EX-16 10 ex164f.htm EXHIBIT 16(4)(F) CONTRACT I-CDA-GP2 (4/94) ex164f.htm - Generated by SEC Publisher for SEC Filing
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)      
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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    
 
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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    
 
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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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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
 
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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
 
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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):  

 

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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.

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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

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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.

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

 

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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.

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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.

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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.

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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.

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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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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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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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                      Page 18 of 21
 
 
 
 
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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Page 21 of 21

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