Plan Selection. You may select the plan by Written Request, or other method agreed to by Us, at least 30 Days before the Annuitization Start Date. If We have not received Your Written Request to select a plan, the first annuity payment will be made 30 Days after the Annuitization Start Date according to Plan B with monthly payments guaranteed for ten years. After the Annuitization Start Date, You cannot change to a different plan. If the amount to be applied to a plan is less than $2,000 or would not provide an initial monthly payment of at least $20, We have the right to change the frequency of the payment or to make a lump sum payment of the amount that would have been applied to a plan.
Plan Selection. The plan you have selected (including applicable line access charges) is stated in your Verizon Agreement, and it is your responsibility to ensure accuracy. Please review these changes at the time of sale. Be advised that retroactive refunds for corrections may not be available if corrections are not requested by you within 72 hours following the time of purchase.
Plan Selection. You may select the plan or change to another plan by Written Request, or other method agreed to by Us, at least 30 Days before the Annuitization Start Date. If We have not received Your Written Request to select a plan, the first annuity payment will be made 30 Days after the Annuitization Start Date according to Plan B with monthly payments guaranteed for ten years. If the plan selected has a payment amount that is the same as another plan having a longer guarantee period, then the plan with the longer guarantee period will be deemed to have been chosen. After the Annuitization Start Date, You cannot change to a different plan. If Your Contract Value is less than $2,000 or would not provide an initial monthly payment of at least $20, We have the right to make a lump sum payment of the Contract Value after any rider charges are deducted from the Variable Account.
Plan Selection. You must select the plan or change to another plan at least 30 Days before the Annuitization Start Date by Written Request or other method agreed to by Us. If We have not received Your Written Request to select a plan, the first Annuity Payment will be made 30 Days after the Annuitization Start Date according to Plan B with monthly payments guaranteed for ten years unless the Code provides otherwise. If the plan selected has a payment amount that is the same as another plan having a longer guarantee period, then the plan with the longer guarantee period will be deemed to have been chosen. After the Annuitization Start Date, You cannot change to a different plan. If the amount to be applied to a plan is less than $2,000 or would not provide a monthly payment of at least $20, We have the right to change the frequency of the payment or to make a lump sum payment of the amount that would have been applied to a plan.
Plan Selection. Select the start-up plan amount that meets your needs.The dollar amount you select is the minimum prepaid amount. Enter this amount in the “Minimum Prepaid Amount” column in the plan section of the application.
Plan Selection. The Agency has selected the MMA plans through a competitive procurement with strict selection criteria. The program will provide for a limited number of plans in 11 geographic regions to ensure stability, but allow for significant recipient choice and further ensure coverage in rural areas of the state. The Agency initiated the procurement of the plans on December 28, 2012 and Notices of Intent of Award were published on September 23, 2013 and October 10, 2013. A listing of the plans selected for each region and relevant information about the procurement can be found via the Florida Department of Management Services’ Vendor Bid System at: xxxx://xxx.xxxxxxxxx.xxx/apps/vbs/vbs_www.main_menu. The Agency selected 14 standard, non-specialty MMA plans through a competitive procurement process. In addition, the Agency selected five companies to provide services to specialty populations, including specialty plans focused on HIV/AIDS, child welfare and xxxxxx care, severe and persistent mental illness, and dual eligbiles with chronic conditions. Table 3 on the following page provides a summary of the MMA plans selected in each region. The Agency anticipates executing the plan contracts in January 2014. Table 3 MMA Plans Selected by Region (1Plans selected as of 9/23/2013, 10/10/2013, 10/21/2013 and 10/24/13) Amerigroup Florida, Inc. X X X X* 4 Better Health, LLC - PSN X X X 3 Coventry Health Care of Florida, Inc. X* 1 First Coast Advantage, LLC - PSN X 1 Humana Medical Plan, Inc. X X X X* X* 5 Xxxxxx Healthcare of Florida X X X 3 Preferred Medical Plan, Inc. X 1 Prestige Health Choice - PSN X X X X X X X 7 Simply Healthcare Plans, Inc. X 1 South Florida Community Care Network X** 1 Sunshine State Health Plan, Inc. X* X* X* X* X* X* X* X* X* 9 UnitedHealthcare of Florida, Inc. X* X* X* X* 4 Wellcare of Florida, Inc. d/b/a Staywell Health Plan of Florida X X X X X X X 7 General, Non-specialty Plans Awarded 2 2 4 3 4 7 6 3 4 4 10 46 AHF MCO of Florida, Inc. d/b/a Positive Healthcare Florida HIV/AIDS Specialty Plan X X 2 Florida MHS, Inc. d/b/a Magellan Complete Care Serious Mental Illness Specialty Plan X X X X X X X X X 9 Freedom Health, Inc. Chronic Conditions/Duals Specialty Plan X X X X X X X X 8 Simply Healthcare Plans, Inc. d/b/a Clear Health Alliance HIV/AIDS Specialty Plan X X X X X X X X X X 10 Sunshine State Health Plan, Inc. Child Welfare Specialty Plan X X X X X X X X X X X 11 * Plans (by region) also authorized as SMMC/Long-term care plans under Florid...
Plan Selection. You must select the plan at least 30 Days before the Annuitization Start Date by Written Request or other method agreed to by Us. If We have not received Your Written Request to select a plan, the first Annuity Payment will be made 30 Days after the Annuitization Start Date according to Plan B with monthly payments guaranteed for ten years unless the Code provides otherwise.
Plan Selection. You may select the plan at least 30 Days before the Annuitization Start Date by Written Request or other method agreed to by Us. If We have not received Your Written Request to select a plan, the first Annuity Payment will be made 30 Days after the Annuitization Start Date according to Plan B with monthly payments guaranteed for ten years. After the Annuitization Start Date, You cannot change to a different plan. If the amount to be applied to a plan is less than $2,000 or would not provide a monthly payment of at least $20, We have the right to change the frequency of the payment or to make a lump sum payment of the amount that would have been applied to a plan. RiverSource Life Insurance Company 00000 Xxxxxxxxxx Xxxxxxxxx Xxxxxx Xxxxxxxxxxx XX 00000 1.800.862.7919 • Index-linked option(s) • Surrender charges may be waived under specified conditions • This contract is nonparticipating — dividends are not payable RiverSource Structured SolutionsSM annuity Contract Number: 9925-0000000 Contract Date: December 17, 2019 Contract Type: Nonqualified Application Date: December 16, 2019 Annuitant: Xxxx Xxx Annuitization Start Date: December 17, 2079 Owner: Xxxx Xxx Owner’s Age on Contract Date: 35 Application Signed State: MN State Insurance Department: 800.000.0000 Initial Purchase Payment: $100,000.00 First 90 Days after the Contract Date $ 1,000,000 $ 100,000 $ 0 90 Days after the Contract Date through 1st contract year $ 0 $ 0 $ 0 2nd contract year through 5th contract year $ 0 $ 0 $ 0 Each contract year thereafter $ 0 $ 0 $ 0 Total per Owner $ 1,000,000 $ 100,000 $ 100,000 Minimum Additional Purchase Payment: $50 Fixed Account Initial Election Percentage: 50.00% Fixed Account Initial Interest Rate: 1.75% Interim Account Initial Interest Rate: 1.75% Guaranteed Minimum Interest Rate: 1.75% 10.00% S&P 500 1-YEAR AND -10% FLOOR 9.00 % 100 % N/A 10.00% S&P 500 3-YEAR WITH UPSIDE PARTICIAPTION RATE AND -10% BUFFER 24.00 % 250 % N/A 10.00% MSCI EAFE 3-YEAR WITH ANNUAL FEE AND -15% BUFFER No Cap 100 %** 0.30 % 20.00% S&P 500 6-YEAR WITH ANNUAL LOCK AND -10% BUFFER 13.00 % 100 %** N/A * See the Purchase Payments provision. ** Upside Participation Rate does not vary and is 100% for all years. S&P 500 1-YEAR AND -10% FLOOR 0.50 % 100 % N/A S&P 500 1-YEAR AND -10% BUFFER 0.50 % 100 % N/A S&P 500 2-YEAR AND -10% BUFFER 0.50 % 100 % N/A S&P 500 3-YEAR AND -15% BUFFER 0.50 % 100 % N/A S&P 500 6-YEAR AND -25% BUFFER 1.00 % 100 % N/A MSCI EAFE 1-YEAR AND -10% FLOOR 0.50 % 10...
Plan Selection. Please check the box(es) below to indicate the MSRS plan(s) to which this direct deposit request should apply. If you have multiple MSRS plans and check more than one box below, the funds will be deposited into the account you name on this form. To have funds placed in different bank accounts, you must complete a separate Direct Deposit Agreement for each plan. ❒ Both the MSRS monthly pension benefit and HCSP reimbursements MUST be deposited into the same bank account. ❒
Plan Selection. Bargaining unit members shall be eligible for and shall select either Plan A or Plan B of coverage as set forth below, except as follows: Benefits as specified in the current plan documents.
1. Where spouses are both employed by the Employer, one (1) employee shall select Plan A of coverage and the other Plan B.
2. Any employee who for any reason retains group health insurance coverage with coordination of benefits from any source other than the health insurance provided by virtue of this Agreement and his or her employment with Employer shall be ineligible and shall otherwise not receive the health insurance provided herein, unless the coverage from any source requires such coverage. The employee may select Plan A above if not taking health insurance elsewhere and shall otherwise be eligible for Plan B above. Every employee shall annually verify in writing the existence or non- existence of any such outside group health insurance coverage. The following forms shall be distributed to all employees during the open enrollment period: PLAN A
a. Comparable level of benefits to Choices II. Effective August 1, 2011, prescription co-pay is $10 generic / $20 brand name per prescription per person; $10 Office Visit; $25 Urgent Care; $50 Emergency Room; $200 / $400 In-Network Deductible; $400 / $800 Out of Network Deductible; Adult Immunization rider. Employees shall contribute $20 per pay during 2011-12 toward the cost of the premium.
