Exhibit 4(viii)
CONTRACT SCHEDULE
OWNER: [Xxxx Xxx] SEX: [M] AGE AT ISSUE: [50]
JOINT OWNER: Xxxx Xxx SEX: [F] AGE AT ISSUE: [50]
ANNUITANT: Xxxx Xxx SEX: [M] AGE AT ISSUE: [50]
CONTRACT NUMBER: [12345678] ISSUE DATE: [February 15, 2001]
PLAN TYPE: [Qualified, IRA, Non-Qualified, MATURITY DATE: [February 15, 2046]
SIMPLE IRA, SEP, XXXX XXX]
PRODUCT CLASS: [Bonus, Standard, C, L, or P Class ]
PURCHASE PAYMENT: [$ 100,000.00]
[MAXIMUM DISABILITY WAIVER ATTAINED AGE: 65
MAXIMUM TERMINAL ILLNESS RIDER ISSUE AGE: 80
MAXIMUM NURSING HOME OR HOME HOSPITAL CONFINEMENT RIDER ISSUE AGE:80]
PURCHASE PAYMENTS: [No payment can be made within 9 years of
the Maturity Date. For joint owner
contracts, no payment can be made after the
older contract owner reaches age 86. We
reserve the right to reject any Purchase
Payment.]
MINIMUM SUBSEQUENT
PURCHASE PAYMENT: [$500.00. However, for IRAs, SEPs, SIMPLE
IRAs and Xxxx IRAs, in order to avoid
cancellation of the Contract, we will accept
a Purchase Payment of at least $50 once in
every 24 month period. We will also accept
subsequent Purchase Payments as required
under applicable law and federal tax law.]
MAXIMUM TOTAL
PURCHASE PAYMENTS: [$1,000,000.00], without our prior approval.
[PURCHASE PAYMENT
CREDITS:] [4%] of each Purchase Payment for cumulative
Purchase Payments received during the first
Contract Year.]
MINIMUM CONTRACT VALUE: [$2,000.00]
BENEFICIARY: [As designated by you as of the Issue Date
unless changed in accordance with the
Contract provisions.]
PRODUCT CHARGES:
SEPARATE ACCOUNT: We assess certain daily charges equal to
1/365 of the percentages set out below of
the average daily net asset value of each
Subaccount of the Separate Account:
Asset-Based Insurance Charge:
All Subaccounts: [1.95%] We reserve the
right to impose an increased Asset-Based
Insurance Charge on Subaccounts that we may
add to the Contract at any future date. The
increase will not be greater than 0.25%
basis points more than the Asset-Based
Insurance Charge shown above for All
Subaccounts.
[Earnings Preservation Benefit Rider Charge:0.25%]]
CONTRACT ADMINISTRATIVE FEE: [The Contract Administrative Fee is [$30.00]
each Contract Year. During the Accumulation
Period, on the Contract Anniversary the full
Contract Administrative Fee is deducted from
each applicable Subaccount in the ratio that
the Contract Value in the Subaccount bears
to the total Contract Value in the Separate
Account. On the Annuity Calculation Date, a
pro-rata portion of the Contract
Administrative Fee for the applicable
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portion of the Contract Year will be
deducted from the Contract Value as
described above. However, if your Contract
Value on the last day of the Contract Year
or on the Annuity Calculation Date is at
least [$50,000.00], then no Contract
Administrative Fee is deducted. If during
the Accumulation Period, a total withdrawal
is made, the full Contract Administrative
Fee will be deducted at the time of the
total withdrawal regardless of your Contract
Value. We reserve the right to deduct the
Contract Administrative Fee during the
Annuity Period.]
[GMIB RIDER SPECIFICATIONS:
GMIB RIDER EFFECTIVE DATE: [February 15, 2004]
GMIB RIDER CHARGE: [0.50%]
GMIB INCOME DATE: [February 15, 2014]
GMIB RIDER
TERMINATION DATE: [Contract Anniversary on or following the
Owner's (or oldest Joint Owner's) 85th
birthday]
LAST STEP-UP DATE: [Owner's (or oldest Joint Owner's) 81st
birthday]
ANNUAL INCREASE
ACCUMULATION RATE: [5% for first 25 Contract Years, 0%
thereafter]
ANNUITY OPTIONS: (a) Life Income with 10 Years of Annuity
Payments Guaranteed. If you choose to start
the Annuity Option after age 79, the year of
the Guarantee Period component of the
Annuity Option is reduced to: 9 years at age
80; 8 years at age 81; 7 years at age 82; 6
years at age 83; 5 years at ages 84 and 85.
(b) Life Income Annuity for Two with 10
Years of Annuity Payments Guaranteed.]
DOLLAR-FOR-DOLLAR
WITHDRAWAL PERCENTAGE: [5%]
BASIS OF GMIB ANNUITY TABLE: [The GMIB Annuity Tables are based on the
Annuity 2000 Mortality Table with 7-year age
setback with interest at 2.5%.]]
[GUARANTEED WITHDRAWAL BENEFIT RIDER (GWB) SPECIFICATIONS:
GWB EFFECTIVE DATE: [February 15, 2004]
INITIAL BENEFIT BASE: [$100,000.00 plus any applicable Purchase
Payment Credit]
GWB FEE RATE: [1.00%]
GWB BONUS AMOUNT: [25%]
GWB WITHDRAWAL RATE: [7%]
GWB MAXIMUM BENEFIT BASE: [$1,000,000.00]
GWB AUTOMATIC RESET DATE: [5th Contract Anniversary subject to Maximum
Reset Age]
GWB FIRST OPTIONAL RESET DATE: [10th or subsequent Contract Anniversary
provided that written notice has been
received by the Company during the 30-day
period preceeding such anniversary, subject
to Maximum Reset Age.]
GWB OPTIONAL RESET WAITING PERIOD: [5 years]
MAXIMUM RESET AGE: [85]
MAXIMUM OPTIONAL RESET FEE RATE: [1.00%]
GWB OPTIONAL RESET WINDOW PERIOD: [30-day period ending on the day prior to
the eligible Contract Anniversary]
GWB CANCELLATION WINDOW PERIOD: [30-day period on the day prior to the 7th
Contract Anniversary]
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SUBACCOUNTS NOT AVAILABLE
WITH GWB RIDER [PIMCO Total Return Division Xxxxxxx Global
Equity Division Janus Aggressive Growth
Division]]
SEPARATE ACCOUNT: [New England Variable Annuity Separate
Account]
TRANSFER REQUIREMENTS:
[NUMBER PERMITTED: We reserve the right to limit the number of transfers per
Contract Year up to a maximum of [12] (excluding transfers resulting from our
Pre-scheduled Transfer Programs).
Subject to the issuance of a Fixed Account Rider, during the Accumulation Period
you may make transfers into the Fixed Account from the Subaccounts, subject to
the maximum number of transfers per Contract Year as stated above. There maybe
further limitations on transfers from the Fixed Account to the Subaccounts and
transfers from the Subaccounts to the Fixed Account as set forth in the Fixed
Account Rider.
During the Annuity Period, you can only make transfers among the Subaccounts.
TRANSFER FEE: In the event that [12] transfers are made in a Contract Year,
(excluding those related to our Pre-scheduled Transfer Programs) we reserve the
right to deduct a Transfer Fee of up to [$25] for each additional transfer in
such Contract Year. The Transfer Fee will be deducted from the Subaccount or
Fixed Account from which the transfer is made. However, if the entire interest
in an account is being transferred, the Transfer Fee will be deducted from the
amount which is transferred.
MINIMUM AND MAXIMUM AMOUNT TO BE TRANSFERRED: The minimum amount that may be
transferred from a Subaccount is [$500.00], or your entire interest in the
Subaccount, if less (excluding transfers resulting from our Pre-scheduled
Transfer Programs).]
WITHDRAWALS:
WITHDRAWAL CHARGE: [A Withdrawal Charge is assessed against Purchase Payments
withdrawn or applied under certain Annuity Options. The Withdrawal Charge is
calculated at the time of each withdrawal or at the Annuity Calculation Date for
certain Annuity Options to determine the Adjusted Contract Value. Each Purchase
Payment is tracked from the date of its receipt. Amounts will be withdrawn from
your Contract/applied to an Annuity Option in the following order:
1. Earnings in the Contract (Earnings are equal to your Contract Value less
Purchase Payments not previously withdrawn); and then
2. The Free Withdrawal Amount described below, if any; then
3. Purchase Payments not previously withdrawn, in the order such Purchase
Payments were made: the oldest Purchase Payment first, the next Purchase Payment
second, etc. until all Purchase Payments have been withdrawn (First-in-First-out
(FIFO) basis).
Withdrawal Charges are determined in accordance with the following
schedule:
WITHDRAWAL CHARGES
NUMBER OF COMPLETE YEARS
FROM RECEIPT OF PURCHASE PAYMENT % CHARGE
[0 9
1 8
2 8
3 7
4 6
5 5
6 4
7 2
8 2
9 and thereafter 0]]
No charge will be deducted in the event of:
1. Maturity of the Contract; or
2. Payment of the Death Proceeds; or
3. Selection of an Annuity Option, if applied: for a period of at least 15 years
to the Income for Specified Number of Years Option or to the Annuity Payment to
Age 100 Option; or to the Life Income Option; or to the Life Income for Two
Lives Option. If the Withdrawal Charge was waived when applied to the Annuity
Option, the commuted value will be reduced by a portion of the Withdrawal Charge
that was waived. The amount deducted from the commuted value will equal: (a) the
Withdrawal Charge that was waived; MULTIPLIED BY (b) the number of whole months
remaining from the date of the commutation until the date when
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the Withdrawal Charge would be zero; DIVIDED BY the number of whole months
that were remaining when the withdrawal proceeds were applied to the
Annuity Option until the date when the Withdrawal Charge would be zero.
4. Any waiver included subject to the issuance of a Rider.
[FREE WITHDRAWAL AMOUNT: [Each Contract Year after the first, you can make a
withdrawal of a portion of your Contract Value free from any Withdrawal Charge.
The Free Withdrawal Amount each Contract Year is equal to 10% of total Purchase
Payments, less the total Free Withdrawal Amount previously withdrawn in the same
Contract Year. This amount is non-cumulative.
A Withdrawal Charge will not be assessed against earnings withdrawn from your
Contract. The earnings are equal to the Contract Value minus the remaining
Purchase Payments in your Contract.
A Withdrawal Charge will not be assessed against any withdrawal that is part of
a monthly systematic withdrawal program in which the monthly withdrawal amount
does not exceed 1/12 of 10% of total Purchase Payments.]]
MINIMUM PARTIAL WITHDRAWAL: [$500], or your entire interest in the Fixed Account
or Subaccount
MINIMUM WITHDRAWAL VALUE WHICH MUST REMAIN IN THE CONTRACT AFTER A PARTIAL
WITHDRAWAL: [$2,000]]
ANNUITY OPTION INFORMATION:
1. [The Maturity Date must be the first day of a calendar month. Unless
otherwise designated by you, the Maturity Date will be no later than the
first day of the calendar month following the Annuitant's 95th birthday or
ten years from the Issue Date.
2. The Annuity Date must not be less than 30 days from the Issue Date.
3. For Variable Annuity Payments, the Variable Annuity Tables are based on the
Annuity 2000 Mortality Table with 7-year age setback and an Assumed
Investment Return (AIR) of 3.50%.
4. For Fixed Annuity Payments, the Fixed Annuity Tables are based on the
Annuity 2000 Mortality Table with 7-year setback with interest at [3%]]
[FIXED ACCOUNT:
INITIAL INTEREST RATE: INITIAL GUARANTEE PERIOD EXPIRES:
[4.60%] [02/15/02]]
MINIMUM GUARANTEED INTEREST RATE: [1.50%] annually
INITIAL EDCA PERIOD: 12 months EDCA rate applicable to deposits made at the
beginning of the Initial EDCA period: [8.00%]
INITIAL EDCA PERIOD: 6 months EDCA rate applicable to deposits made at the
beginning of the Initial EDCA period: [6.00%]]
ADMINISTRATIVE OFFICE:
New England Life Insurance Company
[P.O. Box 14594
Des Moines, IA 50306-0366
(000) 000-0000]
ENDORSEMENTS AND RIDERS ATTACHED TO THIS CONTRACT:
[Fixed Account Rider for Variable Annuity
Enhanced Dollar Cost Averaging Rider
Death Benefit Rider (Return of Purchase Payments)
Death Benefit Rider (Greater of Annual Step-up or 5% Annual Increase)
Death Benefit Rider (Annual Step-up)
Guaranteed Minimum Income Benefit Rider (Living Benefit)
Guaranteed Withdrawal Benefit Rider
Additional Death Benefit Rider (Earnings Preservation Benefit)
Waiver of Withdrawal Charge for Nursing Home or Hospital Confinement Rider
Waiver of Withdrawal Charge for Terminal Illness Rider
Waiver of Withdrawal Charge for Disability Rider
Individual Retirement Annuity Endorsement
Xxxx Individual Retirement Annuity Endorsement
SIMPLE Individual Retirement Annuity Endorsement
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401 Plan Endorsement
Tax Sheltered Annuity Endorsement
Unisex Annuity Rates Endorsement]
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