds 90% of the Cash Value allocated to the
Sub-Accounts. Amounts in this account will accrue and be
credited daily interest at a rate not less than the stated interest
crediting rate shown on your Policy Data Page.
|
Policy
Proceeds or Proceeds – Policy Proceeds are the amount payable
upon termination of the policy. Policy Proceeds could be
comprised of the Death Benefit, the Maturity Proceeds, or the Cash
Surrender Value upon a full surrender of the policy.
|
Premium
– The amount of money you pay into the policy, including
amounts,
if any, attributable to Section 1035 exchanges..
|
Rider
– An optional benefit you may purchase/elect under the
policy.
|
Rider
Specified Amount– The amount of Death Benefit coverage under the
Supplemental Insurance rider on the Policy Date.
|
SEC
– The Securities and Exchange Commission.
|
Section
1035 – The Code section describing an exchange between a life
insurance policy and/or annuity contract.
|
Seven-Pay
Premium (7-Pay Premium)
– The amount which results
from applying the adjustments for Section 1035 exchanges and underwriting
Substandard Ratings, as permitted by the Code, to the Unadjusted
Seven-Pay
Premium.
|
Sub-Accounts
– The mechanisms we use to account for your allocations
of Net
Premium and Cash Value among the policy’s variable investment
options.
|
Single
Case – One or more individual policies attributed to a single
Owner as part of the same life insurance purchase.
|
Single
Case Allowable Premium – For the initial purchase transaction by
a policy owner, the sum of the Allowable Policy Premiums on all
policies
purchased by the policy owner. For subsequent purchase
transactions by a policy owner, the sum of (i) the Allowable Policy
Premiums for the policies in the subsequent purchase transaction,
(ii) the
Allowable Policy Premiums for policies that are less than twelve
months
beyond their Policy Date, and (iii) the First Year Case
Premium.
|
Substandard
Rating – A
risk
classification based on medical and non-medical factors used to
determine
the cost or charge associated with issuing life
insurance. Substandard risks are in addition to, and are
assessed at a higher cost or premium compared to, traditional
factors for standard risks, which include age, sex and smoking
habits of the insured. Substandard Ratings are shown on the Policy
Data
Page and are represented alphabetically, ranging from A to Z, with
Z
representing the highest rating.
|
Target
Premium– If the policy is not a modified endowment contract, the
Target Premium is the Unadjusted Seven-Pay Premium for a policy
whose
Total Specified Amount equals the Base Specified Amount. If the
policy is a modified endowment contract, the Target Premium equals
the
amount that would have been the Unadjusted Seven-Pay Premium if
the policy
were not a modified endowment contract and the Total Specified
Amount
equaled the Base Specified Amount.
|
Total
Specified Amount – The sum of the Base Specified Amount and the
Rider Specified Amount, if any.
|
Unadjusted
Seven-Pay Premium - 100% of the maximum
annual premium allowed under the Code assuming that: (i) the policy
is not
a modified endowment contract; (ii) the policy’s death benefit is equal to
the Total Specified Amount, and (iii) seven level, annual premiums
are
paid; (iv) there are no premiums resulting from a Section 1035
exchange;
and (v) there are no adjustments due to a state imposed requirement
or
underwriting Substandard Ratings.
|
Us,
we, our or the company – Nationwide Life
Insurance Company.
|
Valuation
Period – The period during which we determine the change in the
value of the Sub-Accounts. One Valuation Period ends and
another begins with the close of trading on the New York Stock
Exchange.
|
You,
your or the policy owner or
Owner– The corporation or legal entity named
as
the owner (i) in the application, or (ii) to which ownership rights
in the
policy have been validly
assigned.
|
Appendix
C: Blending Examples of Policy
Charges
|
Table
of Contents
|
|
Page
|
|
Nationwide
Life Insurance
Company
|
1
|
Nationwide
VLI Separate
Account-4
|
1
|
Nationwide
Investment Services Corporation
(NISC)
|
1
|
Services
|
2
|
Underwriting
Procedure
|
2
|
Net
Amount at
Risk
|
3
|
Illustrations
|
3
|
Advertising
|
3
|
Tax
Definition of Life
Insurance
|
3
|
Financial
Statements
|
5
|
Attained
Age of Insured
|
Percentage
of Cash Value
|
Attained
Age of Insured
|
Percentage
of Cash Value
|
Attained
Age of Insured
|
Percentage
of Cash Value
|
||
0-40
|
250%
|
61
|
128%
|
81
|
105%
|
||
41
|
243%
|
62
|
126%
|
82
|
105%
|
||
42
|
236%
|
63
|
124%
|
83
|
105%
|
||
43
|
229%
|
64
|
122%
|
84
|
105%
|
||
44
|
222%
|
65
|
120%
|
85
|
105%
|
||
45
|
215%
|
66
|
119%
|
86
|
105%
|
||
46
|
209%
|
67
|
118%
|
87
|
105%
|
||
47
|
203%
|
68
|
117%
|
88
|
105%
|
||
48
|
197%
|
69
|
116%
|
89
|
105%
|
||
49
|
191%
|
70
|
115%
|
90
|
105%
|
||
50
|
185%
|
71
|
113%
|
91
|
104%
|
||
51
|
178%
|
72
|
111%
|
92
|
103%
|
||
52
|
171%
|
73
|
109%
|
93
|
102%
|
||
53
|
164%
|
74
|
107%
|
94
|
101%
|
||
54
|
157%
|
75
|
105%
|
95
|
101%
|
||
55
|
150%
|
76
|
105%
|
96
|
101%
|
||
56
|
146%
|
77
|
105%
|
97
|
101%
|
||
57
|
142%
|
78
|
105%
|
98
|
101%
|
||
58
|
138%
|
79
|
105%
|
99
|
101%
|
||
59
|
134%
|
80
|
105%
|
100
|
100%
|
||
60
|
130%
|
Policy
Year
|
Percentage
of Cash Value
|
|
Policy
Year
|
Percentage
of Cash Value
|
|
Policy
Year
|
Percentage
of Cash Value
|
|
Policy
Year
|
Percentage
of Cash Value
|
1
|
347%
|
|
16
|
215%
|
|
31
|
147%
|
|
46
|
116%
|
2
|
335%
|
|
17
|
209%
|
|
32
|
145%
|
|
47
|
115%
|
3
|
324%
|
|
18
|
203%
|
|
33
|
144%
|
|
48
|
114%
|
4
|
314%
|
|
19
|
197%
|
|
34
|
142%
|
|
49
|
112%
|
5
|
304%
|
|
20
|
192%
|
|
35
|
141%
|
|
50
|
111%
|
6
|
294%
|
|
21
|
187%
|
|
36
|
140%
|
|
51
|
110%
|
7
|
284%
|
|
22
|
182%
|
|
37
|
139%
|
|
52
|
109%
|
8
|
275%
|
|
23
|
177%
|
|
38
|
138%
|
|
53
|
107%
|
9
|
266%
|
|
24
|
173%
|
|
39
|
134%
|
|
54
|
105%
|
10
|
258%
|
|
25
|
169%
|
|
40
|
131%
|
|
55
|
103%
|
11
|
250%
|
|
26
|
165%
|
|
41
|
128%
|
|
56
|
101%
|
12
|
242%
|
|
27
|
161%
|
|
42
|
125%
|
|
|
|
13
|
235%
|
|
28
|
157%
|
|
43
|
122%
|
|
|
|
14
|
228%
|
|
29
|
153%
|
|
44
|
120%
|
|
|
|
15
|
221%
|
|
30
|
150%
|
|
45
|
117%
|
|
|
|
|
(a)
|
Resolution
of the Depositor’s Board of Directors authorizing the establishment of the
Registrant – Filed previously with registration statement (333-31725) on
July 21, 1997 and hereby incorporated by
reference.
|
|
(b)
|
Custodian
Agreements - Not Applicable.
|
|
(c)
|
Underwriting
or Distribution of contracts between the Depositor and Principal
Underwriter – Previously filed with pre-effective amendment number 3 to
registration statement (333-137202) on September 27, 2007, under
document
“underwriting.htm” and hereby incorporated by
reference.
|
|
(d)
|
The
form of the contract – Attached
hereto.
|
|
(e)
|
The
form of the contract application – Previously filed with pre-effective
amendment number 3 to registration statement (333-137202) on September
27,
2007, under document “application.htm” and hereby incorporated by
reference.
|
|
(f)
|
Articles
of Incorporation of Depositor – Previously filed with pre-effective
amendment number 3 to registration statement (333-137202) on September
27,
2007, under document “articles.htm” and hereby incorporated by
reference.
|
|
(g)
|
Form
of Reinsurance Contracts - Filed previously with Post-Effective Amendment
No. 3 to registration statement (333-46338) and hereby incorporated
by
reference.
|
|
(h)
|
Form
of Participation Agreement – Filed previously with registration statement
(333-31725) and hereby incorporated by
reference.
|
|
(1)
|
Fund
Participation Agreement with AIM Variable Insurance Funds, AIM Advisors,
Inc., and AIM Distributors dated January 6, 2003, under document
“aimfpa991.htm”
|
|
(2)
|
Amended
and Restated Fund Participation and Shareholder Services Agreement
with
American Century Investment Services, Inc. dated September 15, 2004,
as
amended, under document
“amcentfpa99h2”
|
|
(3)
|
Restated
and Amended Fund Participation Agreement with The Dreyfus Corporation
dated January 27, 2000, as amended, under document
“dreyfusfpa99h3.htm”
|
|
(4)
|
Fund
Participation Agreement with Federated Insurance Series and Federated
Securities Corp. dated April 1, 2006, as amended, under document
“fedfpa99h4.htm”
|
|
(5)
|
Fund
Participation Agreement with Fidelity Variable Insurance Products
Fund
dated May 1, 1988, as amended, including Fidelity Variable Insurance
Products Fund IV and Fidelity Variable Insurance Products Fund V,
under
document “fidifpa99h5.htm”
|
|
(6)
|
Fund
Participation Agreement with Fidelity Variable Insurance Products
Fund II
dated July 15, 1989, as amended, including Fidelity Variable Insurance
Products Fund IV and Fidelity Variable Insurance Products Fund V,
under
document “fidiifpa99h6.htm”
|
|
(7)
|
Fund
Participation Agreement with Fidelity Variable Insurance Products
Fund III
dated November 22, 1994, as amended, including Fidelity Variable
Insurance
Products Fund IV and Fidelity Variable Insurance Products Fund V,
under
document “fidiiifpa99h7.htm”
|
|
(8)
|
Amended
and Restated Fund Participation Agreement with Franklin Templeton
Variable
Insurance Products Trust and Franklin/Templeton Distributors, Inc.
dated
May 1, 2003; as amended, under document
“frankfpa99h8.htm”
|
(9)
|
Fund
Participation Agreement, Service and Institutional Shares, with Janus
Aspen Series, dated December 31, 1999, under document
“janusfpa99h9a.htm”
|
(10)
|
Amended
and Restated Fund Participation Agreement with MFS Variable Insurance
Trust and Massachusetts Financial Services Company dated February
1, 2003,
as amended, under document
“mfsfpa99h11.htm”
|
|
(11)
|
Fund
Participation Agreement with Nationwide Variable Insurance Trust
(formerly, Gartmore Variable Insurance Trust) dated May 2, 2005,
as
amended, under document
“nwfpa99h11.htm”
|
|
(12)
|
Fund
Participation Agreement with Neuberger Berman Advisers Management
Trust /
Lehman Brothers Advisers Management Trust (formerly, Neuberger Berman
Advisers Management Trust) dated January 1, 2006, under document
“neuberfpa99h13.htm”
|
|
(13)
|
Fund
Participation Agreement with Oppenheimer Variable Account Funds and
Oppenheimer Funds, Inc. dated April 13, 2007, under document
“oppenfpa99h14.htm”
|
|
(14)
|
Fund
Participation Agreement with T. Rowe Price Equity Series, Inc., T.
Rowe
Price International Series, Inc., T. Rowe Price Fixed Income Series,
Inc.,
and T. Rowe Price Investment Services, Inc. dated October 1, 2002,
as
amended, under document
“trowefpa99h15.htm”
|
|
(15)
|
Fund
Participation Agreement with The Universal Institutional Funds, Inc.,
Morgan Stanley Distribution, Inc., and Morgan Stanley Investment
Management, Inc. dated February 1, 2002, as amended, under document
“univfpa99h16.htm”
|
|
(16)
|
Fund
Participation Agreement with M Fund, Inc. and M Financial Investment
Advisers, Inc. dated May 1, 2007, as document
"mfundfpa99h10.htm".
|
|
(1)
|
Fund
Participation Agreement (Amended and Restated) with Alliance Capital
Management L.P. and Alliance-Bernstein Investment Research and Management,
Inc. dated June 1, 2003, as document
“alliancebernsteinfpa.htm”.
|
|
(2)
|
Fund
Participation Agreement with American Funds Insurance Series and
Capital
Research and Management Company dated July 20, 2005, as document
“americanfundsfpa.htm”.
|
|
(3)
|
Fund
Participation Agreement with BlackRock (formerly FAM Distributors,
Inc.
and FAM Variable Series Funds, Inc.) dated April 13, 2004, as amended,
as
document “blackrockfpa.htm”.
|
|
(4)
|
Fund
Participation Agreement with Davis Variable Account Fund and Davis
Distributors, LLC dated August 7, 2007, as document
“davisfpa.htm”.
|
|
(5)
|
Fund
Participation Agreement with DWS Variable Series II (formerly Scudder
Variable Series I, Scudder Variable Series II, Scudder Distributors,
Inc.
and Deutsche Investment Management Americas, Inc.) dated July 1,
2004, as
document “dwsfpa.htm”.
|
|
(6)
|
Fund
Participation with Legg Mason Partners Variable Portfolio I, Inc.
(formerly Salomon Brothers Variable Series Funds Inc. and Salomon
Brothers
Asset Management Inc. dated September, 1999, as amended, as document
“leggmasonfpa.htm”.
|
|
(7)
|
Fund
Participation Agreement with Lincoln Variable Insurance Products
Trust,
Lincoln Financial Distributors, Inc., and Lincoln Investment Advisors
Corporation dated June 5, 2007, as document
“lincolnfpa.htm”.
|
|
(8)
|
Fund
Participation Agreement with Lord Abbett Series Fund, Inc. and Lord
Abbett
Distributor LLC dated December 31, 2002, as amended, as document
“lordabbettfpa.htm”.
|
|
(9)
|
Fund
Participation Agreement with PIMCO Variable Insurance Trust and PIMCO
Fund
Distributors, LLC dated March 28, 2002, as amended, as document
“pimcofpa.htm”.
|
|
(10)
|
Fund
Participation Agreement with Pioneer Variable Contracts Trust, Pioneer
Investment Management, Inc. and Pioneer Fund Distributor, Inc., dated
September 27, 2002, as amended, as document
“pioneerfpa.htm”.
|
|
(11)
|
Fund
Participation Agreement with Putnam Variable Trust and Putnam Retail
Management, L.P., dated February 1, 2002, as document
“putnamfpa.htm”.
|
|
(12)
|
Fund
Participation Agreement with Royce & Associates dated February 14,
2002, as amended, as document
“roycefpa.htm”.
|
|
(13)
|
Fund
Participation Agreement Van Eck Investment Trust, Van Eck Associates
Corporation, Van Eck Securities Corporation dated September 1, 1989,
as
amended, as document
“vaneckfpa.htm”.
|
|
(14)
|
Fund
Participation Agreement with Waddell & Reed Services Company, Waddell
& Reed, Inc., and W&R Target Funds, Inc. dated December 1, 2000,
as amended, as document
“waddellreedfpa.htm”.
|
|
(15)
|
Fund
Participation Agreement with Wells Fargo Management, LLC, Stephens,
Inc.
dated November 15, 2004, as amended, as document
“wellsfargofpa.htm”.
|
|
(i)
|
Administrative
Contracts
|
|
(1)(a)
|
Administrative
Services Agreement with AIM Advisors, Inc. dated July 1, 2005, as
amended,
under document “aimasa99i1a.htm”
|
|
(1)(b)
|
Financial
Support Agreement with AIM Variable Insurance Funds dated July 1,
2005,
under document “aimasa99i1b.htm”
|
|
(2)
|
Amended
and Restated Fund Participation and Shareholder Services Agreement
with
American Century Investment Services, Inc. dated September 15, 2004,
as
amended. See Exhibit B for information related to
administrative services, under document
“amcentasa99i2.htm”
|
|
(3)
|
Restated
Administrative Services Agreement with The Dreyfus Corporation dated
June
1, 2003, as amended, and 12b-1 letter agreement dated June 1, 2003,
as
amended, under document
“dreyfusasa99i3.htm”
|
|
(4)(a)
|
Dealer
Agreement with Federated Securities Corp dated October 26, 2006,
under
document “fedasa99i4a.htm”
|
|
(4)(b)
|
Fund
Participation Agreement with Federated Insurance Series and Federated
Securities Corp. dated April 1, 2006, as amended. See Exhibit B
of Fund Participation Agreement for information related to administrative
services, under document
“fedasa99i4b.htm”
|
|
(5)(a)
|
Administrative
Service Agreement with Fidelity Investments Institutional Operations
Company, Inc. dated April 1, 2002, as amended, HTML file name
“fidiiiasa99i5a.htm”
|
|
(5)(b)
|
Service
Contract, with Fidelity Distributors Corporation dated June 18, 2002,
as
amended, under document “fidiiiasa99i5b.htm” as part of Exhibit
99.
|
|
(6)
|
Administrative
Services Agreement with Franklin Templeton Services, LLC dated May
1,
2003, as amended, under document
“frankasa99i6.htm”
|
|
(7)
|
Distribution
and Shareholder Services Agreement with Janus Distributors, Inc.
dated
December 31, 1999, under document
“janusasa99i7.htm”
|
|
(8)
|
Amended
and Restated Fund Participation and Shareholder Services Agreement
with
MFS Variable Insurance Trust and Massachusetts Financial Service
Company
dated February 1, 2003, as amended, under document
“mfsasa99i9.htm”
|
|
(9)
|
Fund
Participation Agreement with Nationwide Variable Insurance Trust
(formerly, Gartmore Variable Insurance Trust) dated May 2, 2005,
as
amended. See Exhibit B and Exhibit E for information related to
administrative services, under document
“nwasa99i10.htm”
|
|
(10)
|
Fund
Participation Agreement with Neuberger Berman Advisers Management
Trust /
Lehman Brothers Advisers Management Trust (formerly, Neuberger Berman
Advisers Management Trust) dated January 1, 2006. See Exhibit D
for information related to administrative services, under document
“neuberasa99i11.htm”
|
|
(11)
|
Revenue
Sharing Agreement with Oppenheimer Variable Account Funds dated April
13,
2006, under document
“oppenasa99i12.htm”
|
|
(12)
|
Administrative
Services Letter Agreement with T. Rowe Price Associates, Inc. and
T.
|
|
(13)
|
Administrative
Services Agreement with Morgan Stanley Distribution, Inc. (The Universal
Institutional Funds, Inc.) dated May 5, 2005, as amended, under document
“univasa99i14.htm”
|
|
(14)
|
Administrative
Service Agreement with M Fund, Inc. dated May 1, 2005, as document
"mfundasa99i10.htm".
|
|
(1)
|
Administrative
Services Agreement with Alliance Fund Distributors, Inc. dated June
3,
2003, as document
“alliancebernsteinasa.htm”.
|
|
(2)
|
Administrative
Services Agreement with American Funds Distributors, Inc. and Capital
Research and Management Company dated July 20,
2005, as document
“americanfundasa.htm”.
|
|
(3)
|
Administrative
Services Agreement with BlackRock (formerly FAM Variable Series Funds,
Inc. and FAM Distributors, Inc.) dated April 13, 2004, as amended,
as
document “blackrockasa.htm”.
|
|
(4)
|
Administrative
Service Agreement with Davis Distributors, LLC dated August 7, 2007,
as
document “davisasa.htm”.
|
|
(5)
|
Fund
Participation Agreement with DWS Variable Series II (formerly Scudder
Variable Series I, Scudder Variable Series II, Scudder Distributors,
Inc.
and Deutsche Investment Management Americas, Inc.) dated July 1,
2004, as
document “dwsfpa.htm”. See Article 2.3 for information on
administrative services.
|
|
(6)
|
Administrative
Services Agreement with Legg Mason Partners Variable Portfolios I,
Inc.
(formerly Salomon Brothers Asset Management Inc.) dated September
1999, as
amended, as document
“leggmasonasa.htm”.
|
|
(7)(a)
|
Administrative
Services Agreement with Lincoln Investment Advisors Corporation dated
June
5, 2007, as document
“lincolnasaa.htm”.
|
|
(7)(b)
|
Distribution
Services Agreement between Nationwide Investment Services Corporation
(general distributor) and Lincoln Financial Distributors, Inc. dated
June
5, 2007, as document
“lincolnasab.htm”.
|
|
(8)
|
Administrative
Services Agreement with Lord Abbett Series Fund, Inc. dated December
31,
2002, as amended, as document
“lordabbettasa.htm”.
|
|
(9)(a)
|
Administrative
Services Agreement with Pacific Investment Management Company LLC
dated
March 28, 2002, as amended, as document
“pimcoasaa.htm”.
|
|
(9)(b)
|
Administrative
Services Agreement with PIMCO Variable Insurance Trust dated March
28,
2002, as amended, as document
“pimcoasab.htm”.
|
|
(10)
|
Fund
Participation Agreement with Pioneer Variable Contracts Trust, Pioneer
Investment Management, Inc. and Pioneer Fund Distributor, Inc., dated
September 27, 2002, as amended, as document
“pioneerfpa.htm”. See Schedule B for information on
administrative services.
|
|
(11)
|
Administrative
Services Agreement with Putnam Retail Management Limited Partnership
dated
August 1, 2006, as amended, as document
“putnamasa.htm”.
|
|
(12)
|
Fund
Participation Agreement with Royce & Associates dated February 14,
2002, as amended, as document “roycefpa.htm”. See Exhibits C
and D for information on administrative
services.
|
|
(13)
|
Administrative
Services Agreement with Van Eck Securities Corporation dated November
3,
1997, as amended, as document
“vaneckasa.htm”.
|
|
(14)
|
Administrative
Services Agreement with Waddell & Reed, Inc. dated December 1, 2000,
as amended, as document
“waddellreedasa.htm”.
|
|
(15)
|
Administrative
Services Agreement with Wells Fargo Funds Management, LLC and Stephens,
Inc. dated November 15, 2004, as amended, as document
“wellsfargoasa.htm”.
|
|
(j)
|
Other
Material Contracts - Not
Applicable.
|
|
(k)
|
Opinion
of Counsel– Attached
hereto.
|
|
(l)
|
Actuarial
Opinion - Not Applicable.
|
(m)
|
Calculation
- Not Applicable.
|
(n)
|
Consent
of Independent Registered Public Accounting Firm – To be filed by
Pre-effective Amendment.
|
(o)
|
Omitted
Financial Statements - Not
Applicable.
|
(p)
|
Initial
Capital Agreements - Not
Applicable.
|
(q)
|
Redeemability
Exemption– Filed previously with registration statement (333-140608) on
July 17, 2007, under document “redeemexempt.htm” and hereby incorporated
by reference.
|
|
(99)
|
Power
of Attorney – Attached hereto.
|
Item
27.
|
Directors
and Officers of the
Depositor
|
Chairman
of the Board and Director
|
Arden
L. Shisler
|
Chief
Executive Officer and Director
|
W.
G. Jurgensen
|
President
and Chief Operating Officer
|
Mark
R. Thresher
|
Executive
Vice President and Chief Legal and Governance Officer
|
Patricia
R. Hatler
|
Executive
Vice President-Chief Administrative Officer
|
Terri
L. Hill
|
Executive
Vice President-Chief Information Officer
|
Michael
C. Keller
|
Executive
Vice President-Chief Marketing Officer
|
James
R. Lyski
|
Executive
Vice President-Finance
|
Lawrence
A. Hilsheimer
|
Senior
Vice President and Secretary
|
Thomas
E. Barnes
|
Senior
Vice President and Treasurer
|
Harry
H. Hallowell
|
Senior
Vice President-Associate Services
|
Robert
J. Puccio
|
Senior
Vice President-Chief Compliance Officer
|
Carol
Baldwin Moody
|
Senior
Vice President-Chief Financial Officer
|
Timothy
G. Frommeyer
|
Senior
Vice President-Chief Investment Officer
|
Gail
G. Snyder
|
Senior
Vice President-Chief Litigation Counsel
|
Randolph
C. Wiseman
|
Senior
Vice President-CIO NSC
|
Robert
J. Dickson
|
Senior
Vice President-CIO Strategic Investments
|
Gary
I. Siroko
|
Senior
Vice President-Corporate Strategy
|
J.
Stephen Baine
|
Senior
Vice President-Customer Insight/Analytic
|
Paul
D. Ballew
|
Senior
Vice President-Customer Relationships
|
David
R. Jahn
|
Senior
Vice President-Division General Counsel
|
Roger
A. Craig
|
Senior
Vice President-Division General Counsel
|
Thomas
W. Dietrich
|
Senior
Vice President-Division General Counsel
|
Sandra
L. Neely
|
Senior
Vice President-Government Relations
|
Jeffrey
D. Rouch
|
Senior
Vice President-Head of Taxation
|
Pamela
A. Biesecker
|
Senior
Vice President-Health and Productivity
|
Holly
R. Snyder
|
Senior
Vice President-Human Resources
|
Kim
R. Geyer
|
Senior
Vice President-Individual Investments Business Head
|
Eric
S. Henderson
|
Senior
Vice President-Individual Protection Business Head
|
Peter
A. Golato
|
Senior
Vice President-Information Technology
|
Srinivas
Koushik
|
Senior
Vice President-Internal Audits
|
Kelly
A. Hamilton
|
Senior
Vice President-NF Marketing
|
Gordon
E. Hecker
|
Senior
Vice President-NF Systems
|
Susan
Gueli
|
Senior
Vice President-NFN Retail Distribution
|
Michael
A. Hamilton
|
Senior
Vice President-Non-Affiliated Sales
|
John
L. Carter
|
Senior
Vice President-NW Retirement Plans
|
William
S. Jackson
|
Senior
Vice President-President – Nationwide Bank
|
Anne
L. Arvia
|
Senior
Vice President-Property and Casualty Commercial/Farm Product
Pricing
|
W.
Kim Austen
|
Senior
Vice President-Property and Casualty Commercial/Farm Product
Pricing
|
James
R. Burke
|
Senior
Vice President-Property and Casualty Human Resources
|
Gale
V. King
|
Senior
Vice President-Property and Casualty Personal Lines Product
Pricing
|
J.
Lynn Greenstein
|
Director
|
Joseph
A. Alutto
|
Director
|
James
G. Brocksmith, Jr.
|
Director
|
Keith
W. Eckel
|
Director
|
Lydia
M. Marshall
|
Director
|
David
O. Miller
|
Director
|
Martha
Miller de Lombera
|
Director
|
James
F. Patterson
|
Director
|
Gerald
D. Prothro
|
Director
|
Alex
Shumate
|
Director
|
Thomas
F. Zenty III
|
|
The
business address of the Directors and Officers of the Depositor
is:
|
|
One
Nationwide Plaza, Columbus, Ohio
43215
|
*
|
Subsidiaries
for which separate financial statements are filed
|
**
|
Subsidiaries
included in the respective consolidated financial
statements
|
***
|
Subsidiaries
included in the respective group financial statements filed for
unconsolidated subsidiaries
|
****
|
Other
subsidiaries
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
1717
Advisory Services, Inc.
|
Pennsylvania
|
|
The
company was formerly registered as an investment advisor and is currently
inactive.
|
1717
Brokerage Services, Inc.
|
Pennsylvania
|
|
The
company is a multi-state licensed insurance agency.
|
1717
Capital Management Company*
|
Pennsylvania
|
|
The
company is registered as a broker-dealer and investment
advisor.
|
AGMC
Reinsurance, Ltd.
|
Turks
& Caicos Islands
|
|
The
company is in the business of reinsurance of mortgage guaranty
risks.
|
ALLIED
General Agency Company
|
Iowa
|
|
The
company acts as a general agent and surplus lines broker for property
and
casualty insurance products.
|
ALLIED
Group, Inc.
|
Iowa
|
|
The
company is a property and casualty insurance holding
company.
|
ALLIED
Property and Casualty Insurance Company
|
Iowa
|
|
The
company underwrites general property and casualty
insurance.
|
ALLIED
Texas Agency, Inc.
|
Texas
|
|
The
company acts as a managing general agent to place personal and commercial
automobile insurance with Colonial County Mutual Insurance Company
for the
independent agency companies.
|
AMCO
Insurance Company
|
Iowa
|
|
The
company underwrites general property and casualty
insurance.
|
American
Marine Underwriters, Inc.
|
Florida
|
|
The
company is an underwriting manager for ocean cargo and hull
insurance.
|
Atlantic
Floridian Insurance Company (f.k.a. Nationwide Atlantic Insurance
Company)
|
Ohio
|
|
The
company writes personal lines residential property insurance in the
State
of Florida.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
Audenstar
Limited
|
England
|
|
The
company is an investment holding company.
|
Cal-Ag
Insurance Services, Inc.
|
California
|
|
The
company is an insurance agency.
|
CalFarm
Insurance Agency
|
California
|
|
The
company is an insurance agency.
|
Champions
of the Community, Inc.
|
Ohio
|
The
company raises money for gifts and grants to charitable
organizations
|
|
Colonial
County Mutual Insurance Company*
|
Texas
|
|
The
company underwrites non-standard automobile and motorcycle insurance
and
other various commercial liability coverage in Texas.
|
Corviant
Corporation
|
Delaware
|
|
The
purpose of the company is to create a captive distribution network
through
which affiliates can sell multi-manager investment products, insurance
products and sophisticated estate planning services.
|
Crestbrook
Insurance Company* (f.k.a. CalFarm Insurance Company)
|
California
|
|
The
company is an Ohio-based multi-line insurance corporation that is
authorized to write personal, automobile, homeowners and commercial
insurance.
|
Depositors
Insurance Company
|
Iowa
|
|
The
company underwrites general property and casualty
insurance.
|
DVM
Insurance Agency, Inc.
|
California
|
|
This
company places the pet insurance business not written by Veterinary
Pet
Insurance Company outside of California with National Casualty
Company.
|
F&B,
Inc.
|
Iowa
|
|
The
company is an insurance agency that places business with carriers
other
than Farmland Mutual Insurance Company and its
affiliates.
|
Farmland
Mutual Insurance Company
|
Iowa
|
|
The
company provides property and casualty insurance primarily to agricultural
businesses.
|
FutureHealth
Corporation
|
Maryland
|
|
The
company is a wholly-owned subsidiary of FutureHealth Holding Company,
which provides population health
management.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
FutureHealth
Holding Company
|
Maryland
|
|
The
company provides population health management.
|
FutureHealth
Technologies Corporation
|
Maryland
|
|
The
company is a wholly-owned subsidiary of FutureHealth Holding Company,
which provides population health management.
|
Gates,
McDonald & Company*
|
Ohio
|
|
The
company provides services to employers for managing workers' compensation
matters and employee benefits costs.
|
Gates,
McDonald & Company of New York, Inc.
|
New
York
|
|
The
company provides workers' compensation and self-insured claims
administration services to employers with exposure in New
York.
|
GatesMcDonald
Health Plus Inc.
|
Ohio
|
|
The
company provides medical management and cost containment services
to
employers.
|
GVH
Participacoes e Empreedimientos Ltda.
|
Brazil
|
|
The
company acts as a holding company.
|
Insurance
Intermediaries, Inc.
|
Ohio
|
|
The
company is an insurance agency and provides commercial property and
casualty brokerage services.
|
Intervent
USA, Inc.
|
Georgia
|
Lifestyle
Management and Chronic Disease Risk Reduction Programs
Consultants.
|
|
Life
REO Holdings, LLC
|
Ohio
|
The
company serves as a holding company for foreclosure
entities.
|
|
Lone
Star General Agency, Inc.
|
Texas
|
|
The
company acts as general agent to market non-standard automobile and
motorcycle insurance for Colonial County Mutual Insurance
Company.
|
Mullen
TBG Insurance Agency Services, LLC
|
Delaware
|
The
company is a joint venture between TBG Insurance Services Corporation
and
MC Insurance Agency Services LLC. The Company provides financial
products
and services to executive plan participants.
|
|
National
Casualty Company
|
Wisconsin
|
|
The
company underwrites various property and casualty coverage, as well
as
individual and group accident and health
insurance.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
National
Casualty Company of America, Ltd.
|
England
|
|
This
company is currently inactive.
|
Nationwide
Advantage Mortgage Company*
|
Iowa
|
|
The
company makes residential mortgage loans.
|
Nationwide
Affinity Insurance Company of America*
|
Ohio
|
|
The
company provides property and casualty insurance
products.
|
Nationwide
Agribusiness Insurance Company
|
Iowa
|
|
The
company provides property and casualty insurance primarily to agricultural
businesses.
|
Nationwide
Arena, LLC*
|
Ohio
|
|
The
purpose of the company is to develop Nationwide Arena and to engage
in
related development activity.
|
Nationwide
Asset Management, LLC
|
Ohio
|
Provides
investment advisory services as a registered investment advisor to
affiliated and unaffiliated clients
|
|
Nationwide
Asset Management Holdings Limited
|
England
and Wales
|
|
The
Company is an investment holding company
|
Nationwide
Assurance Company
|
Wisconsin
|
|
The
company underwrites non-standard automobile and motorcycle
insurance.
|
Nationwide
Bank*
|
United
States
|
|
This
is a federal savings bank chartered by the Office of Thrift Supervision
in
the United States Department of Treasury to exercise deposit, lending
agency custody and fiduciary powers and to engage in activities
permissible for federal savings banks under the Home Owners’ Loan act of
1933.
|
Nationwide
Better Health, Inc. (f.k.a. Nationwide Health and Productivity
Company)
|
Ohio
|
|
The
company is a holding company for the health and productivity operations
of
Nationwide.
|
Nationwide
Cash Management Company
|
Ohio
|
|
The
company buys and sells investment securities of a short-term nature
as the
agent for other Nationwide corporations, foundations, and insurance
company separate accounts.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
Nationwide
Community Development Corporation, LLC
|
Ohio
|
|
The
company holds investments in low-income housing funds.
|
Nationwide
Corporation
|
Ohio
|
|
The
company acts primarily as a holding company for entities affiliated
with
Nationwide Mutual Insurance Company and Nationwide Mutual Fire Insurance
Company.
|
Nationwide
Document Solutions, Inc. (f.k.a. ALLIED Document Solutions,
Inc.)
|
Iowa
|
|
The
company provides general printing services to its affiliated companies
as
well as to certain unaffiliated companies.
|
Nationwide
Emerging Managers, LLC (f.k.a. Gartmore Emerging Managers,
LLC)
|
Delaware
|
|
The
company acquires and holds interests in registered investment advisors
and
provides investment management services.
|
Nationwide
Exclusive Agent Risk Purchasing Group, LLC
|
Ohio
|
|
The
company's purpose is to provide a mechanism for the purchase of group
liability insurance for insurance agents operating
nationwide.
|
Nationwide
Financial Assignment Company
|
Ohio
|
|
The
company is an administrator of structured settlements.
|
Nationwide
Financial Institution Distributors Agency, Inc.
|
Delaware
|
|
The
company is an insurance agency.
|
Nationwide
Financial Services Capital Trust
|
Delaware
|
|
The
trust's sole purpose is to issue and sell certain securities representing
individual beneficial interests in the assets of the
trust.
|
Nationwide
Financial Services, Inc.*
|
Delaware
|
|
The
company acts primarily as a holding company for companies within
the
Nationwide organization that offer or distribute long-term savings
and
retirement products.
|
Nationwide
Financial Sp. Zo.o
|
Poland
|
The
company provides services to Nationwide Global Holdings, Inc. in
Poland.
|
|
Nationwide
Financial Structured Products, LLC
|
Ohio
|
|
The
company captures and reports the results of the structured products
business unit.
|
Nationwide
Foundation*
|
Ohio
|
|
The
company contributes to non-profit activities and
projects.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
Nationwide
Fund Advisors
|
Delaware
|
The
company is a business trust. The trust is designed to act as a registered
investment advisor.
|
|
Nationwide
Fund Distributors LLC (f.k.a. Gartmore Distribution Services,
Inc.)
|
Delaware
|
The
company is a distributor and administrator for Nationwide mutual
funds.
|
|
Nationwide
Fund Management LLC (f.k.a Gartmore Investors Services,
Inc.)
|
Delaware
|
The
corporation provides transfer and dividend disbursing services to
various
mutual fund entities.
|
|
Nationwide
General Insurance Company
|
Ohio
|
|
The
company transacts a general insurance business, except life insurance,
and
primarily provides automobile and fire insurance to select
customers.
|
Nationwide
Global Funds
|
Luxembourg
|
|
This
company issues shares of mutual funds.
|
Nationwide
Global Holdings, Inc.
|
Ohio
|
|
The
company is a holding company for the international operations of
Nationwide.
|
Nationwide
Global Ventures (f.k.a. Gartmore Global Ventures, Inc.)
|
Delaware
|
|
The
company acts as a holding company.
|
Nationwide
Indemnity Company*
|
Ohio
|
|
The
company is involved in the reinsurance business by assuming business
from
Nationwide Mutual Insurance Company and other insurers within the
Nationwide Insurance organization.
|
Nationwide
Insurance Company of America
|
Wisconsin
|
|
The
corporation is an independent agency personal lines underwriter of
property/casualty insurance.
|
Nationwide
Insurance Company of Florida*
|
Ohio
|
|
The
company transacts general insurance business except life
insurance.
|
Nationwide
International Underwriters
|
California
|
|
The
company is a special risk, excess and surplus lines underwriting
manager.
|
Nationwide
Investment Advisors, LLC
|
Ohio
|
|
The
company provides investment advisory services.
|
Nationwide
Investment Services Corporation**
|
Oklahoma
|
|
This
is a limited purpose broker-dealer and acts as an investment
advisor.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
Nationwide
Life and Annuity Company of America**
|
Delaware
|
|
The
company provides variable and traditional life insurance and other
investment products. The company also maintains blocks of individual
variable and fixed annuities products.
|
Nationwide
Life and Annuity Insurance Company**
|
Ohio
|
|
The
company engages in underwriting life insurance and granting, purchasing,
and disposing of annuities.
|
Nationwide
Life Insurance Company*
|
Ohio
|
|
The
company provides individual life insurance, group life and health
insurance, fixed and variable annuity products, and other life insurance
products.
|
Nationwide
Life Insurance Company of America*
|
Pennsylvania
|
|
The
company provides individual life insurance and group annuity
products.
|
Nationwide
Life Insurance Company of Delaware*
|
Delaware
|
|
The
company insures against personal injury, disability or death resulting
from traveling, sickness or other general accidents, and every type
of
insurance appertaining thereto.
|
Nationwide
Lloyds
|
Texas
|
|
The
company markets commercial property insurance in Texas.
|
Nationwide
Management Systems, Inc.
|
Ohio
|
|
The
company offers a preferred provider organization and other related
products and services.
|
Nationwide
Mutual Capital, LLC (f.k.a. Nationwide Strategic
Investment Fund, LLC)
|
Ohio
|
|
The
company acts as a private equity fund investing in companies for
investment purposes and to create strategic opportunities for
Nationwide.
|
Nationwide
Mutual Capital I, LLC*
|
Delaware
|
|
The
business of the company is to achieve long-term capital appreciation
through a portfolio of primarily domestic equity investments in financial
service and related companies.
|
Nationwide
Mutual Fire Insurance Company
|
Ohio
|
|
The
company engages in a general insurance and reinsurance business,
except
life insurance.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
Nationwide
Mutual Funds
|
Delaware
|
The
corporation operates as a business trust for the purposes of issuing
investment shares to the public and to segregated asset accounts
of life
insurance companies.
|
|
Nationwide
Mutual Insurance Company*
|
Ohio
|
|
The
company engages in a general insurance and reinsurance business,
except
life insurance.
|
Nationwide
Private Equity Fund, LLC
|
Ohio
|
|
The
company invests in private equity funds.
|
Nationwide
Property and Casualty Insurance Company
|
Ohio
|
|
The
company engages in a general insurance business, except life
insurance.
|
Nationwide
Property Protection Services, LLC
|
Ohio
|
|
The
company provides alarm systems and security guard
services.
|
Nationwide
Provident Holding Company* (f.k.a. Provident Mutual Holding
Company)
|
Pennsylvania
|
|
The
company is a holding company for non-insurance
subsidiaries.
|
Nationwide
Realty Investors, Ltd.*
|
Ohio
|
|
The
company is engaged in the business of developing, owning and operating
real estate and real estate investments.
|
Nationwide
Retirement Solutions, Inc.*
|
Delaware
|
|
The
company markets and administers deferred compensation plans for public
employees.
|
Nationwide
Retirement Solutions, Inc. of Arizona
|
Arizona
|
|
The
company markets and administers deferred compensation plans for public
employees.
|
Nationwide
Retirement Solutions, Inc. of Ohio
|
Ohio
|
|
The
company provides retirement products, marketing and education and
administration to public employees.
|
Nationwide
Retirement Solutions, Inc. of Texas
|
Texas
|
|
The
company markets and administers deferred compensation plans for public
employees.
|
Nationwide
Retirement Solutions, Insurance Agency, Inc.
|
Massachusetts
|
|
The
company markets and administers deferred compensation plans for public
employees.
|
Nationwide
S.A. Capital Trust (f.k.a. Gartmore S.A. Capital Trust)
|
Delaware
|
The
company is a business trust. The trust is designed to act as a registered
investment advisor.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
Nationwide
Sales Solutions, Inc. (f.k.a. Allied Group Insurance Marketing
Company)
|
Iowa
|
|
The
company engages in direct marketing of property and casualty insurance
products.
|
Nationwide
Securities, Inc.*
|
Ohio
|
|
The
company is a registered broker-dealer and provides investment management
and administrative services.
|
Nationwide
Separate Accounts, LLC (f.k.a. Gartmore Separate Accounts,
LLC)
|
Delaware
|
|
The
company acts as a registered investment advisor.
|
Nationwide
Services Company, LLC
|
Ohio
|
|
The
company performs shared services’ functions for the Nationwide
organization.
|
Nationwide
Services For You, LLC
|
Ohio
|
|
The
company provides consumer services that are related to the business
of
insurance, including services that help consumers prevent losses
and
mitigate risks.
|
Nationwide
Services Sp. Zo.o.
|
Poland
|
The
corporation provides services to Nationwide Global Holdings, Inc.
in
Poland.
|
|
Newhouse
Capital Partners, LLC
|
Delaware
|
|
The
company invests in financial services companies that specialize in
e-commerce and promote distribution of financial
services.
|
Newhouse
Capital Partners II, LLC
|
Delaware
|
|
The
company invests in financial services companies that specialize in
e-commerce and promote distribution of financial
services.
|
Newhouse
Special Situations Fund I, LLC
|
Delaware
|
|
The
company owns and manages contributed securities in order to achieve
long-term capital appreciation from the contributed securities and
through
investments in a portfolio of other equity investments in financial
service and other related companies.
|
NF
Reinsurance Ltd.*
|
Bermuda
|
|
The
company serves as a captive reinsurer for Nationwide Life Insurance
Company’s universal life, term life and annuity
business.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
NFS
Distributors, Inc.
|
Delaware
|
|
The
company acts primarily as a holding company for Nationwide Financial
Services, Inc.'s distribution companies.
|
NWD
Investment Management, Inc. (f.k.a. Gartmore Global Investments,
Inc.)
|
Delaware
|
|
The
company acts as a holding company and provides other business services
for
the NWD Investments group of companies.
|
NWD
Management & Research Trust (f.k.a. Gartmore Global Asset Management
Trust)
|
Delaware
|
|
The
company acts as a holding company for the NWD Investments group of
companies and as a registered investment advisor.
|
NWD
MGT, LLC (f.k.a. GGI MGT LLC)
|
Delaware
|
|
The
company is a passive investment holder in Newhouse Special Situations
Fund
I, LLC for the purpose of allocation of earnings to the NWD Investments
management team as it relates to the ownership and management of
Newhouse
Special Situations Fund I, LLC.
|
Olentangy
Reinsurance Company
|
Vermont
|
The
company is a resinsurance company.
|
|
Pension
Associates, Inc.
|
Wisconsin
|
|
The
company provides pension plan administration and record keeping services,
and pension plan and compensation consulting.
|
Premier
Agency, Inc.
|
Iowa
|
|
This
company is an insurance agency.
|
Provestco,
Inc.
|
Delaware
|
|
The
company serves as a general partner in certain real estate limited
partnerships invested in by Nationwide Life Insurance Company of
America.
|
RCMD
Financial Services, Inc.
|
Delaware
|
|
The
company is a holding company.
|
Registered
Investment Advisors Services, Inc.
|
Texas
|
|
The
company facilitates third-party money management services for plan
providers.
|
Retention
Alternatives, Ltd.*
|
Bermuda
|
|
The
company is a captive insurer and writes first dollar insurance policies
in
workers’ compensation, general liability and automobile liability for its
affiliates in the United States.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
Riverview
Alternative Investment Advisors, LLC (f.k.a. Gartmore Riverview,
LLC)
|
Delaware
|
|
The
company provides investment management services to a limited number
of
institutional investors.
|
Riverview
Alternative Investment Advisors II LLC (f.k.a. Gartmore riverview
II,
LLC)
|
Delaware
|
|
The
company is a holding company.
|
Riverview
International Group, Inc.
|
Delaware
|
|
The
company is a holding company.
|
RP&C
International, Inc.
|
Ohio
|
|
The
company is an investment-banking firm that provides specialist advisory
services and innovative financial solutions to public and private
companies internationally.
|
Scottsdale
Indemnity Company
|
Ohio
|
|
The
company is engaged in a general insurance business, except life
insurance.
|
Scottsdale
Insurance Company
|
Ohio
|
|
The
company primarily provides excess and surplus lines of property and
casualty insurance.
|
Scottsdale
Surplus Lines Insurance Company
|
Arizona
|
|
The
company provides excess and surplus lines coverage on a non-admitted
basis.
|
TBG
Aviation, LLC
|
California
|
|
The
company holds an investment in a leased airplane and maintains an
operating agreement with Flight Options.
|
TBG
Danco Insurance Services Corporation
|
California
|
The
corporation provides life insurance and individual executive estate
planning.
|
|
TBG
Financial & Insurance Services Corporation*
|
California
|
|
The
company consults with corporate clients and financial institutions
on the
development and implementation of proprietary and/or private placement
insurance products for the financing of executive benefit programs
and
individual executive's estate planning requirements. As a
broker dealer, TBG Financial & Insurance Services Corporation provides
access to institutional insurance investment
products.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
TBG
Insurance Services Corporation*
|
Delaware
|
|
The
company markets and administers executive benefit
plans.
|
THI
Holdings (Delaware), Inc.*
|
Delaware
|
|
The
company acts as a holding company for subsidiaries of the Nationwide
group
of companies.
|
Titan
Auto Insurance of New Mexico, Inc.
|
New
Mexico
|
|
The
Company is an insurance agency and operates as an employee agent
"storefront" for Titan Indemnity Company in New Mexico.
|
Titan
Indemnity Company
|
Texas
|
|
The
company is a multi-line licensed insurance company and is operating
primarily as a property and casualty insurance company.
|
Titan
Insurance Company
|
Michigan
|
|
This
is a property and casualty insurance company.
|
Titan
Insurance Services, Inc.
|
Texas
|
|
The
company is a Texas grandfathered managing general
agency.
|
Veterinary
Pet Insurance Company*
|
California
|
|
The
company provides pet insurance.
|
Victoria
Automobile Insurance Company
|
Indiana
|
|
The
company is a property and casualty insurance company.
|
Victoria
Fire & Casualty Company
|
Ohio
|
|
The
company is a property and casualty insurance company.
|
Victoria
National Insurance Company
|
Ohio
|
|
The
company is a property and casualty insurance company.
|
Victoria
Select Insurance Company
|
Ohio
|
|
The
company is a property and casualty insurance company.
|
Victoria
Specialty Insurance Company
|
Ohio
|
|
The
company is a property and casualty insurance company.
|
Vida
Seguradora SA
|
Brazil
|
The
company operates as a licensed insurance company in the categories
of life
and unrestricted private pension plan in Brazil.
|
|
VPI
Services, Inc.
|
California
|
|
The
company operates as a nationwide pet registry service for holders
of
Veterinary Pet Insurance Company policies, including pet indemnification
and a lost pet recovery program.
|
Washington
Square Administrative Services, Inc.
|
Pennsylvania
|
|
The
company provides administrative services to Nationwide Life and Annuity
Company of America.
|
Western
Heritage Insurance Company
|
Arizona
|
|
The
company underwrites excess and surplus lines of property and casualty
insurance.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES (see attached chart unless otherwise
indicated)
|
PRINCIPAL
BUSINESS
|
Whitehall
Holdings, Inc.
|
Texas
|
|
The
company acts as a holding company for the Titan group of
agencies.
|
W.I.
of Florida (d.b.a. Titan Auto Insurance)
|
Florida
|
|
The
company is an insurance agency and operates as an employee agent
storefront for Titan Indemnity Company in
Florida.
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES
(see
attached chart
unless
otherwise indicated)
|
PRINCIPAL
BUSINESS
|
|
*
|
MFS
Variable Account
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Multi-Flex Variable Account
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
VA Separate Account-A
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
VA Separate Account-B
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
VA Separate Account-C
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
VA Separate Account-D
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-II
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-3
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-4
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-5
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-6
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-7
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-8
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-9
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-10
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-11
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-12
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-13
|
Ohio
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Variable Account-14
|
Ohio
|
Issuer
of Annuity Contracts
|
|
Nationwide
Variable Account-15
|
Ohio
|
Issuer
of Annuity Contracts
|
COMPANY
|
STATE/COUNTRY
OF ORGANIZATION
|
NO.
VOTING SECURITIES
(see
attached chart
unless
otherwise indicated)
|
PRINCIPAL
BUSINESS
|
|
Nationwide
Variable Account-16
|
Ohio
|
Issuer
of Annuity Contracts
|
||
Nationwide
Variable Account-17
|
Ohio
|
Issuer
of Annuity Contracts
|
||
*
|
Nationwide
Provident VA Separate Account 1
|
Pennsylvania
|
Issuer
of Annuity Contracts
|
|
*
|
Nationwide
Provident VA Separate Account A
|
Delaware
|
Issuer
of Annuity Contracts
|
|
Nationwide
VL Separate Account-A
|
Ohio
|
Issuer
of Life Insurance Policies
|
||
Nationwide
VL Separate Account-B
|
Ohio
|
Issuer
of Life Insurance Policies
|
||
*
|
Nationwide
VL Separate Account-C
|
Ohio
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
VL Separate Account-D
|
Ohio
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
VL Separate Account-G
|
Ohio
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
VLI Separate Account
|
Ohio
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
VLI Separate Account-2
|
Ohio
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
VLI Separate Account-3
|
Ohio
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
VLI Separate Account-4
|
Ohio
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
VLI Separate Account-5
|
Ohio
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
VLI Separate Account-6
|
Ohio
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
VLI Separate Account-7
|
Ohio
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
Provident VLI Separate Account 1
|
Pennsylvania
|
Issuer
of Life Insurance Policies
|
|
*
|
Nationwide
Provident VLI Separate Account A
|
Delaware
|
Issuer
of Life Insurance Policies
|
Item
29.
|
Indemnification
|
o
|
any
threatened, pending or completed civil action, suit or
proceeding;
|
o
|
any
threatened, pending or completed criminal action, suit or
proceeding;
|
o
|
any
threatened, pending or completed administrative action or
proceeding;
|
o
|
any
threatened, pending or completed investigative action or
proceeding.
|
(a)
|
Nationwide
Investment Services Corporation ("NISC") serves as principal underwriter
and general distributor for the following separate investment accounts
of
Nationwide or its affiliates:
|
Multi-Flex
Variable Account
|
Nationwide
VLI Separate Account-2
|
Nationwide
Variable Account
|
Nationwide
VLI Separate Account-3
|
Nationwide
Variable Account-II
|
Nationwide
VLI Separate Account-4
|
Nationwide
Variable Account-4
|
Nationwide
VLI Separate Account-6
|
Nationwide
Variable Account-5
|
Nationwide
VLI Separate Account-7
|
Nationwide
Variable Account-6
|
Nationwide
VL Separate Account-C
|
Nationwide
Variable Account-7
|
Nationwide
VL Separate Account-D
|
Nationwide
Variable Account-8
|
Nationwide
VL Separate Account-G
|
Nationwide
Variable Account-9
|
|
Nationwide
Variable Account-10
|
|
Nationwide
Variable Account-11
|
|
Nationwide
Variable Account-13
|
|
Nationwide
Variable Account-14
|
|
Nationwide
VA Separate Account-A
|
|
Nationwide
VA Separate Account-B
|
|
Nationwide
VA Separate Account-C
|
(b)
|
Directors
and Officers of NISC:
|
President
|
Robert
O. Cline
|
Senior
Vice President and Secretary
|
Thomas
E. Barnes
|
Senior
Vice President, Treasurer and Director
|
James
D. Benson
|
Vice
President
|
Karen
R. Colvin
|
Vice
President
|
Charles
E. Riley
|
Vice
President
|
Trey
Rouse
|
Vice
President-Chief Compliance Officer
|
James
J. Rabenstine
|
Secretary
|
Kathy
R. Richards
|
Assistant
Treasurer
|
Terry
C. Smetzer
|
Director
|
John
L. Carter
|
Director
|
Eric
S. Henderson
|
Name
of Principal Underwriter
|
Net
Underwriting Discounts and Commissions
|
Compensation
on Redemption or Annuitization
|
Brokerage
Commissions
|
Compensation
|
Nationwide
Investment Services Corporation
|
N/A
|
N/A
|
N/A
|
N/A
|
Item
33.
|
Fee
Representation
|
NATIONWIDE
VLI SEPARATE ACCOUNT-4
|
(Registrant)
|
NATIONWIDE
LIFE INSURANCE COMPANY
|
(Depositor)
|
By:
/s/ TIMOTHY D. CRAWFORD
|
Timothy
D. Crawford
|
W.
G. JURGENSEN
|
|
W.
G. Jurgensen, Director and Chief Executive Officer
|
|
ARDEN
L. SHISLER
|
|
Arden
L. Shisler, Chairman of the Board
|
|
JOSEPH
A. ALUTTO
|
|
Joseph
A. Alutto, Director
|
|
JAMES
G. BROCKSMITH, JR.
|
|
James
G. Brocksmith, Jr., Director
|
|
KEITH
W. ECKEL
|
|
Keith
W. Eckel, Director
|
|
LYDIA
M. MARSHALL
|
|
Lydia
M. Marshall, Director
|
|
DAVID
O. MILLER
|
|
David
O. Miller, Director
|
|
JAMES
F. PATTERSON
|
|
James
F. Patterson, Director
|
|
GERALD
D. PROTHRO
|
|
Gerald
D. Prothro, Director
|
|
ALEX
SHUMATE
|
|
Alex
Shumate, Director
|
|
THOMAS
F. ZENTY III
|
|
Thomas
F. Zenty III, Director
|
|
By
/s/ Timothy D. Crawford
|
|
Timothy
D.Crawford
|
|
Attorney-in-Fact
|
|
Separate
Account (1940 Act File No.)
|
1933
Act File Nos.
|
MFS
Variable Account (811-2662)
|
002-73432
|
Multi-Flex
Variable Account (811-3338)
|
033-23905,
002-75174
|
Nationwide
Variable Account (811-2716)
|
002-58043,
333-80481, 033-60239
|
Nationwide
Variable Account-II (811-3330)
|
002-75059,
033-67636, 033-60063, 333-103093, 333-103094, 333-103095, 333-104513,
333-104511, 333-104512, 333-104510, 333-105992, 333-147273, 333-140621,
333-144053, 333-147198, Choice Venue III (1933 Act File No.
TBD)
|
Nationwide
Variable Account-3 (811-5405)
|
033-18422,
033-24434
|
Nationwide
Variable Account-4 (811-5701)
|
033-25734,
033-26454, 333-62692, 333-135650, 333-140812
|
Nationwide
Variable Account-5 (811-8142)
|
033-71440
|
Nationwide
Variable Account-6 (811-8684)
|
033-82370,
333-21909
|
Nationwide
Variable Account-7 (811-8666)
|
033-82190,
033-82174, 033-89560
|
Nationwide
Variable Account-8 (811-7357)
|
033-62637,
033-62659
|
Nationwide
Variable Account-9 (811-08241)
|
333-28995,
333-52579, 333-56073, 333-53023, 333-79327, 333-69014,
333-75360
|
Nationwide
Variable Account-10 (811-09407)
|
333-81701
|
Nationwide
Variable Account-11 (811-10591)
|
333-74904,
333-74908
|
Nationwide
Variable Account-12 (811-21099)
|
333-88612,
333-108894
|
Nationwide
Variable Account-13 (811-21139)
|
333-91890
|
Nationwide
Variable Account-14 (811-21205)
|
333-104339
|
Nationwide
VA Separate Account-A (811-5606)
|
033-85164,
333-22940
|
Nationwide
VA Separate Account-B (811-06399)
|
033-86408,
033-93482, 333-11415
|
Nationwide
VA Separate Account-C (811-7908)
|
033-66496,
333-44485
|
Nationwide
VA Separate Account-D (811-10139)
|
333-45976
|
Nationwide
VLI Separate Account (811-4399)
|
033-00145,
033-44290, 033-35698
|
Nationwide
VLI Separate Account-2 (811-5311)
|
033-16999,
033-62795, 033-42180, 033-35783, 033-63179, 333-27133
|
Nationwide
VLI Separate Account-3 (811-6140)
|
033-44789,
033-44296
|
Nationwide
VLI Separate Account-4 (811-8301)
|
333-31725,
333-43671, 333-52617, 333-94037, 333-52615, 333-53728, 333-69160,
333-83010, 333-137202, Marathon Corporate Variable Universal Life
(1933
Act File No. TBD)
|
Nationwide
VLI Separate Account-5 (811-10143)
|
333-46338,
333-46412, 333-66572, 333-121881, 333-125481,
333-125482
|
Nationwide
VLI Separate Account-6 (811-21398)
|
333-106908
|
Nationwide
VLI Separate Account-7 (811-21610)
|
333-117998,
333-121879, 333-146649, 333-140606, 333-149295
|
Nationwide
VL Separate Account-A (811-6137)
|
033-44792,
033-44300, 033-35775, 333-27123, 333-22677
|
Nationwide
VL Separate Account-B (811-07819)
|
333-12333
|
Nationwide
VL Separate Account-C (811-8351)
|
333-43639,
333-36869
|
Nationwide
VL Separate Account-D (811-08891)
|
333-59517
|
Separate
Account (1940 Act File No.)
|
1933
Act File Nos.
|
Nationwide
VL Separate Account-G (811-21697)
|
333-121878,
333-140608, 333-146073, 333-146650,
333149213
|
Insurance
Company
|
1933
Act File Nos.
|
Nationwide
Life Insurance Company
|
333-133163,
333-49112, 333-149613
|
Nationwide
Life and Annuity Insurance Company
|
333-47640
|
/s/
W. G. JURGENSEN
|
/s/
ARDEN L. SHISLER
|
|
W.
G. JURGENSEN, Director and Chief Executive Officer
|
ARDEN
L. SHISLER, Chairman of the Board
|
|
/s/
JOSEPH A. ALUTTO
|
/s/JAMES
G. BROCKSMITH, JR.
|
|
JOSEPH
A. ALUTTO, Director
|
JAMES
G. BROCKSMITH, JR., Director
|
|
/s/KEITH
W. ECKEL
|
/s/LYDIA
M. MARSHALL
|
|
KEITH
W. ECKEL, Director
|
LYDIA
M. MARSHALL, Director
|
|
/s/MARTHA
MILLER DE LOMBERA
|
/s/
DAVID O. MILLER
|
|
MARTHA
MILLER DE LOMBERA, Director
|
DAVID
O. MILLER, Director
|
|
/s/JAMES
F. PATTERSON
|
/s/GERALD
D. PROTHRO
|
|
JAMES
F. PATTERSON, Director
|
GERALD
D. PROTHRO, Director
|
|
/s/ALEX
SHUMATE
|
/s/THOMAS
F. ZENTY III
|
|
ALEX
SHUMATE, Director
|
THOMAS
F. ZENTY III, Director
|
Re:
|
Nationwide
Life Insurance Company
|
Nationwide
VLI Separate Account-4
|
|
Registration
Statement
|
|
1.
|
The
Company is a corporation duly organized and validly existing as a
stock
life insurance company under the laws of the State of Ohio and is
duly
authorized to issue and sell life insurance and annuity
contracts.
|
2.
|
The
Separate Account has been properly created and is a validly existing
separate account pursuant to the laws of the State of
Ohio.
|
3.
|
The
issuance and sale of the Corporate Flexible Premium Adjustable Variable
Universal Life Insurance Policies (the “Policies”) have been duly
authorized by the Company. The Policies, when issued and sold
in the manner stated in the registration statement, will be legal
and
binding obligations of the Company in accordance with their terms,
except
that clearance must be obtained, or the contract form must be approved,
prior to the issuance thereof in certain
jurisdictions.
|
|
Individual
Flexible Premium Adjustable Variable Universal Life Insurance
Policy,
|
|
Non-Participating
|
|
Internal
Revenue Code Life Insurance
|
|
Qualification
Test
9
|
|
Substitution
of Securities and Changes of
Investment
Policy
16
|
|
Other
Variable Account
Changes
16
|
|
Maximum
and Minimum Loans and
|
|
Loan
Account
20
|
1.
|
singular
references will also refer to the plural and plural references will
also
refer to the singular;
|
2.
|
when
we refer to a "provision" it means the entire contents under a main
heading in this Policy; and
|
3.
|
when
we refer to a "section," it means the entire contents under a sub-heading
within a provision.
|
1.
|
for
insurance coverage applied for in the original application the effective
date is the Policy Date, subject to our underwriting approval, our
receipt
and acceptance of all required application materials, including any
supplemental applications; and
|
a.
|
payment
of the Minimum Initial Premium; or
|
b.
|
if
your Policy is issued pursuant to a Section 1035 Exchange to
us;
|
i.
|
upon
our receipt of written authorization of payment of the Cash Surrender
Value to us by the insurance carrier for the exchanged Policy;
or
|
ii.
|
our
receipt of sufficient Premium to pay the Policy's monthly deductions
and
other charges for at least three
months;
|
2.
|
for
increases or other additions to coverage, the effective date is the
Policy
Monthaversary on or next following our approval of your supplemental
application for insurance, unless you request and we approve a different
date;
|
3.
|
in
the case of decrease in coverage, the effective date of
coverage will be the Policy Monthaversary on or next following the
date we
receive your request, unless you request and we approve a different
date;
and
|
4.
|
in
the case of a reinstatement, the effective date is the Policy
Monthaversary on or next following our approval of your reinstatement
request, unless you request and we approve a different
date.
|
1.
|
you
request in writing to terminate coverage under this
Policy;
|
2.
|
the
Insured dies;
|
3.
|
you
elect to receive the Maturity Proceeds on the Maturity
Date;
|
4.
|
a
grace period ends; or
|
5.
|
you
completely Surrender this Policy for its Cash Surrender
Value.
|
1.
|
is
the Net Amount at Risk at the time of the Insured's death divided
by
$1,000;
|
2.
|
is
the ratio of the applicable monthly cost of insurance rate per $1,000
of
Net Amount at Risk applied in the Policy month of death and the monthly
cost of Insurance rate per $1,000 of Net Amount at Risk that should
have
been applied at the Insured's true age or sex (if not unisex classified)
in the Policy month of death; and
|
3.
|
is
the Cash Value at the time of the Insured's
death.
|
1.
|
any
additional Premium payment is at least as great as the Minimum
Additional Premium stated in the Policy Data
Pages;
|
2.
|
we
may require evidence of insurability satisfactory to us before accepting
any Premium that will increase the Net Amount at
Risk;
|
3.
|
we
will refund any Premium received that is in excess of the Premium
limit
that allows this Policy to satisfy the requirements of Section 7702
of the
Internal Revenue Code, as amended;
|
4.
|
we
may require you to pay any existing Indebtedness under this Policy
prior
to accepting any additional Premiums;
and
|
5.
|
additional
Premiums will not be accepted after the Insured's Attained Age 100,
except
as necessary to keep this Policy in
force.
|
1.
|
the
monthly per policy administrative expense charge;
plus
|
2.
|
the
monthly per $1,000 of specified amount charge;
plus
|
3.
|
the
monthly cost of any additional benefits provided by any elected optional
Riders; plus
|
4.
|
the
monthly cost of insurance per $1,000 of Net Amount at
Risk.
|
1.
|
investment
earnings;
|
2.
|
mortality
experience;
|
3.
|
persistency
experience;
|
4.
|
expenses,
including reinsurance expenses;
and/or
|
5.
|
taxes.
|
1.
|
the
reinstatement request is in writing and received by us within three
years
after the end of the most recent grace period and prior to the Maturity
Date;
|
2.
|
the
Policy has not been Surrendered for its Cash Surrender
Value;
|
3.
|
we
may require you to provide evidence of the Insured's current insurability
satisfactory to us;
|
4.
|
you
must pay us Net Premium equal to the monthly deductions that were
due and
unpaid during the grace period prior to lapse plus an amount sufficient
to
keep the Policy in force for three months from the date of reinstatement;
and
|
5.
|
you
must pay or reinstate any Indebtedness that existed at the end of
the
grace period.
|
1.
|
is
the Sub-Account's Accumulation Unit value for the preceding Valuation
Period; and
|
2.
|
is
the Sub-Account's net investment factor for the subsequent Valuation
Period.
|
1.
|
is
the net of:
|
a.
|
the
net asset value per share of the underlying investment option held
in the
Sub-Account at the end of the current Valuation Period;
plus
|
b.
|
the
per share amount of any dividend and capital gains distributions
made by
the underlying investment option held in the Sub-Account if the
"ex-dividend" date occurs during the current Valuation Period; plus
or
minus
|
c.
|
a
per share charge or credit for taxes reserved for, if any, which
is
determined by us to have resulted from the investment operations
of the
Sub-Account.
|
2.
|
is
the net of:
|
a.
|
the
net asset value per share of the underlying investment option held
in the
Sub-Account determined as of the end of the immediately preceding
Valuation Period; plus or minus
|
b.
|
the
per share charge or credit for taxes reserved for in the immediately
preceding Valuation Period.
|
3.
|
is
the applicable Variable Account Asset Charge for the number of days
in the
current Valuation Period. The Guaranteed Maximum Variable Account
Asset
Charge is stated in the Policy Data
Pages.
|
1.
|
the
number of Accumulation Units on the preceding Valuation Date;
plus
|
2.
|
any
Accumulation Units purchased by Net Premium or transfers into the
Sub-Account on the current Valuation Date;
minus
|
3.
|
any
Accumulation Units sold for partial Surrenders or transfers out of
the
Sub-Account on the current Valuation Date;
minus
|
4.
|
any
Accumulation Units cancelled by monthly deductions and other charges
that
are due on the current Valuation Date and assessed against the
Sub-Account.
|
1.
|
taking
the dollar value of the purchase or sale;
and
|
2.
|
dividing
it by the Accumulation Unit value of the Sub-Account on the current
Valuation Date.
|
1.
|
a
Variable Account may be operated as an investment company under the
Investment Company Act of 1940, or in any other form permitted by
law, if
we deem it to be in the best interest of the Policy
Owners;
|
2.
|
a
Variable Account may be deregistered under the Investment Company
Act of
1940 in the event registration is no longer
required;
|
3.
|
a
Variable Account may be combined with other separate investment accounts;
and
|
4.
|
the
provisions of this Policy and other policies may be modified to comply
with any other applicable federal or state
laws.
|
1.
|
the
Cash Value in the Fixed Account on the preceding Valuation Date;
plus
|
2.
|
any
interest credited during the current Valuation Period;
plus
|
3.
|
any
Net Premiums or other amounts allocated to the Fixed Account during
the
current Valuation Period; minus
|
4.
|
any
amounts transferred from the Fixed Account during the current Valuation
Period; minus
|
5.
|
the
portion of any monthly deductions which are due and charged to the
Fixed
Account during the current Valuation Period;
minus
|
6.
|
any
partial Surrender amounts allocated to the Fixed Account during the
current Valuation Period.
|
1.
|
the
Enhancement Benefit is not available during the Right to Examine
and
Cancel period;
|
2.
|
the
Enhancement Benefit is available during the term of the Enhancement
Benefit stated in the Policy Data
Pages;
|
3.
|
the
Surrender proceeds must be payable to the Policy Owner. The
Enhancement Benefit is not payable on a complete Surrender that qualifies
as a Section 1035 Exchange; and
|
4.
|
the
Enhancement Benefit is not available in conjunction with a Policy
loan or
a partial Surrender, or lapse.
|
1.
|
insurance
provided by the most recent Specified Amount
increase;
|
2.
|
insurance
provided by the next most recent Specified Amount increases successively;
then
|
3.
|
insurance
provided by the initial Specified Amount in effect on the Policy
Date.
|
1.
|
the
minimum partial Surrender permitted is
$500;
|
2.
|
the
maximum amount of a partial Surrender is the Cash Value, less any
Indebtedness, and less the greater of $500 or three (3) monthly
deductions;
|
3.
|
a
partial Surrender may not reduce the Specified Amount to less than
the
Minimum Specified Amount stated in the Policy Data
Pages;
|
4.
|
a
partial Surrender will not be permitted if in our reasonable belief,
it
would cause this Policy to not satisfy the requirements of Section
7702 of
the Internal Revenue Code, as amended, at any time;
and
|
5.
|
we
reserve the right to defer payment of a partial Surrender as described
in
the Postponement of Payments
section.
|
1.
|
it
occurs before the 15th Policy Anniversary;
and
|
2.
|
its
amount, plus the amount of any prior preferred partial Surrenders
in the
same Policy Year, does not exceed 10% of the Cash Value as of the
beginning of the Policy Year.
|
1.
|
a
Policy Anniversary;
|
2.
|
at
the time a subsequent loan is
processed;
|
3.
|
at
the time of a loan repayment;
|
4.
|
at
the time of a Policy reinstatement;
|
5.
|
at
the time of complete Surrender; or
|
6.
|
upon
the death of the Insured.
|
1.
|
the
Cash Value in the Policy Loan Account on the preceding Valuation
Date;
plus
|
2.
|
any
loan interest credited during the current Valuation Period;
plus
|
3.
|
any
amounts transferred to the Policy Loan Account because of additional
Policy loans and any due and unpaid loan interest charged during
the
current Valuation Period; minus
|
4.
|
the
amount of loan interest credited transferred from the Policy Loan
Account
to the Variable Account or the Fixed Account during the current Valuation
Period; minus
|
5.
|
loan
repayments made during the current Valuation
Period.
|
1.
|
the
Specified Amount in effect on the date of the Insured's death;
or
|
2.
|
the
Enhanced Cash Value on the date of the Insured's death multiplied
by the
applicable percentage from the Internal Revenue Code Life Insurance
Qualification Test Table stated in the Policy Data Pages at the Attained
Age of the Insured on the date of the Insured's
death.
|
1.
|
the
Specified Amount in effect plus the Cash Value on the date of the
Insured's death; or
|
2.
|
the
Enhanced Cash Value on the date of the Insured's death multiplied
by the
applicable percentage from the Internal Revenue Code Life Insurance
Qualification Test Table stated in the Policy Data Pages at the Attained
Age of the Insured on the date of the Insured's
death.
|
1.
|
(a)
plus (b) where:
|
2.
|
the
Enhanced Cash Value on the date of the Insured's death multiplied
by the
applicable percentage from the Internal Revenue Code Life Insurance
Qualification Test Table stated in the Policy Data Pages at the Attained
Age of the Insured on the date of the Insured’s
death.
|
1.
|
you
may only change the death benefit option once each Policy
Year;
|
2.
|
a
change to the death benefit option is effective the Policy Monthaversary
on or next following the date we approve the request for change,
unless
you request and we approve a different
date;
|
3.
|
we
will refuse a death benefit option change that would reduce the Specified
Amount to a level that, based on Premiums already paid, would result
in
this Policy failing to comply with Section 7702 of the Internal Revenue
Code, as amended;
|
4.
|
the
Cash Surrender Value after the death benefit option change must be
sufficient to keep this Policy in force for at least three (3) months;
and
|
5.
|
the
death benefit option change may not reduce the Specified Amount below
the
Minimum Specified Amount stated in the Policy Data
Pages.
|
1.
|
your
request must be in writing to our home office on forms we
provide;
|
2.
|
you
must provide evidence of insurability satisfactory to
us;
|
3.
|
the
increase must be for a minimum of
$10,000;
|
4.
|
we
reserve the right to limit right to increase the Specified Amount
to one
time each Policy Year;
|
5.
|
an
approved increase will have an effective date of the Policy Monthaversary
on or next following the date we approve the increase unless you
request,
and we approve a different date;
|
6.
|
the
Cash Surrender Value is sufficient to keep this Policy in force for
at
least three months;
|
7.
|
the
increased Specified Amount must not exceed the Maximum Death Benefit;
and
|
8.
|
we
reserve the right to discontinue allowing Specified Amount increases
at
any time.
|
1.
|
your
request must be in writing to our home office on forms we
provide;
|
2.
|
we
may limit the right to decreases the Specified Amount to one time
each
Policy Year;
|
3.
|
any
decrease will be effective on the Policy Monthaversary on or next
following our receipt of your request unless you request a different
date;
|
4.
|
we
will refuse any decrease that would reduce the Specified Amount below
the
Minimum Specified Amount stated in the Policy Data Pages or an amount
based on our reasonable belief that would result in failure of your
Policy
to satisfy the requirements of Section 7702 of the Internal Revenue
Code;
|
5.
|
insurance
is decreased in the following
order:
|
a.
|
insurance
provided by the most recent Specified Amount
increase;
|
b.
|
insurance
provided by the next most recent Specified Amount increases successively;
and then
|
c.
|
insurance
provided by the Specified Amount in effect on the Policy
Date.
|
1.
|
the
death benefit provided by your Policy;
plus
|
2.
|
any
insurance on the Insured's life that may be provided by Riders;
minus
|
3.
|
any
Indebtedness; and minus
|
4.
|
any
due and unpaid monthly deductions accruing during a grace
period.
|
1.
|
the
prohibition against premium payments after the Insured attains age
100
will continue; however, loans, loan repayments, and partial Surrenders
are
permitted;
|
2.
|
on
the Maturity Date, the Specified Amount will be changed to the Cash
Value,
and increases or decreases to the Specified Amount will not be permitted
thereafter;
|
3.
|
Death
Benefit Options 2 and 3 will be changed to Death Benefit Option 1
on the
Maturity Date, and no death benefit option changes will be permitted
thereafter;
|
4.
|
on
the Maturity Date, 100% of the Cash Value in the Sub-Accounts will
be
transferred to the Fixed Account and transfers out of the Fixed Account
will not be permitted; and
|
5.
|
monthly
deductions for the per policy administrative expense charge and the
monthly per $1,000 of specified amount charge will no longer be deducted
from the Cash Value.
|
|
Individual
Flexible Premium Adjustable Variable Universal Life Insurance
Policy,
|
|
Non-Participating
|
1.
|
The
base policy death benefit will be equal to the sum of (i) the Cash
Value
and (ii) the product of (a) the total Net Amount at Risk for the
base
policy and this Rider and (b) the ratio of the base policy Specified
Amount to the Total Specified
Amount.
|
2.
|
The
Rider death benefit will be equal to the excess of the Combined Death
Benefit over the death benefit for the base policy. Depending
on the Cash Value and the Rider Specified Amount, the death benefit
for
this Rider may at times be less than the Rider Specified
Amount.
|
1.
|
cause
the Policy to not satisfy the requirements of Section 7702 of the
Internal
Revenue Code, as amended;
|
2.
|
cause
the Policy to become a Modified Endowment Contract without written
acknowledgment from the Owner; or
|
3.
|
reduce
the Total Specified Amount below the Minimum Specified Amount stated
in
the Policy Data Page.
|
1.
|
The
date the Policy is surrendered or
terminated;
|
2.
|
Upon
lapse of the Policy at the end of the grace
period;
|
3.
|
The
death of the Insured;
|
4.
|
The
Insured reaches Attained Age 100.
|
|
CHANGE
OF INSURED RIDER
|
|
1.
|
you
must make written application for the
change;
|
|
2.
|
at
the time of the change, the new Insured must have the same business
relationship to you as did the previous Insured under the
Policy;
|
|
3.
|
the
change must occur within one year following the termination of the
business relationship which existed between you and the named Insured
on
the Policy Date;
|
|
4.
|
the
new Insured must submit evidence of insurability satisfactory to
us;
|
|
5.
|
this
Policy must be in force when the request is made and on the Change
Date;
and
|
6.
|
a
change of Insured will not be permitted while the Policy is in a
grace
period.
|
1.
|
The
Specified Amount must be such that the Policy continues to satisfy
the
requirements of Section 7702 of the Internal Revenue Code;
and
|
2.
|
the
Specified Amount must equal or exceed the Minimum Specified Amount
stated
in the Policy Data Pages.
|
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