INDIVIDUAL FLEXIBLE PREMIUM
VARIABLE ANNUITY CONTRACT
HARTFORD LIFE AND ANNUITY INSURANCE COMPANY
Hartford, Connecticut 06104-2999
(a stock life insurance company, herein called the "Company")
We will pay the first of a series of Annuity payments to the Payee as of the
Annuity Commencement Date, if You and the Annuitant, or the Joint Annuitant, if
any, are living. The manner in which the dollar amount of Annuity payments is
determined is described in this contract.
This contract is issued in consideration of the payment of the initial Premium
Payment.
This contract is subject to the laws of the jurisdiction where it is delivered.
The Contract Specifications on Page 3 and the conditions and provisions on this
and the following pages are part of the contract.
RIGHT TO EXAMINE CONTRACT
We want You to be satisfied with the contract You have purchased. We urge You to
closely examine its provisions. If for any reason You are not satisfied with
Your purchase, You may cancel the contract by returning the contract within ten
days after You receive it. A written request for cancellation must accompany the
contract. In such event, We will pay You an amount equal to the sum of (i) the
difference between the premiums paid and the amounts allocated to any Account
under the contract and (ii) the Contract Value, less Payment Enhancements, on
the date of surrender. You bear only the investment risk during the period prior
to Our receipt of request for cancellation.
Signed for the Company
/s/ XXXXX XXXXXX /s/ X X XXXXX
Xxxxx Xxxxxx, SECRETARY Xxxxxxx X. Xxxxx, PRESIDENT
PREMIUM PAYMENTS ARE FLEXIBLE AS DESCRIBED HEREIN.
NONPARTICIPATING
ALL PAYMENTS AND VALUES PROVIDED BY THIS CONTRACT, WHEN BASED ON INVESTMENT
EXPERIENCE OF A SUB-ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED
DOLLAR AMOUNT. DETAILS OF THE VARIABLE PROVISIONS ARE DESCRIBED UNDER VALUATION
PROVISIONS, PAGES 11 AND 12.
[LOGO]
LA-VAXC99 PRINTED IN U.S.A.
R668R0.FRM
TABLE OF CONTENTS
PAGE
Contract Specifications
Definition of Certain Terms
Premium Payment Provisions
Transfers Between Accounts Provisions
Dollar Cost Averaging Provisions
Contract Control Provisions
General Provisions
Valuation Provisions
Surrender Provisions
Distribution at Time of Death Provisions
Calculation of the Death Benefit Provisions
Settlement Provisions
Annuity Tables
LA-VAXC99 PRINTED IN U.S.A.
R669R0.FRM
CONTRACT SPECIFICATIONS
CONTRACT NUMBER [SPECIMEN] CONTRACT ISSUE DATE [FEBRUARY 8, 1999]
NAME OF ANNUITANT [XXXXX XXXXX] ANNUITY COMMENCEMENT DATE [JANUARY 1, 2029]
AGE OF ANNUITANT [35] INITIAL PREMIUM PAYMENT [$10,000]
SEX OF ANNUITANT [MALE] MINIMUM SUBSEQUENT PAYMENT [$500]
CONTINGENT ANNUITANT [XXXX XXXXX] MINIMUM FIXED ACCOUNT INTEREST RATE [3%]
DESIGNATED BENEFICIARY [XXX XXXXX] (APPLIES TO ACCUMULATION PERIOD ONLY)
CONTRACT OWNER [XXXXX XXXXX]
DESCRIPTION OF BENEFITS
INDIVIDUAL FLEXIBLE PREMIUM VARIABLE ANNUITY CONTRACT
SEPARATE ACCOUNT: [HARTFORD LIFE AND ANNUITY INSURANCE COMPANY
SEPARATE ACCOUNT ONE]
PAYMENT ENHANCEMENT: PAYMENT ENHANCEMENTS ARE A PERCENTAGE
OF PREMIUM PAID AND EQUAL:
ENHANCEMENT PREMIUM RANGE
----------- -------------
[3.00% UP TO $49,999.99
4.00% $50,000 AND OVER]
THE APPLICABLE PAYMENT ENHANCEMENT WILL BE SEPARATELY CALCULATED AND CREDITED
FOR EACH PREMIUM PAYMENT AS RECEIVED BASED ON THE CUMULATIVE TOTAL AMOUNT OF
PREMIUM PAYMENTS. IF AFTER THE FIRST PREMIUM PAYMENT IS MADE, ADDITIONAL PREMIUM
PAYMENT(S) IS (ARE) RECEIVED WHICH RESULT IN THE CUMULATIVE PREMIUM PAYMENTS TO
REACH A HIGHER PREMIUM RANGE, ALL PRIOR PREMIUM PAYMENTS WILL BE CREDITED WITH
AN ADDITIONAL PAYMENT ENHANCEMENT AT A RATE EQUAL TO THE DIFFERENCE BETWEEN THE
RATE PREVIOUSLY CREDITED AND THE RATE APPLICABLE TO THE NEWLY REACHED PREMIUM
RANGE.
UNDER CERTAIN DISBURSEMENTS, PAYMENT ENHANCEMENTS MAY BE FORFEITED AS DESCRIBED
HEREIN.
VAXC99-3 PRINTED IN U.S.A.
CONTRACT SPECIFICATIONS
ANNUAL WITHDRAWAL AMOUNT: DURING THE INITIAL CONTINGENT DEFERRED
SALES CHARGE PERIOD
10% OF PREMIUM PAYMENTS PER CONTRACT
YEAR ON A NONCUMULATIVE BASIS.
AFTER THE INITIAL CONTINGENT DEFERRED
SALES CHARGE PERIOD
100% OF CONTRACT VALUE REDUCED BY THE
TOTAL OF THOSE PREMIUM PAYMENTS STILL
SUBJECT TO A CONTINGENT DEFERRED SALES
CHARGE AND ASSOCIATED PAYMENT
ENHANCEMENTS; AND
10% OF THOSE PREMIUM PAYMENTS STILL
SUBJECT TO A CONTINGENT DEFERRED SALES
CHARGE PER CONTRACT YEAR ON A
NONCUMULATIVE BASIS.
ANNUAL MAINTENANCE FEE: $0 IF CONTRACT VALUE IS [$50,000] OR MORE ON
EACH CONTRACT ANNIVERSARY.
$30 IF CONTRACT VALUE IS LESS THAN [$50,000]
ON EACH CONTRACT ANNIVERSARY.
MORTALITY AND EXPENSE RISK CHARGE: [1.70%] PER ANNUM OF THE DAILY SUB-
ACCOUNTS VALUE.
ADMINISTRATION CHARGE: [0.25%] PER ANNUM OF THE DAILY SUB-
ACCOUNTS VALUE.
VAXC99-3 PRINTED IN U.S.A.
CONTRACT SPECIFICATIONS
CONTINGENT DEFERRED SALES CHARGES:
Subject to the Annual Withdrawal Amount, surrenders of Contract Values
attributable to Premium Payments may be made subject to a Contingent Deferred
Sales Charge ("charge"). The length of time from receipt of the Premium Payment
to the time of surrender determines the charge.
The charge is a percentage of the amount surrendered (not to exceed the
aggregate amount of the Premium Payments made) and equals:
LENGTH OF TIME FROM EACH PREMIUM PAYMENT
CHARGE (NUMBER OF YEARS)
[9% 1
9% 2
9% 3
9% 4
8% 5
7% 6
7% 7
6% 8
5% 9
0% 10 and later]
During the Initial Contingent Deferred Sales Charge Period, for the purpose of
determining the charge, all surrenders in excess of the Annual Withdrawal Amount
will be taken:
- first from Premium Payments;
- then from earnings; and
- then from Payment Enhancements.
If an amount equal to all Premium Payments has been assessed a Contingent
Deferred Sales Charge, a charge will not be assessed against the surrender of
the remaining Contract Value.
After the Initial Contingent Deferred Sales Charge Period, for the purpose of
determining the charge, all surrenders in excess of the Annual Withdrawal Amount
will be taken:
- first from earnings;
- then from Premium Payments no longer subject to a Contingent Deferred Sales
Charge;
- then from Payment Enhancements associated with Premium Payments no longer
subject to a Contingent Deferred Sales Charge;
- then from Premium Payments still subject to a Contingent Deferred Sales
Charge;
- then from Payment Enhancements associated with Premium Payments still
subject to a Contingent Deferred Sales Charge.
A charge will not be assessed against the surrender of earnings or Payment
Enhancements. If an amount equal to all earnings has been surrendered, a charge
will not be assessed against Premium Payments no longer subject to a Contingent
Deferred Sales Charge, but will be assessed against Premium Payments still
subject to a Contingent Deferred Sales Charge. For this purpose, Premium
Payments will be deemed to be surrendered in the order in which they were
received.
No Contingent Deferred Sales Charge will be assessed if:
- the contract terminates due to the death of the Annuitant or Contract Owner
(as applicable);
- eligibility requirements are met for the waiver of surrender charge;
- only the Annual Withdrawal Amount is taken; or
- an Annuity option is elected. (Any surrender out of any variable Annuity
option with a period certain segment may be subject to Contingent Deferred
Sales Charges.)
VAXC99-3A PRINTED IN U.S.A.
T813R0-FRM
DEFINITION OF ACCOUNT(S) - Any of the Sub-Accounts or the
CERTAIN TERMS Fixed Account(s).
ACCUMULATION UNIT - An accounting unit of
measure used to calculate the value of a
Sub-Account of this contract before Annuity
payments begin.
ADMINISTRATIVE OFFICE OF THE COMPANY -
Currently located at 000 Xxxxxxxxx Xx.,
Xxxxxxxx, XX 00000. All correspondence
concerning this contract should be sent to
Our mailing address: Hartford Life
Investment Product Services, P.O. Box 5085,
Hartford, CT 06102-5085.
ANNIVERSARY VALUE - The value equal to the
Contract Value as of a Contract Anniversary,
increased by the dollar amount of any
Premium Payments made plus Payment
Enhancements credited since that anniversary
and reduced by the dollar amount of any
partial surrenders since that anniversary.
If the Contract Anniversary falls on a
non-Valuation Day (weekend or holiday), then
the next Valuation Day will be the Contract
Anniversary for that Contract Year.
ANNUAL MAINTENANCE FEE - An amount which,
depending on the amount of the Contract
Value, may be deducted from the value of the
contract on each Contract Anniversary or
upon full surrender of this contract. The
Annual Maintenance Fee is shown on Page 3.
We reserve the right to combine the Contract
Values of all Your Annuity contracts issued
by Us to determine whether this Annual
Maintenance Fee is applicable to You.
ANNUAL WITHDRAWAL AMOUNT - The amount that
can be withdrawn in any Contract Year prior
to incurring surrender charges.
ANNUITANT - The person on whose life this
contract is issued. The Annuitant may not be
changed. Also, see Contingent Annuitant and
Joint Annuitant.
ANNUITY - A contract issued by an insurance
company that provides, in consideration of
Premium Payments, a series of income
payments. Your contract is a deferred
Annuity contract in which Premium Payments
plus Payment Enhancements, less any partial
surrenders, accumulate until a full
surrender of the contract or until the
Annuity Commencement Date. Annuity payments
under Your contract will begin as of the
Annuity Commencement Date in accordance with
the payment option elected.
ANNUITY CALCULATION DATE - The date on which
the first Annuity payment will be
calculated. It will be no more than five
Valuation Days prior to the Annuity
Commencement Date.
ANNUITY COMMENCEMENT DATE - The date as of
which Annuity payments are to begin as
described under Settlement Provisions in
this contract.
ANNUITY PAYMENT FREQUENCY - The frequency
with which Annuity payments will be made.
The frequencies available are monthly,
quarterly, semi-annual, and annual.
ANNUITY UNIT - An accounting unit of measure
used to calculate the value of Annuity
payments under a variable Annuity option.
VAXC99-4/5 PRINTED IN U.S.A.
T814R0.FRM
DEFINITION OF ANNUITY UNIT FACTOR - A factor that neutralizes
CERTAIN TERMS the Assumed Investment Return ("AIR") when determining
(CONTINUED) the Annuity Unit Value. When the AIR is 3%, the daily
factor is 0.999919. When the AIR is 5%, the daily
factor is 0.999866. And when the AIR is 6%, the daily
factor is 0.999840.
ASSUMED INVESTMENT RETURN ("AIR") - The
investment return upon which the variable
Annuity payments in this contract will be
based. The annual rates available are 3%,
5%, and 6%. You may select one of these
rates prior to the Annuity Commencement
Date.
BENEFICIARY - The person(s) entitled to
receive benefits as per the terms of the
contract in the event of the death of the
Contract Owner or Annuitant, as applicable.
COMMUTED VALUE - The present value of the
remaining guaranteed Annuity Payments for
any option with a Period Certain segment. To
calculate the present value for fixed
Annuity payments, We will use the same
interest rate that was used to determine the
amount of the Annuity payments. To calculate
the present value of variable Annuity
payments, We will use the AIR elected by the
Contract Owner when this Annuity option was
selected and the Annuity Unit value as of
the date that We receive a fully completed
request for surrender and, in the event of
the Annuitant's death, Due Proof of Death of
the Annuitant.
CONTINGENT ANNUITANT - The person You
designate who, upon the Annuitant's death,
prior to the Annuity Commencement Date,
becomes the Annuitant.
CONTINGENT DEFERRED SALES CHARGE - A charge
that may be deducted from Your Contract
Value upon a full surrender or a partial
surrender, if the amount surrendered is in
excess of the Annual Withdrawal Amount.
CONTINGENT DEFERRED SALES CHARGE PERIOD -
The period during which each Premium Payment
is subject to a charge upon a full or
partial surrender.
CONTRACT ANNIVERSARY - An anniversary of the
Contract Issue Date.
CONTRACT ISSUE DATE - The date as of which
an Account is established for You by Us. The
Contract Issue Date is shown on Page 3.
CONTRACT OWNER(S) - The owner(s) or holder(s)
of the contract.
CONTRACT VALUE - The aggregate value of the
Sub-Accounts and the Fixed Account(s) on any
Valuation Day.
CONTRACT YEAR - A period of 12 months
commencing with the Contract Issue Date or
any other anniversary thereafter.
DEATH BENEFIT - The amount that We will pay
upon the death of the Contract Owner or the
Annuitant, as applicable.
DCA PROGRAM FIXED ACCOUNT(S) - Account(s)
established to be used for the Dollar Cost
Averaging program(s). It is part of Our
General Account.
VAXC99-4/5 PRINTED IN U.S.A.
T815R0.FRM
DEFINITION OF DOLLAR COST AVERAGING ("DCA") - Systematic
CERTAIN TERMS transfers from one Account to any other
(CONTINUED) available Accounts.
DUE PROOF OF DEATH - A certified death
certificate, an order of a court of
competent jurisdiction, or any other proof
acceptable to Us.
FIXED ACCOUNT - Part of Our General Account
to which all or a part of the Contract Value
may be allocated. Any transfers, deductions
or surrenders from the Fixed Account will be
accounted for on a first in, first out
basis.
FUNDS - The securities which underlie Your
Sub-Accounts.
GENERAL ACCOUNT - All of Our assets other
than those allocated to the Separate
Account.
INITIAL CONTINGENT DEFERRED SALES CHARGE
PERIOD - The period during which the initial
Premium Payment is subject to a charge upon
a full or partial surrender.
INTERNAL REVENUE CODE - The Internal Revenue
Code of 1986, as amended.
JOINT ANNUITANT - Upon annuitization, a
person other than the Annuitant on whose
continuation of life Annuity payments may be
made. The contract will have a Joint
Annuitant only if the Annuity settlement
option selected provides for a survivor.
The Joint Annuitant may not be changed.
MAXIMUM ANNIVERSARY VALUE - The highest
attained Anniversary Value prior to the
earlier of the date of death or the
decedent's 81st birthday.
NET ASSET VALUE PER SHARE - The value per
share of any Fund on any Valuation Day. This
amount will never be less than that required
by the Securities and Exchange Commission.
PAYEE - The person, designated by You, to
whom Xxxxxxx payments will be made.
PAYMENT ENHANCEMENT(S) - An amount that We
credit to Your Contract Value at the time a
Premium Payment is applied. Each applicable
Payment Enhancement will be separately
calculated and applied to the Contract Value
at the time of each Premium Payment, based
on the cumulative total amount of Premium
Payments applied to this contract.
PREMIUM PAYMENT - The amount that You pay to
Us as consideration for the benefits
provided by this contract. Premium Payments
do not include any credited Payment
Enhancement(s).
VAXC99-6/7 PRINTED IN U.S.A.
T816R0.FRM
DEFINITION OF PREMIUM TAX - The amount of tax, if any,
CERTAIN TERMS charged by a federal, state, or other
(CONTINUED) governmental entity on Premium Payments or
Contract Values. On any contract subject to
a Premium Tax, We may deduct the tax at the
time We pay the tax to the applicable taxing
authorities, at the time the contract is
surrendered or on the Annuity Commencement Date.
If We deduct the tax after Your Premium Payments
have been applied to the Accounts, the tax will be
deducted from the Accounts on a pro-rata
basis.
SEPARATE ACCOUNT - An Account that We
established to separate the assets funding
the variable benefits for this type of
contract from Our other assets. The assets
in the Separate Account are not chargeable
with liabilities arising out of any other
business We may conduct. The name of the
Separate Account is shown on Page 3.
SUB-ACCOUNT - The subdivisions of the
Separate Account which are used to allocate
Your Contract Value among the corresponding
Funds.
SURRENDER VALUE - The Contract Value prior
to the Annuity Commencement Date, less any
applicable Contingent Deferred Sales
Charges, Premium Taxes, and/or Annual
Maintenance Fee.
VALUATION DAY - Every day the New York Stock
Exchange is open for trading. The value of
the Separate Account is determined at the
close of the New York Stock Exchange
(generally 4:00 p.m. Eastern Time) on such
days.
VALUATION PERIOD - The period of time
between the close of business on successive
Valuation Days.
WE, US, OUR - The company referred to on the
first page of this contract.
YOU, YOUR - The Contract Owner(s).
PREMIUM PREMIUM PAYMENTS
PAYMENT Premium Payments are payable at the Administrative
PROVISIONS Office of the Company. Payments may be made by
check or by any other method that We deem acceptable.
The initial Premium Payment is shown on Page
3. This is a flexible premium Annuity. We
may accept additional payments. The
additional payments must be at least equal
to the minimum subsequent Premium Payment
shown on Page 3.
PAYMENT ENHANCEMENTS
Subject to any restrictions as described in
this contract, We will add a Payment
Enhancement to the Contract Value based on
each Premium Payment applied to this
contract. The Payment Enhancement is a
percentage of Premium Payment(s) as shown on
Page 3. Payment Enhancements are allocated
among Accounts in the same proportion as the
associated Premium Payment.
VAXC99-6/7 PRINTED IN U.S.A.
T817R0.FRM
PREMIUM ALLOCATION OF PREMIUM PAYMENTS AND PAYMENT ENHANCEMENTS
PAYMENT Premium Payments, minus any applicable Premium Tax
PROVISIONS We may deduct, plus any credited Payment Enhancement(s),
(CONTINUED) will be allocated to each Account according to Your
instructions subject to Our minimum amount(s) then in
effect. Any subsequent Premium Payments will be
allocated to Accounts in accordance with the
most recent premium allocation instructions
that We received.
TRANSFERS BETWEEN TRANSFERS BETWEEN SUB-ACCOUNTS
ACCOUNTS You may transfer Contract Values held in the Sub-Accounts
PROVISIONS into other Sub-Accounts. We reserve the right to
limit the number of transfers to no more than
12 per Contract Year with no two transfers
being made on consecutive Valuation Days.
The right to make transfers between
Sub-Accounts is subject to modification if
We determine, in Our opinion, that
exercising 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 Sub-Accounts
and could include, but not be limited to:
a) the requirement of a minimum time period
between each transfer;
b) not accepting transfer requests of an
agent acting under a power of attorney
or on behalf of more than one Contract Owner, or
c) limiting the dollar amount that may be
transferred between the Sub-Accounts by
a Contract Owner at any one time.
Such restrictions may be applied in any
manner reasonably designed to prevent any
use of the transfer right which is
considered by Us to be to the disadvantage
of other Contract Owners.
TRANSFERS BETWEEN THE FIXED ACCOUNT AND THE SUB-ACCOUNT(S)
The maximum amount transferable from the Fixed Account
during any Contract Year is the greater of:
a) 30% of the Fixed Account value as of the last Contract
Anniversary, or
b) the greatest dollar value of any prior transfer from
the Fixed Account.
This limitation does not apply to Dollar
Cost Averaging.
However, if any interest rate is renewed at
a rate at least one percentage point below
the previous rate, You may transfer a dollar
amount up to 100% of the Fixed Account
dollar value receiving that reduced rate
within 60 days of notification of the
interest rate decrease. We reserve the right
to defer transfers from the Fixed Account
for up to six months from the date of
request.
Transfers may not be made from the
Sub-Accounts into the Fixed Account for the
six month period following any transfer from
the Fixed Account into the other
Sub-Accounts. Additionally transfers may not
be made into the DCA Program Fixed
Account(s) from either the Sub-Accounts or
the Fixed Account(s).
VAXC99-8/9 PRINTED IN U.S.A.
T818R0.FRM
DOLLAR COST DOLLAR COST AVERAGING
AVERAGING From time to time, We may offer and You may
PROVISIONS enroll in a Dollar Cost Averaging Program (the
"Program"). Prior to enrollment, You may obtain
the available Account(s), duration(s), or credited
rates.
You may terminate participation in the
Program at any time by calling or writing
Us. In such event, the remaining balance in
the DCA Program Fixed Account will be
transferred to the Account(s) designated by
You.
CONTRACT ANNUITANT, CONTINGENT ANNUITANT, CONTRACT OWNER
CONTROL The Annuitant may not be changed.
PROVISIONS
The designations of Contract Owner and
Contingent Annuitant will remain in effect
until You change them. The designation of
the Contract Owner may be changed during the
lifetime of the Annuitant by written notice
to Us. The designation of the Contingent
Annuitant may be changed at any time during
the lifetime of the Annuitant and prior to
the Annuity Commencement Date by written
notice to Us. If no Contingent Annuitant has
been named and the Contract
Owner/Xxxxxxxxx's spouse is a Beneficiary,
the Contract Owner/Xxxxxxxxx's spouse will
be presumed to be the Contingent Annuitant.
In any other situation, if no Contingent
Annuitant has been named, the Contract Owner
(or in the case of joint Contract Owners,
the younger Contract Owner) will be presumed
to be the Contingent Annuitant providing
that the Contract Owner is not the
Annuitant. The Contract Owner may waive this
presumption.
OWNERSHIP
You have the sole power to exercise all the
rights, options, and privileges granted by
this contract or permitted by Us and to
agree with Us to any change in or amendment
to the contract. Your rights will be subject
to the rights of any assignee of record with
Us and of any irrevocably designated
Beneficiary. In the case of joint Contract
Owners, each Contract Owner alone may
exercise all rights, options, and
privileges, except with respect to the
surrender, partial surrender, selection of
an Annuity option, and change of ownership.
BENEFICIARY
The designated Beneficiary will remain in
effect until You change it. The designated
Beneficiary may be changed during the
lifetime of the Annuitant by written notice
to Us at the Administrative Office of the
Company. If the designated Beneficiary has
been designated irrevocably, the designation
cannot be changed or revoked without such
Beneficiary's written consent. Upon receipt
of written notice and consent, if required
by Us, the new designation will take effect
as of the date the notice is signed, whether
or not the Annuitant or Contract Owner is
alive at the time of receipt. Any payments
made or other action taken by Us before the
receipt of the notice will not be subject to
the requested change.
VAXC99-8/9 PRINTED IN U.S.A.
T819R0.FRM
GENERAL THE CONTRACT
PROVISIONS This contract and the endorsements or
riders, if any, constitute the entire
contract.
CONTRACT MODIFICATION
No modification of this contract will be
made without the signature of Our President,
a Senior Vice President, Executive Vice
President, Vice President or Assistant Vice
President. No modification will affect the
amount or term of any Annuity begun prior to
the modification unless it is required to
conform the contract to any federal or state
statute. No modification will affect the
method by which the Contract Value will be
determined.
FUND MODIFICATION
We reserve the right, subject to any
applicable law, to make certain changes,
including the right to add, eliminate or
substitute any investment options offered
under the Contract.
MINIMUM VALUE STATEMENT
Any Surrender Values, Death Benefits, or
settlement provisions available under this
contract equal or exceed those required by
the state in which the contract is
delivered.
NON-PARTICIPATION
This contract does not share in Our surplus
earnings. That portion of the Separate
Account assets equal to the reserves and
other contract liabilities will not be
chargeable with liabilities arising out of
any other business We may conduct.
MISSTATEMENT OF AGE AND SEX
If the age or sex of the Annuitant has been
misstated, the amount of the Annuity payable
by Us will be adjusted based on the correct
information without changing the date of the
first payment. Any underpayments by Us will
be made up immediately and any overpayments
will be charged against future amounts
becoming payable.
If the age of the Annuitant or Contract
Owner has been misstated, the amount of any
Death Benefit payable will be determined
based upon the correct age of the Annuitant
or Contract Owner.
INCONTESTABILITY
We cannot contest this Contract.
REPORTS TO THE CONTRACT OWNER
You will be sent copies of any shareholder
reports of the Funds and of any other
notices, reports or documents required by
law to be delivered to You. At least
annually, a statement of the Contract Value
will be sent to You.
VAXC99-10/11 PRINTED IN U.S.A.
T820R0.FRM
GENERAL VOTING RIGHTS
PROVISIONS We will notify You of any Fund shareholder's
(CONTINUED) meetings at which the shares held for Your
Account may be voted. We will send proxy materials
and instructions for You to vote the shares held
for Your Account. We will arrange for the
handling and tallying of proxies received
from Contract Owners. We will vote the Fund
shares held by Us in accordance with the
instructions received from Contract Owners.
You may attend any meeting, where shares
held for Your benefit, will be voted.
In the event that You give no instructions
or leave the manner of voting discretionary,
We will vote such shares of the appropriate
Fund in the same proportion as shares of
that Fund for which instructions have been
received. Also, We will vote the Fund shares
in this proportionate manner which are held
by Us for Our own Account. After Annuity
payments begin, the number of votes will
decrease.
CHANGE IN THE OPERATION OF THE SEPARATE ACCOUNT
At Our election and subject to any necessary
vote by persons having the right to give
instructions on the voting of the Fund
shares held by the Sub-Accounts, the
Separate Account may be operated as a
management company under the Investment
Company Act of 1940 or any other form
permitted by law, may be deregistered under
the Investment Company Act of 1940 in the
event registration is no longer required, or
may be combined with one or more Separate
Accounts.
PROOF OF SURVIVAL
The payment of any Annuity benefit will be
subject to evidence that the Annuitant is
alive on the date such payment is otherwise
due.
TAX QUALIFICATION
This Contract is intended to qualify as an
Annuity contract for federal income tax
purposes. To that end, the provisions of
this contract are to be interpreted to
ensure and maintain such tax qualification,
notwithstanding any other provisions to the
contrary. We reserve the right to amend this
Contract to conform to any changes in the
tax qualification requirements under the
applicable provisions of the Internal
Revenue Code.
VALUATION NET PREMIUM PAYMENTS
PROVISIONS The net Premium Payment is equal to the
Premium Payment minus any applicable Premium
Taxes We may deduct. The net Premium
Payment, plus the Payment Enhancement, is
applied to purchase Fixed Account values or
Sub-Account Accumulation Units that You have
selected.
The number of Accumulation Units credited to
each Sub-Account is determined by dividing
the Net Premium Payment, plus the Payment
Enhancement, allocated to a Sub-Account by
the dollar value of one Accumulation Unit
for such Sub-Account. This is computed in
compliance with Securities and Exchange
Commission regulations. The number of
Accumulation Units will not be affected by
any subsequent change in the value of such
Accumulation Units. The Accumulation Unit
value in any Sub-Account may increase or
decrease from day to day as described below.
VAXC99-10/11 PRINTED IN U.S.A.
T821R0.FRM
VALUATION We will determine the value of the Fixed
PROVISIONS Account(s) by crediting interest to amounts
(CONTINUED) allocated to the Fixed Account(s). The Minimum
Fixed Account Interest Rate is the rate shown on
Page 3, compounded annually. At Our discretion,
We may credit interest rates greater than
the Minimum Fixed Account Interest Rate. We
may change the rate or rates credited in
accordance with applicable law.
NET INVESTMENT FACTOR
The net investment factor for each of the Sub-
Accounts is equal to:
a) the Net Asset Value Per Share of the
corresponding Fund at the end of the
Valuation Period (plus the per share
amount of any unpaid dividends or
capital gains by that Fund); divided by
b) the Net Asset Value Per Share of the
corresponding Fund at the beginning of
the Valuation Period; minus
c) the mortality and expense risk charge
and any applicable administration
charges, shown on Page 3, adjusted for
the number of days in the Valuation
Period.
The Fixed Account net investment factor is
guaranteed to be at least equal to the
Minimum Fixed Account Interest Rate shown on
Page 3.
ACCUMULATION UNIT VALUE
The value of an Accumulation Unit for each
Sub-Account of the Separate Account will
vary to reflect the investment experience
of the applicable Funds. It will be
determined by multiplying:
a) the value of the Accumulation Unit for
that Sub-Account as of the preceding
Valuation Day by
b) the Net Investment Factor for that
Sub-Account for the Valuation Day for
which the Accumulation Unit value is
being calculated.
The value of the Sub-Account as of each
Valuation Day is then determined by
multiplying:
a) the number of Accumulation Units in that
Sub-Account by
b) the Accumulation Unit value as of that
Valuation Day.
ANNUITY UNIT VALUE
The value of an Annuity Unit for each Sub-Account
of the Separate Account will vary to reflect the
investment experience of the applicable Funds.
It will be determined by multiplying:
a) the value of the Annuity Unit for that
Sub-Account as of the preceding
Valuation Day by
b) the Net Investment Factor for that Sub-Account
for the Valuation Day for which the Annuity
Unit value is being calculated; and by
c) the Annuity Unit Factor.
ANNUAL MAINTENANCE FEE
Prior to the Annuity Commencement Date, the
Annual Maintenance Fee, if applicable, will
be deducted on the Contract Anniversary or
upon full surrender of this contract. The
fee will be charged against the Contract
Value by reducing the Fixed Account value,
and with respect to the Sub-Accounts, the
number of Accumulation Units held as of that
date. The fee will be charged on a pro-rata
basis with respect to each active Account.
The number of Accumulation Units deducted
from each Sub-Account is determined by
dividing the pro-rata portion of the Annual
Maintenance Fee by the value of an
Accumulation Unit for the applicable
Sub-Account.
VAXC99-12/13 PRINTED IN U.S.A.
T822R0.FRM
SURRENDER FULL SURRENDER PRIOR TO THE ANNUITY COMMENCEMENT DATE
PROVISIONS At any time prior to the Annuity
Commencement Date, You have the right to
terminate the contract by submitting a
written request to Us at the Administrative
Office of the Company. In such event, the
Surrender Value of the contract may be taken
in the form of a cash settlement.
The Surrender Value of the contract is equal to
the Contract Value less:
a) any applicable Premium Taxes not previously deducted;
b) the Annual Maintenance Fee as specified on Page 3;
c) any applicable Contingent Deferred Sales Charge shown
on Page 3.
PARTIAL SURRENDERS PRIOR TO THE ANNUITY COMMENCEMENT DATE
You may request, in writing or other means
acceptable to Us, a partial surrender of
Contract Values at any time prior to the
Annuity Commencement Date provided the
Contract Value remaining after the surrender
is at least equal to Our minimum amount
rules then in effect. If the remaining
Contract Value following such surrender is
less than Our minimum amount rules, We may
terminate the contract and pay the Surrender
Value.
The Contingent Deferred Sales Charge will be
assessed against any Contract Values
surrendered as described on Page 3. However,
on a noncumulative basis, You may make
partial surrenders during any Contract Year,
up to the Annual Withdrawal Amount shown on
Page 3 and the Contingent Deferred Sales
Charge will not be assessed against such
amounts. Surrender of Contract Values in
excess of the Withdrawal Amount and
additional surrenders made in any Contract
Year will be subject to the Contingent
Deferred Sales Charge, as described on Page
3, if applicable.
Generally, for federal tax purposes, any
surrenders will be deemed to be first from
earnings, to the extent that they exist,
then from Payment Enhancements and then from
the Premium Payments.
WAIVER OF SURRENDER CHARGE
We will waive any Contingent Deferred Sales Charge
applicable to a partial or full surrender of the
Contract Value if the covered person has met the
requirements of eligible confinement as described
below. A covered person is:
a) the current Contract Owner if the Contract
Owner has been the Contract Owner continuously
since the date of issue and if not confined
at the time the contract was purchased; and
b) the Annuitant, if not confined at the time the
contract was purchased.
This benefit will be provided if the Contract Owner
provides written proof of confinement which is
satisfactory to Us and requests the partial surrender
or full surrender of the Contract Value within 91 days
of the last day of confinement. Confinement must be at
the recommendation of a physician for medically
necessary reasons, for at least 180 consecutive calendar
days, to:
a) a hospital recognized as a general hospital by the
proper authority of the state in which it is
located; or
b) a hospital recognized as a general hospital by
the Joint Commission on the Accreditation of
Hospitals; or
c) a facility certified as a hospital by Medicare; or
d) a nursing home licensed by the state in
which it is located and which has a
registered nurse on duty 24 hours a day;
or
e) a facility certified by Medicare as a
long term care facility.
VAXC99-12/13 PRINTED IN U.S.A.
T823R0.FRM
SURRENDER We will not accept additional Premium Payments
PROVISIONS after a covered person requests the partial
(CONTINUED) surrender or full surrender of the Contract
Value under this provision. In addition, the
Contract Value will be reduced by any Payment
Enhancements credited during the period of
confinement when a full or partial surrender
is requested.
SURRENDER AFTER THE ANNUITY COMMENCEMENT DATE
This contract may only be surrendered for
its Commuted Value, less any applicable
Contingent Deferred Sales Charge, after the
commencement of variable Annuity payments
under any option with a period certain
segment.
PAYMENT ON SURRENDER - DEFERRAL OF PAYMENT
Payment on any request for surrender will be
made as soon as possible and with respect to
Contract Values in the Sub-Accounts, within
seven days after the written request is
received by Us in good order. However, such
payment may be subject to postponement:
a) for any period during which the New York
Stock Exchange is closed or during
which trading on the New York Stock Exchange
is restricted;
b) for any period during which an emergency
exists as a result of which
(i) disposal of the securities held in
the Sub-Accounts is not reasonably
practicable, or (ii) it is not
reasonably practicable for the value of
the net assets of the Separate Account
to be fairly determined; and
c) for such other periods as the Securities
and Exchange Commission may, by order,
permit for the protection of the
Contract Owners. The conditions under
which trading will be deemed to be
restricted or any emergency will be
deemed to exist will be determined by
rules and regulations of the Securities
and Exchange Commission.
We may defer payment of any amounts from the
Fixed Account for up to six months from the
date of the request to surrender. If We
defer payment for more than 30 days, We will
pay interest of at least 3% per annum on the
amount deferred.
DISTRIBUTION AT DEATH BEFORE THE ANNUITY COMMENCEMENT DATE
TIME OF DEATH If the Contract Owner dies, and:
PROVISIONS a) the joint Contract Owner is living, the
joint Contract Owner will become the
Beneficiary. In this case, the rights of
the designated Beneficiary are voided.
b) there is no surviving joint Contract
Owner, the designated Beneficiary will be
the Beneficiary.
c) no Beneficiary designation is in effect
or if the designated Beneficiary has
predeceased the Contract Owner, the
Contract Owner's estate shall be the
Beneficiary.
VAXC99-14/15 PRINTED IN U.S.A.
T824R0.FRM
DISTRIBUTION AT If the Annuitant dies, and:
TIME OF DEATH a) is also the sole Contract Owner, the
PROVISIONS designated Beneficiary will be the Beneficiary.
(CONTINUED) b) both the Contract Owner and the Contingent
Annuitant are living, the Contingent Annuitant
will become the Annuitant. The Contract will
continue.
c) the Contract Owner is living, and there
is no Contingent Annuitant or the
Contingent Annuitant is not living, the
Contract Owner will be the Beneficiary.
In this case, the rights of the
designated Beneficiary are voided.
d) the Contract is owned by a corporation
or other entity, the Contract Owner will
be the Beneficiary. In this case, the
rights of the designated Beneficiary are
voided.
e) no Beneficiary designation is in effect
and the Annuitant was also the sole
Contract Owner, the Owner's estate will
be the Beneficiary.
DEATH ON OR AFTER THE ANNUITY COMMENCEMENT DATE
If the Contract Owner dies, and the
Annuitant is living, the designated
Beneficiary will become the Contract Owner.
If the Annuitant dies, the Contract Owner
will be the Beneficiary. Upon Our receipt of
Due Proof of Death, the rights of the
designated Beneficiary are voided.
If the Annuitant who is also the Contract
Owner dies, the designated Beneficiary will
be the Beneficiary.
The Death Benefit will be calculated as of
the date We receive written notification of
Due Proof of Death as in the manner
described in the settlement option then in
effect.
CALCULATION CALCULATION OF THE DEATH BENEFIT
OF THE DEATH Should the Contract Owner or Annuitant die before
BENEFIT the Annuity Commencement Date, any Death Benefit
PROVISIONS payable will be calculated as of the date We receive
Due Proof of Death.
If the calculated Death Benefit is not equal
to the Contract Value, the difference will
be allocated proportionally to the
Account(s) in accordance with the then
current Account allocation.
During the time period between Our receipt
of written notification of Due Proof of
Death and Our receipt of complete settlement
instructions from each Beneficiary, the
calculated Death Benefit amount will be
subject to market fluctuations.
DEATH BENEFIT
The Death Benefit is the greatest of:
a) the Contract Value; reduced by any Payment
Enhancement(s) credited in the 12 months
prior to the date of calculation of the
Death Benefit; or
b) 100% of all Premium Payments, reduced by
the gross amount of any partial
surrenders since the Contract Issue
Date; or
c) the Maximum Anniversary Value, reduced
by any Payment Enhancement(s) credited
in the 12 months prior to the date of
calculation of the Death Benefit.
VAXC99-14/15 PRINTED IN U.S.A.
T825R0.FRM
CALCULATION MAXIMUM ANNIVERSARY VALUE
OF THE DEATH The Maximum Anniversary Value is based on a
BENEFIT series of calculations on Contract Anniversaries
PROVISIONS of Contract Values, Premium Payments, Payment
(CONTINUED) Enhancement(s), and partial surrenders.
As of the date We receive notification of
Due Proof of Death, We will calculate an
Anniversary Value for each Contract
Anniversary prior to the decedent's death
and 81st birthday. The Anniversary Value is
equal to the Contract Value as of a Contract
Anniversary, increased by the dollar amount
of any Premium Payments made and any Payment
Enhancement(s) credited since that
anniversary and reduced by the dollar amount
of any partial surrenders since that
anniversary. The Maximum Anniversary Value
is equal to the greatest Anniversary Value
attained from this series of calculations.
SETTLEMENT OF THE DEATH BENEFIT
The Death Benefit may be taken in one sum or
under any of the settlement options then
being offered by Us subject, however, to the
Distribution Requirements below.
As of the date of receipt of complete
disbursement instructions from the
Beneficiary, the amount to be paid or
applied to a selected settlement option will
be computed. When there is more than one
Beneficiary, the amount will be calculated
for each Beneficiary's share of the proceeds
and paid or applied to a selected settlement
option according to and upon each
Beneficiary's instructions. If the date of
receipt of complete instructions falls on a
non-Valuation Day, the amount will be
computed on the next Valuation Day.
When settlement is taken in one sum, the
disbursement will be mailed within 7 days of
Our receipt of complete instructions, except
when We are permitted to defer such payment
under the Investment Company Act of 1940.
DISTRIBUTION REQUIREMENTS
Subject to the Alternative Election or Spouse
Beneficiary provisions below:
a) If any Contract Owner dies before the
Annuity Commencement Date, the entire
interest in the Contract will be distributed
within five years after such death; and
b) If any Contract Owner dies on or after
the Annuity Commencement Date and before
the entire interest in the Contract has
been distributed, the remaining portion
of such interest will be distributed at
least as rapidly as under the method of
distribution being used as of the date
of such death.
If the Contract Owner is not an individual, then
for purposes of the preceding paragraph a) or b),
the Annuitant will be treated as the Contract Owner.
ALTERNATIVE ELECTION TO SATISFY DISTRIBUTION REQUIREMENTS
If any portion of the interest of a Contract
Owner described above is payable to or for
the benefit of a designated Beneficiary, and
the Beneficiary elects after the Contract
Owner's death to have the benefit
distributed over a period that:
a) does not extend beyond such Beneficiary's life (or
life expectancy); and
b) does commence within one year of the date of death,
then for purposes of satisfying the Distribution
Requirements above, the benefit will be
treated as distributed entirely on the date
such periodic distributions begin.
VAXC99-16/17 PRINTED IN U.S.A.
T826R0.FRM
CALCULATION SPOUSE BENEFICIARY
OF THE DEATH In the event of the death of a Contract Owner
BENEFIT and there is no joint Contract Owner, and the
PROVISIONS sole Beneficiary is the Contract Owner's spouse
(CONTINUED) and the annuitant (or Contingent Annuitant, if
applicable) is alive, the contract will continue
with the spouse as the Contract Owner, unless the
spouse elects to be paid a Death Benefit option.
This provision will apply only once with respect
to this contract.
If the contract continues with the spouse as
the Contract Owner, the Death Benefit will
be calculated on receipt of Due Proof of
Death. If the Contract Value is less than
the calculated Death Benefit amount, the
Contract Value will be increased
accordingly.
SETTLEMENT ANNUITY COMMENCEMENT DATE
PROVISIONS The Annuity Commencement Date is shown on Page 3.
You may change the date by notifying Us prior to
the Annuity Commencement Date. This date will not
be deferred beyond the Valuation Day immediately
following the later of:
a) the Annuitant's 90th birthday; or
b) the end of the tenth Contract Year,
unless the Contract Owner elects a later Annuity
Commencement Date subject to laws and regulations
then in effect and Our approval.
If this contract is issued to the trustee of
a charitable remainder trust, the Annuity
Commencement Date may be deferred to the
Annuitant's 100th birthday.
ELECTION OF ANNUITY OPTION
You may elect, in writing, without deduction
of any Contingent Deferred Sales Charge, any
one of the Annuity options described below
(except the seventh option - Annuity Proceeds
Settlement Option) or any Annuity option
then being offered by Us. The Annuity option
may not be changed on or after the Annuity
Commencement Date.
In the absence of an election by You, the
Contract Value will be used to calculate a
fixed dollar Annuity under the Third Option
(Life Annuity with 10 Years Period Certain).
Some of the options may not be available if
this contract is issued to qualify under
Section 401, 403, or 408 of the Internal
Revenue Code of 1986 as amended. The third,
fifth and sixth options (Life Annuity with
Payments for a Period Certain, Joint and
Last Survivor Life Annuity with Payments for
a Period Certain, and Payment for a Period
Certain) or any other option with a period
certain segment will be available only if
the guaranteed payment period is less than
the life expectancy of the Annuitant at the
time the option becomes effective. Such life
expectancy will be computed under the
mortality table then in use by Us.
ELECTION OF ANNUITY PAYMENT FREQUENCY
You may elect the Annuity Payment Frequency.
Available Annuity Payment Frequencies
include: monthly, quarterly, semi-annual,
and annual. In the event that You do not
elect a payment frequency, Annuity payments
will be made monthly. Annuity payments will
be made according to the Annuity Payment
Frequency selected. You may elect to change
the Annuity Payment Frequency of Your
payments within 30 days prior to the
anniversary of any Annuity Commencement
Date.
VAXC99-16/17 PRINTED IN U.S.A.
T827R0.FRM
SETTLEMENT ANNUITY CALCULATION AND PAYMENT DATES
PROVISIONS The Annuity Calculation Date will be no more
(CONTINUED) than five Valuation Days prior to the Annuity
Commencement Date. You may elect variable Annuity
payments, fixed dollar Annuity payments, or a
combination fixed and variable Annuity
payments. The election may not change on or
after the Annuity Commencement Date.
Applicable Premium Taxes and any Payment
Enhancements credited in the prior 24 months
will be deducted from the Contract Value
when determining the amount available for
Annuity payments.
If You elect variable Annuity payments, the
amount available for Annuity payments, as
described above, is applied pro-rata to Your
selected Sub- Account(s). If You elect fixed
dollar Annuity payments, the amount
available for Annuity payments, as described
above, will be applied to the General
Account.
If You elect variable Annuity payments, Your
election must specify the Assumed Investment
Return upon which Your payments are to be
based. The available rates are 3%, 5%, and
6%.
If You elect fixed dollar Annuity payments,
the payments will be the guaranteed rates,
based on 2.5% or the current rates, if
higher.
VARIABLE ANNUITY PAYMENTS - The contract
contains tables indicating the minimum
dollar amount of the first monthly payment
under the optional forms of Annuity for each
$1,000 of value of a Sub-Account under the
contract. The first monthly payment varies
according to the variable Annuity payment
option selected.
The first Annuity payment is payable on the
Annuity Commencement Date. The remaining
Annuity payments are computed and payable as
of the same day of the month as the Annuity
Commencement Date based on the elected
Annuity Payment Frequency.
The amount of the first variable Annuity
payment is divided by the Annuity Unit value
for Your selected Sub-Account(s) as of the
Annuity Commencement Date to determine the
number of Annuity Units underlying each
Annuity payment. This number of Annuity
Units remains fixed for the selected
Sub-Account during the Annuity payment
period. For each subsequent payment the
dollar amount of the Variable Annuity
payment is determined by multiplying the
fixed number of Annuity Units by the Annuity
Unit value.
If subsequent payment dates fall on a
non-Valuation Day (weekend or holiday), the
payment will be computed and payable as of
the prior Valuation Day. If the day of the
month elected does not occur in a given
month (29th, 30th, or 31st), the payments
will be computed and payable as of the last
Valuation Day of the month.
FIXED ANNUITY PAYMENTS - Fixed Annuity
payments are determined by multiplying the
value of the General Account by a rate to be
determined by Us, which is no less than the
rate specified in the Annuity Tables For
Fixed Payments in the contract. The fixed
Annuity payment will remain level for the
duration of the Annuity Option.
VAXC99-18/19 PRINTED IN U.S.A.
T828R0.FRM
SETTLEMENT EXCHANGE "TRANSFER" OF ANNUITY UNITS
PROVISIONS After the Annuity Commencement Date, You may
(CONTINUED) exchange "Transfer" the value of the Annuity Unit
for a specified Sub-Account for the dollar value
of Annuity Units in another Sub-Account. Transfers may
be made between the Sub-Account(s) and from
the Sub-Account(s) to the General Account.
No transfers are allowed from the General
Account to the Sub-Accounts. For limitation
and modification guidelines see "Transfers
Between Sub-Accounts."
MINIMUM PAYMENT
The first payment must be at least equal to
the minimum payment amount according to Our
rules then in effect. If at any time,
payments become less than the minimum
payment amount, We have the right to change
the payment frequency to meet the minimum
payment requirements. If any payment amount
is less than the minimum annual payment
amount, We may make an alternative
arrangement with You.
ANNUITY OPTIONS
FIRST OPTION - Life Annuity - An Annuity payable
during the lifetime of the Annuitant, ceasing with
the last payment due prior to the death of the
Annuitant.
SECOND OPTION - Life Annuity With a Cash
Refund - An Annuity payable during the
lifetime of the Annuitant. At the death of
the Annuitant, any remaining value will be
paid to the Beneficiary. The remaining value
equals the amount available used to purchase
Annuity Units, minus the sum of all Annuity
payments received. This option is only
available for variable Annuity payments
using the 5% Assumed Investment Return.
THIRD OPTION - Life Annuity with Payments
for a Period Certain - An Annuity payable
for a fixed number of years and during the
lifetime of the Annuitant. If at the death
of the Annuitant, payments have been made
for less than the period selected, the
Beneficiary may elect to receive the
remaining payments as scheduled or the
Commuted Value in one sum.
Surrenders are only available with variable
Annuity payments and during the Period
Certain. You may request a partial or full
surrender of Your remaining guaranteed
payments. The amount available to You is the
Commuted Value less any applicable
Contingent Deferred Sales Charge. A full
surrender will cause all payments to cease
during the remainder of the Period Certain.
Life contingent payments will begin after
the Period Certain expires if the Annuitant
is alive. A partial surrender will reduce
the amount of the remaining guaranteed
payments. Life contingent payments (Annuity
payments after the Period Certain has
expired) will not change as a result of any
surrenders taken during the Period Certain.
FOURTH OPTION - Joint and Last Survivor Life
Annuity - An Annuity payable during the
lifetimes of the Annuitant and the Joint
Annuitant and thereafter during the
remaining lifetime of the survivor. At the
time of electing this Annuity option, the
Contract Owner may elect reduced payments
over the remaining lifetime of the survivor.
Payments will cease with the last payment
prior to the death of the survivor.
VAXC99-18/19 PRINTED IN U.S.A.
T829R0.FRM
SETTLEMENT FIFTH OPTION - Joint and Last Survivor Life
PROVISIONS Annuity with Payments for a Period Certain - An
(CONTINUED) Annuity payable for a fixed number of years and
during the lifetimes of the Annuitant and the
Joint Annuitant and thereafter during the
remaining lifetime of the survivor. At the
time of electing this Annuity option, the
Contract Owner may elect reduced payments
over the remaining lifetime of the survivor.
If at the death of the survivor, payments
have been made for less than the period
selected, the Beneficiary may elect to
receive the remaining payments as scheduled
or the Commuted Value in one sum.
Surrenders are only available with variable
Annuity payments and during the Period
Certain. You may request a partial or full
surrender of Your remaining guaranteed
payments. The amount available to You is the
Commuted Value less any applicable
Contingent Deferred Sales Charge. A full
surrender will cause all payments to cease
during the remainder of the Period Certain.
Life contingent payments will begin after
the Period Certain expires if the Annuitant
is alive. A partial surrender will reduce
the amount of the remaining guaranteed
payments. Life contingent payments (Annuity
payments after the Period Certain has
expired) will not change as a result of any
surrenders taken during the Period Certain.
SIXTH OPTION - Payment for a Period Certain
- An Annuity payable for a fixed number of
years with periods of 10 years or greater
available. Payments will be made for the
period and frequency selected unless You
surrender this contract after payments have
commenced by submitting a written request to
Us.
If at the death of the Annuitant, payments
have been made for less than the period
selected, the Beneficiary may elect to
receive the remaining payments as scheduled
or the Commuted Value in one sum.
Surrenders are only available with variable
Annuity payments. You may request a partial
or full surrender. The amount available to
You is the Commuted Value, less any
applicable Contingent Deferred Sales Charge.
A full surrender will cause all future
payments to cease. A partial surrender will
reduce the amount of the remaining payments.
SEVENTH OPTION - Annuity Proceeds Settlement
Option - Proceeds from the Death Benefit can
be left with Us for a period not to exceed
five years from the date of the Contract
Owner's or the Annuitant's death prior to
the Annuity Commencement Date. The proceeds
will remain in the Sub-Account(s) to which
they were allocated at the time of death
unless the Beneficiary elects to reallocate
them. Full or partial withdrawals may be
made at any time. In the event of
withdrawals, the remaining value will equal
the Contract Value of the proceeds left with
Us, minus any withdrawals.
VAXC99-20/21 PRINTED IN U.S.A.
T830R0.FRM
ANNUITY TABLES DESCRIPTION OF TABLES
The attached tables show the minimum dollar
amount of the first monthly payment for each
$1,000 applied to fixed dollar Annuity
payments, and the actual first monthly
payment for each $1,000 applied to variable
Annuity payments. Under the First and Second
Options, the amount of each payment will
depend upon the age and sex of the Annuitant
at the time the first payment is due. Under
the Fourth and Fifth Options, the amount of
the first payment will depend upon the sex
of both Annuitants and their ages at the
time the first payment is due.
Sex will not be used to determine the amount
of the Annuity payment if this contract is
issued to qualify under certain sections of
the Internal Revenue Code. If sex is used to
determine the amount of the Annuity payment,
the Annuity tables at the end of this
contract will provide rates of payment for
male Annuitants and female Annuitants.
The variable payment Annuity tables for the
First through Fifth Options are based on the
1983a Individual Annuity Mortality Table
projected to the year 2000 using Projection
Scale G and the Assumed Investment Return.
The table for the Sixth Option is based on
the Assumed Investment Return.
The fixed payment Annuity tables for the
First through Fifth Options are based on the
1983a Individual Annuity Mortality Table
projected to the year 2000 using Projection
Scale G and an interest rate of 2.5%. The
amount of the first payment will be based on
an age that is a specified number of years
younger than the Annuitant's then-attained
age. The age setback is as follows:
DATE OF FIRST PAYMENT AGE SETBACK
Prior to 2005 1 year
2005 - 2014 2 years
2015 - 2019 3 years
2020 - 2029 4 years
2030 - 2039 5 years
2040 or later 6 years
The table for the Sixth Option is based on
an interest rate of 2.5% per annum.
VAXC99-20/21 PRINTED IN U.S.A.
T831R0.FRM
ANNUITY TABLES FOR
FIXED PAYMENTS,
BASED ON A 2 1/2% ASSUMED INVESTMENT RETURN
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000 APPLIED
Fixed Dollar Annuity payments will not vary and are guaranteed as to fixed
dollar amount. Payments for any available Annuity Payment Frequency, Period
Certain, age, or combination of ages not shown will be quoted upon request. The
Second Option (Life Annuity with a Cash Refund) is not available with the 2 1/2%
Assumed Investment Return.
FIRST AND THIRD OPTIONS - SINGLE LIFE ANNUITIES
MALE ANNUITANT FEMALE ANNUITANT
MONTHLY PAYMENTS GUARANTEED MONTHLY PAYMENTS GUARANTEED
AGE NONE 120 180 240 NONE 120 180 240
-------- ------------ --------------- -------------- ---------------- --------------- -------------- --------------- ---------------
35 $3.05 $3.05 $3.04 $3.03 $2.88 $2.88 $2.88 $2.87
40 3.25 3.24 3.23 3.21 3.04 3.03 3.03 3.02
45 3.49 3.48 3.45 3.42 3.23 3.22 3.22 3.20
50 3.80 3.77 3.73 3.68 3.47 3.46 3.45 3.42
51 3.87 3.84 3.79 3.73 3.53 3.52 3.50 3.47
52 3.94 3.91 3.86 3.79 3.59 3.57 3.56 3.52
53 4.02 3.98 3.93 3.85 3.65 3.64 3.61 3.58
54 4.10 4.06 4.00 3.91 3.72 3.70 3.67 3.63
55 4.19 4.14 4.07 3.97 3.79 3.77 3.74 3.69
56 4.28 4.22 4.15 4.04 3.86 3.84 3.80 3.75
57 4.37 4.31 4.23 4.10 3.94 3.91 3.87 3.81
58 4.48 4.41 4.31 4.17 4.02 3.99 3.94 3.88
59 4.59 4.51 4.40 4.23 4.10 4.07 4.02 3.94
60 4.70 4.61 4.49 4.30 4.20 4.16 4.10 4.01
61 4.83 4.72 4.58 4.37 4.29 4.25 4.18 4.08
62 4.96 4.84 4.67 4.44 4.40 4.35 4.27 4.15
63 5.10 4.96 4.77 4.50 4.51 4.45 4.36 4.22
64 5.25 5.09 4.87 4.57 4.62 4.56 4.46 4.30
65 5.41 5.23 4.97 4.64 4.75 4.67 4.55 4.37
66 5.59 5.37 5.08 4.70 4.88 4.79 4.66 4.45
67 5.77 5.51 5.18 4.76 5.03 4.92 4.76 4.52
68 5.97 5.66 5.29 4.82 5.18 5.05 4.87 4.59
69 6.18 5.82 5.39 4.87 5.34 5.19 4.98 4.66
70 6.40 5.98 5.49 4.92 5.52 5.34 5.09 4.73
75 7.76 6.85 5.97 5.12 6.64 6.21 5.67 5.02
80 9.67 7.73 6.32 5.23 8.29 7.20 6.15 5.19
FOURTH OPTION - JOINT AND LAST SURVIVOR ANNUITY
AGE AGE OF FEMALE
OF
MALE 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- --------- --------
35 $2.74 $2.81 $2.87 $2.92 $2.96 $2.99 $3.01 $3.03 $3.04 $3.04 $3.05 3.05
40 2.78 2.87 2.95 3.02 3.08 3.13 3.17 3.20 3.22 3.23 3.24 3.24
45 2.81 2.92 3.02 3.12 3.22 3.30 3.36 3.40 3.44 3.46 3.47 3.48
50 2.83 2.95 3.08 3.22 3.35 3.46 3.56 3.64 3.70 3.74 3.76 3.78
55 2.85 2.98 3.13 3.29 3.46 3.63 3.79 3.91 4.01 4.08 4.13 4.15
60 2.86 3.00 3.16 3.35 3.56 3.79 4.01 4.21 4.38 4.51 4.59 4.64
65 2.87 3.01 3.19 3.39 3.64 3.92 4.22 4.52 4.80 5.02 5.18 5.29
70 2.87 3.02 3.20 3.42 3.69 4.02 4.39 4.81 5.23 5.61 5.91 6.12
75 2.88 3.03 3.21 3.44 3.73 4.09 4.52 5.05 5.64 6.23 6.76 7.15
80 2.88 3.03 3.22 3.46 3.75 4.13 4.62 5.23 5.98 6.82 7.66 8.36
85 2.88 3.03 3.22 3.46 3.77 4.16 4.67 5.35 6.24 7.32 8.52 9.66
90 2.88 3.04 3.23 3.47 3.77 4.17 4.71 5.42 6.41 7.69 9.25 10.91
VA99SXD2.5-1 PRINTED IN U.S.A.
U025R0.FRM
ANNUITY TABLES FOR
FIXED PAYMENTS,
BASED ON A 2 1/2% ASSUMED INVESTMENT RETURN
(CONTINUED)
FIFTH OPTION - JOINT AND LAST SURVIVOR ANNUITY WITH 10 YEAR PERIOD CERTAIN
AGE AGE OF FEMALE
OF
MALE 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $2.74 $2.81 $2.87 $2.92 $2.96 $2.99 $3.01 $3.02 $3.04 $3.04 $3.05 $3.05
40 2.78 2.87 2.95 3.02 3.08 3.13 3.17 3.20 3.22 3.23 3.23 3.24
45 2.81 2.92 3.02 3.12 3.22 3.29 3.36 3.40 3.43 3.45 3.47 3.47
50 2.83 2.95 3.08 3.22 3.35 3.46 3.56 3.64 3.70 3.73 3.75 3.76
55 2.85 2.98 3.13 3.29 3.46 3.63 3.78 3.91 4.01 4.07 4.11 4.13
60 2.86 3.00 3.16 3.35 3.56 3.78 4.01 4.21 4.37 4.49 4.56 4.59
65 2.87 3.01 3.19 3.39 3.64 3.91 4.21 4.51 4.78 4.98 5.11 5.18
70 2.87 3.02 3.20 3.42 3.69 4.01 4.38 4.79 5.19 5.53 5.76 5.89
75 2.88 3.03 3.21 3.44 3.72 4.08 4.51 5.01 5.56 6.07 6.46 6.68
80 2.88 3.03 3.22 3.45 3.75 4.12 4.59 5.17 5.85 6.54 7.10 7.46
85 2.88 3.03 3.22 3.46 3.76 4.14 4.63 5.27 6.04 6.88 7.61 8.09
90 2.88 3.03 3.22 3.46 3.76 4.15 4.66 5.32 6.14 7.07 7.92 8.51
SIXTH OPTION - PAYMENTS FOR A PERIOD CERTAIN
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF
YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY
PAYMENTS PAYMENTS PAYMENTS PAYMENTS PAYMENTS
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
10 $9.39 15 $6.64 20 $5.27 25 $4.46 30 $3.93
11 8.64 16 6.30 21 5.08 26 4.34
12 8.02 17 6.00 22 4.90 27 4.22
13 7.49 18 5.73 23 4.74 28 4.12
14 7.03 19 5.49 24 4.60 29 4.02
VA99SXD2.5-1 PRINTED IN U.S.A.
U026R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 3% ASSUMED INVESTMENT RETURN
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000 APPLIED
The second and subsequent annuity payments under a variable annuity are based on
the investment experience of a Separate Account and are not guaranteed as to
fixed dollar amount. Payments for any available Annuity Payment Frequency,
Period Certain, age, or combination of ages not shown will be quoted upon
request. The Second Option (Life Annuity with a Cash Refund) is not available
with the 3% Assumed Investment Return.
FIRST AND THIRD OPTIONS - SINGLE LIFE ANNUITIES
MALE ANNUITANT FEMALE ANNUITANT
MONTHLY PAYMENTS GUARANTEED MONTHLY PAYMENTS GUARANTEED
AGE NONE 120 180 240 NONE 120 180 240
-------- ------------ --------------- -------------- ---------------- --------------- -------------- --------------- ------------
35 $3.35 $3.35 $3.34 $3.33 $3.18 $3.18 $3.18 $3.17
40 3.54 3.53 3.52 3.50 3.33 3.33 3.32 3.31
45 3.78 3.76 3.74 3.71 3.52 3.51 3.50 3.49
50 4.08 4.05 4.01 3.95 3.76 3.75 3.73 3.70
51 4.15 4.12 4.07 4.01 3.81 3.80 3.78 3.75
52 4.23 4.19 4.14 4.06 3.87 3.86 3.84 3.80
53 4.30 4.26 4.20 4.12 3.93 3.92 3.89 3.85
54 4.38 4.34 4.27 4.18 4.00 3.98 3.95 3.91
55 4.47 4.42 4.35 4.24 4.07 4.04 4.01 3.96
56 4.56 4.50 4.42 4.30 4.14 4.11 4.08 4.02
57 4.66 4.59 4.50 4.37 4.22 4.19 4.15 4.08
58 4.76 4.68 4.58 4.43 4.30 4.26 4.22 4.15
59 4.87 4.78 4.67 4.50 4.38 4.35 4.29 4.21
60 4.98 4.89 4.76 4.56 4.47 4.43 4.37 4.28
61 5.11 5.00 4.85 4.63 4.57 4.52 4.45 4.35
62 5.24 5.11 4.94 4.69 4.67 4.62 4.54 4.42
63 5.38 5.23 5.04 4.76 4.78 4.72 4.63 4.49
64 5.54 5.36 5.13 4.83 4.90 4.83 4.72 4.56
65 5.70 5.50 5.23 4.89 5.03 4.94 4.82 4.63
66 5.87 5.63 5.34 4.95 5.16 5.06 4.92 4.70
67 6.06 5.78 5.44 5.01 5.30 5.19 5.02 4.78
68 6.25 5.93 5.54 5.07 5.45 5.32 5.13 4.85
69 6.46 6.08 5.64 5.12 5.62 5.46 5.24 4.92
70 6.69 6.24 5.74 5.17 5.80 5.61 5.35 4.98
75 8.05 7.10 6.21 5.36 6.92 6.46 5.91 5.26
80 9.97 7.97 6.56 5.47 8.57 7.45 6.39 5.42
FOURTH OPTION - JOINT AND LAST SURVIVOR ANNUITY
AGE AGE OF FEMALE
OF
MALE 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $3.04 $3.11 $3.16 $3.21 $3.25 $3.28 $3.30 $3.32 $3.33 $3.34 $3.34 $3.35
40 3.08 3.16 3.24 3.31 3.37 3.42 3.46 3.49 3.51 3.52 3.53 3.53
45 3.11 3.21 3.31 3.41 3.50 3.58 3.64 3.69 3.72 3.74 3.76 3.77
50 3.13 3.25 3.37 3.50 3.62 3.74 3.84 3.92 3.98 4.02 4.05 4.06
55 3.15 3.27 3.41 3.57 3.74 3.90 4.06 4.19 4.29 4.36 4.41 4.43
60 3.16 3.29 3.45 3.63 3.84 4.06 4.28 4.48 4.65 4.78 4.87 4.92
65 3.17 3.31 3.47 3.67 3.91 4.19 4.48 4.78 5.06 5.29 5.46 5.56
70 3.17 3.32 3.49 3.71 3.97 4.29 4.66 5.07 5.49 5.88 6.18 6.39
75 3.18 3.32 3.50 3.73 4.01 4.36 4.79 5.31 5.90 6.49 7.02 7.42
80 3.18 3.33 3.51 3.74 4.03 4.40 4.88 5.49 6.24 7.08 7.92 8.63
85 3.18 3.33 3.51 3.75 4.05 4.43 4.94 5.62 6.50 7.58 8.78 9.92
90 3.18 3.33 3.52 3.75 4.05 4.45 4.98 5.70 6.68 7.96 9.52 11.18
VA99SXD3-1 PRINTED IN U.S.A.
U027R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 3% ASSUMED INVESTMENT RETURN
(CONTINUED)
FIFTH OPTION - JOINT AND LAST SURVIVOR ANNUITY WITH 10 YEAR PERIOD CERTAIN
AGE AGE OF FEMALE
OF
MALE 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $3.04 $3.11 $3.16 $3.21 $3.25 $3.28 $3.30 $3.32 $3.33 $3.34 $3.34 $3.34
40 3.08 3.16 3.24 3.31 3.37 3.42 3.46 3.49 3.51 3.52 3.53 3.53
45 3.11 3.21 3.31 3.41 3.50 3.58 3.64 3.69 3.72 3.74 3.75 3.76
50 3.13 3.25 3.37 3.50 3.62 3.74 3.84 3.92 3.97 4.01 4.03 4.05
55 3.15 3.27 3.41 3.57 3.74 3.90 4.05 4.18 4.28 4.35 4.39 4.40
60 3.16 3.29 3.45 3.63 3.83 4.05 4.27 4.47 4.64 4.76 4.83 4.86
65 3.17 3.31 3.47 3.67 3.91 4.18 4.48 4.77 5.04 5.24 5.38 5.45
70 3.17 3.31 3.49 3.70 3.97 4.28 4.65 5.05 5.45 5.79 6.02 6.16
75 3.18 3.32 3.50 3.72 4.00 4.35 4.77 5.27 5.82 6.32 6.71 6.94
80 3.18 3.32 3.51 3.73 4.02 4.39 4.86 5.43 6.10 6.79 7.35 7.70
85 3.18 3.33 3.51 3.74 4.04 4.41 4.90 5.53 6.30 7.12 7.85 8.33
90 3.18 3.33 3.51 3.74 4.04 4.42 4.93 5.58 6.40 7.32 8.16 8.74
SIXTH OPTION - PAYMENTS FOR A PERIOD CERTAIN
----------- ------------ ------- ------------- ---------- ------------- --------- ------------- ---------- -------------
NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF
YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY
PAYMENTS PAYMENTS PAYMENTS PAYMENTS PAYMENTS
----------- ------------ ------- ------------- ---------- ------------- --------- ------------- ---------- -------------
10 $9.61 15 $6.87 20 $5.51 25 $4.71 30 $4.18
11 8.86 16 6.53 21 5.32 26 4.59
12 8.24 17 6.23 22 5.15 27 4.47
13 7.71 18 5.96 23 4.99 28 4.37
14 7.26 19 5.73 24 4.84 29 4.27
VA99SXD3-1 PRINTED IN U.S.A.
U028R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 5% ASSUMED INVESTMENT RETURN
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000 APPLIED
Second and subsequent Annuity payments under a variable annuity are based on the
investment experience of a Separate Account and are not guaranteed as to fixed
dollar amount. Payments for any available Annuity Payment Frequency, Period
Certain, age, or combination of ages not shown will be quoted upon request.
FIRST, SECOND, AND THIRD OPTIONS - SINGLE LIFE ANNUITIES
---------------------------------------------------------------------------------------------------------------------------
MALE ANNUITANT FEMALE ANNUITANT
MONTHLY PAYMENTS GUARANTEED MONTHLY PAYMENTS GUARANTEED
AGE NONE 120 180 240 CASH REFUND NONE 120 180 240 CASH REFUND
-----------------------------------------------------------------------------------------------------------------------------------
35 $4.63 $4.62 $4.61 $4.60 $4.60 $4.48 $4.48 $4.47 $4.47 $4.46
40 4.80 4.78 4.77 4.74 4.74 4.60 4.60 4.59 4.58 4.58
45 5.02 4.99 4.96 4.91 4.92 4.77 4.75 4.74 4.72 4.72
50 5.30 5.25 5.20 5.13 5.16 4.98 4.96 4.94 4.90 4.91
51 5.36 5.31 5.26 5.18 5.21 5.03 5.01 4.98 4.94 4.95
52 5.43 5.38 5.31 5.23 5.27 5.08 5.06 5.03 4.99 5.00
53 5.51 5.45 5.37 5.28 5.33 5.14 5.11 5.08 5.03 5.05
54 5.58 5.52 5.44 5.33 5.39 5.20 5.17 5.13 5.08 5.10
55 5.67 5.59 5.50 5.38 5.46 5.26 5.23 5.19 5.13 5.16
56 5.75 5.67 5.57 5.44 5.53 5.33 5.29 5.25 5.18 5.21
57 5.85 5.75 5.64 5.49 5.60 5.40 5.36 5.31 5.24 5.27
58 5.95 5.84 5.72 5.55 5.68 5.48 5.43 5.37 5.29 5.34
59 6.05 5.94 5.80 5.61 5.76 5.56 5.51 5.44 5.35 5.41
60 6.17 6.04 5.88 5.67 5.85 5.65 5.59 5.51 5.41 5.48
61 6.29 6.14 5.96 5.73 5.94 5.74 5.67 5.59 5.47 5.55
62 6.42 6.25 6.05 5.78 6.04 5.84 5.76 5.67 5.53 5.63
63 6.56 6.37 6.14 5.84 6.14 5.95 5.86 5.75 5.59 5.72
64 6.71 6.49 6.23 5.90 6.24 6.06 5.96 5.84 5.66 5.81
65 6.87 6.62 6.32 5.96 6.36 6.18 6.07 5.93 5.72 5.91
66 7.05 6.75 6.41 6.01 6.47 6.31 6.18 6.02 5.79 6.01
67 7.23 6.89 6.51 6.06 6.60 6.46 6.30 6.11 5.85 6.12
68 7.43 7.03 6.60 6.11 6.73 6.61 6.43 6.21 5.92 6.23
69 7.65 7.18 6.69 6.16 6.87 6.77 6.57 6.31 5.98 6.35
70 7.87 7.33 6.79 6.21 7.01 6.95 6.71 6.42 6.04 6.48
75 9.25 8.14 7.21 6.38 7.85 8.08 7.53 6.94 6.29 7.25
80 11.20 8.97 7.53 6.47 8.92 9.75 8.47 7.37 6.43 8.27
FOURTH OPTION - JOINT AND LAST SURVIVOR ANNUITY
AGE AGE OF FEMALE
OF
MALE 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $4.35 $4.40 $4.44 $4.48 $4.52 $4.55 $4.57 $4.59 $4.60 $4.61 $4.62 $4.63
40 4.38 4.44 4.50 4.56 4.61 4.66 4.70 4.73 4.75 4.77 4.78 4.79
45 4.41 4.48 4.56 4.64 4.72 4.79 4.85 4.90 4.94 4.97 4.99 5.00
50 4.42 4.51 4.61 4.71 4.82 4.93 5.02 5.10 5.17 5.21 5.25 5.27
55 4.44 4.54 4.65 4.78 4.92 5.07 5.21 5.34 5.45 5.53 5.58 5.62
60 4.45 4.55 4.68 4.83 5.01 5.21 5.41 5.61 5.78 5.92 6.02 6.08
65 4.46 4.57 4.71 4.88 5.09 5.33 5.60 5.89 6.17 6.40 6.58 6.70
70 4.47 4.58 4.73 4.91 5.14 5.43 5.78 6.17 6.58 6.97 7.29 7.52
75 4.47 4.59 4.74 4.94 5.19 5.51 5.91 6.41 6.98 7.57 8.11 8.53
80 4.48 4.59 4.75 4.95 5.21 5.56 6.01 6.60 7.33 8.16 9.00 9.72
85 4.48 4.60 4.76 4.96 5.23 5.60 6.08 6.73 7.60 8.66 9.86 11.01
90 4.48 4.60 4.76 4.97 5.25 5.62 6.12 6.82 7.79 9.05 10.61 12.27
VA99SXD5-1 PRINTED IN U.S.A.
U029R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 5% ASSUMED INVESTMENT RETURN
(CONTINUED)
FIFTH OPTION - JOINT AND LAST SURVIVOR ANNUITY WITH 10 YEAR PERIOD CERTAIN
AGE AGE OF FEMALE
OF
MALE 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $4.35 $4.40 $4.44 $4.48 $4.52 $4.55 $4.57 $4.59 $4.60 $4.61 $4.62 $4.62
40 4.38 4.44 4.50 4.56 4.61 4.66 4.70 4.73 4.75 4.77 4.78 4.78
45 4.41 4.48 4.56 4.64 4.72 4.79 4.85 4.90 4.93 4.96 4.98 4.99
50 4.42 4.51 4.61 4.71 4.82 4.93 5.02 5.10 5.16 5.20 5.23 5.24
55 4.44 4.53 4.65 4.78 4.92 5.07 5.21 5.33 5.44 5.51 5.55 5.58
60 4.45 4.55 4.68 4.83 5.01 5.20 5.41 5.60 5.76 5.89 5.97 6.01
65 4.46 4.57 4.71 4.88 5.08 5.33 5.60 5.88 6.14 6.35 6.49 6.57
70 4.47 4.58 4.73 4.91 5.14 5.42 5.76 6.14 6.52 6.86 7.10 7.24
75 4.47 4.59 4.74 4.93 5.18 5.49 5.89 6.36 6.88 7.37 7.75 7.98
80 4.47 4.59 4.75 4.95 5.20 5.54 5.97 6.52 7.16 7.82 8.36 8.70
85 4.48 4.60 4.75 4.95 5.22 5.57 6.03 6.62 7.35 8.14 8.83 9.29
90 4.48 4.60 4.75 4.96 5.23 5.58 6.05 6.68 7.46 8.34 9.13 9.68
SIXTH OPTION - PAYMENTS FOR A PERIOD CERTAIN
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF
YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY
PAYMENTS PAYMENTS PAYMENTS PAYMENTS PAYMENTS
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
10 $10.51 15 $7.82 20 $6.51 25 $5.76 30 $5.28
11 9.77 16 7.49 21 6.33 26 5.65
12 9.16 17 7.20 22 6.17 27 5.54
13 8.64 18 6.94 23 6.02 28 5.45
14 8.20 19 6.71 24 5.88 29 5.36
VA99SXD5-1 PRINTED IN U.S.A.
U030R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 6% ASSUMED INVESTMENT RETURN
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000 APPLIED
Second and subsequent Annuity payments under a variable annuity are based on the
investment experience of a Separate Account and are not guaranteed as to fixed
dollar amount. Payments for any available Annuity Payment Frequency, Period
Certain, age, or combination of ages not shown will be quoted upon request. The
Second Option (Life Annuity with a Cash Refund) is not available with the 6%
Assumed Investment Return.
FIRST AND THIRD OPTIONS - SINGLE LIFE ANNUITIES
MALE ANNUITANT FEMALE ANNUITANT
MONTHLY PAYMENTS GUARANTEED MONTHLY PAYMENTS GUARANTEED
AGE NONE 120 180 240 NONE 120 180 240
-------- ----------- --------------- -------------- ---------------- --------------- -------------- --------------- --------------
35 $5.31 $5.30 $5.29 $5.27 $5.17 $5.17 $5.16 $5.15
40 5.46 5.45 5.43 5.40 5.28 5.27 5.26 5.25
45 5.67 5.64 5.60 5.56 5.43 5.42 5.40 5.38
50 5.94 5.89 5.83 5.75 5.63 5.60 5.58 5.54
51 6.00 5.94 5.88 5.80 5.67 5.65 5.62 5.58
52 6.07 6.00 5.93 5.84 5.72 5.70 5.66 5.62
53 6.14 6.07 5.99 5.89 5.78 5.75 5.71 5.66
54 6.22 6.14 6.05 5.94 5.84 5.80 5.76 5.70
55 6.30 6.21 6.11 5.99 5.90 5.86 5.81 5.75
56 6.38 6.28 6.18 6.04 5.96 5.92 5.87 5.80
57 6.47 6.36 6.24 6.09 6.03 5.98 5.92 5.85
58 6.57 6.45 6.32 6.14 6.10 6.05 5.98 5.90
59 6.67 6.54 6.39 6.19 6.18 6.12 6.05 5.95
60 6.78 6.64 6.47 6.25 6.27 6.20 6.12 6.01
61 6.90 6.74 6.55 6.30 6.36 6.28 6.19 6.06
62 7.03 6.84 6.63 6.36 6.46 6.37 6.26 6.12
63 7.17 6.96 6.71 6.41 6.56 6.46 6.34 6.18
64 7.32 7.07 6.80 6.47 6.67 6.56 6.42 6.24
65 7.48 7.20 6.88 6.52 6.79 6.66 6.51 6.30
66 7.66 7.33 6.97 6.57 6.92 6.77 6.59 6.36
67 7.84 7.46 7.06 6.62 7.06 6.89 6.69 6.42
68 8.04 7.60 7.15 6.67 7.21 7.01 6.78 6.48
69 8.25 7.74 7.24 6.71 7.37 7.14 6.88 6.54
70 8.48 7.89 7.33 6.75 7.54 7.28 6.97 6.59
75 9.86 8.68 7.73 6.91 8.67 8.08 7.47 6.83
80 11.81 9.47 8.04 7.00 10.35 8.99 7.89 6.96
FOURTH OPTION - JOINT AND LAST SURVIVOR ANNUITY
AGE AGE OF FEMALE
OF
MALE 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $5.05 $5.09 $5.13 $5.16 $5.19 $5.22 $5.25 $5.27 $5.28 $5.29 $5.30 $5.30
40 5.08 5.13 5.18 5.23 5.28 5.32 5.36 5.39 5.41 5.43 5.45 5.45
45 5.10 5.16 5.23 5.30 5.37 5.43 5.49 5.54 5.58 5.61 5.64 5.65
50 5.11 5.19 5.27 5.36 5.46 5.56 5.65 5.73 5.80 5.85 5.88 5.91
55 5.13 5.21 5.31 5.42 5.55 5.69 5.82 5.95 6.06 6.14 6.20 6.24
60 5.14 5.23 5.34 5.48 5.64 5.82 6.01 6.20 6.37 6.52 6.62 6.69
65 5.15 5.24 5.36 5.52 5.71 5.94 6.20 6.47 6.75 6.99 7.17 7.30
70 5.16 5.26 5.38 5.55 5.77 6.04 6.36 6.74 7.15 7.54 7.86 8.10
75 5.16 5.26 5.40 5.58 5.81 6.11 6.50 6.98 7.54 8.13 8.67 9.10
80 5.17 5.27 5.41 5.60 5.84 6.17 6.60 7.17 7.89 8.71 9.55 10.28
85 5.17 5.27 5.42 5.61 5.86 6.21 6.68 7.31 8.16 9.22 10.41 11.56
90 5.17 5.28 5.42 5.61 5.88 6.23 6.72 7.40 8.36 9.62 11.16 12.81
VA99SXD6-1 PRINTED IN U.S.A.
U031R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 6% ASSUMED INVESTMENT RETURN
(CONTINUED)
FIFTH OPTION - JOINT AND LAST SURVIVOR ANNUITY WITH 10 YEAR PERIOD CERTAIN
AGE AGE OF FEMALE
OF
MALE 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $5.05 $5.09 $5.13 $5.16 $5.19 $5.22 $5.25 $5.26 $5.28 $5.29 $5.30 $5.30
40 5.08 5.13 5.18 5.23 5.28 5.32 5.36 5.39 5.41 5.43 5.44 5.44
45 5.10 5.16 5.23 5.30 5.37 5.43 5.49 5.54 5.58 5.61 5.62 5.63
50 5.11 5.19 5.27 5.36 5.46 5.56 5.65 5.72 5.79 5.83 5.86 5.88
55 5.13 5.21 5.31 5.42 5.55 5.69 5.82 5.94 6.04 6.12 6.17 6.19
60 5.14 5.23 5.34 5.47 5.63 5.82 6.01 6.19 6.36 6.48 6.56 6.61
65 5.15 5.24 5.36 5.52 5.71 5.93 6.19 6.46 6.71 6.92 7.07 7.14
70 5.16 5.25 5.38 5.55 5.76 6.03 6.35 6.71 7.08 7.42 7.66 7.79
75 5.16 5.26 5.40 5.57 5.80 6.10 6.47 6.93 7.43 7.91 8.29 8.51
80 5.17 5.27 5.41 5.59 5.83 6.15 6.56 7.09 7.71 8.35 8.88 9.21
85 5.17 5.27 5.41 5.60 5.84 6.17 6.62 7.19 7.90 8.67 9.34 9.78
90 5.17 5.27 5.41 5.60 5.85 6.19 6.64 7.25 8.01 8.86 9.63 10.16
SIXTH OPTION - PAYMENTS FOR A PERIOD CERTAIN
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF
YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY
PAYMENTS PAYMENTS PAYMENTS PAYMENTS PAYMENTS
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
10 $10.97 15 $8.31 20 $7.04 25 $6.32 30 $5.87
11 10.24 16 7.99 21 6.86 26 6.21
12 9.63 17 7.71 22 6.70 27 6.11
13 9.12 18 7.46 23 6.56 28 6.02
14 8.69 19 7.24 24 6.43 29 5.94
VA99SXD6-1 PRINTED IN U.S.A.
U032R0.FRM
ANNUITY TABLES FOR
FIXED PAYMENTS,
BASED ON A 2 1/2% ASSUMED INVESTMENT RETURN
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000 APPLIED
Fixed Dollar Annuity payments will not vary and are guaranteed as to fixed
dollar amount. Payments for any available Annuity Payment Frequency, Period
Certain, age, or combination of ages not shown will be quoted upon request. The
Second Option (Life Annuity with a Cash Refund) is not available with the 2 1/2%
Assumed Investment Return.
FIRST AND THIRD OPTIONS - SINGLE LIFE ANNUITIES
----------------- ---------------------------------------------------------------
MONTHLY PAYMENTS GUARANTEED
AGE NONE 120 180 240
----------------- --------------- --------------- --------------- ---------------
35 $2.97 $2.97 $2.96 $2.95
40 3.15 3.14 3.13 3.12
45 3.36 3.35 3.34 3.31
50 3.64 3.62 3.59 3.55
51 3.70 3.68 3.65 3.60
52 3.77 3.74 3.71 3.66
53 3.84 3.81 3.77 3.72
54 3.91 3.88 3.84 3.77
55 3.99 3.96 3.91 3.83
56 4.07 4.03 3.98 3.90
57 4.16 4.11 4.05 3.96
58 4.25 4.20 4.13 4.03
59 4.35 4.29 4.21 4.09
60 4.45 4.39 4.30 4.16
61 4.56 4.49 4.38 4.23
62 4.68 4.60 4.47 4.30
63 4.81 4.71 4.57 4.36
64 4.94 4.83 4.67 4.44
65 5.08 4.95 4.76 4.51
66 5.24 5.08 4.87 4.58
67 5.40 5.22 4.97 4.64
68 5.58 5.36 5.08 4.71
69 5.76 5.51 5.19 4.77
70 5.96 5.66 5.29 4.83
75 7.20 6.53 5.82 5.07
80 8.98 7.47 6.24 5.21
FOURTH OPTION - JOINT AND LAST SURVIVOR ANNUITY
AGE OF AGE OF SECOND ANNUITANT
FIRST
ANNUI-
TANT 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $2.74 $2.80 $2.84 $2.88 $2.91 $2.93 $2.94 $2.95 $2.96 $2.96 $2.97 $2.97
40 2.80 2.87 2.94 2.99 3.03 3.07 3.09 3.11 3.13 3.13 3.14 3.14
45 2.84 2.94 3.02 3.10 3.18 3.23 3.28 3.30 3.33 3.34 3.35 3.36
50 2.88 2.99 3.10 3.22 3.32 3.41 3.48 3.53 3.57 3.60 3.61 3.63
55 2.91 3.03 3.18 3.32 3.46 3.60 3.72 3.80 3.87 3.92 3.95 3.96
60 2.93 3.07 3.23 3.41 3.60 3.79 3.97 4.12 4.24 4.32 4.38 4.41
65 2.94 3.09 3.28 3.48 3.72 3.97 4.22 4.46 4.66 4.82 4.93 5.00
70 2.95 3.11 3.30 3.53 3.80 4.12 4.46 4.81 5.14 5.42 5.63 5.77
75 2.96 3.13 3.33 3.57 3.87 4.24 4.66 5.14 5.64 6.11 6.50 6.78
80 2.96 3.13 3.34 3.60 3.92 4.32 4.82 5.42 6.11 6.82 7.49 8.03
85 2.97 3.14 3.35 3.61 3.95 4.38 4.93 5.63 6.50 7.49 8.52 9.46
90 2.97 3.14 3.36 3.63 3.96 4.41 5.00 5.77 6.78 8.03 9.46 10.91
VA99USX2.5-1 PRINTED IN U.S.A.
U033R0.FRM
ANNUITY TABLES FOR
FIXED PAYMENTS,
BASED ON A 2 1/2% ASSUMED INVESTMENT RETURN
(CONTINUED)
FIFTH OPTION - JOINT AND LAST SURVIVOR ANNUITY WITH 10 YEAR PERIOD CERTAIN
AGE OF AGE OF SECOND ANNUITANT
FIRST
ANNUI-
TANT 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $2.74 $2.80 $2.84 $2.88 $2.91 $2.93 $2.94 $2.95 $2.96 $2.96 $2.97 $2.97
40 2.80 2.87 2.94 2.99 3.03 3.07 3.09 3.11 3.13 3.13 3.13 3.14
45 2.84 2.94 3.02 3.10 3.18 3.23 3.28 3.30 3.32 3.34 3.35 3.35
50 2.88 2.99 3.10 3.22 3.32 3.41 3.48 3.53 3.57 3.59 3.61 3.61
55 2.91 3.03 3.18 3.32 3.46 3.60 3.71 3.80 3.87 3.91 3.94 3.95
60 2.93 3.07 3.23 3.41 3.60 3.78 3.96 4.11 4.23 4.31 4.35 4.37
65 2.94 3.09 3.28 3.48 3.71 3.96 4.21 4.45 4.65 4.79 4.87 4.92
70 2.95 3.11 3.30 3.53 3.80 4.11 4.45 4.79 5.10 5.35 5.52 5.61
75 2.96 3.13 3.32 3.57 3.87 4.23 4.65 5.10 5.56 5.96 6.25 6.41
80 2.96 3.13 3.34 3.59 3.91 4.31 4.79 5.35 5.96 6.54 6.99 7.27
85 2.97 3.13 3.35 3.61 3.94 4.35 4.87 5.52 6.25 6.99 7.61 8.01
90 2.97 3.14 3.35 3.61 3.95 4.37 4.92 5.61 6.41 7.27 8.01 8.51
SIXTH OPTION - PAYMENTS FOR A PERIOD CERTAIN
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF
YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY
PAYMENTS PAYMENTS PAYMENTS PAYMENTS PAYMENTS
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
10 $9.39 15 $6.64 20 $5.27 25 $4.46 30 $3.93
11 8.64 16 6.30 21 5.08 26 4.34
12 8.02 17 6.00 22 4.90 27 4.22
13 7.49 18 5.73 23 4.74 28 4.12
14 7.03 19 5.49 24 4.60 29 4.02
VA99USX2.5-1 PRINTED IN U.S.A.
U034R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 3% ASSUMED INVESTMENT RETURN
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000 APPLIED
The second and subsequent annuity payments under a variable annuity are based on
the investment experience of a Separate Account and are not guaranteed as to
fixed dollar amount. Payments for any available Annuity Payment Frequency,
Period Certain, age, or combination of ages not shown will be quoted upon
request. The Second Option (Life Annuity with a Cash Refund) is not available
with the 3% Assumed Investment Return.
FIRST AND THIRD OPTIONS - SINGLE LIFE ANNUITIES
----------------- ---------------------------------------------------------------
MONTHLY PAYMENTS GUARANTEED
AGE NONE 120 180 240
----------------- --------------- --------------- --------------- ---------------
35 $3.27 $3.26 $3.26 $3.25
40 3.44 3.43 3.42 3.41
45 3.65 3.64 3.62 3.60
50 3.92 3.90 3.87 3.83
51 3.98 3.96 3.93 3.88
52 4.05 4.02 3.99 3.93
53 4.12 4.09 4.05 3.99
54 4.19 4.16 4.11 4.05
55 4.27 4.23 4.18 4.11
56 4.35 4.31 4.25 4.17
57 4.44 4.39 4.33 4.23
58 4.53 4.47 4.40 4.29
59 4.62 4.56 4.48 4.36
60 4.73 4.66 4.57 4.43
61 4.84 4.76 4.65 4.49
62 4.95 4.87 4.74 4.56
63 5.08 4.98 4.84 4.63
64 5.21 5.09 4.93 4.70
65 5.36 5.22 5.03 4.77
66 5.51 5.35 5.13 4.83
67 5.67 5.48 5.24 4.90
68 5.85 5.63 5.34 4.96
69 6.03 5.77 5.45 5.03
70 6.23 5.93 5.55 5.08
75 7.47 6.79 6.07 5.32
80 9.25 7.72 6.48 5.45
FOURTH OPTION - JOINT AND LAST SURVIVOR ANNUITY
AGE OF AGE OF SECOND ANNUITANT
FIRST
ANNUI-
TANT 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $3.05 $3.10 $3.14 $3.18 $3.21 $3.22 $3.24 $3.25 $3.26 $3.26 $3.26 $3.27
40 3.10 3.17 3.23 3.29 3.33 3.36 3.39 3.41 3.42 3.43 3.43 3.43
45 3.14 3.23 3.32 3.40 3.47 3.52 3.56 3.59 3.62 3.63 3.64 3.64
50 3.18 3.29 3.40 3.51 3.61 3.70 3.77 3.82 3.86 3.88 3.90 3.91
55 3.21 3.33 3.47 3.61 3.76 3.89 4.00 4.09 4.16 4.20 4.23 4.25
60 3.22 3.36 3.52 3.70 3.89 4.08 4.25 4.40 4.52 4.60 4.65 4.69
65 3.24 3.39 3.56 3.77 4.00 4.25 4.51 4.75 4.95 5.10 5.21 5.27
70 3.25 3.41 3.59 3.82 4.09 4.40 4.75 5.11 5.44 5.71 5.92 6.05
75 3.26 3.42 3.62 3.86 4.16 4.52 4.95 5.44 5.94 6.41 6.79 7.06
80 3.26 3.43 3.63 3.88 4.20 4.60 5.10 5.71 6.41 7.13 7.79 8.32
85 3.26 3.43 3.64 3.90 4.23 4.65 5.21 5.92 6.79 7.79 8.83 9.76
90 3.27 3.43 3.64 3.91 4.25 4.69 5.27 6.05 7.06 8.32 9.76 11.22
VA99UST3-1 PRINTED IN U.S.A.
U035R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 3% ASSUMED INVESTMENT RETURN
(CONTINUED)
FIFTH OPTION - JOINT AND LAST SURVIVOR ANNUITY WITH 10 YEAR PERIOD CERTAIN
AGE OF AGE OF SECOND ANNUITANT
FIRST
ANNUI-
TANT 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $3.05 $3.10 $3.14 $3.18 $3.21 $3.22 $3.24 $3.25 $3.26 $3.26 $3.26 $3.26
40 3.10 3.17 3.23 3.29 3.33 3.36 3.39 3.40 3.42 3.42 3.43 3.43
45 3.14 3.23 3.32 3.40 3.47 3.52 3.56 3.59 3.61 3.63 3.63 3.64
50 3.18 3.29 3.40 3.51 3.61 3.70 3.77 3.82 3.85 3.88 3.89 3.90
55 3.21 3.33 3.47 3.61 3.76 3.89 4.00 4.09 4.15 4.19 4.21 4.22
60 3.22 3.36 3.52 3.70 3.89 4.08 4.25 4.40 4.51 4.58 4.62 4.65
65 3.24 3.39 3.56 3.77 4.00 4.25 4.50 4.74 4.93 5.06 5.15 5.19
70 3.25 3.40 3.59 3.82 4.09 4.40 4.74 5.08 5.39 5.63 5.79 5.88
75 3.26 3.42 3.61 3.85 4.15 4.51 4.93 5.39 5.85 6.25 6.52 6.68
80 3.26 3.42 3.63 3.88 4.19 4.58 5.06 5.63 6.25 6.82 7.26 7.53
85 3.26 3.43 3.63 3.89 4.21 4.62 5.15 5.79 6.52 7.26 7.87 8.26
90 3.26 3.43 3.64 3.90 4.22 4.65 5.19 5.88 6.68 7.53 8.26 8.76
SIXTH OPTION - PAYMENTS FOR A PERIOD CERTAIN
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF
YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY
PAYMENTS PAYMENTS PAYMENTS PAYMENTS PAYMENTS
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
10 $9.61 15 $6.87 20 $5.51 25 $4.71 30 $4.18
11 8.86 16 6.53 21 5.32 26 4.59
12 8.24 17 6.23 22 5.15 27 4.47
13 7.71 18 5.96 23 4.99 28 4.37
14 7.26 19 5.73 24 4.84 29 4.27
VA99UST3-1 PRINTED IN U.S.A.
U036R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 5% ASSUMED INVESTMENT RETURN
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000 APPLIED
Second and subsequent Annuity payments under a variable annuity are based on the
investment experience of a Separate Account and are not guaranteed as to fixed
dollar amount. Payments for any available Annuity Payment Frequency, Period
Certain, age, or combination of ages not shown will be quoted upon request.
FIRST, SECOND, AND THIRD OPTIONS - SINGLE LIFE ANNUITIES
----------------------------------------------------------------------
MONTHLY PAYMENTS GUARANTEED
AGE NONE 120 180 240 CASH REFUND
----------------------------------------------------------------------
35 $4.56 $4.55 $4.54 $4.53 $4.53
40 4.70 4.69 4.68 4.66 4.66
45 4.89 4.87 4.85 4.82 4.82
50 5.14 5.11 5.07 5.02 5.03
51 5.20 5.16 5.12 5.06 5.08
52 5.26 5.22 5.17 5.11 5.13
53 5.32 5.28 5.23 5.16 5.19
54 5.39 5.34 5.29 5.21 5.25
55 5.46 5.41 5.35 5.26 5.31
56 5.54 5.48 5.41 5.31 5.37
57 5.62 5.56 5.48 5.37 5.44
58 5.71 5.64 5.55 5.43 5.51
59 5.81 5.72 5.62 5.48 5.58
60 5.91 5.81 5.70 5.54 5.66
61 6.01 5.91 5.78 5.60 5.75
62 6.13 6.01 5.86 5.66 5.83
63 6.25 6.11 5.95 5.72 5.93
64 6.38 6.23 6.04 5.79 6.03
65 6.52 6.34 6.13 5.85 6.13
66 6.68 6.47 6.22 5.91 6.24
67 6.84 6.60 6.32 5.97 6.35
68 7.01 6.73 6.41 6.02 6.48
69 7.20 6.88 6.51 6.08 6.61
70 7.40 7.02 6.61 6.13 6.74
75 8.65 7.84 7.08 6.34 7.54
80 10.45 8.73 7.46 6.45 8.59
FOURTH OPTION - JOINT AND LAST SURVIVOR ANNUITY
AGE OF AGE OF SECOND ANNUITANT
FIRST
ANNUI-
TANT 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $4.36 $4.40 $4.43 $4.46 $4.48 $4.50 $4.52 $4.53 $4.54 $4.55 $4.55 $4.55
40 4.40 4.45 4.50 4.54 4.58 4.61 4.64 4.66 4.67 4.68 4.69 4.70
45 4.43 4.50 4.57 4.63 4.69 4.74 4.79 4.82 4.84 4.86 4.87 4.88
50 4.46 4.54 4.63 4.73 4.81 4.89 4.96 5.02 5.06 5.09 5.11 5.12
55 4.48 4.58 4.69 4.81 4.94 5.06 5.17 5.26 5.33 5.38 5.41 5.43
60 4.50 4.61 4.74 4.89 5.06 5.23 5.39 5.54 5.66 5.75 5.81 5.85
65 4.52 4.64 4.79 4.96 5.17 5.39 5.63 5.86 6.07 6.23 6.34 6.42
70 4.53 4.66 4.82 5.02 5.26 5.54 5.86 6.20 6.53 6.81 7.03 7.18
75 4.54 4.67 4.84 5.06 5.33 5.66 6.07 6.53 7.02 7.49 7.88 8.17
80 4.55 4.68 4.86 5.09 5.38 5.75 6.23 6.81 7.49 8.20 8.87 9.41
85 4.55 4.69 4.87 5.11 5.41 5.81 6.34 7.03 7.88 8.87 9.90 10.85
90 4.55 4.70 4.88 5.12 5.43 5.85 6.42 7.18 8.17 9.41 10.85 12.30
VA99UST5-1 PRINTED IN U.S.A.
U037R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 5% ASSUMED INVESTMENT RETURN
(CONTINUED)
FIFTH OPTION - JOINT AND LAST SURVIVOR ANNUITY WITH 10 YEAR PERIOD CERTAIN
AGE OF AGE OF SECOND ANNUITANT
FIRST
ANNUI-
TANT 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $4.36 $4.40 $4.43 $4.46 $4.48 $4.50 $4.52 $4.53 $4.54 $4.55 $4.55 $4.55
40 4.40 4.45 4.50 4.54 4.58 4.61 4.64 4.66 4.67 4.68 4.69 4.69
45 4.43 4.50 4.57 4.63 4.69 4.74 4.78 4.82 4.84 4.86 4.87 4.87
50 4.46 4.54 4.63 4.73 4.81 4.89 4.96 5.01 5.05 5.08 5.09 5.10
55 4.48 4.58 4.69 4.81 4.94 5.06 5.16 5.25 5.32 5.36 5.39 5.40
60 4.50 4.61 4.74 4.89 5.06 5.22 5.39 5.53 5.64 5.72 5.77 5.80
65 4.52 4.64 4.78 4.96 5.16 5.39 5.62 5.85 6.04 6.18 6.27 6.31
70 4.53 4.66 4.82 5.01 5.25 5.53 5.85 6.17 6.47 6.71 6.88 6.97
75 4.54 4.67 4.84 5.05 5.32 5.64 6.04 6.47 6.91 7.30 7.57 7.74
80 4.55 4.68 4.86 5.08 5.36 5.72 6.18 6.71 7.30 7.85 8.27 8.54
85 4.55 4.69 4.87 5.09 5.39 5.77 6.27 6.88 7.57 8.27 8.85 9.23
90 4.55 4.69 4.87 5.10 5.40 5.80 6.31 6.97 7.74 8.54 9.23 9.70
SIXTH OPTION - PAYMENTS FOR A PERIOD CERTAIN
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF
YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY
PAYMENTS PAYMENTS PAYMENTS PAYMENTS PAYMENTS
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
10 $10.51 15 $7.82 20 $6.51 25 $5.76 30 $5.28
11 9.77 16 7.49 21 6.33 26 5.65
12 9.16 17 7.20 22 6.17 27 5.54
13 8.64 18 6.94 23 6.02 28 5.45
14 8.20 19 6.71 24 5.88 29 5.36
VA99UST5-1 PRINTED IN U.S.A.
U038R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 6% ASSUMED INVESTMENT RETURN
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000 APPLIED
Second and subsequent Annuity payments under a variable annuity are based on the
investment experience of a Separate Account and are not guaranteed as to fixed
dollar amount. Payments for any available Annuity Payment Frequency, Period
Certain, age, or combination of ages not shown will be quoted upon request. The
Second Option (Life Annuity with a Cash Refund) is not available with the 6%
Assumed Investment Return.
FIRST AND THIRD OPTIONS - SINGLE LIFE ANNUITIES
----------------- ---------------------------------------------------------------
MONTHLY PAYMENTS GUARANTEED
AGE NONE 120 180 240
----------------- --------------- --------------- --------------- ---------------
35 $5.24 $5.23 $5.23 $5.21
40 5.37 5.36 5.35 5.33
45 5.55 5.53 5.50 5.47
50 5.78 5.75 5.70 5.65
51 5.84 5.80 5.75 5.69
52 5.90 5.85 5.80 5.73
53 5.96 5.91 5.85 5.78
54 6.03 5.97 5.91 5.82
55 6.10 6.03 5.96 5.87
56 6.17 6.10 6.02 5.92
57 6.25 6.17 6.09 5.97
58 6.33 6.25 6.15 6.02
59 6.43 6.33 6.22 6.08
60 6.52 6.42 6.30 6.13
61 6.63 6.51 6.37 6.19
62 6.74 6.61 6.45 6.25
63 6.86 6.71 6.53 6.30
64 6.99 6.82 6.61 6.36
65 7.13 6.93 6.70 6.42
66 7.28 7.05 6.79 6.47
67 7.44 7.18 6.88 6.53
68 7.62 7.31 6.97 6.58
69 7.80 7.45 7.07 6.63
70 8.00 7.59 7.16 6.68
75 9.25 8.39 7.61 6.88
80 11.06 9.24 7.97 6.98
FOURTH OPTION - JOINT AND LAST SURVIVOR ANNUITY
AGE OF AGE OF SECOND ANNUITANT
FIRST
ANNUI-
TANT 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $5.06 $5.09 $5.12 $5.14 $5.17 $5.19 $5.20 $5.21 $5.22 $5.23 $5.23 $5.24
40 5.09 5.13 5.17 5.21 5.25 5.28 5.31 5.33 5.34 5.35 5.36 5.37
45 5.12 5.17 5.23 5.29 5.35 5.40 5.44 5.47 5.50 5.52 5.53 5.54
50 5.14 5.21 5.29 5.37 5.45 5.53 5.60 5.65 5.69 5.72 5.75 5.76
55 5.17 5.25 5.35 5.45 5.57 5.68 5.78 5.87 5.94 6.00 6.04 6.06
60 5.19 5.28 5.40 5.53 5.68 5.84 6.00 6.14 6.26 6.35 6.42 6.46
65 5.20 5.31 5.44 5.60 5.78 6.00 6.22 6.45 6.65 6.81 6.93 7.01
70 5.21 5.33 5.47 5.65 5.87 6.14 6.45 6.78 7.10 7.38 7.60 7.76
75 5.22 5.34 5.50 5.69 5.94 6.26 6.65 7.10 7.58 8.05 8.44 8.74
80 5.23 5.35 5.52 5.72 6.00 6.35 6.81 7.38 8.05 8.75 9.42 9.97
85 5.23 5.36 5.53 5.75 6.04 6.42 6.93 7.60 8.44 9.42 10.45 11.40
90 5.24 5.37 5.54 5.76 6.06 6.46 7.01 7.76 8.74 9.97 11.40 12.85
VA99UST6-1 PRINTED IN U.S.A.
U039R0.FRM
ANNUITY TABLES FOR
VARIABLE PAYMENTS,
BASED ON A 6% ASSUMED INVESTMENT RETURN
(CONTINUED)
FIFTH OPTION - JOINT AND LAST SURVIVOR ANNUITY WITH 10 YEAR PERIOD CERTAIN
AGE OF AGE OF SECOND ANNUITANT
FIRST
ANNUI-
TANT 35 40 45 50 55 60 65 70 75 80 85 90
-------- -------- -------- ------- -------- -------- -------- -------- ------- -------- -------- --------
35 $5.06 $5.09 $5.12 $5.14 $5.17 $5.18 $5.20 $5.21 $5.22 $5.23 $5.23 $5.23
40 5.09 5.13 5.17 5.21 5.25 5.28 5.30 5.32 5.34 5.35 5.36 5.36
45 5.12 5.17 5.23 5.29 5.35 5.39 5.43 5.47 5.49 5.51 5.52 5.52
50 5.14 5.21 5.29 5.37 5.45 5.53 5.59 5.65 5.69 5.71 5.73 5.74
55 5.17 5.25 5.35 5.45 5.57 5.68 5.78 5.87 5.93 5.98 6.01 6.02
60 5.18 5.28 5.39 5.53 5.68 5.83 5.99 6.13 6.24 6.32 6.37 6.40
65 5.20 5.30 5.43 5.59 5.78 5.99 6.21 6.43 6.62 6.76 6.85 6.90
70 5.21 5.32 5.47 5.65 5.87 6.13 6.43 6.74 7.04 7.28 7.44 7.53
75 5.22 5.34 5.49 5.69 5.93 6.24 6.62 7.04 7.46 7.84 8.12 8.28
80 5.23 5.35 5.51 5.71 5.98 6.32 6.76 7.28 7.84 8.38 8.80 9.06
85 5.23 5.36 5.52 5.73 6.01 6.37 6.85 7.44 8.12 8.80 9.36 9.72
90 5.23 5.36 5.52 5.74 6.02 6.40 6.90 7.53 8.28 9.06 9.72 10.18
SIXTH OPTION - PAYMENTS FOR A PERIOD CERTAIN
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF NO. OF AMOUNT OF
YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY YEARS MONTHLY
PAYMENTS PAYMENTS PAYMENTS PAYMENTS PAYMENTS
---------- ------------ ------- ------------ ------- ------------ ------- ------------ -------- -----------
10 $10.97 15 $8.31 20 $7.04 25 $6.32 30 $5.87
11 10.24 16 7.99 21 6.86 26 6.21
12 9.63 17 7.71 22 6.70 27 6.11
13 9.12 18 7.46 23 6.56 28 6.02
14 8.69 19 7.24 24 6.43 29 5.94
VA99UST6-1 PRINTED IN U.S.A.
U040R0.FRM
INDIVIDUAL FLEXIBLE PREMIUM
VARIABLE ANNUITY CONTRACT
HARTFORD LIFE AND ANNUITY INSURANCE COMPANY
P.O. Box 2999
Hartford, Connecticut 06104-2999
ADMINISTRATIVE OFFICE:
Attn: Individual Annuity Services
P.O. Box 5085
Hartford, CT 06102-5085
[LOGO]
LA-VAXC99 PRINTED IN U.S.A.
R700R0.FRM
