EX-16 13 ex164i.htm EXHIBIT 16(4)(I) CONTRACT (NONPARTICIPATING) I-GP2 (5/96) ex164i.htm - Generated by SEC Publisher for SEC Filing

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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>  

 

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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    
 
 
 
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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

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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

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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

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(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.

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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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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.

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<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.

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<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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            Page 16 of 23
 
 
 
 
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>

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt

03/26/2018


 

Page 17 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 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.  
 
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt 03/26/2018

 


 

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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          Page 19 of 23
 
 
 
 
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

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt

03/26/2018


 

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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            Page 22 of 23
 
 
 
 
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

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt

03/26/2018


 

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

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt

03/26/2018