DEFERRED VARIABLE ANNUITY CONTRACT
AMERICAN EXPRESS [LOGO](R) AMERICAN ENTERPRISE LIFE
INSURANCE COMPANY
ADMINISTRATIVE OFFICES:
[829 AXP Financial Center]
[Minneapolis, MN 55474]
This is a deferred annuity contract. It is a legal contract between you, as
the owner, and us, American Enterprise Life Insurance Company, a Stock
Company, Indianapolis, Indiana. PLEASE READ YOUR CONTRACT CAREFULLY.
If the annuitant is living on the Retirement Date, we will begin to pay you
monthly annuity payments. Any payments made by us are subject to the terms
of this contract. The owner and beneficiary are as named in the application
unless they are changed as provided for in this contract.
We issue this contract in consideration of your application and the payment
of the initial purchase payment.
Signed for and issued by American Enterprise Life Insurance Company of
Indianapolis, Indiana, as of the contract date.
ACCUMULATION VALUES AND ANNUITY PAYMENTS, WHEN BASED ON THE INVESTMENT
RESULTS OF THE VARIABLE SUBACCOUNTS, ARE VARIABLE AND NOT GUARANTEED AS TO
FIXED DOLLAR AMOUNT. SEE THE VARIABLE ACCOUNT PROVISIONS.
PAYMENTS AND VALUES BASED ON THE GUARANTEE PERIOD ACCOUNTS ARE SUBJECT TO A
MARKET VALUE ADJUSTMENT FORMULA, THE OPERATION OF WHICH MAY RESULT IN
UPWARD AND DOWNWARD ADJUSTMENTS IN AMOUNTS PAYABLE TO AN OWNER OR
ANNUITANT, INCLUDING WITHDRAWALS, TRANSFERS AND AMOUNTS APPLIED TO PURCHASE
AN ANNUITY. SEE THE WITHDRAWAL PROVISIONS SECTION FOR MARKET VALUE
ADJUSTMENT PROVISIONS.
NOTICE OF YOUR RIGHT TO EXAMINE THIS CONTRACT FOR 10 DAYS. If for any
reason you are not satisfied with this contract, return it to us or our
agent within 10 days after you receive it. We will then cancel this
contract. Upon such cancellation we will refund an amount equal to the sum
of: (1) the contract value, including any Market Value Adjustment, if
applicable, and less any purchase payment credits, if applicable, at the
end of the Valuation Period during which we receive the contract; and (2)
any premium tax charges paid. This contract will then be considered void
from its start.
/s/ [Illegible] /s/ [Illegible]
Secretary President
Flexible Purchase Payments
Investment Experience Reflected in Benefits
Variable Accumulation Values
Optional Variable or Fixed Dollar Annuity Payments
Annuity Payments to Begin on the Retirement Date
This Contract is Nonparticipating -- Dividends Are Not Payable
[SSOB8B6FCC&L]
272876 A(12/03)]
GUIDE TO CONTRACT PROVISIONS
DEFINITIONS Important words and meanings Page 3
GENERAL PROVISIONS Entire contract; Annuity tax qualification; Contract Page 5
modification; Incontestability; Benefits based on incorrect
data; State laws; Reports to owner; Evidence of survival;
Protection of proceeds; Payments by us; Voting rights
OWNERSHIP AND BENEFICIARY Owner rights; Change of ownership; Beneficiary; Change of Page 6
Beneficiary; Assignment
PAYMENTS TO BENEFICIARY Describes the amounts payable upon death Page 7
PURCHASE PAYMENTS Purchase payments; Payment limits; Allocations of purchase Page 8
payments, Purchase Payment Credits
CONTRACT VALUE Describes the Guarantee Period and variable account contract Page 9
values; Contract administrative charge; Premium taxes; Transfers
of contract values
GUARANTEE PERIOD AND VARIABLE Describes Guarantee Period Accounts and interest credited; Page 11
ACCOUNTS Describes the variable subaccounts accumulation units and
values; Net investment factor; Mortality and expense risk
charge; Variable account administrative charge; Annuity unit
value
WITHDRAWAL PROVISIONS Contract withdrawal for its withdrawal value; Rules for Page 13
withdrawal; Withdrawal charges; Waiver of withdrawal charges;
Market Value Adjustment
ANNUITY PROVISIONS When annuity payments begin; Different ways to receive Page 16
annuity payments; Determination of payment amounts
TABLES OF ANNUITY RATES Tables showing the amount of the first variable annuity payment Page 18
and the guaranteed fixed annuity payments for the various
payment plans
Page 2 272876
DEFINITIONS
The following words are used often in this contract. When we use these words,
this is what we mean:
ACCUMULATION UNIT
An accumulation unit is an accounting unit of measure. It is used to calculate
the variable account contract value prior to annuitization.
ANNUITANT
The person or persons on whose life monthly annuity payments depend. The term
"annuitant" as used in this contract includes joint annuitants and therefore
is replaced in all instances with the term "annuitants." The annuitants are
those persons named under Contract Data or elected at annuitization. All
terms, conditions, rights and requirements that apply to an "annuitant" under
this contract shall apply jointly and severally to each joint annuitant named.
Any contract provisions based on the age of the annuitant will be based on the
age of the oldest annuitant, except that annuity income plan rates will be
based on the specific annuitant(s)' age(s).
ANNUITIZATION
The application of the contract value of this contract to provide annuity
payments under an annuity payment plan.
ANNUITY UNIT
An annuity unit is an accounting unit of measure. It is used to calculate the
value of annuity payments from the variable account on and after
annuitization.
CODE
The Internal Revenue Code of 1986, as amended.
CONTRACT ANNIVERSARY
The same day and month as the contract date each year that the contract
remains in force.
CONTRACT DATE
It is the date from which contract anniversaries, contract years, and contract
months are determined. Your contract date is shown under Contract Data.
CONTRACT VALUE
The sum of the: (1) guarantee period accounts value; and (2) variable account
contract value.
FIXED ANNUITY
A fixed annuity is an annuity with payments which are guaranteed by us as to
dollar amount during the annuity payment period.
GUARANTEE PERIOD ACCOUNTS
These are accounts to which you may allocate purchase payments and contract
values. Guarantee Period Accounts have guaranteed interest rates declared
periodically.
MARKET VALUE ADJUSTMENT
A positive or negative adjustment assessed if any portion of a Guarantee
Period Account is withdrawn or transferred prior to the end of its guaranteed
period.
NONQUALIFIED CONTRACT
A contract used primarily for retirement purposes that is not intended to
qualify as a qualified plan (such as IRAs, TSAs, or other tax-qualified
plans).
RETIREMENT DATE
The date shown under Contract Data on which annuity payments are to begin.
This date may be changed as provided in this contract. You will be notified
prior to the retirement date in order to select an appropriate annuity payment
plan.
VALUATION DATE
A valuation date is each day the New York Stock Exchange is open for trading.
VALUATION PERIOD
A valuation period is the interval of time commencing at the close of business
on each valuation date and ending at the close of business on the next
valuation date.
VARIABLE ACCOUNT
Consists of separate subaccounts to which you may allocate purchase payments
and contract values; each invests in shares of one fund. The value of your
investment in each subaccount changes with the performance of the particular
fund.
272876 Page 3
VARIABLE ANNUITY
A variable annuity is an annuity with payments which are not predetermined or
guaranteed as to dollar amount and vary in amount with the investment
experience of one or more of the variable subaccounts.
WE, US, OUR
American Enterprise Life Insurance Company
WRITTEN REQUEST
A request in writing signed by you and delivered to us at our administrative
office.
YOU, YOUR
The owner of this contract. In a nonqualfied contract, the owner may be
someone other than the annuitant. The owner is shown in the application unless
the owner has been changed as provided in this contract.
Page 4 272876
GENERAL PROVISIONS
ENTIRE CONTRACT
This contract form and any endorsements or riders attached to it are the
entire contract between you and us.
No one except one of our corporate officers (President, Vice President,
Secretary or Assistant Secretary) can change or waive any of our rights or
requirements under this contract. That person must do so in writing. None of
our other representatives or other persons has the authority to change or
waive any of our rights or requirements under this contract.
ANNUITY TAX QUALIFICATION
This contract is intended to qualify as an annuity contract under Section 72
of the Code for federal income tax purposes. To that end, the provisions of
this contract are to be interpreted to ensure or maintain such
tax-qualification, notwithstanding any other provisions to the contrary.
CONTRACT MODIFICATION
We reserve the right to modify this contract to the extent necessary to
qualify this contract as an annuity contract under Section 72 of the Code and
all related laws and regulations which are in effect during the term of this
contract
We will obtain any necessary approval of any regulatory authority for the
modifications.
INCONTESTABLE
This contract is incontestable from its date of issue.
BENEFITS BASED ON INCORRECT DATA
Payments under the contract will be based on the annuitant's birthdate and
sex. If the annuitant's birthdate or sex or your birthdate has been misstated,
payments under this contract will be adjusted. They will be based on what
would have been provided at the correct birthdate and sex. Any underpayments
made by us will be made up immediately. Any overpayments made by us will be
subtracted from the future payments.
STATE LAWS
This contract is governed by the law of the state in which it is delivered.
The values and benefits of this contract are at least equal to those required
by such state. Any paid up annuity, cash withdrawal or death benefits
available under the contract are not less than the minimum benefits required
by any statute of the state in which the contract is delivered.
REPORTS TO OWNER
At least once a year we will send you a statement showing the contract value
and the cash withdrawal value of this contract. This statement will be based
on any laws or regulations that apply to contracts of this type.
EVIDENCE OF SURVIVAL
Where any payments under this contract depend on the recipient or annuitant
being alive on a certain date, proof that such condition has been met may be
required by us. Such proof may be required prior to making the payments.
PROTECTION OF PROCEEDS
Payments under this contract are not assignable by any beneficiary prior to
the time they are due. To the extent allowed by law, payments are not subject
to the claims of creditors or to legal process.
PAYMENTS BY US
All sums payable by us are payable at our administrative office. Any payment
or withdrawal from a variable subaccount is based on the variable subaccount
value.
VOTING RIGHTS
So long as federal law requires, we will give certain voting rights to
contractowners. As contractowner, if you have voting rights we will send a
notice to you telling you the time and place of a shareholder meeting. The
notice will also explain matters to be voted upon and how many votes you get.
272876 Page 5
OWNERSHIP AND BENEFICIARY
OWNER RIGHTS
As long as the annuitant is living and unless otherwise provided in this
contract, you may exercise all rights and privileges provided in this contract
or allowed by us.
CHANGE OF OWNERSHIP
You may change the ownership. Any change of ownership must be made by written
request on a form approved by us. The change must be made while the annuitant
is living. Once the change is recorded by us, it will take effect as of the
date of your request, subject to any action taken or payment made by us before
the recording.
BENEFICIARY
Beneficiaries are those you have named in the application or later changed as
provided below, to receive benefits of this contract if you or the annuitant
die while this contract is in force.
Only those beneficiaries who are living when death benefits become payable may
share in the benefits, if any. If no beneficiary is then living, we will pay
the benefits to you, if living, otherwise to your estate.
CHANGE OF BENEFICIARY
You may change the beneficiary anytime while the annuitant is living by
satisfactory written request to us. Once the change is recorded by us, it will
take effect as of the date of your request, subject to any action taken or
payment made by us before the recording.
ASSIGNMENT
You can assign this contract or any interest in it while the annuitant is
living. Your interest and the interest of any beneficiary is subject to the
interest of the assignee. An assignment is not a change of ownership and an
assignee is not an owner as these terms are used in this contract. Any amounts
payable to the assignee will be paid in a single sum.
A copy of any assignment must be submitted to us at our administrative office.
Any assignment is subject to any action taken or payment made by us before the
assignment was recorded at our administrative office. We are not responsible
for the validity of any assignment.
Page 6 272876
PAYMENTS TO BENEFICIARY
DEATH BENEFITS BEFORE ANNUITIZATION
A death benefit is payable to the beneficiary upon the earlier death of you or
the annuitant while this contract is in force and prior to annuitization.
As of the date we receive due proof of death, we will pay the beneficiary the
greater of the following amounts, less any applicable purchase payment credits
that have not vested:
1. the contract value; or
2. the "Return of Payment Value".
RETURN OF PAYMENT VALUE (ROP) DEFINITION
The ROP is the total purchase payments and any applicable purchase payment
credits made to the contract, minus "adjustments for partial withdrawals".
ADJUSTMENTS FOR PARTIAL WITHDRAWALS DEFINITION
"Adjustments for partial withdrawals" are for each partial withdrawal using the
following formula:
A X B where:
-------
C
A = the partial withdrawal including any applicable withdrawal charge
B = the ROP on the date of (but prior to) the partial withdrawal
C = the contract value on the date of (but prior to) the partial
withdrawal.
Any amounts payable or applied by us as described in the sections below will
be based on the contract values as of the valuation date on or next following
the date on which due proof of death is received at our administrative office.
Due proof of death includes all documents needed to complete the beneficiary's
claim.
PAYMENT OF DEATH BENEFIT BEFORE ANNUITIZATION
The above death benefit will be payable in a lump sum upon the receipt of due
proof of death of you or the annuitant, whichever first occurs. The
beneficiary may elect to receive payment any time within five years after the
date of death.
The above death benefit will also be made upon the first to die if ownership
is in a joint tenancy except where spouses are joint owners with right of
survivorship and the surviving joint spouse elects to continue the contract.
In lieu of a lump sum, payments may be made under:
1. an Annuity Payment Plan, provided:
o the beneficiary elects the plan within 60 days after we receive due proof
of death; and
o not exceed the life or life expectancy of the beneficiary; and
o payments must begin no later than one year after the date of death; or
under other distribution options that we may offer and that satisfy
requirements of Code Section72(s)
2. and related regulations, rulings or promulgations of the Internal Revenue
Service or Department of the Treasury.
For Annuity Payment Plans, the reference to "annuitant" in the Annuity
Provisions shall apply to the beneficiary.
SPOUSE'S OPTION TO CONTINUE CONTRACT
If you die prior to annuitization and your spouse is the sole beneficiary or
co-owner of the contract, your spouse may keep the contract in force as owner
and may make additional purchase payments to the contract.
Election by the spouse to continue the contract must be made by written
request within 60 days after we receive due proof of death. Upon such
continuation the contract value shall be equal to the death benefit that would
otherwise have been paid. Withdrawal charges, if any, under the continued
contract shall only apply to additional purchase payments under the continued
contract shall only apply to additional purchase payments
DEATH AFTER ANNUITIZATION
If you or the annuitant die after annuitization, the amount payable to the
beneficiary, if any, will be as provided in the Annuity Payment Plan then in
effect.
272876 Page 7
PURCHASE PAYMENTS
PURCHASE PAYMENTS
Purchase payments are the payments you make for this contract and the benefits
it provides. Purchase payments must be paid or mailed to us at our
administrative office or to an authorized agent. If requested, we'll give you
a receipt for your purchase payments.
ADDITIONAL PURCHASE PAYMENTS
Additional purchase payments may be made until the earlier of:
1. the date this contract terminates by withdrawal or otherwise; or
2. the date on which annuity payments begin.
Additional purchase payments are subject to the "Payment Limits Provision"
below.
PAYMENT LIMITS PROVISION
Maximum Purchase Payments -- The maximum total contract purchase payments may
not exceed the amounts shown under Contract Data. We reserve the right to
increase the maximums.
Additional Purchase Payments -- You may make additional purchase payments of
at least the amount shown under Contract Data.
ALLOCATION OF PURCHASE PAYMENTS
In most cases, you request, in whole percentages from 0% to 100%, how you want
your purchase payments allocated among the Guarantee Period Accounts and
variable subaccounts. We reserve the right to limit the accounts and/or
subaccounts to which you can allocate purchase payments or contract value at
any time. In addition, allocations to certain accounts or subaccounts may be
limited or required under the terms of certain optional benefit riders, if
any, attached to this contract. Your allocations as of the contract date are
shown under Contract Data.
Unless any restrictions apply, you may, by written request, or other method
agreed to by us, change your choice of accounts or percentages. The first
purchase payment will be allocated as of the end of the valuation period
during which we make an affirmative decision to issue this contract. Purchase
payments after the first will be allocated as of the end of the valuation
period during which we receive the payment at our administrative office.
PURCHASE PAYMENT CREDITS
If shown under Contract Data, we may apply an additional purchase payment
credit to your contract value for applicable net purchase payments you make to
this contract. The purchase payment credit is a percentage of such net
purchase payment which is the purchase payment less the amount of partial
withdrawals that exceed all prior purchase payments. The percentage depends on
the amount of cumulative purchase payments under the contract less partial
withdrawals as shown under Contract Data.
If an additional purchase payment causes the contract as a whole to be
eligible for a greater percentage credit, an additional credit on prior
purchase payments, less any partial withdrawals, will be allocated on the date
of the additional purchase payment. Such additional credit is calculated to
bring the credit percentage on all prior net purchase payments to the current
level. Purchase payment credits will be allocated to the contract value
according to your then-existing purchase payment allocation instructions.
Any partial withdrawal reduces the cumulative net purchase payments used as
the basis of the credits on a last-in, first-out basis. Purchase payment
credits are vested as shown under Contract Data.
Page 8 272876
CONTRACT VALUE
CONTRACT VALUE
The contract value at any time is the sum of:
1. the value of the Guarantee Period Accounts; and
2. the variable account contract value.
If:
1. part or all of the contract value is withdrawn; or
2. charges described herein are made against the contract value;
then a number of accumulation units from the variable subaccounts and an
amount Guarantee Period Accounts will be deducted to equal such amount. For
withdrawals, deductions will be made from the Guarantee Period Accounts or
variable subaccounts that you specify. Otherwise, the number of units from the
variable subaccounts and the amount from the Guarantee Period Accounts will be
deducted in the same proportion that your interest in each bears to the total
contract value.
VARIABLE ACCOUNT CONTRACT VALUE
The variable account contract value at any time will be:
1. the sum of the value of all variable subaccount accumulation units under
this contract resulting from purchase payments and any applicable
purchase payment credits so allocated, or amounts transfered to the
variable subaccounts; less
2. the value of any units deducted for charges, withdrawals or
transfers from the variable subaccounts.
GUARANTEE PERIOD ACCOUNT VALUE
The value of a Guarantee Period Account at any time will be the:
1. sum of the purchase payments and any applicable purchase payment credits
allocated or amounts transferred to the Guarantee Period Account, plus
interest credited; less
2. any amounts transferred from the Guarantee Period Account to any variable
subaccount ; less
3. any amounts deducted for market value adjustments, charges or
withdrawals; plus
4. any amounts added for market value adjustments.
CONTRACT ADMINISTRATIVE CHARGE
We charge a fee for establishing and maintaining our records for this
contract. The charge per year is shown under Contract Data and is deducted
from the contract value at the end of each contract year. The charge deducted
will be prorated among the variable subaccounts and Guarantee Period Accounts
in the same proportion your interest in each bears to the total contract
value.
We waive the annual contract administrative charge for any contract year where
the contract value immediately prior to the deduction of the charge is equal
to or more than the amount as shown under Contract Data.
If you make a full withdrawal of this contract, we deduct the full contract
administrative charge at the time of full withdrawal regardless of contract
value. The charge does not apply at or after annuitization of this contract or
at the time a death benefit is paid.
PREMIUM TAX CHARGES
We reserve the right to assess a charge against the contract value of this
contract for any applicable premium tax assessed to us by a state or local
government. This charge could be deducted when you make purchase payments, or
make a full withdrawal of the contract value or at the time of annuitization.
272876 Page 9
TRANSFERS OF CONTRACT VALUES
While this contract is in force prior to annuitization, transfers of contract
values may be made as outlined below unless contract values are required to be
allocated to certain accounts or subaccounts under the terms of certain
optional benefit riders, if any, attached to this contract.
1. You may transfer all or a part of the values from one or more of the
variable subaccounts to another one or more of the variable subaccounts.
You may also transfer values held in one or more of the variable
subaccounts to the Guarantee Period Accounts.
2. You may transfer values from any Guarantee Period Accounts to one or more
of the variable subaccounts, or Guarantee Period Accounts anytime after
60 days of the date of the payment allocation or transfer allocation into
such Guarantee Period Account. Any transfer prior to the end of the
applicable guarantee period will be subject to a market value adjustment.
You may make a transfer by written request. Transfer requests may also be made
according to telephone procedures or automated transfer procedures that are
then currently in effect, if any. There is no fee or charge for these
transfers. However, the minimum transfer amount is $500.
If you request a transfer of $500 or less, we will transfer the entire value
in the subaccount or in the Guarantee Period Account from which the transfer
is being made, or other such minimum amounts agreed to by us. The minimum
amount that may be transferred to a Guarantee Period Account is shown under
Contract Data.
We may suspend or modify transfer privileges at any time. The right to
transfer contract values among the subaccounts and Guarantee Period Accounts
is also subject to modification if we determine, in our sole discretion, that
the exercise of that right by one or more contract owners is, or would be, to
the disadvantage of other contract owners. Any modification could be applied
to transfers to or from some or all of the subaccounts and Guarantee Period
Accounts. 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 contract owner, not accepting transfers to or from the Guarantee
Period Accounts or limiting the dollar amount that may be transferred between
the subaccounts and the Guarantee Period Accounts by a contract 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 contract owners.
Page 10 272876
GUARANTEE PERIOD AND VARIABLE ACCOUNTS
GUARANTEE PERIOD ACCOUNTS
The Guarantee Period Accounts are part of a "nonunitized" segregated asset
account (Separate Account). We have established the separate account for the
purpose of facilitating accounting and investment processes we undertake in
offering guaranteed interest for periods you can select from those that are
available. This separate account may not be charged with liabilities from any
other separate account or our general account. We back the principal and
interest guarantees relating to the Guarantee Period Accounts. The minimum
investment in any Guarantee Period Account is as shown under Contract Data.
The Guarantee Period Account term durations we offer may vary over time. We
declare and guarantee an interest rate for the entire term duration of each
Guarantee Period Account when you make an allocation or transfer to a
Guarantee Period Account. We credit interest to Guarantee Period Account
contract values daily. All interest rates we quote are effective annual
interest rates - this refers to the rate that results after interest has
compounded daily for a full year Refer to the Purchase Payments and Contract
Value sections for detailed Guarantee Period Account payment allocation and
contract value transfer rules.
You may transfer or withdraw contract value out of a Guarantee Period Account
within the 30 day period before the end of the Guarantee Period Account's
guarantee period without receiving a Market Value Adjustment. During this
30day window you may choose to transfer value to a new Guarantee Period
Account, transfer value to any of the variable subaccounts, or withdraw the
value from the contract (subject to applicable withdrawal provisions). If we
do not receive any instructions at the end of your guarantee period we will
automatically transfer the value into a Guarantee Period Account with the
shortest term duration we then offer. Refer to the Withdrawal Provision
section for detailed market value adjustment and withdrawal rules.
THE VARIABLE ACCOUNT
The variable account is a separate investment account of ours. It consists of
several subaccounts which are named under Contract Data. We have allocated a
part of our assets for this and certain other contracts to the variable
account. Such assets remain our property. However, they may not be charged
with the liabilities from any other business in which we may take part.
INVESTMENTS OF THE VARIABLE ACCOUNT
Each variable subaccount will buy, at net asset value, shares of the fund
shown for that subaccount under Contract Data or as later added or changed.
We may change the funds the variable subaccounts buy shares from if laws or
regulations change, the existing funds become unavailable or, in the judgment
of American Enterprise Life, the funds are no longer suitable for the
subaccounts. We have the right to substitute any funds for those shown under
Contract Data.
We may also:
o add new subaccounts,
o combine any two or more subaccounts,
o make additional subaccounts investing in additional funds,
o transfer assets to and from the subaccounts or the variable account, and
o eliminate or close any subaccounts.
We would first seek approval of the Securities and Exchange Commission if
necessary, and, where required, the insurance regulator of the state where
this contract is delivered.
VALUATION OF ASSETS
Fund shares in the variable subaccounts will be valued at their net asset
value.
VARIABLE ACCOUNT ACCUMULATION UNITS
The number of accumulation units for each of the variable subaccounts is found
by adding the number of accumulation units resulting from:
1. purchase payments and any applicable purchase payment credits allocated
to the subaccount; and
2. transfers to the subaccount;
and subtracting the number of accumulation units resulting from:
1. transfers from the subaccount; and
2. withdrawals (including withdrawal and other charges) from the subaccount;
and
3. contract administrative charge or any rider charge deductions from the
subaccount.
272876 Page 11
The number of accumulation units added or subtracted for each of the above
transactions is found by dividing (1) by (2) where:
1. is the amount allocated to or deducted from the subaccount; and
2. is the accumulation unit value for the subaccount for the respective
valuation period during which we received the purchase payment or
transfer value, or during which we deducted transfers, withdrawals,
withdrawal or other charges or contract administrative charges.
VARIABLE ACCOUNT ACCUMULATION UNIT VALUE
The value of an accumulation unit for each of the variable subaccounts was set
at $1 when the first fund shares were bought. The value for any later
valuation period is found as follows:
The accumulation unit value for each variable subaccount for the last prior
valuation period is multiplied by the net investment factor for the same
subaccount for the next following valuation period. The result is the
accumulation unit value. The value of an accumulation unit may increase or
decrease from one valuation period to the next.
NET INVESTMENT FACTOR
The net investment factor is an index applied to measure the investment
performance of a variable subaccount from one valuation period to the next.
The net investment factor may be greater or less than one; therefore, the
value of an accumulation or annuity unit may increase or decrease.
The net investment factor for any such subaccount for any valuation period is
determined by: dividing (1) by (2) and subtracting (3) and (4) from the
result. This is done where:
1. is the sum of:
a. the net asset value per share of the fund held in the variable
subaccount determined at the end of the current valuation period;
plus
b. the per share amount of any dividend or capital gain distribution
made by the fund held in the variable subaccount, if the
"ex-dividend" date occurs during the current valuation period; and
2. is the net asset value per share of the fund held in the variable
subaccount, determined at the end of the last prior valuation period; and
3. is a factor representing the mortality and expense risk charge; and
4. is a factor representing the variable account administrative charge.
MORTALITY AND EXPENSE RISK CHARGE
In calculating unit values we will deduct a mortality and expense risk charge
from the variable subaccounts. This deduction is made to compensate us for
assuming the mortality and expense risks under contracts of this type. We
estimate that approximately 2/3 of this charge is for assumption of mortality
risk and 1/3 is for assumption of expense risk. The deduction will be:
1. made from each variable subaccount; and
2. computed on a daily basis.
VARIABLE ACCOUNT ADMINISTRATIVE CHARGE
In calculating unit values, we will deduct a variable account administrative
charge from the variable subaccounts. This deduction is made to compensate us
for certain administrative and operating expenses for contracts of this type.
The deduction will be:
1. made from each variable subaccount; and
2. computed on a daily basis.
ANNUITY UNIT VALUE
The value of an annuity unit for each variable subaccount was arbitrarily set
at $1 when the first fund shares were bought. The value for any later
valuation period is found as follows:
1. the annuity unit value for each variable subaccount for the last prior
valuation period is multiplied by the net investment factor for the
subaccount for the valuation period for which the annuity unit value is
being calculated.
2. the result is multiplied by an interest factor. This is done to
neutralize the assumed investment rate which is built into Table A under
the Tables of Annuity Rates section.
Page 12 272876
WITHDRAWAL PROVISIONS
WITHDRAWAL
By written request and subject to the rules below you may:
1. withdraw this contract for the total withdrawal value; or
2. partially withdraw this contract for a part of the withdrawal value.
RULES FOR WITHDRAWAL
All withdrawals will have the following conditions.
1. You must apply by written request or other method agreed to by us:
a. while this contract is in force; and
b. prior to the earlier of beginning an annuity payment plan or the
death of the annuitant or owner.
2. You must withdraw an amount equal to at least $500. Each variable
subaccount value and Guarantee Period Account value after a partial
withdrawal must be either $0 or at least $50.
3. The amount withdrawn, less any charges, will normally be mailed to you
within seven days of the receipt of your written request and this
contract, if required.
4. For partial withdrawals, if you do not specify from which account the
withdrawal is to be made, the withdrawal will be made from the variable
subaccounts and Guarantee Period Accounts in the same proportion as your
interest in each bears to the contract value.
5. Any amounts withdrawn and charges which may apply cannot be repaid.
Upon withdrawal for the full withdrawal value, this contract and any
associated riders will terminate. We may require that you return the contract
to us before we pay the full withdrawal value.
WITHDRAWAL VALUE
The withdrawal value at any time will be:
1. the contract value;
2. plus or minus any applicable market value adjustment;
3. minus the full contract administrative charge;
4. minus any withdrawal charge;
5. minus any purchase payment credits that have not vested as shown under
Contract Data.
WITHDRAWAL CHARGE
A withdrawal charge may apply in the event you withdraw some or all of your
contract value. The withdrawal charge schedule for your contract is shown
under Contract Data. A withdrawal charge applies if you withdraw purchase
payments received that are still in the withdrawal charge period. Refer to
Waiver of Withdrawal Charges for situations when withdrawal charges are not
deducted.
For full withdrawals, we determine your withdrawal charge by multiplying each
of your purchase payments not previously withdrawn and not subject to a waiver
of withdrawal charge by the applicable withdrawal charge percentage, and then
totaling the charges.
For partial withdrawals, the withdrawal charge is prorated based on the
percentage of your contract value being withdrawn. For example, if you
withdraw half of your contract value, approximately half of the withdrawal
charge applicable for a full withdrawal would be charged. (However, any
waivers of withdrawal charge will not be prorated, so the withdrawal charge in
the above example would be reduced further to account for applicable waivers.)
For partial withdrawals, we determine the amount that represents purchase
payments which could be subject to a withdrawal charge by the following
formula:
PW - FA X (PP - PE)
-------
CV - FA
PW = Amount of partial withdrawal
FA = Free amount (amounts that are subject to a waiver
of withdrawal charge)
CV = Contract value prior to the withdrawal
PP = Purchase payments not previously withdrawn
PE = Amounts withdrawn totaling up to 10% of the
prior contract anniversary value to the extent
it is larger than amounts withdrawn that
represent contract earnings (See item 1 under
Waiver of Withdrawal Charges.)
After calculating the amount of purchase payments that might be subject to a
withdrawal charge, we use the Withdrawal Order described below to determine
the withdrawal charge.
272876 Page 13
For a partial withdrawal that is subject to a withdrawal charge, the amount we
actually withdraw from your contract value will be the amount you request plus
any applicable withdrawal charge. The withdrawal charge is applied to this
total amount. We pay you the amount you requested.
The withdrawal charge applies regardless of the contract value at time of
withdrawal. Therefore, the purchase payment amount applied to the withdrawal
charge percentage may be greater or less than the contract value.
MARKET VALUE ADJUSTMENT
With respect to the Guarantee Period Accounts, any amount withdrawn,
transferred or annuitized prior to the end of that guarantee period may be
subject to a Market Value Adjustment. The Market Value Adjustment will be
calculated by multiplying the amount withdrawn, transferred or annuitized by
the formula described below:
Amount x ( [ (1 + i)/ (1 + j + 0.001) ] (to the power of n/12) - 1 )
Where: i = rate earned in the account from which funds
are being transferred or withdrawn
j = current rate for a new Guarantee Period
equal to the remaining term (rounded up) in
the current Guarantee Period
n = number of months remaining in the current
Guarantee Period (rounded up)
There will be no Market Value Adjustment on withdrawals from Guarantee Period
Accounts in the following situations: (1) Death Benefit; (2) amounts withdrawn
to pay fees or charges; and (3) amounts withdrawn from the Guarantee Period
Accounts within 30 days before the end of the Guarantee Period.
WAIVER OF WITHDRAWAL CHARGES
Withdrawal charges are waived for all of the following.
1. In each contract year, the greater of:
a) Withdrawals during the year totaling up to 10% of your prior
contract anniversary contract value (initial purchase payment in the
first contract year), or
b) Contract earnings. ("Contract earnings" is defined as the contract
value less purchase payments not previously withdrawn.)
2. Withdrawals made if both you and the annuitant were under age 76 on the
contract date, and you provide proof satisfactory to us that, as of the
date you request the withdrawal, you or the annuitant are confined to a
hospital or nursing home, and have been for the prior 60 days.
To qualify, the nursing home must:
a. be licensed by an appropriate licensing agency to
provide nursing services; and
b. provide 24-hour-a-day nursing services; and
c. have a doctor available for emergency situations; and
d. have a nurse on duty or call at all times; and
e. maintain clinical records; and
f. have appropriate methods for administering drugs.
3. Withdrawal charges are waived if you or the annuitant are diagnosed in
the second or later contract years as disabled with a medical condition
that with reasonable medical certainty will result in death within 12
months or less from the date of the licensed physician's statement. You
must provide us with a licensed physician's statement containing the
terminal illness diagnosis and the date the terminal illness was
initially diagnosed.
4. IRA required minimum distributions, for those amounts required to be
distributed from this contract only.
5. Annuity payment plan payments.
6. Payments made in the event of the death of the owner or annuitant.
Page 14 272876
WITHDRAWAL ORDER
We use this order to determine withdrawal charges.
o First, withdrawals up to 10% of your prior contract anniversary contract
value (initial purchase payment in the first contract year) not
previously withdrawn during this contract year. (No withdrawal charge.)
o Next, withdrawals are from amounts representing contract earnings - if
any - in excess of the annual 10% free withdrawal amount. (No withdrawal
charge.)
o Next, withdrawals are from purchase payments not previously withdrawn and
which had been paid more than the number of years in the withdrawal
charge period shown under Contract Data prior to withdrawal. (No
withdrawal charge.)
o Last, withdrawals are from purchase payments received that are still
within the withdrawal charge period shown in the schedule under Contract
Data. We withdraw these payments on a "first-in, first-out" (FIFO) basis.
There is a withdrawal charge on these payments.
SUSPENSION OR DELAY IN PAYMENT OF WITHDRAWAL
We have the right to suspend or delay the date of any withdrawal payment from
the variable subaccounts for any period:
1. when the New York Stock Exchange is closed; or
2. when trading on the New York Stock Exchange is restricted; or
3. when an emergency exists as a result of which:
a. disposal of securities held in the variable subaccounts is not
reasonably practical; or
b. it is not reasonably practical to fairly determine the value of the
net assets of the variable subaccounts; or
4. during any other period when the Securities and Exchange Commission, by
order, so permits for the protection of security holders.
Rules and regulations of the Securities and Exchange Commission will govern as
to whether the conditions set forth in 2 and 3 exist.
272876 Page 15
ANNUITY PROVISIONS
ANNUITIZATION
When annuitization occurs, the contract value, less any applicable Market
Value Adjustment will be applied to make annuity payments. The first payment
will be made as of the retirement date. This date is shown under Contract
Data. Before payments begin we will require satisfactory proof that the
annuitant is alive. We may also require that you exchange this contract for a
supplemental contract which provides the annuity payments.
CHANGE OF RETIREMENT DATE
You may change the retirement date shown for this contract. Tell us the new
date by written request. If you select a new date, it must be at least 30 days
after we receive your written request at our administrative office.
The maximum retirement date is the latest of:
1. the annuitant's 85th birthday, or
2. the 10th contract anniversary, or
3. such other date as agreed upon by us.
PRE-ELECTION OF AN ANNUITY INCOME PLAN
If this is a nonqualified contract, you may elect how the death benefit is to
be paid under the contract in the event of death before annuitization. You
must make any such election on a form satisfactory to us. We must receive the
form in our administrative office prior to the date of death. The death
benefit will then be payable as elected by you, rather than as requested by
the beneficiary.
If for any reason such election does not satisfy Section 72 of the Code or
related distribution requirements, the election will be void. The beneficiary
will then be permitted to elect payment as otherwise allowed by this contract.
ANNUITY PAYMENT PLANS
Annuity payments may be made on a fixed dollar basis, a variable basis or a
combination of both. You can schedule receipt of annuity payments according to
one of the Plans A through E below or another plan agreed to by us.
PLAN A -- This provides monthly annuity payments during the lifetime of the
annuitant. No payments will be made after the annuitant dies.
PLAN B -- This provides monthly annuity payments during the lifetime of the
annuitant with a guarantee by us that payments will be made for a period of at
least five, 10 or 15 years. You must select the guaranteed period.
PLAN C -- This provides monthly annuity payments during the lifetime of the
annuitant with a guarantee by us that payments will be made for a certain
number of months. We determine the number of months by dividing the amount
applied under this plan by the amount of the first monthly annuity payment.
PLAN D -- Monthly annuity payments will be paid during the lifetime of the
annuitant and joint annuitant. When either the annuitant or the joint
annuitant dies we will continue to make monthly payments during the lifetime
of the survivor. No payments will be made after the death of both the
annuitant and joint annuitant.
PLAN E -- This provides monthly annuity payments for a period of years. The
period of years may be no less than 10 nor more than 30.
You may select the plan by written request to us at least 30 days before the
retirement date. If at least 30 days before the retirement date we have not
received at our administrative office your written request to select a plan,
we will make payments according to Plan B with payments guaranteed for 10
years.
If the amount to be applied to a plan would not provide a monthly payment of
at least $20, we have the right to change the frequency of the payment or to
make a lump sum payment of the contract value.
Page 16 272876
ALLOCATION OF CONTRACT VALUES AT ANNUITIZATION
At the time of annuitization under an Annuity Payment Plan, you may allocate
your contract value to provide fixed dollar payments and / or allocate your
contract value among the variable subaccounts, to provide variable annuity
payments. We reserve the right to limit the number of variable subaccounts
used at any one time during annuitization. The Guarantee Period Accounts are
not available after annuitization.
FIXED ANNUITY
A fixed annuity is an annuity with payments that are guaranteed by us as to
dollar amount. Fixed annuity payments remain the same. At annuitization
contract value amounts you allocate to provide fixed dollar payments will be
applied to the applicable Annuity Table. This will be done in accordance with
the payment plan chosen. The minimum amount payable for each $1,000 so applied
is shown in Table B on under the Tables of Annuity Rates section.
VARIABLE ANNUITY
A variable annuity is an annuity with payments which:
1. are not predetermined or guaranteed as to dollar amount; and
2. vary in amount with the investment experience of the variable
subaccounts.
DETERMINATION OF THE FIRST VARIABLE ANNUITY PAYMENT
At annuitization, the contract value amounts you allocate to provide variable
annuity payments will be applied to the applicable Annuity Table. This will be
done:
1. on the valuation date on or next preceding the seventh calendar day
before the retirement date; and
2. in accordance with the payment plan chosen. The amount payable for the
first payment for each $1,000 so applied is shown in Table A under the
Tables of Annuity Rates section.
VARIABLE ANNUITY PAYMENTS AFTER THE FIRST PAYMENT
Variable annuity payments after the first payment vary in amount. The amount
changes with the investment performance of the variable subaccounts. The
dollar amount of variable annuity payments after the first is not fixed. It
may change from month to month. The dollar amount of such payments is
determined as follows.
1. The dollar amount of the first annuity payment is divided by the value of
an annuity unit as of the valuation date on or next preceding the seventh
calendar day before the retirement date. This result establishes the
number of annuity units for each monthly annuity payment after the first
payment. This number of annuity units remains fixed during the annuity
payment period.
2. The fixed number of annuity units is multiplied by the annuity unit value
as of the valuation date on or next preceding the seventh calendar day
before the date the payment is due. The result establishes the dollar
amount of the payment.
We guarantee that the dollar amount of each payment after the first will not
be affected by variations in expenses or mortality experience.
EXCHANGE OF ANNUITY UNITS
After annuity payments begin, annuity units of any variable subaccount may be
exchanged for units of any of the other variable subaccounts. This may be done
no more than once a year. We reserve the right to limit the number of variable
subaccounts used at any one time. Once annuity payments start no exchanges may
be made to or from any fixed annuity.
272876 Page 17
TABLES OF ANNUITY RATES
Table A below shows the amount of the first monthly variable annuity payment,
based on a 5% assumed investment return, for each $1,000 of value applied
under any payment plan. The amount of the first and all subsequent monthly
fixed dollar annuity payments for each $1,000 of value applied under any
payment plan will be based on our fixed dollar Table of Annuity Rates in
effect at annuitization. Such rates are guaranteed to be not less than those
shown in Table B. The amount of such annuity payments under Plans A, B and C
will depend upon the sex and age of the annuitant at annuitization. The amount
of such annuity payments under Plan D will depend upon the sex and the age of
the annuitant and the joint annuitant at annuitization.
TABLE A - DOLLAR AMOUNT OF FIRST MONTHLY VARIABLE ANNUITY PAYMENT PER $1,000 APPLIED
------------------------------------------------------------------------------------------------------------------------------------
Plan A Plan B Plan C Plan D
------------------------------------------------------------------------------------------------------------------------------------
Age Life Income Life Income with Life Income Joint & Survivor
at Beginning Non-Refund Five Years Ten Years Fifteen Years Installment Non-Refund
Annui- In Certain Certain Certain Refund Male & Female
tization Year Male Female Male Female Male Female Male Female Male Female Same Age
------------------------------------------------------------------------------------------------------------------------------------
Age 65 2005 6.51 5.87 6.46 5.85 6.31 5.78 6.07 5.67 6.14 5.68 5.35
2010 6.42 5.80 6.37 5.78 6.23 5.72 6.01 5.62 6.07 5.63 5.31
2015 6.33 5.73 6.29 5.71 6.16 5.66 5.96 5.57 6.01 5.57 5.26
2020 6.25 5.67 6.21 5.65 6.09 5.61 5.91 5.53 5.95 5.52 5.22
2025 6.17 5.61 6.13 5.60 6.02 5.55 5.85 5.48 5.89 5.48 5.18
2030 6.09 5.56 6.06 5.54 5.96 5.51 5.80 5.44 5.83 5.43 5.15
Age 70 2005 7.43 6.56 7.32 6.52 6.99 6.38 6.55 6.16 6.81 6.24 5.86
2010 7.30 6.47 7.20 6.42 6.90 6.30 6.49 6.10 6.71 6.16 5.80
2015 7.18 6.37 7.08 6.34 6.81 6.22 6.44 6.04 6.63 6.09 5.73
2020 7.06 6.28 6.97 6.25 6.73 6.15 6.38 5.98 6.55 6.03 5.67
2025 6.95 6.20 6.87 6.17 6.65 6.08 6.32 5.93 6.47 5.97 5.62
2030 6.85 6.13 6.78 6.10 6.57 6.02 6.27 5.88 6.39 5.91 5.57
Age 75 2005 8.71 7.61 8.45 7.49 7.81 7.17 7.03 6.71 7.67 7.01 6.61
2010 8.53 7.46 8.29 7.36 7.70 7.07 6.98 6.65 7.55 6.91 6.51
2015 8.35 7.33 8.14 7.24 7.60 6.98 6.92 6.59 7.44 6.81 6.42
2020 8.19 7.20 7.99 7.12 7.50 6.88 6.87 6.53 7.33 6.72 6.33
2025 8.03 7.08 7.86 7.01 7.40 6.80 6.82 6.47 7.23 6.64 6.25
2030 7.89 6.97 7.73 6.91 7.31 6.71 6.76 6.41 7.13 6.56 6.18
Age 85 2005 13.09 11.51 11.76 10.74 9.48 9.11 7.69 7.61 10.34 9.54 9.35
2010 12.72 11.18 11.53 10.50 9.40 9.01 7.67 7.58 10.15 9.36 9.13
2015 12.38 10.88 11.30 10.28 9.32 8.92 7.66 7.56 9.96 9.19 8.93
2020 12.05 10.60 11.09 10.06 9.24 8.82 7.64 7.54 9.79 9.03 8.75
2025 11.75 10.34 10.88 9.86 9.16 8.73 7.63 7.51 9.63 8.88 8.58
2030 11.47 10.10 10.68 9.68 9.08 8.63 7.61 7.49 9.48 8.74 8.43
------------------------------------------------------------------------------------------------------------------------------------
Table A above is based on the "1983 Individual Annuitant Mortality Table A"
with 100% Projection Scale G and a 5% assumed investment return. Annuity rates
for any year, age, or any combination of year, age and sex not shown above,
will be calculated on the same basis as those rates shown in the Table above.
Such rates will be furnished by us upon request. Amounts shown in the Table
below are based on a 5% assumed investment return.
------------------------------------------------------------------------------------------------------------------------------------
PLAN E - DOLLAR AMOUNT OF FIRST MONTHLY VARIABLE ANNUITY PAYMENT PER $1,000 APPLIED
------------------------------------------------------------------------------------------------------------------------------------
Years Payable Monthly Payment Years Payable Monthly Payment Years Payable Monthly Payment
10 10.51 17 7.20 24 5.88
11 9.77 18 6.94 25 5.76
12 9.16 19 6.71 26 5.65
13 8.64 20 6.51 27 5.54
14 8.20 21 6.33 28 5.45
15 7.82 22 6.17 29 5.36
16 7.49 23 6.02 30 5.28
------------------------------------------------------------------------------------------------------------------------------------
Page 18 272876
TABLE B - DOLLAR AMOUNTS OF EACH MONTHLY FIXED DOLLAR ANNUITY PAYMENT PER $1,000 APPLIED
------------------------------------------------------------------------------------------------------------------------------------
Plan A Plan B Plan C Plan D
------------------------------------------------------------------------------------------------------------------------------------
Age Life Income Life Income with Life Income Joint & Survivor
at Beginning Non-Refund Five Years Ten Years Fifteen Years Installment Non-Refund
Annui- In Certain Certain Certain Refund Male & Female
tization Year Male Female Male Female Male Female Male Female Male Female Same Age
------------------------------------------------------------------------------------------------------------------------------------
Age 65 2005 4.75 4.14 4.72 4.13 4.62 4.09 4.43 4.01 4.19 3.83 3.68
2010 4.66 4.07 4.63 4.06 4.54 4.03 4.37 3.96 4.13 3.78 3.63
2015 4.57 4.01 4.55 4.00 4.46 3.97 4.31 3.90 4.08 3.74 3.59
2020 4.49 3.95 4.47 3.94 4.39 3.91 4.25 3.85 4.02 3.70 3.54
2025 4.41 3.89 4.39 3.88 4.33 3.86 4.20 3.81 3.97 3.66 3.50
2030 4.34 3.84 4.32 3.83 4.26 3.81 4.15 3.76 3.93 3.62 3.47
------------------------------------------------------------------------------------------------------------------------------------
Age 70 2005 5.66 4.85 5.59 4.82 5.35 4.73 4.98 4.55 4.76 4.34 4.23
2010 5.54 4.76 5.47 4.73 5.26 4.65 4.92 4.49 4.69 4.28 4.16
2015 5.42 4.67 5.36 4.64 5.16 4.57 4.85 4.42 4.62 4.22 4.10
2020 5.31 4.58 5.25 4.56 5.08 4.50 4.79 4.37 4.55 4.17 4.04
2025 5.20 4.50 5.15 4.49 4.99 4.43 4.73 4.31 4.49 4.12 3.98
2030 5.10 4.43 5.05 4.41 4.91 4.36 4.67 4.25 4.43 4.07 3.93
------------------------------------------------------------------------------------------------------------------------------------
Age 75 2005 6.92 5.89 6.74 5.81 6.23 5.57 5.53 5.17 5.50 5.01 5.01
2010 6.74 5.75 6.58 5.68 6.11 5.47 5.47 5.10 5.41 4.93 4.91
2015 6.58 5.62 6.43 5.56 6.01 5.37 5.41 5.04 5.32 4.86 4.82
2020 6.42 5.50 6.29 5.45 5.90 5.27 5.35 4.97 5.24 4.79 4.73
2025 6.27 5.39 6.15 5.34 5.80 5.18 5.29 4.91 5.16 4.72 4.65
2030 6.13 5.28 6.02 5.24 5.71 5.10 5.23 4.85 5.08 4.66 4.58
------------------------------------------------------------------------------------------------------------------------------------
Age 85 2005 11.23 9.72 10.15 9.11 8.06 7.67 6.27 6.18 7.75 7.14 7.76
2010 10.88 9.41 9.91 8.88 7.97 7.56 6.26 6.16 7.61 7.01 7.56
2015 10.55 9.13 9.69 8.66 7.89 7.46 6.24 6.13 7.47 6.88 7.37
2020 10.24 8.86 9.47 8.45 7.80 7.36 6.23 6.11 7.34 6.77 7.19
2025 9.96 8.62 9.26 8.25 7.72 7.26 6.21 6.08 7.22 6.66 7.03
2030 9.69 8.39 9.06 8.06 7.64 7.16 6.19 6.05 7.11 6.56 6.88
------------------------------------------------------------------------------------------------------------------------------------
Table B above is based on the "1983 Individual Annuitant Mortality Table A" at
2.0% with 100% Projection Scale G. Annuity rates for any year, age, or any
combination of year, age and sex not shown above, will be calculated on the
same basis as those rates shown in the Table above. Such rates will be
furnished by us upon request. Amounts shown in the Table below are based on a
2.0% annual effective interest rate.
------------------------------------------------------------------------------------------------------------------------------------
PLAN E - DOLLAR AMOUNT OF EACH MONTHLY FIXED DOLLAR ANNUITY PAYMENT PER $1,000 APPLIED
------------------------------------------------------------------------------------------------------------------------------------
Years Payable Monthly Payment Years Payable Monthly Payment Years Payable Monthly Payment
---------------------------------------------------------------------------------------------------------------------------
10 9.18 17 5.77 24 4.36
11 8.42 18 5.50 25 4.22
12 7.80 19 5.26 26 4.10
13 7.26 20 5.04 27 3.98
14 6.81 21 4.85 28 3.87
15 6.42 22 4.67 29 3.77
16 6.07 23 4.51 30 3.68
---------------------------------------------------------------------------------------------------------------------------
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272876 Page 19
DEFERRED VARIABLE ANNUITY CONTRACT
AMERICAN ENTERPRISE LIFE
INSURANCE COMPANY
AMERICAN EXPRESS [LOGO](R) Administrative Offices:
[829 AXP Financial Center]
[Minneapolis, MN 55474]
Flexible Purchase Payments
Investment Experience Reflected in Benefits
Variable Accumulation Values
Optional Variable or Fixed Dollar Annuity Payments
Annuity Payments to Begin on the Retirement Date
This Contract is Nonparticipating -- Dividends Are Not Payable
