EX-7 9 exhibit164b.htm EXHIBIT 16(4)(B) exhibit164b.htm - Generated by SEC Publisher for SEC Filing

Exhibit 16(a)(4)(b):  Individual Annuity Contract (Form No. I1-MGA-95)


[AETNA LOGO]

Aetna Life Insurance and Annuity Company
Home Office: 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547

A STOCK COMPANY

Aetna Life Insurance and Annuity Company, herein
called Aetna, agrees to pay the benefits stated
in this Contract.

Specifications ------------------------------------------------------------------------Plan AETNA MULTI-RATE ANNUITY ------------------------------------------------------------------------Type of Plan SINGLE PREMIUM MODIFIED GUARANTEED DEFERRED ANNUITY ------------------------------------------------------------------------Contract Holder(s) ANY INDIVIDUAL ------------------------------------------------------------------------Contract No. SPECIMEN ------------------------------------------------------------------------Effective Date DECEMBER 1, 1995 ------------------------------------------------------------------------This Contract is Delivered in YOUR STATE and is Subject to the Laws of that Jurisdiction

Right to Cancel ------------------------------------------------------------------------

The Contract Holder may cancel this Contract within 10 days of receiving it by
returning this Contract along with a written notice to Aetna at the above
address or to the agent   from whom it was purchased. Within 7 days after it
receives the notice of cancellation and this Contract at its Home Office,
Aetna will return the entire consideration paid.
 
Signed at the Home Office on the Effective Date.
 
/s/Dan Kearney   /s/Susan Schechter
President   Secretary

 

Individual Single Premium Modified Guaranteed Deferred Annuity Contract Nonparticipating

THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A
MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE
CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A
GUARANTEED PERIOD AT THE TIME OF ITS MATURITY.
 
I1-MGA-95            
           
 
Specifications            
------------------------------------------------------------------------
Guaranteed   There is a guaranteed interest rate for the Purchase
Payment held in the AMG Account. (See Contract
Schedule I) .
Interest Rate  
   
 
 
Deduction from            
Purchase   The Purchase Payment may be subject to a deduction
for premium taxes, if applicable. (See 3.01. )
Payment  
 
Surrender   There may be a charge deducted upon surrender. (See
Contract Schedule 1) .
Fee  
 

This Contract is a legal contract and constitutes the entire legal
relationship between Aetna and the Contract Holder.


READ THIS CONTRACT CAREFULLY. This Contract sets forth, in detail, all of the
rights and obligations of both you and Aetna. IT IS THEREFORE IMPORTANT THAT
YOU READ THIS CONTRACT CAREFULLY.

 

2

I1-MGA-95

Contract Schedule I
Accumulation Period

ALIAC Modified Guaranteed Account (AMG Account)

Minimum Guaranteed   [3.0%]
Interest Rate:    
(effective annual rate of return)    
 
Maintenance Fee:   The annual Maintenance Fee is [$0. ] [If

 

 


 

    the Current Value is [$50,000] or more
    on the date the Maintenance Fee is to
    be deducted, the Maintenance Fee is
    $0. ]    
 
Annuity Date:   The Annuity Date will be the later of
    the date the Annuitant reaches age [85]
    or the [10th] anniversary of the
    Purchase Payment.    
 
Minimum Purchase   [$10,000. ]    
Payment:        
 
Maximum Purchase   Purchase Payments exceeding
Payment:   [$1,000,000] must be approved by Aetna.
 
Minimum Guaranteed Period   [$1,000. ]    
Allocation Amount:        
 
Maximum Age of   [90. ] If there are joint Contract
Certificate Holder at Issue:   Holders, the age of the oldest Contract
    Holder cannot exceed [90. ]
 
Surrender Fee:   Length of Time from Surrender Fee
Contract Effective (Percentage of Net
Date (Years) Purchase Payment
Withdrawn)
   
   
   

 

Special Withdrawal:

Systematic Withdrawal Option (SWO):

I1-MGA-95

Fixed Annuity

Minimum Guaranteed Interest Rate (effective annual rate of return):

Less than 1 year   7%
1 year but less than 2   7%
2 years but less than 3   6%
3 years but less than 4   6%
4 years but less than 5   5%
5 years but less than 6   4%
6 years but less than 7   2%
7 years or more   0%

 

After seven years have elapsed from the contract effective date, the Surrender Fee will no longer be assessed.

The percentage may not be greater than [10%].

The specified payment or specified percentage may not be greater than [10%].

3

Contract Schedule II
Annuity Period

[3.0%]

See 1. GENERAL DEFINITIONS for explanations.

4

I1-MGA-95

TABLE OF CONTENTS

Page

I. GENERAL DEFINITIONS
 
------------------------------------------------------------------------     
 
1.01   ACCUMULATION PERIOD   7
1.02   ADJUSTED CURRENT VALUE   7
1.03   ANNUITANT   7
1.04   ANNUITY   7
1.05   ANNUITY DATE   7

 

 


 

1.06   BENEFICIARY   7
1.07   CODE   7
1.08   CONTRACT   7
1.09   CONTRACT HOLDER   7
1.10   CURRENT VALUE   7
1.11   DEPOSIT PERIOD   7
1.12   ENTIRE CONTRACT   7
1.13   FIXED ANNUITY   7
1.14   GENERAL ACCOUNT   8
1.15   GUARANTEED RATES - AMG ACCOUNT   8
1.16   GUARANTEED PERIOD   8
1.17   GUARANTEED PERIOD GROUPS   8
1.18   MAINTENANCE FEE   8
1.19   ALIAC MODIFIED GUARANTEED ACCOUNT (AMG ACCOUNT)   8
1.20   MARKET VALUE ADJUSTMENT (MVA)   9
1.21   MATURED PERIOD VALUE   9
1.22   MATURITY DATE   9
1.23   NET PURCHASE PAYMENT   9
1.24   NONUNITIZED SEPARATE ACCOUNT   9
1.25   PURCHASE PAYMENT   9
1.26   REINVESTMENT   9
1.27   SURRENDER VALUE   10

 

5

I1-MGA-95

II.      GENERAL PROVISIONS
 
------------------------------------------------------------------------     
 
2.01   CHANGE OF CONTRACT   10
2.02   NONPARTICIPATING CONTRACT   10
2.03   PAYMENTS AND ELECTIONS   10
2.04   STATE LAWS   10
2.05   CONTROL OF CONTRACT   10
2.06   DESIGNATION OF BENEFICIARY   11
2.07   MISSTATEMENTS AND ADJUSTMENTS   11
2.08   INCONTESTABILITY   11

 

III. PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS
 
------------------------------------------------------------------------     
 
3.01   NET PURCHASE PAYMENT   11
3.02   MARKET VALUE ADJUSTMENT   12
3.03   NOTICE TO THE CONTRACT HOLDER   13
3.04   LOANS   13
3.05   SYSTEMATIC WITHDRAWAL OPTION (SWO)   13
3.06   DEATH BENEFIT AMOUNT   14
3.07   DEATH BENEFIT OPTIONS AVAILABLE TO BENEFICIARY   15
3.08   LIQUIDATION OF SURRENDER VALUE   16
3.09   SURRENDER FEE   16
3.10   PAYMENT OF SURRENDER VALUE   16

 

 


3.11   PAYMENT OF ADJUSTED CURRENT VALUE   17
 
IV. ANNUITY PROVISIONS        
------------------------------------------------------------------------
 
4.01   CHOICES TO BE MADE       17
 
4.02   TERMS OF ANNUITY OPTIONS       17
 
4.03   DEATH OF ANNUITANT/ BENEFICIARY       18
 
4.04   ANNUITY OPTIONS       18
 
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I. GENERAL DEFINITIONS        
------------------------------------------------------------------------
1.01   Accumulation Period:   The period during which the Net
        Purchase Payment is applied to the
        Contract to provide future Annuity
        payment(s) .
 
1.02   Adjusted Current Value:   The Current Value of a Contract plus or
        minus any aggregate AMG Account MVA, if
        applicable. (see 1.20)
 
1.03   Annuitant:   The person named by the Contract Holder
        whose life is measured for purposes of
        the guaranteed death benefit and the
        duration of Annuity payments under this
        Contract. Subject to Aetna's approval,
        the Annuitant may be changed by the
        Contract Holder by notifying Aetna in
        writing prior to the Annuity Date of
        this Contract.
 
1.04   Annuity:   Payment of an income:
 
        (a)   For the life of one or two
            persons;
        (b)   For a stated period; or
        (c)   For some combination of (a)
            and (b) .
 
1.05   Annuity Date:   The date on which Annuity payments
        begin under an Annuity option elected
        by the Contract Holder. (see 4.01) . The
        Annuity Date is shown on Contract
        Schedule I. The Contract Holder may
        change this date by notifying Aetna at
        least 30 days prior to the Annuity
        Date.    
 
1.06   Beneficiary:   The person(s) entitled to receive death
        benefits under the terms of this
        Contract.    
 
1.07   Code:   The Internal Revenue Code of 1986, as
        it may be amended from time to time.
 
1.08   Contract:   This agreement between Aetna and the
        Contract Holder.
 
1.09   Contract Holder:   The entity to which the Contract is
        issued. Joint Contract Holders must be
        spouses.    
 
1.10   Current Value:   The Net Purchase Payment plus any
        interest credited; less all Maintenance
        Fees deducted, any amounts surrendered
        and any amounts applied to an Annuity.
 
1.11   Deposit Period:   A calendar week, a calendar month, a
        calendar quarter, or any other period
        of time specified by Aetna during which
        the Net Purchase Payment and
        Reinvestments are accepted into the AMG
        Account for one or more Guaranteed
        Periods. Aetna reserves the right to
        extend the Deposit Period.
 
1.12   Entire Contract:   The Contract, all attached pages and
        any subsequent endorsements make up the
        Entire Contract.
 
1.13   Fixed Annuity:   An Annuity with payments that do not
        vary in amount based on investment

 


            performance.
 
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I1-MGA-95        
           
 
1.14   General Account:       The account holding the assets of
            Aetna, other than those assets held in
            Aetna's separate accounts.
 
1.15   Guaranteed Rates -       Aetna will declare the interest rate
    AMG Account:       applicable for each Guaranteed Period
            at the start of the Deposit Period for
            that applicable Guaranteed Period. The
            rate(s) are guaranteed by Aetna for
            that Deposit Period and the ensuing
            Guaranteed Period(s) . The Guaranteed
            Rates are effective annual rates of
            return. That is, interest is credited
            daily at a rate that will produce the
            Guaranteed Interest Rate over the
            period of a year. No Guaranteed Rate
            will ever be less than the Minimum
            Guaranteed Interest Rate shown on
            Contract Schedule I.
 
            For Guaranteed Periods of one year or
            less, one Guaranteed Rate is credited
            for the full Guaranteed Period. For
            longer Guaranteed Periods, an initial
            Guaranteed Rate is credited from the
            date of deposit to the end of a
            specified period within the Guaranteed
            Period. There may be different
            Guaranteed Rate(s) declared at the
            beginning of the Deposit Period for
            subsequent specified time intervals
            throughout the Guaranteed Period.
 
1.16   Guaranteed Period:       The period of time for which Guaranteed
            Rates are guaranteed on the Net
            Purchase Payment and Reinvestments made
            during a current Deposit Period. Such
            period begins on the day following the
            close of the Deposit Period and ends on
            the designated Maturity Date.
            Guaranteed Periods are offered at
            Aetna's discretion for various lengths
            of time ranging up to and including ten
            (10) years.
 
            During a Deposit Period, Aetna may make
            available any number of Guaranteed
            Periods. The Contract Holder may
            allocate the Net Purchase Payment or
            Reinvestment into any or all of the
            available Guaranteed Periods.
 
1.17   Guaranteed Period       All Guaranteed Periods with the same
    Groups:       length of time from the close of the
            Deposit Period until the designated
            Maturity Date.
 
1.18   Maintenance Fee:       The Maintenance Fee, if any (see
            Contract Schedule I), will be deducted
            during the Accumulation Period on each
            anniversary of the date the Contract is
            established and upon surrender of the
            entire Contract.
 
1.19   ALIAC Modified       An accumulation option where Aetna
    Guaranteed Account       guarantees rate(s) of interest for
    (AMG Account):       specified periods of time. All assets
            of Aetna, including amounts in the
            Nonunitized Separate Account, are
            available to meet the guarantees under
            the AMG Account.
 
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1.20   Market Value Adjustment (MVA):       An adjustment that may apply to the
            amount withdrawn from a Guaranteed
            Period prior to the end of that
            Guaranteed Period. The adjustment
            reflects the change in the value of the
            investment due to changes in interest
            rates since the date of deposit and is
            computed using the formula given in

 


        3.02. The adjustment is expressed as a
        percentage or a factor of each dollar
        being withdrawn. 1.21 Matured Period
        Value: The amount payable on Guaranteed
        Period's Maturity Date.
 
1.22   Maturity Date:   The last day of a Guaranteed Period.
 
1.23   Net Purchase Payment:   The Purchase Payment less premium
        taxes, as applicable.
 
1.24   Nonunitized Separate   A separate account set up by Aetna
    Account:   under Title 38, Section 38a-433, of the
        Connecticut General Statutes, that
        holds assets for AMG Account Guaranteed
        Periods. There are no discrete units
        for the AMG Account. The Contract
        Holder does not participate in the
        investment gain or loss from the assets
        held in the Nonunitized Separate
        Account. Such gain or loss is borne
        entirely by Aetna. The assets held in
        the AMG Account may be chargeable with
        liabilities arising out of any other
        business of Aetna.
 
1.25   Purchase Payment:   Payment accepted by Aetna at its Home
        Office. Aetna reserves the right to
        refuse to accept any Purchase Payment
        at any time for any reason.
 
1.26   Reinvestment:   Aetna will notify the Contract Holder
        of the approaching Maturity Date at
        least 18 calendar days prior to the end
        of any Guaranteed Period. If no
        specific direction is given by the
        Contract Holder prior to the Maturity
        Date, each Matured Period Value will be
        reinvested on the Maturity Date for a
        Guaranteed Period of the same duration.
        If a Guaranteed Period of the same
        duration is unavailable, each Matured
        Period Value will automatically be
        reinvested on the Maturity Date for the
        next shortest Guaranteed Period
        available. If no shorter Guaranteed
        Period is available, the next longer
        Guaranteed Period will be used. Aetna
        will mail a confirmation statement to
        the Contract Holder the next business
        day after the Maturity Date.
 
        At any time prior to the Maturity Date,
        the Contract Holder may request in
        writing a reinvestment of the Matured
        Period Value in a different Guaranteed
        Period(s) or a surrender of all or a
        part of the Matured Period Value
        without an MVA or Surrender Fee. Such
        request will be executed on the
        Maturity Date. If reinvesting in a
        different Guaranteed Period(s), all or
        part of the Matured Period Value will
        be reinvested in the elected Guaranteed
        Period(s) at the then prevailing
        rate(s) . This provision only applies to
        a written request from the Contract
        Holder received at Aetna's Home Office
        in good order at least five (5) days
        prior to the Maturity Date.
 
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1.27   Surrender Value:   The amount payable by Aetna upon the
        surrender of all or any portion of the
        Contract.
 
II.   GENERAL PROVISIONS    
------------------------------------------------------------------------
2.01   Change of Contract:   Only an authorized officer of Aetna may
        change the terms of this Contract.
        Aetna reserves the right to modify this
        Contract to meet the requirements of
        applicable state and federal laws or
        regulations. Aetna will notify the
        Contract Holder in writing of any
        changes.

 


2.02   Nonparticipating Contract:   Contract Holders or Beneficiaries will
        not have a right to share in the
        earnings of Aetna.
 
2.03   Payments and Elections:   While the Contract Holder is living,
        Aetna will pay any Annuity payments as
        and when due. After the Contract
        Holder's death, or at the death of the
        first Contract Holder if the Contract
        is owned jointly, any Annuity payments
        will be paid in accordance with 4.03.
        Aetna will make any other payments
        within seven (7) calendar days of
        receipt of a written request for
        payment, which is in good order, at its
        Home Office, except as provided in
        3.10.
 
2.04   State Laws:   The Contract complies with the laws of
        the state in which it is delivered. Any
        surrender, death, or Annuity payments
        are equal to or greater than the
        minimum required by such laws. Annuity
        tables for legal reserve valuation
        shall be as required by state law. Such
        tables may be different from Annuity
        tables used to determine Annuity
        payments.
 
2.05   Control of Contract:   This is a Contract between the Contract
        Holder and Aetna. The Contract Holder
        has all rights, title and interest in
        amounts held in this Contract.
 
        Choices made under this Contract must
        be in writing. If the Contract is owned
        jointly, both Contract Holders must
        authorize any choices in writing. Until
        receipt of such choices at Aetna's Home
        Office, Aetna may rely on any previous
        choices made.
 
        The Contract is not subject to the
        claims of any creditors of the Contract
        Holder, except to the extent permitted
        by law. The Contract Holder may assign
        or transfer his or her rights under the
        Contract. Aetna reserves the right not
        to accept assignment or transfer to a
        nonnatural person. Any assignment or
        transfer made must be submitted to
        Aetna's Home Office in writing and will
        not be effective until accepted by
        Aetna. Aetna assumes no responsibility
        for the validity of any assignment.
 
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2.06   Designation of Beneficiary:   The Contract Holder shall name his or
        her Beneficiary. The Beneficiary may be
        changed at any time. Changes to a
        Beneficiary must be submitted to
        Aetna's Home Office in writing and will
        not be effective until received and
        recorded by Aetna.
 
 
 
2.07   Misstatements and Adjustments:   If Aetna finds the age of any Annuitant
        to be misstated, the correct facts will
        be used to adjust payments.
 
2.08   Incontestability:   Aetna will not contest this Contract
        from its effective date.
 
 
III.   PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS
------------------------------------------------------------------------
3.01   Net Purchase Payment:   This amount is the actual Purchase
        Payment less any applicable premium
        tax. Aetna reserves the right to deduct
        any premium tax at any time from the
        Purchase Payment or from the Contract
        Holder's Current Value.
 
        The Contract Holder shall tell Aetna
        the allocation percentage of the Net
        Purchase Payment to be applied to each

 


    of the available Guaranteed Periods
    during the current Deposit Period(s) .
    The minimum amount that may be
    allocated to any Guaranteed Period is
    shown on Contract Schedule l.
 
11
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3.02 Market Value Adjustment:   There will be an MVA for any withdrawal
    before the end of a Guaranteed Period
    when the withdrawal is due to:
 
    (a)   Any full or partial surrender, but
        not for a partial withdrawal under
        the Systematic Withdrawal Option
        (see 3.05); or
 
    (b)   Payment made to a Beneficiary as a
        death benefit during the
        Accumulation Period, but not
        payment made within six months of
        the date of the Annuitant's death
        (see 3.06); or
 
    (c)   An election of an Annuity option.
        Only a positive MVA, if any, will
        apply upon election of option 2 or
        3 (see 4.04) .
 
    Market value adjusted amounts will be
    equal to the amount withdrawn
    multiplied by the following ratio:
 
        x
        ---
        365
    (1 + i)
    ----------------
        x
        ---
        365
    (1 + j)
 
    Where:
 
    i   is the Deposit Period Yield
    j   is the Current Yield
    x   is the number of days remaining,
        (computed from Wednesday of the week
        of withdrawal) in the Guaranteed
        Period.
 
    The Deposit Period Yield will be
    determined as follows:
 
    (a)   At the close of the last business
        day of each week of the Deposit
        Period, a yield will be computed
        as the average of the yields on
        that day of U. S. Treasury Notes
        which mature in the last three
        months of the Guaranteed Period.
 
    (b)   The Deposit Period Yield is the
        average of those yields for the
        Deposit Period. If withdrawal is
        made before the close of the
        Deposit Period, it is the average
        of those yields on each week
        preceding withdrawal.
 
    The Current Yield is the average of the
    yields on the last business day of the
    week preceding withdrawal on the same
    U. S. Treasury Notes included in the
    Deposit Period Yield.
 
    In the event that no U. S. Treasury
    Notes which mature in the last three
    months of the Guaranteed Period exist,
    Aetna reserves the right to use the
    U. S. Treasury Notes that mature in the
    following quarter.
 
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3.03   Notice to the Contract   The Contract Holder will receive
    Holder:   statements at least annually from Aetna
        showing the value of any amounts held
        in the AMG Account.
 
        Such values will be as of a specific
        date no more than 60 days before the
        date of the notice.
 
3.04   Loans:   Loans are not available under this
        Contract.    
 
3.05   Systematic Withdrawal   The Contract Holder may elect a
    Option (SWO):   distribution option under which a
        portion of the Current Value will
        automatically be surrendered and
        distributed each year. SWO payments
        will be calculated based on the
        Contract's full Current Value. The
        distributed amount is withdrawn pro
        rata from each Guaranteed Period(s) . A
        Surrender Fee will not be deducted from
        any portion of the Current Value which
        is paid as a distribution under SWO.
 
        Contract Holders should consult their
        tax adviser prior to requesting this
        distribution option.
 
        (a) Amount of Distribution: The
        Contract Holder may elect one of
        the three payment methods
        described below.
 
        (1)   Specified Payment: Payments
            of a designated dollar
            amount. The annual amount may
            not be greater than the
            percentage shown on Contract
            Schedule I times the Current
            Value at time of election.
            This annual dollar amount
            will remain constant. At its
            discretion, Aetna may require
            a minimum initial payment
            amount;
 
        (2)   Specified Period: Payments
            which are made over a period
            of time which must be at
            least 10 years. The annual
            amount paid each year is
            calculated by dividing the
            Current Value as of December
            31 of the prior year by the
            number of payment years
            remaining; or
 
        (3)   Specified Percentage: Payment
            of a designated percentage
            which cannot be greater than
            the percentage shown on
            Contract Schedule I. The
            percentage may be changed by
            written request. Aetna
            reserves the right to limit
            the number of times the
            percentage may be changed.
            The annual amount is
            calculated by multiplying the
            Current Value as of December
            31 of the year prior to the
            payment by the designated
            percentage.
 
13
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3.05   Systematic Withdrawal   Payments upon the Contract Holder's or
    Option (SWO):   Annuitant's death will be made to the
    (Cont'd)   Beneficiary in the manner described in
        3.07.    
 
        (b) Minimum Initial Current Value: At
        its discretion, Aetna may require
        a minimum initial Current Value
        for election of this option. If
        after election of this option the
        Current Value is insufficient to

 


        make a scheduled SWO payment,
        Aetna will distribute the entire
        balance.
 
    (c)   Date of Distribution: The Contract
        Holder shall specify the initial
        distribution date. As elected by
        the Contract Holder, SWO payments
        will be made on a monthly or
        quarterly basis unless Aetna
        allows otherwise. If SWO payments
        are made more frequently than
        annually, the designated annual
        amount is divided by the number of
        payments due each calendar year.
        Subsequent distributions will be
        made on the 15th of any month or
        such other date as Aetna may
        designate or allow.
 
    (d)   Election and Revocation: SWO may
        be elected by submitting a
        completed and signed election form
        to Aetna's Home Office. Aetna
        reserves the right to establish
        the date when SWO may first be
        elected by a Contract Holder. Once
        elected, this option may be
        revoked by the Contract Holder or
        spousal Beneficiary, if elected
        after the Contract Holder's death,
        by submitting a written request to
        Aetna at its Home Office. Any
        revocation will apply only to
        amounts not yet paid. SWO may be
        elected only once by the Contract
        Holder or by the spousal
        Beneficiary.
 
3.06 Death Benefit Amount:   If the Contract Holder or Annuitant
    dies before Annuity payments start, the
    Beneficiary is entitled to a death
    benefit under the Contract. If the
    Contract is owned jointly, the death
    benefit is paid at the first death of
    either of the joint Contract Holders.
    If the Contract is held by joint
    Contract Holders, the survivor will be
    deemed the designated Beneficiary and
    any other Beneficiary on record will be
    treated as the contingent Beneficiary.
    If the Contract Holder is a nonnatural
    person, the death benefit will be
    payable at the death of the Annuitant.
    If paid within 6 months of the date of
    the Annuitant's death, the death
    benefit will be the Current Value of
    the Contract. Otherwise, the death
    benefit will be the Adjusted Current
    Value determined as of the claim date.
    The claim date is the date when proof
    of death and the Beneficiary's claim
    are received in good order at Aetna's
    Home Office.
 
    When the Contract Holder dies and the
    Contract Holder is not the Annuitant,
    the death benefit payable will be
    subject to a Surrender Fee, if
    applicable.
 
14
I1-MGA-95        
       
 
3.07 Death Benefit Options   Prior to any election, or until amounts
available to Beneficiary:   must be otherwise distributed under
    this section, the Current Value will be
    retained in the Contract. The following
    options are available to the
    Beneficiary:
 
    (a)   When the Contract Holder dies or
        if the Contract Holder is not a
        natural person, when the Annuitant
        dies:
 
        (1) If the Beneficiary is the
        Contract Holder's surviving
        spouse, the Beneficiary may

 


            exercise all Contract Holder
            rights under the Contract and
            continue in the Accumulation
            Period, or may elect (i) or
            (ii) below. Distributions
            from the Contract are not
            required until the spousal
            Beneficiary's death. The
            spousal Beneficiary may elect
            to:
 
            (i) Apply some or all of the
            death benefit amount to
            an Annuity option 1, 2
            or 3 (see 4.04); or
 
            (ii) Receive, at any time, a
            lump sum payment equal
            to the death benefit
            amount.
 
        (2)   If the Beneficiary is an
            individual who is not the
            Contract Holder's surviving
            spouse, then options (i) or
            (ii) under (1) above apply.
            Any portion of the death
            benefit amount not applied to
            Annuity option 1, 2 or 3
            within one year of the
            Contract Holder's death, must
            be distributed within five
            years of the date of death.
 
        (3)   If the Beneficiary is not a
            natural person, then only
            option (ii) under (1) above
            applies.
 
        (4)   If no Beneficiary has been
            designated, a lump sum
            payment equal to the death
            benefit amount will be made
            to the Contract Holder's
            estate.
 
        (b) If the Contract Holder is a
        natural person but is not the
        Annuitant, and the Annuitant dies,
        the Beneficiary may elect either
        to apply the death benefit amount
        to Annuity option 1, 2 or 3 within
        60 days of the Annuitant's date of
        death, or to receive a lump sum
        payment.
 
15
I1-MGA-95        
           
 
3.08   Liquidation of Surrender   All or any portion of the Contract's
    Value:   Current Value may be surrendered at any
        time prior to the Annuity Date.
        Surrender requests can be submitted as
        a percentage of the Contract value or
        as a specific dollar amount. Net
        Purchase Payment amounts are withdrawn
        first, and then the excess value, if
        any. For any partial surrender, amounts
        are withdrawn on a pro rata basis from
        the Guaranteed Period(s) Groups of the
        AMG Account in which the Current Value
        is invested. Within a Guaranteed Period
        Group, the amount to be surrendered
        will be withdrawn first from the oldest
        Deposit Period, then from the next
        oldest, and so on until the amount
        requested is satisfied.
 
        After deduction of the Maintenance Fee
        and any Premium Tax, if applicable, the
        surrendered amount shall be reduced by
        a Surrender Fee, if applicable. An MVA
        may apply to amounts surrendered.
 
3.09   Surrender Fee:   The Surrender Fee only applies to the
        Net Purchase Payment portion
        surrendered and varies according to the
        elapsed time from the Contract
        effective date (see Contract Schedule

 

 


        I) .    
 
        No Surrender Fee is deducted from any
        portion of the Current Value which is
        paid:    
 
        (a)   To a Beneficiary due to the
            Annuitant's death before Annuity
            payments start (see 3.06);
 
        (b)   As a premium for an Annuity option
            1, 2 or 3 under this Contract (see
            4.04);
 
        (c)   As a distribution under the SWO
            provision (see 3.05);
 
        (d)   At least 12 months after the date
            of the Purchase Payment, in an
            amount equal to or less than the
            special withdrawal percentage
            shown on Contract Schedule l times
            the current value at the time of
            the withdrawal. This applies to
            the first surrender request,
            partial or full, in a calendar
            year. The Current Value is
            calculated as of the date the
            surrender request is received in
            good order at Aetna's Home Office.
            This waiver is not available to
            the Contract Holder while SWO is
            in effect;
 
        (e)   For a full surrender of the
            Contract where the Current Value
            is $2,500 or less and no
            surrenders have been taken from
            the Contract within the prior 12
            months; or
 
        (f)   Upon withdrawal of any Matured
            Period Value; or
 
        (g)   By Aetna under 3.11.
 
3.10   Payment of Surrender   Under certain emergency conditions, as
    Value:   allowed by law, Aetna may defer payment
        for a period of up to 6 months.
 
16
I1-MGA-95        
           
 
3.11   Payment of Adjusted   Upon 90 days' written notice to the
    Current Value:   Contract Holder, Aetna will terminate
        any Contract if the Current Value
        becomes less than $2,500 immediately
        following any partial surrender. A
        Surrender Fee will not be deducted from
        the Adjusted Current Value.
 
IV.   ANNUITY PROVISIONS        
------------------------------------------------------------------------
4.01   Choices to be Made:   The Contract Holder may tell Aetna to
        apply any portion of the Adjusted
        Current Value (minus any premium tax)
        for an Annuity under option 1, 2 or 3
        (see 4.04) . The first Annuity payment
        may not be earlier than twelve months
        after the Purchase Payment At least 30
        days prior to the Annuity Date, the
        Contract Holder must tell Aetna which
        Annuity option is elected. Annuity
        payments will be made monthly, unless
        the Contract Holder elects otherwise in
        writing.
 
        In lieu of the election of an Annuity,
        the Contract Holder may elect a lump
        sum payment.
 
        The Annuity purchase rate for the
        option chosen reflects the Minimum
        Guaranteed Interest Rate (see Contract
        Schedule II), but may reflect a higher
        interest rate.
 
4.02   Terms of Annuity Options   (a)   When payments start, the age of
            the Annuitant plus the number of

 


            years for which payments are
            guaranteed must not exceed 95.
 
        (b)   An Annuity option may not be
            elected if the first payment would
            be less than $50 or if the total
            payments in a year would be less
            than $250 (less if required by
            state law) . Aetna reserves the
            right to increase the minimum
            first Annuity payment amount and
            the annual minimum Annuity payment
            amount based upon increases
            reflected in the Consumer Price
            Index-Urban, (CPI-U) since July 1,
            1993.
 
        (c)   If an Annuity under option 1, 2 or
            3 is chosen and a larger payment
            would result from applying the
            Surrender Value to a current Aetna
            single premium immediate Annuity,
            Aetna will make the larger
            payment.
 
        (d)   For purposes of calculating the
            guaranteed first payment of an
            Annuity, the Annuitant's and
            second Annuitant's adjusted age
            will be used. The Annuitant's and
            second Annuitant's adjusted age is
            his or her age as of the birthday
            closest to the Annuity
            commencement date reduced by one
            year for Annuity commencement
            dates occurring during the period
            of time through December 31, 1999.
 
17
I1-MGA-95        
           
 
4.02   Terms of Annuity Options   The Annuitant's and second Annuitant's
    (Cont'd)   age will be reduced by two years for
        Annuity commencement dates occurring
        during the period of time from January
        1, 2000 through December 31, 2009. The
        Annuitant's and second Annuitant's age
        will be reduced by one additional year
        for Annuity commencement dates
        occurring in each succeeding decade.
        The Annuity purchase rates for options
        2 and 3 are based on mortality from
        1983 Table a.
 
        (e)   Once elected, an Annuity option
            may not be revoked and Annuity
            payments cannot be commuted to a
            lump sum.
 
4.03   Death of Annuitant/   If the Annuitant dies after Annuity
    Beneficiary:   payments have begun, the death benefit,
        if any, will be payable to the
        Beneficiary as specified in the Annuity
        option elected. Death benefits will be
        paid at least as rapidly as under the
        method of distribution in effect at the
        or Annuitant's death.
 
        If the Contract Holder who is not the
        Annuitant dies after Annuity payments
        have begun, any remaining payments
        under the Annuity option elected will
        be made to the Beneficiary at least as
        rapidly as under the method of
        distribution in effect at the Contract
        Holder's death.
 
        If the Contract is held by joint
        Contract Holders, the survivor will be
        deemed the designated Beneficiary and
        any other Beneficiary on record will be
        treated as the contingent Beneficiary.
 
        Aetna will require proof of death.
 
4.04   Annuity Options:   Option 1 -- Payments for a Stated
        Period of Time -- An Annuity will be
        paid for the number of years chosen.
        The number of years must be at least 10

 


            and not more than 30.    
 
            If a nonspouse Beneficiary elects this
            option at the death of the Contract
            Holder, the period selected may not
            extend beyond the Beneficiary's life
            expectancy.        
 
            Option 2 -- Life Income -- An Annuity
            will be paid for the life of the
            Annuitant, if also chosen, Aetna will
            guarantee payments for 60, 120, 180, or
            240 months.        
 
            Option 3 -- Life Income Based upon the
            Lives of Two Annuitants -- An Annuity
            will be paid during the lives of the
            Annuitant and a second Annuitant.
            Payments will continue until both
            Annuitants have died. When this option
            is chosen, one of the following choices
            must be made:        
 
            (a)   100% of the payment to continue
                after the first death;    
            (b)   66 2/3% of the payment to continue
                after the first death;    
 
18
I1-MGA-95                    
                       
 
4.04   Annuity Options:   (c)   50% of the payment to continue
    (Cont'd)           after the first death;    
 
            (d)   Payments for a minimum of 120
                months with 100% of the payment to
                continue after the first death; or
 
            (e)   100% of the payment to continue at
                the death of the second Annuitant
                and 50% of the payment to continue
                at the death of the Annuitant.
 
            Other Options -- Aetna may make other
            options available as allowed by the
            laws of the state in which the Contract
            is delivered.        
 
19
I1-MGA-95                    
                       
                       
 
OPTION 1
 
Payments for a Stated Period of Time
 
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
 
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
 
                   
    Guaranteed   Monthly   Quarterly   Semi-Annual   Annual
Years   Rate   Payment   Payment   Payment   Payment
 
 
5   3.00%   17.91   53.59   106.78   211.99
6   3.00%   15.14   45.30   90.27   179.22
7   3.00%   13.16   39.39   78.49   155.83
8   3.00%   11.68   34.96   69.66   138.31
9   3.00%   10.53   31.52   62.81   124.69
10   3.00%   9.61   28.77   57.33   113.82
11   3.00%   8.86   26.52   52.85   104.93
12   3.00%   8.24   24.65   49.13   97.54
13   3.00%   7.71   23.08   45.98   91.29
14   3.00%   7.26   21.73   43.29   85.95
15   3.00%   6.87   20.56   40.96   81.33
16   3.00%   6.53   19.54   38.93   77.29
17   3.00%   6.23   18.64   37.14   73.74
18   3.00%   5.96   17.84   35.56   70.59
19   3.00%   5.73   17.13   34.14   67.78
20   3.00%   5.51   16.50   32.87   65.26
21   3.00%   5.32   15.92   31.72   62.98
22   3.00%   5.15   15.40   30.68   60.92
23   3.00%   4.99   14.92   29.74   59.04
24   3.00%   4.84   14.49   28.88   57.33
25   3.00%   4.71   14.09   28.08   55.76

 


26   3.00%   4.59   13.73   27.36   54.31        
27   3.00%   4.47   13.39   26.68   52.97        
28   3.00%   4.37   13.08   26.06   51.74        
29   3.00%   4.27   12.79   25.49   50.60        
30   3.00%   4.18   12.52   24.95   49.53        
                               
 
            20                    
I1-MGA-95                                
                               
 
                               
            OPTION 2                    
 
            Life Income                    
 
    Amount of First Monthly Payment for Each $1,000            
    After Deduction of any Charge for Premium Taxes            
 
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%        
 
    Payments Guaranteed for a Stated Period of Months            
 
                               
 
Adjusted Age                            
of   None       60   120   180   240        
Annuitant                                
 
       
50   $4.05       $4.05   $4.03   $3.99   $3.93        
51   4.12       4.11   4.09   4.05   3.99        
52   4.19       4.19   4.16   4.11   4.04        
53   4.27       4.26   4.23   4.18   4.10        
54   4.35       4.34   4.31   4.25   4.16        
 
55   4.44       4.42   4.39   4.32   4.22        
56   4.53       4.51   4.47   4.40   4.29        
57   4.62       4.61   4.56   4.48   4.35        
58   4.72       4.71   4.65   4.56   4.42        
59   4.83       4.81   4.75   4.64   4.49        
 
60   4.95       4.93   4.86   4.73   4.55        
61   5.07       5.05   4.97   4.83   4.62        
62   5.20       5.17   5.08   4.92   4.69        
63   5.34       5.31   5.20   5.02   4.76        
64   5.49       5.45   5.33   5.12   4.83        
 
65   5.65       5.61   5.47   5.22   4.89        
66   5.82       5.77   5.61   5.33   4.96        
67   6.01       5.94   5.75   5.44   5.02        
68   6.20       6.13   5.91   5.54   5.08        
69   6.41       6.33   6.07   5.65   5.14        
 
70   6.64       6.54   6.23   5.76   5.19        
71   6.88       6.76   6.41   5.86   5.24        
72   7.14       7.00   6.59   5.97   5.28        
73   7.43       7.26   6.77   6.06   5.32        
74   7.73       7.53   6.96   6.16   5.35        
 
75   8.06       7.82   7.14   6.25   5.38        
</TABLE>                                
 
Rates are based on mortality from 1983 Table a. The rates do not differ by sex.
Rates for ages not shown will be provided on request and will be computed
on a basis consistent with the rates in the above tables.
   
   
   
 
            11                    
I1-MGA-95                                
                               
 
                               
            OPTION 3                    
 
        Life Income for Two Payees                
 
    Amount of First Monthly Payment for Each $1,000            
    After Deduction of any Charge for Premium Taxes            
 
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%        
 
                               
 
Adjusted Ages                            
Annuitant   Second Annuitant   Option 3a   Option 3b   Option 3c   Option 3d   Option 3e
---------   ----------------   ---------   ---------   ---------   ---------   ---------
 
55   50       $3.69   $4.05       $4.27   $3.69   $4.03
55   55       3.88   4.25       4.47   3.87   4.14

 


55   60   3.99   4.44   4.71   3.98   4.42
 
60   55   3.99   4.44   4.71   3.98   4.42
60   60   4.24   4.71   4.99   4.23   4.57
60   65   4.38   4.97   5.32   4.38   4.93
 
65   60   4.38   4.97   5.32   4.38   4.93
65   65   4.72   5.33   5.70   4.71   5.14
65   70   4.93   5.68   6.15   4.91   5.66
 
70   65   4.93   5.68   6.15   4.91   5.66
70   70   5.40   6.21   6.70   5.36   5.96
70   75   5.69   6.68   7.32   5.62   6.67
 
75   70   5.69   6.68   7.32   5.62   6.67
75   75   6.37   7.45   8.15   6.23   7.12
75   80   6.78   8.11   8.99   6.54   8.13
---------   ----------------   ---------   ---------   ---------   ---------   ---------
                       
 
Rates are based on mortality from 1983 Table a. The rates do not differ by sex.
Rates for ages not shown will be provided on request and will be computed
on a basis consistent with the rates in the above tables.
        22                
I1-MGA-95                        
                       
 
        [AETNA LOGO]                
    Aetna Life Insurance and Annuity Company            
    Home Office: 151 Farmington Avenue            
    Hartford, Connecticut 06156            
        (800) 531-4547                
 
 
Individual Single Premium Modified Guaranteed Deferred Annuity Contract
Nonparticipating
       
       
 
 
THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A        
MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE        
CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A        
GUARANTEED PERIOD AT THE TIME OF ITS MATURITY.                
 
12-MGA-95