ELECTION OF AN ANNUITY OPTION. If you elect an annuity option and have an outstanding loan balance, you may repay this balance, or your contract value will be adjusted as described in your annuity contract.
ELECTION OF AN ANNUITY OPTION. If you elect an annuity option and have an outstanding loan balance, you may repay this balance or your individual account will be adjusted as described in the Withdrawal of Your Account section.
ELECTION OF AN ANNUITY OPTION. We will waive the Withdrawal Charge if you apply your entire Account Value (i) to one of the Guaranteed Annuity Options, (ii) to a nonguaranteed Annuity Option with a life contingency or at least a ten-year period certain; or (iii) if necessary to provide income payments not less than what would be provided by applying your Surrender Value (or in NY the greater of your Surrender Value or 95% of your Account Value] to purchase a single premium immediate annuity contract at then-current purchase rates offered by the Company at the same time to the same class of Annuitants. · Increase in Separate Account Charge - We will waive the Withdrawal Charge if you surrender your Contract within 60 days after we send Prior Written Notice of our intent to increase the Separate Account Charge. · Payment under Minimum Account Value Provision - We will waive the Withdrawal Charge if we cancel your Contract and pay your Account Value under the Minimum Account Value Provision.
ELECTION OF AN ANNUITY OPTION. If you elect an annuity option and have an outstanding loan balance, you may repay this balance, or your contract value will be adjusted as described in your annuity contract. BANKrUPTCY In the event of a bankruptcy, the outstanding loan remains an obligation of the Participant. dIVorCe In the event of a divorce, the outstanding loan remains an obligation of the Participant unless it is assumed by the alternate payee through completion of the appropriate QDRO certification form. Loan payments will be allocated to the person responsible for the repayment and, in the event of default, the defaulted amount will be tax reported to such person. PArTICIPANT SIGNATUre ANd TAXPAYer CerTIFICATIoN This section must be signed and dated by the participant eMPLoYer, PLAN SPoNSor or NAMed FIdUCIArY AUTHorIZed SIGNATUre ANd CerTIFICATIoN This section must be completed by the Employer or its designee if required by a contract between the Company and the Employer. THIrd PArTY AdMINISTrATor AUTHorIZed SIGNATUre ANd CerTIFICATIoN This section must be completed if required by the Employer. RESET LOAN REQUEST AND AGREEMENT SECTION 403(b)/TAX SHELTERED ANNUITY CONTRACT ReliaStar Life Insurance Company (the “Company”) A member of the Voya® family of companies Home Office: Minneapolis, MN Customer Service: XX Xxx 0000, Xxxxx, XX 00000-0000 Phone: 000-000-0000 Fax: 000-000-0000 Each loan is subject to the Terms and Conditions of the Loan Agreement, Annuity Contract, and 403(b) Plan Document. Your Employer, Plan sponsor, or Third Party Administrator’s signature is required on this form prior to sending it to the Company. For ERISA Plans only, complete and attach a Spousal Consent. reTUrN CoMPLeTed ForM - Choose only one submission method. Multiple submissions may result in processing delays and/ or duplicate loans. regular Mail:Customer Service overnight delivery: Customer Service Fax: Customer Service XX Xxx 0000 0000 00xx Xxx. XX Xxxx-Xxxx Fax: 000-000-0000 Xxxxx, XX 00000-0000 Xxxxx, XX 00000
