Settlement Option Tables. The Option Tables show the payments that we will make at sample payment intervals for each $1,000 applied based on the guaranteed settlement option factors. Amounts may vary with the payment interval and the age of the person on whose life payments are based. Upon request, we will provide information on the payments that we will make for other payment intervals and ages.
Settlement Option Tables. 29 Additional benefits or riders, if any, will be listed in the Schedule. The additional provisions will be inserted in the Policy. SCHEDULE (Effective Date: May 1, 1995) POLICY INFORMATION Policy Number 1000540-001 Stated Death Benefit $100,000.00 Insured XXXX XXX Minimum Stated Death Benefit $ 50,000.00 Owner XXXX XXX Three Year Continuation Period Ending Date May 1, 1998 Death Benefit Option Stated Death Benefit Option 1 Three Year Continuation Period Age And Sex 35, Male Minimum Annual Premium $631.62 Premium Class Standard, Non-Smoker Policy Date May 1, 1995 Scheduled Premium $3,000.00 Maturity Date May 15, 2060 Definition of Life Insurance Test Guideline Premium CUSTOMER SERVICE CENTER: P.O. Box 173763, Denver, Colorado 80217- 3763 Coverage may expire prior to the Maturity Date if Scheduled Premiums are paid in a timely manner, coverage may expire prior to the Maturity Date if said premiums are insufficient to continue coverage and the Guarantee Period has ended. Coverage will also be affected by Partial Withdrawals, Policy Loans, changes in the current cost of insurance rates, the actual credited interest rate for the Guaranteed Interest Division and the investment experience of the Variable Account. Form 1195 (VUL) - MD Page 5 SCHEDULE (CONTINUED) BENEFIT PROFILE ------------------------------------------------------------------------------------------------------------------------------------ Initial Segment Age At Guideline Benefit Issue Maturity Effective Annual Target Description Amount Age Date Date Premium Premium ------------------------------------------------------------------------------------------------------------------------------------ Stated Death Benefit (Segment #1) $100,000.00 35 100 May 1, 1995 $1,335.37 $3,680.00 ------------------------------------------------------------------------------------------------------------------------------------ Adjustable Term Insurance Rider $50,000.00 35 100 May 1, 1995 $620.58 (Segment #1) ------------------------------------------------------------------------------------------------------------------------------------ A coverage segment is a block of Death Benefit coverage. The Stated Death Benefit shown on the schedule page at issue is the initial coverage segment. Additional segments are added to the policy after issue to increase the Death Benefit. Each individual coverage segment added to the policy has its own cost of insurance charges and expense loads as shown in the Schedule. Form 1...
Settlement Option Tables. (Per $1,000 of Net Proceeds)
Settlement Option Tables. 18 SPIVA99 01-99 2A POLICY DATA PAGE ------------------------------------------------------------------------------------------------------------------- CONTRACT DATE: SEPT 01, 1997 POLICY NUMBER: 00000001 NAME OF ANNUITANT: JXXX XXX INITIAL PREMIUM: 1,000,000.00 NAME OF OWNER: JXXX XXX ANNUITY DATE: SEPT 01, 2027 SEPARATE ACCOUNT: [AUL AMERICAN INDIVIDUAL VARIABLE ANNUITY UNIT TRUST] RIDERS ATTACHED: [NONE] MINIMUM PREMIUM ALLOCATION TO ANY INVESTMENT ACCOUNT OR THE FIXED ACCOUNT: [1% of the premium payment] All allocations must be in whole percentages. MINIMUM PREMIUM PAYMENT SUBSEQUENT TO THE INITIAL PREMIUM: [$500 ] MAXIMUM PREMIUM ACCEPTABLE IN A CONTRACT YEAR: [$1,000,000 in the first Contract Years] [$0 in any Contract Year thereafter] PREMIUM TAX CHARGE: [ 0%] ANNUAL CONTRACT FEE: [$30, waived for Contracts with Account Value in excess of $50,000] MONTHLY MORTALITY AND EXPENSE RISK CHARGE: 1/12 of the following percentage of the Variable Account Value: [1.00% during the first ten Contract Years] [0.90% thereafter] TRANSFER CHARGE: Current: [$0] Guaranteed: [$0] for the first [12] transfers in any Policy Year [$25] for each subsequent transfer in the Policy Year WITHDRAWAL CHARGES Withdrawal Charge as % Policy Year of Account Value Withdrawn 1 7% 2 6% 3 5% 4 4% 5 3% 6 2% 7 1% 8 and thereafter 0% FREE WITHDRAWAL AMOUNT: [12%] OF THE ACCOUNT VALUE AS OF THE MOST RECENT CONTRACT ANNIVERSARY INTEREST RATES FOR LOANS (if available): RATE CHARGED ON LOAN BALANCES: [6%] RATE CREDITED TO LOAN ACCOUNT: [4%] MINIMUM TRANSFER AMOUNT: [$500] MINIMUM LOAN AMOUNT: [$1,000] MINIMUM PARTIAL WITHDRAWAL AMOUNT: [$200] ASSUMED DATE OF DELIVERY OF THE POLICY, FOR PURPOSES OF THE TRANSFER AT THE END OF THE RIGHT TO EXAMINE PERIOD: [5] days after the Contract Date CONTRACT YEAR IN WHICH CONTRACT PROCEEDS EQUAL ACCOUNT VALUE: [5] SPIVA99 01-99 3A ______________________________________________________________________________ Definitions Account Value - The Account Value is the sum of your interest in the Variable Account, the Fixed Account, and the Loan Account.
Settlement Option Tables. Additional benefit provisions or restrictions, if any, and a copy of the application follow page 19. Home Office: 0 Xxxxxx Xxxx Plaza Springfield, Illinois 62715-0001 0-000-000-0000 Certificate For Group Deferred Fixed And Variable Retirement Annuity Contract Flexible purchase payments Nonparticipating -- dividends not paid. All payments and values under this certificate which are based on investment results of the Separate Account are variable and not guaranteed as to fixed dollar amount. SECTION 1 -- CERTIFICATE DATA Certificate number: XXXXXXXXXX Annuitant: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Certificate Date: XXXXXXXXXX Maturity Date: XXXXXXXXXX Renewal Date: XXXXXXXXXX Age at issue: XX Sex: XXXXXX
Settlement Option Tables. Values for other ages, and for other payment periods, joint life combinations, or assumed investment rates that we offer (Tables below assume 3%) are available on request. Monthly payments are shown for each $1,000 applied. Settlement Option Table for a Fixed Period Monthly Monthly Monthly Fixed Period Payment Fixed Period Payment Fixed Period Payment of Years of Years ------- of Years ------- -------- -------- -------- -------- 11 $8.88 21 $5.33 12 8.26 22 5.16 13 7.73 23 5.00 14 7.28 24 4.85 5 $17.95 15 6.89 25 4.72 6 15.18 16 6.54 26 4.60 7 13.20 17 6.24 27 4.49 8 11.71 18 5.98 28 4.38 9 10.56 19 5.74 29 4.28 10 9.64 20 5.53 30 4.19
Settlement Option Tables. 18 FPIVA99 01-99 2A POLICY DATA PAGE -------------------------------------------------------------------------------- CONTRACT DATE: SEPT 01, 1997 POLICY NUMBER: 00000001 NAME OF ANNUITANT: JXXX XXX INITIAL PREMIUM: 1000.00 NAME OF OWNER: JXXX XXX PLANNED PREMIUM: 1000.00 ANNUITY DATE: SEPT 01, 2027 MODE: ANNUAL SEPARATE ACCOUNT: [AUL AMERICAN INDIVIDUAL VARIABLE ANNUITY UNIT TRUST] RIDERS ATTACHED: [NONE] MINIMUM PREMIUM ALLOCATION TO ANY INVESTMENT ACCOUNT OR THE FIXED ACCOUNT: [1% of the premium payment] All allocations must be in whole percentages. MINIMUM PREMIUM PAYMENT SUBSEQUENT TO THE INITIAL PREMIUM: [$50 ] MAXIMUM PREMIUM ACCEPTABLE IN A CONTRACT YEAR: [$1,000,000 in the first two Contract Years] [$30,000 in any Contract Year thereafter for Qualified Plans] [$15,000 in any Contract Year thereafter for Non-Qualified Plans] PREMIUM TAX CHARGE: [ 0%]
Settlement Option Tables. Table 1 Income payments for life with or without a period certain Equal monthly income payments for each $1,000 of proceeds under Options 1 and 6 --------------------------------------------------------------------------------------------------------- Adjusted Period certain Adjusted Period certain age of -------------------------------------- age of --------------------------------------- payee Life 10 yrs 15 yrs 20 yrs payee Life 10 yrs 15 yrs 20 yrs --------------------------------------------------------------------------------------------------------- 55 5.09 5.03 4.95 4.84 68 6.96 6.62 6.21 5.69 56 5.19 5.11 5.02 4.90 69 7.20 6.80 6.32 5.74 57 5.29 5.20 5.10 4.97 70 7.46 6.98 6.43 5.78 58 5.39 5.30 5.19 5.03 71 7.74 7.18 6.54 59 5.50 5.40 5.28 5.10 72 8.05 7.37 6.64 60 5.62 5.51 5.37 5.17 73 8.39 7.58 6.74 61 5.75 5.62 5.46 5.24 74 8.75 7.78 6.83 62 5.88 5.74 5.56 5.31 75 9.15 7.99 6.91 63 6.03 5.86 5.66 5.38 76 9.59 8.20 64 6.19 6.00 5.77 5.44 77 10.06 8.40 65 6.36 6.14 5.87 5.51 78 10.58 8.59 66 6.54 6.29 5.98 5.57 79 11.15 8.78 67 6.74 6.45 6.10 5.63 80 11.77 8.96 --------------------------------------------------------------------------------------------------------- The age shown is the adjusted age of the payee when income payments begin. If the fixed annuity income payments under Option 1 are to be paid other than monthly, multiply the monthly income payment by 2.990 to obtain the quarterly payment; multiply by 5.951 to obtain the semiannual payment; and multiply by 11.787 to obtain the annual payment. Table 2 Income payments during joint lifetimes of 2 payees with two-thirds to survivor Initial amount of monthly income payments for each $1,000 of proceeds under Options 2 and 7 ---------------------------------------------------------------------------------------------------------- Adjusted ages Monthly income payments ---------------------------------------------------------------------------------------------------------- Payee age 55 56 57 58 59 60 61 62 63 64 65 ---------------------------------------------------------------------------------------------------------- Payee age 60 5.31 5.37 5.42 5.48 5.53 5.59 5.65 5.71 5.78 5.84 5.91 ---------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- Monthly income payments ------------------------------------------------------------------------...
Settlement Option Tables. 29 Additional benefits or riders, if any, will be listed in the Schedule. The additional provisions will be inserted in the Policy. SCHEDULE (Effective Date: January 1, 1996) POLICY INFORMATION Policy Number 6500001 Minimum Stated Death Benefit $50,000.00 Insured Mr XXXX XXX Death Benefit Option OPTION 1: GP/CVC LEVEL DB Three Year Continuation Period Ending Date January 1, 1999 Three Year Continuation Period Age And Sex 35, Male Minimum Annual Premium $529.00 Premium Class High Band Non-Smoker Policy Date January 1, 1996 Planned Premium $1,600.00, Annually Maturity Date January 1, 2061 Definition of Life Insurance Test Guideline Premium
Settlement Option Tables. 25 Additional benefits or riders, if any, will be listed in the schedule. The additional provisions will be inserted in the policy. SCHEDULE (Effective Date: January 1, 1998) POLICY INFORMATION
