ACCUMULATION VALUE ALLOCATION RULES. The maximum number of Divisions in which you may be invested at any one time is[ sixteen]. You are allowed unlimited allocation changes per Contract Year without charge. We reserve the right to impose a charge for any allocation change in excess of [twelve] per Contract Year. The Excess Allocation Charge is shown in the Schedule. Allocations into and out of the Guaranteed Interest Divisions are subject to restrictions (see General Account). 3A1 THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION(continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Annuitant's Issue Age Annuitant's Sex Owner's Issue Age [55] [MALE] [35] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Contract Date Issue Date Residence Status [JANUARY 1, 1996] [JANUARY 1, 1996] [DELAWARE] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ ALLOCATION CHANGES BY TELEPHONE You may request allocation changes by telephone during our telephone request business hours. You may call our Customer Service Center at 1-800-366-0066 to make allocation changes by using the personal identification number you will receive. You may also mail any notice or request for allocation changes to our Customer Service Center at the address shown on the cover page. 3A2 THE SCHEDULE THE VARIABLE SEPARATE ACCOUNTS ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ DIVISIONS INVESTING IN SHARES OF A MUTUAL FUND Separate Account B (the "Account") is a unit investment trust Separate Account, organized in and governed by the laws of the State of Delaware, our state of domicile. The Account is divided into Divisions. Each Division listed below invests in shares of the mutual fund portfolio (the "Series") designated. Each portfolio is a part of The GCG Trust managed by Directed Services, Inc. SERIES SERIES ------ ------ [Multiple Allocation Real Estate Fully Managed Hard Assets Value Equity Emerging Markets Small Cap Limited Maturity Bond Capital Appreciation Liquid Assets Rising Dividend Strategic Equity All-Growth Managed Global] Each division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. Each portfolio is a part of the Equi-Select Series Trust managed by Equitable Investment Services, Inc. PORTFOLIO --------- [OTC Growth & Income Value + Growth Research Total Return] THE SCHEDULE THE GENERAL ACCOUNT ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ GENERAL ACCOUNT [GUARANTEED INTEREST DIVISION A Guaranteed Interest Division provides an annual minimum interest rate of 3%. At our sole discretion, we may periodically declare higher interest rates for specific Guarantee Periods. Such rates will apply to periods following the date of declaration. Any declaration will be by class and will be based on our future expectations. LIMITATIONS OF ALLOCATIONS We reserve the right to restrict allocations into and out of the General Account. Such limits may be dollar restrictions on allocations into the General Account or we may restrict reallocations into the General Account. GUARANTEE PERIODS Each allocation to a Guaranteed Interest Division will be guaranteed an interest rate for the entire Initial Guarantee Period elected. We currently offer Initial Guarantee Periods of one, two, three, five, seven and ten years. The Initial Guarantee Period starts on the day an allocation is made to a Guaranteed Interest Division and ends on the last day of the calendar month following one, two, three, five, seven or ten year(s) as appropriate, the Maturity Date. At the end of a Guarantee Period, you may transfer the Accumulation Value in such Guarantee Period to the Variable Separate Account Divisions or to a Guarantee Period we then offer. If we do not receive notification by the Maturity Date, your Accumulation Value in the maturing Guarantee Period will automatically be transferred to a one-year Guarantee Period. Upon such automatic transfer you will have thirty days to reallocate any of your Accumulation Value to the Divisions. DEDUCTION FOR CHARGES We do not deduct the Mortality and Expense Risk Charge and the Asset-Based Administrative Charge with respect to the amount of the Accumulation Value allocated to a Guaranteed Interest Division while such Accumulation Value remains allocated to a Guaranteed Interest Division. TRANSFERS FROM A GUARANTEED INTEREST DIVISION On a Maturity Date, 100% of the Accumulation Value in the maturing Guarantee Period may be transferred. We currently require that an amount allocated to a Guarantee Period not be transferred until the Maturity Date, except pursuant to our published rules. We reserve the right not to allow amounts previously transferred from a Guaranteed Interest Division to the Variable Separate Account Divisions to be transferred back to the Guaranteed Interest Division for a period of at least six months from the date of transfer. We reserve the right to reduce the amount otherwise available for transfer from a Guaranteed Interest Division by any amounts previously withdrawn from that Guaranteed Interest Division.] 3C THE SCHEDULE CONTRACT FACTS ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ CONTRACT FACTS CONTRACT PROCESSING DATE The Contract Processing Date for your Contract is [April 1] of each year. SPECIALLY DESIGNATED DIVISIONS When a distribution is made from an investment portfolio underlying a Separate Account Division in which reinvestment is not available, we will allocate the amount of the distribution to the [Liquid Asset Division] unless you specify otherwise. PARTIAL WITHDRAWALS The maximum amount that can be withdrawn each Contract Year is described below. In no event may a Partial Withdrawal exceed 90% of the Cash Surrender Value. After a Partial Withdrawal, the remaining Accumulation Value must be at least $100 to keep the Contract in force. CONVENTIONAL PARTIAL WITHDRAWALS Minimum Withdrawal Amount: $100. SYSTEMATIC PARTIAL WITHDRAWALS Systematic Partial Withdrawals may be taken on a monthly, quarterly or annual basis. You select the day withdrawals will be made, but no later than the 28th day of the month. Minimum Withdrawal Amount: $100. Maximum Withdrawal Amount: Variable Separate Account Divisions: 1.25% monthly, 3.75% quarterly or 15% annually of Accumulation Value. Guaranteed Interest Divisions: Interest earned on a Guaranteed Interest Division for the prior month, quarter or year (depending on the frequency selected). [XXX PARTIAL WITHDRAWALS FOR QUALIFIED PLANS ONLY XXX Partial Withdrawals may be taken on a monthly, quarterly or annual basis. A minimum withdrawal of $100.00 is required. You select the day the withdrawals will be made, but no later than the 28th day of the month. If you do not elect a day, the Contract Date will be used. Systematic Partial Withdrawals and Conventional Partial Withdrawals are not allowed when XXX Partial Withdrawals are being taken.] 3D1 THE SCHEDULE CONTRACT FACTS (continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ DEATH BENEFITS
Appears in 2 contracts
Samples: Golden American Life Insurance Co /Ny/, Separate Account B of Golden American Life Insurance Co
ACCUMULATION VALUE ALLOCATION RULES. The maximum number of Divisions in which you may be invested at any one time is[ sixteen]. You are allowed unlimited allocation changes per Contract Year without charge. We reserve the right to impose a charge for any allocation change in excess of [twelve] per Contract Year. The Excess Allocation Charge is shown in the Schedule. Allocations into and out of the Guaranteed Interest Divisions are subject to restrictions (see General Account). 3A1 THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION(continued) - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Annuitant's Issue Age Annuitant's Sex Owner's Issue Age [55] [MALE] [35] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Contract Date Issue Date Residence Status [JANUARY 1, 1996] [JANUARY 1, 1996] [DELAWARE] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] - ------------------------------------------------------------------------------ ALLOCATION CHANGES BY TELEPHONE You may request allocation changes by telephone during our telephone request business hours. You may call our Customer Service Center at 1-800-366-0066 to make allocation changes by using the personal identification number you will receive. You may also mail any notice or request for allocation changes to our Customer Service Center at the address shown on the cover page. 3A2 THE SCHEDULE THE VARIABLE SEPARATE ACCOUNTS - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] - ------------------------------------------------------------------------------ DIVISIONS INVESTING IN SHARES OF A MUTUAL FUND Separate Account B (the "Account") is a unit investment trust Separate Account, organized in and governed by the laws of the State of Delaware, our state of domicile. The Account is divided into Divisions. Each Division listed below invests in shares of the mutual fund portfolio (the "Series") designated. Each portfolio is a part of The GCG Trust managed by Directed Services, Inc. SERIES SERIES ------ ------ [Multiple Allocation Real Estate Fully Managed Hard Assets Value Equity Emerging Markets Small Cap Limited Maturity Bond Small Cap Liquid Asset Capital Appreciation Liquid Assets Strategic Equity Rising Dividend Strategic Equity Managed Global All-Growth Managed Global] Research Mid-Cap Growth Value & Growth Total Return Global Fixed Income Growth and Income Growth Opportunities Developing World Each division Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. Each portfolio is The portfolios are a part of the Equi-Select Series PIMCO Trust managed by Equitable Pacific Investment Services, Inc. Management Company. PORTFOLIO --------- [OTC High Yield StocksPLUS Growth & and Income Value + Growth Research Total Return] 3B THE SCHEDULE THE GENERAL ACCOUNT - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] - ------------------------------------------------------------------------------ GENERAL ACCOUNT [GUARANTEED INTEREST DIVISION Guaranteed Interest Division A Guaranteed Interest Division provides an annual minimum interest rate of 3%. At our sole discretion, we may periodically declare higher interest rates for specific Guarantee Periods. Such rates will apply to periods following the date of declaration. Any declaration will be by class and will be based on our future expectations. LIMITATIONS OF ALLOCATIONS Limitations Of Allocations We reserve the right to restrict allocations into and out of the General Account. Such limits may be dollar restrictions on allocations into the General Account or we may restrict reallocations into the General Account. GUARANTEE PERIODS Guarantee Periods Each allocation to a Guaranteed Interest Division will be guaranteed an interest rate for the entire Initial Guarantee Period elected. We currently offer Initial Guarantee Periods of one, two, three, five, seven and ten years. The Initial Guarantee Period starts on the day an allocation is made to a Guaranteed Interest Division and ends on the last day of the calendar month following one, two, three, five, seven or ten year(s) as appropriate, the Maturity Date. At the end of a Guarantee Period, you may transfer the Accumulation Value in such Guarantee Period to the Variable Separate Account Divisions or to a Guarantee Period we then offer. If we do not receive notification by the Maturity Date, your Accumulation Value in the maturing Guarantee Period will automatically be transferred to a one-year Guarantee Period. Upon such automatic transfer you will have thirty days to reallocate any of your Accumulation Value to the Divisions. DEDUCTION FOR CHARGES Deduction For Charges We do not deduct the Mortality and Expense Risk Charge and the Asset-Based Administrative Charge with respect to the amount of the Accumulation Value allocated to a Guaranteed Interest Division while such Accumulation Value remains allocated to a Guaranteed Interest Division. TRANSFERS FROM Transfers From A GUARANTEED INTEREST DIVISION Guaranteed Interest Division On a Maturity Date, 100% of the Accumulation Value in the maturing Guarantee Period may be transferred. We currently require that an amount allocated to a Guarantee Period not be transferred until the Maturity Date, except pursuant to our published rules. We reserve the right not to allow amounts previously transferred from a Guaranteed Interest Division to the Variable Separate Account Divisions to be transferred back to the Guaranteed Interest Division for a period of at least six months from the date of transfer. We reserve the right to reduce the amount otherwise available for transfer from a Guaranteed Interest Division by any amounts previously withdrawn from that Guaranteed Interest Division.] 3C THE SCHEDULE CONTRACT FACTS - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] - ------------------------------------------------------------------------------ CONTRACT FACTS CONTRACT PROCESSING DATE Contract Processing Date The Contract Processing Date for your Contract is [April 1] of each year. SPECIALLY DESIGNATED DIVISIONS Specially Designated Divisions When a distribution is made from an investment portfolio underlying a Separate Account Division in which reinvestment is not available, we will allocate the amount of the distribution to the [Liquid Asset Division] unless you specify otherwise. PARTIAL WITHDRAWALS The maximum amount that can be withdrawn each Contract Year is described below. In no event may a Partial Withdrawal exceed 90% of the Cash Surrender Value. After a Partial Withdrawal, the remaining Accumulation Value must be at least $100 to keep the Contract in force. CONVENTIONAL PARTIAL WITHDRAWALS Conventional Partial Withdrawals Minimum Withdrawal Amount: $100. SYSTEMATIC PARTIAL WITHDRAWALS Systematic Partial Withdrawals Systematic Partial Withdrawals may be taken on a monthly, quarterly or annual basis. You select the day withdrawals will be made, but no later than the 28th day of the month. Minimum Withdrawal Amount: $100. Maximum Withdrawal Amount: Variable Separate Account Divisions: 1.25% monthly, 3.75% quarterly or 15% annually of Accumulation Value. Guaranteed Interest Divisions: Interest earned on a Guaranteed Interest Division for the prior month, quarter or year (depending on the frequency selected). [XXX PARTIAL WITHDRAWALS FOR QUALIFIED PLANS ONLY XXX Ira Partial Withdrawals For Qualified Plans Only IRA Partial Withdrawals may be taken on a monthly, quarterly or annual basis. A minimum withdrawal of $100.00 is required. You select the day the withdrawals will be made, but no later than the 28th day of the month. If you do not elect a day, the Contract Date will be used. Systematic Partial Withdrawals and Conventional Partial Withdrawals are not allowed when XXX IRA Partial Withdrawals are being taken.] 3D1 THE SCHEDULE CONTRACT FACTS (continued) - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] - ------------------------------------------------------------------------------ DEATH BENEFITS
Appears in 2 contracts
Samples: Golden American (Separate Account B of Golden American Life Insurance Co), Golden American (Golden American Life Insurance Co /Ny/)
ACCUMULATION VALUE ALLOCATION RULES. The maximum number of Divisions in which you may be invested at any one time is[ is [sixteen]. You are allowed unlimited allocation changes per Contract Year without charge. We reserve the right to impose a charge for any allocation change in excess of [twelve] per Contract Year. The Excess Allocation Charge is shown in the Schedule. Allocations into and out of the Guaranteed Interest Divisions are subject to restrictions (see General Account). 3A1 THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION(continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Annuitant's Issue Age Annuitant's Sex Owner's Issue Age [55] [MALE] [35] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Contract Date Issue Date Residence Status [JANUARY 1, 1996] [JANUARY 1, 1996] [DELAWARE] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ ALLOCATION CHANGES BY TELEPHONE You may request allocation changes by telephone during our telephone request business hours. You may call our Customer Service Center at 1-800-366-0066 to make allocation changes by using the personal identification number you will receive. You may also mail any notice or request for allocation changes to our Customer Service Center at the address shown on the cover page. 3A2 THE SCHEDULE THE VARIABLE SEPARATE ACCOUNTS - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT BB AND THE FIXED ACCOUNT] [123456] - ------------------------------------------------------------------------------ DIVISIONS INVESTING IN SHARES OF A MUTUAL FUND Separate Account B (the "Account") is a unit investment trust Separate Account, organized in and governed by the laws of the State of Delaware, our state of domicile. The Account is divided into Divisions. Each Division listed below invests in shares of the mutual fund portfolio (the "Series") designated. Each portfolio is a part of The GCG Trust managed by Directed Services, Inc. SERIES SERIES ------ ------ [Multiple Allocation Real Estate Fully Managed Hard Assets Value Equity Emerging Markets Small Cap Limited Maturity Bond Small Cap Liquid Asset Capital Appreciation Liquid Assets Strategic Equity Rising Dividend Strategic Equity Managed Global All-Growth Managed GlobalResearch Mid-Cap Growth Value & Growth Total Return Global Fixed Income Growth & Income Growth Opportunities Developing World] Each division The Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. Each The portfolio is a part of the Equi-Select Series Warburg Pincus Trust managed by Equitable Investment ServicesWarburg, Xxxxxx Counselors, Inc. PORTFOLIO --------- [OTC International Equity] The Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. The portfolios are a part of the PIMCO Trust managed by Pacific Investment Management Company. PORTFOLIO --------- High Yield StocksPLUS Growth & and Income Value + Growth Research Total Return] 3B THE SCHEDULE THE GENERAL ACCOUNT - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT BB AND THE FIXED ACCOUNT] [123456] - ------------------------------------------------------------------------------ GENERAL ACCOUNT [GUARANTEED INTEREST DIVISION Guaranteed Interest Division A Guaranteed Interest Division provides an annual minimum interest rate of 3%. At our sole discretion, we may periodically declare higher interest rates for specific Guarantee Periods. Such rates will apply to periods following the date of declaration. Any declaration will be by class and will be based on our future expectations. LIMITATIONS OF ALLOCATIONS Limitations Of Allocations We reserve the right to restrict allocations into and out of the General Account. Such limits may be dollar restrictions on allocations into the General Account or we may restrict reallocations into the General Account. GUARANTEE PERIODS Each allocation to a Transfers From A Guaranteed Interest Division will be guaranteed an interest rate for the entire Initial Guarantee Period elected. We currently offer Initial Guarantee Periods of one, two, three, five, seven and ten years. The Initial Guarantee Period starts on the day an allocation is made to a Guaranteed Interest Division and ends on the last day of the calendar month following one, two, three, five, seven or ten year(s) as appropriate, the Maturity Date. At the end of a Guarantee Period, you may transfer the Accumulation Value in such Guarantee Period to the Variable Separate Account Divisions or to a Guarantee Period we then offer. If we do not receive notification by the Maturity Date, your Accumulation Value in the maturing Guarantee Period will automatically be transferred to a one-year Guarantee Period. Upon such automatic transfer you will have thirty days to reallocate any of your Accumulation Value to the Divisions. DEDUCTION FOR CHARGES We do not deduct the Mortality and Expense Risk Charge and the Asset-Based Administrative Charge with respect to the amount of the Accumulation Value allocated to a Guaranteed Interest Division while such Accumulation Value remains allocated to a Guaranteed Interest Division. TRANSFERS FROM A GUARANTEED INTEREST DIVISION On a Maturity Date, 100% of the Accumulation Value in the maturing Guarantee Period may be transferred. We currently require that an amount allocated to a Guarantee Period not be transferred until the Maturity Date, except pursuant to our published rules. We reserve the right not to allow amounts previously transferred from a Guaranteed Interest Division to the Variable Separate Account Divisions or to a Fixed Allocation to be transferred back to the a Guaranteed Interest Division for a period of at least six months from the date of transfer. We reserve the right to reduce the amount otherwise available for transfer from a Guaranteed Interest Division by any amounts previously withdrawn from that Guaranteed Interest Division.] 3C THE SCHEDULE CONTRACT FACTS - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT BB AND THE FIXED ACCOUNT] [123456] - ------------------------------------------------------------------------------ CONTRACT FACTS CONTRACT PROCESSING DATE The Contract Processing Date for your Contract is [April 1] of each year. SPECIALLY DESIGNATED DIVISIONS When a distribution is made from an investment portfolio underlying a Separate Account Division in which reinvestment is not available, we will allocate the amount of the distribution to the [Liquid Asset Division] unless you specify otherwise. PARTIAL WITHDRAWALS The maximum amount that can be withdrawn each Contract Year is described below. In no event may a Partial Withdrawal exceed 90% of the Cash Surrender Value. After a Partial Withdrawal, the remaining Accumulation Value must be at least $100 to keep the Contract in force. CONVENTIONAL PARTIAL WITHDRAWALS Minimum Withdrawal Amount: $100. SYSTEMATIC PARTIAL WITHDRAWALS Systematic Partial Withdrawals may be taken on a monthly, quarterly or annual basis. You select the day withdrawals will be made, but no later than the 28th day of the month. Minimum Withdrawal Amount: $100. Maximum Withdrawal Amount: Variable Separate Account Divisions: 1.25% monthly, 3.75% quarterly or 15% annually of Accumulation Value. Guaranteed Interest Divisions: Interest earned on a Guaranteed Interest Division for the prior month, quarter or year (depending on the frequency selected). [XXX PARTIAL WITHDRAWALS FOR QUALIFIED PLANS ONLY XXX Partial Withdrawals may be taken on a monthly, quarterly or annual basis. A minimum withdrawal of $100.00 is required. You select the day the withdrawals will be made, but no later than the 28th day of the month. If you do not elect a day, the Contract Date will be used. Systematic Partial Withdrawals and Conventional Partial Withdrawals are not allowed when XXX Partial Withdrawals are being taken.] 3D1 THE SCHEDULE CONTRACT FACTS (continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ DEATH BENEFITSFACTS
Appears in 2 contracts
Samples: Separate Account B of Golden American Life Insurance Co, Golden American Life Insurance Co /Ny/
ACCUMULATION VALUE ALLOCATION RULES. The maximum number of Divisions in which you may be invested at any one time is[ is [sixteen]. You are allowed unlimited allocation changes per Contract Year without charge. We reserve the right to impose a charge for any allocation change in excess of [twelve] per Contract Year. The Excess Allocation Charge is shown in the Schedule. Allocations into and out of the Guaranteed Interest Divisions are subject to restrictions (see General Account). 3A1 THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION(continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Annuitant's Issue Age Annuitant's Sex Owner's Issue Age [55] [MALE] [35] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Contract Date Issue Date Residence Status [JANUARY 1, 1996] [JANUARY 1, 1996] [DELAWARE] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ ALLOCATION CHANGES BY TELEPHONE You may request allocation changes by telephone during our telephone request business hours. You may call our Customer Service Center at 1-800-366-0066 to make allocation changes by using the personal identification number you will receive. You may also mail any notice or request for allocation changes to our Customer Service Center at the address shown on the cover page. 3A2 THE SCHEDULE THE VARIABLE SEPARATE ACCOUNTS - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] - ------------------------------------------------------------------------------ DIVISIONS INVESTING IN SHARES OF A MUTUAL FUND Separate Account B (the "Account") is a unit investment trust Separate Account, organized in and governed by the laws of the State of Delaware, our state of domicile. The Account is divided into Divisions. Each Division listed below invests in shares of the mutual fund portfolio (the "Series") designated. Each portfolio is a part of The GCG Trust managed by Directed Services, Inc. SERIES SERIES ------ ------ [Multiple Allocation Real Estate Fully Managed Hard Assets Value Equity Emerging Markets Small Cap Limited Maturity Bond Small Cap Liquid Asset Capital Appreciation Liquid Assets Strategic Equity Rising Dividend Strategic Equity Managed Global All-Growth Managed GlobalResearch Mid-Cap Growth Value & Growth Total Return Global Fixed Income Growth & Income Growth Opportunities Developing World] Each division The Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. Each The portfolio is a part of the Equi-Select Series Warburg Pincus Trust managed by Equitable Investment ServicesWarburg, Xxxxxx Counselors, Inc. PORTFOLIO --------- [OTC International Equity] The Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. The portfolios are a part of the PIMCO Trust managed by Pacific Investment Management Company. PORTFOLIO --------- High Yield StocksPLUS Growth & and Income Value + Growth Research Total Return] 3B THE SCHEDULE THE GENERAL ACCOUNT - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] - ------------------------------------------------------------------------------ GENERAL ACCOUNT [GUARANTEED INTEREST DIVISION Guaranteed Interest Division A Guaranteed Interest Division provides an annual minimum interest rate of 3%. At our sole discretion, we may periodically declare higher interest rates for specific Guarantee Periods. Such rates will apply to periods following the date of declaration. Any declaration will be by class and will be based on our future expectations. LIMITATIONS OF ALLOCATIONS Limitations Of Allocations We reserve the right to restrict allocations into and out of the General Account. Such limits may be dollar restrictions on allocations into the General Account or we may restrict reallocations into the General Account. GUARANTEE PERIODS Guarantee Periods Each allocation to a Guaranteed Interest Division will be guaranteed an interest rate for the entire Initial Guarantee Period elected. We currently offer Initial Guarantee Periods of one, two, three, five, seven and ten years. The Initial Guarantee Period starts on the day an allocation is made to a Guaranteed Interest Division and ends on the last day of the calendar month following one, two, three, five, seven or ten year(s) ), as appropriate, the Maturity Date. At the end of a Guarantee Period, you may transfer the Accumulation Value in such Guarantee Period to the Variable Separate Account Divisions or to a Guarantee Period we then offer. If we do not receive notification by the Maturity Date, your Accumulation Value in the maturing Guarantee Period will automatically be transferred to a one-year Guarantee Period. Upon such automatic transfer you will have thirty days to reallocate any of your Accumulation Value to the Divisions. DEDUCTION FOR CHARGES Deduction For Charges We do not deduct the Mortality and Expense Risk Charge and the Asset-Based Administrative Charge with respect to the amount of the Accumulation Value allocated to a Guaranteed Interest Division while such Accumulation Value remains allocated to a Guaranteed Interest Division. TRANSFERS FROM A GUARANTEED INTEREST DIVISION Transfers From The Guaranteed Interest Division On a Maturity Date, 100% of the Accumulation Value in the maturing Guarantee Period may be transferred. We currently require that an amount allocated to a Guarantee Period not be transferred until the Maturity Date, except pursuant to our published rules. We reserve the right not to allow amounts previously transferred from a Guaranteed Interest Division to the Variable Separate Account Divisions to be transferred back to the Guaranteed Interest Division for a period of at least six months from the date of transfer. We reserve the right to reduce the amount otherwise available for transfer from a Guaranteed Interest Division by any amounts previously withdrawn from that Guaranteed Interest Division.] 3C . THE SCHEDULE CONTRACT FACTS - ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] - ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] - ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] - ------------------------------------------------------------------------------ CONTRACT FACTS CONTRACT PROCESSING DATE The Contract Processing Date for your Contract is [April 1] of each year. SPECIALLY DESIGNATED DIVISIONS When a distribution is made from an investment portfolio underlying a Separate Account Division in which reinvestment is not available, we will allocate the amount of the distribution to the [Liquid Asset Division] unless you specify otherwise. PARTIAL WITHDRAWALS The maximum amount that can be withdrawn each Contract Year is described below. In no event may a Partial Withdrawal exceed 90% of the Cash Surrender Value. After a Partial Withdrawal, the remaining Accumulation Value must be at least $100 to keep the Contract in force. CONVENTIONAL PARTIAL WITHDRAWALS Minimum Withdrawal Amount: $100. SYSTEMATIC PARTIAL WITHDRAWALS Systematic Partial Withdrawals may be taken on a monthly, quarterly or annual basis. You select the day withdrawals will be made, but no later than the 28th day of the month. Minimum Withdrawal Amount: $100. Maximum Withdrawal Amount: Variable Separate Account Divisions: 1.25% monthly, 3.75% quarterly or 15% annually of Accumulation Value. Guaranteed Interest Divisions: Interest earned on a Guaranteed Interest Division for the prior month, quarter or year (depending on the frequency selected). [XXX PARTIAL WITHDRAWALS FOR QUALIFIED PLANS ONLY XXX Partial Withdrawals may be taken on a monthly, quarterly or annual basis. A minimum withdrawal of $100.00 is required. You select the day the withdrawals will be made, but no later than the 28th day of the month. If you do not elect a day, the Contract Date will be used. Systematic Partial Withdrawals and Conventional Partial Withdrawals are not allowed when XXX Partial Withdrawals are being taken.] 3D1 THE SCHEDULE CONTRACT FACTS (continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ DEATH BENEFITSWITHDRAWALS
Appears in 2 contracts
Samples: Golden American Life Insurance Co /Ny/, Separate Account B of Golden American Life Insurance Co
ACCUMULATION VALUE ALLOCATION RULES. The maximum number of Divisions in which you may be invested at any one time is[ is [sixteen]. You are allowed unlimited allocation changes per Contract Year without charge. We reserve the right to impose a charge for any allocation change in excess of [twelve] per Contract Year. The Excess Allocation Charge is shown in the Schedule. Allocations into and out of the Guaranteed Interest Divisions are subject to restrictions (see General Account). 3A1 THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION(continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Annuitant's Issue Age Annuitant's Sex Owner's Issue Age [55] [MALE] [35] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Contract Date Issue Date Residence Status [JANUARY 1, 1996] [JANUARY 1, 1996] [DELAWARE] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ ALLOCATION CHANGES BY TELEPHONE You may request allocation changes by telephone during our telephone request business hours. You may call our Customer Service Center at 1-800-366-0066 to make allocation changes by using the personal identification number you will receive. You may also mail any notice or request for allocation changes to our Customer Service Center at the address shown on the cover page. 3A2 THE SCHEDULE THE VARIABLE SEPARATE ACCOUNTS ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 20262053] ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Separate Account(s) Contract Number [SEPARATE ACCOUNT B, SEPARATE ACCOUNT D AND THE Contract Number FIXED ACCOUNT] [123456] ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- DIVISIONS INVESTING IN SHARES OF A MUTUAL FUND Separate Account B (the "Account") is a unit investment trust Separate Account, organized in and governed by the laws of the State of Delaware, our state of domicile. The Account is divided into Divisions. Each Division listed below invests in shares of the mutual fund portfolio (the "Series") designated. Each portfolio is a part of The GCG Trust managed by Directed Services, Inc. SERIES SERIES ------ ------ [Multiple Allocation Real Estate Fully Managed Hard Assets Value Equity Emerging Markets Small Cap Limited Maturity Bond Small Cap Liquid Assets Capital Appreciation Liquid Assets Strategic Equity Rising Dividend Strategic Equity Research All-Growth Managed GlobalValue & Growth Mid-Cap Growth Global Fixed Income Total Return Growth Opportunities Growth & Income Developing World] Each division The Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. Each The portfolio is a part of the Equi-Select Series Warburg Pincus Trust managed by Equitable Investment ServicesWarburg, Xxxxxx Counselors, Inc. PORTFOLIO --------- [OTC International Equity] The Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. The portfolio is a part of the PIMCO Trust managed by Pacific Investment Management Company. PORTFOLIO --------- [High Yield StocksPlus Growth & Income Value + Growth Research Total Returnand Income] 3B THE SCHEDULE THE GENERAL ACCOUNT ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 20262053] ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Separate Account(s) Contract Number [SEPARATE ACCOUNT BB AND THE FIXED ACCOUNT] [123456] ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- GENERAL ACCOUNT [GUARANTEED INTEREST DIVISION A Guaranteed Interest Division provides an annual minimum interest rate of 3%. At our sole discretion, we may periodically declare higher interest rates for specific Guarantee Periods. Such rates will apply to periods following the date of declaration. Any declaration will be by class and will be based on our future expectations. LIMITATIONS OF ALLOCATIONS We reserve the right to restrict allocations into and out of the General Account. Such limits may be dollar restrictions on allocations into the General Account or we may restrict reallocations into the General Account. GUARANTEE PERIODS Each allocation to a Guaranteed Interest Division will be guaranteed an interest rate for the entire Initial Guarantee Period elected. We currently offer Initial Guarantee Periods of one, two, three, five, seven and ten years. The Initial Guarantee Period starts on the day an allocation is made to a Guaranteed Interest Division and ends on the last day of the calendar month following one, two, three, five, seven or ten year(s) as appropriate, the Maturity Date. At the end of a Guarantee Period, you may transfer the Accumulation Value in such Guarantee Period to the Variable Separate Account Divisions or to a Guarantee Period we then offer. If we do not receive notification by the Maturity Date, your Accumulation Value in the maturing Guarantee Period will automatically be transferred to a one-year Guarantee Period. Upon such automatic transfer you will have thirty days to reallocate any of your Accumulation Value to the Divisions. DEDUCTION FOR CHARGES We do not deduct the Mortality and Expense Risk Charge and the Asset-Based Administrative Charge with respect to the amount of the Accumulation Value allocated to a Guaranteed Interest Division while such Accumulation Value remains allocated to a Guaranteed Interest Division. TRANSFERS FROM A GUARANTEED INTEREST DIVISION On a Maturity Date, 100% of the Accumulation Value in the maturing Guarantee Period may be transferred. We currently require that an amount allocated to a Guarantee Period not be transferred until the Maturity Date, except pursuant to our published rules. We reserve the right not to allow amounts previously transferred from a Guaranteed Interest Division to the Variable Separate Account Divisions or to a Fixed Allocation to be transferred back to the a Guaranteed Interest Division for a period of at least six months from the date of transfer. We reserve the right to reduce the amount otherwise available for transfer from a Guaranteed Interest Division by any amounts previously withdrawn from that Guaranteed Interest Division.] 3C THE SCHEDULE CONTRACT FACTS ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ CONTRACT FACTS CONTRACT PROCESSING DATE The Contract Processing Date for your Contract is [April 1] of each year. SPECIALLY DESIGNATED DIVISIONS When a distribution is made from an investment portfolio underlying a Separate Account Division in which reinvestment is not available, we will allocate the amount of the distribution to the [Liquid Asset Division] unless you specify otherwise. PARTIAL WITHDRAWALS The maximum amount that can be withdrawn each Contract Year is described below. In no event may a Partial Withdrawal exceed 90% of the Cash Surrender Value. After a Partial Withdrawal, the remaining Accumulation Value must be at least $100 to keep the Contract in force. CONVENTIONAL PARTIAL WITHDRAWALS Minimum Withdrawal Amount: $100. SYSTEMATIC PARTIAL WITHDRAWALS Systematic Partial Withdrawals may be taken on a monthly, quarterly or annual basis. You select the day withdrawals will be made, but no later than the 28th day of the month. Minimum Withdrawal Amount: $100. Maximum Withdrawal Amount: Variable Separate Account Divisions: 1.25% monthly, 3.75% quarterly or 15% annually of Accumulation Value. Guaranteed Interest Divisions: Interest earned on a Guaranteed Interest Division for the prior month, quarter or year (depending on the frequency selected). [XXX PARTIAL WITHDRAWALS FOR QUALIFIED PLANS ONLY XXX Partial Withdrawals may be taken on a monthly, quarterly or annual basis. A minimum withdrawal of $100.00 is required. You select the day the withdrawals will be made, but no later than the 28th day of the month. If you do not elect a day, the Contract Date will be used. Systematic Partial Withdrawals and Conventional Partial Withdrawals are not allowed when XXX Partial Withdrawals are being taken.] 3D1 THE SCHEDULE CONTRACT FACTS (continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ DEATH BENEFITS]
Appears in 2 contracts
Samples: Separate Account B of Golden American Life Insurance Co, Golden American Life Insurance Co /Ny/
ACCUMULATION VALUE ALLOCATION RULES. The maximum number of Divisions in which you may be invested at any one time is[ sixteen]. You are allowed unlimited allocation changes per Contract Year without charge. We reserve the right to impose a charge for any allocation change in excess of [twelve] per Contract Year. The Excess Allocation Charge is shown in the Schedule. Allocations into and out of the Guaranteed Interest Divisions are subject to restrictions (see General Account). 3A1 THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION(continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Annuitant's Issue Age Annuitant's Sex Owner's Issue Age [55] [MALE] [35] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Contract Date Issue Date Residence Status [JANUARY 1, 1996] [JANUARY 1, 1996] [DELAWARE] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ ALLOCATION CHANGES BY TELEPHONE You may request allocation changes by telephone during our telephone request business hours. You may call our Customer Service Center at 1-800-366-0066 to make allocation changes by using the personal identification number you will receive. You may also mail any notice or request for allocation changes to our Customer Service Center at the address shown on the cover page. 3A2 THE SCHEDULE THE VARIABLE SEPARATE ACCOUNTS ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ DIVISIONS INVESTING IN SHARES OF A MUTUAL FUND Separate Account B (the "Account") is a unit investment trust Separate Account, organized in and governed by the laws of the State of Delaware, our state of domicile. The Account is divided into Divisions. Each Division listed below invests in shares of the mutual fund portfolio (the "Series") designated. Each portfolio is a part of The GCG Trust managed by Directed Services, Inc. SERIES SERIES ------ ------ [Multiple Allocation Real Estate Fully Managed Hard Assets Value Equity Emerging Markets Small Cap Limited Maturity Bond Capital Appreciation Liquid Assets Asset Rising Dividend Dividends Strategic Equity All-Growth Managed GlobalGlobal Growth Opportunities Developing World] Each division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. Each portfolio is a part of the Equi-Select Series Trust managed by Equitable Investment Services, Inc. PORTFOLIO --------- [OTC Growth & Income Value + Growth Research Total Return] THE SCHEDULE THE GENERAL ACCOUNT ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ GENERAL ACCOUNT [GUARANTEED INTEREST DIVISION A Guaranteed Interest Division provides an annual minimum interest rate of 3%. At our sole discretion, we may periodically declare higher interest rates for specific Guarantee Periods. Such rates will apply to periods following the date of declaration. Any declaration will be by class and will be based on our future expectations. LIMITATIONS OF ALLOCATIONS We reserve the right to restrict allocations into and out of the General Account. Such limits may be dollar restrictions on allocations into the General Account or we may restrict reallocations into the General Account. GUARANTEE PERIODS Each allocation to a Guaranteed Interest Division will be guaranteed an interest rate for the entire Initial Guarantee Period elected. We currently offer Initial Guarantee Periods of one, two, three, five, seven and ten years. The Initial Guarantee Period starts on the day an allocation is made to a Guaranteed Interest Division and ends on the last day of the calendar month following one, two, three, five, seven or ten year(s) as appropriate, the Maturity Date. At the end of a Guarantee Period, you may transfer the Accumulation Value in such Guarantee Period to the Variable Separate Account Divisions or to a Guarantee Period we then offer. If we do not receive notification by the Maturity Date, your Accumulation Value in the maturing Guarantee Period will automatically be transferred to a one-year Guarantee Period. Upon such automatic transfer you will have thirty days to reallocate any of your Accumulation Value to the Divisions. DEDUCTION FOR CHARGES We do not deduct the Mortality and Expense Risk Charge and the Asset-Based Administrative Charge with respect to the amount of the Accumulation Value allocated to a Guaranteed Interest Division while such Accumulation Value remains allocated to a Guaranteed Interest Division. TRANSFERS FROM A GUARANTEED INTEREST DIVISION On a Maturity Date, 100% of the Accumulation Value in the maturing Guarantee Period may be transferred. We currently require that an amount allocated to a Guarantee Period not be transferred until the Maturity Date, except pursuant to our published rules. We reserve the right not to allow amounts previously transferred from a Guaranteed Interest Division to the Variable Separate Account Divisions to be transferred back to the Guaranteed Interest Division for a period of at least six months from the date of transfer. We reserve the right to reduce the amount otherwise available for transfer from a Guaranteed Interest Division by any amounts previously withdrawn from that Guaranteed Interest Division.] 3C THE SCHEDULE CONTRACT FACTS ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ CONTRACT FACTS CONTRACT PROCESSING DATE The Contract Processing Date for your Contract is [April 1] of each year. SPECIALLY DESIGNATED DIVISIONS When a distribution is made from an investment portfolio underlying a Separate Account Division in which reinvestment is not available, we will allocate the amount of the distribution to the [Liquid Asset Division] unless you specify otherwise. PARTIAL WITHDRAWALS The maximum amount that can be withdrawn each Contract Year is described below. In no event may a Partial Withdrawal exceed 90% of the Cash Surrender Value. After a Partial Withdrawal, the remaining Accumulation Value must be at least $100 to keep the Contract in force. CONVENTIONAL PARTIAL WITHDRAWALS Minimum Withdrawal Amount: $100. SYSTEMATIC PARTIAL WITHDRAWALS Systematic Partial Withdrawals may be taken on a monthly, quarterly or annual basis. You select the day withdrawals will be made, but no later than the 28th day of the month. Minimum Withdrawal Amount: $100. Maximum Withdrawal Amount: Variable Separate Account Divisions: 1.25% monthly, 3.75% quarterly or 15% annually of Accumulation Value. Guaranteed Interest Divisions: Interest earned on a Guaranteed Interest Division for the prior month, quarter or year (depending on the frequency selected). [XXX PARTIAL WITHDRAWALS FOR QUALIFIED PLANS ONLY XXX Partial Withdrawals may be taken on a monthly, quarterly or annual basis. A minimum withdrawal of $100.00 is required. You select the day the withdrawals will be made, but no later than the 28th day of the month. If you do not elect a day, the Contract Date will be used. Systematic Partial Withdrawals and Conventional Partial Withdrawals are not allowed when XXX Partial Withdrawals are being taken.] 3D1 THE SCHEDULE CONTRACT FACTS (continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ DEATH BENEFITS
Appears in 1 contract
Samples: Separate Account B of Golden American Life Insurance Co
ACCUMULATION VALUE ALLOCATION RULES. The maximum number of Divisions in which you may be invested at any one time is[ sixteen]. You are allowed unlimited allocation changes per Contract Year without charge. We reserve the right to impose a charge for any allocation change in excess of [twelve] per Contract Year. The Excess Allocation Charge is shown in the Schedule. Allocations into and out of the Guaranteed Interest Divisions are subject to restrictions (see General Account). 3A1 THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION(continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Annuitant's Issue Age Annuitant's Sex Owner's Issue Age [55] [MALE] [35] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Contract Date Issue Date Residence Status [JANUARY 1, 1996] [JANUARY 1, 1996] [DELAWARE] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ ALLOCATION CHANGES BY TELEPHONE You may request allocation changes by telephone during our telephone request business hours. You may call our Customer Service Center at 1-800-366-0066 to make allocation changes by using the personal identification number you will receive. You may also mail any notice or request for allocation changes to our Customer Service Center at the address shown on the cover page. 3A2 THE SCHEDULE THE VARIABLE SEPARATE ACCOUNTS ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ DIVISIONS INVESTING IN SHARES OF A MUTUAL FUND Separate Account B (the "Account") is a unit investment trust Separate Account, organized in and governed by the laws of the State of Delaware, our state of domicile. The Account is divided into Divisions. Each Division listed below invests in shares of the mutual fund portfolio (the "Series") designated. Each portfolio is a part of The GCG Trust managed by Directed Services, Inc. SERIES SERIES ------ ------ [Multiple Allocation Real Estate Hard Assets Fully Managed Hard Assets Emerging Markets Value Equity Emerging Markets Small Cap Limited Maturity Bond Small Cap Liquid Assets Capital Appreciation Liquid Assets Strategic Equity Rising Dividend Strategic Equity Managed Global All-Growth Managed GlobalGrowth Opportunities Real Estate Developing World] Each division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. Each portfolio is a part of the Equi-Select Series Trust managed by Equitable Investment Services, Inc. PORTFOLIO --------- [OTC Growth & Income Value + Growth Research Total Return] THE SCHEDULE THE GENERAL ACCOUNT ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ GENERAL ACCOUNT [GUARANTEED INTEREST DIVISION A Guaranteed Interest Division provides an annual minimum interest rate of 3%. At our sole discretion, we may periodically declare higher interest rates for specific Guarantee Periods. Such rates will apply to periods following the date of declaration. Any declaration will be by class and will be based on our future expectations. LIMITATIONS OF ALLOCATIONS We reserve the right to restrict allocations into and out of the General Account. Such limits may be dollar restrictions on allocations into the General Account or we may restrict reallocations into the General Account. GUARANTEE PERIODS Each allocation to a Guaranteed Interest Division will be guaranteed an interest rate for the entire Initial Guarantee Period elected. We currently offer Initial Guarantee Periods of one, two, three, five, seven and ten years. The Initial Guarantee Period starts on the day an allocation is made to a Guaranteed Interest Division and ends on the last day of the calendar month following one, two, three, five, seven or ten year(s) as appropriate, the Maturity Date. At the end of a Guarantee Period, you may transfer the Accumulation Value in such Guarantee Period to the Variable Separate Account Divisions or to a Guarantee Period we then offer. If we do not receive notification by the Maturity Date, your Accumulation Value in the maturing Guarantee Period will automatically be transferred to a one-year Guarantee Period. Upon such automatic transfer you will have thirty days to reallocate any of your Accumulation Value to the Divisions. DEDUCTION FOR CHARGES We do not deduct the Mortality and Expense Risk Charge and the Asset-Based Administrative Charge with respect to the amount of the Accumulation Value allocated to a Guaranteed Interest Division while such Accumulation Value remains allocated to a Guaranteed Interest Division. TRANSFERS FROM A GUARANTEED INTEREST DIVISION On a Maturity Date, 100% of the Accumulation Value in the maturing Guarantee Period may be transferred. We currently require that an amount allocated to a Guarantee Period not be transferred until the Maturity Date, except pursuant to our published rules. We reserve the right not to allow amounts previously transferred from a Guaranteed Interest Division to the Variable Separate Account Divisions to be transferred back to the Guaranteed Interest Division for a period of at least six months from the date of transfer. We reserve the right to reduce the amount otherwise available for transfer from a Guaranteed Interest Division by any amounts previously withdrawn from that Guaranteed Interest Division.] 3C THE SCHEDULE CONTRACT FACTS ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ CONTRACT FACTS CONTRACT PROCESSING DATE The Contract Processing Date for your Contract is [April 1] of each year. SPECIALLY DESIGNATED DIVISIONS When a distribution is made from an investment portfolio underlying a Separate Account Division in which reinvestment is not available, we will allocate the amount of the distribution to the [Liquid Asset Division] unless you specify otherwise. PARTIAL WITHDRAWALS The maximum amount that can be withdrawn each Contract Year is described below. In no event may a Partial Withdrawal exceed 90% of the Cash Surrender Value. After a Partial Withdrawal, the remaining Accumulation Value must be at least $100 to keep the Contract in force. CONVENTIONAL PARTIAL WITHDRAWALS Minimum Withdrawal Amount: $100. SYSTEMATIC PARTIAL WITHDRAWALS Systematic Partial Withdrawals may be taken on a monthly, quarterly or annual basis. You select the day withdrawals will be made, but no later than the 28th day of the month. Minimum Withdrawal Amount: $100. Maximum Withdrawal Amount: Variable Separate Account Divisions: 1.25% monthly, 3.75% quarterly or 15% annually of Accumulation Value. Guaranteed Interest Divisions: Interest earned on a Guaranteed Interest Division for the prior month, quarter or year (depending on the frequency selected). [XXX PARTIAL WITHDRAWALS FOR QUALIFIED PLANS ONLY XXX Partial Withdrawals may be taken on a monthly, quarterly or annual basis. A minimum withdrawal of $100.00 is required. You select the day the withdrawals will be made, but no later than the 28th day of the month. If you do not elect a day, the Contract Date will be used. Systematic Partial Withdrawals and Conventional Partial Withdrawals are not allowed when XXX Partial Withdrawals are being taken.] 3D1 THE SCHEDULE CONTRACT FACTS (continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ DEATH BENEFITS
Appears in 1 contract
ACCUMULATION VALUE ALLOCATION RULES. The maximum number of Divisions in which you may be invested at any one time is[ sixteen]. You are allowed unlimited allocation changes per Contract Year without charge. We reserve the right to impose a charge for any allocation change in excess of [twelve] twelve per Contract Year. The Excess Allocation Charge is shown in the Schedule. Allocations into and out of the Guaranteed Interest Divisions are subject to restrictions (see General Account). 3A1 THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION(continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Annuitant's Issue Age Annuitant's Sex Owner's Issue Age [55] [MALE] [35] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Contract Date Issue Date Residence Status [JANUARY 1, 1996] [JANUARY 1, 1996] [DELAWARE] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ ALLOCATION CHANGES BY TELEPHONE You may request allocation changes by telephone during our telephone request business hours. You may call our Customer Service Center at 1-800-366-0066 to make allocation changes by using the personal identification number you will receive. You may also mail any notice or request for allocation changes to our Customer Service Center at the address shown on the cover page. GA-IA-1083 3A2 THE SCHEDULE THE VARIABLE SEPARATE ACCOUNTS ------------------------------------------------------------------------------ |-----------------------------------------------------------------------------| | Annuitant Owner | | [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ | |-----------------------------------------------------------------------------| | Initial Premium Annuity Option Annuity Commencement Date | | [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ | | ----------------------------------------------------------------------------| | Separate Account(s) Contract Number | | [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ | |-----------------------------------------------------------------------------| DIVISIONS INVESTING IN SHARES OF A MUTUAL FUND Separate Account B (the "Account") is a unit investment trust Separate Account, organized in and governed by the laws of the State of Delaware, our state of domicile. The Account is divided into Divisions. Each Division listed below invests in shares of the mutual fund portfolio (the "Series") designated. Each portfolio is a part of The GCG Trust managed by Directed Services, Inc. SERIES SERIES SERIES ------ ------ ------ [Multiple All Cap Capital Growth Liquid Asset Equity Income Managed Global Strategic Equity Fully Managed Asset Allocation Growth Research Value Equity Diversified Mid-Cap Growth Small Cap Investors Global Fixed Income Capital Appreciation Large Cap Value Developing World Rising Dividends Real Estate Fully Managed Equity Income Mid-Cap Growth Hard Assets Value Equity Emerging Markets Small Cap Growth and Income Total Return Limited Maturity Bond Capital Appreciation Liquid Assets Rising Dividend Strategic Equity All-Growth Managed Global] Each division Special Situations The Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. Each The portfolio is a part of the Equi-Select Series ING Variable Insurance Trust managed by Equitable ING Investment ServicesManagement. PORTFOLIO --------- ING Global Brand Names Fund The Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. The portfolios are a part of the Prudential Series Fund, Inc. managed by Xxxxxxxx Associates, LLC. PORTFOLIO --------- [OTC Prudential Xxxxxxxx The Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. The portfolio is a part of the Warburg Pincus Trust managed by Credit Suisse Asset Management, LLC. PORTFOLIO --------- International Equity International Growth The Division listed below invests in shares of the mutual fund portfolio (the "Portfolio") designated. The portfolios are a part of the PIMCO Trust managed by Pacific Investment Management Company. PORTFOLIO --------- PIMCO High Yield Bond PIMCO StocksPlus Growth & Income Value + Growth Research Total ReturnIncome] GA-IA-1083 3B THE SCHEDULE THE GENERAL ACCOUNT ------------------------------------------------------------------------------ |-----------------------------------------------------------------------------| | Annuitant Owner | | [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ | |-----------------------------------------------------------------------------| | Initial Premium Annuity Option Annuity Commencement Date | | [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ | | ----------------------------------------------------------------------------| | Separate Account(s) Contract Number | | [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ | |-----------------------------------------------------------------------------| GENERAL ACCOUNT [GUARANTEED INTEREST DIVISION Guaranteed Interest Division A Guaranteed Interest Division provides an annual minimum interest rate of 3%. At our sole discretion, we may periodically declare higher interest rates for specific Guarantee Periods. Such rates will apply to periods following the date of declaration. Any declaration will be by class and will be based on our future expectations. LIMITATIONS OF ALLOCATIONS Limitations of Allocations We reserve the right to restrict allocations into and out of the General Account. Such limits may be dollar restrictions on allocations into the General Account or we may restrict reallocations into the General Account. GUARANTEE PERIODS Guarantee Periods Each allocation to a Guaranteed Interest Division will be guaranteed an interest rate for the entire Initial Guarantee Period elected. We currently offer Initial Guarantee Periods of one, two, three, five, seven and ten years. The Initial Guarantee Period starts on the day an allocation is made to a Guaranteed Interest Division and ends on the last day of the calendar month following one, two, three, five, seven or ten year(s) ), as appropriate, the Maturity Date. At the end of a Guarantee Period, you may transfer the Accumulation Value in such Guarantee Period to the Variable Separate Account Divisions or to a Guarantee Period we then offer. If we do not receive notification by the Maturity Date, your Accumulation Value in the maturing Guarantee Period will automatically be transferred to a one-year Guarantee Period. Upon such automatic transfer you will have thirty days to reallocate any of your Accumulation Value to the Divisions. DEDUCTION FOR CHARGES Deduction for Charges We do not deduct the Mortality and Expense Risk Charge and the Asset-Based Administrative Charge with respect to the amount of the Accumulation Value allocated to a Guaranteed Interest Division while such Accumulation Value remains allocated to a Guaranteed Interest Division. TRANSFERS FROM A GUARANTEED INTEREST DIVISION Transfers from the Guaranteed Interest Division On a Maturity Date, 100% of the Accumulation Value in the maturing Guarantee Period may be transferred. We currently require that an amount allocated to a Guarantee Period not be transferred until the Maturity Date, except pursuant to our published rules. We reserve the right not to allow amounts previously transferred from a Guaranteed Interest Division to the Variable Separate Account Divisions to be transferred back to the a Guaranteed Interest Division for a period of at least six months from the date of transfer. We reserve the right to reduce the amount otherwise available for transfer from a Guaranteed Interest Division by any amounts previously withdrawn from that Guaranteed Interest Division.] GA-IA-1083 3C THE SCHEDULE (STANDARD) CONTRACT FACTS ------------------------------------------------------------------------------ |-----------------------------------------------------------------------------| | Annuitant Owner | | [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ | |-----------------------------------------------------------------------------| | Initial Premium Annuity Option Annuity Commencement Date | | [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ | | ----------------------------------------------------------------------------| | Separate Account(s) Contract Number | | [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ CONTRACT FACTS CONTRACT PROCESSING DATE The Contract Processing Date for your Contract is [April 1] of each year. SPECIALLY DESIGNATED DIVISIONS When a distribution is made from an investment portfolio underlying a Separate Account Division in which reinvestment is not available, we will allocate the amount of the distribution to the [Liquid Asset Division] unless you specify otherwise. PARTIAL WITHDRAWALS The maximum amount that can be withdrawn each Contract Year is described below. In no event may a Partial Withdrawal exceed 90% of the Cash Surrender Value. After a Partial Withdrawal, the remaining Accumulation Value must be at least $100 to keep the Contract in force. CONVENTIONAL PARTIAL WITHDRAWALS Minimum Withdrawal Amount: $100. SYSTEMATIC PARTIAL WITHDRAWALS Systematic Partial Withdrawals may be taken on a monthly, quarterly or annual basis. You select the day withdrawals will be made, but no later than the 28th day of the month. Minimum Withdrawal Amount: $100. Maximum Withdrawal Amount: Variable Separate Account Divisions: 1.25% monthly, 3.75% quarterly or 15% annually of Accumulation Value. Guaranteed Interest Divisions: Interest earned on a Guaranteed Interest Division for the prior month, quarter or year (depending on the frequency selected). [XXX PARTIAL WITHDRAWALS FOR QUALIFIED PLANS ONLY XXX Partial Withdrawals may be taken on a monthly, quarterly or annual basis. A minimum withdrawal of $100.00 is required. You select the day the withdrawals will be made, but no later than the 28th day of the month. If you do not elect a day, the Contract Date will be used. Systematic Partial Withdrawals and Conventional Partial Withdrawals are not allowed when XXX Partial Withdrawals are being taken.] 3D1 THE SCHEDULE CONTRACT FACTS (continued) ------------------------------------------------------------------------------ Annuitant Owner [XXXXXX X. XXX] [XXXX X. XXX] ------------------------------------------------------------------------------ Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] ------------------------------------------------------------------------------ Separate Account(s) Contract Number [SEPARATE ACCOUNT B] [123456] ------------------------------------------------------------------------------ DEATH BENEFITS| |-----------------------------------------------------------------------------|
Appears in 1 contract
Samples: Your Contract (Separate Account B of Golden American Life Insurance Co)
