NATIONWIDE LIFE INSURANCE COMPANY
NATIONWIDE
LIFE INSURANCE COMPANY
Home
Office Columbus, Ohio
(Hereinafter
Called the Company)
NATIONWIDE
LIFE INSURANCE COMPANY will make annuity payments to the Annuitant starting
on
the Annuitization Date, as set forth in the Contract.
This
Contract is provided in return for: (1) the application, a copy of which
is
attached to and made a part of this Contract; and (2) the purchase payment
made
as required in the Contract.
TEN
DAY LOOK
To
be
sure that the Owner is satisfied with this Contract, the Owner has ten days
to
examine the Contract and return it for any reason. Within ten days of the
date
the Contract is received by the Owner, it may be returned to the Home Office
without deduction for any sales charges or administration fees. When the
Contract is received in the Home Office, the Company will return the Contract
Value to the Owner, as of the date of cancellation, unless otherwise required
by
state and/or federal law.
Executed
for the Company on the Date of Issue.
/s/
illegable
|
/s/
illegable
|
|
Secretary
|
President
|
READ
YOUR CONTRACT CAREFULLY
Individual
Flexible Purchase Payment Deferred Variable Annuity,
Non-Participating.
ANNUITY
PAYMENTS AND OTHER VALUES PROVIDED BY THIS CONTRACT, WHEN BASED ON THE
INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE, MAY INCREASE OR
DECREASE IN ACCORDANCE WITH THE FLUCTUATIONS IN THE NET INVESTMENT FACTOR,
AND
ARE NOT GUARANTEED AS TO FIXED-DOLLAR AMOUNT.
NOTICE
- The details of the variable provisions in the
Contract
may be found on Pages 2, 11, 12, 14 and 15.
DATA
PAGE
FLEXIBLE
PREMIUM DEFERRED VARIABLE ANNUITY
CONTRACT
OWNER
|
CONTRACT
NUMBER
|
|
DATE
OF ISSUE
|
||
DESIGNATED
ANNUITANT
|
ANNUITY
COMMENCEMENT DATE
|
|
SEX
OF DESIGNATED ANNUITANT
|
PURCHASE
PAYMENT
|
|
AGE
OF DESIGNATED ANNUITANT
|
PLAN
TYPE
|
The
Purchase Payment will be applied to the General Account of Nationwide Life
Insurance Company or toward the purchase of shares at Net Asset Value of
the
following funds:
AMERICAN
CENTURY VARIABLE PORTFOLIOS, INC.
• AMERICAN
CENTURY VP CAPITAL APPRECIATION
• AMERICAN
CENTURY VP ADVANTAGE
DREYFUS
STOCK INDEX FUND
DREYFUS
SOCIALLY RESPONSIBLE GROWTH FUND
DREYFUS
VARIABLE INVESTMENT FUND
• QUALITY
BOND PORTFOLIO
• SMALL
CAP PORTFOLIO
FIDELITY
VARIABLE INSURANCE PRODUCTS FUND
• EQUITY-INCOME
PORTFOLIO
• HIGH-INCOME
PORTFOLIO FUND
NATIONWIDE
SEPARATE ACCOUNT TRUST
• GOVERNMENT
BOND FUND
• MONEY
MARKET FUND
• TOTAL
RETURN FUND
XXXXXXXXX
& XXXXXX ADVISERS MANAGEMENT TRUST
• BALANCED
PORTFOLIO
STRONG
SPECIAL FUND II, INC.
XXXXXXXXX
VARIABLE PRODUCTS SERIES FUND
• INTERNATIONAL
FUND
Additional
option:
GUARANTEED
INTEREST ACCOUNT
Although
rates can fluctuate annually, in no event will the Guaranteed Interest Account
earn less than 3.0% Annualized Interest.
For
use
with the Nationwide Muitiflex Variable Account.
CONTENTS
DATA
PAGE
|
INSERT
|
DEFINITIONS
|
|
The
Company
|
1
|
Accumulation
Unit
|
1
|
Annuitant
|
1
|
Annuitization
Date
|
1
|
Annuity
Commencement Date
|
1
|
Annuity
Payment Option
|
1
|
Annuity
Unit
|
1
|
Beneficiary
|
1
|
Contingent
Beneficiary
|
1
|
Contingent
Designated Annuitant
|
1
|
Contingent
Owner
|
1
|
Contract
Anniversary
|
1
|
Contract
Owner (Owner)
|
1
|
Contract
Value
|
1
|
Contract
Year
|
1
|
Date
of Issue
|
1
|
Designated
Annuitant
|
2
|
Distribution
|
2
|
Guaranteed
Interest Account
|
2
|
Fixed
Annuity
|
2
|
Home
Office
|
2
|
Interest
Rate Guarantee Period
|
2
|
Non-Qualified
Contract
|
2
|
Non-Qualified
Plan
|
2
|
Purchase
Payment Anniversary
|
2
|
Purchase
Payment Year
|
2
|
Qualified
Contract
|
2
|
Qualified
Plan
|
2
|
Tax
Sheltered Annuity [403(b)]
|
2
|
Valuation
Date
|
2
|
Valuation
Period
|
2
|
Variable
Account
|
2
|
Variable
Annuity
|
2
|
GENERAL
PROVISIONS
|
|
Contract
Maintenance Charge
|
3
|
Deduction
for Premium Taxes
|
3
|
Mortality
and Expense Risk Charge
|
3
|
Administration
Charge
|
3
|
Contingent
Deferred Sales Charge
|
3
|
Elimination
of Contingent Deferred Sales Charge Under a Tex Shaltered
Annuity [403(b)]
Contracts Only
|
4
|
Surrenders
Without Charge
|
4
|
Beneficiary
Provisions
|
4
|
Contract
Ownership Provisions
|
4
|
Death
of Designated Annuitant
|
5
|
Death
of Annuitant
|
5
|
Death
of Owner (IRA and Non-Qualified Contracts)
|
5
|
Death
Benefit Under a 403(b) Tax Sheltered Annuity
|
6
|
Alteration
or Modification
|
6
|
Assignment
|
7
|
Entire
Contract
|
7
|
Mlsstatement
of Age or Sex
|
7
|
Evidence
of Survival
|
7
|
Protection
of Proceeds
|
7
|
Statements
|
7
|
CONTENTS
(Continued)
Incontestability
|
7
|
Contract
Settlement
|
7
|
Number
and Gender
|
7
|
Non-Participating
|
7
|
ACCUMULATION
PROVISIONS
|
|
Loan
Provisions (403(b) Contract Owners Only)
|
8
|
Surrender
(IRA and Non-Qualified Owners)
|
9
|
Surrenders
Under a Tax Sheltered Annuity [403(b)] Contract
|
9
|
Surrender
Value
|
9
|
Suspension
or Delay in Payment of Surrender
|
10
|
Flexible
Purchase Payments
|
10
|
First
Purchase Payment
|
10
|
No
Default
|
10
|
Change
in Purchase Payments
|
10
|
Allocation
of Purchase Payments
|
10
|
Contract
Value
|
11
|
Guaranteed
Interest Account Contract Value
|
11
|
Interest
to be Credited
|
11
|
Variable
Account Contract Value
|
11
|
The
Variable Account
|
11
|
Investments
of the Variable Account
|
11
|
Sub-Accounts
|
11
|
Valuation
of Assets
|
11
|
Variable
Account Accumulation Units
|
11
|
Variable
Account Accumulation Unit Value
|
12
|
Net
Investment Factor
|
12
|
Guaranteed
Interest Account Provisions
|
12
|
Transfer
Provisions
|
12
|
Distribution
Provisions
|
13
|
Exchange
Privilege
|
13
|
Tax
Sheltered Annuity [403(b)] and IRA Provisions
|
13
|
ANNUITIZATION
PROVISIONS
|
|
General
|
14
|
Annuitization
|
14
|
Annuity
Commencement Date
|
14
|
Change
of Annuity Commencement Date
|
14
|
Change
of Annuity Payment Option
|
14
|
Annuity
Payment Options
|
14
|
Supplementary
Agreement
|
14
|
Frequency
and Amount of Payments
|
14
|
Fixed
Annuity Provisions
|
14
|
Variable
Annuity
|
14
|
Determination
of First Variable Annuity Payment
|
15
|
Annuity
Unit Value
|
15
|
Variable
Annuity Payments After the First Payment
|
15
|
ANNUITY
PAYMENT OPTIONS
|
|
General
|
15
|
Life
Annuity
|
15
|
Joint
and Last Survivor Annuity
|
15
|
Life
Annuity With 120 or 240 Monthly Payments Guaranteed
|
15
|
ANNUITY
TABLES
|
16
|
DEFINITIONS
The
Company - The Company is Nationwide Life insurance
Company.
Accumulation
Unit -The Accumulation Unit is an accounting unit of
measure. It is used to calculate the Variable Account Contract Value
prior to the Annuitization Date.
Annuitant
- The Annuitant is the person actually receiving annuity payments and upon
whose
continuation of life any annuity payment involving life contingencies
depends.
Annuitization
Date - The Annuitization Date is the date annuity payments actually
begin.
Annuity
Commencement Date - The Annuity Commencement Date is the date on which
annuity payments are to commence. Such date is the date shown on the Data
Page,
unless changed.
Annuity
Payment Option - The Annuity Payment Option is the method for making
annuity payments. Several options are available under this Contract, The
Annuity
Payment Option is the form named in the application, unless
changed.
Annuity
Unit - An Annuity Unit is an accounting unit of measure used to
calculate the value of Variable Annuity payments.
Beneficiary
- The Beneficiary is the person named in the application and is subject to
change by the Owner, The Beneficiary may be the recipient of certain benefits
under this Contract when the Owner, Annuitant, or Designated Annuitant
dies.
Contingent
Beneficiary - The Contingent Beneficiary is the person named in the
application and is subject to change by the Owner. The Contingent Beneficiary
may be the recipient of certain benefits under this Contract if the Beneficiary
is not living when the Owner, Annuitant, or Designated Annuitant
dies.
Contingent
Designated Annuitant - The Contingent Designated Annuitant is named in
the application and is subject to change by the Owner. If the Owner
wishes to name a Contingent Designated Annuitant he/she must do so in writing.
The Contingent Designated Annuitant may be the recipient of certain rights
or
benefits under this Contract if the Designated Annuitant dies before the
Annuitization Date. If a Contingent Designated Annuitant is named, all
provisions of the Contract which are based on the death of the Designated
Annuitant will be based on the death of the last survivor of the Designated
Annuitant and the Contingent Designated Annuitant. The Owner's right to name
a
Contingent Designated Annuitant may be restricted under the provisions of
the
retirement or deferred compensation plan for which this Contract is
issued.
Contingent
Owner - The Contingent Owner is named in the application and is subject
to change by the Owner at any time. The Contingent Owner may be the recipient
of
certain rights or benefits under this Contract when the Owner dies before
the
Annuitization Date. The Owner's right to name a Contingent Owner may be
restricted under the provisions of the retirement or deferred compensation
plan
for which this Contract is issued.
Contract
Anniversary - A Contract Anniversary is an anniversary of the Contract
issue Date as shown on the Data Page.
Contract
Owner (Owner) - The Contract Owner is the person who possesses all
rights under the Contract, including the right to designate and change any
designations of the Contingent Owner, Designated Annuitant, Contingent
Designated Annuitant, Beneficiary, Contingent Beneficiary, Annuity Payment
Option, and the Annuity Commencement Date. The Owner is the person named
in the
application, unless changed.
Contract
Value - The Contract Value is the sum of all Variable Account
Accumulation Units attributable to the Contract plus any amount held under
the
Contract in the Guaranteed interest Account.
Contract
Year - A Contract Year is each Contract Anniversary.
Date
of Issue - The Date of Issue is shown on the Data Page.
1
DEFINITIONS
(Continued)
Designated
Annuitant - The Designated Annuitant is the person named, prior to the
Annuitization Date, to receive annuity payments. The Designated Annuitant
is
named on the Data Page, unless changed. The Company reserves the right to
reject
any change of the Designated Annuitant which has been made without the prior
consent of the Company.
Distribution
- A Distribution is any payment of part or all of the Contract
Value.
Fixed
Annuity - A Fixed Annuity is a series of payments which are guaranteed
by the Company as to dollar amount during the Annuitization period.
Guaranteed
Interest Account - The Guaranteed Interest Account is made up of all
assets of the Company other than those in any segregated asset
account.
Home
Office - The Home Office is the main office of the Company located in
Columbus, Ohio.
Interest
Rate Guarantee Period - The Interest rate declared is guaranteed not to
change for the duration of the Interest Rate Guarantee Period. The interest
rate
declared will expire on the final day of a calendar quarter; therefore, an
Interest Rate Guarantee Period may continue for up to three months after
the one
year period has expired.
Non-Qualified
Contract - A Non-Qualified Contract is a Contract issued to fund a
Non-Qualified Plan.
Non-Qualified
Plan - A Non-Qualified Plan is a retirement program which does not
receive favorable tax treatment under the provisions of the Internal Revenue
Code.
Purchase
Payment Anniversary - A Purchase Payment Anniversary is an anniversary
of the date a purchase payment is made under the Contract.
Purchase
Payment Year - A Purchase Payment Year is each year starting with the
date a purchase payment is made and each Purchase Payment Anniversary
thereafter.
Qualified
Contract - A Qualified Contract is a Contract issued to fund a
Qualified Plan.
Qualified
Plan - A Qualified Plan is a retirement program which receives
favorable tax treatment under the provisions of the Internal Revenue Code.
Provisions of this contract may be modified pursuant to the plan terms and
Internal Revenue Code tax provisions when this contract is issued to fund
a
Qualified Plan.
Sub-Account
- The Variable Account is divided into Sub-Accounts which Invest in shares
of
mutual funds. Purchase payments are allocated among one or more of these
Sub-Accounts, as designated by the Owner.
Tax
Sheltered Annuity [403(b)] - An annuity which qualifies for treatment
under Section 403(b) of the Internal Revenue Code of 1986, as
amended.
Valuation
Date - A Valuation Date is each day the New York Stock Exchange and
the
company's Home Office are open for business. It may also be any other day
during
which there is sufficient degree of trading of the Variable Account's Mutual
Fund shares such that the current net asset value of its Accumulation Units
might be materially affected.
Valuation
Period - A Valuation Period is the interval of time between one
Valuation Date and the next Valuation Date. It is measured from the closing
of
business of the New York Stock Exchange and ending at the close of business
for
the next succeeding Valuation Date.
Variable
Account - The Variable Account is named on the Data Page. It is a
separate investment account of the Company designated as the Nationwide
Multi-Flex Variable Account into which variable Account purchase payments
are
allocated.
Variable
Annuity - A Variable Annuity is a series of payments which: (1) are not
predetermined or guaranteed as to dollar amount; and (2) vary in amount with
the
investment experience of the Variable Account.
2
GENERAL
PROVISIONS
Contract
Maintenance Charge
This
charge is a deduction of $30.00 made on each Contract Anniversary, and on
any
date that full Contract Value is surrendered, if such Surrender occurs on
any
date other than a Contract Anniversary. This charge will be allocated between
the Guaranteed Interest and Variable Accounts in the same percentages as
the
purchase payment investment allocations are to the Guaranteed Interest and
Variable Accounts. In no event, however, will the Guaranteed Interest Account
value be less than the sum of all purchase payments allocated to the Guaranteed
Interest Account plus interest
credited to the Guaranteed Interest Account for that year. The minimum interest
to be credited to the Guaranteed Interest Account will not be less than
3.5%.
The
Contract Maintenance Charge may be decreased or eliminated by the Company
when
the Company determines that a multiple purchase would result in reduced
administrative expenses. In no event, however, will charges be decreased
or
eliminated where it is deemed unfairly discriminatory or where it is prohibited
by law.
Deduction
For Premium Taxes
Any
premium taxes levied by a state or other governmental entity will be charged
against the Contract Value. The Company will deduct such taxes from the Contract
Value at the time of Annuitization, except in those states which require
such
taxes to be paid when purchase payments are made.
Mortality
and Expense Risk Charge
The
Company will deduct a Mortality and Expense Risk Charge equal, on an annual
basis, to 1.25% of the daily net asset value of the Variable Account. This
deduction is made to compensate the Company for assuming the mortality risks
and
expense risks under this Contract. The deduction will be: (1) made from each
Sub-Account; (2) computed on a daily basis; and (3) made in the same proportion
that the Contract Value in each Sub-Account bears to the total Contract Value
in
the Variable Account.
Administrative
Charge
The
Company will deduct an Administrative Charge equal, on an annual basis, to
0.05%
of the daily net asset value of the Variable Account. This deduction is made
to
reimburse the Company for expense Incurred in the administration of the Contract
and of the Variable Account. The deduction will be; (1) made from each
Sub-Account; (2) computed on a dally basis; and (3) made in the same proportion
that the Contract Value in each Sub-Account bears to the total Contract Value
in
the Variable Account.
Contingent
Deferred Sales Charge
If
part
or all of the Contract Value is surrendered, a Contingent Deferred Sales
Charge
may be applied at the time of a Surrender. The Contingent Deferred Sales
Charge
will be equal to no more than 7% of the lesser of: (1) the total of all purchase
payments made within 84 months prior to the date of the request for Surrender;
or (2) the amount surrendered.
The
Contingent Deferred Sales Charge applies to premium year payments as indicated
below. A new premium year begins with the first purchase payment made in
a new
contract year, and ends with the close of the contract year.
Number
of Completed
Years
From Date of
Purchase
Payment
|
Contingent
Deferred
Sales
Charge
Percentage
|
Number
of Completed
Years
From Date of
Purchase
Payment
|
Contingent
Deferred
Sales
Charge
Percentage
|
|||
0
|
7%
|
4
|
3%
|
|||
1
|
6%
|
5
|
2%
|
|||
2
|
5%
|
6
|
1%
|
|||
3
|
4%
|
7
|
0%
|
A
Contingent Deferred Sales Charge will not be assessed against any values
which
have been held under the Contract for at least 84 months or any values applied
to purchase an annuity.
3
GENERAL
PROVISIONS
(Continued)
Elimination
of Contingent Deferred Sales Charge Under Tax Sheltered Annuity [403(b)]
Contracts Only
The
Company shall waive the Contingent Deferred Sales Charge when:
1.
|
The
Contract Owner has participated in the Contract for 10 years with
active
deferrals;
|
2.
|
The
Contract Owner dies, or becomes disabled (within the meaning of
Code
Section 72(m}(7));
|
3.
|
In
the case of hardship (as defined for purposes of Code Section 401
(k)),
provided that any surrender of Contract Value in the case of hardship
may
not include any post-1988 (note: pre-89 earnings are
eligible for a hardship distribution) income attributable to salary
reduction contributions (or, in the case of transfers from other
plans,
employer contributions);
|
4.
|
The
Contract Owner annuitizes after 2 years in the Contract;
or
|
5.
|
The
Contract Owner has separated from service (as defined in Internal
Revenue
Code Section 401(k)(2)(B)) and participated In the Contract for
5
years.
|
Surrenders
Without Charge
Once
each
year, starting with the second Purchase Payment Year of a purchase payment,
the
Owner may surrender, without a Contingent Deferred Sates Charge, an amount
equal
to 10% of the purchase payment at the time of surrender. This free withdrawal
privilege is non-cumulative and must be used in the year available:
After
a
purchase payment's seventh Purchase Payment Anniversary, the Owner may surrender
without charge: (1) 100% of the purchase payment amount, less (2) any amount
of
the purchase payment previously surrendered.
Beneficiary
Provisions
The
Beneficiary and any Contingent Beneficiary are named in the application,
unless
changed. If the Beneficiary dies prior to the death of the Designated Annuitant
or Annuitant, the Contingent Beneficiary becomes the Beneficiary. Unless
the
Owner has provided otherwise, If there are two or more Beneficiaries, they
will
receive equal shares. If there is no named Beneficiary or Contingent Beneficiary
when the Designated Annuitant or Annuitant has died, all rights and Interests
of
the Beneficiary will vest in the Contract Owner or the Contract Owner's
estate.
Subject
to the terms of any existing assignment, the Owner may name a new Beneficiary
or
a new Contingent Beneficiary at any time. Any new choice of Beneficiary or
Contingent Beneficiary will automatically revoke any prior choice of Beneficiary
or Contingent Beneficiary. Any request for change must be: (1) made in writing;
and (2) received at the Home Office. The change will become effective as
of the
date the written request is signed, whether or not the Designated Annuitant
or
the Annuitant is living at the time of receipt. A new choice of Beneficiary
or
Contingent Beneficiary will not apply to any payment made or action taken
by the
Company prior to the time it was received.
Contract
Ownership Provisions
The
Owner
has all rights under the Contract, unless otherwise provided. If the purchaser
names someone other than himself as Owner, the purchaser would have no rights
under the Contract. The Owner, during the lifetime of the Designated Xxxxxxxxx
and prior to the Annuitization Date, is the person named in the application,
unless changed. If the Owner dies before the Annuitization Date, a Distribution
will be made in accordance with the Death of Owner provisions.
The
Owner
may name a new Owner or Contingent Owner at any time prior to the Annuitization
Date. (However, a new Owner may not be named after one of the events under
the
Distribution Provisions has occurred.) Any new choice of Owner or Contingent
Owner will automatically revoke any prior choice of Owner or Contingent Owner.
Any request for change must be: (1) made in writing; and (2) received at
the
Home Office. The request for change must be a "Proper Written Application"
and
include a signature guarantee as specified in the "Surrender" section. The
change will become effective as of the date the written request is signed.
A new
choice of Owner or Contingent Owner will not apply to any payment made or
action
taken by the Company prior to the time it is received.
The
Designated Xxxxxxxxx becomes the Annuitant and becomes the Owner on the
Annuitization Date. The Annuitant's rights regarding ownership may be restricted
under the provisions of the retirement or deferred compensation plan for
which
this Contract is issued.
4
GENERAL
PROVISIONS
(Continued)
Contract
Ownership Provisions (Continued)
A
change
in the Designated Annuitant or Contingent Designated Annuitant must be received
before the Annuitization Date and meet the following conditions: (1) the
request
for such change must be made by the Owner; (2) the request must be made in
writing on a form acceptable to the Company; (3) the request must be signed
by
the Owner and the person to be named as Designated Annuitant or Contingent
Designated Annuitant; and (4) such change is subject to underwriting and
approval by the Company.
Death
of Designated Annuitant
A
death
benefit may be payable to the Beneficiary when the Designated Xxxxxxxxx has
died.
If
the
Designated Xxxxxxxxx dies prior to the Annuitization Date, the value of the
death benefit will be determined as of the Valuation Date on or next after
the
date on which the following are received at the Home Office.
1.
|
Proof
of the death of the Designated Xxxxxxxxx;
and
|
2.
|
Written
request for either a lump sum payment or an Annuity Payment
Option.
|
Proof
of
death is:
1.
|
a
copy of a certified death certificate;
or
|
2.
|
a
copy of a certified decree of a court of a competent Jurisdiction
as to
the finding of death; or
|
3.
|
a
written statement by a medical doctor who attended the deceased;
or
|
4.
|
any
other proof satisfactory to the
Company.
|
The
death
benefit is payable to the Beneficiary unless:
The
Owner
has named a Contingent Designated Annuitant. In such case, the
death benefit is payable upon the death of the last survivor of the Designated
Annuitant and Contingent Designated Annuitant.
If
a lump
sum payment is selected by the Beneficiary, payment will be made within seven
days of receipt of such request and proof of death. If an Annuity Payment
Option
is desired, such option must be selected within a ninety day period. The
ninety
day period starts with the date of receipt of notice of the Designated
Xxxxxxxxx's death.
If
neither a lump sum payment nor an Annuity Payment Option is selected, the
death
benefit will be paid in lump sum to the payee at the end of such ninety day
period.
If
the
Designated Xxxxxxxxx dies prior to the first day of the calendar month after
his
75th birthday the dollar amount of the death benefit will be the greater
of: (1)
the Contract Value; or, (2) the sum of all purchase payments, Increased at
an
annual rate of 5%, simple interest from the date of each purchase payment,
less
any amounts surrendered.
If:
(1)
the Contract Owner has requested an Annuity Commencement Date later than
the
first day of the calendar month after the Designated Annuitant's 75th birthday;
(2) the Company has approved the request; and (3) the Designated Annuitant
dies
after such date; the dollar amount of the death benefit will be equal to
the
Contract Value.
Death
of Annuitant
If
the
Annuitant dies after the Annuitization Date, the death benefit payable, if
any,
will be based on the Annuity Payment Option selected.
Death
of Owner (IRA and Non-Qualified Contracts)
In
the
event the Owner dies, the following rules will apply in those situations
where
the Contract was not issued in connection with a Qualified Plan.
1.
|
In
the event the Contract Owner dies prior to the Annuitization Date,
the
entire interest must be distributed within five years after the
death of
the Contract Owner, unless the payee elects to receive Distribution
in the
form of a life annuity or an annuity for a period certain not exceeding
his life expectancy, if the payee does elect to receive such annuity,
payments must begin within one year from the date of the Owner's
death.
Any Distribution will be paid in accordance with one of the following
three elections:
|
5
GENERAL
PROVISIONS
(Continued)
Death
of Owner (IRA and Non-Qualified Contracts) (Continued)
(a)
|
If
the Contract Owner elects in the application, he/she may have the
Distribution paid to his estate. If the Owner wishes to have the
Distribution paid to his estate, he/she must make the election
in the
application. If such election is made in the application,
the Distribution must be distributed to the estate within five
years after
the death of the Owner.
|
(b)
|
In
lieu of and as an alternative to naming his estate to receive the
Distribution, the Owner may name a Contingent Owner. If
the Contract Owner names a Contingent Owner, the Distribution will
be paid
to the Contingent Owner.
|
(c)
|
If
neither the Owner's estate nor a Contingent Owner has been named
to
receive the Distribution, or if the Contingent Owner predeceases
the
Owner, the Distribution will be paid to the Designated
Annuitant. If the Owner Is the Designated Annuitant, the
Distribution will be paid to the Beneficiary under the Death of
Designated
Annuitant provisions.
|
2.
|
In
the event the recipient of the Distribution is the Contract Owner's
spouse, the Contract may be continued by such spouse without compliance
with the Distribution rules set forth
herein.
|
3.
|
In
the event the Contract Owner dies on or after the Annuitization
Date, and
before the entire interest has been distributed, any remaining
portion of
such interest must be distributed at least as rapidly as under
the method
of Distribution being used as of the date of the Contract Owner's
death.
|
Death
Benefit Under A 403(b) Tax Sheltered Annuity or IRA
If
this
annuity is issued as a 403(b) Tax Sheltered Annuity or an IRA, payments under
this Contract to the Owner/Annuitant or the Beneficiary shall conform to
the
Minimum Distribution and Minimum Death Incidental Benefit provisions of Internal
Revenue Code Section 401 (a)(9). If the Owner/Annuitant dies before the
Owner's/Xxxxxxxxx's entire interest has been distributed, the following
distribution rules shall apply:
1.
|
If
the Owner/Xxxxxxxxx dies after the distribution of his or her interest
has
commenced, the remaining portion of such interest will continue
to be
distributed at least as rapidly as under the method of distribution
being
used prior to the Owner's/Annuitant's
death.
|
2.
|
If
the Owner/Xxxxxxxxx dies before distribution of his or her interest
has
commences, the Owner's/Xxxxxxxxx's entire interest will be distributed
in
accordance with one of the following three
provisions:
|
(a)
|
The
Owner's/Xxxxxxxxx's entire interest will be paid within five years
after
the date of the Owner's/Xxxxxxxxx's
death.
|
(b)
|
if
the Owner's/Xxxxxxxxx's interest is payable to a beneficiary designated
by
the Owner/Annuitant and the Owner/Xxxxxxxxx has not elected (a)
above,
then the entire interest will be distributed in substantially equal
installments over the life or life expectancy of the designated
beneficiary commencing not later than one year after the date of
the
Owner's/Xxxxxxxxx's death.
|
(c)
|
If
the designated beneficiary of the Owner/Annuitant is the
Owner's/Xxxxxxxxx's surviving spouse, the spouse may elect to receive
equal or substantially equal payments over the life or life expectancy
of
the surviving spouse commencing at any date prior to the date on
which the
deceased Owner/Annuitant would have attained age 70
1/2.
|
3.
|
For
purposes of the foregoing, payments will be calculated by use of
the
return multiples specified in Code Section 1.72-9 of the
Regulations. In the case of any non-spouse designated
beneficiary, life expectancy will be calculated at the time payment
first
commences and payments for any 12 consecutive month period will
be based
on such life expectancy minus the number of whole years passed
since
distribution first commenced. In the case of a spouse
beneficiary, life expectancy will be recalculated each year unless
the
Owner/Annuitant or the Plan (If any) has elected instead to have
life
expectancy reduced by one, each year, as noted above for non-spouse
beneficiaries.
|
4.
|
For
purposes of this requirement, any amount paid to a child of the
Owner/Xxxxxxxxx will be treated as if it had been paid to the surviving
spouse if the remainder of the interest becomes payable to the
surviving
spouse when the child reaches the age of
majority.
|
Alteration
Or Modification
This
Contract is hereby amended according to changes in federal laws affecting
the
annuity status of the Contract. All other changes in or to the terms of the
Contract must be: (1) made in writing; and (2) signed by the President or
Secretary of the Company. No other person can alter or change any of the
terms
or conditions of this Contract.
6
GENERAL
PROVISIONS
(Continued)
Assignment
Unless
otherwise provided below, the Owner may assign all rights under this Contract
at
any time during the lifetime of the Designated Annuitant, prior to the
Annuitization Date, The Company will not be bound by any assignment until
written notice is received and recorded at the Home Office. The Company is
not
responsible for the validity or tax consequences of any assignment. An
assignment will not apply to any payment made or action taken by the Company
prior to the time it was recorded. If this Contract is a Non-Qualified Contract,
the value of any portion of the Contract which is assigned or pledged may
be
treated like a cash withdrawal for federal tax purposes.
If
this
Contract is issued to fund a retirement plan pursuant to Internal Revenue
Code
Sections 401, 404, or 408, it may not be assigned, pledged or otherwise
transferred except as allowable by applicable law. If this Contract is issued
to
fund a retirement plan pursuant to internal Revenue Code Section 403(b),
this
Contract is not transferable and may not be sold, assigned, discounted, or
pledged as collateral for a loan or as security for the performance of any
obligation to any person other than: to the Company, to the Designated
Annuitant, or to the Trustee or other person exercising ownership rights
solely
by reason of the terms of the qualified retirement plan under which this
Contract is issued.
Entire
Contract
This
document is an annuity contract between the Owner and the Company. This
Contract, Annuity Application, Data Page, Supplementary Agreement (if
applicable), and Rate Declaration Page make up the Entire Contract.
Misstatement
of Age or Sex
If
the
age or sex of the Annuitant or Designated Annuitant has been misstated, all
payments and benefits under this Contract will be adjusted. Payments and
benefits will be made, based on the correct information. Proof of age of
an
Annuitant or Designated Annuitant may be required at any time, on a form
satisfactory to the Company. When the age or sex of an Annuitant or Designated
Annuitant has been misstated, the dollar amount of any overpayment will be
deducted from the next payment or payments due under this Contract, The dollar
amount of any underpayment made by the Company as a result of any such
misstatement will be paid in full with the next payment due under this
Contract.
Evidence
of Survival
Where
any
payments under this Contract depend on the recipient being alive on a given
date, proof that such person is living may be required by the Company. 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. Payments are not subject to the claims of creditors or to legal
process, except as mandated by applicable laws.
Statements
At
least
once each quarter, prior to the Annuitization Date, a Statement showing the
Contract Value will be provided to the Owner,
Incontestability
This
Contract will not be contested.
Contract
Settlement
The
Company may require this Contract to be returned to the Home Office prior
to
making any payments. All sums payable to or by the Company under this Contract
are payable at the Home Office.
Number
and Gender
Unless
otherwise provided, all references in this Contract which are in the singular
form will include the plural; all references in the plural form will include
the
singular; and all references in the male gender will include the female and
neuter genders.
Non-Participating
This
Contract is non-participating, it will not share in the surplus of the
Company.
7
ACCUMULATION
PROVISIONS
Loan
Provisions (403(b) Contract Owners Only)
Prior
to
the Annuitization Date, the Owner of a 403(b) Tax Sheltered Annuity contract
may
receive a loan from the Contract Value subject to the terms of the Contract,
the
Plan, and the Internal Revenue Code ("Code") which impose restrictions on
loans.
Loans
are
available beginning 30 days after the Date of Issue. The Contract Owner may
borrow a minimum of $1,000. in non-ERISA plans, for Contract Values up to
$20,000, the maximum loan balance which may be outstanding at any time is
80% of
the Contract Value, but not more than $10,000, If the Contract Value Is $20,000
or more, the maximum loan balance which may be outstanding at any time is
50% of
the Contract Value, but not more than $50,000. For ERISA plans, the maximum
loan
balance which may be outstanding at any time is 50% of the Contract Value,
but
not more than $50,000. The $50,000 limit will be reduced by the highest loan
balances owed during the prior one-year period. Additional loans are subject
to
the contract minimum amount. The aggregate of all loans may not exceed the
Contract Value limitations stated above.
For
403(b) salary reduction only plans, loans may only be secured by the Contract
Value. For loans from Qualified Plans, other than for 403(b) salary reduction
plans, the Company reserves the right to limit a loan to 50% of the Contract
Value subject to the acceptance by the Contract Owner of the Company's loan
agreement. Where permitted, the Company may require other named collateral
where
the loan, pursuant to tax qualified plan, exceeds 50% of the Contract
Value.
All
loans
are made from a collateral Guaranteed Interest Account. An amount equal to
the
principal amount of the loan will be established in the collateral Guaranteed
Interest Account, Unless instructed to the contrary by the Contract Owner,
the
Company will first transfer to the Guaranteed Interest Account the Variable
Account units from the Contract Owner's Investment options in proportion
to the
assets in each option until the required balance is reached or all such variable
units are exhausted. The remaining required collateral will next be transferred
from the Guaranteed Interest Account. No withdrawal charges are deducted
at the
time of the loan, or on the transfer from the Variable Account to the Guaranteed
Interest Account.
Until
the
loan has been repaid in full, that portion of the collateral Guaranteed Interest
Account equal to the outstanding loan balance shall be credited with Interest
at
a rate 2,25% less than the loan interest rate guaranteed by the Company for
the
term of the loan. However, the Interest rate credited to the Collateral
Guaranteed Interest Account will never be less than the Guaranteed Interest
Account guarantee (3.5%). The current loan Interest rate is 8.0%. The rate
of
interest is based on the reasonable rate of interest as determined by prevailing
commercial rates.
Loans
must be repaid in substantially level payments, not less frequently than
quarterly, within five years. Loans used to purchase the principal residence
of
the Contract Owner must be repaid within 15 years. During the loan term,
the
value of the loan will continue to earn interest at an annual rate as specified
in the Loan Agreement. Loan repayments will consist of principal and interest
in
amounts set forth in the Loan Agreement. Loan repayments will be allocated
between the Guaranteed and Variable Accounts in the same proportion as when
the
loan was made, unless specified otherwise. If a loan payment is not made
when
due, the loan payment plus interest may be treated as a Distribution as
permitted by law, may be taxable to the Contract Owner, and may be subject
to
the early withdrawal tax penalty.
If
the
Contract is surrendered while the loan is outstanding, the surrender value
will
be reduced by the amount of the loan outstanding plus accrued interest. If
the
Contract Owner/Xxxxxxxxx dies while the loan is outstanding, the death benefit
will be reduced by the amount of the loan outstanding plus accrued interest.
If
annuity payments start while the loan is outstanding, the Contract Value
will be
reduced by the amount of the outstanding loan plus accrued interest. Until
the
loan is repaid, the Company reserves the right to restrict any transfer of
the
Contract which would otherwise qualify as a transfer as defined in Section
1035
of the Internal Revenue Code.
If
a loan
payment is not made when due, interest will continue to accrue. The defaulted
payment plus accrued interest will be deducted from any future Distribution
under the Contract and paid to the Company. Any loan payment which is not
made
when due, plus interest will be treated as a Distribution, as permitted by
law,
may be taxable to the borrower, and may be subject to the early withdrawal
tax
penalty.
Loans
may
also be available on similar terms to participants of Qualified Plans, other
than 403(b) annuities, subject to the terms of the Plan.
8
ACCUMULATION
PROVISIONS
(Continued)
Surrender
(IRA and Non-Quali1ied Owners)
The
Owner
may Surrender part or all of the Contract Value at any time this Contract
is in
force and prior to the earlier of the Annuitization Date or the death of
the
Designated Annuitant. For the purpose of calculating the Contingent Deferred
Sales Charge, and in order to minimize the applicable Contingent Deferred
Sales
Charge, all amounts withdrawn are deemed to be withdrawn on a first-in first-out
basis i.e., all withdrawals are deemed to come from the oldest purchase payments
first. (Note - for tax purposes, withdrawals might be treated differently.)
All
Surrenders will have the following conditions:
1.
|
The
request for Surrender must be in
writing.
|
2.
|
The
Surrender Value will be paid to the Owner when proper written application
and the Contract are received at the Home
Office.
|
3.
|
The
Company reserves the right to require that the signature(s) be
guaranteed
by a member firm of a major stock exchange, Commercial Bank or
a Savings
& Loan. Payment of the Variable Account Contract
Value will be made within seven days of receipt of both proper
written
application and the Contract. Payment of the Guaranteed
Interest Account Contract Value may be deferred up to six months
following
receipt of application.
|
4.
|
When
written application and the Contract are received, the Company
will
Surrender a number of Variable Account Accumulation Units and an
amount
from the Guaranteed Interest Account needed to equal: (a)
the dollar amount requested; plus (b) any Contingent Deferred Sales
Charge
which applies; plus (c) any Contract Maintenance Charge which
applies.
|
5.
|
Unless
the Owner has instructed otherwise, if a partial Surrender is requested,
the Surrender will be made as follows: (a) from the
Variable Account Contract Value; and (b) from the Guaranteed Interest
Account Contract Value. The amounts surrendered from the
Guaranteed Interest Account and the Variable Account, will be in
the same
proportion that the Owner's Interest in the Guaranteed Interest
Account
and Variable Account bears to the total Contract
Value.
|
Surrenders
Under a Tax Sheltered Annuity [403(b)] Contract
Except
as
provided below, the Owner may Surrender part or all of the Contract Value
at any
time this Contract is in force prior to the earlier of the Annuitization
Date or
the death of the Designated Annuitant.
1.
|
The
SURRENDER of Contract Value attributable to contributions made
pursuant to
a salary reduction agreement (within the meaning of Code Section
402(g)(3)(c)), or made to a Custodial Account, may be executed
only
-
|
(a)
|
when
the Contract Owner attains age 59 1/2, separates from service,
dies, or
becomes disabled (within the meaning of Code Section 72(m)(7));
or
|
(b)
|
In
the case of hardship (as defined for purposes of Code Section 401
(k)),
provided that any Surrender of Contract Value in the case of
hardship may not include any income attributable to salary
reduction contributions.
|
2.
|
The
Surrender limitations described in 1. above apply to
-
|
(a)
|
salary
reduction contributions to Section 403(b) annuity contracts made
for plan
years beginning after December 31, 1988,
and
|
(b)
|
earnings
credited to such contracts after the last plan year beginning before
January 1, 1989, on amounts attributable to salary reduction
contributions.
|
(c)
|
all
amounts transferred from 403(b)(7) Custodial Accounts (except that
earnings and employer contributions as of December 31, 1988 in
such
Custodial Accounts may be withdrawn in the case of
hardship),
|
3.
|
Any
distribution other than the above, including exercise of a contractual
Ten-Day Look provision (when available) may result in the immediate
application of taxes and penalties and/or retroactive disqualification
of
the Contract. A premature distribution may not be eligible for
rollover
treatment. To assist in preventing disqualification in the event
of a
Ten-Day Look, the Company will agree to transfer the proceeds to
another
contract which meets the requirements of Section 403(b) of the
Internal
Revenue Code, upon proper direction by the Contract Owner. The
foregoing is the Company's understanding of the withdrawal restrictions
which are currently applicable under Section
403(b)(1l) and Revenue Ruling
90-24. Such restrictions are
subject to legislative change and/or reinterpretatlon from time
to
time. This information should not be substituted for the
advice of a personal tax
adviser.
|
9
ACCUMULATION
PROVISIONS
(Continued)
Surrender
Value
The
Surrender Value is the amount that will be paid if the full Contract Value
is
surrendered. The Surrender Value at any time will be:
1.
|
The
Contract Value; less
|
2.
|
Any
Contingent Deferred Sales Charge which applies;
less
|
3.
|
Any
Contract Maintenance Charge which
applies.
|
Suspension
Or Delay In Payment Of Surrender
The
Company has the right to suspend or delay the date of any Surrender payment
from
the Variable Account 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 Account is not reasonably practicable;
or
(b) it is not reasonably practicable to fairly determine the value
of the
net assets of the Variable Account;
or
|
4.
|
During
any other period when the Securities and Exchange Commission, by
order, so
permits for the protection of security holders;
or
|
5.
|
When
the request for Surrender is not made in writing or when the signature(s)
of the Owner is (are) not properly
guaranteed.
|
Rules
and
regulations of the Securities and Exchange Commission will govern as to whether
the conditions set forth in numbers 2, 3 and 4 above exist.
The
Company further reserves the right to delay payment of a total Surrender
of
Guaranteed Interest Account Contract Value for up to six months in those
states
where applicable law requires the Company to reserve such right.
Flexible
Purchase Payments
The
Contract is bought for: (1) The First Purchase Payment; and (2) purchase
payments made after the First, if any. The cumulative total of all purchase
payments under this and any other annuity contract(s) issued by the Company
having the same Designated Annuitant may not exceed $1,000,000 without the
prior
consent of the Company.
First
Purchase Payment
The
First
Purchase Payment is due on the Date of Issue. The initial First Year Purchase
Payment may not be less than $1,500 for Non-Qualified Contracts. However,
if
periodic payments are expected by the Company, this Initial first year minimum
may be satisfied by purchase payments made on an annualized basis. For Qualified
Contracts Issued pursuant to a retirement plan which receives favorable tax
treatment under the provisions of Section 403(b) of the Internal Revenue
Code,
the Company will accept purchase payment which, on an annualized basis, are
at
least $200 for the first Contract Year. Purchase payments, if any, after
the
first Contract Year must be at least $10 each. The Company reserves the right
to
reject any purchase payment which does not meet this minimum payment
requirement.
No
Default
There
are
no penalties for failure to continue purchase payments. Unless surrendered
for
the full Contract Value, if any purchase payment after the First is not paid
when due, the Contract will continue in full force until the Annuitization
Date.
This Contract will not be in default, even if no additional purchase payments
are made.
Change
in Purchase Payments
The
Owner
is not obligated to continue purchase payments in the amount or at the frequency
selected. The Owner may: (1) Increase or decrease the amount of purchase
payments, subject to any minimum payment requirements; or (2) change the
frequency of purchase payments. A change in the frequency or amount of purchase
payments does not have to be made by written request.
10
ACCUMULATION
PROVISIONS
(Continued)
Allocation
If Purchase Payments
The
Owner
elects to have the purchase payments allocated among the Guaranteed Interest
Account and the Sub-Accounts of the Variable Account at the time of
application.
Contract
Value
The
Contract Value at any time will be the sum of: (1) the Variable Account Contract
Value; and (2) the Guaranteed Interest Account Contract Value.
In
the
event of a partial Surrender, the Company will, unless instructed to the
contrary, surrender Accumulation Units from all Sub-Accounts in which the
Contract Owner has an interest and from the Guaranteed Interest Account.
The
number of Accumulation Units surrendered from each such Sub-Account and the
amount surrendered from the Guaranteed Interest Account will be in the same
proportion that the Contract Owner's interest in these Sub-Accounts and
Guaranteed Interest Account bears to the total Contract Value.
Guaranteed
Interest Account Contract Value
The
Guaranteed Interest Account Contract Value at any time will be: (1) the sum
of
all amounts credited to the Guaranteed interest Account under this Contract;
less (2) any amounts canceled or withdrawn for charges, deductions, or
Surrenders.
Interest
To Be Credited
The
Company will credit interest to the Guaranteed Interest Account Contract
Value.
Such interest will be credited at such rate or rates as the Company
prospectively declares from time to time, at the sole discretion of the Company.
Such rates will be declared to the Owner in writing prior to each quarterly
period. Any such rate or rates so determined, for which deposits are received,
will remain in effect for a period of not less than 12 months, and remain
at
such rate unless changed. However, the Company guarantees that it will credit
interest at not less than 3.5% per year.
Variable
Account Contract Value
The
Variable Account Contract Value is the sum of the value of all Variable Account
Accumulation Units under this Contract.
If:
(1)
part or all of the Variable Account Contract Value is surrendered; or (2)
charges or deductions are made against the Variable Account Contract Value;
then, an appropriate number of Accumulation Units will be canceled or
surrendered to equal such amount.
The
Variable Account
The
Variable Account is a separate investment account of the Company. It is named
on
the Data Page. The Company has allocated a part of its assets for this Contract
and certain other contracts to the Variable Account. Such assets of the Variable
Account remain the property of the Company. However, they may not be changed
with the liabilities from any other business in which the company may take
part.
Investments
Of The Variable Account
The
purchase payments applied to the Variable Account will be invested at net
asset
value in one or more of the mutual funds shown on the Data Page.
Valuation
Of Assets
Mutual
fund shares in the Variable Account will be valued at their net asset
value.
Variable
Account Accumulation Units
The
number of Accumulation Units for each Sub-Account of the Variable Account
is
found by dividing: (1) the net amount allocated to the Sub-Account; by (2)
the
Accumulation Unit Value for the Sub-Account for the Valuation Period during
which the Company received the purchase payment.
11
ACCUMULATION
PROVISIONS
(Continued)
Variable
Account Accumulation Unit Value
The
value
of an Accumulation Unit for each Sub-Account of the Variable Account was
arbitrarily set at $10 when the first mutual fund shares were bought. The
value
for any later Valuation Period is found as follows:
The
Accumulation Unit Value for each Sub-Account for the last prior Valuation
Period
is multiplied by the Net Investment Factor for the Sub-Account 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. The number of Accumulation Units will not change as a result of
investment experience.
Net
Investment Factor
The
Net
Investment Factor is an Index applied to measure the investment performance
of a
Sub-Account from one Valuation Period to the next. The Net Investment Factor
may
be greater or less than one; therefore, the value of an Accumulation Unit
may
increase or decrease.
The
Net
Investment Factor for any Sub-Account for any Valuation Period is determined
by:
dividing (1) by (2) and subtracting (3) from the result, where:
1.
|
is
the net result of:
|
|
a.
|
the
net asset value per share of the mutual fund held in the Sub-Account,
determined at the end of the current Valuation Period;
plus
|
|
b.
|
the
per share amount of any dividend or capital gain distributions
made by the
mutual fund held In the Sub-Account, if the "ex-dividend" date
occurs
during the current Valuation Period; plus or
minus
|
|
c.
|
a
per share charge or credit for any taxes reserved for, which is
determined
by the Company to have resulted from the investment operations
of the
Sub-Account.
|
2.
|
is
the net result of:
|
|
a.
|
the
net asset value per share of the mutual fund held in the Sub-Account,
determined at the end of the last prior Valuation Period; plus
or
minus
|
|
b.
|
the
per share charge or credit for any taxes reserved for the last
prior
Valuation Period.
|
3.
|
is
a factor representing the Mortality and Expense Risk Charge and
the
Administration Charge deducted from the Variable
Account. Such factor is equal, on an annual basis, to
1.30% of the daily net asset value of the Variable
Account.
|
For
funds
that credit dividends on a daily basis and pay such dividends once a month,
the
Net Investment Factor allows for the monthly reinvestment of these daily
dividends.
Guaranteed
Interest Account Provisions
The
Guaranteed Interest Account is the general account of the Company. It is
made up
of all assets of the Company other than: (1) those in the Variable Account;
and
(2) those in any other segregated asset account.
Transfer
Provisions
The
Owner
may transfer from the Guaranteed Interest Account to the Variable Account
annually without penalty or adjustment. Transfers from the Guaranteed Interest
Account must be made within 45 days after the termination date of the then
current Interest Rate Guarantee Period. The Company reserves the right to
limit
transfers from the Guaranteed Interest Account to the Variable Account to
10% of
the Guaranteed Interest Account Value. Should the Company exercise this right,
the specific percentage will be declared before the termination date of the
guaranteed period.
The
Owner
may transfer from the Variable Account to the Guaranteed Interest Account
any
time without penalty or adjustment. The Owner's Value in each Sub-Account
will
be determined as of the date the transfer request is received in the Home
Office
in good order. The Company reserves the right to limit transfers from the
Variable Account to 25% of the Contract Value annually, depending on the
market
conditions at the time of the transfer request.
Transfers
must also be made prior to the Annuitization Date.
12
ACCUMULATION
PROVISIONS
(Continued)
Distribution
Provisions
The
following events will give rise to a Distribution:
1.
|
Reaching
the Annuitization Date - Distribution will be made pursuant to
the Annuity
Payment Option selected.
|
2.
|
Death
of the Designated Annuitant prior to the Annuity Commencement Date
-
Distribution to be made in accordance with the options available
under the
Death of Designated Annuitant provision of this
Contract.
|
3.
|
Death
of the Owner - Distribution to be made in a manner consistent with
the
Death of Owner provisions of this
Contract.
|
4.
|
Surrender
- Distribution to be made in accordance with the Surrender provisions
of
this Contract.
|
Exchange
Privilege
The
Contract Owner may exchange this Contract for an annuity contract which:
(1) is
issued by the Company; and (2) is determined by the Company to be the type
and
class eligible for such exchange. In determining which contracts may be of
the
same type and class as this Contract, the Company shall apply its rules and
regulations applicable thereto.
The
Contract Owner must request an exchange: (1) in writing; and (2) at least
45
days prior to the Annuitization Date. Any such exchange shall be made free
from
any Contingent Deferred Sates Charge provided for in this Contract.
Tax
Sheltered Annuity [403(b)] and IRA Provisions
The
entire Interest of an Annuitant under a Section 403(b) Tax Sheltered Annuity
or
an IRA, will, notwithstanding anything else contained herein, be distributed
to
the Owner/Annuitant under the Annuity Payments Option selected in a manner
consistent with the Minimum Distribution and the Minimum Death Incidental
Benefit requirements under Section 401 (a)(9) of the Internal Revenue Code
and
regulations thereunder, as such requirements apply to the Contract type (403(b),
IRA)).
Generally,
payments must be made over a period not exceeding:
1.
|
The
life of the Owner/Annuitant or the lives of the Owner/Xxxxxxxxx
and the
Owner/Xxxxxxxxx's designated beneficiary
or
|
2.
|
A
period not extending beyond the life expectancy of the
Owner/Annuitant or the life expectancy of the Owner/Annuitant and
the
Owner/Xxxxxxxxx's designated
beneficiary.
|
Distributions
to the Owner/Xxxxxxxxx will commence not later than the first day of April
following the calendar year in which the Owner/Annuitant attains age 70 1/2
(the
Required Beginning Date). In the case of a governmental plan or church plan
(as
defined in Code Section 89(l)(4)), the Required Beginning Date will be the
later
of the dates determined under the preceding sentence or April 1 of the calendar
year following the calendar year in which the Annuitant retires.
Payments
commencing on the Required Beginning Date will not be less than the lesser
of
the quotient obtained by dividing the entire interest of the Owner/Annuitant
by
the life expectancy of the Owner/Annuitant or the joint and last survivor
expectancy of the Owner/Annuitant and the Owner/Annuitant's Designated
Beneficiary (whichever is applicable). Life expectancy and joint and last
survivor expectancy are computed by the use of return multiples contained
in
Code Section 1.72-9 of the Income Tax Regulations.
13
ANNUITIZATION
PROVISIONS
General
All
of
the provisions within this section are subject to the restrictions set forth
in
the Section entitled "Death of Owner."
Annuitization
This
is
the process of purchasing an annuity according to the option selected, during
the payout phase of the Contract. As of the Annuitization Date, the Contract
Value is surrendered and applied to the purchase rate then in effect for
the
option selected. The purchase rates for all options will be determined on
a
basis not less favorable than the 1971 individual Annuity Mortality Table
(set
back one year) with minimum interest at 3.5%. The rates shown in the Annuity
Tables are calculated on this guaranteed basis. Annuitization is irrevocable
once payments have begun.
Annuity
Commencement Date
Such
date: (1) must be the first day of a calendar month; and (2) must be at least
two years after the Date of Issue. The Annuity Commencement Date may not
be
later than the first day of the first calendar month after the Annuitant's
75th
birthday, unless a later date has: (1) been requested by the Contract Owner;
and
(2) approved by the Company. This date is selected by the Owner at the time
of
application. Any applicable premium taxes not already deducted will be deducted
from the Contract Value at this time. The remaining Contract Value will then
be
applied to the Annuity Payment Option selected by the Owner.
Change
Of Annuity Commencement Date
The
Owner
may change the Annuity Commencement Date. A change of Annuity Commencement
Date
must be made prior to the Annuitization Date and by written request. The
request
must be received at the Home Office prior to the new Annuity Commencement
Date.
The date to which such a change may be made must be the first day of a calendar
month.
Change
Of Annuity Payment Option
The
Owner
may change the Annuity Payment Option prior to the Annuitization Date. A
change
of the Annuity Payment Option must be made by written request and must be
received at the Home Office prior to the Annuitization Date. After a change
of
Annuity Payment Option is received at the Home Office, it will become effective
as of the date it was requested. A change of Annuity Payment Option will
not
apply to any payment made or action taken by the Company before it was
received.
Annuity
Payment Options
One
Annuity Payment Option or a combination of Annuity Payment Options may be
selected.
Supplementary
Agreement
A
Supplementary Agreement will be issued within 30 days following the
Annuitization Date. The Supplementary Agreement will set forth the terms
of the
Annuity Payment Option selected.
Frequency
And Amount Of Payments
Payments
will be made based on the payment option selected and frequency selected.
However, if the net amount to be applied at the Annuitization Date is less
than
$500, the Company has the right to pay such amount in one lump sum.
If
any
payment provided for would be or becomes less than $20, the Company has the
right to change the frequency of payment to an interval that will result
in
payments of at least $20.
Fixed
Annuity Provisions
A
Fixed
Annuity is an annuity with level payments which are guaranteed by the Company
as
to dollar amount during the annuity payment period. At the Annuitization
Date,
the Contract Value will be applied to the applicable Annuity Table. This
will be
done in accordance with the Annuity Payment Option selected.
Variable
Annuity
A
Variable Annuity is an annuity with payments which: (1) are not pre-determlned
or guaranteed as to dollar amount; and (2) vary in amount with the Investment
experience of the Variable Account.
14
ANNUITIZATION
PROVISIONS
(Continued)
Determination
Of First Variable Annuity Payment
At
the
Annuitization Date, the Variable Account Contract Value will be applied to
the
applicable Annuity Table. This will be done in accordance with the Annuity
Payment Option selected. The Annuity Tables are based on the 1971 individual
Annuity Mortality Table (set back one year) with interest at 3.5%.
Annuity
Unit Value
An
Annuity Unit is used to calculate the value of annuity payments. The value
of an
Annuity Unit for each Sub-Account was arbitrarily set at $10 when the first
mutual funds were bought. The value for any later Valuation Period is found
as
follows:
1.
|
The
Annuity Unit Value for each Sub-Account for the last prior Valuation
Period is multiplied by the Net Investment Factor for the Sub-Account
for
the Valuation Period for which the Annuity Unit is being
calculated.
|
2.
|
The
result is multiplied by an interest factor. This is done to neutralize
the
Assumed Interest Rate of 3.5% per year, which is built into the
Annuity
Tables.
|
Variable
Annuity Payments After The First Payment
Variable
Annuity Payments after the first vary in amount. The payment amount changes
with
the investment performance of the Sub-Accounts within the Variable Account.
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 Annuitization Date. The result
establishes the fixed number of Annuity Units for each monthly
annuity
payment after the first. 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 for
the Valuation Period for which the payment is due. This result
establishes
the dollar amount of the payment.
|
The
Company guarantees that the dollar amount of each payment after the first
will
not be affected by variations in expenses or mortality experience.
ANNUITY
PAYMENT OPTIONS
General
All
Annuity payments will be mailed within 10 working days of the first of the
month
in which they are scheduled to be made. Any Annuity Payment Option not set
forth
in the Contract which is satisfactory to both the Company and the Annuitant
may
be selected.
Life
Annuity
The
amount to be paid under this option will be paid during the lifetime of the
Annuitant. Payments will cease with the last payment due prior to the death
of
the Annuitant.
Joint
And Last Survivor Annuity
The
amount to be paid under this option will be paid and continued during the
lifetimes of the Annuitant and designated second person. Payments will continue
as long as either is living.
Life
Annuity With 120 Or 240 Monthly Payments Guaranteed
The
amount to be paid under this option will be paid during the lifetime of the
Annuitant, A guaranteed period of 120 or 240 months may be selected. If the
Annuitant dies prior to the end of this guaranteed period, the Beneficiary
may
choose to continue receiving payments until the end of the guaranteed period,
or
receive the commuted value of the remaining guaranteed payments in a lump
sum.
Such lump sum payment will be equal to the present value of the remaining
guaranteed payments to which the Annuitant would have been entitled had he/she
not died. The payment will be computed as of the date on which proof of the
death of the Annuitant is received at the Home Office and computed at an
assumed
interest rate which is the greater of that used in the Annuity Tables in
effect
on the date of the calculation of the lump sum and that used in the Annuity
Tables in effect on the Annuitization Date.
15
JOINT
AND SURVIVOR MONTHLY ANNUITY PAYMENTS PER $1,000 APPLIED
Annuitant's
Age Last Birthday
50
|
55
|
60
|
65
|
70
|
||||||||||||||||||
50
|
$ |
3.82
|
$ |
3.93
|
$ |
4.02
|
$ |
4.10
|
$ |
4.15
|
||||||||||||
55
|
3.93
|
4.09
|
4.24
|
4.36
|
4.45
|
|||||||||||||||||
60
|
4.02
|
4.24
|
4.45
|
4.65
|
4.81
|
|||||||||||||||||
65
|
4.36
|
4.65
|
4.94
|
5.22
|
||||||||||||||||||
70
|
4.81
|
5.22
|
5.65
|
LIFE
ANNUITY MONTHLY ANNUITY PAYMENTS PER $1,000 APPLIED
GUARANTEED
PERIOD
Xxxxxxxxx's
Attained
Age
Last
Birthday
|
None
|
120
Months
|
240
Months
|
|||||||||||
40
|
$ |
3.73
|
$ |
3.72
|
$ |
3.70
|
||||||||
41
|
3.77
|
3.76
|
3.73
|
|||||||||||
42
|
3.81
|
3.80
|
3.77
|
|||||||||||
43
|
3.86
|
3.85
|
3.81
|
|||||||||||
44
|
3.91
|
3.89
|
3.85
|
|||||||||||
45
|
3.96
|
3.94
|
3.89
|
|||||||||||
46
|
4.01
|
3.99
|
3.94
|
|||||||||||
47
|
4.06
|
4.05
|
3.98
|
|||||||||||
48
|
4.12
|
4.10
|
4.03
|
|||||||||||
49
|
4.18
|
4.16
|
4.08
|
|||||||||||
50
|
4.25
|
4.23
|
4.13
|
|||||||||||
51
|
4.32
|
4.29
|
4.19
|
|||||||||||
52
|
4.39
|
4.36
|
4.24
|
|||||||||||
53
|
4.47
|
4.43
|
4.30
|
|||||||||||
54
|
4.55
|
4.51
|
4.36
|
|||||||||||
55
|
4.64
|
4.59
|
4.43
|
|||||||||||
56
|
4.73
|
4.67
|
4.49
|
|||||||||||
57
|
4.82
|
4.76
|
4.55
|
|||||||||||
58
|
4.93
|
4.85
|
4.62
|
|||||||||||
59
|
5.03
|
4.95
|
4.69
|
|||||||||||
60
|
5.15
|
5.05
|
4.76
|
|||||||||||
61
|
5.27
|
5.16
|
4.83
|
|||||||||||
62
|
5.39
|
5.27
|
4.90
|
|||||||||||
63
|
5.53
|
5.39
|
4.97
|
|||||||||||
64
|
5.67
|
5.52
|
5.04
|
|||||||||||
65
|
5.83
|
5.66
|
5.11
|
|||||||||||
66
|
6.00
|
5.80
|
5.18
|
|||||||||||
67
|
6.19
|
5.95
|
5.24
|
|||||||||||
68
|
6.39
|
6.12
|
5.30
|
|||||||||||
69
|
6.61
|
6.29
|
5.36
|
|||||||||||
70
|
6.85
|
6.46
|
5.41
|
|||||||||||
71
|
7.11
|
6.65
|
5.46
|
|||||||||||
72
|
7.39
|
6.85
|
5.50
|
|||||||||||
73
|
7.70
|
7.05
|
5.54
|
|||||||||||
74
|
8.03
|
7.25
|
5.57
|
|||||||||||
75
|
8.40
|
7.46
|
5.59
|
16