-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, P+aMSZQsw045uMWYqGbXkJ0KEPXXZzojwbSY+uuEiDFnCxvVugkrXrNHU/r8SecN /t3fkatMzBYIv6hPRR/haQ== /in/edgar/work/20000808/0000899243-00-001837/0000899243-00-001837.txt : 20000921 0000899243-00-001837.hdr.sgml : 20000921 ACCESSION NUMBER: 0000899243-00-001837 CONFORMED SUBMISSION TYPE: S-6 PUBLIC DOCUMENT COUNT: 3 FILED AS OF DATE: 20000808 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AGL SEPARATE ACCOUNT VL R CENTRAL INDEX KEY: 0001051485 STANDARD INDUSTRIAL CLASSIFICATION: [ ] IRS NUMBER: 250598210 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: S-6 SEC ACT: SEC FILE NUMBER: 333-43264 FILM NUMBER: 688448 BUSINESS ADDRESS: STREET 1: 2727 A ALLEN PARKWAY CITY: HOUSTON STATE: TX ZIP: 77019-2191 BUSINESS PHONE: 7135221111 MAIL ADDRESS: STREET 1: 2727 A ALLEN PARKWAY CITY: HOUSTON STATE: TX ZIP: 77019-2191 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN GENERAL LIFE INSURANCE CO SEPARATE ACCOUNT VL R DATE OF NAME CHANGE: 19971216 S-6 1 0001.txt FORM S-6 AMERICAN GENERAL SEPARATE ACCOUNT VL-R Registration No. 333-______ As filed with the Securities and Exchange Commission on August 8, 2000 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM S-6 TO REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933 OF SECURITIES OF UNIT INVESTMENT TRUSTS REGISTERED ON FORM N-8B-2 AMERICAN GENERAL LIFE INSURANCE COMPANY SEPARATE ACCOUNT VL-R (Exact Name of Trust) AMERICAN GENERAL LIFE INSURANCE COMPANY (Exact Name of Depositor) 2727-A Allen Parkway Houston, Texas 77019-2191 (Complete Address of Depositor's Principal Executive Offices) Pauletta P. Cohn, Esq. Deputy General Counsel American General Life Companies 2929 Allen Parkway Houston, Texas 77019-2191 (Name and Complete Address of Agent for Service) Title and Amount of Securities Being Registered: An Indefinite Amount of Units of Interest in American General Life Insurance Company Separate Account VL-R Under Variable Life Insurance Policies Securities Being Offered: Flexible Premium Variable Life Insurance Policies Approximate Date of Proposed Public Offering: As soon as practicable after the effective date of this Registration Statement. The Registrant hereby amends this Registration Statement on such date or date as may be necessary to delay its effective date until the Registrant shall file a further amendment which specifically states that this Registration Statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933 or until this Registration Statement shall become effective on such date as the Commission, acting pursuant to said Section 8(a), may determine. AMERICAN GENERAL LIFE INSURANCE COMPANY SEPARATE ACCOUNT VL-R RECONCILIATION AND TIE BETWEEN ITEMS IN FORM N-8B-2 AND THE PROSPECTUS (PURSUANT TO INSTRUCTION 4 OF FORM S-6) CROSS REFERENCE SHEET
ITEM NO. OF FORM N-8B-2* PROSPECTUS CAPTION - ----------------------------- ------------------ 1 Additional Information : Separate Account VL-R. 2 Additional Information: AGL. 3 Inapplicable. 4 Additional Information: Distribution of Policies. 5, 6 Additional Information: Separate Account VL-R. 7 Inapplicable.** 8 Inapplicable.** 9 Additional Information: Legal Matters. 10(a) Additional Information: Your Beneficiary, Assigning Your Policy. 10(b) Basic Questions You May Have: How will the value of my investment in a Policy change over time? 10(c)(d) Basic Questions You May Have: How can I change my Policy's insurance coverage? How can I access my investment in a Policy? Can I choose the form in which AGL pays out any proceeds from my Policy? Additional Information: Payment of Policy Proceeds. 10(e) Basic Questions You May Have: Must I invest any minimum amount in a policy? 10(f) Additional Information: Voting Privileges. 10(g)(1), 10(g)(4), 10(h)(3), 10(h)(2) Basic Questions You May Have: To what extent will AGL vary the terms and conditions of the Policies in particular cases? Additional Information: Voting Privileges; Additional Rights That We Have. 10(g)(3), 10(g)(4), 10(h)(3), 10(h)(4) Inapplicable.** 10(i) Additional Information: Separate Account VL-R; Tax Effects. 11 Basic Questions You May Have: How will the value of my investment in a Policy change over time? Additional Information: Separate Account VL-R. 12(a) Additional Information: Separate Account VL-R; Front Cover. 12(b) Inapplicable.** 12(c), 12(d) Inapplicable.** 12(e) Inapplicable, because the Separate Account did not commence operations until 1998. 13(a) Basic Questions You May Have: What charges will AGL deduct from my investment in a Policy? What charges and expenses will the Mutual Funds deduct from the amounts I invest through my Policy? Additional Information: More About Policy Charges. 13(b) Illustrations of Hypothetical Policy Benefits. 13(c) Inapplicable.** 13(d) Basic Questions You May Have: To what extent will AGL vary the terms and conditions of the Policy in particular cases? 13(e), 13(f), 13(g) None.
14 Basic Questions You May Have: How can I invest money in a Policy? 15 Basic Questions You May Have: How can I invest money in a Policy? How do I communicate with AGL? 16 Basic Questions You May Have: How will the value of my investment in a Policy change over time? ITEM NO. ADDITIONAL INFORMATION - ----------------------------- --------------------------- 17(a), 17(b) Captions referenced under Items 10(c), 10(d), and 10(e). 17(c) Inapplicable.** 18(a) Captions referred to under Item 16. 18(b), 18(d) Inapplicable.** 18(c) Additional Information: Separate Account VL-R. 19 Additional Information: Separate Account VL-R; Our Reports to Policy Owners. 20(a), 20(b), 20(c), 20(d), 20(e), 20(f) Inapplicable.** 21(a), 21(b) Basic Questions You May Have: How can I access my investment in a Policy? Additional Information: Payment of Policy Proceeds. 21(c) Inapplicable.** 22 Additional Information: Payment of Policy Proceeds-Delay to Challenge Coverage. 23 Inapplicable.** 24 Basic Questions You May Have; Additional Information. 25 Additional Information: AGL. 26 Inapplicable, because the Separate Account did not commence operations until 1998. 27 Additional Information: AGL. 28 Additional Information: AGL's Management. 29 Additional Information: AGL. 30, 31, 32, 33, 34 Inapplicable, because the Separate Account did not commence operations until 1998. 35 Inapplicable.** 36 Inapplicable.** 37 None. 38, 39 Additional Information: Distribution of the Policies. 40 Inapplicable, because the Separate Account did not commence operations until 1998. 41(a) Additional Information: Distribution of the Policies. 41(b), 41(c) Inapplicable** 41, 43 Inapplicable, because the Separate Account did not commence operations or issue any securities until 1998. 44(a)(1), 44(a)(2), 44(a)(3) Basic Questions You May Have: How will the value of my investment in a Policy change over time? 44(a)(4) Additional Information: Tax Effects--Our taxes. 44(a)(5), 44(a)(6) Basic Questions You May Have: What charges will AGL deduct from my investment in a Policy? 44(b) Inapplicable.** 44(c) Caption referenced in 13(d) above.
45 Inapplicable, because the Separate Account did not commence operations until 1998. 46(a) Captions referenced in 44(a) above. 46(b) Inapplicable.** 47, 48, 49 None. 50 Inapplicable.** 51 Inapplicable.** 52(a), 52(c) Basic Questions You May Have: To what extent can AGL vary the terms and conditions of the Policy in particular cases? Additional Information: Additional Rights That We Have. 52(b), 52(d) None. 53(a) Additional Information: Tax Effects--Our taxes. 53(b), 54 Inapplicable.** 55 Illustrations of Hypothetical Policy Benefits. 56-59 Inapplicable.**
- ----------- * Registrant includes this Reconciliation and Tie in its Registration Statement in compliance with Instruction 4 as to the Prospectus as set out in Form S-6. Separate Account VL-R (Account) has previously filed a notice of registration as an investment company on Form N-8A under the Investment Company Act of 1940 (Act), and a Form N-8B-2 Registration Statement. Pursuant to Sections 8 and 30(b)(1) of the Act, Rule 30a-1 under the Act, and Forms N-8B-2 and N-SAR under that Act, the Account will keep its Form N-8B-2 Registration Statement current through the filing of periodic reports required by the Securities and Exchange Commission (Commission). ** Not required pursuant to either Instruction 1(a) as to the Prospectus as set out in Form S-6 or the administrative practice of the Commission and its staff of adapting the disclosure requirements of the Commission's registration statement forms in recognition of the differences between variable life insurance policies and other periodic payment plan certificates issued by investment companies and between separate accounts organized as management companies and unit investment trusts. PLATINUM INVESTOR (SM) III Flexible Premium Variable Life Insurance Policies (the "Policies") Issued by American General Life Insurance Company ("AGL") HOME OFFICE: (Express Delivery) (US Mail) 2727-A Allen Parkway Variable Universal Life Administration Houston, Texas 77019-2191 P. O. Box 4880 Phone: 1-888-325-9315 or 1-713-831-34343 Houston, Texas 77210-4880 Hearing Impaired: 1-888-436-5258 or 1-713-831-1885 Fax: 1-877-445-3098
This booklet is called a "prospectus." Investment options. The AGL declared fixed interest account is the fixed investment option for these Policies. You may also use AGL's Separate Account VL-R ("Separate Account") to invest in the following variable investment options and change your selections from time to time:
Fund Investment Adviser Investment Option ---- ------------------ ----------------- . AIM Variable Insurance Funds.................... AIM Advisors, Inc .......................... AIM V.I. International Equity Fund AIM V.I. Value Fund . American Century Variable Portfolios, Inc....... American Century Investment................. VP Value Fund Management, Inc. . American General Series Portfolio Company........................................ The Variable Annuity Life................... International Equities Fund Insurance Company MidCap Index Fund Money Market Fund Nasdaq-100 Index Fund Stock Index Fund Small Cap Index Fund Science & Technology Fund . AYCO Series Trust............................... ______________.............................. AYCO Large Cap Growth Fund I . Dreyfus Variable Investment Fund................ The Dreyfus Corporation..................... Quality Bond Portfolio Small Cap Portfolio Mid-Cap Stock Portfolio . Fidelity Variable Insurance Products Fund....... Fidelity Management & Research.............. VIP Equity-Income Portfolio Company VIP Growth Portfolio . Fidelity Variable Insurance Products Fund II.... Fidelity Management & Research.............. VIPII Asset Manager Portfolio Company VIPII Contrafund Portfolio . Janus Aspen Series.............................. ______________.............................. International Growth Portfolio Worldwide Growth Portfolio Aggressive Growth Portfolio . J. P. Morgan Series Trust II.................... ______________.............................. J. P. Morgan Small Company Portfolio . MFS Variable Insurance Trust.................... Massachusetts Financial Services............ MFS Emerging Growth Series Company MFS Research Series MFS Capital Opportunities Series MFS New Discoveries Series . Neuberger Berman Advisers Management Trust.......................................... ______________.............................. Mid-Cap Growth Portfolio . PIMCO Variable Insurance Trust.................. Pacific Investment Management............... PIMCO Short-Term Bond Portfolio Company PIMCO Real Return Bond Portfolio PIMCO Total Return Bond Portfolio . Putnam Variable Trust........................... Putnam Investment Management, Inc........... Putnam VT Diversified Income Fund Putnam VT Growth and Income Fund Putnam VT International Growth and Income Fund . SAFECO Resource Series Trust.................... SAFECO Asset Management..................... Equity Portfolio Company Growth Opportunities Portfolio . The Universal Institutional Funds, Inc.......... Morgan Stanley Asset Management............. Equity Growth Portfolio Miller, Anderson & Sherrerd, LLP............ High Yield Portfolio . Vanguard Variable Insurance Fund................ ______________.............................. High Yield Bond Portfolio REIT Index Portfolio . Van Kampen Life Investment Trust................ Van Kampen Asset Management Inc............. Strategic Stock Portfolio . Warburg Pincus Trust ........................... Credit Suisse Asset Management, LLC......... Small Company Growth Portfolio
Separate prospectuses contain more information about the Mutual Funds ("Funds" or "Mutual Funds") in which we invest the amounts that you allocate to any of the above-listed investment options (other than our declared fixed interest account option). The formal name of each such Fund is set forth in the chart that appears on page 1. Your investment results in any such option will depend on those of the related Fund. You should be sure you also read the prospectus of the Mutual Fund for any such investment option you may be interested in. You can request free copies of any or all of the Mutual Fund prospectuses from your AGL representative or from us at our Home Office. Other choices you have. During the insured person's lifetime, you may, within limits, (1) change the amount of insurance, (2) borrow or withdraw amounts you have invested, (3) choose when and how much you invest, and (4) choose whether your accumulation value under your policy, upon the insured person's death, will be added to the insurance proceeds we otherwise will pay to the beneficiary. Charges and expenses. We deduct charges and expenses from the amounts you invest. These are described beginning on page _____. Right to return. If for any reason you are not satisfied with your Policy, you may return it to us and we will refund you the greater of (i) any premium payments received by us or (ii) your accumulation value plus any charges that have been deducted. To exercise your right to return your Policy, you must mail it directly to the Home Office address shown on the first page of this prospectus or return it to the AGL representative through whom you purchased the Policy within 10 days after you receive it. In a few states, this period may be longer. Because you have this right, we will invest your initial net premium payment in the money market investment option from the date your investment performance begins until the first business day that is at least 15 days later. Then we will automatically allocate your investment among the available investment options in the ratios you have chosen. Any additional premium we receive during the 15-day period will also be invested in the money market investment option and allocated to the investment options at the same time as your initial net premium. We have designed this prospectus to provide you with information that you should have before investing in a Policy. It also contains information that will be helpful to you in exercising the various options you will have once you own a Policy. Please read this prospectus carefully and keep it for future reference. Neither the Securities and Exchange Commission ("SEC") nor any state securities commission has approved or disapproved these securities or passed upon the adequacy or accuracy of this prospectus. Any representation to the contrary is a criminal offense. The Policies are not available in all states. The Policies are not insured by the FDIC or any other agency. They are not deposits or other obligations of any bank and are not bank guaranteed. They are subject to investment risks and possible loss of principal invested. This prospectus is dated _______________, 2000 2 GUIDE TO THIS PROSPECTUS This prospectus contains information that you should know before you purchase a Platinum Investor(SM)III variable life policy ("Policy") or exercise any of your rights or privileges under a Policy. Basic Information. Here are the page numbers in this prospectus where you may find answers to most of your questions:
Page to See in this Prospectus --------------- Basic Questions You May Have - ---------------------------- . What are the policies?................................................................ . How can I invest money in a Policy?................................................... . How will the value of my investment in a Policy change over time?..................... . What charges will AGL deduct from my investment in a Policy?.......................... . What charges and expenses will the Mutual Funds deduct from amounts I invest through my Policy?.................................................. . What is the amount of insurance ("death benefit") that AGL pays when the insured person dies?.......................................... . Must I invest any minimum amount in a Policy?......................................... . How can I change my Policy's investment options?...................................... . How can I change my Policy's insurance coverage?...................................... . What additional rider benefits might I select?........................................ . How can I access my investment in a Policy?........................................... . Can I choose the form in which AGL pays out proceeds from my Policy?......................................................... . To what extent can AGL vary the terms and conditions of the Policy in particular cases?................................................................. . How will my Policy be treated for income tax purposes?................................ . How do I communicate with AGL?........................................................
Illustrations of a hypothetical Policy. Starting on page ___, we have included some examples of how the values of a sample Policy would change over time, based on certain assumptions we have made. Because your circumstances may vary considerably from our assumptions, your AGL representative will also provide you with a similar sample illustration that is more tailored to your own circumstances and wishes. Additional information. You may find the answers to any other questions you have under "Additional Information" beginning on page ___ or in the Policy. A table of contents for the "Additional Information" portion of this prospectus also appears on page ___. You can obtain copies of the Policy from (and direct any other questions to) your AGL representative or our Home Office (shown on the first page of this prospectus). Financial statements. We have included certain financial statements of AGL. These begin on page Q-1. Special words and phrases. The Index of Words and Phrases that appears at the back of this prospectus will tell you on what page you can read more information about many of the words and phrases that we use. 3 BASIC QUESTIONS YOU MAY HAVE How can I invest money in a Policy? Premium payments. We call the payments you make in a Policy "premiums" or "premium payments." The amount we require as your initial premium varies depending on the specifics of your Policy and the insured person. We can refuse to accept a subsequent premium payment that is less than $50. Otherwise, with a few exceptions mentioned below, you can make premium payments at any time and in any amount. Premium payments we receive after your right to return expires, as discussed on page 2, will be allocated upon receipt to the available investment options you have chosen. Limits on premium payments. Federal tax law may limit the amount of premium payments you can make (relative to the amount of your Policy's insurance coverage) and may impose penalties on amounts you take out of your Policy if you do not observe certain additional requirements. These tax law requirements and a discussion of modified endowment contracts are summarized further under "How will my Policy be treated for income tax purposes?" beginning on page ___ and "Tax Effects" beginning on page ___. We will monitor your premium payments, however, to be sure that you do not exceed permitted amounts or inadvertently incur any tax penalties. The tax law limits can vary as a result of changes you make to your Policy. For example, a reduction in the specified amount of your Policy can reduce the amount of premiums you can pay. Also, in certain limited circumstances, additional premiums may cause the death benefit to increase by more than they increase your accumulation value. In such case, we may refuse to accept an additional premium if the insured person does not provide us with adequate evidence that they continue to meet our requirements for issuing insurance. Checks and money orders. You may pay premiums by check or money order drawn on a U.S. bank in U.S. dollars and made payable to "American General Life Insurance Company," or "AGL." Premiums after the initial premium must be sent directly to our Home Office. We also accept premium payments by bank draft, wire or by exchange from another insurance company. Premium payments from salary deduction plans may be made only if we agree. You may obtain further information about how to make premium payments by any of these methods from your AGL representative or from our Home Office shown on the first page of this prospectus. We have a premium financing program available for certain qualified applicants. If you intend to make an initial premium payment of at least $50,000 and you have a net worth of at least $3,000,000, you may qualify under this program. For more information, you may contact your registered representative or our Home Office at 1-800-677-3311. Dollar cost averaging. Dollar cost averaging is an investment strategy designed to reduce the risks that result from market fluctuations. The strategy spreads the allocation of your accumulation value among your chosen variable investment options over a period of time. This allows you to 4 reduce the risk of investing most of your funds at a time when prices are high. The success of this strategy depends on market trends and is not guaranteed. Under dollar cost averaging, we automatically make transfers of your accumulation value from the money market investment option to one or more of the other variable investment options that you choose. You tell us whether you want these transfers to be made monthly, quarterly, semi-annually or annually. We make the transfers as of the end of the valuation period that contains the day of the month that you select other than the 29th, 30th or 31st day of the month. (The term "valuation period" is described on page ___.) You must have at least $5,000 of accumulation value to start dollar cost averaging and each transfer under the program must be at least $100. Dollar cost averaging ceases upon your request, or if your accumulation value in the money market investment option becomes exhausted. You cannot use dollar cost averaging at the same time you are using automatic rebalancing. We do not charge you for using this service. Automatic rebalancing. This feature automatically rebalances the proportion of your accumulation value in each investment option under your Policy to correspond to your then current premium allocation designation. You tell us whether you want us to do the rebalancing quarterly, semi-annually or annually. The date automatic rebalancing occurs will be based on the date of issue of your Policy. For example, if your Policy is dated January 17, and you have requested automatic rebalancing on a quarterly basis, automatic rebalancing will start on April 17, and will occur quarterly thereafter. Automatic rebalancing will occur as of the end of the valuation period that contains the date of the month your Policy was issued. You must have a total accumulation value of at least $5,000 to begin automatic rebalancing. Rebalancing ends upon your request. You cannot use automatic rebalancing at the same time you are using dollar cost averaging. We do not charge you for using this service. How will the value of my investment in a Policy change over time? Your accumulation value. From each premium payment you make, we deduct the charges that we describe on page ___ under "Premium tax charge" (or "Tax charge back" if you are a resident of Oregon when you purchase your Policy) and "Other deductions from each premium payment." We invest the rest in one or more of the investment options listed in the chart on the first page of this prospectus. We call the amount that is at any time invested under your Policy (including any loan collateral we are holding for your Policy loans) your "accumulation value." Your investment options. We invest the accumulation value that you have allocated to any variable investment option in shares of a corresponding Mutual Fund. Over time, your accumulation value in any such investment option will increase or decrease by the same amount as if you had invested in the related Fund's shares directly (and reinvested all dividends and distributions from the Fund in additional Fund shares); except that your accumulation value will also be reduced by certain charges that we deduct. We describe these charges beginning on page ___ under "What charges will AGL deduct from my investment in a Policy?" 5 You can review other important information about the Mutual Funds that you can choose in the separate prospectuses for those Funds. You can request additional free copies of these prospectuses from your AGL representative or from our Home Office. Our Home Office address and telephone numbers are shown on the first page of this prospectus. We invest any accumulation value you have allocated to our declared fixed interest account option as part of our general assets. We credit interest on that accumulation value at a rate which we declare from time to time. We guarantee that the interest will be credited at an effective annual rate of at least 4%. Although this interest increases the amount of any accumulation value that you have in our declared fixed interest account option, such accumulation value will also be reduced by any charges that are allocated to this option under the procedures described under "Allocation of charges" on page ___. The "daily charge" described on page ___ and the charges and expenses of the Mutual Funds discussed on pages ___ - ___ do not apply to our declared fixed interest account option. Policies are "non-participating." You will not be entitled to any dividends from AGL. What charges will AGL deduct from my investment in a Policy? Premium tax charge. Unless your Policy was issued in Oregon, we deduct from each premium a charge for the tax that is then applicable to us in your state or other jurisdiction. These taxes, if any, currently range from .75% to 3.5%. Please let us know if you move to another jurisdiction, so we can adjust this charge if required. You are not permitted to deduct the amount of these taxes on your income tax return. Tax charge back. If you are a resident of Oregon at the time you purchase a Policy, there is no premium tax charge. Instead, we will deduct from each premium a tax charge back that is permissible under Oregon Law. If you later move to a state that has a premium tax, we will not charge you a premium tax. We deduct the tax charge back from each premium you pay, regardless of the state in which you reside at the time you pay the premium. The current tax charge back is 2% of each premium. We may change the tax charge back amount but any change will only apply to new Policies we issue. We use the charge partly to offset our obligation to pay premium taxes on the same Policy if you move to another state. We also use the charge to pay for the cost of additional administrative expenses we provide under these Policies. Other deductions from each premium payment. After we deduct premium tax (or a tax charge back if we issued your Policy in Oregon) from your premium payment, we will deduct 5.0% from the remainder of all premiums received. We may increase this charge but it will never exceed 7.5%. Your Policy refers to this deduction as a Premium Expense Charge. We use this charge to cover sales expenses, including commission. Daily charge. We will deduct a daily charge at an annual effective rate of .70% of your accumulation value that is then being invested in any of the variable investment options. After a 6 Policy has been in effect for 10 years, however, we will reduce this rate to an annual effective rate of .45%, and after 20 years, to an annual effective rate of .10%. We guarantee these rate reductions. Since the Policies were first offered only in the year 2000, the reduction has not yet taken effect under any outstanding Policies. We apply this charge to pay for our mortality and expense risks. Flat monthly charge. We will deduct $6 from your accumulation value each month. We may lower this charge but it is guaranteed to never exceed $6. The flat monthly charge is the Monthly Administration Fee shown on page ___ of your Policy. We use this charge to pay for the cost of administrative services we provide under the Policies. Monthly charge per $1,000 of specified amount. We deduct a charge monthly from your accumulation value for the first 7 Policy years. This monthly charge also applies to the amount of an increase in base coverage during the 7 Policy years following the increase. The dollar amount of this charge changes with each change in your Policy's base coverage. (We describe your specified amount under "Your specified amount of insurance" on page ___.) This charge varies according to the amount of base coverage and the age, gender and premium class of the insured person. This charge is a maximum of $_____ for each $1000 of the base coverage portion of the specified amount. The actual amount of this charge is shown on page ___ of your Policy and is called "Monthly Expense Charge for First Seven Years." We use this charge to pay for underwriting costs and other costs of issuing the Policies, and also to help pay for the administrative services we provide under the Policies. Monthly insurance charge. Every month we will deduct from your accumulation value a charge based on the cost of insurance rates applicable to your Policy on the date of the deduction and our "amount at risk" on that date. Our amount at risk is the difference between (a) the death benefit that would be payable before reduction by policy loans if the insured person died on that date and (b) the then total accumulation value under the Policy. For otherwise identical Policies: . greater amounts at risk result in a higher monthly insurance charge; and . higher cost of insurance rates also result in a higher monthly insurance charge. Our cost of insurance rates are guaranteed not to exceed those that will be specified in your Policy. Our current rates are lower than the guaranteed maximum rates for insured persons in most age and premium classes, although we have the right at any time to raise these rates to not more than the guaranteed maximum. In general the longer you own your Policy, the higher the cost of insurance rate will be as the insured person grows older. Also our cost of insurance rates will generally be lower if the insured person is a female than if a male. Similarly, our current cost of insurance rates are generally lower for non-tobacco users than tobacco users. On the other hand, insured persons who present particular health, occupational or non-work related risks may require higher cost of insurance rates and other additional charges based on the specified amount of insurance coverage under their Policies. 7 Finally, our current cost of insurance rates for the same insured person differ depending on the specified amount in force on the day the charge is deducted. We have different rates we apply for specified amounts that range from $50,000 to $99,999, $100,000 to $999,999 and $1,000,000 or more. Rates are highest for the first range of $50,000 to $99,999, lower for the second range of $100,000 to $999,999 and lower still for the third range of $1,000,000 or more. This means, for instance, that if your specified amount for any reason increases from the first range to the second or third range, or from the second range to the third range, your subsequent cost of insurance rates will be lower under your Policy than they would be before the increase. The reverse is also true. Our cost of insurance rates are generally higher under a Policy that has been in force for some period of time than they would be under an otherwise identical Policy purchased more recently on the same insured person. We use this charge to fund the death benefits we pay under the Policies. Monthly charges for additional benefit riders. We will deduct charges monthly from your accumulation value, if you select certain additional benefit riders. These are described beginning on page ___, under "What additional rider benefits might I select?" We use these charges to pay for the benefits under the riders and to help offset the risks we assume. Surrender charge. The Policies have a surrender charge that applies for a maximum of the first 10 Policy years (and for a maximum of the first 10 Policy years after any increase in the Policy's base coverage). We will apply the surrender charge only to the base coverage portion of the specified amount. The amount of the surrender charge depends on the age and other insurance characteristics of the insured person. The maximum amount of your Policy's surrender charge will be shown in the table beginning on page ___ of the Policy. It may initially be as high as $_____ per $1,000 of base coverage or as low as $_____ per $1,000 of base coverage (or any increase in the base amount). We are permitted to not charge some or all of the surrender charges under certain limited circumstances, according to the terms of a Policy endorsement. We will deduct the entire amount of any then applicable surrender charge from the accumulation value at the time of a full surrender. Upon a requested decrease in a Policy's base coverage portion of the specified amount, we will deduct any remaining amount of the surrender charge that was associated with the base coverage that is canceled. This includes any decrease that results from any requested partial surrender. See "Partial surrender" beginning on page ___ and "Change of death benefit option" beginning on page ___. For those Policies that lapse in the first 10 Policy years, we use this charge to help recover sales expenses. Partial surrender fee. We will charge a fee equal to the lesser of 2% of the amount withdrawn or $25 for each partial surrender you make. We use this charge to help pay for the expense of making a partial surrender. 8 Transfer fee. We may charge a $25 transfer fee for each transfer between investment options that exceeds 12 each Policy Year. This charge will be deducted from the investment options in the same ratio as the requested transfer. We use this charge to help pay for the expense of making the requested transfer. Charge for taxes. We can adjust charges in the future on account of taxes we incur or reserves we set aside for taxes in connection with the Policies. This would reduce the investment experience of your accumulation value. For a further discussion regarding the charges we will deduct from your investment in a Policy, see "More About Policy Charges" on page ___. Allocation of charges. You may choose the investment options from which we deduct all monthly charges and any applicable surrender charges. If you do not have enough accumulation value in those investment options, we will deduct these charges in the same ratio the charges bear to the unloaned accumulation value you then have in each investment option. What charges and expenses will the Mutual Funds deduct from amounts I invest through my Policy? Each Mutual Fund pays its investment management fees and other operating expenses. Because they reduce the investment return of a Fund, these fees and expenses also will reduce indirectly the return you will earn on any accumulation value that you have invested in that Fund. Current and future fees and expenses may vary from fiscal year 1999 fees and expenses. The charges and expenses for the fiscal year 1999 are as follows: 9 [TO BE UPDATED IN PRE-EFFECTIVE AMENDMENT] THE MUTUAL FUNDS' ANNUAL EXPENSES/1/ (as a percentage of average net assets)
Fund Other Fund Total Fund Management Operating Operating Fees (After Expenses (After Expenses (After Expense 12b-1 Expense Expense Name of Fund Reimbursement) Fees Reimbursement) Reimbursement) ------------ -------------- ---- -------------- ------------- AIM Variable Insurance Funds:/1/ AIM V.I. International Equity Fund 0.75% 0.16% 0.91% AIM V.I. Value Fund 0.61% 0.05% 0.66% American Century Variable Portfolios, Inc.:/1/ VP Value Fund American General Series Portfolio Company:/1/ International Equities Fund MidCap Index Fund Money Market Fund Nasdaq-100 Index Fund Stock Index Fund Small Cap Index Fund Science & Technology Fund AYCO Series Trust:/1/ AYCO Large Cap Growth Fund I Dreyfus Variable Investment Fund:/1/ Quality Bond Portfolio 0.65% 0.08% 0.73% Small Cap Portfolio 0.75% 0.02% 0.77% Mid-Cap Stock Portfolio Fidelity Variable Insurance Products Fund:/1,2/ VIP Equity-Income Portfolio 0.25%
10
Fund Other Fund Total Fund Management Operating Operating Fees (After Expenses (After Expenses (After Expense 12b-1 Expense Expense Name of Fund Reimbursement) Fees Reimbursement) Reimbursement) ------------ -------------- ---- -------------- ------------- VIP Growth Portfolio 0.25% Fidelity Variable Insurance Products Fund II:/1, 2/ VIPII Asset Manager Portfolio 0.25% VIPII Contrafund Portfolio 0.25% Janus Aspen Series:/3/ International Growth Portfolio 0.25% Worldwide Growth Portfolio 0.25% Aggressive Growth Portfolio 0.25% J. P. Morgan Series Trust II:/1/ J. P. Morgan Small Company Portfolio MFS Variable Insurance Trust:/1/ MFS Emerging Growth Series 0.75% 0.10% 0.85% MFS Research Series MFS Capital Opportunities Series MFS New Discoveries Series Neuberger Berman Advisers Management Trust:/1/ Mid-Cap Growth Portfolio PIMCO Variable Insurance Trust:/1/ PIMCO Short-Term Bond Portfolio PIMCO Real Return Bond Portfolio PIMCO Total Return Bond Portfolio Putnam Variable Trust: Putnam VT Diversified Income Fund/4/ 0.15% Putnam VT Growth and Income Fund/4/ 0.15%
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Fund Other Fund Total Fund Management Operating Operating Fees (After Expenses (After Expenses (After Expense 12b-1 Expense Expense Name of Fund Reimbursement) Fees Reimbursement) Reimbursement) ------------ -------------- ---- -------------- ------------- Putnam VT International Growth and 0.15% Income Fund/4/ SAFECO Resource Series Trust:/1/ Equity Portfolio 0.74% 0.04% 0.78% Growth Opportunities Portfolio 0.74% 0.06% 0.80% The Universal Institutional Funds, Inc.:/1/ Equity Growth Portfolio/3/ High Yield Portfolio/3/ Vanguard Variable Insurance Fund: High Yield Bond Portfolio REIT Index Portfolio Van Kampen Life Investment Trust:/1/ Strategic Stock Portfolio/5/ 0.00% 0.65% 0.65% Warburg Pincus Trust:/1/ Small Company Growth Portfolio
/1/ The Mutual Funds' advisers or administrators have entered into arrangements under which they pay certain amounts to AGL. The fees do not have a direct relationship to the Mutual Funds' Annual Expenses, and do not increase the amount of charges you pay under your Policy. (See "Certain arrangements.") /2/ The prospectuses for Fidelity VIP and Fidelity VIPII Funds under "________" discuss this 12b-1 fee. /3/ The prospectus for Janus Aspen Series under " _________" discusses this 12b-1 fee. /4/ The prospectus for Putnam Variable Trust under "Distribution plan" discusses this 12b-1 fee. /5/ For the Funds indicated, management fees and other expenses as shown for fiscal year 1999 would have been the percentages shown below without certain voluntary expense reimbursements from the investment adviser. Current and future fees and expenses may vary from the fiscal year 1999 fees and expenses. Management Other Total Fees Expenses Annual Expenses ---- -------- --------------- The Universal Institutional Funds Equity Growth Portfolio 0.55% 0.76% 1.31% High Yield Portfolio 0.50% 0.65% 1.15% Van Kampen Life Investment Trust Strategic Stock Portfolio 0.50% 0.75% 1.25% No other Funds received any such reimbursements. 12 What is the amount of insurance ("death benefit") that AGL pays when the insured person dies? Your specified amount of insurance. In your application to buy a Platinum Investor III Policy, you tell us how much life insurance coverage you want. We call this the "specified amount" of insurance. The specified amount consists of what we refer to as "base coverage" plus any "supplemental coverage" you select. Base coverage must be at least 10% of the specified amount. We also provide a guarantee of a death benefit equal to the specified amount and any benefit riders. We refer to this guarantee in both your Policy and this prospectus as the "guarantee period" benefit. We provide more information about the specified amount and the guarantee period benefit beginning on page ___ under "More About the Death Benefit" and under "Monthly guarantee premiums," beginning on page ___. You should read these other discussions carefully because they contain important information about how the choices you make can affect your benefits and the amount of premiums and charges you may have to pay. Your death benefit. The death benefit we will pay is reduced by any outstanding Policy loans (plus any unearned loan interest). You also choose whether the death benefit we will pay is . Option 1--The specified amount on the date of the insured person's death; or . Option 2--The specified amount on the date of the insured person's death plus the Policy's accumulation value as of the date of death. Under Option 2, your death benefit will tend to be higher than under Option 1. However, the monthly insurance charge we deduct will also be higher to compensate us for our additional risk. Because of this, your accumulation value for the same amount of premium will tend to be higher under Option 1 than under Option 2. Any premiums we receive after the insured person's death will be returned and not included in your accumulation value. Federal tax law requires a minimum death benefit in relation to accumulation value for a Policy to qualify as life insurance. We will automatically increase the death benefit of a Policy if necessary to ensure that the Policy will continue to qualify as life insurance. One of two tests under current federal tax law can be used: the "guideline premium test" or the "cash value accumulation test." You must elect one of these tests at issue, and, once elected, the choice may not be changed. Factors you should consider in making this choice are discussed below. The "guideline premium test" limits the amount of premiums paid under a Policy at any time to a certain amount which depends on the size of the Policy and the age and gender of the insured person. Therefore, the maximum premiums you can pay are generally more limited under this test than under the cash value accumulation test. The other major difference between the two tax tests involves the Policy's "alternative death benefit." The alternative death benefit is calculated as shown in the tables that follow. During any time when the 13 alternative death benefit works out to be more than the Option 1 or Option 2 death benefit you have chosen, we would automatically deem the death benefit to be such higher amount. As illustrated in the tables below, choosing the cash value accumulation test for tax law compliance generally makes it more likely that an alternative minimum death benefit will apply. Therefore, if you anticipate that your Policy may have a substantial accumulation value in relation to its death benefit, you should be aware that the alternative death benefit may cause your Policy's death benefit to be higher if you choose that test than if you choose the guideline premium test. To the extent that the alternative death benefit does result in a higher death benefit, the cost of insurance charges deducted from your Policy will also tend to be higher. (This compensates us for the additional risk that we might have to pay the higher alternative death benefit.) If you have selected the guideline premium test, we calculate the alternative death benefit by multiplying your Policy's accumulation value by the following percentages: SPECIMEN ALTERNATIVE DEATH BENEFITS AS A PERCENTAGE MULTIPLE OF POLICY ACCUMULATION VALUE (ASSUMING YOU SELECT THE GUIDELINE PREMIUM TEST) Insured Person's Age*........................ 40 45 50 55 60 65 70 75 100 %.......................... ---% ---% ---% ---% ---% ---% ---% ---% ---%
*Nearest birthday at the beginning of the Policy year in which the insured person dies. If you have selected the cash value accumulation test, we calculate the alternative death benefit by multiplying your Policy's accumulation value by a percentage that will be set forth on page ___ of your Policy. The percentage varies based on the insurance characteristics of the insured person. Below is an example of applicable alternative death benefit percentages for the cash value accumulation test. The example is for a male non-tobacco user preferred premium class and issue age 55. SPECIMEN ALTERNATIVE DEATH BENEFITS AS A PERCENTAGE MULTIPLE OF POLICY ACCUMULATION VALUE (ASSUMING YOU SELECT THE CASH VALUE ACCUMULATION TEST) Policy Year.................... 1 2 3 5 10 20 30 40 45 %....................... ---% ---% ---% ---% ---% ---% ---% ---% ---%
Your Policy calls the multipliers used for each test the "Death Benefit Corridor Rate." 14 Must I invest any minimum amount in a Policy? Planned periodic premiums. Page 3 of your Policy will specify a "Planned Periodic Premium." This is the amount that you (within limits) choose to pay. Our current practice is to bill quarterly, semi-annually or annually. However, payment of these or any other specific amounts of premiums is not mandatory. After payment of your initial premium, you need only invest enough to ensure your Policy's cash surrender value stays above zero or that the guarantee period benefit (described under "Monthly guarantee premiums" on page ___) remains in effect ("Cash surrender value" is explained under "Full surrender" on page ___.) The less you invest, the more likely it is that your Policy's cash surrender value could fall to zero, as a result of the deductions we periodically make from your accumulation value. Policy lapse and reinstatement. If your Policy's cash surrender value (the Policy's accumulation value less Policy loans during the first 5 Policy years) falls to an amount insufficient to cover the monthly charges, we will notify you and give you a grace period to pay at least the amount we estimate is necessary to keep your Policy in force for a reasonable time. If we do not receive your payment by the end of the grace period, your Policy and all riders will end without value and all coverage under your Policy will cease. Although you can apply to have your Policy "reinstated," you must do this within 5 years (or, if earlier, before the Policy's maturity date), and you must present evidence that the insured person still meets our requirements for issuing coverage. Also, you will have to pay at least the amount of premium that we estimate will keep your Policy in force for two months, as well as pay or reinstate any indebtedness. You will find additional information in the Policy about the values and terms of the Policy after it is reinstated. Monthly guarantee premiums. Page 3 of your Policy will specify a "Monthly Guarantee Premium." If you pay these guarantee premiums, we will provide at least an Option 1 death benefit, even if your policy's cash surrender value has declined to zero. We call this our "guarantee period" benefit and here are its terms and conditions. On the first day of each Policy month that the cash surrender value is not sufficient to pay the monthly deduction, we check to see if the cumulative amount of premiums paid under the Policy, less any Policy loans, is at least equal to the sum of the monthly guarantee premiums plus any partial surrenders for all Policy months to date, including the Policy month then starting. (Policy months are measured from the "Date of Issue" that will also be shown on page 3 of your Policy.) So long as at least this amount of premium payments has been paid by the beginning of that Policy month, the Policy will not enter a grace period or terminate (i.e., lapse) because of insufficient cash surrender value, unless the guarantee period benefit has terminated as discussed in the paragraph immediately below. The length of time you are covered by the guarantee period benefit varies on account of two things: . the insured's age at the Policy's date of issue; and . the amounts of base coverage and supplemental coverage you have chosen. 15 The maximum period of time for the guarantee period - 20 years - happens in the event you have chosen 100% base coverage. The least amount of time - 4 years - - happens in the event you have chosen the maximum 90% supplemental coverage. The amount of premiums that must be paid to maintain the guarantee period benefit will be increased by the cumulative amount of any loans (including any loan increases to pay interest) you have taken from your Policy. Also, whenever you increase your specified amount, we calculate a new monthly guarantee premium, so the amount you must pay to keep the guarantee period benefit in force will increase or decrease depending on whether you increase or decrease your specified amount. If you add or increase a benefit rider, your monthly guarantee premium will increase. If you remove or decrease a benefit rider, your monthly guarantee premium will decrease. How can I change my Policy's investment options? Future premium payments. You may at any time change the investment options in which future premiums you pay will be invested. Your allocation must, however, be in whole percentages that total 100%. Transfers of existing accumulation value. You may also transfer your existing accumulation value from one investment option under the Policy to another. The first 12 transfers in a year are free of charge. We may charge you $25 for each additional transfer. You may make transfers from the variable investment options at any time. You may make transfers from the declared fixed interest account during the 60-day period following each Policy anniversary, and we will not honor such a request that we receive at any other time. The amount that you can transfer each year is limited to the greater of: . 25% of the unloaned accumulation value you have in the declared fixed interest account as of the Policy anniversary; or . the sum of any amounts you transferred or surrendered from the declared fixed interest account during the previous Policy year. Unless you are transferring the entire amount you have in an investment option, each transfer must be at least $500. See "Additional Rights That We Have" on page ___. Market Timing. The Policy is not designed for professional market timing organizations or other entities using programmed and frequent transfers. We reserve the right at any time and without prior notice to any party to terminate, suspend, or modify our policies or procedures regarding telephone requests or to stop permitting telephone requests altogether. 16 How can I change my Policy's insurance coverage? Increase in coverage. At any time while the insured person is living, you may request an increase in the specified amount of coverage under your Policy. You must, however, provide us with satisfactory evidence that the insured person continues to meet our requirements for issuing insurance coverage. We treat an increase in specified amount in many respects as if it were the issuance of a new Policy. For example, the monthly insurance charge for the increase will be based on the age and premium class of the insured person at the time of the increase. Also, a new amount of surrender charge: . applies to any amount of the increase that you request as base coverage; . is the same as it would be if we were instead issuing the same amount of base coverage as a new Platinum Investor III Policy; and . applies for the 10 Policy years following the increase. You are not required to increase your specified amount in any specific percentage or ratio that your base and supplemental coverage bear to your specified amount before the increase. Remember, however, base coverage must be at least 10% of the total specified amount after the increase. Decrease in coverage. After the first Policy year, you may request a reduction in the specified amount of coverage, but not below certain minimums. After any decrease, the specified amount cannot be less than the greater of: . $50,000; or . any minimum amount which, in view of the amount of premiums you have paid, is necessary for the Policy to continue to meet the Federal tax law definition of life insurance. We will apply a reduction in specified amount proportionately against the specified amount provided under the original application and any specified amount increases. The decrease in specified amount will decrease both your base and supplemental coverage in the same ratio they bear to your specified amount before the decrease. We will deduct from your accumulation value any remaining surrender charge that is associated only with any amount of base coverage that is canceled in this way. If there is not sufficient accumulation value to pay the surrender charge at the time you request a reduction, the decrease will not be allowed. A reduction in specified amount will not reduce the monthly charge per $1,000 of specified amount or the amount of time we assess this charge. Change of death benefit option. You may at any time request us to change your coverage from death benefit Option 1 to 2 or vice-versa. 17 . If you change from Option 1 to 2, we also automatically reduce your Policy's specified amount of insurance by the amount of your Policy's accumulation value (but not below zero) at the time of the change. The change will go into effect on the monthly deduction day following the date we receive your request for change. We will take the reduction proportionately from each component of the Policy's specified amount. We will not charge a surrender charge for this reduction in coverage. . If you change from Option 2 to 1, we automatically increase your Policy's specified amount by the amount of your Policy's accumulation value. Tax consequences of changes in insurance coverage. Please read "Tax Effects" starting on page ___ of this prospectus to learn about possible tax consequences of changing your insurance coverage under your Policy. Effect of changes in insurance coverage on guarantee period. A change in coverage does not result in termination of the guarantee period, so that if you pay certain prescribed amounts of premiums, we will pay a death benefit even if your policy's cash surrender value declines to zero. The details of this guarantee are discussed under "Monthly guarantee premiums," beginning on page ___. What additional rider benefits might I select? You can request that your Policy include the additional rider benefits described below. For most of the riders that you choose, a charge, which will be shown on page ___ of your Policy, will be deducted from your accumulation value on each monthly deduction date. Eligibility for and changes in these benefits are subject to our rules and procedures as in effect from time to time. More details are included in the form of each rider, which we suggest that you review if you choose any of these benefits. . Accidental Death Benefit Rider This rider pays an additional death benefit ------------------------------ if the insured person dies from certain accidental causes. . Children's Insurance Benefit Rider This rider provides term life insurance ---------------------------------- coverage on the eligible children of the person insured under the Policy. This rider is convertible into any other insurance (except for term coverage) available for conversions, under our published rules at the time of conversion. . Maturity Extension Rider This rider permits you to extend the Policy's ------------------------ maturity date beyond what it otherwise would be. You have two versions from which to choose. Both versions may not be available in all states. One version provides for a death benefit after the original maturity date that is equal to the accumulation value on the date of death. The death benefit payable will be reduced by any outstanding Policy loan amount. There is no charge for this version. 18 The other version provides for a death benefit after the original maturity date which is equal to the death benefit in effect on the day prior to the original maturity date. If the death benefit is based fully, or in part, on the accumulation value, we will adjust the death benefit by future changes in the accumulation value. The death benefit will never be less than the accumulation value. The death benefit payable will be reduced by any outstanding Policy loan amount. There is a monthly charge of no more than $30 per thousand of net amount at risk for this version of the rider during the nine policy years immediately preceding the Policy's original maturity date. Therefore, you must add this version of rider before that 9 year period begins. In both versions, only the insurance coverage associated with the Policy will be extended beyond the original maturity date. No additional premium payments, new loans, monthly insurance charge, or changes in specified amount will be allowed after the original maturity date. There is a flat monthly charge of no more than $10 each month after the original maturity date. After this rider is elected it may not be revoked. You can, however, surrender your Policy at any time. Extension of the maturity date beyond the insured person's age 100 may result in the current taxation of increases in your Policy's accumulation value as a result of interest or investment experience after that time. You should consult a qualified tax adviser before making such an extension. . Return of Premium Death Benefit Rider This rider provides additional term ------------------------------------- life insurance coverage on the person insured under the Policy. The amount of additional insurance varies so that it always equals the cumulative amount of premiums paid under the Policy (subject to certain adjustments). . Spouse Term Rider This rider provides term life insurance on the life of the ----------------- spouse of the Policy's insured person. This rider terminates no later than the Policy anniversary nearest the spouse's 75/th/ birthday. You can convert this rider into any other insurance (except for term coverage) available for conversions, under our published rules at the time of conversion. . Terminal Illness Rider This rider provides for a benefit to be requested if ---------------------- the Policy's insured person is diagnosed as having a terminal illness (as defined in the rider) and less than 12 months to live. This rider is not available in all states. The maximum amount you may receive under this rider before the insured person's death is 50% of the death benefit payable under the Policy (excluding any rider benefits) or, if less, $250,000. The amount of benefits paid under the rider, plus an administrative fee (not to exceed $250), plus interest on these amounts to the next Policy anniversary becomes a "lien" against all future Policy benefits. We will continue to charge interest in advance on the total amount of the lien and will add any unpaid interest to the total amount of the lien each year. Any time the total lien, plus any other Policy loans, exceeds the Policy's then current death benefit, the Policy will terminate without further value. The cash surrender value of the Policy also will be reduced by the amount of the lien. 19 . Waiver of Monthly Deduction Rider This rider provides for a waiver of all --------------------------------- monthly charges assessed for both your Policy and riders that we otherwise would deduct from your accumulation value, so long as the insured person is totally disabled (as defined in the rider). While we are paying benefits under this rider we will not permit you to request any increase in the specified amount of your Policy's coverage. However, loan interest will not be paid for you under this rider, and the Policy could, under certain circumstances, lapse for nonpayment of loan interest. You can purchase this rider on the life of an insured person who is younger than age 55. Tax consequences of additional rider benefits. Adding or deleting riders, or increasing or decreasing coverage under existing riders can have tax consequences. See "Tax Effects" starting on page 30. You should consult a qualified tax adviser. How can I access my investment in a Policy? Full surrender. You may at any time surrender your Policy in full. If you do, we will pay you the accumulation value, less any Policy loans, plus any unearned interest, and less any surrender charge that then applies. We call this amount your "cash surrender value." Because of the surrender charge, it is unlikely that a Platinum Investor III Policy will have any cash surrender value during at least the first year unless you pay significantly more than the monthly guarantee premiums. Partial surrender. You may, at any time after the first Policy year, make a partial surrender of your Policy's cash surrender value. A partial surrender must be at least $500. We will automatically reduce your Policy's accumulation value by the amount of your withdrawal and any related charges. We do not allow partial surrenders that would reduce the death benefit below $50,000. If the Option 1 death benefit is then in effect, we also will reduce your Policy's specified amount by the amount of such withdrawal and charges, but not below $0. We will take any such reduction proportionately from each component of the Policy's specified amount and deduct any remaining surrender charge that is associated with any portion of your Policy's base amount of coverage that is canceled. If the Option 2 death benefit is then in effect, we will automatically reduce your accumulation value. You may choose the investment option or options from which money that you withdraw will be taken. Otherwise, we will allocate the partial surrender in the same proportions as then apply for deducting monthly charges under your Policy or, if that is not possible, in proportion to the amount of accumulation value you then have in each investment option. There is a partial surrender fee equal to the lesser of 2% of the amount withdrawn or $25 for each partial surrender you make. Exchange of Policy in certain states. Certain states require that a policy owner be given the right to exchange the Policy for a fixed benefit life insurance policy, within either 18 or 24 months from the date of issue. This right is subject to various conditions imposed by the states and us. In such states, this right 20 has been more fully described in your Policy or related endorsements to comply with the applicable state requirements. Policy loans. You may at any time borrow from us an amount up to your Policy's cash surrender value less the interest that will be payable on your loan through your next Policy anniversary. This rule is not applicable in all states. The minimum amount you can borrow is $500 or, if less, the entire remaining loan value. We remove from your investment options an amount equal to your loan and hold that part of your accumulation value in the declared fixed interest account as collateral for the loan. We will credit your Policy with interest on this collateral amount at an effective annual rate of 4% (rather than any amount you could otherwise earn in one of our investment options), and we will charge you interest on your loan at an effective annual rate of 4.75%. Loan interest is payable annually, on the Policy anniversary, in advance, at a rate of 4.54%. Any amount not paid by its due date will automatically be added to the loan balance as an additional loan. Interest you pay on Policy loans will not, in most cases, be deductible on your tax returns. You may choose which of your investment options the loan will be taken from. If you do not so specify, we will allocate the loan in the same way that charges under your Policy are being allocated. If this is not possible, we will make the loan pro-rata from each investment option that you then are using. You may repay all or part (but not less than $100 unless it is the final payment) of your loan at any time before the death of the insured person while the Policy is in force. You must designate any loan repayment as such. Otherwise, we will treat it as a premium payment instead. Any loan repayments go first to repay all loans that were taken from our declared fixed interest account option. We will invest any additional loan repayments you make in the investment options you request. In the absence of such a request we will invest the repayment in the same proportion as you then have selected for premium payments that we receive from you. Any unpaid loan (plus any unearned loan interest) will be deducted from the proceeds we pay following the insured person's death. Preferred loan interest rate. We will credit a higher interest rate on an amount of the collateral securing Policy loans taken out after the first 10 Policy years. The maximum amount of new loans that will receive this preferred loan interest rate for any year is: . 10% of your Policy's accumulation value (which includes any loan collateral we are holding for your Policy loans) at the beginning of the Policy year; or . if less, your Policy's maximum remaining loan value at that anniversary. We intend to set the rate of interest we credit to your preferred loan collateral amount equal to the loan interest rate you are paying, resulting in a zero net cost (0.00%) of borrowing for that amount. We have full discretion to vary the preferred rate, provided that it will always be greater than or equal to the rate we are then crediting in connection with regular Policy loans, and will never be less than an effective 21 annual rate of 4.50%. Because we first began offering the Policies in the year 2000, we have not yet declared a preferred loan interest rate for any outstanding Policy. Maturity of your Policy. If the insured person is living on the "Maturity Date" shown on page ___ of your Policy, we will pay you the cash surrender value of the Policy, and the Policy will end. The maturity date can be no later than the Policy anniversary nearest the insured person's 100/th/ birthday. Tax considerations. Please refer to "How will my Policy be treated for income tax purposes?" for information about the possible tax consequences to you when you receive any loan, surrender or other funds from your Policy. Can I choose the form in which AGL pays out the proceeds from my Policy? Choosing a payment option. You may choose to receive the full proceeds from the Policy as a single sum. This includes proceeds that become payable upon the death of the insured person, full surrender or the maturity date. Alternatively, you may elect that all or part of such proceeds be applied to one or more of the following payment options: . Option 1--Equal monthly payments for a specified period of time. . Option 2--Equal monthly payments of a selected amount of at least $60 per year for each $1,000 of proceeds until all amounts are paid out. . Option 3--Equal monthly payments for the payee's life, but with payments guaranteed for a specified number of years. These payments are based on annuity rates that are set forth in the Policy or, at the payee's request, the annuity rates that we then are using. . Option 4--Proceeds left to accumulate with interest. Additional payment options may also be available with our consent. We have the right to reject any payment option, if the payee is a corporation or other entity. You can read more about each of these options in the Policy and in the separate form of payment contract that we issue when any such option takes effect. Within 60 days after the insured person's death, any payee entitled to receive proceeds as a single sum may elect one or more payment options. Interest rates that we credit under each option will be at least 3%. Change of payment option. You may change any payment option you have elected at any time while the Policy is in force and before the start date of the payment option. 22 Tax impact. If a payment option is chosen, you or your beneficiary may have tax consequences. You should consult with a qualified tax adviser before deciding whether to elect one or more payment options. To what extent can AGL vary the terms and conditions of the Policy in particular cases? Here are some variations we may make in the terms and conditions of a Policy. Any variations will be made only in accordance with uniform rules that we establish. Underwriting and premium classes. We have six premium classes, and also combinations of the premium classes, we use to decide how much the monthly insurance charges under any particular Policy will be: preferred, standard, tobacco, non-tobacco, juvenile and standard. They are each described in your Policy. Policies purchased through "internal rollovers." We maintain published rules that describe the procedures necessary to replace another life insurance policy we issued with a Policy. Not all types of other insurance we issue are eligible to be replaced with a Policy. Our published rules may be changed from time to time, but are evenly applied to all our customers. State law requirements. AGL is subject to the insurance laws and regulations in every jurisdiction in which the Policies are sold. As a result, various time periods and other terms and conditions described in this prospectus may vary depending on where you reside. These variations will be reflected in your Policy and related endorsements. Variations in expenses or risks. AGL may vary the charges and other terms of the Policy where special circumstances result in sales, administrative or other expenses, mortality risks or other risks that are different from those normally associated with the Policy. How will my Policy be treated for income tax purposes? Generally, the death benefit paid under a Policy is not subject to income tax, and earnings on your accumulation value are not subject to income tax as long as we do not pay them out to you. If we do pay any amount of your Policy's accumulation value upon surrender, partial surrender, or maturity of your Policy, all or part of that distribution may be treated as a return of the premiums you paid, which is not subject to income tax. Amounts you receive as Policy loans are not taxable to you, unless you have paid such a large amount of premiums that your Policy becomes what the tax law calls a "modified endowment contract." In that case, the loan will be taxed as if it were a partial surrender. Furthermore, loans, partial surrenders and other distributions from a modified endowment contract may require you to pay additional taxes and penalties that otherwise would not apply. If your Policy lapses, you may have to pay income tax on a portion of any outstanding loan. 23 For further information about the tax consequences of owning a Policy, please read "Tax Effects" starting on page ___. How do I communicate with AGL? When we refer to "you," we mean the person who is authorized to take any action with respect to a Policy. Generally, this is the owner named in the Policy. Where a Policy has more than one owner, each owner generally must join in any requested action, except for transfers and changes in the allocation of future premiums or changes among the investment options. General. You should mail or express checks and money orders for premium payments and loan repayments directly to our Home Office. You must make the following requests in writing: . transfer of accumulation value; . loan; . full surrender; . partial surrender; . change of beneficiary or contingent beneficiary; . change of allocation percentages for premium payments; . loan repayments or loan interest payments; . change of death benefit option or manner of death benefit payment; . change in specified amount; . addition or cancellation of, or other action with respect to, election of a payment option for Policy proceeds; . tax withholding elections; and . telephone transaction privileges. You should mail or express these requests to our Home Office at the appropriate address shown on the first page of this prospectus. You should also communicate notice of the insured person's death, and related documentation, to our Home Office. 24 We have special forms which should be used for loans, assignments, partial and full surrenders, changes of owner or beneficiary, and all other contractual changes. You will be asked to return your Policy when you request a full surrender. You may obtain these forms from our Home Office or from your AGL representative. Each communication must include your name, Policy number and, if you are not the insured person, that person's name. We cannot process any requested action that does not include all required information. Telephone transactions. If you have a completed telephone authorization form on file with us, you may make transfers, or change the allocation of future premium payments or deduction of charges, by telephone, subject to the terms of the form. We will honor telephone instructions from any person who provides the correct information, so there is a risk of possible loss to you if unauthorized persons use this service in your name. Our current procedure is that only the owner or your AGL representative may make a transfer request by phone. We are not liable for any acts or omissions based upon instructions that we reasonably believe to be genuine. Our procedures include verification of the Policy number, the identity of the caller, both the insured person's and owner's names, and a form of personal identification from the caller. We will mail you a prompt written confirmation of the transaction. If (a) many people seek to make telephone requests at or about the same time, or (b) our recording equipment malfunctions, it may be impossible for you to make a telephone request at the time you wish. You should submit a written request if you cannot make a telephone transfer. Also, if, due to malfunction or other circumstances, your telephone request is incomplete or not fully comprehensible, we will not process the transaction. The phone number for telephone requests is 1-888-325-9315. ILLUSTRATIONS OF HYPOTHETICAL POLICY BENEFITS To help explain how our Policy works, we have prepared the following tables: Page to See in this Prospectus ---------- Death Benefit Option 1--Current Charges ................. ___ Death Benefit Option 1--Guaranteed Maximum Charges........ ___ The tables show how death benefits, accumulation values, and cash surrender values ("Policy benefits") under a sample Policy would change over time if the investment options had constant hypothetical gross annual investment returns of 0%, 6% or 12% over the years covered by each table. The tables are for a male non-tobacco user preferred premium class and issue age 55. An annual premium payment of $1,500 for an initial $100,000 of specified amount of coverage is assumed to be paid. The illustrations assume no Policy loan has been taken. The differences between the accumulation values and the cash surrender values for the first 10 years in the tables are because of the Policy's surrender charges. As illustrated, this Policy would not be classified as a modified endowment contract (See "Tax Effects" beginning on page ___ for further discussion). 25 The tables show a sample Policy with 100% base coverage only. A Policy with supplemental coverage at current charges will over time have lower monthly insurance charges and a higher accumulation value. Your AGL representative can provide you with Policy illustrations specific to you, showing how your selection of base and supplemental coverage, if any, can affect your Policy values under different assumptions. Although the tables that follow do not include an example of a Policy with an Option 2 death benefit, such a Policy would have higher death benefits and lower cash surrender values. Separate tables are included to show both current and guaranteed maximum charges. The charges assumed in the following tables include: . a charge for state premium tax (or a tax charge back if we issued the Policy in Oregon) assumed to be 2.0% (for both current and guaranteed maximum charges); . after we deduct premium tax (or a tax charge back if we issued the Policy in Oregon), a charge of 5.0% and 7.5% for current charges and guaranteed maximum charges, respectively; . a daily charge for the first 10 Policy years at an annual effective rate of .70% (for both current and guaranteed maximum charges); . a daily charge for Policy years 11 through 20 at an annual effective rate of .45% (for both current and guaranteed maximum charges); . a daily charge after 20 Policy years at an annual effective rate of .10% (for both current and guaranteed maximum charges); . a flat monthly charge of $6 (for both current and guaranteed maximum charges); . a monthly charge for the first 7 Policy years for each $1,000 of specified amount of $____ (for both current and guaranteed maximum charges); and . the current monthly insurance charge and guaranteed maximum monthly insurance charges for current charges and guaranteed maximum charges, respectively. The charges assumed by both the current and guaranteed maximum charge tables also include Mutual Fund expenses of ____% of aggregate Mutual Fund assets. This percentage is the arithmetic average of the advisory fees payable with respect to each Mutual Fund, after all reimbursements, plus the arithmetic average of all other operating expenses of each such Fund after all reimbursements, as reflected on pages ___ and ___ of this prospectus. We expect the reimbursement arrangements to continue in the future. If the reimbursement arrangements were not currently in effect, the arithmetic average of Mutual Fund expenses would equal ____% of aggregate Mutual Fund assets. 26 Individual illustrations. On request, we will furnish you with a comparable illustration based on your Policy's characteristics. If you request illustrations more than once in any Policy year, we may charge $25 for the illustration. 27 Platinum Investor III Annual Premium $ 1,500 Initial Specified Amount $100,000 Death Benefit Option 1 Male, Age 55 Non-Tobacco User, Preferred Premium Class Assuming Current Charges
Death Benefit Accumulation Value Cash Surrender Value End of Assuming Hypothetical Gross Assuming Hypothetical Gross Assuming Hypothetical Gross Policy Annual Investment Return of Annual Investment Return of Annual Investment Return of Year 0.0% 6.0% 12.0% 0.0% 6.0% 12.0% 0.0% 6.0% 12.0% 1 100,000 100,000 100,000 2 100,000 100,000 100,000 3 100,000 100,000 100,000 4 100,000 100,000 100,000 5 100,000 100,000 100,000 6 100,000 100,000 100,000 7 100,000 100,000 100,000 8 100,000 100,000 100,000 [VALUES WILL BE PROVIDED IN THE 9 100,000 100,000 100,000 PRE-EFFECTIVE AMENDMENT] 10 100,000 100,000 100,000 15 100,000 100,000 100,000 20 100,000 100,000 100,000
The values will change if premiums are paid in different amounts or frequencies. The investment results are an example only and are not a representation of past or future investment results. Actual investment results may be more or less than those shown. 28 Platinum Investor III Annual Premium $ 1,500 Initial Specified Amount $100,000 Death Benefit Option 1 Male, Age 55 Non-Tobacco User, Preferred Premium Class Assuming Guaranteed Charges
Death Benefit Accumulation Value Cash Surrender Value End of Assuming Hypothetical Gross Assuming Hypothetical Gross Assuming Hypothetical Gross Policy Annual Investment Return of Annual Investment Return of Annual Investment Return of Year 0.0% 6.0% 12.0% 0.0% 6.0% 12.0% 0.0% 6.0% 12.0% 1 100,000 100,000 100,000 2 100,000 100,000 100,000 3 100,000 100,000 100,000 4 100,000 100,000 100,000 5 100,000 100,000 100,000 6 100,000 100,000 100,000 7 100,000 100,000 100,000 8 100,000 100,000 100,000 [VALUES WILL BE PROVIDED IN THE 9 100,000 100,000 100,000 PRE-EFFECTIVE AMENDMENT] 10 100,000 100,000 100,000 15 100,000 100,000 100,000 20 100,000 100,000 100,000
The values will change if premiums are paid in different amounts or frequencies. The investment results are an example only and are not a representation of past or future investment results. Actual investment results may be more or less than those shown. 29 ADDITIONAL INFORMATION A general overview of the Policy appears at pages 1 - ___. The additional information that follows gives more details, but generally does not repeat what is set forth above.
Page to See in this Contents of Additional Information Prospectus - ---------------------------------- ---------- AGL........................................................................... Separate Account VL-R......................................................... Tax Effects................................................................... Voting Privileges............................................................. Your Beneficiary.............................................................. Assigning Your Policy......................................................... More About Policy Charges..................................................... Effective Date of Policy and Related Transactions............................. More About the Death Benefit.................................................. More About Our Declared Fixed Interest Account Option......................... Distribution of the Policies.................................................. Payment of Policy Proceeds.................................................... Adjustments to Death Benefit.................................................. Additional Rights That We Have................................................ Performance Information....................................................... Our Reports to Policy Owners.................................................. AGL's Management.............................................................. Principal Underwriter's Management............................................ Legal Matters................................................................. Independent Auditors ......................................................... Actuarial Expert.............................................................. Services Agreement............................................................ Certain Potential Conflicts...................................................
Special words and phrases. If you want more information about any words or phrases that you read in this prospectus, you may wish to refer to the Index of Words and Phrases that appears at the end of this prospectus (pages ___ and ___, which follow all of the financial pages). That index will tell you on what page you can read more about many of the words and phrases that we use. AGL We are American General Life Insurance Company ("AGL"). AGL is a stock life insurance company organized under the laws of Texas. AGL is a successor in interest to a company originally organized under the laws of Delaware on January 10, 1917. AGL is an indirect, wholly-owned 30 subsidiary of American General Corporation (formerly American General Insurance Company), a diversified financial services holding company engaged primarily in the insurance business. The commitments under the Policies are AGL's, and American General Corporation has no legal obligation to back those commitments. AGL is a member of the Insurance Marketplace Standards Association ("IMSA"). IMSA is a voluntary membership organization created by the life insurance industry to promote ethical market conduct for individual life insurance and annuity products. AGL's membership in IMSA applies only to AGL and not its products. Separate Account VL-R We hold the Mutual Fund shares in which any of your accumulation value is invested in Separate Account VL-R. Separate Account VL-R is registered as a unit investment trust with the SEC under the Investment Company Act of 1940. We created the separate account on May 6, 1997 under Texas law. For record keeping and financial reporting purposes, Separate Account VL-R is divided into ___ separate "divisions," ___ of which correspond to the ___ variable "investment options" available since the inception of the Policy. The remaining ___ divisions, and some of these ___ divisions, represent investment options available under other variable life policies we offer. We hold the Mutual Fund shares in which we invest your accumulation value for an investment option in the division that corresponds to that investment option. The assets in Separate Account VL-R are our property. The assets in Separate Account VL-R would be available only to satisfy the claims of owners of the Policies, to the extent they have allocated their accumulation value to Separate Account VL-R. Our other creditors could reach only those Separate Account VL-R assets (if any) that are in excess of the amount of our reserves and other contract liabilities under the Policies with respect to Separate Account VL-R. Tax Effects This discussion is based on current federal income tax law and interpretations. It assumes that the policy owner is a natural person who is a U.S. citizen and resident. The tax effects on corporate taxpayers, non-U.S. residents or non-U.S. citizens, may be different. This discussion is general in nature, and should not be considered tax advice, for which you should consult a qualified tax adviser. General. The Policy will be treated as "life insurance" for federal income tax purposes (a) if it meets the definition of life insurance under Section 7702 of the Internal Revenue Code of 1986, as amended (the "Code") and (b) for as long as the investments made by the underlying Mutual Funds satisfy certain investment diversification requirements under Section 817(h) of the Code. We believe that the Policy will meet these requirements and that: 31 . the death benefit received by the beneficiary under your Policy will not be subject to federal income tax; and . increases in your Policy's accumulation value as a result of interest or investment experience will not be subject to federal income tax unless and until there is a distribution from your Policy, such as a surrender or a partial surrender. Although AGL believes that the Policies are in compliance with Section 7702 of the Code, the manner in which Section 7702 should be applied to certain features of a last survivor life insurance policy is not directly addressed by Section 7702. In the absence of final regulations or other guidance issued under Section 7702, there is necessarily some uncertainty whether survivor life insurance policies, like the Platinum Investor III Policies, will meet the Section 7702 definition of a life insurance contract. The federal income tax consequences of a distribution from your Policy can be affected by whether your Policy is determined to be a "modified endowment contract,"as you can see from the following discussion. In all cases, however, the character of all income that is described as taxable to the payee will be ordinary income (as opposed to capital gain). Testing for modified endowment contract status. Your Policy will be a "modified endowment contract" if, at any time during the first seven Policy years, you have paid a cumulative amount of premiums that exceeds the premiums that would have been paid by that time under a similar fixed-benefit insurance policy that was designed (based on certain assumptions mandated under the Code) to provide for paid-up future benefits after the payment of seven level annual premiums. ("Paid up" means no future premium payments would be required.) This is called the "seven-pay" test. Whenever there is a "material change" under a policy, the policy will generally be (a) treated as a new contract for purposes of determining whether the policy is a modified endowment contract and (b) subjected to a new seven-pay period and a new seven-pay limit. The new seven-pay limit would be determined taking into account, under a prescribed formula, the accumulation value of the policy at the time of such change. A materially changed policy would be considered a modified endowment contract if it failed to satisfy the new seven-pay limit at any time during the new seven-pay period. A "material change" for these purposes could occur as a result of a change in death benefit option. A material change will occur as a result of an increase in your Policy's specified amount of coverage, and certain other changes. If your Policy's benefits are reduced during the first seven Policy years (or within seven years after a material change), the calculated seven-pay premium limit will be redetermined based on the reduced level of benefits and applied retroactively for purposes of the seven-pay test. (Such a reduction in benefits could include, for example, a decrease in the specified amount that you request or that results from a partial surrender). If the premiums previously paid are greater than the recalculated seven-payment premium level limit, the Policy will become a modified endowment contract. 32 A life insurance policy that is received in exchange for a modified endowment contract will also be considered a modified endowment contract. Other effects of Policy changes. Changes made to your Policy (for example, a decrease in specified amount that you request or that results from a partial surrender that you request) may also have other effects on your Policy. Such effects may include impacting the maximum amount of premiums that can be paid under your Policy, as well as the maximum amount of accumulation value that may be maintained under your Policy. Taxation of pre-death distributions if your Policy is not a modified --- endowment contract. As long as your Policy remains in force as a non-modified endowment contract, a Policy loan will be treated as indebtedness, and no part of the loan proceeds will be subject to current federal income tax. Interest on the loan generally will not be tax deductible. After the first 15 Policy years, the proceeds from a partial surrender will not be subject to federal income tax except to the extent such proceeds exceed your "basis" in your Policy. (Your basis generally will equal the premiums you have paid, less the amount of any previous distributions from your Policy that were not taxable.) During the first 15 Policy years, however, the proceeds from a partial surrender could be subject to federal income tax, under a complex formula, to the extent that your accumulation value exceeds your basis in your Policy. On the maturity date or upon full surrender, any excess in the amount of proceeds we pay (including amounts we use to discharge any Policy loan) over your basis in the Policy, will be subject to federal income tax. In addition, if a Policy ends after a grace period while there is a policy loan, the cancellation of such loan and any accrued loan interest will be treated as a distribution and could be subject to tax under the above rules. Finally, if you make an assignment of rights or benefits under your Policy you may be deemed to have received a distribution from your Policy, all or part of which may be taxable. Taxation of pre-death distributions if your Policy is a modified endowment -- contract. If your Policy is a modified endowment contract, any distribution from your Policy while the insured person is still living will be taxed on an "income-first" basis. Distributions for this purpose include a loan (including any increase in the loan amount to pay interest on an existing loan or an assignment or a pledge to secure a loan) or partial surrender. Any such distributions will be considered taxable income to you to the extent your accumulation value exceeds your basis in the Policy. For modified endowment contracts, your basis is similar to the basis described above for other policies, except that it also would be increased by the amount of any prior loan under your Policy that was considered taxable income to you. For purposes of determining the taxable portion of any distribution, all modified endowment contracts issued by the same insurer (or its affiliates) to the same owner (excluding certain qualified plans) during any calendar year are aggregated. A 10% penalty tax also will apply to the taxable portion of most distributions from a policy that is a modified endowment contract. The penalty tax will not, however, apply: 33 . to taxpayers 59 1/2years of age or older; . in the case of a disability (as defined in the Code); or . to distributions received as part of a series of substantially equal periodic annuity payments for the life (or life expectancy) of the taxpayer or the joint lives (or joint life expectancies) of the taxpayer and his or her beneficiary. If your Policy ends after a grace period while there is a Policy loan, the cancellation of the loan will be treated as a distribution to the extent not previously treated as such and could be subject to tax, including the 10% penalty tax, as described above. In addition, on the maturity date or upon a full surrender, any excess of the proceeds we pay (including any amounts we use to discharge any loan) over your basis in the Policy, will be subject to federal income tax and, unless one of the above exceptions applies, the 10% penalty tax. Distributions that occur during a Policy year in which your Policy becomes a modified endowment contract, and during any subsequent Policy years, will be taxed as described in the two preceding paragraphs. In addition, distributions from a policy within two years before it becomes a modified endowment contract also will be subject to tax in this manner. This means that a distribution made from a policy that is not a modified endowment contract could later become taxable as a distribution from a modified endowment contract. Policy lapses and reinstatements. A Policy which has lapsed may have the tax consequences described above, even though you may be able to reinstate that Policy. For tax purposes, some reinstatements may be treated as the purchase of a new insurance contract. Taxation of Exchange Option. You can split the policy into two other single life insurance policies under some circumstances. A policy split could have adverse tax consequences if it is not treated as a nontaxable exchange under Section 1035 of the Code. This could include, among other things, recognition as taxable income an amount up to any gain in the Policy at the time of the exchange. Diversification. Under Section 817(h) of the Code, the Treasury Department has issued regulations that implement investment diversification requirements. Our failure to comply with these regulations would disqualify your Policy as a life insurance policy under Section 7702 of the Code. If this were to occur, you would be subject to federal income tax on the income under the Policy for the period of the disqualification and for subsequent periods. Also, if the insured person died during such period of disqualification or subsequent periods, a portion of the death benefit proceeds would be taxable to the beneficiary. Separate Account VL-R, through the Mutual Funds, intends to comply with these requirements. Although we do not have direct control over the investments or activities of the Mutual Funds, we will enter into agreements with them requiring the Mutual Funds to comply with the diversification requirements of the Section 817(h) Treasury Regulations. 34 The Treasury Department has stated that it anticipates the issuance of guidelines prescribing the circumstances in which the ability of a policy owner to direct his or her investment to particular Mutual Funds within Separate Account VL-R may cause the policy owner, rather than the insurance company, to be treated as the owner of the assets in the account. Due to the lack of specific guidance on investor control, there is some uncertainty about when a policy owner is considered the owner of the assets for tax purposes. If you were considered the owner of the assets of Separate Account VL-R, income and gains from the account would be included in your gross income for federal income tax purposes. Under current law, however, we believe that AGL, and not the owner of a Policy, would be considered the owner of the assets of Separate Account VL-R. Estate and generation skipping taxes. If the insured person is the Policy's owner, the death benefit under the Policy will generally be includable in the owner's estate for purposes of federal estate tax. If the owner is not the insured person, under certain conditions, only an amount approximately equal to the cash surrender value of the Policy would be includable. The federal estate tax is integrated with the federal gift tax under a unified rate schedule and unified credit. The Taxpayer Relief Act of 1997 gradually raises the credit to $1,000,000. In addition, an unlimited marital deduction may be available for federal estate tax purposes. As a general rule, if a "transfer" is made to a person two or more generations younger than the Policy's owner, a generation skipping tax may be payable at rates similar to the maximum estate tax rate in effect at the time. The generation skipping tax provisions generally apply to "transfers" that would be subject to the gift and estate tax rules. Individuals are generally allowed an aggregate generation skipping tax exemption of $1 million. Because these rules are complex, you should consult with a qualified tax adviser for specific information, especially where benefits are passing to younger generations. The particular situation of each policy owner, insured person or beneficiary will determine how ownership or receipt of Policy proceeds will be treated for purposes of federal estate and generation skipping taxes, as well as state and local estate, inheritance and other taxes. Life insurance in split dollar arrangements. The IRS has released a technical advice memorandum ("TAM") on the taxability of insurance policies used in certain split dollar arrangements. A TAM provides advice as to the internal revenue laws, regulations, and related statutes with respect to a specified set of facts and a specified taxpayer. In the TAM, among other things, the IRS concluded that an employee was subject to current taxation on the excess of the cash surrender value of the policy over the premiums to be returned to the employer. Purchasers of life insurance policies to be used in split dollar arrangements are strongly advised to consult with a qualified tax adviser to determine the tax treatment resulting from such an arrangement. Pension and profit-sharing plans. If a life insurance policy is purchased by a trust or other entity that forms part of a pension or profit-sharing plan qualified under Section 401(a) of the Code for the benefit of participants covered under the plan, the federal income tax treatment of such policies will be somewhat different from that described above. 35 The reasonable net premium cost for such amount of insurance that is purchased as part of a pension or profit-sharing plan is required to be included annually in the plan participant's gross income. This cost (generally referred to as the "P.S. 58" cost) is reported to the participant annually. If the plan participant dies while covered by the plan and the policy proceeds are paid to the participant's beneficiary, then the excess of the death benefit over the policy's accumulation value will not be subject to federal income tax. However, the policy's accumulation value will generally be taxable to the extent it exceeds the participant's cost basis in the policy. The participant's cost basis will generally include the costs of insurance previously reported as income to the participant. Special rules may apply if the participant had borrowed from the policy or was an owner-employee under the plan. There are limits on the amounts of life insurance that may be purchased on behalf of a participant in a pension or profit-sharing plan. Complex rules, in addition to those discussed above, apply whenever life insurance is purchased by a tax qualified plan. You should consult a qualified tax adviser. Other employee benefit programs. Complex rules may also apply when a policy is held by an employer or a trust, or acquired by an employee, in connection with the provision of other employee benefits. These policy owners must consider whether the policy was applied for by or issued to a person having an insurable interest under applicable state law and with the insured person's consent. The lack of an insurable interest or consent may, among other things, affect the qualification of the policy as life insurance for federal income tax purposes and the right of the beneficiary to receive a death benefit. ERISA. Employers and employer-created trusts may be subject to reporting, disclosure and fiduciary obligations under the Employee Retirement Income Security Act of 1974, as amended. You should consult a qualified legal adviser. Our taxes. We report the operations of Separate Account VL-R in our federal income tax return, but we currently pay no income tax on Separate Account VL-R's investment income and capital gains, because these items are, for tax purposes, reflected in our variable life insurance policy reserves. We currently make no charge to any Separate Account VL-R division for taxes. We reserve the right to make a charge in the future for taxes incurred; for example, a charge to Separate Account VL-R for income taxes we incur that are allocable to the Policy. We may have to pay state, local or other taxes in addition to applicable taxes based on premiums. At present, these taxes are not substantial. If they increase, we may make charges for such taxes when they are attributable to Separate Account VL-R or allocable to the Policy. Certain Mutual Funds in which your accumulation value is invested may elect to pass through to AGL taxes withheld by foreign taxing jurisdictions on foreign source income. Such an election will result in additional taxable income and income tax to AGL. The amount of additional income 36 tax, however, may be more than offset by credits for the foreign taxes withheld which are also passed through. These credits may provide a benefit to AGL. When we withhold income taxes. Generally, unless you provide us with an election to the contrary before we make the distribution, we are required to withhold income tax from any proceeds we distribute as part of a taxable transaction under your Policy. In some cases, where generation skipping taxes may apply, we may also be required to withhold for such taxes unless we are provided satisfactory written notification that no such taxes are due. In the case of non-resident aliens who own a Policy, the withholding rules may be different. With respect to distributions from modified endowment contracts, non-resident aliens are generally subject to federal income tax withholding at a statutory rate of 30% of the distributed amount. In some cases, the non-resident alien may be subject to lower or even no withholding if the United States has entered into a tax treaty with his or her country of residence. Tax changes. The U.S. Congress frequently considers legislation that, if enacted, could change the tax treatment of life insurance policies. In addition, the Treasury Department may amend existing regulations, issue regulations on the qualification of life insurance and modified endowment contracts, or adopt new interpretations of existing law. State and local tax law or, if you are not a U.S. citizen and resident, foreign tax law, may also affect the tax consequences to you, the insured person or your beneficiary, and are subject to change. Any changes in federal, state, local or foreign tax law or interpretation could have a retroactive effect. We suggest you consult a qualified tax adviser. Voting Privileges We are the legal owner of the Funds' shares held in Separate Account VL-R. However, you may be asked to instruct us how to vote the Fund shares held in the various Mutual Funds and attributable to your Policy at meetings of shareholders of the Funds. The number of votes for which you may give directions will be determined as of the record date for the meeting. The number of votes that you may direct related to a particular Fund is equal to (a) your accumulation value invested in that Fund divided by (b) the net asset value of one share of that Fund. Fractional votes will be recognized. We will vote all shares of each Fund that we hold of record, including any shares we own on our own behalf, in the same proportions as those shares for which we have received instructions from owners participating in that Fund through Separate Account VL-R. If you are asked to give us voting instructions, we will send you the proxy material and a form for providing such instructions. Should we determine that we are no longer required to send the owner such materials, we will vote the shares as we determine in our sole discretion. 37 In certain cases, we may disregard instructions relating to changes in a Fund's investment manager or its investment policies. We will advise you if we do and explain the reasons in our next report to policy owners. AGL reserves the right to modify these procedures in any manner that the laws in effect from time to time allow. Your Beneficiary You name your beneficiary when you apply for a Policy. The beneficiary is entitled to the insurance benefits of the Policy. You may change the beneficiary during the lifetime of the insured person. We also require the consent of any irrevocably named beneficiary. A new beneficiary designation is effective as of the date you sign it, but will not affect any payments we may make before we receive it. If no beneficiary is living when the insured person dies, we will pay the insurance proceeds to the owner or the owner's estate. Assigning Your Policy You may assign (transfer) your rights in a Policy to someone else as collateral for a loan or for some other reason. We will not be bound by an assignment unless it is received in writing. You must provide us with two copies of the assignment. We are not responsible for any payment we make or any action we take before we receive a complete notice of the assignment in good order. We are also not responsible for the validity of the assignment. An absolute assignment is a change of ownership. Because there may be unfavorable tax consequences, including recognition of taxable income and the loss of income tax-free treatment for any death benefit payable to the beneficiary, you should consult a qualified tax adviser before making an assignment. More About Policy Charges Purpose of our charges. The charges under the Policy are designed to cover, in total, our direct and indirect costs of selling, administering and providing benefits under the Policy. They are also designed, in total, to compensate us for the risks we assume and services that we provide under the Policy. These include: . mortality risks (such as the risk that insured persons will, on average, die before we expect, thereby increasing the amount of claims we must pay); . sales risks (such as the risk that the number of Policies we sell and the premiums we receive net of withdrawals, are less than we expect, thereby depriving us of expected economies of scale); . regulatory risks (such as the risk that tax or other regulations may be changed in ways adverse to issuers of variable life insurance policies); and 38 . expense risks (such as the risk that the costs of administrative services that the Policy requires us to provide will exceed what we currently project). The current monthly insurance charge has been designed primarily to provide funds out of which we can make payments of death benefits under the Policy as the insured person dies. If the charges that we collect from the Policy exceed our total costs in connection with the Policy, we will earn a profit. Otherwise we will incur a loss. Although the paragraphs above describe the primary purposes for which charges under the Policies have been designed, these purposes are subject to considerable change over the life of a Policy. We can retain or use the revenues from any charge for any purpose. Gender neutral policies. Congress and the legislatures of various states have from time to time considered legislation that would require insurance rates to be the same for males and females of the same age, premium class and tobacco user status. In addition, employers and employee organizations should consider, in consultation with counsel, the impact of Title VII of the Civil Rights Act of 1964 on the purchase of life insurance policies in connection with an employment-related insurance or benefit plan. In a 1983 decision, the United States Supreme Court held that, under Title VII, optional annuity benefits under a deferred compensation plan could not vary on the basis of gender. Cost of insurance rates. Because of specified amount increases, different cost of insurance rates may apply to different increments of specified amount under your Policy. If so, we attribute your accumulation value proportionately to each increment of specified amount to compute our net amount at risk. See "Monthly insurance charge" on page ___. Certain arrangements. Most of the distributors or advisers of the Mutual Funds listed on page 1 of this prospectus make certain payments to us, on a quarterly basis, for certain administrative, Policy, and policy owner support expenses. These amounts will be reasonable for the services performed and are not designed to result in a profit. These amounts are paid by the distributors or the advisers, and will not be paid by the Mutual Funds, the divisions or Policy owners. No payments have yet been made under these arrangements, because the number of Policies issued does not require a payment. Effective Date of Policy and Related Transactions Valuation dates, times, and periods. We compute values under a Policy on each day that the New York Stock Exchange is open for business. We call each such day a "valuation date" or a "business day." 39 We compute policy values as of 3:00 p.m., Central time, on each valuation date. We call this our "close of business." We call the time from the close of business on one valuation date to the close of business of the next valuation date a "valuation period." Date of receipt. Generally we consider that we have received a premium payment or another communication from you on the day we actually receive it in full and proper order at our Home Office. If we receive it after the close of business on any valuation date, however, we consider that we have received it on the day following that valuation date. Commencement of insurance coverage. After you apply for a Policy, it can sometimes take up to several weeks for us to gather and evaluate all the information we need to decide whether to issue a Policy to you and, if so, what the insured person's premium class should be. We will not pay a death benefit under a Policy unless (a) it has been delivered to and accepted by the owner and at least the initial premium has been paid, and (b) at the time of such delivery and payment, there have been no adverse developments in the insured person's health or risk of death. However, if you pay at least the minimum first premium payment with your application for a Policy, we will provide temporary coverage of up to $300,000 provided the insured person meets certain medical and risk requirements. The terms and conditions of this coverage are described in our "Limited Temporary Life Insurance Agreement." You can obtain a copy from our Home Office by writing to the address shown on the first page of this prospectus or from your AGL representative. Date of issue; Policy months and years. We prepare the Policy only after we approve an application for a Policy and assign an appropriate premium class. The day we begin to deduct charges will appear on page ___ of your Policy and is called the "Date of Issue." Policy months and years are measured from the date of issue. To preserve a younger age at issue for the insured person, we may assign a date of issue to a Policy that is up to 6 months earlier than otherwise would apply. Monthly deduction days. Each charge that we deduct monthly is assessed against your accumulation value at the close of business on the date of issue and at the end of each subsequent valuation period that includes the first day of a Policy month. We call these "monthly deduction days." Commencement of investment performance. We begin to credit an investment return to the accumulation value resulting from your initial premium payment on the later of (a) the date of issue, or (b) the date all requirements needed to place the Policy in force have been satisfied, including underwriting approval and receipt in the Home Office of the necessary premium. In the case of a back-dated Policy, we do not credit an investment return to the accumulation value resulting from your initial premium payment until the date stated in (b) above. Effective date of other premium payments and requests that you make. Premium payments (after the first) and transactions made in response to your requests and elections are generally effected at the end of the valuation period in which we receive the payment, request or election and based on prices and values computed as of that same time. Exceptions to this general rule are as follows: 40 . Increases you request in the specified amount of insurance, reinstatements of a Policy that has lapsed, and changes in death benefit option take effect on the Policy's monthly deduction day on or next following our approval of the transaction; . We may return premium payments, make a partial surrender or reduce the death benefit if we determine that such premiums would cause your Policy to become a modified endowment contract or to cease to qualify as life insurance under federal income tax law or exceed the maximum net amount at risk; . If you exercise the right to return your Policy described on the second page of this prospectus, your coverage will end when you mail us your Policy or deliver it to your AGL representative; and . If you pay a premium in connection with a request which requires our approval, your payment will be applied when received rather than following the effective date of the change requested so long as your coverage is in force and the amount paid will not cause you to exceed premium limitations under the Code. If we do not approve your request, no premium will be refunded to you except to the extent necessary to cure any violation of the maximum premium limitations under the Code. We will not apply this procedure to premiums you pay in connection with reinstatement requests. More About the Death Benefit Base coverage and supplemental coverage. The amount of insurance coverage you select at the time you apply to purchase a Policy is called the specified amount. The specified amount is the total of two types of coverage: your "base coverage" and "supplemental coverage," if any, that you select. You decide how much base coverage and how much supplemental coverage you want, as long as the total is not less than the minimum of $50,000 and at least 10% of the total is base coverage when you purchase the Policy. The percentage that your base coverage represents of your specified amount will not change whenever you decrease the specified amount. You can, however, change the percentage of base coverage when you increase the specified amount, but at least 10% of the total specified amount after the increase must be base coverage. You can choose to have only base coverage. You can use the mix of base and supplemental coverage to emphasize your own objectives. Here are the features about supplemental coverage that differ from base coverage: . In general, the larger percentage of supplemental coverage you choose when your Policy is issued, the shorter the time the guarantee period benefit will be in force; . Supplemental coverage has no surrender charges; . The monthly insurance charge for supplemental coverage is always equal to or less than the monthly insurance charge for an equivalent amount of base coverage; and 41 . We do not collect the monthly charge for each $1,000 of specified amount that is attributable to supplemental coverage. Generally, if you choose supplemental coverage instead of base coverage, you will reduce your total charges and increase your accumulation value on a current charge basis. The more supplemental coverage you elect, the greater the amount of the reduction in charges and increase in accumulation value will be, on a current charge basis. Keep in mind, however, that our guarantee of a minimum death benefit (through the guarantee period benefit) may be essential to your planning. If this is the case, you may wish to maximize the percentage amount of base coverage you purchase. Policy owner objectives differ. Therefore, before deciding how much, if any, supplemental coverage you should have, you should discuss with your AGL representative what you believe to be your own objectives. Your representative can provide you with further information and Policy illustrations showing how your selection of base and supplemental coverage can affect your Policy values under different assumptions. You can then decide what is to be your mix of base and supplemental coverage. More About Our Declared Fixed Interest Account Option Our general account. Our general account assets are all of our assets that we do not hold in legally segregated separate accounts. Our general account supports our obligations to you under your Policy's declared fixed interest account option. Because of applicable exemptions, no interest in this option has been registered under the Securities Act of 1933, as amended. Neither our general account or our declared fixed interest account is an investment company under the Investment Company Act of 1940. We have been advised that the staff of the SEC has not reviewed the disclosures that are included in this prospectus for your information about our general account or our declared fixed interest account option. Those disclosures, however, may be subject to certain generally applicable provisions of the federal securities laws relating to the accuracy and completeness of statements made in prospectuses. How we declare interest. We can at any time change the rate of interest we are paying on any accumulation value allocated to our declared fixed interest account option, but it will always be at an effective annual rate of at least 4%. Under these procedures, it is likely that at any time different interest rates will apply to different portions of your accumulation value, depending on when each portion was allocated to our declared fixed interest account option. Any charges, partial surrenders, or loans that we take from any accumulation value that you have in our declared fixed interest account option will be taken from each portion in reverse chronological order based on the date that accumulation value was allocated to this option. 42 Distribution of the Policies American General Securities Incorporated ("AGSI") is the principal underwriter of the Policies. AGSI is a wholly-owned subsidiary of AGL. AGL, in turn, is a wholly-owned subsidiary of American General Corporation ("American General"). AGSI's principal office is at 2727 Allen Parkway, Houston, Texas 77019. AGSI was organized as a Texas corporation on March 8, 1983 and is a registered broker-dealer under the Securities Exchange Act of 1934, as amended ("1934 Act") and is a member of the National Association of Securities Dealers, Inc. ("NASD"). AGSI is also the principal underwriter for AGL's Separate Accounts A and D, Separate Accounts USL VA-R and USL VL-R of The United States Life Insurance Company in the City of New York ("USL"), and Separate Account E of American General Life Insurance Company of New York ("AGNY"). USL is an affiliate of AGL and AGNY is a wholly-owned subsidiary of AGL. These separate accounts are registered investment companies. AGSI, as the principal underwriter, is not paid any fees on the Policies. We and AGSI have sales agreements with various broker-dealers and banks under which the Policies will be sold by registered representatives of the broker-dealers or employees of the banks. These registered representatives and employees are also required to be authorized under applicable state regulations as life insurance agents to sell variable life insurance. The broker-dealers are ordinarily required to be registered with the SEC and must be members of the NASD. We pay compensation directly to broker-dealers and banks for promotion and sales of the Policies. AGSI also has its own registered representatives who will sell the Policies, and we will pay compensation to AGSI for these sales. The compensation payable to broker-dealers or banks for sales of the Policies may vary with the sales agreement, but is generally not expected to exceed: . 90% of the premiums paid in the first Policy year up to a "target" amount; . 3% of the premiums not in excess of the target amount paid in each of Policy years two through 10; . 3% of the premiums in excess of the target amount paid in each of Policy years one through 10; . 0.25% of the Policy's accumulation value (reduced by any outstanding loans) in the investment options in each of Policy years two through 20; and . 0.15% of the Policy's accumulation value (reduced by any outstanding loans) in the investment options in each Policy year after Policy year 20. 43 The target amount is an amount of level annual premium that would be necessary to support the benefits under your Policy, based on certain assumptions that we believe are reasonable. For this purpose, we exclude any supplemental coverage and, therefore, the target premium is reduced proportionately by the amount of supplemental coverage. The maximum value of any alternative amounts we may pay for sales of the Policies is expected to be equivalent over time to the amounts described above. For example, we may pay a broker-dealer compensation in a lump sum which will not exceed the aggregate compensation described above. We pay a comparable amount of compensation to the broker-dealers or banks with respect to any increase in the specified amount of coverage that you request. In addition, we may pay broker-dealers or banks expense allowances, bonuses, wholesaler fees and training allowances. We pay the compensation directly to AGSI or any other selling broker-dealer firm or bank. We pay the compensation from our own resources which does not result in any additional charge to you that is not described beginning on page __. Each broker-dealer firm or bank, in turn, may compensate its registered representative or employee who acts as agent in selling you a Policy. We sponsor a non-qualified deferred compensation plan ("Plan") for our insurance agents. Some of our agents are registered representatives of AGSI and sell the Policies. These agents may, subject to regulatory approval, receive benefits under the Plan when they sell the Policies. The benefits are deferred and the Plan terms may result in the agent never receiving the benefits. The Plan provides for a varying amount of benefits annually. We have the right to change the Plan in ways that affect the amount of benefits earned each year. Payment of Policy Proceeds General. We will pay any death benefit, maturity benefit, cash surrender value or loan proceeds within seven days after we receive the last required form or request (and any other documents that may be required for payment of a death benefit). If we do not have information about the desired manner of payment within 60 days after the date we receive notification of the insured person's death, we will pay the proceeds as a single sum, normally within seven days thereafter. Delay of declared fixed interest account option proceeds. We have the right, however, to defer payment or transfers of amounts out of our declared fixed interest account option for up to six months. If we delay more than 30 days in paying you such amounts, we will pay interest of at least 3% a year from the date we receive all items we require to make the payment. Delay for check clearance. We reserve the right to defer payment of that portion of your accumulation value that is attributable to a payment made by check for a reasonable period of time (not to exceed 15 days) to allow the check to clear the banking system. 44 Delay of Separate Account VL-R proceeds. We reserve the right to defer payment of any death benefit, loan or other distribution that comes from that portion of your accumulation value that is allocated to Separate Account VL-R, if: . the New York Stock Exchange is closed other than customary weekend and holiday closings, or trading on the New York Stock Exchange is restricted; . an emergency exists, as a result of which disposal of securities is not reasonably practicable or it is not reasonably practicable to fairly determine the accumulation value; or . the SEC by order permits the delay for the protection of owners. Transfers and allocations of accumulation value among the investment options may also be postponed under these circumstances. If we need to defer calculation of Separate Account VL-R values for any of the foregoing reasons, all delayed transactions will be processed at the next values that we do compute. Delay to challenge coverage. We may challenge the validity of your insurance Policy based on any material misstatements in your application or any application for a change in coverage. However, . We cannot challenge the Policy after it has been in effect, during the insured person's lifetime, for two years from the date the Policy was issued or restored after termination. (Some states may require that we measure this time in some other way.) . We cannot challenge any Policy change that requires evidence of insurability (such as an increase in specified amount) after the change has been in effect for two years during the insured person's lifetime. . We cannot challenge an additional benefit rider that provides benefits if the insured person becomes totally disabled, after two years from the later of the Policy's date of issue or the date the additional benefit rider becomes effective. Adjustments to Death Benefit Suicide. If the insured person commits suicide during the first two Policy years, we will limit the death benefit proceeds to the total of all premiums that have been paid to the time of death minus any outstanding Policy loans (plus credit for any unearned interest) and any partial surrenders. A new two year period begins if you increase the specified amount. You can increase the specified amount only if the insured person is living at the time of the increase. In this case, if the insured person commits suicide during the first two years following the increase, we will refund the 45 monthly insurance deductions attributable to the increase. The death benefit will then be based on the specified amount in effect before the increase. Some states require that we compute these periods for noncontestability differently following a suicide. Wrong age or gender. If the age or gender of the insured person was misstated on your application for a Policy (or for any increase in benefits), we will adjust any death benefit to be what the monthly insurance charge deducted for the current month would have purchased based on the correct information. Death during grace period. We will deduct from the insurance proceeds any monthly charges that remain unpaid because the insured person died during a grace period. Additional Rights That We Have We have the right at any time to: . transfer the entire balance in an investment option in accordance with any transfer request you make that would reduce your accumulation value for that option to below $500; . transfer the entire balance in proportion to any other investment options you then are using, if the accumulation value in an investment option is below $500 for any other reason; . end the automatic rebalancing feature if your accumulation value falls below $5,000; . change the underlying Mutual Fund that any investment option uses; . add, delete or limit investment options, combine two or more investment options, or withdraw assets relating to the Policies from one investment option and put them into another; . operate Separate Account VL-R under the direction of a committee or discharge such a committee at any time; . change our underwriting and premium class guidelines; . operate Separate Account VL-R, or one or more investment options, in any other form the law allows, including a form that allows us to make direct investments. Separate Account VL-R may be charged an advisory fee if its investments are made directly rather than through another investment company. In that case, we may make any legal investments we wish; or 46 . make other changes in the Policy that in our judgment are necessary or appropriate to ensure that the Policy continues to qualify for tax treatment as life insurance, or that do not reduce any cash surrender value, death benefit, accumulation value, or other accrued rights or benefits. You will be notified as required by law if there are any material changes in the underlying investments of an investment option that you are using. We intend to comply with all applicable laws in making any changes and, if necessary, we will seek policy owner approval. Performance Information From time to time, we may quote performance information for the divisions of Separate Account VL-R in advertisements, sales literature, or reports to owners or prospective investors. We may quote performance information in any manner permitted under applicable law. We may, for example, present such information as a change in a hypothetical owner's cash value or death benefit. We also may present the yield or total return of the division based on a hypothetical investment in a Policy. The performance information shown may cover various periods of time, including periods beginning with the commencement of the operations of the division or the Mutual Funds in which it invests. The performance information shown may reflect the deduction of one or more charges, such as the premium charge, and we generally expect to exclude costs of insurance charges because of the individual nature of these charges. We may compare a division's performance to that of other variable life separate accounts or investment products, as well as to generally accepted indices or analyses, such as those provided by research firms and rating services. In addition, we may use performance ratings that may be reported periodically in financial publications, such as Money Magazine, Forbes, Business Week, Fortune, Financial Planning and The Wall Street Journal. We also may advertise ratings of AGL's financial strength or claims-paying ability as determined by firms that analyze and rate insurance companies and by nationally recognized statistical rating organizations. Performance information for any division reflects the performance of a hypothetical Policy and is not illustrative of how actual investment performance would affect the benefits under your Policy. You should not consider such performance information to be an estimate or guarantee of future performance. Our Reports to Policy Owners Shortly after the end of each Policy year, we will mail you a report that includes information about your Policy's current death benefit, accumulation value, cash surrender value and policy loans. We will send you notices to confirm premium payments, transfers and certain other Policy transactions. We will mail to you at your last known address of record, these and any other reports 47 and communications required by law. You should give us prompt written notice of any address change. AGL's Management The directors, executive officers, and (to the extent responsible for variable life operations) the other principal officers of AGL are listed below. Name Business Experience Within Past Five Years - ------------------------ ------------------------------------------------- Rodney O. Martin, Jr. Director of American General Life Insurance Company since August 1996. Chairman of the Board and CEO of American General Life Insurance Company since April 2000. President and CEO (August 1996-July 1998). President of American General Life Insurance Company of New York (November 1995-August 1996). Vice President Agencies, with Connecticut Mutual Life Insurance Company, Hartford, Connecticut (1990-1995). Donald W. Britton Director of the Board of American General Life Insurance Company since April 1999. President of American General Life Insurance Company since April 2000. President of First Colony Life, Lynchburg, Virginia (1996 - April 1999) and Executive Vice President of First Colony Life (1992 - 1996). David A. Fravel Director of American General Life Insurance Company since November 1996. Elected Executive Vice President in April 1998. Previously held position of Senior Vice President of American General Life Insurance Company since November 1996. Senior Vice President of Massachusetts Mutual, Springfield, Missouri (March 1996-June 1996); Vice President, New Business, Connecticut Mutual Life Insurance Company, Hartford, Connecticut (December 1978-March 1996). David L. Herzog Director, Executive Vice President and Chief Financial Officer of American General Life Insurance Company since March 2000. Vice President of General American, St. Louis, Missouri (June 1991 - February 2000). John V. LaGrasse Director of American General Life Insurance Company since August 1996. Chief Technology Officer of American General Life Insurance Company since April, 2000. Elected Executive Vice President in July 1998. Previously held position of Senior Vice President of American General Life Insurance Company since August 1996. Director of Citicorp Insurance Services, Inc., Dover, Delaware (1986-1996). 48 Paul L. Mistretta Executive Vice President of American General Life Insurance Company since July 1999. Senior Vice President of First Colony Life Insurance, Lynchburg, Virginia (1992 - July 1999). Brian D. Murphy Executive Vice President of American General Life Insurance Company since July 1999. Previously held position of Senior Vice President-Insurance Operations of American General Life Insurance Company since April 1998. Vice President-Sales, Phoenix Home Life, Hartford, CT (January 1997- April 1998). Vice President of Underwriting and Issue, Phoenix Home Life (July 1994-January 1997). Various positions with Mutual of New York, Syracuse, NY, including Agent, Agency Manager, Marketing Life and Disability Income Underwriting Management, (1978-July 1994). Don M. Ward Executive Vice President of American General Life Insurance Company since April 2000. Senior Vice President of American General Life Insurance Company since February 1998. Vice President of Pacific Life Insurance Company, Newport Beach, CA (1991-February 1998). Thomas M. Zurek Director and Executive Vice President of American General Life Insurance Company since April 1999. Elected General Counsel in December 1998. Previously held various positions with American General Life Insurance Company including Senior Vice President since December 1998 and Vice President since October 1998. In February 1998 named as Senior Vice President and Deputy General Counsel of American General Corporation. Attorney Shareholder with Nyemaster, Goode, Voigts, West, Hansell & O'Brien, Des Moines, Iowa (June 1992 - February 1998). Wayne A. Barnard Senior Vice President of American General Life Insurance Company since November 1997. Previously held various positions with American General Life Insurance Company including Vice President since February 1991. Robert M. Beuerlein Senior Vice President and Chief Actuary of American General Life Insurance Company since September 1999. Previously held position of Vice President of American General Life Insurance Company since December 1998. Director, Senior Vice President and Chief Actuary of The Franklin Life Insurance Company, Springfield, Illinois (January 1991 - June 1999). William Guterding Senior Vice President of American General Life Insurance Company since April 1999. Senior Vice President and Chief Underwriting Officer of The United States Life Insurance Company in the City of New York since October, 1980. 49 Robert F. Herbert, Jr. Senior Vice President and Treasurer of American General Life Insurance Company since May 1996, and Controller since February 1991. Simon J. Leech Senior Vice President for American General Life Insurance Company since July 1997. Previously held various positions with American General Life Insurance Company since 1981, including Director of Policy Owners' Service Department in 1993, and Vice President-Policy Administration in 1995. Royce G. Imhoff, II Director for American General Life Insurance Company since November 1997. Previously held various positions with American General Life Insurance Company including Vice President since August 1996 and Regional Director since 1992. The principal business address of each person listed above is our Home Office; except that the street number for Messrs. Fravel, LaGrasse, Martin, Herzog, Britton, Mistretta, Barnard and Zurek is 2929 Allen Parkway, the street number for Mr. Ward is 2727 Allen Parkway, the street number for Mr. Guterding is 125 Maiden Lane, New York, New York. Principal Underwriter's Management The directors and principal officers of the principal underwriter are:
Position and Offices with Underwriter, Name and Principal American General Business Address Securities Incorporated - ------------------ ----------------------- F. Paul Kovach, Jr. Director and Chairman, American General Securities Incorporated President and Chief Executive Officer 2727 Allen Parkway Houston, TX 77019 Rodney O. Martin, Jr. Director and Vice Chairman American General Life Companies 2929 Allen Parkway Houston, TX 77019 Donald W. Britton Director and Assistant American General Life Companies Vice President 2929 Allen Parkway Houston, TX 77019
50 Royce G. Imhoff, II Director American General Life Companies 2727-A Allen Parkway Houston, Texas 77019 Alice T. Kane Director American General Retirement Services 125 Maiden Lane New York, New York 10038 John A. Kalbaugh Vice President - American General Life Companies Chief Marketing Officer 2727 Allen Parkway Houston, TX 77019 Sander J. Ressler Vice President, 2727 Allen Parkway Chief Compliance Officer and Houston, TX 77019 Secretary Don M. Ward Vice President American General Life Companies 2727 Allen Parkway Houston, TX 77019 Pauletta P. Cohn Assistant Secretary American General Life Companies 2727 Allen Parkway Houston, TX 77019 Robert F. Herbert, Jr. Assistant Treasurer American General Life Companies 2727-A Allen Parkway Houston, Texas 77019 D. Lynne Walters Assistant Tax Officer 2929 Allen Parkway Houston, TX 77019
Legal Matters We are not involved in any legal proceedings that would be considered material with respect to a policy owner's interest in Separate Account VL-R. Pauletta P. Cohn, Esquire, Deputy General Counsel of the American General Life Companies, an affiliate of AGL, has opined as to the validity of the Policies. 51 Independent Auditors The financial statements of AGL included in this prospectus have been audited by Ernst & Young LLP, independent auditors, as set forth in their report appearing elsewhere in this prospectus. Such financial statements have been included in this prospectus in reliance upon the report of Ernst & Young LLP given upon the authority of such firm as experts in accounting and auditing. Ernst & Young LLP is located at One Houston Center, 1221 McKinney, Suite 2400, Houston, Texas 77010-2007. Actuarial Expert Actuarial matters have been examined by Robert M. Beuerlein who is Senior Vice President and Chief Actuary of AGL. His opinion on actuarial matters is filed as an exhibit to the registration statement we have filed with the SEC in connection with the Policies. Services Agreement American General Life Companies ("AGLC") is party to an existing general services agreement with AGL. AGLC, an affiliate of AGL, is a corporation incorporated in Delaware on November 24, 1997. Pursuant to this agreement, AGLC provides services to AGL, including most of the administrative, data processing, systems, customer services, product development, actuarial, auditing, accounting and legal services for AGL and the Policies. Certain Potential Conflicts The Mutual Funds sell shares to separate accounts of insurance companies (and may sell in the future, certain qualified plans), both affiliated and not affiliated with AGL. We currently do not foresee any disadvantages to you arising out of such sales. Differences in treatment under tax and other laws, as well as other considerations, could cause the interests of various owners to conflict. For example, violation of the federal tax laws by one separate account investing in the Funds could cause the contracts funded through another separate account to lose their tax-deferred status, unless remedial action were taken. However, each Mutual Fund has advised us that its board of trustees (or directors) intends to monitor events to identify any material irreconcilable conflicts that possibly may arise and to determine what action, if any, should be taken in response. If we believe that a Fund's response to any such event insufficiently protects our policy owners, we will see to it that appropriate action is taken to do so as well as report any material irreconcilable conflicts that we know exist to each Mutual Fund as soon as a conflict arises. If it becomes necessary for any separate account to replace shares of any Mutual Fund in which it invests, that Fund may have to liquidate securities in its portfolio on a disadvantageous basis. FINANCIAL STATEMENTS The financial statements of AGL contained in this prospectus should be considered to bear only upon the ability of AGL to meet its obligations under the Policies. They should not be considered as bearing upon the investment experience of Separate Account VL-R. No financial 52 statements of Separate Account VL-R are included because, at the date of this prospectus, none of the Divisions of Separate Account VL-R were available under the Policies. [TO BE PROVIDED IN PRE-EFFECTIVE AMENDMENT] Page to Consolidated Financial Statements of See in this American General Life Insurance Company Prospectus - --------------------------------------- ---------- Unaudited consolidated Balance Sheets as of June 30, 2000.......... Q-1 Unaudited consolidated Income Statements for the six months ended June 30, 2000.............................................. Q-3 Report of Ernst & Young, LLP Independent Auditors.................. F-1 Consolidated Balance Sheets as of December 31, 1999 and 1998....... F-2 Consolidated Income Statements for the years ended December 31, 1999, 1998 and 1997................................. F-3 Consolidated Statements of Comprehensive Income for the years ended December 31, 1999, 1998, and 1997............ F-4 Consolidated Statements of Shareholders' Equity for the years ended December 31, 1999, 1998 and 1997........................... F-5 Consolidated Statements of Cash Flows for the years ended December 31, 1999, 1998 and 1997........................... F-6 Notes to Consolidated Financial Statements......................... F-7 53 INDEX OF WORDS AND PHRASES This index should help you to locate more information about some of the terms and phrases used in this prospectus. Page to See in this Defined Term Prospectus - ------------ ----------- accumulation value........................................... AGLC......................................................... AGL.......................................................... amount at risk............................................... automatic rebalancing........................................ base coverage................................................ basis........................................................ beneficiary.................................................. cash surrender value......................................... cash value accumulation test................................. close of business............................................ Code......................................................... cost of insurance rates...................................... daily charge................................................. date of issue................................................ death benefit................................................ declared fixed interest account option....................... dollar cost averaging........................................ full surrender............................................... Fund, Funds.................................................. grace period................................................. guarantee period, guarantee period benefit................... guideline premium test....................................... insured person .............................................. investment option............................................ lapse........................................................ loan, loan interest.......................................... maturity, maturity date...................................... modified endowment contract.................................. monthly deduction day........................................ monthly guarantee premium.................................... monthly insurance charge..................................... Mutual Fund.................................................. option 1, 2.................................................. partial surrender............................................ payment option............................................... 54 Page to See in this Defined Term Prospectus - ------------ ----------- planned periodic premium..................................... Policy....................................................... Policy loan.................................................. Policy month, year........................................... premium classes.............................................. premium payments............................................. reinstate, reinstatement..................................... SEC.......................................................... separate account............................................. Separate Account VL-R........................................ seven-pay test............................................... specified amount............................................. supplemental coverage........................................ surrender.................................................... telephone transactions....................................... transfers.................................................... uninsurable.................................................. valuation date, period....................................... variable investment option................................... We have filed a registration statement relating to Separate Account VL-R and the Policy with the SEC. The registration statement, which is required by the Securities Act of 1933, includes additional information that is not required in this prospectus. If you would like the additional information, you may obtain it from the SEC's Website at http://www.sec.gov or main office in Washington, D.C. You will have to pay a fee for the material. You should rely only on the information contained in this prospectus or sales materials we have approved. We have not authorized anyone to provide you with information that is different. The policies are not available in all states. This prospectus is not an offer in any state to any person if the offer would be unlawful. 55 PART II (OTHER INFORMATION) UNDERTAKING TO FILE REPORTS Subject to the terms and conditions of Section 15(d) of the Securities Exchange Act of 1934, the undersigned Registrant hereby undertakes to file with the Securities and Exchange Commission such supplementary and periodic information, documents, and reports as may be prescribed by any rule or regulation of the Commission heretofore, or hereafter duly adopted pursuant to authority conferred in that section. RULE 484 UNDERTAKING American General Life Insurance Company's Bylaws provide in Article VII, Section 1 for indemnification of directors, officers and employees of the Company. Insofar as indemnification for liability arising under the Securities Act of 1933 (the "Act") may be permitted to directors, officers and controlling persons of the Registrant pursuant to the foregoing provisions, or otherwise, the Registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the Registrant of expenses incurred or paid by a director, officer or controlling person of the Registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the Registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue. REPRESENTATION PURSUANT TO SECTION 26(e)(2)(A) OF THE INVESTMENT COMPANY ACT OF 1940 American General Life Insurance Company hereby represents that the fees and charges deducted under the Policy, in the aggregate, are reasonable in relation to the services rendered, the expenses expected to be incurred, and risks assumed by American General Life Insurance Company. II-1 CONTENTS OF REGISTRATION STATEMENT This Registration Statement contains the following papers and documents: The facing sheet. Cross-Reference Table. Prospectus, consisting of 55 pages of text. The undertaking to file reports. The Rule 484 undertaking. Representation pursuant to Section 26(e)(2)(A). The signatures. The following exhibits: 1. Exhibits required by Article IX, paragraph A of Form N-8B-2: (1)(a) Resolutions of Board of Directors of American General Life Insurance Company authorizing the establishment of Separate Account VL-R. (1) (1)(b) Resolutions of Board of Directors of American General Life Insurance Company authorizing the establishment of variable life insurance standards of suitability and conduct. (1) (2) Not applicable. (3)(a) Amended and Restated Distribution Agreement between American General Securities Incorporated and American General Life Insurance Company effective October 15, 1998. (15) (3)(b) Form of Selling Group Agreement. (6) (3)(c) Schedule of Commissions (incorporated by reference from the text included under the heading "Distribution of the Policies" in the prospectus that is filed as part of this amended Registration Statement). (4) Not applicable. (5) Form of "Platinum Investor III" Variable Universal Life Insurance Policy (Policy Form No. 00600). (Filed herewith) (6)(a) Amended and Restated Articles of Incorporation of American General Life Insurance Company, effective December 31, 1991. (2) II-2 (6)(b) Bylaws of American General Life Insurance Company, adopted January 22, 1992. (3) (6)(c) Amendment to the Amended and Restated Articles of Incorporation of American General Life Insurance Company, effective July 13, 1995. (5) (7) Not applicable. (8)(a)(i) Form of Participation Agreement by and Among AIM Variable Insurance Funds, Inc., AIM Distributors, Inc., American General Life Insurance Company, on Behalf of Itself and its Separate Accounts, and American General Securities Incorporated. (6) (8)(a)(ii) Form of Amendment Four to Participation Agreement by and among AIM Variable Insurance Funds, Inc., AIM Distributors, Inc., American General Life Insurance Company, on Behalf of Itself and its Separate Accounts, and American General Securities Incorporated. (16) (8)(b)(i) Form of Participation Agreement by and between The Variable Annuity Life Insurance Company, American General Life Insurance Company, American General Series Portfolio Company and American General Securities Incorporated. (10) (8)(b)(ii) Amendment One to Participation Agreement by and between The Variable Annuity Life Insurance Company, American General Life Insurance Company, American General Series Portfolio Company and American General Securities Incorporated dated as of July 21, 1998. (8) (8)(b)(iii) Form of Amendment Two to Participation Agreement by and between The Variable Annuity Life Insurance Company, American General Life Insurance Company, American General Series Portfolio Company and American General Securities Incorporated. (16) (8)(c)(i) Form of Participation Agreement Between American General Life Insurance Company, Dreyfus Variable Investment Fund, The Dreyfus Socially Responsible Growth Fund, Inc. and Dreyfus Life and Annuity Index Fund, Inc. (6) (8)(c)(ii) Amendment One to Participation Agreement by and among American General Life Insurance Company, Dreyfus Variable Investment Fund, The Dreyfus Socially Responsible Growth Fund, Inc. and Dreyfus Life and Annuity Index Fund, Inc. dated December 1, 1998. (8) II-3 (8)(c)(iii) Form of Amendment Two to Participation Agreement by and among American General Life Insurance Company, Dreyfus Variable Investment Fund, The Dreyfus Socially Responsible Growth Fund, Inc. and Dreyfus Life and Annuity Index Fund, Inc. (16) (8)(d)(i) Form of Participation Agreement Among MFS Variable Insurance Trust, American General Life Insurance Company and Massachusetts Financial Services Company. (6) (8)(d)(ii) Form of Amendment Four by and among MFS Variable Insurance Trust, American General Life Insurance Company and Massachusetts Financial Services Company. (16) (8)(e)(i) Participation Agreement by and among American General Life Insurance Company, American General Securities Incorporated, Morgan Stanley Universal Funds, Inc., Morgan Stanley Asset Management Inc., and Miller Anderson & Sherrerd LLP. (9) (8)(e)(ii) Amendment One to Participation Agreement by and among American General Life Insurance Company, American General Securities Incorporated, Morgan Stanley Universal Funds, Inc., Morgan Stanley Asset Management Inc., and Miller Anderson & Sherrerd LLP. (11) (8)(e)(iii) Form of Amendment Seven to Participation Agreement by and among American General Life Insurance Company, American General Securities Incorporated, Morgan Stanley Universal Funds, Inc., Morgan Stanley Asset Management Inc., and Miller Anderson & Sherrerd LLP. (16) (8)(f) Form of Participation Agreement Among Putnam Variable Trust, Putnam Mutual Funds Corp., and American General Life Insurance Company. (6) (8)(g)(i) Form of Participation Agreement Among American General Life Insurance Company, American General Securities Incorporated, SAFECO Resources Series Trust, and Safeco Securities, Inc. (6) (8)(g)(ii) Form of Amendment Four to Participation Agreement Among American General Life Insurance Company, American General Securities Incorporated, SAFECO Resources Series Trust, and Safeco Securities, Inc. (16) (8)(h)(i) Amended and Restated Participation Agreement by and among American General Life Insurance Company, American General Securities Incorporated, Van Kampen American Capital Life Investment Trust, Van Kampen American Capital Asset Management, Inc., and Van Kampen American Capital Distributors, Inc. (9) II-4 (8)(h)(ii) Amendment One to Amended and Restated Participation Agreement by and among American General Life Insurance Company, American General Securities Incorporated, Van Kampen American Capital Life Investment Trust, Van Kampen American Capital Asset Management, Inc., and Van Kampen American Capital Distributors, Inc. (8) (8)(h)(iii) Form of Amendment Six to Amended and Restated Participation Agreement by and among American General Life Insurance Company, American General Securities Incorporated, Van Kampen American Capital Life Investment Trust, Van Kampen American Capital Asset Management, Inc., and Van Kampen American Capital Distributors, Inc. (16) (8)(i) Form of Shareholder Services Agreement by and between American General Life Insurance Company and American Century Investment Management, Inc. (15) (8)(j)(i) Sales Agreement by and between American General Life Insurance Company, Neuberger & Berman Advisors Management Trust and Neuberger & Berman Management Incorporated. (15) (8)(j)(ii) Form of Assignment and Modification Agreement by and between Neuberger & Berman Management Incorporated and American General Life Insurance Company. (15) (8)(k) Form of Participation Agreement by and between American General Life Insurance Company and AYCO Series Trust. (16) (8)(l) Form of Participation Agreement by and between American General Life Insurance Company and Janus Aspen Series. (16) (8)(m) Form of Participation Agreement by and between American General Life Insurance Company and J.P. Morgan Series Trust II. (16) (8)(n) Form of Participation Agreement by and between American General Life Insurance Company, PIMCO Variable Insurance Trust and PIMCO Funds Distributor LLC. (16) (8)(o) Form of Participation Agreement by and between American General Life Insurance Company and Vanguard Variable Insurance Fund. (16) II-5 (8)(p) Form of Participation Agreement by and between American General Life Insurance Company, Warburg Pincus Trust, Credit Suisse Asset Management, LLC and Credit Suisse Asset Management Securities, Inc. (16) (8)(q) Form of Participation Agreement by and between Variable Insurance Products Fund II, Fidelity Distributors Corporation and American General Life Insurance Company. (16) (8)(r) Form of Administrative Services Agreement between American General Life Insurance Company and fund distributor. (5) (8)(s) Form of Administrative Services Agreement between American General Life Insurance Company, Miller Anderson & Sherrard LLP and Morgan Stanley Dean Witter Investment Management Inc. (16) (8)(t) Form of Administrative Services Agreement between American General Life Insurance Company and SAFECO Asset Management Company. (16) (8)(u) Administrative Services Agreement between American General Life Insurance Company and Van Kampen Asset Management Inc. (16) (8)(v) Form of services agreement dated July 31, 1975, (limited to introduction and first two recitals, and sections 1-3) among various affiliates of American General Corporation, including American General Life Insurance Company and American General Life Companies. (7) (8)(w) Administrative Services Agreement dated as of June 1, 1998, between American General Life Insurance Company and AIM Advisors, Inc. (4) (8)(x) Administrative Services Agreement dated as of August 11, 1998, between American General Life Insurance Company and The Dreyfus Corporation. (4) (8)(y) Amendment to Administrative Services Agreement dated as of August 11, 1998, between American General Life Insurance Company and The Dreyfus Corporation effective as of December 1, 1998. (4) (8)(z) Form of Administrative Services Agreement by and between AYCO __________ and American General Life Insurance Company. (16) (8)(aa) Form of Administrative Services Agreement by and between American General Life Insurance Company and Morgan Guaranty Trust Company of New York. (16) II-6 (8)(bb) Form of Administrative Services Agreement by and between American General Life Insurance Company and Neuberger & Berman Management Incorporated. (15) (8)(cc) Form of Services Agreement by and between American General Life Insurance Company and Pacific Investment Management, LLC (16) (8)(dd) Form of Administrative Services Agreement by and between American General Life Insurance Company and Credit Suisse Asset Management, LLC. (16) (9) Not applicable. (10)(a) Single Insured Life Insurance Application - Part A. (13) (10)(b) Single Insured Life Insurance Application - Part B. (13) (10)(c) Medical Exam Form Life Insurance Application. (13) (10)(d) Form of supplemental application for variable life insurance issued by AGL on Policy Form No. 00600. (Filed herewith) (10)(e) Service Request Form for Home Office. (16) Other Exhibits 2(a) Opinion and Consent of Pauletta P. Cohn, Deputy General Counsel of American General Life Companies. (16) 2(b) Opinion and Consent of American General Life Insurance Company's actuary. (16) 3 Not applicable. 4 Not applicable. 6 Consent of Independent Auditors. (16) 7 Powers of Attorney. (Filed herewith on Signature Pages) 27 Financial Data Schedule. (Not applicable) (1) Incorporated herein by reference to the initial filing of the Form S-6 Registration Statement (File No. 333-42567) of American General Life Insurance Company Separate Account VL-R, filed on December 18, 1997. II-7 (2) Incorporated herein by reference to the initial filing of the Form N-4 Registration Statement (File No. 33-43390) of Separate Account D of American General Life Insurance Company, filed on October 16, 1991. (3) Incorporated herein by reference to the filing of Post-Effective Amendment No. 1 of the Form N-4 Registration Statement (File No. 33-43390) of Separate Account D of American General Life Insurance Company, filed on April 30, 1992. (4) Incorporated herein by reference to the initial filing of the Form N-4 Registration Statement (File No. 333-70667) of American General Life Insurance Company Separate Account D, filed on January 15, 1999. (5) Incorporated by reference to the filing of Pre-Effective Amendment No. 3 of the Form S-6 Registration Statement (File No. 333-53909) of American General Life Insurance Company Separate Account VL-R, filed on August 19, 1998. (6) Incorporated by reference to the filing of Pre-Effective Amendment No. 1 of the Form S-6 Registration Statement (File No. 333-42567) of American General Life Insurance Company Separate Account VL-R, filed on March 23, 1998. (7) Incorporated by reference to the filing of Pre-Effective Amendment No. 23 to the Form N-4 Registration Statement of American General Life Insurance Company's Separate Account A (File No. 33-44745), filed on April 24, 1998. (8) Incorporated by reference to the filing of the Pre-Effective Amendment No. 1 to Form N-4 Registration Statement (File No. 333-70667) of American General Life Insurance Company Separate Account D, filed on March 18, 1999. (9) Incorporated by reference to Post-Effective Amendment No. 12 to Registrant's Form N-4 Registration Statement (File No. 33-43390), filed on April 30, 1997. (10) Incorporated by reference to Pre-Effective Amendment No. 1 of the Form N-4 Registration Statement (File No. 333-40637) of Separate Account D of American General Life Insurance Company, filed on February 12, 1998. (11) Incorporated by reference to Pre-Effective Amendment No. 1 of the Form S-6 Registration Statement (File No. 333-80191) of Separate Account VL-R of American General Life Insurance Company, filed on August 25, 1999. (12) Incorporated herein by reference to Post-Effective Amendment No. 2 of the Form S-6 Registration Statement (File No. 333-42567) of American General Life Insurance Company Separate Account VL-R, filed on April 21, 1999. (13) Incorporated herein by reference to the initial filing of the Form S-6 Registration Statement (File No. 333-89897) of American General Life Insurance Company Separate Account VL-R, filed on October 29, 1999. II-8 (14) Incorporated by reference to Post-Effective Amendment No. 18 of the Form N-4 Registration Statement (File No. 33-43390) of Separate Account D of American General Life Insurance Company, filed on April 12, 2000. (15) Incorporated by reference to Pre-Effective Amendment No. 1 of the Form S-6 Registration Statement (File No. 333-89897) of American General Life Insurance Company Separate Account VL-R, filed on January 21, 2000. (16) To be filed by amendment. II-9 POWERS OF ATTORNEY Each person whose signature appears below hereby appoints Thomas M. Zurek, Robert F. Herbert, Jr. and Pauletta P. Cohn and each of them, any one of whom may act without the joinder of the others, as his/her attorney-in-fact to sign on his/her behalf and in the capacity stated below and to file all amendments to this Registration Statement, which amendment or amendments may make such changes and additions to this Registration Statement as such attorney-in-fact may deem necessary or appropriate. SIGNATURES Pursuant to the requirements of the Securities Act of 1933, the Registrant, American General Life Insurance Company Separate Account VL-R, has duly caused this registration statement to be signed on its behalf by the undersigned thereunto duly authorized, and its seal to be hereunto affixed and attested, all in the City of Houston, and State of Texas, on the 8th day of August, 2000. AMERICAN GENERAL LIFE INSURANCE COMPANY SEPARATE ACCOUNT VL-R (Registrant) BY: AMERICAN GENERAL LIFE INSURANCE COMPANY (On behalf of the Registrant and itself) BY: /s/ROBERT F. HERBERT, JR. ------------------------------- Robert F. Herbert, Jr. Senior Vice President, Treasurer and Controller [SEAL] ATTEST: /s/LAUREN W. JONES ----------------------------------- Lauren W. Jones Assistant Secretary Pursuant to the requirements of the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities and on the dates indicated. Signature Title Date - --------- ----- ---- /s/RODNEY O. MARTIN, JR. Director, Chairman August 8, 2000 - ------------------------------ and Chief Executive Officer Rodney O. Martin, Jr. /s/ROBERT F. HERBERT, JR. Senior Vice President, August 8, 2000 - ------------------------------ Treasurer and Controller Robert F. Herbert, Jr. /s/DONALD W. BRITTON Director August 8, 2000 - ------------------------------ Donald W. Britton /s/DAVID A. FRAVEL Director August 8, 2000 - ------------------------------ David A. Fravel /s/DAVID L. HERZOG Director August 8, 2000 - ------------------------------ David L. Herzog /s/ROYCE G. IMHOFF, II Director August 8, 2000 - ------------------------------ Royce G. Imhoff, II /s/JOHN V. LAGRASSE Director August 8, 2000 - ------------------------------ John V. LaGrasse /s/THOMAS M. ZUREK Director August 8, 2000 - ------------------------------ Thomas M. Zurek EXHIBIT INDEX The following exhibits: 1. Exhibits required by Article IX, paragraph A of Form N-8B-2: (5) Form of "Platinum Investor III" Variable Universal Life Insurance Policy (Policy Form No. 00600). (10)(d) Form of supplemental application for variable life insurance issued by AGL on Policy Form No. 00600. Other Exhibits 7 Powers of Attorney. (Filed herewith on Signature Pages) E-1 EX-5 2 0002.txt FORM OF POLICY EXHIBIT (5) AMERICAN GENERAL LIFE INSURANCE COMPANY Home Office: 2727-A Allen Parkway P.O. Box 1931 Houston, Texas 77251 POLICY NUMBER: (713) 522-1111 [AMERICAN GENERAL LOGO APPEARS HERE] A STOCK COMPANY -------------------------------------------- A Subsidiary of American General Corporation -------------------------------------------- WE WILL PAY THE DEATH BENEFIT PROCEEDS to the Beneficiary if the Insured dies prior to the Maturity Date and while this policy is in force. Payment will be made after We receive due proof of the Insured's death, and will be subject to the terms of this policy. The method for determining the amount payable is stated in the Death Benefit Proceeds Provision. WE WILL PAY THE CASH SURRENDER VALUE of this policy to the Owner on the Maturity Date if the Insured is living on that date. THE AMOUNT OR DURATION OF THE DEATH BENEFIT PROCEEDS AND THE ACCUMULATION VALUES PROVIDED BY THIS POLICY ARE BASED ON THE INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT. THEY ARE VARIABLE AND NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. ACCUMULATION VALUES MAY INCREASE OR DECREASE. The consideration for this policy is the application and payment of the first premium. The first premium must be paid on or before delivery of this policy. This is a FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY. An adjustable Death Benefit is payable upon the Insured's death prior to the Maturity Date. Investment results are reflected in policy benefits. ACCUMULATION VALUES and CASH VALUES are flexible and will be based on the amount and frequency of premiums paid and the investment results of the Separate Account. NONPARTICIPATING- NOT ELIGIBLE FOR DIVIDENDS. NOTICE OF TEN DAY RIGHT TO EXAMINE POLICY You may return this policy within 10 days after delivery if You are not satisfied with it for any reason. The policy may be returned to Us or the registered representative through whom it was purchased. Upon surrender of this policy within the 10 day period, it will be deemed void from the Date of Issue, and We will refund the greater of: (1) any premiums received by Us; or (2) Your Accumulation Value at the end of the Valuation Period in which Your request is received plus any charges that have been deducted. SIGNED AT THE HOME OFFICE ON THE DATE OF ISSUE. Secretary President FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY READ YOUR POLICY CAREFULLY INDEX
Annual Report 23 Monthly Administration Fee 13 Automatic Rebalancing 17 Monthly Expense Charge Table 4 Beneficiary and Proceeds 19 Monthly Guarantee Premium 14 Cash Surrender Value 12 Owner 5 Cash Value 12 Payment Options 20 Change of Ownership or Beneficiary Policy Loans 18 Changing the Death Benefit Option 8 Policy Values 11 Changing the Specified Amount 7 Premium Expense Charge 5 Contract 5 Premium Payments 5 Cost of Insurance Rate Table 26 Reinstatement 24 Date of Issue 5 Separate Account 8 Death Benefit and Death Benefit Options 6 Specified Amount 7 Death Benefit and Corridor Rates 25 Suicide 23 Dollar Cost Averaging 16 Surrender Charges 12 General Account 10 Surrender, Full and Partial 15 General Provisions 22 Suspension and Deferral of Payments 17 Grace Period 14 Transfer Provision 16 Incontestability 22 Valuation of Assets 9 Investments of the Separate Account 8 Valuation Dates 9 Maturity Date 3A Valuation Units 9 When This Policy Terminates 24
2 DEFINITIONS COMPANY REFERENCE. "We", "Our", "Us", or "Company" means American General Life Insurance Company. YOU, YOUR. The words "You" or "Your" mean the Owner of this policy. HOME OFFICE. Our office at 2727-A Allen Parkway, Houston, Texas 77019; Mailing Address P. O. Box 4880, Houston, Texas 77210-4880. WRITTEN, IN WRITING. A written request or notice in acceptable form and content, which is signed and dated, and received at Our Home Office. PREMIUM CLASS. The Premium Class of this policy is shown on the Policy Schedule as one or a combination of the following terms: PREFERRED. The term "Preferred" means the cost of insurance is based on the Insured being a better than average mortality risk. STANDARD. The term "Standard" means the cost of insurance is based on the Insured being an average mortality risk. TOBACCO. The term "Tobacco" means the cost, of insurance is based on the Insured being a user of tobacco. NON-TOBACCO. The term "Non-Tobacco" means the cost of insurance is based on the Insured being a non-user of tobacco. SPECIAL. The term "Special' means an extra amount is being charged due to the Insured's health, occupation or avocation. JUVENILE. The term "Juvenile" means the Insured's age was 17 or less on the Date of Issue. Cost of insurance rates stated in Juvenile policies for insurance ages 18 and above are rates for tobacco users. (Rates are not classified on the basis of the Insured being a user or non-user of tobacco at ages 0 through 17.) RATES ON POLICY ANNIVERSARY NEAREST INSURED'S 18TH BIRTHDAY (FOR LNSURED'S AGE 17 OR LESS ON DATE OF ISSUE). If the Insured's age, nearest birthday, is 17 or less on the Date of Issue of this policy, Tobacco rates will be used starting on the policy anniversary nearest the Insured's 18th birthday, except as follows. Prior to the anniversary nearest the Insured's 18th birthday, a Written statement, signed by the Insured, may be submitted to the Company requesting that Non-Tobacco rates be made effective. The statement must include the date the Insured last used tobacco, or state that the Insured has never used tobacco, whichever applies. If the request is approved, Non-Tobacco rates will be made effective on the policy anniversary nearest the Insured's 18th birthday. Otherwise, Tobacco rates will apply. We will send a notice to the Owner at least 30 days prior to the policy anniversary nearest the Insured's 18th birthday that an application for Non- Tobacco rates may be submitted. NOTICE This Policy Is A Legal Contract Between The Policy Owner And The Company. 3 POLICY SCHEDULE BASIC POLICY MONTHLY COST YEARS PAYABLE VARIABLE LIFE SEE PAGE 21 65 ADDITIONAL BENEFITS PROVIDED BY RIDERS NONE PREMIUM CLASS: PREFERRED NON-TOBACCO INITIAL PREMIUM: $ PLANNED PERIODIC PREMIUM: $ PAYABLE ANNUALLY MONTHLY DEDUCTION DAY: 1ST DAY OF EACH MONTH MINIMUM DEATH BENEFIT AMOUNT (AFTER A DECREASE IN SPECIFIED AMOUNT): $50,000 MONTHLY GUARANTEE PREMIUM: $ GUARANTEE PERIOD: FIRST [XX] POLICY YEARS MINIMUM PARTIAL SURRENDER: $500.00 MINIMUM VALUE THAT MAY BE RETAINED IN A DIVISION AFTER A PARTIAL SURRENDER: $500.00 DEATH BENEFIT COMPLIANCE TEST: [GUIDELINE PREMIUM] COVERAGE MAY EXPIRE PRIOR TO THE MATURITY DATE SHOWN WHERE EITHER NO PREMIUMS ARE PAID FOLLOWING PAYMENT OF THE INITIAL PREMIUM, OR SUBSEQUENT PREMIUMS ARE INSUFFICIENT TO CONTINUE COVERAGE TO SUCH DATE. POLICY DATA INSURED: JOHN DOE POLICY NUMBER: 0000000000 INSURANCE AGE: 35 DATE OF ISSUE: AUGUST 1, 2000 BASE COVERAGE: $ MATURITY DATE: AUGUST 1, 2065 SUPPLEMENTAL COVERAGE: $ INITIAL SPECIFIED AMOUNT: $ DEATH BENEFIT OPTION: 1 THIS IS A (SEX DISTINCT) POLICY THIS IS A (STATE NAME) CONTRACT 4 POLICY SCHEDULE CONTINUED - POLICY NUMBER 0000000000 CHARGES DEDUCTED FROM THE SEPARATE ACCOUNT MORTALITY AND EXPENSE CHARGE. DEDUCTIONS FROM THE SEPARATE ACCOUNT WILL BE MADE AT AN ANNUAL RATE NOT TO EXCEED THE RATES STATED BELOW. THE ACTUAL DEDUCTION WILL BE MADE ON A DAILY BASIS. THE INITIAL CURRENT RATE ON A DAILY BASIS IS [0.001917%]. POLICY YEARS CURRENT ANNUAL RATE GUARANTEED ANNUAL RATE 1-10 [0.70%] [0.70%] 11-20 [0.45%] [0.45%] THEREAFTER [0.10%] [0.10%] EXPENSE CHARGES PREMIUM TAX (IF APPLICABLE). DEPENDING ON THE LAWS OF THE JURISDICTION IN WHICH THIS POLICY WAS ISSUED, AND SUBJECT TO FUTURE CHANGES IN RESIDENCE, A PERCENTAGE OF EACH PREMIUM MAY BE DEDUCTED FOR PREMIUM TAX. PREMIUM TAX RATES ARE SUBJECT TO CHANGE. THE PREMIUM TAX RATE FOR THIS POLICY ON THE DATE OF ISSUE IS [0%]. PREMIUM EXPENSE CHARGE: CURRENT GUARANTEED (ADJUSTABLE PREMIUM EXPENSE CHARGE PERCENTAGE) [5.0%] 7.5% MONTHLY ADMINISTRATION FEE: CURRENT GUARANTEED [$6.00] $6.00 MONTHLY EXPENSE CHARGE FOR FIRST SEVEN YEARS: $ (SEE MONTHLY EXPENSE CHARGE TABLE FOR RATES APPLYING TO INCREASES IN BASE COVERAGE) BASIC POLICY CHARGES AND FEES COST OF INSURANCE CHARGES. GUARANTEED MAXIMUM COST OF INSURANCE RATES PER $1,000 OF NET AMOUNT AT RISK ARE SHOWN ON PAGE XX SURRENDER CHARGES. SURRENDER CHARGES WILL APPLY IF THE POLICY IS SURRENDERED OR THE INITIAL BASE COVERAGE IS REDUCED DURING THE SURRENDER CHARGE PERIOD FOLLOWING THE DATE OF ISSUE. SURRENDER CHARGES WILL ALSO APPLY DURING THE SURRENDER CHARGE PERIOD FOLLOWING AN INCREASE IN BASE COVERAGE. SURRENDER CHARGES APPLICABLE TO THIS POLICY APPEAR ON PAGES XX AND XX. 5 TABLE OF MONTHLY EXPENSE CHARGES FOR THE FIRST SEVEN POLICY YEARS PER $1,000 OF BASE COVERAGE (Also applies to an increase in Base Coverage during first seven years after an increase) POLICY RATE POLICY RATE YEAR YEAR THE MONTHLY EXPENSE CHARGE FOR THE INITIAL AMOUNT OF BASE COVERAGE FOR THE FIRST SEVEN POLICY YEARS IS SHOWN ON PAGE 3A OF THE POLICY. TO DETERMINE THE MONTHLY EXPENSE CHARGE FOR AN INCREASE IN BASE COVERAGE, MULTIPLY THE APPROPRIATE RATE SHOWN ABOVE FOR THE YEAR OF THE INCREASE BY THE NUMBER OF THOUSANDS OF INCREASE IN BASE COVERAGE. THE RESULT WILL BE DEDUCTED FROM THE ACCUMULATION VALUE MONTHLY DURING THE FIRST 7 YEARS OF THE INCREASE. 6 CONTRACT. Your policy is a legal contract that You have entered into with Us. You have paid the first premium and have submitted an application, a copy of which is attached. In return, We promise- to provide the insurance coverage described in this policy. The entire contract consists of: 1 . The basic policy; 2. The riders that add benefits to the basic policy, if any; 3. Endorsements, if any; and 4. The attached copy of Your application, and any amendments or supplemental applications. DATE OF ISSUE. The Date of Issue of this policy is the date on which the first premium is due. The Date of Issue is also the date from which all policy years, anniversaries, and Monthly Deduction Days are determined. OWNER. The Owner is as stated in the application unless later changed. During the Insured's lifetime, the Owner may exercise every right the policy confers or We allow (subject to the rights of any assignee of record, and to any endorsement on this policy limiting such rights). You may have multiple Owners of this policy. In that case, the authorizations of all Owners are required for all policy changes except for transfers, premium allocations and deduction allocations. We will accept the authorization of one Owner for transfers and changes in premium and deduction allocations. An Owner may be the same as the Insured, but this is not required. If an Owner dies while the policy is in force and the Insured is living, ownership rights pass on to a successor Owner, if any, or to the estate of the Owner. PREMIUM PAYMENTS All premiums after the first are payable in advance. Premium payments are flexible. This means You may choose the amount and frequency of payments. The actual amount and frequency of premium payments will affect the Cash Values and the amount and duration of insurance. Please refer to the Policy Values Provision for a detailed explanation. PLANNED PERIODIC PREMIUMS. The amount and frequency of the Planned Periodic Premiums You selected are shown on the Policy Schedule. You may request a change in the amount and frequency. We may limit the amount of any increase. (See Maximum Premium). UNSCHEDULED ADDITIONAL PREMIUMS. You may pay additional premiums at any time before the Maturity Date shown on the Policy Schedule. We may limit the number and amount of additional premiums. (See "Maximum Premium" and 'Maximum Net Amount at Risk"). MAXIMUM PREMIUM. We reserve the right to refund any premium that would cause this policy to fail to qualify as life insurance under the Death Benefit Compliance Test selected, and under applicable tax laws. The test selected is shown on the Policy Schedule. MAXIMUM NET AMOUNT AT RISK. The Company may automatically effect a partial surrender or reduce the Death Benefit, both of which may have federal tax consequences, if the Net Amount at Risk exceeds Company limitations. Net Amount at Risk is the excess of the Death Benefit over the Accumulation Value of the policy. 7 PREMIUM EXPENSE CHARGE. The Premium Expense Charge is calculated by multiplying the premium paid (after the deduction of any state premium tax) by the Premium Expense Charge Percentage. The Premium Expense Charge Percentage is adjustable, but will never be more than the guaranteed Premium Expense Charge Percentage shown on the Policy Schedule. NET PREMIUM. The term Net Premium as used in this policy means "The premium paid less any applicable state premium tax and less the Premium Expense Charge" except as follows: No Premium Expense Charge will be deducted if the source of the premium is Cash Surrender Values applied from another policy issued by the Company. (We refer to this as an internal rollover). ALLOCATION OF NET PREMIUMS. The initial allocation of Net Premiums is shown in the application for this policy and will remain in effect until changed by Written notice from the Owner. The percentage allocation for future Net Premiums may be changed at any time by Written notice. The initial Net Premium will be allocated to the Money Market Division on the later of the following dates: 1. The Date of Issue; or 2. The date all requirements needed to place the policy in force have been satisfied, including underwriting approval and receipt in the Home Office of the necessary premium. The initial Net Premium will remain in the Money Market Division until the first Valuation Date following the 15th day after it was applied. Any additional Net Premiums received prior to the first Valuation Date which follows the 15th day after the initial Net Premium was applied will be allocated to the Money Market Division until such Valuation Date. At that time, We will transfer the Accumulation Value to the selected Investment Option(s). Each Net Premium received after such Valuation Date will be applied directly to the selected Investment Options(s) as of the Business Day received. Changes in the allocation of Net Premiums will be effective on the date We receive the Owner's notice. The allocation may be 100% to any available option or may be divided among several available options in whole percentage points totaling 100%. We reserve the right to limit the number of options which You may select. WHERE TO PAY. You may make Your payments to Us at Our Home Office or to an authorized agent. A receipt signed by an officer of the Company will be furnished upon request. DEATH BENEFIT AND DEATH BENEFIT OPTIONS DEATH BENEFIT PROCEEDS. If the Insured dies prior to the Maturity Date and while this policy is in force, We will pay the Death Benefit Proceeds to the Beneficiary. The Death Benefit Proceeds will be subject to: 1. The Death Benefit Option in effect on the date of death; and 2. Any increases or decreases made to the Specified Amount. The Initial Specified Amount is shown on the Policy Schedule. Guidelines for changing the Death Benefit Option or the Specified Amount will be found in the section entitled "Changing Your Insurance Policy". Any premium received after the date of death will be refunded and will not be included in the Accumulation Value for purposes of calculating the Death Benefit Amount. 8 The Death Benefit Proceeds will be the Death Benefit Amount, after reversing any premium received after the date of death, less any outstanding policy loan and will be subject to the other provisions of the "Beneficiary and Proceeds" section. DEATH BENEFIT COMPLIANCE TEST. Death benefit compliance tests are used to determine if a policy will qualify as life insurance under applicable tax laws. There are two compliance tests which may be used: The Guideline Premium Test and the Cash Value Accumulation Test. The test which You selected when this policy was issued is shown on the Policy Schedule. You cannot change Your election of the death benefit compliance test after the Date of Issue. DEATH BENEFIT OPTION. The Death Benefit Option which You have chosen is shown on the Policy Schedule as either Option 1 or Option 2. OPTION 1. If You have chosen Option 1 the Death Benefit Amount will be the greater of: 1. The Specified Amount on the date of death; or 2. The Accumulation Value on the date of death multiplied by the applicable Death Benefit Corridor Rate. OPTION 2. If You have chosen Option 2, the Death Benefit Amount will be the greater of: 1. The Specified Amount plus the Accumulation Value on the date of death; or 2. The Accumulation Value on the date of death multiplied by the applicable Death Benefit Corridor Rate. Death Benefit Corridor Rates are shown in the table for the Death Benefit Compliance Test which You selected. SPECIFIED AMOUNT. The Specified Amount is the total of two types of coverage: Base Coverage and Supplemental Coverage. Base Coverage is subject to surrender charges and a seven year Monthly Expense Charge, but Supplemental Coverage is not. If Supplemental Coverage has been included as a part of the Specified Amount, charges for the Specified Amount will be lower than if the same Specified Amount had been issued without Supplemental Coverage. However, the addition of Supplemental Coverage will result in a higher Monthly Guarantee Premium and may result in a shorter Guarantee Premium Period. The amounts of Base Coverage, Supplemental Coverage (if any) and the Initial Specified Amount are shown on the Policy Schedule. CHANGING YOUR INSURANCE POLICY You may request a change in the Specified Amount or Death Benefit Option at any time except that a decrease in the Specified Amount may not become effective prior to the end of the first policy year. Your request must be submitted to Our Home Office In Writing. INCREASING THE SPECIFIED AMOUNT. We will require a supplemental application and evidence of insurability satisfactory to Us for any increase in the Specified Amount. An increase will be effective on the Monthly Deduction Day on or next following the date the application for increase is approved by Us. The effective date will appear in an endorsement to this policy. DECREASING THE SPECIFIED AMOUNT. Any decrease will go into effect on the Monthly Deduction Day following the Business Day We receive the request. The Death Benefit Amount remaining in effect after any decrease cannot be less than the greater of: 9 1. The Minimum Death Benefit Amount shown on the Policy Schedule; or 2. Any Death Benefit Amount required to qualify this policy as life insurance under applicable tax laws. Any such decrease will be applied proportionately against the Specified Amount provided under the original application and any Specified Amount increases. We will decrease the Base Coverage and Supplemental Coverage proportionately. Any reduction in Base Coverage will be subject to any applicable Surrender Charges on a pro-rata basis. However, if such charge is greater than the Accumulation Value, the Specified Amount decrease will not be allowed. CHANGING THE DEATH BENEFIT OPTION. You may request a change in the Death Benefit Option You have chosen. 1. If You request a change from Option 1 to Option 2: The new Specified Amount will be the Specified Amount, prior to change, less the Accumulation Value as of the effective date of the change, but not less than zero. 2. If You request a change from Option 2 to Option 1: The new Specified Amount will be the Death Benefit Amount as of the effective date of the change. We will not require evidence of insurability for a change in the Death Benefit Option. The change will go into effect on the Monthly Deduction Day following the date We receive Your request for change. CHANGING THE TERMS OF YOUR POLICY. Any change in Your policy must be approved by the President, a Vice President or Secretary of the Company. No agent has the authority to make any changes or waive any of the terms of Your policy. SEPARATE ACCOUNT PROVISIONS SEPARATE ACCOUNT. Separate Account VL-R is a segregated investment account established by the Company under Texas law to separate the assets funding the variable benefits for the class of policies to which this policy belongs from the other assets of the Company. That portion of the assets of the Separate Account equal to the reserves and other policy liabilities with respect to the Separate Account shall not be chargeable with liabilities arising out of any other business We may conduct. Income, gains and losses, whether or not realized from assets allocable to the Separate Account, are credited to or charged against such Account without regard to Our other income, gains or losses. INVESTMENTS OF THE SEPARATE ACCOUNT. The Separate Account is segmented into Divisions. Each Division invests in a single Investment Option. Net Premiums will be applied to the Separate Account and allocated to one or more Divisions. The assets of the Separate Account are invested in the Investment Option(s) listed on the application for this policy. From time to time, We may add additional Divisions. We may also discontinue offering one or more Divisions as provided in the Rights Reserved by Us provision. You may make a change in investment selections by filing a Written change form with Our Home Office. You may make transfers to the additional Divisions subject to the rules stated in the Transfer Provision section and any new rules or limitations which may apply to such additional Divisions. 10 If shares of any of the Investment Options become unavailable for investment by the Separate Account, or the Company's Board of Directors deems further investment in these shares inappropriate, the Company may limit further purchase of the shares or may substitute shares of another Investment Option for shares already purchased under this policy as provided in the Rights Reserved by Us provision. VALUATION OF ASSETS. The assets of the Separate Account are valued as of each Valuation Date at their fair market value in accordance with Our established procedures. The Separate Account Value as of any Valuation Date prior to the Maturity Date is the sum of Your account values in each Division of the Separate Account as of that date. VALUATION UNITS. In order to determine policy values in the Divisions We use Valuation Units which are calculated separately for each Division. The Valuation Unit value for each Division will vary to reflect the investment experience of the applicable Investment Option. The Valuation Unit for a Division will be determined on each Valuation Date for the Division by multiplying the Valuation Unit value for the Division on the preceding Valuation Date by the Net Investment Factor for that Division for the current Valuation Date. NET INVESTMENT FACTOR. The Net Investment Factor for each Division is determined by dividing (1) by (2) and subtracting (3), where: (1) is the net asset value per share of the applicable Investment Option as of the current Valuation Date (plus any per share amount of any dividend or capital gains distribution paid by the Investment Option since the last Valuation Date); and (2) is the net asset value per share of the shares held in the Division as determined at the end of the previous Valuation Date; and (3) is a factor representing the Mortality and Expense Charge. The net asset value of an Investment Option's shares held in each Division shall be the value reported to Us by that Investment Option. VALUATION DATES. Valuation of the various Divisions will occur on each Business Day during each month. If the underlying Investment Option is unable to value or determine the Division's investment in an Investment Option due to any of the reasons stated in the Suspension and Deferral of Payments Provision the Valuation Date for the Division with respect to the unvalued portion shall be the first Business Day that the assets can be valued or determined. BUSINESS DAY. A Business Day is each day during which the New York Stock Exchange is open for business. We will treat any information or Written communications We receive after the close of a Business Day to have been received as of the next Business Day. For the purpose of collecting daily charges, a Business Day immediately preceded by one or more non-business calendar days will include those non-business days as part of that Business Day. For example, a Business Day which falls on a Monday will consist of a Monday and the immediately preceding Saturday and Sunday. MINIMUM VALUE. The Minimum Value that may be retained in a Division after a partial surrender or transfer is shown on the Policy Schedule. If a partial surrender causes the balance in any Division to drop below such minimum amount, the Company reserves the right to transfer the remaining balance to the Money Market Division. If a transfer causes the balance in any Division to drop below the minimum amount, the Company reserves the right to transfer the remaining balance in proportion to the transfer request. 11 CHANGE OF INVESTMENT ADVISOR OR INVESTMENT OBJECTIVE. Unless otherwise required by law or regulation, the investment advisor or any investment objective may not be changed without Our consent. If required, approval of or change of any investment objective will be filed with the Insurance Department of the state where this policy is being delivered. RIGHTS RESERVED BY US. Upon notice to You, this policy may be modified by Us, but only if such modification is necessary to: 1. Operate the Separate Account in any form permitted under the Investment Company Act of 1940 or in any other form permitted by law; 2. Transfer any assets in any Division to another Division, or to one or more other separate accounts; 3. Add, combine or remove Divisions in the Separate Account, or combine the Separate Account with another separate account; 4. Make any new Division available to You on a basis to be determined by Us; 5. Substitute for the shares held by any Division the shares of another Division or the shares of another investment company or any other investment permitted by law; 6. Make any changes as required by the Internal Revenue Code, or by any other applicable law, regulation or interpretation in order to continue treatment of this policy as life insurance; 7. Make any changes required to comply with the requirements of any underlying Investment Option; or 8. Make other changes in this policy that in Our judgement are necessary or appropriate to ensure that this policy continues to qualify for tax treatment as life insurance, or that do not reduce any Cash Surrender Value, Death Benefit Amount, Accumulation Value or other accrued rights or benefits. When required by law, We will obtain Your approval of changes and We will gain approval from any appropriate regulatory authority. GENERAL ACCOUNT The General Account is a fixed account within Our general assets which We have established for: 1. Any amounts transferred from the Divisions as a result of a loan; or 2. Any amounts the Owner allocated to such Account. The guaranteed interest rate used in calculating Accumulation Values of amounts allocated to the General Account is 0.3274% per month compounded monthly. This is equivalent to 4.0% per year, compounded annually, and is not based on the investment experience of any Division of the Separate Account. We can use interest rates greater than the guaranteed rates to calculate Accumulation Values of amounts allocated to the General Account. Interest applied to that portion of the General Account equal to a policy loan will be at an annual effective rate of not less than 4.0% nor more than 4.75%. 12 POLICY VALUES PROVISION ACCUMULATION VALUE. The Accumulation Value of Your policy is the total of all values in the Divisions of the Separate Account and in the General Account. The Accumulation Value reflects: 1. Net Premiums paid; 2. Monthly Deductions; 3. The investment experience of the Divisions selected less the Mortality and Expense Charge; 4. Amounts allocated to the General Account, including interest earned on amounts in the General Account; 5. Deductions due to partial surrenders and any charges for partial surrenders; and 6. Deductions, if any, resulting from decreases in Specified Amount. Net Premiums are allocated, in accordance with Your instructions, to the General Account or allocated to the selected Divisions of the Separate Account and converted to Valuation Units. On each Monthly Deduction Day, a Monthly Deduction will be made by reducing the unloaned portion of the General Account or redeeming Valuation Units from each applicable Division in the same ratio as the allocation of policy deductions in effect on the Monthly Deduction Day. You must state In Writing in advance how Monthly Deductions should be made if other than this method is to be used. If the unloaned portion of the General Account or the balance in any Division of the Separate Account is insufficient to make a Monthly Deduction in this manner, We will cancel Valuation Units from each applicable Division and reduce the unloaned portion of the General Account in the same ratio the Monthly Deduction bears to the unloaned Accumulation Value of Your policy. The Accumulation Value in any Division is determined by multiplying the value of a Valuation Unit by the number of Valuation Units held under the policy in that Division. The value of the Valuation Units equal to the amount being borrowed from the Separate Account will be transferred to the General Account as of the Business Day that the loan request is received In Writing. Valuation Units are surrendered to reflect a partial surrender as of the Business Day that the request for partial surrender is received In Writing. ON THE DATE OF ISSUE. The Accumulation Value on the Date of Issue is: 1 . The Net Premium received; less 2. The Monthly Deduction for the first policy month (See 'How We Calculate a Monthly Deduction"). The first deduction day is the Date of Issue. The Monthly Deduction Day is shown on the Policy Schedule. ON EACH MONTHLY DEDUCTION DAY. On each Monthly Deduction Day after the Date of Issue, We will determine the Accumulation Value as follows: 13 1. We will take the Accumulation Value as of the last Monthly Deduction Day; 2. Add the interest earned for the month on the excess of the General Account value on the last Monthly Deduction Day over any partial surrenders and transfers made from the General Account since the last Monthly Deduction Day; 3. Add any investment gain (or subtract any investment loss) on the Divisions of the Separate Account since the last Monthly Deduction Day as measured by the change in the value of the Valuation Units; 4. Add all Net Premiums received since the last Monthly Deduction Day; 5. Subtract any partial surrender made and any charges for partial surrenders since the last Monthly Deduction Day; and 6. Subtract the Monthly Deduction for the policy month following the Monthly Deduction Day. (See "How We Calculate a Monthly Deduction"). ON ANY VALUATION DATE OTHER THAN A MONTHLY DEDUCTION DAY. The Accumulation Value on any Valuation Date other than a Monthly Deduction Day will be the sum of: 1. The value of the General Account as of the last Monthly Deduction Day; 2. Less any partial surrenders and any charges for partial surrenders since the last Monthly Deduction Day; 3. Plus all Net Premiums received since the last Monthly Deduction Day; and 4. Plus the sum of the values of the Divisions of the Separate Account as of the last Monthly Deduction Day, plus the amount of any investment gain (or minus any investment loss) on the Divisions since the last Monthly Deduction Day as measured by the change in the value of the Valuation Units. CASH VALUE. The Cash Value of this policy will be equal to the Accumulation Value less the Surrender Charge, if any. CASH SURRENDER VALUE. The Cash Surrender Value of this policy will be equal to the Cash Value less any indebtedness. MONTHLY DEDUCTIONS MAY BE MADE ONLY IF THERE IS SUFFICIENT VALUE (UNLESS THE POLICY IS BEING CONTINUED UNDER THE MONTHLY GUARANTEE PREMIUM PROVISION). Unless this policy is being continued in force under the Monthly Guarantee Premium provision, a Monthly Deduction may be made only if the Cash Surrender Value (Accumulation Value less policy loans during the first five policy years) is equal to or greater than the Monthly Deduction. If the value on a Monthly Deduction Day is not sufficient to meet the Monthly Deduction for the current month, this policy will be subject to the "Grace Period" and "Monthly Guarantee Premium" provisions. SURRENDER CHARGE. The Surrender Charge applies only to the Base Coverage portion of the Specified Amount. The Surrender Charge for the amount of Base Coverage on the Date of Issue will apply if such Base Coverage is surrendered or reduced during the Surrender Charge Period. Surrender Charges for any increases in Base Coverage will apply if such increases are surrendered or reduced during the Surrender Charge Period of each increase. The Surrender Charge Period will vary according to the age at issue (or age on the date of an increase) as shown in the Table of Surrender Charges per $1,000 of Base Coverage. You may make a request for surrender at any time during the Insured's lifetime before the Maturity Date. The amount being surrendered or reduced will terminate on the Valuation Date on or next following the date We receive the request for surrender or reduction. 14 HOW WE CALCULATE A MONTHLY DEDUCTION. Each Monthly Deduction includes: 1. The cost of insurance provided by the basic policy; and 2. The cost of insurance for benefits provided by riders, if any; and 3. The Monthly Administration Fee; and 4. During the first seven policy years, a Monthly Expense Charge. (This charge also applies to the amount of any increase in Base Coverage during the first seven years of such increase.) HOW WE CALCULATE THE COST OF INSURANCE FOR THE BASIC POLICY. We calculate the cost of insurance at the beginning of each policy month on the Monthly Deduction Day. The cost of insurance is determined as follows: 1. Reduce the Death Benefit Amount by the amount of Accumulation Value on the Monthly Deduction Day before the cost of insurance deduction is taken, and after the Monthly Expense Charge, if any, and Monthly Administration Fee are deducted; 2. Multiply the difference by the cost of insurance rate per $1,000 of net amount at risk as provided in the Cost of Insurance Rate provision; and 3. Divide the result by 1000. COST OF INSURANCE FOR BENEFITS PROVIDED BY RIDERS. The cost of insurance for benefits provided by riders will be as stated on the Policy Schedule or in an endorsement to this policy. MONTHLY ADMINISTRATION FEE. An administration fee will be deducted monthly. The amount of the monthly fee may be adjusted, but will never be greater than the guaranteed amount shown on the Policy Schedule. FIRST SEVEN YEARS MONTHLY EXPENSE CHARGE. A Monthly Expense Charge will be deducted during the first seven policy years, and during the first seven years of any increase in Base Coverage. The Monthly Expense Charge for the first seven years for the initial amount of Base Coverage is shown on the Policy Schedule. The Monthly Expense Charge for the first seven years for any increase in Base Coverage will be calculated by multiplying the appropriate rate shown on page 4 by the number of thousands of such increase. COST OF INSURANCE RATE. The cost of insurance rate for the Initial Specified Amount, and for each Specified Amount increase, is based on the lnsured's: 1. Gender (if issued on a Sex Distinct basis); 2. Age nearest birthday on each policy anniversary; and 3. Premium class associated with the Initial Specified Amount and each increase in the Specified Amount. A table of guaranteed monthly cost of insurance rates is included in this policy. We can use cost of insurance rates that are lower than the guaranteed rates. Any change in rates will apply to all policies in the same rate class as this policy. The rate class of this policy is determined on its Date of Issue according to: 1. The calendar year of issue and policy year; 2. The plan of insurance; 3. The amount of insurance; and 15 4. The age, gender and premium class of the Insured if issued on a Sex Distinct basis or the age and premium class if issued on a Gender Neutral basis. CHANGES IN RATES, CHARGES AND FEES. This policy does not participate in Our profits or surplus. Any redetermination of the cost of insurance rates, Monthly Expense Charges, Mortality and Expense charges, Premium Expense Charge Percentage or Monthly Administration Fee will be based on Our future expectations as to mortality, persistency, expenses, reinsurance costs, and state and federal taxes. Any redetermination of interest rates will be based only on expectations of future investment earnings. We will not change these charges in order to recoup any prior losses. GRACE PERIOD. If the Cash Surrender Value on a Monthly Deduction Day (Accumulation Value less policy loans on a Monthly Deduction Day during the first five policy years) is not enough to meet the Monthly Deduction for the current month, this policy will remain in force during the 61-day period that follows. If the Cash Surrender Value on a policy anniversary (Accumulation Value less policy loans on a policy anniversary during the first five policy years) is not enough to pay any loan interest due, this policy will remain in force during the 61-day period that follows. Such 61-day period is referred to in this policy as the "Grace Period". There is no Grace Period for the initial Monthly Deduction. If the amount We require to keep Your policy in force is not paid by the end of the Grace Period, this policy will terminate without value. However, We will give You at least 31 days notice prior to termination that Your policy is in the Grace Period and advise You of the amount of premium required to keep Your policy in force. Such 31 days prior notice will be sent to You at Your last known address, and to the assignee of record, if any. If death occurs during the Grace Period, Monthly Deductions through the policy month in which death occurred will be deducted from the proceeds. If a surrender request is received within 31 days after the Grace Period commences, the Cash Surrender Value payable will not be less than the Cash Surrender Value on the Monthly Deduction Day the Grace Period commenced. The Monthly Deduction for the policy month following such Monthly Deduction Day will not be subtracted in the calculation of such Cash Surrender Value. MONTHLY GUARANTEE PREMIUM. The Monthly Guarantee Premium for the Initial Specified Amount and any benefit riders in force on the Date of Issue is shown on the Policy Schedule. This policy will not terminate within the Guarantee Premium Period (Guarantee Period) shown on the Policy Schedule if, on each Monthly Deduction Day during that period, the sum of premiums paid equals or exceeds: 1. The sum of the Monthly Guarantee Premiums from the Date of Issue, including the current month; plus 2. Any partial surrenders and any increase in the loan amount since the start of the period. If the Specified Amount is increased during the Guarantee Period stated on the Policy Schedule, a Monthly Guarantee Premium for the amount of the increase will be calculated based on the Insured's attained age for the amount of the increase. We will then add to the premium for the increase the Monthly Guarantee Premiums for the Initial Specified Amount and each prior increase, plus the cost of any benefit riders. If the Specified Amount is decreased, the Monthly Guarantee Premium will be decreased. If a benefit rider is added or increased, the Monthly Guarantee Premium will be increased. If a benefit rider is removed or decreased, the Monthly Guarantee Premium will be decreased. If a policy is reinstated with no change in the Specified Amount, Premium Class or benefit riders, the Monthly Guarantee Premium upon reinstatement will be the same as it was when the policy lapsed. 16 The Guarantee Period is stated on the Policy Schedule. It will not be extended or otherwise changed by changes in the Specified Amount, the addition, deletion or change in benefit riders, or by reinstatement of the policy. The policy value at the end of the Guarantee Period may be insufficient to keep the policy in force unless an additional payment is made at that time. FULL SURRENDER. Subject to the Beneficiary and Proceeds section, You may return Your policy to Us and request its Cash Surrender Value at any time during the Insured's lifetime before the Maturity Date. The Cash Surrender Value will be determined as of the Business Day the policy and the Written request for surrender are received. The Company may delay payment if the Suspension and Deferral of Payments Provision is in effect. PARTIAL SURRENDER. At any time after the first policy year, You may request withdrawal of a portion of the Cash Surrender Value of the policy. Your request must be made In Writing during the Insured's lifetime before the Maturity Date. The minimum partial surrender is shown on the Policy Schedule. Valuation Units are surrendered to reflect a partial surrender as of the Business Day We receive the Written request for partial surrender. A partial surrender will result in a reduction of the Accumulation Value, Cash Value and the Death Benefit Amount. The Accumulation and Cash Values will be reduced by the amount of partial surrender benefit. The reduced Death Benefit Amount will be determined in accordance with the Death Benefit Option provision. If Your Death Benefit Option is Option 1, the Specified Amount will be reduced by the amount of the partial surrender. (The reduced amount will not be less than zero.) The Death Benefit Amount remaining after this reduction must be no less than the Minimum Death Benefit Amount after a Decrease in Specified Amount shown on the Policy Schedule. A partial surrender will result in the cancellation of Valuation Units from each applicable Division and reduction of the unloaned portion of the General Account in the same ratio as the Allocation of Policy Deductions in effect on the date of partial surrender. If the number of Valuation Units in any Division or in the unloaned portion of the General Account is insufficient to make a partial surrender in this manner, We will cancel Valuation Units from each applicable Division and reduce the unloaned portion of the General Account in the ratio the partial surrender request bears to the Cash Surrender Value of Your policy. You must state In Writing in advance how partial surrenders should be made if other than this method is to be used. In addition to the amounts shown in the Table of Surrender Charges, there will also be a charge for each partial surrender not to exceed the lesser of 2.0% of the amount withdrawn or $25. The Company may delay payment if the Suspension and Deferral of Payments Provision is in effect. PERIOD OF INSURANCE COVERAGE IF AMOUNT OR FREQUENCY OF PREMIUM PAYMENTS IS REDUCED OR IF PREMIUM PAYMENTS ARE DISCONTINUED. If You reduce the amount or frequency of premium payments, or if You discontinue payment of premiums, We will continue making Monthly Deductions (as long as there is sufficient value to make such deductions) until the Maturity Date. This policy will remain in force until the earlier of the following dates: 1. The Maturity Date (if there is sufficient value to make Monthly Deductions to that date); 2. Surrender of the policy; 3. The end of the Grace Period; or 4. Death of the Insured. 17 TRANSFER PROVISION TRANSFER OF ACCUMULATION VALUE. Transfers will be made as of the Business Day We receive the Written transfer request, subject to the restrictions that follow. If You elect to use the transfer privilege, We will not be liable for a transfer made in accordance with Your instructions. We reserve the right to terminate, suspend or modify the transfer privilege, and to charge a $25 fee for each transfer in excess of 12 in a policy year. Transfers under the Dollar Cost Averaging or Automatic Rebalancing programs will not count toward the 12 free transfers. TRANSFER OF ACCUMULATION VALUE (SEPARATE ACCOUNT). You may transfer all or part of Your interest in a Division of the Separate Account subject to the following: 1. The minimum amount which may be transferred is $500. 2. If the entire amount in a Division of the Separate Account is not being transferred, the minimum which must remain is $500. Transfers between Separate Account Divisions result in the redemption of Valuation Units in one Division and the purchase of Valuation Units in the Division to which the transfer is made. We will not honor Your request for a transfer if the Separate Account is unable to purchase shares of an Investment Option for any reason. TRANSFERS OF ACCUMULATION VALUE (GENERAL ACCOUNT). A transfer from the General Account to a Division of the Separate Account may be made during the 60 day period following each policy anniversary. The amount that may be transferred will be the greatest of the following amounts: 1. Twenty-five percent (25%) of the unloaned portion of the General Account as of the policy anniversary; 2. The total dollar amount withdrawn from the General Account during the prior policy year (whether the amount withdrawn was a partial surrender for cash or was being transferred to the Separate Account); or 3. $500. TELEPHONE TRANSFER AND ALLOCATION PRIVILEGE. If We have on file a completed telephone authorization form (Telephone Transaction), We will allow transfers and the percentage allocation for future Net Premiums and policy deductions to be changed at any time by telephone. We will honor instructions for Telephone Transactions from any person who provides the correct information. There is a risk of possible loss to possible loss to You if unauthorized persons use this service in Your name. Under Telephone Transactions, We are not liable for any acts or omissions based upon instructions that We reasonably believe to be genuine, including losses arising from errors in the communication of telephone instructions. DOLLAR COST AVERAGING. Dollar Cost Averaging is an automatic transfer of funds made periodically prior to the Maturity Date in accordance with the Transfers provision, except as provided below, and instructions from the Owner. Dollar Cost Averaging (DCA) is subject to the following guidelines: 1. DCA transfers may be made: (a) On any day of the month except the 29th, 30th or 31st; (b) On a monthly, quarterly, semi-annual or annual basis; (c) From the Money Market Division to one or more of the other Separate Account Divisions. (The General Account is not eligible for DCA). 18 2. DCA may be elected only if the Accumulation Value at the time of election is $5,000, or more. 3. The minimum amount of each DCA transfer is $100, or the remaining amount in the Money Market Division, if less. 4. DCA may not begin prior to the first Valuation Date following the 15th day after the initial Net Premium is applied. 5. DCA will end when there is no longer any value in the Money Market Division, or when You request that DCA end. 6. Amounts applied to the Money Market Division while DCA is active will be available for future Dollar Cost Averaging in accordance with the current DCA request. 7. There is no charge for DCA. 8. DCA is not available if Automatic Rebalancing is active. AUTOMATIC REBALANCING. Automatic Rebalancing occurs when funds are transferred by the Company among the Separate Account Divisions so that the values in each Division match the premium allocation percentages then in effect. You may choose Automatic Rebalancing on a quarterly, semi-annual or annual basis if Your Accumulation Value is $5,000 or more. The date Automatic Rebalancing occurs will be based on the Date of Issue of Your policy. For example, if Your policy is dated January 1 7, and You have requested Automatic Rebalancing on a quarterly basis, Automatic Rebalancing will start on April 17, and will occur quarterly thereafter. After Automatic Rebalancing is elected, it will continue until We are notified In Writing that it is to be discontinued. There is no charge for Automatic Rebalancing. Automatic Rebalancing is not available if Dollar Cost Averaging is active. SUSPENSION AND DEFERRAL OF PAYMENTS PROVISION We reserve the right to defer payment of any Death Benefit Amount, loan or other distribution that comes from that portion of Your Accumulation Value that is allocated to Separate Account VL-R, if: 1. The New York Stock Exchange is closed other than customary weekend and holiday closings, or trading on the New York Stock Exchange is restricted; 2. An emergency exists, as a result of which disposal of securities is not reasonably practicable or it is not reasonably practicable to fairly determine the Accumulation Value; or 3. The U.S. Securities and Exchange Commission (SEC) by order permits the delay for the protection of Owners. As to amounts allocated to the General Account, We may defer payment of any Cash Surrender Value withdrawal or loan amount for up to six months, or the period allowed by law, whichever is less, after We receive the request In Writing. Written notice of both the imposition and termination of any such suspension will be given to the Owners, assignees of record and any irrevocable Beneficiaries. 19 Payments which were due to have been made and which were deferred following the suspension of the calculation of the Cash Surrender Value will be made within thirty (30) days following the lifting of the suspension, and will be calculated based on the Valuation Date which immediately follows termination of the suspension. POLICY LOANS You may borrow from Us at any time while this policy is in force, an amount which is equal to or less than the policy's loan value. The policy's loan value will be the Cash Surrender Value, less interest on the amount to be borrowed (including interest on any prior outstanding policy loan) to the next policy anniversary. The minimum amount of each loan is $500 or, if less, the entire remaining loan value. The value of the Valuation Units equal to the amount You borrow from the Separate Account will be transferred to the General Account as of the Business Day that We receive Your Written loan request. OBTAINING A LOAN. You may obtain a policy loan by Written request and assignment of the policy as sole security for the loan. The Company may delay processing the loan requested if the Suspension and Deferral of Payments Provision is in effect. EFFECT OF A LOAN. When a loan is made, an amount equal to the amount being borrowed from the Separate Account will be transferred to the General Account. A loan will result in cancellation of units from each applicable Division and reduction of the unloaned portion of the General Account according to the allocation of policy deductions then in effect. The resulting amount will be added to the loaned portion of the General Account. If the number of Valuation Units in any Division or unloaned portion of the General Account is insufficient for a loan to be made in this manner, We will cancel Valuation Units from each applicable Division and reduce the unloaned portion of the General Account in the same ratio the loan bears to the unloaned Accumulation Value of Your policy. You must state In Writing in advance which Division units are to be canceled if a different method is to be used. Repayment of a loan will first be allocated to the General Account until You have repaid any loaned amounts that were allocated to the General Account. You may tell Us how to allocate repayments above that amount. If You do not tell Us, an amount equal to the loan repayment will be transferred from the General Account to the Divisions in the same ratio currently in effect for the allocation of Net Premiums. A loan, whether or not repaid, will have a permanent effect on the Cash Surrender Values and on the death benefits. If not repaid, any indebtedness will reduce the amount of Death Benefit Proceeds and the amount available upon surrender of the policy. LOAN INTEREST. Loan interest will accrue daily at an annual effective rate of 4.54% payable in advance. (This is equivalent to an annual effective rate of 4.75% paid in arrears.) On each policy anniversary, loan interest for the next year is due. Unpaid loan interest will be deducted from the various accounts according to the allocation of policy deductions then in effect, and added to the loaned portion of the General Account. You must state In Writing in advance how unpaid loan interest should be deducted if other than this method is to be used. If the number of Valuation Units in any Division or unloaned portion of the General Account is insufficient to deduct unpaid loan interest in this manner, We will cancel Valuation Units from each applicable Division and reduce the unloaned portion of the General Account in the same ratio the unpaid loan interest bears to the unloaned Accumulation Value of Your policy. We will credit interest monthly on the loaned portion of the General Account at an annual effective rate of 4.0%. 20 PREFERRED LOANS. A "Preferred Loan" is a policy loan that is made at a net cost to the Owner that is less than the net cost of other policy loans. Starting on the tenth policy anniversary, this policy will be eligible for "Preferred Loans" subject to the following guidelines: 1. The maximum amount eligible for Preferred Loans during a policy year is restricted to the lesser of the following values on the first day of such policy year: a) The policy loan value; or b) 10% of the Accumulation Value. 2. When a Preferred Loan is made, interest to the next policy anniversary will be charged at the rate shown in the Loan Interest provision. 3. Interest credited to the amount of the Accumulation Value offset by a Preferred Loan: a) Will be an annual effective rate that is equal to or less than the Policy Loan annual effective interest rate; and b) Will be at a higher rate than the rate used to credit interest to values offset by any other policy loan and will never be less than an annual effective rate of 4.50%. HOW YOU MAY REPAY A POLICY LOAN. You may repay all or part of a policy loan at any time, except that; 1. Repayment may be made only while this policy is in force and prior to the death of the Insured; 2. A partial repayment must be at least $100.00; and 3. At the time You repay all or part of a policy loan, You must specify the payment is to repay all or part of the policy loan. Except as provided in the Grace Period provision, at any time Your policy loan exceeds the Cash Value, this policy will lapse. However, at least 31 days prior notice must be mailed by Us to Your last known address and to the assignee of record, if any. WE CAN DELAY PAYMENT. We can delay lending You money for up to 6 months, or the period allowed by law, whichever is less. However, We cannot delay lending You money if the amount is to be used to pay a premium to Us. BENEFICIARY AND PROCEEDS BENEFICIARY. The Beneficiary as named in the application, or later changed by You, will receive the proceeds upon the death of the Insured. Unless You have stated otherwise, proceeds will be paid as follows: 1. If any Beneficiary dies before the Insured, that Beneficiary's interest will pass to any other Beneficiaries according to their respective interests. 2. If no Beneficiary survives the Insured, proceeds will be paid to You, as Owner, if You are then living; otherwise proceeds will be paid to Your estate. 21 COMMON DISASTER. If We cannot determine whether a Beneficiary or the Insured died first in a common disaster, We will assume that the Beneficiary died first. Proceeds will be paid on this basis unless an endorsement to this policy provides otherwise. PROCEEDS. Proceeds means the amount payable on: 1. The Maturity Date; 2. Exercise of the full surrender benefit; or 3. The Insured's death. The proceeds on the Maturity Date will be the Cash Surrender Value. The proceeds on the Insured's death will be the Death Benefit Amount less any outstanding policy loan. All proceeds are subject to the provisions of the Payment Options section and the other provisions of this policy. CHANGE OF OWNERSHIP OR BENEFICIARY You may change the Owner or the Beneficiary at any time during the lifetime of the Insured unless the previous designation provides otherwise. To do so, send a Written request to Our Home Office in a form acceptable to Us. The change will go into effect when We have recorded the change. However, after the change is recorded, it will be deemed effective as of the date of Your Written request for change. The change will be subject to any payment made or action taken by Us before the request is recorded. PAYMENT OPTIONS Instead of being paid in one sum, all or part of the proceeds may be applied under any of the Payment Options described below. In addition to these options, other methods of payment may be chosen with Our consent. PAYMENT CONTRACT. When proceeds become payable under a Payment Option, a Payment Contract will be issued to each payee. The Payment Contract will state the rights and benefits of the payee. It will also name those who are to receive any balance unpaid at the death of the payee. ELECTION OF OPTIONS. The Owner may elect or change any Payment Option while the Insured is living, subject to the provisions of this policy. This election or change must be In Writing. Within 60 days after the Insured's death, a payee entitled to proceeds in one sum may elect to receive proceeds under any Payment Option (subject to the limitations stated in the "Availability of Options" provision). OPTION 1. PAYMENTS FOR A SPECIFIED PERIOD: Equal monthly payments will be made for a specified period. The Option 1 Table in this policy shows the monthly income for each $1,000 of proceeds applied. OPTION 2. PAYMENTS OF A SPECIFIED AMOUNT: Equal monthly payments of a specified amount will be made. Each payment must be at least $60 a year for each $ 1,000 of proceeds applied. Payments will continue until the amount applied, with interest, has been paid in full. OPTION 3. MONTHLY PAYMENTS FOR LIFE WITH PERIOD CERTAIN: Equal monthly payments will be made for a specified period, and will continue after that period for as long as the payee lives. The specified period may be 10, 15 or 20 years, or until total payments equal the amount of proceeds applied under this option. The Option 22 3 Table in this policy shows the monthly income for each $1,000 of proceeds applied. If issued on a Sex Distinct basis, tables are based on the Annuity 2000 Male or Female Tables adjusted by projection scale G (50% female and 100% male) for 20 years, with interest at the rate of 3% per year. If issued on a Gender Neutral basis, tables are based on the Annuity 2000 Male and Female Tables adjusted by projection scale G (50% female and 100% male) for 20 years, with Gender Neutral rates based on 60% female and 40% male, and interest at the rate of 3% per year. At the time payments are to begin under this option, the payee may choose one of the following: 1. Monthly payments based on the Option 3 Table; or 2. Monthly payments equal to a monthly annuity based on Our single premium immediate annuity rates then in use. OPTION 4. PROCEEDS LEFT AT INTEREST: Proceeds may be left on deposit with Us for any period up to 30 years. Interest earned on the proceeds may be: 1. Left on deposit to accumulate at the rate of 3% compounded annually; or 2. Paid in installments at the rate for each $1,000 of proceeds of $30 annually, $14.89 semiannually, $7.42 quarterly or $2.47 monthly. Upon the death of the payee, or at the end of the specified period, any balance left on deposit will be paid in a lump sum or under Options 1, 2 or 3. INTEREST RATES. The guaranteed rate of interest for proceeds held under Payment Options 1, 2, 3 and 4 is 3% compounded annually. We may credit interest at a higher rate. The amount of any increase will be determined by Us. PAYMENTS. The first payment under Options 1, 2 and 3 will be made when the claim for settlement has been approved. Payments after the first will be made according to the manner of payment chosen. Interest under Option 4 will be credited from the date of death and paid or added to the proceeds as provided in the Payment Contract. AVAILABILITY OF OPTIONS. If the proposed payee is not a natural person, payment options may be chosen only with Our consent. If this policy is assigned, We will have the right to pay the assignee in one sum the amount to which the assignee is entitled. Any balance will be applied according to the option chosen. The amount to be applied under any one option must be at least $2,000. The payment elected under any one option must be at least $20. EVIDENCE THAT PAYEE IS ALIVE. Before making any payment under a Payment Option, We may ask for proof that the payee is alive. If proof is requested, no payment will be made or considered due until We receive proof. DEATH OF A PAYEE. If a payee dies, any unpaid balance will be paid as stated in the Payment Contract. If there is no surviving payee named in the Payment Contract, We will pay the estate of the payee: 1. Under Options 1 and 3, the value as of the date of death of the remaining payments for the specified period, discounted at 3% compounded annually; 23 2. Under Options 2 and 4, the balance of any proceeds remaining unpaid with accrued interest, if any. WITHDRAWAL OF PROCEEDS UNDER OPTIONS 1 OR 2. If provided in the Payment Contract, a payee will have the right to withdraw the entire unpaid balance under Options 1 or 2. Under Option 1, the amount will be the value of the remaining payments for the specified period discounted at 3% compounded annually. Under Option 2, the amount will be the entire unpaid balance. WITHDRAWAL OF PROCEEDS UNDER OPTION 4. A payee will have the right to withdraw proceeds left under Option 4 subject to the following rules: 1. The amount to be withdrawn must be $500 or more; 2. A partial withdrawal must leave a balance on deposit of $ 1,000 or more. WITHDRAWALS MAY BE DEFERRED. We may defer payment of any withdrawal for up to 6 months from the date We receive a withdrawal request. ASSIGNMENT. Payment Contracts may not be assigned. CHANGE IN PAYMENT. The right to make any change in payment is available only if it is provided in the Payment Contract. CLAIMS OF CREDITORS. To the extent permitted by law, proceeds will not be subject to any claims of a Beneficiary's creditors. GENERAL PROVISIONS ASSIGNING YOUR POLICY. During the lifetime of the Insured, You may assign this policy as security for an obligation. We will not be bound by an assignment unless it is received In Writing at Our Home Office. Two copies of the assignment must be submitted. We will retain one copy and return the other. We will not be responsible for the validity of any assignment. INCONTESTABILITY. We rely on the statements made in the application for the policy and applications for any reinstatements or increases in Specified Amount. These statements, in the absence of fraud, are considered representations and not warranties. No statement may be used in defense of a claim under the policy unless it is in such applications. Except as stated below, We cannot contest this policy after it has been in force during the Insured's lifetime for 2 years from the Date of Issue. Exceptions: 1. We cannot contest any claim related to an increase in Specified Amount after such increase has been in effect for 2 years during the Insured's lifetime from the date of issue of such increase. 2. If this policy is reinstated, We cannot contest this policy after it has been in force during the Insured's lifetime for 2 years from the date of reinstatement. We can contest a reinstatement or an increase in Specified Amount for a 2-year period following the date of an increase or reinstatement solely on the basis of the information furnished in the application for such increase or reinstatement. 24 All references in this provision to 2-year limitations do not apply to any Disability or Accidental Death Benefit. SUICIDE EXCLUSION. If the Insured takes his or her own life, while sane or insane, within 2 years from the Date of Issue, We will limit the Death Benefit Proceeds to the premiums paid less any policy loans and less any partial cash surrenders paid. If there are any increases in the Specified Amount (See the section entitled "Changing Your Insurance Policy") a new 2-year period shall apply to each increase beginning on the date of each increase. The Death Benefit Proceeds will be the costs of insurance associated with each increase. When the laws of the state in which this policy is delivered require less than this 2-year period, the period will be as stated in such laws. AGE OR GENDER INCORRECTLY STATED (AGE INCORRECTLY STATED IF ISSUED ON A GENDER NEUTRAL BASIS). If the: (1) age or gender of the Insured (if this policy was issued on a Sex Distinct basis) or; (2) age of the Insured (if this policy was issued on a Gender Neutral basis) has been misstated to Us, We will adjust the excess of the Death Benefit Amount over the Accumulation Value on the date of death to that which would have been purchased by the Monthly Deduction for the policy month of death at the correct cost of insurance rate. By age We mean age nearest birthday as of the Date of Issue. STATUTORY BASIS OF POLICY VALUES. The Cash Values of the policy are not less than the minimum values required by the law of the state where this policy is delivered. The calculation of the Cash Values includes a charge for the cost of insurance, as shown in the Table of Guaranteed Monthly Cost of Insurance Rates and for the General Account interest at the annual effective rate of 4.0%. If this policy was issued on a Sex Distinct basis calculation of minimum Cash Values, nonforfeiture benefits and Guaranteed Cost of Insurance rates are based on the Composite 1980 Commissioners Standard Ordinary Male or Female, Mortality Table for the appropriate gender and age nearest birthday and interest at the annual rate of 5.0%. If this policy was issued on a Gender Neutral basis calculation of minimum Cash Values, nonforfeiture benefits and Guaranteed Cost of Insurance Rates are based on the Composite 1980 Commissioners Standard Ordinary Mortality Table B (80% Male, 20% Female) for the appropriate age nearest birthday and interest at the annual rate of 5.0%. A detailed statement of the method of computing values has been filed with the state insurance department where required. NO DIVIDENDS. This policy will not pay dividends. It will not participate in any of Our surplus or earnings. Annual Report. We will send You at least once a year an annual report which will show a summary of all transactions since the last report, including: 1. Premiums paid; 2. Transfers; 3. Expense charges deducted; 4. The cost of insurance deducted; 5. Partial surrender benefits deducted including partial surrender fees; 6. The amount of any outstanding policy loan; 25 7. Separate Account Unit Values; 8. The current Cash Surrender and Accumulation Values; and 9. The Death Benefit Amount. WHEN THIS POLICY TERMINATES. This policy will terminate if: 1 . You request that this policy be terminated; 2. The Insured dies; 3. The policy matures; or 4. The Grace Period ends; and a. There is not sufficient Cash Surrender Value to cover a Monthly Deduction; or b. The necessary Monthly Guarantee Premiums to keep the policy in force have not been paid. REINSTATEMENT. "Reinstating" means placing Your policy in force after it has terminated at the end of the Grace Period. We will reinstate this policy if We receive: 1. Your Written request within 5 years after the end of the Grace Period and before the Maturity Date; and 2. Evidence of insurability satisfactory to Us; and 3. Payment of enough premium to keep the policy in force for two months; and 4. Payment or reinstatement of any indebtedness. The reinstated policy will be in force from the Monthly Deduction day on or following the date We approve the reinstatement application. The original surrender charge schedule will apply to a reinstated policy. The Accumulation Value at the time of reinstatement will be: 1. The Surrender Charge deducted at the time of lapse (such charge not being greater than the Accumulation Value at the time of lapse before the Surrender Charge was applied); plus 2. The Net Premium allocated in accordance with the premium allocation percentages at the time of lapse unless the reinstatement application provides otherwise, using Unit Values as of the date of reinstatement; plus 3. Any loan repaid or reinstated; less 4. The monthly deduction for one month. The dollar amount of any Surrender Charge reinstated will be the same as the dollar amount of Surrender Charge at the time of lapse, and will be reinstated into the funds from which they were deducted at the time of lapse using Unit Values as of the date of reinstatement. If a person other than the Insured is covered by a rider attached to this policy, coverage will be reinstated according to that rider. 26 DEATH BENEFIT CORRIDOR RATES BASED ON CASH VALUE ACCUMULATION TEST
ATTAINED AGE MALE FEMALE ATTAINED AGE MALE FEMALE Nearest Birthday Nearest Birthday (On Each Policy (On Each Policy Anniversary) Anniversary) 0 11.727 14.233 50 2.522 2.944 1 11.784 14.208 51 2.448 2.857 2 11.458 13.814 52 2.378 2.773 3 11.127 13.416 53 2.310 2.692 4 10.802 13.023 54 2.246 2.615 5 10.480 12.634 55 2.184 2.540 6 10.160 12.252 56 2.124 2.467 7 9.844 11.874 57 2.068 2.397 8 9.530 11.504 58 2.013 2.330 9 9.221 11.140 59 1.961 2.264 10 8.918 10.784 60 1.911 2.201 11 8.623 10.436 61 1.863 2.139 12 8.338 10.097 62 1.817 2.079 13 8.065 9.770 63 1.773 2.021 14 7.807 9.454 64 1.731 1.966 15 7.564 9.150 65 1.691 1.913 16 7.334 8.857 66 1.653 1.863 17 7.117 8.574 67 1.617 1.815 18 6.911 8.301 68 1.582 1.768 19 6.713 8.037 69 1.549 1.723 20 6.521 7.782 70 1.518 1.680 21 6.333 7.534 71 1.487 1.638 22 6.150 7.293 72 1.458 1.598 23 5.969 7.058 73 1.431 1.560 24 5.790 6.831 74 1.405 1.523 25 5.614 6.610 75 1.381 1.489 26 5.441 6.396 76 1.359 1.457 27 5.270 6.188 77 1.338 1.426 28 5.103 5.986 78 1.318 1.398 29 4.940 5.790 79 1.299 1.371 30 4.780 5.601 80 1.281 1.345 31 4.625 5.418 81 1.264 1.321 32 4.475 5.240 82 1.247 1.298 33 4.329 5.068 83 1.232 1.276 34 4.188 4.902 84 1.218 1.256 35 4.051 4.741 85 1.205 1.238 36 3.920 4.586 86 1.192 1.220 37 3.792 4.436 87 1.181 1.204 38 3.670 4.292 88 1.170 1.190 39 3.552 4.154 89 1.160 1.176 40 3.439 4.021 90 1.150 1.162 41 3.330 3.893 91 1.140 1.150 42 3.225 3.771 92 1.130 1.137 43 3.124 3.653 93 1.120 1.124 44 3.028 3.540 94 1.108 1.111 45 2.935 3.432 95 1.096 1.098 46 2.846 3.327 96 1.083 1.083 47 2.760 3.226 97 1.068 1.069 48 2.678 3.129 98 1.054 1.054 49 2.598 3.035 99 1.040 1.040
27 DEATH BENEFIT CORRIDOR RATES BASED ON CASH VALUE ACCUMULATION TEST
ATTAINED AGE RATE ATTAINED AGE RATE Nearest Birthday Nearest Birthday (On Each Policy (On Each Policy Anniversary) Anniversary) 0 12.148 50 2.597 1 12.194 51 2.521 2 11.857 52 2.448 3 11.515 53 2.379 4 11.178 54 2.312 5 10.844 55 2.248 6 10.513 56 2.186 7 10.186 57 2.127 8 9.863 58 2.071 9 9.544 59 2.017 10 9.232 60 1.965 11 8.928 61 1.914 12 8.634 62 1.866 13 8.352 63 1.820 14 8.085 64 1.776 15 7.831 65 1.734 16 7.591 66 1.694 17 7.364 67 1.656 18 7.147 68 1.620 19 6.939 69 1.585 20 6.736 70 1.551 21 6.540 71 1.519 22 6.347 72 1.489 23 6.157 73 1.460 24 5.971 74 1.432 25 5.788 75 1.406 26 5.607 76 1.382 27 5.431 77 1.359 28 5.258 78 1.338 29 5.089 79 1.317 30 4.924 80 1.298 31 4.764 81 1.279 32 4.609 82 1.262 33 4.459 83 1.245 34 4.313 84 1.229 35 4.172 85 1.215 36 4.037 86 1.201 37 3.905 87 1.189 38 3.779 88 1.177 39 3.658 89 1.165 40 3.541 90 1.155 41 3.429 91 1.144 42 3.321 92 1.133 43 3.218 93 1.121 44 3.118 94 1.110 45 3.023 95 1.097 46 2.931 96 1.083 47 2.842 97 1.069 48 2.757 98 1.054 49 2.676 99 1.040
28 DEATH BENEFIT CORRIDOR RATES BASED ON GUIDELINE PREMIUM ATTAINED RATE ATTAINED RATE AGE AGE 0-40 2.50 60 1.30 41 2.43 61 1.28 42 2.36 62 1.26 43 2.29 63 1.24 44 2.22 64 1.22 45 2.15 65 1.20 46 2.09 66 1.19 47 2.03 67 1.18 48 1.97 68 1.17 49 1.91 69 1.16 50 1.85 70 1.15 51 1.78 71 1.13 52 1.71 72 1.11 53 1.64 73 1.09 54 1.57 74 1.07 55 1.50 75-90 1.05 56 1.46 91 1.04 57 1.42 92 1.03 58 1.38 93 1.02 59 1.34 94 1.01 95+ 1.00 29 TABLE OF MONTHLY INSTALLMENTS FOR EACH $1,000 OF PROCEEDS
- ------------------------------------------------------------------------------------------------------------------------------------ OPTION 1 TABLE INSTALLMENTS FOR A SPECIFIED PERIOD - ------------------------------------------------------------------------------------------------------------------------------------ NUMBER AMOUNT OF NUMBER AMOUNT OF NUMBER AMOUNT OF NUMBER AMOUNT OF OF YEARS MONTHLY OF YEARS MONTHLY OF YEARS MONTHLY OF YEARS MONTHLY PAYABLE INSTALLMENTS PAYABLE INSTALLMENTS PAYABLE INSTALLMENTS PAYABLE INSTALLMENTS - ------------------------------------------------------------------------------------------------------------------------------------ 1 $84.47 11 $8.86 21 $5.32 31 $4.10 2 42.86 12 8.24 22 5.15 32 4.02 3 28.99 13 7.71 23 4.99 33 3.95 4 22.06 14 7.26 24 4.84 34 3.88 5 17.91 15 6.87 25 4.71 35 3.82 6 15.14 16 6.53 26 4.59 36 3.76 7 13.16 17 6.23 27 4.47 37 3.70 8 11.68 18 5.96 28 4.37 38 3.65 9 10.53 19 5.73 29 4.27 39 3.60 10 9.61 20 5.51 30 4.18 40 3.55 - ------------------------------------------------------------------------------------------------------------------------------------ OPTION 3 TABLE INSTALLMENTS FOR LIFE WITH SPECIFIED MINIMUM PERIOD - ------------------------------------------------------------------------------------------------------------------------------------ AGE OF PAYEE GUARANTEED PERIOD AGE OF PAYEE GUARANTEED PERIOD - ------------------------------------------------------------------------------------------------------------------------------------ Female 10 Years 15 Years 20 Years Female 10 Years 15 Years 20 Years - ------------------------------------------------------------------------------------------------------------------------------------ 10 $ 2.77 2.77 2.77 50 $3.73 $3.72 $3.69 11 2.78 2.78 2.78 51 3.78 3.77 3.74 12 2.79 2.79 2.79 52 3.84 3.82 3.79 13 2.80 2.80 2.80 53 3.90 3.88 3.84 14 2.81 2.81 2.81 54 3.96 3.93 3.89 15 2.82 2.82 2.82 55 4.03 4.00 3.95 16 2.83 2.83 2.83 56 4.09 4.06 4.01 17 2.85 2.85 2.84 57 4.17 4.13 4.07 18 2.86 2.86 2.86 58 4.24 4.20 4.13 19 2.87 2.87 2.87 59 4.32 4.27 4.19 20 2.89 2.88 2.88 60 4.41 4.35 4.26 21 2.90 2.90 2.90 61 4.50 4.43 4.33 22 2.91 2.91 2.91 62 4.59 4.52 4.40 23 2.93 2.93 2.93 63 4.69 4.60 4.47 24 2.95 2.94 2.94 64 4.80 4.70 4.54 25 2.96 2.96 2.96 65 4.91 4.79 4.61 26 2.98 2.98 2.98 66 5.03 4.89 4.68 27 3.00 3.00 2.99 67 5.15 4.99 4.75 28 3.02 3.02 3.01 68 5.28 5.10 4.83 29 3.04 3.03 3.03 69 5.42 5.21 4.90 30 3.06 3.05 3.05 70 5.57 5.32 4.96 31 3.08 3.08 3.07 71 5.72 5.43 5.03 32 3.10 3.10 3.09 72 5.88 5.54 5.09 33 3.12 3.12 3.12 73 6.05 5.66 5.15 34 3.15 3.15 3.14 74 6.23 5.77 5.20 35 3.17 3.17 3.17 75 6.41 5.88 5.25 36 3.20 3.20 3.19 76 6.60 5.99 5.29 37 3.23 3.22 3.22 77 6.79 6.09 5.33 38 3.26 3.25 3.25 78 6.99 6.18 5.36 39 3.29 3.28 3.28 79 7.19 6.27 5.39 40 3.32 3.31 3.31 80 7.39 6.36 5.42 41 3.35 3.35 3.34 81 7.58 6.43 5.44 42 3.39 3.38 3.37 82 7.78 6.50 5.45 43 3.42 3.42 3.40 83 7.96 6.56 5.47 44 3.46 3.45 3.44 84 8.14 6.62 5.48 45 3.50 3.49 3.48 85 8.31 6.66 5.49 46 3.54 3.53 3.52 86 8.47 6.70 5.50 47 3.59 3.58 3.56 87 8.62 6.74 5.50 48 3.63 3.62 3.60 88 8.75 6.77 5.51 49 3.68 3.67 3.64 89 8.88 6.79 5.51 90 8.99 6.81 5.51 - ------------------------------------------------------------------------------------------------------------------------------------ Payments are based upon the age, nearest birthday, of the Payee on the date the first payment is due. If monthly installments for two or more specified periods for a given age are the same, the specified period of longer duration will apply. - ------------------------------------------------------------------------------------------------------------------------------------
30 TABLES OF MONTHLY INSTALLMENTS FOR EACH $1,000 OF PROCEEDS
- ------------------------------------------------------------------------------------------------------------------------------------ OPTION 3 TABLE INSTALLMENTS FOR LIFE WITH SPECIFIED MINIMUM PERIOD - ----------------------------------------------------------------------------------------------------------------------------------- AGE OF PAYEE GUARANTEED PERIOD AGE OF PAYEE GUARANTEED PERIOD ------------ ----------------- ------------ ----------------- Male 10 Years 15 Years 20 Years Male 10 Years 15 Years 20 Years - ------------------------------------------------------------------------------------------------------------------------------------ 10 $2.81 $2.80 $2.80 50 $3.87 $3.85 $3.81 11 2.82 2.81 2.81 51 3.93 3.90 3.86 12 2.83 2.83 2.82 52 3.99 3.96 3.91 13 2.84 2.84 2.83 53 4.06 4.02 3.96 14 2.85 2.85 2.85 54 4.12 4.08 4.02 15 2.86 2.86 2.86 55 4.19 4.15 4.07 16 2.88 2.87 2.87 56 4.27 4.22 4.13 17 2.89 2.89 2.89 57 4.35 4.29 4.19 18 2.90 2.90 2.90 58 4.43 4.36 4.25 19 2.92 2.92 2.91 59 4.52 4.44 4.32 20 2.93 2.93 2.93 60 4.61 4.52 4.38 21 2.95 2.95 2.94 61 4.71 4.60 4.45 22 2.97 2.96 2.96 62 4.81 4.69 4.51 23 2.98 2.98 2.98 63 4.92 4.78 4.58 24 3.00 3.00 2.99 64 5.03 4.87 4.64 25 3.02 3.02 3.01 65 5.15 4.96 4.71 26 3.04 3.03 3.03 66 5.27 5.06 4.78 27 3.06 3.05 3.05 67 5.40 5.16 4.84 28 3.08 3.07 3.07 68 5.53 5.26 4.90 29 3.10 3.10 3.09 69 5.67 5.36 4.96 30 3.12 3.12 3.11 70 5.82 5.46 5.02 31 3.14 3.14 3.14 71 5.97 5.56 5.08 32 3.17 3.17 3.16 72 6.12 5.66 5.13 33 3.19 3.19 3.19 73 6.28 5.76 5.18 34 3.22 3.22 3.21 74 6.44 5.88 5.22 35 3.25 3.25 3.24 75 6.61 5.96 5.26 36 3.28 3.27 3.27 76 6.78 6.05 5.30 37 3.31 3.31 3.30 77 6.95 6.14 5.34 38 3.34 3.34 3.33 78 7.13 6.22 5.37 39 3.38 3.37 3.36 79 7.30 6.30 5.39 40 3.41 3.41 3.39 80 7.48 6.37 5.42 41 3.45 3.44 3.43 81 7.65 6.44 5.44 42 3.49 3.48 3.46 82 7.82 6.50 5.45 43 3.53 3.52 3.50 83 7.99 6.56 5.47 44 3.57 3.56 3.54 84 8.15 6.61 5.48 45 3.62 3.60 3.58 85 8.30 6.66 5.49 46 3.66 3.65 3.62 86 8.45 6.70 5.50 47 3.71 3.69 3.66 87 8.59 6.73 5.50 48 3.76 3.74 3.71 88 8.72 6.76 5.51 49 3.82 3.79 3.76 89 8.84 6.79 5.51 90 8.95 6.81 5.51 - ------------------------------------------------------------------------------------------------------------------------------------ Payments are based upon the age, nearest birthday, of the Payee on the date the first payment is due. If monthly installments for two or more specified periods for a given age are the same, the specified period of longer duration will apply. - ------------------------------------------------------------------------------------------------------------------------------------
31 TABLES OF MONTHLY INSTALLMENTS FOR EACH $1,000 OF PROCEEDS
- ----------------------------------------------------------------------------------------------------------------------------------- OPTION 1 TABLE INSTALLMENTS FOR A SPECIFIED PERIOD - ------------------------------------------------------------------------------------------------------------------------------------ NUMBER AMOUNT OF NUMBER AMOUNT OF NUMBER AMOUNT OF NUMBER AMOUNT OF OF YEARS MONTHLY OF YEARS MONTHLY OF YEARS MONTHLY OF YEARS MONTHLY PAYABLE INSTALLMENTS PAYABLE INSTALLMENTS PAYABLE INSTALLMENTS PAYABLE INSTALLMENTS - ------------------------------------------------------------------------------------------------------------------------------------ 1 $84.47 11 $8.86 21 $5.32 31 $4.10 2 42.86 12 8.24 22 5.15 32 4.02 3 28.99 13 7.71 23 4.99 33 3.95 4 22.06 14 7.26 24 4.84 34 3.88 5 17.91 15 6.87 25 4.71 35 3.82 6 15.14 16 6.53 26 4.59 36 3.76 7 13.16 17 6.23 27 4.47 37 3.70 8 11.68 18 5.96 28 4.37 38 3.65 9 10.53 19 5.73 29 4.27 39 3.60 10 9.61 20 5.51 30 4.18 40 3.55 - ------------------------------------------------------------------------------------------------------------------------------------ OPTION 3 TABLE INSTALLMENTS FOR LIFE WITH SPECIFIED MINIMUM PERIOD - ------------------------------------------------------------------------------------------------------------------------------------ GUARANTEED PERIOD GUARANTEED PERIOD - ------------------------------------------------------------------------------------------------------------------------------------ AGE OF PAYEE 10 Years 15 Years 20 Years AGE OF PAYEE 10 Years 15 Years 20 Years ----------------------------------------------------------------------------------------------------------------------------------- 10 $2.78 $2.78 $2.78 50 $3.79 $3.77 $3.74 11 2.79 2.79 2.79 51 3.84 3.82 3.79 12 2.80 2.80 2.80 52 3.90 3.88 3.84 13 2.81 2.81 2.81 53 3.96 3.93 3.89 14 2.83 2.83 2.82 54 4.03 3.99 3.94 15 2.84 2.84 2.84 55 4.09 4.06 4.00 16 2.85 2.85 2.85 56 4.16 4.12 4.06 17 2.86 2.86 2.86 57 4.24 4.19 4.12 18 2.88 2.88 2.87 58 4.32 4.26 4.18 19 2.89 2.89 2.89 59 4.40 4.34 4.24 20 2.91 2.90 2.90 60 4.49 4.42 4.31 21 2.92 2.92 2.92 61 4.58 4.50 4.38 22 2.94 2.93 2.93 62 4.68 4.59 4.44 23 2.95 2.95 2.95 63 4.78 4.67 4.51 24 2.97 2.97 2.96 64 4.89 4.77 4.58 25 2.99 2.98 2.98 65 5.00 4.86 4.65 26 3.00 3.00 3.00 66 5.12 4.96 4.72 27 3.02 3.02 3.02 67 5.25 5.06 4.79 28 3.04 3.04 3.04 68 5.38 5.16 4.86 29 3.06 3.06 3.06 69 5.52 5.27 4.92 30 3.08 3.08 3.08 70 5.67 5.38 4.99 31 3.11 3.10 3.10 71 5.82 5.48 5.05 32 3.13 3.13 3.12 72 5.98 5.59 5.11 33 3.15 3.15 3.14 73 6.14 5.70 5.16 34 3.18 3.17 3.17 74 6.32 5.81 5.21 35 3.20 3.20 3.20 75 6.49 5.91 5.25 36 3.23 3.23 3.22 760 6.67 6.01 5.30 37 3.26 3.26 3.25 77 6.86 6.11 5.33 38 3.29 3.29 3.28 78 7.05 6.20 5.36 39 3.32 3.32 3.31 79 7.23 6.28 5.39 40 3.36 3.35 3.34 80 7.42 6.36 5.42 41 3.39 3.39 3.37 81 7.61 6.44 5.44 42 3.43 3.42 3.41 82 7.80 6.50 5.45 43 3.47 3.46 3.44 83 7.97 6.56 5.47 44 3.51 3.50 3.48 84 8.15 6.61 5.48 45 3.55 3.54 3.52 85 8.31 6.66 5.49 46 3.59 3.58 3.56 86 8.46 6.70 5.50 47 3.64 3.62 3.60 87 8.61 6.74 5.50 48 3.69 3.67 3.64 88 8.74 6.77 5.51 49 3.74 3.72 3.69 89 8.88 6.79 5.51 90 8.97 6.81 5.51 - ------------------------------------------------------------------------------------------------------------------------------------ Payments are based upon the age, nearest birthday, of the Payee on the date the first payment is due. If monthly installments for two or more specified periods for a given age are the same, the specified period of longer duration will apply. - ------------------------------------------------------------------------------------------------------------------------------------
32 TABLE OF GUARANTEED MONTHLY COST OF INSURANCE RATES PER $1,000 OF NET AMOUNT AT RISK
ATTAINED AGE FEMALE ATTAINED AGE FEMALE Nearest Birthday Nearest Birthday (On Each Policy (On Each Policy Anniversary) Anniversary) 0 $0.24 50 $ 0.41 1 .07 51 .44 2 .07 52 .48 3 .07 53 .51 4 .06 54 .55 5 .06 55 .59 6 .06 56 .63 7 .06 57 .67 8 .06 58 .71 9 .06 59 .75 10 .06 60 .79 11 .06 61 .85 12 .06 62 .92 13 .06 63 1.01 14 .07 64 1.11 15 .07 65 1.23 16 .08 66 1.35 17 .08 67 1.47 18 .08 68 1.59 19 .09 69 1.72 20 .09 70 1.86 21 .09 71 2.05 22 .09 72 2.27 23 .09 73 2.55 24 .10 74 2.88 25 .10 75 3.25 26 .10 76 3.67 27 .10 77 4.11 28 .11 78 4.59 29 .11 79 5.11 30 .11 80 5.71 31 .11 81 6.39 32 .12 82 7.19 33 .13 83 8.12 34 .13 84 9.18 35 .14 85 10.34 36 .15 86 11.60 37 .16 87 12.97 38 .17 88 14.45 39 .19 89 16.05 40 .20 90 17.79 41 .22 91 19.72 42 .24 92 21.89 43 .26 93 24.44 44 .28 94 27.67 45 .30 95 32.32 46 .32 96 40.05 47 .34 97 55.16 48 .36 98 83.33 49 .39 99 83.33
The rates shown above represent the guaranteed (maximum) monthly cost of insurance for each $1,000 of net amount at risk. If this policy has been issued in a special (rated) premium class, the guaranteed monthly cost will be calculated as shown on page 3. 33 TABLE OF GUARANTEED MONTHLY COST OF INSURANCE RATES PER $1,000 OF NET AMOUNT AT RISK ATTAINED AGE MALE ATTAINED AGE MALE Nearest Birthday Nearest Birthday (On Each Policy (On Each Policy Anniversary) Anniversary) 0 $0.35 50 $0.56 1 .09 51 .61 2 .08 52 .67 3 .08 53 .73 4 .08 54 .80 5 .08 55 .88 6 .07 56 .96 7 .07 57 1.05 8 .06 58 1.14 9 .06 59 1.24 10 .06 60 1.35 11 .06 61 1.48 12 .07 62 1.62 13 .08 63 1.78 14 .10 64 1.95 15 .11 65 2.15 16 .13 66 2.36 17 .14 67 2.58 18 .15 68 2.82 19 .16 69 3.07 20 .16 70 3.36 21 .16 71 3.70 22 .16 72 4.08 23 .16 73 4.52 24 .15 74 5.01 25 .15 75 5.54 26 .14 76 6.11 27 .14 77 6.71 28 .14 78 7.33 29 .14 79 7.99 30 .14 80 8.71 31 .15 81 9.52 32 .15 82 10.45 33 .16 83 11.50 34 .17 84 12.67 35 .18 85 13.93 36 .19 86 15.25 37 .20 87 16.63 38 .22 88 18.06 39 .23 89 19.55 40 .25 90 21.11 41 .27 91 22.80 42 .30 92 24.66 43 .32 93 26.82 44 .35 94 29.67 45 .38 95 33.93 46 .41 96 41.28 47 .44 97 56.04 48 .48 98 83.33 49 .52 99 83.33 The rates shown above represent the guaranteed (maximum) monthly cost of insurance for each $1,000 of net amount at risk. If this policy has been issued in a special (rated) premium class, the guaranteed monthly cost will be calculated as shown on page 3. 34 TABLE OF GUARANTEED MONTHLY COST OF INSURANCE RATES PER $1,000 OF NET AMOUNT AT RISK ATTAINED AGE RATE ATTAINED AGE RATE Nearest Birthday Nearest Birthday (On Each Policy (On Each Policy Anniversary) Anniversary) 0 $0.33 50 $ 0.53 1 .09 51 .58 2 .08 52 .63 3 .08 53 .69 4 .08 54 .75 5 .07 55 .82 6 .07 56 .89 7 .07 57 .97 8 .06 58 1.05 9 .06 59 1.14 10 .06 60 1.24 11 .06 61 1.35 12 .07 62 1.47 13 .08 63 1.61 14 .09 64 1.77 15 .10 65 1.95 16 .12 66 2.14 17 .13 67 2.34 18 .14 68 2.54 19 .14 69 2.77 20 .15 70 3.02 21 .15 71 3.32 22 .14 72 3.66 23 .14 73 4.05 24 .14 74 4.49 25 .14 75 4.98 26 .14 76 5.50 27 .13 77 6.04 28 .13 78 6.60 29 .14 79 7.21 30 .14 80 7.87 31 .14 81 8.63 32 .15 82 9.49 33 .15 83 10.49 34 .16 84 11.59 35 .17 85 12.78 36 .18 86 14.05 37 .19 87 15.39 38 .21 88 16.80 39 .22 89 18.30 40 .24 90 19.89 41 .26 91 21.63 42 .29 92 23.60 43 .31 93 25.88 44 .33 94 28.87 45 .36 95 32.32 46 .39 96 40.05 47 .42 97 55.16 48 .46 98 83.33 49 .49 99 The rates shown above represent the guaranteed (maximum) monthly cost of insurance for each $1,000 of net amount at risk. If this policy has been issued in a special (rated) premium class, the guaranteed monthly cost will be calculated as shown on page 3. 35 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Female 1 2 3 4 5 6 7 8 9 10 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 36 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Female 1 2 3 4 5 6 7 8 9 10 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 37 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Female 1 2 3 4 5 6 7 8 9 10 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 38 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Female 1 2 3 4 5 6 7 8 9 10 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 39 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 40 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 41 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 42 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 43 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 44 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 45 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 46 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 47 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 48 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 49 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 50 TABLE OF SURRENDER CHARGES PER $1,000 OF BASE COVERAGE THE FOLLOWING CHARGES APPLY TO EACH $1,000 OF INITIAL BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD. THE CHARGES ALSO APPLY TO EACH $1,000 OF INCREASE IN BASE COVERAGE SURRENDERED DURING THE SURRENDER CHARGE PERIOD OF EACH INCREASE. THE WORD "SURRENDER" AS USED IN THIS PROVISION MEANS FULL SURRENDER, OR A REDUCTION IN BASE COVERAGE AT THE REQUEST OF THE OWNER, OR DUE TO A PARTIAL SURRENDER. THE CHARGE FOR THE SURRENDER OF ALL OR ANY PORTION OF THE INITIAL BASE COVERAGE WILL BE EQUAL TO THE RATE SHOWN BELOW FOR THE AGE AT ISSUE AND THE YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF INITIAL BASE COVERAGE BEING SURRENDERED. THE CHARGES FOR SURRENDER OF ALL OR ANY PORTION OF ANY INCREASE IN BASE COVERAGE WILL BE EQUAL TO THE RATES SHOWN BELOW FOR THE AGE AT ISSUE OF SUCH INCREASE AND YEAR OF SURRENDER, MULTIPLIED BY THE NUMBER OF THOUSANDS OF SUCH INCREASE BEING SURRENDERED. IN ADDITION, THERE WILL BE A CHARGE NOT TO EXCEED $50.00 FOR EACH PARTIAL SURRENDER. Issue Age Male 1 2 3 4 5 6 7 8 9 10 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 51 AMERICAN GENERAL LIFE INSURANCE COMPANY This is a FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY. An adjustable Death Benefit is payable upon the Insured's death prior to the Maturity Date. Investment results are reflected in policy benefits. ACCUMULATION VALUES and CASH VALUES are flexible and will be based on the amount and frequency of premiums paid and the investment results of the Separate Account. NONPARTICIPATING - NOT ELIGIBLE FOR DIVIDENDS. For Information, Service or to make a Complaint Contact your Servicing Agent, or our VUL Administration. 2727-A Allen Parkway P.O. Box 4880 Houston, Texas 77210-4880 1-888-325-9315 [AMERICAN GENERAL LOGO APPEARS HERE] A STOCK COMPANY A Subsidiary of American General Corporation 52 EX-10.(D) 3 0003.txt FORM OF SUPPLEMENTAL APPLICATION EXHIBIT (10)(d) [Logo of American General Financial Group]
VARIABLE UNIVERSAL LIFE INSURANCE SUPPLEMENTAL APPLICATION AMERICAN GENERAL LIFE INSURANCE COMPANY, ("AGL") Home Office: Houston, Texas Member of American General Financial Group. American General Financial Group is the marketing name for American General Corporation and its subsidiaries. (This supplement must accompany the appropriate application for life insurance.) - ------------------------------------------------------------------------------------------------------------------------------------ APPLICANT INFORMATION -- SUPPLEMENT TO THE APPLICATION OF THE LIFE OF - ------------------------------------------------------------------------------------------------------------------------------------ JOHN DOE 7/21/00 --------------------------------- -------------------------------------- Name of proposed insured Date of application for life insurance - ------------------------------------------------------------------------------------------------------------------------------------ INITIAL ALLOCATION PERCENTAGES - ------------------------------------------------------------------------------------------------------------------------------------ INVESTMENT OPTIONS: In the "Premium Allocation" column, indicate how each premium received is to be allocated. In the "Deduction Allocation" column, indicate which investment options are to be used for the deduction of monthly account charges. Total allocations in each column must equal 100%. Use whole percentages only. Premium Deduction Premium Deduction Allocation Allocation Allocation Allocation ---------- ---------- ---------- ---------- [AIM VARIABLE INSURANCE FUNDS MFS VARIABLE INSURANCE TRUST AIM V.I. International Equity Division (260) 100% 100% MFS Emerging Growth Division (282) ___% ___% AIM V.I. Value Division (261) ___% ___% MFS Research Division (283) ___% ___% AMERICAN CENTURY VARIABLE PORTFOLIO, INC. MFS Capital Opportunities Division (284) ___% ___% VP Value Division (262) ___% ___% MFS New Discoveries Division (285) ___% ___% AMERICAN GENERAL SERIES PORTFOLIO COMPANY NEUBERGER BERMAN ADVISERS MANAGEMENT TRUST International Equities Division (263) ___% ___% Mid-Cap Growth Division (286) ___% ___% MidCap Index Division (264) ___% ___% PIMCO VARIABLE INSURANCE TRUST Money Market Division (265) ___% ___% PIMCO Short-Term Bond Division (287) ___% ___% Nasdaq-100 Index Division (266) ___% ___% PIMCO Real Return Bond Division (288) ___% ___% Stock Index Division (267) ___% ___% PIMCO Total Return Bond Division (289) ___% ___% Small Cap Index Division (268) ___% ___% PUTNAM VARIABLE TRUST Science & Technology Division (269) ___% ___% Putnam VT Diversified Income Division (290) ___% ___% AYCO SERIES TRUST Putnam VT Growth & Income Division (291) ___% ___% AYCO Large Cap Growth Fund I (270) ___% ___% Putnam VT Int'l Growth & Income Division (292) ___% ___% DREYFUS VARIABLE INVESTMENT FUND SAFECO RESOURCE SERIES TRUST Quality Bond Division (271) ___% ___% Equity Division (293) ___% ___% Small Cap Division (272) ___% ___% Growth Opportunities Division (294) ___% ___% Mid-Cap Stock Division (273) ___% ___% THE UNIVERSAL INSTITUTIONAL FUNDS, INC. FIDELITY VIPII FUNDS Equity Growth Division (295) ___% ___% VIPII Equity Income Division (274) ___% ___% High Yield Division (296) ___% ___% VIPII Growth Division (275) ___% ___% VANGUARD VARIABLE INSURANCE FUND VIPII Contrafund Division (276) ___% ___% High Yield Bond Division (297) ___% ___% VIPII Asset Manager Division (277) ___% ___% REIT Index Division (298) ___% ___% JANUS ASPEN SERIES VAN KAMPEN LIFE INVESTMENT TRUST International Growth Division (278) ___% ___% Strategic Stock Division (299) ___% ___% Worldwide Growth Division (279) ___% ___% WARBURG PINCUS TRUST Aggressive Growth Division (280) ___% ___% Small Company Growth Division (300) ___% ___% J.P. MORGAN SERIES TRUST II AGL Declared Fixed Interest Account (301) ___% ___% J.P. Morgan Small Company Division (281) ___% ___% Other: ___________________________________ ___% ___%] - ------------------------------------------------------------------------------------------------------------------------------------ AGLC 0198-00 PAGE 1 of 3
- ------------------------------------------------------------------------------------------------------------------------------------ DOLLAR COST AVERAGING - ------------------------------------------------------------------------------------------------------------------------------------ DOLLAR COST AVERAGING: ($5,000 MINIMUM BEGINNING ACCUMULATION VALUE) An amount can be systematically transferred from the [Money Market Division] and transferred to one or more of the investment options below. The [AGL Declared Fixed Interest Account] is not available for Dollar Cost Averaging. Please refer to the prospectus for more information on the Dollar Cost Averaging option. DAY OF THE MONTH FOR TRANSFERS: __________________________ (Choose a day of the month between 1-28.) FREQUENCY OF TRANSFERS: [_] Monthly [_] Quarterly [_] Semiannually [_] Annually TRANSFER $__________________ ($100 MINIMUM, WHOLE DOLLARS ONLY) [AIM VARIABLE INSURANCE FUNDS MFS VARIABLE INSURANCE TRUST AIM V.I. International Equity Division (260) $______ MFS Emerging Growth Division (282) $______ AIM V.I. Value Division (261) $______ MFS Research Division (283) $______ AMERICAN CENTURY VARIABLE PORTFOLIO, INC. MFS Capital Opportunities Division (284) $______ VP Value Division (262) $______ MFS New Discoveries Division (285) $______ AMERICAN GENERAL SERIES PORTFOLIO COMPANY NEUBERGER BERMAN ADVISERS MANAGEMENT TRUST International Equities Division (263) $______ Mid-Cap Growth Division (286) $______ MidCap Index Division (264) $______ PIMCO VARIABLE INSURANCE TRUST Nasdaq-100 Index Division (266) $______ PIMCO Short-Term Bond Division (287) $______ Stock Index Division (267) $______ PIMCO Real Return Bond Division (288) $______ Small Cap Index Division (268) $______ PIMCO Total Return Bond Division (289) $______ Science & Technology Division (269) $______ PUTNAM VARIABLE TRUST AYCO SERIES TRUST Putnam VT Diversified Income Division (290) $______ AYCO Large Cap Growth Fund I (270) $______ Putnam VT Growth & Income Division (291) $______ DREYFUS VARIABLE INVESTMENT FUND Putnam VT Int'l Growth & Income Division (292) $______ Quality Bond Division (271) $______ SAFECO RESOURCE SERIES TRUST Small Cap Division (272) $______ Equity Division (293) $______ Mid-Cap Stock Division (273) $______ Growth Opportunities Division (294) $______ FIDELITY VIPII FUNDS THE UNIVERSAL INSTITUTIONAL FUNDS, INC. VIPII Equity Income Division (274) $______ Equity Growth Division (295) $______ VIPII Growth Division (275) $______ High Yield Division (296) $______ VIPII Contrafund Division (276) $______ VANGUARD VARIABLE INSURANCE FUND VIPII Asset Manager Division (277) $______ High Yield Bond Division (297) $______ JANUS ASPEN SERIES REIT Index Division (298) $______ International Growth Division (278) $______ VAN KAMPEN LIFE INVESTMENT TRUST Worldwide Growth Division (279) $______ Strategic Stock Division (299) $______ Aggressive Growth Division (280) $______ WARBURG PINCUS TRUST J.P. MORGAN SERIES TRUST II Small Company Growth Division (300) $______ J.P. Morgan Small Company Division (281) $______ Other: ___________________________________ $______] 100% - ------------------------------------------------------------------------------------------------------------------------------------ AUTOMATIC REBALANCING - ------------------------------------------------------------------------------------------------------------------------------------ AUTOMATIC REBALANCING: ($5,000 MINIMUM BEGINNING ACCUMULATION VALUE) Variable division assets will be automatically rebalanced based on the premium percentages designated on Page 1 of this form. If the AGL Declared Fixed Interest Account has been designated for premium allocation, the rebalancing will be based on the proportion allocated to the variable divisions. Please refer to the prospectus for more information on the Automatic Rebalancing option. [_] CHECK HERE FOR AUTOMATIC REBALANCING FREQUENCY: [_] Quarterly [_] Semiannually [_] Annually NOTE: Automatic Rebalancing is not available if the Dollar Cost Averaging option has been chosen. - ------------------------------------------------------------------------------------------------------------------------------------ MODIFIED ENDOWMENT CONTRACT - ------------------------------------------------------------------------------------------------------------------------------------ CONTRACT: If any premium payment causes the policy to be classified as a modified endowment contract under Section 7702A of the United States Internal Revenue Code, there may be potentially adverse U.S. tax consequences. Such consequences include: (1) withdrawals or loans being taxed to the extent of gain; and (2) a 10% penalty tax on the taxable amount. In order to avoid modified endowment status, I request any excess premium that could cause such status to be refunded. [X] YES [ ] NO - ------------------------------------------------------------------------------------------------------------------------------------ AGLC 0198-00 PAGE 2 of 3
- ------------------------------------------------------------------------------------------------------------------------------------ DEATH BENEFIT COMPLIANCE TEST - ------------------------------------------------------------------------------------------------------------------------------------ [ ] Guideline Premium Test [ ] Cash Value Accumulation Test - ------------------------------------------------------------------------------------------------------------------------------------ SPECIFIED AMOUNT - ------------------------------------------------------------------------------------------------------------------------------------ Base Coverage $_____________________ plus Supplemental Coverage $____________________ = Total Specified Amount $____________________ - ------------------------------------------------------------------------------------------------------------------------------------ TELEPHONE AUTHORIZATION - ------------------------------------------------------------------------------------------------------------------------------------ I (or we, if Joint Owners), hereby authorize American General Life Insurance Company ("AGL") to act on telephone instructions to transfer values among the variable divisions and the AGL Declared Fixed Interest Account and to change allocations for future purchase payments and monthly deductions given by: INITIAL APPROPRIATE BOX HERE: [_] Policy Owner(s) - If Joint Owners, either of us acting independently. [_] Policy Owner(s) or the Agent/Registered Representative who is appointed to represent AGL and the firm authorized to service my policy. AGL and any person designated by this authorization will not be responsible for any claim, loss or expense based upon telephone instructions received and acted on in good faith, including losses due to telephone instruction communication errors. AGL's liability for erroneous transfers and allocations, unless clearly contrary to instructions received, will be limited to correction of the allocations on a current basis. If an error, objection or other claim arises due to a telephone transaction, I will notify AGL in writing within five working days from receipt of confirmation of the transaction from AGL. I understand that this authorization is subject to the terms and provisions of my variable universal life insurance policy and its related prospectus. This authorization will remain in effect until my written notice of its revocation is received by AGL at its home office. - ------------------------------------------------------------------------------------------------------------------------------------ SUITABILITY - ------------------------------------------------------------------------------------------------------------------------------------ ALL QUESTIONS MUST BY ANSWERED. 1. Have you, the Proposed Insured or Owner (if different), received the variable universal life insurance policy prospectus and the prospectuses describing the investment option? [X] yes [_] no (IF "YES", PLEASE FURNISH THE PROSPECTUS DATES.) Variable Universal Life Insurance Policy Prospectus: _______________ Supplements (if any): _______________ 2. Do you understand that under the Policy applied for: a. THE AMOUNT OR DURATION OF THE DEATH BENEFIT MAY INCREASE OR DECREASE, DEPENDING ON THE INVESTMENT EXPERIENCE OF THE SEPARATE ACCOUNT? [X] yes [_] no b. THE POLICY VALUES MAY INCREASE OR DECREASE, DEPENDING ON THE INVESTMENT EXPERIENCE OF THE SEPARATE ACCOUNT, THE AGL DECLARED FIXED INTEREST ACCOUNT ACCUMULATION, AND CERTAIN EXPENSE DEDUCTIONS? [X] yes [_] no c. THE POLICY IS DESIGNED TO PROVIDE LIFE INSURANCE COVERAGE AND TO ALLOW FOR THE ACCUMULATION OF VALUES IN THE SEPARATE ACCOUNT? [X] yes [_] no 3. Do you believe the Policy you selected meets your insurance and investment objectives and your anticipated financial needs? [X] yes [_] no - ------------------------------------------------------------------------------------------------------------------------------------ YOUR SIGNATURE - ------------------------------------------------------------------------------------------------------------------------------------ SIGNATURES Signed at (city, state) Anytown, USA ------------------------------------------------------------------------------------------------------------ Print name of Broker/Dealer ------------------------------------------------------------------------------------------------------------ X Registered representative State license # Date ------------------------------------------------------------------------------------------------------------ X Primary proposed insured John Doe Date 7/21/00 ------------------------------------------------------------------------------------------------------------ X Owner Date ------------------------------------------------------------------------------------------------------------ (If different from Proposed Insured) X Joint Owner Date ------------------------------------------------------------------------------------------------------------ (If applicable) - ------------------------------------------------------------------------------------------------------------------------------------ AGLC 0198-00 PAGE 3 of 3
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