As filed with the Securities and Exchange Commission on April 2, 2021
Registration File No. 333-___________
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM S-3
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY
(Exact name of registrant as specified in its charter)
Connecticut
(State or other jurisdiction of incorporation or organization)
71-0294708
(I.R.S. Employer Identification No.)
One Orange Way, C2N, Windsor, Connecticut 06095-4774, 1-800-262-3862
(Address, including zip code, and telephone number, including area code, of registrant's principal executive offices)
Peter M. Scavongelli, Senior Counsel
Voya Retirement Insurance and Annuity Company
One Orange Way, C2N
Windsor, CT 06095-4774
1-860-580-1631
(Name, address, including zip code, and telephone number, including area code,
of agent for service)
As soon as practical after the effective date of the Registration Statement.
We request acceleration of the effective date of this Registration Statement to May 1, 2021.
(Approximate date of commencement of proposed sale to the public)
If the only securities being registered on this Form are being offered pursuant to dividend or interest reinvestment plans, please check the following box: ¨
If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933, other than securities offered only in connection with dividend or interest reinvestment plans, check the following box. þ
If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. ¨
If this Form is post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. ¨
If this Form is registration statement pursuant to General Instruction I.D. or a post-effective amendment thereto that shall become effective upon filing with the Commission pursuant to Rule 462(e) under the Securities Act, check the following box. ¨
If this Form is a post-effective amendment to a registration statement filed pursuant to General Instruction I.D. filed to register additional securities or additional classes of securities pursuant to Rule 413(b) under the Securities Act, check the following box. ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. ¨
Large accelerated filer ¨ Accelerated Filer ¨
Non-accelerated filer þ (Do not check if a smaller reporting company) Smaller reporting company ¨
CALCULATION OF THE REGISTRATION FEE
Title of each class of securities to be registered |
Amount to be registered* |
Proposed maximum offering price per unit* |
Proposed maximum aggregate offering price |
Amount of registration fee* |
|
0 |
N/A |
$1,000,000.00 |
$109.10 |
* The proposed maximum aggregate offering price is estimated solely for the purpose of determining the registration fee. The amount to be registered and the proposed maximum offering price per unit are not applicable as these securities are not issued in predetermined amounts or units.
PART I
INFORMATION REQUIRED IN PROSPECTUS
Voya Retirement Insurance and Annuity Company
Voya Guaranteed account
May 1, 2021
Introduction
The Voya Guaranteed Account (the “Guaranteed Account”) is a fixed interest option available during the accumulation phase of certain variable annuity contracts (the “contracts”) issued by Voya Retirement Insurance and Annuity Company (“VRIAC,” the “Company,” “we,” “us” and “our”). Read this prospectus carefully before investing in the Guaranteed Account and save it for future reference.
General Description
The Guaranteed Account offers investors an opportunity to earn specified guaranteed rates of interest for specified periods of time, called guaranteed terms. We generally offer several guaranteed terms at any one time for those considering investing in the Guaranteed Account. The number of guaranteed terms offered may vary by state, we may not offer all guaranteed terms on all contracts, and the rates for a given guaranteed term may vary among contracts. Each guaranteed term offers a guaranteed interest rate for investments that remain in the Guaranteed Account for the duration of the specific guaranteed term. The guaranteed term establishes both the length of time for which we agree to credit a guaranteed interest rate and how long your investment must remain in the Guaranteed Account in order to receive the guaranteed interest rate.
We guarantee both principal and interest if, and only if, your investment remains invested for the full guaranteed term. Charges related to the contract, such as a maintenance fee or early withdrawal charge, may still apply even if you do not withdraw until the end of a guaranteed term. Investments taken out of the Guaranteed Account prior to the end of a guaranteed term may be subject to a market value adjustment which may result in an investment gain or loss. See “Market Value Adjustment (MVA).”
PLEASE REFER TO PAGE 7 OF THIS PROSPECTUS FOR A DISCUSSION OF THE RISK FACTORS ASSOCIATED WITH THE CONTRACT.
Premium Bonus Option. If the premium bonus option is available under your contract and you elect that option, we will credit a premium bonus to your contract for each purchase payment you make during the first account year. There is an additional charge for this option during the first seven account years. For amounts allocated to the Guaranteed Account, the assessment of this charge will result in a reduction in the interest which would have been credited to your account during the first seven account years if you had not elected the premium bonus option. Therefore, the fees you will pay if you elect the premium bonus option will be greater than the fees you will pay if you do not elect the premium bonus option. The premium bonus option may not be right for you if you expect to make additional purchase payments after the first account year or if you anticipate that you will need to make withdrawals during the first seven account years. In these circumstances the amount of the premium bonus option charge may be more than the amount of the premium bonus we credit to your contract. See the “Premium Bonus Option - Suitability” section of the contract prospectus. The premium bonus option may not be available under all contracts or in all states.
This prospectus will explain:
· Guaranteed interest rates and guaranteed terms;
· Contributions to the Guaranteed Account;
· Types of investments available;
· How rates are offered;
· How there can be an investment risk and how we calculate gain or loss;
· Contract charges that can affect your account value in the Guaranteed Account;
· Taking investments out of the Guaranteed Account; and
· How to reinvest or withdraw at maturity.
Additional Disclosure Information
Neither the Securities and Exchange Commission (“SEC”) nor any state securities commission has approved or disapproved of these securities or passed on the accuracy or adequacy of this prospectus. Any representation to the contrary is a criminal offense. We do not intend for this prospectus to be an offer to sell or a solicitation of an offer to buy these securities in any state or jurisdiction that does not permit their sale. We have not authorized anyone to provide you with information that is different than that contained in this prospectus. The Guaranteed Account is not a deposit with, obligation of or guaranteed or endorsed by any bank, nor is it insured by the Federal Deposit Insurance Corporation (“FDIC”).
Our Home Office: Voya Retirement Insurance and Annuity Company One Orange Way Windsor, Connecticut 06095-4774
|
Customer Service: Voya P.O. Box 9271 Des Moines, Iowa 50306-9271 1-800-531-4547 |
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Table of Contents
Page
summary...................................................................................................................... 4
RISK FACTORS............................................................................................................... 7
description of the guaranteed account................................................... 8
transfers.................................................................................................................. 10
withdrawals........................................................................................................... 11
MARKET VALUE ADJUSTMENT (“mva”)............................................................... 11
contract charges................................................................................................ 13
other topics............................................................................................................. 14
inquiries..................................................................................................................... 17
APPENDIX I – Examples of Market Value
Adjustment Calculations............................ I-1
APPENDIX II – Examples of Market Value Adjustment Yields................................... II-1
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The Guaranteed Account is a fixed interest option that may be available during the accumulation phase of your variable annuity contract. The following is a summary of certain facts about the Guaranteed Account.
In General. Amounts that you invest in the Guaranteed Account will earn a guaranteed interest rate if left in the Guaranteed Account for a specified period of time (the guaranteed term). You must invest amounts in the Guaranteed Account for the full guaranteed term in order to receive the quoted guaranteed interest rate. If you withdraw or transfer those amounts before the end of the guaranteed term, we may apply a “market value adjustment,” which may be positive or negative.
Questions: Contacting the Company. To answer your questions, contact your local representative or write or call Customer Service at:
Voya Retirement Insurance and Annuity Company
P.O. Box 9271
Des Moines, IA 50306-9271
1-800-531-4547
Deposit Periods. A deposit period is the time during which we offer a specific guaranteed interest rate if you deposit dollars for a specific guaranteed term. For a particular guaranteed interest rate and guaranteed term to apply to your account dollars, you must invest them during the deposit period in which that rate and term are offered.
Guaranteed Terms. A guaranteed term is the period of time account dollars must be left in the Guaranteed Account in order to earn the guaranteed interest rate specified for that guaranteed term. We offer different guaranteed terms at different times. We may also offer more than one guaranteed term of the same duration with different guaranteed interest rates. Check with your local representative or the Company to learn the details about the guaranteed term(s) currently offered. We reserve the right to limit the number of guaranteed terms or the availability of certain guaranteed terms. The number of guaranteed terms offered may vary by state, we may not offer all guaranteed terms on all contracts, and the rates for a given guaranteed term may vary among contracts.
Guaranteed Interest Rates. We guarantee different interest rates, depending upon when account dollars are invested in the Guaranteed Account. For guaranteed terms one year or longer, we may offer different rates for specified time periods within a guaranteed term. The interest rate we guarantee is an annual effective yield; that means that the rate reflects a full year’s interest. We credit interest at a rate that will provide the guaranteed annual effective yield over one year. The guaranteed interest rate(s) is guaranteed for that deposit period and for the length of the guaranteed term.
The guaranteed interest rates we offer will always meet or exceed the minimum interest rates agreed to in the contract. Apart from meeting the contractual minimum interest rates, we cannot guarantee any aspect of future offerings.
Fees and Other Deductions. We do not make deductions from amounts in the Guaranteed Account to cover mortality and expense risks. We consider these risks when determining the credited rate. The following other types of charges may be deducted from amounts held in, withdrawn or transferred from the Guaranteed Account:
· Market Value Adjustment (“MVA”). An MVA may be applied to amounts transferred or withdrawn prior to the end of a guaranteed term, which reflects changes in interest rates since the deposit period. The MVA may be positive or negative and therefore may increase or decrease the amount withdrawn to satisfy a transfer or withdrawal request. See “Market Value Adjustment (“MVA”).”
· Tax Penalties and/or Tax Withholding. Amounts withdrawn may be subject to withholding for federal income taxes, as well as a 10% penalty tax for amounts withdrawn prior to your having attained age 59½. See “Other Topics – FEDERAL Tax CONSIDERATIONS;” see also the “FEDERAL Tax CONSIDERATIONS” section of the contract prospectus.
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· Early Withdrawal Charge. An early withdrawal charge, which is a deferred sales charge, may apply to amounts withdrawn from the contract, in order to reimburse us for some of the sales and administrative expenses associated with the contract. See “Contract Charges;” see also the “Fees” section of the contract prospectus.
· Maintenance Fee. A maintenance fee of up to $30 may be deducted, on an annual basis, pro-rata from all funding options including the Guaranteed Account. See “Contract Charges;” see also the “Fees” section of the contract prospectus.
· Transfer Fees. During the accumulation phase, transfer fees of up to $10 per transfer may be deducted from amounts held in or transferred from the Guaranteed Account. See “Contract Charges;” see also the “Fees” section of the contract prospectus.
· Premium Taxes. We may deduct a charge for premium taxes of up to 4% from amounts in the Guaranteed Account. See “Contract Charges;” see also the “Fees” section of the contract prospectus.
· Premium Bonus Option Charge. If the premium bonus option is available under your contract and elected by you at the time of application, a charge will be deducted from amounts allocated to the Guaranteed Account, resulting in a 0.50% reduction in the interest which would have been credited to your account during the first seven account years if you had not elected the premium bonus option. See “Contract Charges;” see also the “Fee Tables,” “Fees” and “Premium Bonus Option” sections of the contract prospectus.
Market Value Adjustment (“MVA”). If you withdraw or transfer all or part of your account value from the Guaranteed Account before a guaranteed term is complete, an MVA may apply. The MVA reflects the change in the value of the investment due to changes in interest rates since the date of deposit. The MVA may be positive or negative depending upon interest rate activity at the time of withdrawal or transfer.
An MVA will not apply to:
· Amounts transferred or withdrawn at the end of a guaranteed term;
· Transactions made under the maturity value transfer provision;
· Transfers due to participation in the dollar cost averaging program (see “Market Value Adjustment” for certain restrictions);
· Amounts distributed under a systematic distribution option (see “Systematic Distribution Options” in the contract prospectus);
· Withdrawals for minimum distributions required by the Internal Revenue Code of 1986, as amended (Tax Code), and for which the early withdrawal charge is waived; and
· Withdrawals due to your exercise of the right to cancel your contract. See the “Right to Cancel” section of the contract prospectus.
MVAs applied to withdrawals or transfers from the Guaranteed Account will be calculated as an “aggregate MVA,” which is the sum of all MVAs applicable due to the withdrawal (see the “Market Value Adjustment (“MVA”)” section of this prospectus for an example of the calculation of the aggregate MVA). The following withdrawals will be subject to an aggregate MVA only if it is positive:
· Withdrawals due to the election of a lifetime income option; and
· Unless otherwise noted, payment of a guaranteed death benefit (if paid within the first six months following death).
All other withdrawals will be subject to an aggregate MVA, regardless of whether it is positive or negative, including:
· Withdrawals due to the election of a nonlifetime income option;
· Payment of a guaranteed death benefit due to the death of a spousal beneficiary or a joint contract holder who continued the account in his or her name after the death of the other joint contract holder;
· Payment of a guaranteed death benefit more than six months after the date of death (except under certain contracts issued in the State of New York); and
· Full or partial withdrawals during the accumulation phase (an MVA may not apply in certain situations, see “Market Value Adjustment (“MVA”)”).
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See “Description of the Guaranteed Account” and “Market Value Adjustment (“MVA”).”
Maturity of a Guaranteed Term. On or before the end of a guaranteed term, you may instruct us to:
· Transfer the matured amount to one or more new guaranteed terms available under the current deposit period;
· Transfer the matured amount to other available investment options; or
· Withdraw the matured amount.
Amounts withdrawn may be subject to an early withdrawal charge, a maintenance fee, tax withholding and, if you are under age 59½, tax penalties. Withdrawals may also result in the forfeiture of all or a part of any premium bonus credited to the Guaranteed Account. See “Description of the Guaranteed Account - Maturity of a Guaranteed Term;” see also the “Premium Bonus Option - Forfeiture” and “Withdrawals” sections of the contract prospectus.
See “Contract Charges;” see also the “Fees” and “FEDERAL Tax CONSIDERATIONS” sections of the contract prospectus.
When a guaranteed term ends, if we have not received instructions from you, we will automatically reinvest the maturing investment into a new guaranteed term of similar length (see “Description of the Guaranteed Account - Maturity of a Guaranteed Term” and “Maturity Value Transfer Provision”). If the same guaranteed term is no longer available, the next shortest guaranteed term available in the current deposit period will be used. If no shorter guaranteed term is available, the next longest guaranteed term will be used.
If you do not provide instructions concerning the maturing amount on or before the end of a guaranteed term, and this amount is automatically reinvested as noted above, the maturity value transfer provision will apply.
Maturity Value Transfer Provision. This provision allows transfers or withdrawals of amounts automatically reinvested at the end of a guaranteed term without an MVA, if the transfer or withdrawal occurs during the calendar month immediately following a guaranteed term maturity date. As described in “Fees and Other Deductions” above, other fees, including an early withdrawal charge and a maintenance fee, may be assessed on amounts withdrawn. See “Description of the Guaranteed Account - Maturity Value Transfer Provision.”
Transfer of Account Dollars. Generally, account dollars invested in the Guaranteed Account may be transferred among guaranteed terms offered through the Guaranteed Account and/or to other investment options offered through the contract. However:
· Transfers may not be made during the deposit period in which your account dollars are invested in the Guaranteed Account or for 90 days after the close of that deposit period; and
· We may apply an MVA to transfers made before the end of a guaranteed term.
Investments. Guaranteed interest rates credited during any guaranteed term do not necessarily relate to investment performance. Deposits received into the Guaranteed Account will generally be invested in federal, state and municipal obligations, corporate bonds, preferred stocks, real estate mortgages, real estate, certain other fixed income investments and cash or cash equivalents. All of our general assets are available to meet guarantees under the Guaranteed Account.
Amounts allocated to the Guaranteed Account are held in a nonunitized separate account established by the Company under Connecticut law. To the extent provided for in the contract, assets of the separate account are not chargeable with liabilities arising out of any other business that we conduct. See “Investments.”
Notification of Maturity. We will notify you at least 18 calendar days prior to the maturity of a guaranteed term. We will include information relating to the current deposit period’s guaranteed interest rates and the available guaranteed terms. You may obtain information concerning available deposit periods, guaranteed interest rates and guaranteed terms by telephone 1-800-531-4547. See “Description of the Guaranteed Account - General” and “Description of the Guaranteed Account - Maturity of a Guaranteed Term.”
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Allocating contract value to the Guaranteed Account involves certain risks as noted below. You should also carefully consider your personal tax situation before you invest in the Guaranteed Account. See “OTHER TOPICS – Federal Tax Considerations” and discuss your personal tax situation with a tax and/or legal adviser for information about the tax treatment of amounts invested in the Guaranteed Account.
Liquidity Risk. The Guaranteed Account is designed for long-term investment and your purchase payments should be invested in the Guaranteed Account for at least the length of the early withdrawal charge period under the contract. A free withdrawal percentage or other waiver, if available under the contract, may provide some liquidity. However, if you withdraw more than the free withdrawal percentage, if available, or a waiver of the charge does not apply, an early withdrawal charge may apply, which in combination with the Market Value Adjustment, could result in the loss of principal and earnings. Because the Guaranteed Account provides only limited liquidity during the early withdrawal charge period, it is not suitable for short-term investment.
Fees. Your amount invested in the Guaranteed Account may be impacted by a Market Value Adjustment, the early withdrawal charge, maintenance fee, transfer fees, premium taxes, taxes, and, if the premium bonus option is available under your contract, the premium bonus charge. These fees and other deductions could result in you receiving less than your investment in the Guaranteed Account.
If the premium bonus option is available under your contract and you elect that option, premium bonus amounts invested in the Guaranteed Account will be subject to an additional charge during the first seven contract years. This premium bonus charge will result in a reduction in the interest which would have been credited to those amounts during the first seven contract years, and the premium bonus charge may exceed the amount of the premium bonus credited to your contract. See the “PREMIUM BONUS OPTION – SUITABILITY” section of the contract prospectus for more information.
Early Withdrawal Charge. An early withdrawal charge may apply to certain withdrawals of all or a portion of your investment in the Guaranteed Account. The early withdrawal charge is designed to recover some of our sales and administrative costs associated with the contract. Any early withdrawal charge, in combination with the MVA, could result in the loss of principal and earnings. You bear the risk that you may receive less than your investment in the Guaranteed Account.
The Market Value Adjustment (“MVA”). A MVA may apply to early withdrawals, transfers or other transactions associated with the Guaranteed Account. We use the MVA to protect us from the risk that we will suffer a loss should we need to liquidate the investments we use to support the guaranteed interest rates that we offer in order to pay you the amount requested. The MVA may be negative, positive or result in no change. The MVA is generally negative when interest rates in the current market are higher than at the guaranteed interest rates for the guaranteed terms in which you are invested. At the time of any transaction triggering a MVA, in the event that interest rates in the current market are higher, you bear the risk that you may receive less than your investment in the Guaranteed Account.
Interest Rate Risk. The minimum guaranteed interest rate associated with any applicable guaranteed term will never be less than the rate stated in your contract. We will periodically determine the interest rates we offer in excess of the guaranteed minimum interest rate in our sole discretion. We have no specific formula for determining the rate of interest we will declare in the future. The interest rates we declare are influenced by, but do not necessarily correspond with, interest rates available on the type of debt instruments in which we intend to invest amounts attributable to the Guaranteed Account. We cannot predict the level of future interest rates.
Investment Risk. The Guaranteed Account’s investment risk and return characteristics are similar to those of a zero coupon bond or certificate of deposit. Your account value maintained in the Guaranteed Account through the end of a guaranteed term provides a fixed rate of return. The Company guarantees principal and credited interest only when held for the length of the guaranteed term. Otherwise, an early withdrawal charge may apply, which in combination with the MVA, could result in the loss of principal and earnings. You bear the risk that you may receive less than your investment in the Guaranteed Account.
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Financial Strength. All guarantees under the Guaranteed Account are subject to the financial strength and claims paying ability of the Company.
General
The Guaranteed Account offers guaranteed interest rates for specific guaranteed terms. For a particular guaranteed interest rate and guaranteed term to apply to your account dollars, you must invest them during the deposit period in which that rate and term are offered. For guaranteed terms of one year or longer, we may offer different interest rates for specified time periods within a guaranteed term. We may also offer more than one guaranteed term of the same duration with different guaranteed interest rates.
An MVA may be applied to any values withdrawn or transferred from a guaranteed term prior to the end of that guaranteed term, except for amounts transferred under the maturity value transfer provision, amounts transferred under the dollar cost averaging program, amounts withdrawn under a systematic distribution option, amounts withdrawn for minimum distributions required by the Tax Code and withdrawals due to your exercise of the right to cancel your contract.
MVAs applied to withdrawals or transfers from the Guaranteed Account will be calculated as an “aggregate MVA,” which is the sum of all MVAs applicable due to the withdrawal (see the “Market Value Adjustment (“MVA”)” section of this prospectus for an example of the calculation of the aggregate MVA). The following withdrawals will be subject to an aggregate MVA only if it is positive:
· Withdrawals due to the election of a lifetime income option; and
· Unless otherwise noted, payment of a guaranteed death benefit (if paid within the first six months following death).
All other withdrawals will be subject to an aggregate MVA, regardless of whether it is positive or negative, including:
· Withdrawals due to the election of a nonlifetime income option;
· Payment of a guaranteed death benefit due to the death of a spousal beneficiary or a joint contract holder who continued the account in his or her name after the death of the other joint contract holder;
· Payment of a guaranteed death benefit more than six months after the date of death (except under certain contracts issued in the State of New York); and
· Full or partial withdrawals during the accumulation phase (an MVA may not apply in certain situations, see “Market Value Adjustment (“MVA”)”).
We maintain a toll-free telephone number for those wishing to obtain information concerning available deposit periods, guaranteed interest rates and guaranteed terms. The telephone number is 1-800-531-4547. At least 18 calendar days before a guaranteed term matures we will notify you of the upcoming deposit period dates and information on the current guaranteed interest rates, guaranteed terms and projected matured guaranteed term values.
Contributions to the Guaranteed Account
You may invest in the guaranteed terms available in the current deposit period by allocating new payments to the Guaranteed Account or by transferring a sum from other funding options available under the contract or from other guaranteed terms of the Guaranteed Account, subject to the transfer limitations described in the contract. We may limit the number of guaranteed terms you may select. Currently, if the dollar cost averaging program is in effect in a guaranteed term and you wish to add an additional deposit to be dollar cost averaged, all amounts to be dollar cost averaged will be combined and the dollar cost averaging amount will be recalculated. This will affect the duration of amounts in the guaranteed term.
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Although there is currently no limit, we reserve the right to limit the total number of investment options you may select at any one time during the life of the contract. For purposes of determining any limit, each guaranteed term counts as one investment option. Although we may require a minimum payment(s) to a contract, we do not require a minimum investment for a guaranteed term. Refer to the contract prospectus. There is a $500 minimum for transfers from other funding options.
Investments may not be transferred from a guaranteed term during the deposit period in which the investment is applied or during the first 90 days after the close of the deposit period. This restriction does not apply to amounts transferred or withdrawn under the maturity value transfer provision, to amounts transferred under the dollar cost averaging program or, in some situations, withdrawn because you discontinued the dollar cost averaging program, or to amounts distributed under a systematic distribution option. See “Maturity Value Transfer Provision” and “Transfers.”
Deposit Period
The deposit period is the period of time during which you may direct investments to a particular guaranteed term(s) and receive a stipulated guaranteed interest rate(s). Each deposit period may be a month, a calendar quarter or any other period of time we specify.
Guaranteed Terms
A guaranteed term is the time we specify during which we credit the guaranteed interest rate. We offer guaranteed terms at our discretion for various periods ranging up to and including 10 years. We may limit the number of guaranteed terms you may select and may require enrollment in the dollar cost averaging program.
Guaranteed Interest Rates
Guaranteed interest rates are the rates that we guarantee will be credited on amounts applied during a deposit period for a specific guaranteed term. We may offer different guaranteed interest rates on guaranteed terms of the same duration. Guaranteed interest rates are annual effective yields, reflecting a full year’s interest. We credit interest at a rate that will provide the guaranteed annual effective yield over one year. Guaranteed interest rates are credited according to the length of the guaranteed term as follows:
· Guaranteed Terms of One Year or Less. The guaranteed interest rate is credited from the date of deposit to the last day of the guaranteed term.
· Guaranteed Terms of Greater than One Year. Except for those contracts or certificates issued in the State of New York, several different guaranteed interest rates may be applicable during a guaranteed term of more than one year. The initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. We may credit several different guaranteed interest rates for subsequent specific periods of time within the guaranteed term. For example, for a five-year guaranteed term we may guarantee 7% for the first year, 6.75% for the next two years and 6.5% for the remaining two years. We reserve the right, however, to apply one guaranteed interest rate for an entire guaranteed term.
· We will not guarantee or credit a guaranteed interest rate below the minimum rate specified in the contract, nor will we credit interest at a rate above the guaranteed interest rate we announce prior to the start of a deposit period. Our guaranteed interest rates are influenced by, but do not necessarily correspond with, interest rates available on fixed income investments we may buy using deposits directed to the Guaranteed Account (see “Other Topics - Investments”). We consider other factors when determining guaranteed interest rates including regulatory and tax requirements, sales commissions and administrative expenses borne by the Company, general economic trends and competitive factors. We make the final determination regarding guaranteed interest rates. We cannot predict the level of future guaranteed interest rates.
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Maturity of a Guaranteed Term. At least 18 calendar days prior to the maturity of a guaranteed term we will notify you of the upcoming deposit period, the projected value of the amount maturing at the end of the guaranteed term and the guaranteed interest rate(s) and guaranteed term(s) available for the current deposit period.
When a guaranteed term matures, the amounts in any maturing guaranteed term may be:
· Transferred to a new guaranteed term(s), if available under the contract;
· Transferred to any of the allowable investment options available under the contract; or
· Withdrawn from the contract.
We do not apply an MVA to amounts transferred or withdrawn from a guaranteed term on the date the guaranteed term matures. Amounts withdrawn, however, may be subject to an early withdrawal charge, a maintenance fee, taxation and, if the contract holder is under age 59½, tax penalties. Withdrawals may also result in the forfeiture of all or part of any premium bonus credited to the Guaranteed Account. See the “Premium Bonus Option - Forfeiture” and “Withdrawals” sections of the contract prospectus.
If we have not received direction from you by the maturity date of a guaranteed term, we will automatically transfer the matured term value to a new guaranteed term of similar length. If the same guaranteed term is no longer available, the next shortest guaranteed term available in the current deposit period will be used. If no shorter guaranteed term is available, the next longest guaranteed term will be used.
Under the Guaranteed Account, each guaranteed term is counted as one funding option. If a guaranteed term matures, and is renewed for the same term, it will not count as an additional investment option for purposes of any limitation on the number of investment options.
You will receive a confirmation statement, plus information on the new guaranteed rate(s) and guaranteed term.
Maturity Value Transfer Provision
If we automatically reinvest the proceeds from a matured guaranteed term, you may transfer or withdraw from the Guaranteed Account the amount that was reinvested without an MVA. An early withdrawal charge and maintenance fee may apply to withdrawals. If the full amount reinvested is transferred or withdrawn, we will include interest credited to the date of the transfer or withdrawal. This provision is only available until the last business day of the month following the maturity date of the prior guaranteed term. This provision only applies to the first transfer or withdrawal request received from the contract holder with respect to a particular matured guaranteed term value, regardless of the amount involved in the transaction.
We allow you to transfer all or a portion of your account value to the Guaranteed Account or to other investment options under the contract. We do not allow transfers from any guaranteed term to any other guaranteed term or investment option during the deposit period for that guaranteed term or for 90 days following the close of that deposit period. The 90-day wait does not apply to:
· Amounts transferred on the maturity date or under the maturity value transfer provision;
· Amounts transferred from the Guaranteed Account before the maturity date due to the election of an income phase payment option;
· Amounts distributed under a systematic distribution option;
· Amounts transferred from an available guaranteed term in connection with the dollar cost averaging program; and
· Withdrawals due to your exercise of the right to cancel your contract. See the “Right to Cancel” section of the contract prospectus.
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Transfers after the 90-day period are permitted from a guaranteed term(s) to another guaranteed term(s) available during a deposit period or to other available investment options. We will apply an MVA to transfers made before the end of a guaranteed term. Transfers within one calendar month of a term’s maturity date are not counted as one of the 12 free transfers of accumulated values in the account.
When the contract holder requests the transfer of a specific dollar amount, we account for any applicable MVA in determining the amount to be withdrawn from a guaranteed term(s) to fulfill the request. Therefore, the amount we actually withdraw from the guaranteed term(s) may be more or less than the requested dollar amount. See “Appendix I” for an example. For more information on transfers, see the contract prospectus.
The contract allows for full or partial withdrawals from the Guaranteed Account at any time during the accumulation phase. To make a full or partial withdrawal, a request form (available from us) must be properly completed and submitted to Customer Service (or other designated office as provided in the contract).
Partial withdrawals are made pro-rata from each guaranteed term group. From each guaranteed term group, we will first withdraw funds from the oldest deposit period, then from the next oldest and so on.
We may apply an MVA to withdrawals made prior to the end of a guaranteed term, except for withdrawals made under the maturity value transfer provision. See “Market Value Adjustment (MVA)”. We may deduct an early withdrawal charge and maintenance fee. The early withdrawal charge is a deferred sales charge which may be deducted upon withdrawal to reimburse us for some of the sales and administrative expenses associated with the contract. A maintenance fee, up to $30, may be deducted pro-rata from each of the funding options, including the Guaranteed Account. Refer to the contract prospectus for a description of these charges. When a request for a partial withdrawal of a specific dollar amount is made, we will include the MVA in determining the amount to be withdrawn from the guaranteed term(s) to fulfill the request. Therefore, the amount we actually take from the guaranteed term(s) may be more or less than the dollar amount requested. See “Appendix I” for an example.
Deferral of Payments
Under certain emergency conditions, we may defer payment of a Guaranteed Account withdrawal for up to six months. Refer to the contract prospectus for more details.
Reinstatement Privilege
You may elect to reinstate all or a portion of a full withdrawal during the 30 days following such a withdrawal. We must receive amounts for reinstatement within 60 days of the withdrawal.
We will apply reinstated amounts to the current deposit period. This means that the guaranteed annual interest rate and guaranteed terms available on the date of reinstatement will apply. Amounts are reinstated in the same proportion as prior to the full withdrawal. We will not credit your account for market value adjustments or any premium bonus forfeited that we deducted at the time of withdrawal or refund any taxes that were withheld. Refer to the contract prospectus for further details.
Aggregate MVA — The total of all MVAs applied due to a transfer or withdrawal.
Calculation of the Aggregate MVA — In order to satisfy a transfer or withdrawal, amounts may be withdrawn from more than one guaranteed term, with more than one guaranteed interest rate. In order to determine the MVA applicable to such a transfer or withdrawal, the MVAs applicable to each guaranteed term will be added together, in order to determine the “aggregate MVA.”
11
Example:
$1,000 withdrawal, two guaranteed terms,
MVA1 = $10, MVA2 = $–30
$10 + $–30 = $–20.
Aggregate MVA = $–20.
Example:
$1,000 withdrawal, two guaranteed terms,
MVA1 = $30, MVA2 = $–10
$30 + $–10 = $20.
Aggregate MVA = $20.
We apply an MVA to amounts transferred or withdrawn from the Guaranteed Account prior to the end of a guaranteed term. To accommodate early withdrawals or transfers, we may need to liquidate certain assets or use cash that could otherwise be invested at current interest rates. When we sell assets prematurely we could realize a profit or loss depending upon market conditions.
The MVA reflects changes in interest rates since the deposit period. When interest rates increase after the deposit period, the value of the investment decreases and the MVA amount may be negative. Conversely, when interest rates decrease after the deposit period, the value of the investment increases and the MVA amount may be positive. Therefore, the application of an MVA may increase or decrease the amount withdrawn from a guaranteed term to satisfy a withdrawal or transfer request.
An MVA will not apply to:
· Amounts transferred or withdrawn at the end of a guaranteed term;
· Transactions made under the maturity value transfer provision;
· Transfers due to participation in the dollar cost averaging program*;
· Amounts distributed under a systematic distribution option - see “Systematic Distribution Options” in the contract prospectus;
· Withdrawals for minimum distributions required by the Tax Code and for which the early withdrawal charge is waived; and
· Withdrawals due to your exercise of the right to cancel your contract. See the “Right to Cancel” section of the contract prospectus.
MVAs applied to withdrawals or transfers from the Guaranteed Account will be calculated as an “aggregate MVA,” which is the sum of all MVAs applicable due to the withdrawal. (See the previous page for an example of the calculation of the aggregate MVA). The following withdrawals will be subject to an aggregate MVA only if it is positive:
· Withdrawals due to the election of a lifetime income option; and
· Unless otherwise noted, payment of a guaranteed death benefit (if paid within the first six months following death).
All other withdrawals will be subject to an aggregate MVA, regardless of whether it is positive or negative, including:
· Withdrawals due to the election of a nonlifetime income option;
· Payment of a guaranteed death benefit due to the death of a spousal beneficiary or a joint contract holder who continued the account in his or her name after the death of the other joint contract holder;
· Payment of a guaranteed death benefit more than six months after the date of death (except under certain contracts issued in the State of New York); and
· Full or partial withdrawals during the accumulation phase (an MVA may not apply in certain situations, as noted above).
__________________________
* If you discontinue the dollar cost averaging program and transfer the amounts in it, subject to the Company’s terms and conditions governing guaranteed terms, to another guaranteed term, an MVA will apply.
12
Calculation of the MVA
The amount of the MVA depends upon the relationship between:
· The deposit period yield of U.S. Treasury Notes that will mature in the last quarter of the guaranteed term; and
· The current yield of such U. S. Treasury Notes at the time of withdrawal.
If the current yield is less than the deposit period yield, the MVA will decrease the amount withdrawn from a guaranteed term to satisfy a transfer or withdrawal request (the MVA will be positive). If the current yield is greater than the deposit period yield, the MVA will increase the amount withdrawn from a guaranteed term (the MVA will be negative or detrimental to the investor).
Deposit Period Yield
We determine the deposit period yield used in the MVA calculation by considering interest rates prevailing during the deposit period of the guaranteed term from which the transfer or withdrawal will be made. First, we identify the Treasury Notes that mature in the last three months of the guaranteed term. Then, we determine their yield-to-maturity percentages for the last business day of each week in the deposit period. We then average the resulting percentages to determine the deposit period yield.
Treasury Note information may be found each business day in publications such as the Wall Street Journal, which publishes the yield-to-maturity percentages for all Treasury Notes as of the preceding business day.
Current Yield
We use the same Treasury Notes identified for the deposit period yield to determine the current yield - Treasury Notes that mature in the last three months of the guaranteed term. However, we use the yield-to-maturity percentages for the last business day of the week preceding the withdrawal and average those percentages to get the current yield.
MVA Formula
The mathematical formula used to determine the MVA is:
{ |
(1+i) |
} |
x |
|
365 |
|
|||
(1+j) |
|
where i is the deposit period yield; j is the current yield; and x is the number of days remaining (computed from Wednesday of the week of withdrawal) in the guaranteed term. (For examples of how we calculate MVA, refer to Appendix I.)
We make an adjustment in the formula of the MVA to reflect the period of time remaining in the guaranteed term from the Wednesday of the week of a withdrawal.
Certain charges may be deducted directly or indirectly from the funding options available under the contract, including the Guaranteed Account. The contract may have a maintenance fee of up to $30 that we will deduct, on an annual basis, pro-rata from all funding options including the Guaranteed Account. We may also deduct a maintenance fee upon full withdrawal of a contract.
13
The contract may have an early withdrawal charge that we will deduct, if applicable, upon a full or partial withdrawal from the contract. If the withdrawal occurs prior to the maturity of a guaranteed term, both the early withdrawal charge and an MVA may be assessed.
We do not deduct mortality and expense risk charges and other asset-based charges that may apply to variable funding options from the Guaranteed Account. These charges are only applicable to the variable funding options.
If the premium bonus option is available under your contract and elected by you at the time of application, a charge will be deducted from amounts allocated to the Guaranteed Account, resulting in a 0.50% reduction in the interest which would have been credited to your account during the first seven account years if you had not elected the premium bonus option. See the “Fee Tables,” “Fees” and “Premium Bonus Option” sections of the contract prospectus.
We may deduct a charge for premium taxes of up to 4% from amounts in the Guaranteed Account.
During the accumulation phase, transfer fees of up to $10 per transfer may be deducted from amounts held in or transferred from the Guaranteed Account.
Refer to the contract prospectus for details on contract deductions.
The Company
Voya Retirement Insurance and Annuity Company (the “Company,” “we,” “us” and “our”) is a stock life insurance company organized under the insurance laws of the State of Connecticut in 1976. Prior to January 1, 2002, the Company was known as Aetna Life Insurance and Annuity Company. From January 1, 2002 until August 31, 2014, the Company was known as ING Life Insurance and Annuity Company.
We are an indirect, wholly owned subsidiary of Voya Financial, Inc. (“Voya”), which until April 7, 2014, was known as ING U.S., Inc. In May 2013 the common stock of Voya began trading on the New York Stock Exchange under the symbol “VOYA”.
We are engaged in the business of selling life insurance and annuities and providing financial services in the United States. We are authorized to conduct business in all states, the District of Columbia, Guam, Puerto Rico and the Virgin Islands. Our principal executive offices are located at:
One Orange Way
Windsor, Connecticut 06095-4774
Income Phase
The Guaranteed Account may not be used as a funding option during the income phase. Amounts invested in guaranteed terms must be transferred to one or more of the options available to fund income payments before income payments can begin.
An aggregate MVA, as previously described, may be applied to amounts transferred to fund income payments before the end of a guaranteed term. Amounts used to fund lifetime income payments will receive either a positive aggregate MVA or none at all; however, amounts transferred to fund a nonlifetime income payment option may receive either a positive or negative aggregate MVA. Refer to the contract prospectus for a discussion of the income phase.
14
Investments
Amounts applied to the Guaranteed Account will be deposited to a nonunitized separate account established under Connecticut law. A nonunitized separate account is a separate account in which the contract holder does not participate in the performance of the assets through unit values or any other interest. Contract holders allocating funds to the nonunitized separate account do not receive a unit value of ownership of assets accounted for in this separate account. The risk of investment gain or loss is borne entirely by the Company. All Company obligations due to allocations to the nonunitized separate account are contractual guarantees of the Company and are accounted for in the separate account. All of the general assets of the Company are available to meet our contractual guarantees. To the extent provided for in the applicable contract, the assets of the nonunitized separate account are not chargeable with liabilities resulting from any other business of the Company. Income, gains and losses of the separate account are credited to or charged against the separate account without regard to other income, gains or losses of the Company.
Types of Investments. We intend to invest primarily in investment-grade fixed income securities including:
· Securities issued by the United States Government;
· Issues of United States Government agencies or instrumentalities (these issues may or may not be guaranteed by the United States Government;
· Debt securities which have an investment grade, at the time of purchase, within the four highest grades assigned by Moody’s Investors Services, Inc. (Aaa, Aa, A or Baa), Standard & Poor’s Corporation (AAA, AA, A or BBB) or any other nationally-recognized rating service;
· Other debt instruments, including those issued or guaranteed by banks or bank holding companies, and of corporations, which although not rated by Moody’s Standard & Poor’s or other nationally-recognized rating services, are deemed by the Company’s management to have an investment quality comparable to securities which may be purchased as stated above; and
· Commercial paper, cash or cash equivalents and other short-term investments having a maturity of less than one year which are considered by the Company’s management to have investment quality comparable to securities which may be purchased as stated above.
We may invest in futures and options. We purchase financial futures, related options and options on securities solely for non-speculative hedging purposes. Should securities prices be expected to decline, we may sell a futures contract or purchase a put option on futures or securities to protect the value of securities held in or to be sold for the nonunitized separate account. Similarly, if securities prices are expected to rise, we may purchase a futures contract or a call option against anticipated positive cash flow or may purchase options on securities.
We are not obligated to invest the assets attributable to the contract according to any particular strategy, except as required by Connecticut and other state insurance laws. The guaranteed interest rates established by the Company may not necessarily relate to the performance of the nonunitized separate account.
Taxation
You should seek advice from your tax and/or legal adviser as to the application of federal (and where applicable, state and local) tax laws to amounts paid to or distributed under the contract. Refer to the variable annuity contract prospectus for further discussion of tax considerations.
Taxation of the Company. We are taxed as a life insurance company under the Tax Code. We own all assets supporting the contract obligations. Any income earned on such assets is considered income to the Company. We do not intend to make any provision or impose a charge under the contracts with respect to any tax liability of the Company other than state premium taxes.
Taxation of Payments and Distributions. For information concerning the tax treatment of payments to and distributions from the contract, please refer to the variable annuity contract prospectus.
15
Legal Matters
The Company’s organization and authority, and the legality and validity of the guaranteed terms and the Guaranteed Account, have been passed on by the Company’s legal department.
Experts
The consolidated financial statements of the Company appearing in the Company’s Annual Report (Form 10-K) for the year ended December 31, 2020 (including schedules appearing therein), have been audited by Ernst & Young LLP, independent registered public accounting firm, as set forth in their report thereon, included therein, and incorporated herein by reference. Such consolidated financial statements are incorporated herein by reference in reliance upon such report given on the authority of such firm as experts in accounting and auditing.
The primary business address of Ernst & Young LLP is The Frost Tower, Suite 1901, 111 West Houston Street, San Antonio, TX 78205.
Legal Proceedings
We are not aware of any pending legal proceedings that are likely to have a material adverse effect upon the Company’s ability to meet its obligations under the contract, Voya Financial Partners, LLC’s ability to distribute the contract or upon the separate account.
· Litigation. Notwithstanding the foregoing, the Company and/or Voya Financial Partners, LLC, is a defendant in a number of litigation matters arising from the conduct of its business, both in the ordinary course and otherwise. In some of these matters, claimants seek to recover very large or indeterminate amounts, including compensatory, punitive, treble and exemplary damages. Modern pleading practice in the U.S. permits considerable variation in the assertion of monetary damages and other relief. The variability in pleading requirements and past experience demonstrates that the monetary and other relief that may be requested in a lawsuit or claim oftentimes bears little relevance to the merits or potential value of a claim.
· Regulatory Matters. As with other financial services companies, the Company and its affiliates, including Voya Financial Partners, LLC, periodically receive informal and formal requests for information from various state and federal governmental agencies and self-regulatory organizations in connection with inquiries and investigations of the products and practices of the Company or the financial services industry. It is the practice of the Company to cooperate fully in these matters.
The outcome of a litigation or regulatory matter and the amount or range of potential loss is difficult to forecast and estimating potential losses requires significant management judgment. It is not possible to predict the ultimate outcome for all pending litigation and regulatory matters and given the large and indeterminate amounts sought and the inherent unpredictability of such matters, it is possible that an adverse outcome in certain litigation or regulatory matters could, from time to time, have a material adverse effect upon the Company’s results of operations or cash flows in a particular quarterly or annual period.
Further Information
This prospectus does not contain all of the information contained in the registration statement of which this prospectus is a part. Portions of the registration statement have been omitted from this prospectus as allowed by the SEC. You may obtain the omitted information from the offices of the SEC, as described below. We are required by the Securities Exchange Act of 1934 (the “Exchange Act”), to file periodic reports and other information with the SEC. You may inspect or copy information concerning the Company at the Public Reference Room of the SEC at:
SEC Public Reference Branch
100 F Street, N.E., Room 1580
Washington, DC 20549
16
You may
also obtain copies of these materials at prescribed rates from the Public
Reference Branch of the above office. You may obtain information on the
operation of the Public Reference Branch by calling the SEC at either
1-800-SEC-0330 or 1-202-551-8090 or by e-mailing publicinfo@sec.gov. You may
also find more information about the Company by visiting the Company’s homepage
on the internet at www.voya.com.
Our filings are available to the public on the SEC’s website at www.sec.gov. (This uniform resource locator (“URL”) is an inactive textural references only and are not intended to incorporate the SEC website or our website into this prospectus.) When looking for more information about the contract, you may find it useful to use the number assigned to the registration statement under the Securities Act of 1933. This number is 333-_____________.
Incorporation of Certain Documents by Reference
The SEC allows us to “incorporate by reference” information that we file with the SEC into this prospectus, which means that the incorporated document is considered part of this prospectus. We can disclose important information to you by referring you to this document. This prospectus incorporates by reference the Annual Report on Form 10-K for the fiscal year ended December 31, 2020.
Form 10-K contains additional information about the Company and includes certified financial statements as of December 31, 2020 and 2019, and for each of the three years in the period ended December 31, 2020. We were not required to file any other reports pursuant to Sections 13(a) or 15(d) of the Securities and Exchange Act since December 31, 2020. All documents subsequently filed by the Company pursuant to Sections 13(a), 13(c), 14 or 15(d) of the Exchange Act, prior to the termination of the offering shall be deemed to be incorporated by reference into this prospectus. The registration statement, of which this prospectus is a part, and our Exchange Act filings are available to the public on the SEC’s website at www.sec.gov, and we file these documents electronically according to EDGAR under CIK No. 0000837010.
You may request a free copy of any documents incorporated by reference in this prospectus (including any exhibits that are specifically incorporated by reference in them). Please direct your request to:
Voya Retirement Insurance and Annuity Company
Customer Service
P.O. Box 9271
Des Moines, Iowa 50306-9271
1-800-531-4547
You may contact us directly by writing or calling us at the address or phone number shown above.
17
APPENDIX I
The following are examples of market value adjustment (MVA) calculations using several hypothetical deposit period yields and current yields. These examples do not include the effect of any early withdrawal charge or other fees or deductions that may be assessed under the contract upon withdrawal.
EXAMPLE I |
|
Assumptions:
i, the deposit period yield, is 4%
j, the current yield, is 6%
x, the number of days remaining (computed from Wednesday of the week of withdrawal) in the guaranteed term, is 927.
|
Assumptions:
i, the deposit period yield, is 5%
j, the current yield, is 6%
x, the number of days remaining (computed from Wednesday of the week of withdrawal) in the guaranteed term, is 927.
|
MVA = { |
(1+i) |
} |
x |
|
MVA = { |
(1+i) |
} |
x |
|
|||
365 |
|
365 |
|
|||||||||
(1+j) |
|
(1+j) |
|
|||||||||
|
= { |
(1.04) |
} |
927 |
|
|
= { |
(1.05) |
} |
927 |
|
|
365 |
|
365 |
|
|
||||||||
(1.06) |
|
(1.06) |
|
|
||||||||
|
|
|||||||||||
= .9528 |
= .9762 |
In this example, the deposit period yield of 4% is less than the current yield of 6%; therefore, the MVA is less than one. The amount withdrawn from the guaranteed term is multiplied by this MVA.
If a withdrawal or transfer of a specific dollar amount is requested, the amount withdrawn from a guaranteed term will be increased to compensate for the negative MVA amount. For example, a withdrawal request to receive a check for $2,000 would result in a $2,099.08 withdrawal from the guaranteed term. |
In this example, the deposit period yield of 5% is less than the current yield of 6%; therefore, the MVA is less than one. The amount withdrawn from the guaranteed term is multiplied by this MVA.
If a withdrawal or transfer of a specific dollar amount is requested, the amount withdrawn from a guaranteed term will be increased to compensate for the negative MVA amount. For example, a withdrawal request to receive a check for $2,000 would result in a $2,048.76 withdrawal from the guaranteed term. |
Voya Guaranteed Account I-1
EXAMPLE II |
|
Assumptions:
i, the deposit period yield, is 6%
j, the current yield, is 4%
x, the number of days remaining (computed from Wednesday of the week of withdrawal) in the guaranteed term, is 927.
|
Assumptions:
i, the deposit period yield, is 5%
j, the current yield, is 4%
x, the number of days remaining (computed from Wednesday of the week of withdrawal) in the guaranteed term, is 927.
|
MVA = { |
(1+i) |
} |
x |
|
MVA = { |
(1+i) |
} |
x |
|
|||
365 |
|
365 |
|
|||||||||
(1+j) |
|
(1+j) |
|
|||||||||
|
= { |
(1.06) |
} |
927 |
|
|
= { |
(1.05) |
} |
927 |
|
|
365 |
|
365 |
|
|
||||||||
(1.04) |
|
(1.04) |
|
|
||||||||
|
|
|||||||||||
= 1.0496 |
= 1.0246 |
In this example, the deposit period yield of 6% is greater than the current yield of 4%; therefore, the MVA is greater than one. The amount withdrawn from the guaranteed term is multiplied by this MVA.
If a withdrawal or transfer of a specific dollar amount is requested, the amount withdrawn from a guaranteed term will be decreased to compensate for the positive MVA amount. For example, a withdrawal request to receive a check for $2,000 would result in a $1,905.49 withdrawal from the guaranteed term. |
In this example, the deposit period yield of 5% is greater than the current yield of 4%; therefore, the MVA is greater than one. The amount withdrawn from the guaranteed term is multiplied by this MVA.
If a withdrawal or transfer of a specific dollar amount is requested, the amount withdrawn from a guaranteed term will be decreased to compensate for the positive MVA amount. For example, a withdrawal request to receive a check for $2,000 would result in a $1,951.98 withdrawal from the guaranteed term. |
Voya Guaranteed Account I-2
APPENDIX II
The following hypothetical examples show the MVA based upon a given current yield at various times remaining in the guaranteed term. Table A illustrates the application of the MVA based upon a deposit period yield of 6%; Table B illustrates the application of the MVA based upon a deposit period yield of 5%. The MVA will have either a positive or negative influence on the amount withdrawn from or remaining in a guaranteed term. Also, the amount of the MVA generally decreases as the end of the guaranteed term approaches.
TABLE A: Deposit Period Yield of 6% |
|||||||
Current Yield |
Change in Deposit Period Yield |
Time Remaining to Maturity of Guaranteed Term |
|||||
|
|
8 Years |
6 Years |
4 Years |
2 Years |
1 Year |
3 Months |
9% |
3% |
-20.0% |
-15.4% |
-10.6% |
-5.4% |
-2.8% |
-0.7% |
8% |
2% |
-13.9 |
-10.6 |
-7.2 |
-3.7 |
-1.9 |
-0.5 |
7% |
1% |
-7.2 |
-5.5 |
-3.7 |
-1.9 |
-0.9 |
-0.2 |
6% |
0% |
0.0 |
0.0 |
0.0 |
0.0 |
0.0 |
0.0 |
4% |
-2% |
16.5 |
12.1 |
7.9 |
3.9 |
1.9 |
0.5 |
3% |
-3% |
25.8 |
18.8 |
12.2 |
5.9 |
2.9 |
0.7 |
2% |
-4% |
36.0 |
26.0 |
16.6 |
8.0 |
3.9 |
1.0 |
1% |
-5% |
47.2 |
33.6 |
21.3 |
10.1 |
5.0 |
1.2 |
TABLE B: Deposit Period Yield of 5% |
|||||||
Current Yield |
Change in Deposit Period Yield |
Time Remaining to Maturity of Guaranteed Term |
|||||
|
|
8 Years |
6 Years |
4 Years |
2 Years |
1 Year |
3 Months |
9% |
+4% |
-25.9% |
-20.1% |
-13.9% |
-7.2% |
-3.7% |
-0.9% |
8% |
+3% |
-20.2 |
-15.6 |
-10.7 |
-5.5 |
-2.8 |
-0.7 |
7% |
+2% |
-14.0 |
-10.7 |
-7.3 |
-3.7 |
-1.9 |
-0.5 |
6% |
+1% |
-7.3 |
-5.5 |
-3.7 |
-1.9 |
-0.9 |
-0.2 |
4% |
-1% |
8.0 |
5.9 |
3.9 |
1.9 |
1.0 |
0.2 |
3% |
-2% |
16.6 |
12.2 |
8.0 |
3.9 |
1.9 |
0.5 |
2% |
-3% |
26.1 |
19.0 |
12.3 |
6.0 |
2.9 |
0.7 |
1% |
-4% |
36.4 |
26.2 |
16.8 |
8.1 |
4.0 |
1.0 |
Voya Guaranteed Account II-1
PART II
INFORMATION NOT REQUIRED IN PROSPECTUS
Item 14. Other Expenses of Issuance and Distribution
The expenses in connection with issuance and distribution of the securities to be registered, other than underwriting discounts and commissions, are as follows Except for the Securities and Exchange Commission Filing Fee, all amounts shown are estimates):
Securities and Exchange Commission Registration Fees |
$109.10 |
Federal Taxes |
$0 |
State Taxes and Fees |
$0 |
Trustees’ and Transfer Agents’ Fees |
$0 |
Printing and Engraving |
$0 |
Accounting Fees and Expenses |
$5,000 |
Legal Fees and Expenses |
$0 |
Engineering Fees |
$0 |
Total Expenses |
$5,109.10 |
Item 15. Indemnification of Directors and Officers
Section 33-779 of the Connecticut General Statutes (“CGS”) provides that a corporation may provide indemnification of or advance expenses to a director, officer, employee or agent only as permitted by Sections 33-770 to 33-778, inclusive, of the CGS. Reference is hereby made to Section 33-771(e) of the CGS regarding indemnification of directors and Section 33-776(d) of CGS regarding indemnification of officers, employees and agents of Connecticut corporations. These statutes provide in general that Connecticut corporations incorporated prior to January 1, 1997 shall, except to the extent that their certificate of incorporation expressly provides otherwise, indemnify their directors, officers, employees and agents against “liability” (defined as the obligation to pay a judgment, settlement, penalty, fine, including an excise tax assessed with respect to an employee benefit plan, or reasonable expenses incurred with respect to a proceeding) when (1) a determination is made pursuant to Section 33-775 that the party seeking indemnification has met the standard of conduct set forth in Section 33-771 or (2) a court has determined that indemnification is appropriate pursuant to Section 33-774. Under Section 33-775, the determination of and the authorization for indemnification are made (a) by two or more disinterested directors, as defined in Section 33-770(3); (b) by special legal counsel; (c) by the shareholders; or (d) in the case of indemnification of an officer, agent or employee of the corporation, by the general counsel of the corporation or such other officer(s) as the board of directors may specify. Also, Section 33-772 with Section 33-776 provide that a corporation shall indemnify an individual who was wholly successful on the merits or otherwise against reasonable expenses incurred by him in connection with a proceeding to which he was a party because he is or was a director, officer, employee, or agent of the corporation. Pursuant to Section 33-771(d), in the case of a proceeding by or in the right of the corporation or with respect to conduct for which the director, officer, agent or employee was adjudged liable on the basis that he received a financial benefit to which he was not entitled, indemnification is limited to reasonable expenses incurred in connection with the proceeding against the corporation to which the individual was named a party.
A corporation may procure indemnification insurance on behalf of an individual who is or was a director of the corporation. Consistent with the laws of the State of Connecticut, Voya Financial, Inc. maintains Professional Liability and Fidelity bond, Employment Practices liability and Network Security insurance policies issued by an international insurer. The policies cover Voya Financial, Inc. and any company in which Voya Financial, Inc. has a controlling financial interest of 50% or more. The policies cover the funds and assets of the principal underwriter/depositor under the care, custody and control of Voya Financial, Inc. and/or its subsidiaries. The policies provide for the following types of coverage: Errors and Omissions/Professional Liability, Employment Practices liability and fidelity/Crime (a.k.a. “Financial Institutional Bond”) and Network Security (a.k.a. “Cyber/IT”).
Section 20 of the Voya Financial Partners, LLC Limited Liability Company Agreement executed as of November 28, 2000 provides that Voya Financial Partners, LLC will indemnify certain persons against any loss, damage, claim or expenses (including legal fees) incurred by such person if he is made a party or is threatened to be made a party to a suit or proceeding because he was a member, officer, director, employee or agent of Voya Financial Partners, LLC, as long as he acted in good faith on behalf of Voya Financial Partners, LLC and in a manner reasonably believed to be within the scope of his authority. An additional condition requires that no person shall be entitled to indemnity if his loss, damage, claim or expense was incurred by reason of his gross negligence or willful misconduct. This indemnity provision is authorized by and is consistent with Title 8, Section 145 of the General Corporation Law of the State of Delaware.
Item 16. Exhibits
Furnish the exhibits as required by Item 601 of Regulation S-K (§229.601):
(1)(a) |
Underwriting Agreement dated November 17, 2006 between ING Life Insurance and Annuity Company and ING Financial Advisers, LLC |
|
|
(4) |
Instruments defining the rights security holders, including indentures: |
(4)(a) |
Variable Annuity Contract (G2-CDA-94(IR)) |
(4)(b) |
Variable Annuity Contract (G2-CDA-94(NQ)) |
(4)(c) |
Variable Annuity Contract (G-MP2 (5/96)) |
(4)(d) |
Certificate of Group Annuity Coverage (MP2CERT (5/96)) |
(4)(e) |
Variable Annuity Contract (G-CDA-GP2 (4/94)) |
(4)(f) |
Variable Annuity Contract (I-CDA-GP2 (4/94)) |
(4)(g) |
Certificate of Group Annuity Coverage (GP2CERT (4/94)) |
(4)(h) |
Group Variable, Fixed, or Combination Annuity Contract (Nonparticipating) (G-GP2 (5/96)) |
(4)(i) |
Individual Variable, Fixed or Combination Annuity Contract (Nonparticipating) (I-GP2 (5/96)) |
(4)(j) |
Variable Annuity Contract (G-MP2 (5/97)) |
(4)(k) |
Variable Annuity Certificate (MP2CERT (5/97)) |
(4)(l) |
Variable Annuity Contract (IMP2 (5/97)) |
(4)(m) |
Certificate of Group Annuity Coverage (GP2CERT (5/97)). |
(4)(n) |
Name Change Endorsement (ENMCHGI (05/02)) |
(4)(o) |
Name Change Endorsement (EVNMGHC (09/14)) |
(4)(p) |
Endorsement (E-IRASECURE-20) to Contract (MP2CERT (5/97)) |
(4)(q) |
Endorsement (E-DCSECURE-20) to Contract (MP2CERT (5/97)) |
|
|
(5) |
Opinion re: Legality |
|
|
(23)(a) |
Consent of Independent Registered Public Accounting Firm, attached. |
(23)(b) |
Consent of Legal Counsel (included in Exhibit (5) above). |
(24)(a) |
Powers of Attorney (included on Signature Page of this Registration Statement) |
Exhibits other than those listed above are omitted because they are not required or are not applicable.
Item 17. Undertakings
The undersigned registrant hereby undertakes as follows, pursuant to Item 512 of Regulation S-K:
(a) Rule 415 offering
(1) Not Applicable
(2) That, for the purpose of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
(3) To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering.
(4) Not Applicable
(5)(i) Not Applicable
(5)(ii) That, for the purpose of determining liability under the Securities Act of 1933 to any purchaser, each prospectus filed pursuant to Rule 424(b) as part of a registration statement relating to an offering, other than registration statements relying on Rule 430B or other than prospectuses filed in reliance on Rule 430A shall be deemed to be part of and included in the registration statement as of the date it is first used after effectiveness. Provided, however, that no statement made in a registration statement or prospectus that is part of the registration statement or made in a document incorporated or deemed incorporated by reference into the registration statement or prospectus that is part of the registration statement will, as to a purchaser with a time of contract of sale prior to such first use, supersede or modify any statement that was made in the registration statement or prospectus that was part of the registration statement or made in any such document immediately prior to such date of first use.
(6) That, for the purpose of determining liability of the registrant under the Securities Act of 1933 to any purchaser in the initial distribution of the securities, the undersigned registrant undertakes in a primary offering of securities of the undersigned registrant pursuant to this registration statement, regardless of the underwriting method used to sell the securities to the purchaser, if the securities are offered or sold to such purchaser by means of any of the following communications, the undersigned registrant will be a seller to the purchaser and will be considered to offer or sell such securities to such purchaser:
(i) Any preliminary prospectus or prospectus of the undersigned registrant relating to the offering required to be filed pursuant to Rule 424;
(ii) Any free writing prospectus relating to the offering prepared by or on behalf of the undersigned registrant or used or referred to by the undersigned registrant;
(iii) The portion of any other free writing prospectus relating to the offering containing material information about the undersigned registrant or its securities provided by or on behalf of the undersigned registrant; and
(iv) Any other communication that is an offer in the offering made by the undersigned registrant to the purchaser.
(b) Filings incorporating subsequent Exchange Act documents by reference:
The undersigned registrant hereby undertakes that, for purposes of determining any liability under the Securities Act of 1933, each filing of the registrant’s annual report pursuant to section 13(a) or section 15(d) of the Securities Exchange Act of 1934 (and, where applicable, each filing of an employee benefit plan’s annual report pursuant to section 15(d) of the Securities Exchange Act of 1934) that is incorporated by reference in the registration statement shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
(c) Not applicable
(d) Not applicable
(e) Not applicable
(f) Not applicable
(g) Not applicable
(h) Request for acceleration of effective date:
Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue.
(i) Not applicable
(j) Not applicable
(k) Not applicable
(l) Not applicable
SIGNATURES Pursuant to the requirements of the Securities Act of 1933, the registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-3 and has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the Town of Windsor, State of Connecticut, on this 2nd day of April, 2021. |
|
By: |
VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY |
|
|
(REGISTRANT) |
|
By: |
/s/ Charles P. Nelson |
|
|
Charles P. Nelson President (principal executive officer) |
As required by the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities and on the dates indicated. Each person whose signature appears below hereby constitutes and appoints Peter M. Scavongelli, such person’s true and lawful attorney and agent with full power of substitution and re-substitution for him or her and in his or her name, place and stead, in any and all capacities, to sign for such person and in such person’s name and capacity indicated below, any and all amendments to this Registration Statement, hereby ratifying and confirming such person’s signature as it may be signed by said attorney to any and all amendments (pre-effective and post-effective amendments). |
Signature |
Title |
|
Date |
|
|
|
|
/s/ Charles P. Nelson |
Director and President |
) |
February 18, 2021 |
Charles P. Nelson |
(principal executive officer) |
) |
|
|
|
) |
|
/s/ Robert L. Grubka |
Director |
) |
Feb. 22, 2021 |
Robert L. Grubka |
|
) |
|
|
|
) |
|
/s/ Michael R. Katz |
Director and Chief Financial Officer |
) |
Feb 19, 2021 |
Michael R. Katz. |
(principal financial officer) |
) |
|
|
|
) |
|
/s/ Heather H. Lavallee |
Director |
) |
2/25/21 |
Heather H. Lavallee |
|
) |
|
|
|
) |
|
/s/ Francis G. O’Neill |
Director |
) |
2/21/2021 |
Francis G. O’Neill |
|
) |
|
|
|
) |
|
/s/ Rodney O. Martin, Jr. |
Director |
) |
3/4/21 |
Rodney O. Martin, Jr. |
|
) |
|
|
|
) |
|
/s/ Michael S. Smith |
Director |
) |
March 12, 2021 |
Michael S. Smith |
|
) |
|
|
|
) |
|
/s/ C. Landon Cobb, Jr. |
Chief Accounting Officer |
) |
02/23/2021 |
C. Landon Cobb, Jr. |
(principal accounting officer) |
) |
|
Notary
State of Washington
County of Skagit
I certify that I know or have satisfactory evidence that Charles P. Nelson is the person who appeared before me, and said person acknowledged that he signed this instrument and acknowledged it to be his free and voluntary act for the uses and purposes mentioned in the instrument.
Dated: February 18, 2021
(Seal or stamp) |
Signature /s/ Susann Elizabeth Dillard |
||
|
SUSANN ELIZABETH DILLARD |
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|
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My appointment expires: July 9, 2023 |
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|
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|
|
*****************************************************
STATE OF MINNESOTA
COUNTY OF Hennepin
The foregoing instrument was acknowledged before me this 22 day of Feb. 2021, by Robert L. Grubka.
/s/ Melissa O’Donnell Notary Public |
MELISSA ODONNELL Notary Public, State of Minnesota Commission Expires 01/31/2025 |
*****************************************************
Witness & Notary
Attested and subscribed in the presence of the principal and subsequent to the principal subscribing same:
First Witness signs: /s/ Michele Eleveld Second Witness Signs: /s/ Kyle Puffer
Printed name of witness: Michele Eleveld Printed name of witness: Kyle Puffer
State of Connecticut)
County of Hartford ) ss: at Windsor on 2/25/21
Personally Appeared Heather H. Lavallee, Signer and Sealer of the foregoing instrument, and acknowledged the same to be his free act and deed, before me.
/s/Christine Donohue Notary Public |
Christine Donohue Notary Public, State of Connecticut Commission Expires 12/31/22 |
*****************************************************
STATEMENT OF WITNESS
On the date written above, the principal (Francis G. O’Neill) declared to me in my presence that this instrument is his general durable power of attorney and that he had willingly signed or directed another to sign for him, and that he executed it as his free and voluntary act for the purposes therein expressed.
/s/ James C. Lehan Signature
of Witness #1
James C. Lehan Printed
or typed name of Witness #1
15 Fredrickson Rd Address
of Witness #1
Norfolk, MA 02056
/s/ Elizabeth S. Lehan Signature
of Witness #2
Elizabeth S. Lehan Printed
or typed name of Witness #2
15 Fredrickson Rd. Address
of Witness #2
Norfolk, MA 02056
*****************************************************
Notary
State of New York
County of New York
On the 4 day of March in the year 2021, before me, the undersigned, personally appeared Rodney O. Martin, Jr., personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument.
Notary Public |
/s/ Pier A. Moore Notary Public, NY County No. 01M06115336 Qualified in Kings County Certificate Filed in NY County Commission Expires 9/7/2024 |
*****************************************************
STATEMENT OF WITNESS
On the date written above, the principal (C. Landon Cobb, Jr.) declared to me in my presence that this instrument is his general durable power of attorney and that he had willingly signed or directed another to sign for him, and that he executed it as his free and voluntary act for the purposes therein expressed.
/s/ Tracy S. Cosby Signature
of Witness #1
Tracy S. Cosby Printed
or typed name of Witness #1
6267 Wager Ct. Address
of Witness #1
Powder Springs, GA 30127
/s/ Linda Bell Signature
of Witness #2
Linda Bell Printed
or typed name of Witness #2
2889 Torreya Way SE Address
of Witness #2
Marietta, GA 30067
Exhibit Index |
||
Exhibit No. |
Exhibit |
|
|
|
|
16(1)(a) |
Underwriting Agreement dated November 17, 2006 between ING Life Insurance and Annuity Company and ING Financial Advisers, LLC |
EX-16(1)(a) |
|
|
|
16(4)(a) |
Variable Annuity Contract (G2-CDA-94(IR)) |
EX-16(4)(a) |
16(4)(b) |
Variable Annuity Contract (G2-CDA-94(NQ)) |
EX-16(4)(b) |
16(4)(c) |
Variable Annuity Contract (G-MP2 (5/96)) |
EX-16(4)(c) |
16(4)(d) |
Certificate of Group Annuity Coverage (MP2CERT (5/96)) |
EX-16(4)(d) |
16(4)(e) |
Variable Annuity Contract (G-CDA-GP2 (4/94)) |
EX-16(4)(e) |
16(4)(f) |
Variable Annuity Contract (I-CDA-GP2 (4/94)) |
EX-16(4)(f) |
16(4)(g) |
Certificate of Group Annuity Coverage (GP2CERT (4/94)) |
EX-16(4)(g) |
16(4)(h) |
Group Variable, Fixed, or Combination Annuity Contract
(Nonparticipating) |
EX-16(4)(h) |
16(4)(i) |
Individual Variable, Fixed or Combination Annuity Contract
(Nonparticipating) |
EX-16(4)(i) |
16(4)(j) |
Variable Annuity Contract (G-MP2 (5/97)) |
EX-16(4)(j) |
16(4)(k) |
Variable Annuity Certificate (MP2CERT (5/97)) |
EX-16(4)(k) |
16(4)(l) |
Variable Annuity Contract (IMP2 (5/97)) |
EX-16(4)(l) |
16(4)(m) |
Certificate of Group Annuity Coverage (GP2CERT (5/97)) |
EX-16(4)(m) |
16(4)(n) |
Name Change Endorsement (ENMCHGI (05/02)) |
EX-16(4)(n) |
16(4)(o) |
Name Change Endorsement (EVNMGHC (09/14)) |
EX-16(4)(o) |
16(4)(p) |
Endorsement (E-IRASECURE-20) to Contract (MP2CERT (5/97)) |
EX-16(4)(p) |
16(4)(q) |
Endorsement (E-DCSECURE-20) to Contract (MP2CERT (5/97)) |
EX-16(4)(q) |
|
|
|
16(5) |
Opinion re Legality |
EX-16(5) |
|
|
|
16(23)(a) |
Consent of Independent Registered Public Accounting Firm |
EX-16(23)(a) |
16(23)(b) |
Consent of Legal Counsel (included in Exhibit (5) above) |
EX-16(23)(b) |
16(24)(a) |
Powers of Attorney (included on the Signature Page of this Registration Statement) |
EX-16(24)(a) |
Exhibit 16(1)(a)
PRINCIPAL UNDERWRITING AGREEMENT
THIS UNDERWRITING AGREEMENT (Agreement) is effective as of the 17th day of
November, 2006, by and between ING Life Insurance and Annuity Company (ILIAC), on its own behalf
and on behalf of its nonunitized separate accounts for modified guaranteed annuity contracts (MGA
Accounts), and on behalf of Variable Annuity Accounts B, C, F, G and I, Separate Account D, and Variable
Life Accounts B and C (separate accounts of ILIAC (Variable Annuity Accounts B, C, F, G and I, Separate
Account D and Variable Life Accounts B and C hereinafter collectively referred to as the Accounts)), and
ING Financial Advisers, LLC (the Underwriter).
WHEREAS, the Accounts were established under Connecticut law as separate accounts of ILIAC
pursuant to authority granted by resolutions of ILIACs Board of Directors dated October 18, 1976, as
amended June 17, 1992 and January 1, 1997 and as further amended on November 15, 1993 (as regards
Variable Annuity Accounts B, C, G and Separate Account D), and June 18, 1986 (as regards Variable Life
Account B), May 31, 1994 as regards the establishment of Variable Annuity Account I (formerly Variable
Annuity Account I of ING Insurance Company of America), August 31, 1999 (as regards Variable Life
Account C), and September 24, 2004 (as regards Separate Account D);
WHEREAS, the Accounts will maintain the net proceeds of and reserves for certain variable
annuity contracts issued by ILIAC, and ILIACs MGA Accounts will receive the purchase payments under
certain modified guaranteed annuity contracts issued by ILIAC (collectively the Contracts);
WHEREAS, ILIAC has registered the Accounts as unit investment trusts under the Investment
Company Act of 1940 and has registered or will register the Contracts for sale under the Securities Act of
1933 (where such registration is required by law); and
WHEREAS, ILIAC, the Accounts, and the MGA Accounts desire to have the Contracts sold
through the Underwriter, and the Underwriter is willing to provide for the sale of the Contracts under the
terms stated herein.
NOW THEREFORE, in consideration of their mutual promises the parties hereto agree as follows:
1. | Principal Underwriter |
ILIAC appoints the Underwriter as, and the Underwriter agrees to serve as, principal underwriter of the Contracts during the term of this Agreement. The Underwriter agrees to use its best efforts to provide for | |
1
the solicitation of applications for the Contracts, and to undertake at its own expense to provide all sales services relative to the Contracts and to perform otherwise all duties and functions that are necessary and proper for the distribution of the Contracts. | |
2. | Sales Agreements |
The Underwriter is hereby authorized to enter into written sales agreements with other broker-dealers for the sale of the Contracts on terms and conditions not inconsistent with and subject to this Agreement. | |
3. | Registration and Responsibility of Underwriter |
The Underwriter represents that it is registered as a broker-dealer with the SEC under the Securities Exchange Act of 1934 and is a member of the National Association of Securities Dealers, Inc. ("NASD") and shall be registered if necessary or otherwise appropriately qualified under the securities laws of any state or other jurisdiction. The Underwriter shall be responsible for carrying out its sales and underwriting obligations hereunder in compliance with the NASD Rules of Fair Practice and federal and state securities laws and regulations. In this connection, the Underwriter agrees that it shall be responsible for ensuring that any organization with which it enters into a sales agreement for the sale of the Contracts, and such organization's agents or representatives, are duly and appropriately licensed, registered, appointed and otherwise qualified to offer and sell the Contracts under the federal securities laws and any applicable securities and insurance laws of each state or other jurisdiction in which the Contracts may be lawfully sold and in which ILIAC is licensed to sell the Contracts. | |
4. | Control and Responsibility |
ILIAC shall have ultimate control and responsibility of the functions that it has delegated. ILIAC shall own and have custody of its general corporate accounts and records. | |
5. | Administrative Services, Books, Records and Reports |
The Underwriter shall cause to be maintained and preserved for the periods prescribed such accounts, books and other documents as are required of it by the Investment Company Act of 1940 and any other applicable laws and regulations. The books, accounts and records of ILIAC, the Accounts and the Underwriter as to all transactions effected in accordance with this Agreement shall be maintained so as to clearly and accurately disclose the nature and details of such transactions, including the sale of Contracts and payment of commissions and service fees by ILIAC. The Underwriter shall furnish | |
2
ILIAC with such reports as it may reasonably request for the purpose of meeting its reporting and record keeping requirements in accordance with applicable laws and regulations. | ||
6. | Fiduciary Capacity | |
Underwriter agrees that any purchase payments it receives for the Contracts will be held in a fiduciary capacity and agrees to transfer any such amount to ILIAC within three business days. | ||
7. | Compensation to Underwriter | |
ILIAC will pay the Underwriter for services rendered hereunder as billed by the Underwriter and agreed to by ILIAC. Underwriter agrees that reimbursement shall be limited to actual expenses. | ||
8. | Non Exclusivity | |
The services of the Underwriter to the Accounts hereunder are not to be deemed exclusive and the Underwriter shall be free to render similar services to others as long as its services provided hereunder are not impaired or interfered with thereby. | ||
9. | Non Assignability | |
This Agreement shall be nonassignable by the parties hereto. | ||
10. | Amendment | |
This Agreement shall be amended only by written agreement of the parties hereto. | ||
11. | Term | |
This Agreement shall be effective on the seventeenth day of November, 2006, and shall end on the sixteenth day of November, 2009; provided however, that this Agreement shall be automatically renewed on the seventeenth day of November of each calendar year thereafter for a twelve-month period under the same terms and conditions, subject to the provisions for termination set forth herein. | ||
12. | Termination | |
(a) | This Agreement may be terminated by either party hereto for any reason upon 60 days written notice to the other party. | |
(b) | This Agreement may be terminated upon written notice of one party to the other party hereto in the event of bankruptcy or insolvency of such party to which notice is given. | |
(c) | This Agreement may be terminated at any time upon the mutual written consent of the parties hereto. | |
3
(d) | Upon termination of this Agreement, all authorizations, rights and obligations shall cease except the obligations to settle accounts hereunder, including payment of contributions subsequently received for Contracts in effect at the time of termination or issued pursuant to applications received by ILIAC prior to termination. | |
13. | Applicable Law | |
This Agreement shall be construed and enforced in accordance with and governed by the laws of the State of Connecticut. | ||
14. | Severabilitv | |
If any provision of this Agreement shall be held or made invalid by a court, statute, rule or otherwise, the remainder of this Agreement shall not be affected thereby. | ||
IN WITNESS THEREOF, the parties hereto have caused this Agreement to be signed by their
respective officials thereunder duly authorized and seals to be affixed as of the day and year first above
written.
ING LIFE INSURANCE AND ANNUITY COMPANY
By: _____ /s/ Brian D. Comer____________________
Title: _________President________________________
Date: _________November 13, 2006________________
ING LIFE INSURANCE AND ANNUITY COMPANY,
ON BEHALF OF ITS VARIABLE ANNUITY
ACCOUNTS B, C, F, G and I, SEPARATE ACCOUNT D and
VARIABLE LIFE ACCOUNTS B AND C
By: ______/s/ Brian D. Comer_____________________
Title: _____President_____________________________
Date: _____November 13, 2006____________________
ING FINANCIAL ADVISERS, L.L.C.
By: ____/s/ Richard R. Barhorst___________________
Title: _____President_____________________________
Date: _____November 13, 2006____________________
4
Exhibit 16(4)(a) |
--------------------------------------------------------- |
[LOGO OF AETNA INSURANCE COMPANY OF AMERICA APPEARS HERE] |
Aetna Insurance Company of America Home Office: 151 Farmington Avenue Hartford, Connecticut 06156 (800) 531-4547 You may call the toll-free number shown above to get answers to your questions or help to resolve a complaint. Aetna Insurance Company of America, herein called Aetna, agrees to pay the benefits stated in this Contract. |
Specifications
- --------------------------------------------------------------------------------Plan MARATHON PLUS
- --------------------------------------------------------------------------------Type of Plan INDIVIDUAL RETIREMENT ANNUITY ROLLOVER ACCOUNT
- --------------------------------------------------------------------------------Contract Holder E.G. ANYBROKER
- --------------------------------------------------------------------------------Contract No.
SPECIMEN
- --------------------------------------------------------------------------------Effective Date SEPTEMBER 1, 1993 - --------------------------------------------------------------------------------This Contract is Delivered in YOUR STATE and is Subject to the Laws of that Jurisdiction
THE VARIABLE FEATURES OF THE GROUP CONTRACT ARE DESCRIBED IN PARTS III and V.
Right to Cancel
- --------------------------------------------------------------------------------The Contract Holder may cancel this Contract 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 Contract within 7 days after it receives the notice of cancellation and this Contract at its Home Office.
This page, the following pages, and the application make up the entire Contract.
Signed at the Home Office on the Effective Date.
/s/ Signature Appears Here President |
/s/ Signature Appears Here Secretary |
Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY.
<PAGE> |
Specifications |
- -------------------------------------------------------------------------------- |
Guaranteed Interest Rate |
There is a guaranteed interest rate for Purchase Payment(s) held in the MG Account. (See Contract Schedule I). |
- --------------------------------------------------------------------------------
Deductions from the Separate Account |
There will be deductions for mortality and expense risks and administrative fees. (See Contract Schedule I and II). |
- --------------------------------------------------------------------------------
Deduction from Purchase Payment(s) |
Purchase Payment(s) are subject to a deduction for premium taxes, if any. (See 3.01.) |
- --------------------------------------------------------------------------------
Surrender Fee |
There will be a charge deducted upon surrender. (See Contract Schedule I). |
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
Page 2 of 30
READ THIS CONTRACT CAREFULLY.
2
<PAGE>
Contract Schedule I
Accumulation Period
Separate Account
- -------------------------------------------------------------------------------
Separate Account: | Variable Annuity Account I | |
Charges to Separate | A daily charge is deducted from any portion of | |
Account: | the Current Value allocated to the Separate | |
Account. The deduction is the daily equivalent | ||
of the annual effective percentage shown in the | ||
following chart: | ||
Administrative Charge | 0.15% | |
Mortality Risk Charge | 0.35% | |
Expense Risk Charge | 0.90% | |
----- | ||
Total Separate Account | ||
Charges | 1.40% |
Marathon Guaranteed Account (MG Account)
- -------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate (effective
annual rate of return): 3.0%.
Separate Account and MG Account
- -------------------------------------------------------------------------------
Transfers: |
An unlimited number of Transfers may be made during the Accumulation Period. Aetna allows 12 free Transfers in any calendar year. Thereafter, Aetna reserves the right to charge $10 for each subsequent Transfer. |
Maintenance Fee: |
The annual Maintenance Fee is $30. 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. |
3
<PAGE>
Contract Schedule I (Continued)
Accumulation Period
Separate Account and MG Account (Cont'd)
- --------------------------------------------------------------------------------
Surrender Fee: | For each surrender, the Surrender Fee will be determined | |
as follows: | ||
Surrender Fee | ||
Length of Time from Deposit of Net | (as percentage of | |
Purchase Payment (Years) | Net Purchase Payment) | |
Less than 2 years | 7% | |
2 or more but less than 4 years | 6% | |
4 or more but less than 5 years | 5% | |
5 or more but less than 6 years | 4% | |
6 or more but less than 7 years | 3% | |
7 years or more | 0% | |
Systematic Withdrawal | The specified payment or specified percentage may not be | |
Option (SWO): | greater than 10% of the Account's Current Value at time | |
of election. | ||
See 1. GENERAL DEFINITIONS for explanations. |
4
<PAGE>
Contract Schedule II | ||
Annuity Period | ||
Separate Account | ||
- -------------------------------------------------------------------------------- | ||
Charges to Separate | A daily charge at an annual effective rate of | |
Account: | 1.25% for Annuity mortality and expensive | |
risks. The administrative charge is established | ||
upon election of an Annuity option. This charge | ||
will not exceed 0.25%. | ||
https://www.sec.gov/Archives/edgar/data/925981/0000950109-95-002138.txt | 03/22/2018 |
Page 3 of 30
Variable Annuity Assumed | If a Variable Annuity is chosen, an assumed | |
Annual Net Return Rate: | annual net return rate of 5.0% may be elected. | |
If 5.0% is not elected, Aetna will use an | ||
assumed annual net return rate of 3.5%. | ||
The assumed annual net return rate factor for | ||
3.5% per year is 0.9999058. | ||
The assumed annual net return rate factor for | ||
5.0% per year is 0.9998663. | ||
If the portion of a Variable Annuity payment | ||
for any Fund is not to decrease, the Annuity | ||
return factor under the Separate Account for | ||
that Fund must be: | ||
(a) | 4.75% on an annual basis plus an annual | |
return of up to 0.25% to offset the | ||
administrative charge set at the time | ||
Annuity payments commence if an assumed | ||
annual net return rate of 3.5% is chosen; | ||
or | ||
(b) | 6.25% on an annual basis plus an annual | |
return of up to 0.25% to offset the | ||
administrative charge set at the time | ||
Annuity payments commence, if an assumed | ||
annual net return rate of 5% is chosen. |
Fixed Annuity
- --------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate (effective
annual rate of return): 3.0%
See 1. GENERAL DEFINITIONS for explanations.
5
<PAGE>
TABLE OF CONTENTS
I. |
GENERAL DEFINITIONS |
- |
--------------------------------------------------------------------------- |
Page | |||
1.01 | Account | 9 | |
1.02 | Accumulation Period | 9 | |
1.03 | Adjusted Current Value | 9 | |
1.04 | Annuitant | 9 | |
1.05 | Annuity | 9 | |
1.06 | *Beneficiary | 9 | |
1.07 | Certificate Holder | 9 | |
1.08 | Code | 9 | |
1.09 | Contract | 9 | |
1.10 | Contract Holder | 9 | |
1.11 | Current Value | 10 | |
1.12 | Deposit Period | 10 | |
1.13 | Fixed Annuity | 10 | |
1.14 | Fund(s) | 10 | |
1.15 | General Account | 10 | |
1.16 | Guaranteed Rates - MG Account | 10 | |
1.17 | Guaranteed Term | 10 | |
1.18 | Guaranteed Term(s) Groups | 10 | |
1.19 | Maintenance Fee | 11 | |
1.20 | Marathon Guaranteed Account (MG Account) | 11 | |
1.21 | Market Value Adjustment (MVA) | 11 | |
1.22 | Matured Term Value | 11 | |
1.23 | Matured Term Value Transfer | 11 | |
1.24 | Maturity Date | 11 | |
1.25 | Net Purchase Payment | 11 | |
1.26 | Nonunitized Separate Account | 11 | |
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1.27 | Purchase Payment | 11 | |
1.28 | Reinvestment | 12 | |
1.29 | Separate Account | 12 | |
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Page | |||
1.30 | Surrender Value | 12 | |
1.31 | Transfers | 12 | |
1.32 | Valuation Period (Period) | 12 | |
1.33 | Variable Annuity | 12 | |
II. | GENERAL PROVISIONS | ||
- -------------------------------------------------------------------------- | |||
2.01 | Change of Contract | 12 | |
2.02 | Change of Fund(s) | 13 | |
2.03 | Nonparticipating Contract | 14 | |
2.04 | Payments and Elections | 14 | |
2.05 | State Laws | 14 | |
2.06 | Control of Contract | 14 | |
2.07 | Designation of Beneficiary | 14 | |
2.08 | Misstatements and Adjustments | 15 | |
2.09 | Incontestability | 15 | |
2.10 | Grace Period | 15 | |
2.11 | Individual Certificates | 15 | |
III. PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS | |||
- -------------------------------------------------------------------------- | |||
3.01 | Net Purchase Payment | 15 | |
3.02 | Certificate Holder's Account | 15 | |
3.03 | Fund(s) Record Units - Separate Account | 15 | |
3.04 | Net Return Factor(s) - Separate Account | 15 | |
3.05 | Fund Record Unit Value - Separate Account | 16 | |
3.06 | Market Value Adjustment | 16 | |
3.07 | Transfer of Current Value from the Funds or MG Account | 17 | |
3.08 | Reports | 18 | |
3.09 | Notice to the Certificate Holder | 18 | |
3.10 | Loans | 18 | |
3.11 | Distribution Options | 18 | |
3.12 | Death Benefit Amount | 22 | |
7 | |||
<PAGE> | |||
Page | |||
3.13 | Death Benefit Options Available to Beneficiary | 22 | |
3.14 | Required Distribution to Certificate Holder/Beneficiary | 23 | |
3.15 | Liquidation of Surrender Value | 24 | |
3.16 | Surrender Fee | 24 | |
3.17 | Payment of Surrender Value | 25 | |
3.18 | Reinstatement | 25 | |
3.19 | Payment of Adjusted Current Value | 26 | |
IV. | ANNUITY PROVISIONS | ||
- -------------------------------------------------------------------------- | |||
4.01 | Choices to be Made | 26 | |
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4.02 | Annuity Payments to Certificate Holder | 26 |
4.03 | Annuity Payments to Beneficiary | 27 |
4.04 | Terms of Annuity Options | 27 |
4.05 | Death of Annuitant/Beneficiary | 28 |
4.06 | Fund(s) Annuity Units - Separate Account | 28 |
4.07 | Fund(s) Annuity Unit Value - Separate Account | 29 |
4.08 | Annuity Net Return Factor(s) - Separate Account | 29 |
4.09 | Annuity Options | 29 |
8 | ||
<PAGE> |
I. |
GENERAL DEFINITIONS |
- |
------------------------------------------------------------------------------- |
1.01 |
Account: |
1.02 |
Accumulation Period: |
1.03 |
Adjusted Current Value: |
1.04 |
Annuitant: |
1.05 |
Annuity: |
1.06 |
Beneficiary: |
1.07 |
Certificate Holder: |
1.08 |
Code: |
1.09 |
Contract: |
1.10 |
Contract Holder: |
<PAGE>
1.11 |
Current Value: |
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 MG Account MVA, if applicable. (See 1.21)
The person whose life if measured for purposes of the guaranteed death benefit and the duration of Annuity payments under an Account. The Certificate Holder and Annuitant must be the same person under 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).
The individual or estate entitled to receive any payment from an Account upon the death of the Annuitant.
A person who purchases an interest in this Contract as evidenced by a certificate.
The Internal Revenue Code of 1986, as it may be amended from time to time.
This agreement between Aetna and the Contract Holder to provide annuities which qualify as Individual Retirement Annuities under Code Section 408(b) for the exclusive benefit of the Certificate Holder(s) or their Beneficiaries.
The entity to which the Contract is issued. The Contract is offered to:
(a) National Association of Securities Dealers, Inc. ("NASD") member broker-dealers selected by Aetna, who have a minimum net capital of $250,000 or more, including broker-dealer subsidiaries of banks and savings and loan associations, to provide Individual Retirement Annuities under Code Section 408 to their customers; and
(b) Employers who sponsor Individual Retirement Annuity plans under Code Section 408 for their employees.
9
As of the most recent Valuation Period, the Net Purchase Payment and any additional amount deposited pursuant to 3.12 plus any interest added to the portion allocated to the MG Account; and plus or minus the
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1.12 Deposit Period:
1.13 |
Fixed Annuity: |
1.14 |
Fund(s): |
1.15 |
General Account: |
1.16 |
Guaranteed Rates - MG Account: |
1.17 Guaranteed Term:
1.18 |
Guaranteed Term(s) Groups: |
<PAGE>
1.19 |
Maintenance Fee: |
1.20 |
Marathon Guaranteed Account (MG Account): |
1.21 |
Market Value Adjustment (MVA): |
Page 6 of 30
investment experience of the portion
allocated to the Funds since deposit; less
all Maintenance Fees deducted, any amounts
surrendered and any amounts applied to an
Annuity.
A calendar week, a calendar month, a
calendar quarter, or any other period of
time specified by Aetna during which the
Net Purchase Payment, Transfers and
Reinvestments are accepted into the MG
Account for one or more Guaranteed Terms.
Aetna reserves the right to extend the
Deposit Period.
An Annuity with payments that do not vary
in amount.
The open-end management investment
companies (mutual funds) in which the
Separate Account invests.
The account holding the assets of Aetna,
other than those assets held in Aetna's
separate accounts.
Aetna will declare the interest rate(s)
applicable to a specific Guaranteed Term at
the start of the Deposit Period for that
Guaranteed Term. The rate(s) are guaranteed
by Aetna for that Deposit Period and the
ensuing Guaranteed Term. The Guaranteed
Rates are annual effective yields. That is,
interest is credited daily at a rate that
will produce the Guaranteed Rate over the
period of a year. No Guaranteed Rate will
ever be less than the Minimum Guaranteed
Rate shown on Contract Schedule I.
For Guaranteed Terms of one year or less,
one Guaranteed Rate is credited for the
full Guaranteed Term. For longer Guaranteed
Terms, an initial Guaranteed Rate is
credited from the date of deposit to the
end of a specified period within the
Guaranteed Term. There may be different
Guaranteed Rate(s) declared for subsequent
specified time intervals throughout the
Guaranteed Term.
The period of time for which MG Account
Guaranteed Rates are guaranteed on Net
Purchase Payments, Transfers and
Reinvestments made into a current Deposit
Period for the MG Account. Such period
begins on the day following the close of
the Deposit Period and ends on the
designated Maturity Date. Guaranteed Terms
are offered at Aetna'a discretion for
various lengths of time ranging up to and
including ten years.
During a Deposit Period, Aetna may make
available any number of Guaranteed Terms.
The Certificate Holder may allocate the Net
Purchase Payment and Transfers into any or
all of the available Guaranteed Terms.
All MG Account Guaranteed Term(s) with the
same length of time from the close of the
Deposit Period until the designated
Maturity Date.
10
The Maintenance Fee (see Contract Schedule
I) will be deducted during the Accumulation
Period from the Current Value on each
anniversary of the date the Account is
established and upon surrender of the entire
Account.
An accumulation option where Aetna guarantees
stipulated rate(s) of interest for specified
periods of time. All assets of Aetna,
including amounts in the Nonunitized
Separate Account, are available to meet the
guarantees under the MG Account.
An adjustment to the amount withdrawn or
transferred from an MG Account Guaranteed
Term prior to the end of that Guaranteed
Term. The adjustment reflects the change in
the value of the investment due to changes
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1.22 |
Matured Term Value: |
1.23 |
Matured Term Value Transfer: |
1.24 |
Maturity Date: |
1.25 |
Net Purchase Payment: |
1.26 |
Nonunitized Separate Account: |
1.27 Purchase Payment:
<PAGE>
1.28 Reinvestment:
1.29 |
Separate Account: |
Page 7 of 30
in interest rates since the date of deposit
and is computed using the formula given in
3.06. The adjustment is expressed as a
percentage of each dollar being withdrawn.
The amount payable on an MG Account
Guaranteed Term's Maturity Date.
During the calendar month following an MG
Account Maturity Date, the Certificate
Holder may notify Aetna's Home Office in
writing to Transfer or surrender all or part
of the Matured Term Value, plus interest at
the new Guaranteed Rate accrued thereon,
from the MG Account without an MVA. This
provision only applies to the first such
written request received from the
Certificate Holder during this period for
any Matured Term Value.
The last date of an MG Account Guaranteed
Term.
The Purchase Payment less premium taxes, as
applicable.
A separate account set up by Aetna under
Title 38, Section 38a-433, of the
Connecticut General Statutes, that holds
assets for MG Account Terms. There are no
discrete units for this 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. These assets may be chargeable with
liabilities arising out of any other
business of Aetna.
The cash payment accepted by Aetna at its
Home Office which is a rollover amount under
Code Section 402(c), 403(a)(4), 403(b)(8),
or 408(d)(3). Aetna may require verification
that a rollover amount qualifies as such
under the Code. Payments to Simplified
Employee Pension plans and annual deductible
and nondeductible contributions to
Individual Retirement Annuities are not
accepted under this Contract.
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 or Certificate Holder.
11
Aetna will mail a notice to the Certificate
Holder at least 18 calendar days before a
Guaranteed Term's Maturity Date. This notice
will contain the Terms available during current
Deposit Periods with their Guaranteed Rate(s)
and projected Matured Term Value. If no
specific direction is given by the Certificate
Holder prior to the Maturity Date, each Matured
Term Value will be reinvested in the current
Deposit Period for a Guaranteed Term of the
same duration. If a Guaranteed Term of the same
duration is unavailable, each Matured Term
Value will automatically be reinvested in the
current Deposit Period for the next shortest
Guaranteed Term available. If no shorter
Guaranteed Term is available, the next longer
Guaranteed Term will be used. Aetna will mail a
confirmation statement to the Certificate
Holder the next business day after the Maturity
Date. This notice will state the Guaranteed
Term and Guaranteed Rate(s) which will apply to
the reinvested Matured Term Value.
A separate account that buys and holds shares
of the Fund(s). Income, gains or losses,
realized or unrealized, are credited or charged
to the Separate Account without regard to other
income, gains or losses of Aetna. Aetna owns
the assets held in the Separate Account and is
not a trustee as to such amounts. This Separate
Account generally is not guaranteed and is held
at market value. The assets of the Separate
Account, to the extent of reserves and other
contract liabilities of the Account, shall not
be charged with Aetna liabilities.
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1.30 |
Surrender Value: |
1.31 |
Transfers: |
Page 8 of 30
The amount payable by Aetna upon the surrender
of any portion of any Account.
The movement of invested amounts among the
available Fund(s) and the MG Account under this
Contract during the Accumulation Period.
1.32 | Valuation Period (Period): The period of time of which a Fund determines | |
its net asset value, usually 4:15 p.m. Eastern | ||
time each day the New York Stock Exchange is | ||
open until 4:15 p.m. the next such day, or such | ||
other day that one or more of the Funds | ||
determines its net asset value. | ||
1.33 | Variable Annuity: | An annuity with payments that vary with net |
investment results of one or more Funds under | ||
the Separate Account. | ||
II. | GENERAL PROVISIONS |
- --------------------------------------------------------------------------------
2.01 Change of Contract:
<PAGE>
2.01 |
Change of Contract (Cont'd): |
2.02 |
Change of Fund(s): |
Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.
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 or Certificate Holder.
12
Aetna may make any change that affects the MG Account Market Value Adjustment (3.06) with at least 30 days' advance written notice to the Contract Holder and the Certificate Holder. Any such change shall become effective for any new Term and will apply to all present and future Accounts.
Aetna reserves the right to change the terms of the distribution options (3.11) for future elections and discontinue the availability of these options after proper notification.
Any change that affects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:
(a) |
Net Purchase Payment (1.25) |
(b) |
MG Account Guaranteed Rate (1.16) |
(c) |
Net Return Factor(s)-Separate Account (3.04) |
(d) |
Current Value (1.11) |
(e) |
Surrender Value (1.30) |
(f) |
Fund(s) Annuity Unit Value-Separate Account (4.05) |
(g) |
Annuity options (4.09) |
(h) |
Fixed Annuity Interest Rates (4.01) |
(i) |
Transfers (1.31). |
Any change that affects the Annuity options and the tables for the options may be made:
(a) |
No earlier than 12 months after the effective date of this Contract; and |
(b) |
No earlier than 12 months after the effective date of any prior change. |
Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.
Aetna, or the Separate Account, may:
(a) |
Change the Fund(s) which may be invested in by the Separate Account; and |
(b) |
Replace the shares of any Fund(s) held in the Separate Account with shares of any other Fund(s). |
Changes must be:
(a) |
Approved by a majority vote in the Separate Account with respect to the Fund(s) whose |
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shares are to be replaced; or | ||
(b) Deemed necessary by Aetna under the | ||
Investment Company Act of 1940; or | ||
<PAGE> | ||
2.02 | Change of Fund(s) | (c) Deemed necessary by Aetna to accomplish |
(Cont'd): | the purpose of the Separate Account. | |
Aetna will notify the Contract Holder and the | ||
Certificate Holder of any change. | ||
2.03 | Nonparticipating Contract: | The Contract Holder, Certificate Holders, or |
2.04 Payments and Elections:
2.05 State Laws:
2.06 Control of Contract:
2.07 |
Designation of Beneficiary: |
<PAGE>
2.08 |
Misstatements and Adjustments: |
2.09 |
Incontestability: |
2.10 |
Grace Period: |
Beneficiaries will not have a right to share in the earnings of Aetna.
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, any Annuity payments required to be made will be paid in accordance with 4.05 Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its Home Office. Such payments will be made within 7 calendar days of receipt at its Home Office of a written claim for payment which is in good order, except as provided in 3.17.
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.
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.
Each Certificate Holder has a nonforfeitable right to 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. Until receipt of such choices at Aetna'a 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 or the Certificate Holder except to the extent permitted by law.
The Account may not be attached, alienated, or subject to the claims of any creditors of the Certificate Holder except to the extent permitted by law. The Account is nontransferable by the Certificate Holder. The Certificate Holder may not assign, transfer, pledge or use as collateral his or her rights under the Contract.
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 accepted by Aetna.
14
If Aetna finds the age of any Annuitant to be misstated, the correct facts will be used to adjust payments.
Aetna cannot cancel this Contract because of any error of fact on the application. Aetna cannot cancel an Account because of any error of fact on the enrollment form.
This Contract will remain in effect except as provided in the Payment of Adjusted Current Value provision (see 3.19).
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2.11 |
Individual Certificates: |
Page 10 of 30
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.
III. |
PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
- |
-------------------------------------------------------------------------------- |
3.01 Net Purchase Payment:
3.02 |
Certificate Holder's Account: |
3.03 |
Fund(s) Record Units- Separate Account: |
3.04 |
Net Return Factor(s)- Separate Account: |
<PAGE>
3.04 Net Return Factor(s)--Separate Account (Cont'd):
This amount is the actual Purchase Payment less any premium tax. Aetna will generally deduct the premium tax when Annuity benefits are elected (see Part IV). If Aetna determines that under applicable state law, it must pay a premium tax when the Purchase Payment is received or at any other time, it will deduct the tax at that time.
The Net Purchase Payment will be credited among:
(a) The current Deposit Period(s) for Guaranteed Terms under the MG Account; and
(b) The Fund(s) in which the Separate Account invests.
The Certificate Holder shall tell Aetna the allocation percentage to be applied to the current Deposit Period for each of the available Guaranteed Terms in the MG Account and/or each Fund.
Aetna will maintain an Account for each Certificate Holder.
Aetna will declare from time to time the acceptability and the minimum amount for a Purchase Payment.
The portion of the Net Purchase Payment applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's Home Office.
The net return factor(s) are used to compute all Separate Account record units for any Fund.
The net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate.
15
The net return rate is equal to:
(a) |
The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus |
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) |
The total value of the Fund(s) record units and Fund(s) Annuity units of the Separate Account at the start of the Valuation Period; minus |
(e) |
A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge. |
A |
net return rate may be more or less |
than 0%. The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.
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3.05 Fund Record Unit Value -- Separate Account: |
A Fund recorded unit value is computed by multiplying the net return factors for the current Valuation Period by the Fund record unit value for the previous Period. The dollar value of a Fund record units, Separate Account assets, and Variable Annuity payments may go up or down due to investment gain or loss. |
3.06 Market Value Adjustment: |
There will be an MVA for a withdrawal from the MG Account before the end of a Guaranteed Term when the withdrawal is due to: |
(a) |
A Transfer; except as specified in MG Account Matured Term Value Transfer; |
(b) |
A full or partial surrender, including a 10% free withdrawal under 3.16; or |
(c) |
An election of Annuity option 2 (see 4.09). |
Full and partial surrenders and Transfers made
within six months after the date of the
Annuitant's death will be the greater of:
(a) |
The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. |
This total may be greater or less than the Current Value of those amounts; or |
|
(b) |
The applicable portion of the Current Value in the MG Account. |
After the six-month period, the surrender or Transfer will be the aggregate MVA amount, which may be greater or less than the Current Value of those amounts. The greater of the aggregate MVA amount or the applicable portion of the Current Value applies to amounts withdrawn from the MG Account on account of an election of Annuity options 3 or 4 (see 4.09). 16 |
|
<PAGE> 3.06 Market Value Adjustment (Cont'd): |
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 Term. |
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 Term.
(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.
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3.07 |
Transfer of Current Value from the Funds or MG |
Account: |
<PAGE>
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In the event that no U.S. Treasury Notes
which mature in the last three months of the
Guaranteed Term exist, Aetna reserves the
right to use the U.S. Treasury Notes that
mature in the following quarter.
Before an Annuity option is elected, all or
any portion of the Adjusted Current Value of
the Certificate Holder's Account may be
transferred from any Fund or Guaranteed Term
of the MG Account:
(a) To any other Fund; or
(b) To any Guaranteed Term of the MG Account
available in the current Deposit Period.
Transfer requests can be submitted as a
percentage or as a dollar amount. Aetna may
establish a minimum transfer amount. Within
a Guaranteed Term Group, the amount to be
surrendered or transferred will be withdrawn
first from the oldest Deposit Period, then
from the next oldest, and so on until the
amount requested is satisfied.
17
3.07 | Transfer of Current Value | The Certificate Holder may make an unlimited |
from the Funds or MG | number of Transfers during the Accumulation | |
Account (Cont'd): | Period. The number of free Transfers allowed | |
by Aetna is shown on Contract Schedule I. | ||
Additional Transfers may be subject to a | ||
Transfer fee as shown on Contract Schedule | ||
I. Transfers from the MG Account of a | ||
Matured Term Value on or within one calendar | ||
month after a Term's Maturity Date do not | ||
count against the annual Transfer limit. | ||
Amounts applied to Guaranteed Terms of the | ||
MG Account may not be transferred to the | ||
Funds or to another Guaranteed Term during | ||
the Deposit Period or for 90 days after the | ||
close of the Deposit Period except for | ||
Matured Term Value(s) during the calendar | ||
month following the Term's Maturity Date. | ||
Transfers from Guaranteed Terms of the MG | ||
Account are subject to the MVA provisions | ||
of 3.06. | ||
3.08 | Reports: | Aetna, as issuer of the Contract, will make |
any reports required of it by federal law. | ||
Aetna will furnish annual calendar year | ||
reports concerning the status of the | ||
annuity. | ||
3.09 | Notice to the Certificate | The Certificate Holder will receive |
Holder: | quarterly statements from Aetna of: | |
(a) The value of any amounts held in: |
(1) |
The MG Account; and |
(2) |
The Fund(s) under the Separate Account. |
(b) The number or any Fund(s) record units; and (c) The Fund(s) record unit value.
3.10 |
Loans: |
3.11 |
Distribution Options: |
Such number or values will be as of a specific date no more than 60 days before the date of the notice.
Loans are not available under this Contract.
The following distribution options may be elected by the Certificate Holder during the Accumulation Period.
(a) Estate Conservation Option (ECO) - A distribution option under which a portion of the Account's Current Value will automatically be surrendered and distributed each year. ECO payments will be calculated based on the Account's full Current Value. The distributed amount will be withdrawn pro rata from each investment option used under the Account. A Surrender Fee will not be deducted from any portion of the Adjusted Current Value which is paid as a distribution under ECO. Certificate Holders should consult their tax adviser prior to requesting this distribution option. Aetna will not be responsible
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<PAGE>
3.11 Distribution Options (Cont'd):
<PAGE>
3.11 Distribution Options (Cont'd):
Page 13 of 30
for any adverse tax consequences due to
receiving ECO payments.
(1) Amount of Distribution: Each year
that ECO is in effect, Aetna will
calculate and distribute an amount
equal to the minimum required
distribution under the Code. The
annual distribution will be determined by
dividing the Current Value as of December
31 of the year prior to the payment year,
by a life expectancy factor.
The Certificate Holder, or spouse
Beneficiary if ECO is elected after the
Certificate Holder's death, shall elect
either single life expectancy or joint
life expectancy. Life expectancy is
computed by use of the expected return
multiples in Tables V and VI of section
1.72-9 of the Income Tax Regulations.
Joint life expectancy can only be elected
based on the joint life expectancy of the
Certificate Holder and his or her
Beneficiary. If the Certificate Holder
makes any changes in the Beneficiary
designation under the Certificate, ECO
distributions after the change will be
recalculated as required by IRS
regulations.
Life expectancies shall be recalculated
annually. If the joint life expectancy is
elected with a non-spouse Beneficiary, the
life expectancy of the non-spouse
Beneficiary may not be recalculated.
Instead, the life expectancy will be
calculated using the attained age of the
Beneficiary during the calendar year in
which the Certificate Holder attains age
70 1/2, and payments for subsequent years
shall be recalculated based on such life
expectancy reduced by one for each
calendar year which has elapsed since the
calendar year life expectancy was first
calculated.
If joint life expectancy is elected with a
spouse Beneficiary, at the death of
either, the payments can continue and will
be calculated based solely on the
survivor's life expectancy. If joint life
expectancy is elected with a non-spouse
Beneficiary and the non-spouse Beneficiary
dies first, payments will continue based
on the joint life expectancy.
If a single life expectancy is elected and
the Certificate Holder dies, or if a joint
life expectancy is elected and the
survivor dies, the death benefits
determined under Section 3.12 will be paid
to the Beneficiary in a lump sum not later
than December 31 following the year of
death.
(2) |
Minimum Initial Current Value: At its discretion, Aetna may require a minimum initial Account Current Value for election of this option. If after election of this option, the Current Value is insufficient to make a scheduled ECO payment, Aetna will distribute the entire Account balance. |
(3) |
Date of Distribution: Distribution will be made annually on the 15th of any month or such other date Aetna may designate or allow. The Certificate Holder shall specify an initial distribution month, not earlier than the |
19 |
calendar year in which the Certificate
Holder attains age 70 1/2, or such later
time when distributions must commence as
specified under the Code, whichever is
appropriate. For a spouse Beneficiary, the
earliest date is the date of the
Certificate Holder's death.
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Page 14 of 30
(4) |
Election and Revocation: ECO may be elected by the Certificate Holder by submitting a written request to Aetna at his Home Office. |
Once elected, this option may be revoked
by the Certificate Holder, or spouse
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. The Certificate
Holder assumes responsibility for
compliance with minimum distribution rules
under the Code. ECO may be elected only
once by the Certificate Holder or by a
spouse Beneficiary.
(b) |
Systematic Withdrawal Option (SWO): 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 |
Current Value. The distributed amount |
||
will |
be withdrawn pro rata from each investment |
||
option |
used under the Account. A Surrender Fee |
||
will |
not be deducted from any portion of the |
||
Adjusted |
Current Value which is paid as a |
||
distribution |
under SWO. Certificate Holders |
||
should |
consult their tax adviser prior to |
||
requesting |
this distribution option. Aetna will |
||
not |
be responsible for any adverse tax |
||
consequences |
due to receiving SWO payments. |
||
(1) |
Amount of Distribution: The Certificate |
||
Holder |
may elect one of the three payment |
||
methods |
described below. |
||
(i) |
Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Current Value at time of election as shown on Contract Schedule I. This annual dollar amount will remain constant. At its discretion, Aetna may require a minimum initial payment amount; or |
||
(ii) |
Specified Period: Payments made over a period of time of at least 10 years. The maximum specified period shall be determined under the Code minimum distribution rules. The annual amount paid each year is calculated by dividing the Account's Current Value as of December 31 of the prior year by the number of payment years remaining; or |
(iii) Specified Percentage: Payment of a
designated percentage which cannot be
greater than the
20
<PAGE>
3.11 Distribution Options (Cont'd): |
percentage of the Current Value at the time of election as 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 year by the designated percentage. Payments will be made until the year the Certificate Holder attains age 70 1/2 or, if elected by the spouse Beneficiary, the year the Certificate Holder would have attained age 70 1/2. Under both the Specified Payment and Specified Period payment methods, a higher amount shall be paid in any year if required under the Code minimum distribution rules. For purposes of this determination, life expectancy for the initial distribution year shall be calculated based on single life expectancy Table V of Section 1.72-9 of the Income |
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<PAGE>
3.11 |
Distribution Options (Cont'd): |
3.12 |
Death Benefit Amount: |
Page 15 of 30
Tax Regulations. With each subsequent
year, the life expectancy will be the life
expectancy for the previous year reduced
by one.
Payments upon the Certificate Holder's
death will be made to the Beneficiary in
the manner described in 3.13.
(2) |
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 Account balance. |
(3) |
Date of Distribution: The Certificate Holder shall specify the initial distribution date. The earliest date for distribution is the first date on which the Certificate Holder attains age 59 1/2. |
As elected by the Certificate Holder, SWO payments will be made on a monthly, quarterly, semi-annual or annual basis. If SWO payments are made more frequently than annually, the designated annual amount is divided by the number of payments due each year. Subsequent distributions will be made on the 15th of any month or such other date Aetna may designate or allow. |
|
(4) |
Election and Revocation: SWO may be elected by the Certificate Holder, or spouse Beneficiary if elected after the |
Certificate |
Holder's death, by submitting |
a |
completed and signed election form to |
Aetna's |
Home Office. |
21 |
Once elected, this option may be
revoked by the Certificate Holder, or
spouse 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
spouse Beneficiary.
If the Certificate Holder/Annuitant dies before
Annuity payments start, the Beneficiary is
entitled to a death benefit under the Account.
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. The amount of the
death benefit is determined as follows:
(a) |
Death of Certificate Holder/Annuitant less |
|
than |
75 years of age: The guaranteed death |
|
benefit |
is the greatest of: |
|
(1) |
The Net Purchase Payment made to the Account minus the sum of all amounts surrendered, applied to an Annuity, or deducted from the Account; |
|
(2) |
The step up value as of the date of death minus the total of all partial surrenders, amounts applied to an Annuity and deductions made from the Account since determination of the step up value. The step up value is the Current Value on the most recent seventh year anniversary of the date the Net Purchase Payment is applied to the Account; |
|
(3) |
The Account's Current Value as of the date of death. |
|
The |
excess, if any, of the guaranteed death |
|
benefit |
value over the Account's Current |
|
Value |
is determined as of the date of |
|
death. |
Any excess amount will be deposited |
|
to |
the Account and allocated to Aetna |
|
Variable |
Encore Fund as of the claim date. |
|
The |
Current Value on the claim date plus |
|
any |
excess amount deposited becomes the |
|
Account's |
Current Value. |
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3.13 |
Death Benefit Options available to Beneficiary: |
<PAGE>
3.13 |
Death Benefit Options |
available to Beneficiary (Cont'd):
Page 16 of 30
(b) |
Death of Certificate Holder/Annuitant age 75 or greater: The death benefit amount is the Account Current Value on the claim date. |
Prior to any election, or until amounts must be
otherwise distributed under this section, the
Current Value of the Account will be retained in
the Account. The Beneficiary has the right under
the Account to allocate or reallocate any amount
to any of the available investment options
(subject to an MVA, as applicable). The
following options are available to the
Beneficiary:
(a) |
If the Beneficiary is the Certificate Holder's surviving spouse, the surviving spouse may exercise all rights under the Contract and continue in the Accumulation Period, or may elect (1), (2), or (3) below. Under the Code, distributions from the Account are |
22 |
not required until December 31st of the year
in which the original Certificate Holder would
have attained age 70 1/2. The Beneficiary may
elect to:
(1) Apply some or all of the Adjusted Current
Value of the Account to Annuity option 2,
3, or 4 (see 4.09);
(2) Apply some or all of the Adjusted Current
Value of the Account to Annuity option 1
(see 4.09); or
(3) Receive, at any time, a lump sum payment
equal to the Adjusted Current Value of
the Account.
3.14 |
Required Distribution to Certificate Holder/ Beneficiary: |
If ECO is in effect on the Certificate Holder's date of death, the surviving spouse can elect to continue receiving ECO payments if a joint life expectancy was chosen. Otherwise, the surviving spouse must receive a lump sum payment equal to the Adjusted Current Value. |
|
If SWO is in effect and the Certificate Holder dies before the required beginning date for minimum distributions (see 3.14), SWO payments will cease and the surviving spouse may claim the death benefit in accordance with the terms of this section. |
|
If SWO is in effect and the Certificate Holder dies after the required beginning date for minimum distributions, the surviving spouse may elect to continue receiving the SWO payments. Otherwise, the surviving spouse must elect to receive a lump sum payment equal to the Adjusted Current Value. |
|
(b) |
If the Beneficiary is other than the Certificate Holder's surviving spouse, then |
options |
(1), (2), or (3) under (a) above |
apply. |
Any portion of the Adjusted Current |
Value |
of the Account that is not applied to |
Annuity |
option 2, 3 or 4 by December 31st of |
the |
year following the year of the Certificate |
Holder's |
death must be distributed by December |
31st |
of the year containing the fifth |
anniversary |
of the Certificate Holder's date |
of |
death. |
If |
ECO or SWO is in effect on the Certificate |
Holder's |
date of death, the Beneficiary must |
receive |
an automatic and immediate lump sum |
payment |
equal to the Adjusted Current Value. |
(c) |
If no Beneficiary exists, a lump sum payment |
equal |
to the Adjusted Current Value will be |
made |
to the Certificate Holder's estate. |
(a) |
Certificate Holder: The entire interest of the |
Certificate |
Holder will be distributed or |
begin |
to be distributed no later than April 1 |
following |
the calendar year in which the |
Certificate |
Holder attains age 70 1/2 |
(required |
beginning date), over (a) the life |
of |
the Certificate Holder, or the lives of the |
Certificate |
Holder and his or her designated |
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<PAGE>
3.14 Required Distribution to Certificate Holder/ Beneficiary (Cont'd):
3.15 Liquidation of Surrender Value:
3.16 Surrender Fee:
<PAGE>
3.16 Surrender Fee (Cont'd):
Page 17 of 30
Beneficiary, or (b) a period certain not
extending beyond the life expectancy of the
Certificate Holder, or the joint and last
survivor expectancy of the Certificate Holder
and his or her designated Beneficiary.
Payments must be made in periodic payments at
intervals no longer than one year. In
addition, payments must be either
nonincreasing or they may
23
increase only as provided in Q&A F-3 of
section 1.401(a)(9)-1 of the Proposed
Income Tax Regulations.
All distributions made hereunder shall be
made in accordance with the requirements
of section 401(a)(9) of the Code, and the
regulations thereunder, including the
minimum distribution incidental benefit
requirement of section 1.401(a)(9)-2 of
the Proposed Income Tax Regulations.
Distribution may be an Annuity as set
forth in Sections 4.01 through 4.04,
payments under ECO or SWO as defined in
Section 3.11, or a lump sum payment.
(b) |
Beneficiary: If the Certificate Holder dies after distribution of his or her interest has begun, the remaining portion of such interest will continue to be distributed at least as rapidly as under the method of distribution being used prior to the Certificate Holder's death. |
Distributions are considered to have begun
if distributions are made on account of
the Certificate Holder's reaching his or
her required beginning date or if prior to
the required beginning date distributions
irrevocably commence to the Certificate
Holder over a period permitted and in an
Annuity form acceptable under section
1.401(a)(9) of the Income Tax Regulations.
All or any portion of the Account's Adjusted
Current Value may be surrendered at any time.
Surrender requests can be submitted as a
percentage of the Account value or as a
specific dollar amount. The Net Purchase
Payment amount is withdrawn first, and then the
excess value, if any. Amounts are withdrawn on
a pro rata basis from the Fund(s) and/or the
Guaranteed Term(s) Groups of the MG Account in
which the Current Value is invested. Within a
Guaranteed Term Group, the amount to be
surrendered or transferred 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, if
applicable, the surrendered amount shall be
reduced by a Surrender Fee, if applicable.
The Surrender Fee only applies to the Net
Purchase Payment portion surrendered and varies
according to the elapsed time since deposit
(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 Certificate Holder's death before Annuity payments start; |
(b) |
As a premium for an Annuity option 2, 3 or 4 under this Contract (see 4.09); |
24 |
|
(c) |
As a distribution under the ECO or SWO provision (see 3.11); |
(d) |
At least 12 months after the date of the Purchase Payment to the Account, in an amount equal to or less than 10% of the Current Value. This applies to the first |
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3.17 Payment of Surrender VAlue:
3.18 Reinstatement:
<PAGE>
3.18 Reinstatement (Cont'd):
3.19 |
Payment of Adjusted Current Value: |
Page 18 of 30
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; |
(f) |
By Aetna under 3.19; or |
(g) |
If the Certificate Holder has spent at least 45 consecutive days in a licensed nursing care facility and each of the following conditions are met: |
(1) more than one calendar year has elapsed
since the date the certificate was
issued; and
(2) the surrender is requested within 3
years of admission to a licensed
nursing care facility.
This waiver does not apply if the
Certificate Holder was in a nursing care
facility at the time the certificate was
issued.
Under certain emergency conditions, Aetna may
defer payment:
(a) |
For a period of up to 6 months (unless not allowed by state law); or |
(b) |
As provided by federal law. |
All or a portion of the proceeds of a full
surrender of an Account may be reinvested
within 30 days after the surrender. Any
Maintenance Fee and surrender Fee charged at
the time of surrender on the amount reinvested
will be included in the reinstatement. Any
Market Value Adjustment(s) deducted from
surrenders will not be included in the
reinstatement.
Amounts will be reinstated among the MG Account
and the Funds in the Separate Account in the
same proportion as they were at the time of
surrender. Any amounts reinstated to the MG
Account will be credited to the available
Guaranteed Terms of the current Deposit Period
in the same proportion as they were at the time
of surrender. In the event that a Guaranteed
Term of the same duration is unavailable,
amounts will be reinvested in the next shortest
Guaranteed Term available in the current
Deposit Period. If no shorter Guaranteed Term
is available, the next longer Guaranteed Term
will be used. The number of Fund(s) record
units reinstated will be based on the record
unit value(s) next computed after receipt at
Aetna's
25
Home Office of the reinstatement request and
the amount to be reinstated. Any Maintenance
Fee which falls due after the surrender and
before the reinstatement will be deducted from
the amount reinstated.
Any Account(s) surrendered because the Current
Value was less than $2,500 immediately
following any partial surrender may not be
reinstated (see 3.19).
Reinstatement of an Account is permitted only
once.
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.
Aetna does not intend to exercise this right in
cases where an Account Current Value is reduced
to $2,500 or less solely due to investment
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Page 19 of 30
performance. A Surrender Fee will not be
deducted from the Adjusted Current Value. This
terminated Adjusted Current Value of an Account
may not be reinstated.
IV. |
ANNUITY PROVISIONS |
- |
-------------------------------------------------------------------------------- |
4.01 Choices to be Made:
4.02 |
Annuity Payments to Certificate Holder: |
<PAGE>
4.02 |
Annuity Payments to Certificate Holder (Cont'd): |
4.03 |
Annuity Payments to Beneficiary: |
4.04 |
Terms of Annuity Options: |
The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax) for an Annuity under option 2, 3, or 4 (see 4.09). The first Annuity payment may not be earlier than one calendar year after the Purchase Payment nor later than the later of:
(a) |
The first day of the month following the Annuitant's 85th birthday; or |
(b) |
The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may tell Aetna to make a lump sum payment. |
When an Annuity option is chosen, Aetna must also be told if payments are to be made other than monthly and whether to pay:
(a) |
A Fixed Annuity using the General Account; |
(b) |
A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or |
(c) |
A combination of (a) and (b). |
If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect higher interest rates. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).
In no event may any payments under an Annuity option extend beyond:
(a) |
The life of the Certificate Holder; |
|
26 |
||
(b) |
The lives of the Certificate Holder and Beneficiary; |
|
(c) |
Any certain period greater than the Certificate Holder's life expectancy according to regulations under Code Section 401(a)(9), determined as of the date payments are to begin; or |
|
(d) |
A period greater than the joint and last survivor life expectancies of the Certificate Holder and the Certificate Holder's Beneficiary according to regulations under Code Section 401(a)(9), determined as of the date payments are to begin. |
In no event may payments to the Beneficiary under an Annuity option extend beyond:
(a) The life of the Beneficiary; or (b) Any certain period greater than the Beneficiary's life expectancy as determined by regulations under Code Section 401(a)(9).
(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 a Fixed Annuity under option 2, 3 or 4 is chosen and a larger payment would result from applying the Surrender
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<PAGE>
4.04 Terms of Annuity Options (Cont'd):
4.05 Death of Annuitant/ Beneficiary:
Page 20 of 30
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 a Variable
Annuity or the payments for a Fixed
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
from July 1, 1993 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 rates for options 3 and 4
are based on mortality from 1983 Table
a.
(e) Assumed Annual Net Return Rate is the
interest rate used to determine the
amount of the first Annuity payment
under a Variable Annuity as shown on
Contract Schedule II. The Separate
Account must earn this rate plus enough
to cover the
27
mortality and expense risks charges (which
may include profit) and administrative
charges if future Variable Annuity
Payments are to remain level, (see Annuity
return factor under Variable Annuity
Assumed Annual Net Return Rate on Contract
Schedule II).
(f) |
Once elected, Annuity payments cannot be commuted to a lump sum except for Variable Annuity payments under option 2 (see 4.09). The life expectancy of the Certificate Holder or Certificate Holder and second Annuitant shall be irrevocable upon the election of an Annuity option. |
(a) |
When the Annuitant dies under option 2 or 3, or both the Annuitant and second Annuitant die under option 4(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 4 has been elected and the Annuitant dies, the remaining payments will continue to the second Annuitant as successor payee. |
(b) |
If there is no Beneficiary under option 2, 3 or 4, the present value of any remaining payments will be paid in one sum to the Certificate Holder's estate. |
(c) |
If the Beneficiary designated under option 1 dies, the amount held plus accrued interest will be paid in one sum to a |
successor |
Beneficiary, if any, named by |
the |
designated Beneficiary. If there is no |
successor |
Beneficiary, the lump sum will |
be |
paid to the designated Beneficiary's |
estate. | |
(d) |
If the Beneficiary dies while receiving |
Annuity |
payments, the present value of any |
remaining |
guaranteed payments will be paid |
in |
one sum to the successor Beneficiary, |
or |
upon election by the successor |
Beneficiary, |
any remaining payments will |
continue |
to the successor Beneficiary. If |
no |
successor Beneficiary has been |
designated, |
the present value of any |
remaining |
guaranteed payments will be paid |
in |
one sum to the Beneficiary's estate. |
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4.06 Fund(s) Annuity Units--Separate Account:
<PAGE>
4.06 |
Fund(s) Annuity Units -- Separate Account (Cont'd): |
4.07 |
Fund(s) Annuity Unit Value -- Separate Account: |
4.08 |
Annuity Net Return Factor(s) -- Separate Account: |
4.09 |
Annuity Options: |
Page 21 of 30
(e) |
The present value will be determined as of the Valuation Period in which proof of death acceptable to Aetna and a request for payment is received at Aetna's Home Office. The interest rate used to determine the first payment will be used to calculate the present value. |
The number of each Fund's Annuity units is
based on the amount of the first Variable
Annuity payment which is equal to:
(a) |
The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); divided by |
(b) |
1,000; multiplied by |
(c) |
The payment rate for the option chosen. |
28 |
Such amount, or portion, of the variable
payment will be divided by the appropriate
Fund Annuity unit value (see 4.07) on the
tenth Valuation Period before the due date of
the first payment to determine the number of
each Fund Annuity units. The number of each
Fund Annuity units remains fixed. Each future
payment is equal to the sum of the products of
each Fund Annuity unit value multiplied by the
appropriate number of units. The Fund Annuity
unit value on the tenth Valuation Period prior
to the due date of the payment is used.
For any Valuation Period, a Fund Annuity unit
value is equal to:
(a) The value for the previous Period;
multiplied by
(b) The Annuity net return factor(s) (see
4.08 below) for the Period; multiplied by
(c) A factor to reflect the assumed annual
net return rate (see Contract Schedule
II).
The dollar value of a Fund(s) Annuity unit
values and Annuity payments may go up or down
due to investment gain or loss.
The Annuity net return factor(s) are used to
compute all Separate Account Annuity Payments
for any Fund.
The Annuity net return factor(s) for each Fund
is equal to 1.0000000 plus the net return
rate.
The net return rate is equal to:
(a) The value of the shares of the Fund held
by the Separate Account at the end of a
Valuation Period; minus
(b) The value of the shares of the Fund held
by the Separate Account at the start of
the Valuation Period; plus or minus
(c) Taxes (or reserves for taxes) on the
Separate Account (if any); divided by
(d) The total value of the Fund(s) Record
Units and Fund(s) Annuity Units of the
Separate Account at the start of the
Valuation Period; minus
(e) A daily charge for Annuity mortality and
expense risks, which may include profit,
and a daily administrative charge (at the
annual rate as shown on Contract Schedule
II).
A net return rate may be more or less than 0%.
The value of a share of the Fund is equal to
the net assets of the Fund divided by the
number of shares outstanding.
Payments shall not be changed due to changes
in the mortality or expense results or
administrative charges.
Option 1--Payment of Interest on Sum Left with
Aetna -- This option may be used only by the
beneficiary when the Certificate Holder dies
before Aetna has started paying an Annuity. A
portion or all of the sum paid upon death may
be held under this option and will be held in
the General Account of Aetna at interest (see
4.01). The Beneficiary may later tell Aetna
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Page 22 of 30
to:
29 <PAGE>
4.09 Annuity Options (Cont'd): (a) Pay a portion or all of the sum held by Aetna; or
(b) |
Apply a portion or all of the sum held by Aetna to any Annuity option below. |
If a nonspouse Beneficiary elects that some or
all of the Account is to be held under this
option, the Beneficiary must tell Aetna to pay
the full sum held under this option by December
31st of the year containing the fifth
anniversary of the Certificate Holder's date of
death.
Option 2 -- 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 5 and not more than 30.
If payments for this option are made under a
Variable Annuity, the present value of any
remaining payments may be withdrawn at any
time. If a withdrawal is requested within 3
years after the start of payments, it will be
treated as a surrender and any applicable
Surrender Fee will be applied (see 3.16).
Option 3 -- 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 4 -- 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, a choice must be made of:
(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 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.
30
<PAGE>
OPTION 2
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%
<TABLE> | ||||||
<CAPTION> | ||||||
- -------------------------------------------------------------------------------- | ||||||
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | ||
Years | Rate | Payment | Payment | Payment | Payment | |
- -------------------------------------------------------------------------------- | ||||||
<S> | <C> | <C> | <C> | <C> | <C> | |
3 | 3.00% | $ 28.99 | $ 86.76 | $ 172.88 | $ 343.23 | |
4 | 3.00% | 22.06 | 66.02 | 131.56 | 261.19 | |
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 | |
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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 |
- -------------------------------------------------------------------------------- |
</TABLE> |
31
<PAGE>
OPTION 3
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 |
------------------------------------------------- |
<TABLE> |
<CAPTION> |
- -------------------------------------------------------------------------------- |
Adjusted |
Age of | None | 60 | 120 | 180 | 240 |
Annuitant |
- --------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> |
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.
32
<PAGE>
OPTION 4
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%
<TABLE>
<CAPTION>
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03/22/2018
Page 24 of 30
Adjusted Ages | |||||
- ----------------------- | |||||
Second | |||||
Annuitant | Annuitant Option 4a | Option 4b | Option 4c | Option 4d | Option 4e |
- --------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
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 |
- -------------------------------------------------------------------------------- |
</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.
33
<PAGE>
OPTION 2
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 Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> | ||||
<CAPTION> | ||||
Monthly | Quarterly | Semi-Annual | Annual | |
Years | Payment | Payment | Payment | Payment |
- ------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | |
3 | $ 29.19 | $ 87.33 | $ 173.91 | $ 344.86 | |
4 | 22.27 | 66.61 | 132.65 | 263.04 | |
5 | 18.12 | 54.19 | 107.92 | 213.99 | |
6 | 15.35 | 45.92 | 91.44 | 181.32 | |
7 | 13.38 | 40.01 | 79.69 | 158.01 | |
8 | 11.90 | 35.59 | 70.88 | 140.56 | |
9 | 10.75 | 32.16 | 64.05 | 127.00 | |
10 | 9.83 | 29.42 | 58.59 | 116.18 | |
11 | 9.09 | 27.18 | 54.13 | 107.34 | |
12 | 8.46 | 25.32 | 50.42 | 99.98 | |
13 | 7.94 | 23.75 | 47.29 | 93.78 | |
14 | 7.49 | 22.40 | 44.62 | 88.47 | |
15 | 7.10 | 21.24 | 42.31 | 83.89 | |
16 | 6.76 | 20.23 | 40.29 | 79.89 | |
17 | 6.47 | 19.34 | 38.51 | 76.37 | |
18 | 6.20 | 18.55 | 36.94 | 73.25 | |
19 | 5.97 | 17.85 | 35.54 | 70.47 | |
20 | 5.75 | 17.22 | 34.28 | 67.98 | |
21 | 5.56 | 16.65 | 33.15 | 65.74 | |
22 | 5.39 | 16.13 | 32.13 | 63.70 | |
23 | 5.24 | 15.66 | 31.19 | 61.85 | |
24 | 5.09 | 15.24 | 30.34 | 60.17 | |
25 | 4.96 | 14.85 | 29.56 | 58.62 | |
26 | 4.84 | 14.49 | 28.85 | 57.20 | |
27 | 4.73 | 14.15 | 28.19 | 55.90 | |
28 | 4.63 | 13.85 | 27.58 | 54.69 | |
29 | 4.53 | 13.57 | 27.02 | 53.57 | |
30 | 4.45 | 13.30 | 26.49 | 52.53 |
- ------------------------------------------------------------------ |
</TABLE> |
34
<PAGE>
OPTION 2
Payments for a Stated Period of Time
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
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Page 25 of 30
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> |
<CAPTION> |
- -------------------------------------------------------------------------------- |
Monthly | Quarterly | Semi-Annual | Annual | |
Years | Payment | Payment | Payment | Payment |
- --------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> |
3 | $ 29.80 | $ 89.04 | $ 176.99 | $ 349.72 |
4 | 22.89 | 68.38 | 135.93 | 268.58 |
5 | 18.74 | 56.00 | 111.33 | 219.98 |
6 | 15.99 | 47.77 | 94.96 | 187.64 |
7 | 14.02 | 41.90 | 83.30 | 164.59 |
8 | 12.56 | 37.52 | 74.58 | 147.35 |
9 | 11.42 | 34.11 | 67.81 | 133.99 |
10 | 10.51 | 31.40 | 62.42 | 123.34 |
11 | 9.77 | 29.19 | 58.03 | 114.66 |
12 | 9.16 | 27.36 | 54.38 | 107.45 |
13 | 8.64 | 25.81 | 51.31 | 101.39 |
14 | 8.20 | 24.50 | 48.69 | 96.21 |
15 | 7.82 | 23.36 | 46.44 | 91.75 |
16 | 7.49 | 22.37 | 44.47 | 87.88 |
17 | 7.20 | 21.51 | 42.75 | 84.48 |
18 | 6.94 | 20.74 | 41.23 | 81.47 |
19 | 6.71 | 20.06 | 39.88 | 78.80 |
20 | 6.51 | 19.46 | 38.68 | 76.42 |
21 | 6.33 | 18.91 | 37.59 | 74.28 |
22 | 6.17 | 18.42 | 36.62 | 72.35 |
23 | 6.02 | 17.98 | 35.73 | 70.61 |
24 | 5.88 | 17.57 | 34.93 | 69.02 |
25 | 5.76 | 17.20 | 34.20 | 67.57 |
26 | 5.65 | 16.87 | 33.53 | 66.25 |
27 | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.28 | 15.77 | 31.35 | 61.95 |
- --------------------------------------------------------------------------------
</TABLE>
35
<PAGE>
OPTION 3
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months | ||||||
------------------------------------------------- | ||||||
<TABLE> | ||||||
<CAPTION> | ||||||
- -------------------------------------------------------------------------------- | ||||||
Adjusted | ||||||
Age of | None | 60 | 120 | 180 | 240 | |
Annuitant | ||||||
- -------------------------------------------------------------------------------- | ||||||
<S> | <C> | <C> | <C> | <C> | <C> | |
50 | $ 4.34 | $ 4.34 | $ 4.31 | $ 4.27 | $ 4.22 | |
51 | 4.41 | 4.40 | 4.38 | 4.33 | 4.27 | |
52 | 4.48 | 4.47 | 4.45 | 4.40 | 4.32 | |
53 | 4.56 | 4.55 | 4.52 | 4.46 | 4.38 | |
54 | 4.64 | 4.63 | 4.59 | 4.53 | 4.44 | |
55 | 4.72 | 4.71 | 4.67 | 4.60 | 4.50 | |
56 | 4.81 | 4.80 | 4.75 | 4.67 | 4.56 | |
57 | 4.91 | 4.89 | 4.84 | 4.75 | 4.62 | |
58 | 5.01 | 4.99 | 4.93 | 4.83 | 4.69 | |
59 | 5.12 | 5.10 | 5.03 | 4.92 | 4.75 | |
60 | 5.23 | 5.21 | 5.13 | 5.00 | 4.82 | |
61 | 5.36 | 5.33 | 5.24 | 5.09 | 4.88 | |
62 | 5.49 | 5.45 | 5.35 | 5.19 | 4.95 | |
63 | 5.63 | 5.59 | 5.47 | 5.28 | 5.02 | |
64 | 5.78 | 5.73 | 5.60 | 5.38 | 5.08 | |
65 | 5.94 | 5.89 | 5.73 | 5.48 | 5.15 | |
66 | 6.11 | 6.05 | 5.87 | 5.58 | 5.21 | |
67 | 6.29 | 6.22 | 6.02 | 5.69 | 5.27 | |
68 | 6.49 | 6.41 | 6.17 | 5.79 | 5.33 | |
69 | 6.70 | 6.60 | 6.33 | 5.90 | 5.38 | |
70 | 6.92 | 6.81 | 6.49 | 6.00 | 5.43 | |
71 | 7.17 | 7.04 | 6.66 | 6.10 | 5.48 | |
72 | 7.43 | 7.27 | 6.84 | 6.20 | 5.52 | |
73 | 7.71 | 7.53 | 7.02 | 6.30 | 5.55 | |
74 | 8.02 | 7.80 | 7.20 | 6.39 | 5.59 | |
75 | 8.35 | 8.08 | 7.38 | 6.48 | 5.62 | |
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Page 26 of 30
- --------------------------------------------------------------------------------</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.
36
<PAGE>
OPTION 3
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period of Months |
------------------------------------------------- |
<TABLE> |
<CAPTION> |
- -------------------------------------------------------------------------------- |
Adjusted |
Age of | None | 60 | 120 | 180 | 240 |
Annuitant |
- --------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> |
50 | $ 5.26 | $ 5.25 | $ 5.22 | $ 5.17 | $ 5.11 |
51 | 5.33 | 5.32 | 5.28 | 5.23 | 5.15 |
52 | 5.40 | 5.38 | 5.34 | 5.29 | 5.20 |
53 | 5.47 | 5.45 | 5.41 | 5.35 | 5.26 |
54 | 5.54 | 5.53 | 5.48 | 5.41 | 5.31 |
55 | 5.63 | 5.61 | 5.56 | 5.47 | 5.36 |
56 | 5.71 | 5.69 | 5.63 | 5.54 | 5.42 |
57 | 5.80 | 5.78 | 5.72 | 5.61 | 5.47 |
58 | 5.90 | 5.88 | 5.81 | 5.69 | 5.53 |
59 | 6.01 | 5.98 | 5.90 | 5.77 | 5.59 |
60 | 6.12 | 6.09 | 6.00 | 5.85 | 5.65 |
61 | 6.24 | 6.21 | 6.10 | 6.93 | 5.71 |
62 | 6.37 | 6.33 | 6.21 | 6.02 | 5.77 |
63 | 6.51 | 6.46 | 6.33 | 6.11 | 5.83 |
64 | 6.66 | 6.60 | 6.45 | 6.20 | 5.89 |
65 | 6.82 | 6.75 | 6.57 | 6.30 | 5.95 |
66 | 6.99 | 6.91 | 6.71 | 6.39 | 6.01 |
67 | 7.17 | 7.08 | 6.85 | 6.49 | 6.06 |
68 | 7.36 | 7.27 | 6.99 | 6.59 | 6.12 |
69 | 7.57 | 7.46 | 7.15 | 6.69 | 6.17 |
70 | 7.80 | 7.67 | 7.30 | 6.78 | 6.21 |
71 | 8.05 | 7.89 | 7.47 | 6.88 | 6.25 |
72 | 8.31 | 8.13 | 7.64 | 6.97 | 6.29 |
73 | 8.59 | 8.38 | 7.81 | 7.06 | 6.33 |
74 | 8.90 | 8.64 | 7.99 | 7.15 | 6.36 |
75 | 9.23 | 8.93 | 8.16 | 7.23 | 6.38 |
- -------------------------------------------------------------------------------- |
</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.
37
<PAGE>
OPTION 4
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 Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE>
<CAPTION>
-------------------------------------------------------------------------------- Adjusted Ages
--------------------
Second | |||||||
Annuitant | Annuitant | Option 4a | Option 4b | Option 4c | Option 4d | Option 4e | |
- -------------------------------------------------------------------------------- | |||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.31 | |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.42 | |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.48 | |
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60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.70 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.84 |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 4.93 |
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.22 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.42 |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 5.54 |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 5.93 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.23 |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 6.40 |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 6.95 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.40 |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 7.64 |
- -------------------------------------------------------------------------------- |
</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.
38
<PAGE>
OPTION 4
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 Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE>
<CAPTION>
-------------------------------------------------------------------------------- Adjusted Ages
--------------------
Second
Annuitant Annuitant Option 4a Option 4b Option 4c Option 4d Option 4e - --------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.23 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.32 |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.38 |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.59 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.72 |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 5.80 |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.10 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.29 |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 6.41 |
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 6.81 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.08 |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 7.25 |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 7.81 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.25 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 8.49 |
- -------------------------------------------------------------------------------- |
</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.
39
<PAGE>
- --------------------------------------------------------------------------------
[LOGO OF AETNA INSURANCE COMPANY OF AMERICA APPEARS HERE]
Aetna Insurance Company of America
Home Office; 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547
Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating
- --------------------------------------------------------------------------------
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | |
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EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY.
<PAGE>
Aetna Insurance Company of America
Endorsement
This Contract is endorsed as follows.
Add the following to Section I General Definitions:
Dollar Cost Averaging - A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds and the one-year MG Account Guaranteed Term to any of the Funds by completing the appropriate section of the enrollment form or a Dollar Cost Averaging election form.
Delete Section 1.21, Market Value Adjustment, and replace it with the following.
1.21 |
Market Value Adjustment - An adjustment that may apply to an amount withdrawn or transferred from an MG Account Guaranteed Term prior to the end of that Guaranteed Term. 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 3.06. The adjustment is expressed as a percentage of each dollar withdrawn or transferred. |
Delete the first two paragraphs of Section 3.06, Market Value Adjustment, and replace it with the following:
3.06 |
Market Value Adjustment - Except as noted below, there will be an MVA |
|
for |
a withdrawal from the MG Account before the end of a Guaranteed |
|
Term |
when the withdrawal is due to: |
|
(a) |
A Transfer, except for Transfers from the one-year MG Account Guaranteed Term under the Dollar Cost Averaging program or, as specified in MG Account Matured Term Value Transfer; |
|
(b) |
A full or partial surrender (including a 10% free withdrawal under 3.16), except for a partial withdrawal under the Systematic Withdrawal Option (see 3.10); or |
|
(c) |
An election of Annuity option 2 (see 4.09). |
|
Full |
and partial surrenders and Transfers made within six months after |
|
the |
date of the Annuitant's death will be the greater of: |
|
(a) |
The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. This total may be greater or less than the Current Value of those amounts; or |
<PAGE>
(b) The applicable portion of the Current Value in the MG Account.
Delete Section 3.07, Transfer of Current Value from the Funds or MG Account, and replace it with the following:
3.07 |
Transfer of Current Value from the Funds or MG Account - Before an |
|
Annuity |
option is elected, all or any portion of the Adjusted Current |
|
Value |
of the Certificate Holder's Account may be transferred from any |
|
Fund |
or Guaranteed Term of the MG Account: |
|
(a) |
To any other Fund; or |
|
(b) |
To any Guaranteed Term of the MG Account available in the current Deposit Period. |
|
Transfer |
requests can be submitted as a percentage or as a dollar |
|
amount. |
Aetna may establish a minimum transfer amount. Within a |
|
Guaranteed |
Term Group, the amount to be surrendered to transferred |
|
will |
be withdrawn first from the oldest Deposit Period, then from the |
|
next |
oldest, and so on until the amount requested is satisfied. |
|
The |
Certificate Holder may make an unlimited number of Transfers |
|
during |
the Accumulation Period. The number of free Transfers allowed |
|
by |
Aetna is shown on Contract Schedule I. Additional Transfers may be |
|
subject |
to a Transfer fee as shown on Contract Schedule I. |
|
Amounts |
transferred from the MG Account under the Dollar Cost |
|
Averaging |
program, or amounts transferred as a Matured Term Value on |
|
or |
within one calendar month of the Term's Maturity Date, do not count |
|
against |
the annual Transfer limit. |
|
Amounts |
applied to Guaranteed Terms of the MG Account may not be |
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transferred to the Funds or to another Guaranteed Term during the
Deposit Period or for 90 days after the close of the Deposit Period
except for (1) a Matured Term Value(s) during the calendar month
following the Term's Maturity Date and (2) amounts transferred from
the one-year MG Account Guaranteed Term under the Dollar Cost
Averaging program.
2
<PAGE>
Delete the first paragraph in Subsection 3.11(a), Estate Conservation Option (ECO), and replace it with the following:
(a) |
Estate Conservation Option (ECO) - A distribution option under which a portion of the Account's Current Value will be surrendered automatically and distributed each year. ECO payments will be calculated based on the Account's full Current Value. The distributed amount will be withdrawn pro rata from each investment option used under the Account. A Surrender Fee will not be deducted from any portion of the Current Value which is paid as a distribution under ECO. Certificate Holders should consult their tax advisor prior to requesting this distribution option. Aetna will not be responsible for any adverse tax consequences due to receiving ECO payments. |
Delete the first paragraph 3.11(b), Systematic Withdrawal Option (SWO), and replace it with the following:
(b) |
Systematic Withdrawal Option (SWO) - A distribution option under which a portion of the Account's Current Value will be surrendered automatically and distributed each year. SWO payments will be calculated based on the Account's full Current Value. The distributed amount will be withdrawn pro rata from each investment option used under the Account. 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 advisor prior to requesting this distribution option. Aetna will not be responsible for any adverse tax consequences due to receiving SWO payments. |
Delete Section 3.12, Death Benefit Amount, and replace it with the following:
3.12 |
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. 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. The amount of the death benefit is determined as |
|
follows: | ||
(a) |
Death of Certificate Holder/Annuitant less than 75 years of age: The guaranteed death benefit is the greatest of: |
(1) The sum of all Net Purchase Payment(s) made to the Account
(as of the date of death) minus the sum of all amounts
surrendered, applied to an Annuity, or deducted from the
Account;
3
<PAGE>
(2) The highest step-up value as of the date of death. A step-up
value is determined on each anniversary of the Effective Date.
Each step-up value is calculated as the Account's Current
Value on the Effective Date anniversary, increased by the
amount of any Purchase Payment(s) made, and decreased by the
sum of all amounts surrendered, deducted, and/or applied to an
Annuity option since the Effective Date anniversary.
(3) The Account's Current Value as of the date of death.
The excess, if any, of the guaranteed death benefit value over the
Account's Current Value is determined as of the date of death. Any
excess amount will be deposited in the Account and allocated to
the Aetna Variable Encore Fund as of the claim date. The Current
Value on the claim date, plus any excess amount deposited, becomes
the Account's Current Value.
(b) |
Death of Certificate Holder/Annuitant age 75 or greater: The death benefit amount is the greatest of: |
(1) The sum of all Net Purchase Payment(s) made to the Account (as
of the date of death) minus the sum of all amounts
surrendered, applied to an Annuity, or deducted from the
Account;
(2) The highest step-up value prior to the Certificate Holder's
75th birthday. A step-up value is determined on each
anniversary of the Effective Date. Each step-up value is
calculated as the Account's Current Value on the Effective
Date anniversary, increased by the amount of any Purchase
Payment(s) made, and decreased by the sum of all amounts
surrendered, deducted, and/or applied to an Annuity option
since the Effective Date anniversary.
(3) The Account's Current Value as of the date of death.
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The excess, if any, of the guaranteed death benefit value over the
Account's Current Value is determined as of the date of death. Any
excess amount will be deposited in the Account and allocated to
the Aetna Variable Encore Fund as of the claim date. The Current
Value on the claim date, plus any excess amount deposited, becomes
the Account's Current Value.
(c) |
At the death of a surviving spouse Beneficiary who continued the Account in his or her own name, the death benefit amount is equal to the Account's Current Value less any applicable Surrender Fee on the amount of any Purchase Payment(s) made since the death of the Certificate Holder. |
4
<PAGE>
Delete Section 3.15, Liquidation of Surrender Value, and replace it with the following:
3.15 |
Liquidation of Surrender Value - All or any portion of the Account's Current Value may be surrendered at any time. Surrender requests can be submitted as a percentage of the Account's Current 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 Fund(s) and/or the Guaranteed Term(s) Groups of the MG Account in which the Current Value is invested. Within a Guaranteed Term Group, the amount to be surrendered or transferred 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 the Maintenance Fee, if applicable, the surrendered amount shall be reduced by a Surrender Fee, if applicable. An MVA may apply to amounts surrendered from the MG Account.
Endorsed and made part of this Contract on the Effective Date of the Contract.
/s/ SIGNATURE APPEARS HERE
President
Aetna Insurance Company of America
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Exhibit 16(4)(b) | |||
Aetna Insurance Company of America | |||
[LOGO OF | Home Office: 151 Farmington Avenue | ||
AETNA | Hartford, Connecticut 06156 | ||
APPEARS | (800) 531-4547 | ||
HERE] | |||
You may call the toll-free number shown above to get answers to | |||
your questions or help to resolve a complaint. | |||
Aetna Insurance Company of America, herein called Aetna, agrees | |||
to pay the benefits stated in this Contract. | |||
Specifications | |||
- -------------------------------------------------------------------------------- | |||
Plan | |||
MARATHON PLUS | |||
- -------------------------------------------------------------------------------- | |||
Type of Plan | |||
FLEXIBLE PREMIUM ACCOUNT | |||
- -------------------------------------------------------------------------------- | |||
Contract Holder | |||
E.G. ANYBROKER | |||
- -------------------------------------------------------------------------------- | |||
Contract No. | |||
SPECIMEN | |||
- -------------------------------------------------------------------------------- | |||
Effective Date | |||
SEPTEMBER 1, 1993 | |||
- -------------------------------------------------------------------------------- | |||
This Contract is Delivered in YOUR STATE | and is Subject to the | ||
Laws of that Jurisdiction | |||
THE VARIABLE FEATURES OF THE GROUP CONTRACT ARE DESCRIBED IN PARTS III AND V. | |||
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 plus any increase or minus any | |||
decrease in the | current value of any funds allocated to the Separate Account. | ||
This page, the following pages, and the application make up the entire Contract. | |||
Signed at the Home Office on the Effective Date. | |||
/s/SIGNATURE APPEARS HERE | /s/SIGNATURE APPEARS HERE | ||
President | Secretary | ||
Group Variable, Fixed, or Combination Annuity Contract | |||
Nonparticipating | |||
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | |||
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | |||
FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY. | |||
<PAGE> | |||
Specifications | |||
- -------------------------------------------------------------------------------- | |||
Guaranteed | There is a guaranteed interest rate for Purchase | ||
Interest Rate | Payment(s) held in the MG Account. (See Contract | ||
Schedule I). | |||
- -------------------------------------------------------------------------------- | |||
Deductions from | There will be deductions for mortality and expense risks | ||
the Separate | and administrative fees. (See Contract Schedule I and | ||
Account | II). | ||
- -------------------------------------------------------------------------------- | |||
Deduction from | Purchase Payment(s) are subject to a deduction for | ||
Purchase Payment(s) | premium taxes, if any. (See 3.01). | ||
- -------------------------------------------------------------------------------- | |||
Surrender Fee | There will be a charge deducted upon surrender. (See | ||
Contract Schedule I). | |||
This Contract is a legal contract and constitutes the entire legal relationship | |||
between Aetna and the Contract Holder. |
Page 2 of 30
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
<PAGE>
Contract Schedule I
Accumulation Period
Separate Account
- --------------------------------------------------------------------------------
Separate Account: | Variable Annuity Account I | |
Charges to Separate | A daily charge is deducted from any portion of | |
Account: | the Current Value allocated to the Separate | |
Account. The deduction is the daily equivalent | ||
of the annual effective percentage shown in the | ||
following chart: | ||
Administrative Charge | 0.15% | |
Mortality Risk Charge | 0.35% | |
Expense Risk Charge | 0.90% | |
----- | ||
Total Separate Account Charges | 1.40% |
Marathon Guaranteed Account (MG Account)
- --------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate (effective
annual rate of return): 3.0%.
Separate Account and MG Account
- --------------------------------------------------------------------------------
Transfers: |
An unlimited number of Transfers may be made during the Accumulation Period. Aetna allows 12 free Transfers in any calendar year. Thereafter, Aetna reserves the right to charge $10 for each subsequent Transfer. |
Maintenance Fee: |
The annual Maintenance Fee is $30. 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. |
3
<PAGE>
Contract Schedule I (Continued)
Accumulation Period
Separate Account and MG Account (Cont'd)
- --------------------------------------------------------------------------------
Surrender Fee: | For each surrender, the Surrender Fee for each | |
Net Purchase Payment will be determined as | ||
follows: | ||
<TABLE> | ||
<CAPTION> | ||
Surrender Fee | ||
Length of Time from Deposit of Net | (as percentage of | |
Purchase Payment (Years) | Net Purchase Payment) | |
<S> | <C> | |
Less than 2 years | 7% | |
2 or more but less than 4 years | 6% | |
4 or more but less than 5 years | 5% | |
5 or more but less than 6 years | 4% | |
6 or more but less than 7 years | 3% | |
7 years or more | 0% | |
</TABLE> | ||
Systematic | The specified payment or specified percentage | |
Withdrawal Option | may not be greater than 10% of the Account's | |
(SWO): | Current Value at time of election. |
See 1. GENERAL DEFINITIONS for explanations.
4
<PAGE>
Contract Schedule II
Annuity Period
Separate Account
- -------------------------------------------------------------------------------
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Charges to Separate Account: |
A daily charge at an annual effective rate of 1.25% for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option. This charge will not exceed 0.25%. |
Variable Annuity Assumed Annual Net Return Rate: |
If a Variable Annuity is chosen, an assumed annual net return rate of 5.0% may be elected. If 5.0% is not elected, Aetna will use an assumed annual net return rate of 3.5%. The assumed annual net return rate factor for 3.5% per year is 0.9999058. The assumed annual net return rate factor for 5.0% per year is 0.9998663. If the portion of a Variable Annuity payment for any Fund is not to decrease, the Annuity return factor under the Separate Account for that Fund must be: (a) 4.75% on an annual basis plus an annual return of up to 0.25% to offset the administrative charge set at the time Annuity payments commence if an assumed annual net return rate of 3.5% is chosen; or (b) 6.25% on an annual basis plus an annual return of up to 0.25% to offset the administrative charge set at the time Annuity payments commence, if an assumed annual net return rate of 5% is chosen. |
Fixed Annuity
- --------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate (effective annual
rate of return): 3.0%
See 1. GENERAL DEFINITIONS for explanations.
5
<PAGE>
TABLE OF CONTENTS
I. GENERAL DEFINITIONS
- ---------------------------------------------------------------
Page
1.01 | Account | 9 | |
1.02 | Accumulation Period | 9 | |
1.03 | Adjusted Current Value | 9 | |
1.04 | Annuitant | 9 | |
1.05 | Annuity | 9 | |
1.06 | Beneficiary | 9 | |
1.07 | Certificate Holder | 9 | |
1.08 | Code | 9 | |
1.09 | Contract | 9 | |
1.10 | Contract Holder | 9 | |
1.11 | Current Value | 10 | |
1.12 | Deposit Period | 10 | |
1.13 | Fixed Annuity | 10 | |
1.14 | Fund(s) | 10 | |
1.15 | General Account | 10 | |
1.16 | Guaranteed Rates - MG Account | 10 | |
1.17 | Guaranteed Term | 10 | |
1.18 | Guaranteed Term(s) Groups | 10 | |
1.19 | Maintenance Fee | 11 | |
1.20 | Marathon Guaranteed Account (MG Account) | 11 | |
1.21 | Market Value Adjustment (MVA) | 11 | |
1.22 | Matured Term Value | 11 | |
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1.23 | Matured Term Value Transfer | 11 |
1.24 | Maturity Date | 11 |
1.25 | Net Purchase Payment(s) | 11 |
1.26 | Nonunitized Separate Account | 11 |
1.27 | Purchase Payment(s) | 11 |
1.28 | Reinvestment | 11 |
1.29 | Separate Account | 12 |
6
<PAGE>
Page | ||
1.30 | Surrender Value | 12 |
1.31 | Transfers | 12 |
1.32 | Valuation Period (Period) | 12 |
1.33 | Variable Annuity | 12 |
II. GENERAL PROVISIONS | ||
- ----------------------------------------------------------------- | ||
2.01 | Change of Contract | 12 |
2.02 | Change of Fund(s) | 13 |
2.03 | Nonparticipating Contract | 14 |
2.04 | Payments and Elections | 14 |
2.05 | State Laws | 14 |
2.06 | Control of Contract | 14 |
2.07 | Designation of Beneficiary | 14 |
2.08 | Misstatements and Adjustments | 15 |
2.09 | Incontestability | 15 |
2.10 | Grace Period | 15 |
2.11 | Individual Certificates | 15 |
III. PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS
- -----------------------------------------------------------------
3.01 | Net Purchase Payment | 15 |
3.02 | Certificate Holder's Account | 15 |
3.03 | Fund(s) Record Units -- Separate Account | 16 |
3.04 | Net Return Factor(s) -- Separate Account | 16 |
3.05 | Fund Record Unit Value -- Separate Account | 16 |
3.06 | Market Value Adjustment | 16 |
3.07 | Transfer of Current Value from the Funds or MG Account | 18 |
3.08 | Notice to the Certificate Holder | 18 |
3.09 | Loans | 18 |
3.10 | Systematic Withdrawal Option (SWO) | 18 |
3.11 | Death Benefit Amount | 20 |
3.12 | Death Benefit Options available to Beneficiary | 20 |
7
<PAGE>
Page | |||
3.13 | Liquidation of Surrender Value | 22 | |
3.14 | Surrender Fee | 22 | |
3.15 | Payment of Surrender Value | 23 | |
3.16 | Reinstatement | 23 | |
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Page 5 of 30
3.17 Payment of Adjusted Current Value
24
IV. ANNUITY PROVISIONS
- ----------------------------------------------------------------
4.01 | Choices to be Made | 24 |
4.02 | Terms of Annuity Options | 24 |
4.03 | Death of Annuitant/Beneficiary | 25 |
4.04 | Fund(s) Annuity Units -- Separate Account | 26 |
4.05 | Fund(s) Annuity Unit Value -- Separate Account | 27 |
4.06 | Annuity Net Return Factor(s) -- Separate Account | 27 |
4.07 | Annuity Options | 27 |
8
<PAGE>
I. |
GENERAL DEFINITIONS |
- |
-------------------------------------------------------------------------------- |
1.01 |
Account: |
1.02 |
Accumulation Period: |
1.03 |
Adjusted Current Value: |
1.04 |
Annuitant: |
1.05 |
Annuity: |
1.06 |
Beneficiary: |
1.07 |
Certificate Holder: |
1.08 |
Code: |
1.09 |
Contract |
1.10 |
Contract Holder: |
A record established for each Certificate Holder to maintain the value of all Net Purchase Payments held on his/her behalf during the Accumulation Period.
The period during which the Net Purchase Payment(s) are applied to an Account to provide future Annuity payment(s).
The Current Value of an Account plus or minus any aggregate MG Account MVA, if applicable. (See 1.21)
The person whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract.
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). |
The individual or estate entitled to receive any payment from the Account upon the death of the Annuitant.
A person who purchases an interest in this Contract as evidenced by a certificate. A Certificate Holder cannot be a nonnatural person (i.e. a trustee for a trust, an executor or administrator for an estate, or an incorporated or unincorporated business).
The Internal Revenue Code of 1986, as it may be amended from time to time.
This agreement between Aetna and the Contract Holder.
The entity to which the Contract is issued. The Contract is offered to:
(a) |
National Association of Securities Dealers, Inc. (``NASD'') member broker-dealers selected by Aetna, who have a minimum net capital of $250,000 or more, including broker-dealer subsidiaries of banks and savings and loan associations; |
(b) |
Employers who sponsor nonqualified benefit plans for their employees (exempt from ERISA Title I); |
(c) |
Entities that contribute to annuities on behalf of their customers; and |
(d) |
Custodians of custodial accounts and trustees of trusts that have been established for Individual Retirement Accounts under Code Section 408. |
9
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<PAGE>
1.11 Current Value:
1.12 Deposit Period:
1.13 Fixed Annuity:
1.14 |
Fund(s): |
1.15 |
General Account: |
1.16 |
Guaranteed Rates-- MG Account: |
1.17 Guaranteed Term:
1.18 Guaranteed Term(s) Groups:
<PAGE>
1.19 Maintenance Fee
1.20 Marathon Guaranteed Account (MG Account):
As of the most recent Valuation Period, the Net Purchase Payment and any additional amount deposited pursuant to 3.11 plus any interest added to the portion allocated to the MG Account; and plus or minus the investment experience of the portion allocated to the Funds since deposit; less all Maintenance Fees deducted, any amounts surrendered and any amounts applied to an Annuity.
A calendar week, a calendar month, a calendar quarter, or any other period of time specified by Aetna during which Net Purchase Payment(s), Transfers and Reinvestments are accepted into the MG Account for one or more Guaranteed Terms. Aetna reserves the right to extend the Deposit Period.
An Annuity with payments that do not vary in amount.
The open-end management investment companies (mutual funds) in which the Separate Account invests.
The Account holding the assets of Aetna, other than those assets held in Aetna's separate accounts.
Aetna will declare the interest rate(s) applicable to a specific Guaranteed Term at the start of the Deposit Period for that Guaranteed Term. The rate(s) are guaranteed by Aetna for the Deposit Period and the ensuing Guaranteed Term. The Guaranteed Rates are annual effective yields. That is, interest is credited daily at a rate that will produce the Guaranteed Rate over the period of a year. No Guaranteed Rate will ever be less than the Minimum Guaranteed Rate shown on Contract Schedule I.
For Guaranteed Terms of one year or less, one Guaranteed Rate is credited for the full Guaranteed Term. For longer Guaranteed Terms, an initial Guaranteed Rate is credited from the date of deposit to the end of a specified period within the Guaranteed Term. There may be different Guaranteed Rate(s) declared for subsequent specified time intervals throughout the Guaranteed Term.
The period of time for which MG Account Guaranteed Rates are guaranteed on Net Purchase Payments, Transfers and Reinvestments made into a current Deposit Period for the MG Account. Such period begins on the day following the close of the Deposit Period and ends on the designated Maturity Date. Guaranteed Terms are offered at Aetna's discretion for various lengths of time ranging up to and including ten years.
During a Deposit Period, Aetna may make available any number of Guaranteed Terms. The Certificate Holder may allocate Net Purchase Payments and Transfers into any or all of the available Guaranteed Terms.
All MG Account Guaranteed Term(s) with the same length of time from the close of the Deposit Period until the designated Maturity Date.
10
The Maintenance Fee (see Contract Schedule I) will be deducted during the Accumulation Period from the Current Value on each anniversary of the date the Account is established and upon surrender of the entire Account.
An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the MG Account.
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1.21 Market Value Adjustment | An adjustment to the amount withdrawn or | |
(MVA): | transferred from an MG Account Guaranteed Term | |
prior to the end of that Guaranteed Term. 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 3.06. The adjustment is | ||
expressed as a percentage of each dollar being | ||
withdrawn. | ||
1.22 Matured Term Value: | The amount payable on an MG Account Guaranteed | |
Term's Maturity Date. | ||
1.23 Matured Term Value | During the calendar month following an MG | |
Transfer: | Account Maturity Date, the Certificate Holder | |
may notify Aetna's Home Office in writing to | ||
Transfer or surrender all or part of the | ||
Matured Term Value, plus interest at the new | ||
Guaranteed Rate accrued thereon, from the MG | ||
Account without an MVA. This provision only | ||
applies to the first such written request | ||
received from the Certificate Holder during | ||
this period for any Matured Term Value. | ||
1.24 Maturity Date: | The last day of an MG Account Guaranteed Term. | |
1.25 Net Purchase Payment(s): | The Purchase Payment less premium taxes, as | |
applicable. | ||
1.26 Nonunitized Separate | A separate account set up by Aetna under Title | |
Account: | 38, Section 38a-433, of the Connecticut General | |
Statutes, that holds assets for MG Account | ||
Terms. There are no discrete units for this | ||
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. These assets may be chargeable with | ||
liabilities arising out of any other business | ||
of Aetna. | ||
1.27 Purchase Payment(s): | Payment(s) 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 or Certificate Holder. | ||
1.28 Reinvestment: | Aetna will mail a notice to the Certificate | |
Holder at least 18 calendar days before a | ||
Guaranteed Term's Maturity Date. This notice | ||
will contain the Terms available during the | ||
current Deposit Periods with their Guaranteed | ||
Rate(s) and projected Matured Term Value. If no | ||
specific direction is given by the Certificate | ||
Holder prior to the Maturity Date, each Matured | ||
Term Value will be reinvested in the current | ||
Deposit Period for a Guaranteed Term of the | ||
same duration. If a Guaranteed Term of | ||
11 | ||
<PAGE> | ||
1.28 Reinvestment (Cont'd): | the same duration is unavailable, each Matured | |
Term Value will automatically be reinvested in | ||
the current Deposit Period for the next | ||
shortest Guaranteed Term available. If no | ||
shorter Guaranteed Term is available, the next | ||
longer Guaranteed Term will be used. Aetna will | ||
mail a confirmation statement to the | ||
Certificate Holder the next business day after | ||
the Maturity Date. This notice will state the | ||
Guaranteed Term and Guaranteed Rate(s) which | ||
will apply to the reinvested Matured Term | ||
Value. | ||
1.29 Separate Account: | A separate account that buys and holds shares | |
of the Fund(s), income, gains or losses, | ||
realized or unrealized, are credited or charged | ||
to the Separate Account without regard to other | ||
income, gains or losses of Aetna. Aetna owns | ||
the assets held in the Separate Account and | ||
is not a trustee as to such amounts. This | ||
Separate Account generally is not guaranteed | ||
and is held at market value. The assets of the | ||
Separate Account, to the extent of reserves and | ||
other contract liabilities of the Account, | ||
shall not be charged with other Aetna | ||
liabilities. | ||
1.30 Surrender Value: | The amount payable by Aetna upon the surrender | |
of any portion of an Account. | ||
1.31 Transfers: | The movement of invested amounts among the | |
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Page 8 of 30
available Fund(s) and the MG Account under this Contract during the Accumulation Period. |
|
1.32 Valuation Period (Period): |
The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such day, or such other day that one or more of the Funds determines its net value. |
1.33 Variable Annuity: |
An Annuity with payments that vary with the net investment results of one or more Funds under the Separate Account. |
II. |
GENERAL PROVISIONS |
- |
-------------------------------------------------------------------------------- |
2.01 Change or Contract:
<PAGE>
2.01 Change of Contract (Cont'd):
2.02 Change of Fund(s):
Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.
Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. This applies to an initial Purchase Payment to establish a new Account or to subsequent Purchase Payments to existing Accounts under the Contract. No advance notice will be given to the Contract Holder or Certificate Holder.
12
Aetna may make any change that affects the MG Account Market Value Adjustment (3.06) with at least 30 days' advance written notice to the Contract Holder and the Certificate Holder. Any such change shall become effective for any new Term and will apply to all present and future Accounts.
Aetna reserves the right to change the terms of the Systematic Withdrawal option (3.10) for future elections and discontinue the availability of this option after proper notification.
Any change that affects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:
(a) |
Net Purchase Payment (1.25) |
(b) |
MG Account Guaranteed Rate (1.16) |
(c) |
Net Return Factor(s) -- Separate Account (3.04) |
(d) |
Current Value (1.11) |
(e) |
Surrender Value (1.30) |
(f) |
Funds(s) Annuity Unit Value -- Separate Account (4.05) |
(g) |
Annuity options (4.07) |
(h) |
Fixed Annuity interest Rates (4.01) |
(i) |
Transfers (1.31). |
Any change that affects the Annuity options and the tables for the options may be made:
(a) |
No earlier than 12 months after the effective date of this Contract; and |
(b) |
No earlier than 12 months after the effective date of any prior change |
Any Account established on or after the effective date or any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.
Aetna, or the Separate Account, may:
(a) |
Change the Fund(s) which may be invested in by the Separate Account; and |
(b) |
Replace the shares of any Fund(s) held in the Separate Account with shares of any other Fund(s). |
Changes must be:
(a) Approved by a majority vote in the Separate
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<PAGE>
2.02 Change of Fund(s) (Cont'd):
2.03 Nonparticipating Contract:
2.04 Payments and Elections:
2.05 State Laws:
2.06 Control of Contract:
2.07 Designation of Beneficiary:
<PAGE>
2.08 Misstatements and Adjustments:
2.09 |
Incontestability: |
2.10 |
Grace Period: |
2.11 Individual Certificates:
Page 9 of 30
Account with respect to the Fund(s) whose
shares are to be replaced; or
(b) |
Deemed necessary by Aetna under the Investment Company Act of 1940; or |
13 |
|
(c) |
Deemed necessary by Aetna to accomplish the purpose of the Separate Account. |
Aetna will notify the Contract Holder and the
Certificate Holder of any change.
The Contract Holder, Certificate Holders or
Beneficiaries will not have a right to share
in the earnings of Aetna.
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, any Annuity payments required
to be made will be paid in accordance with
4.03. Aetna will determine other payments
and/or elections as of the end of the Valuation
Period in which the request is received at its
Home Office. Such payments will be made within
7 calendar days of receipt at its Home Office
of a written claim for payment which is in good
order, except as provided in 3.15.
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.
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.
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. 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 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 to one or
more natural persons. Any assignment or transfer
made must be submitted to Aetna's Home Office in
writing and will not be effective until accepted
by Aetna.
Each Certificate Holder shall name his or her
Beneficiary. The Beneficiary may be changed at
any time. Changes to Beneficiary must be
submitted to Aetna's Home Office in writing and
will not be effective until accepted by Aetna.
14
If Aetna finds the age of any Annuitant to be
misstated, the correct facts will be used to
adjust payments.
Aetna cannot cancel this Contract because of
any error of fact on the application. Aetna
cannot cancel an Account because of any error
of fact on the enrollment form.
This Contract will remain in effect even if
Purchase Payments are not continued except as
provided in the Payment of Adjusted Current
Value provision (see 3.17).
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
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Page 10 of 30
not a part of the Contract.
III. |
PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
- |
------------------------------------------------------------------------------- |
3.01 Net Purchase Payment:
3.02 Certificate Holder's Account:
<PAGE>
This amount is the actual Purchase Payment less any premium tax. Aetna will generally deduct the premium tax when Annuity benefits are elected (see Part IV). If Aetna determines that under applicable state law, it must pay a premium tax when the Purchase Payment is received or at any other time, it will deduct the tax at that time.
The Net Purchase Payment will be credited among:
(a) |
The current Deposit Period(s) for Guaranteed Terms under the MG Account; and |
(b) |
The Fund(s) in which the Separate Account invests. |
For each Net Purchase Payment, the Certificate Holder shall tell Aetna the allocation percentage to be applied to the current Deposit Period for each of the available Guaranteed Terms in the MG Account and/or each Fund. If allocation instructions are not received along with any subsequent Net Purchase Payment, the allocation will be the same as that indicated on the original enrollment form. If the same Guaranteed Term is no longer available, the Net Purchase Payment will be allocated to the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.
Aetna will maintain an Account for each Certificate Holder.
Aetna will declare from time to time the acceptability and the minimum amount for additional Purchase Payments. Each Account will be subject to the Terms and Conditions of the Contract in effect at the time the first Purchase Payment for such Account is applied to the Contract except for changes made to comply with federal or state law.
15
3.03 Fund(s) Record Units -- Separate Account: |
The portion of the Net Purchase Payment(s) applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's Home Office. |
3.04 Net Return Factor(s) -- Separate Account: |
The net return factor(s) are used to compute all Separate Account record units for any Fund. The net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate. The net return rate is equal to: |
(a) |
The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus |
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) |
The total value of the Fund(s) record units and Fund(s) annuity units of the Separate Account at the start of the Valuation Period; minus |
(e) |
A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge. |
A |
net return rate may be more or less than 0%. |
The value of a share of the Fund is equal to
the net assets of the Fund divided by the
number of shares outstanding.
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3.05 Fund Record Unit
Value -- Separate Account:
3.06 Market Value
Adjustment:
<PAGE>
3.06 Market Value Adjustment (Cont'd):
Page 11 of 30
A Fund record unit value is computed by
multiplying the net return factors for the
current Valuation Period by the Fund record
unit value for the previous Period. The dollar
value of Fund record units, Separate Account
assets, and Variable Annuity payments may go up
or down due to investment gain or loss.
There will be an MVA for a withdrawal from the
MG Account before the end of a Guaranteed Term
when the withdrawal is due to:
(a) |
A Transfer; except as specified in MG Account Matured Term Value Transfer; |
(b) |
A full or partial surrender, including a 10% free withdrawal under 3.14; or |
(c) |
An election of Annuity option 2 (see 4.07). |
Full and partial surrenders and Transfers made
within six months after the date of the
Annuitant's death will be the greater of:
16
(a) |
The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. |
This total may be greater or less than the Current Value of those amounts; or |
|
(b) |
The applicable portion of the Current Value in the MG Account. |
After the six-month period, the surrender or
Transfer will be the aggregate MVA amount,
which may be greater or less than the Current
Value of those amounts.
The greater of the aggregate MVA amount or the
applicable portion of the Current Value applies
amounts withdrawn from the MG Account on
account of an election of Annuity options 3 or
4 (see 4.07).
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 Term. |
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 Term. |
(b) |
The Deposit Period Yield is the average of 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
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<PAGE>
3.07 Transfer of Current Value from the Funds or MG
Account:
3.08 Notice to the Certificate Holder:
3.09 |
Loans: |
3.10 |
Systematic Withdrawal Option (SWO): |
<PAGE>
3.10 Systematic Withdrawal Option (SWO)(Cont'd):
Page 12 of 30
Guaranteed Term exist, Aetna reserves the
right to use the U.S. Treasury Notes that
mature in the following quarter.
17
Before an Annuity option is elected, all or
any portion of the Adjusted Current Value of
the Certificate Holder's Account may be
transferred from any Fund or Guaranteed Term
of the MG Account:
(a) |
To any other Fund; or |
(b) |
To any Guaranteed Term of the MG Account available in the current Deposit Period. |
Transfer requests can be submitted as a
percentage or as a dollar amount, Aetna may
establish a minimum transfer amount. Within
a Guaranteed Term Group, the amount to be
surrendered or transferred will be withdrawn
first from the oldest Deposit Period, then
from the next oldest, and so on until the
amount requested is satisfied.
The Certificate Holder may make an unlimited
number of Transfers during the Accumulation
Period. The number of free Transfers allowed by
Aetna is shown on Contract Schedule I.
Additional Transfers may be subject to a
Transfer fee as shown on Contract Schedule I.
Transfers from the MG Account of a Matured Term
Value on or within one calendar month of a
Term's Maturity Date do not count against the
annual Transfer limit.
Amounts applied to Guaranteed Terms of the MG
Account may not be transferred to the Funds or
to another Guaranteed Term during the Deposit
Period or for 90 days after the close of the
Deposit Period except for Matured Term
Value (s) during the calendar month following
the Term's Maturity Date.
Transfers from Guaranteed Terms of the MG
Account are subject to the MVA provisions of
3.06.
The Certificate Holder will receive quarterly
statements from Aetna of:
(a) |
The value of any amounts held in: (1) The MG Account; and (2) The Fund(s) under the Separate |
Account.
(b) |
The number of any Fund(s) record units; and |
(c) |
The Fund(s) record unit value. |
Such number or values will be as of a specific
date no more than 60 days before the date of
the notice.
Loans are not available under this Contract.
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 on the Account's
full Current Value. The distributed amount is
withdrawn pro rata from each investment option
under the Account. A Surrender Fee will not be
deducted from any portion of the Adjusted
Current Value which is paid as a distribution
under SWO.
18
Certificate Holders should consult their tax
adviser prior to requesting this distribution
option. Aetna will not be responsible for any
adverse tax consequences due to receiving SWO
payments.
(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
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<PAGE>
3.10 Systematic Withdrawal Option (SWO)(Cont'd):
3.11 Death Benefit Amount:
Page 13 of 30
percentage of the Current Value at time
of election as shown on Contract
Schedule I. 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 of the
Current Value at the time of election
as 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
3.12.
(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 Account balance. |
(c) |
Date of Distribution: The Certificate Holder shall specify the initial distribution date. The earliest date for distribution is the date on which the Certificate Holder attains age 59 1/2. As elected by the Certificate Holder, SWO payments will be made on a monthly, quarterly, semi-annual or annual basis. 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 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. Once |
elected, |
this option may be revoked by the |
Certificate |
Holder or spousal Beneficiary, |
if |
elected after the Certificate |
19 |
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.
If the Certificate Holder or Annuitant dies
before Annuity payments start, the Beneficiary
is entitled to a death benefit under the
Account. 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.
The amount of the death benefit is determined
as follows:
(a) |
Death or Annuitant less than 75 years of age: The guaranteed death benefit is the greatest of: |
(1) The gross sum of all Purchase
Payment(s) made to the Account (as of
the date of death) minus the sum of all
amounts surrendered, applied to an
Annuity, of deducted from the Account;
(2) The step up value as of the date of
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3.12 Death Benefit Options available to Beneficiary:
<PAGE>
3.12 Death Benefit Options available to Beneficiary (Cont'd):
Page 14 of 30
death plus all Net Purchase Payments
made to the Account, minus the total of
all partial surrenders, amounts applied
to an Annuity and deductions made from
the Account since determination of the
step up value. The step up value is the
Current Value on the most recent
seventh year anniversary of the date
the first Net Purchase Payment is
applied to the Account;
(3) The Account's Current Value as of the
date of death.
The excess, if any, of the guaranteed death
benefit value over the Account's Current
Value is determined as of the date of
death. Any excess amount will be deposited
to the Account and allocated to Aetna
Variable Encore Fund as of the claim date.
The Current Value on the claim date plus
any excess amount deposited becomes the
Account's Current Value.
(b) |
Death or Annuitant age 75 or greater: The Death benefit amount is the Account Current Value on the claim date. |
(c) |
Death of the Certificate Holder if the Certificate Holder is not the Annuitant: The death benefit amount is the Account's Adjusted Current Value on the claim date. A |
Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I). |
Prior to any election, or until amounts must be
otherwise distributed under this section, the
Current Value of the Account will be retained
in the Account. The Beneficiary has the right
under the Account to allocate or reallocate any
amount to any of the available investment
options (subject to an MVA, as applicable). The
following options are available to the
Beneficiary:
20
(a) |
When the Certificate Holder is the Annuitant: If the Certificate Holder/ Annuitant dies, and: |
(1) If the Beneficiary is the Certificate
Holder's surviving spouse, the
Beneficiary will be the successor
Certificate Holder of the Account on
Aetna's records. Such successor
Certificate Holder may exercise all
Certificate Holder rights under the
Contract and continue in the
Accumulation Period, or may elect (i),
(ii), or (iii) below. Under the Code,
distributions from the Account are not
required until the successor
Certificate Holder's death. The
Beneficiary may elect to:
(i) Apply some or all of the Adjusted
Current Value of the Account to
Annuity option 2, 3 or 4 (see
4.07);
(ii) Apply some or all of the | ||
Adjusted Current Value of the | ||
Account to Annuity option 1 | ||
(see 4.07); or | ||
(iii) Receive, at any time, a lump sum | ||
payment equal to the Adjusted | ||
Current Value of the Account. | ||
(2) | If the Beneficiary is other than the | |
Certificate Holder's surviving | ||
spouse, the options (i), (ii), or | ||
(iii) under (1) above apply. Any | ||
portion of the Adjusted Current | ||
Value of the Account not applied | ||
to Annuity option 2, 3 or 4 within | ||
one year of the Certificate Holder's | ||
death, must be distributed within | ||
five years of the date of death. | ||
(3) | If no Beneficiary exists, a lump sum | |
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3.12 Death Benefit Options available to Beneficiary (Cont'd):
3.13 Liquidation of Surrender Value:
3.14 Surrender Fee:
Page 15 of 30
payment equal to the Adjusted
Current Value will be made to the
Certificate Holder's estate.
(b) |
When the Certificate Holder is not the |
||
Annuitant |
and the Certificate Holder dies, |
||
and: | |||
(1) |
If the Beneficiary is the Certificate |
||
Holder's |
surviving spouse, the |
||
Beneficiary |
will be the successor |
||
Certificate |
Holder of the Account on |
||
Aetna's |
records. Such successor |
||
Certificate |
Holder may exercise all |
||
Certificate |
Holder rights under the |
||
Contract |
and continue in the |
||
Accumulation |
Period, or may elect |
||
(i), |
(ii), or (iii) below. Under the |
||
Code, |
distributions from the Account |
||
are |
not required until the successor |
||
Certificate |
Holder's death. The |
||
Beneficiary |
may elect to: |
||
(i) |
Apply some or all of the Adjusted Current Value of the Account to Annuity option 2, 3 or 4 (see 4.07); |
||
(ii) |
Apply some or all of the Surrender Value of the Account to Annuity option 1 (see 4.07); or |
||
21 | |||
(iii) |
Receive, at any time, a lump sum payment equal to the Surrender Value of the Account. |
||
(2) |
If the Beneficiary is other than the |
||
Certificate |
Holder's surviving |
||
spouse, |
then options (i), (ii), or |
||
(iii) |
under (1) above apply. Any |
||
portion |
of the Adjusted Current |
||
Value |
of the Account not applied to |
||
Annuity |
option 2, 3 or 4 within one |
||
year |
of the Certificate Holder's |
||
death |
will be subject to a Surrender |
||
Fee, |
if applicable, and must be |
||
distributed |
within five years of the |
||
date |
of death. |
||
(3) |
If no Beneficiary exists, a lump sum |
||
payment |
equal to the Surrender Value |
||
will |
be made to the Certificate |
||
Holder's |
estate. |
||
(c) |
When the Certificate Holder is not the |
||
Annuitant |
and the Annuitant dies: The |
||
Beneficiary |
must elect Annuity option 2, 3 |
||
or |
4 within 60 days of the date of death |
||
or |
the gain, if any, will be includable in |
||
the |
Beneficiary's income in the tax year |
||
in |
which the Annuitant dies. |
All or any portion of the Account's Adjusted
Current Value may be surrendered at any time.
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 Fund(s) and/or the Guaranteed
Term(s) Groups of the MG Account in which the
Current Value is invested. Within a Guaranteed
Term Group, the amount to be surrendered or
transferred 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, if
applicable, the surrendered amount shall be
reduced by a Surrender Fee, if applicable.
The Surrender Fee only applies to the Net
Purchase Payment(s) portion surrendered and
varies according to the elapsed time since
deposit (see Contract Schedule I). Net
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Purchase Payment amounts are withdrawn in | ||
the same order they were applied. | ||
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, up to | ||
a maximum of the aggregate Net Purchase | ||
Payment(s) minus the total of all partial | ||
surrenders, amounts applied to an Annuity | ||
and deductions made prior to the | ||
Annuitant's date of death; | ||
(b) | As a premium for an Annuity option 2, 3 or | |
4 under this Contract (see 4.07); | ||
(c) | As a distribution under the SWO provision | |
(see 3.10); | ||
22 | ||
<PAGE> | ||
3.14 Surrender Fee (Cont'd): | (d) At least 12 months after the date of the | |
first Purchase Payment to the Account, in | ||
an amount equal to or less than 10% of the | ||
Current Value. 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; | ||
(f) By Aetna under 3.17; or | ||
(g) If the Annuitant has spent at least 45 | ||
consecutive days in a licensed nursing care | ||
facility and each of the following | ||
conditions are met; | ||
(1) more than one calendar year has elapsed | ||
since the date the certificate was | ||
issued; and | ||
(2) the surrender is requested within 3 | ||
years of admission to a licensed | ||
nursing care facility. | ||
This waiver does not apply if the Annuitant | ||
was in a nursing care facility at the time | ||
the certificate was issued. |
3.15 Payment of Surrender Value: Under certain emergency conditions, Aetna may defer payment:
(a) |
For a period of up to 6 months (unless not allowed by state law); or |
(b) |
As provided by federal law. |
3.16 Reinstatement: |
All or a portion of the proceeds of a full surrender of an Account may be reinvested within 30 days after the surrender. Any Maintenance Fee and Surrender Fee charged at the time of surrender on the amount being reinvested will be included in the reinstatement. Any Market Value Adjustment(s) deducted from surrenders will not be included in the reinstatement. Amounts will be reinstated among the MG Account and the Funds in the Separated Account in the same proportion as they were at the time of surrender. Any amounts reinstated to the MG Account will be credited to the Guaranteed Terms available during the current Deposit Period in the same proportion as they were at the time of surrender. In the event that a Guaranteed Term of the same duration is unavailable, amounts will be reinvested in the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used. The number of |
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<PAGE>
3.16 Reinstatement (Cont'd):
3.17 Payment of Adjusted Current Value:
Page 17 of 30
Fund(s) Record Units reinstated will be based
on the Record Unit Value(s) next computed after
receipt at Aetna's Home Office of the
reinstatement request and the amount to be
reinstated.
23
Any Maintenance Fee which falls due after the
surrender and before the reinstatement will be
deducted from the amount reinstated.
Any Account(s) surrendered because the Current
Value was less than $2,500 immediately
following any partial surrender may not be
reinstated (see 3.17).
Reinstatement of an Account is permitted only
once.
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.
Aetna does not intend to exercise this right in
cases where an Account Current Value is reduced
to $2,500 of less solely due to investment
performance. A Surrender Fee will not be
deducted from the Adjusted Current Value. This
terminated Adjusted Current Value of an Account
may not be reinstated.
IV. |
ANNUITY PROVISIONS |
- |
-------------------------------------------------------------------------------- |
4.01 Choices to be Made:
4.02 Terms of Annuity Options:
<PAGE>
4.02 Terms of Annuity Options (Cont'd):
The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax) for an Annuity under option 2, 3, or 4 (see 4.07). The first Annuity payment may not be earlier than one calendar year after the initial Purchase Payment nor later than the later of:
(a) |
The first day of the month following the Annuitant's 85th birthday; of |
(b) |
The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may tell Aetna to make a lump sum payment. |
When an Annuity Option is chosen, Aetna must also be told if payments are to be made other than monthly and whether to pay:
(a) |
A Fixed Annuity using the General Account; |
(b) |
A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or |
(c) |
A combination of (a) and (b). |
If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect higher interest rates. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).
(a) |
When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95. |
24 |
|
(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 a Fixed Annuity under option 2,3 or 4 is |
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4.03 Death of Annuitant/ Beneficiary:
<PAGE>
4.03 Death of Annuitant/ Beneficiary (Cont'd):
Page 18 of 30
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 a Variable Annuity or the |
|
payments |
for a Fixed 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 from |
|
July |
1, 1993 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 3 |
|
and |
4 based on mortality from 1983 |
|
Table |
a. |
|
(e) |
Assumed Annual Net Return Rate is the |
|
interest |
rate used to determine the amount |
|
of |
the first Annuity payment under a |
|
Variable |
Annuity as shown on Contract |
|
Schedule |
II. The Separate Account must earn |
|
this |
rate plus enough to cover the |
|
mortality |
and expense risks charges (which |
|
may |
include profit) and administrative |
|
charges |
if future Variable Annuity Payments |
|
are |
to remain level, (see Annuity return |
|
factor |
under Variable Annuity Assumed |
|
Annual |
Net Return Rate on Contract Schedule |
|
II) |
. |
|
(f) |
Once elected, Annuity payments cannot be |
|
commuted |
to a lump sum except for Variable |
|
Annuity |
payments under option 2 (see 4.07). |
|
The |
life expectancy of the Annuitant or the |
|
Annuitant |
and second Annuitant shall be |
|
irrevocable |
upon the election of an Annuity |
|
option. | ||
(a) |
Certificate Holder is Annuitant: When the |
|
Certificate |
Holder is the Annuitant and the |
|
Annuitant |
dies under option 2 or 3, or both |
|
the |
Annuitant and the second Annuitant |
|
die |
under option 4(d), the present value of |
|
any |
remaining guaranteed payments will be |
|
paid |
in one sum to the Beneficiary, or upon |
|
election |
by the Beneficiary, any remaining |
|
payments |
will continue to the Beneficiary. |
|
If |
option 4 has been elected and the |
|
Certificate |
Holder dies, the remaining |
|
payments |
will continue to the successor |
|
payee. |
If no successor payee has been |
|
designated,the |
Beneficiary will be treated |
|
as |
the successor payee. |
|
25 | ||
(b) |
Certificate Holder is Not Annuitant: When |
|
the |
Certificate Holder is not the Annuitant |
|
and |
the Certificate Holder dies, the |
|
remaining |
payments under options 2, 3 or 4 |
|
will |
continue to the successor payee. If |
|
no |
successor payee has been designated, the |
|
Beneficiary |
will be treated as the |
|
successor |
payee. |
|
If |
the Annuitant dies under option 2 or 3, |
|
or |
if both the Annuitant and the second |
|
Annuitant |
die under option 4(d), the |
|
present |
value of any remaining guaranteed |
|
payments |
will be paid in one sum to the |
|
Beneficiary, |
or upon the election by the |
|
Beneficiary, |
any remaining payments will |
|
continue |
to the Beneficiary. If option 4 |
|
has |
been elected, and the Annuitant dies, |
|
the |
remaining payments will continue to the |
|
Certificate |
Holder. |
|
(c) |
No Beneficiary Named/Surviving: If there is |
|
no |
Beneficiary under option 2, 3, or 4, the |
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4.04 Fund(s) Annuity Units --Separate Account:
<PAGE>
4.04 Fund(s) Annuity Units--Separate Account (Cont'd):
4.05 Fund(s) Annuity Unit Value--Separate Account:
4.06 Annuity Net Return Factor(s)--Separate Account:
Page 19 of 30
present value of any remaining payments
will be paid in one sum to the Certificate
Holder, or if the Certificate Holder is not
living, then to the Certificate Holder's
estate.
(d) |
If the Beneficiary designated under option 1 dies, the amount held plus accrued interest will be paid in one sum to a successor Beneficiary, if any, named by the designated Beneficiary. If there is no successor Beneficiary, the lump sum will be paid to the designated Beneficiary's estate. |
(e) |
If the Beneficiary or the successor payee dies while receiving Annuity payments, the present value of any remaining guaranteed payments will be paid in one sum to the successor Beneficiary/payee, or upon election by the successor Beneficiary/payee, any remaining payments will continue to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary's/payee's estate. |
(f) |
The present value will be determined as of the Valuation Period in which proof of death acceptable to Aetna and a request for |
payment |
is received at Aetna's Home Office. |
The |
interest rate used to determine the |
first |
payment will be used to calculate the |
present |
value. |
The number of each Fund's Annuity Units is
based on the amount of the first Variable
Annuity payment which is equal to:
(a) |
The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); divided by |
(b) |
1,000; multiplied by |
(c) |
The payment rate for the option chosen. |
Such amount, or portion, of the variable
payment will be divided by the appropriate Fund
Annuity unit value (see 4.05) on the tenth
Valuation Period before the due date of the
first payment to determine the number of each
Fund Annuity units. The
26
number of each Fund Annuity units remains fixed.
Each future payment is equal to the sum of the
products of each Fund Annuity unit value
multiplied by the appropriate number of units.
The Fund Annuity unit value of the tenth
Valuation Period prior to the date of the
payment is used.
For any Valuation Period, a Fund Annuity unit
is equal to:
(a) |
The value for the previous Period; multiplied by |
(b) |
The Annuity net return factor(s) (see 4.06 below) for the Period; multiplied by |
(c) |
A factor to reflect the assumed annual net return rate (see Contract Schedule II). |
The dollar value of a Fund Annuity unit values
and Annuity payments may go up or down due to
investment gain or loss.
The Annuity net return factor(s) are used to
compute all Separate Account Annuity Payments
for any Fund.
The Annuity net return factor(s) for each Fund
is equal to 1.0000000 plus the net return rate.
The net return rate is equal to:
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(a) |
The value of the shares of the Fund held |
|
by |
the Separate Account at the end of a |
|
Valuation |
Period; minus |
|
(b) |
The value of the shares of the Fund held |
|
by |
the Separate Account at the start of |
|
the |
Valuation Period; plus or minus |
|
(c) |
Taxes (or reserves for taxes) on the |
|
Separate |
Account (if any); divided by |
|
(d) |
The total value of the Fund(s) record |
|
units |
and Fund(s) Annuity units of the |
|
Separate |
Account at the start of the |
|
Valuation |
Period; minus |
|
(e) |
A daily charge for Annuity mortality and |
|
expense |
risks, which may include profit, |
|
and |
a daily administrative charge (at the |
|
annual |
rate as shown on Contract Schedule |
|
II) |
. |
|
A |
net return rate may be more or less than 0%. |
The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding. Payments shall not be changed due to changes in the mortality or expense results or administrative charges. |
|
4.07 Annuity Options: |
Option 1 -- Payment of Interest on Sum Left with Aetna -- This option may be used only by the Beneficiary when the Certificate Holder dies before Aetna has started paying an Annuity. A portion or all of the sum paid upon death may be held under this option and will be held in the General Account of Aetna at interest (see 4.01). The Beneficiary may later tell Aetna to: |
(a) |
Pay a portion or all of the sum held by Aetna; or |
(b) |
Apply a portion or all of the sum held by Aetna to any Annuity option below. |
27 |
|
<PAGE> 4.07 Annuity Options (Cont'd): |
If a nonspouse Beneficiary elects that some or all of the Current Value is to be held under this option, the Beneficiary must tell Aetna to pay the full sum held under this option within 5 years of the date of death. Option 2--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 5 and not more than 30. If payments for this option are made under a Variable Annuity the present value of any remaining payments may be withdrawn at any time. If a withdrawal is requested within 3 years after the start of payments, it will be treated as a surrender and any applicable Surrender Fee will be applied (see 3.14). 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 3--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 4--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, a choice must be made of: (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 |
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Annuitant.
Other Options--Aetna may take other
options available as allowed by the laws of the
state in which this Contract and the
Certificate is delivered.
28
<PAGE>
OPTION 2
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%
<TABLE> |
<CAPTION> |
- -------------------------------------------------------------------------------- |
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
- --------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> |
3 | 3.00% | $ 28.99 | $ 86.76 | $ 172.88 | $ 343.23 |
4 | 3.00% | 22.06 | 66.02 | 131.56 | 261.19 |
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 |
- -------------------------------------------------------------------------------- |
</TABLE> |
29
<PAGE>
OPTION 3
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%
<TABLE> | ||||||
<CAPTION> | ||||||
Payments Guaranteed for a Stated Period of Months | ||||||
------------------------------------------------- | ||||||
- -------------------------------------------------------------------------------- | ||||||
Adjusted | None | 60 | 120 | 180 | 240 | |
Age of | ||||||
Annuitant | ||||||
- -------------------------------------------------------------------------------- | ||||||
<S> | <C> | <C> | <C> | <C> | <C> | |
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 | |
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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.
30
<PAGE>
OPTION 4
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%
<TABLE>
<CAPTION>
-------------------------------------------------------------------------------- Adjusted Ages
----------------------
Second | ||||||
Annuitant | Annuitant | Option 4a | Option 4b | Option 4c | Option 4d | Option 4e |
- --------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
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 |
- --------------------------------------------------------------------------------</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.
31
<PAGE>
OPTION 2
Payments for a Stated Period of Time
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
<TABLE>
<CAPTION>
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
- -------------------------------------------------------------------------------- | |||||
Monthly | Quarterly | Semi-Annual | Annual | ||
Years | Payment | Payment | Payment | Payment | |
- -------------------------------------------------------------------------------- | |||||
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Page 23 of 30
<S> | <C> | <C> | <C> | <C> |
3 | $ 29.19 | $ 87.33 | $ 173.91 | $ 344.86 |
4 | 22.27 | 66.61 | 132.65 | 263.04 |
5 | 18.12 | 54.19 | 107.92 | 213.99 |
6 | 15.35 | 45.92 | 91.44 | 181.32 |
7 | 13.38 | 40.01 | 79.69 | 158.01 |
8 | 11.90 | 35.59 | 70.88 | 140.56 |
9 | 10.75 | 32.16 | 64.05 | 127.00 |
10 | 9.83 | 29.42 | 58.59 | 116.18 |
11 | 9.09 | 27.18 | 54.18 | 107.34 |
12 | 8.46 | 25.32 | 50.42 | 99.98 |
13 | 7.94 | 23.75 | 47.29 | 93.78 |
14 | 7.49 | 22.40 | 44.62 | 88.47 |
15 | 7.10 | 21.24 | 42.31 | 83.89 |
16 | 6.76 | 20.23 | 40.29 | 79.89 |
17 | 6.47 | 19.34 | 38.51 | 76.37 |
18 | 6.20 | 18.55 | 36.94 | 73.25 |
19 | 5.97 | 17.85 | 35.54 | 70.47 |
20 | 5.75 | 17.22 | 34.28 | 67.98 |
21 | 5.56 | 16.65 | 33.15 | 65.74 |
22 | 5.39 | 16.13 | 32.13 | 63.70 |
23 | 5.24 | 15.66 | 31.19 | 61.85 |
24 | 5.09 | 15.24 | 30.34 | 60.17 |
25 | 4.96 | 14.85 | 29.56 | 58.62 |
26 | 4.84 | 14.49 | 28.85 | 57.20 |
27 | 4.73 | 14.15 | 28.19 | 55.90 |
28 | 4.63 | 13.85 | 27.58 | 54.69 |
29 | 4.53 | 13.57 | 27.02 | 53.57 |
30 | 4.45 | 13.30 | 26.49 | 52.53 |
- -------------------------------------------------------------------------------- |
</TABLE> |
32
<PAGE>
OPTION 2
Payments for a Stated Period of Time
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
<TABLE>
<CAPTION>
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
- --------------------------------------------------------------------------------
Monthly | Quarterly | Semi-Annual | Annual | |
Years | Payment | Payment | Payment | Payment |
- --------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> |
3 | $ 29.80 | $ 89.04 | $ 176.99 | $ 349.72 |
4 | 22.89 | 68.38 | 135.93 | 268.58 |
5 | 18.74 | 56.00 | 111.33 | 219.98 |
6 | 15.99 | 47.77 | 94.96 | 187.64 |
7 | 14.02 | 41.90 | 83.30 | 164.59 |
8 | 12.56 | 37.52 | 74.58 | 147.35 |
9 | 11.42 | 34.11 | 67.81 | 133.99 |
10 | 10.51 | 31.40 | 62.42 | 123.34 |
11 | 9.77 | 29.19 | 58.03 | 114.66 |
12 | 9.16 | 27.36 | 54.38 | 107.45 |
13 | 8.64 | 25.81 | 51.31 | 101.39 |
14 | 8.20 | 24.50 | 48.69 | 96.21 |
15 | 7.82 | 23.36 | 46.44 | 91.75 |
16 | 7.49 | 22.37 | 44.47 | 87.88 |
17 | 7.20 | 21.51 | 42.75 | 84.48 |
18 | 6.94 | 20.74 | 41.23 | 81.47 |
19 | 6.71 | 20.06 | 39.88 | 78.80 |
20 | 6.51 | 19.46 | 38.68 | 76.42 |
21 | 6.33 | 18.91 | 37.59 | 74.28 |
22 | 6.17 | 18.42 | 36.62 | 72.35 |
23 | 6.02 | 17.98 | 35.73 | 70.61 |
24 | 5.88 | 17.57 | 34.93 | 69.02 |
25 | 5.76 | 17.20 | 34.20 | 67.57 |
26 | 5.65 | 16.87 | 33.53 | 66.25 |
27 | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.28 | 15.77 | 31.35 | 61.95 |
- -------------------------------------------------------------------------------- |
</TABLE> |
33
<PAGE>
OPTION 3
Life Income
Amount of First Monthly Payment for Each $1,000
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After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months |
------------------------------------------------- |
<TABLE> |
<CAPTION> |
- -------------------------------------------------------------------------------- |
Adjusted | |||||
Age of | None | 60 | 120 | 180 | 240 |
Annuitant |
- --------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> |
50 | $ 4.34 | $ 4.34 | $ 4.31 | $ 4.27 | $ 4.22 |
51 | 4.41 | 4.40 | 4.38 | 4.33 | 4.27 |
52 | 4.48 | 4.47 | 4.45 | 4.40 | 4.32 |
53 | 4.56 | 4.55 | 4.52 | 4.46 | 4.38 |
54 | 4.64 | 4.63 | 4.59 | 4.53 | 4.44 |
55 | 4.72 | 4.71 | 4.67 | 4.60 | 4.50 |
56 | 4.81 | 4.80 | 4.75 | 4.67 | 4.56 |
57 | 4.91 | 4.89 | 4.84 | 4.75 | 4.62 |
58 | 5.01 | 4.99 | 4.93 | 4.83 | 4.69 |
59 | 5.12 | 5.10 | 5.03 | 4.92 | 4.75 |
60 | 5.23 | 5.21 | 5.13 | 5.00 | 4.82 |
61 | 5.36 | 5.33 | 5.24 | 5.09 | 4.88 |
62 | 5.49 | 5.45 | 5.35 | 5.19 | 4.95 |
63 | 5.63 | 5.59 | 5.47 | 5.28 | 5.02 |
64 | 5.78 | 5.73 | 5.60 | 5.38 | 5.08 |
65 | 5.94 | 5.89 | 5.73 | 5.48 | 5.15 |
66 | 6.11 | 6.05 | 5.87 | 5.58 | 5.21 |
67 | 6.29 | 6.22 | 6.02 | 5.69 | 5.27 |
68 | 6.49 | 6.41 | 6.17 | 5.79 | 5.33 |
69 | 6.70 | 6.60 | 6.33 | 5.90 | 5.38 |
70 | 6.92 | 6.81 | 6.49 | 6.00 | 5.43 |
71 | 7.17 | 7.04 | 6.66 | 6.10 | 5.48 |
72 | 7.43 | 7.27 | 6.84 | 6.20 | 5.52 |
73 | 7.71 | 7.53 | 7.02 | 6.30 | 5.55 |
74 | 8.02 | 7.80 | 7.20 | 6.39 | 5.59 |
75 | 8.35 | 8.08 | 7.38 | 6.48 | 5.62 |
- -------------------------------------------------------------------------------- |
</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.
34
<PAGE>
OPTION 3
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period of Months | ||||||
------------------------------------------------- | ||||||
<TABLE> | ||||||
<CAPTION> | ||||||
- -------------------------------------------------------------------------------- | ||||||
Adjusted | ||||||
Age of | None | 60 | 120 | 180 | 240 | |
Annuitant | ||||||
- -------------------------------------------------------------------------------- | ||||||
<S> | <C> | <C> | <C> | <C> | <C> | |
50 | $ 5.26 | $ 5.25 | $ 5.22 | $ 5.17 | $ 5.11 | |
51 | 5.33 | 5.32 | 5.28 | 5.23 | 5.15 | |
52 | 5.40 | 5.38 | 5.34 | 5.29 | 5.20 | |
53 | 5.47 | 5.45 | 5.41 | 5.35 | 5.26 | |
54 | 5.54 | 5.53 | 5.48 | 5.41 | 5.31 | |
55 | 5.63 | 5.61 | 5.56 | 5.47 | 5.36 | |
56 | 5.71 | 5.69 | 5.63 | 5.54 | 5.42 | |
57 | 5.80 | 5.78 | 5.72 | 5.61 | 5.47 | |
58 | 5.90 | 5.88 | 5.81 | 5.69 | 5.53 | |
59 | 6.01 | 5.98 | 5.90 | 5.77 | 5.59 | |
60 | 6.12 | 6.09 | 6.00 | 5.85 | 5.65 | |
61 | 6.24 | 6.21 | 6.10 | 6.93 | 5.71 | |
62 | 6.37 | 6.33 | 6.21 | 6.02 | 5.77 | |
63 | 6.51 | 6.46 | 6.33 | 6.11 | 5.83 | |
64 | 6.66 | 6.60 | 6.45 | 6.20 | 5.89 | |
65 | 6.82 | 6.75 | 6.57 | 6.30 | 5.95 | |
66 | 6.99 | 6.91 | 6.71 | 6.39 | 6.01 | |
67 | 7.17 | 7.08 | 6.85 | 6.49 | 6.06 | |
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68 | 7.36 | 7.27 | 6.99 | 6.59 | 6.12 |
69 | 7.57 | 7.46 | 7.15 | 6.69 | 6.17 |
70 | 7.80 | 7.67 | 7.30 | 6.78 | 6.21 |
71 | 8.05 | 7.89 | 7.47 | 6.88 | 6.25 |
72 | 8.31 | 8.13 | 7.64 | 6.97 | 6.29 |
73 | 8.59 | 8.38 | 7.81 | 7.06 | 6.33 |
74 | 8.90 | 8.64 | 7.99 | 7.15 | 6.36 |
75 | 9.23 | 8.93 | 8.16 | 7.23 | 6.38 |
- --------------------------------------------------------------------------------</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.
35
<PAGE>
OPTION 4
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 Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> |
<CAPTION> |
- -------------------------------------------------------------------------------- |
Adjusted Ages |
- ----------------------- |
Second |
Annuitant Annuitant Option 4a Option 4b Option 4c Option 4d Option 4e |
- -------------------------------------------------------------------------------- |
<S> | <C> | <C> | <C> | <C> | <C> | <C> | ||
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.31 | ||
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.42 | ||
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.48 | ||
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.70 | ||
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.84 | ||
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 4.93 | ||
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.22 | ||
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.42 | ||
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 5.54 | ||
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 5.93 | ||
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.23 | ||
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 6.40 | ||
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 6.95 | ||
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.40 | ||
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 7.64 |
- -------------------------------------------------------------------------------- |
</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.
36
<PAGE>
OPTION 4
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 Variable Annuity with Assumed Net Return Rate of 5.0% <TABLE> <CAPTION>
-------------------------------------------------------------------------------- ADJUSTED AGES
--------------------
SECOND | |||||||
ANNUITANT ANNUITANT OPTION 4a OPTION 4b OPTION 4c OPTION 4d OPTION 4e | |||||||
- -------------------------------------------------------------------------------- | |||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.23 | |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.32 | |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.38 | |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.59 | |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.72 | |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 5.80 | |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.10 | |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.29 | |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 6.41 | |
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70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 6.81 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.08 |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 7.25 |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 7.81 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.25 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 8.49 |
- --------------------------------------------------------------------------------</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.
37
<PAGE>
- -------------------------------------------------------------------------------
[LOGO OF AETNA INSURANCE COMPANY OF AMERICA APPEARS HERE]
Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547
Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating
- -------------------------------------------------------------------------------
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY.
<PAGE>
Aetna Insurance Company of America
Endorsement
This Contract is endorsed as follows.
Add the following to Section I, General Definitions:
Dollar Cost Averaging - A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds and the one-year MG Account Guaranteed Term to any of the Funds by completing the appropriate section of the enrollment form or a Dollar Cost Averaging election form.
Delete Section 1.06, Beneficiary, and replace it with the following:
1.06 |
Beneficiary - The individual or estate entitled to receive any payment from the Account upon the death of the Annuitant, or if the Certificate Holder is different from the Annuitant, upon the death of the Certificate Holder. 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. |
Delete Section 1.07, Certificate Holder, and replace it with the following:
1.07 |
Certificate Holder - A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit 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. Joint Certificate Holders have joint ownership rights and both must authorize exercising any ownership rights unless Aetna allows otherwise. If the Account is owned by a nonnatural person, the death benefit will be paid at the death of the Annuitant. |
Delete Section 1.21, Market Value Adjustment, and replace it with the following.
1.21 |
Market Value Adjustment - An adjustment that may apply to an amount withdrawn or transferred from an MG Account Guaranteed Term prior to the end of that Guaranteed Term. 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 3.06. The adjustment is expressed as a percentage of each dollar withdrawn or transferred. |
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1
<PAGE>
Delete Section 2.04, Payments and Elections, and replace it with the following:
2.04 |
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 remaining to be made will be paid in accordance with 4.03. Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its Home Office. Such payments will be made within seven calendar days of receipt at its Home Office of a written claim for payment which is in good order, except as provided in 3.15. |
Delete Section 2.06, Control of Contract, and replace it with the following:
2.06 |
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. |
Each Certificate Holder shall own all amounts held in his or her Account. Each Certificate Holder may make any Certificate Holder choices allowed under this Contract. Certificate Holder choices made under this Contract must be in writing. If the Account is owned jointly both joint Certificate Holders must authorize any Certificate Holder change 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 or 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.
Delete Section 2.07, Designation of Beneficiary, and replace it with the following:
2.07 |
Designation of Beneficiary - Each Certificate Holder shall name his or her Beneficiary. If the Account is owned jointly, both joint Certificate Holders must agree in writing to the Beneficiary designated. 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 accepted by Aetna. |
2
<PAGE>
Delete the first two paragraphs of Section 3.06, Market Value Adjustment, and replace them with the following:
3.06 |
Market Value Adjustment - Except as noted below, an MVA will apply to a |
|
withdrawal |
from the MG Account before the end of a Guaranteed Term when |
|
the |
withdrawal is: |
|
(a) |
A Transfer, except for Transfers from the one-year MG Account Guaranteed Term under the Dollar Cost Averaging program or, as specified in 1.23, MG Account Matured Term Value Transfer; |
|
(b) |
A full or partial surrender (including a 10% free withdrawal under 3.14), except for a partial withdrawal under the Systematic Withdrawal Option (see 3.10); or |
|
(c) |
An election of Annuity option 2 (see 4.07). |
|
Full |
and partial surrenders and Transfers made within six months after |
|
the |
date of the Annuitant's death will be the greater of: |
|
(a) |
The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. This total may be greater or less than the Current Value of those amounts; or |
|
(b) |
The applicable portion of the Current Value in the MG Account. |
Delete Section 3.07, Transfer of Current Value from the Funds or MG Account, and replace them with the following:
3.07 |
Transfer of Current Value from the Funds or MG Account - Before an Annuity option is elected, all or any portion of the Adjusted Current Value of the Certificate Holder's Account may be transferred from any Fund or Guaranteed Term of the MG Account: |
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(a) |
To any other Fund; or |
(b) |
To an Guaranteed Term of the MG Account available in the current Deposit Period. |
Transfer requests can be submitted as a percentage or as a dollar amount. Aetna may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be surrendered to transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.
3
<PAGE>
The Certificate Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by Aetna is shown on Contract Schedule I. Additional Transfers may be subject to a Transfer fee as shown on Contract Schedule I.
Amounts transferred from the MG Account under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month of the Term's Maturity Date, do not count against the annual Transfer limit.
Amounts applied to Guaranteed Terms of the MG Account may not be
transferred to the Funds or to another Guaranteed Term during the
Deposit Period or for 90 days after the close of the Deposit Period
except for (1) a Matured Term Value(s) during the calendar month
following the Term's Maturity Date and (2) amounts transferred from
the one-year MG Account Guaranteed Term under the Dollar Cost
Averaging program.
Delete the first paragraph in Section 3.10, Systematic Withdrawal Option (SWO), and replace it with the following:
3.10 |
Systematic Withdrawal Option (SWO) - A distribution option under which a portion of the Account's Current Value will be automatically surrendered and distributed each year. SWO payments will be calculated on the Account's full Current Value. The distributed amount is withdrawn pro rata from each investment option under the Account. 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 advisor prior to requesting this distribution option. Aetna will not be responsible for any adverse tax consequences due to receiving SWO payments. |
Delete Section 3.11, Death Benefit Amount, and replace it with the following:
3.11 |
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 death of the first joint Certificate Holder to |
|
die. |
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. |
|
The |
amount of the death benefit is determined as follows: |
|
(a) |
Death of Annuitant less than 75 years of age: The guaranteed death benefit is the greatest of: |
4
<PAGE>
(1) The sum of all Net Purchase Payment(s) made to the Account (as
of the date of death) minus the sum of all amounts surrendered,
applied to an Annuity, or deducted from the Account;
(2) The highest step-up value as of the date of death. A step-up
value is determined on each anniversary of the Effective Date.
Each step-up value is calculated as the Account's Current Value
on the Effective Date anniversary, increased by the amount of
any Purchase Payment(s) made, and decreased by the sum of all
amounts surrendered, deducted, and/or applied to an Annuity
option since the Effective Date anniversary.
(3) The Account's Current Value as of the date of death.
The excess, if any, of the guaranteed death benefit value over the
Account's Current Value is determined as of the date of death. Any
excess amount will be deposited in the Account and allocated to the
Aetna Variable Encore Fund as of the claim date. The Current Value
on the claim date, plus any excess amount deposited, becomes the
Account's Current Value.
(b) |
Death of Annuitant age 75 or greater: The death benefit amount is the greatest of: |
(1) The sum of all Net Purchase Payment(s) made to the Account (as
of the date of death) minus the sum of all amounts surrendered,
applied to an Annuity, or deducted from the Account;
(2) The highest step-up value prior to the Certificate Holder's
75th birthday. A step-up value is determined on each
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Page 29 of 30
anniversary of the Effective Date. Each step-up value is
calculated as the Account's Current Value on the Effective Date
anniversary, increased by the amount of any Purchase Payment(s)
made, and decreased by the sum of all amounts surrendered,
deducted, and/or applied to an Annuity option since the
Effective Date anniversary.
(3) The Account's Current Value as of the date of death.
The excess, if any, of the guaranteed death benefit value over the
Account's Current Value is determined as of the date of death. Any
excess amount will be deposited in the Account and allocated to the
Aetna Variable Encore Fund as of the claim date. The Current Value
on the claim date, plus any excess amount deposited, becomes the
Account's Current Value.
(c) Death of Certificate Holder if the Certificate Holder is not the
Annuitant: The death benefit amount is the Account's Adjusted
Current Value on the claim
5
<PAGE>
date. A Surrender Fee may apply to any full or partial surrender
(see 3.14 and Contract Schedule I).
(d) At the death of a surviving spouse Beneficiary who continued the Account in his or her own name, the death benefit amount is equal to the Account's Current Value less any applicable Surrender Fee on the amount of any Purchase Payment(s) made since the death of the Certificate Holder.
Delete Section 3.12, Death Benefit Options available to Beneficiary, and replace it with the following:
3.12 |
Death Benefit Options available to Beneficiary - Prior to any election, |
|
or |
until amounts must be otherwise distributed under this section, the |
|
Account's |
Current Value will be retained in the Account. The |
|
Beneficiary |
has the right to allocate or reallocate any amount to any |
|
available |
investment option (subject to an MVA if applicable). The |
|
following |
options are available to the Beneficiary: |
|
(a) |
When the Certificate Holder is the Annuitant: If the Certificate Holder/Annuitant dies, and: |
(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), (ii), or (iii) below. Under the Code,
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 Adjusted Current Value to Annuity option 2, 3 or 4 (see 4.07); |
(ii) |
Apply some or all of the Adjusted Current Value to Annuity option 1 (see 4.07); or |
(iii) |
Receive, at any time, a lump sum payment equal to the Account's Adjusted Current Value. |
(2) If the Beneficiary is other than the Certificate Holder's
surviving spouse, then options (i), (ii), or (iii) under (1)
above apply. Any portion of the Adjusted Current Value not
applied to Annuity option 2, 3 or 4 within one year of the
Certificate Holder's death, must be distributed within five
years of the date of death.
(3) If no Beneficiary exists, a lump sum payment equal to the
Adjusted Current Value will be made to the Certificate Holder's
estate.
6
<PAGE>
(b) |
When the Certificate Holder is not the Annuitant and the Certificate Holder dies, and: |
(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), (ii), or (iii) below. Under the
Code, 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 Adjusted Current Value to Annuity option 2, 3 or 4 (see 4.07); |
(ii) |
Apply some or all of the Surrender Value to Annuity option 1 (see 4.07); or |
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(iii) |
Receive, at any time, a lump sum payment equal to the Account's Surrender Value. |
(2) If the Beneficiary is other than the Certificate Holder's
surviving spouse, then options (i), (ii), or (iii) under (1)
above apply. Any portion of the Adjusted Current Value not
applied to Annuity Option 2, 3, or 4 within one year of the
Certificate Holder's death, must be distributed within five
years of the date of death.
(3) If no Beneficiary exists, a lump sum payment equal to the
Surrender Value will be made to the Certificate Holder's
estate.
(c) |
When the Certificate Holder is not the Annuitant and the Annuitant dies: The Beneficiary must elect Annuity option 2, 3, or 4 within 60 days of the date of death or the gain, if any, will be includable in the Beneficiary's income in the tax year in which the Annuitant dies. |
Delete Section 3.13, Liquidation of Surrender Value, and replace it with the following:
3.13 |
Liquidation of Surrender Value - All or any portion of the Account's Current Value may be surrendered at any time. Surrender requests can be submitted as a percentage of the Account's Current 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 Fund(s) and/or the Guaranteed Term(s) Groups of the MG Account in which the Current Value is invested. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied. |
7
<PAGE>
After deduction of the Maintenance Fee, if applicable, the
surrendered amount shall be reduced by a Surrender Fee, if
applicable. An MVA may apply to amounts surrendered from the MG
Account.
Delete subsection (a) of Section 4.03, Death of Annuitant/Beneficiary, and replace it with the following:
4.03 |
Death of Annuitant/Beneficiary; (a) Certificate Holder is Annuitant: When the Certificate Holder is the Annuitant and the Annuitant dies under option 2 or 3, or both the Annuitant and the second Annuitant die under option 4(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any payments remaining will continue to the Beneficiary. If option 4 has been elected and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Account has joint Certificate Holders, the surviving joint Certificate Holder will be deemed the successor payee. |
Delete the first paragraph of subsection (b) of Section 4.03, Death of Annuitant/Beneficiary, and replace it with the following:
(b) |
Certificate Holder is Not Annuitant: When the Certificate Holder is not the Annuitant and the Certificate Holder dies, the remaining payments under options 2, 3 or 4 will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Account has joint Certificate Holders, the surviving joint Certificate Holder will be deemed the successor payee. |
Endorsed and made part of the Certificate on the Effective Date of the Contract.
/s/ SIGNATURE APPEARS HERE
President
Aetna Insurance Company of America
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03/23/2018
Exhibit 16(4)(c) - [Aetna logo] | Aetna Insurance Company of America |
Home Office: 151 Farmington Avenue | |
P.O. Box 30670 | |
Hartford, Connecticut 06150-0670 | |
(800) 531-4547 | |
You may call the toll-free number shown above for answers to questions or to | |
resolve a complaint. | |
Aetna Insurance Company of America, a stock company, herein called Aetna, | |
agrees to pay the benefits stated in this Contract. | |
Specifications | |
- -------------------------------------------------------------------------------- | |
Plan | |
SPECIMEN | |
- -------------------------------------------------------------------------------- | |
Type of Plan | |
SPECIMEN | |
- -------------------------------------------------------------------------------- | |
Contract Holder | |
SPECIMEN | |
- -------------------------------------------------------------------------------- | |
Contract Number | |
SPECIMEN | |
- -------------------------------------------------------------------------------- | |
Effective Date | |
SPECIMEN | |
- -------------------------------------------------------------------------------- | |
This Contract is delivered in YOUR STATE and is subject to the laws of that | |
jurisdiction | |
The variable features of the Group Contract are described in parts III and IV. | |
Right to Cancel | |
- -------------------------------------------------------------------------------- | |
The Group Contract Holder may cancel this Contract within 10 days by returning | |
it to the agent from whom it was purchased, or to Aetna at the address shown | |
above. Within seven days of receiving the Contract at its home office, Aetna | |
will return the amount of Certificate Holder Purchase Payment(s) received, plus | |
any increase, or minus any decrease, on the amount, if any, allocated to the | |
Separate Account fund(s). | |
This page and the pages that follow constitute the entire Contract. | |
Signed at the home office on the Effective Date. | |
/s/ Daniel Kearney | /s/ Maria F. McKeon |
President | Secretary |
Group Variable, Fixed, or Combination Annuity Contract | |
Nonparticipating | |
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | |
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | |
FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY. | |
G-MP2(5/96) | |
<PAGE> | |
Specifications | |
- -------------------------------------------------------------------------------- | |
Guaranteed | There is a guaranteed interest rate for Purchase |
Interest Rate | Payment(s) held in the AG Account. (See Contract |
Schedule I). | |
- -------------------------------------------------------------------------------- | |
Deductions from | There will be deductions for mortality and expense |
the Separate | risks and administrative fees. (See Contract |
Account | Schedule I and II). |
- -------------------------------------------------------------------------------- | |
Deduction from | Purchase Payment(s) are subject to a deduction for |
Purchase | premium taxes, if any. (See 3.01.) |
Payment(s) | |
- -------------------------------------------------------------------------------- | |
Surrender | There will be a charge deducted upon surrender. (See |
Fee | Contract Schedule I). |
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. THEREFORE, IT IS IMPORTANT THAT | |
YOU READ THIS CONTRACT CAREFULLY. | |
2 |
<PAGE> | ||
Contract Schedule I | ||
Accumulation Period | ||
Separate Account | ||
- -------------------------------------------------------------------------------- | ||
Separate Account: | Variable Annuity Account I | |
Charges to Separate | A daily charge is deducted from any portion of the | |
Account: | Current Value allocated to the Separate Account. | |
The deduction is the daily equivalent of the | ||
annual effective percentage shown in the following | ||
chart: | ||
Administrative Charge | 0.15% | |
Mortality Risk Charge | 0.35% | |
Expense Risk Charge | 0.90% | |
----- | ||
Total Separate Account | ||
Charges | 1.40% | |
AICA Guaranteed Account (AG Account) | ||
- -------------------------------------------------------------------------------- | ||
Minimum Guaranteed | 3.0% (effective annual rate of return) | |
Interest Rate: | ||
Separate Account and AG Account | ||
- -------------------------------------------------------------------------------- | ||
Transfers: | An unlimited number of Transfers are allowed | |
during the Accumulation Period. Aetna allows 12 | ||
free Transfers in any calendar year. Thereafter, | ||
Aetna reserves the right to charge $10 for each | ||
subsequent Transfer. | ||
Maintenance Fee: | The annual Maintenance Fee is $30. 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. | ||
3 | ||
<PAGE> | ||
Contract Schedule I (Continued) | ||
Accumulation Period | ||
Separate Account and AG Account (Cont'd) | ||
- -------------------------------------------------------------------------------- | ||
Surrender Fee: | For each surrender, the Surrender Fee will be | |
determined as follows: | ||
Surrender Fee | ||
(as percentage | ||
Length of Time from Deposit of Net | of Net Purchase | |
Purchase Payment (Years) | Payment) | |
------------------------ | -------- | |
Less than 2 years | 7% | |
2 or more but less than 4 years | 6% | |
4 or more but less than 5 years | 5% | |
5 or more but less than 6 years | 4% | |
6 or more but less than 7 years | 3% | |
7 years or more | 0% | |
Systematic Withdrawal | The specified payment or specified percentage may | |
Option (SWO): | not be greater than 10% of the Account's Current | |
Value at time of election. | ||
See 1. GENERAL DEFINITIONS for explanations. | ||
4 | ||
<PAGE> | ||
Contract Schedule II | ||
Annuity Period | ||
Separate Account | ||
- -------------------------------------------------------------------------------- | ||
Charges to Separate | A daily charge at an annual effective rate of | |
Account: | 1.25% for Annuity mortality and expense risks. The | |
administrative charge is established upon election | ||
of an Annuity option. This charge will not exceed | ||
0.25%. | ||
Variable Annuity Assumed | If a Variable Annuity is chosen, an assumed annual | |
Annual Net Return Rate: | net return rate of 5.0% may be elected. If 5.0% is | |
not elected, Aetna will use an assumed annual net | ||
return rate of 3.5%. |
Page 3 of 24
The assumed annual net return rate factor for 3.5%
per year is 0.9999058.
The assumed annual net return rate factor for 5.0%
per year is 0.9998663.
If the portion of a Variable Annuity payment for
any Fund is not to decrease, the Annuity return
factor under the Separate Account for that Fund
must be:
(a) 4.75% on an annual basis plus an annual return
of up to 0.25% to offset the administrative
charge set at the time Annuity payments
commence if an assumed annual net return rate
of 3.5% is chosen; or
(b) 6.25% on an annual basis plus an annual return
of up to 0.25% to offset the administrative
charge set at the time Annuity payments
commence, if an assumed annual net return rate
of 5% is chosen.
Fixed Annuity
- --------------------------------------------------------------------------------Minimum Guaranteed 3.0% (effective annual rate of return) Interest Rate:
See 1. GENERAL DEFINITIONS for explanations.
5
<PAGE>
TABLE OF CONTENTS
I. |
GENERAL DEFINITIONS |
- |
-------------------------------------------------------------------------------- |
Page | |
1.01 Account | 9 |
1.02 Accumulation Period | 9 |
1.03 Adjusted Current Value | 9 |
1.04 AICA Guaranteed Account (AG Account) | 9 |
1.05 Annuitant | 9 |
1.06 Annuity | 9 |
1.07 Beneficiary | 9 |
1.08 Certificate Holder | 9 |
1.09 Code | 9 |
1.10 Contract | 9 |
1.11 Contract Holder | 9 |
1.12 Current Value | 9 |
1.13 Deposit Period | 10 |
1.14 Dollar Cost Averaging | 10 |
1.15 Fixed Annuity | 10 |
1.16 Fund(s) | 10 |
1.17 General Account | 10 |
1.18 Guaranteed Rates - AG Account | 10 |
1.19 Guaranteed Term | 10 |
1.20 Guaranteed Term(s) Groups | 10 |
1.21 Maintenance Fee | 11 |
1.22 Market Value Adjustment (MVA) | 11 |
1.23 Matured Term Value | 11 |
1.24 Matured Term Value Transfer | 11 |
1.25 Maturity Date | 11 |
1.26 Net Purchase Payment(s) | 11 |
1.27 Nonunitized Separate Account | 11 |
1.28 Purchase Payment(s) | 11 |
1.29 Reinvestment | 11 |
6 | |
<PAGE> | |
Page | |
1.30 Separate Account | 12 |
1.31 Surrender Value | 12 |
1.32 Transfers | 12 |
1.33 Valuation Period (Period) | 12 |
1.34 Variable Annuity | 12 |
II. |
GENERAL PROVISIONS |
- |
-------------------------------------------------------------------------------- |
2.01 Change of Contract | 12 | |
2.02 Change of Fund(s) | 13 | |
2.03 Nonparticipating Contract | 13 | |
2.04 Payments and Elections | 14 | |
2.05 State Laws | 14 | |
2.06 Control of Contract | 14 | |
2.07 Designation of Beneficiary | 14 | |
2.08 Misstatements and Adjustments | 14 | |
2.09 Incontestability | 14 | |
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2.10 Grace Period | 15 |
2.11 Individual Certificates | 15 |
III. |
PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
- |
-------------------------------------------------------------------------------- |
3.01 Net Purchase Payment | 15 |
3.02 Certificate Holder's Account | 15 |
3.03 Fund(s) Record Units -- Separate Account | 15 |
3.04 Net Return Factor(s) -- Separate Account | 16 |
3.05 Fund Record Unit Value -- Separate Account | 16 |
3.06 Market Value Adjustment | 16 |
3.07 Transfer of Current Value from the Funds or AG Account | 17 |
3.08 Notice to the Certificate Holder | 18 |
3.09 Loans | 18 |
3.10 Systematic Withdrawal Option (SWO) | 18 |
3.11 Death Benefit Amount | 20 |
7
<PAGE>
Page | |
3.12 Death Benefit Options Available to Beneficiary | 20 |
3.13 Liquidation of Surrender Value | 22 |
3.14 Surrender Fee | 22 |
3.15 Payment of Surrender Value | 23 |
3.16 Payment of Adjusted Current Value | 23 |
IV. |
ANNUITY PROVISIONS |
- |
-------------------------------------------------------------------------------- |
4.01 Choices | 23 |
4.02 Terms of Annuity Options | 24 |
4.03 Death of Annuitant/Beneficiary | 25 |
4.04 Fund(s) Annuity Units -- Separate Account | 26 |
4.05 Fund(s) Annuity Unit Value -- Separate Account | 26 |
4.06 Annuity Net Return Factor(s) -- Separate Account | 26 |
4.07 Annuity Options | 27 |
8
<PAGE>
I. |
GENERAL DEFINITIONS |
- |
-------------------------------------------------------------------------------- |
1.01 Account: |
A record established for each Certificate Holder to maintain the value of all Net Purchase Payments held on his/her behalf during the Accumulation Period. |
1.02 Accumulation Period: |
The period during which the Net Purchase Payment(s) are applied to an Account to provide future Annuity payment(s). |
1.03 Adjusted Current Value: |
The Current Value of an Account plus or minus any aggregate AG Account MVA, if applicable. (See 1.22) |
1.04 AICA Guaranteed Account (AG Account): |
An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AG Account. |
1.05 Annuitant: |
The person whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract. |
1.06 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). |
1.07 Beneficiary: |
The individual or estate entitled to receive any death benefit due under the Contract. 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. |
1.08 Certificate Holder: |
A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit 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. |
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1.09 |
Code: |
1.10 |
Contract: |
1.11 |
Contract Holder: |
1.12 |
Current Value: |
<PAGE>
1.13 Deposit Period:
1.14
1.15 Fixed Annuity:
1.16 |
Fund(s): |
1.17 |
General Account: |
1.18 |
Guaranteed Rates -- AG Account: |
1.19 Guaranteed Term:
1.20 Guaranteed Term(s) Groups:
<PAGE>
Page 5 of 24
The Internal Revenue Code of 1986, as it may be
amended from time to time.
This agreement between Aetna and the Contract
Holder.
The entity to which the Contract is issued.
As of the most recent Valuation Period, the Net
Purchase Payment and any additional amount
deposited pursuant to 3.11 plus any interest added
to the portion allocated to the AG Account; and
plus or minus the investment experience of the
portion allocated to the Funds since deposit; less
all Maintenance Fees deducted, any amounts
surrendered and any amounts applied to an Annuity.
9
A calendar week, a calendar month, a calendar
quarter, or any other period of time specified by
Aetna during which Net Purchase Payment(s),
Transfers and Reinvestments are accepted into the
AG Account for one or more Guaranteed Terms. Aetna
reserves the right to extend the Deposit Period.
Dollar Cost Averaging: A program that permits the
Certificate Holder to systematically transfer
amounts from any of the Funds and the one-year AG
Account Guaranteed Term to any of the Funds.
Dollar Cost Averaging is not available with the
Systematic Withdrawal Option or the Estate
Conservation Option.
An Annuity with payments that do not vary in
amount.
The open-end management investment companies
(mutual funds) in which the Separate Account
invests.
The Account holding the assets of Aetna, other
than those assets held in Aetna's separate
accounts.
Aetna will declare the interest rate(s) applicable
to a specific Guaranteed Term at the start of the
Deposit Period for that Guaranteed Term. The
rate(s) are guaranteed by Aetna for the Deposit
Period and the ensuing Guaranteed Term. The
Guaranteed Rates are annual effective yields. That
is, interest is credited daily at a rate that will
produce the Guaranteed Rate over the period of a
year. No Guaranteed Rate will ever be less than
the Minimum Guaranteed Rate shown on Contract
Schedule I.
For Guaranteed Terms of one year or less, one
Guaranteed Rate is credited for the full
Guaranteed Term. For longer Guaranteed Terms, an
initial Guaranteed Rate is credited from the date
of deposit to the end of a specified period within
the Guaranteed Term. There may be different
Guaranteed Rate(s) declared for subsequent
specified time intervals throughout the Guaranteed
Term.
The period of time for which AG Account Guaranteed
Rates are guaranteed on Net Purchase Payments,
Transfers and Reinvestments made into a current
Deposit Period for the AG Account. Such period
begins on the day following the close of the
Deposit Period and ends on the designated Maturity
Date. Guaranteed Terms are offered at Aetna's
discretion for various lengths of time ranging up
to and including ten years.
During a Deposit Period, Aetna may make available
any number of Guaranteed Terms. The Certificate
Holder may allocate Net Purchase Payments and
Transfers into any or all of the available
Guaranteed Terms.
All AG Account Guaranteed Term(s) with the same
length of time from the close of the Deposit
Period until the designated Maturity Date.
10
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1.21 Maintenance Fee: |
The Maintenance Fee (see Contract Schedule I) will be deducted during the Accumulation Period from the Current Value on each anniversary of the date the Account is established and upon surrender of the entire Account. |
1.22 Market Value Adjustment (MVA): |
An adjustment that may apply to an amount withdrawn or transferred from an AG Account Guaranteed Term prior to the end of that Guaranteed Term. 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 3.06. The adjustment is expressed as a percentage of each dollar being withdrawn. |
1.23 Matured Term Value: |
The amount payable on an AG Account Guaranteed Term's Maturity Date. |
1.24 Matured Term Value Transfer: |
During the calendar month following an AG Account Maturity Date, the Certificate Holder may notify Aetna's home office in writing to Transfer or surrender all or part of the Matured Term Value, plus interest at the new Guaranteed Rate accrued thereon, from the AG Account without an MVA. This provision only applies to the first such written request received from the Certificate Holder during this period for any Matured Term Value. |
1.25 Maturity Date: |
The last day of an AG Account Guaranteed Term. |
1.26 Net Purchase Payment(s): The Purchase Payment less premium taxes, as applicable.
1.27 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 AG Account Terms. There are no discrete units for this 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. These assets may be chargeable with liabilities arising out of any other business of Aetna. |
1.28 Purchase Payment(s): |
Payment(s) 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 or Certificate Holder. |
1.29 Reinvestment: |
Aetna will mail a notice to the Certificate Holder at least 18 calendar days before a Guaranteed Term's Maturity Date. This notice will contain the Terms available during the current Deposit Periods with their Guaranteed Rate(s) and projected Matured Term Value. If no specific direction is given by the Certificate Holder prior to the Maturity Date, each Matured Term Value will be reinvested in the current Deposit Period for a Guaranteed Term of the same duration. If a Guaranteed Term of the same duration is unavailable, each Matured Term Value will automatically be reinvested in the current Deposit Period for the next shortest Guaranteed Term available. If no shorter Guaranteed Term is available, the next longer Guaranteed Term |
11
<PAGE>
1.29 Reinvestment (Cont'd): |
will be used. Aetna will mail a confirmation statement to the Certificate Holder the next business day after the Maturity Date. This notice will state the Guaranteed Term and Guaranteed Rate(s) which will apply to the reinvested Matured Term Value. |
1.30 Separate Account: |
A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to other income, gains or losses of Aetna. Aetna owns the assets held in the Separate Account and is not a trustee as to such amounts. This Separate Account generally is not guaranteed and is held at market value. The assets of the Separate Account, to the extent of reserves and other contract liabilities of the Account, shall not be charged with other Aetna liabilities. |
1.31 Surrender Value: | The amount payable by Aetna upon the surrender of | |
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1.32 |
Transfers: |
1.33 |
Valuation Period (Period): |
1.34 |
Variable Annuity: |
II. |
GENERAL PROVISIONS |
Page 7 of 24
any portion of an Account.
The movement of invested amounts among the
available Fund(s) and the AG Account under this
Contract during the Accumulation Period.
The period of time for which a Fund determines its
net asset value, usually from 4:15 p.m. Eastern
time each day the New York Stock Exchange is open
until 4:15 p.m. the next such day, or such other
day that one or more of the Funds determines its
net asset value.
An Annuity with payments that vary with the net
investment results of one or more Funds under
the Separate Account.
- --------------------------------------------------------------------------------2.01 Change of Contract: Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.
<PAGE>
2.01 Change of Contract (Cont'd):
2.02 Change of Fund(s):
Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. This applies to an initial Purchase Payment to establish a new Account or to subsequent Purchase Payments to existing Accounts under the Contract. No advance notice will be given to the Contract Holder or Certificate Holder.
Aetna may make any change that affects the AG Account Market Value Adjustment (3.06) with at least 30 days' advance written notice to the Contract Holder and the Certificate Holder. Any such change shall become effective for any new Term and will apply to all present and future Accounts.
12
Aetna reserves the right to change the terms of the Systematic Withdrawal Option (3.10) for future elections and discontinue the availability of this option after proper notification.
Any change that affects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:
(a) |
Net Purchase Payment (1.26) |
(b) |
AG Account Guaranteed Rate (1.18) |
(c) |
Net Return Factor(s) -- Separate Account (3.04) |
(d) |
Current Value (1.12) |
(e) |
Surrender Value (1.31) |
(f) |
Fund(s) Annuity Unit Value -- Separate Account (4.05) (g) Annuity options (4.07) (h) |
Fixed Annuity Interest Rates (4.01) (i) Transfers (1.32).
Any change that affects the Annuity options and the tables for the options may be made:
(a) |
No earlier than 12 months after the effective date of this Contract; and |
(b) |
No earlier than 12 months after the effective date of any prior change. |
Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.
The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, Aetna may cease to make such Fund shares available for investment under the Contract prospectively, or Aetna may substitute shares of another Fund for shares already acquired. Aetna may also, from time to
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Page 8 of 24
time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. Aetna reserves the right to substitute shares of another Fund for shares already acquired without a proxy vote. |
|
2.03 Nonparticipating Contract: |
The Contract Holder, Certificate Holders or Beneficiaries will not have a right to share in the earnings of Aetna. |
13
<PAGE>
2.04 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 required to be made will be paid in accordance with 4.03. Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its home office. Such payments will be made within seven calendar days of receipt at its home office of a written claim for payment which is in good order, except as provided in 3.15. |
2.05 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. |
2.06 |
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. 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 Certificate Holders must authorize any Certificate Holder change 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 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. |
2.07 Designation of Beneficiary: |
Each Certificate Holder shall name his or her Beneficiary. If the Account is owned jointly, both joint Certificate Holders must agree in writing to the Beneficiary designated. 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 accepted by Aetna. If the Account is owned jointly, at the death of one joint Certificate Holder, the survivor will be deemed the Beneficiary; any other Beneficiary on record will be deemed a contingent Beneficiary. |
2.08 Misstatements and Adjustments: |
If Aetna finds the age of any Annuitant to be misstated, the correct facts will be used to adjust payments. |
2.09 Incontestability: |
Aetna cannot cancel this Contract because of any error of fact. |
14
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2.10 Grace Period: | This Contract will remain in effect even if | |
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Purchase Payments are not continued except as
provided in the Payment of Adjusted Current Value
provision (see 3.17).
2.11 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.
III. |
PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
- |
-------------------------------------------------------------------------------- |
3.01 Net Purchase Payment: This amount is the actual Purchase Payment less any premium tax. Aetna reserves the right to pay premium taxes when due and deduct the amount from the Current Value when we pay the tax or at a later date.
The Net Purchase Payment will be credited among:
(a) |
The current Deposit Period(s) for Guaranteed Terms under the AG Account; and |
(b) |
The Fund(s) in which the Separate Account invests. |
For each Net Purchase Payment, the Certificate Holder shall tell Aetna the allocation percentage to be applied to the current Deposit Period for each of the available Guaranteed Terms in the AG Account and/or each Fund. If allocation instructions are not received along with any subsequent Net Purchase Payment, the allocation will be the same as that indicated when the Contract was purchased. If the same Guaranteed Term is no longer available, the Net Purchase Payment will be allocated to the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used. |
|
3.02 Certificate Holder's Account: |
Aetna will maintain an Account for each Certificate Holder. Aetna will declare from time to time the acceptability and the minimum amount for additional Purchase Payments. Each Account will be subject to the Terms and Conditions of the Contract in effect at the time the first Purchase Payment for such Account is applied to the Contract except for changes made to comply with federal or state law. |
3.03 Fund(s) Record Units -- Separate Account: |
The portion of the Net Purchase Payment(s) applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's home office. |
15 | |
<PAGE> | |
3.04 Net Return Factor(s) -- Separate Account: |
The net return factor(s) are used to compute all Separate Account record units for any Fund. The net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate. The net return rate is equal to: |
(a) |
The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus |
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) |
The total value of the Fund(s) record units and Fund(s) annuity units of the Separate Account at the start of the Valuation Period; minus |
(e) |
A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge. |
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A net return rate may be more or less than 0%. The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding. |
|
3.05 Fund Record Unit Value -- Separate Account: |
A Fund record unit value is computed by multiplying the net return factors for the current Valuation Period by the Fund record unit value for the previous Period. The dollar value of Fund record units, Separate Account assets, and Variable Annuity payments may go up or down due to investment gain or loss. |
3.06 Market Value Adjustment: |
An MVA will apply to any withdrawal from the AG Account before the end of a Guaranteed Term when the withdrawal is: |
(a) |
A Transfer; except for Transfers from the one-year AG Account Guaranteed Account under the Dollar Cost Averaging program or, as specified in 1.24 Matured Term Value Transfer; |
(b) |
A full or partial surrender (including a 10% free withdrawal under 3.14); except for a partial withdrawal under the Systematic Withdrawal Option; or |
(c) |
Due to election of an Annuity (see 4.07). |
Full and partial surrenders and Transfers made
within six months after the date of the
Annuitant's death will be the greater of:
(a) |
The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. |
This total may be greater or less than the Current Value of those amounts; or |
|
(b) |
The applicable portion of the Current Value in the AG Account. |
16
<PAGE>
3.06 Market Value Adjustment (Cont'd): |
After the six-month period, the surrender or Transfer will be the aggregate MVA amount, which may be greater or less than the Current Value of those amounts. The greater of the aggregate MVA amount or the applicable portion of the Current Value applies to amounts withdrawn from the AG Account on account of an election of Annuity options 2 or 3 (see 4.07). 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 Term.
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 Term. |
(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. |
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3.07 Transfer of Current Value from the Funds or AG Account:
<PAGE>
Page 11 of 24
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
Term exist, Aetna reserves the right to use the
U.S. Treasury Notes that mature in the following
quarter.
Before an Annuity option is elected, all or any
portion of the Adjusted Current Value of the
Certificate Holder's Account may be transferred
from any Fund or Guaranteed Term of the AG
Account:
(a) |
To any other Fund; or |
(b) |
To any Guaranteed Term of the AG Account available in the current Deposit Period. |
17
3.07 Transfer of Current Value from the Funds or AG Account (Cont'd): |
Transfer requests can be submitted as a percentage or as a dollar amount. Aetna may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied. The Certificate Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by Aetna is shown on Contract Schedule I. Additional Transfers may be subject to a Transfer fee as shown on Contract Schedule I. Amounts transferred from the AG Account under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month of a Term's Maturity Date do not count against the annual Transfer limit. Amounts applied to Guaranteed Terms of the AG Account may not be transferred to the Funds or to another Guaranteed Term during the Deposit Period or for 90 days after the close of the Deposit Period except for (1) Matured Term Value(s) during the calendar month following the Term's Maturity Date; (2) amounts used as a premium for an Annuity option; (3) amounts transferred from the one-year AG Account Guaranteed Term under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option. |
3.08 Notice to the Certificate Holder: |
The Certificate Holder will receive quarterly statements from Aetna of: |
(a) |
The value of any amounts held in: (1) The AG Account; and |
(2) The Fund(s) under the Separate Account. |
|
(b) |
The number of any Fund(s) record units; and |
(c) |
The Fund(s) record unit value. |
Such number or values will be as of a specific date no more than 60 days before the date of the notice. |
|
3.09 Loans: 3.10 Systematic Withdrawal Option (SWO): |
Loans are not available under this Contract. 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 on the Account's full Current Value. The distributed amount is withdrawn pro rata from each investment option under the Account. 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. Aetna will not be responsible for any adverse tax consequences due to receiving SWO payments. |
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3.10 Systematic Withdrawal Option (SWO) (Cont'd): |
(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 of the Current Value at time of election as shown on Contract Schedule I. 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 of the Current Value at the time of election as 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. |
(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 Account balance. |
(c) |
Date of Distribution: The Certificate Holder shall specify the initial distribution date. The earliest date for distribution is the date on which the Certificate Holder attains age 59-1/2. As elected by the Certificate Holder, SWO payments will be made on a monthly, quarterly, semi-annual or annual basis. 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 Aetna may designate or allow. |
(d) |
SWO payments will cease upon the Certificate Holder's or Annuitant's death. A Beneficiary, however, may elect to continue SWO as provided in 3.12. |
(e) |
Election and Revocation: SWO may be elected by submitting a completed and signed election form to Aetna's home office. 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. |
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3.11 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 death of the first joint Certificate Holder to die. 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. The amount of the death benefit is determined as follows: |
(a) |
Death of Annuitant when the Certificate Holder is the Annuitant: The guaranteed death benefit is the greatest of: |
(1) The sum of all Purchase Payment(s) made to
the Account (as of the date of death)
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3.12 Death Benefit Options Available to Beneficiary:
<PAGE>
3.12 Death Benefit Options Available to Beneficiary (Cont'd):
Page 13 of 24
minus the sum of all amounts surrendered,
applied to an Annuity, or deducted from
the Account;
(2) The highest step up value, as of the date
of death, prior to the Annuitant's 75th
birthday. A step-up value is determined on
each anniversary of the Effective Date.
Each step-up value is calculated as the
Account's Current Value on the Effective
Date anniversary, increased by the amount
of any Purchase Payment(s) made, and
decreased by the sum of all amounts
surrendered, deducted, and/or applied to
an Annuity option since the Effective Date
anniversary.
(3) The Account's Current Value as of the date
of death.
The excess, if any, of the guaranteed death
benefit value over the Account's Current
Value is determined as of the date of death.
Any excess amount will be deposited to the
Account and allocated to Aetna Variable
Encore Fund as of the claim date. The Current
Value on the claim date plus any excess
amount deposited becomes the Account's
Current Value.
(b) |
Death of the Certificate Holder if the Certificate Holder is not the Annuitant: The death benefit amount is the Account's Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I). |
(c) |
Death of spousal Beneficiary who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date, less any applicable Surrender Fee on Purchase Payments made since the death of the Certificate Holder or Annuitant. |
Prior to any election, or until amounts must
be otherwise distributed under this section, the
Current Value will be retained in the Account. The
Beneficiary has the right to allocate or
reallocate any amount to any of the available
investment options (subject to an MVA if
applicable). The following options are available
to the Beneficiary:
(a) |
When the Certificate Holder is the Annuitant if the the Annuitant dies (or when the Certificate Holder is a nonnatural person if the Annuitant dies): |
20
(1) If the Beneficiary is the surviving
spouse, the spousal Beneficiary will be
the successor Certificate Holder and may
exercise all Certificate Holder rights
under the Contract and continue in the
Accumulation Period, or may elect (i) or
(ii) below.
Under the Code, 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 Adjusted
Current Value to an Annuity option
(see 4.07);
(ii) Receive, at any time, a lump sum
payment equal to the Adjusted Current
Value of the Account.
(2) If the Beneficiary is other than the
surviving spouse, options (i) or (ii) above
apply. Any portion of the Adjusted Current
Value not applied to an Annuity option
within one year of the death must be
distributed within five years of the date of
death.
(3) If no Beneficiary exists, a lump sum payment
equal to the Adjusted Current Value must be
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made to the Annuitant's estate within five
years of the date of death.
(4) If the Beneficiary is an entity, a lump sum
payment equal to the Adjusted Current Value
must be made within five years of the date
of death.
(b) |
When the Certificate Holder is not the Annuitant when the Certificate Holder dies: |
(1) If the Beneficiary is the Certificate Holder's
surviving spouse, the spousal Beneficiary will
be the successor Certificate Holder and may
exercise all Certificate Holder rights under
the Contract and continue in the Accumulation
Period, or may elect (i) or (ii), below. Under
the Code, 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 Adjusted Current
Value to Annuity option 2 or 3 (see 4.07);
(ii) |
Receive, at any time, a lump sum payment equal to the Surrender Value. |
(2) If the Beneficiary is other than the
Certificate Holder's surviving spouse, options
(i) or (ii) under (1) above apply. Any portion
of the death benefit not applied to an Annuity
option within one year of the Certificate
Holder's death must be distributed within five
years of the date of death.
21
<PAGE>
3.12 Death Benefit Options | (3) | If no Beneficiary exists, a lump sum |
Available to Beneficiary | payment equal to the Surrender Value must | |
(Cont'd): | be made to the Certificate Holder's estate | |
within five years of the date of death. | ||
(4) | If the Beneficiary is an entity, a lump | |
sum payment equal to the Surrender Value | ||
must be made within five years of the date | ||
of death. |
(c)When the Certificate Holder is a natural
person and not the Annuitant, when the
Annuitant dies, the Beneficiary (or the
Certificate Holder if no Beneficiary exists)
may elect to:
(i) |
Apply all or some of the Adjusted Current Value to an Annuity option within 60 days of the date of death; or |
(ii) |
Receive a lump sum payment equal to the Adjusted Current Value. |
3.13 Liquidation of Surrender Value: |
All or any portion of the Account's Current Value may be surrendered at any time. 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 Fund(s) and/or the Guaranteed Term(s) Groups of the AG Account in which the Current Value is invested. Within a Guaranteed Term Group, the amount to be surrendered or transferred 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, if applicable, the surrendered amount shall be reduced by a Surrender Fee, if applicable. An MVA may apply to amounts surrendered from the AG Account. |
3.14 Surrender Fee: |
The Surrender Fee only applies to the Net Purchase Payment(s) portion surrendered and varies according to the elapsed time since deposit (see Contract Schedule I). Net Purchase Payment amounts are withdrawn in the same order they were applied. 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 |
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before Annuity payments start, up to a maximum
of the aggregate Net Purchase Payment(s) minus
the total of all partial surrenders, amounts
applied to an Annuity and deductions made prior
to the Annuitant's date of death;
(b) As a premium for an Annuity option (see
4.07);
(c) As a distribution under the SWO provision
(see 3.10);
22
<PAGE>
3.14 Surrender Fee (Cont'd): |
(d) At least 12 months after the date of the first Purchase Payment to the Account, in an amount equal to or less than 10% of the Current Value. 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; (f) By Aetna under 3.16; or (g) If the Annuitant has spent at least 45 consecutive days in a licensed nursing care facility and each of the following conditions are met: (1) more than one calendar year has elapsed since the date the certificate was issued; and (2) the surrender is requested within 3 years of admission to a licensed nursing care facility. This waiver does not apply if the Annuitant was in a nursing care facility at the time the certificate was issued. |
3.15 Payment of Surrender Value: |
Under certain emergency conditions, Aetna may defer payment: (a) For a period of up to 6 months (unless not allowed by state law); or (b) As provided by federal law. |
3.16 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.
Aetna does not intend to exercise this right in
cases where an Account Current Value is reduced
to $2,500 or less solely due to investment
performance. A Surrender Fee will not be deducted
from the Adjusted Current Value.
IV. |
ANNUITY PROVISIONS |
- |
-------------------------------------------------------------------------------- |
4.01 Choices: |
The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax, if applicable,) to any Annuity option (see 4.07). The first Annuity payment may not be earlier than one calendar year after the initial Purchase Payment nor later than the later of: |
(a) |
The first day of the month following the Annuitant's 85th birthday; or |
(b) |
The tenth anniversary of the last Purchase Payment. In lieu of the election of an |
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<PAGE>
4.01 Choices (Cont'd):
4.02 Terms of Annuity Options:
<PAGE>
4.02 Terms of Annuity Options (Cont'd):
Page 16 of 24
Annuity, the Certificate Holder may tell Aetna
to make a lump sum payment.
23
When an Annuity option is chosen, Aetna must also
be told if payments are to be made other than
monthly and whether to pay:
(a) |
A Fixed Annuity using the General Account; |
(b) |
A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or |
(c) |
A combination of (a) and (b). |
If a Fixed Annuity is chosen, the Annuity purchase
rate for the option chosen reflects the Minimum
Guaranteed Interest Rate (see Contract Schedule
II), but may reflect higher interest rates. If a
Variable Annuity is chosen, the initial Annuity
payment for the option chosen reflects the assumed
annual return rate elected. (see Contract Schedule
II).
(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 a Fixed Annuity 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 a Variable Annuity or the payments for a Fixed 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 from July 1, 1993 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. |
24
(e) Assumed Annual Net Return Rate is the
interest rate used to determine the
amount of the first Annuity payment under
a Variable Annuity as shown on Contract
Schedule II. The Separate Account must
earn this rate plus enough to cover the
mortality and expense risks charges (which
may include profit) and administrative
charges if future Variable Annuity
Payments are to remain level, (see Annuity
return factor under Variable Annuity
Assumed Annual Net Return Rate on Contract
Schedule II).
(f) Once elected, Annuity payments cannot be
commuted to a lump sum except for Variable
Annuity payments under option 1 (see
4.07). The life expectancy of the
Annuitant or the Annuitant and second
Annuitant shall be irrevocable upon the
election of an Annuity option.
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4.03 Death of Annuitant/ Beneficiary:
<PAGE>
4.03 Death of Annuitant/ Beneficiary (Cont'd):
4.04 Fund(s) Annuity Units --Separate Account:
Page 17 of 24
(a) Certificate Holder is Annuitant: When
the Certificate Holder is the Annuitant
and the Annuitant dies under option 1 or
2, or both the Annuitant and the second
Annuitant die under option 3(d), the
present value of any remaining guaranteed
payments will be paid in one sum to the
Beneficiary, or upon election by the
Beneficiary, any remaining payments will
continue to the Beneficiary. If option 3
has been elected and the Certificate
Holder dies, the remaining payments will
continue to the successor payee. If no
successor payee has been designated, the
Beneficiary will be treated as the
successor payee. If the Account has joint
Certificate Holder's, the surviving joint
Certificate Holder will be deemed the
successor payee.
(b) Certificate Holder is Not Annuitant: When
the Certificate Holder is not the
Annuitant and the Certificate Holder
dies, the remaining payments will
continue to the successor payee. If no
successor payee has been designated, the
Beneficiary will be treated as the
successor payee. If the Account has joint
Certificate Holder's, the surviving joint
Certificate Holder will be deemed the
successor payee.
If the Annuitant dies under option 1 or
2, or both the Annuitant and the second
Annuitant die under option 3(d), the
present value of any remaining guaranteed
payments will be paid in one sum to the
Beneficiary, or upon the election by the
Beneficiary, any remaining payments will
continue to the Beneficiary. If option 3
has been elected, and the Annuitant dies,
the remaining payments will continue to
the Certificate Holder.
(c) No Beneficiary Named/Surviving: If there
is no Beneficiary, the present value of
any remaining payments will be paid in
one sum to the Certificate Holder, or if
the Certificate Holder is not living,
then to the Certificate Holder's estate.
25
(d) If the Beneficiary or the successor payee
dies while receiving Annuity payments,
the present value of any remaining
guaranteed payments will be paid in one
sum to the successor Beneficiary/payee,
or upon election by the successor
Beneficiary/payee, any remaining payments
will continue to the successor
Beneficiary/payee. If no successor
Beneficiary/payee has been designated,
the present value of any remaining
guaranteed payments will be paid in one
sum to the Beneficiary's/payee's estate.
(e) The present value will be determined as
of the Valuation Period in which proof of
death acceptable to Aetna and a request
for payment is received at Aetna's home
office. The interest rate used to
determine the first payment will be used
to calculate the present value.
The number of each Fund's Annuity Units is
based on the amount of the first Variable
Annuity payment which is equal to:
(a) The portion of the Current Value applied
to pay a Variable Annuity (minus any
premium tax); divided by
(b) 1,000; multiplied by
(c) The payment rate for the option chosen.
Such amount, or portion, of the variable
payment will be divided by the appropriate
Fund Annuity unit value (see 4.05) on the
tenth Valuation Period before the due date of
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4.05 Fund(s) Annuity Unit Value -- Separate Account:
4.06 Annuity Net Return Factor(s) -- Separate Account:
<PAGE>
4.06 Annuity Net Return Factor(s) -- Separate Account (Cont'd):
4.07 Annuity Options:
Page 18 of 24
the first payment to determine the number of
each Fund Annuity units. The number of each
Fund Annuity units remains fixed. Each future
payment is equal to the sum of the products
of each Fund Annuity unit value multiplied by
the appropriate number of units. The Fund
Annuity unit value on the tenth Valuation
Period prior to the due date of the payment
is used.
For any Valuation Period, a Fund Annuity unit
value is equal to: Account:
(a) The value for the previous Period;
multiplied by
(b) The Annuity net return factor(s) (see
4.06 below) for the Period; multiplied by
(c) A factor to reflect the assumed annual
net return rate (see Contract Schedule
II).
The dollar value of a Fund Annuity unit
values and Annuity payments may go up or down
due to investment gain or loss.
The Annuity net return factor(s) are used to
compute all Separate Account Annuity Payments
for any Fund.
The Annuity net return factor(s) for each
Fund is equal to 1.0000000 plus the net
return rate.
The net return rate is equal to:
(a) The value of the shares of the Fund held
by the Separate Account at the end of a
Valuation Period; minus
26
(b) The value of the shares of the Fund held
by the Separate Account at the start of
the Valuation Period; plus or minus
(c) Taxes (or reserves for taxes) on the
Separate Account (if any); divided by
(d) The total value of the Fund(s) record
units and Fund(s) Annuity units of the
Separate Account at the start of the
Valuation Period; minus
(e) A daily charge for Annuity mortality and
expense risks, which may include profit,
and a daily administrative charge (at the
annual rate as shown on Contract Schedule
II).
A net return rate may be more or less than
0%.
The value of a share of the Fund is equal to
the net assets of the Fund divided by the
number of shares outstanding.
Payments shall not be changed due to changes
in the mortality or expense results or
administrative charges.
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 5 and not more than 30.
If payments for this option are made under a
Variable Annuity, the present value of any
remaining payments may be withdrawn at any
time. If a withdrawal is requested within 3
years after the start of payments, it will be
treated as a surrender and any applicable
Surrender Fee will be applied (see 3.14).
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
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Page 19 of 24
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, a choice must be made of:
(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 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.
27
<PAGE>
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 |
- --------------------------------------------------------------------------------
3 | 3.00% | $ 28.99 | $ 86.76 | $ 172.88 | $ 343.23 |
4 | 3.00% | 22.06 | 66.02 | 131.56 | 261.19 |
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 |
28 <PAGE> 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 | |
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Page 20 of 24
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.
29
<PAGE>
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%
<TABLE> | |||||
<CAPTION> | |||||
Adjusted Ages | |||||
Second | |||||
Annuitant Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- ----------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
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 |
</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.
30
<PAGE>
OPTION 1
Payments for a Stated Period of Time
Amount of First Monthly Payment for Each $1,000
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After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
- --------------------------------------------------------------------------------
3 | 3.50% | $ 29.19 | $ 87.33 | $ 173.91 | $ 344.86 |
4 | 3.50% | 22.27 | 66.61 | 132.65 | 263.04 |
5 | 3.50% | 18.12 | 54.19 | 107.92 | 213.99 |
6 | 3.50% | 15.35 | 45.92 | 91.44 | 181.32 |
7 | 3.50% | 13.38 | 40.01 | 79.69 | 158.01 |
8 | 3.50% | 11.90 | 35.59 | 70.88 | 140.56 |
9 | 3.50% | 10.75 | 32.16 | 64.05 | 127.00 |
10 | 3.50% | 9.83 | 29.42 | 58.59 | 116.18 |
11 | 3.50% | 9.09 | 27.18 | 54.13 | 107.34 |
12 | 3.50% | 8.46 | 25.32 | 50.42 | 99.98 |
13 | 3.50% | 7.94 | 23.75 | 47.29 | 93.78 |
14 | 3.50% | 7.49 | 22.40 | 44.62 | 88.47 |
15 | 3.50% | 7.10 | 21.24 | 42.31 | 83.89 |
16 | 3.50% | 6.76 | 20.23 | 40.29 | 79.89 |
17 | 3.50% | 6.47 | 19.34 | 38.51 | 76.37 |
18 | 3.50% | 6.20 | 18.55 | 36.94 | 73.25 |
19 | 3.50% | 5.97 | 17.85 | 35.54 | 70.47 |
20 | 3.50% | 5.75 | 17.22 | 34.28 | 67.98 |
21 | 3.50% | 5.56 | 16.65 | 33.15 | 65.74 |
22 | 3.50% | 5.39 | 16.13 | 32.13 | 63.70 |
23 | 3.50% | 5.24 | 15.66 | 31.19 | 61.85 |
24 | 3.50% | 5.09 | 15.24 | 30.34 | 60.17 |
25 | 3.50% | 4.96 | 14.85 | 29.56 | 58.62 |
26 | 3.50% | 4.84 | 14.49 | 28.85 | 57.20 |
27 | 3.50% | 4.73 | 14.15 | 28.19 | 55.90 |
28 | 3.50% | 4.63 | 13.85 | 27.58 | 54.69 |
29 | 3.50% | 4.53 | 13.57 | 27.02 | 53.57 |
30 | 3.50% | 4.45 | 13.30 | 26.49 | 52.53 |
31
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 5.0%
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
- --------------------------------------------------------------------------------
3 | 5.00% | $ 29.80 | $ 89.04 | $ 176.99 | $ 349.72 |
4 | 5.00% | 22.89 | 68.38 | 135.93 | 268.58 |
5 | 5.00% | 18.74 | 56.00 | 111.33 | 219.98 |
6 | 5.00% | 15.99 | 47.77 | 94.96 | 187.64 |
7 | 5.00% | 14.02 | 41.90 | 83.30 | 164.59 |
8 | 5.00% | 12.56 | 37.52 | 74.58 | 147.35 |
9 | 5.00% | 11.42 | 34.11 | 67.81 | 133.99 |
10 | 5.00% | 10.51 | 31.40 | 62.42 | 123.34 |
11 | 5.00% | 9.77 | 29.19 | 58.03 | 114.66 |
12 | 5.00% | 9.16 | 27.36 | 54.38 | 107.45 |
13 | 5.00% | 8.64 | 25.81 | 51.31 | 101.39 |
14 | 5.00% | 8.20 | 24.50 | 48.69 | 96.21 |
15 | 5.00% | 7.82 | 23.36 | 46.44 | 91.75 |
16 | 5.00% | 7.49 | 22.37 | 44.47 | 87.88 |
17 | 5.00% | 7.20 | 21.51 | 42.75 | 84.88 |
18 | 5.00% | 6.94 | 20.74 | 41.23 | 81.47 |
19 | 5.00% | 6.71 | 20.06 | 39.88 | 78.80 |
20 | 5.00% | 6.51 | 19.46 | 38.68 | 76.42 |
21 | 5.00% | 6.33 | 18.91 | 37.59 | 74.28 |
22 | 5.00% | 6.17 | 18.42 | 36.62 | 72.35 |
23 | 5.00% | 6.02 | 17.98 | 35.73 | 70.61 |
24 | 5.00% | 5.88 | 17.57 | 34.93 | 69.02 |
25 | 5.00% | 5.76 | 17.20 | 34.20 | 67.57 |
26 | 5.00% | 5.65 | 16.87 | 33.53 | 66.25 |
27 | 5.00% | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.00% | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.00% | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.00% | 5.28 | 15.77 | 31.35 | 61.95 |
32
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
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Payments Guaranteed for a Stated Period of Months | |||||
Adjusted | |||||
Age of | None | 60 | 120 | 180 | 240 |
Annuitant |
- -------------------------------------------------------------------------------- |
50 | $ 4.34 | $ 4.34 | $ 4.31 | $ 4.27 | $ 4.22 |
51 | 4.41 | 4.40 | 4.38 | 4.33 | 4.27 |
52 | 4.48 | 4.47 | 4.45 | 4.40 | 4.32 |
53 | 4.56 | 4.55 | 4.52 | 4.46 | 4.38 |
54 | 4.64 | 4.63 | 4.59 | 4.53 | 4.44 |
55 | 4.72 | 4.71 | 4.67 | 4.60 | 4.50 |
56 | 4.81 | 4.80 | 4.75 | 4.67 | 4.56 |
57 | 4.91 | 4.89 | 4.84 | 4.75 | 4.62 |
58 | 5.01 | 4.99 | 4.93 | 4.83 | 4.69 |
59 | 5.12 | 5.10 | 5.03 | 4.92 | 4.75 |
60 | 5.23 | 5.21 | 5.13 | 5.00 | 4.82 |
61 | 5.36 | 5.33 | 5.24 | 5.09 | 4.88 |
62 | 5.49 | 5.45 | 5.35 | 5.19 | 4.95 |
63 | 5.63 | 5.59 | 5.47 | 5.28 | 5.02 |
64 | 5.78 | 5.73 | 5.60 | 5.38 | 5.08 |
65 | 5.94 | 5.89 | 5.73 | 5.48 | 5.15 |
66 | 6.11 | 6.05 | 5.87 | 5.58 | 5.21 |
67 | 6.29 | 6.22 | 6.02 | 5.69 | 5.27 |
68 | 6.49 | 6.41 | 6.17 | 5.79 | 5.33 |
69 | 6.70 | 6.60 | 6.33 | 5.90 | 5.38 |
70 | 6.92 | 6.81 | 6.49 | 6.00 | 5.43 |
71 | 7.17 | 7.04 | 6.66 | 6.10 | 5.48 |
72 | 7.43 | 7.27 | 6.84 | 6.20 | 5.52 |
73 | 7.71 | 7.53 | 7.02 | 6.30 | 5.55 |
74 | 8.02 | 7.70 | 7.20 | 6.39 | 5.59 |
75 | 8.35 | 8.08 | 7.38 | 6.48 | 5.62 |
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.
33
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period of Months
Adjusted | ||||||
Age of | None | 60 | 120 | 180 | 240 | |
Annuitant | ||||||
- -------------------------------------------------------------------------------- | ||||||
50 | $ 5.26 | $ 5.25 | $ 5.22 | $ 5.17 | $ 5.11 | |
51 | 5.33 | 5.32 | 5.28 | 5.23 | 5.15 | |
52 | 5.40 | 5.38 | 5.34 | 5.29 | 5.20 | |
53 | 5.47 | 5.45 | 5.41 | 5.35 | 5.26 | |
54 | 5.54 | 5.53 | 5.48 | 5.41 | 5.31 | |
55 | 5.63 | 5.61 | 5.56 | 5.47 | 5.36 | |
56 | 5.71 | 5.69 | 5.63 | 5.54 | 5.42 | |
57 | 5.80 | 5.78 | 5.72 | 5.61 | 5.47 | |
58 | 5.90 | 5.88 | 5.81 | 5.69 | 5.53 | |
59 | 6.01 | 5.98 | 5.90 | 5.77 | 5.59 | |
60 | 6.12 | 6.09 | 6.00 | 5.85 | 5.65 | |
61 | 6.24 | 6.21 | 6.10 | 6.93 | 5.71 | |
62 | 6.37 | 6.33 | 6.21 | 6.02 | 5.77 | |
63 | 6.51 | 6.46 | 6.33 | 6.11 | 5.83 | |
64 | 6.66 | 6.60 | 6.45 | 6.20 | 5.89 | |
65 | 6.82 | 6.75 | 6.57 | 6.30 | 5.95 | |
66 | 6.99 | 6.91 | 6.71 | 6.39 | 6.01 | |
67 | 7.17 | 7.08 | 6.85 | 6.49 | 6.06 | |
68 | 7.36 | 7.27 | 6.99 | 6.59 | 6.12 | |
69 | 7.57 | 7.46 | 7.15 | 6.69 | 6.17 | |
70 | 7.80 | 7.67 | 7.30 | 6.78 | 6.21 | |
71 | 8.05 | 7.89 | 7.47 | 6.88 | 6.25 | |
72 | 8.31 | 8.13 | 7.64 | 6.97 | 6.29 | |
73 | 8.59 | 8.38 | 7.81 | 7.06 | 6.33 | |
74 | 8.90 | 8.64 | 7.99 | 7.15 | 6.36 | |
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Page 23 of 24
75 9.23
8.93 8.16
7.23 6.38
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.
34
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> | |||||
<CAPTION> | |||||
Adjusted Ages | |||||
Second | |||||
Annuitant Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- ----------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.31 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.42 |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.48 |
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.70 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.84 |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 4.93 |
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.22 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.42 |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 5.54 |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 5.93 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.23 |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 6.40 |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 6.95 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.40 |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 7.64 |
</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.
35
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> | |||||||
<CAPTION> | |||||||
Adjusted Ages | |||||||
Second | |||||||
Annuitant Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e | ||
- ---------------------------------------------------------------------------------------------- | |||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.23 | |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.32 | |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.38 | |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.59 | |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.72 | |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 5.80 | |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.10 | |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.29 | |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 6.41 | |
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 6.81 | |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.08 | |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 7.25 | |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 7.81 | |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.25 | |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 8.49 | |
</TABLE> | |||||||
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Page 24 of 24
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.
36
<PAGE>
[Aetna logo]
Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
P.O. Box 30670
Hartford, Connecticut 06150-0670
(800) 531-4547
Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY.
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Page 1 of 24
Exhibit 16(4)(d) | ||
Aetna Insurance Company of America | ||
Home Office: 151 Farmington Avenue | ||
P.O. Box 30670 | ||
Hartford, Connecticut 06150-0670 | ||
(800) 531-4547 | ||
You may call the toll-free number shown above for | ||
answers to questions or to resolve a complaint. | ||
Aetna Insurance Company of America, a stock | ||
company, herein called Aetna, agrees to pay the | ||
benefits stated in this Contract. | ||
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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 or endorsements issued to | ||
you under the stated Contract and Certificate | ||
numbers. This Certificate is for information only | ||
and is not a part of the Contract. | ||
The variable features of the Group Contract are | ||
described in parts III and IV. | ||
- -------------------------------------------------------------------------------- | ||
Right to Cancel | You may cancel your Account within 10 days by | |
returning it to the agent from whom it was | ||
purchased, or to Aetna at the address shown | ||
above. Within seven days of receiving this | ||
Certificate at its home office, Aetna will return | ||
the amount of Purchase Payment(s) received, plus | ||
any increase, or minus any decrease, on the | ||
amount, if any, of Purchase Payment(s) allocated | ||
to the Separate Account fund(s). | ||
/s/ Dan Kearney | /s/ Maria F. McKeon | |
President | Secretary | |
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Contract Holder | Group Annuity Contract No. | |
SPECIMEN | SPECIMEN | |
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Certificate Holder | Certificate No. | |
SPECIMEN | SPECIMEN | |
SPECIMEN | ||
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Annuitant Name | Type of Plan | |
SPECIMEN | SPECIMEN | |
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ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | ||
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | ||
FIXED DOLLAR AMOUNT. THIS CERTIFICATE 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 TERM AT THE TIME OF ITS MATURITY. | ||
<PAGE> | ||
Specifications | ||
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Guaranteed Interest Rate | There are guaranteed interest rates for amounts | |
held in the AG Account (See Certificate | ||
Schedule I). | ||
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Deductions from the | There will be deductions for mortality and | |
Separate Account | expense risks and administrative fees. (See | |
Account Certificate Schedule I and II). | ||
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Deduction from Purchase | The Purchase Payment is subject to a deduction | |
Payment(s) | for premium taxes, if any. (See 3.01.) | |
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Surrender Fee | There will be a charge deducted upon surrender. | |
(See Certificate Schedule I). | ||
2 | ||
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<PAGE>
Contract Schedule I
Accumulation Period
Separate Account
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Separate Account: | Variable Annuity Account I | |
Charges to Separate Account: | A daily charge is deducted from any portion of | |
the Current Value allocated to the Separate | ||
Account. The deduction is the daily equivalent | ||
of the annual effective percentage shown in the | ||
following chart: | ||
Administrative Charge | 0.10% | |
Mortality Risk Charge | 0.35% | |
Expense Risk Charge | 0.90% | |
---- | ||
Total Separate Account Charges | 1.25% |
AICA Guaranteed Account (AG Account)
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Minimum | |
Guaranteed Interest | |
Rate: | 3.0% (effective annual rate of return) |
Separate Account and AG Account
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Transfers: | An unlimited number of Transfers are allowed | |
during the Accumulation Period. Aetna allows | ||
12 free Transfers in any calendar year. | ||
Thereafter, Aetna reserves the right to charge | ||
$10 for each subsequent Transfer. | ||
Maintenance Fee: | The annual Maintenance Fee is $30. 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. | ||
Surrender Fee: | For each surrender, the Surrender Fee will be | |
determined as follows: | ||
Length of Time from | Surrender Fee | |
Deposit of Net | (as percentage of | |
Purchase Payment (Years) | Net Purchase Payment | |
Less than 2 years | 6% | |
2 or more but less than 3 | 5% | |
3 or more but less than 4 | 4% | |
4 or more but less than 5 | 3% | |
5 or more but less than 6 | 2% | |
6 or more but less than 7 | 0% | |
7 or more years | ||
Systematic | The specified payment or specified percentage | |
Withdrawal Option | may not be greater than 10% of the Account's | |
(SWO): | Current Value at time of election. |
See 1. GENERAL DEFINITIONS for explanations.
3
<PAGE>
Contract Schedule II
Annuity Period
Separate Account
- --------------------------------------------------------------------------------Charges to Separate Account: A daily charge at an annual effective rate of 1.25% for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option.
This charge will not exceed 0.25%.
Variable Annuity Assumed Annual Net Return Rate: |
If a Variable Annuity is chosen, an assumed annual net return rate of 5.0% may be elected. If 5.0% is not elected, Aetna will use an assumed annual net return rate of 3.5%. The assumed annual net return rate factor for 3.5% per year is 0.9999058. The assumed annual net return rate factor for 5.0% per year is 0.9998663. If the portion of a Variable Annuity payment for |
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any Fund is not to decrease, the Annuity return
factor under the Separate Account for that Fund
must be:
(a) 4.75% on an annual basis plus an annual
return of up to 0.25% to offset the
administrative charge set at the time
Annuity payments commence if an assumed
annual net return rate of 3.5% is chosen;
or
(b) 6.25% on an annual basis plus an annual
return of up to 0.25% to offset the
administrative charge set at the time
Annuity payments commence, if an assumed
annual net return rate of 5% is chosen.
Fixed Annuity
- --------------------------------------------------------------------------------Minimum Guaranteed Interest 3.0% (effective annual rate of return) Rate: See 1. GENERAL DEFINITIONS for explanations.
4
<PAGE>
TABLE OF CONTENTS
I. |
GENERAL DEFINITIONS |
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1.01 | Account | 7 |
1.02 | Accumulation Period | 7 |
1.03 | Adjusted Current Value | 7 |
1.04 | AICA Guaranteed Account (AG Account) | 7 |
1.05 | Annuitant | 7 |
1.06 | Annuity | 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 | Dollar Cost Averaging | 8 |
1.15 | Fixed Annuity | 8 |
1.16 | Fund(s) | 8 |
1.17 | General Account | 8 |
1.18 | Guaranteed Rates -- AG Account | 8 |
1.19 | Guaranteed Term | 8 |
1.20 | Guaranteed Term(s) Groups | 9 |
1.21 | Maintenance Fee | 9 |
1.22 | Market Value Adjustment (MVA) | 9 |
1.23 | Matured Term Value | 9 |
1.24 | Matured Term Value Transfer | 9 |
1.25 | Maturity Date | 9 |
1.26 | Net Purchase Payment(s) | 9 |
1.27 | Nonunitized Separate Account | 9 |
1.28 | Purchase Payment(s) | 9 |
1.29 | Reinvestment | 10 |
1.30 | Separate Account | 10 |
1.31 | Surrender Value | 10 |
1.32 | Transfers | 10 |
1.33 | Valuation Period (Period) | 10 |
1.34 | Variable Annuity | 10 |
II. |
GENERAL PROVISIONS |
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2.01 | Change of Contract | 10 | |
2.02 | Change of Fund(s) | 12 | |
2.03 | Nonparticipating Contract | 12 | |
2.04 | Payments and Elections | 12 | |
5 | |||
<PAGE> | |||
2.05 | State Laws | 12 | |
2.06 | Control of Contract | 12 | |
2.07 | Designation of Beneficiary | 13 | |
2.08 | Misstatements and Adjustments | 13 | |
2.09 | Incontestability | 13 | |
2.10 | Grace Period | 13 | |
2.11 | Individual Certificates | 13 |
III. |
PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
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3.01 | Net Purchase Payment | 13 | |
3.02 | Certificate Holder's Account | 14 | |
3.03 | Fund(s) Record Units -- Separate Account | 14 | |
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3.04 | Net Return Factor(s) -- Separate Account | 14 |
3.05 | Fund Record Unit Value - Separate Account | 15 |
3.06 | Market Value Adjustment | 15 |
3.07 | Transfer of Current Value from the Funds or AG Account | 16 |
3.08 | Notice to the Certificate Holder | 17 |
3.09 | Loans 17 | |
3.10 | Systematic Withdrawal Option (SWO) | 17 |
3.11 | Death Benefit Amount | 19 |
3.12 | Death Benefit Options Available to Beneficiary | 19 |
3.13 | Liquidation of Surrender Value | 21 |
3.14 | Surrender Fee | 22 |
3.15 | Payment of Surrender Value | 22 |
3.16 | Payment of Adjusted Current Value | 23 |
IV. |
ANNUITY PROVISIONS |
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4.01 | Choices | 23 |
4.02 | Terms of Annuity Options | 23 |
4.03 | Death of Annuitant/Beneficiary | 24 |
4.04 | Fund(s) Annuity Units Separate Account | 25 |
4.05 | Fund(s) Annuity Unit Value -- Separate Account | 26 |
4.06 | Annuity Net Return Factor(s) -- Separate Account | 26 |
4.07 | Annuity Options | 27 |
6 | ||
<PAGE> |
I. |
GENERAL DEFINITIONS |
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1.01 |
Account: |
1.02 |
Accumulation Period: |
1.03 | Adjusted Current Value: |
1.04 | AICA Guaranteed Account |
(AG Account): |
1.05 |
Annuitant: |
1.06 |
Annuity: |
1.07 |
Beneficiary: |
1.08 |
Certificate Holder: |
1.09 | Code: |
1.10 | Contract: |
<PAGE> |
A record established for each Certificate Holder to maintain the value of all Net Purchase Payments held on his/her behalf during the Accumulation Period.
The period during which the Net Purchase Payment(s) are applied to an Account to provide future Annuity payment(s).
The Current Value of an Account plus or minus any aggregate AG Account MVA, if applicable. (See 1.22)
An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AG Account.
The person whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract.
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). |
The individual or estate entitled to receive any death benefit due under the Contract. 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.
A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit 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.
The Internal Revenue Code of 1986, as it may be amended from time to time.
This agreement between Aetna and the Contract Holder.
7
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1.11 |
Contract Holder: |
1.12 |
Current Value: |
1.13 |
Deposit Period: |
1.14 |
Dollar Cost Averaging: |
1.15 |
Fixed Annuity: |
1.16 |
Fund(s): |
1.17 |
General Account: |
1.18 |
Guaranteed Rates -- AG Account: |
<PAGE>
1.19 |
Guaranteed Term: |
Page 5 of 24
The entity to which the Contract is issued.
As of the most recent Valuation Period, the Net
Purchase Payment and any additional amount
deposited pursuant to 3.11 plus any interest
added to the portion allocated to the AG
Account; and plus or minus the investment
experience of the portion allocated to the Funds
since deposit; less all Maintenance Fees
deducted, any amounts surrendered and any
amounts applied to an Annuity.
A calendar week, a calendar month, a calendar
quarter, or any other period of time specified
by Aetna during which Net Purchase Payment(s),
Transfers and Reinvestments are accepted into
the AG Account for one or more Guaranteed Terms.
Aetna reserves the right to extend the Deposit
Period.
A program that permits the Certificate Holder to
systematically transfer amounts from any of the
Funds and the one-year AG Account Guaranteed
Term to any of the Funds. Dollar Cost Averaging
is not available with the Systematic Withdrawal
Option or the Estate Conservation Option.
An Annuity with payments that do not vary in
amount.
The open-end management investment companies
(mutual funds) in which the Separate Account
invests.
The Account holding the assets of Aetna, other
than those assets held in Aetna's separate
accounts.
Aetna will declare the interest rate(s)
applicable to a specific Guaranteed Term at the
start of the Deposit Period for that Guaranteed
Term. The rate(s) are guaranteed by Aetna for
that Deposit Period and the ensuing Guaranteed
Term. The Guaranteed Rates are annual effective
yields. That is, interest is credited daily at a
rate that will produce the Guaranteed Rate over
the period of a year. No Guaranteed Rate will
ever be less than the Minimum Guaranteed Rate
shown on Contract Schedule 1.
For Guaranteed Terms of one year or less, one
Guaranteed Rate is credited for the full
Guaranteed Term. For longer Guaranteed Terms, an
initial Guaranteed Rate is credited from the
date of deposit to the end of a specified period
within the Guaranteed Term. There may be
different Guaranteed Rate(s) declared for
subsequent specified time intervals throughout
the Guaranteed Term.
8
The period of time for which AG Account
Guaranteed Rates are guaranteed on Net Purchase
Payments, Transfers and Reinvestments made into
a current Deposit Period for the AG Account.
Such period begins on the day following the
close of the Deposit Period and ends on the
designated Maturity Date. Guaranteed Terms are
offered at Aetna's discretion for various
lengths of time ranging up to and including ten
years.
1.19 | Guaranteed Term (Cont'd): During a Deposit Period, Aetna may make | ||
available any number of Guaranteed Terms. The | |||
Certificate Holder may allocate Net Purchase | |||
Payments and Transfers into any or all of the | |||
available Guaranteed Terms. | |||
1.20 | Guaranteed Term(s) | All AG Account Guaranteed Term(s) with the same | |
Groups: | length of time from the close of the Deposit | ||
Period until the designated Maturity Date. | |||
1.21 | Maintenance Fee: | The Maintenance Fee (see Contract Schedule I) | |
will be deducted during the Accumulation Period | |||
from the Current Value on each anniversary of | |||
the date the Account is established and upon | |||
surrender of the entire Account. | |||
1.22 | Market Value Adjustment | An adjustment that may apply to an amount | |
(MVA): | withdrawn or transferred from an AG Account | ||
Guaranteed Term prior to the end of that | |||
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1.23 |
Matured Term Value: |
1.24 |
Matured Term Value Transfer: |
1.25 |
Maturity Date: |
1.26 |
Net Purchase Payment(s): |
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Guaranteed Term. 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 3.06. The adjustment is expressed as a
percentage of each dollar being withdrawn.
The amount payable on an AG Account Guaranteed
Term's Maturity Date.
During the calendar month following an AG
Account Maturity Date, the Certificate Holder
may notify Aetna's home office in writing to
Transfer or surrender all or part of the Matured
Term Value, plus interest at the new Guaranteed
Rate accrued thereon, from the AG Account
without an MVA. This provision only applies to
the first such written request received from the
Certificate Holder during this period for any
Matured Term Value.
The last day of an AG Account Guaranteed Term.
The Purchase Payment less premium
taxes, as applicable.
9
1.27 | Nonunitized | A separate account set up by Aetna under |
Separate Account: | Title 38, Section 38a-433, of the Connecticut | |
General Statutes, that holds assets for AG | ||
Account Terms. There are no discrete units for | ||
this 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. These assets may be chargeable with | ||
liabilities arising out of any other business of | ||
Aetna. | ||
1.28 | Purchase Payment(s): | Payment(s) 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 or Certificate Holder. | ||
1.29 | Reinvestment: | Aetna will mail a notice to the Certificate |
Holder at least 18 calendar days before a | ||
Guaranteed Term's Maturity Date. This notice | ||
will contain the Terms available during the | ||
current Deposit Periods with their Guaranteed | ||
Rate(s) and projected Matured Term Value. If no | ||
specific direction is given by the Certificate | ||
Holder prior to the Maturity Date, each Matured | ||
Term Value will be reinvested in the current | ||
Deposit Period for a Guaranteed Term of the same | ||
duration. If a Guaranteed Term of the same | ||
duration is unavailable, each Matured Term Value | ||
will automatically be reinvested in the current | ||
Deposit Period for the next shortest Guaranteed | ||
Term available. If no shorter Guaranteed Term is | ||
available, the next longer Guaranteed Term will | ||
be used. Aetna will mail a confirmation | ||
statement to the Certificate Holder the next | ||
business day after the Maturity Date. This | ||
notice will state the Guaranteed Term and | ||
Guaranteed Rate(s) which will apply to the | ||
reinvested Matured Term Value. | ||
1.30 | Separate Account: | A separate account that buys and holds shares of |
the Fund(s). Income, gains or losses, realized | ||
or unrealized, are credited or charged to the | ||
Separate Account without regard to other income, | ||
gains or losses of Aetna. Aetna owns the assets | ||
held in the Separate Account and is not a | ||
trustee as to such amounts. This Separate | ||
Account generally is not guaranteed and is held | ||
at market value. The assets of the Separate | ||
Account, to the extent of reserves and other | ||
contract liabilities of the Account, shall not | ||
be charged with other Aetna liabilities. | ||
1.31 | Surrender Value: | The amount payable by Aetna upon the surrender |
of any portion of an Account. | ||
1.32 | Transfers: | The movement of invested amounts among the |
available Fund(s) and the AG Account under this | ||
Contract during the Accumulation Period. |
10
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1.33 |
Valuation Period (Period): |
1.34 |
Variable Annuity: |
II. |
GENERAL PROVISIONS |
Page 7 of 24
The period of time for which a Fund determines
its net asset value, usually from 4:15 p.m.
Eastern time each day the New York Stock
Exchange is open until 4:15 p.m. the next such
day, or such other day that one or more of the
Funds determines its net asset value.
An Annuity with payments that vary with the net
investment results of one or more Funds under
the Separate Account.
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1.01 |
Change of Contract: |
2.01 |
Change of Contract (Cont'd): |
<PAGE>
2.02 |
Change of Fund(s): |
Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.
Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. This applies to an initial Purchase Payment to establish a new Account or to subsequent Purchase Payments to existing Accounts under the Contract. No advance notice will be given to the Contract Holder or Certificate Holder.
Aetna may make any change that affects the AG Account Market Value Adjustment (3.06) with at least 30 days' advance written notice to the Contract Holder and the Certificate Holder. Any such change shall become effective for any new Term and will apply to all present and future Accounts.
Aetna reserves the right to change the terms of the Systematic Withdrawal Option (3.10) for future elections and discontinue the availability of this option after proper notification.
Any change that affects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:
(a) |
Net Purchase Payment (1.26) |
(b) |
AG Account Guaranteed Rate (1.18) |
(c) |
Net Return Factor(s) -- Separate Account (3.04) |
(d) |
Current Value (1.12) |
(9) |
Surrender Value (1.31) |
(f) |
Fund(s) Annuity Unit Value -- Separate Account (4.05) |
(g) |
Annuity options (4.07) |
(h) |
Fixed Annuity Interest Rates (4.01) |
(i) |
Transfers (1.32). |
Any change that affects the Annuity options and the tables for the options may be made:
11
(a) |
No earlier than 12 months after the effective date of this Contract; and |
(b) |
No earlier than 12 months after the effective date of any prior change. |
Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.
The assets of the Separate. Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, Aetna may cease to make such Fund shares available for investment under the Contract prospectively, or Aetna may substitute shares of another Fund for shares already acquired. Aetna may also, from time to time, add additional Funds. Any elimination, substitution
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2.03 |
Nonparticipating Contract: |
2.04 |
Payments and Elections: |
2.05 State Laws:
<PAGE>
Page 8 of 24
or addition of Funds will be done in accordance
with applicable state and federal securities
laws. Aetna reserves the right to substitute
shares of another Fund for shares already
acquired without a proxy vote.
The Contract Holder, Certificate Holders or
Beneficiaries will not have a right to share in
the earnings of Aetna.
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 required to be
made will be paid in accordance with 4.03. Aetna
will determine other payments and/or elections
as of the end of the Valuation Period in which
the request is received at its home office. Such
payments will be made within seven calendar days
of receipt at its home office of a written claim
for payment which is in good order, except as
provided in 3.15.
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.
12
2.06 | Control of | This is a Contract between the Contract Holder |
Contract: | 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. | ||
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 Certificate | ||
Holders must authorize any Certificate Holder | ||
change 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 or the | ||
Certificate Holder, except to the extent | ||
permitted by law. | ||
2.06 | Control of Contract | The Certificate Holder may assign or transfer |
(Cont'd): | 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. | ||
2.07 | Designation of | Each Certificate Holder shall name his or her |
Beneficiary: | Beneficiary. If the Account is owned jointly, | |
both joint Certificate Holders must agree in | ||
writing to the Beneficiary designated. 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 accepted by Aetna. If the Account is owned | ||
jointly, at the death of one joint Certificate | ||
Holder, the survivor will be deemed the | ||
Beneficiary; any other Beneficiary on record | ||
will be deemed a contingent Beneficiary. | ||
2.08 | Misstatements | If Aetna finds the age of any Annuitant to be |
and Adjustments: | misstated, the correct facts will be used to | |
adjust payments. | ||
2.09 | Incontestability: | Aetna cannot cancel this Contract because of |
any error of fact. | ||
2.10 | Grace Period: | This Contract will remain in effect even if |
Purchase Payments are not continued except as | ||
provided in the Payment of Adjusted Current | ||
Value provision (see 3.17). |
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2.11 | Individual | Aetna shall issue a certificate to each |
Certificates | Certificate Holder. The certificate will | |
summarize certain provisions of the Contract. | ||
Certificates are for information only and are | ||
not a part of the Contract. |
III. |
PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
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13
<PAGE>
3.01 | Net Purchase | This amount is the actual Purchase Payment less |
Payment: | any premium tax. Aetna reserves the right to pay | |
premium taxes when due and deduct the amount | ||
from the Current Value when we pay the tax or at | ||
a later date. | ||
The Net Purchase payment will be credited among: |
(a) |
The current Deposit Period(s) for Guaranteed Terms under the AG Account; and |
(b) |
The Fund(s) in which the Separate Account invests. |
3.01 | Net Purchase | For each Net Purchase Payment, the Certificate |
Payment (Cont'd): | Holder shall tell Aetna the allocation | |
percentage to be applied to the current Deposit | ||
Period for each of the available Guaranteed | ||
Terms in the AG Account and/or each Fund. If | ||
allocation instructions are not received along | ||
with any subsequent Net Purchase Payment, the | ||
allocation will be the same as that indicated | ||
when the Contract was purchased. If the same | ||
Guaranteed Term is no longer available, the Net | ||
Purchase Payment will be allocated to the next | ||
shortest Guaranteed Term available in the | ||
current Deposit Period. If no shorter Guaranteed | ||
Term is available, the next longer Guaranteed | ||
Term will be used. | ||
3.02 | Certificate | Aetna will maintain an Account for each |
Holder's Account: | Certificate Holder. | |
Aetna will declare from time to time the | ||
acceptability and the minimum amount for | ||
additional Purchase Payments. Each Account will | ||
be subject to the Terms and Conditions of the | ||
Contract in effect at the time the first | ||
Purchase Payment for such Account is applied to | ||
the Contract except for changes made to comply | ||
with federal or state law. |
3.03 |
Fund(s) Record Units -- The portion of the Net Purchase Payment(s) |
Separate Account: |
applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's home office. |
3.04 |
Net Return Factor(s) -- The net return factor(s) are used to compute all |
Separate Account:
Separate Account record units for any Fund.
The net return factor(s) for each Fund is equal
to 1.0000000 plus the net return rate.
14
<PAGE>
The net return rate is equal to:
(a) |
The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus |
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) |
The total value of the Fund(s) record units and Fund(s) annuity units of the Separate Account at the start of the Valuation Period; minus |
(e) |
A daily Separate Account charge at an annual |
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Page 10 of 24
rate as shown on Contract Schedule I for
mortality and expense risks, which may
include profit; and a daily administrative
charge.
3.04 |
Net Return Factor(s) -- A net return rate may be more or less than 0%. |
Separate Account | The value of a share of the Fund is equal to the | |
(Cont.): | net assets of the Fund divided by the number of | |
shares outstanding. | ||
3.05 | Fund Record Unit | A Fund record unit value is computed by |
Value -- Separate | multiplying the net return factors for the | |
Account: | current Valuation Period by the Fund record unit | |
value for the previous Period. The dollar value | ||
of Fund record units, Separate Account assets, | ||
and Variable Annuity payments may go up or down | ||
due to investment gain or loss. | ||
3.06 | Market Value | An MVA will apply to any withdrawal from the AG |
Adjustment: | Account before the end of a Guaranteed Term when | |
the withdrawal is: | ||
(a) A Transfer; except for Transfers from the | ||
one-year AG Account Guaranteed Account | ||
under the Dollar Cost Averaging program or, | ||
as specified in 1.24 Matured Term Value | ||
Transfer; | ||
(b) A full or partial surrender (including a | ||
10% free withdrawal under 3.14); except for | ||
a partial withdrawal under the Systematic | ||
Withdrawal Option; or | ||
(c) Due to election of an Annuity (see 4.07). | ||
Full and partial surrenders and Transfers made | ||
within six months after the date of the | ||
Annuitant's death will be the greater of: | ||
(a) The aggregate MVA amount which is the sum | ||
of all market value adjusted amounts | ||
calculated due to a withdrawal of amounts. | ||
This total may be greater or less than the | ||
Current Value of those amounts; or | ||
(b) The applicable portion of the Current Value | ||
in the AG Account. |
15
<PAGE>
After the six-month period, the surrender or
Transfer will be the aggregate MVA amount,
which may be greater or less than the Current
Value of those amounts.
The greater of the aggregate MVA amount or the
applicable portion of the Current Value applies
to amounts withdrawn from the AG Account on
account of an election of Annuity options 2 or
3 (see 4.07).
Market value adjusted amounts will be equal to
the amount withdrawn multiplied by the
following ratio:
X
---
365
( 1 + i )
------------
X
---
365
( 1 + j )
3.06 | Market Value | Where: | |
Adjustment (Cont'd): | |||
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 Term. | |||
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 |
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3.07 |
Transfer of Current Value from the Funds or AG Account: |
3.07 |
Transfer of Current Value from the Funds or AG |
Account (Cont'd): |
3.08 |
Notice to the Certificate Holder: |
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Page 11 of 24
which mature in the last three months of
the Guaranteed Term.
(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 Term exist, Aetna reserves the right
to use the U.S. Treasury Notes that mature in
the following quarter.
16
Before an Annuity option is elected, all or any
portion of the Adjusted Current Value of the
Certificate Holder's Account may be transferred
from any Fund or Guaranteed Term of the AG
Account:
(a) |
To any other Fund; or |
(b) |
To any Guaranteed Term of the AG Account available in the current Deposit Period. |
Transfer requests can be submitted as a
percentage or as a dollar amount. Aetna may
establish a minimum transfer amount. Within a
Guaranteed Term Group, the amount to be
surrendered or transferred will be withdrawn
first from the oldest Deposit Period, then from
the next oldest, and so on until the amount
requested is satisfied.
The Certificate Holder may make an unlimited
number of Transfers during the Accumulation
Period. The number of free Transfers allowed by
Aetna is shown on Contract Schedule I.
Additional Transfers may be subject to a
Transfer fee as shown on Contract Schedule I.
Amounts transferred from the AG Account under
the Dollar Cost Averaging program, or amounts
transferred as a Matured Term Value on or within
one calendar month of a Term's Maturity Date do
not count against the annual Transfer limit.
Amounts applied to Guaranteed Terms of the AG
Account may not be transferred to the Funds or
to another Guaranteed Term during the Deposit
Period or for 90 days after the close of the
Deposit Period except for (1) Matured Term
Value(s) during the calendar month following the
Term's Maturity Date; (2) amounts used as a
premium for an Annuity option; (3) amounts
transferred from the one-year AG Account
Guaranteed Term under the Dollar Cost Averaging
program; and (4) amounts distributed under the
Systematic Withdrawal Option.
The Certificate Holder will receive quarterly
statements from Aetna of:
(a) |
The value of any amounts held in: |
|
(1) |
The AG Account; and |
|
(2) |
The Fund(s) under the Separate Account. |
|
(b) |
The number of any Fund(s) record units; and |
|
(c) |
The Fund(s) record unit value. |
Such number or values will be as of a specific
date no more than 60 days before the date of the
notice.
17
3.09 | Loans: | Loans are not available under this Contract. |
3.10 | Systematic Withdrawal | A distribution option under which a portion of |
Option (SWO): | the Account's Current Value will automatically |
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3.10 |
Systematic Withdrawal Option (SWO) (Cont'd): |
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Page 12 of 24
be surrendered and distributed each year. SWO
payments will be calculated on the Account's
full Current Value. The distributed amount is
withdrawn pro rata from each investment option
under the Account. 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. Aetna will not be responsible for any
adverse tax consequences due to receiving SWO
payments.
(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 of the Current Value at time
of election as shown on Contract
Schedule I. 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 of the
Current Value at the time of election
as 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.
(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 Account balance. |
18
(c) |
Date of Distribution: The Certificate Holder shall specify the initial distribution date. |
The earliest date for distribution is the date on which the Certificate Holder attains age 59-1/2. As elected by the Certificate Holder, SWO payments will be made on a monthly, quarterly, semi-annual or annual basis. 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 Aetna may designate or allow. |
|
(d) |
SWO payments will cease upon the Certificate Holder's or Annuitant's death. A |
Beneficiary, however, may elect to continue SWO as provided in 3.12. |
|
(e) |
Election and Revocation: SWO may be elected by submitting a completed and signed election form to Aetna's home office. 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. |
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3.11 Death Benefit Amount:
<PAGE>
3.12 |
Death Benefit Options Available to Beneficiary: |
3.12 |
Death Benefit Options Available to Beneficiary (Cont'd): |
<PAGE>
Page 13 of 24
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 death of the first
joint Certificate Holder to die. 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. The amount of the death
benefit is determined as follows:
(a) |
Death of Annuitant when the Certificate Holder is the Annuitant: The guaranteed death benefit is the greatest of: |
(1) The sum of all Purchase Payment(s) made
to the Account (as of the date of
death) minus the sum of all amounts
surrendered, applied to an Annuity, or
deducted from the Account;
19
(2) The highest step up value, as of the
date of death, prior to the Annuitant's
75th birthday. A step-up value is
determined on each anniversary of the
Effective Date. Each step-up value is
calculated as the Account's Current
Value on the Effective Date
anniversary, increased by the amount of
any Purchase Payment(s) made, and
decreased by the sum of all amounts
surrendered, deducted, and/or applied
to an Annuity option since the
Effective Date anniversary.
(3) The Account's Current Value as of the
date of death.
The excess, if any, of the guaranteed death
benefit value over the Account's Current
Value is determined as of the date of death.
Any excess amount will be deposited to the
Account and allocated to Aetna Variable
Encore Fund as of the claim date. The
Current Value on the claim date plus any
excess amount deposited becomes the
Account's Current Value.
(b) |
Death of the Certificate Holder if the Certificate Holder is not the Annuitant: The death benefit amount is the Account's Adjusted Current Value on the claim date. A |
Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I). |
|
(c) |
Death of spousal Beneficiary who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date, less any applicable Surrender Fee on Purchase Payments made since the death of the Certificate Holder or Annuitant. |
Prior to any election, or until amounts must be
otherwise distributed under this section, the
Current Value will be retained in the Account.
The Beneficiary has the right to allocate or
reallocate any amount to any of the available
investment options (subject to an MVA if
applicable). The following options are available
to the Beneficiary:
(a) |
When the Certificate Holder is the Annuitant if the Annuitant dies (or when the Certificate Holder is a nonnatural person if the Annuitant dies): |
(1) If the Beneficiary is the surviving
spouse, the spousal Beneficiary will be
the successor Certificate Holder and may
exercise all Certificate Holder rights
under the Contract and continue in the
Accumulation Period, or may elect (i) or
(ii) below.
20
Under the Code, distributions from the | |
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3.12 |
Death Benefit Options Available to Beneficiary (Cont'd): |
<PAGE>
Page 14 of 24
Account are not required until the
spousal Beneficiary's death. The spousal
Beneficiary may elect to:
(i) |
Apply some or all of the Adjusted Current Value to an Annuity option (see 4.07); |
(ii) |
Receive, at any time, a lump sum payment equal to the Adjusted Current Value of the Account. |
(2) If the Beneficiary is other than the
surviving spouse, options (i) or (ii)
above apply. Any portion of the Adjusted
Current Value not applied to an Annuity
option within one year of the death must
be distributed within five years of the
date of death.
(3) If no Beneficiary exists, a lump sum
payment equal to the Adjusted Current
Value must be made to the Annuitant's
estate within five years of the date of
death.
(4) If the Beneficiary is an entity, a lump
sum payment equal to the Adjusted
Current Value must be made within five
years of the date of death.
(b) |
When the Certificate Holder is not the Annuitant when the Certificate Holder dies: |
(1) If the Beneficiary is the Certificate
Holder's surviving spouse, the spousal
Beneficiary will be the successor
Certificate Holder and may exercise all
Certificate Holder rights under the
Contract and continue in the
Accumulation Period, or may elect (i) or
(ii), below. Under the Code,
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 Adjusted Current Value to Annuity option 2 or 3 (see 4.07); |
(ii) |
Receive, at any time, a lump sum payment equal to the Surrender Value. |
21
(2) If the Beneficiary is other than the | |||
Certificate Holder's surviving spouse, | |||
options (i) or (ii) under (1) above | |||
apply. Any portion of the death benefit | |||
not applied to an Annuity option within | |||
one year of the Certificate Holder's | |||
death must be distributed within five | |||
years of the date of death. | |||
(3) If no Beneficiary exists, a lump sum | |||
payment equal to the Surrender Value | |||
must be made to the Certificate Holder's | |||
estate within five years of the date of | |||
death. | |||
(4) If the Beneficiary is an entity, a lump | |||
sum payment equal to the Surrender Value | |||
must be made within five years of the | |||
date of death. | |||
(c) When the Certificate Holder is a natural | |||
person and not the Annuitant, when the | |||
Annuitant dies, the Beneficiary (or the | |||
Certificate Holder if no Beneficiary exists) | |||
may elect to: | |||
(i) | Apply all or some of the Adjusted | ||
Current Value to an Annuity option | |||
within 60 days of the date of | |||
death; or | |||
(ii) | Receive a lump sum payment equal | ||
to the Adjusted Current Value. | |||
3.13 | Liquidation of | All or any portion of the Account's Current |
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Surrender Value:
3.14 Surrender Fee:
<PAGE>
3.15 |
Payment of Surrender Value: |
Page 15 of 24
Value may be surrendered at any time. 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 Fund(s) and/or the
Guaranteed Term(s) Groups of the AG Account in
which the Current Value is invested. Within a
Guaranteed Term Group, the amount to be
surrendered or transferred 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, if
applicable, the surrendered amount shall be
reduced by a Surrender Fee, if applicable. An
MVA may apply to amounts surrendered from the AG
Account.
The Surrender Fee only applies to the Net
Purchase Payment(s) portion surrendered and
varies according to the elapsed time since
deposit (see Contract Schedule I). Net Purchase
Payment amounts are withdrawn in the same order
they were applied.
22
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, up to a maximum of the aggregate Net Purchase Payment(s) minus the total of all partial surrenders, amounts applied to an Annuity and deductions made prior to the Annuitant's date of death; |
(b) |
As a premium for an Annuity option (see 4.07); |
(c) |
As a distribution under the SWO provision (see 3.10); |
(d) |
At least 12 months after the date of the first Purchase Payment to the Account, in an amount equal to or less than 10% of the Current Value. 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; |
(f) |
By Aetna under 3.16; or |
(g) |
If the Annuitant has spent at least 45 |
consecutive |
days in a licensed nursing care |
facility |
and each of the following |
conditions |
are met: |
(1) more than one calendar year has elapsed
since the date the certificate was
issued; and
(2) the surrender is requested within 3
years of admission to a licensed nursing
care facility.
This waiver does not apply if the Annuitant was
in a nursing care facility at the time the
certificate was issued.
Under certain emergency conditions, Aetna may
defer payment:
(a) |
For a period of up to 6 months (unless not allowed by state law); or |
(b) |
As provided by federal law. |
23 | |
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<PAGE>
3.16 |
Payment of Adjusted Current Value: |
IV. |
ANNUITY PROVISIONS |
Page 16 of 24
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.
Aetna does not intend to exercise this right in
cases where an Account Current Value is reduced
to $2,500 or less solely due to investment
performance. A Surrender Fee will not be
deducted from the Adjusted Current Value.
- --------------------------------------------------------------------------------
4.01 Choices:
4.02 |
Terms of Annuity Options: |
<PAGE>
4.02 |
Terms of Annuity Options (Cont'd): |
The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax, if applicable,) to any Annuity option (see 4.07). The first Annuity payment may not be earlier than one calendar year after the initial Purchase Payment nor later than the later of:
(a) |
The first day of the month following the Annuitant's 85th birthday; or |
(b) |
The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may tell Aetna to make a lump sum payment. |
When an Annuity option is chosen, Aetna must also be told if payments are to be made other than monthly and whether to pay:
(a) |
A Fixed Annuity using the General Account; |
(b) |
A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or |
(c) |
A combination of (a) and (b). |
If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect higher interest rates. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).
(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. |
24
(c) |
If a Fixed Annuity 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 a Variable Annuity or the payments for a Fixed 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 from July 1, 1993 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 |
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<PAGE>
4.03 |
Death of Annuitant/Beneficiary: |
4.03 |
Death of Annuitant/Beneficiary (Cont'd): |
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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) |
Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a Variable Annuity as shown on Contract Schedule II. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future Variable Annuity Payments are to remain level, (see Annuity return factor under Variable Annuity Assumed Annual Net Return Rate on Contract Schedule II). |
(f) |
Once elected, Annuity payments cannot be commuted to a lump sum except for Variable Annuity payments under option 1 (see 4.07). |
The life expectancy of the Annuitant or the Annuitant and second Annuitant shall be irrevocable upon the election of an Annuity option. |
25
(a) |
Certificate Holder is Annuitant: When the Certificate Holder is the Annuitant and the Annuitant dies under option 1 or 2, or both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any remaining payments will continue to the Beneficiary. |
If option 3 has been elected and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Account has joint Certificate Holder's, the surviving joint Certificate Holder will be deemed the successor payee. |
|
(b) |
Certificate Holder is Not Annuitant: When the Certificate Holder is not the Annuitant and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has |
been |
designated, the Beneficiary will be |
treated |
as the successor payee. If the |
Account |
has joint Certificate Holder's, the |
surviving |
joint Certificate Holder will be |
deemed |
the successor payee. |
If the Annuitant dies under option 1 or 2, or
both the Annuitant and the second Annuitant die
under option 3(d), the present value of any
remaining guaranteed payments will be paid in
one sum to the Beneficiary, or upon the election
by the Beneficiary, any remaining payments will
continue to the Beneficiary. If option 3 has
been elected, and the Annuitant dies, the
remaining payments will continue to the
Certificate Holder.
(c) |
No Beneficiary Named/Surviving: If there is no Beneficiary, the present value of any remaining payments will be paid in one sum to the Certificate Holder, or if the Certificate Holder is not living, then to the Certificate Holder's estate. |
(d) |
If the Beneficiary or the successor payee dies while receiving Annuity payments, the present value of any remaining guaranteed payments will be paid in one sum to the successor Beneficiary/payee, or upon election by the successor Beneficiary/payee, any remaining payments will continue to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary's/payee's estate. |
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<PAGE>
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4.04 |
Fund(s) Annuity Units -- Separate Account: |
4.04 |
Fund(s) Annuity Units Separate Account (Cont'd): |
4.05 |
Fund(s) Annuity Unit Value -- Separate Account: |
4.06 |
Annuity Net |
Return Factor(s) -- Separate Account: |
<PAGE>
Page 18 of 24
(e) |
The present value will be determined as of the Valuation Period in which proof of death acceptable to Aetna and a request for payment is received at Aetna's home office. |
The interest rate used to determine the first payment will be used to calculate the present value. |
The number of each Fund's Annuity Units is based
on the amount of the first Variable Annuity
payment which is equal to:
(a) |
The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); divided by |
(b) |
1,000; multiplied by |
(c) |
The payment rate for the option chosen. |
Such amount, or portion, of the variable payment
will be divided by the appropriate Fund Annuity
unit value (see 4.05) on the tenth Valuation
Period before the due date of the first payment
to determine the number of each Fund Annuity
units. The number of each Fund Annuity units
remains fixed. Each future payment is equal to
the sum of the products of each Fund Annuity
unit value multiplied by the appropriate number
of units. The Fund Annuity unit value on the
tenth Valuation Period prior to the due date of
the payment is used.
For any Valuation Period, a Fund Annuity unit
value is equal to:
(a) |
The value for the previous Period; multiplied by |
(b) |
The Annuity net return factor(s) (see 4.06 below) for the Period; multiplied by |
(c) |
A factor to reflect the assumed annual net return rate (see Contract Schedule II). |
The dollar value of a Fund Annuity unit values
and Annuity payments may go up or down due to
investment gain or loss.
The Annuity net return factor(s) are used to
compute all Separate Account Annuity Payments
for any Fund. The Annuity net return factor(s)
for each Fund is equal to 1.0000000 plus the net
return rate.
The net return rate is equal to:
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus |
27
(b) |
The value of the shares of the Fund held by |
|
the |
Separate Account at the start of the |
|
Valuation |
Period; plus or minus |
|
(c) |
Taxes (or reserves for taxes) on the |
|
Separate |
Account (if any); divided by |
|
(d) |
The total value of the Fund(s) record units |
|
and |
Fund(s) Annuity units of the Separate |
|
Account |
at the start of the Valuation |
|
Period; |
minus |
|
(e) |
A daily charge for Annuity mortality and |
|
expense |
risks, which may include profit, and |
|
a |
daily administrative charge ( at the |
|
annual |
rate as shown on Contract Schedule |
|
II) |
. |
|
A |
net return rate may be more or less than 0%. |
The value of a share of the Fund is equal to the
net assets of the Fund divided by the number of
shares outstanding.
Payments shall not be changed due to changed due
to changes in the mortality or expenses results
or administrative charges.
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Page 19 of 24
4.07 | 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 5 and not more than 30. | ||
If payments for this option are made under a | ||
Variable Annuity, the present value of any | ||
remaining payments may be withdrawn at any time. | ||
If a withdrawal is requested within 3 years | ||
after the start of payments, it will be treated | ||
as a surrender and any applicable Surrender Fee | ||
will be applied (see 3.14). | ||
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, a choice must be made of: |
28
<PAGE>
(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 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.
29
<PAGE>
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 | |
------------------------------------------------------------------ | ||||||
3 | 3.00% | $28.99 | $86.76 | $172.88 | $343.23 | |
4 | 3.00% | 22.06 | 66.02 | 131.56 | 261.19 | |
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 | |
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Page 20 of 24
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 |
------------------------------------------------------------------ |
30 |
<PAGE>
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 | |||||
Annuitant | None | 60 | 120 | 180 | 240 |
----------------------------------------------------------------------
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.
31
<PAGE>
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 | |
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Page 21 of 24
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.
32
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 3.5%
- --------------------------------------------------------------------------------
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
- --------------------------------------------------------------------------------
3 | 3.50% | $29.19 | $87.33 | $173.91 | $344.86 |
4 | 3.50% | 22.27 | 66.61 | 132.65 | 263.04 |
5 | 3.50% | 18.12 | 54.19 | 107.92 | 213.99 |
6 | 3.50% | 15.35 | 45.92 | 91.44 | 181.32 |
7 | 3.50% | 13.38 | 40.01 | 79.69 | 158.01 |
8 | 3.50% | 11.90 | 35.59 | 70.88 | 140.56 |
9 | 3.50% | 10.75 | 32.16 | 64.05 | 127.00 |
10 | 3.50% | 9.83 | 29.42 | 58.59 | 116.18 |
11 | 3.50% | 9.09 | 27.18 | 54.13 | 107.34 |
12 | 3.50% | 8.46 | 25.32 | 50.42 | 99.98 |
13 | 3.50% | 7.94 | 23.75 | 47.29 | 93.78 |
14 | 3.50% | 7.49 | 22.40 | 44.62 | 88.47 |
15 | 3.50% | 7.10 | 21.24 | 42.31 | 83.89 |
16 | 3.50% | 6.76 | 20.23 | 40.29 | 79.89 |
17 | 3.50% | 6.47 | 19.34 | 38.51 | 76.37 |
18 | 3.50% | 6.20 | 18.55 | 36.94 | 73.25 |
19 | 3.50% | 5.97 | 17.85 | 35.54 | 70.47 |
20 | 3.50% | 5.75 | 17.22 | 34.28 | 67.98 |
21 | 3.50% | 5.56 | 16.65 | 33.15 | 65.74 |
22 | 3.50% | 5.39 | 16.13 | 32.13 | 63.70 |
23 | 3.50% | 5.24 | 15.66 | 31.19 | 61.85 |
24 | 3.50% | 5.09 | 15.24 | 30.34 | 60.17 |
25 | 3.50% | 4.96 | 14.85 | 29.56 | 58.62 |
26 | 3.50% | 4.84 | 14.49 | 28.85 | 57.20 |
27 | 3.50% | 4.73 | 14.15 | 28.19 | 55.90 |
28 | 3.50% | 4.63 | 13.85 | 27.58 | 54.69 |
29 | 3.50% | 4.53 | 13.57 | 27.02 | 53.57 |
30 | 3.50% | 4.45 | 13.30 | 26.49 | 52.53 |
- --------------------------------------------------------------------------------
33
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 5.0% | ||||||
- -------------------------------------------------------------------------------- | ||||||
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | ||
Years | Rate | Payment | Payment | Payment | Payment | |
- -------------------------------------------------------------------------------- | ||||||
3 | 5.00% | $29.80 | $89.04 | $176.99 | $349.72 | |
4 | 5.00% | 22.89 | 68.38 | 135.93 | 268.58 | |
5 | 5.00% | 18.74 | 56.00 | 111.33 | 219.98 | |
6 | 5.00% | 15.99 | 47.77 | 94.96 | 187.64 | |
7 | 5.00% | 14.02 | 41.90 | 83.30 | 164.59 | |
8 | 5.00% | 12.56 | 37.52 | 74.58 | 147.35 | |
9 | 5.00% | 11.42 | 34.11 | 67.81 | 133.99 | |
10 | 5.00% | 10.51 | 31.40 | 62.42 | 123.34 | |
11 | 5.00% | 9.77 | 29.19 | 58.03 | 114.66 | |
12 | 5.00% | 9.16 | 27.36 | 54.38 | 107.45 | |
13 | 5.00% | 8.64 | 25.81 | 51.31 | 101.39 | |
14 | 5.00% | 8.20 | 24.50 | 48.69 | 96.21 | |
15 | 5.00% | 7.82 | 23.36 | 46.44 | 91.75 | |
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Page 22 of 24
16 | 5.00% | 7.49 | 22.37 | 44.47 | 87.88 |
17 | 5.00% | 7.20 | 21.51 | 42.75 | 84.48 |
18 | 5.00% | 6.94 | 20.74 | 41.23 | 81.47 |
19 | 5.00% | 6.71 | 20.06 | 39.88 | 78.80 |
20 | 5.00% | 6.51 | 19.46 | 38.68 | 76.42 |
21 | 5.00% | 6.33 | 18.91 | 37.59 | 74.28 |
22 | 5.00% | 6.17 | 18.42 | 36.62 | 72.35 |
23 | 5.00% | 6.02 | 17.98 | 35.73 | 70.61 |
24 | 5.00% | 5.88 | 17.57 | 34.93 | 69.02 |
25 | 5.00% | 5.76 | 17.20 | 34.20 | 67.57 |
26 | 5.00% | 5.65 | 16.87 | 33.53 | 66.25 |
27 | 5.00% | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.00% | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.00% | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.00% | 5.28 | 15.77 | 31.35 | 61.95 |
- --------------------------------------------------------------------------------
34
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months
-----------------------------------------------------------------
Adjusted | |||||
Age of | None | 60 | 120 | 180 | 240 |
Annuitant |
----------------------------------------------------------------- |
50 | $4.34 | $4.34 | $.31 | $4.27 | $4.22 |
51 | 4.41 | 4.40 | 4.38 | 4.33 | 4.27 |
52 | 4.48 | 4.47 | 4.45 | 4.40 | 4.32 |
53 | 4.56 | 4.55 | 4.52 | 4.46 | 4.38 |
54 | 4.64 | 4.63 | 4.59 | 4.53 | 4.44 |
55 | 4.72 | 4.71 | 4.67 | 4.60 | 4.50 |
56 | 4.81 | 4.80 | 4.75 | 4.67 | 4.56 |
57 | 4.91 | 4.89 | 4.84 | 4.75 | 4.62 |
58 | 5.01 | 4.99 | 4.93 | 4.83 | 4.69 |
59 | 5.12 | 5.10 | 5.03 | 4.92 | 4.75 |
60 | 5.23 | 5.21 | 5.13 | 5.00 | 4.82 |
61 | 5.36 | 5.33 | 5.24 | 5.09 | 4.88 |
62 | 5.49 | 5.45 | 5.35 | 5.19 | 4.95 |
63 | 5.63 | 5.59 | 5.47 | 5.28 | 5.02 |
64 | 5.78 | 5.73 | 5.60 | 5.38 | 5.08 |
65 | 5.94 | 5.89 | 5.73 | 5.48 | 5.15 |
66 | 6.11 | 6.05 | 5.87 | 5.58 | 5.21 |
67 | 6.29 | 6.22 | 6.02 | 5.69 | 5.27 |
68 | 6.49 | 6.41 | 6.17 | 5.79 | 5.33 |
69 | 6.70 | 6.60 | 6.33 | 5.90 | 5.38 |
70 | 6.92 | 6.81 | 6.49 | 6.00 | 5.43 |
71 | 7.17 | 7.04 | 6.66 | 6.10 | 5.48 |
72 | 7.43 | 7.27 | 6.84 | 6.20 | 5.52 |
73 | 7.71 | 7.53 | 7.02 | 6.30 | 5.55 |
74 | 8.02 | 7.80 | 7.20 | 6.39 | 5.59 |
75 | 8.35 | 8.08 | 7.38 | 6.48 | 5.62 |
-----------------------------------------------------------------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.
35
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period of Months | ||||||
- -------------------------------------------------------------------------------- | ||||||
Adjusted Age of | ||||||
Annuitant | None | 60 | 120 | 180 | 240 | |
- -------------------------------------------------------------------------------- | ||||||
50 | $5.26 | $5.25 | $5.22 | $5.17 | $5.11 | |
51 | 5.33 | 5.32 | 5.28 | 5.23 | 5.15 | |
52 | 5.40 | 5.38 | 5.34 | 5.29 | 5.20 | |
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53 | 5.47 | 5.45 | 5.41 | 5.35 | 5.26 |
54 | 5.54 | 5.53 | 5.48 | 5.41 | 5.31 |
55 | 5.63 | 5.61 | 5.56 | 5.47 | 5.36 |
56 | 5.71 | 5.69 | 5.63 | 5.54 | 5.42 |
57 | 5.80 | 5.78 | 5.72 | 5.61 | 5.47 |
58 | 5.90 | 5.88 | 5.81 | 5.69 | 5.53 |
59 | 6.01 | 5.98 | 5.90 | 5.77 | 5.59 |
60 | 6.12 | 6.09 | 6.00 | 5.85 | 5.65 |
61 | 6.24 | 6.21 | 6.10 | 6.93 | 5.71 |
62 | 6.37 | 6.33 | 6.21 | 6.02 | 5.77 |
63 | 6.51 | 6.46 | 6.33 | 6.11 | 5.83 |
64 | 6.66 | 6.60 | 6.45 | 6.20 | 5.89 |
65 | 6.82 | 6.75 | 6.57 | 6.30 | 5.95 |
66 | 6.99 | 6.91 | 6.71 | 6.39 | 6.01 |
67 | 7.17 | 7.08 | 6.85 | 6.49 | 6.06 |
68 | 7.36 | 7.27 | 6.99 | 6.59 | 6.12 |
69 | 7.57 | 7.46 | 7.15 | 6.69 | 6.17 |
70 | 7.80 | 7.67 | 7.30 | 6.78 | 6.21 |
71 | 8.05 | 7.89 | 7.47 | 6.88 | 6.25 |
72 | 8.31 | 8.13 | 7.64 | 6.97 | 6.29 |
73 | 8.59 | 8.38 | 7.81 | 7.06 | 6.33 |
74 | 8.90 | 8.64 | 7.99 | 7.15 | 6.36 |
75 | 9.23 | 8.93 | 8.16 | 7.23 | 6.38 |
- --------------------------------------------------------------------------------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.
36
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 3.5%
- --------------------------------------------------------------------------------Adjusted Ages - -----------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - --------------------------------------------------------------------------------
55 | 50 | $3.97 | $4.35 | $4.56 | $3.97 | $4.31 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.42 |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.48 |
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.70 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.84 |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 4.93 |
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.22 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.42 |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 5.54 |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 5.93 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.23 |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 6.40 |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 6.95 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.40 |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 7.64 |
- --------------------------------------------------------------------------------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.
37
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 5.0%
- --------------------------------------------------------------------------------Adjusted Ages - --------------------Second
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Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - --------------------------------------------------------------------------------
55 | 50 | $4.88 | $5.26 | $5.48 | $4.88 | $5.23 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.32 |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.38 |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.59 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.72 |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 5.80 |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.10 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.29 |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 6.41 |
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 6.81 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.08 |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 7.25 |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 7.81 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.25 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 8.49 |
- --------------------------------------------------------------------------------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.
38
<PAGE>
- --------------------------------------------------------------------------------
Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
P.O. Box 30670
Hartford, Connecticut 06150-0670
(800) 531-4547
Certificate of Group Annuity Coverage
- --------------------------------------------------------------------------------
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CERTIFICATE 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 TERM AT THE TIME OF ITS MATURITY.
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Exhibit 16(4)(e) | ||
Aetna Insurance Company of America | ||
Home Office: 151 Farmington Avenue | ||
Hartford, Connecticut 06156 | ||
(800) 531-4547 | ||
Group Variable, Fixed or Combination Annuity Contract (Nonparticipating) | ||
Aetna Insurance Company of America (We or Us) agrees to pay benefits according | ||
to the terms and conditions set forth in this Contract. | ||
Specifications | ||
- -------------------------------------------------------------------------------- | ||
Plan | ||
- -------------------------------------------------------------------------------- | ||
Type of Plan | ||
- -------------------------------------------------------------------------------- | ||
Contract Holder | ||
- -------------------------------------------------------------------------------- | ||
Contact Number | ||
- -------------------------------------------------------------------------------- | ||
Effective Date | ||
This Contract is delivered in | and | |
is subject to the laws and regulations of that state. | ||
THE VARIABLE FEATURES OF THE CONTRACT ARE DESCRIBED IN SECTIONS 6 AND 12. | ||
Right to Cancel | ||
- -------------------------------------------------------------------------------- | ||
The Group Contract Holder may cancel this Contract within ten (10) days of | ||
receiving it by returning it to Us at the address above or to the person from | ||
whom it was purchased. Within seven (7) days of the cancellation request, We | ||
will return the Certificate Holder's Purchase Payment(s) made plus any increase, | ||
or minus any decrease, on the amount allocated to the Separate Account. | ||
Signed at the Home Office on the Effective Date. | ||
/s/ Dan Kearney | /s/ Susan E. Schechter | |
President | Secretary | |
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | ||
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | ||
FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY. | ||
G-CDA-GP2(4/94) | ||
<PAGE> | ||
Table of Contents | ||
Page | ||
Right to Cancel | 1 | |
Contract Schedule | 4 | |
Separate Account | 4 | |
AICA Guaranteed Account (AG Account) | 4 | |
Separate Account and AG Account | 4 | |
Fixed Annuity | 6 | |
Section 1. Definitions | 7 | |
Section 2. General Provisions | 9 | |
The Contract | 9 | |
Certificates | 9 | |
Nonparticipating Contract | 9 | |
Misstatements and Adjustments | 9 | |
Reports | 9 | |
Premium Taxes | 9 | |
Protection of Proceeds | 9 | |
Evidence of Survival | 9 | |
Proof of Age | 9 | |
Change of Contract | 9 | |
Section 3. Ownership | 10 | |
Group Contract Holder | 10 | |
Certificate Holder Rights | 10 | |
Transfer of Ownership | 10 | |
Section 4. Beneficiary Provisions | 11 | |
Beneficiary | 11 | |
Change of Beneficiary | 11 | |
Death of Beneficiary | 11 | |
Section 5. Purchase Payments | 11 | |
Purchase Payments | 11 | |
Allocation of Purchase Payments | 11 | |
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Section 6. Separate Account | 12 |
General | 12 |
Investment Allocations to the Separate Account | 12 |
Valuation of Assets | 12 |
Accumulation Unit | 12 |
Net Return Factor for Each Valuation Period | 12 |
Administrative Charge | 13 |
Mortality Risk Charge | 13 |
Expense Risk Charge | 13 |
Mortality and Expense Guarantee | 13 |
2 | |
<PAGE> | |
Section 7. AG Account | 13 |
AG Account Guaranteed Interest Rate | 13 |
Deposit Period | 13 |
Guaranteed Term | 13 |
Guaranteed Term(s) Groups | 13 |
Maturity Date | 14 |
Allocation of Net Purchase Payments to the AG Account | 14 |
AG Account Guaranteed Term Maturity Date and Maturity Value | 14 |
Transfers from the AG Account | 14 |
Withdrawals from the AG Account | 14 |
Reinvestment | 14 |
AG Account Market Value Adjustment (Factor) | 15 |
Section 8. Certificate Holder's Account Value; Transfers and | |
Withdrawals During the Accumulation Period | 15 |
Certificate Holder's Account Value | 15 |
Transfers During the Accumulation Period | 16 |
Withdrawals During the Accumulation Period | 16 |
Deferred Sales Charge | 16 |
Waiver of Deferred Sales Charge | 16 |
Payment of Adjusted Certificate Holder Account Value | 17 |
Systematic Withdrawal Option (SWO) | 17 |
Section 9. Maintenance Charge | 18 |
Maintenance Charge | 18 |
Section 10. Proceeds Payable on Death | 18 |
Death of the Certificate Holder Prior to the Annuity Date | 18 |
Death Benefit Amount Prior to the Annuity Date | 18 |
Death Benefit Payment Methods | 19 |
Death of Certificate Holder On or After the Annuity Date | 20 |
Death of the Annuitant | 20 |
Section 11. Delay of Payments | 20 |
Delay of Payments | 20 |
Section 12. Annuity Provisions | 20 |
Designation of Annuitant | 21 |
Terms of Annuity Options | 21 |
Annuity Unit | 22 |
Annuity Unit Value | 23 |
Annuity Net Return Factor | 23 |
Annuity Options | 23 |
3 | |
<PAGE> | |
Contract Schedule |
Separate Account
- -------------------------------------------------------------------------------
Separate Account: | Variable Account I | |
Charges to the Separate | A daily charge is deducted from the assets of the | |
Account: | Separate Account. The deduction is the daily | |
equivalent of the annual effective percentage shown | ||
below: | ||
(a) During the Accumulation Period: | ||
Administrative Charge | 0.15% | |
Mortality Risk Charge | 0.35% | |
Expense Risk Charge | 0.90% | |
TOTAL Separate Account Charges During | ||
Accumulation Period | 1.40% | |
(b) During the Annuity Period | ||
Administrative Charge Not To Exceed | 0.25% | |
Mortality Risk Charge | 0.35% | |
Expense Risk Charge | 0.90% | |
TOTAL Maximum Separate Account Charges | ||
During Annuity Period | 1.50% |
AICA Guaranteed Account (AG Account)
- -------------------------------------------------------------------------------
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Minimum Guaranteed | 3.0% |
Interest Rate (effective | |
annual rate of return): |
Separate Account and AG Account
- -------------------------------------------------------------------------------
Minimum Initial Purchase | |||
Payment: | $1,500 | ||
Minimum Subsequent | $500 or $50 per month if paid by an automatic | ||
Purchase Payment: | check plan | ||
Maximum Subsequent | $500,000 without Home Office approval | ||
Purchase Payment: | |||
4 | |||
<PAGE> | |||
Transfers: | We allow an unlimited number of transfers during the | ||
Accumulation Period. Twelve (12) transfers in any | |||
calendar year are free. Thereafter, We reserve the | |||
right to charge a transfer charge up to $10 for each | |||
subsequent transfer. | |||
Maintenance Charge: | The annual maintenance charge is $30. If the | ||
Certificate Holder's Account is $50,000 or more on | |||
the date the maintenance charge is to be deducted, | |||
the maintenance charge is $0. | |||
Deferred Sales Charge: | For each withdrawal from a Certificate Holder's | ||
Account, a deferred sales charge for each Net | |||
Purchase Payment will be determined as follows: | |||
Years from Receipt of | Deferred | ||
Net Purchase Payment | Sales Charge | ||
0-1 | 7% | ||
1-2 | 6% | ||
2-3 | 5% | ||
3-4 | 4% | ||
4-5 | 3% | ||
5-6 | 2% | ||
6-7 | 1% | ||
7+ | 0% | ||
Waiver of Deferred Sales | Section 8.05 provides for the following: | ||
Charge: | |||
(c) | At least 12 months after the date of the first | ||
Purchase Payment in an amount equal to or less | |||
than 15% of the Certificate Holder's Account | |||
Value. | |||
(d) | For a full withdrawal where the Certificate | ||
Holder's Account Value does not exceed $2,500 | |||
and no withdrawals have been taken from the | |||
Certificate Holder's Account within the prior 12 | |||
months. | |||
Systematic Withdrawal | (a) | Specified Payment - Maximum Percentage: 10% | |
Option: | |||
(b) | Specified Period - Minimum Period: 10 years | ||
(c) | Specified Percentage - Maximum Percentage: 10% | ||
Death Benefit Factor: | 4% | ||
Death Benefit Maximum | There is no maximum death benefit amount. | ||
Amount: |
Death Benefit Maximum Age: 85 years
5 |
|
<PAGE> Fund for Allocation of Excess Guaranteed Death Benefit Value: Latest Annuity Date: |
Federated Prime Money Fund II The Certificate Holder's 90th birthday. |
Fixed Annuity
- -------------------------------------------------------------------------------
Minimum Guaranteed | 3.0% |
Interest Rate | |
(effective annual rate | |
of return): |
6
<PAGE>
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Section 1. Definitions
-------------------------------------------------------------------------------
Accumulation Period - The period during which one or more Net
Purchase Payments applied to a Certificate Holder's Account
accumulate to provide future Annuity payments.
1.02 |
Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of a Certificate Holder's Account Value attributable to a Separate Account during the Accumulation Period. |
1.03 |
Adjusted Certificate Holder Account Value - The Certificate Holder's Account Value, plus or minus any aggregate AG Account Market Value Adjustment. |
1.04 |
Annuitant - The natural person on whose life an Annuity payment is based. |
1.05 |
Annuity - A series of payments We make for life, a definite period or a combination of the two. |
1.06 |
Annuity Date - The date on which Annuity payments commence. |
1.07 |
Annuity Options - Annuity payment methods available during the Annuity Period. |
1.08 |
Annuity Period - The period of time during which Annuity payments are made. |
1.09 |
Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment. |
1.10 |
Beneficiary - The person(s) entitled to receive any death benefit under the Certificate Holder's Account. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, is treated as the Beneficiary. Any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. |
1.11 |
Certificate - The document issued to a Certificate Holder to evidence a Certificate Holder's Account established under the group Contract. |
1.12 |
Certificate Holder - A person who has established a Certificate Holder's Account under a group Contract. We reserve the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder shall 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 any exercising of |
those |
ownership rights unless otherwise allowed by Us. |
1.13 |
Certificate Holder's Account - A record We establish for each |
Certificate |
Holder to maintain values under a group Contract. |
1.14 |
Certificate Holder's Account Value - The dollar value as of any |
Valuation |
Period of all amounts accumulated in a Certificate Holder's |
Account. | |
1.15 |
Contract - This agreement between the Group Contract Holder and Us. |
7
<PAGE>
1.16 |
Effective Date - The date a Certificate is issued to a Certificate Holder. |
1.17 |
Fund - One of the variable investment options which may be selected by a Certificate Holder. |
1.18 |
General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts. |
1.19 |
AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time. AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Certificate Holders do not participate in the investment gain or loss from the assets held in the AG Account. |
Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct. |
|
1.20 |
Group Contract Holder - The entity to which a group Contract is issued. |
1.21 |
Home Office - Our headquarters, located at 151 Farmington Avenue, Hartford, CT 06156. |
1.22 |
Market Value Adjustment - An adjustment to any withdrawal made from |
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the AG Account before the end of a guaranteed term as stated in
Section 7.11.
1.23 |
Net Purchase Payment - The Purchase Payment less premium taxes, if applicable. |
1.24 |
Purchase Payment - The gross payment accepted by Us and allocated to the Certificate Holder's Account. We reserve the right to refuse to accept any Purchase Payment at any time for any reason. |
1.25 |
Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of the Separate Account, will not be charged with Our other liabilities. |
1.26 |
Valuation Period - The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such business day, or such other day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct. |
1.27 |
Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results. |
8
<PAGE>
Section 2. General Provisions
-------------------------------------------------------------------------------
The Contract - The entire Contract consists of this Contract and any
attached applications or endorsements.
2.02 |
Certificates - A Certificate is issued to each Certificate Holder whose Purchase Payment(s) is accepted by Us. The Certificate evidences a Certificate Holder's Account established under the Contract. Certificates are not part of the Contract. |
2.03 |
Nonparticipating Contract - Neither the Group Contract Holder, Certificate Holder nor any Beneficiary have a right to share in our earnings. |
2.04 |
Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request reimbursement or adjust future payments for any amount overpaid. We will pay the amount of any underpayment. |
2.05 |
Reports - We furnish each Certificate Holder with a report showing the Certificate Holder's Account Value at least once each calendar year. We also furnish an annual report of the Separate Account. |
2.06 |
Premium Taxes - Any premium taxes paid to any governmental entity are charged against Purchase Payments or a Certificate Holder's Account. |
We may, at our sole discretion, pay premium taxes when due and deduct that amount from the Certificate Holder's Account at a later date. Payment at an earlier date does not waive any right We may have to deduct amounts at a later date. |
|
2.07 |
Protection of Proceeds - To the extent permitted by law, all payments under this Contract to a Certificate Holder or Beneficiary shall be free from legal process and the claim of any creditor. |
2.08 |
Evidence of Survival - The Company may require satisfactory evidence of the continued survival of any person(s) on whose life Annuity payments are based. |
2.09 |
Proof of Age - The Company may require evidence of age of any Annuitant under Annuity Options 2 and 3 and of the designated second |
Annuitant |
under Annuity Option 3. |
2.10 |
Change of Contract - Only our authorized officers may change the |
terms |
of this Contract. We will notify the Group Contract Holder in |
writing |
at least 30 days before the effective date of any change. Any |
change |
will not affect the amount or terms of any Annuity which |
begins |
before the change. |
We |
may make any change that affects the AG Account Market Value |
Adjustment |
with at least thirty (30) days' advance written notice to |
the |
Group Contract Holder and the Certificate Holder. Any such change |
shall |
become effective for any new guaranteed term and will apply to |
all |
present and future Certificate Holders' Accounts. |
We |
reserve the right to change the terms of the Systematic Withdrawal |
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Option for future elections and discontinue the availability of this
option.
9
<PAGE>
Any change to any of the following provisions under this Contract will not apply to Certificate Holder's Accounts in existence before the effective date of the change:
(a) |
Net Purchase Payment (1.23) |
(b) |
AG Account Guaranteed Interest Rate (7.01) |
(c) |
Net Return Factor (6.05) |
(d) |
Certificate Holder's Account Value (1.14) |
(e) |
Deferred Sales Charge (8.04) |
(f) |
Annuity Unit Value (12.04) |
(g) |
Annuity Options (12.06) |
(h) |
Fixed Annuity Interest Rates (12.01) |
(i) |
Transfers (8.02). |
Any change that affects the Annuity Option and the tables for the
Annuity Options may be made:
(a) |
No earlier than twelve (12) months after the Effective Date; and |
(b) |
No earlier than twelve (12) months after the effective date of any prior change. |
Any Certificate Holder's Account established on or after the effective date of any change will be subject to the change. If the Group Contract Holder does not agree to any change under this provision, We reserve the right to not allow any new Certificate Holder's Accounts to be established under this Contract. This Contract may also be changed as deemed necessary by Us to comply with federal or state law.
Section 3. Ownership
-------------------------------------------------------------------------------
Group Contract Holder - The Group Contract Holder has title to the
Contract. The Contract and any amounts accumulated thereunder are not subject to the claims of the Group Contract Holder nor any of its creditors.
3.02 |
Certificate Holder Rights - The Certificate Holder has all interest |
|
and |
right to amounts held in his or her Certificate Holder's Account. |
|
The |
Certificate Holder and any joint Certificate Holder are named on |
|
the |
Specifications page. The Certificate Holder and any joint |
|
Certificate |
Holder may exercise all the rights under the Certificate |
|
Holder's |
Account, subject to the rights of: |
|
(a) |
Any assignee under an assignment filed at our Home Office; and |
|
(b) |
Any irrevocably named Beneficiary. |
|
Upon |
the death of a Certificate Holder prior to the Annuity Date, a |
|
spousal |
Beneficiary may elect to continue the Certificate Holder's |
|
Account |
in his or her own name and retain all ownership rights and |
|
privileges |
or take distribution of the death benefit as defined in |
|
Section |
10. |
|
3.03 |
Transfer of Ownership - The Group Contract Holder may transfer |
|
ownership |
of this Contract. A written request, dated and signed, must |
|
be |
filed at our Home Office. |
Any transfer of ownership terminates the interest of any existing
Group Contract Holder. It does not change the rights of any
Certificate Holder.
10
<PAGE>
A Certificate Holder may transfer all of his or her rights under the Contract. A written request, dated and signed by the Certificate Holder and any joint Certificate Holder, must be filed at our Home Office. After the transfer is recorded, it will take effect as of the date the request was signed. Any such transfer terminates the interest of any existing Certificate Holder. It does not change the Beneficiary, nor transfer the Beneficiary's interest. A transfer will not affect any payments We may make or actions We may take before such transfer has been recorded at our Home Office.
Section 4. Beneficiary Provisions
-------------------------------------------------------------------------------
Beneficiary - The Certificate Holder may name a Beneficiary and a
contingent Beneficiary. At the death of the Certificate Holder prior
to the Annuity Date, the Beneficiary(ies) named in our records will
receive a death benefit as stated in Section 10. Upon the death of
either joint Certificate Holder prior to the Annuity Date, the
surviving joint Certificate Holder, if any, will be treated as the
designated Beneficiary and any other Beneficiary designation on
record with Us at the time of death is treated as a contingent
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Beneficiary.
4.02 |
Change of Beneficiary - The Certificate Holder may change the Beneficiary. A written request, dated and signed by the Certificate Holder, must be filed at our Home Office. If there are joint Certificate Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. |
If the request reaches our Home Office and is recorded after the Certificate Holder dies, but before any payment is made, the change is valid. |
|
4.03 |
Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Certificate Holder's death, We pay the death benefit in one sum to the Certificate Holder's estate. |
Section 5. Purchase Payments
-------------------------------------------------------------------------------
Purchase Payments - Subject to the maximum and minimum shown on the
Contract Schedule, the Certificate Holder may determine the amount
and frequency of Purchase Payments. We reserve the right not to
accept any Purchase Payment. We will declare from time to time the
acceptability of additional Purchase Payments.
5.02 |
Allocation of Purchase Payments - The Certificate Holder may elect to |
|
have |
each Net Purchase Payment accumulate: |
|
(a) |
On a variable basis invested in shares of one or more Funds in which the Separate Account invests; |
|
(b) |
For guaranteed terms offered in the current deposit period(s) under the AG Account; or |
|
(c) |
In a combination of any of the available investment options. |
Net Purchase Payments must be allocated in whole percentages. For
subsequent Purchase Payments, if no allocation instructions are
received with the Purchase Payment, the allocation will be as
indicated in the most recent directive from the Certificate Holder.
If the same guaranteed term(s) are not available, the next shortest
will be used. If no shorter guaranteed term is available, the next
longer guaranteed term will be used.
11
<PAGE>
Section 6. Separate Account
-------------------------------------------------------------------------------
General - The assets of the Separate Account, equal to the reserves
and other Contract liabilities that depend on the investment performance of the Separate Account are not chargeable with liabilities arising out of any other business We may conduct. Income, gains or losses of the Separate Account, realized or unrealized, are credited to or charged against the assets of the Separate Account without regard to Our other income, gains or losses.
6.02 |
Investment Allocations to the Separate Account - The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, We may cease to make such Fund shares available for investment under the Contract prospectively, or We may substitute shares of another Fund for shares already acquired. We may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. |
We reserve the right to substitute shares of another Fund for shares already acquired without a proxy vote. |
|
6.03 |
Valuation of Assets - The shares of the Funds will be valued at their net asset value at the end of each Valuation Period. |
6.04 |
Accumulation Unit - A Net Purchase Payment that is allocated to one or more Funds is credited to the Certificate Holder's Account as Accumulation Units. The number of Accumulation Units credited is determined by dividing the applicable portion of the Net Purchase Payment by the Accumulation Unit value for the appropriate Fund. The Accumulation Unit value used is that which is computed for the next Valuation Period after which the Purchase Payment is received at our Home Office. Accumulation Units attributable to the initial Purchase Payments will be credited within two business days of acceptance. |
Accumulation Unit values may increase or decrease from Valuation |
|
Period |
to Valuation Period. |
6.05 |
Net Return Factor for Each Valuation Period - The value of an |
Accumulation |
Unit for any Valuation Period is calculated by |
multiplying |
the Accumulation Unit value for the immediately preceding |
Valuation |
Period by the net return factor of the appropriate Fund for |
the |
current period. |
The |
net return factor for each Fund is equal to 1.0000000 plus the |
net |
return rate. |
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The net return rate equals:
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus |
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) |
The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus |
(e) |
A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge. |
12
<PAGE>
The net return rate may be more or less than zero (0) percent.
The value of a share of the Fund is equal to the net assets of the
Fund divided by the number of shares outstanding.
6.06 |
Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.07 |
Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.08 |
Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.09 |
Mortality and Expense Guarantee - We guarantee that the dollar amount of each Annuity payment after the first will not be affected by variations in mortality or expense experience. |
Section 7. AG Account
-------------------------------------------------------------------------------
AG Account Guaranteed Interest Rate - All amounts allocated to the AG
Account earn a rate of interest that is guaranteed for a specified
period of time. The rate will be credited daily and will never be
less than the minimum guaranteed interest rate shown on the Contract
Schedule. We determine the rate and it is not based on investment
experience.
For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.
7.02 |
Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG Account for one or more guaranteed terms. We reserve the right to extend the deposit period. |
7.03 |
Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG |
Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years. |
|
During a deposit period, We may make available any number of guaranteed terms. The Certificate Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms. |
|
7.04 |
Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the same length of time from the close of the deposit period until the designated Maturity Date. |
13
<PAGE>
7.05 |
Maturity Date - The last day of a guaranteed term. |
7.06 |
Allocation of Net Purchase Payments to the AG Account - When the Certificate Holder wishes to allocate all or any portion of a Net Purchase Payment to the Guaranteed Account, he or she must tell Us the percentage to apply to one or more of the AG Account guaranteed term(s) available during the current deposit period. If no allocation instructions are received, a Net Purchase Payment is allocated as indicated in the most recent directive from the Certificate Holder. |
If the same guaranteed term is not available for any amount allocated to the AG Account, We will allocate the amount to the next shortest guaranteed term available. If no shorter guaranteed term is available, We will allocate it to the next longest guaranteed term. |
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7.07 |
AG Account Guaranteed Term Maturity Date and Maturity Value - On the |
|
maturity |
date, the value of the total of all amounts allocated to |
|
that |
guaranteed term is called the maturity value. |
|
When |
Certificate Holders have assets in the AG Account, at least |
|
eighteen |
(18) days before a maturity date, We notify them of the: |
|
(a) |
Projected maturity value; and |
|
(b) |
Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period. |
|
When |
no allocation instructions are received and the assets in a |
|
guaranteed |
term have been reinvested by Us in another guaranteed term |
|
on |
the maturity date, the Certificate Holder may transfer or |
|
withdraw, |
during the month following the maturity date, the |
|
reinvested |
amount with interest earned (as of the date the request is |
|
received |
at our Home Office) without incurring a Market Value |
|
Adjustment. |
This transaction is allowed only once for each maturity |
|
date, |
regardless of whether the transfer or withdrawal is partial or |
|
full. | ||
7.08 |
Transfers from the AG Account - A Certificate Holder may transfer any |
|
portion, |
or all, of an amount in the AG Account to one or more of the |
|
Funds |
or to another available guaranteed term. The amount withdrawn |
|
for |
any reason before the maturity date is subject to a Market Value |
|
Adjustment. | ||
7.09 |
Withdrawals from the AG Account - When the Certificate Holder |
|
requests |
a withdrawal from the AG Account, if instructions are not |
|
provided |
by the Certificate Holder, amounts are withdrawn on a pro |
|
rata |
basis from the guaranteed term(s) groups in which the |
|
Certificate |
Holder's Account is currently invested. Within a |
|
guaranteed |
term group, the amount to be withdrawn will be withdrawn |
|
first |
from the oldest deposit period. Except on the maturity date, |
|
withdrawals |
from the AG Account will be subject to a Market Value |
|
Adjustment. | ||
7.10 |
Reinvestment - We will mail a notice to the Certificate Holder before |
|
a |
guaranteed term's maturity date. This notice will contain the |
|
guaranteed |
terms available during the current deposit periods with |
|
their |
guaranteed interest rate(s) and projected maturity value. If no |
|
specific |
direction is given by the Certificate Holder prior to the |
|
maturity |
date, each maturity value will be reinvested in the current |
|
deposit |
period for a guaranteed term of the same duration. If a |
|
guaranteed |
term of the same duration is unavailable, each matured |
|
term |
value will automatically be reinvested in the current deposit |
|
period |
for the next shortest guaranteed term available. If no shorter |
|
guaranteed |
term is available, the next longer guaranteed term will be |
|
used. |
We will mail a confirmation statement to |
14
<PAGE>
the Certificate Holder after the maturity date. This notice will state the guaranteed term and guaranteed interest rate(s) which will apply to the reinvested matured term value.
7.11 |
AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. An MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term, including amounts paid in a lump sum death benefit or applied to an Annuity Option. |
The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows: |
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 Term. |
Determination of MVA factor parameters:
A yield is computed at the close of the last business day of each
week of the deposit period. The yield will equal the average of the
yields on U.S. Treasury Notes which matured during the last three
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months of the applicable guaranteed term.
The deposit period yield is the average of those yields for the
deposit period. If withdrawal is made prior to 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.
If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.
Section 8. Certificate Holder's Account Value; Transfers and Withdrawals During the Accumulation Period
--------------------------------------------------------------------------------
Certificate Holder's Account Value - The value of a Certificate
Holder's Account is determined by adding the value of the total of Accumulation Units attributed to the selected Fund(s) to the value of any amounts attributed to the AG Account.
15
<PAGE>
8.02 |
Transfers During the Accumulation Period - Before the Annuity Date, |
|
the |
Certificate Holder may transfer from any Fund or guaranteed term |
|
of |
the AG Account to: |
|
(a) |
Any other Fund; or |
|
(b) |
Any guaranteed term of the AG Account available in the current deposit period. |
|
Transfer |
requests can be submitted as a percentage or as a dollar |
|
amount. |
We may establish a minimum transfer amount. Within a |
|
guaranteed |
term group, the amount transferred is withdrawn first from |
|
the |
oldest deposit period, then from the next oldest, and so on until |
|
the |
amount requested is satisfied. |
|
The |
Certificate Holder may make an unlimited number of transfers |
|
during |
the Accumulation Period. The number of free transfers allowed |
|
is |
shown on the Contract Schedule. Transfers in excess of that number |
|
may |
be subject to the transfer charge shown on the Contract Schedule. |
|
Transfers |
of a matured term value from the AG Account on or within |
|
one |
calendar month after a guaranteed term's maturity date do not |
|
count |
against the annual transfer limit. |
|
Amounts |
applied to guaranteed terms of the AG Account may not be |
|
transferred |
to the Funds or to another guaranteed term during the |
|
deposit |
period or for 90 days after the close of the deposit period |
|
except |
for matured term value(s) during the calendar month following |
|
the |
guaranteed term's maturity date. |
|
Transfers |
from guaranteed terms of the AG Account are subject to a |
|
Market |
Value Adjustment. |
|
8.03 |
Withdrawals During the Accumulation Period - The Certificate Holder |
|
may |
withdraw all or a portion of the Certificate Holder's Account |
|
Value |
during the Accumulation Period by properly completing a |
|
withdrawal |
request form. Withdrawal requests can be submitted as a |
|
percentage |
or as a specific dollar amount. Net Purchase Payment |
|
amounts |
are withdrawn first, and then the excess value, if any. For |
|
any |
partial withdrawal, if instructions are not provided by the |
|
Certificate |
Holder, amounts are withdrawn on a pro rata basis from |
|
the |
Fund(s), and/or the guaranteed term(s) groups in which the |
|
Certificate |
Holder's Account is currently invested. Within a |
|
guaranteed |
term group, the amount to be withdrawn 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 charge, if applicable, the |
|
withdrawn |
amount shall be reduced by the applicable deferred sales |
|
charge |
and any applicable premium taxes. |
|
8.04 |
Deferred Sales Charge - The deferred sales charge only applies to the |
|
portion |
of the amount withdrawn attributable to Net Purchase |
|
Payment(s) |
and varies according to the elapsed time since receipt of |
|
the |
Purchase Payment. The deferred sales charge is shown on the |
|
Contract |
Schedule. |
|
8.05 |
Waiver of Deferred Sales Charge - No deferred sales charge is |
|
deducted |
when a Certificate Holder's Account Value is paid: |
|
(a) |
To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Certificate Holder as described in Section 10.02(b); |
|
(b) |
As a premium for an Annuity Option; |
16
<PAGE>
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(c) |
At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Certificate Holder's Account Value as shown on the Contract Schedule. This applies to the first withdrawal request, partial or full, in a calendar year. The Certificate Holder's Account Value is calculated as of the date the withdrawal request is received in good order at our Home Office. This waiver is not available to the Certificate Holder while a SWO is in effect; |
(d) |
For a full withdrawal where the Certificate Holder's Account Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months; |
(e) |
For a distribution made by Us under Section 8.06; or |
(f) |
For a distribution which is part of a SWO under Section 8.07. |
We reserve the right to allow the proceeds of a total withdrawal to
be reinstated under the terms and conditions as established by Us
from time to time.
8.06 |
Payment of Adjusted Certificate Holder Account Value - Upon 90 day's |
|
written |
notice to the Certificate Holder, We will terminate any |
|
Certificate |
Holder's Account if the Certificate Holder's Account |
|
Value |
becomes less than $1,500 immediately following any partial |
|
withdrawal. |
We do not intend to exercise this right in cases where |
|
the |
Certificate Holder's Account Value is reduced to $1,500 or less |
|
solely |
due to investment performance. When We make a distribution |
|
pursuant |
to this provision, the deferred sales charge will not be |
|
deducted. | ||
8.07 |
Systematic Withdrawal Option (SWO) - We will allow the Certificate |
|
Holder |
to establish a schedule of withdrawals to be made |
|
automatically |
from the Certificate Holder's Account Value. All |
|
distributed |
amounts will be withdrawn on a pro rata basis from the |
|
Fund(s) |
and/or the guaranteed term(s) groups of the AG Account in |
|
which |
the Certificate Holder's Account is invested. |
|
The |
Certificate Holder must elect one of the following SWO methods: |
|
(a) |
Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Certificate Holder's Account Value at time of the election as shown on the Contract Schedule. This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or |
|
(b) |
Specified Period: Payments which are made over a period of time which must be at least the minimum period as shown on the Contract Schedule. The annual amount paid each year is calculated by dividing the Certificate Holder's Account Value as of December 31 of the prior year by the number of payment years remaining; or |
|
(c) |
Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Certificate Holder's Account Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Certificate Holder's Account Value as of December 31 of the year prior to the payment by the designated percentage. |
In our discretion, We may require a minimum initial Certificate
Holder's Account Value for election of this option. SWO may be
elected by submitting a completed and signed election form to Us.
17
<PAGE>
Once elected, this option may be revoked by submitting a written request to Us. SWO may be elected only once by the Certificate Holder or by a spousal Beneficiary.
Certificate Holders should consult their tax adviser prior to requesting this distribution option. We are not responsible for any adverse tax consequences due to a Certificate Holder's receiving SWO payments. A ten (10) percent penalty tax may apply to distributions to a Certificate Holder who has not reached age 59-1/2. Upon death of the Certificate Holder, any payments will be made under the terms of Section 10.
Section 9. Maintenance Charge
--------------------------------------------------------------------------------
Maintenance Charge - We will deduct an annual maintenance charge as
shown in the Contract Schedule from the Certificate Holder's Account during the Accumulation Period. We will deduct the maintenance charge on the anniversary of the Effective Date of the Certificate for the Certificate Holder's Account. This maintenance charge is also deducted upon withdrawal of the entire Adjusted Certificate Holder's Account. The maintenance charge is deducted proportionately from each investment option used.
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Section 10. Proceeds Payable on Death
--------------------------------------------------------------------------------
Death of the Certificate Holder Prior to the Annuity Date In the
event of the death of the Certificate Holder or a joint Certificate Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by the Certificate Holder. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, will be treated as the designated Beneficiary. Any other Beneficiary designation on record with Us at the time of death will be treated as a contingent Beneficiary.
A Beneficiary may request We pay the death benefit under one of the
options described in Section 10.03. If the Beneficiary is the spouse
of the Certificate Holder, he or she may elect to continue the
Certificate Holder's Account in his or her own name and exercise all
the Certificate Holder's rights under the Contract.
10.02 |
Death Benefit Amount Prior to the Annuity Date - |
||
(a) |
Except as set forth in Section 10.02(b), the amount of the |
||
guaranteed |
death benefit value is equal to the greater of: |
||
(i) |
The Certificate Holder's Account Value at the end of the Valuation Period during which We receive at our Home Office due proof of death and election of the type of payment to be made; or |
||
(ii) |
The death benefit determined as of the Valuation Period corresponding to the date of death. |
Until the first Effective Date anniversary, the death
benefit is equal to the Purchase Payments made by the
Certificate Holder prior to the Effective Date
anniversary less any withdrawals and any amounts applied
to an Annuity Option.
18
<PAGE>
For each Certificate year thereafter, the death benefit
during the Certificate year equals the death benefit at
the beginning of the Certificate year plus Purchase
Payments made during the year less any withdrawals and
any amounts applied to an Annuity Option.
On each Effective Date anniversary, the death benefit is
determined as follows:
(A) |
The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus |
(B) |
Purchase Payments made by the Certificate Holder during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less |
(C) |
Any withdrawals or amounts applied to an Annuity Option during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the Certificate year since the withdrawal or election of Annuity option; or |
(iii) |
The Certificate Holder's Account Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option. |
Notwithstanding the foregoing, the death benefit under (ii) or
(iii) will not exceed the death benefit maximum amount shown on
the Contract Schedule.
The death benefit calculation described in (ii) and (iii) above,
applies until the Certificate Holder reaches the death benefit
maximum age shown on the Contract Schedule. Thereafter, the
death benefit is only adjusted for Purchase Payments,
withdrawals and amounts applied to Annuity Options. If the
Certificate Holder reaches the death benefit maximum age shown
on the Contract Schedule prior to the seventh anniversary of the
Effective Date, the death benefit will be the greater of (i) or
(ii) above.
The excess, if any, of the guaranteed death benefit value over
the Certificate Holder's Account Value is determined when we
receive at our Home Office due proof of death and allocated to
the Fund shown on the Contract Schedule. The Certificate
Holder's Account Value plus any excess amount deposited becomes
the Certificate Holder's Account Value.
(b) |
In the case of a Beneficiary of a surviving joint Certificate Holder who continued the Certificate Holder's Account in his or |
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her own name, the death benefit shall be equal to (a)(i) above
less any applicable deferred sales charge on any Purchase
Payment made after We have received at our Home Office due proof
of death of the first joint Certificate Holder.
10.03 |
Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Certificate Holder prior to the Annuity Date: |
Method 1 - Lump sum payment of the death benefit; or |
Method 2 - The payment of the entire death benefit within (5) years
of the date of the Certificate Holder's death; or
19
<PAGE>
Method 3 - Payment of the death benefit over the lifetime of the designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Certificate Holder.
Any portion of the death benefit not applied under Option 3 within
one year of the date of Certificate Holder's death, must be
distributed within five (5) years of the date of death. A Market
Value Adjustment will apply at the time the death benefit is paid.
A spousal Beneficiary may elect to continue the Certificate Holder's
Account in his or her name, elect a lump sum payment of the death
benefit or apply the Adjusted Certificate Holder's Account Value to
an Annuity Option.
10.04 |
Death of Certificate Holder On or After the Annuity Date - If the Certificate Holder who is not the Annuitant, dies on or after the Annuity Date, the 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. |
10.05 |
Death of the Annuitant - If the Annuitant, who is not a Certificate Holder, dies on or before the Annuity Date, a new Annuitant may be named. If no Annuitant is named, the Certificate Holder will be the Annuitant. If the Annuitant dies after the Annuity Date, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity Option elected. We will require proof of the Annuitant's death. Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death. |
Section 11. Delay of Payments
--------------------------------------------------------------------------------
Delay of Payments - We will make any payments under this Contract
within seven days after a request is received in good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:
(a) |
The New York Stock Exchange is closed for other than customary weekend and holiday closings; |
(b) |
Trading on the Exchange is restricted; |
(c) |
An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or |
(d) |
The Securities and Exchange Commission so permits delay for the protection of security holders. |
The applicable rules of the Securities and Exchange Commission will
govern as to whether the conditions in (b) or (c) exist.
We also reserve the right to delay any type of payment from the AG
Account for up to six (6) months.
Section 12. Annuity Provisions |
- -------------------------------------------------------------------------------- |
20
<PAGE>
12.01 |
Designation of Annuitant - The Certificate Holder and the Annuitant need not be the same person. The Certificate Holder names the Annuitant and during the Accumulation Period, may change the designated Annuitant. We change the Annuitant when We receive a written request in good order at our Home Office. We will not change the Annuitant when Annuity payments have commenced. |
The Certificate Holder elects an Annuity Option by telling Us to use all or any portion of the Certificate Holder's Adjusted Account Value (minus any applicable premium taxes if not previously deducted) to purchase Annuity payments under an Annuity Option. |
|
When an Annuity Option is chosen the Certificate Holder must designate a: |
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(a) |
Fixed Annuity using the General Account; |
(b) |
Variable Annuity using any of the Funds available during the Annuity Period; or |
(c) |
Combination of (a) and (b). |
If a fixed Annuity is chosen, We will calculate the amount using an
interest assumption no less than the percentage specified on the
Contract Schedule. We may calculate the amount using a higher
interest rate.
If a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use an Assumed Annual Net Return Rate of 3.5%.
Payments are made on a monthly basis to the Certificate Holder unless the Certificate Holder requests a different mode of payment.
Once elected, an Annuity Option may not be revoked, except for Option 1 when elected on a variable basis.
12.02 |
Terms of Annuity Options - The minimum first payment amount must be at least $50 per month and at least $250 per year. |
If the Certificate Holder elects a fixed Annuity and We determine that the Certificate Holder would receive larger payments by applying the Certificate Holder's Account Value, reduced by the deferred sales charge, to a single premium immediate Annuity currently offered by Us, We will make the larger payments. |
21
<PAGE>
We determine the first payment of a variable Annuity, or the payment amount of a fixed Annuity, using the Annuitant's (and second Annuitant's if applicable) adjusted age which We calculate as follows:
(a) |
If Annuity payments begin any time between July 1, 1992 and |
|
December |
31, 1999, the adjusted age is the Annuitant's age as of |
|
the |
birthday closest in time to the Annuity Date reduced by one |
|
(1) |
year. |
|
(b) |
If the Annuity begins any time between January 1, 2000 and |
|
December |
31, 2009, the adjusted age is the Annuitant's age as of |
|
the |
birthday closest in time to the Annuity Date reduced by two |
|
(2) |
years. |
|
(c) |
For each succeeding decade, the adjusted age is the Annuitant's |
|
age |
as determined in (b), reduced by one additional year. |
The Annuity rates for Options 2 and 3 are based on mortality from
1983 Table A.
Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a variable Annuity. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future variable Annuity payments are to remain level.
The Certificate Holder must give written notice to Us at least 30
days before the Annuity payments begin, electing or changing:
(a) |
The date on which Annuity payments are to begin; |
(b) |
The Annuity Option; |
(c) |
Whether the payments are to be made monthly, quarterly, semiannually or annually; |
(d) |
The investment options used to provide Annuity payments. |
The first Annuity payment may not be earlier than one (1) calendar
year after the initial Purchase Payment, nor later than the later of
the:
(a) |
First day of the month following the Annuitant's birthday shown on the Contract Schedule; or |
(b) |
Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may request a lump sum payment. |
12.03 |
Annuity Unit - The number of Annuity Units per Fund is based on the |
|
amount |
of the first variable Annuity payment which is equal to: |
|
(a) |
The portion of the Certificate Holder's Account Value (minus any premium taxes) applied to pay a variable Annuity; divided by, |
|
(b) |
1000; multiplied by, |
|
(c) |
The payment rate for the Annuity Option chosen. |
22
<PAGE>
Such amount, or portion, of the variable Annuity payment will be divided by the Annuity Unit value for the appropriate Fund on the tenth Valuation Period before the due date of the first payment to determine the number of each Fund's Annuity Units. The number of each
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Fund's Annuity Unit remains fixed. Each future payment is equal to
the sum of the products of each Fund's Annuity Unit value multiplied
by the appropriate number of units. The Fund's Annuity Unit value on
the tenth Valuation Period prior to the due date of the payment is
used.
12.04 |
Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit |
|
value |
is equal to: |
|
(a) |
The value for the previous Valuation Period; multiplied by, |
|
(b) |
The Annuity Net Return Factor for the Valuation Period; multiplied by, |
|
(c) |
A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663). |
|
The |
dollar value of a Fund(s) Annuity Unit values and payments may go |
|
up |
or down due to investment gain or loss. |
|
12.05 |
Annuity Net Return Factor - The Annuity net return factor is used to |
|
compute |
all Separate Account Annuity payments for any Fund. |
|
The |
Annuity net return factor(s) for each Fund is equal to 1.0000000 |
|
plus |
the net return rate. The net return rate is equal to: |
|
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus, |
|
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus, |
|
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
|
(d) |
The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus, |
|
(e) |
A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule. |
|
The |
net return rate may be more or less than zero (o) percent. |
|
The |
value of a share of the Fund is equal to the net assets of the |
|
Fund |
divided by the number of shares outstanding. |
|
12.06 |
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 |
5 and not more than 30. |
If payments for this Annuity Option are made under a variable Annuity, the present value of any remaining payments may be withdrawn at any time.
23
<PAGE>
Option 2 - Life Income - An Annuity will be paid for the life of the Annuitant. If also chosen, We 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 Annuity Option is chosen, a choice must be made of:
(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 Annuitant. |
We may make other options available as allowed by law.
24
<PAGE>
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%
- -------------------------------------------------------------------------------
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Page 16 of 23
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 |
- -------------------------------------------------------------------------------
25
<PAGE>
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
<TABLE> <CAPTION>
- ---------------------------------------------------------------------------------------------------------------------------------
Adjusted | None | 60 | 120 | 180 | 240 | |||||
Age of | ---------------------------------------------------------------------------------------------------------------------- | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
- ---------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 4.27 | $ 3.90 | $ 4.26 | $ 3.90 | $ 4.22 | $ 3.89 | $ 4.17 | $ 3.86 | $ 4.08 | $ 3.82 |
51 | 4.34 | 3.97 | 4.33 | 3.96 | 4.30 | 3.95 | 4.23 | 3.92 | 4.14 | 3.88 |
52 | 4.43 | 4.03 | 4.41 | 4.03 | 4.37 | 4.01 | 4.30 | 3.98 | 4.20 | 3.93 |
53 | 4.51 | 4.10 | 4.50 | 4.10 | 4.45 | 4.08 | 4.37 | 4.04 | 4.26 | 3.99 |
54 | 4.60 | 4.18 | 4.59 | 4.17 | 4.54 | 4.15 | 4.45 | 4.11 | 4.32 | 4.04 |
55 | 4.70 | 4.25 | 4.68 | 4.25 | 4.62 | 4.22 | 4.53 | 4.18 | 4.39 | 4.11 |
56 | 4.80 | 4.34 | 4.78 | 4.33 | 4.72 | 4.30 | 4.61 | 4.25 | 4.45 | 4.17 |
57 | 4.91 | 4.42 | 4.89 | 4.41 | 4.82 | 4.38 | 4.69 | 4.32 | 4.51 | 4.23 |
58 | 5.03 | 4.52 | 5.00 | 4.51 | 4.92 | 4.47 | 4.78 | 4.40 | 4.58 | 4.30 |
59 | 5.15 | 4.61 | 5.12 | 4.60 | 5.03 | 4.56 | 4.87 | 4.48 | 4.65 | 4.37 |
60 | 5.28 | 4.72 | 5.25 | 4.70 | 5.14 | 4.66 | 4.96 | 4.57 | 4.71 | 4.44 |
61 | 5.43 | 4.83 | 5.39 | 4.81 | 5.27 | 4.76 | 5.06 | 4.66 | 4.78 | 4.51 |
62 | 5.58 | 4.95 | 5.53 | 4.93 | 5.39 | 4.87 | 5.16 | 4.75 | 4.84 | 4.58 |
63 | 5.74 | 5.08 | 5.69 | 5.05 | 5.53 | 4.99 | 5.26 | 4.85 | 4.90 | 4.65 |
64 | 5.91 | 5.21 | 5.85 | 5.18 | 5.66 | 5.10 | 5.36 | 4.95 | 4.96 | 4.72 |
65 | 6.10 | 5.36 | 6.03 | 5.32 | 5.81 | 5.22 | 5.46 | 5.05 | 5.02 | 4.79 |
66 | 6.30 | 5.51 | 6.21 | 5.47 | 5.96 | 5.36 | 5.56 | 5.16 | 5.08 | 4.86 |
67 | 6.51 | 5.67 | 6.41 | 5.63 | 6.12 | 5.50 | 5.66 | 5.26 | 5.13 | 4.93 |
68 | 6.73 | 5.85 | 6.62 | 5.80 | 6.28 | 5.65 | 5.77 | 5.37 | 5.18 | 5.00 |
69 | 6.97 | 6.04 | 6.84 | 5.98 | 6.44 | 5.80 | 5.86 | 5.49 | 5.23 | 5.06 |
70 | 7.23 | 6.25 | 7.07 | 6.18 | 6.61 | 5.97 | 5.96 | 5.60 | 5.27 | 5.12 |
71 | 7.51 | 6.47 | 7.32 | 6.39 | 6.79 | 6.14 | 6.05 | 5.71 | 5.31 | 5.18 |
72 | 7.80 | 6.71 | 7.58 | 6.62 | 6.96 | 6.32 | 6.14 | 5.83 | 5.34 | 5.23 |
73 | 8.12 | 6.98 | 7.85 | 6.86 | 7.14 | 6.50 | 6.23 | 5.94 | 5.37 | 5.28 |
74 | 8.46 | 7.26 | 8.14 | 7.12 | 7.32 | 6.69 | 6.31 | 6.04 | 5.40 | 5.32 |
75 | 8.82 | 7.57 | 8.45 | 7.40 | 7.50 | 6.89 | 6.38 | 6.14 | 5.42 | 5.35 |
- --------------------------------------------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
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.
26
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03/26/2018
Page 17 of 23
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE> <CAPTION>
- -----------------------------------------------------------------------------------------------------Adjusted Ages - ----------------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -----------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 3.69 | $ 4.05 | $ 4.27 | $ 3.69 | $ 4.13 | |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.25 | |
55 | 60 | 3.06 | 4.47 | 4.71 | 4.06 | 4.36 | |
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.55 | |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.70 | |
60 | 65 | 4.49 | 5.01 | 5.32 | 4.48 | 4.85 | |
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 5.10 | |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.32 | |
65 | 70 | 5.07 | 5.75 | 6.17 | 5.05 | 5.54 | |
70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.86 | |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 6.18 | |
70 | 75 | 5.89 | 6.82 | 7.40 | 5.81 | 6.49 | |
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.92 | |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.40 | |
75 | 80 | 7.07 | 8.34 | 9.16 | 6.78 | 7.85 |
- ----------------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
27
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE> | ||||||
<CAPTION> | ||||||
- ------------------------------------------------------------------------------------------------------ | ||||||
Adjusted Ages | ||||||
- --------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- ------------------------------------------------------------------------------------------------------ | ||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.75 | $ 4.07 | $ 4.26 | $ 3.75 | $ 3.98 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.06 |
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.12 |
60 | 55 | 4.06 | 4.47 | 4.71 | 4.06 | 4.37 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.47 |
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.54 |
65 | 60 | 4.49 | 5.01 | 5.32 | 4.48 | 4.89 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.02 |
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.14 |
70 | 65 | 5.07 | 5.75 | 6.17 | 5.05 | 5.60 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.79 |
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 5.96 |
75 | 70 | 5.89 | 6.83 | 7.40 | 5.81 | 6.63 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 6.92 |
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 7.15 |
- ------------------------------------------------------------------------------------------------------ | |
</TABLE> | |
https://www.sec.gov/Archives/edgar/data/925981/0000950146-98-000663.txt | 03/26/2018 |
Page 18 of 23
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
28
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 3.5%
- -------------------------------------------------------------------------------
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
- -------------------------------------------------------------------------------
5 | 3.50% | 18.12 | 54.19 | 107.92 | 213.99 |
6 | 3.50% | 15.35 | 45.92 | 91.44 | 181.32 |
7 | 3.50% | 13.38 | 40.01 | 79.69 | 158.01 |
8 | 3.50% | 11.90 | 35.59 | 70.88 | 140.56 |
9 | 3.50% | 10.75 | 32.16 | 64.05 | 127.00 |
10 | 3.50% | 9.83 | 29.42 | 58.59 | 116.18 |
11 | 3.50% | 9.09 | 27.18 | 54.13 | 107.34 |
12 | 3.50% | 8.46 | 25.32 | 50.42 | 99.98 |
13 | 3.50% | 7.94 | 23.75 | 47.29 | 93.78 |
14 | 3.50% | 7.49 | 22.40 | 44.62 | 88.47 |
15 | 3.50% | 7.10 | 21.24 | 42.31 | 83.89 |
16 | 3.50% | 6.76 | 20.23 | 40.29 | 79.89 |
17 | 3.50% | 6.47 | 19.34 | 38.51 | 76.37 |
18 | 3.50% | 6.20 | 18.55 | 36.94 | 73.25 |
19 | 3.50% | 5.97 | 17.85 | 35.54 | 70.47 |
20 | 3.50% | 5.75 | 17.22 | 34.28 | 67.98 |
21 | 3.50% | 5.56 | 16.65 | 33.15 | 65.74 |
22 | 3.50% | 5.39 | 16.13 | 32.13 | 63.70 |
23 | 3.50% | 5.24 | 15.66 | 31.19 | 61.85 |
24 | 3.50% | 5.09 | 15.24 | 30.34 | 60.17 |
25 | 3.50% | 4.96 | 14.85 | 29.56 | 58.62 |
26 | 3.50% | 4.84 | 14.49 | 28.85 | 57.20 |
27 | 3.50% | 4.73 | 14.15 | 28.19 | 55.90 |
28 | 3.50% | 4.63 | 13.85 | 27.58 | 54.69 |
29 | 3.50% | 4.53 | 13.57 | 27.02 | 53.57 |
30 | 3.50% | 4.45 | 13.30 | 26.49 | 52.53 |
- -------------------------------------------------------------------------------
29
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 5.0%
- ------------------------------------------------------------------------------- | ||||||
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | ||
Years | Rate | Payment | Payment | Payment | Payment | |
- ------------------------------------------------------------------------------- | ||||||
5 | 5.00% | 18.74 | 56.00 | 111.33 | 219.98 | |
6 | 5.00% | 15.99 | 47.77 | 94.96 | 187.64 | |
7 | 5.00% | 14.02 | 41.90 | 83.30 | 164.59 | |
8 | 5.00% | 12.56 | 37.52 | 74.58 | 147.35 | |
9 | 5.00% | 11.42 | 34.11 | 67.81 | 133.99 | |
10 | 5.00% | 10.51 | 31.40 | 62.42 | 123.34 | |
11 | 5.00% | 9.77 | 29.19 | 58.03 | 114.66 | |
12 | 5.00% | 9.16 | 27.36 | 54.38 | 107.45 | |
13 | 5.00% | 8.64 | 25.81 | 51.31 | 101.39 | |
14 | 5.00% | 8.20 | 24.50 | 48.69 | 96.21 | |
15 | 5.00% | 7.82 | 23.36 | 46.44 | 91.75 | |
16 | 5.00% | 7.49 | 22.37 | 44.47 | 87.88 | |
17 | 5.00% | 7.20 | 21.51 | 42.75 | 84.48 | |
18 | 5.00% | 6.94 | 20.74 | 41.23 | 81.47 | |
19 | 5.00% | 6.71 | 20.06 | 39.88 | 78.80 | |
20 | 5.00% | 6.51 | 19.46 | 38.68 | 76.42 | |
21 | 5.00% | 6.33 | 18.91 | 37.59 | 74.28 | |
22 | 5.00% | 6.17 | 18.42 | 36.62 | 72.35 | |
23 | 5.00% | 6.02 | 17.98 | 35.73 | 70.61 | |
24 | 5.00% | 5.88 | 17.57 | 34.93 | 69.02 | |
25 | 5.00% | 5.76 | 17.20 | 34.20 | 67.57 | |
26 | 5.00% | 5.65 | 16.87 | 33.53 | 66.25 | |
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Page 19 of 23
27 | 5.00% | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.00% | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.00% | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.00% | 5.28 | 15.77 | 31.35 | 61.95 |
- -------------------------------------------------------------------------------
30
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months |
------------------------------------------------- |
<TABLE> |
<CAPTION> |
- --------------------------------------------------------------------------------------------------------------------------------- |
Adjusted | None | 60 | 120 | 180 | 240 | |||||
Age of | ---------------------------------------------------------------------------------------------------------------------- | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
- ---------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 4.56 | $ 4.20 | $ 4.55 | $ 4.19 | $ 4.51 | $ 4.18 | $ 4.45 | $ 4.15 | $ 4.36 | $ 4.11 |
51 | 4.64 | 4.26 | 4.62 | 4.25 | 4.58 | 4.24 | 4.51 | 4.21 | 4.42 | 4.16 |
52 | 4.72 | 4.32 | 4.70 | 4.32 | 4.66 | 4.30 | 4.58 | 4.26 | 4.48 | 4.21 |
53 | 4.80 | 4.39 | 4.79 | 4.38 | 4.74 | 4.36 | 4.65 | 4.32 | 4.53 | 4.27 |
54 | 4.89 | 4.46 | 4.87 | 4.46 | 4.82 | 4.43 | 4.73 | 4.39 | 4.59 | 4.32 |
55 | 4.99 | 4.54 | 4.97 | 4.53 | 4.91 | 4.50 | 4.80 | 4.46 | 4.65 | 4.38 |
56 | 5.09 | 4.62 | 5.07 | 4.61 | 5.00 | 4.58 | 4.88 | 4.53 | 4.72 | 4.44 |
57 | 5.20 | 4.71 | 5.17 | 4.70 | 5.10 | 4.66 | 4.96 | 4.60 | 4.78 | 4.50 |
58 | 5.32 | 4.80 | 5.29 | 4.79 | 5.20 | 4.75 | 5.05 | 4.68 | 4.84 | 4.57 |
59 | 5.44 | 4.90 | 5.41 | 4.88 | 5.31 | 4.84 | 5.14 | 4.76 | 4.91 | 4.63 |
60 | 5.57 | 5.00 | 5.53 | 4.99 | 5.42 | 4.93 | 5.23 | 4.84 | 4.97 | 4.70 |
61 | 5.71 | 5.11 | 5.67 | 5.09 | 5.54 | 5.03 | 5.32 | 4.93 | 5.03 | 4.77 |
62 | 5.86 | 5.23 | 5.81 | 5.21 | 5.66 | 5.14 | 5.42 | 5.02 | 5.09 | 4.84 |
63 | 6.02 | 5.36 | 5.97 | 5.33 | 5.79 | 5.25 | 5.51 | 5.11 | 5.16 | 4.91 |
64 | 6.20 | 5.49 | 6.13 | 5.46 | 5.93 | 5.37 | 5.61 | 5.21 | 5.21 | 4.98 |
65 | 6.38 | 5.64 | 6.31 | 5.60 | 6.07 | 5.49 | 5.71 | 5.31 | 5.27 | 5.05 |
66 | 6.58 | 5.79 | 6.49 | 5.75 | 6.22 | 5.63 | 5.81 | 5.41 | 5.32 | 5.12 |
67 | 6.79 | 5.95 | 6.69 | 5.91 | 6.38 | 5.76 | 5.91 | 5.52 | 5.38 | 5.18 |
68 | 7.02 | 6.13 | 6.89 | 6.08 | 6.53 | 5.91 | 6.01 | 5.63 | 5.42 | 5.25 |
69 | 7.26 | 6.32 | 7.11 | 6.26 | 6.70 | 6.06 | 6.11 | 5.74 | 5.47 | 5.31 |
70 | 7.52 | 6.53 | 7.35 | 6.45 | 6.86 | 6.23 | 6.20 | 5.85 | 5.51 | 5.37 |
71 | 7.80 | 6.75 | 7.59 | 6.66 | 7.03 | 6.39 | 6.29 | 5.96 | 5.54 | 5.42 |
72 | 8.09 | 6.99 | 7.85 | 6.89 | 7.21 | 6.57 | 6.38 | 6.07 | 5.57 | 5.47 |
73 | 8.41 | 7.26 | 8.12 | 7.13 | 7.38 | 6.75 | 6.46 | 6.17 | 5.60 | 5.51 |
74 | 8.75 | 7.54 | 8.41 | 7.39 | 7.55 | 6.94 | 6.53 | 6.28 | 5.63 | 5.55 |
75 | 9.12 | 7.85 | 8.71 | 7.66 | 7.73 | 7.13 | 6.61 | 6.38 | 5.65 | 5.59 |
- --------------------------------------------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
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.
31
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period of Months |
------------------------------------------------- |
<TABLE> |
<CAPTION> |
- --------------------------------------------------------------------------------------------------------------------------------- |
Adjusted | None | 60 | 120 | 180 | 240 | |||||
Age of | ---------------------------------------------------------------------------------------------------------------------- | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
- ---------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
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Page 20 of 23 | ||||||||||
50 | $ 5.48 | $ 5.12 | $ 5.46 | $ 5.11 | $ 5.41 | $ 5.09 | $ 5.34 | $ 5.06 | $ 5.24 | $ 5.01 |
51 | 5.55 | 5.17 | 5.53 | 5.17 | 5.48 | 5.14 | 5.40 | 5.11 | 5.29 | 5.05 |
52 | 5.63 | 5.23 | 5.61 | 5.23 | 5.55 | 5.20 | 5.46 | 5.16 | 5.34 | 5.10 |
53 | 5.71 | 5.30 | 5.69 | 5.29 | 5.62 | 5.26 | 5.53 | 5.22 | 5.40 | 5.15 |
54 | 5.80 | 5.37 | 5.77 | 5.36 | 5.70 | 5.33 | 5.60 | 5.27 | 5.45 | 5.20 |
55 | 5.89 | 5.44 | 5.86 | 5.43 | 5.79 | 5.39 | 5.67 | 5.34 | 5.51 | 5.25 |
56 | 5.99 | 5.52 | 5.96 | 5.51 | 5.87 | 5.47 | 5.74 | 5.40 | 5.56 | 5.31 |
57 | 6.10 | 5.60 | 6.06 | 5.59 | 5.97 | 5.54 | 5.82 | 5.47 | 5.62 | 5.37 |
58 | 6.21 | 5.69 | 6.17 | 5.67 | 6.06 | 5.62 | 5.90 | 5.54 | 5.68 | 5.42 |
59 | 6.33 | 5.79 | 6.29 | 5.77 | 6.17 | 5.71 | 5.98 | 5.61 | 5.74 | 5.48 |
60 | 6.46 | 5.89 | 6.41 | 5.87 | 6.28 | 5.80 | 6.06 | 5.69 | 5.79 | 5.55 |
61 | 6.60 | 6.00 | 6.55 | 6.97 | 6.39 | 5.90 | 6.15 | 5.77 | 5.85 | 5.61 |
62 | 6.75 | 6.11 | 6.69 | 6.08 | 6.51 | 6.00 | 6.24 | 5.86 | 5.91 | 5.67 |
63 | 6.91 | 6.23 | 6.84 | 6.20 | 6.64 | 6.10 | 6.33 | 5.95 | 5.96 | 5.73 |
64 | 7.09 | 6.37 | 7.00 | 6.33 | 6.77 | 6.22 | 6.42 | 6.04 | 6.02 | 5.80 |
65 | 7.27 | 6.51 | 7.18 | 6.46 | 6.91 | 6.34 | 6.52 | 6.13 | 6.07 | 5.86 |
66 | 7.47 | 6.66 | 7.36 | 6.61 | 7.05 | 6.46 | 6.61 | 6.23 | 6.12 | 5.92 |
67 | 7.68 | 6.82 | 7.55 | 6.76 | 7.20 | 6.60 | 6.70 | 6.33 | 6.16 | 5.99 |
68 | 7.91 | 7.00 | 7.76 | 6.93 | 7.35 | 6.74 | 6.80 | 6.43 | 6.21 | 6.04 |
69 | 8.15 | 7.19 | 7.98 | 7.11 | 7.51 | 6.89 | 6.89 | 6.54 | 6.25 | 6.10 |
70 | 8.41 | 7.39 | 8.21 | 7.30 | 7.67 | 7.04 | 6.97 | 6.64 | 6.28 | 6.15 |
71 | 8.69 | 7.62 | 8.45 | 7.51 | 7.83 | 7.21 | 7.06 | 6.74 | 6.32 | 6.20 |
72 | 8.99 | 7.86 | 8.70 | 7.73 | 8.00 | 7.38 | 7.14 | 6.85 | 6.35 | 6.25 |
73 | 9.31 | 8.12 | 8.97 | 7.97 | 8.16 | 7.55 | 7.21 | 6.95 | 6.37 | 6.29 |
74 | 9.65 | 8.41 | 9.26 | 8.23 | 8.33 | 7.73 | 7.29 | 7.04 | 6.39 | 6.33 |
75 | 10.02 | 8.72 | 9.55 | 8.50 | 8.50 | 7.92 | 7.35 | 7.14 | 6.41 | 6.36 |
- ---------------------------------------------------------------------------------------------------------------------------------</TABLE>
Rates are based on mortality from 1983 Table a.
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.
32
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> |
<CAPTION> |
- ----------------------------------------------------------------------------------------------------- |
Adjusted Ages |
- ---------------------------Second
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -----------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.42 | |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 | |
55 | 60 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 | |
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 | |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 | |
60 | 65 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 | |
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 | |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 | |
65 | 70 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 | |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 | |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 | |
70 | 75 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 | |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 | |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 | |
75 | 80 | 7.33 | 8.62 | 9.45 | 7.02 | 8.13 |
- ----------------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
33
<PAGE>
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OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> <CAPTION>
- -------------------------------------------------------------------------------------------------------Adjusted Ages - --------------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.03 | $ 4.36 | $ 4.55 | $ 4.03 | $ 4.41 | |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 | |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 | |
60 | 55 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 | |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 | |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 | |
65 | 60 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 | |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 | |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 | |
70 | 65 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 | |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 | |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 | |
75 | 70 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 | |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 | |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 8.70 |
- ------------------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
34
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> | |||||||
<CAPTION> | |||||||
- ------------------------------------------------------------------------------------------------------- | |||||||
Adjusted Ages | |||||||
- -------------------------- | |||||||
Second | |||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e | |
- ------------------------------------------------------------------------------------------------------- | |||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.34 | |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 | |
55 | 60 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 | |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 | |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 | |
60 | 65 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 | |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 | |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 | |
65 | 70 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 | |
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 | |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 | |
70 | 75 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 | |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 | |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 | |
75 | 80 | 8.14 | 9.49 | 10.35 | 7.80 | 8.98 | |
- ------------------------------------------------------------------------------------------------------- | |||||||
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</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
35
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Female and the Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> <CAPTION>
- -------------------------------------------------------------------------------------------------------Adjusted Ages - --------------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.93 | $ 5.27 | $ 5.46 | $ 4.93 | $ 5.19 | |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 | |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 | |
60 | 55 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 | |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 | |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 | |
65 | 60 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 | |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 | |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 | |
70 | 65 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 | |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 | |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 | |
75 | 70 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 | |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 | |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 9.59 |
- -------------------------------------------------------------------------------------------------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
36
<PAGE>
- -------------------------------------------------------------------------------
Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547
Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating
- -------------------------------------------------------------------------------
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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
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APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.
G-CDA-GP2(4/94)
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Exhibit 16(4)(f) | ||||
Aetna Insurance Company of America | ||||
Home Office: 151 Farmington Avenue | ||||
Hartford, Connecticut 06156 | ||||
(800) 531-4547 | ||||
Individual Variable, Fixed or Combination Annuity Contract (Nonparticipating) | ||||
Aetna Insurance Company of America (We or Us) agrees to pay benefits according | ||||
to the terms and conditions set forth in this Contract. | ||||
Specifications | ||||
- -------------------------------------------------------------------------------- | ||||
Plan | ||||
- -------------------------------------------------------------------------------- | ||||
Type of Plan | ||||
- -------------------------------------------------------------------------------- | ||||
Contract Holder | ||||
- -------------------------------------------------------------------------------- | ||||
Annuitant | ||||
- -------------------------------------------------------------------------------- | ||||
Contract Number | ||||
- -------------------------------------------------------------------------------- | ||||
Effective Date | ||||
This Contract is delivered in | and is subject to | |||
the laws and regulations of that state. | ||||
THE VARIABLE FEATURES OF THE CONTRACT ARE DESCRIBED IN SECTIONS 6 AND 12. | ||||
Right to Cancel | ||||
- -------------------------------------------------------------------------------- | ||||
The Contract Holder may cancel this Contract within ten (10) days of receiving | ||||
it by returning it to Us at the address above or to the person from whom it was | ||||
purchased. Within seven (7) days of the cancellation request, We will return the | ||||
Contract Holder's Purchase Payment(s) made plus any increase, or minus any | ||||
decrease on the amount allocated to the Separate Account. | ||||
Signed at the Home Office on the Effective Date. | ||||
/s/ Dan Kearney | /s/ Susan E. Schechter | |||
President | Secretary | |||
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT | ||||
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | ||||
FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY. | ||||
I-CDA-GP2(4/94) | ||||
<PAGE> | ||||
Table of Contents | ||||
Page | ||||
Right to Cancel | 1 | |||
Contract Schedule | 4 | |||
Separate Account | 4 | |||
AICA Guaranteed Account (AG Account) | 4 | |||
Separate Account and AG Account | 4 | |||
Fixed Annuity | 6 | |||
Section 1. | Definitions | 7 | ||
Section 2. | General Provisions | 8 | ||
The Contract | 8 | |||
Nonparticipating Contract | 8 | |||
Misstatements and Adjustments | 8 | |||
Reports | 9 | |||
Premium Taxes | 9 | |||
Protection of Proceeds | 9 | |||
Evidence of Survival | 9 | |||
Proof of Age | 9 | |||
Change of Contract | 9 | |||
Section 3. | Ownership | 9 | ||
Contract Holder Rights | 9 | |||
Transfer of Ownership | 10 | |||
Section 4. | Beneficiary Provisions | 10 | ||
Beneficiary | 10 | |||
Change of Beneficiary | 10 | |||
Death of Beneficiary | 10 | |||
Section 5. | Purchase Payments | 10 | ||
Purchase Payments | 10 | |||
Allocation of Purchase Payments | 10 | |||
Section 6. | Separate Account | 10 | ||
General | 11 | |||
Investment Allocations to the Separate Account | 11 | |||
Valuation of Assets | 11 | |||
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Accumulation Unit | 11 | ||
Net Return Factor for Each Valuation Period | 11 | ||
Administrative Charge | 12 | ||
Mortality Risk Charge | 12 | ||
Expense Risk Charge | 12 | ||
Mortality and Expense Guarantee | 12 | ||
Section 7. AG Account | 12 | ||
AG Account Guaranteed Interest Rate | 12 | ||
Deposit Period | 12 | ||
Guaranteed Term | 12 | ||
2 | |||
<PAGE> | |||
Guaranteed Term(s) Groups | 12 | ||
Maturity Date | 12 | ||
Allocation of Net Purchase Payments to the AG Account | 13 | ||
AG Account Guaranteed Term Maturity Date and Maturity Value | 13 | ||
Transfers from the AG Account | 13 | ||
Withdrawals from the AG Account | 13 | ||
Reinvestment | 13 | ||
AG Account Market Value Adjustment (Factor) | 14 | ||
Section 8. Contract Value; Transfers and Withdrawals During the | |||
Accumulation Period Contract Value | 14 | ||
Transfers During the Accumulation Period | 14 | ||
Withdrawals During the Accumulation Period | 15 | ||
Deferred Sales Charge | 15 | ||
Waiver of Deferred Sales Charge | 15 | ||
Payment of Adjusted Contract Value | 16 | ||
Systematic Withdrawal Option (SWO) | 16 | ||
Section 9. Maintenance Charge | 17 | ||
Maintenance Charge | 17 | ||
Section 10. Proceeds Payable on Death | 17 | ||
Death of the Contract Holder Prior to the Annuity Date | 17 | ||
Death Benefit Amount Prior to the Annuity Date | 17 | ||
Death Benefit Payment Methods | 18 | ||
Death of Contract Holder On or After the Annuity Date | 19 | ||
Death of the Annuitant | 19 | ||
Section 11. Delay of Payments | 19 | ||
Delay of Payments | 19 | ||
Section 12. Annuity Provisions | 19 | ||
Designation of Annuitant | 19 | ||
Terms of Annuity Options | 20 | ||
Annuity Unit | 21 | ||
Annuity Unit Value | 21 | ||
Annuity Net Return Factor | 21 | ||
Annuity Options | 22 | ||
3 | |||
<PAGE> | |||
Contract Schedule | |||
Separate Account | |||
- -------------------------------------------------------------------------------- | |||
Separate Account: | Variable Account I | ||
Charges to the | A daily charge is deducted from the assets of the | ||
Separate Account: | Separate Account. The deduction is the daily | ||
equivalent of the annual effective percentage | |||
shown below: | |||
(a) During the Accumulation Period: | |||
Administrative Charge | 0.15% | ||
Mortality Risk Charge | 0.35% | ||
Expense Risk Charge | 0.90% | ||
TOTAL Separate Account Charges During | |||
Accumulation Period | 1.40% | ||
(b) During the Annuity Period | |||
Administrative Charge Not To Exceed | 0.25% | ||
Mortality Risk Charge | 0.35% | ||
Expense Risk Charge | 0.90% | ||
TOTAL Maximum Separate Account Charges | |||
During Annuity Period | 1.50% | ||
AICA Guaranteed Account (AG Account) | |||
- -------------------------------------------------------------------------------- | |||
Minimum Guaranteed | 3.0% | ||
Interest Rate | |||
(effective annual rate | |||
of return): | |||
Separate Account and AG Account | |||
- -------------------------------------------------------------------------------- | |||
Minimum Initial | $1,500 | ||
Purchase Payment: | |||
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Page 3 of 21
Minimum Subsequent | $500 or $50 per month if paid by an automatic | |
Purchase Payment: | check plan | |
Maximum Subsequent | $500,000 without Home Office approval | |
Purchase Payment: | ||
4 | ||
<PAGE> | ||
Transfers: | We allow an unlimited number of transfers during | |
the Accumulation Period. Twelve (12) transfers in | ||
any calendar year are free. Thereafter, We reserve | ||
the right to charge a transfer charge up to $10 | ||
for each subsequent transfer. | ||
Maintenance Charge: | The annual maintenance charge is $30. If the | |
Contract Value is $50,000 or more on the date the | ||
maintenance charge is to be deducted, the | ||
maintenance charge is $0. | ||
Deferred Sales Charge: | For each withdrawal from the Contract, a deferred | |
sales charge for Charge: each Net Purchase Payment | ||
will be determined as follows: | ||
Years from Receipt of | Deferred | |
Net Purchase Payment | Sales Charge | |
0-1 | 7% | |
1-2 | 6% | |
2-3 | 5% | |
3-4 | 4% | |
4-5 | 3% | |
5-6 | 2% | |
6-7 | 1% | |
7+ | 0% | |
Waiver of Deferred | Section 8.05 provides for the following: | |
Sales Charge: | ||
(c) At least 12 months after the date of the | ||
first Purchase Payment in an amount equal | ||
to or less than 15% of the Contract | ||
Value. | ||
(d) For a full withdrawal where the Contract | ||
Value does not exceed $2,500 and no | ||
withdrawals have been taken from the | ||
Contract within the prior 12 months. | ||
Systematic | (a) Specified Payment - Maximum Percentage: 10% | |
Withdrawal Option: | ||
(b) Specified Period - Minimum Period: 10 years | ||
(c) Specified Percentage - Maximum Percentage: 10% | ||
Death Benefit Factor: | 4% | |
Death Benefit | There is no maximum death benefit amount. | |
Maximum Amount: | ||
5 | ||
<PAGE> | ||
Death Benefit | 85 years | |
Maximum Age: | ||
Fund for Allocation | Federated Prime Money Fund | |
of Excess Guaranteed | ||
Death Benefit Value: | ||
Latest Annuity Date: | The Contract Holder's 90th birthday. |
Fixed Annuity
- --------------------------------------------------------------------------------
Minimum Guaranteed | 3.0% |
Interest Rate | |
(effective annual rate | |
of return): |
6
<PAGE>
Section 1. Definitions
--------------------------------------------------------------------------------
Accumulation Period - The period during which one or more Net Purchase
Payments applied to the Contract accumulate to provide future Annuity payments.
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1.02 |
Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of the Contract Value attributable to a Separate Account during the Accumulation Period. |
1.03 |
Adjusted Contract Value - The Contract Value, plus or minus any aggregate AG Account Market Value Adjustment. |
1.04 |
Annuitant - The natural person on whose life an Annuity payment is based. |
1.05 |
Annuity - A series of payments We make for life, a definite period or a combination of the two. |
1.06 |
Annuity Date - The date on which Annuity payments commence. |
1.07 |
Annuity Options - Annuity payment methods available during the Annuity Period. |
1.08 |
Annuity Period - The period of time during which Annuity payments are made. |
1.09 |
Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment. |
1.10 |
Beneficiary - The person(s) entitled to receive any death benefit under the Contract. Upon the death of a joint Contract Holder, the surviving joint Contract Holder, if any, is treated as the Beneficiary. Any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. |
1.11 |
Contract Holder - The person who purchases this Contract. We reserve the right to limit ownership to natural persons. If more than one Contract Holder owns the Contract, each Contract Holder shall be a joint Contract Holder. Any joint Contract Holder must be the spouse of the other joint Contract Holder. Joint Contract Holders have joint ownership rights and both must authorize any exercising of those ownership rights unless otherwise allowed by Us. |
1.12 |
Contract Value - The dollar value as of any Valuation Period of all |
amounts |
accumulated in the Contract. |
1.13 |
Contract - This agreement between the Contract Holder and Us. |
1.14 |
Effective Date - The date the Contract is issued to the Contract |
Holder. | |
1.15 |
Fund - One of the variable investment options which may be selected by |
the |
Contract Holder. |
7
<PAGE>
1.16 |
General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts. |
1.17 |
AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time. |
The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. The Contract Holder does not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct. |
|
1.18 |
Home Office - Our headquarters, located at 151 Farmington Avenue, Hartford, CT 06156. |
1.19 |
Market Value Adjustment - An adjustment to any withdrawal made from the AG Account before the end of a guaranteed term as stated in Section 7.11. |
1.20 |
Net Purchase Payment - The Purchase Payment less premium taxes, if applicable. |
1.21 |
Purchase Payment - The gross payment accepted by Us and allocated to the Contract. We reserve the right to refuse to accept any Purchase Payment at any time for any reason. |
1.22 |
Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of |
the |
Separate Account, will not be charged with Our other liabilities. |
1.23 |
Valuation Period - The period of time for which a Fund determines its |
net |
asset value, usually from 4:15 p.m. Eastern time each day the New |
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York Stock Exchange is open until 4:15 p.m. the next such business day, or such other day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct.
1.24 |
Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results. |
Section 2. General Provisions
--------------------------------------------------------------------------------
The Contract - The entire Contract consists of this Contract and any
attached applications or endorsements.
2.02 |
Nonparticipating Contract - Neither the Contract Holder nor any Beneficiary have a right to share in our earnings. |
2.03 |
Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request |
8
<PAGE>
reimbursement or adjust future payments for any amount overpaid. We will pay the amount of any underpayment.
2.04 |
Reports - We furnish the Contract Holder with a report showing the |
|
Contract |
Value at least once each calendar year. We also furnish an |
|
annual |
report of the Separate Account. |
|
2.05 |
Premium Taxes - Any premium taxes paid to any governmental entity are |
|
charged |
against Purchase Payments or the Contract Value. We may, at our |
|
sole |
discretion, pay premium taxes when due and deduct that amount from |
|
the |
Contract at a later date. Payment at an earlier date does not waive |
|
any |
right We may have to deduct amounts at a later date. |
|
2.06 |
Protection of Proceeds - To the extent permitted by law, all payments |
|
under |
this Contract to the Contract Holder or Beneficiary shall be free |
|
from |
legal process and the claim of any creditor. |
|
2.07 |
Evidence of Survival - The Company may require satisfactory evidence of |
|
the |
continued survival of any person(s) on whose life Annuity payments |
|
are |
based. |
|
2.08 |
Proof of Age - The Company may require evidence of age of any Annuitant |
|
under |
Annuity Options 2 and 3 and of the designated second Annuitant |
|
under |
Annuity Option 3. |
|
2.09 |
Change of Contract - We reserve the right to change the Contract, but |
|
only |
if a change is necessary to: |
|
(a) |
Make the Contract or the Separate Account comply with state or federal laws or regulations; or |
|
(b) |
Assure the continued qualified status of the Contract under the Code or other federal laws or regulations governing annuity contracts; or |
|
(c) |
Reflect a change in the operation of the Separate Account or the Funds; or |
|
(d) |
Provide additional funds; or |
|
(e) |
Withdraw Funds |
|
We |
will notify the Contract Holder in writing 30 days before any change |
|
becomes |
effective. When appropriate, We will endorse the Contract for |
|
the |
change. |
Section 3. Ownership
--------------------------------------------------------------------------------
Contract Holder Rights - The Contract Holder has all interest and right
to amounts held in his or her Contract. The Contract Holder and any
joint Contract Holder are named on the Specifications page. The
Contract Holder and any joint Contract Holder may exercise all the
rights under the Contract, subject to the rights of:
(a) |
Any assignee under an assignment filed at our Home Office; and |
(b) |
Any irrevocably named Beneficiary. |
Upon the death of a Contract Holder prior to the Annuity Date, a
spousal Beneficiary may elect to continue the Contract in his or her
own name and retain all ownership rights and privileges or take
distribution of the death benefit as defined in Section 10.
9
<PAGE>
3.02 |
Transfer of Ownership - The Contract Holder may transfer all of his or her rights under the Contract. A written request, dated and signed by the Contract Holder and any joint Contract Holder, must be filed at our Home Office. After the transfer is recorded, it will take effect as of |
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the date the request was signed. Any such transfer terminates the interest of the existing Contract Holder. It does not change the Beneficiary, nor transfer the Beneficiary's interest. A transfer will not affect any payments We may make or actions We may take before such transfer has been recorded at our Home Office.
Section 4. Beneficiary Provisions
--------------------------------------------------------------------------------
Beneficiary - The Contract Holder may name a Beneficiary and a
contingent Beneficiary. At the death of the Contract Holder prior to the Annuity Date, the Beneficiary(ies) named in our records will receive a death benefit as stated in Section 10. Upon the death of a joint Contract Holder prior to the Annuity Date, the surviving joint Contract Holder, if any, will be treated as the designated Beneficiary and any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary.
4.02 |
Change of Beneficiary - The Contract Holder may change the Beneficiary. A written request, dated and signed by the Contract Holder, must be filed at our Home Office. If there are joint Contract Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. If the request reaches our Home Office and is recorded after the Contract Holder dies, but before any payment is made, the change is valid. |
4.03 |
Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Contract Holder's death, We pay the death benefit in one sum to the Contract Holder's estate. |
Section 5. Purchase Payments
--------------------------------------------------------------------------------
Purchase Payments - Subject to the maximum and minimum shown on the
Contract Schedule, the Contract Holder may determine the amount and frequency of Purchase Payments. We reserve the right not to accept any Purchase Payment. We will declare from time to time the acceptability of additional Purchase Payments.
5.02 |
Allocation of Purchase Payments - The Contract Holder may elect to have |
|
each |
Net Purchase Payment accumulate: |
|
(a) |
On a variable basis invested in shares of one or more Funds in which the Separate Account invests; |
|
(b) |
For guaranteed terms offered in the current deposit period(s) under the AG Account; or |
|
(c) |
In a combination of any of the available investment options. |
|
Net |
Purchase Payments must be allocated in whole percentages. For |
|
subsequent |
Purchase Payments, if no allocation instructions are |
|
received |
with the Purchase Payment, the allocation will be as indicated |
|
in |
the most recent directive from the Contract Holder. If the same |
|
guaranteed |
term(s) are not available, the next shortest will be used. |
|
If |
no shorter guaranteed term is available, the next longer guaranteed |
|
term |
will be used. |
Section 6. Separate Account |
- -------------------------------------------------------------------------------- |
10
<PAGE>
6.01 |
General - The assets of the Separate Account, equal to the reserves and other Contract liabilities that depend on the investment performance of the Separate Account are not chargeable with liabilities arising out of any other business We may conduct. Income, gains or losses of the Separate Account, realized or unrealized, are credited to or charged against the assets of the Separate Account without regard to Our other income, gains or losses. |
6.02 |
Investment Allocations to the Separate Account - The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, We may cease to make such Fund shares available for investment under the Contract prospectively, or We may substitute shares of another Fund for shares already acquired. We may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. We reserve the right to substitute shares of another Fund for shares already acquired without a proxy vote. |
6.03 |
Valuation of Assets - The shares of the Funds will be valued at their net asset value at the end of each Valuation Period. |
6.04 |
Accumulation Unit - A Net Purchase Payment that is allocated to one or more Funds is credited to the Contract as Accumulation Units. The number of Accumulation Units credited is determined by dividing the applicable portion of the Net Purchase Payment by the Accumulation Unit |
value |
for the appropriate Fund. The Accumulation Unit value used is |
that |
which is computed for the next Valuation Period after which the |
Purchase |
Payment is received at our Home Office. Accumulation Units |
attributable |
to the initial Purchase Payments will be credited within |
two |
business days of acceptance. |
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Accumulation Unit values may increase or decrease from Valuation Period to Valuation Period.
6.05 |
Net Return Factor for Each Valuation Period - The value of an |
|
Accumulation |
Unit for any Valuation Period is calculated by multiplying |
|
the |
Accumulation Unit value for the immediately preceding Valuation |
|
Period |
by the net return factor of the appropriate Fund for the current |
|
period. | ||
The |
net return factor for each Fund is equal to 1.0000000 plus the net |
|
return |
rate. |
|
The |
net return rate equals: |
|
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus |
|
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
|
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
|
(d) |
The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus |
|
(e) |
A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge. |
|
The |
net return rate may be more or less than zero (0) percent. |
11
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The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.
6.06 |
Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.07 |
Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.08 |
Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.09 |
Mortality and Expense Guarantee - We guarantee that the dollar amount of each Annuity payment after the first will not be affected by variations in mortality or expense experience. |
Section 7. AG Account
--------------------------------------------------------------------------------
AG Account Guaranteed Interest Rate - All amounts allocated to the AG
Account earn a rate of interest that is guaranteed for a specified period of time. The rate will be credited daily and will never be less than the minimum guaranteed interest rate shown on the Contract Schedule. We determine the rate and it is not based on investment experience.
For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.
7.02 |
Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG |
Account for one or more guaranteed terms. We reserve the right to extend the deposit period. |
|
7.03 |
Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG |
Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years. |
|
During a deposit period, We may make available any number of guaranteed terms. The Contract Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms. |
|
7.04 |
Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the same length of time from the close of the deposit period until the designated Maturity Date. |
7.05 Maturity Date
- The last day of a guaranteed term.
12
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7.06 |
Allocation of Net Purchase Payments to the AG Account - When the Contract Holder wishes to allocate all or any portion of a Net Purchase Payment to the Guaranteed Account, he or she must tell Us the percentage to apply to one or more of the AG Account guaranteed term(s) available during the current deposit period. If no allocation instructions are received, a Net Purchase Payment is allocated as indicated in the most recent directive from the Contract Holder. If the same guaranteed term is not available for any amount allocated to the |
|
AG |
Account, We will allocate the amount to the next shortest guaranteed term available. If no shorter guaranteed term is available, We will allocate it to the next longest guaranteed term. |
|
7.07 |
AG Account Guaranteed Term Maturity Date and Maturity Value - On the maturity date, the value of the total of all amounts allocated to that guaranteed term is called the maturity value. |
|
When the Contract Holder has assets in the AG Account, at least eighteen (18) days before a maturity date, We notify the Contract Holder of the: |
||
(a) |
Projected maturity value; and |
|
(b) |
Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period. |
|
When no allocation instructions are received and the assets in a guaranteed term have been reinvested by Us in another guaranteed term |
||
on |
the maturity date, the Contract Holder may transfer or withdraw, during the month following the maturity date, the reinvested amount with interest earned (as of the date the request is received at our Home Office) without incurring a Market Value Adjustment. This transaction is allowed only once for each maturity date, regardless of whether the transfer or withdrawal is partial or full. |
|
7.08 |
Transfers from the AG Account - The Contract Holder may transfer any portion, or all, of an amount in the AG Account to one or more of the Funds or to another available guaranteed term. The amount withdrawn for any reason before the maturity date is subject to a Market Value Adjustment. |
|
7.09 |
Withdrawals from the AG Account - When the Contract Holder requests a withdrawal from the AG Account, if instructions are not provided by the Contract Holder, amounts are withdrawn on a pro rata basis from the guaranteed term(s) groups in which the Contract Value is currently |
|
invested. |
Within a guaranteed term group, the amount to be withdrawn |
|
will |
be withdrawn first from the oldest deposit period. Except on the |
|
maturity |
date, withdrawals from the AG Account will be subject to a |
|
Market |
Value Adjustment. |
|
7.10 |
Reinvestment - We will mail a notice to the Contract Holder before a |
|
guaranteed |
term's maturity date. This notice will contain the |
|
guaranteed |
terms available during the current deposit periods with |
|
their |
guaranteed interest rate(s) and projected maturity value. If no |
|
specific |
direction is given by the Contract Holder prior to the |
|
maturity |
date, each maturity value will be reinvested in the current |
|
deposit |
period for a guaranteed term of the same duration. If a |
|
guaranteed |
term of the same duration is unavailable, each matured term |
|
value |
will automatically be reinvested in the current deposit period |
|
for |
the next shortest guaranteed term available. If no shorter |
|
guaranteed |
term is available, the next longer guaranteed term will be |
|
used. |
We will mail a confirmation statement to the Contract Holder |
|
after |
the maturity date. This notice will state the guaranteed term and |
|
guaranteed |
interest rate(s) which will apply to the reinvested matured |
|
term |
value. |
13
<PAGE>
7.11 |
AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. An MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term, including amounts paid in a lump sum death benefit or applied to an Annuity Option. |
The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows: |
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 Term. | ||
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Determination of MVA factor parameters:
A yield is computed at the close of the last business day of each week of the deposit period. The yield will equal the average of the yields on U.S. Treasury Notes which matured during the last three months of the applicable guaranteed term.
The deposit period yield is the average of those yields for the deposit period. If withdrawal is made prior to 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.
If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.
Section 8. Contract Value; Transfers and Withdrawals During the Accumulation Period
--------------------------------------------------------------------------------
Contract Value - The value of the Contract is determined by adding the
value of the total of Accumulation Units attributed to the selected
Fund(s) to the value of any amounts attributed to the AG Account.
8.02 |
Transfers During the Accumulation Period - Before the Annuity Date, the Contract Holder may transfer from any Fund or guaranteed term of the AG Account to: |
14
<PAGE>
(a) |
Any other Fund; or |
(b) |
Any guaranteed term of the AG Account available in the current deposit period. |
Transfer requests can be submitted as a percentage or as a dollar amount. We may establish a minimum transfer amount. Within a guaranteed term group, the amount transferred is withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied.
The Contract Holder may make an unlimited number of transfers during the Accumulation Period. The number of free transfers allowed is shown on the Contract Schedule. Transfers in excess of that number may be subject to the transfer charge shown on the Contract Schedule. Transfers of a matured term value from the AG Account on or within one calendar month after a guaranteed term's maturity date do not count against the annual transfer limit.
Amounts applied to guaranteed terms of the AG Account may not be
transferred to the Funds or to another guaranteed term during the
deposit period or for 90 days after the close of the deposit period
except for matured term value(s) during the calendar month following
the guaranteed term's maturity date.
Transfers from guaranteed terms of the AG Account are subject to a
Market Value Adjustment.
8.03 |
Withdrawals During the Accumulation Period - The Contract Holder may |
|
withdraw |
all or a portion of the Contract Value during the Accumulation |
|
Period |
by properly completing a withdrawal request form. Withdrawal |
|
requests |
ran be submitted as a percentage or as a specific dollar |
|
amount. |
Net Purchase Payment amounts are withdrawn first, and then the |
|
excess |
value, if any. For any partial withdrawal, if instructions are |
|
not |
provided by the Contract Holder, amounts are withdrawn on a pro |
|
rata |
basis from the Fund(s), and/or the guaranteed term(s) groups in |
|
which |
the Contract is currently invested. Within a guaranteed term |
|
group, |
the amount to be withdrawn 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 charge, if applicable, the withdrawn |
|
amount |
shall be reduced by the applicable deferred sales charge and any |
|
applicable |
premium taxes. |
|
8.04 |
Deferred Sales Charge - The deferred sales charge only applies to the |
|
portion |
of the amount withdrawn attributable to Net Purchase Payment(s) |
|
and |
varies according to the elapsed time since receipt of the Purchase |
|
Payment. |
The deferred sales charge is shown on the Contract Schedule. |
|
8.05 |
Waiver of Deferred Sales Charge - No deferred sales charge is deducted |
|
when |
the Contract Value is paid: |
|
(a) |
To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Contract Holder as described in Section 10.02(b); |
|
(b) |
As a premium for an Annuity Option; |
|
(c) |
At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Contract Value as shown on the Contract Schedule. This applies to the first withdrawal |
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request, partial or full, in a calendar year. The Contract Value is
calculated as of the date the withdrawal request is
15
<PAGE>
received in good order at our Home Office. This waiver is not
available to the Contract Holder while a SWO is in effect;
(d) |
For a full withdrawal where the Contract Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Contract within the prior 12 months; |
(e) |
For a distribution made by Us under Section 8.06; or |
(f) |
For a distribution which is part of a SWO under Section 8.07. |
We reserve the right to allow the proceeds of a total withdrawal to be reinstated under the terms and conditions as established by Us from time to time.
8.06 |
Payment of Adjusted Contract Value - Upon 90 day's written notice to |
|
the |
Contract Holder, We will terminate the Contract if the Contract |
|
Value |
becomes less than $1,500 immediately following any partial |
|
withdrawal. |
We do not intend to exercise this right in cases where the |
|
Contract |
Value is reduced to $1,500 or less solely due to investment |
|
performance. |
When We make a distribution pursuant to this provision, |
|
the |
deferred sales charge will not be deducted. |
|
8.07 |
Systematic Withdrawal Option (SWO) - We will allow the Contract Holder |
|
to |
establish a schedule of withdrawals to be made automatically from |
|
the |
Contract Value. All distributed amounts will be withdrawn on a pro |
|
rata |
basis from the Fund(s) and/or the guaranteed term(s) groups of the |
|
AG |
Account in which the Contract Value is invested. |
|
The |
Contract Holder must elect one of the following SWO methods: |
|
(a) |
Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Contract Value at time of the election as shown on the Contract Schedule. This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or |
|
(b) |
Specified Period: Payments which are made over a period of time which must be at least the minimum period as shown on the Contract Schedule. The annual amount paid each year is calculated by dividing the Contract Value as of December 31 of the prior year by the number of payment years remaining; or |
|
(c) |
Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Contract Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Contract Value as of December 31 of the year prior to the payment by the designated percentage. |
|
In |
our discretion, We may require a minimum initial Contract Value for |
|
election |
of this option. SWO may be elected by submitting a completed |
|
and |
signed election form to Us. Once elected, this option may be |
|
revoked |
by submitting a written request to Us. SWO may be elected only |
|
once |
by the Contract Holder or by a spousal Beneficiary. |
|
The |
Contract Holder should consult his/her tax adviser prior to |
|
requesting |
this distribution option. We are not responsible for any |
|
adverse |
tax consequences due to a Contract Holder's receiving SWO |
16
<PAGE>
payments. A ten (10) percent penalty tax may apply to distributions to a Contract Holder who has not reached age 59-1/2. Upon death of the Contract Holder, any payments will be made under the terms of Section 10.
Section 9. Maintenance Charge
--------------------------------------------------------------------------------
Maintenance Charge - We will deduct an annual maintenance charge as
shown in the Contract Schedule from the Contract Value during the Accumulation Period. We will deduct the maintenance charge on the anniversary of the Effective Date of the Contract. This maintenance charge is also deducted upon withdrawal of the entire Adjusted Contract Value. The maintenance charge is deducted proportionately from each investment option used.
Section 10. Proceeds Payable on Death
--------------------------------------------------------------------------------
Death of the Contract Holder Prior to the Annuity Date - In the event
of the death of the Contract Holder or a joint Contract Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by the Contract Holder. Upon the death of a joint Contract Holder, the surviving joint Contract Holder, if any, will be treated as the designated Beneficiary. Any other Beneficiary designation on record
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with Us at the time of death will be treated as a contingent
Beneficiary.
A Beneficiary may request We pay the death benefit under one of the options described in Section 10.03. If the Beneficiary is the spouse of the Contract Holder, he or she may elect to continue the Contract in his or her own name and exercise all the Contract Holder's rights under the Contract.
10.02 |
Death Benefit Amount Prior to the Annuity Date - |
|||
(a) |
Except as set forth in Section 10.02(b), the amount of the |
|||
guaranteed |
death benefit value is equal to the greater of: |
|||
(i) |
The Contract Value at the end of the Valuation Period during |
|||
which |
We receive at our Home Office due proof of death and |
|||
election |
of the type of payment to be made; or |
|||
(ii) |
The death benefit determined as of the Valuation Period |
|||
corresponding |
to the date of death. |
|||
Until |
the first Effective Date anniversary, the death benefit |
|||
is |
equal to the Purchase Payments made by the Contract Holder |
|||
prior |
to the Effective Date anniversary less any withdrawals |
|||
and |
any amounts applied to an Annuity Option. |
|||
For |
each Contract year thereafter, the death benefit during |
|||
the |
Contract year equals the death benefit at the beginning of |
|||
the |
Contract year plus Purchase Payments made during the year |
|||
less |
any withdrawals and any amounts applied to an Annuity |
|||
Option. | ||||
On |
each Effective Date anniversary, the death benefit is |
|||
determined |
as follows: |
|||
(A) |
The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus |
17
<PAGE>
(B) |
Purchase Payments made by the Contract Holder during the Contract year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less |
(C) |
Any withdrawals or amounts applied to an Annuity Option during the Contract year increased by the death benefit factor shown on the Contract Schedule for the portion of the Contract year since the withdrawal or election of Annuity option; or |
(iii) |
The Contract Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option. |
Notwithstanding the foregoing, the death benefit under (ii) or
(iii) will not exceed the death benefit maximum amount shown on the
Contract Schedule.
The death benefit calculation described in (ii) and (iii) above,
applies until the Contract Holder reaches the death benefit maximum
age shown on the Contract Schedule. Thereafter, the death benefit
is only adjusted for Purchase Payments, withdrawals and amounts
applied to Annuity Options. If the Contract Holder reaches the
death benefit maximum age shown on the Contract Schedule prior to
the seventh anniversary of the Effective Date, the death benefit
will be the greater of (i) or (ii) above.
The excess, if any, of the guaranteed death benefit value over the
Contract Value is determined when We receive at our Home Office due
proof of death and allocated to the Fund shown on the Contract
Schedule. The Contract Value plus any excess amount deposited
becomes the Contract Value.
(b) |
In the case of a Beneficiary of a surviving joint Contract |
Holder who continued the Contract in his or her own name, the death benefit shall be equal to (a)(i) above less any applicable deferred sales charge on any Purchase Payment made after We have received at our Home Office due proof of death of the first joint Contract Holder. |
10.03 |
Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Contract Holder prior to the Annuity Date: |
Method 1 - Lump sum payment of the death benefit; or |
|
Method 2 - The payment of the entire death benefit within (5) years of the date of the Contract Holder's death; or |
|
Method 3 - Payment of the death benefit over the lifetime of the |
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designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Contract Holder.
Any portion of the death benefit not applied under Option 3 within one year of the date of Contract Holder's death, must be distributed within five (5) years of the date of death. A Market Value Adjustment will apply at the time the death benefit is paid.
18
<PAGE>
A spousal Beneficiary may elect to continue the Contract in his or her name, elect a lump sum payment of the death benefit or apply the Adjusted Contract Value to an Annuity Option.
10.04 |
Death of Contract Holder On or After the Annuity Date - If the Contract Holder, who is not the Annuitant, dies on or after the Annuity Date, the 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. |
10.05 |
Death of the Annuitant - If the Annuitant, who is not the Contract Holder, dies on or before the Annuity Date, a new Annuitant may be named. If no Annuitant is named, the Contract Holder will be the Annuitant. If the Annuitant dies after the Annuity Date, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity Option elected. We will require proof of the Annuitant's death. |
Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death. |
Section 11. Delay of Payments
--------------------------------------------------------------------------------
Delay of Payments - We will make any payments under this Contract
within seven days after a request is received in good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:
(a) |
The New York Stock Exchange is closed for other than customary weekend and holiday closings; |
(b) |
Trading on the Exchange is restricted; |
(c) |
An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or |
(d) |
The Securities and Exchange Commission so permits delay for the protection of security holders. |
The applicable rules of the Securities and Exchange Commission will
govern as to whether the conditions in (b) or (c) exist.
We also reserve the right to delay any type of payment from the AG
Account for up to six (6) months.
Section 12. Annuity Provisions
--------------------------------------------------------------------------------
Designation of Annuitant - The Contract Holder and the Annuitant need
not be the same person. The Contract Holder names the Annuitant and during the Accumulation Period, may change the designated Annuitant. We change the Annuitant when We receive a written request in good order at our Home Office. We will not change the Annuitant when Annuity payments have commenced.
The Contract Holder elects an Annuity Option by telling us to use all or any portion of the Contract Value (minus any applicable premium taxes if not previously deducted) to purchase Annuity payments under an Annuity Option.
When an Annuity Option is chosen the Contract Holder must designate a:
(a) Fixed Annuity using the General Account;
19
<PAGE>
(b) |
Variable Annuity using any of the Funds available during the Annuity Period; or |
(c) |
Combination of (a) and (b). |
If a fixed Annuity is chosen, We will calculate the amount using an interest assumption no less than the percentage specified on the Contract Schedule. We may calculate the amount using a higher interest rate.
If a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use an Assumed Annual Net Return Rate of 3.5%.
Payments are made on a monthly basis to the Contract Holder unless the Contract Holder requests a different mode of payment.
Once elected, an Annuity Option may not be revoked, except for Option 1
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when elected on a variable basis.
12.02 |
Terms of Annuity Options - The minimum first payment amount must be at |
||
least |
$50 per month and at least $250 per year. |
||
If |
the Contract Holder elects a fixed Annuity and We determine that the |
||
Contract |
Holder would receive larger payments by applying the Contract |
||
Value, |
reduced by the deferred sales charge, to a single premium |
||
immediate |
Annuity currently offered by Us, We will make the larger |
||
payments. | |||
We |
determine the first payment of a variable Annuity, or the payment |
||
amount |
of a fixed Annuity, using the Annuitant's (and second |
||
Annuitant's |
if applicable) adjusted age which We calculate as follows: |
||
(a) |
If Annuity payments begin any time between July 1, 1992 and |
||
December |
31, 1999, the adjusted age is the Annuitant's age as of |
||
the |
birthday closest in time to the Annuity Date reduced by one |
||
(1) |
year. |
||
(b) |
If the Annuity begins any time between January 1, 2000 and December |
||
31, |
2009, the adjusted age is the Annuitant's age as of the |
||
birthday |
closest in time to the Annuity Date reduced by two (2) |
||
years. | |||
(c) |
For each succeeding decade, the adjusted age is the Annuitant's |
||
age |
as determined in (b), reduced by one additional year. |
||
The |
Annuity rates for Options 2 and 3 are based on mortality from 1983 |
||
Table |
A. |
||
Assumed |
Annual Net Return Rate is the interest rate used to determine |
||
the |
amount of the first Annuity payment under a variable Annuity. The |
||
Separate |
Account must earn this rate plus enough to cover the mortality |
||
and |
expense risks charges (which may include profit) and administrative |
||
charges |
if future variable Annuity payments are to remain level. |
||
The |
Contract Holder must give written notice to Us at least 30 days |
||
before |
the Annuity payments begin, electing or changing: |
||
(a) |
The date on which Annuity payments are to begin; |
||
(b) |
The Annuity Option; |
20
<PAGE>
(c) |
Whether the payments are to be made monthly, quarterly, semiannually or annually; |
(d) |
The investment options used to provide Annuity payments. |
The first Annuity payment may not be earlier than one (1) calendar year after the initial Purchase Payment, not later than the later of the:
(a) |
First day of the month following the Annuitant's birthday shown on the Contract Schedule; or |
(b) |
Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Contract Holder may request a lump sum payment. |
12.03 |
Annuity Unit - The number of Annuity Units per Fund is based on the |
|
amount |
of the first variable Annuity payment which is equal to: |
|
(a) |
The portion of the Contract Value (minus any premium taxes) applied to pay a variable Annuity; divided by, |
|
(b) |
1000; multiplied by, |
|
(c) |
The payment rate for the Annuity Option chosen. |
|
Such |
amount, or portion, of the variable Annuity payment will be |
|
divided |
by the Annuity Unit value for the appropriate Fund on the tenth |
|
Valuation |
Period before the due date of the first payment to determine |
|
the |
number of each Fund's Annuity Units. The number of each Fund's |
|
Annuity |
Unit remains fixed. Each future payment is equal to the sum of |
|
the |
products of each Fund's Annuity Unit value multiplied by the |
|
appropriate |
number of units. The Fund's Annuity Unit value on the tenth |
|
Valuation |
Period prior to the due date of the payment is used. |
|
12.04 |
Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit |
|
value |
is equal to: |
|
(a) |
The value for the previous Valuation Period; multiplied by, |
|
(b) |
The Annuity Net Return Factor for the Valuation Period; multiplied by, |
|
(c) |
A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663). |
|
The |
dollar value of a Fund(s) Annuity Unit values and payments may go |
|
up |
or down due to investment gain or loss. |
|
12.05 |
Annuity Net Return Factor - The Annuity net return factor is used to |
|
compute |
all Separate Account Annuity payments for any Fund. |
|
The |
Annuity net return factor(s) for each Fund is equal to 1.0000000 |
|
plus |
the net return rate. The net return rate is equal to: |
|
(a) The value of the shares of the Fund held by the Separate Account at |
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Page 14 of 21
the end of a Valuation Period; minus,
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus, |
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) |
The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus, |
21
<PAGE>
(e) |
A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule. |
The net return rate may be more or less than zero (0) percent.
The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.
12.06 |
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 |
5 and not more than 30. |
|
If |
payments for this Annuity Option are made under a variable Annuity, |
|
the |
present value of any remaining payments may be withdrawn at any |
|
time. | ||
Option |
2 - Life Income - An Annuity will be paid for the life of the |
|
Annuitant. |
If also chosen, We 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 |
Annuity Option is chosen, a choice must be made of: |
|
(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 Annuitant. |
|
We |
may make other options available as allowed by law. |
22
<PAGE>
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 | |
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Page 15 of 21
29 | 3.00% | 4.27 | 12.79 | 25.49 | 50.60 |
30 | 3.00% | 4.18 | 12.52 | 24.95 | 49.53 |
- -------------------------------------------------------------------------------
23
<PAGE>
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
<TABLE> <CAPTION>
- ------------------------------------------------------------------------------------------------------------------------------Adjusted None 60 120 180 240
- ------------------------------------------------------------------------------------------------------------------------------ |
Age of |
Annuitant Male Female Male Female Male Female Male Female Male Female - ------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 4.27 | $ 3.90 | $ 4.26 | $ 3.90 | $ 4.22 | $ 3.89 | $ 4.17 | $ 3.86 | $ 4.08 | $ 3.82 |
51 | 4.34 | 3.97 | 4.33 | 3.96 | 4.30 | 3.95 | 4.23 | 3.92 | 4.14 | 3.88 |
52 | 4.43 | 4.03 | 4.41 | 4.03 | 4.37 | 4.01 | 4.30 | 3.98 | 4.20 | 3.93 |
53 | 4.51 | 4.10 | 4.50 | 4.10 | 4.45 | 4.08 | 4.37 | 4.04 | 4.26 | 3.99 |
54 | 4.60 | 4.18 | 4.59 | 4.17 | 4.54 | 4.15 | 4.45 | 4.11 | 4.32 | 4.04 |
55 | 4.70 | 4.25 | 4.68 | 4.25 | 4.62 | 4.22 | 4.53 | 4.18 | 4.39 | 4.11 |
56 | 4.80 | 4.34 | 4.78 | 4.33 | 4.72 | 4.30 | 4.61 | 4.25 | 4.45 | 4.17 |
57 | 4.91 | 4.42 | 4.89 | 4.41 | 4.82 | 4.38 | 4.69 | 4.32 | 4.51 | 4.23 |
58 | 5.03 | 4.52 | 5.00 | 4.51 | 4.92 | 4.47 | 4.78 | 4.40 | 4.58 | 4.30 |
59 | 5.15 | 4.61 | 5.12 | 4.60 | 5.03 | 4.56 | 4.87 | 4.48 | 4.65 | 4.37 |
60 | 5.28 | 4.72 | 5.25 | 4.70 | 5.14 | 4.66 | 4.96 | 4.57 | 4.71 | 4.44 |
61 | 5.43 | 4.83 | 5.39 | 4.81 | 5.27 | 4.76 | 5.06 | 4.66 | 4.78 | 4.51 |
62 | 5.58 | 4.95 | 5.53 | 4.93 | 5.39 | 4.87 | 5.16 | 4.75 | 4.84 | 4.58 |
63 | 5.74 | 5.08 | 5.69 | 5.05 | 5.53 | 4.99 | 5.26 | 4.85 | 4.90 | 4.65 |
64 | 5.91 | 5.21 | 5.85 | 5.18 | 5.66 | 5.10 | 5.36 | 4.95 | 4.96 | 4.72 |
65 | 6.10 | 5.36 | 6.03 | 5.32 | 5.81 | 5.22 | 5.46 | 5.05 | 5.02 | 4.79 |
66 | 6.30 | 5.51 | 6.21 | 5.47 | 5.96 | 5.36 | 5.56 | 5.16 | 5.08 | 4.86 |
67 | 6.51 | 5.67 | 6.41 | 5.63 | 6.12 | 5.50 | 5.66 | 5.26 | 5.13 | 4.93 |
68 | 6.73 | 5.85 | 6.62 | 5.80 | 6.28 | 5.65 | 5.77 | 5.37 | 5.18 | 5.00 |
69 | 6.97 | 6.04 | 6.84 | 5.98 | 6.44 | 5.80 | 5.86 | 5.49 | 5.23 | 5.06 |
70 | 7.23 | 6.25 | 7.07 | 6.18 | 6.61 | 5.97 | 5.96 | 5.60 | 5.27 | 5.12 |
71 | 7.51 | 6.47 | 7.32 | 6.39 | 6.79 | 6.14 | 6.05 | 5.71 | 5.31 | 5.18 |
72 | 7.80 | 6.71 | 7.58 | 6.62 | 6.96 | 6.32 | 6.14 | 5.83 | 5.34 | 5.23 |
73 | 8.12 | 6.98 | 7.85 | 6.86 | 7.14 | 6.50 | 6.23 | 5.94 | 5.37 | 5.28 |
74 | 8.46 | 7.26 | 8.14 | 7.12 | 7.32 | 6.69 | 6.31 | 6.04 | 5.40 | 5.32 |
75 | 8.82 | 7.57 | 8.45 | 7.40 | 7.50 | 6.89 | 6.38 | 6.14 | 5.42 | 5.35 |
- ------------------------------------------------------------------------------------------------------------------------------</TABLE>
Rates are based on mortality from 1983 Table a.
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.
24
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE> | |||||||
<CAPTION> | |||||||
- ----------------------------------------------------------------------------------------------- | |||||||
Adjusted Ages | |||||||
- ---------------------- | |||||||
Second | |||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e | |
- ----------------------------------------------------------------------------------------------- | |||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 3.69 | $ 4.05 | $ 4.27 | $ 3.69 | $ 4.13 | |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.25 | |
55 | 60 | 3.06 | 4.47 | 4.71 | 4.06 | 4.36 | |
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.55 | |
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Page 16 of 21
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.70 |
60 | 65 | 4.49 | 5.01 | 5.32 | 4.48 | 4.85 |
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 5.10 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.32 |
65 | 70 | 5.07 | 5.75 | 6.17 | 5.05 | 5.54 |
70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.86 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 6.18 |
70 | 75 | 5.89 | 6.82 | 7.40 | 5.81 | 6.49 |
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.92 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.40 |
75 | 80 | 7.07 | 8.34 | 9.16 | 6.78 | 7.85 |
- ----------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
25
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE> |
<CAPTION> |
- -------------------------------------------------------------------------------------------- |
Adjusted Ages - -----------------------Second
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - --------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.75 | $ 4.07 | $ 4.26 | $ 3.75 | $ 3.98 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.06 |
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.12 |
60 | 55 | 4.06 | 4.47 | 4.71 | 4.06 | 4.37 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.47 |
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.54 |
65 | 60 | 4.49 | 5.01 | 5.32 | 4.48 | 4.89 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.02 |
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.14 |
70 | 65 | 5.07 | 5.75 | 6.17 | 5.05 | 5.60 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.79 |
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 5.96 |
75 | 70 | 5.89 | 6.83 | 7.40 | 5.81 | 6.63 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 6.92 |
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 7.15 |
- -------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
26
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 3.5%
- -------------------------------------------------------------------------------- | ||||||
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | ||
Years | Rate | Payment | Payment | Payment | Payment | |
- -------------------------------------------------------------------------------- | ||||||
5 | 3.50% | 18.12 | 54.19 | 107.92 | 213.99 | |
6 | 3.50% | 15.35 | 45.92 | 91.44 | 181.32 | |
7 | 3.50% | 13.38 | 40.01 | 79.69 | 158.01 | |
8 | 3.50% | 11.90 | 35.59 | 70.88 | 140.56 | |
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Page 17 of 21
9 | 3.50% | 10.75 | 32.16 | 64.05 | 127.00 |
10 | 3.50% | 9.83 | 29.42 | 58.59 | 116.18 |
11 | 3.50% | 9.09 | 27.18 | 54.13 | 107.34 |
12 | 3.50% | 8.46 | 25.32 | 50.42 | 99.98 |
13 | 3.50% | 7.94 | 23.75 | 47.29 | 93.78 |
14 | 3.50% | 7.49 | 22.40 | 44.62 | 88.47 |
15 | 3.50% | 7.10 | 21.24 | 42.31 | 83.89 |
16 | 3.50% | 6.76 | 20.23 | 40.29 | 79.89 |
17 | 3.50% | 6.47 | 19.34 | 38.51 | 76.37 |
18 | 3.50% | 6.20 | 18.55 | 36.94 | 73.25 |
19 | 3.50% | 5.97 | 17.85 | 35.54 | 70.47 |
20 | 3.50% | 5.75 | 17.22 | 34.28 | 67.98 |
21 | 3.50% | 5.56 | 16.65 | 33.15 | 65.74 |
22 | 3.50% | 5.39 | 16.13 | 32.13 | 63.70 |
23 | 3.50% | 5.24 | 15.66 | 31.19 | 61.85 |
24 | 3.50% | 5.09 | 15.24 | 30.34 | 60.17 |
25 | 3.50% | 4.96 | 14.85 | 29.56 | 58.62 |
26 | 3.50% | 4.84 | 14.49 | 28.85 | 57.20 |
27 | 3.50% | 4.73 | 14.15 | 28.19 | 55.90 |
28 | 3.50% | 4.63 | 13.85 | 27.58 | 54.69 |
29 | 3.50% | 4.53 | 13.57 | 27.02 | 53.57 |
30 | 3.50% | 4.45 | 13.30 | 26.49 | 52.53 |
- --------------------------------------------------------------------------------
27
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 5.0%
- -------------------------------------------------------------------------------
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
- -------------------------------------------------------------------------------
5 | 5.00% | 18.74 | 56.00 | 111.33 | 219.98 |
6 | 5.00% | 15.99 | 47.77 | 94.96 | 187.64 |
7 | 5.00% | 14.02 | 41.90 | 83.30 | 164.59 |
8 | 5.00% | 12.56 | 37.52 | 74.58 | 147.35 |
9 | 5.00% | 11.42 | 34.11 | 67.81 | 133.99 |
10 | 5.00% | 10.51 | 31.40 | 62.42 | 123.34 |
11 | 5.00% | 9.77 | 29.19 | 58.03 | 114.66 |
12 | 5.00% | 9.16 | 27.36 | 54.38 | 107.45 |
13 | 5.00% | 8.64 | 25.81 | 51.31 | 101.39 |
14 | 5.00% | 8.20 | 24.50 | 48.69 | 96.21 |
15 | 5.00% | 7.82 | 23.36 | 46.44 | 91.75 |
16 | 5.00% | 7.49 | 22.37 | 44.47 | 87.88 |
17 | 5.00% | 7.20 | 21.51 | 42.75 | 84.48 |
18 | 5.00% | 6.94 | 20.74 | 41.23 | 81.47 |
19 | 5.00% | 6.71 | 20.06 | 39.88 | 78.80 |
20 | 5.00% | 6.51 | 19.46 | 38.68 | 76.42 |
21 | 5.00% | 6.33 | 18.91 | 37.59 | 74.28 |
22 | 5.00% | 6.17 | 18.42 | 36.62 | 72.35 |
23 | 5.00% | 6.02 | 17.98 | 35.73 | 70.61 |
24 | 5.00% | 5.88 | 17.57 | 34.93 | 69.02 |
25 | 5.00% | 5.76 | 17.20 | 34.20 | 67.57 |
26 | 5.00% | 5.65 | 16.87 | 33.53 | 66.25 |
27 | 5.00% | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.00% | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.00% | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.00% | 5.28 | 15.77 | 31.35 | 61.95 |
- -------------------------------------------------------------------------------
28
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months | |||||||||||
<TABLE> | |||||||||||
<CAPTION> | |||||||||||
- ----------------------------------------------------------------------------------------------------------------------- | |||||||||||
Adjusted | None | 60 | 120 | 180 | 240 | ||||||
Age of | ----------------------------------------------------------------------------------------------------------- | ||||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female | |
- ----------------------------------------------------------------------------------------------------------------------- | |||||||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | |
50 | $ 4.56 | $ 4.20 | $ 4.55 | $ 4.19 | $ 4.51 | $ 4.18 | $ 4.45 | $ 4.15 | $ 4.36 | $ 4.11 | |
51 | 4.64 | 4.26 | 4.62 | 4.25 | 4.58 | 4.24 | 4.51 | 4.21 | 4.42 | 4.16 | |
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52 | 4.72 | 4.32 | 4.70 | 4.32 | 4.66 | 4.30 | 4.58 | 4.26 | 4.48 | 4.21 | |
53 | 4.80 | 4.39 | 4.79 | 4.38 | 4.74 | 4.36 | 4.65 | 4.32 | 4.53 | 4.27 | |
54 | 4.89 | 4.46 | 4.87 | 4.46 | 4.82 | 4.43 | 4.73 | 4.39 | 4.59 | 4.32 | |
55 | 4.99 | 4.54 | 4.97 | 4.53 | 4.91 | 4.50 | 4.80 | 4.46 | 4.65 | 4.38 | |
56 | 5.09 | 4.62 | 5.07 | 4.61 | 5.00 | 4.58 | 4.88 | 4.53 | 4.72 | 4.44 | |
57 | 5.20 | 4.71 | 5.17 | 4.70 | 5.10 | 4.66 | 4.96 | 4.60 | 4.78 | 4.50 | |
58 | 5.32 | 4.80 | 5.29 | 4.79 | 5.20 | 4.75 | 5.05 | 4.68 | 4.84 | 4.57 | |
59 | 5.44 | 4.90 | 5.41 | 4.88 | 5.31 | 4.84 | 5.14 | 4.76 | 4.91 | 4.63 | |
60 | 5.57 | 5.00 | 5.53 | 4.99 | 5.42 | 4.93 | 5.23 | 4.84 | 4.97 | 4.70 | |
61 | 5.71 | 5.11 | 5.67 | 5.09 | 5.54 | 5.03 | 5.32 | 4.93 | 5.03 | 4.77 | |
62 | 5.96 | 5.23 | 5.81 | 5.21 | 5.66 | 5.14 | 5.42 | 5.02 | 5.09 | 4.84 | |
63 | 6.02 | 5.36 | 5.97 | 5.33 | 5.79 | 5.25 | 5.51 | 5.11 | 5.16 | 4.91 | |
64 | 6.20 | 5.49 | 6.13 | 5.46 | 5.93 | 5.37 | 5.61 | 5.21 | 5.21 | 4.98 | |
65 | 6.38 | 5.64 | 6.31 | 5.60 | 6.07 | 5.49 | 5.71 | 5.31 | 5.27 | 5.05 | |
66 | 6.58 | 5.79 | 6.49 | 5.75 | 6.22 | 5.63 | 5.81 | 5.41 | 5.32 | 5.12 | |
67 | 6.79 | 5.95 | 6.69 | 5.91 | 6.38 | 5.76 | 5.91 | 5.52 | 5.38 | 5.18 | |
68 | 7.02 | 6.13 | 6.89 | 6.08 | 6.53 | 5.91 | 6.01 | 5.63 | 5.42 | 5.25 | |
69 | 7.26 | 6.32 | 7.11 | 6.26 | 6.70 | 6.06 | 6.11 | 5.74 | 5.47 | 5.31 | |
70 | 7.52 | 6.53 | 7.35 | 6.45 | 6.86 | 6.23 | 6.20 | 5.85 | 5.51 | 5.37 | |
71 | 7.80 | 6.75 | 7.59 | 6.66 | 7.03 | 6.39 | 6.29 | 5.96 | 5.54 | 5.42 | |
72 | 8.09 | 6.99 | 7.85 | 6.89 | 7.21 | 6.57 | 6.38 | 6.07 | 5.57 | 5.47 | |
73 | 8.41 | 7.26 | 8.12 | 7.13 | 7.38 | 6.75 | 6.46 | 6.17 | 5.60 | 5.51 | |
74 | 8.75 | 7.54 | 8.41 | 7.39 | 7.55 | 6.94 | 6.53 | 6.28 | 5.63 | 5.55 | |
75 | 9.12 | 7.85 | 8.71 | 7.66 | 7.73 | 7.13 | 6.61 | 6.38 | 5.65 | 5.59 |
- -----------------------------------------------------------------------------------------------------------------------</TABLE>
Rates are based on mortality from 1983 Table a.
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.
29
<PAGE>
OPTION 2 | |||||||||||
Life Income | |||||||||||
Amount of First Monthly Payment for Each $1,000 | |||||||||||
After Deduction of any Charge for Premium Taxes | |||||||||||
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0% | |||||||||||
Payments Guaranteed for a Stated Period of Months | |||||||||||
<TABLE> | |||||||||||
<CAPTION> | |||||||||||
- ----------------------------------------------------------------------------------------------------------------------- | |||||||||||
Adjusted | None | 60 | 120 | 180 | 240 | ||||||
Age of | ------------------------------------------------------------------------------------------------------------ | ||||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female | |
- ----------------------------------------------------------------------------------------------------------------------- | |||||||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | |
50 | $ 5.48 | $ 5.12 | $ 5.46 | $ 5.11 | $ 5.41 | $ 5.09 | $ 5.34 | $ 5.06 | $ 5.24 | $ 5.01 | |
51 | 5.55 | 5.17 | 5.53 | 5.17 | 5.48 | 5.14 | 5.40 | 5.11 | 5.29 | 5.05 | |
52 | 5.63 | 5.23 | 5.61 | 5.23 | 5.55 | 5.20 | 5.46 | 5.16 | 5.34 | 5.10 | |
53 | 5.71 | 5.30 | 5.69 | 5.29 | 5.62 | 5.26 | 5.53 | 5.22 | 5.40 | 5.15 | |
54 | 5.80 | 5.37 | 5.77 | 5.36 | 5.70 | 5.33 | 5.60 | 5.27 | 5.45 | 5.20 | |
55 | 5.89 | 5.44 | 5.86 | 5.43 | 5.79 | 5.39 | 5.67 | 5.34 | 5.51 | 5.25 | |
56 | 5.99 | 5.52 | 5.96 | 5.51 | 5.87 | 5.47 | 5.74 | 5.40 | 5.56 | 5.31 | |
57 | 6.10 | 5.60 | 6.06 | 5.59 | 5.97 | 5.54 | 5.82 | 5.47 | 5.62 | 5.37 | |
58 | 6.21 | 5.69 | 6.17 | 5.67 | 6.06 | 5.62 | 5.90 | 5.54 | 5.68 | 5.42 | |
59 | 6.33 | 5.79 | 6.29 | 5.77 | 6.17 | 5.71 | 5.98 | 5.61 | 5.74 | 5.48 | |
60 | 6.46 | 5.89 | 6.41 | 5.87 | 6.28 | 5.80 | 6.06 | 5.69 | 5.79 | 5.55 | |
61 | 6.60 | 6.00 | 6.55 | 6.97 | 6.39 | 5.90 | 6.15 | 5.77 | 5.85 | 5.61 | |
62 | 6.75 | 6.11 | 6.69 | 6.08 | 6.51 | 6.00 | 6.24 | 5.86 | 5.91 | 5.67 | |
63 | 6.91 | 6.23 | 6.84 | 6.20 | 6.64 | 6.10 | 6.33 | 5.95 | 5.96 | 5.73 | |
64 | 7.09 | 6.37 | 7.00 | 6.33 | 6.77 | 6.22 | 6.42 | 6.04 | 6.02 | 5.80 | |
65 | 7.27 | 6.51 | 7.18 | 6.46 | 6.91 | 6.34 | 6.52 | 6.13 | 6.07 | 5.86 | |
66 | 7.47 | 6.66 | 7.36 | 6.61 | 7.05 | 6.46 | 6.61 | 6.23 | 6.12 | 5.92 | |
67 | 7.68 | 6.82 | 7.55 | 6.76 | 7.20 | 6.60 | 6.70 | 6.33 | 6.16 | 5.99 | |
68 | 7.91 | 7.00 | 7.76 | 6.93 | 7.35 | 6.74 | 6.80 | 6.43 | 6.21 | 6.04 | |
69 | 8.15 | 7.19 | 7.98 | 7.11 | 7.51 | 6.89 | 6.89 | 6.54 | 6.25 | 6.10 | |
70 | 8.41 | 7.39 | 8.21 | 7.30 | 7.67 | 7.04 | 6.97 | 6.64 | 6.28 | 6.15 | |
71 | 8.69 | 7.62 | 8.45 | 7.51 | 7.83 | 7.21 | 7.06 | 6.74 | 6.32 | 6.20 | |
72 | 8.99 | 7.86 | 8.70 | 7.73 | 8.00 | 7.38 | 7.14 | 6.85 | 6.35 | 6.25 | |
73 | 9.31 | 8.12 | 8.97 | 7.97 | 8.16 | 7.55 | 7.21 | 6.95 | 6.37 | 6.29 | |
74 | 9.65 | 8.41 | 9.26 | 8.23 | 8.33 | 7.73 | 7.29 | 7.04 | 6.39 | 6.33 | |
75 | 10.02 | 8.72 | 9.55 | 8.50 | 8.50 | 7.92 | 7.35 | 7.14 | 6.41 | 6.36 | |
- ----------------------------------------------------------------------------------------------------------------------- | |||||||||||
</TABLE> | |||||||||||
Rates are based on mortality from 1983 Table a. | |||||||||||
Rates for ages not shown will be provided on request and will be computed | |||||||||||
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Page 19 of 21
on a basis consistent with the rates in the above tables.
30 <PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> <CAPTION>
- --------------------------------------------------------------------------------------------Adjusted Ages - -----------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - --------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.42 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 |
55 | 60 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 |
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 |
60 | 65 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 |
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 |
65 | 70 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 |
70 | 75 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 |
75 | 80 | 7.33 | 8.62 | 9.45 | 7.02 | 8.13 |
- -------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
31
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> | |||||||
<CAPTION> | |||||||
- ------------------------------------------------------------------------------------------------------ | |||||||
Adjusted Ages | |||||||
- ---------------------- | |||||||
Second | |||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e | |
- --------------------------------------------------------------------------------------------------- | |||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.03 | $ 4.36 | $ 4.55 | $ 4.03 | $ 4.41 | |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 | |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 | |
60 | 55 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 | |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 | |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 | |
65 | 60 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 | |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 | |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 | |
70 | 65 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 | |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 | |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 | |
75 | 70 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 | |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 | |
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Page 20 of 21
75 80 7.04 8.39 9.29 6.79 8.70
- --------------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
32
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> |
<CAPTION> |
- ----------------------------------------------------------------------------------------- |
Adjusted Ages - -----------------------Second
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -----------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.34 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
55 | 60 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 8.14 | 9.49 | 10.35 | 7.80 | 8.98 |
- ----------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
33
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Female and the Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> | |||||||
<CAPTION> | |||||||
- ------------------------------------------------------------------------------------------ | |||||||
Adjusted Ages | |||||||
- ---------------------- | |||||||
Second | |||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e | |
- ------------------------------------------------------------------------------------------ | |||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.93 | $ 5.27 | $ 5.46 | $ 4.93 | $ 5.19 | |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 | |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 | |
60 | 55 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 | |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 | |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 | |
65 | 60 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 | |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 | |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 | |
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70 | 65 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 70 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 9.59 |
- ------------------------------------------------------------------------------------------ |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
34
<PAGE>
- --------------------------------------------------------------------------------
Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547
Individual Variable, Fixed, or Combination Annuity Contract
Nonparticipating
- --------------------------------------------------------------------------------
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY.
I-CDA-GP2(4/94)
https://www.sec.gov/Archives/edgar/data/925981/0000950146-98-000663.txt
03/26/2018
Exhibit 16(4)(g) | |
Aetna Insurance Company of America | |
Home Office: 151 Farmington Avenue | |
Hartford, Connecticut 06156 | |
(800) 531-4547 | |
Aetna Insurance Company of America (We or Us) agrees to pay benefits according | |
to the terms and conditions set forth in this Contract. | |
- -------------------------------------------------------------------------------- | |
Certificate of Group Annuity Coverage | |
Aetna certifies that an account is established for you under the Group Annuity | |
Contract and Certificate numbers shown below. | |
This certificate describes Group Annuity Contract provisions. It replaces any | |
and all prior certificates or endorsements issued to you under the stated | |
Contract and Certificate numbers. This Certificate is for information only and | |
is not a part of the Contract. | |
THE VARIABLE FEATURES OF THE GROUP CONTRACT ARE DESCRIBED IN SECTIONS 6 AND 12. | |
- -------------------------------------------------------------------------------- | |
Right to Cancel | |
The Certificate Holder may cancel the Certificate within ten (10) days of | |
receiving it by returning it to Us at the address above or the person from whom | |
it was purchased. Within seven (7) days of the cancellation request, We will | |
return the Certificate Holder's Purchase Payment(s) made plus any increase, or | |
minus any decrease on the amount allocated to the Separate Account. | |
Signed at the Home Office on the Effective Date. | |
/s/ Dan Kearney | /s/ Maria F. McKeon |
President | Secretary |
- -------------------------------------------------------------------------------- | |
Contract Holder | Group Annuity Contract Number |
- -------------------------------------------------------------------------------- | |
Certificate Holder | Certificate Number |
- -------------------------------------------------------------------------------- | |
Annuitant Name | Type of Plan |
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | |
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | |
FIXED DOLLAR AMOUNT. THIS CERTIFICATE 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 TERM AT THE TIME OF ITS MATURITY. | |
GP2CERT(4/94) | |
<PAGE> | |
Table of Contents | |
Page | |
Right to Cancel | 1 |
Contract Schedule | 4 |
Separate Account | 4 |
AICA Guaranteed Account (AG Account) | 4 |
Separate Account and AG Account | 4 |
Fixed Annuity | 6 |
Section 1. Definitions | 7 |
Section 2. General Provisions | 9 |
The Contract | 9 |
Certificates | 9 |
Nonparticipating Contract | 9 |
Misstatements and Adjustments | 9 |
Reports | 9 |
Premium Taxes | 9 |
Protection of Proceeds | 9 |
Evidence of Survival | 9 |
Proof of Age | 9 |
Change of Contract | 9 |
Section 3. Ownership | 10 |
Group Contract Holder | 10 |
Certificate Holder Rights | 10 |
Transfer of Ownership | 10 |
Section 4. Beneficiary Provisions | 11 |
Beneficiary | 11 |
Change of Beneficiary | 11 |
Death of Beneficiary | 11 |
Page 2 of 23
Section 5. Purchase Payments | 11 |
Purchase Payments | 11 |
Allocation of Purchase Payments | 11 |
Section 6. Separate Account | 12 |
General | 12 |
Investment Allocations to the Separate Account | 12 |
Valuation of Assets | 12 |
Accumulation Unit | 12 |
Net Return Factor for Each Valuation Period | 12 |
Administrative Charge | 13 |
Mortality Risk Charge | 13 |
Expense Risk Charge | 13 |
Mortality and Expense Guarantee | 13 |
2 | |
<PAGE> | |
Page | |
Section 7. AG Account | 13 |
AG Account Guaranteed Interest Rate | 13 |
Deposit Period | 13 |
Guaranteed Term | 13 |
Guaranteed Term(s) Groups | 14 |
Maturity Date | 14 |
Allocation of Net Purchase Payments to the AG Account | 14 |
AG Account Guaranteed Term Maturity Date and Maturity Value | 14 |
Transfers from the AG Account | 14 |
Withdrawals from the AG Account | 14 |
Reinvestment | 14 |
AG Account Market Value Adjustment (Factor) | 15 |
Section 8. Certificate Holder's Account Value; Transfers and Withdrawals | |
During the Accumulation Period | 16 |
Certificate Holder's Account Value | 16 |
Transfers During the Accumulation Period | 16 |
Withdrawals During the Accumulation Period | 16 |
Deferred Sales Charge | 16 |
Waiver of Deferred Sales Charge | 17 |
Payment of Adjusted Certificate Holder Account Value | 17 |
Systematic Withdrawal Option (SWO) | 17 |
Section 9. Maintenance Charge | 18 |
Maintenance Charge | 18 |
Section 10. Proceeds Payable on Death | 18 |
Death of the Certificate Holder Prior to the Annuity Date | 18 |
Death Benefit Amount Prior to the Annuity Date | 18 |
Death Benefit Payment Methods | 20 |
Death of Certificate Holder On or After the Annuity Date | 20 |
Death of the Annuitant | 20 |
Section 11. Delay of Payments | 20 |
Delay of Payments | 20 |
Section 12. Annuity Provisions | 21 |
Designation of Annuitant | 21 |
Terms of Annuity Options | 21 |
Annuity Unit | 22 |
Annuity Unit Value | 23 |
Annuity Net Return Factor | 23 |
Annuity Options | 23 |
3 | |
<PAGE> |
Contract Schedule
Separate Account
- --------------------------------------------------------------------------------
Separate Account: | Variable Account I | ||
Charges to the Separate | A daily charge is deducted from the assets of the | ||
Account: | Separate Account. The deduction is the daily | ||
equivalent of the annual effective percentage | |||
shown below: | |||
(a) During the Accumulation Period: | |||
Administrative Charge | 0.15% | ||
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Page 3 of 23
Mortality Risk Charge | 0.35% | |
Expense Risk Charge | 0.90% | |
TOTAL Separate Account Charges During | ||
Accumulation Period | 1.40% | |
(b) | During the Annuity Period | |
Administrative Charge Not To Exceed | 0.25% | |
Mortality Risk Charge | 0.35% | |
Expense Risk Charge | 0.90% | |
TOTAL Maximum Separate Account Charges | ||
During Annuity Period | 1.50% |
AICA Guaranteed Account (AG Account)
- --------------------------------------------------------------------------------
Minimum Guaranteed | 3.0% |
Interest Rate | |
(effective annual rate of | |
return): |
Separate Account and AG Account
- --------------------------------------------------------------------------------
Minimum Initial Purchase Payment: Minimum Subsequent Purchase Payment: Maximum Subsequent Purchase Payment: Transfers: |
$1,500 $500 or $50 per month if paid by an automatic check plan $500,000 without Home Office approval We allow an unlimited number of transfers during the Accumulation Period. Twelve (12) transfers in any calendar year are free. Thereafter, We reserve the right to charge a transfer charge up to $10 for each subsequent transfer. |
4
<PAGE>
Maintenance Charge: | The annual maintenance charge is $30. If the | |
Certificate Holder's Account is $50,000 or more on | ||
the date the maintenance charge is to be deducted, | ||
the maintenance charge is $0. | ||
Deferred Sales | For each withdrawal from a Certificate Holder's | |
Charge: | Account, a deferred sales charge for each Net | |
Purchase Payment will be determined as follows: | ||
Years from Receipt of | Deferred | |
Net Purchase Payment | Sales Charge | |
0-1 | 7% | |
1-2 | 6% | |
2-3 | 5% | |
3-4 | 4% | |
4-5 | 3% | |
5-6 | 2% | |
6-7 | 1% | |
7+ | 0% | |
Waiver of Deferred | Section 8.05 provides for the following: | |
Sales Charge: |
(c) |
At least 12 months after the date of the first Purchase Payment in an amount equal to or less than 15% of the Certificate Holder's Account Value. |
(d) |
For a full withdrawal where the Certificate Holder's Account Value does not exceed $2,500 and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months. |
Systematic | (a) Specified Payment - Maximum Percentage: | 10% | |
Withdrawal Option: | |||
(b) Specified Period - Minimum Period: | 10 years | ||
(c) Specified Percentage - Maximum Percentage: 10% | |||
Death Benefit Factor: | 4% | ||
Death Benefit | There is no maximum death benefit amount. | ||
Maximum Amount: | |||
Death Benefit | 85 years | ||
Maximum Age: | |||
Fund for Allocation of | Federated Prime Money Fund II | ||
Excess Guaranteed Death | |||
Benefit Value: | |||
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Page 4 of 23
Latest Annuity Date:
The Certificate Holder's 90th birthday.
5
<PAGE>
Fixed Annuity |
- -------------------------------------------------------------------------------- |
Minimum Guaranteed | 3.0% | ||
Interest Rate | |||
(effective annual rate | |||
of return): | |||
6 | |||
<PAGE> | |||
Section 1. | Definitions |
--------------------------------------------------------------------------------
Accumulation Period - The period during which one or more Net
Purchase Payments applied to a Certificate Holder's Account
accumulate to provide future Annuity payments.
1.02 |
Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. |
The Accumulation Units for the applicable Funds are used to calculate the portion of a Certificate Holder's Account Value attributable to a Separate Account during the Accumulation Period. |
|
1.03 |
Adjusted Certificate Holder Account Value - The Certificate Holder's Account Value, plus or minus any aggregate AG Account Market Value Adjustment. |
1.04 |
Annuitant - The natural person on whose life an Annuity payment is based. |
1.05 |
Annuity - A series of payments We make for life, a definite period or a combination of the two. |
1.06 |
Annuity Date - The date on which Annuity payments commence. |
1.07 |
Annuity Options - Annuity payment methods available during the Annuity Period. |
1.08 |
Annuity Period - The period of time during which Annuity payments are made. |
1.09 |
Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment. |
1.10 |
Beneficiary - The person(s) entitled to receive any death benefit under the Certificate Holder's Account. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, is treated as the Beneficiary. Any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. |
1.11 |
Certificate - The document issued to a Certificate Holder to evidence a Certificate Holder's Account established under the group Contract. |
1.12 |
Certificate Holder - A person who has established a Certificate |
Holder's |
Account under a group Contract. We reserve the right to |
limit |
ownership to natural persons. If more than one Certificate |
Holder |
owns an Account, each Certificate Holder shall 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 any |
exercising |
of those ownership rights unless otherwise allowed by |
Us. | |
1.13 |
Certificate Holder's Account - A record We establish for each |
Certificate |
Holder to maintain values under a group Contract. |
1.14 |
Certificate Holder's Account Value - The dollar value as of any |
Valuation |
Period of all amounts accumulated in a Certificate |
Holder's |
Account. |
7
<PAGE>
1.15 |
Contract - This agreement between the Group Contract Holder and Us. |
1.16 |
Effective Date - The date a Certificate is issued to a Certificate Holder. |
1.17 |
Fund - One of the variable investment options which may be |
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selected by a Certificate Holder.
1.18 |
General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts. |
1.19 |
AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time. The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Certificate Holders do not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct. |
1.20 |
Group Contract Holder - The entity to which a group Contract is issued. |
1.21 |
Home Office - Our headquarters, located at 151 Farmington Avenue, Hartford, CT 06156. |
1.22 |
Market Value Adjustment - An adjustment to any withdrawal made from the AG Account before the end of a guaranteed term as stated in Section 7.11. |
1.23 |
Net Purchase Payment - The Purchase Payment less premium taxes, if applicable. |
1.24 |
Purchase Payment - The gross payment accepted by Us and allocated to the Certificate Holder's Account. We reserve the right to refuse to accept any Purchase Payment at any time for any reason. |
1.25 |
Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The |
Separate |
Account generally is not guaranteed and is held at |
market |
value. The name of the Separate Account is shown on the |
Contract |
Schedule. The assets of the Separate Account, to the |
extent |
of reserves and other Contract liabilities of the Separate |
Account, |
will not be charged with Our other liabilities. |
1.26 |
Valuation Period - The period of time for which a Fund determines |
its |
net asset value, usually from 4:15 p.m. Eastern time each day |
the |
New York Stock Exchange is open until 4:15 p.m. the next such |
business |
day, or such other day that one or more of the Funds |
determines |
its net asset value. The assets of the Separate |
Account |
are not chargeable with the liabilities arising out of |
any |
other business We may conduct. |
1.27 |
Variable Annuity Contract - An Annuity Contract providing for the |
accumulation |
of value and/or for Annuity payments which vary in |
amount |
based on investment results. |
8
<PAGE>
Section 2.
General Provisions
--------------------------------------------------------------------------------
The Contract - The entire Contract consists of this Contract and
any attached applications or endorsements.
2.02 |
Certificates - A Certificate is issued to each Certificate Holder whose Purchase Payment(s) is accepted by Us. The Certificate evidences a Certificate Holder's Account established under the Contract. Certificates are not part of the Contract. |
2.03 |
Nonparticipating Contract - Neither the Group Contract Holder, Certificate Holder nor any Beneficiary have a right to share in our earnings. |
2.04 |
Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request reimbursement or adjust future payments for any amount overpaid. |
We will pay the amount of any underpayment. |
|
2.05 |
Reports - We furnish each Certificate Holder with a report showing the Certificate Holder's Account Value at least once each calendar year. We also furnish an annual report of the Separate Account. |
2.06 |
Premium Taxes - Any premium taxes paid to any governmental entity are charged against Purchase Payments or a Certificate Holder's Account. We may, at our sole discretion, pay premium taxes when due and deduct that amount from the Certificate Holder's Account at a later date. Payment at an earlier date does not waive any right We may have to deduct amounts at a later date. |
2.07 |
Protection of Proceeds - To the extent permitted by law, all |
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payments under this Contract to a Certificate Holder or
Beneficiary shall be free from legal process and the claim of any
creditor.
2.08 |
Evidence of Survival - The Company may require satisfactory evidence of the continued survival of any person(s) on whose life Annuity payments are based. |
2.09 |
Proof of Age - The Company may require evidence of age of any Annuitant under Annuity Options 2 and 3 and of the designated second Annuitant under Annuity Option 3. |
2.10 |
Change of Contract - Only our authorized officers may change the terms of this Contract. We will notify the Group Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change. |
We may make any change that affects the AG Account Market Value Adjustment with at least thirty (30) days' advance written notice to the Group Contract Holder and the Certificate Holder. Any such change shall become effective for any new guaranteed term and will apply to all present and future Certificate Holders' Accounts. |
|
We reserve the right to change the terms of the Systematic Withdrawal Option for future elections and discontinue the availability of this option. |
9
<PAGE>
Any change to any of the following provisions under this Contract
will not apply to Certificate Holder's Accounts in existence
before the effective date of the change:
(a) |
Net Purchase Payment (1.23) |
(b) |
AG Account Guaranteed Interest Rate (7.01) |
(c) |
Net Return Factor (6.05) |
(d) |
Certificate Holder's Account Value (1.14) |
(e) |
Deferred Sales Charge (8.04) |
(f) |
Annuity Unit Value (12.04) |
(g) |
Annuity Options (12.06) |
(h) |
Fixed Annuity Interest Rates (12.01) |
(i) |
Transfers (8.02). |
Any change that affects the Annuity Option and the tables for the
Annuity Options may be made:
(a) |
No earlier than twelve (12) months after the Effective Date; and |
(b) |
No earlier than twelve (12) months after the effective date of any prior change. |
Any Certificate Holder's Account established on or after the
effective date of any change will be subject to the change. If
the Group Contract Holder does not agree to any change under this
provision, We reserve the right to not allow any new Certificate
Holder's Accounts to be established under this Contract. This
Contract may also be changed as deemed necessary by Us to comply
with federal or state law.
Section 3.
Ownership
--------------------------------------------------------------------------------
Group Contract Holder - The Group Contract Holder has title to
the Contract. The Contract and any amounts accumulated thereunder
are not subject to the claims of the Group Contract Holder nor
any of its creditors.
3.02 |
Certificate Holder Rights - The Certificate Holder has all |
|
interest |
and right to amounts held in his or her Certificate |
|
Holder's |
Account. The Certificate Holder and any joint |
|
Certificate |
Holder are named on the Specifications page. The |
|
Certificate |
Holder and any joint Certificate Holder may exercise |
|
all |
the rights under the Certificate Holder's Account, subject to |
|
the |
rights of: |
|
(a) |
Any assignee under an assignment filed at our Home Office; and |
|
(b) |
Any irrevocably named Beneficiary. |
|
Upon |
the death of a Certificate Holder prior to the Annuity Date, |
|
a |
spousal Beneficiary may elect to continue the Certificate |
|
Holder's |
Account in his or her own name and retain all ownership |
|
rights |
and privileges or take distribution of the death benefit |
|
as |
defined in Section 10. |
|
3.03 |
Transfer of Ownership - The Group Contract Holder may transfer |
|
ownership |
of this Contract. A written request, dated and signed, |
|
must |
be filed at our Home Office. |
|
Any |
transfer of ownership terminates the interest of any existing |
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Group Contract Holder. It does
10
<PAGE>
not change the rights of any Certificate Holder.
A Certificate Holder may transfer all of his or her rights under
the Contract. A written request, dated and signed by the
Certificate Holder and any joint Certificate Holder, must be
filed at our Home Office. After the transfer is recorded, it will
take effect as of the date the request was signed. Any such
transfer terminates the interest of any existing Certificate
Holder. It does not change the Beneficiary, nor transfer the
Beneficiary's interest. A transfer will not affect any payments
We may make or actions We may take before such transfer has been
recorded at our Home Office.
Section 4.
Beneficiary Provisions
--------------------------------------------------------------------------------
Beneficiary - The Certificate Holder may name a Beneficiary and
a contingent Beneficiary. At the death of the Certificate Holder
prior to the Annuity Date, the Beneficiary(ies) named in our
records will receive a death benefit as stated in Section 10.
Upon the death of either joint Certificate Holder prior to the
Annuity Date, the surviving joint Certificate Holder, if any,
will be treated as the designated Beneficiary and any other
Beneficiary designation on record with Us at the time of death is
treated as a contingent Beneficiary.
4.02 |
Change of Beneficiary - The Certificate Holder may change the Beneficiary. A written request, dated and signed by the Certificate Holder, must be filed at our Home Office. If there are joint Certificate Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. If the request reaches our Home Office and is recorded after the Certificate Holder dies, but before any payment is made, the change is valid. |
4.03 |
Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Certificate Holder's death, We pay the death benefit in one sum to the Certificate Holder's estate. |
Section 5.
Purchase Payments
--------------------------------------------------------------------------------
Purchase Payments - Subject to the maximum and minimum shown on
the Contract Schedule, the Certificate Holder may determine the
amount and frequency of Purchase Payments. We reserve the right
not to accept any Purchase Payment. We will declare from time to
time the acceptability of additional Purchase Payments.
5.02 |
Allocation of Purchase Payments - The Certificate Holder may |
|
elect |
to have each Net Purchase Payment accumulate: |
|
(a) |
On a variable basis invested in shares of one or more Funds in which the Separate Account invests; |
|
(b) |
For guaranteed terms offered in the current deposit period(s) under the AG Account; or |
|
(c) |
In a combination of any of the available investment options. |
|
Net |
Purchase Payments must be allocated in whole percentages. For |
|
subsequent |
Purchase Payments, if no allocation instructions are |
|
received |
with the Purchase Payment, the allocation will be as |
|
indicated |
in the most recent directive from the Certificate |
|
Holder. |
If the same |
11
<PAGE>
guaranteed term(s) are not available, the next shortest will be
used. If no shorter guaranteed term is available, the next longer
guaranteed term will be used.
Section 6.
Separate Account
--------------------------------------------------------------------------------
General - The assets of the Separate Account, equal to the
reserves and other Contract liabilities that depend on the
investment performance of the Separate Account are not chargeable
with liabilities arising out of any other business We may
conduct. Income, gains or losses of the Separate Account,
realized or unrealized, are credited to or charged against the
assets of the Separate Account without regard to Our other
income, gains or losses.
6.02 |
Investment Allocations to the Separate Account - The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate |
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Account or if in our judgment, further investment in such shares
should become inappropriate in view of the purpose of the
Contract, We may cease to make such Fund shares available for
investment under the Contract prospectively, or We may substitute
shares of another Fund for shares already acquired. We may also,
from time to time, add additional Funds. Any elimination,
substitution or addition of Funds will be done in accordance with
applicable state and federal securities laws. We reserve the
right to substitute shares of another Fund for shares already
acquired without a proxy vote.
6.03 |
Valuation of Assets - The shares of the Funds will be valued at |
|
their |
net asset value at the end of each Valuation Period. |
|
6.04 |
Accumulation Unit - A Net Purchase Payment that is allocated to |
|
one |
or more Funds is credited to the Certificate Holder's Account |
|
as |
Accumulation Units. The number of Accumulation Units credited |
|
is |
determined by dividing the applicable portion of the Net |
|
Purchase |
Payment by the Accumulation Unit value for the |
|
appropriate |
Fund. The Accumulation Unit value used is that which |
|
is |
computed for the next Valuation Period after which the |
|
Purchase |
Payment is received at our Home Office. Accumulation |
|
Units |
attributable to the initial Purchase Payments will be |
|
credited |
within two business days of acceptance. |
|
Accumulation |
Unit values may increase or decrease from Valuation |
|
Period |
to Valuation Period. |
|
6.05 |
Net Return Factor for Each Valuation Period - The value of an |
|
Accumulation |
Unit for any Valuation Period is calculated by |
|
multiplying |
the Accumulation Unit value for the immediately |
|
preceding |
Valuation Period by the net return factor of the |
|
appropriate |
Fund for the current period. |
|
The |
net return factor for each Fund is equal to 1.0000000 plus |
|
the |
net return rate. |
|
The |
net return rate equals: |
|
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus |
|
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
12
<PAGE>
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) |
The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus |
(e) |
A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge. |
The net return rate may be more or less than zero (0) percent.
The value of a share of the Fund is equal to the net assets of
the Fund divided by the number of shares outstanding.
6.06 |
Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.07 |
Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.08 |
Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.09 |
Mortality and Expense Guarantee - We guarantee that the dollar amount of each Annuity payment after the first will not be affected by variations in mortality or expense experience. |
Section 7.
AG Account
--------------------------------------------------------------------------------
AG Account Guaranteed Interest Rate - All amounts allocated to
the AG Account earn a rate of interest that is guaranteed for a
specified period of time. The rate will be credited daily and
will never be less than the minimum guaranteed interest rate
shown on the Contract Schedule. We determine the rate and it is
not based on investment experience.
For guaranteed terms of one year or less, one guaranteed interest | ||
rate is credited for the full guaranteed term. For longer | ||
guaranteed terms, an initial guaranteed interest rate is credited | ||
from the date of deposit to the end of a specified period within | ||
the guaranteed term. There may be different guaranteed interest | ||
rate(s) declared for subsequent specified time intervals | ||
throughout the guaranteed term. | ||
7.02 | Deposit Period - A calendar week, a calendar month, a calendar | |
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quarter, or any other period of time We specify during which Net
Purchase Payment(s), transfers and reinvestments are accepted
into the AG Account for one or more guaranteed terms. We reserve
the right to extend the deposit period.
7.03 |
Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years. |
13
<PAGE>
During a deposit period, We may make available any number of
guaranteed terms. The Certificate Holder may allocate Net
Purchase Payments and transfers into any or all of the available
guaranteed terms.
7.04 |
Guaranteed Term(s) Groups - All AG Account guaranteed term(s) |
|
with |
the same length of time from the close of the deposit period |
|
until |
the designated Maturity Date. |
|
7.05 |
Majority Date - The last day of a guaranteed term. |
|
7.06 |
Allocation of Net Purchase Payments to the AG Account - When the |
|
Certificate |
Holder wishes to allocate all or any portion of a Net |
|
Purchase |
Payment to the AG Account, he or she must tell Us the |
|
percentage |
to apply to one or more of the AG Account guaranteed |
|
term(s) |
available during the current deposit period. If no |
|
allocation |
instructions are received, a Net Purchase Payment is |
|
allocated |
as indicated in the most recent directive from the |
|
Certificate |
Holder. If the same guaranteed term is not available |
|
for |
any amount allocated to the AG Account, We will allocate the |
|
amount |
to the next shortest guaranteed term available. If no |
|
shorter |
guaranteed term is available, We will allocate it to the |
|
next |
longest guaranteed term. |
|
7.07 |
AG Account Guaranteed Term Maturity Date and Maturity Value - On |
|
the |
maturity date, the value of the total of all amounts |
|
allocated |
to that guaranteed term is called the maturity value. |
|
When |
Certificate Holders have assets in the AG Account, at least |
|
eighteen |
(18) days before a maturity date, We notify them of the: |
|
(a) |
Projected maturity value; and |
|
(b) |
Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period. |
|
When |
no allocation instructions are received and the assets in a |
|
guaranteed |
term have been reinvested by Us in another guaranteed |
|
term |
on the maturity date, the Certificate Holder may transfer or |
|
withdraw, |
during the month following the maturity date, the |
|
reinvested |
amount with interest earned (as of the date the |
|
request |
is received at our Home Office) without incurring a |
|
Market |
Value Adjustment. This transaction is allowed only once |
|
for |
each maturity date, regardless of whether the transfer or |
|
withdrawal |
is partial or full. |
|
7.08 |
Transfers from the AG Account - A Certificate Holder may transfer |
|
any |
portion, or all, of an amount in the AG Account to one or |
|
more |
of the Funds or to another available guaranteed term. The |
|
amount |
withdrawn for any reason before the maturity date is |
|
subject |
to a Market Value Adjustment. |
|
7.09 |
Withdrawals from the AG Account - When the Certificate Holder |
|
requests |
a withdrawal from the AG Account, if instructions are |
|
not |
provided by the Certificate Holder, amounts are withdrawn on |
|
a |
pro rata basis from the guaranteed term(s) groups in which the |
|
Certificate |
Holder's Account is currently invested. Within a |
|
guaranteed |
term group, the amount to be withdrawn will be |
|
withdrawn |
first from the oldest deposit period. Except on the |
|
maturity |
date, withdrawals from the AG Account will be subject to |
|
a |
Market Value Adjustment. |
|
7.10 |
Reinvestment - We will mail a notice to the Certificate Holder |
|
before |
a guaranteed term's |
14
<PAGE>
maturity date. This notice will contain the guaranteed terms
available during the current deposit periods with their
guaranteed interest rate(s) and projected maturity value. If no
specific direction is given by the Certificate Holder prior to
the maturity date, each maturity value will be reinvested in the
current deposit period for a guaranteed term of the same
duration. If a guaranteed term of the same duration is
unavailable, each matured term value will automatically be
reinvested in the current deposit period for the next shortest
guaranteed term available. If no shorter guaranteed term is
available, the next longer guaranteed term will be used. We will
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mail a confirmation statement to the Certificate Holder after the
maturity date. This notice will state the guaranteed term and
guaranteed interest rate(s) which will apply to the reinvested
matured term value.
7.11 |
AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. An MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term, including amounts paid in a lump sum death benefit or applied to an Annuity Option. |
The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows: |
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 Term.
Determination of MVA factor parameters:
A yield is computed at the close of the last business day of each
week of the deposit period. The yield will equal the average of
the yields on U.S. Treasury Notes which matured during the last
three months of the applicable guaranteed term.
The deposit period yield is the average of those yields for the
deposit period. If withdrawal is made prior to 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.
If no U.S. Treasury Notes matured during the last three months of
the guaranteed term, We reserve the right to use the average of
the yields on U.S. Treasury Notes that mature during a
15
<PAGE>
following quarter.
Section 8. |
Certificate Holder's Account Value; Transfers and Withdrawals During the Accumulation Period |
--------------------------------------------------------------------------------
Certificate Holder's Account Value - The value of a Certificate
Holder's Account is determined by adding the value of the total
of Accumulation Units attributed to the selected Fund(s) to the
value of any amounts attributed to the AG Account.
8.02 |
Transfers During the Accumulation Period - Before the Annuity |
|
Date, |
the Certificate Holder may transfer from any Fund or |
|
guaranteed |
term of the AG Account to: |
|
(a) |
Any other Fund; or |
|
(b) |
Any guaranteed term of the AG Account available in the current deposit period. |
|
Transfer |
requests can be submitted as a percentage or as a dollar |
|
amount. |
We may establish a minimum transfer amount. Within a |
|
guaranteed |
term group, the amount transferred is withdrawn first |
|
from |
the oldest deposit period, then from the next oldest, and so |
|
on |
until the amount requested is satisfied. |
|
The |
Certificate Holder may make an unlimited number of transfers |
|
during |
the Accumulation Period. The number of free transfers |
|
allowed |
is shown on the Contract Schedule. Transfers in excess of |
|
that |
number may be subject to the transfer charge shown on the |
|
Contract |
Schedule. Transfers of a matured term value from the AG |
|
Account |
on or within one calendar month after a guaranteed term's |
|
maturity |
date do not count against the annual transfer limit. |
|
Amounts |
applied to guaranteed terms of the AG Account may not be |
|
transferred |
to the Funds or to another guaranteed term during the |
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deposit period or for 90 days after the close of the deposit
period except for matured term value(s) during the calendar month
following the guaranteed term's maturity date.
Transfers from guaranteed terms of the AG Account are subject to
a Market Value Adjustment.
8.03 |
Withdrawals During the Accumulation Period - The Certificate Holder may withdraw all or a portion of the Certificate Holder's Account Value during the Accumulation Period by properly completing a withdrawal request form. Withdrawal requests can be submitted as a percentage or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial withdrawal, if instructions are not provided by the Certificate Holder, amounts are withdrawn on a pro rata basis from the Fund(s), and/or the guaranteed term(s) groups in which the Certificate Holder's Account is currently invested. Within a guaranteed term group, the amount to be withdrawn 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 charge, if applicable, the withdrawn amount shall be reduced by the applicable deferred sales charge and any applicable premium taxes. |
|
8.04 |
Deferred Sales Charge - The deferred sales charge only applies to the portion of the amount |
16
<PAGE>
withdrawn attributable to Net Purchase Payment(s) and varies
according to the elapsed time since receipt of the Purchase
Payment. The deferred sales charge is shown on the Contract
Schedule.
8.05 |
Waiver of Deferred Sales Charge - No deferred sales charge is |
||
deducted |
when a Certificate Holder's Account Value is paid: |
||
(a) |
To a Beneficiary as a death benefit, except for Purchase |
||
Payments |
made by a surviving joint Certificate Holder as |
||
described |
in Section 10.02(b); |
||
(b) |
As a premium for an Annuity Option; |
||
(c) |
At least the number of months, as shown on the Contract |
||
Schedule, |
after the date of the first Purchase Payment and |
||
in |
an amount equal to or less than the percentage of the |
||
Certificate |
Holder's Account Value as shown on the Contract |
||
Schedule. |
This applies to the first withdrawal request, |
||
partial |
or full, in a calendar year. The Certificate |
||
Holder's |
Account Value is calculated as of the date the |
||
withdrawal |
request is received in good order at our Home |
||
Office. |
This waiver is not available to the Certificate |
||
Holder |
while a SWO is in effect; |
||
(d) |
For a full withdrawal where the Certificate Holder's |
||
Account |
Value does not exceed the amount shown on the |
||
Contract |
Schedule and no withdrawals have been taken from |
||
the |
Certificate Holder's Account within the prior 12 months; |
||
(e) |
For a distribution made by Us under Section 8.06; or (f) |
||
For |
a distribution which is part of a SWO under Section |
||
8.07. | |||
We |
reserve the right to allow the proceeds of a total withdrawal |
||
to |
be reinstated under the terms and conditions as established by |
||
Us |
from time to time. |
||
8.06 |
Payment of Adjusted Certificate Holder Account Value - Upon 90 |
||
day's |
written notice to the Certificate Holder, We will terminate |
||
any |
Certificate Holder's Account if the Certificate Holder's |
||
Account |
Value becomes less than $1,500 immediately following any |
||
partial |
withdrawal. We do not intend to exercise this right in |
||
cases |
where the Certificate Holder's Account Value is reduced to |
||
$1,500 |
or less solely due to investment performance. When We make |
||
a |
distribution pursuant to this provision, the deferred sales |
||
charge |
will not be deducted. |
||
8.07 |
Systematic Withdrawal Option (SWO) - We will allow the |
||
Certificate |
Holder to establish a schedule of withdrawals to be |
||
made |
automatically from the Certificate Holder's Account Value. |
||
All |
distributed amounts will be withdrawn on a pro rata basis |
||
from |
the Fund(s) and/or the guaranteed term(s) groups of the AG |
||
Account |
in which the Certificate Holder's Account is invested. |
||
The |
Certificate Holder must elect one of the following SWO |
||
methods: | |||
(a) |
Specified Payment: Payments of a designated dollar amount. |
||
The |
annual amount may not be greater than the percentage of |
||
the |
Certificate Holder's Account Value at time of the |
||
election |
as shown on the Contract Schedule. This annual |
||
dollar |
amount will remain constant. At our discretion, We |
||
may |
require a minimum payment amount; or |
||
(b) |
Specified Period: Payments which are made over a period of |
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time which must be at least the minimum period as shown on
the Contract Schedule. The annual amount paid each
17
<PAGE>
year is calculated by dividing the Certificate Holder's
Account Value as of December 31 of the prior year by the
number of payment years remaining; or
(c) |
Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Certificate Holder's Account Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Certificate Holder's Account Value as of December 31 of the year prior to the payment by the designated percentage. |
In our discretion, We may require a minimum initial Certificate
Holder's Account Value for election of this option. SWO may be
elected by submitting a completed and signed election form to Us.
Once elected, this option may be revoked by submitting a written
request to Us. SWO may be elected only once by the Certificate
Holder or by a spousal Beneficiary.
Certificate Holders should consult their tax adviser prior to
requesting this distribution option. We are not responsible for
any adverse tax consequences due to a Certificate Holder's
receiving SWO payments. A ten (10) percent penalty tax may apply
to distributions to a Certificate Holder who has not reached age
59-1/2. Upon death of the Certificate Holder, any payments will
be made under the terms of Section 10.
Section 9.
Maintenance Charge
--------------------------------------------------------------------------------
Maintenance Charge - We will deduct an annual maintenance charge
as shown in the Contract Schedule from the Certificate Holder's
Account during the Accumulation Period. We will deduct the
maintenance charge on the anniversary of the Effective Date of
the Certificate for the Certificate Holder's Account. This
maintenance charge is also deducted upon withdrawal of the entire
Adjusted Certificate Holder's Account. The maintenance charge is
deducted proportionately from each investment option used.
Section 10.
Proceeds Payable on Death
--------------------------------------------------------------------------------
Death of the Certificate Holder Prior to the Annuity Date - In
the event of the death of the Certificate Holder or a joint
Certificate Holder prior to the Annuity Date, a death benefit is
payable to the Beneficiary(ies) designated by the Certificate
Holder. Upon the death of a joint Certificate Holder, the
surviving joint Certificate Holder, if any, will be treated as
the designated Beneficiary. Any other Beneficiary designation on
record with Us at the time of death will be treated as a
contingent Beneficiary.
A Beneficiary may request We pay the death benefit under one of
the options described in Section 10.03. If the Beneficiary is the
spouse of the Certificate Holder, he or she may elect to continue
the Certificate Holder's Account in his or her own name and
exercise all the Certificate Holder's rights under the Contract.
10.02 Death Benefit Amount Prior to the Annuity Date -
18
<PAGE>
(a) Except as set forth in Section 10.02(b), the amount of the
guaranteed death benefit value is equal to the greater of:
(i) |
The Certificate Holder's Account Value at the end of the Valuation Period during which We receive at our Home Office due proof of death and election of the type of payment to be made; or |
(ii) |
The death benefit determined as of the Valuation Period corresponding to the date of death. |
Until the first Effective Date anniversary, the death benefit is equal to the Purchase Payments made by the Certificate Holder prior to the Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option. |
|
For each Certificate year thereafter, the death benefit during the Certificate year equals the death benefit at the beginning of the Certificate year plus Purchase |
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Payments made during the year less any withdrawals and
any amounts applied to an Annuity Option.
On each Effective Date anniversary, the death benefit
is determined as follows:
(A) |
The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus |
(B) |
Purchase Payments made by the Certificate Holder during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less |
(C) |
Any withdrawals or amounts applied to an Annuity Option during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the Certificate year since the withdrawal or election of Annuity option; or |
(iii) |
The Certificate Holder's Account Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option. |
Notwithstanding the foregoing, the death benefit under (ii)
or (iii) will not exceed the death benefit maximum amount
shown on the Contract Schedule.
The death benefit calculation described in (ii) and (iii)
above, applies until the Certificate Holder reaches the
death benefit maximum age shown on the Contract Schedule.
Thereafter, the death benefit is only adjusted for Purchase
Payments, withdrawals and amounts applied to Annuity
Options. If the Certificate Holder reaches the death benefit
maximum age shown on the Contract Schedule prior to the
seventh anniversary of the Effective Date, the death benefit
will be the greater of (i) or (ii) above.
The excess, if any, of the guaranteed death benefit value
over the Certificate Holder's Account Value is determined
when we receive at our Home Office due proof of death and
allocated to the Fund shown on the Contract Schedule. The
Certificate Holder's Account
19
<PAGE>
Value plus any excess amount deposited becomes the
Certificate Holder's Account Value.
(b) |
In the case of a Beneficiary of a surviving joint Certificate Holder who continued the Certificate Holder's Account in his or her own name, the death benefit shall be equal to (a)(i) above less any applicable deferred sales charge on any Purchase Payment made after We have received at our Home Office due proof of death of the first joint Certificate Holder. |
10.03 |
Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Certificate Holder prior to the Annuity Date: |
Method 1 - Lump sum payment of the death benefit; or |
|
Method 2 - The payment of the entire death benefit within (5) years of the date of the Certificate Holder's death; or |
|
Method 3 - Payment of the death benefit over the lifetime of the designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Certificate Holder. |
|
Any portion of the death benefit not applied under Option 3 within one year of the date of Certificate Holder's death, must be distributed within five (5) years of the date of death. A Market Value Adjustment will apply at the time the death benefit is paid. |
|
A spousal Beneficiary may elect to continue the Certificate Holder's Account in his or her name, elect a lump sum payment of the death benefit or apply the Adjusted Certificate Holder's Account Value to an Annuity Option. |
|
10.04 |
Death of Certificate Holder On or After the Annuity Date - If the Certificate Holder who is not the Annuitant, dies on or after the |
Annuity |
Date, the remaining payments under the Annuity Option |
elected |
will be made to the Beneficiary at least as rapidly as |
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under the method of distribution in effect at the Certificate
Holder's death.
10.05 |
Death of the Annuitant - If the Annuitant, who is not a Certificate Holder, dies on or before the Annuity Date, a new Annuitant may be named. If no Annuitant is named, the Certificate Holder will be the Annuitant. If the Annuitant dies after the Annuity Date, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity Option elected. We will require proof of the Annuitant's death. Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death. |
Section 11.
Delay of Payments
--------------------------------------------------------------------------------
Delay of Payments - We will make any payments under this Contract
within seven days after a request is received in good order. We
reserve the right to suspend or postpone any type of payment from
the Separate Account for any period when:
20
<PAGE>
(a) |
The New York Stock Exchange is closed for other than customary weekend and holiday closings; |
(b) |
Trading on the Exchange is restricted; |
(c) |
An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or |
(d) |
The Securities and Exchange Commission so permits delay for the protection of security holders. |
The applicable rules of the Securities and Exchange Commission
will govern as to whether the conditions in (b) or (c) exist.
We also reserve the right to delay any type of payment from the
AG Account for up to six (6) months.
Section 12.
Annuity Provisions
--------------------------------------------------------------------------------
Designation of Annuitant - The Certificate Holder and the
Annuitant need not be the same person. The Certificate Holder
names the Annuitant and during the Accumulation Period, may
change the designated Annuitant. We change the Annuitant when We
receive a written request in good order at our Home Office. We
will not change the Annuitant when Annuity payments have
commenced.
The Certificate Holder elects an Annuity Option by telling Us to
use all or any portion of the Certificate Holder's Adjusted
Account Value (minus any applicable premium taxes if not
previously deducted) to purchase Annuity payments under an
Annuity Option.
When an Annuity Option is chosen the Certificate Holder must
designate a:
(a) |
Fixed Annuity using the General Account; |
(b) |
Variable Annuity using any of the Funds available during the Annuity Period; or |
(c) |
Combination of (a) and (b). |
If a fixed Annuity is chosen, We will calculate the amount using
an interest assumption no less than the percentage specified on
the Contract Schedule. We may calculate the amount using a higher
interest rate.
If a variable Annuity is chosen, an Assumed Annual Net Return
Rate of 5% may be chosen. If not chosen, We will use an Assumed
Annual Net Return Rate of 3.5%.
Payments are made on a monthly basis to the Certificate Holder
unless the Certificate Holder requests a different mode of
payment.
Once elected, an Annuity Option may not be revoked, except for
Option 1 when elected on a variable basis.
12.02 |
Terms of Annuity Options - The minimum first payment amount must be at least $50 per month and at least $250 per year. |
21
<PAGE>
If the Certificate Holder elects a fixed Annuity and We determine
that the Certificate Holder would receive larger payments by
applying the Certificate Holder's Account Value, reduced by the
deferred sales charge, to a single premium immediate Annuity
currently offered by Us, We will make the larger payments.
We determine the first payment of a variable Annuity, or the
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payment amount of a fixed Annuity, using the Annuitant's (and
second Annuitant's if applicable) adjusted age which We calculate
as follows:
(a) |
If Annuity payments begin any time between July 1, 1992 and December 31, 1999, the adjusted age is the Annuitant's age as of the birthday closest in time to the Annuity Date reduced by one (1) year. |
(b) |
If the Annuity begins any time between January 1, 2000 and December 31, 2009, the adjusted age is the Annuitant's age as of the birthday closest in time to the Annuity Date reduced by two (2) years. |
(c) |
For each succeeding decade, the adjusted age is the Annuitant's age as determined in (b), reduced by one additional year. |
The Annuity rates for Options 2 and 3 are based on mortality from
1983 Table A.
Assumed Annual Net Return Rate is the interest rate used to
determine the amount of the first Annuity payment under a
variable Annuity. The Separate Account must earn this rate plus
enough to cover the mortality and expense risks charges (which
may include profit) and administrative charges if future variable
Annuity payments are to remain level.
The Certificate Holder must give written notice to Us at least 30
days before the Annuity payments begin, electing or changing:
(a) |
The date on which Annuity payments are to begin; |
(b) |
The Annuity Option; |
(c) |
Whether the payments are to be made monthly, quarterly, semiannually or annually; (d) The investment options used to provide Annuity payments. |
The first Annuity payment may not be earlier than one (1)
calendar year after the initial Purchase Payment, nor later than
the later of the:
(a) |
First day of the month following the Annuitant's birthday shown on the Contract Schedule; or |
(b) |
Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may request a lump sum payment. |
12.03 |
Annuity Unit - The number of Annuity Units per Fund is based on |
|
the |
amount of the first variable Annuity payment which is equal |
|
to: | ||
(a) |
The portion of the Certificate Holder's Account Value (minus any premium taxes) applied to pay a variable Annuity; divided by, |
22
<PAGE>
(b) |
1000; multiplied by, |
(c) |
The payment rate for the Annuity Option chosen. |
Such amount, or portion, of the variable Annuity payment will be
divided by the Annuity Unit value for the appropriate Fund on the
tenth Valuation Period before the due date of the first payment
to determine the number of each Fund's Annuity Units. The number
of each Fund's Annuity Unit remains fixed. Each future payment is
equal to the sum of the products of each Fund's Annuity Unit
value multiplied by the appropriate number of units. The Fund's
Annuity Unit value on the tenth Valuation Period prior to the due
date of the payment is used.
12.04 |
Annuity Unit Value - For any Valuation Period, a Fund's Annuity |
|
Unit |
value is equal to: |
|
(a) |
The value for the previous Valuation Period; multiplied by, |
|
(b) |
The Annuity Net Return Factor for the Valuation Period; multiplied by, |
|
(c) |
A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663). |
|
The |
dollar value of a Fund(s) Annuity Unit values and payments |
|
may |
go up or down due to investment gain or loss. |
|
12.05 |
Annuity Net Return Factor - The Annuity net return factor is |
|
used |
to compute all Separate Account Annuity payments for any |
|
Fund. | ||
The |
Annuity net return factor(s) for each Fund is equal to |
|
1.0000000 |
plus the net return rate. The net return rate is equal |
|
to: | ||
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus, |
|
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus, |
|
(c) |
Taxes (or reserves for taxes) on the Separate Account (if |
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any); divided by
(d) |
The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus, |
(e) |
A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule. |
The net return rate may be more or less than zero (o) percent.
The value of a share of the Fund is equal to the net assets of
the Fund divided by the number of shares outstanding.
12.06 |
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 5 and not more than 30.
23
<PAGE>
If payments for this Annuity Option are made under a variable
Annuity, the present value of any remaining payments may be
withdrawn at any time.
Option 2 - Life Income - An Annuity will be paid for the life of
the Annuitant. If also chosen, We 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 Annuity Option is chosen, a choice must be
made of:
(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 Annuitant. |
We may make other options available as allowed by law.
24
<PAGE>
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 |
- ---------------------------------------------------------------------------
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Page 17 of 23
25 <PAGE>
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
<TABLE> <CAPTION>
- -----------------------------------------------------------------------------------------------------------------------------
Adjusted | None | 60 | 120 | 180 | 240 | |||||
Age of | ------------------------------------------------------------------------------------------------------------- | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
- -----------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 4.27 | $ 3.90 | $ 4.26 | $ 3.90 | $ 4.22 | $ 3.89 | $ 4.17 | $ 3.86 | $ 4.08 | $ 3.82 |
51 | 4.34 | 3.97 | 4.33 | 3.96 | 4.30 | 3.95 | 4.23 | 3.92 | 4.14 | 3.88 |
52 | 4.43 | 4.03 | 4.41 | 4.03 | 4.37 | 4.01 | 4.30 | 3.98 | 4.20 | 3.93 |
53 | 4.51 | 4.10 | 4.50 | 4.10 | 4.45 | 4.08 | 4.37 | 4.04 | 4.26 | 3.99 |
54 | 4.60 | 4.18 | 4.59 | 4.17 | 4.54 | 4.15 | 4.45 | 4.11 | 4.32 | 4.04 |
55 | 4.70 | 4.25 | 4.68 | 4.25 | 4.62 | 4.22 | 4.53 | 4.18 | 4.39 | 4.11 |
56 | 4.80 | 4.34 | 4.78 | 4.33 | 4.72 | 4.30 | 4.61 | 4.25 | 4.45 | 4.17 |
57 | 4.91 | 4.42 | 4.89 | 4.41 | 4.82 | 4.38 | 4.69 | 4.32 | 4.51 | 4.23 |
58 | 5.03 | 4.52 | 5.00 | 4.51 | 4.92 | 4.47 | 4.78 | 4.40 | 4.58 | 4.30 |
59 | 5.15 | 4.61 | 5.12 | 4.60 | 5.03 | 4.56 | 4.87 | 4.48 | 4.65 | 4.37 |
60 | 5.28 | 4.72 | 5.25 | 4.70 | 5.14 | 4.66 | 4.96 | 4.57 | 4.71 | 4.44 |
61 | 5.43 | 4.83 | 5.39 | 4.81 | 5.27 | 4.76 | 5.06 | 4.66 | 4.78 | 4.51 |
62 | 5.58 | 4.95 | 5.53 | 4.93 | 5.39 | 4.87 | 5.16 | 4.75 | 4.84 | 4.58 |
63 | 5.74 | 5.08 | 5.69 | 5.05 | 5.53 | 4.99 | 5.26 | 4.85 | 4.90 | 4.65 |
64 | 5.91 | 5.21 | 5.85 | 5.18 | 5.66 | 5.10 | 5.36 | 4.95 | 4.96 | 4.72 |
65 | 6.10 | 5.36 | 6.03 | 5.32 | 5.81 | 5.22 | 5.46 | 5.05 | 5.02 | 4.79 |
66 | 6.30 | 5.51 | 6.21 | 5.47 | 5.96 | 5.36 | 5.56 | 5.16 | 5.08 | 4.86 |
67 | 6.51 | 5.67 | 6.41 | 5.63 | 6.12 | 5.50 | 5.66 | 5.26 | 5.13 | 4.93 |
68 | 6.73 | 5.85 | 6.62 | 5.80 | 6.28 | 5.65 | 5.77 | 5.37 | 5.18 | 5.00 |
69 | 6.97 | 6.04 | 6.84 | 5.98 | 6.44 | 5.80 | 5.86 | 5.49 | 5.23 | 5.06 |
70 | 7.23 | 6.25 | 7.07 | 6.18 | 6.61 | 5.97 | 5.96 | 5.60 | 5.27 | 5.12 |
71 | 7.51 | 6.47 | 7.32 | 6.39 | 6.79 | 6.14 | 6.05 | 5.71 | 5.31 | 5.18 |
72 | 7.80 | 6.71 | 7.58 | 6.62 | 6.96 | 6.32 | 6.14 | 5.83 | 5.34 | 5.23 |
73 | 8.12 | 6.98 | 7.85 | 6.86 | 7.14 | 6.50 | 6.23 | 5.94 | 5.37 | 5.28 |
74 | 8.46 | 7.26 | 8.14 | 7.12 | 7.32 | 6.69 | 6.31 | 6.04 | 5.40 | 5.32 |
75 | 8.82 | 7.57 | 8.45 | 7.40 | 7.50 | 6.89 | 6.38 | 6.14 | 5.42 | 5.35 |
- -----------------------------------------------------------------------------------------------------------------------------</TABLE>
Rates are based on mortality from 1983 Table a.
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.
26
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE> | |||||||
<CAPTION> | |||||||
- ----------------------------------------------------------------------------------------------- | |||||||
Adjusted Ages | |||||||
- --------------------- | |||||||
Second | |||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e | |
- ----------------------------------------------------------------------------------------------- | |||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 3.69 | $ 4.05 | $ 4.27 | $ 3.69 | $ 4.13 | |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.25 | |
55 | 60 | 3.06 | 4.47 | 4.71 | 4.06 | 4.36 | |
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.55 | |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.70 | |
60 | 65 | 4.49 | 5.01 | 5.32 | 4.48 | 4.85 | |
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 5.10 | |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.32 | |
65 | 70 | 5.07 | 5.75 | 6.17 | 5.05 | 5.54 | |
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70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.86 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 6.18 |
70 | 75 | 5.89 | 6.82 | 7.40 | 5.81 | 6.49 |
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.92 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.40 |
75 | 80 | 7.07 | 8.34 | 9.16 | 6.78 | 7.85 |
- ----------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
27
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE> |
<CAPTION> |
- -------------------------------------------------------------------------------------- |
Adjusted Ages - ----------------------Second
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - --------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.75 | $ 4.07 | $ 4.26 | $ 3.75 | $ 3.98 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.06 |
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.12 |
60 | 55 | 4.06 | 4.47 | 4.71 | 4.06 | 4.37 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.47 |
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.54 |
65 | 60 | 4.49 | 5.01 | 5.32 | 4.48 | 4.89 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.02 |
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.14 |
70 | 65 | 5.07 | 5.75 | 6.17 | 5.05 | 5.60 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.79 |
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 5.96 |
75 | 70 | 5.89 | 6.83 | 7.40 | 5.81 | 6.63 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 6.92 |
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 7.15 |
- --------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
28
<PAGE>
OPTION I
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 Variable Annuity with Assumed Net Return Rate of 3.5%
- ----------------------------------------------------------------------- | ||||||
Guaranteed | Monthly | Quarterly Semi-Annual | Annual | |||
Years | Rate | Payment | Payment | Payment | Payment | |
- ----------------------------------------------------------------------- | ||||||
5 | 3.50% | 18.12 | 54.19 | 107.92 | 213.99 | |
6 | 3.50% | 15.35 | 45.92 | 91.44 | 181.32 | |
7 | 3.50% | 13.38 | 40.01 | 79.69 | 158.01 | |
8 | 3.50% | 11.90 | 35.59 | 70.88 | 140.56 | |
9 | 3.50% | 10.75 | 32.16 | 64.05 | 127.00 | |
10 | 3.50% | 9.83 | 29.42 | 58.59 | 116.18 | |
11 | 3.50% | 9.09 | 27.18 | 54.13 | 107.34 | |
12 | 3.50% | 8.46 | 25.32 | 50.42 | 99.98 | |
13 | 3.50% | 7.94 | 23.75 | 47.29 | 93.78 | |
14 | 3.50% | 7.49 | 22.40 | 44.62 | 88.47 | |
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Page 19 of 23
15 | 3.50% | 7.10 | 21.24 | 42.31 | 83.89 |
16 | 3.50% | 6.76 | 20.23 | 40.29 | 79.89 |
17 | 3.50% | 6.47 | 19.34 | 38.51 | 76.37 |
18 | 3.50% | 6.20 | 18.55 | 36.94 | 73.25 |
19 | 3.50% | 5.97 | 17.85 | 35.54 | 70.47 |
20 | 3.50% | 5.75 | 17.22 | 34.28 | 67.98 |
21 | 3.50% | 5.56 | 16.65 | 33.15 | 65.74 |
22 | 3.50% | 5.39 | 16.13 | 32.13 | 63.70 |
23 | 3.50% | 5.24 | 15.66 | 31.19 | 61.85 |
24 | 3.50% | 5.09 | 15.24 | 30.34 | 60.17 |
25 | 3.50% | 4.96 | 14.85 | 29.56 | 58.62 |
26 | 3.50% | 4.84 | 14.49 | 28.85 | 57.20 |
27 | 3.50% | 4.73 | 14.15 | 28.19 | 55.90 |
28 | 3.50% | 4.63 | 13.85 | 27.58 | 54.69 |
29 | 3.50% | 4.53 | 13.57 | 27.02 | 53.57 |
30 | 3.50% | 4.45 | 13.30 | 26.49 | 52.53 |
- -----------------------------------------------------------------------
29
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 5.0%
- -------------------------------------------------------------------------
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
- -------------------------------------------------------------------------
5 | 5.00% | 18.74 | 56.00 | 111.33 | 219.98 |
6 | 5.00% | 15.99 | 47.77 | 94.96 | 187.64 |
7 | 5.00% | 14.02 | 41.90 | 83.30 | 164.59 |
8 | 5.00% | 12.56 | 37.52 | 74.58 | 147.35 |
9 | 5.00% | 11.42 | 34.11 | 67.81 | 133.99 |
10 | 5.00% | 10.51 | 31.40 | 62.42 | 123.34 |
11 | 5.00% | 9.77 | 29.19 | 58.03 | 114.66 |
12 | 5.00% | 9.16 | 27.36 | 54.38 | 107.45 |
13 | 5.00% | 8.64 | 25.81 | 51.31 | 101.39 |
14 | 5.00% | 8.20 | 24.50 | 48.69 | 96.21 |
15 | 5.00% | 7.82 | 23.36 | 46.44 | 91.75 |
16 | 5.00% | 7.49 | 22.37 | 44.47 | 87.88 |
17 | 5.00% | 7.20 | 21.51 | 42.75 | 84.48 |
18 | 5.00% | 6.94 | 20.74 | 41.23 | 81.47 |
19 | 5.00% | 6.71 | 20.06 | 39.88 | 78.80 |
20 | 5.00% | 6.51 | 19.46 | 38.68 | 76.42 |
21 | 5.00% | 6.33 | 18.91 | 37.59 | 74.28 |
22 | 5.00% | 6.17 | 18.42 | 36.62 | 72.35 |
23 | 5.00% | 6.02 | 17.98 | 35.73 | 70.61 |
24 | 5.00% | 5.88 | 17.57 | 34.93 | 69.02 |
25 | 5.00% | 5.76 | 17.20 | 34.20 | 67.57 |
26 | 5.00% | 5.65 | 16.87 | 33.53 | 66.25 |
27 | 5.00% | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.00% | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.00% | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.00% | 5.28 | 15.77 | 31.35 | 61.95 |
- -------------------------------------------------------------------------
30
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months
<TABLE> <CAPTION>
- ----------------------------------------------------------------------------------------------------------------------------------
Adjusted | None | 60 | 120 | 180 | 240 | |||||
Age of | ------------------------------------------------------------------------------------------------------------------ | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
- ----------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 4.56 | $ 4.20 | $ 4.55 | $ 4.19 | $ 4.51 | $ 4.18 | $ 4.45 | $ 4.15 | $ 4.36 | $ 4.11 |
51 | 4.64 | 4.26 | 4.62 | 4.25 | 4.58 | 4.24 | 4.51 | 4.21 | 4.42 | 4.16 |
52 | 4.72 | 4.32 | 4.70 | 4.32 | 4.66 | 4.30 | 4.58 | 4.26 | 4.48 | 4.21 |
53 | 4.80 | 4.39 | 4.79 | 4.38 | 4.74 | 4.36 | 4.65 | 4.32 | 4.53 | 4.27 |
54 | 4.89 | 4.46 | 4.87 | 4.46 | 4.82 | 4.43 | 4.73 | 4.39 | 4.59 | 4.32 |
55 | 4.99 | 4.54 | 4.97 | 4.53 | 4.91 | 4.50 | 4.80 | 4.46 | 4.65 | 4.38 |
56 | 5.09 | 4.62 | 5.07 | 4.61 | 5.00 | 4.58 | 4.88 | 4.53 | 4.72 | 4.44 |
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Page 20 of 23 | ||||||||||
57 | 5.20 | 4.71 | 5.17 | 4.70 | 5.10 | 4.66 | 4.96 | 4.60 | 4.78 | 4.50 |
58 | 5.32 | 4.80 | 5.29 | 4.79 | 5.20 | 4.75 | 5.05 | 4.68 | 4.84 | 4.57 |
59 | 5.44 | 4.90 | 5.41 | 4.88 | 5.31 | 4.84 | 5.14 | 4.76 | 4.91 | 4.63 |
60 | 5.57 | 5.00 | 5.53 | 4.99 | 5.42 | 4.93 | 5.23 | 4.84 | 4.97 | 4.70 |
61 | 5.71 | 5.11 | 5.67 | 5.09 | 5.54 | 5.03 | 5.32 | 4.93 | 5.03 | 4.77 |
62 | 5.86 | 5.23 | 5.81 | 5.21 | 5.66 | 5.14 | 5.42 | 5.02 | 5.09 | 4.84 |
63 | 6.02 | 5.36 | 5.97 | 5.33 | 5.79 | 5.25 | 5.51 | 5.11 | 5.16 | 4.91 |
64 | 6.20 | 5.49 | 6.13 | 5.46 | 5.93 | 5.37 | 5.61 | 5.21 | 5.21 | 4.98 |
65 | 6.38 | 5.64 | 6.31 | 5.60 | 6.07 | 5.49 | 5.71 | 5.31 | 5.27 | 5.05 |
66 | 6.58 | 5.79 | 6.49 | 5.75 | 6.22 | 5.63 | 5.81 | 5.41 | 5.32 | 5.12 |
67 | 6.79 | 5.95 | 6.69 | 5.91 | 6.38 | 5.76 | 5.91 | 5.52 | 5.38 | 5.18 |
68 | 7.02 | 6.13 | 6.89 | 6.08 | 6.53 | 5.91 | 6.01 | 5.63 | 5.42 | 5.25 |
69 | 7.26 | 6.32 | 7.11 | 6.26 | 6.70 | 6.06 | 6.11 | 5.74 | 5.47 | 5.31 |
70 | 7.52 | 6.53 | 7.35 | 6.45 | 6.86 | 6.23 | 6.20 | 5.85 | 5.51 | 5.37 |
71 | 7.80 | 6.75 | 7.59 | 6.66 | 7.03 | 6.39 | 6.29 | 5.96 | 5.54 | 5.42 |
72 | 8.09 | 6.99 | 7.85 | 6.89 | 7.21 | 6.57 | 6.38 | 6.07 | 5.57 | 5.47 |
73 | 8.41 | 7.26 | 8.12 | 7.13 | 7.38 | 6.75 | 6.46 | 6.17 | 5.60 | 5.51 |
74 | 8.75 | 7.54 | 8.41 | 7.39 | 7.55 | 6.94 | 6.53 | 6.28 | 5.63 | 5.55 |
75 | 9.12 | 7.85 | 8.71 | 7.66 | 7.73 | 7.13 | 6.61 | 6.38 | 5.65 | 5.59 |
- ----------------------------------------------------------------------------------------------------------------------------------</TABLE>
Rates are based on mortality from 1983 Table a.
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.
31
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period of Months
<TABLE> <CAPTION>
- -------------------------------------------------------------------------------------------------------------------------------
Adjusted | None | 60 | 120 | 180 | 240 | |||||
Age of | --------------------------------------------------------------------------------------------------------------- | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
- -------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 5.48 | $ 5.12 | $ 5.46 | $ 5.11 | $ 5.41 | $ 5.09 | $ 5.34 | $ 5.06 | $ 5.24 | $ 5.01 |
51 | 5.55 | 5.17 | 5.53 | 5.17 | 5.48 | 5.14 | 5.40 | 5.11 | 5.29 | 5.05 |
52 | 5.63 | 5.23 | 5.61 | 5.23 | 5.55 | 5.20 | 5.46 | 5.16 | 5.34 | 5.10 |
53 | 5.71 | 5.30 | 5.69 | 5.29 | 5.62 | 5.26 | 5.53 | 5.22 | 5.40 | 5.15 |
54 | 5.80 | 5.37 | 5.77 | 5.36 | 5.70 | 5.33 | 5.60 | 5.27 | 5.45 | 5.20 |
55 | 5.89 | 5.44 | 5.86 | 5.43 | 5.79 | 5.39 | 5.67 | 5.34 | 5.51 | 5.25 |
56 | 5.99 | 5.52 | 5.96 | 5.51 | 5.87 | 5.47 | 5.74 | 5.40 | 5.56 | 5.31 |
57 | 6.10 | 5.60 | 6.06 | 5.59 | 5.97 | 5.54 | 5.82 | 5.47 | 5.62 | 5.37 |
58 | 6.21 | 5.69 | 6.17 | 5.67 | 6.06 | 5.62 | 5.90 | 5.54 | 5.68 | 5.42 |
59 | 6.33 | 5.79 | 6.29 | 5.77 | 6.17 | 5.71 | 5.98 | 5.61 | 5.74 | 5.48 |
60 | 6.46 | 5.89 | 6.41 | 5.87 | 6.28 | 5.80 | 6.06 | 5.69 | 5.79 | 5.55 |
61 | 6.60 | 6.00 | 6.55 | 6.97 | 6.39 | 5.90 | 6.15 | 5.77 | 5.85 | 5.61 |
62 | 6.75 | 6.11 | 6.69 | 6.08 | 6.51 | 6.00 | 6.24 | 5.86 | 5.91 | 5.67 |
63 | 6.91 | 6.23 | 6.84 | 6.20 | 6.64 | 6.10 | 6.33 | 5.95 | 5.96 | 5.73 |
64 | 7.09 | 6.37 | 7.00 | 6.33 | 6.77 | 6.22 | 6.42 | 6.04 | 6.02 | 5.80 |
65 | 7.27 | 6.51 | 7.18 | 6.46 | 6.91 | 6.34 | 6.52 | 6.13 | 6.07 | 5.86 |
66 | 7.47 | 6.66 | 7.36 | 6.61 | 7.05 | 6.46 | 6.61 | 6.23 | 6.12 | 5.92 |
67 | 7.68 | 6.82 | 7.55 | 6.76 | 7.20 | 6.60 | 6.70 | 6.33 | 6.16 | 5.99 |
68 | 7.91 | 7.00 | 7.76 | 6.93 | 7.35 | 6.74 | 6.80 | 6.43 | 6.21 | 6.04 |
69 | 8.15 | 7.19 | 7.98 | 7.11 | 7.51 | 6.89 | 6.89 | 6.54 | 6.25 | 6.10 |
70 | 8.41 | 7.39 | 8.21 | 7.30 | 7.67 | 7.04 | 6.97 | 6.64 | 6.28 | 6.15 |
71 | 8.69 | 7.62 | 8.45 | 7.51 | 7.83 | 7.21 | 7.06 | 6.74 | 6.32 | 6.20 |
72 | 8.99 | 7.86 | 8.70 | 7.73 | 8.00 | 7.38 | 7.14 | 6.85 | 6.35 | 6.25 |
73 | 9.31 | 8.12 | 8.97 | 7.97 | 8.16 | 7.55 | 7.21 | 6.95 | 6.37 | 6.29 |
74 | 9.65 | 8.41 | 9.26 | 8.23 | 8.33 | 7.73 | 7.29 | 7.04 | 6.39 | 6.33 |
75 | 10.02 | 8.72 | 9.55 | 8.50 | 8.50 | 7.92 | 7.35 | 7.14 | 6.41 | 6.36 |
- -------------------------------------------------------------------------------------------------------------------------------</TABLE>
Rates are based on mortality from 1983 Table a.
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.
32
<PAGE>
https://www.sec.gov/Archives/edgar/data/925981/0000950146-98-000663.txt
03/26/2018
Page 21 of 23
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> <CAPTION>
- -------------------------------------------------------------------------------------------------------Adjusted Ages - ------------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.42 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 |
55 | 60 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 |
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 |
60 | 65 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 |
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 |
65 | 70 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 |
70 | 75 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 |
75 | 80 | 7.33 | 8.62 | 9.45 | 7.02 | 8.13 |
- -------------------------------------------------------------------------------------------------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
33
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant Is Female and Second Annuitant Is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> | |||||||
<CAPTION> | |||||||
- -------------------------------------------------------------------------------------------------------- | |||||||
Adjusted Ages | |||||||
- ------------------------- | |||||||
Second | |||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e | |
- -------------------------------------------------------------------------------------------------------- | |||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.03 | $ 4.36 | $ 4.55 | $ 4.03 | $ 4.41 | |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 | |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 | |
60 | 55 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 | |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 | |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 | |
65 | 60 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 | |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 | |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 | |
70 | 65 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 | |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 | |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 | |
75 | 70 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 | |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 | |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 8.70 | |
- -------------------------------------------------------------------------------------------------------- | |||||||
</TABLE> | |||||||
Rates are based on mortality from 1983 Table a. | |||||||
The rates assume the Annuitant is Female and the Second Annuitant is Male. | |||||||
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Page 22 of 23
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.
34 <PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant Is Male and Second Annuitant Is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> <CAPTION>
- -------------------------------------------------------------------------------------------------------Adjusted Ages - -------------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.34 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
55 | 60 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 8.14 | 9.49 | 10.35 | 7.80 | 8.98 |
- -------------------------------------------------------------------------------------------------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
35
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Female and the Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> | |||||||
<CAPTION> | |||||||
- --------------------------------------------------------------------------------------------------------- | |||||||
Adjusted Ages | |||||||
- ------------------------- | |||||||
Second | |||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e | |
- --------------------------------------------------------------------------------------------------------- | |||||||
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.93 | $ 5.27 | $ 5.46 | $ 4.93 | $ 5.19 | |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 | |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 | |
60 | 55 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 | |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 | |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 | |
65 | 60 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 | |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 | |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 | |
70 | 65 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 | |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 | |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 | |
75 | 70 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 | |
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Page 23 of 23
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 9.59 |
- --------------------------------------------------------------------------------------------------------- |
</TABLE> |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
36
<PAGE>
- --------------------------------------------------------------------------------
Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547
Certificate of Group Annuity Coverage
- --------------------------------------------------------------------------------
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY.
GP2CERT(4/94)
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Exhibit 16(4)(h) | ||
Aetna Insurance Company of America | ||
Home Office: 151 Farmington Avenue | ||
P.O. Box 30670 | ||
Hartford, Connecticut 06150-0670 | ||
(800) 531-4547 | ||
You may call the toll-free number shown above | ||
for answers to questions or to resolve a complaint | ||
Group Variable, Fixed or Combination Annuity Contract (Nonparticipating) | ||
Aetna Insurance Company of America (We or Us), a stock company, agrees to pay | ||
benefits according to the terms and conditions set forth in this Contract. | ||
Specifications | ||
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Plan | ||
SPECIMEN | ||
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Type of Plan | ||
SPECIMEN | ||
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Contract Holder | ||
SPECIMEN | ||
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Contract Number | ||
SPECIMEN | ||
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Effective Date | ||
SPECIMEN | ||
This Contract is delivered in YOUR STATE and is subject to the laws and | ||
regulations of that state. | ||
The variable features of the Group Contract are described in sections 6 and 12. | ||
Right to Cancel | ||
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The Group Contract Holder may cancel this Contract within ten (10) days of | ||
receiving it by returning it to Us at the address above or to the person from | ||
whom it was purchased. Within seven (7) days of the cancellation request, We | ||
will return the Certificate Holder's Purchase Payment(s) made plus any increase, | ||
or minus any decrease, on the amount allocated to the Separate Account. | ||
Signed at the home office on the Effective Date. | ||
/s/ Dan Kearney | /s/ Maria F. McKeon | |
President | Secretary | |
<PAGE> | ||
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | ||
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | ||
FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY. | ||
2 | ||
<PAGE> | ||
Table of Contents | ||
<TABLE> | ||
<CAPTION> | ||
Page | ||
<S> | <C> | |
Right to Cancel | 1 | |
Contract Schedule | 5 | |
Separate Account | 5 | |
AICA Guaranteed Account (AG Account) | 5 | |
Separate Account and AG Account | 5 | |
Fixed Annuity | 6 | |
Section 1. Definitions | 7 | |
Section 2. General Provisions | 9 | |
The Contract | 9 | |
Certificates | 9 | |
Nonparticipating Contract | 9 | |
Misstatements and Adjustments | 9 | |
Reports | 9 | |
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Premium Taxes | 9 |
Protection of Proceeds | 9 |
Evidence of Survival | 9 |
Proof of Age | 9 |
Change of Contract | 9 |
Section 3. Ownership | 10 |
Group Contract Holder | 10 |
Certificate Holder Rights | 10 |
Transfer of Ownership | 10 |
Section 4. Beneficiary Provisions | 11 |
Beneficiary | 11 |
Change of Beneficiary | 11 |
Death of Beneficiary | 11 |
Section 5. Purchase Payments | 11 |
Purchase Payments | 11 |
Allocation of Purchase Payments | 11 |
Section 6. Separate Account | 12 |
General | 12 |
Investment Allocations to the Separate Account | 12 |
Valuation of Assets | 12 |
Accumulation Unit | 12 |
Net Return Factor for Each Valuation Period | 12 |
Administrative Charge | 13 |
Mortality Risk Charge | 13 |
Expense Risk Charge | 13 |
Mortality and Expense Guarantee | 13 |
3
<PAGE>
Section 7. AG Account | 13 |
AG Account Guaranteed Interest Rate | 13 |
Deposit Period | 13 |
Guaranteed Term | 13 |
Guaranteed Term(s) Groups | 13 |
Maturity Date | 13 |
Allocation of Net Purchase Payments to the AG Guaranteed Account | 14 |
AG Account Guaranteed Term Maturity Date and Maturity Value | 14 |
Withdrawals from the AG Account | 14 |
Reinvestment | 15 |
AG Account Market Value Adjustment (Factor) | 15 |
Section 8. Certificate Holder's Account Value; Transfers and Withdrawals | |
During the Accumulation Period | 16 |
Certificate Holder's Account Value | 16 |
Transfers During the Accumulation Period | 16 |
Withdrawals During the Accumulation Period | 16 |
Deferred Sales Charge | 17 |
Waiver of Deferred Sales Charge | 17 |
Payment of Adjusted Certificate Holder Account Value | 17 |
Systematic Withdrawal Option (SWO) | 17 |
Section 9. Maintenance Charge | 18 |
Maintenance Charge | 18 |
Section 10. Proceeds Payable on Death | 18 |
Death of the Certificate Holder Prior to the Annuity Date | 19 |
Death Benefit Amount Prior to the Annuity Date | 19 |
Death Benefit Payment Methods | 20 |
Death of Certificate Holder On or After the Annuity Date | 21 |
Death of the Annuitant | 21 |
Section 11. Delay of Payments | 21 |
Delay of Payments | 21 |
Section 12. Annuity Provisions | 22 |
Designation of Annuitant | 22 |
Terms of Annuity Options | 22 |
Annuity Unit | 23 |
Annuity Unit Value | 23 |
Annuity Net Return Factor | 24 |
Annuity Options | 24 |
</TABLE> |
4
<PAGE>
Contract Schedule
<TABLE> <CAPTION> Separate Account
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Separate Account: | Variable Account I | |
<S> | <C> | |
Charges to the Separate Account: | A daily charge is deducted from the assets of the Separate Account. | The deduction is |
the daily equivalent of the annual effective percentage shown below: | ||
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(a) | During the Accumulation Period: | |
Administrative Charge | 0.15% | |
Mortality Risk Charge | 0.35% | |
Expense Risk Charge | 0.90% | |
TOTAL Separate Account Charges During | ||
Accumulation Period | 1.40% | |
(b) | During the Annuity Period | |
Administrative Charge Not To Exceed | 0.25% | |
Mortality Risk Charge | 0.35% | |
Expense Risk Charge | 0.90% | |
TOTAL Maximum Separate Account Charges | ||
During Annuity Period | 1.50% |
AICA Guaranteed Account (AG Guaranteed Account)
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Minimum Guaranteed Interest Rate | 3.0% |
(effective annual rate of return): |
Separate Account and AG Account
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Minimum Initial Purchase Payment: | $1,500 | |
Minimum Subsequent Purchase Payment: | $500 or $50 per month if paid by an automatic check plan | |
Maximum Subsequent Purchase Payment: | $1,000,000 without home office approval | |
Transfers: | We allow an unlimited number of transfers during the Accumulation Period. Twelve (12) | |
transfers in any calendar year are free. Thereafter, We reserve the right to charge a | ||
transfer charge up to $10 for each subsequent transfer. | ||
Maintenance Charge: | The annual maintenance charge is $30. If the Certificate Holder's Account is $50,000 | |
or more on the date the maintenance charge is to be deducted, the maintenance charge | ||
is $0. | ||
5 | ||
<PAGE> | ||
Deferred Sales Charge: | For each withdrawal from a Certificate Holder's Account, a deferred sales charge for | |
each Net Purchase Payment will be determined as follows: | ||
Years from Receipt of | Deferred | |
Net Purchase Payment | Sales Charge | |
0-1 | 7% | |
1-2 | 6% | |
2-3 | 5% | |
3-4 | 4% | |
4-5 | 3% | |
5-6 | 2% | |
6-7 | 1% | |
7+ | 0% | |
Waiver of Deferred Sales Charge: | Section 8.05 provides for the following: |
(c) |
At least 12 months after the date of the first Purchase Payment in an amount equal to or less than 15% of the Certificate Holder's Account Value. |
(d) |
For a full withdrawal where the Certificate Holder's Account Value does not exceed $2,500 and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months. |
Systematic Withdrawal Option: | (a) | Specified Payment - Maximum Percentage: | 10% |
(b) | Specified Period - Minimum Period: | 10 years | |
(c) | Specified Percentage - Maximum Percentage: | 10% | |
Death Benefit Factor: | 4% | ||
Death Benefit Maximum Amount: | There is no maximum death benefit amount. | ||
Death Benefit Maximum Age: | 85 years | ||
Fund for Allocation of Excess | Federated Prime Money Fund II Death | ||
Guaranteed Benefit Value: | |||
Latest Annuity Date: | The Certificate Holder's 90th birthday. |
Fixed Annuity
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Minimum Guaranteed Interest Rate | 3.0% |
(effective annual rate of return): | |
</TABLE> |
6
<PAGE>
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<TABLE> <CAPTION>
Section 1. Definitions
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1.01 |
Accumulation Period - The period during which one or more Net Purchase Payments applied to a Certificate Holder's Account accumulate to provide future Annuity payments. |
1.02 |
Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of a Certificate Holder's Account Value attributable to a Separate Account during the Accumulation Period. |
1.03 |
Adjusted Certificate Holder Account Value - The Certificate Holder's Account Value, plus or minus any aggregate AG Account Market Value Adjustment. |
1.04 |
AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time. The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Certificate Holders do not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct. |
1.05 |
Annuitant - The natural person on whose life an Annuity payment is based. |
1.06 |
Annuity - A series of payments We make for life, a definite period or a combination of the two. |
1.07 |
Annuity Date - The date on which Annuity payments commence. |
1.08 |
Annuity Options - Annuity payment methods available during the Annuity Period. |
1.09 |
Annuity Period - The period of time during which Annuity payments are made. |
1.10 |
Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment. |
1.11 |
Beneficiary - The person(s) entitled to receive any death benefit under the Certificate Holder's Account. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, is treated as the Beneficiary. |
Any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. |
|
1.12 |
Certificate - The document issued to a Certificate Holder to evidence a Certificate Holder's Account established under the group Contract. |
1.13 |
Certificate Holder - A person who has established a Certificate Holder's Account under a group Contract. We reserve the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder shall 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 any exercising of those ownership rights unless otherwise allowed by Us. If the Certificate Holder's Account is owned by a nonnatural person, the death benefit will be paid at the death of the Annuitant and a new Annuitant may not be named. |
7
<PAGE>
1.14 |
Certificate Holder's Account - A record We establish for each Certificate Holder to maintain values under a group Contract. |
1.15 |
Certificate Holder's Account Value - The dollar value as of any Valuation Period of all amounts accumulated in a Certificate Holder's Account. |
1.16 |
Contract - This agreement between the Group Contract Holder and Us. |
1.17 |
Dollar Cost Averaging - A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds and the one-year guaranteed term of the AG Account to any of the Funds. Dollar Cost Averaging is not available if the Systematic Withdrawal Option is in effect. |
1.18 |
Effective Date - The date a Certificate is issued to a Certificate Holder. |
1.19 |
Fund - One of the variable investment options which may be selected by a Certificate Holder. |
1.20 |
General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts. |
1.21 |
Group Contract Holder - The entity to which a group Contract is issued. |
1.22 |
Home Office - Our headquarters, located at 151 Farmington Avenue, Hartford, CT 06156. |
1.23 |
Market Value Adjustment - An adjustment that may apply to a withdrawal made from the AG Account before the end of a guaranteed term as stated in Section 7.10. |
1.24 |
Net Purchase Payment - The Purchase Payment less premium taxes, if applicable. |
1.25 |
Purchase Payment - The gross payment accepted by Us and allocated to the Certificate Holder's Account. We reserve the right to refuse to accept any Purchase Payment at any time for any reason. |
1.26 |
Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. |
We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of the Separate Account, will not be charged with Our other liabilities. |
|
1.27 |
Valuation Period - The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such business day, or such other |
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day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct.
1.28 |
Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results. |
8
<PAGE>
Section 2. General Provisions
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The Contract - The entire Contract consists of this Contract and any endorsements attached or subsequently issued.
Certificates - A Certificate is issued to each Certificate Holder whose Purchase Payment(s) is accepted by Us. The
Certificate evidences a Certificate Holder's Account established under the Contract. Certificates are not part of the Contract.
2.03 |
Nonparticipating Contract - Neither the Group Contract Holder, Certificate Holder nor any Beneficiary have a right to share in our earnings. |
2.04 |
Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request reimbursement or adjust future payments for any amount overpaid. We will pay the amount of any underpayment. |
2.05 |
Reports - We furnish each Certificate Holder with a report showing the Certificate Holder's Account Value at least once each calendar year. We also furnish an annual report of the Separate Account. |
2.06 |
Premium Taxes - Any premium taxes paid to any governmental entity are charged against Purchase Payments or a Certificate Holder's Account. We may, at our sole discretion, pay premium taxes when due and deduct that amount from the Certificate Holder's Account at a later date. Payment at an earlier date does not waive any right We may have to deduct amounts at a later date. |
2.07 |
Protection of Proceeds - To the extent permitted by law, all payments under this Contract to a Certificate Holder or Beneficiary shall be free from legal process and the claim of any creditor. |
2.08 |
Evidence of Survival - The Company may require satisfactory evidence of the continued survival of any person(s) on whose life Annuity payments are based. |
2.09 |
Proof of Age - The Company may require evidence of age of any Annuitant under Annuity Options 2 and 3 and of the designated second Annuitant under Annuity Option 3. |
2.10 |
Change of Contract - Only our authorized officers may change the terms of this Contract. We will notify the Group Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change. |
We may make any change that affects the AG Account Market Value Adjustment with at least thirty (30) days' advance written notice to the Group Contract Holder and the Certificate Holder. Any such change shall become effective for any new guaranteed term and will apply to all present and future Certificate Holders' Accounts. |
9
<PAGE>
We reserve the right to change the terms of the Systematic Withdrawal Option for future elections and discontinue the availability of this option.
Any change to any of the following provisions under this Contract will not apply to Certificate Holder's Accounts in existence before the effective date of the change:
(a) Net Purchase Payment (1.24)
(b) AG Account Guaranteed Interest Rate (7.01) (c) Net Return Factor (6.05) (d) Certificate Holder's Account Value (1.15) (e) Deferred Sales Charge (8.04) (f) Annuity Unit Value (12.04) (g) Annuity Options (12.06) (h) Fixed Annuity Interest Rates (12.01) (i) Transfers (8.02).
Any change that affects the Annuity Option and the tables for the Annuity Options may be made:
(a) No earlier than twelve (12) months after the Effective Date; and
(b) No earlier than twelve (12) months after the effective date of any prior change.
Any Certificate Holder's Account established on or after the
effective date of any change will be subject to the change. If
the Group Contract Holder does not agree to any change under
this provision, We reserve the right to not allow any new
Certificate Holder's Accounts to be established under this
Contract. This Contract may also be changed as deemed necessary
by Us to comply with federal or state law.
Section 3. Ownership
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Group Contract Holder - The Group Contract Holder has title to the Contract. The Contract and any amounts
accumulated thereunder are not subject to the claims of the Group Contract Holder nor any of its creditors.
3.02 |
Certificate Holder Rights - The Certificate Holder has all interest and right to amounts held in his or her Certificate Holder's Account. The Certificate Holder and any joint Certificate Holder are named on the Specifications page. The Certificate Holder and any joint Certificate Holder may exercise all the rights under the |
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Certificate Holder's Account, subject to the rights of:
(a) Any assignee under an assignment filed at our home office; and
(b) Any irrevocably named Beneficiary.
Upon the death of a Certificate Holder prior to the Annuity Date, a spousal Beneficiary may elect to continue the Certificate Holder's Account in his or her own name and retain all ownership rights and privileges or take distribution of the death benefit as defined in Section 10.
3.03 |
Transfer of Ownership - The Group Contract Holder may transfer ownership of this Contract. A written request, dated and signed, must be filed at our home office. |
Any transfer of ownership terminates the interest of any existing Group Contract Holder. It does not change the rights of any Certificate Holder. |
10
<PAGE>
A Certificate Holder may transfer all of his or her rights under the Contract. We reserve the right not to accept an assignment or transfer to a nonnatural person. A written request, dated and signed by the Certificate Holder and any joint Certificate Holder, must be filed at our home office. After the transfer is recorded, it will take effect as of the date the request was signed. Any such transfer terminates the interest of any existing Certificate Holder. It does not change the Beneficiary, nor transfer the Beneficiary's interest. A transfer will not affect any payments We may make or actions We may take before such transfer has been recorded at our home office.
Section 4. Beneficiary Provisions
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Beneficiary - The Certificate Holder may name a Beneficiary and a contingent Beneficiary. At the death of the
Certificate Holder prior to the Annuity Date, the Beneficiary(ies) named in our records will receive a death benefit as stated in Section 10. Upon the death of either joint Certificate Holder prior to the Annuity Date, the surviving joint Certificate Holder, if any, will be treated as the designated Beneficiary and any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. If the Certificate Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant.
4.02 |
Change of Beneficiary - The Certificate Holder may change the Beneficiary. A written request, dated and signed by the Certificate Holder, must be filed at our home office. If there are joint Certificate Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. If the request reaches our home office and is recorded after the Certificate Holder dies, but before any payment is made, the change is valid. |
4.03 |
Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Certificate Holder's death, We pay the death benefit in one sum to the Certificate Holder's estate. If the Certificate Holder is a nonnatural person, and all of the Beneficiaries and contingent Beneficiaries die prior to the Annuitant's death, We will pay the death benefit in one sum to the Certificate Holder. |
Section 5. Purchase Payments
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Purchase Payments - Subject to the maximum and minimum shown on the Contract Schedule, the Certificate Holder may
determine the amount and frequency of Purchase Payments. We reserve the right not to accept any Purchase Payment. We will declare from time to time the acceptability of additional Purchase Payments.
5.02 |
Allocation of Purchase Payments - The Certificate Holder may elect to have each Net Purchase Payment accumulate: |
|
(a) |
On a variable basis invested in shares of one or more Funds in which the Separate Account invests; |
|
(b) |
For guaranteed terms offered in the current deposit period(s) under the AG Account; or |
|
(c) |
In a combination of any of the available investment options. |
|
Net |
Purchase Payments must be allocated in whole percentages. For subsequent Purchase Payments, if no allocation |
|
instructions |
are received with the Purchase Payment, the allocation will be as indicated in the most recent |
|
directive |
from the Certificate Holder. If the same guaranteed term(s) are not available, the next shortest will be |
|
used. |
If no shorter guaranteed term is available, the next longer guaranteed term will be used. |
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<PAGE>
Section 6. Separate Account
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General - The assets of the Separate Account, equal to the reserves and other Contract liabilities that depend on
the investment performance of the Separate Account are not chargeable with liabilities arising out of any other business We may conduct. Income, gains or losses of the Separate Account, realized or unrealized, are credited to or charged against the assets of the Separate Account without regard to Our other income, gains or losses.
6.02 |
Investment Allocations to the Separate Account - The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, We may cease to make such Fund shares available for investment under the Contract prospectively, or We may substitute shares of another Fund for shares already acquired. We may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. We reserve the right to substitute shares of another Fund for shares already acquired without a proxy vote. |
6.03 |
Valuation of Assets - The shares of the Funds will be valued at their net asset value at the end of each Valuation Period. |
6.04 |
Accumulation Unit - A Net Purchase Payment that is allocated to one or more Funds is credited to the Certificate Holder's Account as Accumulation Units. The number of Accumulation Units credited is determined by dividing the applicable portion of the Net Purchase Payment by the Accumulation Unit value for the appropriate Fund. The |
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Accumulation Unit value used is that which is computed for the next Valuation Period after which the Purchase Payment is received at our home office. Accumulation Units attributable to the initial Purchase Payments will be credited within two business days of acceptance.
Accumulation Unit values may increase or decrease from Valuation Period to Valuation Period.
6.05 |
Net Return Factor for Each Valuation Period - The value of an Accumulation Unit for any Valuation Period is |
|
calculated |
by multiplying the Accumulation Unit value for the immediately preceding Valuation Period by the net |
|
return |
factor of the appropriate Fund for the current period. |
|
The |
net return factor for each Fund is equal to 1.0000000 plus the net return rate. |
|
The |
net return rate equals: |
|
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus |
|
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
|
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
|
(d) |
The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus |
|
(e) |
A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge. |
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<PAGE>
The net return rate may be more or less than zero (0) percent.
The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.
6.06 |
Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.07 |
Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.08 |
Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.09 |
Mortality and Expense Guarantee - We guarantee that the dollar amount of each Annuity payment after the first will not be affected by variations in mortality or expense experience. |
Section 7. AG Account
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AG Account Guaranteed Interest Rate - All amounts allocated to the AG Account earn a rate of interest that is
guaranteed for a specified period of time. The rate will be credited daily and will never be less than the minimum guaranteed interest rate shown on the Contract Schedule. We determine the rate and it is not based on investment experience.
For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.
7.02 |
Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG Account for one or more guaranteed terms. We reserve the right to extend the deposit period. |
7.03 |
Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years. |
During a deposit period, We may make available any number of guaranteed terms. The Certificate Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms. |
|
7.04 |
Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the same length of time from the close of the deposit period until the designated Maturity Date. |
7.05 |
Maturity Date - The last day of a guaranteed term. |
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<PAGE>
7.06 |
Allocation of Net Purchase Payments to the AG Account - When the Certificate Holder wishes to allocate all or any portion of a Net Purchase Payment to the Guaranteed Account, he or she must tell Us the percentage to apply to one or more of the AG Account guaranteed term(s) available during the current deposit period. If no allocation instructions are received, a Net Purchase Payment is allocated as indicated in the most recent directive from the Certificate Holder. If the same guaranteed term is not available for any amount allocated to the AG Account, We will allocate the amount to the next shortest guaranteed term available. If no shorter guaranteed term is available, We will allocate it to the next longest guaranteed term. |
7.07 |
AG Account Guaranteed Term Maturity Date and Maturity Value - On the maturity date, the value of the total of all amounts allocated to that guaranteed term is called the maturity value. |
When Certificate Holders have assets in the AG Account, at least eighteen (18) days before a maturity date, We |
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notify them of the:
(a) Projected maturity value; and
(b) Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period.
When no allocation instructions are received and the assets in a guaranteed term have been reinvested by Us in another guaranteed term on the maturity date, the Certificate Holder may transfer or withdraw, during the month following the maturity date, the reinvested amount with interest earned (as of the date the request is received at our home office) without incurring a Market Value Adjustment. This transaction is allowed only once for each maturity date, regardless of whether the transfer or withdrawal is partial or full.
7.08 |
Withdrawals and Transfers from the AG Account - When the Certificate Holder requests a withdrawal or transfer from |
|
the |
AG Account, if instructions are not provided by the Certificate Holder, amounts are withdrawn on a pro rata |
|
basis |
from the guaranteed term(s) groups in which the Certificate Holder's Account is currently invested. Within a |
|
guaranteed |
term group, the amount to be withdrawn will be withdrawn first from the oldest deposit period. |
|
Withdrawals |
or transfers from an AG Account guaranteed term before the maturity date are subject to a Market Value |
|
Adjustment, |
except for: |
|
(a) |
A one month period following the maturity date described in 7.07; |
|
(b) |
Transfers under the Dollar Cost Averaging program; and |
|
(c) |
Withdrawals under the Systematic Withdrawal Option described in Section 8.07. |
Only a positive Market Value Adjustment will apply to amounts transferred from the AG Account when the Certificate Holder elects Annuity Option 2 or 3.
14
<PAGE>
7.09 |
Reinvestment - We will mail a notice to the Certificate Holder before a guaranteed term's maturity date. This notice will contain the guaranteed terms available during the current deposit periods with their guaranteed interest rate(s) and projected maturity value. If no specific direction is given by the Certificate Holder prior to the maturity date, each maturity value will be reinvested in the current deposit period for a guaranteed term of the same duration. If a guaranteed term of the same duration is unavailable, each matured term value will automatically be reinvested in the current deposit period for the next shortest guaranteed term available. If no shorter guaranteed term is available, the next longer guaranteed term will be used. We will mail a confirmation statement to the Certificate Holder after the maturity date. This notice will state the guaranteed term and guaranteed interest rate(s) which will apply to the reinvested matured term value. |
7.10 |
AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. |
Except as noted in Section 7.09, 10.02 and 12.01, an MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term. |
|
The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows: |
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 Term.
Determination of MVA factor parameters:
A yield is computed at the close of the last business day of each week of the deposit period. The yield will equal the average of the yields on U.S. Treasury Notes which matured during the last three months of the applicable guaranteed term.
The deposit period yield is the average of those yields for the deposit period. If withdrawal is made prior to 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.
15
<PAGE>
If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.
Section 8. Certificate Holder's Account Value; Transfers and Withdrawals During the Accumulation Period
-----------------------------------------------------------------------------------------------------------------------------------
Certificate Holder's Account Value - The value of a Certificate Holder's Account is determined by adding the value
of the total of Accumulation Units attributed to the selected Fund(s) to the value of any amounts attributed to the AG Account.
8.02 |
Transfers During the Accumulation Period - Before the Annuity Date, the Certificate Holder may transfer from any |
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Fund or guaranteed term of the AG Account to:
(a) |
Any other Fund; or |
(b) |
Any guaranteed term of the AG Account available in the current deposit period. |
Transfer requests can be submitted as a percentage or as a dollar amount. We may establish a minimum transfer amount. Within a guaranteed term group, the amount transferred is withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied.
The Certificate Holder may make an unlimited number of transfers during the Accumulation Period. The number of free transfers allowed is shown on the Contract Schedule. Transfers in excess of that number may be subject to the transfer charge shown on the Contract Schedule. Transfers under the Dollar Cost Averaging program do not count toward the annual limit. Transfers of a matured term value from the AG Account on or within one calendar month after a guaranteed term's maturity date do not count against the annual transfer limit.
Amounts applied to guaranteed terms of the AG Account may not be transferred to the Funds or to another guaranteed term during the deposit period or for 90 days after the close of the deposit period except for (1) matured term value(s) during the calendar month following the guaranteed term's maturity date; (2) amounts applied to an annuity option; (3) transfers from the one-year guaranteed term under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option.
Except as noted in Section 7.09, 10.02 and 12.01, transfers from guaranteed terms of the AG Account before the Maturity Date are subject to a Market Value Adjustment.
8.03 |
Withdrawals During the Accumulation Period - The Certificate Holder may withdraw all or a portion of the Certificate Holder's Account Value during the Accumulation Period by properly completing a withdrawal request form. Withdrawal requests can be submitted as a percentage or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial withdrawal, if instructions are not provided by the Certificate Holder, amounts are withdrawn on a pro rata basis from the Fund(s), and/or the guaranteed term(s) groups in which the Certificate Holder's Account is currently invested. Within a guaranteed term group, the amount to be withdrawn will be withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied. |
16
<PAGE>
After deduction of the maintenance charge, if applicable, the withdrawn amount shall be reduced by the applicable deferred sales charge and any applicable premium taxes.
8.04 |
Deferred Sales Charge - The deferred sales charge only applies to the portion of the amount withdrawn attributable |
|
to |
Net Purchase Payment(s) and varies according to the elapsed time since receipt of the Purchase Payment. The |
|
deferred |
sales charge is shown on the Contract Schedule. |
|
8.05 |
Waiver of Deferred Sales Charge - No deferred sales charge is deducted when a Certificate Holder's Account Value is |
|
paid: | ||
(a) |
To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Certificate Holder as described in Section 10.02(b); |
|
(b) |
As a premium for an Annuity Option; |
|
(c) |
At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Certificate Holder's Account Value as shown on the Contract Schedule. This applies to the first withdrawal request, partial or full, in a calendar year. The Certificate Holder's Account Value is calculated as of the date the withdrawal request is received in good order at our home office. This waiver is not available to the Certificate Holder while a SWO is in effect; |
|
(d) |
For a full withdrawal where the Certificate Holder's Account Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months; |
|
(e) |
For a distribution made by Us under Section 8.06; or |
|
(f) |
For a distribution which is part of a SWO under Section 8.07. |
|
We |
reserve the right to allow the proceeds of a total withdrawal to be reinstated under the terms and conditions as |
|
established |
by Us from time to time. |
|
8.06 |
Payment of Adjusted Certificate Holder Account Value - Upon 90 day's written notice to the Certificate Holder, We |
|
will |
terminate any Certificate Holder's Account if the Certificate Holder's Account Value becomes less than $1,500 |
|
immediately |
following any partial withdrawal. We do not intend to exercise this right in cases where the Certificate |
|
Holder's |
Account Value is reduced to $1,500 or less solely due to investment performance. When We make a |
|
distribution |
pursuant to this provision, the deferred sales charge will not be deducted. |
|
8.07 |
Systematic Withdrawal Option (SWO) - We will allow the Certificate Holder to establish a schedule of withdrawals to |
|
be |
made automatically from the Certificate Holder's Account Value. All distributed amounts will be withdrawn on a |
|
pro |
rata basis from the Fund(s) and/or the guaranteed term(s) groups of the AG Account in which the Certificate |
|
Holder's |
Account is invested. |
|
The |
Certificate Holder must elect one of the following SWO methods: |
17
<PAGE>
(a) |
Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Certificate Holder's Account Value at time of the election as shown on the Contract Schedule. |
This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or |
|
(b) |
Specified Period: Payments which are made over a period of time which must be at least the minimum period as shown on the Contract Schedule. The annual amount paid each year is calculated by dividing the Certificate |
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Holder's Account Value as of December 31 of the prior year by the number of payment years remaining; or
(c) |
Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Certificate Holder's Account Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. |
The annual amount is calculated by multiplying the Certificate Holder's Account Value as of December 31 of the year prior to the payment by the designated percentage. |
SWO payments will cease at the Certificate Holder's death (or if the Certificate Holder is a nonnatural person, at the death of the Annuitant). A beneficiary may elect to continue SWO as provided in Section 10.01.
In our discretion, We may require a minimum initial Certificate Holder's Account Value for election of this option. SWO may be elected by submitting a completed and signed election form to Us. Once elected, this option may be revoked by submitting a written request to Us. SWO may be elected only once by the Certificate Holder or by a spousal Beneficiary.
Certificate Holders should consult their tax adviser prior to requesting this distribution option. We are not responsible for any adverse tax consequences due to a Certificate Holder's receiving SWO payments. A ten (10) percent penalty tax may apply to distributions to a Certificate Holder who has not reached age 59 1/2. Upon death of the Certificate Holder, any payments will be made under the terms of Section 10.
Dollar Cost Averaging is not available to Certificate Holders who have elected SWO.
Section 9. Maintenance Charge
-----------------------------------------------------------------------------------------------------------------------------------
Maintenance Charge - We will deduct an annual maintenance charge as shown in the Contract Schedule from the
Certificate Holder's Account during the Accumulation Period. We will deduct the maintenance charge on the anniversary of the Effective Date of the Certificate for the Certificate Holder's Account. This maintenance charge is also deducted upon withdrawal of the entire Adjusted Certificate Holder's Account. The maintenance charge is deducted proportionately from each investment option used.
Section 10. Proceeds Payable on Death
- -----------------------------------------------------------------------------------------------------------------------------------
18
<PAGE>
10.01 |
Death of the Certificate Holder Prior to the Annuity Date - In the event of the death of the Certificate Holder or a |
|||
joint |
Certificate Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by |
|||
the |
Certificate Holder. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if |
|||
any, |
will be treated as the designated Beneficiary. Any other Beneficiary designation on record with Us at the time |
|||
of |
death will be treated as a contingent Beneficiary. If the Certificate Holder is a nonnatural person, the death |
|||
benefit |
will be payable to the Beneficiary(ies) at the death of the Annuitant. |
|||
A |
Beneficiary may request We pay the death benefit under one of the methods described in Section 10.03. If the |
|||
Beneficiary |
is the spouse of the Certificate Holder, or the spouse of the Annuitant if the Certificate Holder is a |
|||
nonnatural |
person, he or she may elect to continue the Certificate Holder's Account in his or her own name and |
|||
exercise |
all the Certificate Holder's rights under the Contract. |
|||
10.02 |
Death Benefit Amount Prior to the Annuity Date - |
|||
(a) |
Except as set forth below, the amount of the guaranteed death benefit value is equal to the greater of: |
|||
(i) |
The Certificate Holder's Account Value at the end of the Valuation Period during which We receive at our |
|||
home |
office due proof of death and election of the type of payment to be made; or |
|||
(ii) |
The death benefit determined as of the Valuation Period corresponding to the date of death. |
|||
Until |
the first Effective Date anniversary, the death benefit is equal to the Purchase Payments made by the |
|||
Certificate |
Holder prior to the Effective Date anniversary less any withdrawals and any amounts applied to |
|||
an |
Annuity Option. |
|||
For |
each Certificate year thereafter, the death benefit during the Certificate year equals the death |
|||
benefit |
at the beginning of the Certificate year plus Purchase Payments made during the year less any |
|||
withdrawals |
and any amounts applied to an Annuity Option. |
|||
On |
each Effective Date anniversary, the death benefit is determined as follows: |
|||
(A) |
The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus |
|||
(B) |
Purchase Payments made by the Certificate Holder during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less |
|||
(C) |
Any withdrawals or amounts applied to an Annuity Option during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the Certificate year since the withdrawal or election of Annuity option; or |
19
<PAGE>
(iii) |
The Certificate Holder's Account Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option. |
Notwithstanding the foregoing, the death benefit under (ii) or (iii) will not exceed the death benefit maximum amount shown on the Contract Schedule.
The death benefit calculation described in (ii) and (iii) above, applies until the Certificate Holder reaches the
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death benefit maximum age shown on the Contract Schedule. If the Certificate Holder is a nonnatural person, death provisions will be based on the age of the Annuitant. Thereafter, the death benefit is only adjusted for Purchase Payments, withdrawals and amounts applied to Annuity Options. If the Certificate Holder reaches the death benefit maximum age shown on the Contract Schedule prior to the seventh anniversary of the Effective Date, the death benefit will be the greater of (i) or (ii) above.
The excess, if any, of the guaranteed death benefit value over the Certificate Holder's Account Value is determined when we receive at our home office due proof of death and allocated to the Fund shown on the Contract Schedule. The Certificate Holder's Account Value plus any excess amount deposited becomes the Certificate Holder's Account Value.
(b) |
In the case of a spousal Beneficiary who continued the Certificate Holder's Account in his or her own name, the death benefit shall be equal to the Adjusted Current Value less any applicable deferred sales charge on any Purchase Payment made after We have received at our home office due proof of death of the joint Certificate Holder (or Annuitant, if applicable). |
When the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account within six months after the date of death, the amount withdrawn or transferred from the AG Account will be the greater of:
(1) The aggregate Market Value Adjustment amount (the amount resulting from the application of relevant Market Value Adjustment factors); or
(2) The applicable portion of Certificate Holder's Account Value in the AG Account.
After the six-month period, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the aggregate Market Value Adjustment amount. Only a positive market value adjustment will apply, however, to amounts transferred from the AG Account when the Beneficiary elects Annuity Option 2 or 3.
At the death of a spousal Beneficiary who continued the Certificate Holder's Account in his or her own name, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the Aggregate Market Value Adjustment amount.
10.03 |
Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Certificate Holder prior to the Annuity Date: |
20
<PAGE>
Method 1 - Lump sum payment of the death benefit; or
Method 2 - The payment of the entire death benefit within five years of the date of the Certificate Holder's death; or
Method 3 - Payment of the death benefit over the lifetime of the designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Certificate Holder.
Any portion of the death benefit not applied under Method 3 within one year of the date of Certificate Holder's death, or the death of the Annuitant if the Certificate Holder is a nonnatural person, must be distributed within five years of the date of death.
A spousal Beneficiary may elect to continue the Certificate Holder's Account in his or her name, elect a lump sum payment of the death benefit, or apply the Adjusted Certificate Holder's Account Value to an Annuity Option.
10.04 |
Death of Certificate Holder On or After the Annuity Date - If the Certificate Holder who is not the Annuitant, dies on or after the Annuity Date, the 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. |
10.05 |
Death of the Annuitant - If the Annuitant, who is not a Certificate Holder, dies on or before the Annuity Date, a new Annuitant may be named. If no Annuitant is named, the Certificate Holder will be the Annuitant. If the Certificate Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant and no new Annuitant may be named. If the Annuitant dies after the Annuity Date, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity Option elected. We will require proof of the Annuitant's death. Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death. |
Section 11. Delay of Payments
-----------------------------------------------------------------------------------------------------------------------------------
Delay of Payments - We will make any payments under this Contract within seven days after a request is received in
good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:
(a) |
The New York Stock Exchange is closed for other than customary weekend and holiday closings; |
(b) |
Trading on the Exchange is restricted; |
(c) |
An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or |
(d) |
The Securities and Exchange Commission so permits delay for the protection of security holders. |
The applicable rules of the Securities and Exchange Commission will govern as to whether the conditions in (b) or (c) exist.
We also reserve the right to delay any type of payment from the AG Account for up to six months. 21 <PAGE>
Section 12. Annuity Provisions
- -----------------------------------------------------------------------------------------------------------------------------------
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12.01 |
Designation of Annuitant - The Certificate Holder and the Annuitant need not be the same person. The Certificate |
|
Holder |
names the Annuitant and during the Accumulation Period, may change the designated Annuitant. We change the |
|
Annuitant |
when We receive a written request in good order at our home office. We will not change the Annuitant when |
|
Annuity |
payments have commenced. |
|
The |
Certificate Holder elects an Annuity Option by telling Us to use all or any portion of the Certificate Holder's |
|
Account |
Value (minus any applicable premium taxes if not previously deducted) to purchase Annuity payments under an |
|
Annuity |
Option. If the Certificate Holder elects Annuity Option 1, the amount applied to purchase Annuity payments |
|
will |
be equal to the Adjusted Certificate Holder's Account Value. If the Certificate Holder elects Annuity Option 2 |
|
or |
3, the amount applied to purchase Annuity payments will be the greater of: |
|
(1) |
The Adjusted Certificate Holder's Account Value; or |
|
(2) |
The Certificate Holder's Account Value. |
|
When |
an Annuity Option is chosen the Certificate Holder must designate a: |
|
(a) |
Fixed Annuity using the General Account; |
|
(b) |
Variable Annuity using any of the Funds available during the Annuity Period; or |
|
(c) |
Combination of (a) and (b). |
|
If |
a fixed Annuity is chosen, We will calculate the amount using an interest assumption no less than the percentage |
|
specified |
on the Contract Schedule. We may calculate the amount using a higher interest rate. |
|
If |
a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use |
|
an |
Assumed Annual Net Return Rate of 3.5% |
|
Payments |
are made on a monthly basis to the Certificate Holder unless the Certificate Holder requests a different |
|
mode |
of payment. |
|
Once |
elected, an Annuity Option may not be revoked, except for Option 1 when elected on a variable basis. |
|
12.02 |
Terms of Annuity Options - The minimum first payment amount must be at least $50 per month and at least $250 per |
|
year. | ||
If |
the Certificate Holder elects a fixed Annuity and We determine that the Certificate Holder would receive larger |
|
payments |
by applying the Certificate Holder's Account Value, reduced by the deferred sales charge, to a single |
|
premium |
immediate Annuity currently offered by Us, We will make the larger payments. |
We determine the first payment of a variable Annuity, or the payment amount of a fixed Annuity, using the Annuitant's (and second Annuitant's if applicable) adjusted age which We calculate as follows:
22
<PAGE>
(a) |
If Annuity payments begin any time between July 1, 1992 and December 31, 1999, the adjusted age is the Annuitant's age as of the birthday closest in time to the Annuity Date reduced by one (1) year. |
(b) |
If the Annuity begins any time between January 1, 2000 and December 31, 2009, the adjusted age is the Annuitant's age as of the birthday closest in time to the Annuity Date reduced by two (2) years. |
(c) |
For each succeeding decade, the adjusted age is the Annuitant's age as determined in (b), reduced by one additional year. |
The Annuity rates for Options 2 and 3 are based on mortality from 1983 Table A.
Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a variable Annuity. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future variable Annuity payments are to remain level.
The Certificate Holder must give written notice to Us at least 30 days before the Annuity payments begin, electing or changing:
(a) |
The date on which Annuity payments are to begin; |
(b) |
The Annuity Option; |
(c) |
Whether the payments are to be made monthly, quarterly, semiannually or annually; |
(d) |
The investment options used to provide Annuity payments. |
The first Annuity payment may not be earlier than one (1) calendar year after the initial Purchase Payment, nor later than the later of the:
(a) |
First day of the month following the Annuitant's birthday shown on the Contract Schedule; or |
(b) |
Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may request a lump sum payment. |
12.03 |
Annuity Unit - The number of Annuity Units per Fund is based on the amount of the first variable Annuity payment |
|
which |
is equal to: |
|
(a) |
The portion of the Certificate Holder's Account Value (minus any premium taxes) applied to pay a variable Annuity; divided by, |
|
(b) |
1000; multiplied by, |
|
(c) |
The payment rate for the Annuity Option chosen. |
|
Such |
amount, or portion, of the variable Annuity payment will be divided by the Annuity Unit value for the |
|
appropriate |
Fund on the tenth Valuation Period before the due date of the first payment to determine the number of |
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each Fund's Annuity Units. The number of each Fund's Annuity Unit remains fixed. Each future payment is equal to the sum of the products of each Fund's Annuity Unit value multiplied by the appropriate number of units. The Fund's Annuity Unit value on the tenth Valuation Period prior to the due date of the payment is used.
12.04 Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit value is equal to:
23
<PAGE>
(a) |
The value for the previous Valuation Period; multiplied by, |
(b) |
The Annuity Net Return Factor for the Valuation Period; multiplied by, |
(c) |
A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663). |
The dollar value of a Fund(s) Annuity Unit values and payments may go up or down due to investment gain or loss.
12.05 |
Annuity Net Return Factor - The Annuity net return factor is used to compute all Separate Account Annuity payments |
|
for |
any Fund. |
|
The |
Annuity net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate. The net return rate |
|
is |
equal to: |
|
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus, |
|
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus, |
|
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
|
(d) |
The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus, |
|
(e) |
A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule. |
|
The |
net return rate may be more or less than zero (o) percent. |
|
The |
value of a share of the Fund is equal to the net assets of |
|
the |
Fund divided by the number of shares outstanding. |
|
12.06 |
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 5 and not more than 30. |
|
If |
payments for this Annuity Option are made under a variable Annuity, the present value of any remaining payments |
|
may |
be withdrawn at any time. Option 2 - Life Income - An Annuity will be paid for the life of the Annuitant. If |
|
also |
chosen, We 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 Annuity Option |
|
is |
chosen, a choice must be made of: |
24
<PAGE>
(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 Annuitant. |
We may make other options available as allowed by law.
</TABLE>
25
<PAGE>
<TABLE>
<CAPTION>
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%
- ------------------- ------------------- ------------------ ------------------ ------------------- ------------------
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Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
------------------- ------------------- ------------------ ------------------ ------------------- ------------------
<S> | <C> | <C> | <C> | <C> | <C> |
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 |
- ------------------- ------------------- ------------------ ------------------ ------------------- ------------------</TABLE>
26
<PAGE>
<TABLE>
<CAPTION>
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 | None | 60 | 120 | 180 | 240 | ||||
Age of | ------------------------------------------------------------------------------------------------------------------ | ||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male Female |
- ---------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | ||||||||||
50 | $ 4.27 | $ 3.90 | $ 4.26 | $ 3.90 | $ 4.22 | $ 3.89 | $ 4.17 | $ 3.86 | $ 4.08 | $ 3.82 | ||||||||||
51 | 4.34 | 3.97 | 4.33 | 3.96 | 4.30 | 3.95 | 4.23 | 3.92 | 4.14 | 3.88 | ||||||||||
52 | 4.43 | 4.03 | 4.41 | 4.03 | 4.37 | 4.01 | 4.30 | 3.98 | 4.20 | 3.93 | ||||||||||
53 | 4.51 | 4.10 | 4.50 | 4.10 | 4.45 | 4.08 | 4.37 | 4.04 | 4.26 | 3.99 | ||||||||||
54 | 4.60 | 4.18 | 4.59 | 4.17 | 4.54 | 4.15 | 4.45 | 4.11 | 4.32 | 4.04 | ||||||||||
55 | 4.70 | 4.25 | 4.68 | 4.25 | 4.62 | 4.22 | 4.53 | 4.18 | 4.39 | 4.11 | ||||||||||
56 | 4.80 | 4.34 | 4.78 | 4.33 | 4.72 | 4.30 | 4.61 | 4.25 | 4.45 | 4.17 | ||||||||||
57 | 4.91 | 4.42 | 4.89 | 4.41 | 4.82 | 4.38 | 4.69 | 4.32 | 4.51 | 4.23 | ||||||||||
58 | 5.03 | 4.52 | 5.00 | 4.51 | 4.92 | 4.47 | 4.78 | 4.40 | 4.58 | 4.30 | ||||||||||
59 | 5.15 | 4.61 | 5.12 | 4.60 | 5.03 | 4.56 | 4.87 | 4.48 | 4.65 | 4.37 | ||||||||||
60 | 5.28 | 4.72 | 5.25 | 4.70 | 5.14 | 4.66 | 4.96 | 4.57 | 4.71 | 4.44 | ||||||||||
61 | 5.43 | 4.83 | 5.39 | 4.81 | 5.27 | 4.76 | 5.06 | 4.66 | 4.78 | 4.51 | ||||||||||
62 | 5.58 | 4.95 | 5.53 | 4.93 | 5.39 | 4.87 | 5.16 | 4.75 | 4.84 | 4.58 | ||||||||||
63 | 5.74 | 5.08 | 5.69 | 5.05 | 5.53 | 4.99 | 5.26 | 4.85 | 4.90 | 4.65 | ||||||||||
64 | 5.91 | 5.21 | 5.85 | 5.18 | 5.66 | 5.10 | 5.36 | 4.95 | 4.96 | 4.72 | ||||||||||
65 | 6.10 | 5.36 | 6.03 | 5.32 | 5.81 | 5.22 | 5.46 | 5.05 | 5.02 | 4.79 | ||||||||||
66 | 6.30 | 5.51 | 6.21 | 5.47 | 5.96 | 5.36 | 5.56 | 5.16 | 5.08 | 4.86 | ||||||||||
67 | 6.51 | 5.67 | 6.41 | 5.63 | 6.12 | 5.50 | 5.66 | 5.26 | 5.13 | 4.93 | ||||||||||
68 | 6.73 | 5.85 | 6.62 | 5.80 | 6.28 | 5.65 | 5.77 | 5.37 | 5.18 | 5.00 | ||||||||||
69 | 6.97 | 6.04 | 6.84 | 5.98 | 6.44 | 5.80 | 5.86 | 5.49 | 5.23 | 5.06 | ||||||||||
70 | 7.23 | 6.25 | 7.07 | 6.18 | 6.61 | 5.97 | 5.96 | 5.60 | 5.27 | 5.12 | ||||||||||
71 | 7.51 | 6.47 | 7.32 | 6.39 | 6.79 | 6.14 | 6.05 | 5.71 | 5.31 | 5.18 | ||||||||||
72 | 7.80 | 6.71 | 7.58 | 6.62 | 6.96 | 6.32 | 6.14 | 5.83 | 5.34 | 5.23 | ||||||||||
73 | 8.12 | 6.98 | 7.85 | 6.86 | 7.14 | 6.50 | 6.23 | 5.94 | 5.37 | 5.28 | ||||||||||
74 | 8.46 | 7.26 | 8.14 | 7.12 | 7.32 | 6.69 | 6.31 | 6.04 | 5.40 | 5.32 | ||||||||||
75 | 8.82 | 7.57 | 8.45 | 7.40 | 7.50 | 6.89 | 6.38 | 6.14 | 5.42 | 5.35 |
- -----------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a. | |
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. | |
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt | 03/26/2018 |
Page 15 of 21
</TABLE>
27 <PAGE>
<TABLE> <CAPTION>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
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 |
- ----------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |||
55 | 50 | $ 3.69 | $ 4.05 | $ 4.27 | $ 3.69 | $ 4.13 | |||
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.25 | |||
55 | 60 | 3.06 | 4.47 | 4.71 | 4.06 | 4.36 | |||
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.55 | |||
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.70 | |||
60 | 65 | 4.49 | 5.01 | 5.32 | 4.48 | 4.85 | |||
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 5.10 | |||
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.32 | |||
65 | 70 | 5.07 | 5.75 | 6.17 | 5.05 | 5.54 | |||
70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.86 | |||
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 6.18 | |||
70 | 75 | 5.89 | 6.82 | 7.40 | 5.81 | 6.49 | |||
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.92 | |||
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.40 | |||
75 | 80 | 7.07 | 8.34 | 9.16 | 6.78 | 7.85 |
- ----------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female.
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.
</TABLE>
28
<PAGE>
<TABLE>
<CAPTION>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
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 |
- ----------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | ||||
55 | 50 | $ 3.75 | $ 4.07 | $ 4.26 | $ 3.75 | $ 3.98 | ||||
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.06 | ||||
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.12 | ||||
60 | 55 | 4.06 | 4.47 | 4.71 | 4.06 | 4.37 | ||||
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.47 | ||||
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.54 | ||||
65 | 60 | 4.49 | 5.01 | 5.32 | 4.48 | 4.89 | ||||
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt | 03/26/2018 |
Page 16 of 21 | ||||||
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.02 |
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.14 |
70 | 65 | 5.07 | 5.75 | 6.17 | 5.05 | 5.60 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.79 |
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 5.96 |
75 | 70 | 5.89 | 6.83 | 7.40 | 5.81 | 6.63 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 6.92 |
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 7.15 |
- ----------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male.
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.
</TABLE>
29
<PAGE>
<TABLE>
<CAPTION>
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 Variable Annuity with Assumed Net Return Rate of 3.5%
- ----------------------------------------------------------------------------------------------------------------------------------
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
- ----------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> |
5 | 3.50% | 18.12 | 54.19 | 107.92 | 213.99 |
6 | 3.50% | 15.35 | 45.92 | 91.44 | 181.32 |
7 | 3.50% | 13.38 | 40.01 | 79.69 | 158.01 |
8 | 3.50% | 11.90 | 35.59 | 70.88 | 140.56 |
9 | 3.50% | 10.75 | 32.16 | 64.05 | 127.00 |
10 | 3.50% | 9.83 | 29.42 | 58.59 | 116.18 |
11 | 3.50% | 9.09 | 27.18 | 54.13 | 107.34 |
12 | 3.50% | 8.46 | 25.32 | 50.42 | 99.98 |
13 | 3.50% | 7.94 | 23.75 | 47.29 | 93.78 |
14 | 3.50% | 7.49 | 22.40 | 44.62 | 88.47 |
15 | 3.50% | 7.10 | 21.24 | 42.31 | 83.89 |
16 | 3.50% | 6.76 | 20.23 | 40.29 | 79.89 |
17 | 3.50% | 6.47 | 19.34 | 38.51 | 76.37 |
18 | 3.50% | 6.20 | 18.55 | 36.94 | 73.25 |
19 | 3.50% | 5.97 | 17.85 | 35.54 | 70.47 |
20 | 3.50% | 5.75 | 17.22 | 34.28 | 67.98 |
21 | 3.50% | 5.56 | 16.65 | 33.15 | 65.74 |
22 | 3.50% | 5.39 | 16.13 | 32.13 | 63.70 |
23 | 3.50% | 5.24 | 15.66 | 31.19 | 61.85 |
24 | 3.50% | 5.09 | 15.24 | 30.34 | 60.17 |
25 | 3.50% | 4.96 | 14.85 | 29.56 | 58.62 |
26 | 3.50% | 4.84 | 14.49 | 28.85 | 57.20 |
27 | 3.50% | 4.73 | 14.15 | 28.19 | 55.90 |
28 | 3.50% | 4.63 | 13.85 | 27.58 | 54.69 |
29 | 3.50% | 4.53 | 13.57 | 27.02 | 53.57 |
30 | 3.50% | 4.45 | 13.30 | 26.49 | 52.53 |
- ---------------------------------------------------------------------------------------------------------------------------------- |
</TABLE> |
30
<PAGE>
<TABLE>
<CAPTION>
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 Variable Annuity with Assumed Net Return Rate of 5.0%
- ----------------------------------------------------------------------------------------------------------------------------------
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
- ---------------------------------------------------------------------------------------------------------------------------------- | |||||
<S> | <C> | <C> | <C> | <C> | <C> |
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt | 03/26/2018 |
Page 17 of 21 | |||||
5 | 5.00% | 18.74 | 56.00 | 111.33 | 219.98 |
6 | 5.00% | 15.99 | 47.77 | 94.96 | 187.64 |
7 | 5.00% | 14.02 | 41.90 | 83.30 | 164.59 |
8 | 5.00% | 12.56 | 37.52 | 74.58 | 147.35 |
9 | 5.00% | 11.42 | 34.11 | 67.81 | 133.99 |
10 | 5.00% | 10.51 | 31.40 | 62.42 | 123.34 |
11 | 5.00% | 9.77 | 29.19 | 58.03 | 114.66 |
12 | 5.00% | 9.16 | 27.36 | 54.38 | 107.45 |
13 | 5.00% | 8.64 | 25.81 | 51.31 | 101.39 |
14 | 5.00% | 8.20 | 24.50 | 48.69 | 96.21 |
15 | 5.00% | 7.82 | 23.36 | 46.44 | 91.75 |
16 | 5.00% | 7.49 | 22.37 | 44.47 | 87.88 |
17 | 5.00% | 7.20 | 21.51 | 42.75 | 84.48 |
18 | 5.00% | 6.94 | 20.74 | 41.23 | 81.47 |
19 | 5.00% | 6.71 | 20.06 | 39.88 | 78.80 |
20 | 5.00% | 6.51 | 19.46 | 38.68 | 76.42 |
21 | 5.00% | 6.33 | 18.91 | 37.59 | 74.28 |
22 | 5.00% | 6.17 | 18.42 | 36.62 | 72.35 |
23 | 5.00% | 6.02 | 17.98 | 35.73 | 70.61 |
24 | 5.00% | 5.88 | 17.57 | 34.93 | 69.02 |
25 | 5.00% | 5.76 | 17.20 | 34.20 | 67.57 |
26 | 5.00% | 5.65 | 16.87 | 33.53 | 66.25 |
27 | 5.00% | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.00% | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.00% | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.00% | 5.28 | 15.77 | 31.35 | 61.95 |
- --------------------- -------------------- -------------------- -------------------- --------------------- --------------------</TABLE>
<PAGE>
<TABLE>
<CAPTION>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months
- --------------------------------------------------------------------------------------------------------------------------------
Adjusted | None | 60 | 120 | 180 | 240 | ||||
Age of | ------------------------------------------------------------------------------------------------------------------ | ||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male Female |
- --------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | |||||
50 | $ 4.56 | $ 4.20 | $ 4.55 | $ 4.19 | $ 4.51 | $ 4.18 | $ 4.45 | $ 4.15 | $ 4.36 | $ 4.11 | |||||
51 | 4.64 | 4.26 | 4.62 | 4.25 | 4.58 | 4.24 | 4.51 | 4.21 | 4.42 | 4.16 | |||||
52 | 4.72 | 4.32 | 4.70 | 4.32 | 4.66 | 4.30 | 4.58 | 4.26 | 4.48 | 4.21 | |||||
53 | 4.80 | 4.39 | 4.79 | 4.38 | 4.74 | 4.36 | 4.65 | 4.32 | 4.53 | 4.27 | |||||
54 | 4.89 | 4.46 | 4.87 | 4.46 | 4.82 | 4.43 | 4.73 | 4.39 | 4.59 | 4.32 | |||||
55 | 4.99 | 4.54 | 4.97 | 4.53 | 4.91 | 4.50 | 4.80 | 4.46 | 4.65 | 4.38 | |||||
56 | 5.09 | 4.62 | 5.07 | 4.61 | 5.00 | 4.58 | 4.88 | 4.53 | 4.72 | 4.44 | |||||
57 | 5.20 | 4.71 | 5.17 | 4.70 | 5.10 | 4.66 | 4.96 | 4.60 | 4.78 | 4.50 | |||||
58 | 5.32 | 4.80 | 5.29 | 4.79 | 5.20 | 4.75 | 5.05 | 4.68 | 4.84 | 4.57 | |||||
59 | 5.44 | 4.90 | 5.41 | 4.88 | 5.31 | 4.84 | 5.14 | 4.76 | 4.91 | 4.63 | |||||
60 | 5.57 | 5.00 | 5.53 | 4.99 | 5.42 | 4.93 | 5.23 | 4.84 | 4.97 | 4.70 | |||||
61 | 5.71 | 5.11 | 5.67 | 5.09 | 5.54 | 5.03 | 5.32 | 4.93 | 5.03 | 4.77 | |||||
62 | 5.86 | 5.23 | 5.81 | 5.21 | 5.66 | 5.14 | 5.42 | 5.02 | 5.09 | 4.84 | |||||
63 | 6.02 | 5.36 | 5.97 | 5.33 | 5.79 | 5.25 | 5.51 | 5.11 | 5.16 | 4.91 | |||||
64 | 6.20 | 5.49 | 6.13 | 5.46 | 5.93 | 5.37 | 5.61 | 5.21 | 5.21 | 4.98 | |||||
65 | 6.38 | 5.64 | 6.31 | 5.60 | 6.07 | 5.49 | 5.71 | 5.31 | 5.27 | 5.05 | |||||
66 | 6.58 | 5.79 | 6.49 | 5.75 | 6.22 | 5.63 | 5.81 | 5.41 | 5.32 | 5.12 | |||||
67 | 6.79 | 5.95 | 6.69 | 5.91 | 6.38 | 5.76 | 5.91 | 5.52 | 5.38 | 5.18 | |||||
68 | 7.02 | 6.13 | 6.89 | 6.08 | 6.53 | 5.91 | 6.01 | 5.63 | 5.42 | 5.25 | |||||
69 | 7.26 | 6.32 | 7.11 | 6.26 | 6.70 | 6.06 | 6.11 | 5.74 | 5.47 | 5.31 | |||||
70 | 7.52 | 6.53 | 7.35 | 6.45 | 6.86 | 6.23 | 6.20 | 5.85 | 5.51 | 5.37 | |||||
71 | 7.80 | 6.75 | 7.59 | 6.66 | 7.03 | 6.39 | 6.29 | 5.96 | 5.54 | 5.42 | |||||
72 | 8.09 | 6.99 | 7.85 | 6.89 | 7.21 | 6.57 | 6.38 | 6.07 | 5.57 | 5.47 | |||||
73 | 8.41 | 7.26 | 8.12 | 7.13 | 7.38 | 6.75 | 6.46 | 6.17 | 5.60 | 5.51 | |||||
74 | 8.75 | 7.54 | 8.41 | 7.39 | 7.55 | 6.94 | 6.53 | 6.28 | 5.63 | 5.55 | |||||
75 | 9.12 | 7.85 | 8.71 | 7.66 | 7.73 | 7.13 | 6.61 | 6.38 | 5.65 | 5.59 |
- -------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
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.
</TABLE>
32
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt
03/26/2018
Page 18 of 21
<PAGE>
<TABLE> <CAPTION>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period of Months
- --------------------------------------------------------------------------------------------------------------------------------
Adjusted | None | 60 | 120 | 180 | 240 | ||||
Age of | ------------------------------------------------------------------------------------------------------------------ | ||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male Female |
- --------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | |||||||||
50 | $ 5.48 | $ 5.12 | $ 5.46 | $ 5.11 | $ 5.41 | $ 5.09 | $ 5.34 | $ 5.06 | $ 5.24 | $ 5.01 | |||||||||
51 | 5.55 | 5.17 | 5.53 | 5.17 | 5.48 | 5.14 | 5.40 | 5.11 | 5.29 | 5.05 | |||||||||
52 | 5.63 | 5.23 | 5.61 | 5.23 | 5.55 | 5.20 | 5.46 | 5.16 | 5.34 | 5.10 | |||||||||
53 | 5.71 | 5.30 | 5.69 | 5.29 | 5.62 | 5.26 | 5.53 | 5.22 | 5.40 | 5.15 | |||||||||
54 | 5.80 | 5.37 | 5.77 | 5.36 | 5.70 | 5.33 | 5.60 | 5.27 | 5.45 | 5.20 | |||||||||
55 | 5.89 | 5.44 | 5.86 | 5.43 | 5.79 | 5.39 | 5.67 | 5.34 | 5.51 | 5.25 | |||||||||
56 | 5.99 | 5.52 | 5.96 | 5.51 | 5.87 | 5.47 | 5.74 | 5.40 | 5.56 | 5.31 | |||||||||
57 | 6.10 | 5.60 | 6.06 | 5.59 | 5.97 | 5.54 | 5.82 | 5.47 | 5.62 | 5.37 | |||||||||
58 | 6.21 | 5.69 | 6.17 | 5.67 | 6.06 | 5.62 | 5.90 | 5.54 | 5.68 | 5.42 | |||||||||
59 | 6.33 | 5.79 | 6.29 | 5.77 | 6.17 | 5.71 | 5.98 | 5.61 | 5.74 | 5.48 | |||||||||
60 | 6.46 | 5.89 | 6.41 | 5.87 | 6.28 | 5.80 | 6.06 | 5.69 | 5.79 | 5.55 | |||||||||
61 | 6.60 | 6.00 | 6.55 | 6.97 | 6.39 | 5.90 | 6.15 | 5.77 | 5.85 | 5.61 | |||||||||
62 | 6.75 | 6.11 | 6.69 | 6.08 | 6.51 | 6.00 | 6.24 | 5.86 | 5.91 | 5.67 | |||||||||
63 | 6.91 | 6.23 | 6.84 | 6.20 | 6.64 | 6.10 | 6.33 | 5.95 | 5.96 | 5.73 | |||||||||
64 | 7.09 | 6.37 | 7.00 | 6.33 | 6.77 | 6.22 | 6.42 | 6.04 | 6.02 | 5.80 | |||||||||
65 | 7.27 | 6.51 | 7.18 | 6.46 | 6.91 | 6.34 | 6.52 | 6.13 | 6.07 | 5.86 | |||||||||
66 | 7.47 | 6.66 | 7.36 | 6.61 | 7.05 | 6.46 | 6.61 | 6.23 | 6.12 | 5.92 | |||||||||
67 | 7.68 | 6.82 | 7.55 | 6.76 | 7.20 | 6.60 | 6.70 | 6.33 | 6.16 | 5.99 | |||||||||
68 | 7.91 | 7.00 | 7.76 | 6.93 | 7.35 | 6.74 | 6.80 | 6.43 | 6.21 | 6.04 | |||||||||
69 | 8.15 | 7.19 | 7.98 | 7.11 | 7.51 | 6.89 | 6.89 | 6.54 | 6.25 | 6.10 | |||||||||
70 | 8.41 | 7.39 | 8.21 | 7.30 | 7.67 | 7.04 | 6.97 | 6.64 | 6.28 | 6.15 | |||||||||
71 | 8.69 | 7.62 | 8.45 | 7.51 | 7.83 | 7.21 | 7.06 | 6.74 | 6.32 | 6.20 | |||||||||
72 | 8.99 | 7.86 | 8.70 | 7.73 | 8.00 | 7.38 | 7.14 | 6.85 | 6.35 | 6.25 | |||||||||
73 | 9.31 | 8.12 | 8.97 | 7.97 | 8.16 | 7.55 | 7.21 | 6.95 | 6.37 | 6.29 | |||||||||
74 | 9.65 | 8.41 | 9.26 | 8.23 | 8.33 | 7.73 | 7.29 | 7.04 | 6.39 | 6.33 | |||||||||
75 | 10.02 | 8.72 | 9.55 | 8.50 | 8.50 | 7.92 | 7.35 | 7.14 | 6.41 | 6.36 |
- ---------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
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.
</TABLE>
33
<PAGE>
<TABLE>
<CAPTION>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
- --------------------------------------------------------------------------------------------------------------------------------
Adjusted Ages | ||||||
- ------------------- ------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- --------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |||||
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.42 | |||||
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 | |||||
55 | 60 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 | |||||
60 | 65 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 | |||||
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60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 |
60 | 65 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 |
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 |
65 | 70 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 |
70 | 75 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 |
75 | 80 | 7.33 | 8.62 | 9.45 | 7.02 | 8.13 |
- --------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female.
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.
</TABLE>
34
<PAGE>
<TABLE>
<CAPTION>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
- --------------------------------------------------------------------------------------------------------------------------------
Adjusted Ages | ||||||
- ------------------- ------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- --------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |||||
55 | 50 | $ 4.03 | $ 4.36 | $ 4.55 | $ 4.03 | $ 4.41 | |||||
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 | |||||
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 | |||||
60 | 55 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 | |||||
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 | |||||
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 | |||||
65 | 60 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 | |||||
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 | |||||
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 | |||||
70 | 65 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 | |||||
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 | |||||
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 | |||||
75 | 70 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 | |||||
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 | |||||
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 8.70 |
- --------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. | |
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. | |
</TABLE> | |
35 | |
<PAGE> | |
<TABLE> | |
<CAPTION> | |
OPTION 3 | |
Life Income for Two Payees | |
Amount of First Monthly Payment for Each $1,000 | |
After Deduction of any Charge for Premium Taxes | |
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(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
- --------------------------------------------------------------------------------------------------------------------------------
Adjusted Ages | ||||||
- ------------------- ------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- --------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |||||
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.34 | |||||
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 | |||||
55 | 60 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 | |||||
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 | |||||
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 | |||||
60 | 65 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 | |||||
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 | |||||
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 | |||||
65 | 70 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 | |||||
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 | |||||
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 | |||||
70 | 75 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 | |||||
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 | |||||
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 | |||||
75 | 80 | 8.14 | 9.49 | 10.35 | 7.80 | 8.98 |
- --------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female.
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.
</TABLE>
36
<PAGE>
<TABLE>
<CAPTION>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
- --------------------------------------------------------------------------------------------------------------------------------
Adjusted Ages | ||||||
- ------------------- ------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- --------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.93 | $ 5.27 | $ 5.46 | $4.93 | $5.19 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
60 | 55 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
65 | 60 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
70 | 65 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 70 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 9.59 |
- --------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a. | |
The rates assume the Annuitant is Female and the Second Annuitant is Male. | |
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. | |
</TABLE> | |
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37
<PAGE>
AETNA INSURANCE COMPANY OF AMERICA
Home Office: 151 Farmington Avenue
P.O. Box 30670
Hartford, Connecticut 06150-0670
(800)531-4547
Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY.
38
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Page 1 of 23
Exhibit 16(4)(i) | ||||
Aetna Insurance Company of America | ||||
Home Office: 151 Farmington Avenue | ||||
P.O. Box 30670 | ||||
Hartford, Connecticut 06150-0670 | ||||
(800) 531-4547 | ||||
You may call the toll-free number shown above for answers to | ||||
questions or to resolve a complaint. | ||||
Individual Variable, Fixed Or Combination Annuity Contract (Nonparticipating) | ||||
Aetna Insurance Company of America (We or Us), a stock company, agrees to pay | ||||
benefits according to the terms and conditions set forth in this Contract. | ||||
Specifications | ||||
- -------------------------------------------------------------------------------- | ||||
Plan | ||||
- -------------------------------------------------------------------------------- | ||||
Type of Plan | ||||
- -------------------------------------------------------------------------------- | ||||
Contract Holder | ||||
- -------------------------------------------------------------------------------- | ||||
Contract Number | ||||
- -------------------------------------------------------------------------------- | ||||
Effective Date | ||||
This Contract is delivered in | ||||
and is subject to the laws and regulations of that state. | ||||
The variable features of the Contract are described in sections 6 and 12. | ||||
Right to Cancel | ||||
- -------------------------------------------------------------------------------- | ||||
The Contract Holder may cancel this Contract within 10 days by returning it to | ||||
Us at the address shown above or to the person from whom it was purchased. | ||||
Within seven (7) days of the cancellation request, We will return the amount of | ||||
Purchase Payment(s) made plus any increase, or minus any decrease, on the Amount | ||||
allocated to the Separate Account. | ||||
Signed at the Home Office on the Effective Date. | ||||
/s/ Dan Kearney | /s/ | Maria F. McKeon | ||
President | Secretary | |||
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT | ||||
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | ||||
FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY. | ||||
<PAGE> | ||||
Table of Contents | ||||
<TABLE> | ||||
<CAPTION> | ||||
Page | ||||
<S> | <C> | |||
Right to Cancel | 1 | |||
Contract Schedule | 4 | |||
Separate Account | 4 | |||
AICA Guaranteed Account (AG Guaranteed Account) | 4 | |||
Separate Account and AG Account | 4 | |||
Fixed Annuity | 5 | |||
Section 1. Definitions | 6 | |||
Section 2. General Provisions | 7 | |||
The Contract | 7 | |||
Nonparticipating Contract | 8 | |||
Misstatements and Adjustments | 8 | |||
Reports | 8 | |||
Premium Taxes | 8 | |||
Protection of Proceeds | 8 | |||
Evidence of Survival | 8 | |||
Proof of Age | 8 | |||
Change of Contract | 8 | |||
Section 3. Ownership | 8 | |||
Contract Holder Rights | 8 | |||
Transfer of Ownership | 9 | |||
Section 4. Beneficiary Provisions | 9 | |||
Beneficiary | 9 | |||
Change of Beneficiary | 9 | |||
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Death of Beneficiary | 9 |
Section 5. Purchase Payments | 9 |
Purchase Payments | 9 |
Allocation of Purchase Payments | 9 |
Section 6. Separate Account | 10 |
General | 10 |
Investment Allocations to the Separate Account | 10 |
Valuation of Assets | 10 |
Accumulation Unit | 10 |
Net Return Factor for Each Valuation Period | 10 |
Administrative Charge | 11 |
Mortality Risk Charge | 11 |
Expense Risk Charge | 11 |
Mortality and Expense Guarantee | 11 |
Section 7. AG Account | 11 |
AG Account Guaranteed Interest Rate | 11 |
Deposit Period | 11 |
Guaranteed Term | 11 |
Guaranteed Term(s) Groups | 12 |
2 | |
<PAGE> | |
Maturity Date | 12 |
Allocation of Net Purchase Payments to the AG Account | 12 |
AG Account Guaranteed Term Maturity Date and Maturity Value | 12 |
Withdrawals and Transfers from the AG Account | 12 |
Reinvestment | 13 |
AG Account Market Value Adjustment (Factor) | 13 |
Section 8. Contract Value; Transfers and Withdrawals During the Accumulation Period | 14 |
Contract Value | 14 |
Transfers During the Accumulation Period | 14 |
Withdrawals During the Accumulation Period | 14 |
Deferred Sales Charge | 15 |
Waiver of Deferred Sales Charge | 15 |
Payment of Adjusted Contract Value | 15 |
Systematic Withdrawal Option (SWO) | 15 |
Section 9. Maintenance Charge | 16 |
Maintenance Charge | 16 |
Section 10. Proceeds Payable on Death | 16 |
Death of the Contract Holder Prior to the Annuity Date | 16 |
Death Benefit Amount Prior to the Annuity Date | 16 |
Death Benefit Payment Methods | 18 |
Death of Contract Holder On or After the Annuity Date | 18 |
Death of the Annuitant | 19 |
Section 11. Delay of Payments | 19 |
Delay of Payments | 19 |
Section 12. Annuity Provisions | 19 |
Designation of Annuitant | 19 |
Terms of Annuity Options | 20 |
Annuity Unit | 21 |
Annuity Unit Value | 21 |
Annuity Net Return Factor | 21 |
Annuity Options | 22 |
</TABLE> |
3
<PAGE>
Contract Schedule | |||
Separate Account | |||
- ------------------------------------------------------------------------------- | |||
Separate Account: | Variable Account I | ||
Charges to the | A daily charge is deducted from the assets of the | ||
Separate Account: | Separate Account. The deduction is the daily | ||
equivalent of the annual effective percentage shown | |||
below: | |||
(a) During the Accumulation Period: | |||
Administrative Charge | 0.15% | ||
Mortality Risk Charge | 0.35% | ||
Expense Risk Charge | 0.90% | ||
TOTAL Separate Account Charges | |||
During Accumulation Period | 1.40% | ||
(b) During the Annuity Period | |||
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Administrative Charge Not To Exceed | 0.25% |
Mortality Risk Charge | 0.35% |
Expense Risk Charge | 0.90% |
TOTAL Maximum Separate Account | |
Charges During Annuity Period | 1.50% |
AICA Guaranteed Account (AG Guaranteed Account)
- -------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate | 3.0% |
(effective annual rate of return): |
Separate Account and AG Account
- -------------------------------------------------------------------------------
Minimum Initial Purchase Payment: Minimum Subsequent Purchase Payment: |
$1,500 $500 or $50 per month if paid by an automatic check plan |
Maximum Subsequent Purchase Payment: |
$1,000,000 without home office approval |
Transfers: |
We allow an unlimited number of transfers during the Accumulation Period. Twelve (12) transfers in any calendar year are free. Thereafter, We reserve the right to charge a transfer charge up to $10 for each subsequent transfer. |
Maintenance Charge: |
The annual maintenance charge is $30. If the Contract Value is $50,000 or more on the date the maintenance charge is to be deducted, the maintenance charge is $0. |
4
<PAGE>
Deferred Sales Charge: | For each withdrawal from the Contract Value, a | ||
deferred sales charge for each Net Purchase Payment | |||
will be determined as follows: | |||
Years from Receipt of | Deferred | ||
Net Purchase Payment | Sales Charge | ||
0-1 | 7% | ||
1-2 | 6% | ||
2-3 | 5% | ||
3-4 | 4% | ||
4-5 | 3% | ||
5-6 | 2% | ||
6-7 | 1% | ||
7+ | 0% | ||
Waiver of Deferred | Section 8.05 provides for the following: | ||
Sales Charge: | |||
(c) At least 12 months after the date of the first | |||
Purchase Payment in an amount equal to or less | |||
than 15% of the Contract Value. | |||
(d) For a full withdrawal where the Contract Value | |||
does not exceed $2,500 and no withdrawals have | |||
been taken from the Contract Value within the | |||
prior 12 months. | |||
Systematic Withdrawal | (a) Specified Payment - Maximum Percentage: 10% | ||
Option: | |||
(b) Specified Period - Minimum Period: 10 years | |||
(c) Specified Percentage - Maximum Percentage: 10% | |||
Death Benefit Factor: | 4% | ||
Death Benefit Maximum | There is no maximum death benefit amount. | ||
Amount: | |||
Death Benefit Maximum Age: | 85 years | ||
Fund for Allocation of | Federated Prime Money Fund II | ||
Excess Guaranteed | |||
Death Benefit Value: | |||
Latest Annuity Date: | The Contract Holder's 90th birthday. | ||
Fixed Annuity | |||
- ------------------------------------------------------------------------------ | |||
Minimum Guaranteed | 3.0% | ||
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Interest Rate
(effective annual rate
of return):
5
<PAGE>
Section 1. Definitions
-------------------------------------------------------------------------------
Accumulation Period - The period during which one or more Net Purchase
Payments applied to the Contract accumulate to provide future Annuity payments.
1.02 |
Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of the Contract Value attributable to a Separate Account during the Accumulation Period. |
1.03 |
Adjusted Contract Value - The Contract Value, plus or minus any aggregate AG Account Market Value Adjustment. |
1.04 |
ALIAC Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time. |
The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Contract Holders do not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct. |
|
1.05 |
Annuitant - The natural person on whose life an Annuity payment is based. |
1.06 |
Annuity - A series of payments We make for life, a definite period or a combination of the two. |
1.07 |
Annuity Date - The date on which Annuity payments commence. |
1.08 |
Annuity Options - Annuity payment methods available during the Annuity Period. |
1.09 |
Annuity Period - The period of time during which Annuity payments are made. |
1.10 |
Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment. |
1.11 |
Beneficiary - The person(s) entitled to receive any death benefit under the Contract. Upon the death of a joint Contract Holder, the surviving joint Contract Holder, if any, is treated as the Beneficiary. Any other Beneficiary designation on record with Us at |
the |
time of death is treated as a contingent Beneficiary. |
1.12 |
Contract Holder - The person who purchases a Contract. We reserve the |
right |
to limit ownership to natural persons. If more than one Contract |
Holder |
owns the Contract, each Contract Holder shall be a joint |
Contract |
Holder. Any joint Contract Holder must be the spouse of the |
other |
joint Contract Holder. Joint Contract Holders have joint |
ownership |
rights and both must authorize any exercising of those |
ownership |
rights unless otherwise allowed by Us. If the Contract is |
owned |
by a nonnatural person, the death benefit will be paid at the |
death |
of the Annuitant and a new Annuitant may not be named. |
6
<PAGE>
1.13 |
Contract Value - The dollar value as of any Valuation Period of all amounts accumulated in the Contract. |
1.14 |
Contract - This agreement between the Contract Holder and Us. |
1.15 |
Dollar Cost Averaging - A program that permits the Contract Holder to systematically transfer amounts from any of the Funds and the one-year guaranteed term of the AG Account to any of the Funds. Dollar Cost Averaging is not available if the Systematic Withdrawal Option is in effect. |
1.16 |
Effective Date - The date the Contract is issued to the Contract Holder. |
1.17 |
Fund - One of the variable investment options which may be selected by a Contract Holder. |
1.18 |
General Account - The General Account is made up of all of our general assets other than those allocated to the Separate Accounts. |
1.19 |
Home Office - Our headquarters, located at 151 Farmington Avenue, Hartford, CT 06156. |
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1.20 |
Market Value Adjustment - An adjustment that may apply to a withdrawal made from the AG Account before the end of a guaranteed term as stated in Section 7.10. |
1.21 |
Net Purchase Payment - The Purchase Payment less premium taxes, if applicable. |
1.22 |
Purchase Payment - The gross payment accepted by Us and allocated to the Contract. We reserve the right to refuse to accept any Purchase Payment at any time for any reason. |
1.23 |
Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of the Separate Account, will not be charged with Our other liabilities. |
1.24 |
Valuation Period - The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such business day, or such other day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct. |
1.25 |
Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results. |
Section 2. General Provisions
-------------------------------------------------------------------------------
The Contract - The entire Contract consists of this Contract and any
endorsements attached or subsequently issued.
7
<PAGE>
2.02 |
Nonparticipating Contract - Neither the Contract Holder, nor any |
|
Beneficiary |
have a right to share in our earnings. |
|
2.03 |
Misstatements And Adjustments - If We learn that the age of any |
|
Annuitant |
or second Annuitant is misstated, the correct age will be |
|
used |
to adjust payments. We reserve the right to request reimbursement |
|
or |
adjust future payments for any amount overpaid. We will pay the |
|
amount |
of any underpayment. |
|
2.04 |
Reports - We furnish each Contract Holder with a report showing the |
|
Contract |
Value at least once each calendar year. We also furnish an |
|
annual |
report of the Separate Account. |
|
2.05 |
Premium Taxes - Any premium taxes paid to any governmental entity are |
|
charged |
against Purchase Payments or the Contract Value. We may, at |
|
our |
sole discretion, pay premium taxes when due and deduct that amount |
|
from |
the Contract Value at a later date. Payment at an earlier date |
|
does |
not waive any right We may have to deduct amounts at a later |
|
date. | ||
2.06 |
Protection of Proceeds - To the extent permitted by law, all payments |
|
under |
this Contract to a Contract Holder or Beneficiary shall be free |
|
from |
legal process and the claim of any creditor. |
|
2.07 |
Evidence of Survival - The Company may require satisfactory evidence |
|
of |
the continued survival of any person(s) on whose life Annuity |
|
payments |
are based. |
|
2.08 |
Proof of Age - The Company may require evidence of age of any |
|
Annuitant |
under Annuity Options 2 and 3 and of the designated second |
|
Annuitant |
under Annuity Option 3. |
|
2.09 |
Change of Contract - We reserve the right to change the Contract, but |
|
only |
if a change is necessary to: |
|
(a) |
Make the Contract or the Separate Account comply with state or federal laws or regulations; or |
|
(b) |
Assure the continued qualified status of the Contract under the Code or other federal laws or regulations governing annuity contracts; or |
|
(c) |
Reflect a change in the operation of the Separate Account or the Funds; or |
|
(d) |
Provide additional funds; or |
|
(e) |
Withdraw Funds |
We will notify the Contract Holder in writing 30 days before any
change becomes effective. When appropriate, we will endorse the
Contract for the change.
Section 3. Ownership | |
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-------------------------------------------------------------------------------
Contract Holder Rights - The Contract Holder has all interest and
right to amounts held in his or her Contract. The Contract Holder and any joint Contract Holder are named on the Specifications page. The Contract Holder and any joint Contract Holder may exercise all the rights under the Contract, subject to the rights of:
(a) |
Any assignee under an assignment filed at our home office; and |
(b) |
Any irrevocably named Beneficiary. |
8
<PAGE>
Upon the death of a Contract Holder prior to the Annuity Date, a spousal Beneficiary may elect to continue the Contract in his or her own name and retain all ownership rights and privileges or take distribution of the death benefit as defined in Section 10.
3.02 |
Transfer of Ownership - A Contract Holder may transfer all of his or her rights under the Contract. We reserve the right not to accept an assignment or transfer to a nonnatural person. A written request, dated and signed by the Contract Holder and any joint Contract Holder, must be filed at our home office. After the transfer is recorded, it will take effect as of the date the request was signed. Any such transfer terminates the interest of any existing Contract Holder. It does not change the Beneficiary, nor transfer the Beneficiary's interest. A transfer will not affect any payments We may make or actions We may take before such transfer has been recorded at our home office. |
Section 4. Beneficiary Provisions
--------------------------------------- --------------------------------------
Beneficiary - The Contract Holder may name a Beneficiary and a
contingent Beneficiary. At the death of the Contract Holder prior to the Annuity Date, the Beneficiary(ies) named in our records will receive a death benefit as stated in Section 10. Upon the death of either joint Contract Holder prior to the Annuity Date, the surviving joint Contract Holder, if any, will be treated as the designated Beneficiary and any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. If the Contract Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant.
4.02 |
Change of Beneficiary - The Contract Holder may change the Beneficiary. A written request, dated and signed by the Contract Holder, must be filed at our home office. If there are joint Contract Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. If the request reaches our home office and is recorded after the Contract Holder dies, but before any payment is made, the change is valid. |
4.03 |
Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Contract Holder's death, We pay the death benefit in one sum to the Contract Holder's estate. If the Contract Holder is a nonnatural person, and all of the Beneficiaries and contingent Beneficiaries die prior to the Annuitant's death, We will pay the death benefit in one sum to the Contract Holder. |
Section 5. Purchase Payments
-------------------------------------------------------------------------------
Purchase Payments - Subject to the maximum and minimum shown on the
Contract Schedule, the Contract Holder may determine the amount and frequency of Purchase Payments. We reserve the right not to accept any Purchase Payment. We will declare from time to time the acceptability of additional Purchase Payments.
5.02 |
Allocation of Purchase Payments - The Contract Holder may elect to |
|
have |
each Net Purchase Payment accumulate: |
|
(a) |
On a variable basis invested in shares of one or more Funds in which the Separate Account invests; |
|
(b) |
For guaranteed terms offered in the current deposit period(s) under the AG Account; or |
|
(c) |
In a combination of any of the available investment options. |
9 | |
<PAGE> | |
Net Purchase Payments must be allocated in whole percentages. For | |
subsequent Purchase Payments, if no allocation instructions are | |
received with the Purchase Payment, the allocation will be as | |
indicated in the most recent directive from the Contract Holder. If | |
the same guaranteed term(s) are not available, the next shortest will | |
be used. If no shorter guaranteed term is available, the next longer | |
guaranteed term will be used. | |
Section 6. Separate Account | |
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6.01 |
General - The assets of the Separate Account, equal to the reserves |
|
and |
other Contract liabilities that depend on the investment |
|
performance |
of the Separate Account are not chargeable with |
|
liabilities |
arising out of any other business We may conduct. Income, |
|
gains |
or losses of the Separate Account, realized or unrealized, are |
|
credited |
to or charged against the assets of the Separate Account |
|
without |
regard to Our other income, gains or losses. |
|
6.02 |
Investment Allocations to the Separate Account - The assets of the |
|
Separate |
Account are segregated by Fund, If the shares of any Fund are |
|
no |
longer available for investment by the Separate Account or if in |
|
our |
judgment, further investment in such shares should become |
|
inappropriate |
in view of the purpose of the Contract, We may cease to |
|
make |
such Fund shares available for investment under the Contract |
|
prospectively, |
or We may substitute shares of another Fund for shares |
|
already |
acquired. We may also, from time to time, add additional |
|
Funds. |
Any elimination, substitution or addition of Funds will be done |
|
in |
accordance with applicable state and federal securities laws. We |
|
reserve |
the right to substitute shares of another Fund for shares |
|
already |
acquired without a proxy vote. |
|
6.03 |
Valuation Of Assets - The shares of the Funds will be valued at their |
|
net |
asset value at the end of each Valuation Period. |
|
6.04 |
Accumulation Unit - A Net Purchase Payment that is allocated to one or |
|
more |
Funds is credited to the Contract as Accumulation Units. The |
|
number |
of Accumulation Units credited is determined by dividing the |
|
applicable |
portion of the Net Purchase Payment by the Accumulation |
|
Unit |
value for the appropriate Fund. The Accumulation Unit value used |
|
is |
that which is computed for the next Valuation Period after which |
|
the |
Purchase Payment is received at our home office. Accumulation |
|
Units |
attributable to the initial Purchase Payments will be credited |
|
within |
two business days of acceptance. |
|
Accumulation |
Unit values may increase or decrease from Valuation |
|
Period |
to Valuation Period. |
|
6.05 |
Net Return Factor for Each Valuation Period - The value of an |
|
Accumulation |
Unit for any Valuation Period is calculated by |
|
multiplying |
the Accumulation Unit value for the immediately preceding |
|
Valuation |
Period by the net return factor of the appropriate Fund for |
|
the |
current period. |
|
The |
net return factor for each Fund is equal to 1.0000000 plus the net |
|
return |
rate. |
|
The |
net return rate equals: |
|
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus |
|
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
10
<PAGE>
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) |
The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus |
(e) |
A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge. |
The net return rate may be more or less than zero (0) percent.
The value of a share of the Fund is equal to the net assets of the
Fund divided by the number of shares outstanding.
6.06 |
Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.07 |
Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.08 |
Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.09 |
Mortality And Expense Guarantee - We guarantee that the dollar amount of each Annuity payment after the first will not be affected by variations in mortality or expense experience. |
Section 7. AG Account
-------------------------------------------------------------------------------
AG Account Guaranteed Interest Rate - All amounts allocated to the AG
Account earn a rate of interest that is guaranteed for a specified period of time. The rate will be credited daily and will never be less
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than the minimum guaranteed interest rate shown on the Contract
Schedule. We determine the rate and it is not based on investment
experience.
For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.
7.02 |
Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG Account for one or more guaranteed terms. We reserve the right to extend the deposit period. |
7.03 |
Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG |
Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years. |
|
During a deposit period, We may make available any number of guaranteed terms. The Contract Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms. |
11
<PAGE>
7.04 |
Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the |
|
same |
length of time from the close of the deposit period until the |
|
designated |
Maturity Date. |
|
7.05 |
Maturity Date - The last day of a guaranteed term. |
|
7.06 |
Allocation of Net Purchase Payments to the AG Account - When the |
|
Contract |
Holder wishes to allocate all or any portion of a Net |
|
Purchase |
Payment to the Guaranteed Account, he or she must tell Us the |
|
percentage |
to apply to one or more of the AG Account guaranteed |
|
term(s) |
available during the current deposit period. If no allocation |
|
instructions |
are received, a Net Purchase Payment is allocated as |
|
indicated |
in the most recent directive from the Contract Holder. If |
|
the |
same guaranteed term is not available for any amount allocated to |
|
the |
AG Account, We will allocate the amount to the next shortest |
|
guaranteed |
term available. If no shorter guaranteed term is available, |
|
We |
will allocate it to the next longest guaranteed term. |
|
7.07 |
AG Account Guaranteed Term Maturity Date and Maturity Value - On the |
|
maturity |
date, the value of the total of all amounts allocated to that |
|
guaranteed |
term is called the maturity value. |
|
When |
the Contract Holder has assets in the AG Account, at least |
|
eighteen |
(18) days before a maturity date, We notify him or her of |
|
the: | ||
(a) |
Projected maturity value; and |
|
(b) |
Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period. |
|
When |
no allocation instructions are received and the assets in a |
|
guaranteed |
term have been reinvested by Us in another guaranteed term |
|
on |
the maturity date, the Contract Holder may transfer or withdraw, |
|
during |
the month following the maturity date, the reinvested amount |
|
with |
interest earned (as of the date the request is received at our |
|
home |
office) without incurring a Market Value Adjustment. This |
|
transaction |
is allowed only once for each maturity date, regardless of |
|
whether |
the transfer or withdrawal is partial or full. |
|
7.08 |
Withdrawals and Transfers from the AG Account - When the Contract |
|
Holder |
requests a withdrawal or transfer from the AG Account, if |
|
instructions |
are not provided by the Contract Holder, amounts are |
|
withdrawn |
on a pro rata basis from the guaranteed term(s) groups in |
|
which |
the Contract is currently invested. Within a guaranteed term |
|
group, |
the amount to be withdrawn will be withdrawn first from the |
|
oldest |
deposit period. Withdrawals or transfers from an AG Account |
|
guaranteed |
term before the maturity date are subject to a Market Value |
|
Adjustment, |
except for: |
|
(a) |
A one month period following the maturity date described in 7.07; |
|
(b) |
Transfers under the Dollar Cost Averaging program; and |
|
(c) |
Withdrawals under the Systematic Withdrawal Option described in Section 8.07. |
|
Only |
a positive Market Value Adjustment will apply to amounts |
|
transferred |
from the AG Account when the Contract Holder elects |
|
Annuity |
Option 2 or 3. |
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12
<PAGE>
7.09 |
Reinvestment - We will mail a notice to the Contract Holder before a guaranteed term's maturity date. This notice will contain the guaranteed terms available during the current deposit periods with their guaranteed interest rate(s) and projected maturity value. If no specific direction is given by the Contract Holder prior to the maturity date, each maturity value will be reinvested in the current deposit period for a guaranteed term of the same duration. If a guaranteed term of the same duration is unavailable, each matured term value will automatically be reinvested in the current deposit period for the next shortest guaranteed term available. If no shorter guaranteed term is available, the next longer guaranteed term will be used. We will mail a confirmation statement to the Contract Holder after the maturity date. This notice will state the guaranteed term and guaranteed interest rate(s) which will apply to the reinvested matured term value. |
7.10 |
AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. Except as noted in Sections 7.09, 10.02 and 12.01, an MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term. |
The amount withdrawn from the AG Account is multiplied by the MVA
factor which is calculated as follows:
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 Term.
Determination of MVA factor parameters:
A yield is computed at the close of the last business day of each week of the deposit period. The yield will equal the average of the yields on U.S. Treasury Notes which matured during the last three months of the applicable guaranteed term.
The deposit period yield is the average of those yields for the
deposit period. If withdrawal is made prior to 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.
If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.
13
<PAGE>
Section 8. Contract Value; Transfers And Withdrawals During The Accumulation Period
------------------------------------------------------------------------------
Contract Value - The value of the Contract is determined by adding the
value of the total of Accumulation Units attributed to the selected
Fund(s) to the value of any amounts attributed to the AG Account.
8.02 |
Transfers During the Accumulation Period - Before the Annuity Date, |
|
the |
Contract Holder may transfer from any Fund or guaranteed term of |
|
the |
AG Account to: |
|
(a) |
Any other Fund; or |
|
(b) |
Any guaranteed term of the AG Account available in the current deposit period. |
|
Transfer |
requests can be submitted as a percentage or as a dollar |
|
amount. |
We may establish a minimum transfer amount. Within a |
|
guaranteed |
term group, the amount transferred is withdrawn first from |
|
the |
oldest deposit period, then from the next oldest, and so on until |
|
the |
amount requested is satisfied. |
|
The |
Contract Holder may make an unlimited number of transfers during |
|
the |
Accumulation Period. The number of free transfers allowed is shown |
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on the Contract Schedule. Transfers in excess of that number may be subject to the transfer charge shown on the Contract Schedule. Transfers under the Dollar Cost Averaging program do not count toward the annual limit. Transfers of a matured term value from the AG Account on or within one calendar month after a guaranteed term's maturity date do not count against the annual transfer limit.
Amounts applied to guaranteed terms of the AG Account may not be transferred to the Funds or to another guaranteed term during the deposit period or for 90 days after the close of the deposit period except for (1) matured term value(s) during the calendar month following the guaranteed term's maturity date; (2) amounts applied to an annuity option; (3) transfers from the one-year guaranteed term under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option.
Except as noted in Section 7.09, 10.02 and 12.01, transfers from
guaranteed terms of the AG Account before the Maturity Date are
subject to a Market Value Adjustment.
8.03 |
Withdrawals During the Accumulation Period - The Contract Holder may withdraw all or a portion of the Contract Value during the Accumulation Period by properly completing a withdrawal request form. |
Withdrawal requests can be submitted as a percentage or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial withdrawal, if instructions are not provided by the Contract Holder, amounts are withdrawn on a pro rata basis from the Fund(s), and/or the guaranteed term(s) groups in which the Contract is currently invested. Within a guaranteed term group, the amount to be withdrawn 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 charge, if applicable, the withdrawn amount shall be reduced by the applicable deferred sales charge and any applicable premium taxes. |
14
<PAGE>
8.04 |
Deferred Sales Charge - The deferred sales charge only applies to the |
|
portion |
of the amount withdrawn attributable to Net Purchase |
|
Payment(s) |
and varies according to the elapsed time since receipt of |
|
the |
Purchase Payment. The deferred sales charge is shown on the |
|
Contract |
Schedule. |
|
8.05 |
Waiver of Deferred Sales Charge - No deferred sales charge is deducted |
|
when |
the Contract Value is paid: |
|
(a) |
To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Contract Holder as described in Section 10.02(b); |
|
(b) |
As a premium for an Annuity Option; |
|
(c) |
At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Contract Value as shown on the Contract Schedule. This applies to the first withdrawal request, partial or full, in a calendar year. The Contract Value is calculated as of the date the withdrawal request is received in good order at our home office. This Waiver is not available to the Contract Holder while a SWO is in effect; |
|
(d) |
For a full withdrawal where the Contract Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Contract within the prior 12 months; |
|
(e) |
For a distribution made by Us under Section 8.06; or |
|
(f) |
For a distribution which is part of a SWO under Section 8.07. |
|
We |
reserve the right to allow the proceeds of a total withdrawal to be |
|
reinstated |
under the terms and conditions as established by Us from |
|
time |
to time. |
|
8.06 |
Payment of Adjusted Contract Value - Upon 90 day's written notice to |
|
the |
Contract Holder, We will terminate any Contract if the Contract |
|
Value |
becomes less than $1,500 immediately following any partial |
|
withdrawal. |
We do not intend to exercise this right in cases where the |
|
Contract |
Value is reduced to $1,500 or less solely due to investment |
|
performance. |
When We make a distribution pursuant to this provision, |
|
the |
deferred sales charge will not be deducted. |
|
8.07 |
Systematic Withdrawal Option (SWO) - We will allow the Contract Holder |
|
to |
establish a schedule of withdrawals to be made automatically from |
|
the |
Contract Value. All distributed amounts will be withdrawn on a pro |
|
rata |
basis from the Fund(s) and/or the guaranteed term(s) groups of |
|
the |
AG Account in which the Contract is invested. |
|
The |
Contract Holder must elect one of the following SWO methods: |
|
(a) |
Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Contract Value at time of the election as shown on the Contract Schedule. This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or |
|
(b) |
Specified Period: Payments which are made over a period of time |
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which must be at least the minimum period as shown on the Contract
Schedule. The annual amount paid each year is calculated by
dividing the Contract Value as of December 31 of the prior year by
the number of payment years remaining; or
15
<PAGE>
(c) |
Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Contract Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Contract Value as of December 31 of the year prior to the payment by the designated percentage. |
SWO payments will cease at the Contract Holder's death (or if the
Contract Holder is a nonnatural person, at the death of the
Annuitant). A beneficiary may elect to continue SWO as provided in
Section 10.01.
In our discretion, We may require a minimum initial Contract Value for election of this option. SWO may be elected by submitting a completed and signed election form to Us. Once elected, this option may be revoked by submitting a written request to Us. SWO may be elected only once by the Contract Holder or by a spousal Beneficiary.
The Contract Holder should consult his or her tax adviser prior to requesting this distribution option. We are not responsible for any adverse tax consequences due to the Contract Holder receiving SWO payments. A ten (10) percent penalty tax may apply to distributions to a Contract Holder who has not reached age 59 1/2. Upon death of the Contract Holder, any payments will be made under the terms of Section 10.
Dollar Cost Averaging is not available to Contract Holders who have
elected SWO.
Section 9. Maintenance Charge
----------------------------------------------------------------------------
Maintenance Charge - We will deduct an annual maintenance charge as
shown in the Contract Schedule from the Contract during the
Accumulation Period. We will deduct the maintenance charge on the
anniversary of the Effective Date of the Contract. This maintenance
charge is also deducted upon withdrawal of the entire Adjusted
Contract Value. The maintenance charge is deducted proportionately
from each investment option used.
Section 10. Proceeds Payable on Death
-----------------------------------------------------------------------------
Death of Contract Holder Prior to the Annuity Date - In the event of
the death of the Contract Holder or a joint Contract Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by the Contract Holder. Upon the death of a joint Contract Holder, the surviving joint Contract Holder, if any, will be treated as the designated Beneficiary. Any other Beneficiary designation on record with Us at the time of death will be treated as a contingent Beneficiary. If the Contract Holder is a nonnatural person, the death benefit will be payable to the Beneficiary(ies) at the death of the Annuitant.
A Beneficiary may request We pay the death benefit under one of the methods described in Section 10.03. If the Beneficiary is the spouse of the Contract Holder, or the spouse of the Annuitant if the Contract Holder is a nonnatural person, he or she may elect to continue the Contract in his or her own name and exercise all the Contract Holder rights under the Contract.
10.02 Death Benefit Amount Prior To The Annuity Date -
16
<PAGE>
(a) |
Except as set forth below, the amount of the guaranteed death |
|
benefit |
value is equal to the greater of: |
|
(i) |
The Contract Value at the end of the Valuation Period during which We receive at our home office due proof of death and election of the type of payment to be made; or |
|
(ii) |
The death benefit determined as of the Valuation Period corresponding to the date of death. |
|
Until the first Effective Date anniversary, the death benefit is equal to the Purchase Payments made by the Contract Holder prior to the Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option. |
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For each Contract year thereafter, the death benefit during
the Contract year equals the death benefit at the beginning
of the Contract year plus Purchase Payments made during the
year less any withdrawals and any amounts applied to an
Annuity Option.
On each Effective Date anniversary, the death benefit is
determined as follows:
(A) |
The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus |
(B) |
Purchase Payments made by the Contract Holder during the Contract year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less |
(C) |
Any withdrawals or amounts applied to an Annuity Option during the Contract year increased by the death benefit factor shown on the Contract Schedule for the portion of the Contract year since the withdrawal or election of Annuity option; or |
(iii) The Contract Value on the most recent seventh year
anniversary of the Effective Date plus any Purchase Payments
made after such Effective Date anniversary less any
withdrawals and any amounts applied to an Annuity Option.
Notwithstanding the foregoing, the death benefit under (ii) or (iii) will not exceed the death benefit maximum amount shown on the Contract Schedule.
The death benefit calculation described in (ii) and (iii) above, applies until the Contract Holder reaches the death benefit maximum age shown on the Contract Schedule. If the Contract Holder is a nonnatural person, death provisions will be based on the age of the Annuitant. Thereafter, the death benefit is only adjusted for Purchase Payments, withdrawals and amounts applied to Annuity Options. If the Contract Holder reaches the death benefit maximum age shown on the Contract Schedule prior to the seventh anniversary of the Effective Date, the death benefit will be the greater of (i) or (ii) above.
The excess, if any, of the guaranteed death benefit value over the Contract Value is determined when we receive at our home office due proof of death and allocated to the Fund shown on the Contract Schedule. The Contract Value plus any excess amount deposited becomes the Contract Value.
17
<PAGE>
(b) |
In the case of a spousal Beneficiary who continued the Contract in his or her own name, the death benefit shall be equal to the Adjusted Contract Value less any applicable deferred sales charge on any Purchase Payment made after We have received at our home office due proof of death of the joint Contract Holder (or Annuitant, if applicable). |
When the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account within six months after the date of death, the amount withdrawn or transferred from the AG Account will be the greater of:
(1) The aggregate Market Value Adjustment amount (the amount resulting from the application of relevant Market Value Adjustment factors); or
(2) The applicable portion of the Contract Value in the AG Account.
After the six-month period, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the aggregate Market Value Adjustment amount. Only a positive market value adjustment will apply, however, to amounts transferred from the AG Account when the Beneficiary elects Annuity Option 2 or 3.
At the death of a spousal Beneficiary who continued the Contract in his or her own name, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the Aggregate Market Value Adjustment amount.
10.03 |
Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Contract Holder prior to the Annuity Date: |
Method 1 - Lump sum payment of the death benefit; or |
|
Method 2 - The payment of the entire death benefit within five years of the date of the Contract Holder's death; or |
|
Method 3 - Payment of the death benefit over the lifetime of the |
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designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Contract Holder.
Any portion of the death benefit not applied under Method 3 within one year of the date of Contract Holder's death, or the death of the Annuitant if the Contract Holder is a nonnatural person, must be distributed within five years of the date of death.
A spousal Beneficiary may elect to continue the Contract in his or her name, elect a lump sum payment of the death benefit, or apply the Adjusted Contract Value to an Annuity Option.
10.04 |
Death of Contract Holder on or After the Annuity Date - If the Contract Holder who is not the Annuitant, dies on or after the Annuity Date, the 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. |
18
<PAGE>
10.05 |
Death of the Annuitant - If the Annuitant, who is not a Contract Holder, dies on or before the Annuity Date, a new Annuitant may be named. If no Annuitant is named, the Contract Holder will be the Annuitant. If the Contract Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant and no new Annuitant may be named. If the Annuitant dies after the Annuity Date, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity Option elected. We will require proof of the Annuitant's death. Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death. |
Section 11. Delay Of Payments
-------------------------------------------------------------------------------
Delay Of Payments - We will make any payments under this Contract
within seven days after a request is received in good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:
(a) |
The New York Stock Exchange is closed for other than customary weekend and holiday closings; |
(b) |
Trading on the Exchange is restricted; |
(c) |
An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or |
(d) |
The Securities and Exchange Commission so permits delay for the protection of security holders. |
The applicable rules of the Securities and Exchange Commission will
govern as to whether the conditions in (b) or (c) exist.
We also reserve the right to delay any type of payment from the AG
Account for up to six months.
Section 12. Annuity Provisions
-------------------------------------------------------------------------------
Designation of Annuitant - The Contract Holder and the Annuitant need
not be the same person. The Contract Holder names the Annuitant and
during the Accumulation Period, may change the designated Annuitant.
We change the Annuitant when We receive a written request in good
order at our home office. We will not change the Annuitant when
Annuity payments have commenced.
The Contract Holder elects an Annuity Option by telling Us to use all or any portion of the Contract Value (minus any applicable premium taxes if not previously deducted) to purchase Annuity payments under an Annuity Option. If the Contract Holder elects Annuity Option 1, the amount applied to purchase Annuity payments will be equal to the Adjusted Contract Value. If the Contract Holder elects Annuity Option 2 or 3, the amount applied to purchase Annuity payments will be the greater of:
(1) The Adjusted Contract Value; or (2) The Contract Value.
When an Annuity option is chosen the Contract Holder must designate a:
19
<PAGE>
(a) |
Fixed Annuity using the General Account; |
(b) |
Variable Annuity using any of the Funds available during the Annuity Period; or |
(c) |
Combination of (a) and (b). |
If a fixed Annuity is chosen, We will calculate the amount using an interest assumption no less than the percentage specified on the Contract Schedule. We may calculate the amount using a higher interest
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rate.
If a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use an Assumed Annual Net Return Rate of 3.5%
Payments are made on a monthly basis to the Contract Holder unless the Contract Holder requests a different mode of payment.
Once elected, an Annuity Option may not be revoked, except for Option 1 when elected on a variable basis.
12.02 |
Terms of Annuity Options - The minimum first payment amount must be at |
||
least |
$50 per month and at least $250 per year. |
||
If |
the Contract Holder elects a fixed Annuity and We determine that |
||
the |
Contract Holder would receive larger payments by applying the |
||
Contract |
Value, reduced by the deferred sales charge, to a single |
||
premium |
immediate Annuity currently offered by Us, We will make the |
||
larger |
payments. |
||
We |
determine the first payment of a variable Annuity, or the payment |
||
amount |
of a fixed Annuity, using the Annuitant's (and second |
||
Annuitant's |
if applicable) adjusted age which We calculate as follows: |
||
(a) |
If Annuity payments begin any time between July 1, 1992 and |
||
December |
31, 1999, the adjusted age is the Annuitant's age as of |
||
the |
birthday closest in time to the Annuity Date reduced by one |
||
(1) |
year. |
||
(b) |
If the Annuity begins any time between January 1, 2000 and |
||
December |
31, 2009, the adjusted age is the Annuitant's age as of |
||
the |
birthday closest in time to the Annuity Date reduced by two |
||
(2) |
years. |
||
(c) |
For each succeeding decade, the adjusted age is the Annuitant's |
||
age |
as determined in (b), reduced by one additional year. |
||
The |
Annuity rates for Options 2 and 3 are based on mortality from 1983 |
||
Table |
A. |
||
Assumed |
Annual Net Return Rate is the interest rate used to determine |
||
the |
amount of the first Annuity payment under a variable Annuity. The |
||
Separate |
Account must earn this rate plus enough to cover the |
||
mortality |
and expense risks charges (which may include profit) and |
||
administrative |
charges if future variable Annuity payments are to |
||
remain |
level. |
||
The |
Contract Holder must give written notice to Us at least 30 days |
||
before |
the Annuity payments begin, electing or changing: |
20
<PAGE>
(a) |
The date on which Annuity payments are to begin; |
(b) |
The Annuity Option; |
(c) |
Whether the payments are to be made monthly, quarterly, semiannually or annually; |
(d) |
The investment options used to provide Annuity payments. |
The first Annuity payment may not be earlier than one (1) calendar
year after the initial Purchase Payment, nor later than the later of
the:
(a) |
First day of the month following the Annuitant's birthday shown on the Contract Schedule; or |
(b) |
Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Contract Holder may request a lump sum payment. |
12.03 |
Annuity Unit - The number of Annuity Units per Fund is based on the |
|
amount |
of the first variable Annuity payment which is equal to: |
|
(a) |
The portion of the Contract Value (minus any premium taxes) applied to pay a variable Annuity; divided by, |
|
(b) |
1000; multiplied by, |
|
(c) |
The payment rate for the Annuity Option chosen. |
|
Such |
amount, or portion, of the variable Annuity payment will be |
|
divided |
by the Annuity Unit value for the appropriate Fund on the |
|
tenth |
Valuation Period before the due date of the first payment to |
|
determine |
the number of each Fund's Annuity Units. The number of each |
|
Fund's |
Annuity Unit remains fixed. Each future payment is equal to the |
|
sum |
of the products of each Fund's Annuity Unit value multiplied by |
|
the |
appropriate number of units. The Fund's Annuity Unit value on the |
|
tenth |
Valuation Period prior to the due date of the payment is used. |
|
12.04 |
Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit |
|
value |
is equal to: |
|
(a) |
The value for the previous Valuation Period; multiplied by, |
|
(b) |
The Annuity Net Return Factor for the Valuation Period; multiplied by, |
|
(c) |
A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is |
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.9998663).
The dollar value of a Fund(s) Annuity Unit values and payments may go up or down due to investment gain or loss.
12.05 |
Annuity Net Return Factor - The Annuity net return factor is used to compute all Separate Account Annuity payments for any Fund. |
The Annuity net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate. The net return rate is equal to: |
21
<PAGE>
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus, |
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus, |
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) |
The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus, |
(e) |
A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule. |
The net return rate may be more or less than zero (o) percent,
The value of a share of the Fund is equal to the net assets of the
Fund divided by the number of shares outstanding.
12.06 |
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 |
5 and not more than 30. |
|
If |
payments for this Annuity Option are made under a variable Annuity, |
|
the |
present value of any remaining payments may be withdrawn at any |
|
time. | ||
Option |
2 - Life Income - An Annuity will be paid for the life of the |
|
Annuitant. |
If also chosen, We 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 Annuity Option is chosen, a choice must be made of: |
|
(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 Annuitant. |
|
We |
may make other options available as allowed by law. |
22
<PAGE>
<TABLE>
<CAPTION>
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%
--------------------- -------------------- -------------------- -------------------- --------------------- --------------------
Years
Guaranteed Rate
Monthly Payment
Quarterly Payment Semi-Annual Payment
Annual Payment
--------------------- -------------------- -------------------- -------------------- --------------------- --------------------
<S> | <C> | <C> | <C> | <C> | <C> | |
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 | |
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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 |
- --------------------- -------------------- -------------------- -------------------- --------------------- --------------------</TABLE>
23
<PAGE>
<TABLE>
<CAPTION>
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 | None | 60 | 120 | 180 | 240 | ||||
Age of | ----------------------------------------------------------------------------------------------------------------- | ||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male Female |
- ------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $4.27 | $3.90 | $4.26 | $3.90 | $4.22 | $3.89 | $4.17 | $3.86 | $4.08 | $3.82 |
51 | 4.34 | 3.97 | 4.33 | 3.96 | 4.30 | 3.95 | 4.23 | 3.92 | 4.14 | 3.88 |
52 | 4.43 | 4.03 | 4.41 | 4.03 | 4.37 | 4.01 | 4.30 | 3.98 | 4.20 | 3.93 |
53 | 4.51 | 4.10 | 4.50 | 4.10 | 4.45 | 4.08 | 4.37 | 4.04 | 4.26 | 3.99 |
54 | 4.60 | 4.18 | 4.59 | 4.17 | 4.54 | 4.15 | 4.45 | 4.11 | 4.32 | 4.04 |
55 | 4.70 | 4.25 | 4.68 | 4.25 | 4.62 | 4.22 | 4.53 | 4.18 | 4.39 | 4.11 |
56 | 4.80 | 4.34 | 4.78 | 4.33 | 4.72 | 4.30 | 4.61 | 4.25 | 4.45 | 4.17 |
57 | 4.91 | 4.42 | 4.89 | 4.41 | 4.82 | 4.38 | 4.69 | 4.32 | 4.51 | 4.23 |
58 | 5.03 | 4.52 | 5.00 | 4.51 | 4.92 | 4.47 | 4.78 | 4.40 | 4.58 | 4.30 |
59 | 5.15 | 4.61 | 5.12 | 4.60 | 5.03 | 4.56 | 4.87 | 4.48 | 4.65 | 4.37 |
60 | 5.28 | 4.72 | 5.25 | 4.70 | 5.14 | 4.66 | 4.96 | 4.57 | 4.71 | 4.44 |
61 | 5.43 | 4.83 | 5.39 | 4.81 | 5.27 | 4.76 | 5.06 | 4.66 | 4.78 | 4.51 |
62 | 5.58 | 4.95 | 5.53 | 4.93 | 5.39 | 4.87 | 5.16 | 4.75 | 4.84 | 4.58 |
63 | 5.74 | 5.08 | 5.69 | 5.05 | 5.53 | 4.99 | 5.26 | 4.85 | 4.90 | 4.65 |
64 | 5.91 | 5.21 | 5.85 | 5.18 | 5.66 | 5.10 | 5.36 | 4.95 | 4.96 | 4.72 |
65 | 6.10 | 5.36 | 6.03 | 5.32 | 5.81 | 5.22 | 5.46 | 5.05 | 5.02 | 4.79 |
66 | 6.30 | 5.51 | 6.21 | 5.47 | 5.96 | 5.36 | 5.56 | 5.16 | 5.08 | 4.86 |
67 | 6.51 | 5.67 | 6.41 | 5.63 | 6.12 | 5.50 | 5.66 | 5.26 | 5.13 | 4.93 |
68 | 6.73 | 5.85 | 6.62 | 5.80 | 6.28 | 5.65 | 5.77 | 5.37 | 5.18 | 5.00 |
69 | 6.97 | 6.04 | 6.84 | 5.98 | 6.44 | 5.80 | 5.86 | 5.49 | 5.23 | 5.06 |
70 | 7.23 | 6.25 | 7.07 | 6.18 | 6.61 | 5.97 | 5.96 | 5.60 | 5.27 | 5.12 |
71 | 7.51 | 6.47 | 7.32 | 6.39 | 6.79 | 6.14 | 6.05 | 5.71 | 5.31 | 5.18 |
72 | 7.80 | 6.71 | 7.58 | 6.62 | 6.96 | 6.32 | 6.14 | 5.83 | 5.34 | 5.23 |
73 | 8.12 | 6.98 | 7.85 | 6.86 | 7.14 | 6.50 | 6.23 | 5.94 | 5.37 | 5.28 |
74 | 8.46 | 7.26 | 8.14 | 7.12 | 7.32 | 6.69 | 6.31 | 6.04 | 5.40 | 5.32 |
75 | 8.82 | 7.57 | 8.45 | 7.40 | 7.50 | 6.89 | 6.38 | 6.14 | 5.42 | 5.35 |
- ---------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
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.
</TABLE>
24
<PAGE>
<TABLE> <CAPTION>
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OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of Any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
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 |
- -----------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $3.69 | $4.05 | $4.27 | $3.69 | $4.13 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.25 |
55 | 60 | 3.06 | 4.47 | 4.71 | 4.06 | 4.36 |
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.55 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.70 |
60 | 65 | 4.49 | 5.01 | 5.32 | 4.48 | 4.85 |
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 5.10 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.32 |
65 | 70 | 5.07 | 5.75 | 6.17 | 5.05 | 5.54 |
70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.86 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 6.18 |
70 | 75 | 5.89 | 6.82 | 7.40 | 5.81 | 6.49 |
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.92 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.40 |
75 | 80 | 7.07 | 8.34 | 9.16 | 6.78 | 7.85 |
- ----------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female.
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.
</TABLE>
25
<PAGE>
<TABLE>
<CAPTION>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of Any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
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 |
- -----------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $3.75 | $4.07 | $4.26 | $3.75 | $3.98 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.06 |
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.12 |
60 | 55 | 4.06 | 4.47 | 4.71 | 4.06 | 4.37 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.47 |
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.54 |
65 | 60 | 4.49 | 5.01 | 5.32 | 4.48 | 4.89 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.02 |
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.14 |
70 | 65 | 5.07 | 5.75 | 6.17 | 5.05 | 5.60 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.79 |
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 5.96 |
75 | 70 | 5.89 | 6.83 | 7.40 | 5.81 | 6.63 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 6.92 |
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 7.15 |
- ----------------------------------------------------------------------------------------------------------------------------------- | |
Rates are based on mortality from 1983 Table a. | |
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Page 18 of 23
The Rates Assume the Annuitant is Female and the Second Annuitant is Male.
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.
</TABLE>
26
<PAGE>
<TABLE>
<CAPTION>
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 Variable Annuity with Assumed Net Return Rate of 3.5%
- ---------------------------------------------------------------------------------------------------------------------------
Years Guaranteed Rate Monthly Payment Quarterly Payment Semi-Annual Payment Annual Payment - ---------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> |
5 | 3.50% | 18.12 | 54.19 | 107.92 | 213.99 |
6 | 3.50% | 15.35 | 45.92 | 91.44 | 181.32 |
7 | 3.50% | 13.38 | 40.01 | 79.69 | 158.01 |
8 | 3.50% | 11.90 | 35.59 | 70.88 | 140.56 |
9 | 3.50% | 10.75 | 32.16 | 64.05 | 127.00 |
10 | 3.50% | 9.83 | 29.42 | 58.59 | 116.18 |
11 | 3.50% | 9.09 | 27.18 | 54.13 | 107.34 |
12 | 3.50% | 8.46 | 25.32 | 50.42 | 99.98 |
13 | 3.50% | 7.94 | 23.75 | 47.29 | 93.78 |
14 | 3.50% | 7.49 | 22.40 | 44.62 | 88.47 |
15 | 3.50% | 7.10 | 21.24 | 42.31 | 83.89 |
16 | 3.50% | 6.76 | 20.23 | 40.29 | 79.89 |
17 | 3.50% | 6.47 | 19.34 | 38.51 | 76.37 |
18 | 3.50% | 6.20 | 18.55 | 36.94 | 73.25 |
19 | 3.50% | 5.97 | 17.85 | 35.54 | 70.47 |
20 | 3.50% | 5.75 | 17.22 | 34.28 | 67.98 |
21 | 3.50% | 5.56 | 16.65 | 33.15 | 65.74 |
22 | 3.50% | 5.39 | 16.13 | 32.13 | 63.70 |
23 | 3.50% | 5.24 | 15.66 | 31.19 | 61.85 |
24 | 3.50% | 5.09 | 15.24 | 30.34 | 60.17 |
25 | 3.50% | 4.96 | 14.85 | 29.56 | 58.62 |
26 | 3.50% | 4.84 | 14.49 | 28.85 | 57.20 |
27 | 3.50% | 4.73 | 14.15 | 28.19 | 55.90 |
28 | 3.50% | 4.63 | 13.85 | 27.58 | 54.69 |
29 | 3.50% | 4.53 | 13.57 | 27.02 | 53.57 |
30 | 3.50% | 4.45 | 13.30 | 26.49 | 52.53 |
- --------------------------------------------------------------------------------------------------------------------------- |
</TABLE> |
27
<PAGE>
<TABLE>
<CAPTION>
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 Variable Annuity with Assumed Net Return Rate of 5.0%
- ---------------------------------------------------------------------------------------------------------------------------
Years Guaranteed Rate Monthly Payment Quarterly Payment Semi-Annual Payment Annual Payment
- ---------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | |
5 | 5.00% | 18.74 | 56.00 | 111.33 | 219.98 | |
6 | 5.00% | 15.99 | 47.77 | 94.96 | 187.64 | |
7 | 5.00% | 14.02 | 41.90 | 83.30 | 164.59 | |
8 | 5.00% | 12.56 | 37.52 | 74.58 | 147.35 | |
9 | 5.00% | 11.42 | 34.11 | 67.81 | 133.99 | |
10 | 5.00% | 10.51 | 31.40 | 62.42 | 123.34 | |
11 | 5.00% | 9.77 | 29.19 | 58.03 | 114.66 | |
12 | 5.00% | 9.16 | 27.36 | 54.38 | 107.45 | |
13 | 5.00% | 8.64 | 25.81 | 51.31 | 101.39 | |
14 | 5.00% | 8.20 | 24.50 | 48.69 | 96.21 | |
15 | 5.00% | 7.82 | 23.36 | 46.44 | 91.75 | |
16 | 5.00% | 7.49 | 22.37 | 44.47 | 87.88 | |
17 | 5.00% | 7.20 | 21.51 | 42.75 | 84.48 | |
18 | 5.00% | 6.94 | 20.74 | 41.23 | 81.47 | |
19 | 5.00% | 6.71 | 20.06 | 39.88 | 78.80 | |
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20 | 5.00% | 6.51 | 19.46 | 38.68 | 76.42 |
21 | 5.00% | 6.33 | 18.91 | 37.59 | 74.28 |
22 | 5.00% | 6.17 | 18.42 | 36.62 | 72.35 |
23 | 5.00% | 6.02 | 17.98 | 35.73 | 70.61 |
24 | 5.00% | 5.88 | 17.57 | 34.93 | 69.02 |
25 | 5.00% | 5.76 | 17.20 | 34.20 | 67.57 |
26 | 5.00% | 5.65 | 16.87 | 33.53 | 66.25 |
27 | 5.00% | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.00% | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.00% | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.00% | 5.28 | 15.77 | 31.35 | 61.95 |
- --------------------------------------------------------------------------------------------------------------------------- |
</TABLE> |
28
<PAGE>
<TABLE>
<CAPTION>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months
- ----------------------------------------------------------------------------------------------------------------------------
Adjusted | None | 60 | 120 | 180 | 240 | ||||
Age of | ----------------------------------------------------------------------------------------------------------------- | ||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male Female |
- ----------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $4.56 | $4.20 | $4.55 | $4.19 | $4.51 | $4.18 | $4.45 | $4.15 | $4.36 | $4.11 |
51 | 4.64 | 4.26 | 4.62 | 4.25 | 4.58 | 4.24 | 4.51 | 4.21 | 4.42 | 4.16 |
52 | 4.72 | 4.32 | 4.70 | 4.32 | 4.66 | 4.30 | 4.58 | 4.26 | 4.48 | 4.21 |
53 | 4.80 | 4.39 | 4.79 | 4.38 | 4.74 | 4.36 | 4.65 | 4.32 | 4.53 | 4.27 |
54 | 4.89 | 4.46 | 4.87 | 4.46 | 4.82 | 4.43 | 4.73 | 4.39 | 4.59 | 4.32 |
55 | 4.99 | 4.54 | 4.97 | 4.53 | 4.91 | 4.50 | 4.80 | 4.46 | 4.65 | 4.38 |
56 | 5.09 | 4.62 | 5.07 | 4.61 | 5.00 | 4.58 | 4.88 | 4.53 | 4.72 | 4.44 |
57 | 5.20 | 4.71 | 5.17 | 4.70 | 5.10 | 4.66 | 4.96 | 4.60 | 4.78 | 4.50 |
58 | 5.32 | 4.80 | 5.29 | 4.79 | 5.20 | 4.75 | 5.05 | 4.68 | 4.84 | 4.57 |
59 | 5.44 | 4.90 | 5.41 | 4.88 | 5.31 | 4.84 | 5.14 | 4.76 | 4.91 | 4.63 |
60 | 5.57 | 5.00 | 5.53 | 4.99 | 5.42 | 4.93 | 5.23 | 4.84 | 4.97 | 4.70 |
61 | 5.71 | 5.11 | 5.67 | 5.09 | 5.54 | 5.03 | 5.32 | 4.93 | 5.03 | 4.77 |
62 | 5.86 | 5.23 | 5.81 | 5.21 | 5.66 | 5.14 | 5.42 | 5.02 | 5.09 | 4.84 |
63 | 6.02 | 5.36 | 5.97 | 5.33 | 5.79 | 5.25 | 5.51 | 5.11 | 5.16 | 4.91 |
64 | 6.20 | 5.49 | 6.13 | 5.46 | 5.93 | 5.37 | 5.61 | 5.21 | 5.21 | 4.98 |
65 | 6.38 | 5.64 | 6.31 | 5.60 | 6.07 | 5.49 | 5.71 | 5.31 | 5.27 | 5.05 |
66 | 6.58 | 5.79 | 6.49 | 5.75 | 6.22 | 5.63 | 5.81 | 5.41 | 5.32 | 5.12 |
67 | 6.79 | 5.95 | 6.69 | 5.91 | 6.38 | 5.76 | 5.91 | 5.52 | 5.38 | 5.18 |
68 | 7.02 | 6.13 | 6.89 | 6.08 | 6.53 | 5.91 | 6.01 | 5.63 | 5.42 | 5.25 |
69 | 7.26 | 6.32 | 7.11 | 6.26 | 6.70 | 6.06 | 6.11 | 5.74 | 5.47 | 5.31 |
70 | 7.52 | 6.53 | 7.35 | 6.45 | 6.86 | 6.23 | 6.20 | 5.85 | 5.51 | 5.37 |
71 | 7.80 | 6.75 | 7.59 | 6.66 | 7.03 | 6.39 | 6.29 | 5.96 | 5.54 | 5.42 |
72 | 8.09 | 6.99 | 7.85 | 6.89 | 7.21 | 6.57 | 6.38 | 6.07 | 5.57 | 5.47 |
73 | 8.41 | 7.26 | 8.12 | 7.13 | 7.38 | 6.75 | 6.46 | 6.17 | 5.60 | 5.51 |
74 | 8.75 | 7.54 | 8.41 | 7.39 | 7.55 | 6.94 | 6.53 | 6.28 | 5.63 | 5.55 |
75 | 9.12 | 7.85 | 8.71 | 7.66 | 7.73 | 7.13 | 6.61 | 6.38 | 5.65 | 5.59 |
- -----------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
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.
</TABLE>
29
<PAGE>
<TABLE>
<CAPTION>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
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Page 20 of 23
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period Of Months
- ----------------------------------------------------------------------------------------------------------------------------
Adjusted | None | 60 | 120 | 180 | 240 | ||||
Age of | ----------------------------------------------------------------------------------------------------------------- | ||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male Female |
- ----------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $5.48 | $5.12 | $5.46 | $5.11 | $5.41 | $5.09 | $5.34 | $5.06 | $5.24 | $5.01 |
51 | 5.55 | 5.17 | 5.53 | 5.17 | 5.48 | 5.14 | 5.40 | 5.11 | 5.29 | 5.05 |
52 | 5.63 | 5.23 | 5.61 | 5.23 | 5.55 | 5.20 | 5.46 | 5.16 | 5.34 | 5.10 |
53 | 5.71 | 5.30 | 5.69 | 5.29 | 5.62 | 5.26 | 5.53 | 5.22 | 5.40 | 5.15 |
54 | 5.80 | 5.37 | 5.77 | 5.36 | 5.70 | 5.33 | 5.60 | 5.27 | 5.45 | 5.20 |
55 | 5.89 | 5.44 | 5.86 | 5.43 | 5.79 | 5.39 | 5.67 | 5.34 | 5.51 | 5.25 |
56 | 5.99 | 5.52 | 5.96 | 5.51 | 5.87 | 5.47 | 5.74 | 5.40 | 5.56 | 5.31 |
57 | 6.10 | 5.60 | 6.06 | 5.59 | 5.97 | 5.54 | 5.82 | 5.47 | 5.62 | 5.37 |
58 | 6.21 | 5.69 | 6.17 | 5.67 | 6.06 | 5.62 | 5.90 | 5.54 | 5.68 | 5.42 |
59 | 6.33 | 5.79 | 6.29 | 5.77 | 6.17 | 5.71 | 5.98 | 5.61 | 5.74 | 5.48 |
60 | 6.46 | 5.89 | 6.41 | 5.87 | 6.28 | 5.80 | 6.06 | 5.69 | 5.79 | 5.55 |
61 | 6.60 | 6.00 | 6.55 | 6.97 | 6.39 | 5.90 | 6.15 | 5.77 | 5.85 | 5.61 |
62 | 6.75 | 6.11 | 6.69 | 6.08 | 6.51 | 6.00 | 6.24 | 5.86 | 5.91 | 5.67 |
63 | 6.91 | 6.23 | 6.84 | 6.20 | 6.64 | 6.10 | 6.33 | 5.95 | 5.96 | 5.73 |
64 | 7.09 | 6.37 | 7.00 | 6.33 | 6.77 | 6.22 | 6.42 | 6.04 | 6.02 | 5.80 |
65 | 7.27 | 6.51 | 7.18 | 6.46 | 6.91 | 6.34 | 6.52 | 6.13 | 6.07 | 5.86 |
66 | 7.47 | 6.66 | 7.36 | 6.61 | 7.05 | 6.46 | 6.61 | 6.23 | 6.12 | 5.92 |
67 | 7.68 | 6.82 | 7.55 | 6.76 | 7.20 | 6.60 | 6.70 | 6.33 | 6.16 | 5.99 |
68 | 7.91 | 7.00 | 7.76 | 6.93 | 7.35 | 6.74 | 6.80 | 6.43 | 6.21 | 6.04 |
69 | 8.15 | 7.19 | 7.98 | 7.11 | 7.51 | 6.89 | 6.89 | 6.54 | 6.25 | 6.10 |
70 | 8.41 | 7.39 | 8.21 | 7.30 | 7.67 | 7.04 | 6.97 | 6.64 | 6.28 | 6.15 |
71 | 8.69 | 7.62 | 8.45 | 7.51 | 7.83 | 7.21 | 7.06 | 6.74 | 6.32 | 6.20 |
72 | 8.99 | 7.86 | 8.70 | 7.73 | 8.00 | 7.38 | 7.14 | 6.85 | 6.35 | 6.25 |
73 | 9.31 | 8.12 | 8.97 | 7.97 | 8.16 | 7.55 | 7.21 | 6.95 | 6.37 | 6.29 |
74 | 9.65 | 8.41 | 9.26 | 8.23 | 8.33 | 7.73 | 7.29 | 7.04 | 6.39 | 6.33 |
75 | 10.02 | 8.72 | 9.55 | 8.50 | 8.50 | 7.92 | 7.35 | 7.14 | 6.41 | 6.36 |
- ----------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
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.
</TABLE>
30
<PAGE>
<TABLE>
<CAPTION>
OPTION 3
Life Income For Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
- ----------------------------------------------------------------------------------------------------------------------------------Adjusted Ages
- -------------------------------------- | ||||||
Annuitant | Second Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- -----------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $3.97 | $4.35 | $4.56 | $3.97 | $4.42 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 |
55 | 60 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 |
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 |
60 | 65 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 |
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 |
65 | 70 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 |
70 | 75 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 |
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Page 21 of 23
75 | 80 | 7.33 | 8.62 | 9.45 | 7.02 | 8.13 |
- ----------------------------------------------------------------------------------------------------------------------------------- |
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female.
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.
</TABLE>
31
<PAGE>
<TABLE>
<CAPTION>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
- ----------------------------------------------------------------------------------------------------------------------------------Adjusted Ages
- -------------------------------------- | ||||||
Annuitant | Second Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- -----------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $4.03 | $4.36 | $4.55 | $4.03 | $4.41 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 |
60 | 55 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 |
65 | 60 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 |
70 | 65 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 |
75 | 70 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 8.70 |
- -----------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male.
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.
</TABLE>
32
<PAGE>
<TABLE>
<CAPTION>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
- ----------------------------------------------------------------------------------------------------------------------------------Adjusted Ages
- -------------------------------------- | ||||||
Annuitant | Second Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- -----------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $4.88 | $5.26 | $5.48 | $4.88 | $5.34 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
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55 | 60 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 8.14 | 9.49 | 10.35 | 7.80 | 8.98 |
- -----------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female.
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.
</TABLE>
33
<PAGE>
<TABLE>
<CAPTION>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
- ----------------------------------------------------------------------------------------------------------------------------------
Adjusted Ages | ||||||
- -------------------------------------- | ||||||
Annuitant | Second Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
- -----------------------------------------------------------------------------------------------------------------------------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $4.93 | $5.27 | $5.46 | $4.93 | $5.19 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
60 | 55 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
65 | 60 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
70 | 65 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 70 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 9.59 |
- -----------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male.
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.
</TABLE>
34
<PAGE>
[Aetna logo]
Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
P.O. Box 30670
Hartford, Connecticut 06150-0670
(800) 531-4547
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Page 23 of 23
Individual Variable, Fixed, or Combination Annuity Contract
Nonparticipating
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY.
35
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Page 1 of 22
Exhibit 16(4)(j) | |||
Aetna Insurance Company of America | |||
Home Office: 151 Farmington Avenue | |||
P.O. Box 30670 | |||
Hartford, Connecticut 06150-0670 | |||
(800) 531-4547 | |||
You may call the toll-free number shown above for | |||
answers to questions or to resolve a complaint. | |||
Aetna Insurance Company of America, a stock | |||
company, herein called Aetna, agrees to pay the | |||
benefits stated in this Contract. | |||
<TABLE> | |||
<CAPTION> | |||
Specifications | |||
- ---------------------------------------------------------------------------------------------- | |||
<S> | <C> | ||
Plan | |||
SPECIMEN | |||
- ---------------------------------------------------------------------------------------------- | |||
Type of Plan | |||
SPECIMEN | |||
- ---------------------------------------------------------------------------------------------- | |||
Contract Holder | |||
SPECIMEN | |||
- ---------------------------------------------------------------------------------------------- | |||
Contract Number | |||
SPECIMEN | |||
- ---------------------------------------------------------------------------------------------- | |||
Effective Date | |||
SPECIMEN | |||
- ---------------------------------------------------------------------------------------------- | |||
This Contract is delivered in SPECIMEN | and is subject to the laws of that jurisdiction | ||
</TABLE> | |||
The variable features of the Group Contract are described in parts III and IV. | |||
Right to Cancel | |||
- -------------------------------------------------------------------------------- | |||
The Group Contract Holder may cancel this Contract within 10 days by returning | |||
it to the agent from whom it was purchased, or to Aetna at the address shown | |||
above. Within seven days of receiving the Contract at its home office, Aetna | |||
will return the amount of Certificate Holder Purchase Payment(s) received, plus | |||
any increase, or minus any decrease, on the amount, if any, allocated to the | |||
Separate Account fund(s). | |||
This page and the pages that follow constitute the entire Contract. | |||
Signed at the home office on the Effective Date. | |||
/s/ Dan Kearney | /s/ Maria F. McKeon | ||
President | Secretary | ||
Group Variable, Fixed, or Combination Annuity Contract | |||
Nonparticipating | |||
G-MP2(5/97) | |||
<PAGE> | |||
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT | |||
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | |||
FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY. | |||
G-MP2(5/97) | |||
2 | |||
<PAGE> | |||
Specifications | |||
- --------------------------- --------------------------------------------------- | |||
Guaranteed | There is a guaranteed interest rate for Purchase | ||
Interest Rate | Payment(s) held in the AG Account. (See Contract | ||
Schedule I). | |||
- --------------------------- --------------------------------------------------- | |||
Deductions from | There will be deductions for mortality and expense | ||
the Separate | risks and administrative fees. (See Contract | ||
Account | Schedule I and II). | ||
- --------------------------- --------------------------------------------------- | |||
Deduction from Purchase | Purchase Payment(s) are subject to a deduction for | ||
Payment(s) | premium taxes, if any. (See 3.01.) | ||
- --------------------------- --------------------------------------------------- | |||
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Page 2 of 22
Surrender Fee |
There will be a charge deducted upon surrender. (See Contract Schedule I). |
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. THEREFORE, IT IS IMPORTANT THAT YOU READ THIS CONTRACT CAREFULLY.
G-MP2(5/97)
3
<PAGE>
Contract Schedule I
Accumulation Period
<TABLE> <CAPTION> Separate Account
- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Separate Account: Variable Annuity Account I
Charges to Separate Account: | A daily charge is deducted from any portion of the Current Value allocated to the | ||
Separate Account. The deduction is the daily equivalent of the annual effective | |||
percentage shown in the following chart: __ | _ | ||
| | | | ||
Administrative Charge | | 0.15% | | ||
Mortality Risk Charge | | 0.35% | | ||
Expense Risk Charge | | 0.90% | ||
----- | |||
Total Separate Account | | | | | |
Charges | | 1.40% | | ||
|_ | _| |
AICA Guaranteed Account (AG Account)
- ------------------------------------------------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate:
[3.0%] (effective annual rate of return)
Separate Account and AG Account
- ------------------------------------------------------------------------------------------------------------------------------------
Transfers: | An unlimited number of Transfers are allowed during the Accumulation Period. Aetna | ||
allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right | |||
to charge [$10] for each subsequent Transfer. | |||
Maintenance Fee: | The annual Maintenance Fee is [$30]. | 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]. | |||
Annual Waiver of Surrender Fee: | As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot | ||
exceed [10%] of the Current Value calculated on the date Aetna receives a surrender | |||
request in good order at its Home Office. | |||
Surrender Fee: | For each surrender, the Surrender Fee will be determined as follows: | ||
Surrender Fee | |||
Length of Time from Deposit of | (as percentage of | ||
__ Net Purchase Payment (Years) | Net Purchase _ Payment) | ||
| | Less than 2 years | 7% | | |
| | 2 or more but less than 4 years | 6% | | |
| | 4 or more but less than 5 years | 5% | | |
| | 5 or more but less than 6 years | 4% | | |
| | 6 or more but less than 7 years | 3% | | |
| | 7 years or more | 0% | | |
|_ | _| | ||
G-MP2(5/97)-1 |
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<PAGE>
Contract Schedule I (Continued)
Accumulation Period
Separate Account and AG Account (Cont'd)
- ------------------------------------------------------------------------------------------------------------------------------------
Systematic Withdrawal Option (SWO): |
The specified payment or specified percentage may not be greater than [10%] of the Account's Current Value at time of election. |
</TABLE> |
See 1. GENERAL DEFINITIONS for explanations.
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5
<PAGE>
Contract Schedule II
Accumulation Period
<TABLE> <CAPTION> Separate Account
- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Charges to Separate Account: A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option.
This charge will not exceed [0.25%].
Variable Annuity Assumed Annual Net | If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be | |
Return Rate: | elected. If [5.0%] is not elected, Aetna will use an assumed annual net return rate of | |
[3.5%]. | ||
The assumed annual net return rate factor for [3.5%] per year is [0.9999058]. | ||
The assumed annual net return rate factor for [5.0%] per year is [0.9998663]. | ||
If the portion of a Variable Annuity payment for any Fund is not to decrease, the | ||
Annuity return factor under the Separate Account for that Fund must be: | ||
(a) | [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the | |
administrative charge set at the time Annuity payments commence if an assumed | ||
annual net return rate of [3.5%] is chosen; or | ||
(b) | [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the | |
administrative charge set at the time Annuity payments commence, if an assumed | ||
annual net return rate of [5%] is chosen. |
Fixed Annuity
- ------------------------------------------------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate: </TABLE> |
[3.0%] (effective annual rate of return) |
See 1. GENERAL DEFINITIONS for explanations.
G-MP2(5/97)-1
6
<PAGE>
Contract Schedule I
Accumulation Period
<TABLE> <CAPTION> Separate Account
- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Separate Account: Variable Annuity Account I
Charges to Separate Account: | A daily charge is deducted from any portion of the Current Value allocated to the | ||
Separate Account. The deduction is the daily equivalent of the annual effective | |||
percentage shown in the following chart: _ | _ | ||
Administrative Charge | | 0.15% | | ||
Mortality Risk Charge | | 0.35% | | ||
Expense Risk Charge | | 0.90% | | ||
----- | |||
Total Separate Account | | | | | |
Charges | | 1.40% | | ||
|_ | _| |
AICA Guaranteed Account (AG Account)
- ------------------------------------------------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate:
[3.0%] (effective annual rate of return)
Separate Account and AG Account
- ------------------------------------------------------------------------------------------------------------------------------------
Transfers: | An unlimited number of Transfers are allowed during the Accumulation Period. Aetna | |
allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right | ||
to charge [$10] for each subsequent Transfer. | ||
Maintenance Fee: | The annual Maintenance Fee is [$30]. 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]. | ||
Annual Waiver of Surrender Fee: | As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot | |
exceed [10%] of the Current Value calculated on the date Aetna receives a surrender | ||
request in good order at its Home Office. | ||
Surrender Fee: | For each surrender, the Surrender Fee will be determined as follows: | |
Surrender Fee | ||
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Length of Time from Deposit of | (as percentage of | |
__ Net Purchase Payment (Years) | Net Purchase Payment) _ | |
| | Less than 1 year | 3% | |
| | More than 1 but less than 2 years | 2% | |
| | More than 2 but less than 3 years | 1% | |
| | More than 3 years | 0% | |
|_ | _| |
G-MP2(5/97)-2
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<PAGE>
Contract Schedule I (Continued)
Accumulation Period
Separate Account and AG Account (Cont'd)
- ------------------------------------------------------------------------------------------------------------------------------------
Systematic Withdrawal Option (SWO): |
The specified payment or specified percentage may not be greater than [10%] of the Account's Current Value at time of election. |
</TABLE> |
See 1. GENERAL DEFINITIONS for explanations.
G-MP2(5/97)-2
5
<PAGE>
Contract Schedule II
Annuity Period
<TABLE>
<CAPTION>
Separate Account
- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Charges to Separate Account: A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option. This charge will not exceed [0.25%].
Variable Annuity Assumed Annual Net | If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be | |
Return Rate: | elected. If [5.0%] is not elected, Aetna will use an assumed annual net return rate of | |
[3.5%]. | ||
The assumed annual net return rate factor for [3.5%] per year is [0.9999058]. | ||
The assumed annual net return rate factor for [5.0%] per year is [0.9998663]. | ||
If the portion of a Variable Annuity payment for any Fund is not to decrease, the | ||
Annuity return factor under the Separate Account for that Fund must be: | ||
(a) | [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the | |
administrative charge set at the time Annuity payments commence if an assumed | ||
annual net return rate of [3.5%] is chosen; or | ||
(b) | [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the | |
administrative charge set at the time Annuity payments commence, if an assumed | ||
annual net return rate of [5%] is chosen. |
Fixed Annuity
- ------------------------------------------------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate: </TABLE> |
[3.0%] (effective annual rate of return) |
See 1. GENERAL DEFINITIONS for explanations.
G-MP2(5/97)-2
6
<PAGE>
Contract Schedule I
Accumulation Period
<TABLE> <CAPTION> Separate Account
- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Separate Account: Variable Annuity Account I
Charges to Separate Account: | A daily charge is deducted from any portion of the Current Value allocated to the | |
Separate Account. The deduction is the daily equivalent of the annual effective | ||
percentage shown in the following chart: | ||
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Mortality Risk Charge | | 0.35% | | |
Expense Risk Charge | | 0.90% | | |
----- | ||
Total Separate Account | | | | |
Charges | | 1.25% | | |
|_ | _| |
AICA Guaranteed Account (AG Account)
- ------------------------------------------------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate:
[3.0%] (effective annual rate of return)
Separate Account and AG Account
- ------------------------------------------------------------------------------------------------------------------------------------
Transfers: | An unlimited number of Transfers are allowed during the Accumulation Period. Aetna | |
allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right to | ||
charge [$10] for each subsequent Transfer. | ||
Maintenance Fee: | The annual Maintenance Fee is [$30]. If the Account's Current Value is $5,000 or more | |
on the date the Maintenance Fee is to be deducted, the Maintenance Fee is [$0]. | ||
Annual Waiver of Surrender Fee: | As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot | |
exceed [10%] of the Current Value calculated on the date Aetna receives a surrender | ||
request in good order at its Home Office. | ||
Surrender Fee: | The Surrender Fee does not apply to this Contract. | |
Systematic Withdrawal Option (SWO): | The specified payment or specified percentage may not be greater than [10%] of the | |
Account's Current Value at time of election. | ||
</TABLE> | ||
See 1. GENERAL DEFINITIONS for explanations. | ||
G-MP2(5/97)-3 | 4 | |
<PAGE> |
Contract Schedule II
Annuity Period
<TABLE> <CAPTION> Separate Account
- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Charges to Separate Account: A daily charge at an annual effective rate of [l.25%] for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option.
This charge will not exceed [0.25%].
Variable Annuity Assumed Annual Net | If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be | |
Return Rate: | elected. If [5.0%] is not elected, Aetna will use an assumed annual net return rate of | |
[3.5%]. | ||
The assumed annual net return rate factor for [3.5%] per year is [0.9999058]. | ||
The assumed annual net return rate factor for [5.0%] per year is [0.9998663]. | ||
If the portion of a Variable Annuity payment for any Fund is not to decrease, the | ||
Annuity return factor under the Separate Account for that Fund must be: | ||
(a) | [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the | |
administrative charge set at the time Annuity payments commence if an assumed | ||
annual net return rate of [3.5%] is chosen; or | ||
(b) | [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the | |
administrative charge set at the time Annuity payments commence, if an assumed | ||
annual net return rate of [5%] is chosen. |
Fixed Annuity
- ------------------------------------------------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate: </TABLE> |
[3.0%] (effective annual rate of return) |
See 1. GENERAL DEFINITIONS for explanations. |
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<PAGE>
TABLE OF CONTENTS
Page
I. |
GENERAL DEFINITIONS |
- |
------------------------------------------------------------------------------- |
1.01 | Account | 8 | |
1.02 | Accumulation Period | 8 | |
1.03 | Adjusted Current Value | 8 | |
1.04 | AICA Guaranteed Account (AG Account) | 8 | |
1.05 | Annuitant | 8 | |
1.06 | Annuity | 8 | |
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1.07 | Beneficiary | 8 |
1.08 | Certificate Holder | 8 |
1.09 | Code | 8 |
1.10 | Contract | 8 |
1.11 | Contract Holder | 8 |
1.12 | Current Value | 9 |
1.13 | Deposit Period | 9 |
1.14 | Dollar Cost Averaging | 9 |
1.15 | Fixed Annuity | 9 |
1.16 | Fund(s) | 9 |
1.17 | General Account | 9 |
1.18 | Guaranteed Rates -- AG Account | 9 |
1.19 | Guaranteed Term | 10 |
1.20 | Guaranteed Term(s) Groups | 10 |
1.21 | Maintenance Fee | 10 |
1.22 | Market Value Adjustment (MVA) | 10 |
1.23 | Matured Term Value | 10 |
1.24 | Matured Term Value Transfer | 10 |
1.25 | Maturity Date | 10 |
1.26 | Net Purchase Payment(s) | 10 |
1.27 | Nonunitized Separate Account | 10 |
1.28 | Purchase Payment(s) | 11 |
1.29 | Reinvestment | 11 |
1.30 | Separate Account | 11 |
1.31 | Surrender Value | 11 |
1.32 | Transfers | 11 |
1.33 | Valuation Period (Period) | 11 |
1.34 | Variable Annuity | 11 |
II. |
GENERAL PROVISIONS |
- |
------------------------------------------------------------------------------- |
2.01 | Change of Contract | 12 |
2.02 | Change of Fund(s) | 13 |
2.03 | Nonparticipating Contract | 13 |
2.04 | Payments and Elections | 13 |
2.05 | State Laws | 13 |
2.06 | Control of Contract | 13 |
2.07 | Designation of Beneficiary | 14 |
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6 | ||
<PAGE> | ||
Page | ||
2.08 | Misstatements and Adjustments | 14 |
2.09 | Incontestability | 14 |
2.10 | Grace Period | 14 |
2.11 | Individual Certificates | 14 |
III. |
PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
- |
------------------------------------------------------------------------------ |
3.01 | Net Purchase Payment | 14 |
3.02 | Certificate Holder's Account | 15 |
3.03 | Fund(s) Record Units -- Separate Account | 15 |
3.04 | Net Return Factor(s) -- Separate Account | 15 |
3.05 | Fund Record Unit Value -- Separate Account | 16 |
3.06 | Market Value Adjustment | 16 |
3.07 | Transfer of Current Value from the Funds or AG Account | |
During the Accumulation Period | 17 | |
3.08 | Notice to the Contract Holder | 18 |
3.09 | Loans | 18 |
3.10 | Systematic Distribution Options | 18 |
3.11 | Death Benefit Amount | 19 |
3.12 | Death Benefit Options Available to Beneficiary | 20 |
3.13 | Liquidation of Surrender Value | 22 |
3.14 | Surrender Fee | 22 |
3.15 | Payment of Surrender Value | 23 |
3.16 | Payment of Adjusted Current Value | 23 |
IV. |
ANNUITY PROVISIONS |
- |
-------------------------------------------------------------------------------- |
4.01 | Choices | 24 |
4.02 | Terms of Annuity Options | 24 |
4.03 | Death of Annuitant/Beneficiary | 26 |
4.04 | Fund(s) Annuity Units -- Separate Account | 27 |
4.05 | Fund(s) Annuity Unit Value -- Separate Account | 27 |
4.06 | Annuity Net Return Factor(s) -- Separate Account | 27 |
4.07 | Annuity Options | 28 |
G-MP2(5/97) |
7
<PAGE>
<TABLE>
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<CAPTION>
I. |
GENERAL DEFINITIONS |
- |
------------------------------------------------------------------------------------------------------------------------------------ |
<S>
1.01 |
Account: |
1.02 |
Accumulation Period: |
1.03 |
Adjusted Current Value: |
1.04 |
AICA Guaranteed Account (AG Account): |
1.05 |
Annuitant: |
1.06 |
Annuity: |
1.07 |
Beneficiary: |
1.08 |
Certificate Holder: |
1.09 |
Code: |
1.10 |
Contract: |
1.11 |
Contract Holder: |
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1.12 |
Current Value: |
1.13 |
Deposit Period: |
1.14 |
Dollar Cost Averaging: |
1.15 |
Fixed Annuity: |
1.16 |
Fund(s): |
1.17 |
General Account: |
1.18 |
Guaranteed Rates -- AG Account: |
<C>
A record established for each Certificate Holder to maintain the value of all Net Purchase Payments held on his/her behalf during the Accumulation Period.
The period during which the Net Purchase Payment(s) are applied to an Account to provide future Annuity payment(s).
The Current Value of an Account plus or minus any aggregate AG Account MVA, if applicable. (See 1.22)
An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AG Account.
The person whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract.
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).
The individual or estate entitled to receive any death benefit under the Contract. If the Contract 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.
A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit 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.
The Internal Revenue Code of 1986, as it may be amended from time to time.
This agreement between Aetna and the Contract Holder.
The entity to which the Contract is issued.
8
As of the most recent Valuation Period, the Net Purchase Payment and any additional amount deposited pursuant to 3.11 plus any interest added to the portion allocated to the AG Account; and plus or minus the investment experience of the portion allocated to the Funds since deposit; less all Maintenance Fees deducted, any amounts surrendered and any amounts applied to an Annuity.
A day, a calendar week, a calendar month, a calendar quarter, or any other period of time specified by Aetna during which Net Purchase Payment(s), Transfers and/or Reinvestments may be allocated to one or more AG Account Guaranteed Terms. Aetna reserves the right to shorten or to extend the Deposit Period.
During a Deposit Period, Aetna may offer any number of Guaranteed Terms and more than one Guaranteed Term of the same duration may be offered.
A program that permits the Contract Holder to systematically transfer amounts from any of the Funds or an available AG Account Guaranteed Term to any of the Funds. Aetna reserves the right to establish terms and conditions governing Dollar Cost Averaging. Dollar Cost Averaging is not available when a SDO is in effect.
An Annuity with payments that do not vary in amount.
The open-end management investment companies (mutual funds) in which the Separate Account invests.
The Account holding the assets of Aetna, other than those assets held in Aetna's separate accounts.
Aetna will declare the interest rate(s) applicable to a specific Guaranteed Term at the start of the Deposit Period for that Guaranteed Term. The rate(s) are guaranteed by Aetna for the period beginning with the first day of the Deposit Period and ending on the Maturity Date. Guaranteed Rates are credited beginning with the date of allocation. The Guaranteed Rates are annual effective yields. That is, interest is credited daily at a rate that will produce the Guaranteed Rate over the period of a year. No Guaranteed Rate will ever be less than the Minimum Guaranteed Rate shown on Contract Schedule I.
For Guaranteed Terms of one year or less, one Guaranteed Rate is credited for the full Guaranteed Term. For longer Guaranteed Terms, an initial Guaranteed Rate is credited from the date of deposit to the end of a specified period within the Guaranteed Term. There may be different Guaranteed Rate(s) declared for subsequent specified time intervals throughout the Guaranteed Term.
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1.19 |
Guaranteed Term: |
1.20 |
Guaranteed Term(s) Groups: |
1.21 |
Maintenance Fee: |
1.22 |
Market Value Adjustment (MVA): |
1.23 |
Matured Term Value: |
1.24 |
Matured Term Value Transfer: |
1.25 |
Maturity Date: |
1.26 |
Net Purchase Payment(s): |
1.27 |
Nonunitized Separate Account: |
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1.28 |
Purchase Payment(s): |
1.29 |
Reinvestment: |
1.30 |
Separate Account: |
1.31 |
Surrender Value: |
1.32 |
Transfers: |
1.33 |
Valuation Period (Period): |
1.34 |
Variable Annuity: |
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Page 8 of 22
The period of time specified by Aetna for which a specific Guaranteed Rate(s) is offered on amounts invested during a specific Deposit Period. Guaranteed Terms are made available subject to Aetna's terms and conditions, including, but not limited to, Aetna's right to restrict allocations to new Net Purchase Payments (such as by prohibiting Transfers into a particular Guaranteed Term from any other Guaranteed Term or from any of the Funds, or by prohibiting Reinvestment of a Matured Term Value to a particular Guaranteed Term. More than one Guaranteed Term of the same duration may be offered during a Deposit Period.
All AG Account Guaranteed Term(s) of the same duration (from the close of the Deposit Period until the designated Maturity Date).
The Maintenance Fee (see Contract Schedule I) will be deducted during the Accumulation Period from the Current Value on each anniversary of the date the Account is established and upon surrender of the entire Account.
An adjustment that may apply to an amount withdrawn or transferred from an AG Account Guaranteed Term prior to the end of that Guaranteed Term. 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 3.06. The adjustment is expressed as a percentage of each dollar being withdrawn.
The amount payable on an AG Account Guaranteed Term's Maturity Date.
During the calendar month following an AG Account Maturity Date, the Certificate Holder may notify Aetna's home office in writing to Transfer or surrender all or part of the Matured Term Value, plus interest at the new Guaranteed Rate accrued thereon, from the AG Account without an MVA. This provision only applies to the first such written request received from the Certificate Holder during this period for any Matured Term Value.
The last day of an AG Account Guaranteed Term.
The Purchase Payment less premium taxes, as applicable.
A separate account set up by Aetna under Title 38, Section 38a-433, of the Connecticut General Statutes, that holds assets for AG Account Terms. There are no discrete units for this 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. These assets may be chargeable with liabilities arising out of any other business of Aetna.
10
Payment(s) 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 or Certificate Holder.
Aetna will mail a notice to the Certificate Holder at least 18 calendar days before a Guaranteed Term's Maturity Date. This notice will contain the Terms available during the current Deposit Periods with their Guaranteed Rate(s), and projected Matured Term Value. If no specific direction is given by the Certificate Holder prior to the Maturity Date, each Matured Term Value will be reinvested in the current Deposit Period for a Guaranteed Term of the same duration. If a Guaranteed Term of the same duration is unavailable, each Matured Term Value will automatically be reinvested in the current Deposit Period for the next shortest Guaranteed Term available. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used. Aetna will mail a confirmation statement to the Certificate Holder the next business day after the Maturity Date. This notice will state the Guaranteed Term and Guaranteed Rate(s) which will apply to the reinvested Matured Term Value.
A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to other income, gains or losses of Aetna. Aetna owns the assets held in the Separate Account and is not a trustee as to such amounts. This Separate Account generally is not guaranteed and is held at market value. The assets of the Separate Account, to the extent of reserves and other contract liabilities of the Account, shall not be charged with other Aetna liabilities.
The amount payable by Aetna upon the surrender of any portion of an Account.
The movement of invested amounts among the available Fund(s) and/or any AG Account Guaranteed Term made available subject to terms and conditions established by Aetna during the Accumulation Period or, during the Annuity Period, among the available Funds under a Variable Annuity.
The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such day, or such other day that one or more of the Funds determines its net asset value.
An Annuity with payments that vary with the net investment results of one or more Funds held under the Separate Account.
11
II. |
GENERAL PROVISIONS |
- |
------------------------------------------------------------------------------------------------------------------------------------ |
2.01 Change of Contract: | Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the | |
Contract Holder in writing at least 30 days before the effective date of any change. Any change | ||
will not affect the amount or terms of any Annuity which begins before the change. | ||
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2.02 Change of Fund(s):
2.03 |
Nonparticipating Contract: |
2.04 |
Payments and Elections: |
2.05 |
State Laws: |
2.06 |
Control of Contract: |
G-MP2(5/97)
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2.06 |
Control of Contract (Cont'd): |
Page 9 of 22
Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. This applies to an initial Purchase Payment to establish a new Account or to subsequent Purchase Payments in existing Accounts under the Contract. No advance notice will be given to the Contract Holder or Certificate Holder.
Aetna may make any change that affects the AG Account Market Value Adjustment (3.06) with at least 30 days' advance written notice to the Contract Holder and the Certificate Holder. Any such change shall become effective for any new Term and will apply to all present and future Accounts.
Any change that effects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:
(a) Net Purchase Payment (1.26)
(b) AG Account Guaranteed Rate (1.18)
(c) Net Return Factor(s) -- Separate Account (3.04) (d) Current Value (1.12) (e) Surrender Value (1.31) (f) Fund(s) Annuity Unit Value -- Separate Account (4.05) (g) Annuity options (4.07) (h) Fixed Annuity Interest Rates (4.01) (i) Transfers (1.32).
Any change that affects the Annuity Options and the tables for the options may be made: (a) No earlier than 12 months after the effective date of this Contract; and (b) No earlier than 12 months after the effective date of any prior change.
Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.
12
The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, Aetna may cease to make such Fund shares available for investment under the Contract prospectively, or Aetna may substitute shares of another Fund for shares already acquired. Aetna may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. Aetna reserves the right to substitute shares of another Fund for shares already acquired without a proxy vote.
The Contract Holder, Certificate Holders or Beneficiaries will not have a right to share in the earnings of Aetna.
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 required to be made will be paid in accordance with 4.03. Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its home office. Such payments will be made within seven calendar days of receipt at its home office of a written claim for payment which is in good order, except as provided in 3.15.
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.
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.
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 Certificate Holders must authorize any Certificate Holder change in writing. Until receipt of such choices at Aetna's home office, Aetna may rely on any previous choices made.
13
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
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by Aetna. | ||
2.07 | Designation of | Each Certificate Holder shall name his or her Beneficiary. If the Account is owned jointly, both |
Beneficiary: | joint Certificate Holders must agree in writing to the Beneficiary designated. 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 accepted by Aetna. If the Account is owned jointly, at the | ||
death of one joint Certificate Holder, the survivor will be deemed the Beneficiary; any other | ||
Beneficiary on record will be deemed a contingent Beneficiary. | ||
2.08 | Misstatements and | If Aetna finds the age of any Annuitant to be misstated, the correct facts will be used to adjust |
Adjustments: | payments. | |
2.09 | Incontestability: | Aetna cannot cancel this Contract because of any error of fact. |
2.10 | Grace Period: | This Contract will remain in effect even if Purchase Payments are not continued except as provided |
in the Payment of Adjusted Current Value provision (see 3.16). | ||
2.11 | 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. |
III. |
PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
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3.01 Net Purchase Payment:
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3.01 |
Net Purchase Payment (Cont'd): |
3.02 |
Certificate Holder's Account: |
3.03 |
Fund(s) Record Units -- Separate Account: |
3.04 |
Net Return Factor(s) -- Separate Account: |
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This amount is the actual Purchase Payment less any premium tax. Aetna reserves the right to pay premium taxes when due and deduct the amount from the Current Value when we pay the tax or at a later date.
Each Net Purchase Payment will be allocated, as directed by the Certificate Holder among:
(a) AG Account Guaranteed Terms made available subject to terms and conditions established by Aetna; and
(b) The Fund(s) in which the Separate Account invests.
14
For each Net Purchase Payment, the Certificate Holder shall tell Aetna the percentage of each Purchase Payment to allocate to any available AG Account Guaranteed Terms and/or each Fund. Unless different allocation instructions are received for any subsequent Net Purchase Payment, the allocation will be the same as for the initial Net Purchase Payment. If the same Guaranteed Term is no longer available, the Net Purchase Payment will be allocated to the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.
Aetna will maintain an Account for each Certificate Holder.
Aetna will declare from time to time the acceptability and the minimum amount for additional Purchase Payments.
The portion of the Net Purchase Payment(s) applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's home office.
The net return factor(s) are used to compute all Separate Account record units for any Fund.
The net return factors for each Fund is equal to 1.0000000 plus the net return rate.
The net return rate is equal to:
(a) The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus
(b) The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus
(c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by
(d) The total value of the Fund(s) record units and Fund(s) annuity units of the Separate Account at the start of the Valuation Period; minus
(e) A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge.
A net return rate may be more or less than 0%. The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.
15
3.05 | Fund Record Unit Value | A Fund record unit value is computed by multiplying the net return factors for the current |
-- Separate Account: | Valuation Period by the Fund record unit value for the previous Period. The dollar value of Fund | |
record units, Separate Account assets, and Variable Annuity payments may go up or down due to | ||
investment gain or loss. |
3.06 Market Value Adjustment: An MVA will apply to any withdrawal from the AG Account before the end of a Guaranteed Term when | |
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3.06 |
Market Value Adjustment (Cont'd): |
3.07 |
Transfer of Current Value from the Funds or AG Account During the Accumulation Period: |
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3.07 |
Transfer of Current Value from the Funds or AG Account During the Accumulation Period: (Cont'd): |
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the withdrawal is:
(a) A Transfer; except for Transfers under the Dollar Cost Averaging program or, as specified in 1.24 Matured Term Value Transfer;
(b) A full or partial surrender (including a free withdrawal under 3.14), except for a payment made (1) under an SDO (see 3.10), or (2) under a qualified Contract, when the amount withdrawn is equal to the required minimum distribution for the Account calculated using a method permitted under the Code and agreed to by Aetna; or
(c) Due to election of an Annuity option (see 4.07).
Full and partial surrenders and Transfers made within six months after the date of the Annuitant's death will be the greater of:
(a) The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. This total may be greater or less than the Current Value of those amounts; or
(b) The applicable portion of the Current Value in the AG Account.
After the six-month period, the surrender or Transfer will be the aggregate MVA amount, which may be greater or less than the Current Value of those amounts.
The greater of the aggregate MVA amount or the applicable portion of the Current Value applies to amounts withdrawn from the AG Account on account of an election of Annuity options 2 or 3 (see 4.07).
16
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 Term. |
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 Term.
(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 Term exist, Aetna reserves the right to use the U.S. Treasury Notes that mature in the following quarter.
Before an Annuity option is elected, all or any portion of the Adjusted Current Value of the Certificate Holder's Account may be transferred from any Fund or Guaranteed Term of the AG Account:
(a) To any other Fund; or
(b) To any Guaranteed Term of the AG Account made available subject to terms and conditions specified by Aetna in the current Deposit Period.
17
Transfer requests can be submitted as a percentage or as a dollar amount. Aetna may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.
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3.08 |
Notice to the Contract Holder: |
3.09 |
Loans: |
3.10 |
Systematic Distribution Options: |
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3.10 |
Systematic Distribution Options (Cont'd): |
3.11 Death Benefit Amount:
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3.11 |
Death Benefit Amount (Cont'd): |
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The Certificate Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by Aetna is shown on Contract Schedule I. Additional Transfers may be subject to a Transfer fee as shown on Contract Schedule I.
Amounts transferred from the AG Account under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month after a Term's Maturity Date do not count against the annual Transfer limit.
Amounts allocated to AG Account Guaranteed Terms may not be transferred to the Funds or to another Guaranteed Term during a Deposit Period or for 90 days after the close of a Deposit Period except for (1) Matured Term Value(s) during the calendar month following the Term's Maturity Date; (2) amounts used as a premium for an Annuity option; (3) amounts transferred under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Distribution Option.
The Certificate Holder will receive quarterly statements from Aetna of:
(a) The value of any amounts held in:
(1) |
The AG Account; and |
(2) |
The Fund(s) under the Separate Account. |
(b) The number of any Fund(s) record units; and
(c) The Fund(s) record unit value.
Such number or values will be as of a specific date no more than 60 days before the date of the notice.
Loans are not available under this Contract.
Aetna may, from time to time, make one or more systematic distribution options (SDOs) available during the Accumulation Period. When an SDO is elected, Aetna will make automatic payments from the Certificate Holder's Account. No Surrender Fee or MVA will apply to the automatic payments made under an SDO.
18
Any SDO will be subject to the following criteria:
(a) Any SDO will be available to similarly situated contracts uniformly, and on the basis of objective criteria consistently applied;
(b) The availability of any SDO may be limited by terms and conditions applicable to the election of such SDO; and
(c) Aetna may discontinue the availability of an SDO at any time. Except to the extent required to comply with applicable law, discontinuance of an SDO will apply only to future elections and will not affect SDOs in effect at the time an option is discontinued.
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 death of the first joint Certificate Holder to die. 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. The amount of the death benefit is determined as follows:
(a) Death of Annuitant: The guaranteed death benefit is the greatest of:
(1) The sum of all Purchase Payment(s) made to the Account (as of the date of death) minus the sum of all amounts surrendered, applied to an Annuity, or deducted from the Account;
(2) The highest step up value, as of the date of death, prior to the Annuitant's 75th birthday. A step-up value is determined on each anniversary of the Effective Date. Each step-up value is calculated as the Account's Current Value on the Effective Date anniversary, increased by the amount of any Purchase Payment(s) made, and decreased by the sum of all amounts surrendered, deducted, and/or applied to an Annuity option since the Effective Date anniversary.
(3) The Account's Current Value as of the date of death.
The excess, if any, of the guaranteed death benefit value over the Account's Current Value is determined as of the date of death. Any excess amount will be deposited to the Account and allocated to Aetna Variable Encore Fund as of the claim date. The Current Value on the claim date plus any excess amount deposited becomes the Account's Current Value.
19
(b) Death of the Certificate Holder if the Certificate Holder is not the Annuitant: The death benefit amount is the Account's Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).
(c) Death of spousal Beneficiary who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date, less any applicable Surrender Fee (see 3.14 and Contract Schedule I) on Purchase Payments made since the death of the Annuitant.
(d) Death of the spousal beneficiary of a Certificate Holder who was not the Annuitant and who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and
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3.12 |
Death Benefit Options Available to Beneficiary: |
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3.12 |
Death Benefit Options Available to Beneficiary (Cont'd): |
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Contract Schedule I).
Prior to any election, or until amounts must be otherwise distributed under this section, the Current Value will be retained in the Account. The Beneficiary has the right to allocate or reallocate any amount to any of the available investment options (subject to an MVA if applicable). The following options are available to the Beneficiary:
(a) When the Certificate Holder is the Annuitant if the Annuitant dies (or when the Certificate Holder is a nonnatural person if the Annuitant dies):
(1) If the Beneficiary is the surviving spouse, the spousal Beneficiary will be the successor Certificate Holder and may exercise all Certificate Holder rights under the Contract and continue in the Accumulation Period, or may elect (i) or (ii) below.
Under the Code, 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 Adjusted Current Value to an Annuity option (see 4.07);
(ii)Receive, at any time, a lump sum payment equal to the Adjusted Current Value of the Account.
20
(2) If the Beneficiary is other than the surviving spouse, options (i) or (ii) above apply. Any portion of the Adjusted Current Value not applied to an Annuity option within one year of the death must be distributed within five years of the date of death.
(3) If no Beneficiary exists, a lump sum payment equal to the Adjusted Current Value must be made to the Annuitant's estate within five years of the date of death.
(4) If the Beneficiary is an entity, a lump sum payment equal to the Adjusted Current Value must be made within five years of the date of death.
(b) When the Certificate Holder is not the Annuitant when the Certificate Holder dies:
(1) If the Beneficiary is the Certificate Holder's surviving spouse, the spousal Beneficiary will be the successor Certificate Holder and may exercise all Certificate Holder rights under the Contract and continue in the Accumulation Period, or may elect (i) or (ii), below. Under the Code, 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 Adjusted Current Value to Annuity option 2 or 3 (see 4.07); |
(ii) |
Receive, at any time, a lump sum payment equal to the Surrender Value. |
(2) If the Beneficiary is other than the Certificate Holder's surviving spouse, options (i) or (ii) under (1) above apply. Any portion of the death benefit not applied to an Annuity option within one year of the Certificate Holder's death must be distributed within five years of the date of death.
(3) If no Beneficiary exists, a lump sum payment equal to the Surrender Value must be made to the Certificate Holder's estate within five years of the date of death.
(4) If the Beneficiary is an entity, a lump sum payment equal to the Surrender Value must be made within five years of the date of death.
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<PAGE>
3.12 | Death Benefit Options | (c) When the Certificate Holder is a natural person and not the Annuitant, when the Annuitant |
Available to Beneficiary | dies, the Beneficiary (or the Certificate Holder if no Beneficiary exists) may elect to: | |
(Cont'd): |
(i) |
Apply all or some of the Adjusted Current Value to an Annuity option within 60 days of the date of death; or |
(ii) |
Receive a lump sum payment equal to the Adjusted Current Value. |
3.13 | Liquidation of Surrender | All or any portion of the Account's Current Value may be surrendered at any time. Surrender | |
Value: | 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 Fund(s) and/or the Guaranteed | |||
Term(s) Groups of the AG Account in which the Current Value is invested. Within a Guaranteed Term | |||
Group, the amount to be surrendered or transferred 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, if applicable, the surrendered amount shall be reduced by | |||
a Surrender Fee, if applicable. An MVA may apply to amounts surrendered from the AG Account. | |||
3.14 | Surrender Fee: | The Surrender Fee only applies to the Net Purchase Payment(s) portion surrendered and varies | |
according to the elapsed time since deposit (see Contract Schedule I). Net Purchase Payment | |||
amounts are withdrawn in the same order they were applied. | |||
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, up to a maximum | |||
of the aggregate Net Purchase Payment(s) minus the total of all partial surrenders, amounts | |||
applied to an Annuity and deductions made prior to the Annuitant's date of death; | |||
(b) As a premium for an Annuity option (see 4.07); | |||
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3.14 Surrender Fee (Cont'd):
3.15 |
Payment of Surrender Value: |
Page 14 of 22
(c) |
As a distribution under an systematic distribution option (see 3.10); |
22 |
|
(d) |
At least 12 months after the date of the first Purchase Payment to the Account, in an amount not to exceed the amount shown on Contract Schedule I under Annual Waiver of Surrender Fee. |
This waiver of the Surrender Fee applies to the first full or partial surrender in the calendar year. This waiver is not available if a systematic distribution option has been in effect at any time during the calendar year; |
|
(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; |
(f) |
By Aetna under 3.16; or |
(g) |
If the Annuitant has spent at least 45 consecutive days in a licensed nursing care facility and each of the following conditions are met: |
(1) more than one calendar year has elapsed since the date the certificate was issued; and |
(2) the surrender is requested within 3 years of admission to a licensed nursing care facility.
This waiver does not apply if the Annuitant was in a nursing care facility at the time the certificate was issued.
(h) |
Under a qualified Contract when the amount withdrawn is equal to the minimum distribution required by the Code for the Account calculated using a method permitted under the Code and agreed to by Aetna. |
Under certain emergency conditions, Aetna may defer payment:
(a) |
For a period of up to 6 months (unless not allowed by state law); or |
(b) |
As provided by federal law. |
3.16 |
Payment of Adjusted Current Value: |
Upon 90 days' written notice to the Certificate Holder, Aetna will terminate any Certificate if the Current Value becomes less than $2,500 immediately following any partial surrender. Aetna does not intend to exercise this right in cases where the Account Current Value is reduced to $2,500 or less solely due to investment performance. A Surrender Fee will not be deducted from the Adjusted Current Value.
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<PAGE>
IV. |
ANNUITY PROVISIONS |
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4.01 Choices:
4.02 |
Terms of Annuity Options: |
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The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax, if applicable,) to any Annuity option (see 4.07). The first Annuity payment may not be earlier than one calendar year after the initial Purchase Payment nor later than the later of:
(a) The first day of the month following the Annuitant's 85th birthday; or
(b) The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may tell Aetna to make a lump sum payment.
When an Annuity option is chosen, Aetna must also be told if payments are to be made other than monthly and whether to pay:
(a) A Fixed Annuity using the General Account;
(b) A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or
(c) A combination of (a) and (b).
If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect higher interest rates. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).
During the Annuity Period when a Variable Annuity has been elected, at the request of the Certificate Holder, all or any portion of the amount allocated to a Fund may be transferred to any other Fund available during the Annuity Period. Four transfers, without charge, are allowed each calendar year. Aetna reserves the right to change the number of transfers allowed.
Transfer requests must be expressed as a percentage of the allocation among the Funds of the amount upon which the Variable Annuity will be based. Aetna reserves the right to establish a minimum transfer amount. Transfers will be effective as of the Valuation Period in which Aetna receives a transfer request in good order at its Home Office.
(a) When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95.
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4.02 | Terms of Annuity Options |
(Cont'd): |
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4.03 |
Death of Annuitant/Beneficiary: |
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(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 a Fixed Annuity is chosen Aetna will use the applicable current settlement rate if it will provide higher Fixed Annuity payments.
(d) For purposes of calculating the guaranteed first payment of a Variable Annuity or the payments for a Fixed 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 from July 1, 1993 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.
(e) Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a Variable Annuity as shown on Contract Schedule II. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future Variable Annuity Payments are to remain level, (see Annuity return factor under Variable Annuity Assumed Annual Net Return Rate on Contract Schedule II).
(f) Once elected, Annuity payments cannot be commuted to a lump sum except for Variable Annuity payments under option 1 (see 4.07). The life expectancy of the Annuitant and the Annuitant and second Annuitant shall be irrevocable upon the election of an Annuity option.
25
(a) Certificate Holder is Annuitant: When the Certificate Holder is the Annuitant and the Annuitant dies under option 1 or 2, or if both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Account has joint Certificate Holders, the surviving joint Certificate Holder will be deemed the successor payee.
(b) Certificate Holder is Not Annuitant: When the Certificate Holder is not the Annuitant and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee.
If the Account has joint Certificate Holders, the surviving joint Certificate Holder will be deemed the successor payee.
If the Annuitant dies under option 1 or 2, or both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon the election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected, and the Annuitant dies, the remaining payments will continue to the Certificate Holder.
(c) No Beneficiary Named/Surviving: If there is no Beneficiary, the present value of any remaining payments will be paid in one sum to the Certificate Holder, or if the Certificate Holder is not living, then to the Certificate Holder's estate.
(d) If the Beneficiary or the successor payee dies while receiving Annuity payments, the present value of any remaining guaranteed payments will be paid in one sum to the successor Beneficiary/payee, or upon election by the successor Beneficiary/payee, any remaining payments will continue to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary's/payee's estate.
26
4.03 | Death of | (e) The present value will be determined as of the Valuation Period in which proof of death | |
Annuitant/Beneficiary | acceptable to Aetna and a request for payment is received at Aetna's home office. The interest | ||
(Cont'd): | rate used to determine the first payment will be used to calculate the present value. | ||
4.04 | Fund(s) Annuity Units -- | The number of each Fund's Annuity Units is based on the amount of the first Variable Annuity | |
Separate Account: | payment which is equal to: | ||
(a) The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); | |||
divided by | |||
(b) 1,000; multiplied by | |||
(c) The payment rate for the option chosen. | |||
Such amount, or portion, of the variable payment will be divided by the appropriate Fund Annuity | |||
unit value (see 4.05) on the tenth Valuation Period before the due date of the first payment to | |||
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4.05 |
Fund(s) Annuity Unit Value -- Separate Account: |
4.06 |
Annuity Net Return Factor(s) -- Separate Account: |
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4.06 |
Annuity Net Return Factor(s) -- Separate Account (Cont'd): |
4.07 Annuity Options:
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4.07 |
Annuity Options (Cont'd): |
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determine the number of each Fund Annuity units. The number of each Fund Annuity units remains fixed. Each future payment is equal to the sum of the products of each Fund Annuity unit value multiplied by the appropriate number of units. The Fund Annuity unit value on the tenth Valuation Period prior to the due date of the payment is used.
For any Valuation Period, a Fund Annuity unit value is equal to:
(a) The value for the previous Period; multiplied by
(b) The Annuity net return factor(s) (see 4.06 below) for the Period; multiplied by
(c) A factor to reflect the assumed annual net return rate (see Contract Schedule II).
The dollar value of a Fund Annuity unit values and Annuity payments may go up or down due to investment gain or loss.
The Annuity net return factor(s) are used to compute all Separate Account Annuity Payments for any Fund.
The Annuity net return factor for each Fund is equal to 1.0000000 plus the net return rate.
The net return rate is equal to:
(a) The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus
(b) The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus
(c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by
27
(d) The total value of the Fund(s) record units and Fund(s) Annuity units of the Separate Account at the start of the Valuation Period; minus
(e) A daily charge for Annuity mortality and expense risks, which may include profit, and a daily administrative charge (at the annual rate as shown on Contract Schedule II).
A net return rate may be more or less than 0%.
The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.
Payments shall not be changed due to changes in the mortality or expense results or administrative charges.
Option 1 -- Payments for a Specified Period: Payments are made for the number of years specified by the Certificate Holder. The number of years must be at least five and not more than 30.
Option 2 -- Life income based on the life of one Annuitant: Payments are made until the death of the Annuitant. When this option is elected, the Certificate Holder must also choose one of the following:
(a) payments cease at the death of the Annuitant;
(b) payments are guaranteed for a specified period from five to 30 years;
(c) cash refund: when the Annuitant dies, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity option (less any premium tax, if applicable) less the total amount of Annuity payments made prior to such death. This cash refund feature is only available if the total amount applied to the Annuity option is allocated to a Fixed Annuity.
Option 3 -- Life income based on the lives of two Annuitants: Payments are made for the lives of two Annuitants, one of whom is designated the second Annuitant, and cease only when both Annuitants have died. When this option is elected, the Certificate Holder must also choose one of the following:
(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) 100% of the payment to continue after the first death and payments are guaranteed for a period of five to 30 years;
(e) 100% of the payment to continue at the death of the designated second Annuitant and 50% of the payment to continue at the death of the Annuitant; or
28
(f) 100% of the payment continues after the first death with a cash refund feature. When the Annuitant and designated second Annuitant die, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity option (less any premium tax) less the total amount of Annuity payments paid prior to such death. This cash refund feature is only available if the total amount applied to the Annuity option is allocated to a Fixed Annuity.
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If a Fixed Annuity is chosen under Option 1, Option 2 (a) or (b), or Option 3 (a) or (d), the Certificate Holder may elect, at the time the Annuity option is selected, an annual increase of one, two or three percent compounded annually.
As allowed under applicable state law, Aetna reserves the right to offer additional Annuity options.
</TABLE>
G-MP2(5/97)
29
<PAGE>
OPTION 1: Payments for a Specified Period
- --------------------------------------------------------------------------------Monthly Amount for Each $1,000* Rates for a Fixed Annuity with a 3% Guaranteed Interest Rate - --------------------------------------------------------------------------------Years Payment Years Payment
---------------------- --------------------- --------------------- -------------
5 | 17.91 | 18 | 5.96 |
6 | 15.14 | 19 | 5.73 |
7 | 13.16 | 20 | 5.51 |
8 | 11.68 | 21 | 5.32 |
9 | 10.53 | 22 | 5.15 |
10 | 9.61 | 23 | 4.99 |
11 | 8.86 | 24 | 4.84 |
12 | 8.24 | 25 | 4.71 |
13 | 7.71 | 26 | 4.59 |
14 | 7.26 | 27 | 4.47 |
15 | 6.87 | 28 | 4.37 |
16 | 6.53 | 29 | 4.27 |
17 | 6.23 | 30 | 4.18 |
- --------------------------------------------------------------------------------
First Month Amount for Each $1,000*
Rates for a Variable Annuity with a 3.5% Assumed Interest Rate
- --------------------------------------------------------------------------------
Years Payment Years Payment
---------------------- --------------------- --------------------- -------------
5 | 18.12 | 18 | 6.20 |
6 | 15.35 | 19 | 5.97 |
7 | 13.38 | 20 | 5.75 |
8 | 11.90 | 21 | 5.56 |
9 | 10.75 | 22 | 5.39 |
10 | 9.83 | 23 | 5.24 |
11 | 9.09 | 24 | 5.09 |
12 | 8.46 | 25 | 4.96 |
13 | 7.94 | 26 | 4.84 |
14 | 7.49 | 27 | 4.73 |
15 | 7.10 | 28 | 4.63 |
16 | 6.76 | 29 | 4.53 |
17 | 6.47 | 30 | 4.45 |
- --------------------------------------------------------------------------------
First Month Amount for Each $1,000*
Rates for a Variable Annuity with a 5% Assumed Interest Rate
- --------------------------------------------------------------------------------
Years Payment Years Payment
---------------------- --------------------- --------------------- -------------
5 | 18.74 | 18 | 6.94 |
6 | 15.99 | 19 | 6.71 |
7 | 14.02 | 20 | 6.51 |
8 | 12.56 | 21 | 6.33 |
9 | 11.42 | 22 | 6.17 |
10 | 10.51 | 23 | 6.02 |
11 | 9.77 | 24 | 5.88 |
12 | 9.16 | 25 | 5.76 |
13 | 8.64 | 26 | 5.65 |
14 | 8.20 | 27 | 5.54 |
15 | 7.82 | 28 | 5.45 |
16 | 7.49 | 29 | 5.36 |
17 | 7.20 | 30 | 5.28 |
-------------------------------------------------------------------------------- * Net of any applicable premium tax deduction
G-MP2(5/97)
30
<PAGE>
Option 2: Life Income Based on the Life of One Annuitant
<TABLE> <CAPTION>
- -----------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate - -----------------------------------------------------------------------------------------------------------------------Option 2(b): Option 2(b): Option 2(b): Option 2(b):
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Option 2(a): | payments | payments | payments | payments | Option 2(c): | |||
payments for | guaranteed | guaranteed | guaranteed | guaranteed | Cash | |||
Adjusted | life | 5 years | 10 years | 15 years | 20 years | Refund | ||
Age of | ----------------- ----------------- ------------------ ----------------- ------------------ ------------------ | |||||||
Annuitant | Male Female | Male Female | Male Female | Male Female | Male | Female | Male | Female |
-------- ------- --------- ------- --------- ------- ---------- ------- --------- -------- --------- -------- ---------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 4.27 | $ 3.90 | $ 4.26 | $ 3.90 | $ 4.22 | $ 3.89 | $ 4.17 | $ 3.86 | $ 4.08 | $ 3.82 | $ 4.04 | $ 3.78 |
51 | 4.34 | 3.97 | 4.33 | 3.96 | 4.30 | 3.95 | 4.23 | 3.92 | 4.14 | 3.88 | 4.10 | 3.84 |
52 | 4.43 | 4.03 | 4.41 | 4.03 | 4.37 | 4.01 | 4.30 | 3.98 | 4.20 | 3.93 | 4.16 | 3.89 |
53 | 4.51 | 4.10 | 4.50 | 4.10 | 4.45 | 4.08 | 4.37 | 4.04 | 4.26 | 3.99 | 4.23 | 3.95 |
54 | 4.60 | 4.18 | 4.59 | 4.17 | 4.54 | 4.15 | 4.45 | 4.11 | 4.32 | 4.04 | 4.29 | 4.01 |
55 | 4.70 | 4.25 | 4.68 | 4.25 | 4.62 | 4.22 | 4.53 | 4.18 | 4.39 | 4.11 | 4.37 | 4.07 |
56 | 4.80 | 4.34 | 4.78 | 4.33 | 4.72 | 4.30 | 4.61 | 4.25 | 4.45 | 4.17 | 4.44 | 4.13 |
57 | 4.91 | 4.42 | 4.89 | 4.41 | 4.82 | 4.38 | 4.69 | 4.32 | 4.51 | 4.23 | 4.52 | 4.20 |
58 | 5.03 | 4.52 | 5.00 | 4.51 | 4.92 | 4.47 | 4.78 | 4.40 | 4.58 | 4.30 | 4.61 | 4.28 |
59 | 5.15 | 4.61 | 5.12 | 4.60 | 5.03 | 4.56 | 4.87 | 4.48 | 4.65 | 4.37 | 4.69 | 4.35 |
60 | 5.28 | 4.72 | 5.25 | 4.70 | 5.14 | 4.66 | 4.96 | 4.57 | 4.71 | 4.44 | 4.78 | 4.43 |
61 | 5.43 | 4.83 | 5.39 | 4.81 | 5.27 | 4.76 | 5.06 | 4.66 | 4.78 | 4.51 | 4.88 | 4.52 |
62 | 5.58 | 4.95 | 5.53 | 4.93 | 5.39 | 4.87 | 5.16 | 4.75 | 4.84 | 4.58 | 4.98 | 4.60 |
63 | 5.74 | 5.08 | 5.69 | 5.05 | 5.53 | 4.98 | 5.26 | 4.85 | 4.90 | 4.65 | 5.09 | 4.70 |
64 | 5.91 | 5.21 | 5.85 | 5.18 | 5.66 | 5.10 | 5.36 | 4.95 | 4.96 | 4.72 | 5.20 | 4.80 |
65 | 6.10 | 5.36 | 6.03 | 5.32 | 5.81 | 5.22 | 5.46 | 5.05 | 5.02 | 4.79 | 5.31 | 4.90 |
66 | 6.30 | 5.51 | 6.21 | 5.47 | 5.96 | 5.36 | 5.56 | 5.16 | 5.08 | 4.86 | 5.44 | 5.01 |
67 | 6.51 | 5.67 | 6.41 | 5.63 | 6.12 | 5.50 | 5.66 | 5.26 | 5.13 | 4.93 | 5.56 | 5.12 |
68 | 6.73 | 5.85 | 6.62 | 5.80 | 6.28 | 5.65 | 5.77 | 5.37 | 5.18 | 5.00 | 5.70 | 5.24 |
69 | 6.97 | 6.04 | 6.84 | 5.98 | 6.44 | 5.80 | 5.86 | 5.49 | 5.23 | 5.06 | 5.84 | 5.37 |
70 | 7.23 | 6.25 | 7.07 | 6.18 | 6.61 | 5.97 | 5.96 | 5.60 | 5.27 | 5.12 | 5.98 | 5.51 |
71 | 7.51 | 6.47 | 7.32 | 6.39 | 6.79 | 6.14 | 6.05 | 5.71 | 5.31 | 5.18 | 6.14 | 5.65 |
72 | 7.80 | 6.71 | 7.58 | 6.62 | 6.96 | 6.32 | 6.14 | 5.83 | 5.34 | 5.23 | 6.30 | 5.80 |
73 | 8.12 | 6.98 | 7.85 | 6.86 | 7.14 | 6.50 | 6.23 | 5.94 | 5.37 | 5.28 | 6.47 | 5.96 |
74 | 8.46 | 7.26 | 8.14 | 7.12 | 7.32 | 6.69 | 6.31 | 6.04 | 5.40 | 5.32 | 6.65 | 6.13 |
75 | 8.82 | 7.57 | 8.45 | 7.40 | 7.50 | 6.89 | 6.38 | 6.14 | 5.42 | 5.35 | 6.83 | 6.31 |
- -----------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
G-MP2(5/97)
31
<PAGE>
Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>
- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------
Option 2(a): | Option 2(b): | Option 2(b): | Option 2(b): | Option 2(b): | |
payments for life | payments | payments | payments | payments | |
guaranteed | guaranteed | guaranteed | guaranteed | ||
Adjusted | 5 years | 10 years | 15 years | 20 years |
Age of ------------------- -------------------- -------------------- -------------------- --------------------Annuitant Male Female Male Female Male Female Male Female Male Female
-------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | |
50 | $ 4.56 | $ 4.20 | $ 4.55 | $ 4.19 | $ 4.51 | $ 4.18 | $ 4.45 | $ 4.15 | $ 4.36 | $ 4.11 | |
51 | 4.64 | 4.26 | 4.62 | 4.25 | 4.58 | 4.24 | 4.51 | 4.21 | 4.42 | 4.16 | |
52 | 4.72 | 4.32 | 4.70 | 4.32 | 4.66 | 4.30 | 4.58 | 4.26 | 4.48 | 4.21 | |
53 | 4.80 | 4.39 | 4.79 | 4.38 | 4.74 | 4.36 | 4.65 | 4.32 | 4.53 | 4.27 | |
54 | 4.89 | 4.46 | 4.87 | 4.46 | 4.82 | 4.43 | 4.73 | 4.39 | 4.59 | 4.32 | |
55 | 4.99 | 4.54 | 4.97 | 4.53 | 4.91 | 4.50 | 4.80 | 4.46 | 4.65 | 4.38 | |
56 | 5.09 | 4.62 | 5.07 | 4.61 | 5.00 | 4.58 | 4.88 | 4.53 | 4.72 | 4.44 | |
57 | 5.20 | 4.71 | 5.17 | 4.70 | 5.10 | 4.66 | 4.96 | 4.60 | 4.78 | 4.50 | |
58 | 5.32 | 4.80 | 5.29 | 4.79 | 5.20 | 4.75 | 5.05 | 4.68 | 4.84 | 4.57 | |
59 | 5.44 | 4.90 | 5.41 | 4.88 | 5.31 | 4.84 | 5.14 | 4.76 | 4.91 | 4.63 | |
60 | 5.57 | 5.00 | 5.53 | 4.99 | 5.42 | 4.93 | 5.23 | 4.84 | 4.97 | 4.70 | |
61 | 5.71 | 5.11 | 5.67 | 5.09 | 5.54 | 5.03 | 5.32 | 4.93 | 5.03 | 4.77 | |
62 | 5.86 | 5.23 | 5.81 | 5.21 | 5.66 | 5.14 | 5.42 | 5.02 | 5.09 | 4.84 | |
63 | 6.02 | 5.36 | 5.97 | 5.33 | 5.79 | 5.25 | 5.51 | 5.11 | 5.16 | 4.91 | |
64 | 6.20 | 5.49 | 6.13 | 5.46 | 5.93 | 5.37 | 5.61 | 5.21 | 5.21 | 4.98 | |
65 | 6.38 | 5.64 | 6.31 | 5.60 | 6.07 | 5.49 | 5.71 | 5.31 | 5.27 | 5.05 | |
66 | 6.58 | 5.79 | 6.49 | 5.75 | 6.22 | 5.63 | 5.81 | 5.41 | 5.32 | 5.12 | |
67 | 6.79 | 5.95 | 6.69 | 5.91 | 6.38 | 5.76 | 5.91 | 5.52 | 5.38 | 5.18 | |
68 | 7.02 | 6.13 | 6.89 | 6.08 | 6.53 | 5.91 | 6.01 | 5.63 | 5.42 | 5.25 | |
69 | 7.26 | 6.32 | 7.11 | 6.26 | 6.70 | 6.06 | 6.11 | 5.74 | 5.47 | 5.31 | |
70 | 7.52 | 6.53 | 7.35 | 6.45 | 6.86 | 6.23 | 6.20 | 5.85 | 5.51 | 5.37 | |
71 | 7.80 | 6.75 | 7.59 | 6.66 | 7.03 | 6.39 | 6.29 | 5.96 | 5.54 | 5.42 | |
72 | 8.09 | 6.99 | 7.85 | 6.89 | 7.21 | 6.57 | 6.38 | 6.07 | 5.57 | 5.47 | |
73 | 8.41 | 7.26 | 8.12 | 7.13 | 7.38 | 6.75 | 6.46 | 6.17 | 5.60 | 5.51 | |
74 | 8.75 | 7.54 | 8.41 | 7.39 | 7.55 | 6.94 | 6.53 | 6.28 | 5.63 | 5.55 | |
75 | 9.12 | 7.85 | 8.71 | 7.66 | 7.73 | 7.13 | 6.61 | 6.38 | 5.65 | 5.59 | |
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Page 19 of 22
- ----------------------------------------------------------------------------------------------------------------</TABLE>
* Net of any applicable premium tax deduction
G-MP2(5/97)
32
<PAGE>
Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>
- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------
Option 2(a): | Option 2(b): | Option 2(b): | Option 2(b): | Option 2(b): | |
payments for life | payments | payments | payments | payments | |
guaranteed | guaranteed | guaranteed | guaranteed | ||
Adjusted | 5 years | 10 years | 15 years | 20 years |
Age of ------------------- -------------------- -------------------- -------------------- --------------------Annuitant Male Female Male Female Male Female Male Female Male Female
-------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 5.48 | $ 5.12 | $ 5.46 | $ 5.11 | $ 5.41 | $ 5.09 | $ 5.34 | $ 5.06 | 5.24 | $ 5.01 |
51 | 5.55 | 5.17 | 5.53 | 5.17 | 5.48 | 5.14 | 5.40 | 5.11 | 5.29 | 5.05 |
52 | 5.63 | 5.23 | 5.61 | 5.23 | 5.55 | 5.20 | 5.46 | 5.16 | 5.34 | 5.10 |
53 | 5.71 | 5.30 | 5.69 | 5.29 | 5.62 | 5.26 | 5.53 | 5.22 | 5.40 | 5.15 |
54 | 5.80 | 5.37 | 5.77 | 5.36 | 5.70 | 5.33 | 5.60 | 5.27 | 5.45 | 5.20 |
55 | 5.89 | 5.44 | 5.86 | 5.43 | 5.79 | 5.39 | 5.67 | 5.34 | 5.51 | 5.25 |
56 | 5.99 | 5.52 | 5.96 | 5.51 | 5.87 | 5.47 | 5.74 | 5.40 | 5.56 | 5.31 |
57 | 6.10 | 5.60 | 6.06 | 5.59 | 5.97 | 5.54 | 5.82 | 5.47 | 5.62 | 5.37 |
58 | 6.21 | 5.69 | 6.17 | 5.67 | 6.06 | 5.62 | 5.90 | 5.54 | 5.68 | 5.42 |
59 | 6.33 | 5.79 | 6.29 | 5.77 | 6.17 | 5.71 | 5.98 | 5.61 | 5.74 | 5.48 |
60 | 6.46 | 5.89 | 6.41 | 5.87 | 6.28 | 5.80 | 6.06 | 5.69 | 5.79 | 5.55 |
61 | 6.60 | 6.00 | 6.55 | 5.97 | 6.39 | 5.90 | 6.15 | 5.77 | 5.85 | 5.61 |
62 | 6.75 | 6.11 | 6.69 | 6.08 | 6.51 | 6.00 | 6.24 | 5.86 | 5.91 | 5.67 |
63 | 6.91 | 6.23 | 6.84 | 6.20 | 6.64 | 6.10 | 6.33 | 5.95 | 5.96 | 5.73 |
64 | 7.09 | 6.37 | 7.00 | 6.33 | 6.77 | 6.22 | 6.42 | 6.04 | 6.02 | 5.80 |
65 | 7.27 | 6.51 | 7.18 | 6.46 | 6.91 | 6.34 | 6.52 | 6.13 | 6.07 | 5.86 |
66 | 7.47 | 6.66 | 7.36 | 6.61 | 7.05 | 6.46 | 6.61 | 6.23 | 6.12 | 5.92 |
67 | 7.68 | 6.82 | 7.55 | 6.76 | 7.20 | 6.60 | 6.70 | 6.33 | 6.16 | 5.99 |
68 | 7.91 | 7.00 | 7.76 | 6.93 | 7.35 | 6.74 | 6.80 | 6.43 | 6.21 | 6.04 |
69 | 8.15 | 7.19 | 7.98 | 7.11 | 7.51 | 6.89 | 6.89 | 6.54 | 6.25 | 6.10 |
70 | 8.41 | 7.39 | 8.21 | 7.30 | 7.67 | 7.04 | 6.97 | 6.64 | 6.28 | 6.15 |
71 | 8.69 | 7.62 | 8.45 | 7.51 | 7.83 | 7.21 | 7.06 | 6.74 | 6.32 | 6.20 |
72 | 8.99 | 7.86 | 8.70 | 7.73 | 8.00 | 7.38 | 7.14 | 6.85 | 6.35 | 6.25 |
73 | 9.31 | 8.12 | 8.97 | 7.97 | 8.16 | 7.55 | 7.21 | 6.95 | 6.37 | 6.29 |
74 | 9.65 | 8.41 | 9.26 | 8.23 | 8.33 | 7.73 | 7.29 | 7.04 | 6.39 | 6.33 |
75 | 10.02 | 8.72 | 9.55 | 8.50 | 8.50 | 7.92 | 7.35 | 7.14 | 6.41 | 6.36 |
- ----------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
G-MP2(5/97)
33
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- --------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Female and Second Annuitant is Male - --------------------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e) Option 3(f)
------------- ------------- -------------- --------------- -------------- -------------- --------------- -----------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 3.75 | $ 4.07 | $ 4.26 | $ 3.75 | $ 3.98 | $ 3.72 | |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.06 | 3.85 | |
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.12 | 3.94 | |
60 | 55 | 4.06 | 4.47 | 4.71 | 4.06 | 4.37 | 4.02 | |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.47 | 4.17 | |
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.54 | 4.29 | |
65 | 60 | 4.49 | 5.01 | 5.32 | 4.48 | 4.89 | 4.39 | |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.02 | 4.59 | |
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.14 | 4.74 | |
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70 | 65 | 5.07 | 5.75 | 6.17 | 5.05 | 5.60 | 4.87 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.79 | 5.13 |
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 5.96 | 5.29 |
75 | 70 | 5.89 | 6.82 | 7.40 | 5.81 | 6.63 | 5.48 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 6.92 | 5.78 |
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 7.15 | 5.93 |
- --------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
G-MP2(5/97)
34
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- --------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - --------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)
------------- ------------- -------------- --------------- -------------- -------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.03 | $ 4.36 | $ 4.55 | $ 4.03 | $ 4.27 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.34 |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.40 |
60 | 55 | 4.34 | 4.76 | 5.00 | 4.34 | 4.65 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.74 |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 4.82 |
65 | 60 | 4.76 | 5.29 | 5.60 | 4.75 | 5.16 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.30 |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 5.41 |
70 | 65 | 5.34 | 6.03 | 6.46 | 5.31 | 5.88 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.07 |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 6.23 |
75 | 70 | 6.16 | 7.10 | 7.68 | 6.07 | 6.90 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.19 |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 7.42 |
- --------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
G-MP2(5/97)
35
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - ---------------------------------------------------------------------------------------------------------------Adjusted Ages
- -------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) |
---------------- --------------- --------------- -------------- --------------- --------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.93 | $ 5.27 | $ 5.46 | $ 4.93 | $ 5.17 | |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.23 | |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.29 | |
60 | 55 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 | |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.62 | |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 5.70 | |
65 | 60 | 5.61 | 6.16 | 6.49 | 5.60 | 6.03 | |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.15 | |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 6.27 | |
70 | 65 | 6.17 | 6.90 | 7.33 | 6.13 | 6.73 | |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 6.91 | |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 7.07 | |
75 | 70 | 6.97 | 7.96 | 8.56 | 6.87 | 7.75 | |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.04 | |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 8.27 | |
- --------------------------------------------------------------------------------------------------------------- | |||||||
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Page 21 of 22
</TABLE>
* Net of any applicable premium tax deduction
G-MP2(5/97)
36 <PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ------------------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Male and Second Annuitant is Female - ------------------------------------------------------------------------------------------------------------------------------
Adjusted Ages | |||||||
- ------------------------------- | |||||||
Second | |||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) | Option 3(f) |
--------------- ------------ --------------- ------------- -------------- ------------- ------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.69 | $ 4.05 | $ 4.27 | $ 3.69 | $ 4.13 | $ 3.67 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.25 | 3.85 |
55 | 60 | 4.06 | 4.47 | 4.71 | 4.06 | 4.36 | 4.02 |
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.55 | 3.94 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.70 | 4.17 |
60 | 65 | 4.49 | 5.01 | 5.32 | 4.48 | 4.85 | 4.39 |
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 5.10 | 4.29 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.32 | 4.59 |
65 | 70 | 5.07 | 5.75 | 6.17 | 5.05 | 5.54 | 4.87 |
70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.86 | 4.74 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 6.18 | 5.13 |
70 | 75 | 5.89 | 6.82 | 7.40 | 5.81 | 6.49 | 5.48 |
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.92 | 5.29 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.40 | 5.78 |
75 | 80 | 7.07 | 8.34 | 9.16 | 6.78 | 7.85 | 6.17 |
- ------------------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
G-MP2(5/97)
37
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------Adjusted Ages
- -------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) |
--------------- ------------ --------------- ------------- -------------- ------------- -------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.42 | |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 | |
55 | 60 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 | |
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 | |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 | |
60 | 65 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 | |
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 | |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 | |
65 | 70 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 | |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 | |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 | |
70 | 75 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 | |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 | |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 | |
75 | 80 | 7.33 | 8.62 | 9.45 | 7.02 | 8.13 | |
- --------------------------------------------------------------------------------------------------------------- | |||||||
</TABLE> | |||||||
* Net of any applicable premium tax deduction | |||||||
G-MP2(5/97) | |||||||
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38 <PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ---------------------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------------------
Adjusted Ages | ||||||
- ----------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) |
------------------ ---------------- ----------------- ---------------- ----------------- ----------------- ----------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.34 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
55 | 60 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 8.14 | 9.49 | 10.35 | 7.80 | 8.98 |
- ---------------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
G-MP2(5/97)
39 <PAGE>
- --------------------------------------------------------------------------------Aetna Insurance Company of America Home Office: 151 Farmington Avenue P.O. Box 30670 Hartford, Connecticut 06150-0670 (800) 531-4547
Group Variable, Fixed, or Combination Annuity Contract Nonparticipating
- --------------------------------------------------------------------------------
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY.
G-MP2(5/97)
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Page 1 of 24
Exhibit 16(4)(k) | ||
Aetna Insurance Company of America | ||
Home Office: 151 Farmington Avenue | ||
P.O. Box 30670 | ||
Hartford, Connecticut 06150-0670 | ||
(800) 531-4547 | ||
You may call the toll-free number shown above for | ||
answers to questions or to resolve a complaint. | ||
Aetna Insurance Company of America, a stock | ||
company, herein called Aetna, agrees to pay the | ||
benefits stated in this Contract. | ||
- -------------------------------------------------------------------------------- | ||
Certificate of Group Annuity To the Certificate Holder: | ||
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 or endorsements issued to | ||
you under the stated Contract and Certificate | ||
numbers. This Certificate is for information only | ||
and is not a part of the Contract. | ||
The variable features of the Group Contract are | ||
described in parts III and IV. | ||
- -------------------------------------------------------------------------------- | ||
Right to Cancel | You may cancel your Account within 10 | |
days by returning it to the agent from whom it | ||
was purchased, or to Aetna at the address shown | ||
above. Within seven days of receiving this | ||
Certificate at its home office, Aetna will return | ||
the amount of Purchase Payment(s) received, plus | ||
any increase, or minus any decrease, on the | ||
amount, if any, of Purchase Payment(s) allocated | ||
to the Separate Account fund(s). | ||
/s/ Dan Kearney | /s/ Maria F. McKeon | |
President | Secretary | |
- -------------------------------------------------------------------------------- | ||
Contract Holder | Group Annuity Contract No. | |
SPECIMEN | SPECIMEN | |
- -------------------------------------------------------------------------------- | ||
Certificate Holder | Certificate No. | |
SPECIMEN | ||
SPECIMEN | SPECIMEN | |
- -------------------------------------------------------------------------------- | ||
Annuitant Name | Type of Plan | |
SPECIMEN | SPECIMEN | |
- -------------------------------------------------------------------------------- | ||
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | ||
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | ||
FIXED DOLLAR AMOUNT. THIS CERTIFICATE 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 TERM AT THE TIME OF ITS MATURITY. | ||
MP2CERT (5/97) | ||
<PAGE> | ||
Specifications | ||
- ------------------------------- ------------------------------------------------ | ||
Guaranteed Interest Rate There are guaranteed interest | ||
rates for amounts held in the AG Account (See | ||
Certificate Schedule I). | ||
- ------------------------------- ------------------------------------------------ | ||
Deductions from the | There will be deductions for mortality and expense | |
Separate Account | risks and administrative fees. (See Certificate | |
Schedule I and II). | ||
- ------------------------------- ------------------------------------------------ | ||
Deduction from | The Purchase Payment is subject to a deduction for | |
Purchase Payment(s) | premium taxes, if any. (See 3.01.) | |
- ------------------------------- ------------------------------------------------ | ||
Surrender Fee | There will be a charge deducted upon surrender. | |
(See Certificate Schedule I). | ||
MP2CERT(5/97) | ||
2 | ||
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<PAGE>
Contract Schedule I
Accumulation Period
<TABLE>
<CAPTION>
Separate Account
-------------------------- ----------------------------------------------------------------------------------------------------
<S> | <C> | |||
Separate Account: | Variable Annuity Account I | |||
Charges to Separate | A daily charge is deducted from any portion of the Current Value allocated to the Separate | |||
Account: | Account. The deduction is the daily equivalent of the annual effective percentage shown in the | |||
following chart: | __ | __ | ||
Administrative Charge | | | 0.15% | | | |
Mortality Risk Charge | | | 0.35% | | | |
Expense Risk Charge | | | 0.90% | | | |
----- | ||||
Total Separate Account | | | | | ||
Charges | | | 1.40% | | | |
|_ | _| |
AICA Guaranteed Account (AG Account)
- -------------------------------------------------------------------------------------------------------------------------------
Minimum Guaranteed [3.0%] (effective annual rate of return) Interest Rate: Separate Account and AG Account
- -------------------------------------------------------------------------------------------------------------------------------
Transfers: |
An unlimited number of Transfers are allowed during the Accumulation Period. Aetna allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right to charge [$10] for each subsequent Transfer. |
Maintenance Fee: |
The annual Maintenance Fee is [$30]. 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]. |
Annual Waiver of Surrender Fee: |
As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot exceed [10%] of the Current Value calculated on the date Aetna receives a surrender request in good order at its Home Office. |
MP2CERT(5/97)-1
3
<PAGE>
Contract Schedule I (Continued)
Accumulation Period
Separate Account and AG Account (Cont'd)
- -----------------------------------------------------------------------------------------------------------------------------
Surrender Fee: | For each surrender, the Surrender Fee will be determined as follows: | ||
Surrender Fee | |||
Length of Time from Deposit of | (as percentage of | ||
__ Net Purchase Payment (Years) | Net Purchase Payment) | ||
| | Less than 2 years | 7% | | |
| | 2 or more but less than 4 years | 6% | | |
| | 4 or more but less than 5 years | 5% | | |
| | 5 or more but less than 6 years | 4% | | |
| | 6 or more but less than 7 years | 3% | | |
|_ 7 years or more | 0% _| | ||
Systematic | The specified payment or specified percentage may not be greater than [10%] of the Account's | ||
Withdrawal | Current Value at time of election. | ||
Option (SWO): | |||
</TABLE> | |||
See 1. GENERAL DEFINITIONS for explanations. |
MP2CERT(5/97)-1
4
<PAGE>
Contract Schedule II
Annuity Period
<TABLE>
<CAPTION>
Separate Account
-------------------------- ----------------------------------------------------------------------------------------------------
<S> | <C> | |
Charges to Separate | A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense risks. | |
Account: | The administrative charge is established upon election of an Annuity option. | This charge will not |
exceed [0.25%]. | ||
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Variable Annuity Assumed If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be elected. If Annual Net Return Rate: [5.0%] is not elected, Aetna will use an assumed annual net return rate of [3.5%].
The assumed annual net return rate factor for [3.5%] per year is [0.9999058].
The assumed annual net return rate factor for [5.0%] per year is [0.9998663].
If the portion of a Variable Annuity payment for any
Fund is not to decrease, the Annuity return factor
under the Separate Account for that Fund must be:
(a) [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative charge set at the time Annuity payments commence if an assumed annual net return rate of [3.5%] is chosen; or
(b) [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative charge set at the time Annuity payments commence, if an assumed annual net return rate of [5%] is chosen.
Fixed Annuity
-------------------------- ----------------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate: </TABLE> |
[3.0%] (effective annual rate of return) |
See 1. GENERAL DEFINITIONS for explanations.
MP2CERT(5/97)-1
5
<PAGE>
Contract Schedule I
Accumulation Period
<TABLE>
<CAPTION>
Separate Account
-------------------------- ----------------------------------------------------------------------------------------------------
<S> | <C> | |||
Separate Account: | Variable Annuity Account I | |||
Charges to Separate | A daily charge is deducted from any portion of the Current Value allocated to the Separate | |||
Account: | Account. The deduction is the daily equivalent of the annual effective percentage shown in the | |||
following chart: | __ | __ | ||
Administrative Charge | | | 0.15% | | | |
Mortality Risk Charge | | | 0.35% | | | |
Expense Risk Charge | | | 0.90% | | | |
----- | ||||
Total Separate Account | | | | | ||
Charges | | | 1.40% | | | |
|_ | _| |
AICA Guaranteed Account (AG Account)
- -------------------------------------------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate: |
[3.0%] (effective annual rate of return) |
Separate Account and AG Account
- -------------------------------------------------------------------------------------------------------------------------------
Transfers: | An unlimited number of Transfers are allowed during the Accumulation Period. Aetna allows [12] | |
free Transfers in any calendar year. | Thereafter, Aetna reserves the right to charge [$10] for | |
each subsequent Transfer. | ||
Maintenance Fee: | The annual Maintenance Fee is [$30]. | 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]. | ||
Annual Waiver of | As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot exceed [10%] of | |
Surrender Fee: | the Current Value calculated on the date Aetna receives a surrender request in good order at its Home | |
Office. | ||
MP2CERT(5/97)-2 |
3
<PAGE>
Contract Schedule I (Continued)
Accumulation Period
Separate Account and AG Account (Cont'd)
- -------------------------------------------------------------------------------------------------------------------------------
Surrender Fee: | For each surrender, the Surrender Fee will be determined as follows: | ||
Surrender Fee | |||
Length of Time from Deposit of | (as percentage of | ||
__ | Net Purchase Payment (Years) | Net Purchase Payment) | |
| | Less than 1 year | 3% | | |
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| | More than 1 but less than 2 years | 2% | | |
| | More than 2 but less than 3 years | 1% | | |
| | More than 3 years | 0% | | |
|_ | _| | ||
Systematic | The specified payment or specified percentage may not be greater than [10%] of the Account's Current | ||
Withdrawal | Value at time of election. | ||
Option (SWO): | |||
</TABLE> | |||
See 1. GENERAL DEFINITIONS for explanations. |
MP2CERT(5/97)-2
4
<PAGE>
Contract Schedule II
Annuity Period
<TABLE>
<CAPTION>
Separate Account
------------------------------- -----------------------------------------------------------------------------------------------
<S> | <C> | |
Charges to Separate Account: | A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense | |
risks. The administrative charge is established upon election of an Annuity option. This | ||
charge will not exceed [0.25%]. | ||
Variable Annuity Assumed | If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be elected. | |
Annual Net Return Rate: | If [5.0%] is not elected, Aetna will use an assumed annual net return rate of [3.5%]. | |
The assumed annual net return rate factor for [3.5%] per year is [0.9999058]. | ||
The assumed annual net return rate factor for [5.0%] per year is [0.9998663]. | ||
If the portion of a Variable Annuity payment for | ||
any Fund is not to decrease, the Annuity return | ||
factor under the Separate Account for that Fund | ||
must be: | ||
(a) | [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative | |
charge set at the time Annuity payments commence if an assumed annual net return rate of [3.5%] | ||
is chosen; or | ||
(b) | [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative | |
charge set at the time Annuity payments commence, if an assumed annual net return rate of [5%] | ||
is chosen. |
Fixed Annuity
------------------------------- -----------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate: </TABLE> |
[3.0%] (effective annual rate of return) |
See 1. GENERAL DEFINITIONS for explanations.
MP2CERT(5/97)-2
5
<PAGE>
Contract Schedule I
Accumulation Period
<TABLE>
<CAPTION>
Separate Account
-------------------------------- ----------------------------------------------------------------------------------------------
<S> | <C> | |||
Separate Account: | Variable Annuity Account I | |||
Charges to Separate Account: | A daily charge is deducted from any portion of the Current Value allocated to the Separate Account. | |||
The deduction is the daily equivalent of the annual effective percentage shown in the following | ||||
chart: | __ | __ | ||
Mortality Risk Charge | | | 0.35% | | | |
Expense Risk Charge | | | 0.90% | | | |
Total Separate Account | | | ----- | | | |
Charges | | | 1.25% | | | |
|_ | _| |
AICA Guaranteed Account (AG Account)
- -------------------------------------------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate: |
[3.0%] (effective annual rate of return) |
Separate Account and AG Account
- -------------------------------------------------------------------------------------------------------------------------------
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|
Transfers: |
An unlimited number of Transfers are allowed during the Accumulation Period. Aetna allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right to charge [$10] for each subsequent Transfer. |
Maintenance Fee: |
The annual Maintenance Fee is [$30]. 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]. |
Annual Waiver of Surrender Fee: |
As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot exceed [10%] of the Current Value calculated on the date Aetna receives a surrender request in good order at its Home Office. |
MP2CERT(5/97)-3
3
<PAGE>
Contract Schedule I (Continued)
Accumulation Period
Separate Account and AG Account (Cont'd)
- -------------------------------------------------------------------------------------------------------------------------------
Surrender Fee: Systematic Withdrawal Option (SWO): </TABLE> |
The Surrender Fee does not apply to this Contract. The specified payment or specified percentage may not be greater than [10%] of the Account's Current Value at time of election. |
See 1. GENERAL DEFINITIONS for explanations.
MP2CERT(5/97)-3
4
<PAGE>
Contract Schedule II
Annuity Period
<TABLE>
<CAPTION>
Separate Account
------------------------------ ------------------------------------------------------------------------------------------------
<S> | <C> | |
Charges to Separate Account: | A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense | |
risks. The administrative charge is established upon election of an Annuity option. This | ||
charge will not exceed [0.25%]. | ||
Variable Annuity Assumed | If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be elected. | |
Annual Net Return Rate: | If [5.0%] is not elected, Aetna will use an assumed annual net return rate of [3.5%]. | |
The assumed annual net return rate factor for [3.5%] per year is [0.9999058]. | ||
The assumed annual net return rate factor for [5.0%] per year is [0.9998663]. | ||
If the portion of a Variable Annuity payment for any Fund is not to decrease, the Annuity return | ||
factor under the Separate Account for that Fund must be: | ||
(a) | [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative | |
charge set at the time Annuity payments commence if an assumed annual net return rate of [3.5%] | ||
is chosen; or | ||
(b) | [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative | |
charge set at the time Annuity payments commence, if an assumed annual net return rate of [5%] | ||
is chosen. |
Fixed Annuity
- ------------------------------ ------------------------------------------------------------------------------------------------</TABLE>
Minimum Guaranteed Interest Rate: |
[3.0%] (effective annual rate of return) |
See 1. GENERAL DEFINITIONS for explanations.
MP2CERT(5/97)-3
5
<PAGE>
TABLE OF CONTENTS
I. |
GENERAL DEFINITIONS |
- |
--------------------------------------------------------------------------- |
Page | |||
1.01 | Account | 8 | |
1.02 | Accumulation Period | 8 | |
1.03 | Adjusted Current Value | 8 | |
1.04 | AICA Guaranteed Account (AG Account) | 8 | |
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1.05 | Annuitant | 8 |
1.06 | Annuity | 8 |
1.07 | Beneficiary | 8 |
1.08 | Certificate Holder | 8 |
1.09 | Code | 8 |
1.10 | Contract | 8 |
1.11 | Contract Holder | 9 |
1.12 | Current Value | 9 |
1.13 | Deposit Period | 9 |
1.14 | Dollar Cost Averaging | 9 |
1.15 | Fixed Annuity | 9 |
1.16 | Fund(s) | 9 |
1.17 | General Account | 9 |
1.18 | Guaranteed Rates -- AG Account | 9 |
1.19 | Guaranteed Term | 10 |
1.20 | Guaranteed Term(s) Groups | 10 |
1.21 | Maintenance Fee | 10 |
1.22 | Market Value Adjustment (MVA) | 10 |
1.23 | Matured Term Value | 10 |
1.24 | Matured Term Value Transfer | 10 |
1.25 | Maturity Date | 10 |
1.26 | Net Purchase Payment(s) | 11 |
1.27 | Nonunitized Separate Account | 11 |
1.28 | Purchase Payment(s) | 11 |
1.29 | Reinvestment | 11 |
1.30 | Separate Account | 11 |
1.31 | Surrender Value | 11 |
1.32 | Transfers | 12 |
1.33 | Valuation Period (Period) | 12 |
1.34 | Variable Annuity | 12 |
II. |
GENERAL PROVISIONS |
- |
--------------------------------------------------------------------------- |
2.01 | Change of Contract | 12 |
2.02 | Change of Fund(s) | 13 |
2.03 | Nonparticipating Contract | 13 |
MP2CERT(5/97) |
6
<PAGE>
Page | ||
2.04 | Payments and Elections | 13 |
2.05 | State Laws | 14 |
2.06 | Control of Contract | 14 |
2.07 | Designation of Beneficiary | 14 |
2.08 | Misstatements and Adjustments | 14 |
2.09 | Incontestability | 14 |
2.10 | Grace Period | 15 |
2.11 | Individual Certificates | 15 |
III. |
PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
- |
--------------------------------------------------------------------------- |
3.01 | Net Purchase Payment | 15 |
3.02 | Certificate Holder's Account | 15 |
3.03 | Fund(s) Record Units -- Separate Account | 15 |
3.04 | Net Return Factor(s) -- Separate Account | 16 |
3.05 | Fund Record Unit Value -- Separate Account | 16 |
3.06 | Market Value Adjustment | 16 |
3.07 | Transfer of Current Value from the Funds or AG Account | |
During the Accumulation Period | 18 | |
3.08 | Notice to the Certificate Holder | 19 |
3.09 | Loans | 19 |
3.10 | Systematic Distribution Options | 19 |
3.11 | Death Benefit Amount | 19 |
3.12 | Death Benefit Options Available to Beneficiary | 21 |
3.13 | Liquidation of Surrender Value | 23 |
3.14 | Surrender Fee | 23 |
3.15 | Payment of Surrender Value | 24 |
3.16 | Payment of Adjusted Current Value | 24 |
IV. |
ANNUITY PROVISIONS |
- |
--------------------------------------------------------------------------- |
4.01 | Choices | 24 |
4.02 | Terms of Annuity Options | 25 |
4.03 | Death of Annuitant/Beneficiary | 26 |
4.04 | Fund(s) Annuity Units -- Separate Account | 27 |
4.05 | Fund(s) Annuity Unit Value -- Separate Account | 28 |
4.06 | Annuity Net Return Factor(s) -- Separate Account | 28 |
4.07 | Annuity Options | 29 |
MP2CERT(5/97) |
7
<PAGE>
<TABLE>
I. |
GENERAL DEFINITIONS |
- |
------------------------------------------------------------------------------------------------------------------------------- |
<S> | <C> | ||
1.01 | Account: | A record established for each Certificate Holder to maintain the value of all | |
Net Purchase Payments held on his/her behalf during the Accumulation Period. | |||
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1.02 |
Accumulation Period: |
1.03 |
Adjusted Current Value: |
1.04 |
AICA Guaranteed Account (AG Account): |
1.05 |
Annuitant: |
1.06 |
Annuity: |
1.07 |
Beneficiary: |
1.08 |
Certificate Holder: |
1.09 |
Code: |
1.10 |
Contract: |
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1.11 |
Contract Holder: |
1.12 |
Current Value: |
1.13 |
Deposit Period: |
1.14 |
Dollar Cost Averaging: |
1.15 |
Fixed Annuity: |
1.16 |
Fund(s): |
1.17 |
General Account: |
1.18 |
Guaranteed Rates -- AG Account: |
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The period during which the Net Purchase Payment(s) are applied to an Account to provide future Annuity payment(s).
The Current Value of an Account plus or minus any aggregate AG Account MVA, if applicable. (See 1.22)
An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AG Account.
The person whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract.
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).
The individual or estate entitled to receive any death benefit due under the Contract. 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.
A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit 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.
The Internal Revenue Code of 1986, as it may be amended from time to time.
This agreement between Aetna and the Contract Holder.
The entity to which the Contract is issued.
As of the most recent Valuation Period, the Net Purchase Payment and any additional amount deposited pursuant to 3.11 plus any interest added to the portion allocated to the AG Account; and plus or minus the investment experience of the portion allocated to the Funds since deposit; less all Maintenance Fees deducted, any amounts surrendered and any amounts applied to an Annuity.
A day, a calendar week, a calendar month, a calendar quarter, or any other period of time specified by Aetna during which Net Purchase Payment(s), Transfers and Reinvestments may be allocated to one or more AG Account Guaranteed Terms. Aetna reserves the right to shorten or to extend the Deposit Period.
During a Deposit Period, Aetna may offer any number of Guaranteed Terms and more than one Guaranteed Term of the same duration may be offered.
A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds or an available AG Account Guaranteed Term to any of the Funds. Aetna reserves the right to establish terms and conditions governing Dollar Cost Averaging. Dollar Cost Averaging is not available when an SDO is in effect.
An Annuity with payments that do not vary in amount.
The open-end management investment companies (mutual funds) in which the Separate Account invests.
The Account holding the assets of Aetna, other than those assets held in Aetna's separate accounts.
Aetna will declare the interest rate(s) applicable to a specific Guaranteed Term at the start of the Deposit Period for that Guaranteed Term. The rate(s) are guaranteed by Aetna for the period beginning with the first day of the Deposit Period and ending on the Maturity Date. Guaranteed Rates are credited beginning with the date of allocation. The Guaranteed Rates are annual effective yields. That is, interest is credited daily at a rate that will produce the Guaranteed Rate over the period of a year. No Guaranteed Rate will ever be less than the Minimum Guaranteed Rate shown on Contract Schedule I.
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1.18 |
Guaranteed Rates -- AG Account (Cont'd): |
1.19 |
Guaranteed Term: |
1.20 |
Guaranteed Term(s) Groups: |
1.21 |
Maintenance Fee: |
1.22 |
Market Value Adjustment (MVA): |
1.23 |
Matured Term Value: |
1.24 |
Matured Term Value Transfer: |
1.25 |
Maturity Date: |
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For Guaranteed Terms of one year or less, one Guaranteed Rate is credited for the full Guaranteed Term. For longer Guaranteed Terms, an initial Guaranteed Rate is credited from the date of deposit to the end of a specified period within the Guaranteed Term. There may be different Guaranteed Rate(s) declared for subsequent specified time intervals throughout the Guaranteed Term.
The period of time specified by Aetna for which a specific Guaranteed Rate(s) is offered on amounts invested during a specific Deposit Period. Guaranteed Terms are made available subject to Aetna's terms and conditions, including, but not limited to, Aetna's right to restrict allocations to new Net Purchase Payments (such as by prohibiting Transfers into a particular Guaranteed Term from any other Guaranteed Term or from any of the Funds, or by prohibiting Reinvestment of a Matured Term Value to a particular Guaranteed Term. More than one Guaranteed Term of the same duration may be offered during a Deposit Period.
All AG Account Guaranteed Term(s) of the same duration (from the close of the Deposit Period until the designated Maturity Date).
The Maintenance Fee (see Contract Schedule I) will be deducted during the Accumulation Period from the Current Value on each anniversary of the date the Account is established and upon surrender of the entire Account.
An adjustment that may apply to an amount withdrawn or transferred from an AG Account Guaranteed Term prior to the end of that Guaranteed Term. 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 3.06. The adjustment is expressed as a percentage of each dollar being withdrawn.
The amount payable on an AG Account Guaranteed Term's Maturity Date.
During the calendar month following an AG Account Maturity Date, the Certificate Holder may notify Aetna's home office in writing to Transfer or surrender all or part of the Matured Term Value, plus interest at the new Guaranteed Rate accrued thereon, from the AG Account without an MVA. This provision only applies to the first such written request received from the Certificate Holder during this period for any Matured Term Value.
The last day of an AG Account Guaranteed Term.
1.26 | Net Purchase Payment(s): | The Purchase Payment less premium taxes, as applicable. | |
1.27 | 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 AG Account Terms. There | |||
are no discrete units for this 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. | |||
These assets may be chargeable with liabilities arising out of any other | |||
business of Aetna. | |||
1.28 | Purchase Payment(s): | Payment(s) 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 or Certificate Holder. | |||
1.29 | Reinvestment: | Aetna will mail a notice to the Certificate Holder at least 18 calendar days | |
before a Guaranteed Term's Maturity Date. This notice will contain the Terms | |||
available during the current Deposit Periods with their Guaranteed Rate(s) and | |||
projected Matured Term Value. If no specific direction is given by the | |||
Certificate Holder prior to the Maturity Date, each Matured Term Value will be | |||
reinvested in the current Deposit Period for a Guaranteed Term of the same | |||
duration. If a Guaranteed Term of the same duration is unavailable, each | |||
Matured Term Value will automatically be reinvested in the current Deposit | |||
Period for the next shortest Guaranteed Term available. If no shorter | |||
Guaranteed Term is available, the next longer Guaranteed Term will be used. | |||
Aetna will mail a confirmation statement to the Certificate Holder the next | |||
business day after the Maturity Date. This notice will state the Guaranteed | |||
Term and Guaranteed Rate(s) which will apply to the reinvested Matured Term | |||
Value. | |||
1.30 | Separate Account: | A separate account that buys and holds shares of the Fund(s). Income, gains or | |
losses, realized or unrealized, are credited or charged to the Separate Account | |||
without regard to other income, gains or losses of Aetna. Aetna owns the | |||
assets held in the Separate Account and is not a trustee as to such amounts. | |||
This Separate Account generally is not guaranteed and is held at market value. | |||
The assets of the Separate Account, to the extent of reserves and other | |||
contract liabilities of the Account, shall not be charged with other Aetna | |||
liabilities. | |||
1.31 | Surrender Value: | The amount payable by Aetna upon the surrender of any portion of an Account. | |
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11 | |||
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1.32 | Transfers: | The movement of invested amounts among the available Fund(s) and/or any AG | |
Account Guaranteed Term made available subject to terms and conditions | |||
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established by Aetna during the Accumulation Period or, during the Annuity | ||
Period, among the available Funds under a Variable Annuity. | ||
1.33 | Valuation Period (Period): | The period of time for which a Fund determines its net asset value, usually |
from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until | ||
4:15 p.m. the next such day, or such other day that one or more of the Funds | ||
determines its net asset value. | ||
1.34 | Variable Annuity: | An Annuity with payments that vary with the net investment results of one or |
more Funds under the Separate Account. | ||
II. | GENERAL PROVISIONS |
- -------------------------------------------------------------------------------------------------------------------------------
2.01 | Change of Contract: | Only an authorized officer of Aetna may change the terms of this Contract. | |
Aetna will notify the Contract Holder in writing at least 30 days before the | |||
effective date of any change. Any change will not affect the amount or terms | |||
of any Annuity which begins before the change. | |||
Aetna reserves the right to refuse to accept any Purchase Payment at any time for any | |||
reason. This applies to an initial Purchase Payment to establish a new Account or to | |||
subsequent Purchase Payments to existing Accounts under the Contract. No advance | |||
notice will be given to the Contract Holder or Certificate Holder. | |||
Aetna may make any change that affects the AG Account Market Value Adjustment (3.06) | |||
with at least 30 days' advance written notice to the Contract Holder and the | |||
Certificate Holder. Any such change shall become effective for any new Term and will | |||
apply to all present and future Accounts. | |||
Any change that affects any of the following under this Contract will not apply to | |||
Accounts in existence before the effective date of the change: | |||
(a) | Net Purchase Payment (1.26) | ||
(b) | AG Account Guaranteed Rate (1.18) | ||
(c) | Net Return Factor(s) -- Separate Account (3.04) | ||
(d) | Current Value (1.12) | ||
(e) | Surrender Value (1.31) | ||
(f) | Fund(s) Annuity Unit Value -- Separate Account (4.05) | ||
(g) | Annuity options (4.07) | ||
(h) | Fixed Annuity Interest Rates (4.01) | ||
(i) | Transfers (1.32). | ||
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2.01 | Change of Contract (Cont'd): | Any change that affects the Annuity options and the tables for the options may | |
be made: | |||
(a) | No earlier than 12 months after the effective date of this Contract; | ||
and |
2.02 Change of Fund(s):
2.03 |
Nonparticipating Contract: |
2.04 |
Payments and Elections: |
MP2CERT(5/97)
(b) No earlier than 12 months after the effective date of any prior change.
Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.
The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, Aetna may cease to make such Fund shares available for investment under the Contract prospectively, or Aetna may substitute shares of another Fund for shares already acquired. Aetna may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. Aetna reserves the right to substitute shares of another Fund for shares already acquired without a proxy vote.
The Contract Holder, Certificate Holders or Beneficiaries will not have a right to share in the earnings of Aetna.
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 required to be made will be paid in accordance with 4.03. Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its home office. Such payments will be made within seven calendar days of receipt at its home office of a written claim for payment which is in good order, except as provided in 3.15.
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2.05 |
State Laws: |
2.06 |
Control of Contract: |
2.07 Designation of Beneficiary:
2.08 |
Misstatements and Adjustments: |
2.09 |
Incontestability: |
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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.
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.
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 Certificate Holders must authorize any Certificate Holder change 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 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.
Each Certificate Holder shall name his or her Beneficiary. If the Account is owned jointly, both joint Certificate Holders must agree in writing to the Beneficiary designated. 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 accepted by Aetna. If the Account is owned jointly, at the death of one joint Certificate Holder, the survivor will be deemed the Beneficiary; any other Beneficiary on record will be deemed a contingent Beneficiary.
If Aetna finds the age of any Annuitant to be misstated, the correct facts will be used to adjust payments.
Aetna cannot cancel this Contract because of any error of fact.
2.10 | Grace Period: | This Contract will remain in effect even if Purchase Payments are not continued |
except as provided in the Payment of Adjusted Current Value provision (see | ||
3.17). | ||
2.11 | 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. | ||
III. | PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
- -------------------------------------------------------------------------------------------------------------------------------
3.01 | Net Purchase Payment: | This amount is the actual Purchase Payment less any premium tax. | Aetna |
reserves the right to pay premium taxes when due and deduct the amount from the | |||
Current Value when we pay the tax or at a later date. | |||
Each Net Purchase payment will be allocated, as directed by the Certificate Holder | |||
among: |
3.02 |
Certificate Holder's Account: |
3.03 |
Fund(s) Record Units -- Separate Account: |
(a) AG Account Guaranteed Terms made available subject to terms and conditions established by Aetna; and
(b) The Fund(s) in which the Separate Account invests.
For each Net Purchase Payment, the Certificate Holder shall tell Aetna the percentage of each Purchase Payment to allocate to any available AG Account Guaranteed Terms and/or each Fund. Unless different allocation instructions are received for any subsequent Net Purchase Payment, the allocation will be the same as for the initial Net Purchase Payment. If the same Guaranteed Term is no longer available, the Net Purchase Payment will be allocated to the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.
Aetna will maintain an Account for each Certificate Holder.
Aetna will declare from time to time the acceptability and the minimum amount for additional Purchase Payments.
The portion of the Net Purchase Payment(s) applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's home office.
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-001811.txt
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3.04 |
Net Return Factor(s) -- Separate Account: |
3.05 Fund Record Unit Value -- Separate Account:
3.06 Market Value Adjustment:
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3.06 |
Market Value Adjustment (Cont'd): |
Page 11 of 24
The net return factor(s) are used to compute all Separate Account record units for any Fund.
The net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate.
The net return rate is equal to:
(a) The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus
(b) The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus
(c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by
(d) The total value of the Fund(s) record units and Fund(s) annuity units of the Separate Account at the start of the Valuation Period; minus
(e) A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge.
A net return rate may be more or less than 0%. The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.
A Fund record unit value is computed by multiplying the net return factors for the current Valuation Period by the Fund record unit value for the previous Period. The dollar value of Fund record units, Separate Account assets, and Variable Annuity payments may go up or down due to investment gain or loss.
An MVA will apply to any withdrawal from the AG Account before the end of a Guaranteed Term when the withdrawal is:
(a) A Transfer; except for Transfers under the Dollar Cost Averaging program or, as specified in 1.24 Matured Term Value Transfer;
(b) A full or partial surrender (including a free withdrawal under 3.14); except for a payment made (1) under an SDO (see 3.10), or (2) under a qualified Contract, when the amount withdrawn is equal to the required minimum distribution for the Account calculated using a method permitted under the Code and agreed to by Aetna; or
(c) Due to election of an Annuity (see 4.07).
Full and partial surrenders and Transfers made within six months after the date of the Annuitant's death will be the greater of:
(a) The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. This total may be greater or less than the Current Value of those amounts; or
(b) The applicable portion of the Current Value in the AG Account.
After the six-month period, the surrender or Transfer will be the aggregate MVA amount, which may be greater or less than the Current Value of those amounts.
The greater of the aggregate MVA amount or the applicable portion of the Current Value applies to amounts withdrawn from the AG Account on account of an election of Annuity options 2 or 3 (see 4.07).
Market value adjusted amounts will be equal to the amount withdrawn multiplied by the following ratio:
( 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 Term. | ||
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3.07 Transfer of Current Value from the Funds or AG Account During the Accumulation Period:
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3.08 Notice to the Certificate Holder:
3.09 |
Loans: |
3.10 |
Systematic Distribution Options: |
Page 12 of 24
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 Term.
(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 Term exist, Aetna reserves the right to use the U.S. Treasury Notes that mature in the following quarter.
Before an Annuity option is elected, all or any portion of the Adjusted Current Value of the Certificate Holder's Account may be transferred from any Fund or Guaranteed Term of the AG Account:
(a) To any other Fund; or
(b) To any Guaranteed Term of the AG Account made available subject to terms and conditions specified by Aetna in the current Deposit Period.
Transfer requests can be submitted as a percentage or as a dollar amount. Aetna may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.
The Certificate Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by Aetna is shown on Contract Schedule I. Additional Transfers may be subject to a Transfer fee as shown on Contract Schedule I.
Amounts transferred from the AG Account under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month of a Term's Maturity Date do not count against the annual Transfer limit.
Amounts allocated to AG Account Guaranteed Terms may not be transferred to the Funds or to another Guaranteed Term during a Deposit Period or for 90 days after the close of a Deposit Period except for (1) Matured Term Value(s) during the calendar month following the Term's Maturity Date; (2) amounts used as a premium for an Annuity option; (3) amounts transferred under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option.
The Certificate Holder will receive quarterly statements from Aetna of:
(a) The value of any amounts held in:
(1) |
The AG Account; and |
(2) |
The Fund(s) under the Separate Account. |
(b) The number of any Fund(s) record units; and
(c) The Fund(s) record unit value.
Such number or values will be as of a specific date no more than 60 days before the date of the notice.
Loans are not available under this Contract.
Aetna may, from time to time, make one or more systematic distribution options (SDOs) available during the Accumulation Period. When an SDO is elected, Aetna will make automatic payments from the Certificate Holder's Account. No Surrender Fee or MVA will apply to the automatic payments made under an SDO.
Any SDO will be subject to the following criteria:
(a) | Any SDO will be available to similarly situated contracts uniformly, | |
and on the basis of objective criteria consistently applied; | ||
(b) | The availability of any SDO may be limited by terms and conditions | |
applicable to the election of such SDO; and | ||
(c) | Aetna may discontinue the availability of an SDO at any time. Except to the | |
extent required to comply with applicable law, discontinuance of an SDO will | ||
apply only to future elections and will not affect SDOs in effect at the time | ||
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3.11 Death Benefit Amount:
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3.11 Death Benefit Amount (Cont'd):
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20 | |
<PAGE> | |
3.12 | Death Benefit Options Available to |
Beneficiary: |
Page 13 of 24
an option is discontinued.
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 death of the first joint Certificate Holder to die. 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. The amount of the death benefit is determined as follows:
(a) Death of Annuitant: The guaranteed death benefit is the greatest of:
(1) |
The sum of all Purchase Payment(s) made to the Account (as of the date of death) minus the sum of all amounts surrendered, applied to an Annuity, or deducted from the Account; |
(2) |
The highest step up value, as of the date of death, prior to the Annuitant's 75th birthday. A step-up value is determined on each anniversary of the Effective Date. Each step-up value is calculated as the Account's Current Value on the Effective Date anniversary, increased by the amount of any Purchase Payment(s) made, and decreased by the sum of all amounts surrendered, deducted, and/or applied to an Annuity option since the Effective Date anniversary. |
(3) |
The Account's Current Value as of the date of death. |
The excess, if any, of the guaranteed death benefit value over the Account's Current Value is determined as of the date of death. Any excess amount will be deposited to the Account and allocated to Aetna Variable Encore Fund as of the claim date. The Current Value on the claim date plus any excess amount deposited becomes the Account's Current Value.
(b) Death of the Certificate Holder if the Certificate Holder is not the Annuitant: The death benefit amount is the Account's Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).
(c) Death of spousal Beneficiary who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date, less any applicable Surrender Fee (see 3.14 and Contract Schedule I) on Purchase Payments made since the death of the Annuitant.
(d) Death of the spousal beneficiary of a Certificate Holder who was not the Annuitant and who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).
Prior to any election, or until amounts must be otherwise distributed under this section, the Current Value will be retained in the Account. The Beneficiary has the right to allocate or reallocate any amount to any of the available investment options (subject to an MVA if applicable). The following options are available to the Beneficiary:
(a) When the Certificate Holder is the Annuitant if the Annuitant dies (or when the Certificate Holder is a nonnatural person if the Annuitant dies):
(1) If the Beneficiary is the surviving spouse, the spousal Beneficiary will be the successor Certificate Holder and may exercise all Certificate Holder rights under the Contract and continue in the Accumulation Period, or may elect (i) or (ii) below.
Under the Code, 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 Adjusted Current Value to an Annuity | ||
option (see 4.07); | |||
(ii) | Receive, at any time, a lump sum payment equal to the Adjusted | ||
Current Value of the Account. | |||
(2) | If the Beneficiary is other than the surviving spouse, options (i) or | ||
(ii) above apply. Any portion of the Adjusted Current Value not | |||
applied to an Annuity option within one year of the death must be | |||
distributed within five years of the date of death. | |||
(3) | If no Beneficiary exists, a lump sum payment equal to the Adjusted | ||
Current Value must be made to the Annuitant's estate within five years | |||
of the date of death. | |||
(4) | If the Beneficiary is an entity, a lump sum payment equal to the | ||
Adjusted Current Value must be made within five years of the date of | |||
death. | |||
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3.12 |
Death Benefit Options Available to Beneficiary (Cont'd): |
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3.13 Liquidation of Surrender Value:
3.14 |
Surrender Fee: |
Page 14 of 24
(b) When the Certificate Holder is not the Annuitant when the Certificate Holder dies:
(1) |
If the Beneficiary is the Certificate Holder's surviving spouse, the |
|
spousal |
Beneficiary will be the successor Certificate Holder and may |
|
exercise |
all Certificate Holder rights under the Contract and continue |
|
in |
the Accumulation Period, or may elect (i) or (ii), below. Under the |
|
Code, |
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 Adjusted Current Value to Annuity option 2 or 3 (see 4.07); |
|
(ii) |
Receive, at any time, a lump sum payment equal to the Surrender Value. |
|
(2) |
If the Beneficiary is other than the Certificate Holder's surviving |
|
spouse, |
options (i) or (ii) under (1) above apply. Any portion of the |
|
death |
benefit not applied to an Annuity option within one year of the |
|
Certificate |
Holder's death must be distributed within five years of |
|
the |
date of death. |
|
(3) |
If no Beneficiary exists, a lump sum payment equal to the Surrender |
|
Value |
must be made to the Certificate Holder's estate within five |
|
years |
of the date of death. |
|
(4) |
If the Beneficiary is an entity, a lump sum payment equal to the |
|
Surrender |
Value must be made within five years of the date of death. |
(c) When the Certificate Holder is a natural person and not the Annuitant, when the Annuitant dies, the Beneficiary (or the Certificate Holder if no Beneficiary exists) may elect to:
(i) |
Apply all or some of the Adjusted Current Value to an Annuity option within 60 days of the date of death; or |
(ii) |
Receive a lump sum payment equal to the Adjusted Current Value. |
All or any portion of the Account's Current Value may be surrendered at any time. 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 Fund(s) and/or the Guaranteed Term(s) Groups of the AG Account in which the Current Value is invested. Within a Guaranteed Term Group, the amount to be surrendered or transferred 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, if applicable, the surrendered amount shall be reduced by a Surrender Fee, if applicable. An MVA may apply to amounts surrendered from the AG Account.
The Surrender Fee only applies to the Net Purchase Payment(s) portion surrendered and varies according to the elapsed time since deposit (see Contract Schedule I). Net Purchase Payment amounts are withdrawn in the same order they were applied.
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, up to a maximum of the aggregate Net Purchase Payment(s) minus the total of all partial surrenders, amounts applied to an Annuity and deductions made prior to the Annuitant's date of death;
(b) As a premium for an Annuity option (see 4.07);
(c) As a distribution under a systematic distribution option (see 3.10);
(d) At least 12 months after the date of the first Purchase Payment to the Account, in an amount not to exceed the amount shown on Contract Schedule I under Annual Waiver of Surrender Fee. This waiver of the Surrender Fee applies to the first full or partial surrender in the calendar year. This waiver is not available if a systematic distribution option has been in effect at any time during the calendar year.
(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;
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<PAGE>
3.14 Surrender Fee (Cont'd):
3.15 |
Payment of Surrender Value: |
3.16 Payment of Adjusted Current Value:
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(f) By Aetna under 3.16; or
(g) If the Annuitant has spent at least 45 consecutive days in a licensed nursing care facility and each of the following conditions are met:
(1) |
more than one calendar year has elapsed since the date the certificate was issued; and |
(2) |
the surrender is requested within 3 years of admission to a licensed nursing care facility. |
This waiver does not apply if the Annuitant was in a nursing care facility at the time the certificate was issued.
(h) Under a qualified Contract when the amount withdrawn is equal to the minimum distribution required by the Code for the Account calculated using a method permitted under the Code and agreed to by Aetna.
Under certain emergency conditions, Aetna may defer payment:
(a) For a period of up to 6 months (unless not allowed by state law); or
(b) As provided by federal law.
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. Aetna does not intend to exercise this right in cases where an Account Current Value is reduced to $2,500 or less solely due to investment performance. A Surrender Fee will not be deducted from the Adjusted Current Value.
IV. |
ANNUITY PROVISIONS |
- |
------------------------------------------------------------------------------------------------------------------------------- |
4.01 Choices:
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<PAGE>
4.01 Choices (Cont'd):
4.02 |
Terms of Annuity Options |
The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax, if applicable,) to any Annuity option (see 4.07). The first Annuity payment may not be earlier than one calendar year after the initial Purchase Payment nor later than the later of:
(a) The first day of the month following the Annuitant's 85th birthday; or
(b) The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may tell Aetna to make a lump sum payment.
24
When an Annuity option is chosen, Aetna must also be told if payments are to be made other than monthly and whether to pay:
(a) A Fixed Annuity using the General Account;
(b) A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or
(c) A combination of (a) and (b).
If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect higher interest rates. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).
During the Annuity Period when a Variable Annuity has been elected, at the request of the Certificate Holder, all or any portion of the amount allocated to a Fund may be transferred to any other Fund available during the Annuity Period. Four transfers, without charge, are allowed each calendar year. Aetna reserves the right to change the number of transfers allowed.
Transfer requests must be expressed as a percentage of the allocation among the Funds of the amount upon which the Variable Annuity will be based. Aetna reserves the right to establish a minimum transfer amount. Transfers will be effective as of the Valuation Period in which Aetna receives a transfer request in good order at its Home Office.
(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)
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<PAGE>
4.02 |
Terms of Annuity Options (Cont'd): |
4.03 Death of Annuitant/Beneficiary:
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<PAGE>
4.03 |
Death of Annuitant/Beneficiary (Cont'd): |
4.04 |
Fund(s) Annuity Units -- Separate Account: |
Page 16 of 24
since July 1, 1993.
(c) If a Fixed Annuity is chosen Aetna will use the applicable current settlement rate if it will provide higher Fixed Annuity payments.
(d) For purposes of calculating the guaranteed first payment of a Variable Annuity or the payments for a Fixed 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 from July 1, 1993 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.
(e) Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a Variable Annuity as shown on Contract Schedule II. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future Variable Annuity Payments are to remain level, (see Annuity return factor under Variable Annuity Assumed Annual Net Return Rate on Contract Schedule II).
(f) Once elected, Annuity payments cannot be commuted to a lump sum except for Variable Annuity payments under option 1 (see 4.07). The life expectancy of the Annuitant or the Annuitant and second Annuitant shall be irrevocable upon the election of an Annuity option.
(a) Certificate Holder is Annuitant: When the Certificate Holder is the Annuitant and the Annuitant dies under option 1 or 2, or both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee.
If the Account has joint Certificate Holder's, the surviving joint Certificate Holder will be deemed the successor payee.
(b) Certificate Holder is Not Annuitant: When the Certificate Holder is not the Annuitant and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Account has joint Certificate Holder's, the surviving joint Certificate Holder will be deemed the successor payee.
If the Annuitant dies under option 1 or 2, or both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon the election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected, and the Annuitant dies, the remaining payments will continue to the Certificate Holder.
(c) No Beneficiary Named/Surviving: If there is no Beneficiary, the present value of any remaining payments will be paid in one sum to the Certificate Holder, or if the Certificate Holder is not living, then to the Certificate Holder's estate.
(d) If the Beneficiary or the successor payee dies while receiving Annuity payments, the present value of any remaining guaranteed payments will be paid in one sum to the successor Beneficiary/payee, or upon election by the successor Beneficiary/payee, any remaining payments will continue to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary's/payee's estate.
(e) The present value will be determined as of the Valuation Period in which proof of death acceptable to Aetna and a request for payment is received at Aetna's home office. The interest rate used to determine the first payment will be used to calculate the present value.
The number of each Fund's Annuity Units is based on the amount of the first Variable Annuity payment which is equal to:
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<PAGE>
4.04 |
Fund(s) Annuity Units -- Separate Account Cont'd): |
4.05 |
Fund(s) Annuity Unit Value -- Separate Account: |
4.06 |
Annuity Net Return Factor(s) -- Separate Account: |
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<PAGE>
4.06 |
Annuity Net Return Factor(s) -- Separate Account (Cont'd): |
4.07 |
Annuity Options: |
Page 17 of 24
(a) The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); divided by
(b) 1,000; multiplied by
(c) The payment rate for the option chosen.
Such amount, or portion, of the variable payment will be divided by the appropriate Fund Annuity unit value (see 4.05) on the tenth Valuation Period before the due date of the first payment to determine the number of each Fund Annuity units. The number of each Fund Annuity units remains fixed. Each future payment is equal to the sum of the products of each Fund Annuity unit value multiplied by the appropriate number of units. The Fund Annuity unit value on the tenth Valuation Period prior to the due date of the payment is used.
For any Valuation Period, a Fund Annuity unit value is equal to:
(a) The value for the previous Period; multiplied by
(b) The Annuity net return factor(s) (see 4.06 below) for the Period; multiplied by
(c) A factor to reflect the assumed annual net return rate (see Contract Schedule II).
The dollar value of a Fund Annuity unit values and Annuity payments may go up or down due to investment gain or loss.
The Annuity net return factor(s) are used to compute all Separate Account Annuity Payments for any Fund.
The Annuity net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate.
The net return rate is equal to:
(a) The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus
(b) The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus
(c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by
(d) The total value of the Fund(s) record units and Fund(s) Annuity units of the Separate Account at the start of the Valuation Period; minus
(e) A daily charge for Annuity mortality and expense risks, which may include profit, and a daily administrative charge (at the annual rate as shown on Contract Schedule II).
A net return rate may be more or less than 0%.
The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.
Payments shall not be changed due to changes due to changes in the mortality or expense results or administrative charges.
Option 1 -- Payments for a Stated Period of Time: Payments are made for the number of years specified by the Certificate Holder. The number of years must be at least five and not more than 30.
Option 2 - Life Income based on the life of one Annuitant: Payments are made until the death of the Annuitant. When this option is elected, the Certificate Holder must also choose one of the following:
(a) payments cease at the death of the Annuitant;
(b) payments are guaranteed for a specified period from five to 30 years;
(c) cash refund: when the Annuitant dies, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity option (less any premium tax, if applicable) less the total amount of Annuity payments made prior to such death. This cash refund feature is only available if the total amount applied to the Annuity option is allocated to a Fixed Annuity.
Option 3 -- Life Income Based on the lives of two Annuitants: Payments are made for the lives of two Annuitants, one of whom is designated the second Annuitant, and cease only when both Annuitants have died. When this option is elected, the Certificate
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Holder must also choose one of the following:
(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) 100% of the payment to continue after the first death and payments are guaranteed for a period of five to 30 years;
(e) 100% of the payment to continue at the death of the designated second Annuitant and 50% of the payment to continue at the death of the Annuitant; or
(f) 100% of the payment continues after the first death with a cash refund feature. When the Annuitant and designated second Annuitant die, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity option (less any premium tax) less the total amount of Annuity payments paid prior to such death. This cash refund feature is only available if the total amount applied to the Annuity option is allocated to a Fixed Annuity.
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<PAGE>
4.07 | Annuity Options (Cont'd): | If a Fixed Annuity is chosen under Option 1, Option 2 (a) or (b), or Option 3 |
(a) or (d), the Certificate Holder may elect, at the time the Annuity option is | ||
selected, an annual increase of one, two or three percent compounded annually. | ||
As allowed under applicable state law, Aetna reserves the right to offer additional | ||
Annuity options. | ||
</TABLE> |
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<PAGE>
OPTION 1: Payments for a Specified Period
- --------------------------------------------------------------------------------Monthly Amount for Each $1,000* Rates for a Fixed Annuity with a 3% Guaranteed Interest Rate - --------------------------------------------------------------------------------
Years Payment Years Payment
---------------------- --------------------- --------------------- -------------
5 | 17.91 | 18 | 5.96 |
6 | 15.14 | 19 | 5.73 |
7 | 13.16 | 20 | 5.51 |
8 | 11.68 | 21 | 5.32 |
9 | 10.53 | 22 | 5.15 |
10 | 9.61 | 23 | 4.99 |
11 | 8.86 | 24 | 4.84 |
12 | 8.24 | 25 | 4.71 |
13 | 7.71 | 26 | 4.59 |
14 | 7.26 | 27 | 4.47 |
15 | 6.87 | 28 | 4.37 |
16 | 6.53 | 29 | 4.27 |
17 | 6.23 | 30 | 4.18 |
- --------------------------------------------------------------------------------
First Month Amount for Each $1,000*
Rates for a Variable Annuity with a 3.5% Assumed Interest Rate
- --------------------------------------------------------------------------------
Years Payment Years Payment
---------------------- --------------------- --------------------- -------------
5 | 18.12 | 18 | 6.20 |
6 | 15.35 | 19 | 5.97 |
7 | 13.38 | 20 | 5.75 |
8 | 11.90 | 21 | 5.56 |
9 | 10.75 | 22 | 5.39 |
10 | 9.83 | 23 | 5.24 |
11 | 9.09 | 24 | 5.09 |
12 | 8.46 | 25 | 4.96 |
13 | 7.94 | 26 | 4.84 |
14 | 7.49 | 27 | 4.73 |
15 | 7.10 | 28 | 4.63 |
16 | 6.76 | 29 | 4.53 |
17 | 6.47 | 30 | 4.45 |
- --------------------------------------------------------------------------------
First Month Amount for Each $1,000*
Rates for a Variable Annuity with a 5% Assumed Interest Rate
- --------------------------------------------------------------------------------
Years Payment Years Payment
---------------------- --------------------- --------------------- -------------
5 | 18.74 | 18 | 6.94 | |
6 | 15.99 | 19 | 6.71 | |
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7 | 14.02 | 20 | 6.51 |
8 | 12.56 | 21 | 6.33 |
9 | 11.42 | 22 | 6.17 |
10 | 10.51 | 23 | 6.02 |
11 | 9.77 | 24 | 5.88 |
12 | 9.16 | 25 | 5.76 |
13 | 8.64 | 26 | 5.65 |
14 | 8.20 | 27 | 5.54 |
15 | 7.82 | 28 | 5.45 |
16 | 7.49 | 29 | 5.36 |
17 | 7.20 | 30 | 5.28 |
-------------------------------------------------------------------------------- * Net of any applicable premium tax deduction
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<PAGE>
Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>
- -----------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate - -----------------------------------------------------------------------------------------------------------------------
Option 2(a): | Option 2(b): | Option 2(b): | Option 2(b): | Option 2(b): | Option 2(c): | |
payments for | payments | payments | payments | payments | Cash Refund | |
life | guaranteed 5 | guaranteed 10 | guaranteed 15 | guaranteed 20 | ||
Adjusted | years | years | years | years |
Age of ------------------ ----------------- ------------------ ----------------- ------------------ ------------------Annuitant Male Female Male Female Male Female Male Female Male Female Male Female
-------- ------- --------- ------- --------- ------- ---------- ------- --------- -------- --------- -------- ---------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 4.27 | $ 3.90 | $ 4.26 | $ 3.90 | $ 4.22 | $ 3.89 | $ 4.17 | $ 3.86 | $ 4.08 | $ 3.82 | $ 4.04 | $ 3.78 |
51 | 4.34 | 3.97 | 4.33 | 3.96 | 4.30 | 3.95 | 4.23 | 3.92 | 4.14 | 3.88 | 4.10 | 3.84 |
52 | 4.43 | 4.03 | 4.41 | 4.03 | 4.37 | 4.01 | 4.30 | 3.98 | 4.20 | 3.93 | 4.16 | 3.89 |
53 | 4.51 | 4.10 | 4.50 | 4.10 | 4.45 | 4.08 | 4.37 | 4.04 | 4.26 | 3.99 | 4.23 | 3.95 |
54 | 4.60 | 4.18 | 4.59 | 4.17 | 4.54 | 4.15 | 4.45 | 4.11 | 4.32 | 4.04 | 4.29 | 4.01 |
55 | 4.70 | 4.25 | 4.68 | 4.25 | 4.62 | 4.22 | 4.53 | 4.18 | 4.39 | 4.11 | 4.37 | 4.07 |
56 | 4.80 | 4.34 | 4.78 | 4.33 | 4.72 | 4.30 | 4.61 | 4.25 | 4.45 | 4.17 | 4.44 | 4.13 |
57 | 4.91 | 4.42 | 4.89 | 4.41 | 4.82 | 4.38 | 4.69 | 4.32 | 4.51 | 4.23 | 4.52 | 4.20 |
58 | 5.03 | 4.52 | 5.00 | 4.51 | 4.92 | 4.47 | 4.78 | 4.40 | 4.58 | 4.30 | 4.61 | 4.28 |
59 | 5.15 | 4.61 | 5.12 | 4.60 | 5.03 | 4.56 | 4.87 | 4.48 | 4.65 | 4.37 | 4.69 | 4.35 |
60 | 5.28 | 4.72 | 5.25 | 4.70 | 5.14 | 4.66 | 4.96 | 4.57 | 4.71 | 4.44 | 4.78 | 4.43 |
61 | 5.43 | 4.83 | 5.39 | 4.81 | 5.27 | 4.76 | 5.06 | 4.66 | 4.78 | 4.51 | 4.88 | 4.52 |
62 | 5.58 | 4.95 | 5.53 | 4.93 | 5.39 | 4.87 | 5.16 | 4.75 | 4.84 | 4.58 | 4.98 | 4.60 |
63 | 5.74 | 5.08 | 5.69 | 5.05 | 5.53 | 4.98 | 5.26 | 4.85 | 4.90 | 4.65 | 5.09 | 4.70 |
64 | 5.91 | 5.21 | 5.85 | 5.18 | 5.66 | 5.10 | 5.36 | 4.95 | 4.96 | 4.72 | 5.20 | 4.80 |
65 | 6.10 | 5.36 | 6.03 | 5.32 | 5.81 | 5.22 | 5.46 | 5.05 | 5.02 | 4.79 | 5.31 | 4.90 |
66 | 6.30 | 5.51 | 6.21 | 5.47 | 5.96 | 5.36 | 5.56 | 5.16 | 5.08 | 4.86 | 5.44 | 5.01 |
67 | 6.51 | 5.67 | 6.41 | 5.63 | 6.12 | 5.50 | 5.66 | 5.26 | 5.13 | 4.93 | 5.56 | 5.12 |
68 | 6.73 | 5.85 | 6.62 | 5.80 | 6.28 | 5.65 | 5.77 | 5.37 | 5.18 | 5.00 | 5.70 | 5.24 |
69 | 6.97 | 6.04 | 6.84 | 5.98 | 6.44 | 5.80 | 5.86 | 5.49 | 5.23 | 5.06 | 5.84 | 5.37 |
70 | 7.23 | 6.25 | 7.07 | 6.18 | 6.61 | 5.97 | 5.96 | 5.60 | 5.27 | 5.12 | 5.98 | 5.51 |
71 | 7.51 | 6.47 | 7.32 | 6.39 | 6.79 | 6.14 | 6.05 | 5.71 | 5.31 | 5.18 | 6.14 | 5.65 |
72 | 7.80 | 6.71 | 7.58 | 6.62 | 6.96 | 6.32 | 6.14 | 5.83 | 5.34 | 5.23 | 6.30 | 5.80 |
73 | 8.12 | 6.98 | 7.85 | 6.86 | 7.14 | 6.50 | 6.23 | 5.94 | 5.37 | 5.28 | 6.47 | 5.96 |
74 | 8.46 | 7.26 | 8.14 | 7.12 | 7.32 | 6.69 | 6.31 | 6.04 | 5.40 | 5.32 | 6.65 | 6.13 |
75 | 8.82 | 7.57 | 8.45 | 7.40 | 7.50 | 6.89 | 6.38 | 6.14 | 5.42 | 5.35 | 6.83 | 6.31 |
- -----------------------------------------------------------------------------------------------------------------------</TABLE>
* Net of any applicable premium tax deduction
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<PAGE>
Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>
- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------
Option 2(b): | Option 2(b): | Option 2(b): | Option 2(b): | |||||||
Option 2(a): | payments | payments | payments | payments | ||||||
Adjusted | payments for life | guaranteed 5 years | guaranteed 10 years | guaranteed 15 years | guaranteed 20 years | |||||
Age of | ------------------- -------------------- -------------------- -------------------- -------------------- | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
-------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | |
50 | $ 4.56 | $ 4.20 | $ 4.55 | $ 4.19 | $ 4.51 | $ 4.18 | $ 4.45 | $ 4.15 | $ 4.36 | $ 4.11 | |
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51 | 4.64 | 4.26 | 4.62 | 4.25 | 4.58 | 4.24 | 4.51 | 4.21 | 4.42 | 4.16 |
52 | 4.72 | 4.32 | 4.70 | 4.32 | 4.66 | 4.30 | 4.58 | 4.26 | 4.48 | 4.21 |
53 | 4.80 | 4.39 | 4.79 | 4.38 | 4.74 | 4.36 | 4.65 | 4.32 | 4.53 | 4.27 |
54 | 4.89 | 4.46 | 4.87 | 4.46 | 4.82 | 4.43 | 4.73 | 4.39 | 4.59 | 4.32 |
55 | 4.99 | 4.54 | 4.97 | 4.53 | 4.91 | 4.50 | 4.80 | 4.46 | 4.65 | 4.38 |
56 | 5.09 | 4.62 | 5.07 | 4.61 | 5.00 | 4.58 | 4.88 | 4.53 | 4.72 | 4.44 |
57 | 5.20 | 4.71 | 5.17 | 4.70 | 5.10 | 4.66 | 4.96 | 4.60 | 4.78 | 4.50 |
58 | 5.32 | 4.80 | 5.29 | 4.79 | 5.20 | 4.75 | 5.05 | 4.68 | 4.84 | 4.57 |
59 | 5.44 | 4.90 | 5.41 | 4.88 | 5.31 | 4.84 | 5.14 | 4.76 | 4.91 | 4.63 |
60 | 5.57 | 5.00 | 5.53 | 4.99 | 5.42 | 4.93 | 5.23 | 4.84 | 4.97 | 4.70 |
61 | 5.71 | 5.11 | 5.67 | 5.09 | 5.54 | 5.03 | 5.32 | 4.93 | 5.03 | 4.77 |
62 | 5.86 | 5.23 | 5.81 | 5.21 | 5.66 | 5.14 | 5.42 | 5.02 | 5.09 | 4.84 |
63 | 6.02 | 5.36 | 5.97 | 5.33 | 5.79 | 5.25 | 5.51 | 5.11 | 5.16 | 4.91 |
64 | 6.20 | 5.49 | 6.13 | 5.46 | 5.93 | 5.37 | 5.61 | 5.21 | 5.21 | 4.98 |
65 | 6.38 | 5.64 | 6.31 | 5.60 | 6.07 | 5.49 | 5.71 | 5.31 | 5.27 | 5.05 |
66 | 6.58 | 5.79 | 6.49 | 5.75 | 6.22 | 5.63 | 5.81 | 5.41 | 5.32 | 5.12 |
67 | 6.79 | 5.95 | 6.69 | 5.91 | 6.38 | 5.76 | 5.91 | 5.52 | 5.38 | 5.18 |
68 | 7.02 | 6.13 | 6.89 | 6.08 | 6.53 | 5.91 | 6.01 | 5.63 | 5.42 | 5.25 |
69 | 7.26 | 6.32 | 7.11 | 6.26 | 6.70 | 6.06 | 6.11 | 5.74 | 5.47 | 5.31 |
70 | 7.52 | 6.53 | 7.35 | 6.45 | 6.86 | 6.23 | 6.20 | 5.85 | 5.51 | 5.37 |
71 | 7.80 | 6.75 | 7.59 | 6.66 | 7.03 | 6.39 | 6.29 | 5.96 | 5.54 | 5.42 |
72 | 8.09 | 6.99 | 7.85 | 6.89 | 7.21 | 6.57 | 6.38 | 6.07 | 5.57 | 5.47 |
73 | 8.41 | 7.26 | 8.12 | 7.13 | 7.38 | 6.75 | 6.46 | 6.17 | 5.60 | 5.51 |
74 | 8.75 | 7.54 | 8.41 | 7.39 | 7.55 | 6.94 | 6.53 | 6.28 | 5.63 | 5.55 |
75 | 9.12 | 7.85 | 8.71 | 7.66 | 7.73 | 7.13 | 6.61 | 6.38 | 5.65 | 5.59 |
- ---------------------------------------------------------------------------------------------------------------</TABLE>
* Net of any applicable premium tax deduction
MP2CERT(5/97)
33
<PAGE>
Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>
- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------
Option 2(b): | Option 2(b): | Option 2(b): | Option 2(b): | |||||||
Option 2(a): | payments | payments | payments | payments | ||||||
Adjusted | payments for life | guaranteed 5 years | guaranteed 10 years | guaranteed 15 years | guaranteed 20 years | |||||
Age of | ------------------- -------------------- -------------------- -------------------- -------------------- | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
-------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 5.48 | $ 5.12 | $ 5.46 | $ 5.11 | $ 5.41 | $ 5.09 | $ 5.34 | $ 5.06 | $5.24 | $ 5.01 |
51 | 5.55 | 5.17 | 5.53 | 5.17 | 5.48 | 5.14 | 5.40 | 5.11 | 5.29 | 5.05 |
52 | 5.63 | 5.23 | 5.61 | 5.23 | 5.55 | 5.20 | 5.46 | 5.16 | 5.34 | 5.10 |
53 | 5.71 | 5.30 | 5.69 | 5.29 | 5.62 | 5.26 | 5.53 | 5.22 | 5.40 | 5.15 |
54 | 5.80 | 5.37 | 5.77 | 5.36 | 5.70 | 5.33 | 5.60 | 5.27 | 5.45 | 5.20 |
55 | 5.89 | 5.44 | 5.86 | 5.43 | 5.79 | 5.39 | 5.67 | 5.34 | 5.51 | 5.25 |
56 | 5.99 | 5.52 | 5.96 | 5.51 | 5.87 | 5.47 | 5.74 | 5.40 | 5.56 | 5.31 |
57 | 6.10 | 5.60 | 6.06 | 5.59 | 5.97 | 5.54 | 5.82 | 5.47 | 5.62 | 5.37 |
58 | 6.21 | 5.69 | 6.17 | 5.67 | 6.06 | 5.62 | 5.90 | 5.54 | 5.68 | 5.42 |
59 | 6.33 | 5.79 | 6.29 | 5.77 | 6.17 | 5.71 | 5.98 | 5.61 | 5.74 | 5.48 |
60 | 6.46 | 5.89 | 6.41 | 5.87 | 6.28 | 5.80 | 6.06 | 5.69 | 5.79 | 5.55 |
61 | 6.60 | 6.00 | 6.55 | 5.97 | 6.39 | 5.90 | 6.15 | 5.77 | 5.85 | 5.61 |
62 | 6.75 | 6.11 | 6.69 | 6.08 | 6.51 | 6.00 | 6.24 | 5.86 | 5.91 | 5.67 |
63 | 6.91 | 6.23 | 6.84 | 6.20 | 6.64 | 6.10 | 6.33 | 5.95 | 5.96 | 5.73 |
64 | 7.09 | 6.37 | 7.00 | 6.33 | 6.77 | 6.22 | 6.42 | 6.04 | 6.02 | 5.80 |
65 | 7.27 | 6.51 | 7.18 | 6.46 | 6.91 | 6.34 | 6.52 | 6.13 | 6.07 | 5.86 |
66 | 7.47 | 6.66 | 7.36 | 6.61 | 7.05 | 6.46 | 6.61 | 6.23 | 6.12 | 5.92 |
67 | 7.68 | 6.82 | 7.55 | 6.76 | 7.20 | 6.60 | 6.70 | 6.33 | 6.16 | 5.99 |
68 | 7.91 | 7.00 | 7.76 | 6.93 | 7.35 | 6.74 | 6.80 | 6.43 | 6.21 | 6.04 |
69 | 8.15 | 7.19 | 7.98 | 7.11 | 7.51 | 6.89 | 6.89 | 6.54 | 6.25 | 6.10 |
70 | 8.41 | 7.39 | 8.21 | 7.30 | 7.67 | 7.04 | 6.97 | 6.64 | 6.28 | 6.15 |
71 | 8.69 | 7.62 | 8.45 | 7.51 | 7.83 | 7.21 | 7.06 | 6.74 | 6.32 | 6.20 |
72 | 8.99 | 7.86 | 8.70 | 7.73 | 8.00 | 7.38 | 7.14 | 6.85 | 6.35 | 6.25 |
73 | 9.31 | 8.12 | 8.97 | 7.97 | 8.16 | 7.55 | 7.21 | 6.95 | 6.37 | 6.29 |
74 | 9.65 | 8.41 | 9.26 | 8.23 | 8.33 | 7.73 | 7.29 | 7.04 | 6.39 | 6.33 |
75 | 10.02 | 8.72 | 9.55 | 8.50 | 8.50 | 7.92 | 7.35 | 7.14 | 6.41 | 6.36 |
- ---------------------------------------------------------------------------------------------------------------- | |
</TABLE> | |
* Net of any applicable premium tax deduction | |
MP2CERT(5/97) | |
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Page 21 of 24
34 <PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ----------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Female and Second Annuitant is Male - ----------------------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e) Option 3(f)
------------- ------------- -------------- --------------- -------------- -------------- --------------- -------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.75 | $ 4.07 | $ 4.26 | $ 3.75 | $ 3.98 | $ 3.72 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.06 | 3.85 |
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.12 | 3.94 |
60 | 55 | 4.06 | 4.47 | 4.71 | 4.06 | 4.37 | 4.02 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.47 | 4.17 |
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.54 | 4.29 |
65 | 60 | 4.49 | 5.01 | 5.32 | 4.48 | 4.89 | 4.39 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.02 | 4.59 |
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.14 | 4.74 |
70 | 65 | 5.07 | 5.75 | 6.17 | 5.05 | 5.60 | 4.87 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.79 | 5.13 |
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 5.96 | 5.29 |
75 | 70 | 5.89 | 6.82 | 7.40 | 5.81 | 6.63 | 5.48 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 6.92 | 5.78 |
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 7.15 | 5.93 |
- ----------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
MP2CERT(5/97)
35
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- --------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - --------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)
------------- ------------- -------------- --------------- -------------- -------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.03 | $ 4.36 | $ 4.55 | $ 4.03 | $ 4.27 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.34 |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.40 |
60 | 55 | 4.34 | 4.76 | 5.00 | 4.34 | 4.65 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.74 |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 4.82 |
65 | 60 | 4.76 | 5.29 | 5.60 | 4.75 | 5.16 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.30 |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 5.41 |
70 | 65 | 5.34 | 6.03 | 6.46 | 5.31 | 5.88 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.07 |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 6.23 |
75 | 70 | 6.16 | 7.10 | 7.68 | 6.07 | 6.90 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.19 |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 7.42 |
- --------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
MP2CERT(5/97)
36
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants
<TABLE> <CAPTION>
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- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - ---------------------------------------------------------------------------------------------------------------
Adjusted Ages | ||||||
- -------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) |
---------------- --------------- --------------- -------------- --------------- --------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.93 | $ 5.27 | $ 5.46 | $ 4.93 | $ 5.17 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.23 |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.29 |
60 | 55 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.62 |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 5.70 |
65 | 60 | 5.61 | 6.16 | 6.49 | 5.60 | 6.03 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.15 |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 6.27 |
70 | 65 | 6.17 | 6.90 | 7.33 | 6.13 | 6.73 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 6.91 |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 7.07 |
75 | 70 | 6.97 | 7.96 | 8.56 | 6.87 | 7.75 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.04 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 8.27 |
- ---------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
MP2CERT(5/97)
37
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ------------------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Male and Second Annuitant is Female - ------------------------------------------------------------------------------------------------------------------------------
Adjusted Ages | |||||||
- ------------------------------- | |||||||
Second | |||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) | Option 3(f) |
--------------- --------------- --------------- -------------- --------------- --------------- --------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.69 | $ 4.05 | $ 4.27 | $ 3.69 | $ 4.13 | $ 3.67 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.25 | 3.85 |
55 | 60 | 4.06 | 4.47 | 4.71 | 4.06 | 4.36 | 4.02 |
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.55 | 3.94 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.70 | 4.17 |
60 | 65 | 4.49 | 5.01 | 5.32 | 4.48 | 4.85 | 4.39 |
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 5.10 | 4.29 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.32 | 4.59 |
65 | 70 | 5.07 | 5.75 | 6.17 | 5.05 | 5.54 | 4.87 |
70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.86 | 4.74 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 6.18 | 5.13 |
70 | 75 | 5.89 | 6.82 | 7.40 | 5.81 | 6.49 | 5.48 |
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.92 | 5.29 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.40 | 5.78 |
75 | 80 | 7.07 | 8.34 | 9.16 | 6.78 | 7.85 | 6.17 |
- ------------------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
MP2CERT(5/97)
38
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------Adjusted Ages - --------------------------------
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Page 23 of 24
Second | ||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) |
---------------- --------------- --------------- -------------- --------------- --------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |||||
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.42 | |||||
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 | |||||
55 | 60 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 | |||||
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 | |||||
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 | |||||
60 | 65 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 | |||||
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 | |||||
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 | |||||
65 | 70 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 | |||||
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 | |||||
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 | |||||
70 | 75 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 | |||||
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 | |||||
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 | |||||
75 | 80 | 7.33 | 8.62 | 9.45 | 7.02 | 8.13 |
- ---------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
MP2CERT(5/97)
39
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ---------------------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------------------
Adjusted Ages | ||||||
- ----------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) |
------------------ ---------------- ----------------- ---------------- ----------------- ----------------- ----------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | ||||
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | 4.88 | $ 5.34 | ||||
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 | ||||
55 | 60 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 | ||||
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 | ||||
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 | ||||
60 | 65 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 | ||||
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 | ||||
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 | ||||
65 | 70 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 | ||||
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 | ||||
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 | ||||
70 | 75 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 | ||||
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 | ||||
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 | ||||
75 | 80 | 8.14 | 9.49 | 10.35 | 7.80 | 8.98 |
- ---------------------------------------------------------------------------------------------------------------------------
</TABLE> | |
* Net of any applicable premium tax deduction | |
MP2CERT(5/97) | |
40 | |
<PAGE> | |
- ------------------------------------------------------------------------------- | |
Aetna Insurance Company of America | |
Home Office: 151 Farmington Avenue | |
P.O. Box 30670 | |
Hartford, Connecticut 06150-0670 | |
(800) 531-4547 | |
Certificate of Group Annuity Coverage | |
- ------------------------------------------------------------------------------- | |
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | |
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | |
FIXED DOLLAR AMOUNT. THIS CERTIFICATE CONTAINS A MARKET VALUE ADJUSTMENT | |
FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN | |
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Page 24 of 24
INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA
DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.
MP2CERT(5/97)
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03/26/2018
Page 1 of 21
Exhibit 16(4)(l) | |||
Aetna Insurance Company of America | |||
Home Office: 151 Farmington Avenue | |||
P.O. Box 30670 | |||
Hartford, Connecticut 06150-0670 | |||
(800) 531-4547 | |||
You may call the toll-free number shown above for | |||
answers to questions or to resolve a complaint. | |||
Aetna Insurance Company of America, a stock | |||
company, herein called Aetna, agrees to pay the | |||
benefits stated in this Contract. | |||
<TABLE> | |||
<S> | <C> | ||
Specifications | |||
|------------------------------------------------------------------------------------------------ | |||
| Plan | |||
| SPECIMEN | |||
|------------------------------------------------------------------------------------------------ | |||
| Type of Plan | |||
| SPECIMEN | |||
|------------------------------------------------------------------------------------------------ | |||
| Contract Holder | |||
| SPECIMEN | |||
| SPECIMEN | |||
|------------------------------------------------------------------------------------------------ | |||
| Annuitant | |||
| SPECIMEN | |||
|------------------------------------------------------------------------------------------------ | |||
| Contract No. | |||
| SPECIMEN | |||
|------------------------------------------------------------------------------------------------ | |||
| Effective Date | |||
| SPECIMEN | |||
|------------------------------------------------------------------------------------------------ | |||
This Contract is delivered in YOUR STATE | and is subject to the laws of that jurisdiction | ||
</TABLE> | |||
The variable features of the Contract are described in parts III and IV. | |||
Right to Cancel | |||
- -------------------------------------------------------------------------------- | |||
The Contract Holder may cancel this Contract within 10 days by returning it to | |||
the agent from whom it was purchased, or to Aetna at the address shown above. | |||
Within seven days of receiving the Contract at its home office, Aetna will | |||
return the amount of Purchase Payment(s) received, plus any increase, or minus | |||
any decrease, on the amount, if any, allocated to the Separate Account fund(s). | |||
This page and the pages that follow constitute the entire Contract. | |||
Signed at the home office on the Effective Date. | |||
/s/ Dan Kearney | /s/ Maria F. McKeon | ||
President | Secretary | ||
Individual Variable, Fixed, or Combination Annuity Contract | |||
Nonparticipating | |||
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT | |||
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | |||
FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY. | |||
I-MP2(5/97) | |||
<PAGE> | |||
<TABLE> | |||
Specifications | |||
- --------------------------- -------------------------------------------------------------------------------------------------------- | |||
<S> | <C> | ||
Guaranteed | There is a guaranteed interest rate for Purchase Payment(s) held in the AG Account. (See Contract | ||
Interest Rate | Schedule I). | ||
- --------------------------- -------------------------------------------------------------------------------------------------------- | |||
Deductions from the | There will be deductions for mortality and expense risks and administrative fees. (See Contract | ||
Separate Account | Schedule I and II). | ||
- --------------------------- -------------------------------------------------------------------------------------------------------- | |||
Deduction from Purchase | Purchase Payment(s) are subject to a deduction for premium taxes, if any. (See 3.01.) | ||
Payment(s) | |||
- --------------------------- -------------------------------------------------------------------------------------------------------- | |||
Surrender Fee | There will be a charge deducted upon surrender. (See Contract Schedule I). | ||
</TABLE> | |||
This Contract is a legal contract and constitutes the entire legal relationship | |||
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Page 2 of 21
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. THEREFORE, IT IS IMPORTANT THAT YOU READ THIS CONTRACT CAREFULLY.
I-MP2(5/97)
<PAGE>
Contract Schedule I
Accumulation Period
<TABLE> Separate Account
- -----------------------------------------------------------------------------------------------------------------------------------<S> <C> Separate Account: Variable Annuity Account I
Charges to Separate Account: | A daily charge is deducted from any portion of the Current Value allocated to the | |||
Separate Account. The deduction is the daily equivalent of the annual effective | ||||
percentage shown in the following chart: __ | __ | |||
Administrative Charge | | | 0.15% | | | |
Mortality Risk Charge | | | 0.35% | | | |
Expense Risk Charge | | | 0.90% | | | |
Total Separate Account | | | ----- | | | |
Charges | | | 1.40% | | | |
|_ | _| |
AICA Guaranteed Account (AG Account)
- -----------------------------------------------------------------------------------------------------------------------------------
Minimum Guaranteed Interest Rate:
[3.0%] (effective annual rate of return)
Separate Account and AG Account
- -----------------------------------------------------------------------------------------------------------------------------------
Transfers: | An unlimited number of Transfers are allowed during the Accumulation Period. Aetna | |||
allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right | ||||
to charge [$10] for each subsequent Transfer. | ||||
Maintenance Fee: | The annual Maintenance Fee is [$30]. | 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]. | ||||
Annual Waiver of Surrender Fee: | As provided in 3.13 (d), the amount that may be withdrawn | |||
without a surrender fee cannot exceed [10%] of the Current Value calculated on the date | ||||
Aetna receives a surrender request in good order at its Home Office. | ||||
Surrender Fee: | For each surrender, the Surrender Fee will be determined as follows: | |||
Surrender Fee | ||||
Length of Time from Deposit of | (as percentage of | |||
__ Net Purchase Payment (Years) | Net Purchase __ Payment) | |||
| | Less than 2 years | 7% | | | |
| | 2 or more but less than 4 years | 6% | | | |
| | 4 or more but less than 5 years | 5% | | | |
| | 5 or more but less than 6 years | 4% | | | |
| | 6 or more but less than 7 years | 3% | | | |
|_ 7 years or more | 0% _| | |||
I-MP2(5/97)-1 |
3
<PAGE>
Separate Account and AG Account (Cont'd)
- ------------------------------------------------------------------------------------------------------------------------------------
Systematic Withdrawal Option (SWO): |
The specified payment or specified percentage may not be greater than [10%] of the Account's Current Value at time of election. |
</TABLE> |
See 1. GENERAL DEFINITIONS for explanations.
I-MP2(5/97)-1
4
<PAGE>
Contract Schedule II
Annuity Period
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<TABLE> Separate Account
- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Charges to Separate Account: A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option.
This charge will not exceed [0.25%].
Variable Annuity Assumed Annual Net | If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be | |
Return Rate: | elected. If [5.0%] is not elected, Aetna will use an assumed annual net return rate of | |
[3.5%]. | ||
The assumed annual net return rate factor for [3.5%] per year is [0.9999058]. | ||
The assumed annual net return rate factor for [5.0%] per year is [0.9998663]. | ||
If the portion of a Variable Annuity payment for any Fund is not to decrease, the | ||
Annuity return factor under the Separate Account for that Fund must be: | ||
(a) | [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the | |
administrative charge set at the time Annuity payments commence if an assumed | ||
annual net return rate of [3.5%] is chosen; or | ||
(b) | [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the | |
administrative charge set at the time Annuity payments commence, if an assumed | ||
annual net return rate of [5%] is chosen. |
Fixed Annuity
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Minimum Guaranteed Interest Rate: </TABLE> |
[3.0%] (effective annual rate of return) |
See 1. GENERAL DEFINITIONS for explanations.
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TABLE OF CONTENTS
Page
I. |
GENERAL DEFINITIONS |
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1.01 | Accumulation Period | 8 |
1.02 | Adjusted Current Value | 8 |
1.03 | AICA Guaranteed Account (AG Account) | 8 |
1.04 | Annuitant | 8 |
1.05 | Annuity | 8 |
1.06 | Beneficiary | 8 |
1.07 | Code | 8 |
1.08 | Contract | 8 |
1.09 | Contract Holder | 8 |
1.10 | Current Value | 9 |
1.11 | Deposit Period | 9 |
1.12 | Dollar Cost Averaging | 9 |
1.13 | Fixed Annuity | 9 |
1.14 | Fund(s) | 9 |
1.15 | General Account | 9 |
1.16 | Guaranteed Rates -- AG Account | 9 |
1.17 | Guaranteed Term | 10 |
1.18 | Guaranteed Term(s) Groups | 10 |
1.19 | Maintenance Fee | 10 |
1.20 | Market Value Adjustment (MVA) | 10 |
1.21 | Matured Term Value | 10 |
1.22 | Matured Term Value Transfer | 10 |
1.23 | Maturity Date | 10 |
1.24 | Net Purchase Payment(s) | 10 |
1.25 | Nonunitized Separate Account | 10 |
1.26 | Purchase Payment(s) | 11 |
1.27 | Reinvestment | 11 |
1.28 | Separate Account | 11 |
1.29 | Surrender Value | 11 |
1.30 | Transfers | 11 |
1.31 | Valuation Period (Period) | 11 |
1.32 | Variable Annuity | 11 |
II. |
GENERAL PROVISIONS |
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2.01 | Change of Contract | 12 | |
2.02 | Change of Fund(s) | 13 | |
2.03 | Nonparticipating Contract | 13 | |
2.04 | Payments and Elections | 13 | |
2.05 | State Laws | 13 | |
2.06 | Control of Contract | 13 | |
2.07 | Designation of Beneficiary | 14 | |
2.08 | Misstatements and Adjustments | 14 | |
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2.09 | Incontestability | 14 |
2.10 | Grace Period | 14 |
III. |
PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
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3.01 | Net Purchase Payment | 14 |
3.02 | Fund(s) Record Units -- Separate Account | 15 |
3.03 | Net Return Factor(s) -- Separate Account | 15 |
3.04 | Fund Record Unit Value -- Separate Account | 15 |
3.05 | Market Value Adjustment | 15 |
3.06 | Transfer of Current Value from the Funds or AG Account | |
During the Accumulation Period | 17 | |
3.07 | Notice to the Contract Holder | 18 |
3.08 | Loans | 18 |
3.09 | Systematic Distribution Options | 18 |
3.10 | Death Benefit Amount | 19 |
3.11 | Death Benefit Options available to Beneficiary | 20 |
3.12 | Liquidation of Surrender Value | 22 |
3.13 | Surrender Fee | 22 |
3.14 | Payment of Surrender Value | 23 |
3.15 | Payment of Adjusted Current Value | 23 |
IV. |
ANNUITY PROVISIONS |
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4.01 | Choices | 23 |
4.02 | Terms of Annuity Options | 24 |
4.03 | Death of Annuitant/Beneficiary | 25 |
4.04 | Fund(s) Annuity Units -- Separate Account | 26 |
4.05 | Fund(s) Annuity Unit Value -- Separate Account | 27 |
4.06 | Annuity Net Return Factor(s) -- Separate Account | 27 |
4.07 | Annuity Options | 28 |
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<TABLE>
<CAPTION>
I. |
GENERAL DEFINITIONS |
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<S>
1.01 |
Accumulation Period: |
1.02 |
Adjusted Current Value: |
1.03 |
AICA Guaranteed Account (AG Account): |
1.04 |
Annuitant |
1.05 |
Annuity |
1.06 |
Beneficiary |
1.07 |
Code |
1.08 |
Contract |
1.09 |
Contract Holder |
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<C>
The period during which the Net Purchase Payment(s) are applied to a Contract to provide future Annuity payment(s).
The Current Value of a Contract plus or minus any aggregate AG Account MVA, if applicable. (See 1.20)
An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AG Account.
The person whose life is measured for purposes of the Guaranteed Death Benefit and the duration of Annuity payments under this Contract.
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).
The individual or estate entitled to receive any death benefit under the Contract. 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.
The Internal Revenue Code of 1986, as it may be amended from time to time.
This agreement between Aetna and the Contract Holder.
A person who purchases this Contract. Aetna reserves the right to limit ownership to natural persons. The Contract Holder has all right, title and interest under the Contract. If more than one Contract Holder owns the Contract, each Contract Holder will be a joint Contract Holder. Any joint Contract Holder must be the spouse of the other joint Contract Holder. Joint Contract Holders have joint ownership rights and both must authorize exercising any ownership rights unless Aetna allows otherwise.
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1.10 |
Current Value: |
1.11 |
Deposit Period: |
1.12 |
Dollar Cost Averaging: |
1.13 |
Fixed Annuity: |
1.14 |
Fund(s): |
1.15 |
General Account: |
1.16 |
Guaranteed Rates -- AG Account: |
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1.17 Guaranteed Term:
1.18 |
Guaranteed Term(s) Groups: |
1.19 |
Maintenance Fee: |
1.20 |
Market Value Adjustment (MVA): |
1.21 |
Matured Term Value: |
1.22 |
Matured Term Value Transfer: |
1.23 |
Maturity Date: |
1.24 |
Net Purchase Payment(s): |
1.25 |
Nonunitized Separate Account: |
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As of the most recent Valuation Period, the Net Purchase Payment and any additional amount deposited pursuant to 3.10 plus any interest added to the portion allocated to the AG Account; and plus or minus the investment experience of the portion allocated to the Funds since deposit; less all Maintenance Fees deducted, any amounts surrendered and any amounts applied to an Annuity.
A day, a calendar week, a calendar month, a calendar quarter, or any other period of time specified by Aetna during which Net Purchase Payment(s), Transfers and/or Reinvestments may be allocated to one or more AG Account Guaranteed Terms. Aetna reserves the right to shorten or to extend the Deposit Period.
During a Deposit Period, Aetna may offer any number of Guaranteed Terms and more than one Guaranteed Term of the same duration may be offered.
A program that permits the Contract Holder to systematically transfer amounts from any of the Funds or an available AG Account Guaranteed Term to any of the Funds. Aetna reserves the right to establish terms and conditions governing Dollar Cost Averaging. Dollar Cost Averaging is not available when an SDO is in effect.
An Annuity with payments that do not vary in amount.
The open-end management investment companies (mutual funds) in which the Separate Account invests.
The Account holding the assets of Aetna, other than those assets held in Aetna's separate accounts.
Aetna will declare the interest rate(s) applicable to a specific Guaranteed Term at the start of the Deposit Period for that Guaranteed Term. The rate(s) are guaranteed by Aetna for the period beginning with the first day of the Deposit Period and ending on the Maturity Date. Guaranteed Rates are credited beginning with the date of allocation. The Guaranteed Rates are annual effective yields. That is, interest is credited daily at a rate that will produce the Guaranteed Rate over the period of a year. No Guaranteed Rate will ever be less than the Minimum Guaranteed Rate shown on Contract Schedule I.
For Guaranteed Terms of one year or less, one Guaranteed Rate is credited for the full Guaranteed Term. For longer Guaranteed Terms, an initial Guaranteed Rate is credited from the date of deposit to the end of a specified period within the Guaranteed Term. There may be different Guaranteed Rate(s) declared for subsequent specified time intervals throughout the Guaranteed Term.
The period of time specified by Aetna for which a specific Guaranteed Rate(s) is offered on amounts invested during a specific Deposit Period. Guaranteed Terms are made available subject to Aetna's terms and conditions, including, but not limited to, Aetna's right to restrict allocations to new Net Purchase Payments (such as by prohibiting Transfers into a particular Guaranteed Term from any other Guaranteed Term or from any of the Funds, or by prohibiting Reinvestment of a Matured Term Value to a particular Guaranteed Term). More than one Guaranteed Term of the same duration may be offered during a Deposit Period.
All AG Account Guaranteed Term(s) of the same duration (from the close of the Deposit Period until the designated Maturity Date).
The Maintenance Fee (see Contract Schedule I) will be deducted during the Accumulation Period from the Current Value on each anniversary of the date the Contract is established and upon surrender of the entire Contract.
An adjustment that may apply to an amount withdrawn or transferred from an AG Account Guaranteed Term prior to the end of that Guaranteed Term. 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 3.05. The adjustment is expressed as a percentage of each dollar withdrawn or transferred.
The amount due on an AG Account Guaranteed Term's Maturity Date.
During the calendar month following an AG Account Maturity Date, the Contract Holder may notify Aetna's home office in writing to Transfer or surrender all or part of the Matured Term Value, plus interest at the new Guaranteed Rate accrued thereon, from the AG Account without an MVA. This provision only applies to the first such written request received from the Contract Holder during this period for any Matured Term Value.
The last day of an AG Account Guaranteed Term.
The Purchase Payment less premium taxes, if applicable.
A separate account set up by Aetna under Title 38, Section 38a-433, of the Connecticut General Statutes, that holds assets for AG Account Terms. There are no discrete units for this 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. These assets may be chargeable with liabilities arising out of any other business of Aetna.
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1.26 | Purchase Payment(s): | Payment(s) 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. | ||
1.27 | Reinvestment: | Aetna will mail a notice to the Contract Holder at least 18 calendar days before a |
Guaranteed Term's Maturity Date. This notice will contain the Terms available | ||
during current Deposit Periods with their Guaranteed Rate(s), and projected Matured | ||
Term Value. If no specific direction is given by the Contract Holder prior to the | ||
Maturity Date, each Matured Term Value will be reinvested in the current Deposit | ||
Period for a Guaranteed Term of the same duration. If a Guaranteed Term of the same | ||
duration is unavailable, each Matured Term Value will automatically be reinvested in | ||
the current Deposit Period for the next shortest Guaranteed Term available. If no | ||
shorter Guaranteed Term is available, the next longer Guaranteed Term will be used. | ||
Aetna will mail a confirmation statement to the Contract Holder the next business | ||
day after the Maturity Date. This notice will state the Guaranteed Term and | ||
Guaranteed Rate(s) which will apply to the reinvested Matured Term Value. | ||
1.28 | Separate Account: | A separate account that buys and holds shares of the Fund(s). Income, gains or |
losses, realized or unrealized, are credited or charged to the Separate Account | ||
without regard to other income, gains or losses of Aetna. Aetna owns the assets | ||
held in the Separate Account and is not a trustee as to such amounts. This Separate | ||
Account generally is not guaranteed and is held at market value. The assets of the | ||
Separate Account, to the extent of reserves and other contract liabilities of the | ||
Account, shall not be charged with other Aetna liabilities. | ||
1.29 | Surrender Value: | The amount payable by Aetna upon the surrender of any portion of the Contract. |
1.30 | Transfers: | The movement of invested amounts among the available Fund(s) and/or any AG Account |
Guaranteed Term made available subject to terms and conditions established by Aetna | ||
during the Accumulation Period or, during the Annuity Period, among the available | ||
Funds under a Variable Annuity. | ||
1.31 | Valuation Period (Period): | The period of time for which a Fund determines its net asset value, usually from |
4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. | ||
the next such day, or such other day that one or more of the Funds determines its | ||
net asset value. | ||
1.32 | Variable Annuity: | An Annuity with payments that vary with the net investment results of one or more |
Funds held under the Separate Account. |
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II. |
GENERAL PROVISIONS |
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2.01 |
Change of Contract: |
Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.
Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. This applies to subsequent Purchase Payments under the Contract. No advance notice will be given to the Contract Holder.
Aetna may make any change that affects the AG Account Market Value Adjustment (3.05) with at least 30 days' advance written notice to the Contract Holder. Any such change shall become effective for any new Term.
The following will not be changed:
(a) Net Purchase Payment (1.24)
(b) AG Account Guaranteed Rate (1.16)
(c) Net Return Factor(s) -- Separate Account (3.03)
(d) Current Value (1.10)
(e) Surrender Value (1.29)
(f) Fund(s) Annuity Unit Value -- Separate Account (4.05)
(g) Annuity options (4.07)
(h) Fixed Annuity Interest Rates (4.01)
(i) Transfers (1.30).
Any change that affects the Annuity Options and the tables for the Options may be made:
(a) No earlier than 12 months after the effective date of this Contract; and
(b) No earlier than 12 months after the effective date of any prior change.
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2.02 Change of Fund(s):
2.03 |
Nonparticipating Contract: |
2.04 |
Payments and Elections: |
2.05 |
State Laws: |
2.06 |
Control of Contract: |
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This Contract may be changed as deemed necessary by Aetna to comply with federal or state law.
The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, Aetna may cease to make such Fund shares available for investment under the Contract prospectively, or Aetna may substitute shares of another Fund for shares already acquired. Aetna may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. Aetna reserves the right to substitute shares of another Fund for shares already acquired without a proxy vote.
The Contract Holder or Beneficiaries will not have a right to share in the earnings of Aetna.
While the Contract Holder is living, Aetna will pay the Contract Holder 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 required to be made will be paid in accordance with 4.03. Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its home office. Such payments will be made within 7 calendar days of receipt at its home office of a written claim for payment which is in good order, except as provided in 3.14.
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.
This is a Contract between the Contract Holder and Aetna. The Contract Holder has all rights, title and interest for amounts held in the Contract. Choices made under this Contract must be in writing. If the Contract is owned jointly, both joint Contract Holders must authorize any Contract Holder change 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 under the Contract must be submitted to Aetna's home office in writing and will not be effective until accepted by Aetna.
2.07 | Designation of Beneficiary: | Each Contract Holder shall name his or her Beneficiary. If the Contract is owned |
jointly, both Contract Holders must agree in writing to the Beneficiary designated. | ||
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 accepted | ||
by Aetna. If the Contract is owned jointly, at the death of one Certificate Holder, | ||
the survivor will be deemed the Beneficiary; any other Beneficiary on record will be | ||
deemed a contingent Beneficiary. | ||
2.08 | Misstatements and Adjustments: | If Aetna finds the age of any Annuitant to be misstated, the correct facts will be |
used to adjust payments. | ||
2.09 | Incontestability: | Aetna cannot cancel this Contract because of any error of fact on the application. |
2.10 | Grace Period: | This Contract will remain in effect even if Purchase Payments are not continued |
except as provided in the Payment of Adjusted Current Value provision (see 3.16). | ||
III. | PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS |
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3.01 | Net Purchase Payment: | This amount is the actual Purchase Payment less any premium tax. Aetna reserves the | ||
right to pay premium taxes when due and deduct the amount from the current value | ||||
when we pay the tax or at a later date. | ||||
Each Net Purchase Payment will be allocated, as directed by the Contract Holder | ||||
among: | ||||
(a) | AG Account Guaranteed Terms made available subject to terms and conditions | |||
established by Aetna; and | ||||
(b) | The Fund(s) in which the Separate Account invests. | |||
For each Net Purchase Payment, the Contract Holder shall tell Aetna the percentage to | ||||
allocate to any available AG Account Guaranteed Terms and/or each Fund. Unless | ||||
different allocation instructions are not received for any subsequent Net Purchase | ||||
Payment, the allocation will be the same as for the Initial Purchase Payment. If the | ||||
same Guaranteed Term is no longer available, the Net Purchase Payment will be | ||||
allocated to the next shortest Guaranteed Term available in the current Deposit | ||||
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3.02 |
Fund(s) Record Units -- Separate Account: |
3.03 |
Net Return Factor(s) -- Separate Account: |
3.04 |
Fund Record Unit Value -- Separate Account: |
3.05 |
Market Value Adjustment: |
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3.05 |
Market Value Adjustment (Cont'd): |
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Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.
Aetna will declare from time to time the acceptability and the minimum amount for additional Purchase Payments.
The portion of the Net Purchase Payment(s) applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.04) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's home office.
The net return factor(s) are used to compute all Separate Account record units for any Fund.
The net return factor for each Fund is equal to 1.0000000 plus the net return rate.
The net return rate is equal to:
(a) The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus
(b) The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus
(c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by
(d) The total value of the Fund record units and Fund Annuity units of the Separate Account at the start of the Valuation Period; minus
(e) A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge.
A net return rate may be more or less than 0%. The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.
A Fund record unit value is computed by multiplying the net return factors for the current Valuation Period by the Fund record unit value for the previous Period. The dollar value of Fund record units, Separate Account assets, and Variable Annuity payments may go up or down due to investment gain or loss.
An MVA will apply to any withdrawal from the AG Account before the end of a Guaranteed Term when the withdrawal is due to:
(a) A Transfer; except for Transfers under the Dollar Cost Averaging program or, as specified in 1.22 Matured Term Value Transfer;
(b) A full or partial surrender (including a free withdrawal under 3.13), except for a payment made (1) under an SDO (see 3.09), or (2) under a qualified Contract, when the amount withdrawn is equal to the required minimum distribution for the Account calculated using a method permitted under the Code and agreed to by Aetna; or
(c) An election of an Annuity option (see 4.07).
Full and partial Surrenders and Transfers made within six months after the date of the Annuitant's death will be the greater of:
(a) The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. This total may be greater or less than the Current Value of those amounts; or
(b) The applicable portion of the Current Value in the AG Account.
After the six-month period, the surrender or Transfer will be the aggregate MVA amount, which may be greater or less than the Current Value of those amounts.
The greater of the aggregate MVA amount or the applicable portion of the Current Value applies to amounts withdrawn from the AG Account on account of an election of Annuity options 2 or 3 (see 4.07).
Market value adjusted amounts will be equal to the amount withdrawn multiplied by the following ratio:
x
---
365
(1 + i)
-----------
x
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3.05 |
Market Value Adjustment (Cont'd): |
3.06 |
Transfer of Current Value from the Funds or AG Account During the Accumulation Period: |
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3.06 |
Transfer of Current Value from the Funds or AG Account During the Accumulation Period (Cont'd): |
3.07 |
Notice to the Contract Holder: |
3.08 |
Loans: |
3.09 |
Systematic Distribution Options (SDOs): |
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---
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 Term. |
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 Term.
(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 Term exist, Aetna reserves the right to use the U.S. Treasury Notes that mature in the following quarter.
Before an Annuity option is elected, all or any portion of the Adjusted Current Value of the Contract Holder's Account may be transferred from any Fund or Guaranteed Term of the AG Account:
(a) To any other Fund; or
(b) To any Guaranteed Term of the AG Account made available subject to terms and conditions specified by Aetna in the current Deposit Period.
Transfer requests can be submitted as a percentage or as a dollar amount. Aetna may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.
The Contract Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by Aetna is shown on Contract Schedule I. Additional Transfers may be subject to a Transfer fee as shown on Contract Schedule I.
Amounts transferred from AG Account Guaranteed Term under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month after a Term's Maturity Date do not count against the annual Transfer limit.
Amounts allocated to AG Account Guaranteed Terms may not be transferred to the Funds or to another Guaranteed Term during a Deposit Period or for 90 days after the close of a Deposit Period except for (1) Matured Term Value(s) during the calendar month following the Term's Maturity Date; (2) amounts used as a premium for an Annuity option; (3) amounts transferred under the Dollar Cost Averaging Program; and (4) amounts distributed under the Systematic Withdrawal Option.
The Contract Holder will receive quarterly statements from Aetna of:
(a) The value of any amounts held in:
(1) |
The AG Account; and |
(2) |
The Fund(s) under the Separate Account. |
(b) The number of any Fund(s) record units; and
(c) The Fund(s) record unit value.
Such number or values will be as of a specific date no more than 60 days before the date of the notice.
Loans are not available under this Contract.
Aetna may, from time to time, make one or more systematic distribution options (SDOs) available during the Accumulation Period. When an SDO is elected, Aetna will make automatic payments from the Certificate Holder's Account. No Surrender Fee or MVA will apply to the automatic payments made under an SDO.
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3.10 Death Benefit Amount:
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3.10 |
Death Benefit Amount (Cont'd): |
3.11 |
Death Benefit Options available to Beneficiary: |
Page 10 of 21
Any SDO will be subject to the following criteria:
(a) Any SDO will be available to similarly situated contracts uniformly, and on the basis of objective criteria consistently applied;
(b) The availability of any SDO may be limited by terms and conditions applicable to the election of such SDO; and
(c) Aetna may discontinue the availability of an SDO at any time. Except to the extent required to comply with applicable law, discontinuance of an SDO will apply only to future elections and will not affect SDOs in effect at the time an option is discontinued.
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 death of the first joint Contract Holder to die. 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. The amount of the death benefit is determined as follows:
(a) Death of Annuitant: The guaranteed death benefit is the greatest of:
(1) |
The sum of all Net Purchase Payment(s) made to the Contract (as of the date of death) minus the sum of all amounts surrendered, applied to an Annuity, or deducted from the Contract; |
(2) |
The highest step-up value, as of the date of death, prior to the Annuitant's 75th birthday. A step-up value is determined on each anniversary of the Effective Date. Each step-up value is calculated as the Contract's Current Value on the Effective Date anniversary, increased by the amount of any Purchase Payment(s) made, and decreased by the sum of all amounts surrendered, deducted, and/or applied to an Annuity option since the Effective Date anniversary. |
(3) |
The Contract's Current Value as of the date of death. |
The excess, if any, of the guaranteed death benefit value over the Contract's Current Value is determined as of the date of death. Any excess amount will be deposited to the Contract and allocated to Aetna Variable Encore Fund as of the claim date. The Current Value on the claim date plus any excess amount deposited becomes the Contract's Current Value.
(b) Death of the Contract Holder if the Contract Holder is not the Annuitant: The death benefit amount is the Adjusted Current Value on the claim date. A
Surrender Fee may apply to any full or partial surrender (see 3.13 and Contract Schedule I).
(c) At the death of a spousal Beneficiary who continued the Contract in his or her own name, the death benefit amount is equal to the Adjusted Current Value less any applicable Surrender Fee (see 3.13 and Contract Schedule I) on the amount of any Purchase Payment(s) made since the death of the Annuitant.
(d) Death of the spousal beneficiary of a Contract Holder who was not the Annuitant and who continued the Contract: The death benefit amount equals the Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).
Prior to any election, or until amounts must be otherwise distributed under this section, the Current Value will be retained in the Contract. The Beneficiary has the right to allocate or reallocate any amount to any of the available investment options (subject to an MVA, if applicable). The following options are available to the Beneficiary:
(a) When the Contract Holder is the Annuitant: If the Annuitant dies, (or when the Contract Holder is a nonnatural person):
(1) If the Beneficiary is the surviving spouse, the spousal Beneficiary will be the successor Contract Holder and may exercise all Contract Holder rights under the Contract and continue in the Accumulation Period, or may elect (i) or (ii) below. Under the Code, 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 Adjusted Current Value to an Annuity option (see 4.07); or
(ii) Receive, at any time, a lump sum payment equal to the Adjusted Current Value.
(2) If the Beneficiary is other than the surviving spouse, then options (i) or (ii) above apply. Any portion of the death benefit not applied to an
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3.11 |
Death Benefit Options available to Beneficiary (Cont'd): |
(b)
(c)
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Annuity option within one year of the Contract Holder's death, must be distributed within five years of the date of death.
(3) |
If no Beneficiary exists, a lump sum payment equal to the Adjusted Current Value must be made to the Contract Holder's estate within five years of the date of death. If the Contract Holder is a nonnatural person, the death benefit is paid in one lump sum to the Contract Holder. |
(4) |
If the Beneficiary is an entity, a lump sum payment equal to the Adjusted Current Value must be made within five years of the date of death. |
When the Contract Holder is not the Annuitant when the Contract Holder dies:
(1) |
If the Beneficiary is the Contract Holder's surviving spouse, the spousal |
|
Beneficiary |
will be the successor Contract Holder and may exercise all |
|
Contract |
Holder rights under the Contract and continue in the |
|
Accumulation |
Period, or may elect (i) or (ii) below. Under the Code, |
|
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 Adjusted Current Value to an Annuity option (see 4.07); or |
|
(ii) |
Receive, at any time, a lump sum payment equal to the Surrender Value. |
|
(2) |
If the Beneficiary is other than the Contract Holder's surviving spouse, |
|
then |
options (i) or (ii) under (1) above apply. Any portion of the death |
|
benefit |
not applied to an Annuity option within one year of the Contract |
|
Holder's |
death will be subject to a Surrender Fee, if applicable, and |
|
must |
be distributed within five years of the date of death. |
|
(3) |
If no Beneficiary exists, a lump sum payment equal to the Surrender Value |
|
must |
be made to the Contract Holder's estate within five years of the |
|
date |
of death. |
|
(4) |
If the Beneficiary is an entity, a lump sum payment equal to the |
|
Surrender |
Value must be made within five years of the date of death. |
When the Contract Holder is a natural person and not the Annuitant, when the Annuitant dies, the Beneficiary (or the Contract Holder if no Beneficiary exists) may elect to:
(i) |
Apply all or some of the Adjusted Current Value to an Annuity option within 60 days of the date of death; or |
(ii) |
Receive a lump sum payment equal to the Adjusted Current Value. |
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3.12 | Liquidation of Surrender Value: | All or any portion of the Current Value may be surrendered at any time. Surrender | ||
requests can be submitted as a percentage of the Current 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 Fund(s) and/or the Guaranteed Term(s) Groups of the AG Account | ||||
in which the Current Value is invested. Within a Guaranteed Term Group, the amount | ||||
to be surrendered or transferred 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, if applicable, the surrendered amount shall | ||||
be reduced by a Surrender Fee, if applicable. An MVA may apply to amounts surrendered | ||||
from the AG Account. | ||||
3.13 | Surrender Fee: | The Surrender Fee only applies to the Net Purchase Payment(s) portion surrendered | ||
and varies according to the elapsed time since deposit (see Contract Schedule I). | ||||
Net Purchase Payment amounts are withdrawn in the same order they were applied. | ||||
No Surrender Fee is deducted from any portion of the Net Purchase Payment which is | ||||
paid: | ||||
(a) | To a Beneficiary due to the Annuitant's death before Annuity payments start, up | |||
to a maximum of the aggregate Net Purchase Payment(s) minus the total of all | ||||
partial surrenders, amounts applied to an Annuity and deductions made prior to | ||||
the Annuitant's date of death; | ||||
(b) | As a premium for an Annuity option (see 4.07); | |||
(c) | As a distribution under an SDO (see 3.09); | |||
(d) | At least 12 months after the date of the first Purchase Payment to the | |||
Contract, in an amount not to exceed the amount shown on Contract Schedule I | ||||
under Annual Waiver of Surrender Fee. This waiver of the Surrender Fee applies | ||||
to the first full or partial surrender in the calendar year. This waiver is not | ||||
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(e)
(f)
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3.13 Surrender Fee (Cont'd):
(g)
(h)
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available if a systematic distribution option has been in effect at any time during the calendar year;
For a full surrender where the Contract's Current Value is $2,500 or less and no surrenders have been taken from the Contract within the prior 12 months;
By Aetna under 3.15; or
If the Annuitant has spent at least 45 consecutive days in a licensed nursing care facility and each of the following conditions are met:
(1) |
more than one calendar year has elapsed since the date the Contract was issued; and |
(2) |
the surrender is requested within 3 years of admission to a licensed nursing care facility. |
This waiver does not apply if the Annuitant was in a nursing care facility at the time the Contract was issued.
Under a qualified Contract when the amount withdrawn is equal to the minimum distribution required by the Code for the Contract calculated using a method permitted under the Code and agreed to by Aetna.
3.14 | Payment of Surrender Value: | Under certain emergency conditions, Aetna may defer payment: | |
(a) | For a period of up to 6 months (unless not allowed by state law); or | ||
(b) | As provided by federal law. | ||
3.15 | Payment of Adjusted Current | Upon 90 days' written notice to the Contract Holder, Aetna will terminate any | |
Value: | Contract if the Current Value becomes less than $2,500 immediately following any | ||
partial surrender. Aetna does not intend to exercise this right in cases where the | |||
Current Value is reduced to $2,500 or less solely due to investment performance. A | |||
surrender fee will not be deducted from the Adjusted Current Value. | |||
IV. | ANNUITY PROVISIONS |
- ------------------------------------------------------------------------------------------------------------------------------------
4.01 | Choices: | The Contract Holder may tell Aetna to apply any portion of the Adjusted Current | |
Value (minus any premium tax, if applicable,) to any Annuity under option (see | |||
4.07). | The first Annuity payment may not be earlier than one calendar year after | ||
the initial Purchase Payment nor later than the later of: | |||
(a) | The first day of the month following the Annuitant's 85th birthday; or | ||
(b) | The tenth anniversary of the last Purchase Payment. In lieu of the election of | ||
an Annuity, the Contract Holder may tell Aetna to make a lump sum payment. |
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4.01 | Choices (Cont'd): | When an Annuity option is chosen, Aetna must also be told if payments are to be made | |
other than monthly and whether to pay: | |||
(a) | A Fixed Annuity using the General Account; | ||
(b) | A Variable Annuity using any of the Fund(s) available under this Contract for | ||
Annuity purposes; or |
4.02 |
Terms of Annuity Options: |
(c) A combination of (a) and (b).
If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects at least the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect a higher interest rate. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).
During the Annuity Period when a Variable Annuity has been elected, at the request of the Contract Holder, all or any portion of the amount allocated to a Fund may be transferred to any other Fund available during the Annuity Period. Four transfers, without charge, are allowed each calendar year. Aetna reserves the right to change the number of transfers allowed.
Transfer requests must be expressed as a percentage of the allocation among the Funds of the amount upon which the Variable Annuity will be based. Aetna reserves the right to establish a minimum transfer amount. Transfers will be effective as of the Valuation Period in which Aetna receives a transfer request in good order at its Home Office.
(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
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4.02 |
Terms of Annuity Options (Cont'd): |
4.03 Death of Annuitant/Beneficiary:
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4.03 |
Death of Annuitant/Beneficiary (Cont'd): |
4.04 |
Fund(s) Annuity Units - Separate Account: |
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$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 minimum annual Annuity payment amount based upon increases reflected in the Consumer Price Index-Urban, (CPI-U) since July 1, 1993.
(c) If a Fixed Annuity is chosen Aetna will use the applicable current settlement rate if it will provide higher Fixed Annuity payments.
(d) For purposes of calculating the guaranteed first payment of a Variable Annuity or the payments for a Fixed 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 from July 1, 1993 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.
(e) Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a Variable Annuity as shown on Contract Schedule II. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future Variable Annuity Payments are to remain level, (see Annuity return factor under Variable Annuity Assumed Annual Net Return Rate on Contract Schedule II).
(f) Once elected, Annuity payments cannot be commuted to a lump sum except for Variable Annuity payments under option 1 (see 4.07). The life expectancy of the Annuitant and the Annuitant and second Annuitant shall be irrevocable upon the election of an Annuity option.
(a) Contract Holder is Annuitant: When the Contract Holder is the Annuitant and the Annuitant dies under option 1 or 2, or if both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected and the Contract Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Contract has joint Contract Holders, the surviving joint Contract Holder will be deemed the successor payee.
(b) Contract Holder is Not Annuitant: When the Contract Holder is not the Annuitant and the Contract Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Contract has joint Contract Holders, the surviving joint Contract Holder will be deemed the successor payee.
If the Annuitant dies under option 1 or 2, or if both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon the election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected, and the Annuitant dies, the remaining payments will continue to the Contract Holder.
(c) No Beneficiary Named/Surviving: If there is no Beneficiary, the present value of any remaining payments will be paid in one sum to the Contract Holder, or if the Contract Holder is not living, then to the Contract Holder's estate.
(d) If the Beneficiary or the successor payee dies while receiving Annuity payments, the present value of any remaining guaranteed payments will be paid in one sum to the successor Beneficiary/payee, or upon election by the successor Beneficiary/payee, any remaining payments will continue to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary's/payee's estate.
(e) The present value will be determined as of the Valuation Period in which proof of death acceptable to Aetna and a request for payment is received at Aetna's home office. The interest rate used to determine the first payment will be used to calculate the present value.
The number of each Fund's Annuity units is based on the amount of the first Variable Annuity payment which is equal to:
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(a) The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); divided by
(b) 1,000; multiplied by
(c) The payment rate for the option chosen.
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<PAGE>
4.04 | Fund(s) Annuity Units -- | Such amount, or portion, of the variable payment will be divided by the appropriate | |
Separate Account (Cont'd): | Fund Annuity unit value (see 4.05) on the tenth Valuation Period before the due date | ||
of the first payment to determine the number of each Fund Annuity units. The number | |||
of each Fund Annuity units remains fixed. Each future payment is equal to the sum of | |||
the products of each Fund Annuity unit value multiplied by the appropriate number of | |||
Units. The Fund Annuity unit value on the tenth Valuation Period prior to the due | |||
date of the payment is used. | |||
4.05 | Fund(s) Annuity Unit Value -- | For any Valuation Period, a Fund Annuity unit value is equal to: | |
Separate Account: | |||
(a) | The value for the previous Period; multiplied by | ||
(b) | The Annuity net return factor(s) (see 4.06 below) for the Period; multiplied by | ||
(c) | A factor to reflect the assumed annual net return rate (see Contract Schedule | ||
II). | |||
The dollar value of a Fund Annuity unit values and Annuity payments may go up or down | |||
due to investment gain or loss. | |||
4.06 | Annuity Net Return Factor(s) -- | The Annuity net return factor(s) are used to compute Annuity payments for any Fund. | |
Separate Account: | |||
The Annuity net return factor for each Fund is equal to 1.0000000 plus the net return | |||
rate. | |||
The net return rate is equal to: | |||
(a) | The value of the shares of the Fund held by the Separate Account at the end of | ||
a Valuation Period; minus | |||
(b) | The value of the shares of the Fund hold by the Separate Account at the start | ||
of the Valuation Period; plus or minus | |||
(c) | Taxes (or reserves for taxes) on the Separate Account (if any); divided by | ||
(d) | The total value of the Fund record units and Fund Annuity units of the Separate | ||
Account at the start of the Valuation Period; minus | |||
(e) | A daily charge for Annuity mortality and expense risks, which may include | ||
profit, and a daily administrative charge (at the annual rate as shown on | |||
Contract Schedule II). | |||
A net return rate may be more or less than 0%. | |||
The value of a share of the Fund is equal to the net assets of the Fund divided by | |||
the number of shares outstanding. | |||
Payments shall not be changed due to changes in the mortality or expense results or | |||
administrative charges. |
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4.07 | Annuity Options: | Option 1 -- Payments for a Specified Period: Payments are made for the number of | ||
years specified by the Contract Holder. The number of years must be at least five | ||||
and not more than 30. | ||||
Option 2 -- Life income based on the life of one Annuitant: Payments are made until | ||||
the death of the Annuitant. When this option is elected, the Contract Holder must | ||||
also choose one of the following: | ||||
(a) | payments cease at the death of the Annuitant; | |||
(b) | payments are guaranteed for a specified period from five to 30 years; | |||
(c) | cash refund: when the Annuitant dies, the Beneficiary will receive a lump sum | |||
payment equal to the amount applied to the Annuity option (less any premium | ||||
tax, if applicable) less the total amount of Annuity payments made prior to | ||||
such death. This cash refund feature is only available if the total amount | ||||
applied to the Annuity option is allocated to a Fixed Annuity. | ||||
Option 3 -- Life income based on the lives of two Annuitants: Payments are made for | ||||
the lives of two Annuitants, one of whom is designated the second Annuitant, and | ||||
cease only when both Annuitants have died. When this option is elected, the Contract | ||||
Holder must also choose one of the following: | ||||
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(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) 100% of the payment to continue after the first death and payments are guaranteed for a period of five to 30 years;
(e) 100% of the payment to continue at the death of the designated second Annuitant and 50% of the payment to continue at the death of the Annuitant; or
(f) 100% of the payment continues after the first death with a cash refund feature. When the Annuitant and designated second Annuitant die, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity option (less any premium tax) less the total amount of Annuity payments paid prior to such death. This cash refund feature is only available if the total amount applied to the Annuity option is allocated to a Fixed Annuity.
If a Fixed Annuity is chosen under Option 1, Option 2 (a) or (b), or Option 3 (a) or (d), the Contract Holder may elect, at the time the Annuity option is selected, an annual increase of one, two or three percent compounded annually.
As allowed under applicable state law, Aetna reserves the right to offer additional Annuity options.
</TABLE>
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<PAGE>
OPTION 1: Payments for a Specified Period
- --------------------------------------------------------------------------------Monthly Amount for Each $1,000* Rates for a Fixed Annuity with a 3% Guaranteed Interest Rate - --------------------------------------------------------------------------------Years Payment Years Payment
---------------------- --------------------- --------------------- -------------
5 | 17.91 | 18 | 5.96 |
6 | 15.14 | 19 | 5.73 |
7 | 13.16 | 20 | 5.51 |
8 | 11.68 | 21 | 5.32 |
9 | 10.53 | 22 | 5.15 |
10 | 9.61 | 23 | 4.99 |
11 | 8.86 | 24 | 4.84 |
12 | 8.24 | 25 | 4.71 |
13 | 7.71 | 26 | 4.59 |
14 | 7.26 | 27 | 4.47 |
15 | 6.87 | 28 | 4.37 |
16 | 6.53 | 29 | 4.27 |
17 | 6.23 | 30 | 4.18 |
- --------------------------------------------------------------------------------
First Month Amount for Each $1,000*
Rates for a Variable Annuity with a 3.5% Assumed Interest Rate
- --------------------------------------------------------------------------------
Years Payment Years Payment
---------------------- --------------------- --------------------- -------------
5 | 18.12 | 18 | 6.20 |
6 | 15.35 | 19 | 5.97 |
7 | 13.38 | 20 | 5.75 |
8 | 11.90 | 21 | 5.56 |
9 | 10.75 | 22 | 5.39 |
10 | 9.83 | 23 | 5.24 |
11 | 9.09 | 24 | 5.09 |
12 | 8.46 | 25 | 4.96 |
13 | 7.94 | 26 | 4.84 |
14 | 7.49 | 27 | 4.73 |
15 | 7.10 | 28 | 4.63 |
16 | 6.76 | 29 | 4.53 |
17 | 6.47 | 30 | 4.45 |
- --------------------------------------------------------------------------------First Month Amount for Each $1,000* Rates for a Variable Annuity with a 5% Assumed Interest Rate - --------------------------------------------------------------------------------
Years
Payment
Years
Payment
---------------------- --------------------- --------------------- -------------
5 | 18.74 | 18 | 6.94 | |
6 | 15.99 | 19 | 6.71 | |
7 | 14.02 | 20 | 6.51 | |
8 | 12.56 | 21 | 6.33 | |
9 | 11.42 | 22 | 6.17 | |
10 | 10.51 | 23 | 6.02 | |
11 | 9.77 | 24 | 5.88 | |
12 | 9.16 | 25 | 5.76 | |
13 | 8.64 | 26 | 5.65 | |
14 | 8.20 | 27 | 5.54 | |
15 | 7.82 | 28 | 5.45 | |
16 | 7.49 | 29 | 5.36 | |
17 | 7.20 | 30 | 5.28 | |
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-------------------------------------------------------------------------------- * Net of any applicable premium tax deduction
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Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>
- -----------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate - -----------------------------------------------------------------------------------------------------------------------
Option 2(a): | Option 2(b): | Option 2(b): | Option 2(b): | Option 2(b): | Option 2(c): | |
payments for | payments | payments | payments | payments | Cash Refund | |
life | guaranteed 5 | guaranteed 10 | guaranteed 15 | guaranteed 20 | ||
Adjusted | years | years | years | years |
Age of | ----------------- ----------------- ------------------ ----------------- ------------------ ------------------ |
Annuitant Male Female Male Female Male Female Male Female Male Female Male Female
-------- ------- --------- ------- --------- ------- ---------- ------- --------- -------- --------- -------- ---------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 4.27 | $ 3.90 | $ 4.26 | $ 3.90 | $ 4.22 | $ 3.89 | $ 4.17 | $ 3.86 | $ 4.08 | $ 3.82 | $ 4.04 | $ 3.78 |
51 | 4.34 | 3.97 | 4.33 | 3.96 | 4.30 | 3.95 | 4.23 | 3.92 | 4.14 | 3.88 | 4.10 | 3.84 |
52 | 4.43 | 4.03 | 4.41 | 4.03 | 4.37 | 4.01 | 4.30 | 3.98 | 4.20 | 3.93 | 4.16 | 3.89 |
53 | 4.51 | 4.10 | 4.50 | 4.10 | 4.45 | 4.08 | 4.37 | 4.04 | 4.26 | 3.99 | 4.23 | 3.95 |
54 | 4.60 | 4.18 | 4.59 | 4.17 | 4.54 | 4.15 | 4.45 | 4.11 | 4.32 | 4.04 | 4.29 | 4.01 |
55 | 4.70 | 4.25 | 4.68 | 4.25 | 4.62 | 4.22 | 4.53 | 4.18 | 4.39 | 4.11 | 4.37 | 4.07 |
56 | 4.80 | 4.34 | 4.78 | 4.33 | 4.72 | 4.30 | 4.61 | 4.25 | 4.45 | 4.17 | 4.44 | 4.13 |
57 | 4.91 | 4.42 | 4.89 | 4.41 | 4.82 | 4.38 | 4.69 | 4.32 | 4.51 | 4.23 | 4.52 | 4.20 |
58 | 5.03 | 4.52 | 5.00 | 4.51 | 4.92 | 4.47 | 4.78 | 4.40 | 4.58 | 4.30 | 4.61 | 4.28 |
59 | 5.15 | 4.61 | 5.12 | 4.60 | 5.03 | 4.56 | 4.87 | 4.48 | 4.65 | 4.37 | 4.69 | 4.35 |
60 | 5.28 | 4.72 | 5.25 | 4.70 | 5.14 | 4.66 | 4.96 | 4.57 | 4.71 | 4.44 | 4.78 | 4.43 |
61 | 5.43 | 4.83 | 5.39 | 4.81 | 5.27 | 4.76 | 5.06 | 4.66 | 4.78 | 4.51 | 4.88 | 4.52 |
62 | 5.58 | 4.95 | 5.53 | 4.93 | 5.39 | 4.87 | 5.16 | 4.75 | 4.84 | 4.58 | 4.98 | 4.60 |
63 | 5.74 | 5.08 | 5.69 | 5.05 | 5.53 | 4.98 | 5.26 | 4.85 | 4.90 | 4.65 | 5.09 | 4.70 |
64 | 5.91 | 5.21 | 5.85 | 5.18 | 5.66 | 5.10 | 5.36 | 4.95 | 4.96 | 4.72 | 5.20 | 4.80 |
65 | 6.10 | 5.36 | 6.03 | 5.32 | 5.81 | 5.22 | 5.46 | 5.05 | 5.02 | 4.79 | 5.31 | 4.90 |
66 | 6.30 | 5.51 | 6.21 | 5.47 | 5.96 | 5.36 | 5.56 | 5.16 | 5.08 | 4.86 | 5.44 | 5.01 |
67 | 6.51 | 5.67 | 6.41 | 5.63 | 6.12 | 5.50 | 5.66 | 5.26 | 5.13 | 4.93 | 5.56 | 5.12 |
68 | 6.73 | 5.85 | 6.62 | 5.80 | 6.28 | 5.65 | 5.77 | 5.37 | 5.18 | 5.00 | 5.70 | 5.24 |
69 | 6.97 | 6.04 | 6.84 | 5.98 | 6.44 | 5.80 | 5.86 | 5.49 | 5.23 | 5.06 | 5.84 | 5.37 |
70 | 7.23 | 6.25 | 7.07 | 6.18 | 6.61 | 5.97 | 5.96 | 5.60 | 5.27 | 5.12 | 5.98 | 5.51 |
71 | 7.51 | 6.47 | 7.32 | 6.39 | 6.79 | 6.14 | 6.05 | 5.71 | 5.31 | 5.18 | 6.14 | 5.65 |
72 | 7.80 | 6.71 | 7.58 | 6.62 | 6.96 | 6.32 | 6.14 | 5.83 | 5.34 | 5.23 | 6.30 | 5.80 |
73 | 8.12 | 6.98 | 7.85 | 6.86 | 7.14 | 6.50 | 6.23 | 5.94 | 5.37 | 5.28 | 6.47 | 5.96 |
74 | 8.46 | 7.26 | 8.14 | 7.12 | 7.32 | 6.69 | 6.31 | 6.04 | 5.40 | 5.32 | 6.65 | 6.13 |
75 | 8.82 | 7.57 | 8.45 | 7.40 | 7.50 | 6.89 | 6.38 | 6.14 | 5.42 | 5.35 | 6.83 | 6.31 |
- -----------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
I-MP2(5/97)
30
<PAGE>
Option 2 Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>
- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------
Option 2(a): | Option 2(b): | Option 2(b): | Option 2(b): | Option 2(b): | |
payments for life | payments | payments | payments | payments | |
Adjusted | guaranteed 5 years | guaranteed 10 years | guaranteed 15 years | guaranteed 20 years |
Age of ------------------- -------------------- -------------------- -------------------- --------------------Annuitant Male Female Male Female Male Female Male Female Male Female
-------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | |
50 | $ 4.56 | $ 4.20 | $ 4.55 | $ 4.19 | $ 4.51 | $ 4.18 | $ 4.45 | $ 4.15 | $ 4.36 | $ 4.11 | |
51 | 4.64 | 4.26 | 4.62 | 4.25 | 4.58 | 4.24 | 4.51 | 4.21 | 4.42 | 4.16 | |
52 | 4.72 | 4.32 | 4.70 | 4.32 | 4.66 | 4.30 | 4.58 | 4.26 | 4.48 | 4.21 | |
53 | 4.80 | 4.39 | 4.79 | 4.38 | 4.74 | 4.36 | 4.65 | 4.32 | 4.53 | 4.27 | |
54 | 4.89 | 4.46 | 4.87 | 4.46 | 4.82 | 4.43 | 4.73 | 4.39 | 4.59 | 4.32 | |
55 | 4.99 | 4.54 | 4.97 | 4.53 | 4.91 | 4.50 | 4.80 | 4.46 | 4.65 | 4.38 | |
56 | 5.09 | 4.62 | 5.07 | 4.61 | 5.00 | 4.58 | 4.88 | 4.53 | 4.72 | 4.44 | |
57 | 5.20 | 4.71 | 5.17 | 4.70 | 5.10 | 4.66 | 4.96 | 4.60 | 4.78 | 4.50 | |
58 | 5.32 | 4.80 | 5.29 | 4.79 | 5.20 | 4.75 | 5.05 | 4.68 | 4.84 | 4.57 | |
59 | 5.44 | 4.90 | 5.41 | 4.88 | 5.31 | 4.84 | 5.14 | 4.76 | 4.91 | 4.63 | |
60 | 5.57 | 5.00 | 5.53 | 4.99 | 5.42 | 4.93 | 5.23 | 4.84 | 4.97 | 4.70 | |
61 | 5.71 | 5.11 | 5.67 | 5.09 | 5.54 | 5.03 | 5.32 | 4.93 | 5.03 | 4.77 | |
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Page 17 of 21
62 | 5.86 | 5.23 | 5.81 | 5.21 | 5.66 | 5.14 | 5.42 | 5.02 | 5.09 | 4.84 |
63 | 6.02 | 5.36 | 5.97 | 5.33 | 5.79 | 5.25 | 5.51 | 5.11 | 5.16 | 4.91 |
64 | 6.20 | 5.49 | 6.13 | 5.46 | 5.93 | 5.37 | 5.61 | 5.21 | 5.21 | 4.98 |
65 | 6.38 | 5.64 | 6.31 | 5.60 | 6.07 | 5.49 | 5.71 | 5.31 | 5.27 | 5.05 |
66 | 6.58 | 5.79 | 6.49 | 5.75 | 6.22 | 5.63 | 5.81 | 5.41 | 5.32 | 5.12 |
67 | 6.79 | 5.95 | 6.69 | 5.91 | 6.38 | 5.76 | 5.91 | 5.52 | 5.38 | 5.18 |
68 | 7.02 | 6.13 | 6.89 | 6.08 | 6.53 | 5.91 | 6.01 | 5.63 | 5.42 | 5.25 |
69 | 7.26 | 6.32 | 7.11 | 6.26 | 6.70 | 6.06 | 6.11 | 5.74 | 5.47 | 5.31 |
70 | 7.52 | 6.53 | 7.35 | 6.45 | 6.86 | 6.23 | 6.20 | 5.85 | 5.51 | 5.37 |
71 | 7.80 | 6.75 | 7.59 | 6.66 | 7.03 | 6.39 | 6.29 | 5.96 | 5.54 | 5.42 |
72 | 8.09 | 6.99 | 7.85 | 6.89 | 7.21 | 6.57 | 6.38 | 6.07 | 5.57 | 5.47 |
73 | 8.41 | 7.26 | 8.12 | 7.13 | 7.38 | 6.75 | 6.46 | 6.17 | 5.60 | 5.51 |
74 | 8.75 | 7.54 | 8.41 | 7.39 | 7.55 | 6.94 | 6.53 | 6.28 | 5.63 | 5.55 |
75 | 9.12 | 7.85 | 8.71 | 7.66 | 7.73 | 7.13 | 6.61 | 6.38 | 5.65 | 5.59 |
- ----------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
I-MP2(5/97)
31
<PAGE>
Option 2 Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>
- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------
Option 2(a): | Option 2(b): | Option 2(b): | Option 2(b): | Option 2(b): | |
payments for life | payments | payments | payments | payments | |
Adjusted | guaranteed 5 years | guaranteed 10 years | guaranteed 15 years | guaranteed 20 years |
Age of ------------------- -------------------- -------------------- -------------------- --------------------Annuitant Male Female Male Female Male Female Male Female Male Female
-------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 5.48 | $ 5.12 | $ 5.46 | $ 5.11 | $ 5.41 | $ 5.09 | $ 5.34 | $ 5.06 | 5.24 | $ 5.01 |
51 | 5.55 | 5.17 | 5.53 | 5.17 | 5.48 | 5.14 | 5.40 | 5.11 | 5.29 | 5.05 |
52 | 5.63 | 5.23 | 5.61 | 5.23 | 5.55 | 5.20 | 5.46 | 5.16 | 5.34 | 5.10 |
53 | 5.71 | 5.30 | 5.69 | 5.29 | 5.62 | 5.26 | 5.53 | 5.22 | 5.40 | 5.15 |
54 | 5.80 | 5.37 | 5.77 | 5.36 | 5.70 | 5.33 | 5.60 | 5.27 | 5.45 | 5.20 |
55 | 5.89 | 5.44 | 5.86 | 5.43 | 5.79 | 5.39 | 5.67 | 5.34 | 5.51 | 5.25 |
56 | 5.99 | 5.52 | 5.96 | 5.51 | 5.87 | 5.47 | 5.74 | 5.40 | 5.56 | 5.31 |
57 | 6.10 | 5.60 | 6.06 | 5.59 | 5.97 | 5.54 | 5.82 | 5.47 | 5.62 | 5.37 |
58 | 6.21 | 5.69 | 6.17 | 5.67 | 6.06 | 5.62 | 5.90 | 5.54 | 5.68 | 5.42 |
59 | 6.33 | 5.79 | 6.29 | 5.77 | 6.17 | 5.71 | 5.98 | 5.61 | 5.74 | 5.48 |
60 | 6.46 | 5.89 | 6.41 | 5.87 | 6.28 | 5.80 | 6.06 | 5.69 | 5.79 | 5.55 |
61 | 6.60 | 6.00 | 6.55 | 5.97 | 6.39 | 5.90 | 6.15 | 5.77 | 5.85 | 5.61 |
62 | 6.75 | 6.11 | 6.69 | 6.08 | 6.51 | 6.00 | 6.24 | 5.86 | 5.91 | 5.67 |
63 | 6.91 | 6.23 | 6.84 | 6.20 | 6.64 | 6.10 | 6.33 | 5.95 | 5.96 | 5.73 |
64 | 7.09 | 6.37 | 7.00 | 6.33 | 6.77 | 6.22 | 6.42 | 6.04 | 6.02 | 5.80 |
65 | 7.27 | 6.51 | 7.18 | 6.46 | 6.91 | 6.34 | 6.52 | 6.13 | 6.07 | 5.86 |
66 | 7.47 | 6.66 | 7.36 | 6.61 | 7.05 | 6.46 | 6.61 | 6.23 | 6.12 | 5.92 |
67 | 7.68 | 6.82 | 7.55 | 6.76 | 7.20 | 6.60 | 6.70 | 6.33 | 6.16 | 5.99 |
68 | 7.91 | 7.00 | 7.76 | 6.93 | 7.35 | 6.74 | 6.80 | 6.43 | 6.21 | 6.04 |
69 | 8.15 | 7.19 | 7.98 | 7.11 | 7.51 | 6.89 | 6.89 | 6.54 | 6.25 | 6.10 |
70 | 8.41 | 7.39 | 8.21 | 7.30 | 7.67 | 7.04 | 6.97 | 6.64 | 6.28 | 6.15 |
71 | 8.69 | 7.62 | 8.45 | 7.51 | 7.83 | 7.21 | 7.06 | 6.74 | 6.32 | 6.20 |
72 | 8.99 | 7.86 | 8.70 | 7.73 | 8.00 | 7.38 | 7.14 | 6.85 | 6.35 | 6.25 |
73 | 9.31 | 8.12 | 8.97 | 7.97 | 8.16 | 7.55 | 7.21 | 6.95 | 6.37 | 6.29 |
74 | 9.65 | 8.41 | 9.26 | 8.23 | 8.33 | 7.73 | 7.29 | 7.04 | 6.39 | 6.3 |
75 | 10.02 | 8.72 | 9.55 | 8.50 | 8.50 | 7.92 | 7.35 | 7.14 | 6.41 | 6.36 |
- ----------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
I-MP2(5/97)
32
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ----------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Female and Second Annuitant is Male - ----------------------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second
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Annuitant
Annuitant Option 3(a) Option 3(b)
Option 3(c)
Option 3(d)
Option 3(e)
Option 3(f)
------------- ------------- -------------- --------------- -------------- -------------- --------------- -------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.75 | $ 4.07 | $ 4.26 | $ 3.75 | $ 3.98 | $ 3.72 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.06 | 3.85 |
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.12 | 3.94 |
60 | 55 | 4.06 | 4.47 | 4.71 | 4.06 | 4.37 | 4.02 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.47 | 4.17 |
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.54 | 4.29 |
65 | 60 | 4.49 | 5.01 | 5.32 | 4.48 | 4.89 | 4.39 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.02 | 4.59 |
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.14 | 4.74 |
70 | 65 | 5.07 | 5.75 | 6.17 | 5.05 | 5.60 | 4.87 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.79 | 5.13 |
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 5.96 | 5.29 |
75 | 70 | 5.89 | 6.82 | 7.40 | 5.81 | 6.63 | 5.48 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 6.92 | 5.78 |
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 7.15 | 5.93 |
- ----------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
I-MP2(5/97)
33
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- --------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - --------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)
------------- ------------- -------------- --------------- -------------- -------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.03 | $ 4.36 | $ 4.55 | $ 4.03 | $ 4.27 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.34 |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.40 |
60 | 55 | 4.34 | 4.76 | 5.00 | 4.34 | 4.65 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.74 |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 4.82 |
65 | 60 | 4.76 | 5.29 | 5.60 | 4.75 | 5.16 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.30 |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 5.41 |
70 | 65 | 5.34 | 6.03 | 6.46 | 5.31 | 5.88 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.07 |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 6.23 |
75 | 70 | 6.16 | 7.10 | 7.68 | 6.07 | 6.90 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.19 |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 7.42 |
- --------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
I-MP2(5/97)
34
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - ---------------------------------------------------------------------------------------------------------------Adjusted Ages
- -------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) |
---------------- --------------- --------------- -------------- --------------- --------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 4.93 | $ 5.27 | $ 5.46 | $ 4.93 | $ 5.17 | |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.23 | |
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55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.29 |
60 | 55 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.62 |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 5.70 |
65 | 60 | 5.61 | 6.16 | 6.49 | 5.60 | 6.03 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.15 |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 6.27 |
70 | 65 | 6.17 | 6.90 | 7.33 | 6.13 | 6.73 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 6.91 |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 7.07 |
75 | 70 | 6.97 | 7.96 | 8.56 | 6.87 | 7.75 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.04 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 8.27 |
- ---------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
I-MP2(5/97)
35
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ------------------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Male and Second Annuitant is Female - ------------------------------------------------------------------------------------------------------------------------------Adjusted Ages
- ------------------------------- | |||||||
Second | |||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) | Option 3(f) |
--------------- --------------- --------------- -------------- --------------- --------------- --------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.69 | $ 4.05 | $ 4.27 | $ 3.69 | $ 4.13 | $ 3.67 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.25 | 3.85 |
55 | 60 | 4.06 | 4.47 | 4.71 | 4.06 | 4.36 | 4.02 |
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.55 | 3.94 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.70 | 4.17 |
60 | 65 | 4.49 | 5.01 | 5.32 | 4.48 | 4.85 | 4.39 |
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 5.10 | 4.29 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.32 | 4.59 |
65 | 70 | 5.07 | 5.75 | 6.17 | 5.05 | 5.54 | 4.87 |
70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.86 | 4.74 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 6.18 | 5.13 |
70 | 75 | 5.89 | 6.82 | 7.40 | 5.81 | 6.49 | 5.48 |
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.92 | 5.29 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.40 | 5.78 |
75 | 80 | 7.07 | 8.34 | 9.16 | 6.78 | 7.85 | 6.17 |
- ------------------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
I-MP2(5/97)
36
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------Adjusted Ages
- -------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) |
---------------- --------------- --------------- -------------- --------------- --------------- ---------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | |
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.42 | |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 | |
55 | 60 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 | |
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 | |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 | |
60 | 65 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 | |
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65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 |
65 | 70 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 |
70 | 75 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 |
75 | 80 | 7.33 | 8.62 | 9.45 | 7.02 | 8.13 |
- ---------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction
I-MP2(5/97)
37
<PAGE>
Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>
- ---------------------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------------------
Adjusted Ages | ||||||
- ----------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3(a) | Option 3(b) | Option 3(c) | Option 3(d) | Option 3(e) |
------------------ ---------------- ----------------- ---------------- ----------------- ----------------- ----------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.34 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
55 | 60 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 8.14 | 9.49 | 10.35 | 7.80 | 8.98 |
- ---------------------------------------------------------------------------------------------------------------------------
</TABLE> | |
* Net of any applicable premium tax deduction | |
I-MP2(5/97) | |
38 | |
<PAGE> | |
- -------------------------------------------------------------------------------- | |
Aetna Insurance Company of America | |
Home Office: 151 Farmington Avenue | |
P.O. Box 30670 | |
Hartford, Connecticut 06150-0670 | |
(800) 531-4547 | |
Individual Variable, Fixed, or Combination Annuity Contract | |
Nonparticipating | |
- -------------------------------------------------------------------------------- | |
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT | |
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | |
FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY. | |
- -------- | |
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Page 21 of 21
I-MP2(5/97)
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Page 1 of 24
Exhibit 16(4)(m) - Aetna Insurance Company of America | ||
Home Office: 151 Farmington Avenue | ||
P.O. Box 30670 | ||
Hartford, Connecticut 06150-0670 | ||
(800) 531-4547 | ||
You may call the toll-free number shown above for answers to | ||
questions or to resolve a complaint. | ||
Aetna Insurance Company of America (We or Us), a stock company, agrees to pay | ||
benefits according to the terms and conditions set forth in this Contract. | ||
- ------------------------------------------------------------------------------- | ||
Certificate of Group Annuity Coverage | ||
Aetna certifies that an account is established for you under the Group Annuity | ||
Contract and Certificate numbers shown below. | ||
This certificate describes Group Annuity Contract provisions. It replaces any | ||
and all prior certificates or endorsements issued to you under the stated | ||
Contract and Certificate numbers. This Certificate is for information only and | ||
is not a part of the Contract. | ||
The variable features of the Group Contract are described in sections 6 and 12. | ||
- ------------------------------------------------------------------------------- | ||
Right to Cancel | ||
The Certificate Holder may cancel the Certificate within ten (10) days of | ||
receiving it by returning it to Us at the address above or the person from whom | ||
it was purchased. Within seven (7) days of the cancellation request, We will | ||
return the Certificate Holder's Purchase Payment(s) made plus any increase, or | ||
minus any decrease on the amount allocated to the Separate Account. | ||
Signed at the home office on the Effective Date. | ||
/s/ Dan Kearney | /s/ Maria F. McKeon | |
President | Secretary | |
- --------------------------------------------------------- | ||
Contract Holder | Group Annuity Contract Number | |
SPECIMEN | SPECIMEN | |
SPECIMEN | ||
- --------------------------------------------------------- | ||
Certificate Holder | Certificate Number | |
SPECIMEN | SPECIMEN | |
SPECIMEN | ||
- --------------------------------------------------------- | ||
Annuitant Name | Type of Plan | |
SPECIMEN | SPECIMEN | |
SPECIMEN | ||
<PAGE> | ||
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT | ||
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO | ||
FIXED DOLLAR AMOUNT. THIS CERTIFICATE 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 TERM AT THE TIME OF ITS MATURITY. | ||
2 | ||
<PAGE> | ||
Table of Contents | ||
<TABLE> | ||
<CAPTION> | ||
Page | ||
<S> | <C> | |
Right to Cancel | 1 | |
Contract Schedule | 5 | |
Separate Account | 5 | |
AICA Guaranteed Account (AG Account) | 5 | |
Separate Account and AG Account | 5 | |
Fixed Annuity | 7 | |
Section 1. Definitions | 8 | |
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Section 2. | General Provisions | 10 |
The Contract | 10 | |
Certificates | 10 | |
Nonparticipating Contract | 10 | |
Misstatements and Adjustments | 10 | |
Reports | 10 | |
Premium Taxes | 10 | |
Protection of Proceeds | 10 | |
Evidence of Survival | 11 | |
Proof of Age | 11 | |
Change of Contract | 11 | |
Section 3. | Ownership | 12 |
Group Contract Holder | 12 | |
Certificate Holder Rights | 12 | |
Transfer of Ownership | 12 | |
Section 4. | Beneficiary Provisions | 12 |
Beneficiary | 12 | |
Change of Beneficiary | 13 | |
Death of Beneficiary | 13 | |
Section 5. Purchase Payments | 13 | |
Purchase Payments | 13 | |
Allocation of Purchase Payments | 13 | |
Section 6. | Separate Account | 13 |
General | 13 | |
Investment Allocations to the Separate Account | 14 | |
Valuation of Assets | 14 | |
Accumulation Unit | 14 | |
Net Return Factor for Each Valuation Period | 14 | |
Administrative Charge | 15 | |
Mortality Risk Charge | 15 | |
Expense Risk Charge | 15 | |
Mortality and Expense Guarantee | 15 | |
3 | ||
<PAGE> | ||
Page | ||
Section 7. AG Account | 15 | |
AG Account Guaranteed Interest Rate | 15 | |
Deposit Period | 15 | |
Guaranteed Term | 15 | |
Guaranteed Term(s) Groups | 15 | |
Maturity Date | 15 | |
Allocation of Net Purchase Payments to the AG Guaranteed Account | 16 | |
AG Account Guaranteed Term Maturity Date and Maturity Value | 16 | |
Withdrawals from the AG Account | 16 | |
Reinvestment | 17 | |
AG Account Market Value Adjustment (Factor) | 17 | |
Section 8. Certificate Holder's Account Value; Transfers and Withdrawals | ||
During the Accumulation Period | 18 | |
Certificate Holder's Account Value | 18 | |
Transfers During the Accumulation Period | 18 | |
Withdrawals During the Accumulation Period | 19 | |
Deferred Sales Charge | 19 | |
Waiver of Deferred Sales Charge | 19 | |
Payment of Adjusted Certificate Holder Account Value | 19 | |
Systematic Withdrawal Option (SWO) | 20 | |
Section 9. | Maintenance Charge | 21 |
Maintenance Charge | 21 | |
Section 10. Proceeds Payable on Death | 21 | |
Death of the Certificate Holder Prior to the Annuity Date | 21 | |
Death Benefit Amount Prior to the Annuity Date | 21 | |
Death Benefit Payment Methods | 23 | |
Death of Certificate Holder On or After the Annuity Date | 23 | |
Death of the Annuitant | 23 | |
Section 11. Delay of Payments | 24 | |
Delay of Payments | 24 | |
Section 12. Annuity Provisions | 24 | |
Designation of Annuitant | 24 | |
Terms of Annuity Options | 25 | |
Annuity Unit | 26 | |
Annuity Unit Value | 26 | |
Annuity Net Return Factor | 26 | |
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Page 3 of 24
Annuity Options 27 </TABLE>
4
<PAGE>
Contract Schedule
Separate Account
- -----------------------------------------------------------------------------
Separate Account: | Variable Account B | ||
Charges to the | A daily charge is deducted from the assets of the Separate | ||
Separate Account: | Account. The deduction is the daily equivalent of the | ||
annual effective percentage shown below: | |||
(a) | During the Accumulation Period: | ||
Administrative Charge | 0.15% | ||
Mortality Risk Charge | 0.35% | ||
Expense Risk Charge | 0.90% | ||
TOTAL Separate Account Charges | |||
During Accumulation Period | 1.40% | ||
(b) | During the Annuity Period | ||
Administrative Charge Not To Exceed | 0.25% | ||
Mortality Risk Charge | 0.35% | ||
Expense Risk Charge | 0.90% | ||
TOTAL Maximum Separate Account Charges | |||
During Annuity Period | 1.50% |
AICA Guaranteed Account (AG Guaranteed Account)
- ------------------------------------------------------------------------------
Minimum Guaranteed | 3.0% |
Interest Rate | |
(effective annual rate | |
of return): |
Separate Account and AG Account
- -------------------------------------------------------------------------------
Minimum Initial | $1,500 | |
Purchase Payment: | ||
Minimum Subsequent | $500 or $50 per month if paid by an automatic check plan | |
Purchase Payment: | ||
Maximum Subsequent | $1,000,000 without home office approval | |
Purchase Payment: | ||
Transfers: | We allow an unlimited number of transfers during the | |
Accumulation Period. Twelve (12) transfers in any | ||
calendar year are free. Thereafter, We reserve the right | ||
to charge a transfer charge up to $10 for each subsequent | ||
transfer. | ||
5 | ||
<PAGE> | ||
Maintenance Charge: | The annual maintenance charge is $30. | If the Certificate |
Holder's Account is $50,000 or more on the date the | ||
maintenance charge is to be deducted, the maintenance | ||
charge is $0. | ||
Deferred Sales | For each withdrawal from a Certificate Holder's Account, a | |
Charge: | deferred sale charge for each Net Purchase Payment will be | |
determined as follows: | ||
Years from Receipt of | Deferred | |
Net Purchase Payment | Sales Charge |
0-1 | 7% | |
1-2 | 6% | |
2-3 | 5% | |
3-4 | 4% | |
4-5 | 3% | |
5-6 | 2% | |
6-7 | 1% | |
7+ | 0% | |
Waiver of Deferred | Section 8.05 provides for the following: | |
Sales Charge: |
(c) |
At least 12 months after the date of the first Purchase Payment in an amount equal to or less than 15% of the Certificate Holder's Account Value. |
(d) |
For a full withdrawal where the Certificate Holder's Account Value does not exceed $2,500 and no |
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withdrawals have been taken from the Certificate | ||
Holder's Account within the prior 12 months. | ||
Systematic | (a) Specified Payment - Maximum Percentage: | 10% |
Withdrawal Option: | ||
(b) Specified Period - Minimum Period: | 10 years | |
(c) Specified Percentage - Maximum Percentage: | 10% | |
Death Benefit Factor: 4% | ||
Death Benefit | There is no maximum death benefit amount. | |
Maximum Amount: | ||
Death Benefit | 85 years | |
Maximum Age: | ||
Fund for Allocation | Federated Prime Money Fund II | |
of Excess Guaranteed | ||
Death Benefit Value: |
6
<PAGE>
Latest Annuity Date: The Certificate Holder's 90th birthday.
Fixed Annuity
- -------------------------------------------------------------------------------
Minimum Guaranteed | 3.0% |
Interest Rate | |
(effective annual rate | |
of return): |
7
<PAGE>
Section 1. Definitions
-------------------------------------------------------------------------------
Accumulation Period - The period during which one or more Net Purchase
Payments applied to a Certificate Holder's Account accumulate to
provide future Annuity payments.
1.02 |
Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of a Certificate Holder's Account Value attributable to a Separate Account during the Accumulation Period. |
1.03 |
Adjusted Certificate Holder Account Value - The Certificate Holder's Account Value, plus or minus any aggregate AG Account Market Value Adjustment. |
1.04 |
AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time. |
The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Certificate Holders do not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct. |
|
1.05 |
Annuitant - The natural person on whose life an Annuity payment is based. |
1.06 |
Annuity - A series of payments We make for life, a definite period or a combination of the two. |
1.07 |
Annuity Date - The date on which Annuity payments commence. |
1.08 |
Annuity Options - Annuity payment methods available during the Annuity Period. |
1.09 |
Annuity Period - The period of time during which Annuity payments are made. |
1.10 |
Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment. |
1.11 |
Beneficiary - The person(s) entitled to receive any death benefit under the Certificate Holder's Account. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, is |
treated |
as the Beneficiary. Any other Beneficiary designation on |
record |
with Us at the time of death is treated as a contingent |
Beneficiary. | |
1.12 |
Certificate - The document issued to a Certificate Holder to evidence |
a |
Certificate Holder's Account established under the group Contract. |
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8
<PAGE>
1.13 |
Certificate Holder - A person who has established a Certificate Holder's Account under a group Contract. We reserve the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder shall 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 any exercising of those ownership rights unless otherwise allowed by Us. If the Certificate Holder's Account is owned by a nonnatural person, the death benefit will be paid at the death of the Annuitant and a new Annuitant may not be named. |
1.14 |
Certificate Holder's Account - A record We establish for each Certificate Holder to maintain values under a group Contract. |
1.15 |
Certificate Holder's Account Value - The dollar value as of any Valuation Period of all amounts accumulated in a Certificate Holder's Account. |
1.16 |
Contract - This agreement between the Group Contract Holder and Us. |
1.17 |
Dollar Cost Averaging - A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds and the one-year guaranteed term of the AG Account to any of the Funds. Dollar Cost Averaging is not available if the Systematic Withdrawal Option is in effect. |
1.18 |
Effective Date - The date a Certificate is issued to a Certificate Holder. |
1.19 |
Fund - One of the variable investment options which may be selected by a Certificate Holder. |
1.20 |
General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts. |
1.21 |
Group Contract Holder - The entity to which a group Contract is issued. |
1.22 |
Home Office - Our headquarters, located at 151 Farmington Avenue, |
Hartford, |
CT 06156. |
1.23 |
Market Value Adjustment - An adjustment that may apply to a withdrawal |
made |
from the AG Account before the end of a guaranteed term as stated |
in |
Section 7.10. |
1.24 |
Net Purchase Payment - The Purchase Payment less premium taxes, if |
applicable. | |
1.25 |
Purchase Payment - The gross payment accepted by Us and allocated to |
the |
Certificate Holder's Account. We reserve the right to refuse to |
accept |
any Purchase Payment at any time for any reason. |
9
<PAGE>
1.26 |
Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of the Separate Account, will not be charged with Our other liabilities. |
1.27 |
Valuation Period - The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such business day, or such other day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct. |
1.28 |
Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results. |
Section 2. General Provisions
-------------------------------------------------------------------------------
The Contract - The entire Contract consists of this Contract and any
endorsements attached or subsequently issued.
2.02 |
Certificates - A Certificate is issued to each Certificate Holder whose Purchase Payment(s) is accepted by Us. The Certificate evidences a Certificate Holder's Account established under the Contract. |
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Certificates are not part of the Contract.
2.03 |
Nonparticipating Contract - Neither the Group Contract Holder, Certificate Holder nor any Beneficiary have a right to share in our earnings. |
2.04 |
Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request reimbursement or adjust future payments for any amount overpaid. We will pay the amount of any underpayment. |
2.05 |
Reports - We furnish each Certificate Holder with a report showing the Certificate Holder's Account Value at least once each calendar year. |
We also furnish an annual report of the Separate Account. |
|
2.06 |
Premium Taxes - Any premium taxes paid to any governmental entity are charged against Purchase Payments or a Certificate Holder's Account. |
We may, at our sole discretion, pay premium taxes when due and deduct that amount from the Certificate Holder's Account at a later date. Payment at an earlier date does not waive any right We may have to deduct amounts at a later date. |
|
2.07 |
Protection of Proceeds - To the extent permitted by law, all payments under this Contract to a Certificate Holder or Beneficiary shall be free from legal process and the claim of any creditor. |
10
<PAGE>
2.08 |
Evidence of Survival - The Company may require satisfactory evidence |
|
of |
the continued survival of any person(s) on whose life Annuity |
|
payments |
are based. |
|
2.09 |
Proof of Age - The Company may require evidence of age of any |
|
Annuitant |
under Annuity Options 2 and 3 and of the designated second |
|
Annuitant |
under Annuity Option 3. |
|
2.10 |
Change of Contract - Only our authorized officers may change the terms |
|
of |
this Contract. We will notify the Group Contract Holder in writing |
|
at |
least 30 days before the effective date of any change. Any change |
|
will |
not affect the amount or terms of any Annuity which begins before |
|
the |
change. |
|
We |
may make any change that affects the AG Account Market Value |
|
Adjustment |
with at least thirty (30) days' advance written notice to |
|
the |
Group Contract Holder and the Certificate Holder. Any such change |
|
shall |
become effective for any new guaranteed term and will apply to |
|
all |
present and future Certificate Holders' Accounts. |
|
We |
reserve the right to change the terms of the Systematic Withdrawal |
|
Option |
for future elections and discontinue the availability of this |
|
option. | ||
Any |
change to any of the following provisions under this Contract will |
|
not |
apply to Certificate Holder's Accounts in existence before the |
|
effective |
date of the change: |
|
(a) |
Net Purchase Payment (1.24) |
|
(b) |
AG Account Guaranteed Interest Rate (7.01) |
|
(c) |
Net Return Factor (6.05) |
|
(d) |
Certificate Holder's Account Value (1.15) |
|
(e) |
Deferred Sales Charge (8.04) |
|
(f) |
Annuity Unit Value (12.04) |
|
(g) |
Annuity Options (12.06) |
|
(h) |
Fixed Annuity Interest Rates (12.01) |
|
(i) |
Transfers (8.02). |
|
Any |
change that affects the Annuity Option and the tables for the |
|
Annuity |
Options may be made: |
|
(a) |
No earlier than twelve (12) months after the Effective Date; and |
|
(b) |
No earlier than twelve (12) months after the effective date of any prior change. |
|
Any |
Certificate Holder's Account established on or after the effective |
|
date |
of any change will be subject to the change. If the Group |
|
Contract |
Holder does not agree to any change under this provision, We |
|
reserve |
the right to not allow any new Certificate Holder's Accounts |
|
to |
be established under this Contract. This Contract may also be |
|
changed |
as deemed necessary by Us to comply with federal or state law. |
11
<PAGE>
Section 3. Ownership
-------------------------------------------------------------------------------
Group Contract Holder - The Group Contract Holder has title to the
Contract. The Contract and any amounts accumulated thereunder are not subject to the claims of the Group Contract Holder nor any of its
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creditors.
3.02 |
Certificate Holder Rights - The Certificate Holder has all interest |
|
and |
right to amounts held in his or her Certificate Holder's Account. |
|
The |
Certificate Holder and any joint Certificate Holder are named on |
|
the |
Specifications page. The Certificate Holder and any joint |
|
Certificate |
Holder may exercise all the rights under the Certificate |
|
Holder's |
Account, subject to the rights of: |
|
(a) |
Any assignee under an assignment filed at our home office; and |
|
(b) |
Any irrevocably named Beneficiary. |
|
Upon |
the death of a Certificate Holder prior to the Annuity Date, a |
|
spousal |
Beneficiary may elect to continue the Certificate Holder's |
|
Account |
in his or her own name and retain all ownership rights and |
|
privileges |
or take distribution of the death benefit as defined in |
|
Section |
10. |
|
3.03 |
Transfer of Ownership - The Group Contract Holder may transfer |
|
ownership |
of this Contract. A written request, dated and signed, must |
|
be |
filed at our home office. |
|
Any |
transfer of ownership terminates the interest of any existing |
|
Group |
Contract Holder. It does not change the rights of any |
|
Certificate |
Holder. |
|
A |
Certificate Holder may transfer all of his or her rights under the |
|
Contract. |
We reserve the right not to accept an assignment or transfer |
|
to |
a nonnatural person. A written request, dated and signed by the |
|
Certificate |
Holder and any joint Certificate Holder, must be filed at |
|
our |
home office. After the transfer is recorded, it will take effect |
|
as |
of the date the request was signed. Any such transfer terminates |
|
the |
interest of any existing Certificate Holder. It does not change |
|
the |
Beneficiary, nor transfer the Beneficiary's interest. A transfer |
|
will |
not affect any payments We may make or actions We may take before |
|
such |
transfer has been recorded at our home office. |
Section 4. Beneficiary Provisions
--------------------------------------------------------------------------------
Beneficiary - The Certificate Holder may name a Beneficiary and a
contingent Beneficiary. At the death of the Certificate Holder prior to the Annuity Date, the Beneficiary(ies) named in our records will receive a death benefit as stated in Section 10. Upon the death of either joint Certificate Holder prior to the Annuity Date, the surviving joint Certificate Holder, if any, will be treated as the designated Beneficiary and any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. If the Certificate Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant.
12
<PAGE>
4.02 |
Change of Beneficiary - The Certificate Holder may change the Beneficiary. A written request, dated and signed by the Certificate Holder, must be filed at our home office. If there are joint Certificate Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. |
If the request reaches our home office and is recorded after the Certificate Holder dies, but before any payment is made, the change is valid. |
|
4.03 |
Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Certificate Holder's death, We pay the death benefit in one sum to the Certificate Holder's estate. If the Certificate Holder is a nonnatural person, and all of the Beneficiaries and contingent Beneficiaries die prior to the Annuitant's death, We will pay the death benefit in one sum to the Certificate Holder. |
Section 5. Purchase Payments
-------------------------------------------------------------------------------
Purchase Payments - Subject to the maximum and minimum shown on the
Contract Schedule, the Certificate Holder may determine the amount and frequency of Purchase Payments. We reserve the right not to accept any Purchase Payment. We will declare from time to time the acceptability of additional Purchase Payments.
5.02 |
Allocation of Purchase Payments - The Certificate Holder may elect to |
|
have |
each Net Purchase Payment accumulate: |
|
(a) |
On a variable basis invested in shares of one or more Funds in which the Separate Account invests; |
|
(b) |
For guaranteed terms offered in the current deposit period(s) under the AG Account; or |
|
(c) |
In a combination of any of the available investment options. |
|
Net |
Purchase Payments must be allocated in whole percentages. For |
|
subsequent |
Purchase Payments, if no allocation instructions are |
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received with the Purchase Payment, the allocation will be as indicated in the most recent directive from the Certificate Holder. If the same guaranteed term(s) are not available, the next shortest will be used. If no shorter guaranteed term is available, the next longer guaranteed term will be used.
Section 6. Separate Account
-------------------------------------------------------------------------------
General - The assets of the Separate Account, equal to the reserves
and other Contract liabilities that depend on the investment performance of the Separate Account are not chargeable with liabilities arising out of any other business We may conduct. Income, gains or losses of the Separate Account, realized or unrealized, are credited to or charged against the assets of the Separate Account without regard to Our other income, gains or losses.
13
<PAGE>
6.02 |
Investment Allocations to the Separate Account - The assets of the |
|
Separate |
Account are segregated by Fund. If the shares of any Fund are |
|
no |
longer available for investment by the Separate Account or if in |
|
our |
judgment, further investment in such shares should become |
|
inappropriate |
in view of the purpose of the Contract, We may cease to |
|
make |
such Fund shares available for investment under the Contract |
|
prospectively, |
or We may substitute shares of another Fund for shares |
|
already |
acquired. We may also, from time to time, add additional |
|
Funds. |
Any elimination, substitution or addition of Funds will be done |
|
in |
accordance with applicable state and federal securities laws. We |
|
reserve |
the right to substitute shares of another Fund for shares |
|
already |
acquired without a proxy vote. |
|
6.03 |
Valuation of Assets - The shares of the Funds will be valued at their |
|
net |
asset value at the end of each Valuation Period. |
|
6.04 |
Accumulation Unit - A Net Purchase Payment that is allocated to one or |
|
more |
Funds is credited to the Certificate Holder's Account as |
|
Accumulation |
Units. The number of Accumulation Units credited is |
|
determined |
by dividing the applicable portion of the Net Purchase |
|
Payment |
by the Accumulation Unit value for the appropriate Fund. The |
|
Accumulation |
Unit value used is that which is computed for the next |
|
Valuation |
Period after which the Purchase Payment is received at our |
|
home |
office. Accumulation Units attributable to the initial Purchase |
|
Payments |
will be credited within two business days of acceptance. |
|
Accumulation |
Unit values may increase or decrease from Valuation |
|
Period |
to Valuation Period. |
|
6.05 |
Net Return Factor for Each Valuation Period - The value of an |
|
Accumulation |
Unit for any Valuation Period is calculated by |
|
multiplying |
the Accumulation Unit value for the immediately preceding |
|
Valuation |
Period by the net return factor of the appropriate Fund for |
|
the |
current period. |
|
The |
net return factor for each Fund is equal to 1.0000000 plus the net |
|
return |
rate. |
|
The |
net return rate equals: |
|
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus |
|
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus |
|
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
|
(d) |
The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus |
|
(e) |
A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge. |
|
The |
net return rate may be more or less than zero (0) percent. |
|
The |
value of a share of the Fund is equal to the net assets of the |
|
Fund |
divided by the number of shares outstanding. |
14
<PAGE>
6.06 |
Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.07 |
Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.08 |
Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule. |
6.09 |
Mortality and Expense Guarantee - We guarantee that the dollar amount |
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of each Annuity payment after the first will not be affected by
variations in mortality or expense experience.
Section 7. AG Account
--------------------------------------------------------------------------------
AG Account Guaranteed Interest Rate - All amounts allocated to the AG
Account earn a rate of interest that is guaranteed for a specified period of time. The rate will be credited daily and will never be less than the minimum guaranteed interest rate shown on the Contract Schedule. We determine the rate and it is not based on investment experience.
For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.
7.02 |
Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG Account for one or more guaranteed terms. We reserve the right to extend the deposit period. |
7.03 |
Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG |
Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years. |
|
During a deposit period, We may make available any number of guaranteed terms. The Certificate Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms. |
|
7.04 |
Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the same length of time from the close of the deposit period until the designated Maturity Date. |
7.05 |
Maturity Date - The last day of a guaranteed term. |
15
<PAGE>
7.06 |
Allocation of Net Purchase Payments to the AG Account - When the |
|
Certificate |
Holder wishes to allocate all or any portion of a Net |
|
Purchase |
Payment to the Guaranteed Account, he or she must tell Us the |
|
percentage |
to apply to one or more of the AG Account guaranteed |
|
term(s) |
available during the current deposit period. If no allocation |
|
instructions |
are received, a Net Purchase Payment is allocated as |
|
indicated |
in the most recent directive from the Certificate Holder. If |
|
the |
same guaranteed term is not available for any amount allocated to |
|
the |
AG Account, We will allocate the amount to the next shortest |
|
guaranteed |
term available. If no shorter guaranteed term is available, |
|
We |
will allocate it to the next longest guaranteed term. |
|
7.07 |
AG Account Guaranteed Term Maturity Date and Maturity Value - On the |
|
maturity |
date, the value of the total of all amounts allocated to that |
|
guaranteed |
term is called the maturity value. |
|
When |
Certificate Holders have assets in the AG Account, at least |
|
eighteen |
(18) days before a maturity date, We notify them of the: |
|
(a) |
Projected maturity value; and |
|
(b) |
Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period. |
|
When |
no allocation instructions are received and the assets in a |
|
guaranteed |
term have been reinvested by Us in another guaranteed term |
|
on |
the maturity date, the Certificate Holder may transfer or withdraw, |
|
during |
the month following the maturity date, the reinvested amount |
|
with |
interest earned (as of the date the request is received at our |
|
home |
office) without incurring a Market Value Adjustment. This |
|
transaction |
is allowed only once for each maturity date, regardless of |
|
whether |
the transfer or withdrawal is partial or full. |
|
7.08 |
Withdrawals and Transfers from the AG Account - When the Certificate |
|
Holder |
requests a withdrawal or transfer from the AG Account, if |
|
instructions |
are not provided by the Certificate Holder, amounts are |
|
withdrawn |
on a pro rata basis from the guaranteed term(s) groups in |
|
which |
the Certificate Holder's Account is currently invested. Within a |
|
guaranteed |
term group, the amount to be withdrawn will be withdrawn |
|
first |
from the oldest deposit period. Withdrawals or transfers from an |
|
AG |
Account guaranteed term before the maturity date are subject to a |
|
Market |
Value Adjustment, except for: |
|
(a) |
A one month period following the maturity date described in 7.07; |
|
(b) |
Transfers under the Dollar Cost Averaging program; and |
|
(c) |
Withdrawals under the Systematic Withdrawal Option described in |
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Section 8.07.
Only a positive Market Value Adjustment will apply to amounts
transferred from the AG Account when the Certificate Holder elects
Annuity Option 2 or 3.
16
<PAGE>
7.09 |
Reinvestment - We will mail a notice to the Certificate Holder before a guaranteed term's maturity date. This notice will contain the guaranteed terms available during the current deposit periods with their guaranteed interest rate(s) and projected maturity value. If no specific direction is given by the Certificate Holder prior to the maturity date, each maturity value will be reinvested in the current deposit period for a guaranteed term of the same duration. If a guaranteed term of the same duration is unavailable, each matured term value will automatically be reinvested in the current deposit period for the next shortest guaranteed term available. If no shorter guaranteed term is available, the next longer guaranteed term will be used. We will mail a confirmation statement to the Certificate Holder after the maturity date. This notice will state the guaranteed term and guaranteed interest rate(s) which will apply to the reinvested matured term value. |
7.10 |
AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. Except as noted in Section 7.09, 10.02 and 12.01, an MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term. |
The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows: |
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 Term. |
Determination of MVA factor parameters:
A yield is computed at the close of the last business day of each week of the deposit period. The yield will equal the average of the yields on U.S. Treasury Notes which matured during the last three months of the applicable guaranteed term.
The deposit period yield is the average of those yields for the
deposit period. If withdrawal is made prior to 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.
17
<PAGE>
If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.
Section 8. Certificate Holder's Account Value; Transfers and Withdrawals During the Accumulation Period
--------------------------------------------------------------------------------
Certificate Holder's Account Value - The value of a Certificate
Holder's Account is determined by adding the value of the total of Accumulation Units attributed to the selected Fund(s) to the value of any amounts attributed to the AG Account.
8.02 |
Transfers During the Accumulation Period - Before the Annuity Date, |
|
the |
Certificate Holder may transfer from any Fund or guaranteed term |
|
of |
the AG Account to: |
|
(a) |
Any other Fund; or |
|
(b) |
Any guaranteed term of the AG Account available in the current |
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deposit period.
Transfer requests can be submitted as a percentage or as a dollar amount. We may establish a minimum transfer amount. Within a guaranteed term group, the amount transferred is withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied.
The Certificate Holder may make an unlimited number of transfers during the Accumulation Period. The number of free transfers allowed is shown on the Contract Schedule. Transfers in excess of that number may be subject to the transfer charge shown on the Contract Schedule. Transfers under the Dollar Cost Averaging program do not count toward the annual limit. Transfers of a matured term value from the AG Account on or within one calendar month after a guaranteed term's maturity date do not count against the annual transfer limit.
Amounts applied to guaranteed terms of the AG Account may not be transferred to the Funds or to another guaranteed term during the deposit period or for 90 days after the close of the deposit period except for (1) matured term value(s) during the calendar month following the guaranteed term's maturity date; (2) amounts applied to an annuity option; (3) transfers from the one-year guaranteed term under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option.
Except as noted in Section 7.09, 10.02 and 12.01, transfers from
guaranteed terms of the AG Account before the Maturity Date are
subject to a Market Value Adjustment.
18
<PAGE>
8.03 |
Withdrawals During the Accumulation Period - The Certificate Holder |
|
may |
withdraw all or a portion of the Certificate Holder's Account |
|
Value |
during the Accumulation Period by properly completing a |
|
withdrawal |
request form. Withdrawal requests can be submitted as a |
|
percentage |
or as a specific dollar amount. Net Purchase Payment |
|
amounts |
are withdrawn first, and then the excess value, if any. For |
|
any |
partial withdrawal, if instructions are not provided by the |
|
Certificate |
Holder, amounts are withdrawn on a pro rata basis from the |
|
Fund(s), |
and/or the guaranteed term(s) groups in which the Certificate |
|
Holder's |
Account is currently invested. Within a guaranteed term |
|
group, |
the amount to be withdrawn 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 charge, if applicable, the |
|
withdrawn |
amount shall be reduced by the applicable deferred sales |
|
charge |
and any applicable premium taxes. |
|
8.04 |
Deferred Sales Charge - The deferred sales charge only applies to the |
|
portion |
of the amount withdrawn attributable to Net Purchase |
|
Payment(s) |
and varies according to the elapsed time since receipt of |
|
the |
Purchase Payment. The deferred sales charge is shown on the |
|
Contract |
Schedule. |
|
8.05 |
Waiver of Deferred Sales Charge - No deferred sales charge is deducted |
|
when |
a Certificate Holder's Account Value is paid: |
|
(a) |
To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Certificate Holder as described in Section 10.02(b); |
|
(b) |
As a premium for an Annuity Option; |
|
(c) |
At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Certificate Holder's Account Value as shown on the Contract Schedule. This applies to the first withdrawal request, partial or full, in a calendar year. |
|
The Certificate Holder's Account Value is calculated as of the date the withdrawal request is received in good order at our home office. This waiver is not available to the Certificate Holder while a SWO is in effect; |
||
(d) |
For a full withdrawal where the Certificate Holder's Account Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months; |
|
(e) |
For a distribution made by Us under Section 8.06; or |
|
(f) |
For a distribution which is part of a SWO under Section 8.07. |
|
We |
reserve the right to allow the proceeds of a total withdrawal to be |
|
reinstated |
under the terms and conditions as established by Us from |
|
time |
to time. |
|
8.06 |
Payment of Adjusted Certificate Holder Account Value - Upon 90 day's |
|
written |
notice to the Certificate Holder, We will terminate any |
|
Certificate |
Holder's Account if the Certificate Holder's Account Value |
|
becomes |
less than $1,500 immediately following any partial withdrawal. |
|
We |
do not intend to exercise this right in cases where the Certificate |
|
Holder's |
Account Value is reduced to $1,500 or less solely due to |
|
investment |
performance. When We make a distribution pursuant to this |
|
provision, |
the deferred sales charge will not be deducted. |
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19
<PAGE>
8.07 |
Systematic Withdrawal Option (SWO) - We will allow the Certificate |
|
Holder |
to establish a schedule of withdrawals to be made automatically |
|
from |
the Certificate Holder's Account Value. All distributed amounts |
|
will |
be withdrawn on a pro rata basis from the Fund(s) and/or the |
|
guaranteed |
term(s) groups of the AG Account in which the Certificate |
|
Holder's |
Account is invested. |
|
The |
Certificate Holder must elect one of the following SWO methods: |
|
(a) |
Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Certificate Holder's Account Value at time of the election as shown on the Contract Schedule. This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or |
|
(b) |
Specified Period: Payments which are made over a period of time which must be at least the minimum period as shown on the Contract Schedule. The annual amount paid each year is calculated by dividing the Certificate Holder's Account Value as of December 31 of the prior year by the number of payment years remaining; or |
|
(c) |
Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Certificate Holder's Account Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Certificate Holder's Account Value as of December 31 of the year prior to the payment by the designated percentage. |
|
SWO |
payments will cease at the Certificate Holder's death (or if the |
|
Certificate |
Holder is a nonnatural person, at the death of the |
|
Annuitant) |
. A beneficiary may elect to continue SWO as provided in |
|
Section |
10.01. |
|
In |
our discretion, We may require a minimum initial Certificate |
|
Holder's |
Account Value for election of this option. SWO may be elected |
|
by |
submitting a completed and signed election form to Us. Once |
|
elected, |
this option may be revoked by submitting a written request to |
|
Us. |
SWO may be elected only once by the Certificate Holder or by a |
|
spousal |
Beneficiary. |
|
Certificate |
Holders should consult their tax adviser prior to |
|
requesting |
this distribution option. We are not responsible for any |
|
adverse |
tax consequences due to a Certificate Holder's receiving SWO |
|
payments. |
A ten (10) percent penalty tax may apply to distributions to |
|
a |
Certificate Holder who has not reached age 59 1/2. Upon death of the |
|
Certificate |
Holder, any payments will be made under the terms of |
|
Section |
10. |
|
Dollar |
Cost Averaging is not available to Certificate Holders who have |
|
elected |
SWO. |
20
<PAGE>
Section 9. Maintenance Charge
-------------------------------------------------------------------------------
Maintenance Charge - We will deduct an annual maintenance charge as
shown in the Contract Schedule from the Certificate Holder's Account during the Accumulation Period. We will deduct the maintenance charge on the anniversary of the Effective Date of the Certificate for the Certificate Holder's Account. This maintenance charge is also deducted upon withdrawal of the entire Adjusted Certificate Holder's Account. The maintenance charge is deducted proportionately from each investment option used.
Section 10. Proceeds Payable on Death
--------------------------------------------------------------------------------
Death of the Certificate Holder Prior to the Annuity Date - In the
event of the death of the Certificate Holder or a joint Certificate Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by the Certificate Holder. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, will be treated as the designated Beneficiary. Any other Beneficiary designation on record with Us at the time of death will be treated as a contingent Beneficiary. If the Certificate Holder is a nonnatural person, the death benefit will be payable to the Beneficiary(ies) at the death of the Annuitant.
A Beneficiary may request We pay the death benefit under one of the
methods described in Section 10.03. If the Beneficiary is the spouse
of the Certificate Holder, or the spouse of the Annuitant if the
Certificate Holder is a nonnatural person, he or she may elect to
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continue the Certificate Holder's Account in his or her own name and
exercise all the Certificate Holder's rights under the Contract.
10.02 |
Death Benefit Amount Prior to the Annuity Date - |
||
(a) |
Except as set forth below, the amount of the guaranteed death |
||
benefit |
value is equal to the greater of: |
||
(i) |
The Certificate Holder's Account Value at the end of the Valuation Period during which We receive at our home office due proof of death and election of the type of payment to be made; or |
||
(ii) |
The death benefit determined as of the Valuation Period corresponding to the date of death. |
Until the first Effective Date anniversary, the death
benefit is equal to the Purchase Payments made by the
Certificate Holder prior to the Effective Date anniversary
less any withdrawals and any amounts applied to an Annuity
Option.
For each Certificate year thereafter, the death benefit
during the Certificate year equals the death benefit at the
beginning of the Certificate year plus Purchase Payments
made during the year less any withdrawals and any amounts
applied to an Annuity Option.
21
<PAGE>
On each Effective Date anniversary, the death benefit is
determined as follows:
(A) |
The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus |
(B) |
Purchase Payments made by the Certificate Holder during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less |
(C) |
Any withdrawals or amounts applied to an Annuity Option during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the Certificate year since the withdrawal or election of Annuity option; or |
(iii) |
The Certificate Holder's Account Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option. |
Notwithstanding the foregoing, the death benefit under (ii) or
(iii) will not exceed the death benefit maximum amount shown on
the Contract Schedule.
The death benefit calculation described in (ii) and (iii) above,
applies until the Certificate Holder reaches the death benefit
maximum age shown on the Contract Schedule. If the Certificate
Holder is a nonnatural person, death provisions will be based on
the age of the Annuitant. Thereafter, the death benefit is only
adjusted for Purchase Payments, withdrawals and amounts applied to
Annuity Options. If the Certificate Holder reaches the death
benefit maximum age shown on the Contract Schedule prior to the
seventh anniversary of the Effective Date, the death benefit will
be the greater of (i) or (ii) above.
The excess, if any, of the guaranteed death benefit value over the
Certificate Holder's Account Value is determined when we receive
at our home office due proof of death and allocated to the Fund
shown on the Contract Schedule. The Certificate Holder's Account
Value plus any excess amount deposited becomes the Certificate
Holder's Account Value.
(b) |
In the case of a spousal Beneficiary who continued the Certificate Holder's Account in his or her own name, the death benefit shall be equal to the Adjusted Current Value less any applicable deferred sales charge on any Purchase Payment made after We have received at our home office due proof of death of the joint Certificate Holder (or Annuitant, if applicable). |
When the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account within six months after the date of death, the amount withdrawn or transferred from the AG Account will be the greater of:
(1) The aggregate Market Value Adjustment amount (the amount resulting from the application of relevant Market Value Adjustment factors); or
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(2) The applicable portion of Certificate Holder's Account Value in
the AG Account.
22
<PAGE>
After the six-month period, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the aggregate Market Value Adjustment amount. Only a positive market value adjustment will apply, however, to amounts transferred from the AG Account when the Beneficiary elects Annuity Option 2 or 3.
At the death of a spousal Beneficiary who continued the Certificate Holder's Account in his or her own name, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the Aggregate Market Value Adjustment amount.
10.03 |
Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Certificate Holder prior to the Annuity Date: |
Method 1 - Lump sum payment of the death benefit; or |
|
Method 2 - The payment of the entire death benefit within five years of the date of the Certificate Holder's death; or |
|
Method 3 - Payment of the death benefit over the lifetime of the designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Certificate Holder. |
|
Any portion of the death benefit not applied under Method 3 within one year of the date of Certificate Holder's death, or the death of the Annuitant if the Certificate Holder is a nonnatural person, must be distributed within five years of the date of death. |
|
A spousal Beneficiary may elect to continue the Certificate Holder's Account in his or her name, elect a lump sum payment of the death benefit, or apply the Adjusted Certificate Holder's Account Value to an Annuity Option. |
|
10.04 |
Death of Certificate Holder On or After the Annuity Date - If the Certificate Holder who is not the Annuitant, dies on or after the Annuity Date, the 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. |
10.05 |
Death of the Annuitant - If the Annuitant, who is not a Certificate |
Holder, |
dies on or before the Annuity Date, a new Annuitant may be |
named. |
If no Annuitant is named, the Certificate Holder will be the |
Annuitant. |
If the Certificate Holder is a nonnatural person, the death |
benefit |
will be paid at the death of the Annuitant and no new |
Annuitant |
may be named. If the Annuitant dies after the Annuity Date, |
the |
death benefit, if any, will be payable to the Beneficiary as |
specified |
in the Annuity Option elected. We will require proof of the |
Annuitant's |
death. Death benefits will be paid at least as rapidly as |
under |
the method of distribution in effect at the Annuitant's death. |
23
<PAGE>
Section 11. Delay of Payments
--------------------------------------------------------------------------------
Delay of Payments - We will make any payments under this Contract
within seven days after a request is received in good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:
(a) |
The New York Stock Exchange is closed for other than customary weekend and holiday closings; |
(b) |
Trading on the Exchange is restricted; |
(c) |
An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or |
(d) |
The Securities and Exchange Commission so permits delay for the protection of security holders. |
The applicable rules of the Securities and Exchange Commission will
govern as to whether the conditions in (b) or (c) exist.
We also reserve the right to delay any type of payment from the AG
Account for up to six months.
Section 12. Annuity Provisions | |
- ------------------------------------------------------------------------------- | |
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12.01 |
Designation of Annuitant - The Certificate Holder and the Annuitant |
|
need |
not be the same person. The Certificate Holder names the |
|
Annuitant |
and during the Accumulation Period, may change the |
|
designated |
Annuitant. We change the Annuitant when We receive a |
|
written |
request in good order at our home office. We will not change |
|
the |
Annuitant when Annuity payments have commenced. |
|
The |
Certificate Holder elects an Annuity Option by telling Us to use |
|
all |
or any portion of the Certificate Holder's Account Value (minus |
|
any |
applicable premium taxes if not previously deducted) to purchase |
|
Annuity |
payments under an Annuity Option. If the Certificate Holder |
|
elects |
Annuity Option 1, the amount applied to purchase Annuity |
|
payments |
will be equal to the Adjusted Certificate Holder's Account |
|
Value. |
If the Certificate Holder elects Annuity Option 2 or 3, the |
|
amount |
applied to purchase Annuity payments will be the greater of: |
|
(1) |
The Adjusted Certificate Holder's Account Value; or |
|
(2) |
The Certificate Holder's Account Value. |
|
When |
an Annuity Option is chosen the Certificate Holder must designate |
|
a: | ||
(a) |
Fixed Annuity using the General Account; |
|
(b) |
Variable Annuity using any of the Funds available during the Annuity Period; or |
|
(c) |
Combination of (a) and (b). |
|
If |
a fixed Annuity is chosen, We will calculate the amount using an |
|
interest |
assumption no less than the percentage specified on the |
|
Contract |
Schedule. We may calculate the amount using a higher interest |
|
rate. |
24
<PAGE>
If a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use an Assumed Annual Net Return Rate of 3.5%
Payments are made on a monthly basis to the Certificate Holder unless the Certificate Holder requests a different mode of payment.
Once elected, an Annuity Option may not be revoked, except for Option 1 when elected on a variable basis.
12.02 |
Terms of Annuity Options - The minimum first payment amount must be at |
||
least |
$50 per month and at least $250 per year. |
||
If |
the Certificate Holder elects a fixed Annuity and We determine that |
||
the |
Certificate Holder would receive larger payments by applying the |
||
Certificate |
Holder's Account Value, reduced by the deferred sales |
||
charge, |
to a single premium immediate Annuity currently offered by Us, |
||
We |
will make the larger payments. |
||
We |
determine the first payment of a variable Annuity, or the payment |
||
amount |
of a fixed Annuity, using the Annuitant's (and second |
||
Annuitant's |
if applicable) adjusted age which We calculate as follows: |
||
(a) |
If Annuity payments begin any time between July 1, 1992 and |
||
December |
31, 1999, the adjusted age is the Annuitant's age as of |
||
the |
birthday closest in time to the Annuity Date reduced by one |
||
(1) |
year. |
||
(b) |
If the Annuity begins any time between January 1, 2000 and |
||
December |
31, 2009, the adjusted age is the Annuitant's age as of |
||
the |
birthday closest in time to the Annuity Date reduced by two |
||
(2) |
years. |
||
(c) |
For each succeeding decade, the adjusted age is the Annuitant's |
||
age |
as determined in (b), reduced by one additional year. |
||
The |
Annuity rates for Options 2 and 3 are based on mortality from 1983 |
||
Table |
A. |
||
Assumed |
Annual Net Return Rate is the interest rate used to determine |
||
the |
amount of the first Annuity payment under a variable Annuity. The |
||
Separate |
Account must earn this rate plus enough to cover the |
||
mortality |
and expense risks charges (which may include profit) and |
||
administrative |
charges if future variable Annuity payments are to |
||
remain |
level. |
25
<PAGE>
The Certificate Holder must give written notice to Us at least 30 days before the Annuity payments begin, electing or changing:
(a) |
The date on which Annuity payments are to begin; |
(b) |
The Annuity Option; |
(c) |
Whether the payments are to be made monthly, quarterly, semiannually or annually; |
(d) |
The investment options used to provide Annuity payments. |
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The first Annuity payment may not be earlier than one (1) calendar
year after the initial Purchase Payment, nor later than the later of
the:
(a) |
First day of the month following the Annuitant's birthday shown on the Contract Schedule; or |
(b) |
Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may request a lump sum payment. |
12.03 |
Annuity Unit - The number of Annuity Units per Fund is based on the |
|
amount |
of the first variable Annuity payment which is equal to: |
|
(a) |
The portion of the Certificate Holder's Account Value (minus any premium taxes) applied to pay a variable Annuity; divided by, |
|
(b) |
1000; multiplied by, |
|
(c) |
The payment rate for the Annuity Option chosen. |
|
Such |
amount, or portion, of the variable Annuity payment will be |
|
divided |
by the Annuity Unit value for the appropriate Fund on the |
|
tenth |
Valuation Period before the due date of the first payment to |
|
determine |
the number of each Fund's Annuity Units. The number of each |
|
Fund's |
Annuity Unit remains fixed. Each future payment is equal to the |
|
sum |
of the products of each Fund's Annuity Unit value multiplied by |
|
the |
appropriate number of units. The Fund's Annuity Unit value on the |
|
tenth |
Valuation Period prior to the due date of the payment is used. |
|
12.04 |
Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit |
|
value |
is equal to: |
|
(a) |
The value for the previous Valuation Period; multiplied by, |
|
(b) |
The Annuity Net Return Factor for the Valuation Period; multiplied by, |
|
(c) |
A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663). |
|
The |
dollar value of a Fund(s) Annuity Unit values and payments may go |
|
up |
or down due to investment gain or loss. |
|
12.05 |
Annuity Net Return Factor - The Annuity net return factor is used to |
|
compute |
all Separate Account Annuity payments for any Fund. |
26
<PAGE>
The Annuity net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate. The net return rate is equal to:
(a) |
The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus, |
(b) |
The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus, |
(c) |
Taxes (or reserves for taxes) on the Separate Account (if any); divided by |
(d) |
The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus, |
(e) |
A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule. |
The net return rate may be more or less than zero (0) percent.
The value of a share of the Fund is equal to the net assets of the
Fund divided by the number of shares outstanding.
12.06 |
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 |
5 and not more than 30. |
|
If |
payments for this Annuity Option are made under a variable Annuity, |
|
the |
present value of any remaining payments may be withdrawn at any |
|
time. | ||
Option |
2 - Life Income - An Annuity will be paid for the life of the |
|
Annuitant. |
If also chosen, We 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 Annuity Option is chosen, a choice must be made of: |
|
(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; |
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Page 17 of 24
(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. |
We may make other options available as allowed by law.
27
<PAGE>
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%
<TABLE>
<CAPTION>
-------------- ---------------------- ----------------- ------------------- ------------------- -------------------
Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |
Years | Rate | Payment | Payment | Payment | Payment |
-------------- ---------------------- ----------------- ------------------- ------------------- -------------------
<S> | <C> | <C> | <C> | <C> | <C> |
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 |
- -------------- ---------------------- ----------------- ------------------- ------------------- -------------------</TABLE>
28
<PAGE>
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
<TABLE>
<CAPTION>
---------------- ---------------------- --------------------- ---------------------- ---------------------- ----------------------
Adjusted | None | 60 | 120 | 180 | 240 | |||||
Age of | ----------------------------------------------------------------------------------------------------------------- | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
---------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ---------- -----------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | |
50 | $ 4.27 | $3.90 | $4.26 | $ 3.90 | $ 4.22 | $ 3.89 | $ 4.17 | $ 3.86 | $ 4.08 | $ 3.82 | |
51 | 4.34 | 3.97 | 4.33 | 3.96 | 4.30 | 3.95 | 4.23 | 3.92 | 4.14 | 3.88 | |
52 | 4.43 | 4.03 | 4.41 | 4.03 | 4.37 | 4.01 | 4.30 | 3.98 | 4.20 | 3.93 | |
53 | 4.51 | 4.10 | 4.50 | 4.10 | 4.45 | 4.08 | 4.37 | 4.04 | 4.26 | 3.99 | |
54 | 4.60 | 4.18 | 4.59 | 4.17 | 4.54 | 4.15 | 4.45 | 4.11 | 4.32 | 4.04 | |
55 | 4.70 | 4.25 | 4.68 | 4.25 | 4.62 | 4.22 | 4.53 | 4.18 | 4.39 | 4.11 | |
56 | 4.80 | 4.34 | 4.78 | 4.33 | 4.72 | 4.30 | 4.61 | 4.25 | 4.45 | 4.17 | |
57 | 4.91 | 4.42 | 4.89 | 4.41 | 4.82 | 4.38 | 4.69 | 4.32 | 4.51 | 4.23 | |
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Page 18 of 24 | ||||||||||
58 | 5.03 | 4.52 | 5.00 | 4.51 | 4.92 | 4.47 | 4.78 | 4.40 | 4.58 | 4.30 |
59 | 5.15 | 4.61 | 5.12 | 4.60 | 5.03 | 4.56 | 4.87 | 4.48 | 4.65 | 4.37 |
60 | 5.28 | 4.72 | 5.25 | 4.70 | 5.14 | 4.66 | 4.96 | 4.57 | 4.71 | 4.44 |
61 | 5.43 | 4.83 | 5.39 | 4.81 | 5.27 | 4.76 | 5.06 | 4.66 | 4.78 | 4.51 |
62 | 5.58 | 4.95 | 5.53 | 4.93 | 5.39 | 4.87 | 5.16 | 4.75 | 4.84 | 4.58 |
63 | 5.74 | 5.08 | 5.69 | 5.05 | 5.53 | 4.99 | 5.26 | 4.85 | 4.90 | 4.65 |
64 | 5.91 | 5.21 | 5.85 | 5.18 | 5.66 | 5.10 | 5.36 | 4.95 | 4.96 | 4.72 |
65 | 6.10 | 5.36 | 6.03 | 5.32 | 5.81 | 5.22 | 5.46 | 5.05 | 5.02 | 4.79 |
66 | 6.30 | 5.51 | 6.21 | 5.47 | 5.96 | 5.36 | 5.56 | 5.16 | 5.08 | 4.86 |
67 | 6.51 | 5.67 | 6.41 | 5.63 | 6.12 | 5.50 | 5.66 | 5.26 | 5.13 | 4.93 |
68 | 6.73 | 5.85 | 6.62 | 5.80 | 6.28 | 5.65 | 5.77 | 5.37 | 5.18 | 5.00 |
69 | 6.97 | 6.04 | 6.84 | 5.98 | 6.44 | 5.80 | 5.86 | 5.49 | 5.23 | 5.06 |
70 | 7.23 | 6.25 | 7.07 | 6.18 | 6.61 | 5.97 | 5.96 | 5.60 | 5.27 | 5.12 |
71 | 7.51 | 6.47 | 7.32 | 6.39 | 6.79 | 6.14 | 6.05 | 5.71 | 5.31 | 5.18 |
72 | 7.80 | 6.71 | 7.58 | 6.62 | 6.96 | 6.32 | 6.14 | 5.83 | 5.34 | 5.23 |
73 | 8.12 | 6.98 | 7.85 | 6.86 | 7.14 | 6.50 | 6.23 | 5.94 | 5.37 | 5.28 |
74 | 8.46 | 7.26 | 8.14 | 7.12 | 7.32 | 6.69 | 6.31 | 6.04 | 5.40 | 5.32 |
75 | 8.82 | 7.57 | 8.45 | 7.40 | 7.50 | 6.89 | 6.38 | 6.14 | 5.42 | 5.35 |
- ---------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ---------- -----------</TABLE>
Rates are based on mortality from 1983 Table a.
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.
29
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE> <CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------
Adjusted Ages | ||||||
- ------------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.69 | $ 4.05 | $ 4.27 | $ 3.69 | $ 4.13 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.25 |
55 | 60 | 3.06 | 4.47 | 4.71 | 4.06 | 4.36 |
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.55 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.70 |
60 | 65 | 4.49 | 5.01 | 5.32 | 4.48 | 4.85 |
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 5.10 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.32 |
65 | 70 | 5.07 | 5.75 | 6.17 | 5.05 | 5.54 |
70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.86 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 6.18 |
70 | 75 | 5.89 | 6.82 | 7.40 | 5.81 | 6.49 |
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.92 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.40 |
75 | 80 | 7.07 | 8.34 | 9.16 | 6.78 | 7.85 |
- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>
Rates are based on mortality from 1983 Table a. | |
The rates assume the Annuitant is Male and the Second Annuitant is Female. | |
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. | |
30 | |
<PAGE> | |
OPTION 3 | |
Life Income for Two Payees | |
Amount of First Monthly Payment for Each $1,000 | |
After Deduction of any Charge for Premium Taxes | |
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt | 03/26/2018 |
Page 19 of 24
(Annuitant is Female and Second Annuitant is Male)
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<TABLE> <CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------
Adjusted Ages | ||||||
- ------------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.75 | $ 4.07 | $ 4.26 | $ 3.75 | $ 3.98 |
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.06 |
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.12 |
60 | 55 | 4.06 | 4.47 | 4.71 | 4.06 | 4.37 |
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.47 |
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.54 |
65 | 60 | 4.49 | 5.01 | 5.32 | 4.48 | 4.89 |
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.02 |
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.14 |
70 | 65 | 5.07 | 5.75 | 6.17 | 5.05 | 5.60 |
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.79 |
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 5.96 |
75 | 70 | 5.89 | 6.83 | 7.40 | 5.81 | 6.63 |
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 6.92 |
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 7.15 |
- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
31
<PAGE>
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 Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE>
<CAPTION>
-------------- ---------------------- ----------------- ------------------- ------------------- -------------------
Guaranteed | Semi-Annual | ||||
Years | Rate | Monthly Payment | Quarterly Payment | Payment | Annual Payment |
-------------- ---------------------- ----------------- ------------------- ------------------- -------------------
<S> | <C> | <C> | <C> | <C> | <C> |
5 | 3.50% | 18.12 | 54.19 | 107.92 | 213.99 |
6 | 3.50% | 15.35 | 45.92 | 91.44 | 181.32 |
7 | 3.50% | 13.38 | 40.01 | 79.69 | 158.01 |
8 | 3.50% | 11.90 | 35.59 | 70.88 | 140.56 |
9 | 3.50% | 10.75 | 32.16 | 64.05 | 127.00 |
10 | 3.50% | 9.83 | 29.42 | 58.59 | 116.18 |
11 | 3.50% | 9.09 | 27.18 | 54.13 | 107.34 |
12 | 3.50% | 8.46 | 25.32 | 50.42 | 99.98 |
13 | 3.50% | 7.94 | 23.75 | 47.29 | 93.78 |
14 | 3.50% | 7.49 | 22.40 | 44.62 | 88.47 |
15 | 3.50% | 7.10 | 21.24 | 42.31 | 83.89 |
16 | 3.50% | 6.76 | 20.23 | 40.29 | 79.89 |
17 | 3.50% | 6.47 | 19.34 | 38.51 | 76.37 |
18 | 3.50% | 6.20 | 18.55 | 36.94 | 73.25 |
19 | 3.50% | 5.97 | 17.85 | 35.54 | 70.47 |
20 | 3.50% | 5.75 | 17.22 | 34.28 | 67.98 |
21 | 3.50% | 5.56 | 16.65 | 33.15 | 65.74 |
22 | 3.50% | 5.39 | 16.13 | 32.13 | 63.70 |
23 | 3.50% | 5.24 | 15.66 | 31.19 | 61.85 |
24 | 3.50% | 5.09 | 15.24 | 30.34 | 60.17 |
25 | 3.50% | 4.96 | 14.85 | 29.56 | 58.62 |
26 | 3.50% | 4.84 | 14.49 | 28.85 | 57.20 |
27 | 3.50% | 4.73 | 14.15 | 28.19 | 55.90 |
28 | 3.50% | 4.63 | 13.85 | 27.58 | 54.69 |
29 | 3.50% | 4.53 | 13.57 | 27.02 | 53.57 |
30 | 3.50% | 4.45 | 13.30 | 26.49 | 52.53 |
- -------------- ---------------------- ----------------- ------------------- ------------------- -------------------</TABLE>
32
<PAGE>
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Page 20 of 24
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 Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE>
<CAPTION>
-------------- ---------------------- ----------------- ------------------- ------------------- -------------------
Guaranteed | Semi-Annual | ||||
Years | Rate | Monthly Payment | Quarterly Payment | Payment | Annual Payment |
-------------- ---------------------- ----------------- ------------------- ------------------- -------------------
<S> | <C> | <C> | <C> | <C> | <C> |
5 | 5.00% | 18.74 | 56.00 | 111.33 | 219.98 |
6 | 5.00% | 15.99 | 47.77 | 94.96 | 187.64 |
7 | 5.00% | 14.02 | 41.90 | 83.30 | 164.59 |
8 | 5.00% | 12.56 | 37.52 | 74.58 | 147.35 |
9 | 5.00% | 11.42 | 34.11 | 67.81 | 133.99 |
10 | 5.00% | 10.51 | 31.40 | 62.42 | 123.34 |
11 | 5.00% | 9.77 | 29.19 | 58.03 | 114.66 |
12 | 5.00% | 9.16 | 27.36 | 54.38 | 107.45 |
13 | 5.00% | 8.64 | 25.81 | 51.31 | 101.39 |
14 | 5.00% | 8.20 | 24.50 | 48.69 | 96.21 |
15 | 5.00% | 7.82 | 23.36 | 46.44 | 91.75 |
16 | 5.00% | 7.49 | 22.37 | 44.47 | 87.88 |
17 | 5.00% | 7.20 | 21.51 | 42.75 | 84.48 |
18 | 5.00% | 6.94 | 20.74 | 41.23 | 81.47 |
19 | 5.00% | 6.71 | 20.06 | 39.88 | 78.80 |
20 | 5.00% | 6.51 | 19.46 | 38.68 | 76.42 |
21 | 5.00% | 6.33 | 18.91 | 37.59 | 74.28 |
22 | 5.00% | 6.17 | 18.42 | 36.62 | 72.35 |
23 | 5.00% | 6.02 | 17.98 | 35.73 | 70.61 |
24 | 5.00% | 5.88 | 17.57 | 34.93 | 69.02 |
25 | 5.00% | 5.76 | 17.20 | 34.20 | 67.57 |
26 | 5.00% | 5.65 | 16.87 | 33.53 | 66.25 |
27 | 5.00% | 5.54 | 16.56 | 32.92 | 65.04 |
28 | 5.00% | 5.45 | 16.28 | 32.35 | 63.93 |
29 | 5.00% | 5.36 | 16.01 | 31.83 | 62.90 |
30 | 5.00% | 5.28 | 15.77 | 31.35 | 61.95 |
- -------------- ---------------------- ----------------- ------------------- ------------------- -------------------</TABLE>
33
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months
<TABLE>
<CAPTION>
--------------- ---------------------- --------------------- ---------------------- ---------------------- ----------------------
Adjusted | None | 60 | 120 | 180 | 240 | |||||
Age of | ----------------------------------------------------------------------------------------------------------------- | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
--------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ----------- ----------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $ 4.56 | $ 4.20 | $ 4.55 | $ 4.19 | $ 4.51 | $ 4.18 | $ 4.45 | $ 4.15 | $ 4.36 | $ 4.11 |
51 | 4.64 | 4.26 | 4.62 | 4.25 | 4.58 | 4.24 | 4.51 | 4.21 | 4.42 | 4.16 |
52 | 4.72 | 4.32 | 4.70 | 4.32 | 4.66 | 4.30 | 4.58 | 4.26 | 4.48 | 4.21 |
53 | 4.80 | 4.39 | 4.79 | 4.38 | 4.74 | 4.36 | 4.65 | 4.32 | 4.53 | 4.27 |
54 | 4.89 | 4.46 | 4.87 | 4.46 | 4.82 | 4.43 | 4.73 | 4.39 | 4.59 | 4.32 |
55 | 4.99 | 4.54 | 4.97 | 4.53 | 4.91 | 4.50 | 4.80 | 4.46 | 4.65 | 4.38 |
56 | 5.09 | 4.62 | 5.07 | 4.61 | 5.00 | 4.58 | 4.88 | 4.53 | 4.72 | 4.44 |
57 | 5.20 | 4.71 | 5.17 | 4.70 | 5.10 | 4.66 | 4.96 | 4.60 | 4.78 | 4.50 |
58 | 5.32 | 4.80 | 5.29 | 4.79 | 5.20 | 4.75 | 5.05 | 4.68 | 4.84 | 4.57 |
59 | 5.44 | 4.90 | 5.41 | 4.88 | 5.31 | 4.84 | 5.14 | 4.76 | 4.91 | 4.63 |
60 | 5.57 | 5.00 | 5.53 | 4.99 | 5.42 | 4.93 | 5.23 | 4.84 | 4.97 | 4.70 |
61 | 5.71 | 5.11 | 5.67 | 5.09 | 5.54 | 5.03 | 5.32 | 4.93 | 5.03 | 4.77 |
62 | 5.86 | 5.23 | 5.81 | 5.21 | 5.66 | 5.14 | 5.42 | 5.02 | 5.09 | 4.84 |
63 | 6.02 | 5.36 | 5.97 | 5.33 | 5.79 | 5.25 | 5.51 | 5.11 | 5.16 | 4.91 |
64 | 6.20 | 5.49 | 6.13 | 5.46 | 5.93 | 5.37 | 5.61 | 5.21 | 5.21 | 4.98 |
65 | 6.38 | 5.64 | 6.31 | 5.60 | 6.07 | 5.49 | 5.71 | 5.31 | 5.27 | 5.05 |
66 | 6.58 | 5.79 | 6.49 | 5.75 | 6.22 | 5.63 | 5.81 | 5.41 | 5.32 | 5.12 |
67 | 6.79 | 5.95 | 6.69 | 5.91 | 6.38 | 5.76 | 5.91 | 5.52 | 5.38 | 5.18 |
68 | 7.02 | 6.13 | 6.89 | 6.08 | 6.53 | 5.91 | 6.01 | 5.63 | 5.42 | 5.25 |
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69 | 7.26 | 6.32 | 7.11 | 6.26 | 6.70 | 6.06 | 6.11 | 5.74 | 5.47 | 5.31 |
70 | 7.52 | 6.53 | 7.35 | 6.45 | 6.86 | 6.23 | 6.20 | 5.85 | 5.51 | 5.37 |
71 | 7.80 | 6.75 | 7.59 | 6.66 | 7.03 | 6.39 | 6.29 | 5.96 | 5.54 | 5.42 |
72 | 8.09 | 6.99 | 7.85 | 6.89 | 7.21 | 6.57 | 6.38 | 6.07 | 5.57 | 5.47 |
73 | 8.41 | 7.26 | 8.12 | 7.13 | 7.38 | 6.75 | 6.46 | 6.17 | 5.60 | 5.51 |
74 | 8.75 | 7.54 | 8.41 | 7.39 | 7.55 | 6.94 | 6.53 | 6.28 | 5.63 | 5.55 |
75 | 9.12 | 7.85 | 8.71 | 7.66 | 7.73 | 7.13 | 6.61 | 6.38 | 5.65 | 5.59 |
- --------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ----------- ----------</TABLE>
Rates are based on mortality from 1983 Table a.
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.
34
<PAGE>
OPTION 2
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period of Months
<TABLE>
<CAPTION>
--------------- ---------------------- --------------------- ---------------------- ---------------------- ----------------------
Adjusted | None | 60 | 120 | 180 | 240 | |||||
Age of | ----------------------------------------------------------------------------------------------------------------- | |||||||||
Annuitant | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
--------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ----------- ----------
<S> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> | <C> |
50 | $5.48 | $5.12 | $5.46 | $5.11 | $5.41 | $5.09 | $5.34 | $5.06 | $5.24 | $5.01 |
51 | 5.55 | 5.17 | 5.53 | 5.17 | 5.48 | 5.14 | 5.40 | 5.11 | 5.29 | 5.05 |
52 | 5.63 | 5.23 | 5.61 | 5.23 | 5.55 | 5.20 | 5.46 | 5.16 | 5.34 | 5.10 |
53 | 5.71 | 5.30 | 5.69 | 5.29 | 5.62 | 5.26 | 5.53 | 5.22 | 5.40 | 5.15 |
54 | 5.80 | 5.37 | 5.77 | 5.36 | 5.70 | 5.33 | 5.60 | 5.27 | 5.45 | 5.20 |
55 | 5.89 | 5.44 | 5.86 | 5.43 | 5.79 | 5.39 | 5.67 | 5.34 | 5.51 | 5.25 |
56 | 5.99 | 5.52 | 5.96 | 5.51 | 5.87 | 5.47 | 5.74 | 5.40 | 5.56 | 5.31 |
57 | 6.10 | 5.60 | 6.06 | 5.59 | 5.97 | 5.54 | 5.82 | 5.47 | 5.62 | 5.37 |
58 | 6.21 | 5.69 | 6.17 | 5.67 | 6.06 | 5.62 | 5.90 | 5.54 | 5.68 | 5.42 |
59 | 6.33 | 5.79 | 6.29 | 5.77 | 6.17 | 5.71 | 5.98 | 5.61 | 5.74 | 5.48 |
60 | 6.46 | 5.89 | 6.41 | 5.87 | 6.28 | 5.80 | 6.06 | 5.69 | 5.79 | 5.55 |
61 | 6.60 | 6.00 | 6.55 | 6.97 | 6.39 | 5.90 | 6.15 | 5.77 | 5.85 | 5.61 |
62 | 6.75 | 6.11 | 6.69 | 6.08 | 6.51 | 6.00 | 6.24 | 5.86 | 5.91 | 5.67 |
63 | 6.91 | 6.23 | 6.84 | 6.20 | 6.64 | 6.10 | 6.33 | 5.95 | 5.96 | 5.73 |
64 | 7.09 | 6.37 | 7.00 | 6.33 | 6.77 | 6.22 | 6.42 | 6.04 | 6.02 | 5.80 |
65 | 7.27 | 6.51 | 7.18 | 6.46 | 6.91 | 6.34 | 6.52 | 6.13 | 6.07 | 5.86 |
66 | 7.47 | 6.66 | 7.36 | 6.61 | 7.05 | 6.46 | 6.61 | 6.23 | 6.12 | 5.92 |
67 | 7.68 | 6.82 | 7.55 | 6.76 | 7.20 | 6.60 | 6.70 | 6.33 | 6.16 | 5.99 |
68 | 7.91 | 7.00 | 7.76 | 6.93 | 7.35 | 6.74 | 6.80 | 6.43 | 6.21 | 6.04 |
69 | 8.15 | 7.19 | 7.98 | 7.11 | 7.51 | 6.89 | 6.89 | 6.54 | 6.25 | 6.10 |
70 | 8.41 | 7.39 | 8.21 | 7.30 | 7.67 | 7.04 | 6.97 | 6.64 | 6.28 | 6.15 |
71 | 8.69 | 7.62 | 8.45 | 7.51 | 7.83 | 7.21 | 7.06 | 6.74 | 6.32 | 6.20 |
72 | 8.99 | 7.86 | 8.70 | 7.73 | 8.00 | 7.38 | 7.14 | 6.85 | 6.35 | 6.25 |
73 | 9.31 | 8.12 | 8.97 | 7.97 | 8.16 | 7.55 | 7.21 | 6.95 | 6.37 | 6.29 |
74 | 9.65 | 8.41 | 9.26 | 8.23 | 8.33 | 7.73 | 7.29 | 7.04 | 6.39 | 6.33 |
75 | 10.02 | 8.72 | 9.55 | 8.50 | 8.50 | 7.92 | 7.35 | 7.14 | 6.41 | 6.36 |
- ---------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------- ----------- --------------</TABLE>
Rates are based on mortality from 1983 Table a.
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.
35
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt
03/26/2018
Page 22 of 24 |
<TABLE> |
<CAPTION> |
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- ----------------- |
Adjusted Ages | ||||||
- ------------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 3.97 | $ 4.35 | $ 4.56 | $ 3.97 | $ 4.42 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 |
55 | 60 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 |
60 | 55 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 |
60 | 65 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 |
65 | 60 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 |
65 | 70 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 |
70 | 65 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 |
70 | 75 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 |
75 | 70 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 |
75 | 80 | 7.33 | 8.62 | 9.45 | 7.02 | 8.13 |
- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
36
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Female and Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
<TABLE> <CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------Adjusted Ages
- ------------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.03 | $ 4.36 | $ 4.55 | $ 4.03 | $ 4.41 |
55 | 55 | 4.16 | 4.54 | 4.76 | 4.15 | 4.54 |
55 | 60 | 4.27 | 4.73 | 5.00 | 4.26 | 4.83 |
60 | 55 | 4.34 | 4.76 | 5.00 | 4.34 | 4.64 |
60 | 60 | 4.51 | 4.99 | 5.27 | 4.50 | 4.98 |
60 | 65 | 4.66 | 5.25 | 5.61 | 4.65 | 5.39 |
65 | 60 | 4.76 | 5.29 | 5.60 | 4.75 | 5.13 |
65 | 65 | 4.99 | 5.61 | 5.99 | 4.98 | 5.60 |
65 | 70 | 5.19 | 5.97 | 6.44 | 5.17 | 6.14 |
70 | 65 | 5.34 | 6.03 | 6.46 | 5.31 | 5.81 |
70 | 70 | 5.67 | 6.49 | 6.99 | 5.62 | 6.47 |
70 | 75 | 5.95 | 6.96 | 7.61 | 5.87 | 7.20 |
75 | 70 | 6.16 | 7.10 | 7.68 | 6.07 | 6.77 |
75 | 75 | 6.64 | 7.73 | 8.43 | 6.48 | 7.68 |
75 | 80 | 7.04 | 8.39 | 9.29 | 6.79 | 8.70 |
- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
37 <PAGE>
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt
03/26/2018
Page 23 of 24
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Male and Second Annuitant is Female)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> <CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------
Adjusted Ages | ||||||
- ------------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.88 | $ 5.26 | $ 5.48 | $ 4.88 | $ 5.34 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
55 | 60 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 55 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
65 | 60 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 65 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 70 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 8.14 | 9.49 | 10.35 | 7.80 | 8.98 |
- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Male and the Second Annuitant is Female. 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.
38
<PAGE>
OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
(Annuitant is Female and the Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
<TABLE> <CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------
Adjusted Ages | ||||||
- ------------------------------------- | ||||||
Second | ||||||
Annuitant | Annuitant | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e |
------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------
<S> | <C> | <C> | <C> | <C> | <C> | <C> |
55 | 50 | $ 4.93 | $ 5.27 | $ 5.46 | $ 4.93 | $ 5.19 |
55 | 55 | 5.04 | 5.44 | 5.66 | 5.04 | 5.43 |
55 | 60 | 5.15 | 5.63 | 5.91 | 5.14 | 5.73 |
60 | 55 | 5.21 | 5.65 | 5.89 | 5.21 | 5.53 |
60 | 60 | 5.37 | 5.87 | 6.16 | 5.37 | 5.86 |
60 | 65 | 5.52 | 6.14 | 6.51 | 5.51 | 6.28 |
65 | 60 | 5.61 | 6.16 | 6.49 | 5.60 | 6.01 |
65 | 65 | 5.83 | 6.49 | 6.87 | 5.82 | 6.47 |
65 | 70 | 6.04 | 6.84 | 7.34 | 6.00 | 7.03 |
70 | 65 | 6.17 | 6.90 | 7.33 | 6.13 | 6.67 |
70 | 70 | 6.49 | 7.35 | 7.87 | 6.44 | 7.33 |
70 | 75 | 6.77 | 7.84 | 8.51 | 6.68 | 8.08 |
75 | 70 | 6.97 | 7.96 | 8.56 | 6.87 | 7.62 |
75 | 75 | 7.45 | 8.60 | 9.33 | 7.27 | 8.55 |
75 | 80 | 7.86 | 9.28 | 10.20 | 7.57 | 9.59 |
------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt
03/26/2018
Page 24 of 24
</TABLE>
Rates are based on mortality from 1983 Table a.
The rates assume the Annuitant is Female and the Second Annuitant is Male. 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.
39
<PAGE>
- --------------------------------------------------------------------------------Aetna Insurance Company of America Home Office: 151 Farmington Avenue P.O. Box 30670 Hartford, Connecticut 06150-0670 (800) 531-4547 Group Variable, Fixed, or Combination Annuity Contract Nonparticipating - --------------------------------------------------------------------------------
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. 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 TERM AT THE TIME OF ITS MATURITY.
40
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt
03/26/2018
Exhibit 16(4)(n)
ING LIFE INSURANCE AND ANNUITY COMPANY
ENDORSEMENT
The Contract is hereby endorsed effective May 1, 2002, as follows:
The name of AETNA LIFE INSURANCE AND ANNUITY COMPANY has been changed to ING LIFE INSURANCE AND ANNUITY COMPANY. Accordingly, all references to AETNA LIFE INSURANCE AND ANNUITY COMPANY, ALIAC, and AETNA in the Contract are changed to ING LIFE INSURANCE AND ANNUITY COMPANY, ILIAC, and ING, respectively.
The address remains as follows:
151 Farmington Avenue | |
Hartford, Connecticut | 06156 |
All terms and conditions of your Contract remain the same.
/s/ Thomas J. McInerney
-----------------------
Thomas J. McInerney
President
ING Life Insurance and Annuity Company
ENMCHGI (05/02)
Exhibit 16(4)(o)
Voya Retirement Insurance and Annuity Company
ENDORSEMENT
The Contract, Policy and/or Certificate are hereby endorsed effective September 1, 2014, as follows:
The name of ING Life Insurance and Annuity Company has been changed to Voya Retirement Insurance and Annuity Company. Accordingly, all references to ING Life Insurance and Annuity Company or ING in the Contract, Policy and/or Certificate are changed to Voya Retirement Insurance and Annuity Company and Voya, respectively.
The address and phone number remain as follows:
One Orange Way
Windsor, Connecticut 06095
Tel: 1.800.584.6001
All other terms, conditions and provisions of your Contract, Policy and/or Certificate remain unchanged.
|
/s/ Mary (Maliz) E. Beams |
|
Mary (Maliz) E. Beams |
|
President Voya Retirement Insurance and Annuity Company |
EVNMCHG (09/14)
Exhibit 16(4)(p)
Voya Retirement Insurance and Annuity Company
ENDORSEMENT
This Endorsement is made a part of the Contract. The purpose of this Endorsement is to amend the Contract to reflect amendments to the Internal Revenue Code of 1986, as may be amended from time to time (the "Code"), made pursuant to the Setting Every Community Up for Retirement Enhancement Act of 2019 ("the SECURE Act").
The following provisions amend the terms of the Contract, and the provisions of this Endorsement supersede any conflicting provisions in the Contract or in any prior endorsements. All other provisions of the Contract shall remain in full force.
A. |
Modification to the Required Minimum Distribution ("RMD") Rules |
References to the IRA owner reaching age 70 1/2 in conjunction with the date on which RMDs must begin are hereby removed and replaced with the following: |
RMDs are governed and administered consistent with section 401(a)(9) of the Code and regulations thereunder. |
B. |
RMD Rules for Payments to Beneficiaries |
References to the IRA owner reaching age 70 1/2 in conjunction with the date on which RMDs must begin and descriptions of non-spousal beneficiary payment terms are hereby removed and replaced with the following: |
RMD payments to beneficiaries of an IRA owner are governed and administered consistent with section 401(a)(9) of the Code and regulations thereunder. |
C. |
Withdrawals for Birth or Adoption of a Child |
Any references to qualified distributions or withdrawals are updated to include the following: |
Withdrawals of up to $5,000 (which may be amended by the Code from time to time) per birth or adoption of a child from an IRA are allowed as a qualified birth or adoption distribution subject to applicable tax, withholding and reporting rules. In addition, IRA owners may be able to re-contribute such amounts subject to applicable regulations. |
D. |
Contributions to IRAs |
Any references to non-rollover contributions to IRAs are updated to include the following: |
Contribution age limits are governed and administered consistent with section 408 of the Code and regulations thereunder. |
E. |
Conformity with Law |
The Contract is updated to include the following: |
The Contract will be subject to and interpreted in conformity with the provisions of the Code, as well as any administrative procedures. |
E-IRASECURE-20 |
1 |
|
The effective date of this Endorsement is January 1, 2020, or the effective date of the Contract, if later.
[
|
/s/Charles P. Nelson |
|
President] Voya Retirement Insurance and Annuity Company |
E-IRASECURE-20 |
2 |
|
Exhibit 16(4)(q)
Voya Retirement Insurance and Annuity Company
ENDORSEMENT
This Endorsement is made a part of the Contract and, if applicable, the Certificate to which it is attached. Where used in this Endorsement, the term Contract shall mean Certificate when this Endorsement is attached to a Certificate.
The purpose of this Endorsement is to amend the Contract to reflect amendments to the Internal Revenue Code of 1986, as may be amended from time to time (the "Code"), made pursuant to the Setting Every Community Up for Retirement Enhancement Act of 2019 ("the SECURE Act").
The following provisions amend the terms of the Contract, and the provisions of this Endorsement supersede any conflicting provisions in the Contract or in any prior endorsements. All other provisions of the Contract shall remain in full force.
A. |
Modification to the Required Minimum Distribution ("RMD") Rules |
References to the participant reaching age 70 1/2 in conjunction with the date on which RMDs must begin are hereby removed and replaced with the following: |
RMDs are governed and administered consistent with section 401(a)(9) of the Code and regulations thereunder. |
B. |
RMD Rules for Payments to Beneficiaries |
References to the participant reaching age 70 1/2 in conjunction with the date on which RMDs must begin and descriptions of non-spousal beneficiary payment terms are hereby removed and replaced with the following: |
RMD payments to beneficiaries of qualified retirement plan participants are governed and administered consistent with section 401(a)(9) of the Code and regulations thereunder. |
C. |
Withdrawals for Birth or Adoption of a Child |
If a plan permits, any references to qualified distributions or withdrawals are updated to include the following: |
Withdrawals of up to $5,000 (which may be amended by the Code from time to time) per birth or adoption of a child from eligible defined contribution plans are allowed as a qualified birth or adoption distribution subject to applicable tax, withholding and reporting rules. In addition, plan participants may be able to re-contribute such amounts subject to applicable regulations. |
D. |
Lifetime Distribution Options |
If permitted by a plan, any references to lifetime distribution options are updated to include the following: |
For plan years beginning after December 31, 2019, participants in defined contribution plans, section 403(b) plans, or governmental section 457(b) plans with a lifetime income investment option may take a distribution of the lifetime income investment, without regard to any of the Code’s withdrawal restrictions, if the lifetime income investment is no longer authorized to be held under the plan. The distribution must be a direct trustee-to-trustee transfer of the investment in the form of a qualified plan distribution annuity to another employer-sponsored retirement plan or Individual Retirement Account. |
E. |
Loans |
If a plan permits, any references to loans are updated to include the following: |
Loans are governed and administered consistent with the plan and section 72(p) of the Code and regulations thereunder, as may be amended from time to time. |
E-DCSECURE-20 |
1 |
|
F. |
Conformity with Law and Plan |
The Contract is updated to include the following: |
The Contract will be subject to and interpreted in conformity with the provisions, terms, and conditions of the plan document of which this Contract is a part, if any, as well as any administrative procedures and with: |
1. |
The Code and regulations thereunder; and |
2. |
Other applicable law (including, without limitation, the Employee Retirement Income Security Act of 1974, as amended) as determined by the plan administrator or other designated plan fiduciary or, if none, you. |
The effective date of this Endorsement is January 1, 2020, or the effective date of the Contract, if later.
[
|
/s/Charles P. Nelson |
|
President] Voya Retirement Insurance and Annuity Company |
E-DCSECURE-20 |
2 |
|
Exhibit (16)(5)
VOYA LETTERHEAD
LAW / PRODUCT FILING UNIT
PETER M. SCAVONGELLI SENIOR COUNSEL PHONE: (860) 580-1631 | EMAIL: PETER.SCAVONGELLI@VOYA.COM
April 2, 2021 BY EDGARLINK
U.S. Securities and Exchange Commission 100 F Street, NE Washington, DC 20549 |
Re: Voya Retirement Insurance and Annuity Company Form S-3 Initial Registration Prospectus Title: Voya Guaranteed Account |
Dear Ladies and Gentlemen:
As Counsel to Voya Retirement Insurance and Annuity Company, a Connecticut life insurance company (the “Company”), I have represented the Company in connection with the Guaranteed Accumulation Account (the “Account”) available under certain variable annuity contracts and the S-3 Registration Statement relating to such Account.
In connection with this opinion, I have reviewed the Registration Statement on Form S-3 relating to such Account, including the prospectus, and relevant proceedings of the Board of Directors.
Based upon this review, and assuming the securities represented by the Company are issued in accordance with the provisions of the prospectus, I am of the opinion that the securities, when sold, will have been legally issued, and will constitute a legal and binding obligation of the Company.
I further consent to the use of this opinion as an exhibit to the Registration Statement.
Based upon the foregoing, and, assuming the Securities are sold in accordance with the provisions of the prospectus, I am of the opinion that the Securities being registered will be legally issued and will represent binding obligations of the Company.
I consent to the filing of this opinion as an exhibit to the Registration Statement.
Sincerely,
/s/ Peter M. Scavongelli Peter M. Scavongelli |
PLAN | INVEST | PROTECT |
Voya Logo |
Exhibit 16(23)(a)– Consent of Independent Registered Public Accounting Firm |
We consent to the reference to our firm under the caption “Experts” in the Registration Statement (Form S-3, No. 333-) and related Prospectus of Voya Retirement Insurance and Annuity Company (“VRIAC”) and to the incorporation by reference therein of our report dated March 16, 2021, with respect to the consolidated financial statements and schedule of VRIAC included in its Annual Report (Form 10-K) for the year ended December 31, 2020, filed with the Securities and Exchange Commission. |
|
|
/s/ Ernst & Young LLP |
San Antonio, TX
April 2, 2021
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