CONTRACT SCHEDULE
Exhibit 4 part 1
CONTRACT SCHEDULE
CONTRACT NUMBER: [12345678] | ANNUITY DATE: [Max Age = 100] | |
ISSUE DATE: [01/01/2008] | CONTRACT SCHEDULE DATE: [01/01/2008] |
PRODUCT VERSION: [Evolution]
CONTRACT OWNER: [XXXX XXX]
AGE AND SEX: [35]
JOINT OWNER: [ ]
AGE AND SEX: [Maximum Issue Age 90]
ANNUITANT: [XXXX XXX]
AGE AND SEX: [35]
BENEFICIARY: | As designated by the Contract Owner at the Issue Date, or as otherwise changed or provided in accordance with the Contract. |
PURCHASE PAYMENTS
Initial Purchase Payment: [$50,000.00]
Minimum Subsequent Purchase Payment: $250, or, if the automatic investment plan option is elected, $100.
Maximum Total Purchase Payments: For a Contract Owner up to Age 75 on the Issue Date, the maximum total Purchase Payments are $1,000,000; for a Contract Owner over Age 75 on the Issue Date, the maximum total Purchase Payments are $500,000. Purchase Payments above these amounts must be pre-approved by the Company. For a Joint Contract Owner, Age refers to the oldest Joint Contract Owner. If the Contract is owned by a non-natural person, then Contract Owner shall mean Annuitant.
Allocation Guidelines:
1. | The Contract Owner may have Purchase Payments allocated to the Separate Account(s) subject to the conditions imposed on such allocations by the Company. However, we reserve the right to limit the number of investment choices that you may invest in to a maximum of 18 at any one time. |
2. | The Contract Owner may have Purchase Payments allocated to the Fixed Account(s) subject to the conditions imposed on such allocations by the Company. [Currently, the allocation of any Net Purchase Payment to the Fixed Account will be limited to 70% of the total Net Purchase Payment.] The Company reserves the right, upon 30 days advance notice to the Contract Owner, to limit the allocation of any Net Purchase Payment to the Fixed Account. |
Purchase Payments may not be allocated to the Fixed Account if the Contract Owner is participating in either the Guaranteed Minimum Accumulation Benefit (GMAB), Guaranteed Minimum Income Benefit (GMIB) or Guaranteed Minimum Withdrawal Benefit (GMWB). However, the Company reserves the right, upon 30 days advance notice to the Contract Owner, to modify permissible allocations to the Fixed Account and/or Sub-Accounts.
4A | [01-08] |
Exhibit 4 part 1
3. | If the Purchase Payments and forms required to issue a Contract are in good order, the initial Net Purchase Payment will be credited to the Contract within two (2) business days after receipt at the Annuity Service Center. Additional Purchase Payments will be credited to the Contract as of the Valuation Period when they are received in good order. |
TRANSFERS
Minimum and Maximum Amount to be Transferred: The minimum amount of a transfer is $1,000 per transfer request (from one or multiple Sub-Accounts and the Fixed Account(s) during the Accumulation Period) or the Contract Owner’s entire interest in the Sub-Account or Fixed Account(s), if less. This requirement is waived if the transfer is made in connection with any scheduled transfer program (e.g. dollar cost averaging, rebalancing, asset allocation, interest sweep) offered by the Company.
For any Contract Year, transfers out of the Declared Interest Rate Fixed Account are limited in amount to 30% of the Contract Value allocated to such account at the time of the first transfer in that Contract Year. The entire Contract Value allocated to the Fixed Account may be transferred in the Contract Year following 30% transfers in each of the immediately preceding three Contract Years, provided that Purchase Payments or transfers have not been applied to the Fixed Account(s) from the time the first annual transfer was made.
Transfers out of the Fixed Account(s) are done on a first-in-first-out basis. [Currently, the Company will limit transfers from the Separate Account such that no transfer can cause the Fixed Account to exceed 70% of the Contract Value.] The Company reserves the right, upon 30 days advance notice to the Contract Owner, to limit transfers from the Separate Account to the Fixed Account.
Transfers between Competing Accounts are not allowed except as provided below. The Fixed Account(s) and the money market Sub-Account are considered Competing Accounts. For a period of ninety (90) days following a transfer out of a Competing Account, no transfers may be made into that same account or any other Competing Account. However, transfers may be made from the money market Sub-Account to the Fixed Account(s) without regard to the Competing Accounts restrictions.
Number of Transfers: The Contract Owner may make unlimited transfers during the Accumulation Period and 6 transfers per calendar year during the Annuity Period, subject to the conditions imposed on such transfers by the Company. The Company reserves the right to limit transfers when the transfer privilege is being exercised to the detriment of other Contract Owners. The Company further reserves the right, upon 30 days advance notice to the Contract Owner, to limit the number of transfers in the future.
Unscheduled transfers may not be made if the Contract Owner is participating in either the Guaranteed Minimum Accumulation Benefit (GMAB), Guaranteed Minimum Income Benefit (GMIB) or Guaranteed Minimum Withdrawal Benefit (GMWB); provided, however, that the Company reserves the right, upon 30 days advance notice to the Contract Owner, to modify permissible transfers to the Fixed Account and/or Sub-Accounts.
Free Transfers: 12 per calendar year during the Accumulation Period; 6 per calendar year during the Annuity Period. All transfers made during a Valuation Period are deemed to be one transfer.
4B | [01-08] |
Exhibit 4 part 1
Transfer Fee: The Transfer fee will not exceed $20 for each transfer in excess of the Free Transfers. In addition, this requirement is waived if transfers are made in connection with any scheduled transfer program offered by the Company or through an automatic voice response system or the internet.
Minimum Amount Which Must Remain In a Sub-Account or the Fixed Account(s) After a Transfer: $1,000; or if the entire amount in the Sub-Account or Fixed Account(s) is less than $1,000, the entire amount must be transferred.
WITHDRAWALS
Contingent Deferred Sales Charge (CDSC): A Contingent Deferred Sales Charge is assessed against the amount of the Contract Value withdrawn and may be applied to an Annuity Option. The charge is calculated at the time of each withdrawal or if applicable, at the time of annuitization. For partial withdrawals, the charge is deducted from the remaining Contract Value and is deducted from the Sub-Accounts and Fixed Account(s) in the same proportion that the amount of withdrawal from the Sub-Account or Fixed Account(s) bears to the total of the partial withdrawal.
Contract Year: | 1 | 2 | 3 | 4 | 5 | 6 | and thereafter | |||||||||||||
CDSC % of Contract Value: |
7 | % | 6 | % | 6 | % | 4 | % | 3 | % | 0 | % |
Free Withdrawal Amount: During the first Contract Year, the Contract Owner may withdraw up to 10% of the Purchase Payments reduced by any Free Withdrawal Amount(s) previously taken during such Contract Year. Beginning in the second Contract Year, the Contract Owner may withdraw up to 10% of the Contract Value determined as of the end of the previous Contract Year plus 10% of any Purchase Payment received in the current Contract Year reduced by any Free Withdrawal Amount(s) previously taken during the current Contract Year.
Withdrawal Charge: None
Minimum Partial Withdrawal: $250
Minimum Contract Value Which Must Remain in the Contract After a Partial Withdrawal: [Qualified Plan: $2,000; Non-Qualified Plan: $5,000]
Number of Partial Withdrawals Permitted: [Currently, No Limit.] Guaranteed Minimum of one per Contract Year.
[GUARANTEED MINIMUM WITHDRAWAL BENEFIT (GMWB)
Covered Person(s): | [Xxxx Xxx] | |
[Xxxx Xxx] |
Credit Period: [10] years from the Rider Effective Date
Guaranteed Lifetime Withdrawal Date: Later of the younger Covered Person’s attainment of age [60] or Issue Date
Guaranteed Lifetime Withdrawal Percentage: [5%]
Guaranteed Withdrawal Percentage: [5%]
Maximum Benefit Base: [$5,000,000]
Enhanced Benefit Base Date: [01/31/2018]
4C | [01-08] |
Exhibit 4 part 1
ANNUITY GUIDELINE PARAMETERS
1. | If the amount to be applied under an Annuity Option is less than $2,000 for a full annuitization, the Company reserves the right to pay the amount in a lump sum. If any Annuity Payment is less than $100, the Company reserves the right to change the payment basis to equivalent quarterly, semi-annual or annual payments. The Company reserves the right to limit the number of partial annuitizations to a maximum of one per Contract Year. The minimum amount for a partial annuitization is $10,000. |
2. | The Annuity Date must be the 1st through the 28th day of the month. Any full or partial annuitization cannot be earlier than thirty days after the Issue Date. |
3. | The latest permitted Annuity Date is the earlier of: |
(a) | the 100th birthday of the Annuitant or the oldest Joint Annuitant; |
(b) | the latest date permitted under state law; or |
(c) | the 100th birthday of the Contract Owner or the oldest Joint Owner. |
4D | [01-08] |
Exhibit 4 part 1
CONTRACT CHARGES
TYPE |
DESCRIPTION/ AMOUNT | |
Mortality And Expense Risk Charge | [The current charge is equal on an annual basis to 1.40% of the average daily net asset value of the Separate Account.] The maximum charge is equal on an annual basis to 1.75% of the average daily net asset value of the Separate Account. | |
Administrative Charge | [The current charge is equal on an annual basis to 0.15% of the average daily net asset value of the Separate Account.] The maximum Administrative Charge will not exceed 0.25% of the average daily net asset value of the Separate Account. | |
Annual Contract Maintenance Charge | [Currently, on the last day of each Contract Year an annual fee of $40.00 per Contract Year will be deducted.] If a total withdrawal is made on other than the last day of the Contract Year, the Annual Contract Maintenance Charge will be deducted at the time of the total withdrawal. If the Annuity Date for a full annuitization is not the last day of the Contract Year, then a pro-rata portion of the Annual Contract Maintenance Charge will be deducted on the Annuity Date. The maximum charge will not exceed $60.00 per Contract Year.
This charge will be deducted at the end of each Contract Year from the Sub-Accounts in the same proportion that the amount of the Contract Value in each Sub-Account bears to the total Contract Value.
During the Annuity Period, the Annual Contract Maintenance Charge will be deducted pro-rata from Annuity Payments regardless of Contract size and will result in a reduction of each Annuity Payment. |
4E | [01-08] |
Exhibit 4 part 1
CONTRACT CHARGES FOR OPTION(S) SELECTED
TYPE |
DESCRIPTION/ AMOUNT | |
[Annual Ratchet Death Benefit Charge | [The current charge is equal on an annual basis to 0.40% of the average daily net asset value of the Separate Account.] The maximum charge on an annual basis will not exceed 0.90% of the average daily net asset value of the Separate Account.] | |
[Guaranteed Minimum Accumulation Benefit Charge (GMAB) | [The current charge is equal on an annual basis to 0.50% of the average daily net asset value of the Separate Account.] The maximum charge on an annual basis will not exceed 1.00% of the average daily net asset value of the Separate Account. If the Contract Owner elects by Written Request to discontinue the GMAB Rider and its associated benefit, the charge will be discontinued upon the Company’s receipt of such request. Selection of GMAB requires participation in an asset allocation program sponsored by the Company.] | |
[Guaranteed Minimum Income Benefit Charge (GMIB) | [The current charge is equal to [0.65%] of the Guaranteed Minimum Income Benefit and will be assessed up to and including the date on which the GMIB Rider is annuitized. The charge will be deducted [on a quarterly basis] from the Contract Value during each applicable Contract Year.] The maximum charge will not exceed 1.50% of the Guaranteed Minimum Income Benefit. If the Contract Owner elects by Written Request to discontinue the GMIB Rider and its associated benefit, the charge will be discontinued upon the Company’s receipt of such request. Selection of GMIB requires participation in an asset allocation program sponsored by the Company.] | |
[Guaranteed Minimum Withdrawal Benefit Charge (GMWB) | [The current charge is equal to [0.60%] of the Guaranteed Minimum Withdrawal Benefit Base. The charge will be deducted [on a quarterly basis] from the Contract Value during each applicable Contract Year.] The maximum charge will not exceed 1.50% of the Guaranteed Minimum Withdrawal Benefit Base. If the Contract Owner elects by Written Request to discontinue the GMWB Rider and its associated benefit, the charge will be discontinued upon the Company’s receipt of such request. Selection of GMWB requires participation in an asset allocation program sponsored by the Company.] |
4F | [01-08] |
Exhibit 4 part 1
CONTRACT CREDITS
TYPE |
DESCRIPTION/ AMOUNT | |
Electronic Document Delivery Credit | For any Contract Year prior to [2008], in which the Contract Owner is participating in any electronic document delivery program offered by the Company for this product on a Contract Anniversary Date, a [$24] credit will be applied on such Contract Anniversary proportionately to the Sub-Accounts of the Separate Account that the Contract Owner is invested in as of the date of the calculation. The Company reserves the right to continue, modify or discontinue this benefit for any Contract Year after [2007]. |
4G | [01-08] |
Exhibit 4 part 1
RIDERS |
RIDER EFFECTIVE DATE | |
[Basic Death Benefit Rider ] | [01/01/2008] | |
[Death Benefit Rider with Annual Ratchet Feature] | [01/01/2008] | |
[Fixed Account with Declared Interest Rate Rider ] | [01/01/2008] | |
[Fixed Account for Dollar Cost Averaging Rider] | [01/01/2008] | |
[Guaranteed Minimum Accumulation Benefit Rider] | [01/01/2008] | |
[Guaranteed Minimum Income Benefit Rider] | [01/01/2008] | |
[Guaranteed Minimum Withdrawal Benefit Rider] | [01/01/2008] | |
[Nursing Home Benefit Rider] | [01/01/2008] | |
[Individual Retirement Annuity Rider] | [01/01/2008] | |
[Xxxx Individual Retirement Annuity Rider ] | [01/01/2008] | |
[SIMPLE XXX Xxxxx ] | [01/01/2008] | |
[Qualified Plan Rider] | [01/01/2008] | |
[Unisex Annuity Rates Rider ] | [01/01/2008] |
ANNUITY SERVICE CENTER:
Massachusetts Mutual Life Insurance Company
[Annuity Service Center
P.O. Box 9067
Springfield, MA 01102-9067]
4H | [01-08] |
Exhibit 4 part 1
FIXED ACCOUNT(S)
FIXED ACCOUNT(S):
The Minimum Guaranteed Interest Rate is [2.00% years 1-10; 3.00% thereafter].
SEPARATE ACCOUNT(S):
[Massachusetts Mutual Variable Annuity Separate Account 4].
Eligible Investments, Series: |
Sub-Accounts: | |
[AIM Variable Insurance Funds | ||
AIM V.I. Financial Services Fund (Series I Shares) |
AIM V.I. Financial Services | |
AIM V.I. Global Health Care Fund (Series I Shares) |
AIM V.I. Global Health Care | |
AIM V.I. Technology Fund (Series I Shares) |
AIM V.I. Technology | |
Fidelity® Variable Insurance Products Fund | ||
Fidelity® VIP Contrafund® Portfolio (Initial Class) |
Fidelity® VIP Contrafund® | |
ING Investments | ||
ING VP Real Estate Portfolio |
ING VP Real Estate Portfolio | |
MML Series Investment Fund | ||
MML Aggressive Allocation Fund |
MML Aggressive Allocation | |
MML Asset Allocation Fund |
MML Capital Guardian Asset Allocation | |
MML Balanced Allocation Fund |
MML Balanced Allocation | |
MML Blue Chip Growth Fund |
MML X. Xxxx Price Blue Chip Growth | |
MML Concentrated Growth Fund Class I |
MML Xxxx Xxxxx Concentrated Growth | |
MML Conservative Allocation Fund |
MML Conservative Allocation | |
MML Emerging Growth Fund |
MML Emerging Growth | |
MML Equity Income Fund |
MML X. Xxxx Price Equity Income | |
MML Equity Index Fund Class I |
MML Equity Index | |
MML Foreign Fund |
MML Xxxxxxxxx Foreign | |
MML Global Fund Class I |
MML Xxxxxxxxx Xxxxxx Global | |
MML Growth Allocation Fund |
MML Growth Allocation | |
MML Growth & Income Fund |
MML Capital Guardian Growth & Income | |
MML Growth Equity Fund |
MML GMO Growth Equity | |
MML Income & Growth Fund |
MML American Century Income & Growth | |
MML Large Cap Growth Fund |
MML AllianceBernstein Large Cap Growth | |
MML Large Cap Value Fund |
MML Xxxxx Large Cap Value | |
MML Mid Cap Growth Fund |
MML X. Xxxx Price Mid Cap Growth | |
MML Mid Cap Value Fund |
MML American Century Mid Cap Value | |
MML Moderate Allocation Fund |
MML Moderate Allocation | |
MML OTC 100 Fund |
MML OTC 100 | |
MML Small Cap Growth Equity Fund |
MML W&R/Wellington Small Cap Growth Equity | |
MML Small Cap Index Fund |
MML Small Cap Index | |
MML Small Cap Value Fund |
MML Xxxxxxx Xxxxx Small Cap Value] |
4I | [01-08] |
Exhibit 4 part 1
[MML Series Investment Fund II | ||
MML Blend Fund |
MML Babson Blend | |
MML Enhanced Index Core Equity Fund |
MML Babson Enhanced Index Core Equity | |
MML Equity Fund |
MML Xxxxxxxxxxx/Xxxxxxxxx Equity | |
MML Inflation Protected Bond Fund |
MML Babson Inflation Protected Bond | |
MML Managed Bond Fund |
MML Babson Managed Bond | |
MML Money Market Fund |
MML Money Market | |
MML Small Cap Equity Fund |
MML Xxxxxxxxxxx Small Cap Equity | |
MML Small Company Opportunities Fund |
MML Xxxxxxxxxxx Small Company Opportunities | |
Xxxxxxxxxxx Variable Account Funds | ||
Xxxxxxxxxxx Balanced Fund/VA |
Xxxxxxxxxxx Balanced | |
Xxxxxxxxxxx Capital Appreciation Fund/VA |
Xxxxxxxxxxx Capital Appreciation | |
Xxxxxxxxxxx Global Securities Fund/VA |
Xxxxxxxxxxx Global Securities | |
Xxxxxxxxxxx High Income Fund/VA |
Xxxxxxxxxxx High Income | |
Xxxxxxxxxxx Main Street Fund®/VA |
Xxxxxxxxxxx Main Street | |
Xxxxxxxxxxx XxxXxx Fund/VA |
Xxxxxxxxxxx XxxXxx | |
Xxxxxxxxxxx Money Fund/VA |
Xxxxxxxxxxx Money 1 | |
Xxxxxxxxxxx Strategic Bond Fund/VA |
Xxxxxxxxxxx Strategic Bond | |
PIMCO | ||
PIMCO CommodityRealReturn Strategy Portfolio |
PIMCO CommodityRealReturn Strategy Portfolio | |
Panorama Series Fund, Inc. | ||
Xxxxxxxxxxx International Growth Fund/VA |
Xxxxxxxxxxx International Growth |
1 |
The Xxxxxxxxxxx Money sub-account is not available to Contracts with an Issue Date of January 19, 2008 or later.] |
4J | [01-08] |