AMENDMENT NO. 11
to the
VARIABLE ANNUITY GMIB REINSURANCE AGREEMENT
EFFECTIVE MARCH 1, 2005
Between
XXXXXXX NATIONAL LIFE INSURANCE COMPANY OF NEW YORK
("CEDING COMPANY")
and
ACE TEMPEST LIFE REINSURANCE LTD.
("REINSURER")
Effective April 6, 2009, this Amendment is hereby attached to and becomes a part
of the above-described Reinsurance Agreement. It is mutually agreed that the
Agreement will be amended to include new investment funds, show fund mergers and
to add a new Guaranteed Minimum Death Benefit. To effect these changes, the
following provision of this Agreement is hereby amended:
|X| Schedule B-1, CONTRACTS SUBJECT TO THIS REINSURANCE AGREEMENT, Amendment #
9, is hereby replaced with the attached Schedule B-1
|X| Schedule B-2, SUBACCOUNTS SUBJECT TO THIS REINSURANCE AGREEMENT, Amendment
# 10, is hereby replaced by the attached Schedule B-2.
Xxxxxxx National Life Insurance ACE Tempest Life Reinsurance Ltd.
Company of New York
By ___Lisa C. Drake____________________ By _____Huan Tseng________________
Name _Lisa C. Drake____________________ Name ___Huan Tseng_________________
Title _SVP & Chief Actuary______________ Title _SVP & Chief Pricing Officer
Date _3/20/09__________________________ Date __3/17/09_____________________
SCHEDULE B-1
ANNUITY CONTRACTS Subject to this Reinsurance Agreement
PERSPECTIVE II
o VA220NY replaced VA250NY 05/04 effective 10/4/2004.
o This product has two Contract options:
o Separate Account Investment Division option; and
o Fixed Account Option.
A) SEPARATE ACCOUNT INVESTMENT DIVISION OPTION
o This option allows the Owner to allocate Premiums and earnings to one or
more Investment Divisions of the Separate Account.
o JNLNY Separate Account I is used for this Contract.
o The Separate Account invests in shares of one of the corresponding Funds of
the underlying fund of the JNL Series Trust, JNL Variable Fund LLC, and
JNLNY Variable Fund I LLC (see Schedule B-2).
B ) GUARANTEED MINIMUM INCOME BENEFITS
FORM NUMBER POLICY DESCRIPTION
7452NY FutureGuard - effective 5/3/2004
7485NY FutureGuard - effective 5/2/2005
7485ANY FutureGuard - effective 1/17/2006
7485ANY Unisex FutureGuard - effective 1/17/2006
7551ANY FutureGuard 6 - effective October, 2008
7551ANY Unisex FutureGuard 6 - effective October, 2008
C) OPTIONAL BENEFITS
FORM NUMBER POLICY DESCRIPTION
7349NY 04/03 Additional Free Withdrawal 20% of Premium
7343NY 04/03 Shortened W/D Charge Period (5 year)
7429NY Shortened W/D Charge Period (3 year) - not available for
contracts issued after 4/30/2006
7346NY 05/04 Premium Credit (4%)
7348NY 08/03 Premium Credit (2%)
7348NY 03/05 Premium Credit (2%)
7352NY 08/03 Premium Credit (3%)
7352NY 03/05 Premium Credit (3%)
7470NY Death Benefit Option (Highest Anniversary Value)
7512NY Death Benefit Option (Highest Anniversary Value) effective
1/16/2007
7595NY Death Benefit Option (Highest Anniversary Value) effective
4/6/2009
PERSPECTIVE L SERIES
o VA210NY is an individual flexible premium variable and fixed annuity
A) SEPARATE ACCOUNT INVESTMENT DIVISION OPTION
o This option allows the Owner to allocate Premiums and earnings to one or
more Investment Divisions of the Separate Account.
o JNLNY Separate Account I is used for this Contract.
o The Separate Account invests in shares of one of the corresponding Funds of
the underlying fund of the JNL Series Trust, JNL Variable Fund LLC, and
JNLNY Variable Fund I LLC (see Schedule B-2).
B) GUARANTEED MINIMUM INCOME BENEFITS
FORM NUMBER POLICY DESCRIPTION
7485NY FutureGuard
7485ANY FutureGuard - effective 1/17/2006
7485ANY Unisex FutureGuard - effective 1/17/2006
7551ANY FutureGuard 6 - effective October, 2008
7551ANY Unisex FutureGuard 6 - effective October, 2008
C) OPTIONAL BENEFITS
FORM NUMBER POLICY DESCRIPTION
7346NY 05/04 Premium Credit (4%)
7348NY 08/03 Premium Credit (2%)
7348NY 03/05 Premium Credit (2%)
7352NY 08/03 Premium Credit (3%)
7352NY 03/05 Premium Credit (3%)
7381NY Reduced Administration Charge
7470NY Death Benefit Option (Highest Anniversary Value)
7512NY Death Benefit Option (Highest Anniversary Value) effective
1/16/2007
7595NY Death Benefit Option (Highest Anniversary Value) effective
4/6/2009
PERSPECTIVE ADVISORS II
o VA410NY is an individual flexible premium variable and fixed annuity
A) SEPARATE ACCOUNT INVESTMENT DIVISION OPTION
o This option allows the Owner to allocate Premiums and earnings to one or
more Investment Divisions of the Separate Account.
o Separate Account I is used for this Contract.
o The Separate Account invests in shares of one of the corresponding Funds of
the underlying fund of the JNL Series Trust, JNL Variable Fund LLC, and
JNLNY Variable Fund I LLC (see Schedule B-2).
B) GUARANTEED MINIMUM INCOME BENEFITS
FORM NUMBER POLICY DESCRIPTION
7485NY FutureGuard
7485ANY FutureGuard - effective 1/17/2006
7485ANY Unisex FutureGuard - effective 1/17/2006
7551ANY FutureGuard 6 - effective October, 2008
7551ANY Unisex FutureGuard 6 - effective October, 2008
C) OPTIONAL BENEFITS
FORM NUMBER POLICY DESCRIPTION
7460NY Premium Credit (2%)
7470NY Death Benefit Option (Highest Anniversary Value)
7512NY Death Benefit Option (Highest Anniversary Value) effective
1/16/2007
7595NY Death Benefit Option (Highest Anniversary Value) effective
4/6/2009
JNL NY ACE 2005 TREATY SCHEDULE B-1 AMENDMENT #11
SCHEDULE B-2
Subaccounts Subject to this Reinsurance Agreement
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FUND NAME COMMENT PRODUCT AVAILABILITY
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JNL/AIM International Growth Fund Named changed from JNL/Xxxxxx International Equity Fund on
5/2/05 and from JNL/JPM International Equity Fund on
12/3/2007
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JNL/AIM Large Cap Growth Fund All
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JNL/AIM Global Real Estate Fund New 5/2/05, Name changed from JNL/AIM Real Estate Fund effective All
10/6/2008
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JNL/AIM Small Cap Growth Fund All
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JNL/Capital Guardian Global Balanced Name changed from JNL/FMR Balanced Fund effective 4/30/2007 All
Fund and from JNL/FI Balanced Fund effective 12/3/2007
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JNL/Capital Guardian Global Diversified Name changed from JNL/Select Global Growth Fund effective All
Research Fund 12/3/2007
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JNL/Capital Guardian International New 12/3/2007 All
Small Cap Fund
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JNL/Capital Guardian U.S. Growth Name changed from JNL/Select Large Cap Growth Fund effective All
Equity Fund 12/3/2007
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JNL/Credit Suisse Global Natural New 1/16/2007 All
Resources
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JNL/Credit Suisse Long/Short New 1/16/2007 All
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JNL/Eagle Core Equity Fund All
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JNL/Eagle Small Cap Equity Fund All
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JNL/Franklin Xxxxxxxxx Founding Strategy New 1/16/2007 All
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JNL/Franklin Xxxxxxxxx Global Growth New 1/16/2007 All
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JNL/Franklin Xxxxxxxxx Income Fund New 5/1/2006 All
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JNL/Franklin Xxxxxxxxx Mutual Shares New 1/16/2007 All
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JNL/Franklin Xxxxxxxxx Small Cap New 5/2/05 All
Value Fund
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JNL/Xxxxxxx Sachs Core Plus Bond Fund Name changed from JNL/Salomon Brothers Strategic Bond Fund All
effective 5/1/2006, from JNL/Western Strategic Bond Fund
effective 1/16/2007, and from JNL/Western Asset Strategic
Bond Fund effective 4/30/2007.
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JNL/Xxxxxxx Xxxxx Emerging Markets New 10/6/2008 All
Debt Fund
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JNL/Xxxxxxx Sachs Mid Cap Value Fund New 5/2/05 All
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JNL/Xxxxxxx Xxxxx Short Duration New 5/1/2006 All
Bond Fund
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JNL Institutional Alt 20 Fund New 4/6/2009 All
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JNL Institutional Alt 35 Fund New 4/6/2009 All
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JNL Institutional Alt 50 Fund New 4/6/2009 All
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JNL Institutional Alt 65 Fund New 4/6/2009 All
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JNL/JPMorgan International Value Fund All
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JNL/JPMorgan Mid Cap Growth Fund Name changed from JNL/FMR Capital Growth Fund effective All
5/1/2006, from JNL/FMR Mid-Cap Equity Fund effective
4/30/2007 and from JNL/FI Mid-Cap Equity Fund effective
12/3/2007. Also, the JNL/Xxxxxx Midcap Growth Fund was
merged into this fund effective 12/3/2007.
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JNL/ JPMorgan U.S. Government & Name changed from JNL/Salomon Brothers U.S. Govt. & Quality All
Quality Bond Fund Bond Fund effective 5/1/2006, from JNL/Western U.S. Govt. &
Quality Bond Fund effective 1/16/2007, and from JNL/Western
Asset U.S. Govt. & Quality Bond Fund effective 4/30/2007.
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JNL/Lazard Emerging Markets Fund New 5/1/2006 All
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JNL/Lazard Mid Cap Equity Fund Name changed from JNL/Lazard Mid Cap Value Fund effective 3/31/2008 All
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JNL/M&G Global Basics Fund New 10/6/2008 All
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JNL/M&G Global Leaders Fund New 10/6/2008 All
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JNL/Mellon Capital Management New 4/30/2007 All
10 x 10 Fund
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JNL/Mellon Capital Management 25 Fund Effective 5/1/2006, the JNY version was merged into the JNL version. All
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JNL/Mellon Capital Management Bond All
Index Fund
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JNL/Mellon Capital Management All
Communications Sector Fund
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JNL/Mellon Capital Management All
Consumer Brands Sector Fund
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JNL/Mellon Capital Management Oil & Name changed from JNL/Mellon Capital Management Energy All
Gas Sector Fund Sector Fund on 5/2/2005
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JNL/Mellon Capital Management New 10/6/2008 All
European 30 Fund
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JNL/Mellon Capital Management All
Financial Sector Fund
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JNL/Mellon Capital Management All
International Index Fund
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JNL/Mellon Capital Management New 4/30/2007 All
Index 5 Fund
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JNL/Mellon Capital Management Effective 4/30/2007, the JNL/Mellon Capital Management Dowsm All
JNL 5 Fund 10 Fund , the JNL/Mellon Capital Management S&P(R) 10 Fund ,
and the JNL/Mellon Capital Management Global 15 Fund merged
with this fund.
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JNL/Mellon Capital Management JNL New 5/1/2006 All
Optimized 5 Fund
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JNL/Mellon Capital Management Name changed from JNL/Mellon Capital Management All
Healthcare Sector Fund Pharmaceutical/Healthcare Sector Fund on 5/2/05
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JNL/Mellon Capital Management New 4/30/2007 All
NYSE(R) International 25 Fund
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JNL/Mellon Capital Management New 10/6/2008 All
Pacific Rim 30 Fund
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JNL/Mellon Capital Management New 4/30/2007 All
S&P (R) XXxx 60 Fund
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JNL/Mellon Capital Management New 5/1/2006 All
S&P (R) 24 Fund
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JNL/Mellon Capital Management All
S&P 400 Mid Cap Index Fund
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JNL/Mellon Capital Management Effective 4/6/2009, the JNL/Mellon Capital Management All
S&P 500 Index Fund Enhanced S&P 500 Stock Index Fund was merged into this fund
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JNL/Mellon Capital Management Effective 5/1/2006, the JNY version was merged into the JNL version. All
Select Small-Cap Fund
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JNL/Mellon Capital Management Effective 4/6/2009, the JNL/Lazard Small Cap Equity Fund was
Small Cap Index Fund merged into this fund.
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JNL/Mellon Capital Management All
Technology Sector Fund
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JNL/Mellon Capital Management New 1/17/2006 All
Xxx XX Dividend
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JNL/Mellon Capital Management All
VIP Fund
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JNL/Mellon Capital Mgmt Name changed from JNL/Mellon Capital Nasdaq(R) 15 Fund All
Nasdaq 25(R) Fund effective 12/3/2007
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JNL/Mellon Capital Mgmt Name changed from JNL/Mellon Capital Management Value All
Value Line 30(R) Fund Line(R) 25 Fund effective 12/3/2007
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JNL/Xxxxxxxxxxx Global Growth Fund All
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JNL/XXX Asia ex-Japan Fund New 3/31/2008 All
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JNL/XXX China-India Fund New 3/31/2008 All
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JNL/PIMCO Real Return New 1/16/2007 All
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JNL/PIMCO Total Return Bond Fund All
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JNL/PPM America Core Equity Fund Name changed from JNL/Xxxxxx Equity Fund effective 12/3/2007 All
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JNL/ PPM America High Yield Bond Fund Name changed from JNL/Salomon Brothers High Yield Bond Fund All
effective 5/1/2006, from JNL/Western High Yield Bond Fund
effective 1/16/2007, and from JNL/Western Asset High Yield
Bond Fund effective 4/30/2007.
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JNL/PPM America Mid-Cap Value Fund New 3/31/2008 All
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JNL/PPM America Small Cap Value Fund New 3/31/2008 All
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JNL/PPM America Value Equity Name changed from JNL/Xxxxxx Value Equity Fund effective 1/16/2007 All
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JNL/Red Rocks Listed Private Equity Fund New 10/6/2008 All
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JNL/S&P Disciplined Moderate New 1/16/2007 All
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JNL/S&P Disciplined Moderate Growth New 1/16/2007 All
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JNL/S&P Disciplined Growth New 1/16/2007 All
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JNL/S&P Managed Growth Fund All
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JNL/S&P Managed Aggressive Growth Fund All
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JNL/S&P Managed Conservative Fund All
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JNL/S&P Managed Moderate Fund All
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JNL/S&P Managed Moderate Growth Fund All
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JNL/S&P Retirement Income New 1/17/2006 All
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JNL/S&P Retirement 2015 New 1/17/2006 All
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JNL/S&P Retirement 2020 New 1/17/2006 All
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JNL/S&P Retirement 2025 New 1/17/2006 All
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JNL/S&P Competitive Advantage Fund New 12/3/2007 All
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JNL/S&P Dividend Income & Growth Fund New 12/3/2007 All
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JNL/S&P Intrinsic Value Fund New 12/3/2007 All
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JNL/S&P Total Yield Fund New 12/3/2007 All
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JNL/S&P 4 Fund New 12/3/2007 All
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JNL/Select Balanced Fund All
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JNL/Select Money Market Fund All
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JNL/Select Value Fund All
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JNL/X. Xxxx Price Established JNL/Alliance Capital Growth Fund was merged with this fund All
Growth Fund 5/2/05. JNL/Xxxxx Growth Fund and JNL/Xxxxxxxxxxx Growth
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JNL/X. Xxxx Price Mid-Cap Growth Fund All
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JNL/X. Xxxx Price Value Fund All
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JNL GENERAL ACCOUNT
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Guaranteed Five Year Fixed All but Perspective A
Series & Advisors II
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Guaranteed One Year Fixed All but Advisors II
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Guaranteed Seven Year Fixed All but Perspective A
Series & Advisors II
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Guaranteed Three Year Fixed All but Perspective A
Series & Advisors II
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12 Month DCA All
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6 Month DCA All
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JNL NY ACE 2005 TREATY SCHEDULE B-2 AMENDMENT #11