Unregistered Separate Accounts. Unregistered Separate Account Contracts - Various Dates of Inception Group Annuity Contract forms to which this Agreement applies: Group One - Minnesota Life Contracts: Group Annuity Contract, Form 04-70126 Group Annuity Contract, Form 04-70128 Group Annuity Contract IAC I, Form 87-9173 Group Annuity Contract IAC I, Form 92-9274 Group Annuity Contract AIAC I, Form 90-9246 Group Annuity Contract IAC II, Form 89-9224 Group Annuity Contract AIAC II, Form 90-9247 Group Annuity Contract IAC I, Form 87-9166 Group Annuity Contract, Form MHC-95-9317 Group Annuity Contract, Form MHC-97-9388 Group Two - Contracts previously issued by Minnesota Life prior to the date of this contract: Group Annuity Contract IAC I, Form F. 23412 Group Annuity Contract IAC I, Form F. 24415 Group Annuity Contract AIAC I, Form F .25150 Group Annuity Contract IAC I, Form F. 23411 Group Annuity Contract AIAC I, Form F. 25412 Group Annuity Contract PAC II, Form 89-9225 Group Annuity Contract RGC, Form 89-9084 Group Annuity Contract DA, Form 18084 Group Annuity Contract DA, Form 24595 Group Annuity Contract IPG, Form F. 21811 Group Annuity Contract IPG, Form F. 17283 Group Annuity Contract GAC, Form F. 18088 Group Annuity Contract GAC, Form F. 21713 Group Annuity Contract GAC, Form F. 24386 Group Annuity Contract, Form F. 24596 Group Annuity Contract, Form F. 24597 Group Annuity Contract, Form F. 18088-1 Group Annuity Contract, Form 89-9216 (UofM) Group Three - Fort Dearborn Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective October 1, 1999: Group Annuity Contract, Form 8-39-1091 Group Annuity Contract, Form 0-000-000 Group Annuity Contract, Form 8-39-1188 Group Four - First Allmerica Financial Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective July 1, 2001: Group Annuity Contract, Form GA-AID-1.00-81 Group Annuity Contract, Form GA-PDC-1.00-90 Group Annuity Contract, Form GA-PDC-2.00-96 Group Annuity Contract, Form GA-PDC-3.00-96 Group Annuity Contract, Form GA-PDC-4.00-96 Group Annuity Contract, Form GA-PDC-5.00-96 Group Five - Pan-American Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective November 17, 2003: Group Annuity Contract, Form A-2358 Group Annuity Contract, Form A-1634 Group Annuity Contract, Form A-1635 Group Annuity Contract, DC-79 Form A-885 Group Annuity Contract, DB-79 Form A-894 Certificate Of Completion Envelope Id: B0E866EB031E40F0B4811FD0EA163198 Status: Completed Subject: Minnesota Life -Amendment to PA.pdf Source Envelope: Document Pages: 5 Signatures: 2 Envelope Originator: Certificate Pages: 2 Initials: 0 Xxxxxxxx Xxxxxx AutoNav: Enabled 000 Xxxxx Xx. EnvelopeId Stamping: Enabled Smithfield, RI 02917 Time Zone: (UTC-05:00) Eastern Time (US & Canada) xxxxxxxx.xxxxxx@xxx.xxx IP Address: 192.223.242.30
Appears in 2 contracts
Samples: Participation Agreement (Minnesota Life Individual Variable Universal Life Account), Participation Agreement (Minnesota Life Individual Variable Universal Life Account)
Unregistered Separate Accounts. Unregistered Separate Account Contracts - Contracts—Various Dates of Inception Group Annuity Contract forms to which this Agreement applies: Group One - One—Minnesota Life Contracts: Group Annuity Contract, Form 04-70126 Group Annuity Contract, Form 04-70128 Group Annuity Contract IAC I, Form 87-9173 Group Annuity Contract IAC I, Form 92-9274 Group Annuity Contract AIAC I, Form 90-9246 Group Annuity Contract IAC II, Form 89-9224 Group Annuity Contract AIAC II, Form 90-9247 Group Annuity Contract IAC I, Form 87-9166 Group Annuity Contract, Form MHC-95-9317 Group Annuity Contract, Form MHC-97-9388 Group Two - Two—Contracts previously issued by Minnesota Life prior to the date of this contract: Group Annuity Contract IAC I, Form F. 23412 Group Annuity Contract IAC I, Form F. 24415 Group Annuity Contract AIAC I, Form F .25150 Group Annuity Contract IAC I, Form F. 23411 Group Annuity Contract AIAC I, Form F. 25412 Group Annuity Contract PAC II, Form 89-9225 Group Annuity Contract RGC, Form 89-9084 Group Annuity Contract DA, Form 18084 Group Annuity Contract DA, Form 24595 Group Annuity Contract IPG, Form F. 21811 Group Annuity Contract IPG, Form F. 17283 Group Annuity Contract GAC, Form F. 18088 Group Annuity Contract GAC, Form F. 21713 Group Annuity Contract GAC, Form F. 24386 Group Annuity Contract, Form F. 24596 Group Annuity Contract, Form F. 24597 Group Annuity Contract, Form F. 18088-1 Group Annuity Contract, Form 89-9216 (UofM) Group Three - Three—Fort Dearborn Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective October 1, 1999: Group Annuity Contract, Form 8-39-1091 Group Annuity Contract, Form 0-000-000 Group Annuity Contract, Form 8-39-1188 Group Four - Four—First Allmerica Financial Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective July 1, 2001: Group Annuity Contract, Form GA-AID-1.00-81 Group Annuity Contract, Form GA-PDC-1.00-90 Group Annuity Contract, Form GA-PDC-2.00-96 Group Annuity Contract, Form GA-PDC-3.00-96 Group Annuity Contract, Form GA-PDC-4.00-96 Group Annuity Contract, Form GA-PDC-5.00-96 Group Five - Five—Pan-American Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective November 17, 2003: Group Annuity Contract, Form A-2358 Group Annuity Contract, Form A-1634 Group Annuity Contract, Form A-1635 Group Annuity Contract, DC-79 Form A-885 Group Annuity Contract, DB-79 Form A-894 Certificate Of Completion Envelope Id: B0E866EB031E40F0B4811FD0EA163198 Status: Completed Subject: Minnesota Life -Amendment to PA.pdf Source Envelope: Document Pages: 5 Signatures: 2 Envelope Originator: Certificate Pages: 2 Initials: 0 Xxxxxxxx Xxxxxx AutoNav: Enabled 000 Xxxxx Xx. EnvelopeId Stamping: Enabled Smithfield, RI 02917 Time Zone: (UTC-05:00) Eastern Time (US & Canada) xxxxxxxx.xxxxxx@xxx.xxx IP Address: 192.223.242.30192.223.242.30 Record Tracking Status: Original Holder: Xxxxxxxx Xxxxxx Location: DocuSign 2/7/2023 8:50:12 AM xxxxxxxx.xxxxxx@xxx.xxx Signer Events Signature Timestamp Xxxx Xxxxx xxxx.xxxxx@xxx.xxx Assistant Treasurer Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 192.223.136.5 Sent: 2/7/2023 8:55:05 AM Viewed: 2/7/2023 9:05:19 AM Signed: 2/7/2023 9:05:26 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxx Xxxxxxx xxx.xxxxxxx@xxx.xxx EVP Fidelity Distributors Company LLC Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 192.223.241.27 Sent: 2/7/2023 9:05:27 AM Resent: 2/14/2023 12:29:41 PM Viewed: 2/14/2023 12:31:40 PM Signed: 2/14/2023 12:32:16 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 2/7/2023 8:55:05 AM Certified Delivered Security Checked 2/14/2023 12:31:40 PM Signing Complete Security Checked 2/14/2023 12:32:16 PM Envelope Summary Events Status Timestamps Completed Security Checked 2/14/2023 12:32:16 PM
Appears in 1 contract
Samples: Participation Agreement (Minnesota Life Individual Variable Universal Life Account)
Unregistered Separate Accounts. Unregistered Separate Account Contracts - Various Dates of Inception Group Annuity Contract forms to which this Agreement applies: Group One - Minnesota Life Contracts: Group Annuity Contract, Form 04-70126 Group Annuity Contract, Form 04-70128 Group Annuity Contract IAC I, Form 87-9173 Group Annuity Contract IAC I, Form 92-9274 Group Annuity Contract AIAC I, Form 90-9246 Group Annuity Contract IAC II, Form 89-9224 Group Annuity Contract AIAC II, Form 90-9247 Group Annuity Contract IAC I, Form 87-9166 Group Annuity Contract, Form MHC-95-9317 Group Annuity Contract, Form MHC-97-9388 Group Two - Contracts previously issued by Minnesota Life prior to the date of this contract: Group Annuity Contract IAC I, Form F. 23412 Group Annuity Contract IAC I, Form F. 24415 Group Annuity Contract AIAC I, Form F .25150 Group Annuity Contract IAC I, Form F. 23411 Group Annuity Contract AIAC I, Form F. 25412 Group Annuity Contract PAC II, Form 89-9225 Group Annuity Contract RGC, Form 89-9084 Group Annuity Contract DA, Form 18084 Group Annuity Contract DA, Form 24595 Group Annuity Contract IPG, Form F. 21811 Group Annuity Contract IPG, Form F. 17283 Group Annuity Contract GAC, Form F. 18088 Group Annuity Contract GAC, Form F. 21713 Group Annuity Contract GAC, Form F. 24386 Group Annuity Contract, Form F. 24596 Group Annuity Contract, Form F. 24597 Group Annuity Contract, Form F. 18088-1 Group Annuity Contract, Form 89-9216 (UofM) Group Three - Fort Dearborn Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective October 1, 1999: Group Annuity Contract, Form 8-39-1091 Group Annuity Contract, Form 0-000-000 Group Annuity Contract, Form 8-39-1188 Group Four - First Allmerica Financial Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective July 1, 2001: Group Annuity Contract, Form GA-AID-1.00-81 Group Annuity Contract, Form GA-PDC-1.00-90 Group Annuity Contract, Form GA-PDC-2.00-96 Group Annuity Contract, Form GA-PDC-3.00-96 Group Annuity Contract, Form GA-PDC-4.00-96 Group Annuity Contract, Form GA-PDC-5.00-96 Group Five - Pan-American Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective November 17, 2003: Group Annuity Contract, Form A-2358 Group Annuity Contract, Form A-1634 Group Annuity Contract, Form A-1635 Group Annuity Contract, DC-79 Form A-885 Group Annuity Contract, DB-79 Form A-894 Certificate Of Completion Envelope Id: B0E866EB031E40F0B4811FD0EA163198 Status: Completed Subject: Minnesota Life -Amendment to PA.pdf Source Envelope: Document Pages: 5 Signatures: 2 Envelope Originator: Certificate Pages: 2 Initials: 0 Xxxxxxxx Xxxxxx AutoNav: Enabled 000 Xxxxx Xx. EnvelopeId Envelopeld Stamping: Enabled Smithfield, RI 02917 Time Zone: (UTC-05:00) Eastern Time (US & Canada) xxxxxxxx.xxxxxx@xxx.xxx IP Address: 192.223.242.30192.223.242.30 Record Tracking Status: Original Holder: Xxxxxxxx Xxxxxx Location: DocuSign 2/7/2023 8:50:12 AM xxxxxxxx.xxxxxx@xxx.xxx Signer Events Signature Timestamp Xxxx Xxxxx Sent: 2/7/2023 8:55:05 AM xxxx.xxxxx@xxx.xxx Viewed: 2/7/2023 9:05:19 AM Assistant Treasurer Signed: 2/7/2023 9:05:26 AM Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 192.223.136.5 Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxx Xxxxxxx Sent: 2/7/2023 9:05:27 AM xxx.xxxxxxx@xxx.xxx Resent: 2/14/2023 12:29:41 PM EVP Viewed: 2/14/2023 12:31:40 PM Fidelity Distributors Company LLC Signed: 2/14/2023 12:32:16 PM Security Level: Email, Account Signature Adoption: Pre-selected Style Authentication (None) Using IP Address: 192.223.241.27
Appears in 1 contract
Unregistered Separate Accounts. Unregistered Separate Account Contracts - Contracts—Various Dates of Inception Group Annuity Contract forms to which this Agreement applies: Group One - One—Minnesota Life Contracts: Group Annuity Contract, Form 04-70126 Group Annuity Contract, Form 04-70128 Group Annuity Contract IAC I, Form 87-9173 Group Annuity Contract IAC I, Form 92-9274 Group Annuity Contract AIAC I, Form 90-9246 Group Annuity Contract IAC II, Form 89-9224 Group Annuity Contract AIAC II, Form 90-9247 Group Annuity Contract IAC I, Form 87-9166 Group Annuity Contract, Form MHC-95-9317 Group Annuity Contract, Form MHC-97-9388 Group Two - Two—Contracts previously issued by Minnesota Life prior to the date of this contract: Group Annuity Contract IAC I, Form F. 23412 Group Annuity Contract IAC I, Form F. 24415 Group Annuity Contract AIAC I, Form F .25150 Group Annuity Contract IAC I, Form F. 23411 Group Annuity Contract AIAC I, Form F. 25412 Group Annuity Contract PAC II, Form 89-9225 Group Annuity Contract RGC, Form 89-9084 Group Annuity Contract DA, Form 18084 Group Annuity Contract DA, Form 24595 Group Annuity Contract IPG, Form F. 21811 Group Annuity Contract IPG, Form F. 17283 Group Annuity Contract GAC, Form F. 18088 Group Annuity Contract GAC, Form F. 21713 Group Annuity Contract GAC, Form F. 24386 Group Annuity Contract, Form F. 24596 Group Annuity Contract, Form F. 24597 Group Annuity Contract, Form F. 18088-1 Group Annuity Contract, Form 89-9216 (UofM) Group Three - Three—Fort Dearborn Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective October 1, 1999: Group Annuity Contract, Form 8-39-1091 Group Annuity Contract, Form 0-000-000 Group Annuity Contract, Form 8-39-1188 Group Four - Four—First Allmerica Financial Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective July 1, 2001: Group Annuity Contract, Form GA-AID-1.00-81 Group Annuity Contract, Form GA-PDC-1.00-90 Group Annuity Contract, Form GA-PDC-2.00-96 Group Annuity Contract, Form GA-PDC-3.00-96 Group Annuity Contract, Form GA-PDC-4.00-96 Group Annuity Contract, Form GA-PDC-5.00-96 Group Five - Five—Pan-American Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective November 17, 2003: Group Annuity Contract, Form A-2358 Group Annuity Contract, Form A-1634 Group Annuity Contract, Form A-1635 Group Annuity Contract, DC-79 Form A-885 Group Annuity Contract, DB-79 Form A-894 Certificate Of Completion Envelope Id: B0E866EB031E40F0B4811FD0EA163198 Status: Completed Subject: Minnesota Life -Amendment to PA.pdf Source Envelope: Document Pages: 5 Signatures: 2 Envelope Originator: Certificate Pages: 2 Initials: 0 Xxxxxxxx Xxxxxx AutoNav: Enabled 000 Xxxxx Xx. EnvelopeId Envelopeld Stamping: Enabled Smithfield, RI 02917 Time Zone: (UTC-05:00) Eastern Time (US & Canada) xxxxxxxx.xxxxxx@xxx.xxx IP Address: 192.223.242.30
Appears in 1 contract
Samples: Participation Agreement (Minnesota Life Individual Variable Universal Life Account)
Unregistered Separate Accounts. Unregistered Separate Account Contracts - Contracts—Various Dates of Inception Group Annuity Contract forms to which this Agreement applies: Group One - One—Minnesota Life Contracts: Group Annuity Contract, Form 04-70126 Group Annuity Contract, Form 04-70128 Group Annuity Contract IAC I, Form 87-9173 Group Annuity Contract IAC I, Form 92-9274 Group Annuity Contract AIAC I, Form 90-9246 Group Annuity Contract IAC II, Form 89-9224 Group Annuity Contract AIAC II, Form 90-9247 Group Annuity Contract IAC I, Form 87-9166 Group Annuity Contract, Form MHC-95-9317 Group Annuity Contract, Form MHC-97-9388 Group Two - Two—Contracts previously issued by Minnesota Life prior to the date of this contract: Group Annuity Contract IAC I, Form F. 23412 Group Annuity Contract IAC I, Form F. 24415 Group Annuity Contract AIAC I, Form F .25150 Group Annuity Contract IAC I, Form F. 23411 Group Annuity Contract AIAC I, Form F. 25412 Group Annuity Contract PAC II, Form 89-9225 Group Annuity Contract RGC, Form 89-9084 Group Annuity Contract DA, Form 18084 Group Annuity Contract DA, Form 24595 Group Annuity Contract IPG, Form F. 21811 Group Annuity Contract IPG, Form F. 17283 Group Annuity Contract GAC, Form F. 18088 Group Annuity Contract GAC, Form F. 21713 Group Annuity Contract GAC, Form F. 24386 Group Annuity Contract, Form F. 24596 Group Annuity Contract, Form F. 24597 Group Annuity Contract, Form F. 18088-1 Group Annuity Contract, Form 89-9216 (UofM) Group Three - Three—Fort Dearborn Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective October 1, 1999: Group Annuity Contract, Form 8-39-1091 Group Annuity Contract, Form 0-000-000 Group Annuity Contract, Form 8-39-1188 Group Four - Four—First Allmerica Financial Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective July 1, 2001: Group Annuity Contract, Form GA-AID-1.00-81 Group Annuity Contract, Form GA-PDC-1.00-90 Group Annuity Contract, Form GA-PDC-2.00-96 Group Annuity Contract, Form GA-PDC-3.00-96 Group Annuity Contract, Form GA-PDC-4.00-96 Group Annuity Contract, Form GA-PDC-5.00-96 Group Five - Five—Pan-American Life Insurance Company Contracts reinsured by Minnesota Life pursuant to Assumption Reinsurance Transaction effective November 17, 2003: Group Annuity Contract, Form A-2358 Group Annuity Contract, Form A-1634 Group Annuity Contract, Form A-1635 Group Annuity Contract, DC-79 Form A-885 Group Annuity Contract, DB-79 Form A-894 Certificate Of Completion Envelope Id: B0E866EB031E40F0B4811FD0EA163198 Status: Completed Subject: Minnesota Life -Amendment to PA.pdf Source Envelope: Document Pages: 5 Signatures: 2 Envelope Originator: Certificate Pages: 2 Initials: 0 Xxxxxxxx Xxxxxx AutoNav: Enabled 000 Xxxxx Xx. EnvelopeId Stamping: Enabled Smithfield, RI 02917 Time Zone: (UTC-05:00) Eastern Time (US & Canada) xxxxxxxx.xxxxxx@xxx.xxx IP Address: 192.223.242.30
Appears in 1 contract
Samples: Participation Agreement (Minnesota Life Variable Life Account)