Read Your Contract Carefully – This is A Legal Contract
Exhibit 24(b)(4)(a)
[MultiOption Momentum]
Individual Variable Annuity
Minnesota Life Insurance Company
[Annuity Services • A1-9999] • [000 Xxxxxx Xxxxxx Xxxxx • St. Xxxx, Minnesota 55101-2098]
[0-000-000-0000] • [Fax 000-000-0000] • [xxxxxxxx.xxx]
Read Your Contract Carefully – This is A Legal Contract
We promise to pay the benefits described by this contract subject to its provisions. We make this promise and issue this contract in consideration of the application for it and the receipt of a Purchase Payment. The Owner and the Beneficiary are as named in the application unless they are changed as provided for in this contract.
Notice of Your Right to Examine This Contract for 20 Days
It is important to us that you are satisfied with this contract. If you are not satisfied, you may return the contract to us or to your sales representative within 20 days of its receipt or 30 days where required. If you exercise this right, you will receive the Contract Value of this contract plus any fees or charges deducted from the Purchase Payments. We will pay this refund within 7 days after we receive your notice of cancellation.
Signed for Minnesota Life Insurance Company at St. Xxxx, Minnesota on the Contract Date.
| ( | /s/ Xxxx X. Xxxxxxxxxxx
Secretary |
/s/ Xxxxxxxxxxx X. Xxxxxx
President |
) |
ALL PAYMENTS AND VALUES PROVIDED BY THIS CONTRACT, WHEN BASED ON THE INVESTMENT EXPERIENCE OF THE VARIABLE ACCOUNT, ARE VARIABLE AND NOT GUARANTEED AS TO A FIXED DOLLAR AMOUNT. THE VARIABLE ACCOUNT INFORMATION MAY BE FOUND ON PAGE 9.
THIS CONTRACT CONTAINS A DEFERRED SALES CHARGE AS DESCRIBED ON PAGE 8. IT ALSO INCLUDES A BENEFIT TO WAIVE THE DEFERRED SALES CHARGE UNDER QUALIFYING HOSPITAL, MEDICAL CARE, AND TERMINAL CONDITION EVENTS AS DESCRIBED ON PAGE 1a AND THE ATTACHED HOSPITAL, MEDICAL CARE, AND TERMINAL CONDITION ENDORSEMENT.
THIS CONTRACT MAY CONTAIN INDEXED ACCOUNTS AS DESCRIBED ON PAGE 1a. WHILE CONTRACT VALUES MAY BE AFFECTED BY EXTERNAL INDICES, THE CONTRACT DOES NOT DIRECTLY PARTICIPATE IN ANY STOCK OR EQUITY INVESTEMENTS.
| • | Flexible Payment Deferred Variable Annuity Contract |
| • | Fixed or Variable Annuity Payment Benefits |
| • | A Nonparticipating Contract |
| ICC20-70632 |
CONTRACT INDEX
Alphabetical Index to the Provisions of Your Contract
ICC20-70632
[MARKETING NAME] VARIABLE ANNUITY
CONTRACT SCHEDULE – EFFECTIVE [January 1, 2020]
| Contract Number: [A123456] |
Contract Date: [January 1, 2020] | |
| Owner: [Xxxx Xxx] |
Maturity Date: [January 1, 2063] | |
| Joint Owner: |
Jurisdiction: [Your State] | |
| Annuitant: [Xxxx Xxx] |
Gender: [M] Date of Birth: [January 1, 1963] | |
| Joint Annuitant: |
Gender Date of Birth: | |
| Plan: [Non-Qualified] |
Initial Purchase Payment: [$25,000] | |
Insurance Department Contact Information: [xxx-xxx-xxxx]
| Guaranteed Interest Accounts: |
||
| Dollar Cost Averaging (DCA) Fixed Account Options: |
[6 months and 12 months] | |
| Initial Interest Rate: |
[1.00%] | |
| Fixed Account (only available for fixed Annuity Payments) |
||
| [Interim Account] |
||
| Guaranteed Interest Accounts Guaranteed Minimum Annual Interest Rate: |
[1.00%] | |
| Variable Account(s): |
Variable Annuity Account | |
| Indexed Account(s): |
||
| [Point-to-Point Indexed Accounts Endorsement2] |
||
| [ S&P 500® 1-Year Point-to-Point with Cap |
||
| Index: |
S&P 500® 3,4 | |
| Initial Cap / Minimum Cap1: |
[3.00%] / [2.00%] ] | |
| [ Barclays All Caps Trailblazer 5 with Participation Rate |
||
| Index: |
Barclays All Caps Trailblazer 5 5 | |
| Initial Participation Rate / Minimum Participation Rate1: |
[81%] / [35%] ] | |
| Minimum Initial Purchase Payment: |
[$25,000] | |
| Minimum Subsequent Purchase Payment: |
[$500] | |
| Maximum Cumulative Purchase Payments: |
[$2,000,000] | |
| Years Since Purchase Payment | ||||||||||||
| Deferred Sales Charge: |
0-1 | 1-2 | 2-3 | 3-4 | 4-5 | 5 and thereafter | ||||||
| 8% | 8% | 7% | 6% | 5% | 0% | |||||||
The deferred sales charge is applied to Purchase Payments withdrawn or surrendered from this contract. The deferred sales charge may be waived under qualifying hospital, medical care, and terminal condition events as described in the Hospital, Medical Care, and Terminal Condition Waiver Endorsement. This waiver of deferred sales charge is available at the later of the first Contract Anniversary or one year following a change of Owner. No additional Purchase Payments may be made during periods in which you are eligible for this waiver of deferred sales charge.
Free Withdrawal Amount:
Each Contract Year, a 10% withdrawal amount is available free from any deferred sales charge as defined on pages 7 and 8.
| ICC20-70632 | [A123456] Minnesota Life 1a |
Annual Maintenance Fee:
A fee of [$50] will be applied on each Contract Anniversary and at surrender when the greater of: (a) Contract Value; or (b) Purchase Payments less withdrawals is less than [$75,000]. The annual maintenance fee will be deducted proportionately from the Contract Values in the Variable Account.
Transfer Charge:
A maximum charge of $10 will be deducted from the transfer amount when the frequency of transfers exceeds twelve per Contract Year.
Charges to the Variable Account:
A daily charge is deducted from any portion of the Contract Value allocated to the Variable Account. The deduction is the daily equivalent of the annual percentage shown below:
| Administrative Charge: |
[0.15%] | |
| Mortality and Expense Risk Charge prior to Annuity Commencement: |
[0.75%] | |
| Mortality and Expense Risk Charge after Annuity Commencement: |
[1.20%] |
[Guaranteed Minimum Surrender Value (“GMSV”) for Indexed Accounts
| GMSV Purchase Payment Percentage: |
[87.5%] | |
| GMSV Rate: [1.00%] |
||
| The GMSV Rate is guaranteed for the life of the contract. ] |
||
| Optional Riders and Charges: |
||
| [None] |
||
| ICC20-70632 |
[A123456] Minnesota Life 1b |
[1 Minimum rates are guaranteed for the life of the contract.
2 The elements used in determining the credited rate from the index are not guaranteed and can be changed by us subject to the guarantees in the contract. Any such changes can affect the return.
3 Index-linked returns do not include the portion of returns generated by the underlying index that come from dividends.
4 S&P® is a registered trademark of Standard & Poor’s Financial Services LLC (S&P”) and Dow Xxxxx® is a registered trademark of Dow Xxxxx Trademark Holdings LLC (“Dow Xxxxx”). The forgoing trademarks have been licensed for use by S&P Dow Xxxxx Indices LLC. S&P® and S&P 500® are registered trademarks of S&P and have been licensed for use by S&P Dow Xxxxx Indices LLC and Minnesota Life Insurance Company (“Minnesota Life”). The S&P 500® index (the “Index”) is a product of S&P Dow Xxxxx Indices LLC and has been licensed for use by Minnesota Life. Minnesota Life Indexed Annuities are not sponsored, endorsed, sold or promoted by S&P Dow Xxxxx Indices LLC, Dow Xxxxx, S&P or any of their respective affiliates (collectively, “S&P Dow Xxxxx Indices”). S&P Dow Xxxxx Indices does not make any representation or warranty, express or implied, to the owners of Minnesota Life Indexed Annuities or any member of the public regarding the advisability of investing in securities generally or in Minnesota Life Indexed Annuities particularly or the ability of the Index to track general market performance. S&P Dow Xxxxx Indices only relationship to Minnesota Life with respect to the Index is the licensing of the Index and certain trademarks, service marks and/or trade names of S&P Dow Xxxxx Indices. The Index is determined, composed and calculated by S&P Dow Xxxxx Indices without regard to Minnesota Life or Minnesota Life Indexed Annuities. S&P Dow Xxxxx Indices shall have no obligation to take the needs of Minnesota Life or the owners of Minnesota Life Indexed Annuities into consideration in determining, composing or calculating the Index. S&P Dow Xxxxx Indices is not responsible for and has not participated in the determination of the prices, and amount of Minnesota Life Indexed Annuities or the timing of the issuance or sale of Minnesota Life Indexed Annuities or in the determination or calculation of the equation by which Minnesota Life Indexed Annuities are to be converted into cash, surrendered, or redeemed, as the case may be. S&P Dow Xxxxx Indices shall have no obligation or liability in connection with the administration, marketing or trading of Minnesota Life Indexed Annuities. There is no assurance that investment products based on the Index will accurately track index performance or provide positive investment returns. S&P Dow Xxxxx Indices LLC is not an investment advisor. Inclusion of a security within the Index is not a recommendation by S&P Dow Xxxxx Indices to buy, sell, or hold such security, nor is it considered to be investment advice.
S&P DOW XXXXX INDICES DOES NOT GUARANTEE THE ADEQUACY, ACCURACY, TIMELINESS AND/OR THE COMPLETENESS OF THE INDEX OR ANY DATA RELATED THERETO OR ANY COMMUNICATION, INCLUDING BUT NOT LIMITED TO, ORAL OR WRITTEN COMMUNICATION (INCLUDING ELECTRONIC COMMUNICATIONS) WITH RESPECT THERETO. S&P DOW XXXXX INDICES SHALL NOT BE SUBJECT TO ANY DAMAGES OR LIABILITY FOR ANY ERRORS, OMISSIONS, OR DELAYS THEREIN. S&P DOW XXXXX INDICES MAKES NO EXPRESS OR IMPLIED WARRANTIES, AND EXPRESSLY DISCLAIMS ALL WARRANTIES, OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR USE OR AS TO RESULTS TO BE OBTAINED BY MINNESOTA LIFE, OWNERS OF MINNESOTA LIFE INDEXED ANNUITIES, OR ANY OTHER PERSON OR ENTITY FROM THE USE OF THE INDEX OR WITH RESPECT TO ANY DATA RELATED THERETO. WITHOUT LIMITING ANY OF THE FOREGOING, IN NO EVENT WHATSOEVER SHALL S&P DOW XXXXX INDICES BE LIABLE FOR ANY INDIRECT, SPECIAL, INCIDENTAL, PUNITIVE, OR CONSEQUENTIAL DAMAGES INCLUDING BUT NOT LIMITED TO, LOSS OF PROFITS, TRADING LOSSES, LOST TIME OR GOODWILL, EVEN IF THEY HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, WHETHER IN CONTRACT, TORT, STRICT LIABILITY, OR OTHERWISE. THERE ARE NO THIRD PARTY BENEFICIARIES OF ANY AGREEMENTS OR ARRANGEMENTS BETWEEN S&P DOW XXXXX INDICES AND MINNESOTA LIFE.
5 Barclays Bank PLC and its affiliates (“Barclays”) is not the issuer or producer of Minnesota Life Insurance Company (“Minnesota Life”) Indexed Annuities and Barclays has no responsibilities, obligations or duties to contract owners of Minnesota Life Indexed Annuities. The Barclays All Caps Trailblazer 5 Index is a trademark owned by Barclays Bank PLC and licensed for use by Minnesota Life as the Issuer of Minnesota Life Indexed Annuities. Barclays only relationship with the Issuer in respect of
| ICC20-70632 |
[A123456] Minnesota Life 1c |
Barclays All Caps Trailblazer 5 Index is the licensing of the Barclays All Caps Trailblazer 5 Index, which is determined, composed and calculated by Barclays without regard to the Issuer or the Minnesota Life Indexed Annuities or the owners of Minnesota Life Indexed Annuities. Additionally, Minnesota Life may for itself execute transaction(s) with Barclays in or relating to the Barclays All Caps Trailblazer 5 Index in connection with Minnesota Life Indexed Annuities. Contract owners acquire Minnesota Life Indexed Annuities from Minnesota Life and contract owners neither acquire any interest in Barclays All Caps Trailblazer 5 Index nor enter into any relationship of any kind whatsoever with Barclays upon making an investment in Minnesota Life Indexed Annuities. The Minnesota Life Indexed Annuities are not sponsored, endorsed, sold or promoted by Barclays. Barclays does not make any representation or warranty, express or implied regarding the advisability of investing in the Minnesota Life Indexed Annuities or the advisability of investing in securities generally or the ability of the Barclays All Caps Trailblazer 5 Index to track corresponding or relative market performance. Barclays has not passed on the legality or suitability of the Minnesota Life Indexed Annuities with respect to any person or entity. Barclays is not responsible for and has not participated in the determination of the timing of, prices at, or quantities of the Minnesota Life Indexed Annuities to be issued. Barclays has no obligation to take the needs of the Issuer or the owners of the Minnesota Life Indexed Annuities or any other third party into consideration in determining, composing or calculating the Barclays All Caps Trailblazer 5 Index. Barclays has no obligation or liability in connection with administration, marketing or trading of the Minnesota Life Indexed Annuities.
The licensing agreement between Minnesota Life and Barclays is solely for the benefit of Minnesota Life and Barclays and not for the benefit of the owners of the Minnesota Life Indexed Annuities, contract owners or other third parties.
BARCLAYS SHALL HAVE NO LIABILITY TO THE ISSUER, CONTRACT OWNERS OR TO OTHER THIRD PARTIES FOR THE QUALITY, ACCURACY AND/OR COMPLETENESS OF THE BARCLAYS ALL CAPS TRAILBLAZER 5 INDEX OR ANY DATA INCLUDED THEREIN OR FOR INTERRUPTIONS IN THE DELIVERY OF THE BARCLAYS ALL CAPS TRAILBLAZER 5 INDEX. BARCLAYS MAKES NO WARRANTY, EXPRESS OR IMPLIED, AS TO RESULTS TO BE OBTAINED BY THE ISSUER, THE CONTRACT OWNERS OR ANY OTHER PERSON OR ENTITY FROM THE USE OF THE BARCLAYS ALL CAPS TRAILBLAZER 5 INDEX OR ANY DATA INCLUDED THEREIN. BARCLAYS MAKES NO EXPRESS OR IMPLIED WARRANTIES, AND HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR USE WITH RESPECT TO THE BARCLAYS ALL CAPS TRAILBLAZER 5 INDEX OR ANY DATA INCLUDED THEREIN. BARCLAYS RESERVES THE RIGHT TO CHANGE THE METHODS OF CALCULATION OR PUBLICATION, OR TO CEASE THE CALCULATION OR PUBLICATION OF THE BARCLAYS ALL CAPS TRAILBLAZER 5 INDEX, AND BARCLAYS SHALL NOT BE LIABLE FOR ANY MISCALCULATION OF OR ANY INCORRECT, DELAYED OR INTERRUPTED PUBLICATION WITH RESPECT TO ANY OF THE BARCLAYS ALL CAPS TRAILBLAZER 5 INDEX. BARCLAYS SHALL NOT BE LIABLE FOR ANY DAMAGES, INCLUDING, WITHOUT LIMITATION, ANY SPECIAL, INDIRECT OR CONSEQUENTIAL DAMAGES, OR ANY LOST PROFITS AND EVEN IF ADVISED OF THE POSSIBLITY OF SUCH, RESULTING FROM THE USE OF THE BARCLAYS ALL CAPS TRAILBLAZER 5 INDEX OR ANY DATA INCLUDED THEREIN OR WITH RESPECT TO THE MINNESOTA LIFE INDEXED ANNUITIES.
None of the information supplied by Barclays Bank PLC and used in this publication may be reproduced in any manner without the prior written permission of Barclays Capital, the investment banking division of Barclays Bank PLC. Barclays Bank PLC is registered in England No. 1026167. Registered office 0 Xxxxxxxxx Xxxxx Xxxxxx X00 0XX.]
ICC20-70632
Definitions {XE “Definitions”}
Accumulation Unit
An accounting unit of measure used to calculate the value of a Sub-Account of this contract before Annuity Payments begin.
Annuitant
The natural person(s) named as Annuitant upon whose lifetime Annuity Payment benefits will be determined under this contract. An Annuitant’s life may also be used to determine the value of death benefits and to determine the Maturity Date. If the Annuitant is not the Owner and dies prior to the Annuity Commencement Date, the Owner may name a new Annuitant if the Owner is a natural person. If a new Annuitant is not named, the youngest Owner will become the Annuitant. If the Owner is not a natural person and the Annuitant dies prior to the Annuity Commencement Date, the death will be treated as the death of the Owner as described in the “Death Benefits” section of the contract.
Annuity Commencement Date
The date on which Annuity Payments are elected to begin. This may be the Maturity Date or a date you select prior to the Maturity Date.
Annuity Payments
A series of payments for one of the following periods of time: the life of the Annuitant; the life of the Annuitant with a minimum number of payments; joint lifetime of the Joint Annuitants and thereafter during the lifetime of the survivor; or, payments for a designated period. Annuity Payments made at regular intervals are due and payable on dates agreed upon between you and us.
Annuity Unit
An accounting unit of measure used to calculate the value of Annuity Payments under a variable Annuity Payment option.
Assumed Investment Return (“AIR”)
The annual investment return used to determine the initial variable Annuity Payment under this contract. One or more rates may be available for election at the Annuity Commencement Date.
Beneficiary {XE “Beneficiary”}
The person, persons or entity designated to receive any death benefit proceeds payable on the death of any Owner prior to the Annuity Commencement Date; or to receive any remaining annuity benefits payable on the death of the Annuitant after the Annuity Commencement Date. The Beneficiary will be the first person on the following list who is alive on the date of death: a surviving Owner (if any), the primary (class 1) Beneficiary, the secondary (class 2) Beneficiary or, if none of the above is alive, your estate.
Contract Anniversary
The same day and month as the Contract Date for each succeeding year of this contract.
Contract Date
The effective date of this contract. It is also the date from which we determine Contract Anniversaries and Contract Years.
Contract Value
The sum of your values in the Guaranteed Interest Accounts, Sub-Accounts of the Variable Account, and any Indexed Accounts on any Valuation Date prior to the Annuity Commencement Date.
Contract Year
A period of one year beginning with the Contract Date or Contract Anniversary.
| ICC20-70632 |
[A123456] Minnesota Life 2 |
Dollar Cost Averaging (“DCA”) Fixed Account
The DCA Fixed Account provides dollar cost averaging options that are available for Purchase Payment allocations. Any Purchase Payments allocated to a DCA Fixed Account option will be transferred in approximately equal installments to your selected Sub-Accounts of the Variable Account over a specific time period based on the DCA Fixed Account option elected. Making transfers in this fashion is also known as dollar cost averaging. Amounts allocated to the DCA Fixed Account options are part of our General Account. You may not transfer amounts from the other Guaranteed Interest Accounts, the Sub-Accounts, or any Indexed Accounts to the DCA Fixed Account.
Fixed Account
The Fixed Account is only available for fixed dollar Annuity Payments. You may not elect to transfer amounts to the Fixed Account. If you elect fixed dollar Annuity Payments, your Contract Value will automatically be transferred to the Fixed Account as of the date we receive your Written Request electing Annuity Payments. For any period prior to the date amounts are applied to provide Annuity Payments, interest will be credited on amounts in the Fixed Account at an annual rate at least equal to the guaranteed rate shown on page one. Amounts in the Fixed Account are part of our General Account.
Fund
The mutual fund or separate investment portfolio within a series mutual fund which is designated as an eligible investment for a Sub-Account of the Variable Account.
General Account
All assets of Minnesota Life other than those allocated to separate accounts established by us. We have exclusive and absolute ownership of the assets of the General Account.
Guaranteed Interest Account
An account option that provides an interest rate guaranteed for a specified period of time. The options available as of the Contract Date are shown on page one.
Indexed Account
An account option that may provide interest based on performance of an index. We may issue one or more endorsements which make Indexed Accounts available. The endorsement(s) define any applicable terms and parameters.
Joint Annuitant
The person named as Joint Annuitant upon whose life, together with the Annuitant, Annuity Payments may be determined. If Joint Annuitants are named, all references to Annuitant shall mean the Joint Annuitants.
Joint Owner
If more than one Owner has been designated, each Owner shall be a Joint Owner of the contract. Joint Owners have equal ownership rights and must both authorize the exercise of those ownership rights unless otherwise permitted by us. When two people are named as Joint Owners, the term “Owner” means the Joint Owners or the survivor. Joint Owners are not permitted if the Owner is not a natural person.
Maturity Date
The date this contract matures. The Maturity Date will be the first of the month on or following the oldest Annuitant’s 100th birthday.
Minnesota Life (“we”, “our”, “us”)
Minnesota Life Insurance Company.
Non-Qualified Contract
A contract other than a Qualified Contract.
Owner (“you”, “your”, “yours”)
The person(s) who has (have) all rights under this contract. The contract may be owned by natural persons, or by a corporation, trust, or custodial account that holds the contract as agent for the sole benefit of a natural person(s).
| ICC20-70632 |
[A123456] Minnesota Life 3 |
Purchase Payments
Amounts paid to us as consideration for the benefits provided by this contract.
Qualified Contract
A contract issued to a retirement plan or arrangement that receives favorable tax treatment under Section 401, 404, 408, 408A and 457 of the Internal Revenue Code, as amended.
Sub-Account
The subdivisions of the Variable Account to which you may allocate your Purchase Payments or transfers. The assets of the Sub-Accounts are invested in the corresponding Funds.
Surrender Value
The amount payable to you on surrender of this contract. The Surrender Value is equal to the Contract Value less the annual maintenance fee, deferred sales charge, and optional rider charges, if any.
Valuation Date
Any date on which a Fund is valued.
Valuation Period
The period between successive Valuation Dates.
Variable Account
The separate investment account(s) named on page one and used for this class of contracts under Minnesota law. The Variable Account is comprised of several Sub-Accounts. The assets of the Variable Account are ours and are not subject to claims arising out of any other business of ours. The incomes, gains and losses, whether or not realized from assets allocated to the Variable Account shall be credited to or charged against such account without regard to other income, gains, or losses of ours.
Written Request
A written notice, signed by you, in a form approved by or acceptable to us. In some cases, we may require that this contract be sent in with your Written Request.
General Provisions {XE “General Provisions”}
Entire Contract
This contract and any amendments, endorsements, riders or application attached thereto, contain the entire contract between you and us. Any statements made in the application either by you or the Annuitant will, in the absence of fraud, be considered representations and not warranties.
Any additional rider or agreement attached to this contract will become part of this contract. It will be subject to the terms and conditions of this contract unless we state otherwise in the rider or agreement.
Modification of Contract
Modifications to this contract or any waiver of our rights or requirements under this contract can only be made by the written authorization of an officer of Minnesota Life. No representative or other person has the authority to change or waive any provisions of this contract. No modification will adversely affect your rights under this contract unless the modification is made to comply with a law or government regulation. You will have the right to accept or reject such a modification.
Change in Variable Account Operation
At our election and subject to any necessary vote by persons having the right to give instructions on the voting of the Fund shares held by the Sub-Accounts, the Variable Account:
| • | may be operated as a management company under the Investment Company Act of 1940 or any other form permitted by law; |
| • | may be de-registered under the Investment Company Act of 1940 in the event registration is no longer required; or |
| ICC20-70632 |
[A123456] Minnesota Life 4 |
| • | may be combined with one or more separate accounts. |
We also reserve the right, subject to any applicable law, to make certain changes including the right to add, eliminate, or substitute any Fund offered under the contract. Substitution may be with respect to existing Contract Values, future Purchase Payments and/or future Annuity Payments. No transfer of assets from one separate account to another affecting Owners of contracts delivered in a given state can be made except, where required, with the approval of the Insurance Commissioner of that state.
Reports to Owners
At least annually, we will send you a report that will show the beginning and the end dates for the current report period, your beginning and ending Contract Value, the ending Surrender Value, death benefit, a summary of transactions, any fees or charges incurred since the last report, and any other information that may be required. Values will be as of a date within two months of its mailing. Additional reports are available to you upon request at a cost of not more than $35 per report.
Misstatement of Age or Sex {XE “Misstatement”}
If the age or sex of the Owner or Annuitant has been misstated, we will adjust the benefits and amounts payable under this contract to those that would have been paid based upon the corrected age or sex. In the case of an overpayment, we may either deduct the required amount from future payments under this contract; or, we may require you to pay us the difference; or we may do both until we are fully repaid. In the case of an underpayment, we will pay the difference in a lump sum. Overpayments and underpayments will be charged or credited with an annual effective interest rate of 2.00%.
Proof of Age, Sex, or Survival
We may require satisfactory proof of correct age and sex when Annuity Payments begin or when an optional benefit rider is elected. We have the right to require proof of the life or death of any person on whose life or death determines whether, to whom, and how much we must pay any benefits under this contract or optional benefit riders.
Delay of Payments
Generally, we will make payment within seven days from our receipt of the Written Request. Payment of amounts from the Variable Account may be delayed under certain circumstances. These include:
| • | a closing of the New York Stock Exchange other than on a regular holiday or weekend; |
| • | a trading restriction by the Securities and Exchange Commission; or |
| • | an emergency declared by the Securities and Exchange Commission. |
After making written request and receiving written approval from the Insurance Commissioner, where required, we reserve the right to delay payments or transfers from the Guaranteed Interest Accounts and any Indexed Accounts for up to six months after we receive your Written Request. If such delay occurs, we will notify you of the specific date the transaction will occur, the reason for the delay, and the value of the transaction as of the date we receive your request.
Conformity with Interstate Insurance Product Regulation Commission Standards
This contract was approved under the authority of the Interstate Insurance Product Regulation Commission and issued under the Commission standards. Any provision of the contract which is in conflict with Interstate Insurance Product Regulation Commission standards for this product type is hereby amended to conform to the Interstate Insurance Product Regulation Commission standards for this product type as of the approval date.
Basis of Values
Any paid-up annuity, Surrender Value, or death benefits that may be available for this contract are not less than the minimum benefits required by Section 7 of the NAIC Model Variable Annuity Regulation, Model #250.
Incontestability
We will not contest this contract except in the event of fraud in the procurement of the contract, where permitted by applicable law in the state in which the contract is issued.
| ICC20-70632 |
[A123456] Minnesota Life 5 |
Change of Owner or Annuitant
You may change the Owner at any time. The Annuitant may change at any time prior to the Annuity Commencement Date. However, if the Owner of this contract is not a natural person, such as a trust or other entity, an Annuitant cannot be changed or added. A change of ownership may cause a taxable event. To change the Owner or Annuitant, we must receive the Written Request at our home office. Any new Owner or Annuitant must meet our issue requirements in effect on the Valuation Date we receive your Written Request. The change will take effect as of the date the Written Request was signed unless otherwise specified by you, whether or not you are living at the time of our receipt. We are not liable for any payment, settlement, or tax reporting made by us before such change is recorded at our home office.
The new Owner or Annuitant is subject to the terms and conditions of the contract.
Assignment
Unless this contract provides otherwise, you may assign all rights to this contract. We will not be bound by any assignment until we have received the Written Request at our home office. The assignment will take effect as of the date you signed the request unless otherwise specified by you, but will not apply to any payment or action taken by us prior to our receipt of the request. We are not responsible for the validity of any assignment. If the contract is absolutely assigned, the assignee becomes the new Owner. The new Owner is subject to the terms and conditions of the contract. Any change of ownership may cause a taxable event. You should consult your tax advisor to determine the tax consequences of an assignment before taking any action.
Any proceeds payable to an assignee will be paid in a single sum. Any claim made by an assignee will be subject to proof of the assignee’s interest and the extent of the assignment. If this contract is a Qualified Contract, then it may not be assigned, pledged, or otherwise transferred except under such conditions as may be allowed under applicable law.
Claims of Creditors
To the extent permitted by law, no benefit provided by this contract will be subject to any creditor’s claim or process of law.
Non-Participating
This contract is non-participating. No dividends will be paid under this contract.
Contract Termination
This contract will terminate on the earliest of these conditions:
| • | you withdraw the entire Surrender Value; |
| • | the Owner dies and any death benefit due has been paid; |
| • | Annuity Payments cease. |
We may cancel a contract if you do not make any Purchase Payments for a period of two or more full Contract Years and both (a) the total Purchase Payments, less any withdrawals and associated charges, and (b) the Contract Value are less than $2,000. If such a cancellation takes place, we will pay the Contract Value to you.
Voting Rights
If you have Variable Account Accumulation Units under this contract, you may direct us with respect to the voting rights of Fund shares held by us and attributable to this contract where shareholder approval is required by law.
Purchase Payments {XE “Purchase Payments”}
Flexible Purchase Payments
Purchase Payments are credited to the contract on the Valuation Date coincident with or next following the day they are received in our home office. If they are received on a day that is not a Valuation Date, those amounts will be credited on the next Valuation Date.
| ICC20-70632 |
[A123456] Minnesota Life 6 |
This is a flexible premium contract and you may choose when to make additional Purchase Payments. You may make additional Purchase Payments at any time before the Annuity Commencement Date, while the Owner is still living, and this contract is in force. We may permit your employer to remit Purchase Payments on your behalf. Additional Purchase Payments may not be made during periods in which you are eligible for a withdrawal or surrender without charge due to your confinement in a hospital or medical care facility or in the event you are diagnosed with a terminal condition. These provisions are described in the Hospital, Medical Care, and Terminal Condition Waiver Endorsement.
Automatic Payment Plans
We may permit you to establish an automatic payment plan providing your bank or other financial institution consents to have your Purchase Payments automatically withdrawn from your account and paid directly to us.
Purchase Payment Limitations
The Initial Purchase Payment and minimum Initial Purchase Payment amounts are shown on page one. Total Purchase Payments may not exceed the Maximum Cumulative Purchase Payments shown on page one for the same Owner or Annuitant without our prior consent. We reserve the right to not accept any Purchase Payment. You may have Purchase Payments in only one DCA Fixed Account option at any given time. Any subsequent Purchase Payments must be at least equal to the amount shown on page one. These minimums may not apply under certain automatic or group payment plans that may be established and agreed to by us.
Deductions From Purchase Payments
Generally, there are no deductions made from the Purchase Payments. However, we reserve the right to make a deduction from the Purchase Payments for state premium taxes, where applicable.
Allocation of Purchase Payments {XE “Allocation of Purchase Payments”}
Purchase Payments are allocated to a DCA Fixed Account option, the Sub-Accounts of the Variable Account, or any available Indexed Accounts as you direct. However, the DCA Fixed Account options are not available under automatic payment plans. The Fixed Account is not available for Purchase Payment allocations. You may change your allocation for future Purchase Payments by Written Request or by telephone where permitted. Purchase Payments received with incomplete allocation instructions will be returned in full if we cannot credit them within five valuation days after receipt.
DCA Fixed Account
Purchase Payments allocated to a DCA Fixed Account option will be transferred in approximately equal installments to the Sub-Accounts of the Variable Account over a specific time period. These transfers allow you to dollar cost average your Purchase Payments to your selected Sub-Accounts. The time period will be based on the DCA Fixed Account option you select. Interest will be credited on amounts in a DCA Fixed Account option at an annual rate at least equal to the guaranteed interest rate shown on page one.
Additional Purchase Payments may be allocated to the DCA Fixed Account option elected and will then be transferred out to the designated Sub-Accounts over the remainder of the existing period. After the end of the period or when all Purchase Payments and interest in the DCA Fixed Account have been transferred out, you may allocate additional Purchase Payments to the same or a different DCA Fixed Account option and a new period will begin.
To the extent permitted by law, we reserve the right at any time to offer DCA Fixed Account options that differ from those shown on page one. We also reserve the right at any time to stop accepting new Purchase Payments for a particular option.
Variable Account
The Variable Account is made up of Sub-Accounts. Each Sub-Account invests its assets in a corresponding Fund at the Fund’s net asset value. Purchase Payments are allocated to Sub-Accounts in accordance with your instructions or in accordance with the terms of this contract. They may also be allocated to any other Sub-Account that may be established by us under the Variable Account for contracts of this class.
| ICC20-70632 |
[A123456] Minnesota Life 7 |
Contract Charges
Deferred Sales Charge
The deferred sales charge may be assessed upon withdrawal or surrender of Purchase Payments. It applies during the five-year period following the receipt of each Purchase Payment. The amount withdrawn plus any deferred sales charge is deducted from the Contract Value. The amount of the deferred sales charge is determined from the percentages shown in the table below. For purposes of determining the amount of deferred sales charge, Purchase Payments will be withdrawn on a first-in, first-out basis.
| Years Since Purchase Payment | ||||||||||||
| Deferred Sales Charge: |
0-1 | 1-2 | 2-3 | 3-4 | 4-5 | 5 and thereafter | ||||||
| 8% | 8% | 7% | 6% | 5% | 0% | |||||||
The amount of the deferred sales charge is determined by: (a) calculating the number of years each Purchase Payment being withdrawn has been in the contract; (b) multiplying each Purchase Payment being withdrawn by the appropriate deferred sales charge percentage from the table; and (c) adding the deferred sales charge from all Purchase Payments calculated in (b).
Free Withdrawal Amount
Each Contract Year, you may withdraw a portion of your Contract Value free from any deferred sales charge. This amount is called the “free withdrawal amount”. The free withdrawal amount is not available upon full surrender of the contract. The free withdrawal amount is equal to 10% of any Purchase Payments not previously withdrawn and received in the current Contract Year plus the greater of:
| (a) | Contract Value less Purchase Payments not previously withdrawn as of the most recent Contract Anniversary; or |
| (b) | 10% of the sum of Purchase Payments not previously withdrawn and still subject to deferred sales charge as of the most recent Contract Anniversary. |
The deferred sales charge will not apply to amounts in excess of the free withdrawal amount described above if withdrawn in any Contract Year to satisfy the IRS required minimum distribution for this contract. However, if you withdraw the required minimum distribution for two calendar years in a single Contract Year, the deferred sales charge may apply. Applicable contracts include those issued pursuant to a retirement plan under the provisions of Section 401, 404, 408, or 457 of the Internal Revenue Code. Amounts withdrawn to satisfy the required minimum distribution for this contract will reduce the free withdrawal amount available for the Contract Year. We reserve the right to modify or eliminate the amount available for withdrawal without charge under required minimum distribution if there is any change to the Internal Revenue Code or regulations regarding required minimum distribution, including guidance issued by the IRS. We will provide you 30 days written notice of any modifications or termination of this provision.
Waiver of Deferred Sales Charge
The deferred sales charge will not apply to:
| • | Amounts payable as a death benefit. |
| • | Amounts applied to provide Annuity Payments under an Annuity Payment option. |
| • | Amounts withdrawn to pay the annual maintenance fee, transfer charge, or periodic charges for optional benefit riders. |
Annual Maintenance Fee
An annual maintenance fee will apply as shown on page one.
Transfer Charge
We reserve the right to deduct a transfer charge, not to exceed $10, for each transfer when such transfer requests exceed twelve per Contract Year. If applied, this charge will reduce the amount of your transfer.
| ICC20-70632 | [A123456] Minnesota Life 8 |
Mortality and Expense Risk Charge
This charge compensates us for the risks we assume in providing mortality guarantees under this contract and that deductions provided for in this contract will be sufficient to cover our actual expenses. Actual results incurred by us will not adversely affect any payments or values under this contract. The charge is deducted from the Sub-Accounts of the Variable Account at the daily equivalent of the annual rate shown on page one.
Administrative Charge
The administrative charge compensates us for administrative expenses incurred by us. The charge is deducted from the Sub-Accounts of the Variable Account at the daily equivalent of the annual rate shown on page one.
Contract Value {XE “Contract Value”}
Determination of Contract Value
Your Contract Value is the sum of your values in each of the Guaranteed Interest Accounts, Sub-Accounts of the Variable Account, and Indexed Accounts (if any) on any Valuation Date prior to the Annuity Commencement Date.
In each Guaranteed Interest Account, your value is the sum of all Purchase Payments allocated to the account and all transfers to the account, plus interest, less any transfers, withdrawals, or amounts applied to provide Annuity Payments, and any previously applied deferred sales charge or fees.
We will credit interest on values in the Guaranteed Interest Accounts on a daily basis. Interest will be credited from the Valuation Date on which a Purchase Payment is applied to the account or values are transferred into the account until the date of withdrawal, surrender, transfer, or application to provide Annuity Payments.
In each Indexed Account, if any, your value is calculated as described in the endorsement under which the Indexed Account is listed on the Contract Schedule.
In the Variable Account, your value in each Sub-Account is the current number of your Accumulation Units multiplied by the Accumulation Unit value.
Accumulation Units
The number of Accumulation Units credited with respect to each Purchase Payment or transfer is determined by dividing the portion of the Purchase Payment or transfer, respectively, allocated to each Sub-Account by the then current Accumulation Unit value for that Sub-Account. Once determined, the number of Accumulation Units will not be affected by changes in the Accumulation Unit value. However, the total number of Accumulation Units for a Sub-Account will be affected by future contract transactions including that Sub-Account. Subsequent Purchase Payments and transfers to each Sub-Account will increase the units of that Sub-Account. Deductions for annual maintenance fees, periodic charges for optional rider benefits, deferred sales charge, and transfers, withdrawals, or amounts applied to provide Annuity Payments, from each Sub-Account will decrease the units of that Sub-Account.
The Accumulation Unit value may increase or decrease on each Valuation Date. The amount of any increase or decrease will depend on the net investment experience of the Sub-Account of the Variable Account during the Valuation Period. The value of an Accumulation Unit for each Sub-Account is set to an initial value (e.g., $1.00) on the first Valuation Date. For any subsequent Valuation Date, its value is equal to its value on the preceding Valuation Date multiplied by the net investment factor for that Sub-Account for the Valuation Period ending on the subsequent Valuation Date.
Net Investment Factor
The net investment factor for a Valuation Period is the gross investment rate for such Valuation Period, less a deduction for the charges to the Variable Account including any applicable optional benefit riders as shown on page one.
| ICC20-70632 |
[A123456] Minnesota Life 9 |
The gross investment rate is equal to:
| (a) | the net asset value per share of a Fund share held in the Sub-Account of the Variable Account determined at the end of the current Valuation Period; plus |
| (b) | the per-share amount of any dividend or capital gain distributions by the Fund if the “ex-dividend” date occurs during the current Valuation Period; divided by |
| (c) | the net asset value per share of that Fund share held in the Sub-Account determined at the end of the preceding Valuation Period. |
General Transfer Information
A transfer is a reallocation of amounts under this contract between the Guaranteed Interest Accounts, the Sub-Accounts of the Variable Account, and any Indexed Accounts subject to the limitations described below. You may make transfers by Written Request or, where permitted, by telephone or other means acceptable to us. Transfers may be subject to a transfer charge as described in the section of this contract titled “Contract Charges”.
Transfer privileges may be suspended or modified by us at any time. The right to transfer values among the Sub-Accounts of the Variable Account is also subject to modification if we determine that the exercise of that right by one or more Owners is, or would be, to the disadvantage of other Owners. Any modification could be applied to transfers to or from some or all of the Sub-Accounts of the Variable Account. These modifications could include, but not be limited to, the requirements of a minimum time period between each transfer, not accepting transfer requests of an agent acting under a power of attorney on behalf of more than one Owner, limiting the dollar amount that may be transferred between the Sub-Accounts of the Variable Account by an Owner at any one time. We may apply these modifications or restrictions in any manner reasonably designed to prevent any use of the transfer right we consider to be to the disadvantage of other Owners. In the event your transfer activity is identified as disruptive you will be notified in writing that your transfer privileges will be restricted in the future if the activity continues.
Transfer Provisions before Annuity Commencement {XE “Transfer Provisions”}
Values in a DCA Fixed Account option will be transferred to the Sub-Accounts of the Variable Account as described in the section of this contract titled ”Purchase Payments”. These dollar cost averaging transfers will be made on a monthly basis unless otherwise agreed to by us. The transfers will occur on a date we determine. If you terminate the dollar cost averaging transfers for a DCA Fixed Account option prior to the end of the period, all remaining Purchase Payments and interest in the DCA Fixed Account will be transferred to the designated Sub-Accounts as of the Valuation Date coincident with or next following the date of termination. You may transfer additional amounts from the DCA Fixed Account to Sub-Accounts of the Variable Account prior to the end of the period for the DCA Fixed Account option elected. You may not transfer into a DCA Fixed Account option.
You may make transfers among Sub-Accounts of the Variable Account. We will make the transfer based on the Accumulation Unit values on the Valuation Date coincident with or next following the day we receive the request at our home office.
If you elect fixed dollar Annuity Payments, your Contract Value will be transferred to the Fixed Account as described in the section of this contract titled “Annuity Payment Benefits.” No other transfers may be made to the Fixed Account.
Transfer provisions involving Indexed Accounts and/or other accounts made available via endorsement are described in the corresponding endorsement(s).
Transfer Provisions after Annuity Commencement
During the Annuity Payment period, amounts held as annuity reserves may be transferred among the variable Sub-Accounts. Amounts held as reserves for the payment of fixed Annuity Payments may not be transferred to the variable Sub-Accounts.
| ICC20-70632 |
[A123456] Minnesota Life 10 |
Unless otherwise agreed to by us, we must receive a Written Request to transfer amounts held as reserve for Annuity Payments at least 3 days in advance of the date of the Annuity Payment subject to the transfer. When you request a transfer, it will be effective for future Annuity Payments. Your transfer will occur as of the Valuation Date applicable to the next Annuity Payment affected by your request. We will use the same valuation procedures that we describe to determine an initial variable Annuity Payment. Your Annuity Payment option will remain the same.
Transfers among Sub-Accounts of the Variable Account will be made on the basis of Annuity Unit values. The number of Annuity Units from the Sub-Account being transferred will be converted to a number of Annuity Units in the new Sub-Account. After this conversion, a number of Annuity Units in the new Sub-Account will be payable under the elected option. The first payment after conversion will be of the same dollar amount as it would have been without the transfer. The number of Annuity Units will be set at that number of units which are needed to pay that same amount on the transfer date.
Withdrawal and Surrender {XE “Withdrawal and Surrender”}
Withdrawal Provisions
At any time before Annuity Payments begin, you may request a partial withdrawal from the Contract Value. You must make a Written Request for any withdrawals. The amount of any withdrawal must be for at least $250. We may treat any partial withdrawal that leaves a Contract Value of less than $2,000 as a complete surrender of the contract.
In the event of a withdrawal, the Contract Value will be reduced by the amount requested and any applicable deferred sales charge. The amount withdrawn may also reflect any required or requested federal and/or state income tax withholding.
Unless otherwise instructed by you, withdrawals will be deducted proportionately from your values in each Guaranteed Interest Account, each Sub-Account of the Variable Account, and each Indexed Account (if any) relative to your Contract Value. Amounts withdrawn from the Guaranteed Interest Accounts will be withdrawn on a first-in, first-out basis. Withdrawal values will be determined as of the Valuation Date coincident with or next following the date your Written Request is received at our home office.
Contract Surrender
At any time before Annuity Payments begin, you may surrender this contract for its Surrender Value. The Surrender Value will be determined as of the Valuation Date coincident with or next following the date your Written Request is received at our home office.
The Surrender Value will be paid in a single sum if the contract is surrendered for its full Surrender Value.
After making written request and receiving written approval from the Insurance Commissioner, where required, we reserve the right to delay payments or transfers from the Guaranteed Interest Accounts and any Indexed Accounts for up to six months after we receive your Written Request. If such delay occurs, we will notify you of the specific date the transaction will occur, the reason for the delay, and the value of the transaction as of the date we receive your request.
Annuity Payment Benefits {XE “Annuity Payment Benefits”}
Annuity Commencement Date
Annuity Payments begin on the Maturity Date shown on page one of this contract, or on the Annuity Commencement Date, if earlier. You may request an Xxxxxxx Commencement Date at any time after the first Contract Anniversary by providing us the Written Request at least 30 days before Annuity Payments are to begin. If you wish to change the Annuity Commencement Date, you must notify us in writing at least 30 days before Annuity Payments are to begin. Unless otherwise designated by you, the Owner will be the payee.
| ICC20-70632 | [A123456] Minnesota Life 11 |
Election of Annuity Payment Option
You may elect, by Written Request, any one of the Annuity Payment options described below or any Annuity Payment option offered by us at the time of your election. Annuity Payments will be payable on a monthly basis unless otherwise agreed to by us. The Annuity Payment option may not be changed on or after the Annuity Commencement Date. If no election is provided, Annuity Payments will be made on the basis of option 2A, a life annuity with a period certain of 120 months.
The following Annuity Payment options are available:
Option 1 – Life Annuity – Annuity Payments payable for the lifetime of the Annuitant, ending with the last payment due prior to the Annuitant’s death.
Option 2 – Life Annuity with a Period Certain – Annuity Payments payable for the lifetime of the Annuitant; provided, if the Annuitant dies before payments have been made for the entire period certain, those remaining certain payments will be made to the Beneficiary. The period certain may be for 120 months (Option 2A); for 180 months (Option 2B); or for 240 months (Option 2C).
Option 3 – Joint and Last Survivor – Annuity Payments payable for the joint lifetimes of the Annuitant and designated Joint Annuitant. The payments end with the last payment due before the survivor’s death.
Annuity Calculation and Payment Dates
You may elect variable Annuity Payments, fixed dollar Annuity Payments, or a combination of fixed and variable Annuity Payments. If you elect variable Annuity Payments, your Contract Value will be transferred to your selected Sub-Accounts as of the date we receive your Written Request electing Annuity Payments. If you elect fixed dollar Annuity Payments, your Contract Value will be transferred to the Fixed Account as of the date we receive your Written Request electing Annuity Payments. Transfers may not occur more than 60 days prior to the date amounts are applied to provide Annuity Payments.
The amount available for Annuity Payments is the Contract Value adjusted for any applicable premium tax not previously deducted from Purchase Payments. As of the date we receive your Written Request electing Annuity Payments, the amount available for Annuity Payments will be applied to your selected Sub-Accounts for variable Annuity Payments and to the Fixed Account for fixed dollar Annuity Payments. Without our prior consent, the maximum amount that may be applied under this contract for a fixed dollar Annuity Payment is $2,000,000.
Annuity Payments will not be less than those that would be provided by the application of Surrender Value to purchase a single premium immediate annuity contract at annuity purchase rates offered by us at the time Annuity Payments commence to the same class of Annuitants.
Fixed Annuity Payments
The tables in Appendix A show the amount of guaranteed monthly fixed Annuity Payment that can be provided with each $1,000 of available value. The dollar amount of each payment depends upon the Annuity Payment option selected, the adjusted age of any Annuitant and Joint Annuitant, and the amount applied.
Variable Annuity Payments
The tables in Appendix B show the amount of the first monthly variable Annuity Payment that can be provided with each $1,000 of available value. The dollar amount of the first payment depends upon the Annuity Payment option selected, the adjusted age of any Annuitant and Joint Annuitant, the amount applied, and the Assumed Investment Return.
A number of Annuity Units are determined by dividing this dollar amount by the then current Annuity Unit value. This determination is made separately for each Sub-Account of the Variable Account. The number of Annuity Units remains unchanged during the period of Annuity Payments, except for transfers and in the case of certain joint Annuity Payment options that provide for a reduction in payment after the death of an Annuitant.
| ICC20-70632 |
[A123456] Minnesota Life 12 |
The dollar amount of the second and later variable Annuity Payments is equal to the number of Annuity Units determined for each Sub-Account multiplied by the annuity unit value for that Sub-Account. The payment amount may increase or decrease. The variable Annuity Payment will not decrease if the annualized return of the Sub-Accounts, reduced for the mortality and expense risk charge and the administrative charge, is at least equal to the Assumed Investment Return as stated in Appendix B. The dollar amount determined for each Sub-Account will be aggregated for purposes of making payment.
Annuity Unit Value
The value of an Annuity Unit for each Sub-Account of the Variable Account will vary to reflect the investment experience of the applicable Funds. It will be determined by multiplying:
| (a) | the value of the Annuity Unit for that Sub-Account as of the preceding Valuation Date by |
| (b) | the net investment factor for that Sub-Account for the Valuation Date for which the Annuity Unit value is being calculated; and by |
| (c) | a factor that neutralizes the Assumed Investment Return |
Minimum Payment
The first payment must be at least equal to the minimum payment amount according to our rules then in effect. If at any time, payments become less than the minimum payment amount, we have the right to change the payment frequency to meet the minimum payment requirements. If any payment amount is less than the minimum annual payment amount, we may make an alternative arrangement with you.
Death Benefits {XE “Death Benefits”}
Death of an Owner Prior to the Annuity Commencement Date
If any Owner dies before Annuity Payments begin, we will pay the death benefit of this contract to the Beneficiary. If the Owner of this contract is other than a natural person, such as a trust or other similar entity, we will pay the death benefit to the Beneficiary on the death of the Annuitant.
Death Benefit Amount Prior to the Annuity Commencement Date
The death benefit will be the Contract Value. Until complete distribution is made, any amount in the Variable Account will remain allocated to the Sub-Accounts and the value will fluctuate with the performance of the Sub-Accounts. This risk is borne by the Beneficiary.
If there are values remaining in a DCA Fixed Account option as of the date we are notified of a death, all remaining amounts in the DCA Fixed Account on the date we are notified will be transferred in a lump sum to the Money Market Sub-Account.
Subject to the contract termination provisions herein, this contract remains in force until the date we receive due proof of death at hour home office. Subject to the Securities and Exchange Commission’s (SEC) rules governing the liquidation of account values, from the eighth day following the date due proof has been received until the date the death benefit is paid, we will credit interest on the death benefit at our then-current rate(s) applicable to this contract for funds left on deposit. We will also credit additional interest at a rate of 10% annually, beginning with the date that is 31 days from the latest of (a), (b), and (c) to the date the death benefit is paid, where:
| (a) | is the eighth day following the date we receive due proof of death; |
| (b) | is the date we receive sufficient information to determine our liability, the extent of liability, and the appropriate Beneficiary legally entitled to the death benefit; and |
| (c) | is the date that legal impediments to payment of proceeds that depend on the action of parties other than us are resolved and sufficient evidence of the same is provided to us. Legal impediments to payment include, but are not limited to (i) the establishment of guardianships and conservatorships; (ii) the appointment and qualification of trustees, executors, and administrators; and (iii) the submission of information required to satisfy state and federal reporting requirements. |
| ICC20-70632 |
[A123456] Minnesota Life 13 |
Distribution of Death Benefit Proceeds
Generally we will pay the death benefit in a single lump sum unless another form of settlement has been requested and agreed to by us as of the date we receive all information necessary to make payment. A Beneficiary that is entitled to a death benefit may defer payment of this sum for up to five years from the date of death.
In addition, subject to the Internal Revenue Code’s requirements, a Beneficiary who is a natural person may elect payment of the death benefit under an Annuity Payment option over the lifetime of the Beneficiary or over a period not extending beyond the life expectancy of the Beneficiary with distribution beginning within one year of the date of death.
If the entire contract interest is payable to your surviving spouse who is your sole designated Beneficiary, the surviving spouse shall be treated as the contract Owner for purposes of: (a) when payments must begin; and (b) the time of distribution in the event of death.
Any death benefit option provided under this contract will comply with Section 72(s) of the Internal Revenue Code, as amended, for a Non-Qualified Contract and Section 401(a)(9), as amended, for a Qualified Contract, as well as any other applicable law or regulation governing death benefit payments.
Payment to your designated Beneficiary, other than in a lump sum may only be elected by your designated Beneficiary during the sixty (60) day period beginning with the date we receive proof of death.
Amount Payable at Death on or After the Annuity Commencement Date {XE “Amount Payable at Death”}
If the Annuitant dies on or after the Annuity Commencement Date, payments will be made according to the terms of the Annuity Payment option selected. Under Option 2 the Beneficiary may elect to have the present value of the remaining period certain payments (commuted value) paid in a lump sum. The commuted value will be based on the then current dollar amount of one payment and the same interest rate that served as a basis for the annuity. The remaining value in the contract must be distributed at least as rapidly as under the Annuity Payment option in effect as of the Annuitant’s death.
If the Owner dies on or after the Annuity Commencement Date, the Beneficiary will become the new Owner and any remaining payments under the Annuity Payment option selected will continue at least as rapidly as under the Annuity Payment option in effect as of the Owner’s death.
Proof of Death
Proof of any claim under this contract, satisfactory to us, must be submitted in writing to us at our home office. Generally, we require a certified death certificate as proof of death. However, in the event that a certified death certificate is unavailable, we may accept one of the following:
| (a) | a certified copy of the death certificate; |
| (b) | a certified decree of a court of competent jurisdiction as to the finding of death; |
| (c) | a written statement signed by a medical doctor who attended the deceased at the time of death; or |
| (d) | any other written proof satisfactory to us. |
Beneficiaries
The death benefit will be payable to the Beneficiary or Beneficiaries as named in the application for this contract unless subsequently changed by you. To change the Beneficiary, you must submit a Written Request to us. After it has been received, it will take effect as of the date you signed the request unless otherwise specified by you. However, it will not apply to any death benefits paid prior to the request being received in our home office records.
Unless you designate otherwise, if a Beneficiary dies, his/her interest in this contract ends with his/her death. Only those Beneficiaries who survive you will be eligible to share in a death benefit. If no Beneficiary survives you, we will pay the death benefit of this contract to your estate.
| ICC20-70632 |
[A123456] Minnesota Life 14 |
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Minnesota Life Insurance Company, a stock company, is a subsidiary of Minnesota Mutual Companies, Inc., a mutual insurance holding company. You are a member of Minnesota Mutual Companies, Inc. which holds its annual meetings on the first Tuesday in March of each year at 3:00 p.m. local time. The meetings are held at [000 Xxxxxx Xxxxxx Xxxxx, Xx. Xxxx, Xxxxxxxxx 00000-0000.]
| • | Flexible Payment Deferred Variable Annuity Contract |
| • | Fixed or Variable Annuity Payment Benefits |
| • | A Nonparticipating Contract |
Minnesota Life Insurance Company
[000 Xxxxxx Xxxxxx Xxxxx
St. Xxxx, MN 55101-2098]
