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Form S-3 - Registration statement under Securities Act of 1933:
SEC Accession No. 0001193125-17-071795
Filing Date
2017-03-06
Accepted
2017-03-06 17:14:37
Documents
20

Document Format Files

Seq Description Document Type Size
1 FMLI SIMPLIFIED SHIELD (6 YEAR) d308924ds3.htm S-3 638910
2 PRINCIPAL UNDERWRITING AND DISTRIBUTION AGREEMENT d308924dex1a.htm EX-1.(A) 54411
3 SALES AGREEMENT d308924dex1b.htm EX-1.(B) 181560
4 CONTRACT d308924dex4a.htm EX-4.(A) 160267
5 FIXED ACCOUNT RIDER d308924dex4b.htm EX-4.(B) 12736
6 DEATH BENEFIT RIDER - RETURN OF PREMIUM d308924dex4c.htm EX-4.(C) 8088
7 WAIVER OF WITHDRAWAL CHARGE FOR NURSING HOME OR HOSPITAL CONFINEMENT RIDER d308924dex4d.htm EX-4.(D) 17281
8 WAIVER OF WITHDRAWAL CHARGE FOR TERMINAL ILLNESS RIDER d308924dex4e.htm EX-4.(E) 6021
9 INDIVIDUAL RETIREMENT ANNUITY QUALIFICATION RIDER d308924dex4f.htm EX-4.(F) 43984
10 ROTH INDIVIDUAL RETIREMENT ANNUITY ("ROTH IRA") ENDORSEMENT d308924dex4g.htm EX-4.(G) 54606
11 INDIVIDUAL NON-QUALIFIED ANNUITY ENDORSEMENT d308924dex4h.htm EX-4.(H) 17773
12 DESIGNATED BENEFICIARY NON-QUALIFIED ANNUITY ENDORSEMENT d308924dex4i.htm EX-4.(I) 15759
13 POWERS OF ATTORNEY d308924dex24.htm EX-24 79528
15 GRAPHIC g3089240001.jpg GRAPHIC 3124
16 GRAPHIC g308924001.jpg GRAPHIC 7725
17 GRAPHIC g308924004.jpg GRAPHIC 2508
18 GRAPHIC g3089244c.jpg GRAPHIC 1901
19 GRAPHIC g308924g01j93.jpg GRAPHIC 31998
20 GRAPHIC g308924g32b81.jpg GRAPHIC 30449
21 filename21.htm COVER 10216
  Complete submission text file 0001193125-17-071795.txt   1409427
Mailing Address 285 MADISON AVENUE NEW YORK NY 10017
Business Address 285 MADISON AVENUE NEW YORK NY 10017 617-578-3514
BRIGHTHOUSE LIFE INSURANCE Co OF NY (Filer) CIK: 0001167609 (see all company filings)

IRS No.: 133690700 | State of Incorp.: NY | Fiscal Year End: 1231
Type: S-3 | Act: 33 | File No.: 333-216486 | Film No.: 17668797