EX-7 9 exhibit164c.htm EXHIBIT 16(4)(C) exhibit164c.htm - Generated by SEC Publisher for SEC Filing

Exhibit 16(4)(c):  Certificate (G1CC-MGA-95)


 

    -----------------------------------
    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.
 
- --------------------------------------------------------------------------------
Certificate of Group   To the Certificate Holder:
Annuity Coverage    
    Aetna certifies that coverage is in
    force for you under the stated
    Group Annuity Contract and
    Certificate numbers. All data shown
    here is taken from Aetna records
    and is based upon information
    furnished by you.
 
    This Certificate is a summary of
    the Group Annuity Contract
    provisions. It replaces any and all
    prior certificates, riders, or
    amendments issued to you under the
    stated Contract and Certificate
    numbers. This Certificate is for
    information only and is not a part
    of the Contract.
 
- --------------------------------------------------------------------------------
Right to Cancel   You may cancel the Account
    evidenced by this Certificate
    within 10 days of receiving it, by
    sending a written notice to Aetna
    at the above address or to the
    agent from whom it was purchased.
    Aetna will return all payments made
    for this Certificate within 7 days
    after it receives the notice of
    cancellation and this Certificate.
 
/s/ Dan Kearney   /s/ Susan E. Schechter
President   Secretary
 
- --------------------------------------------------------------------------------
Certificate Holder(s)   Certificate No.
 
SPECIMEN   SPECIMEN
- --------------------------------------------------------------------------------
Contract Holder   Group Annuity Contract No.
E. G. ANY BROKER   SPECIMEN
- --------------------------------------------------------------------------------
Annuitant Name   Type of Plan
JOHN DOE JR.   SPECIMEN
- --------------------------------------------------------------------------------
 
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.
 
G1CC-MGA-95    
 
   
 
Specifications    
 
- --------------------------------------------------------------------------------
Guaranteed Interest Rate   There is a guaranteed interest rate
    for the Purchase Payment held in
    the AMG Account.
    (See Contract Schedule I) .
 
- --------------------------------------------------------------------------------
Deduction from Purchase Payment   The Purchase Payment may be subject
    to a deduction for premium taxes,
    if applicable. (See 3.01) .
 
- --------------------------------------------------------------------------------
Surrender Fee   There may be a charge deducted upon
    surrender. (See Contract
    Schedule I) .
 
 
    2
   
 
Contract Schedule I

 


 

Accumulation Period

ALIAC Modified Guaranteed Account (AMG Account)

- --------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate:   [3.0%]
(effective annual rate of return)    
 
Maintenance Fee:       The annual Maintenance Fee is
        [$0. ] [If the Account's 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 Payment:   [$10,000. ]
 
Maximum Purchase Payment:   Purchase Payments exceeding
        [$1,000,000] must be approved by
        Aetna.
 
Minimum Guaranteed Period Allocation Amount:   [$1,000. ]
 
Maximum Age of Certificate Holder at Issue:   [90. ] If there are joint
        Certificate Holders, the age of
        the oldest Certificate Holder
        cannot exceed [90. ]
 
Surrender Fee:   Length of Time from   Surrender Fee
    Certificate Effective Date   (Percentage of Net
    (Years)   Purchase Payment
        Withdrawn)
    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 certificate
    effective date, the Surrender Fee will no longer be
    assessed.    
 
Special Withdrawal:   [10%]
 
Systematic Withdrawal Option (SWO):   The specified payment or
        specified percentage may not be
        greater than [10%. ]
 
See 1. GENERAL DEFINITIONS for explanations.    

 

3

Contract Schedule II
Annuity Period

Fixed Annuity

- --------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate:   [3.0%]
(effective annual rate of return):    
 
See 1. GENERAL DEFINITIONS for explanations.    

 

4

 

TABLE OF CONTENTS

I.      GENERAL DEFINITIONS
 
-      --------------------------------------------------------------------------------
 
        Page
1.01   Account   7
1.02   Accumulation Period   7
1.03   Adjusted Current Value   7
1.04   Annuitant   7
1.05   Annuity   7
1.06   Annuity Date   7
1.07   Beneficiary   7
1.08   Certificate Holder   7
1.09   Code   7
1.10   Contract   7
1.11   Contract Holder   7
1.12   Current Value   8

 

 


 

1.13   Deposit Period   8
1.14   Entire Contract   8
1.15   Fixed Annuity   8
1.16   General Account   8
1.17   Guaranteed Rates - AMG Account   8
1.18   Guaranteed Period   8
1.19   Guaranteed Period Groups   8
1.20   Maintenance Fee   9
1.21   ALIAC Modified Guaranteed Account (AMG Account)   9
1.22   Market Value Adjustment (MVA)   9
1.23   Matured Period Value   9
1.24   Maturity Date   9
1.25   Net Purchase Payment   9
1.26   Nonunitized Separate Account   9
1.27   Purchase Payment   9
1.28   Reinvestment   9
1.29   Surrender Value   10

 

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

 

5

 

        Page
2.08   Incontestability   11
2.09   Individual Certificates   11

 

III.      PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS
 
--------------------------------------------------------------------------------
 
3.01   Net Purchase Payment   11
3.02   Market Value Adjustment   11
3.03   Notice to the Certificate Holder   12
3.04   Loans   12
3.05   Systematic Withdrawal Option (SWO)   13
3.06   Death Benefit Amount   14
3.07   Death Benefit Options available to Beneficiary   14
3.08   Liquidation of Surrender Value   15
3.09   Surrender Fee   16
3.10   Payment of Surrender Value   16
3.11   Payment of Adjusted Current Value   16

 

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

 

6

 

I.      GENERAL DEFINITIONS
 
---------------------------------------------------------------------------------
 
1.01      Account:
 
1.02      Accumulation Period:
 
1.03      Adjusted Current Value:
 
1.04      Annuitant:
 

1.05 Annuity:

A record established for each Certificate Holder to maintain the value of the Net Purchase Payment held on his/her behalf during the Accumulation Period.

The period during which the Net Purchase Payment is applied to an Account to provide future Annuity payment(s).

The Current Value of an Account plus or minus any aggregate AMG Account MVA, if applicable. (see 1.22)

The person named by the Certificate 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 Certificate Holder by notifying Aetna in writing prior to the Annuity Date of an Account.

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) .
 
1.06   Annuity Date:       The date on which Annuity payments
            begin under an Annuity option elected
            by the Certificate Holder. (see 4.01)
            The Annuity Date is shown on Contract
            Schedule I. The Certificate Holder may
            change this date by notifying Aetna at
            least 30 days prior to the Annuity
            Date.
 
1.07   Beneficiary:       The person(s) entitled to receive
            death benefits under the terms of this
            Contract.
 
1.08   Certificate Holder:       A person who purchases an interest in
            this Contract as evidenced by a
            certificate. Aetna reserves the right
            to limit Account ownership to natural
            persons. If more than one Certificate
            Holder owns an Account, each
            Certificate Holder will be a joint
            Certificate Holder. Any joint
            Certificate Holder must be the spouse
            of the other joint Certificate Holder.
            Joint Certificate Holders have joint
            ownership rights and both must
            authorize exercising any ownership
            rights unless Aetna allows otherwise.
 
1.09   Code:       The Internal Revenue Code of 1986, as
            it may be amended from time to time.
 
1.10   Contract:       This agreement between Aetna and the
            Contract Holder.
 
1.11   Contract Holder:       The entity to which the Contract is
            issued.
 
 
7
           
 
1.12   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.
 
1.13   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.
 
1.14   Entire Contract:       The Contract, all attached pages and
            any subsequent endorsements make up
            the Entire Contract.
 
1.15   Fixed Annuity:       An Annuity with payments that do not
            vary in amount based on investment
            performance.
 
1.16   General Account:       The Account holding the assets of
            Aetna, other than those assets held in
            Aetna's separate accounts.
 
1.17   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.
 
1.18   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 Certificate
        Holder may allocate the Net Purchase
        Payment or Reinvestment into any or
        all of the available Guaranteed
        Periods.
 
1.19   Guaranteed Period Groups:   All Guaranteed Periods with the same
        length of time from the close of the
        Deposit Period until the designated
        Maturity Date.
 
 
8
       
 
1.20   Maintenance Fee:   The Maintenance Fee, if any (see
        Contract Schedule I), will be deducted
        from the Account during the
        Accumulation Period on each
        anniversary of the date the Account is
        established and upon surrender of the
        entire Account.
 
1.21   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.
 
1.22   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.
 
1.23   Matured Period Value:   The amount payable on a Guaranteed
        Period's Maturity Date.
 
1.24   Maturity Date:   The last day of a Guaranteed Period.
 
1.25   Net Purchase Payment:   The Purchase Payment less premium
        taxes, as applicable.
 
1.26   Nonunitized Separate Account: A separate account set up by Aetna
        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 Certificate 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.
 
1.27   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. No advance
        notice will be given to the Contract
        Holder.
 
1.28   Reinvestment:   Aetna will notify the Certificate
        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 Certificate 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
        Certificate Holder the next business
        day after the Maturity Date.
 
 
        9
       
 
1.28   Reinvestment (Cont'd):   At any time prior to the Maturity
        Date, the Certificate 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 Certificate Holder
        received at Aetna's Home Office in
        good order at least five (5) days
        prior to the Maturity Date.
 
1.29   Surrender Value:   The amount payable by Aetna upon the
        surrender of all or any portion of an
        Account.
 
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 and Certificate Holder
        in writing of any changes.
 
2.02   Nonparticipating Contract:   The Contract Holder, Certificate
        Holders or Beneficiaries will not have
        a right to share in the earnings of
        Aetna.
 
2.03   Payments and Elections:   While the Certificate Holder is
        living, Aetna will pay the Certificate
        Holder any Annuity payments as and
        when due. After the Certificate
        Holder's death, or at the death of the
        first Certificate Holder if the
        Account 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 and the certificates
        comply with the laws of the state in
        which they are 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 title to the
        Contract. Contract Holder rights are

 


        limited to accepting or rejecting
        Contract modifications. The
        Certificate Holder has all other
        rights to amounts held in his or her
        Account.
 
2.05   Control of Contract (Cont'd): Each Certificate Holder shall own all
        amounts held in his or her Account.
        Each Certificate Holder may make any
        choices allowed by this Contract for
        his or her Account. Choices made under
        this Contract must be in writing. If
        the Account is owned jointly, both
        joint Certificate 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.
 
10
       
 
        The Contract is not subject to the
        claims of any creditors of the
        Contract Holder or the Certificate
        Holder, except to the extent permitted
        by law.
 
        The Certificate 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.
 
2.06   Designation of Beneficiary:   Each Certificate 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   If Aetna finds the age of any
    Adjustments:   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.
 
2.09   Individual Certificates:   Aetna shall issue a certificate to
        each Certificate Holder. The
        certificate will summarize certain
        provisions of the Contract.
        Certificates are for information only
        and are not a part of the Contract,
        except as evidence of the Certificate
        Holder's interest in the Contract.
 
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
        Certificate Holder's Account.
 
        The Certificate Holder shall
        designate, on the enrollment form, 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 I.
 
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:
 
3.02   Market Value   (a) Any full or partial surrender, but
    Adjustment (Cont'd):   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) .
 
 
 
11
           
 
        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.
 
3.03   Notice to the Certificate Holder:   The Certificate Holder will receive
        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.
 
 
12
           
 
3.05   Systematic Withdrawal Option (SWO): The Certificate Holder may elect a
        distribution option under which a
        portion of the Account's Current Value
        will automatically be surrendered and
        distributed each year. SWO payments

 


    will be calculated based on the
    Account'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.    
 
    Certificate Holders should consult
    their tax adviser prior to requesting
    this distribution option.
 
    (a) Amount of Distribution: The
    Certificate 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.
 
    Payments upon the Certificate Holder's
    or Annuitant's death will be made to
    the Beneficiary in the manner
    described in 3.07.
 
3.05 Systematic Withdrawal   (b) Minimum Initial Current Value:
Option (SWO) (Cont'd):   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
    Account balance.
 
    13    
       
 
    (c) Date of Distribution: The
    Certificate Holder shall specify
    the initial distribution date.
    As elected by the Certificate
    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
        Certificate Holder. Once
        elected, this option may be
        revoked by the Certificate
        Holder or spousal Beneficiary,
        if elected after the Certificate
        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 Certificate Holder
        or by the spousal Beneficiary.
 
3.06 Death Benefit Amount:   If the Certificate Holder or Annuitant
        dies before Annuity payments start,
        the Beneficiary is entitled to a death
        benefit under the Account. If the
        Account is owned jointly, the death
        benefit is paid at the first death of
        either of the joint Certificate
        Holders. If the Account is held by
        joint Certificate Holders, the
        survivor will be deemed the designated
        Beneficiary and any other Beneficiary
        on record will be treated as the
        contingent Beneficiary. If the
        Certificate 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 Account. Otherwise, the death
        benefit will be the Adjusted Current
        Value of the Account 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 Certificate Holder dies and
        the Certificate Holder is not the
        Annuitant, the death benefit payable
        will be subject to a Surrender Fee, if
        applicable.
 
3.07   Death Benefit Options available   Prior to any election, or until
    to Beneficiary:   amounts must be otherwise distributed
        under this section, the Current Value
        of the Account will be retained in the
        Account. The following options are
        available to the Beneficiary:
 
3.07   Death Benefit Options available to   (a) When the Certificate Holder dies
    Beneficiary (Cont'd):   or if the Certificate Holder is
        not a natural person, when the
        Annuitant dies:
 
 
        14
       
 
        (1) If the Beneficiary is the
        Certificate Holder's surviving
        spouse, the Beneficiary may
        exercise all Certificate
        Holder rights under the
        Contract and continue in the
        Accumulation Period, or may
        elect (i) or (ii) below.
        Distributions from the Account
        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
        Certificate 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
        Certificate 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 Certificate Holder's
        estate.
 
        (b) If the Certificate 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.
 
3.08 Liquidation of Surrender Value:       All or any portion of the Account's
        Current Value may be surrendered at
        any time prior to the Annuity Date.
        Surrender requests can be submitted as
        a percentage of the Account 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.
 
 
15
       
 
3.08 Liquidation of Surrender       After deduction of the Maintenance Fee
Value (Cont'd):       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 certificate
        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 I 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 Certificate Holder while SWO
        is in effect;
 
        (e) For a full surrender of the
        Account where the Current Value
        of the Account is $2,500 or less
        and no surrenders have been
        taken from the Account 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 Value:   Under certain emergency conditions, as
        allowed by law, Aetna may defer
        payment for a period of up to 6
        months.
 
3.11 Payment of Adjusted Current Value:   Upon 90 days' written notice to the
        Certificate Holder, Aetna will
        terminate any Account 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.
 
        16
   
 
IV.   ANNUITY PROVISIONS    
- --------------------------------------------------------------------------------
 
4.01 Choices to be Made:   The Certificate 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
        Certificate Holder must tell Aetna
        which Annuity option is elected.
        Annuity payments will be made monthly,
        unless the Certificate Holder elects
        otherwise in writing.
 
        In lieu of the election of an Annuity,
        the Certificate 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. The Annuitant's and
        second Annuitant's 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.
 
17
       
 
4.02   Terms of Annuity Options (Cont'd):   (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/ Beneficiary:   If the Annuitant dies after Annuity
        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 Annuitant's death.
 
        If the Certificate 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 Certificate Holder's
        death.
 
        If the Account is held by joint
        Certificate 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 Certificate
        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;        
 
        (c) 50% of the payment to continue        
        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
        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 this        
        Contract and the certificate is        
        delivered.            
 
        18            
                   
 
        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
------------------------------------------------------------------------------------------------------------------------
                   
 
 
        19            
                   
 
 
 
        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
- --------------------------------------------------------------------------------------------------------------------------
                   
 
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.        

 

20

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                    
- ----------------------------------------                
        Second                    
    Annuitant   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.
       
       
       
 
 
            21                
                       
 
 
--------------------------------------------------------------------------------        

 

 


 

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

Certificate of Group Annuity Contract Coverage

-------------------------------------------------------------------------------

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.