A STOCK COMPANY Aetna Life Insurance and Annuity Company, herein called Aetna, agrees to pay the benefits stated in this Contract.
Exhibit 16(4)(a): Group Annuity Contract (Form No. G1-MA-95)
-------------------------------------------------------------- | ||
[AETNA LOGO] | Aetna Life Insurance and Annuity Company | |
Home Office: 000 Xxxxxxxxxx Xxxxxx | ||
Xxxxxxxx, Xxxxxxxxxxx 00000 | ||
(000) 000-0000 |
A STOCK COMPANY |
Aetna Life Insurance and Annuity Company, herein called Aetna, agrees to pay the benefits stated in this Contract. |
Specifications -----------------------------------------------------------------------------Plan
AETNA MULTI-RATE ANNUITY -----------------------------------------------------------------------------Type of Plan
SINGLE PREMIUM MODIFIED GUARANTEED DEFERRED ANNUITY -----------------------------------------------------------------------------Contract Holder(s)
ANY BROKER -----------------------------------------------------------------------------Contract No.
SPECIMEN -----------------------------------------------------------------------------Effective Date
DECEMBER 1, 1995 -----------------------------------------------------------------------------This Contract is Delivered in and is Subject to the Laws of that Jurisdiction
Right to Cancel | ||
----------------------------------------------------------------------------- | ||
The Contract | Holder may cancel this Contract within 10 days of receiving it | |
by returning | this Contract along with a written notice to Aetna at the above | |
address or to the agent from whom it was purchased. Within 7 days after it | ||
receives the notice of cancellation and this Contract at its Home Office, | ||
Aetna will return the entire consideration paid. | ||
Signed at the Home Office on the Effective Date. | ||
/s/Xxx Xxxxxxx | /s/Xxxxx Xxxxxxxxx | |
President | Secretary |
Group Single Premium Modified Guaranteed Deferred Annuity Contract Nonparticipating
THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A | ||||
MARKET VALUE ADJUSTMENT | MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE | |||
CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A | ||||
GUARANTEED PERIOD AT THE TIME OF ITS MATURITY. | ||||
G1-MGA-95 | ||||
Specifications | ||||
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Guaranteed | There is a guaranteed interest rate for the Purchase | |||
Interest Rate | Payment held in the AMG Account. (See Contract | |||
Schedule I) . | ||||
----------------------------------------------------------------------------- | ||||
Deduction from | The Purchase Payment may be subject to a deduction | |||
Purchase | for premium taxes, if applicable. (See 3.01. ) | |||
Payment | ||||
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Surrender | There may be a charge | deducted upon surrender (See | ||
Fee | Contract Schedule I) . | |||
This Contract is a legal contract and | constitutes the entire legal | |||
relationship between Aetna and the Contract Holder. |
READ THIS CONTRACT CAREFULLY. This Contract sets forth, in detail, all of the rights and obligations of both you and Aetna. IT IS THEREFORE IMPORTANT THAT YOU READ THIS CONTRACT CAREFULLY.
G1-MGA-95 | 2 | |
Contract Schedule I Accumulation Period |
ALIAC Modified Guaranteed Account (AMG Account) -----------------------------------------------------------------------------
Minimum Guaranteed | [3.0%] | |||||||||
Interest Rate: | ||||||||||
(effective annual rate of return) | ||||||||||
Maintenance Fee: | The annual Maintenance | Fee is [$0. ] | ||||||||
[If the Account's Current Value is | ||||||||||
[$50,000] or more on the date the | ||||||||||
Maintenance Fee is to be deducted, the | ||||||||||
Maintenance Fee is $0. ] | ||||||||||
Annuity Date: | The Annuity | Date will be the later of | ||||||||
the date the Annuitant reaches age [85] | ||||||||||
or the [10th] | anniversary of the | |||||||||
Purchase Payment. | ||||||||||
Minimum Purchase Payment: | [$10,000. ] | |||||||||
Maximum Purchase Payment: | Purchase Payments exceeding [$1,000,000] | |||||||||
must be approved by Aetna. | ||||||||||
Minimum Guaranteed Period | [$1,000. ] | |||||||||
Allocation Amount: | ||||||||||
Maximum Age of | [90. ] If there | are joint Certificate | ||||||||
Certificate Holder at issue: | Holders, the | age of | the oldest | |||||||
Certificate Holder cannot exceed [90]. | ||||||||||
Surrender Fee: | Length of Time from | Surrender Fee (Percentage | ||||||||
Certificate Effective Date | of Net Purchase Payment | |||||||||
(Years) | Withdrawn) | |||||||||
Less than 1 year | 7% | |||||||||
1 year but less than 2 | 7% | |||||||||
2 years but less than 3 | 6% | |||||||||
3 years but less than 4 | 6% | |||||||||
4 years but less than 5 | 5% | |||||||||
5 years but less than 6 | 4% | |||||||||
6 years but less than 7 | 2% | |||||||||
7 years or more | 0% | |||||||||
After seven years have elapsed from the | ||||||||||
certificate | effective | date, the | ||||||||
Surrender | Fee | will no | longer be | |||||||
assessed. | ||||||||||
Special Withdrawl: | [10%] | |||||||||
Systematic Withdrawal | The specified | payment | or specified | |||||||
Option (SWO): | percentage may | not be | greater than | |||||||
[10%]. | ||||||||||
See 1. GENERAL DEFINITIONS for explanations. | ||||||||||
G1-MGA-95 | 3 | |||||||||
<PAGE> | ||||||||||
Contract Schedule II | ||||||||||
Annuity Period |
Fixed Annuity -----------------------------------------------------------------------------
Minimum Guaranteed | [3.0%] | |
Interest Rate | ||
(effective annual rate of | ||
return): |
See 1. GENERAL DEFINITIONS for explanations. |
G1-MGA-95 | 4 | |
TABLE OF CONTENTS |
Page |
I. | GENERAL DEFINITIONS |
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1.01 | ACCOUNT | 7 | ||
1.02 | ACCUMULATION PERIOD | 7 | ||
1.03 | ADJUSTED CURRENT VALUE | 7 | ||
1.04 | ANNUITANT | 7 | ||
1.05 | ANNUITY | 7 | ||
1.06 | ANNUITY DATE | 7 |
1.07 | BENEFICIARY | 7 | ||||
1.08 | CERTIFICATE HOLDER | 7 | ||||
1.09 | CODE | 7 | ||||
1.10 | CONTRACT | 7 | ||||
1.11 | CONTRACT HOLDER | 7 | ||||
1.12 | CURRENT VALUE | 7 | ||||
1.13 | DEPOSIT PERIOD | 8 | ||||
1.14 | ENTIRE CONTRACT | 8 | ||||
1.15 | FIXED ANNUITY | 8 | ||||
1.16 | GENERAL ACCOUNT | 8 | ||||
1.17 | GUARANTEED RATES -- AMG ACCOUNT | 8 | ||||
1.18 | GUARANTEED PERIOD | 8 | ||||
1.19 | GUARANTEED PERIOD GROUPS | 8 | ||||
1.20 | MAINTENANCE FEE | 8 | ||||
1.21 | ALIAC MODIFIED GUARANTEED ACCOUNT (AMG ACCOUNT) | 9 | ||||
1.22 | MARKET VALUE ADJUSTMENT (MVA) | 9 | ||||
1.23 | MATURED PERIOD VALUE | 9 | ||||
1.24 | MATURITY DATE | 9 | ||||
1.25 | NET PURCHASE PAYMENT | 9 | ||||
1.26 | NONUNITIZED SEPARATE ACCOUNT | 9 | ||||
1.27 | PURCHASE PAYMENT | 9 | ||||
1.28 | REINVESTMENT | 9 | ||||
1.29 | SURRENDER VALUE | 10 | ||||
G1-MGA-95 | 5 | |||||
II. GENERAL PROVISIONS | ||||||
----------------------------------------------------------------------------- | ||||||
2.01 | CHANGE OF CONTRACT | 10 | ||||
2.02 | NONPARTICIPATING CONTRACT | 10 | ||||
2.03 | PAYMENTS AND ELECTIONS | 10 | ||||
2.04 | STATE LAWS | 10 | ||||
2.05 | CONTROL OF CONTRACT | 10 | ||||
2.06 | DESIGNATION OF BENEFICIARY | 11 | ||||
2.07 | MISSTATEMENTS AND ADJUSTMENTS | 11 | ||||
2.08 | INCONTESTABILITY | 11 | ||||
2.09 | INDIVIDUAL CERTIFICATES | 11 | ||||
III. PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS | ||||||
----------------------------------------------------------------------------- | ||||||
3.01 | NET PURCHASE PAYMENT | 11 | ||||
3.02 | MARKET VALUE ADJUSTMENT | 11 | ||||
3.03 | NOTICE TO THE CERTIFICATE HOLDER | 12 | ||||
3.04 | LOANS | 12 | ||||
3.05 | SYSTEMATIC WITHDRAWAL OPTION (SWO) | 12 | ||||
3.06 | DEATH BENEFIT AMOUNT | 14 | ||||
3.07 | DEATH BENEFIT OPTIONS AVAILABLE TO BENEFICIARY | 14 | ||||
3.08 | LIQUIDATION OF SURRENDER VALUE | 15 | ||||
3.09 | SURRENDER FEE | 15 |
3.10 | PAYMENT OF SURRENDER VALUE | 16 | ||
3.11 | PAYMENT OF ADJUSTED CURRENT VALUE | 16 |
IV. | ANNUITY PROVISIONS |
----------------------------------------------------------------------------- | |
4.01 | CHOICES TO BE MADE | 16 | ||||
4.02 | TERMS OF ANNUITY OPTIONS | 16 | ||||
4.03 | DEATH OF ANNUITANT/ BENEFICIARY | 17 | ||||
4.04 | ANNUITY OPTIONS | 17 | ||||
G1-MGA-95 | 6 | |||||
I. | GENERAL DEFINITIONS |
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1.01 | Account: |
1.02 | Accumulation |
1.03 | Adjusted Current Value: |
1.04 | Annuitant: |
1.05 Annuity:
1.06 Annuity Date:
1.07 | Beneficiary: |
1.08 | Certificate Holder: |
1.09 | Code: |
1.10 | Contract: |
1.11 | Contract Holder: |
A record established for each Certificate Holder to maintain the value of the Net Purchase Payment held on his/her behalf during the Accumulation Period.
Period: The period during which the Net Purchase Payment is applied to an Account to provide future Annuity payment(s).
The Current Value of an Account plus or minus any aggregate AMG Account MVA, if applicable. (see 1.22)
The person named by the Certificate Holder whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract. Subject to Aetna approval, the Annuitant may be changed by the Certificate Holder by notifying Aetna in writing prior to the Annuity Date of an Account.
Payment of an income:
(a) | For the life of one or two | |
persons; | ||
(b) | For a stated period; or | |
(c) | For some combination of (a) and (b). | |
The date on which Annuity payments begin under an Annuity option elected by the Certificate Holder. (see 4.01) The Annuity Date is shown on Contract Schedule I. The Certificate Holder may change this date by notifying Aetna at least 30 days prior to the Annuity Date.
The person(s) entitled to receive death benefits under the terms of this Contract.
A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit Account ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder will be a joint Certificate Holder. Any joint Certificate Holder must be the spouse of the other joint Certificate Holder. Joint Certificate Holders have joint ownership rights and both must authorize exercising any ownership rights unless Aetna allows otherwise.
The Internal Revenue Code of 1986, as it may be amended from time to time.
This agreement between Aetna and the Contract Holder.
The entity to which the Contract is issued.
1.12 | Current Value: | The Net Purchase Payment plus any | ||||||||||||||
interest credited; less all Maintenance | ||||||||||||||||
Fees deducted, any amounts surrendered | ||||||||||||||||
and any amounts applied to an Annuity. | ||||||||||||||||
G1-MGA-95 | 7 | |||||||||||||||
1.13 | Deposit Period: | A calendar week, a calendar month, a | ||||||||||||||
calendar quarter, or any other period | ||||||||||||||||
of time specified by Aetna during which | ||||||||||||||||
the Net Purchase Payment and | ||||||||||||||||
Reinvestments are accepted into the AMG | ||||||||||||||||
Account for one or more Guaranteed | ||||||||||||||||
Periods. Aetna reserves the right to | ||||||||||||||||
extend the Deposit Period. | ||||||||||||||||
1.14 | Entire Contract: | The Contract, all attached pages and | ||||||||||||||
any subsequent endorsements make up the | ||||||||||||||||
Entire Contract. | ||||||||||||||||
1.15 | Fixed Annuity: | An Annuity with payments that do not | ||||||||||||||
vary in amount based on investment | ||||||||||||||||
performance. | ||||||||||||||||
1.16 | General Account: | The Account holding the | assets of | |||||||||||||
Aetna, other than those assets held in | ||||||||||||||||
Aetna's separate accounts. | ||||||||||||||||
1.17 | Guaranteed Rates - | Aetna will declare the interest rate | ||||||||||||||
AMG Account: | applicable for each Guaranteed Period | |||||||||||||||
at the start of the Deposit Period for | ||||||||||||||||
that applicable Guaranteed Period. The | ||||||||||||||||
rate(s) are guaranteed by Aetna for | ||||||||||||||||
that Deposit Period and the ensuing | ||||||||||||||||
Guaranteed Period(s) . The Guaranteed | ||||||||||||||||
Rates are effective annual rates of | ||||||||||||||||
return. That is, interest is credited | ||||||||||||||||
daily at a rate that will produce the | ||||||||||||||||
Guaranteed Interest Rate over the | ||||||||||||||||
period of a year. No Guaranteed Rate | ||||||||||||||||
will ever be less than the Minimum | ||||||||||||||||
Guaranteed Interest Rate shown on | ||||||||||||||||
Contract Schedule I. | ||||||||||||||||
For Guaranteed Periods of one year or | ||||||||||||||||
less, one Guaranteed Rate is credited | ||||||||||||||||
for the full Guaranteed Period. For | ||||||||||||||||
longer Guaranteed Periods, an initial | ||||||||||||||||
Guaranteed Rate is credited from the | ||||||||||||||||
date of deposit to the end of a | ||||||||||||||||
specified period within the Guaranteed | ||||||||||||||||
Period. There may be different | ||||||||||||||||
Guaranteed Rate(s) declared at the | ||||||||||||||||
beginning of the Deposit Period for | ||||||||||||||||
subsequent specified time intervals | ||||||||||||||||
throughout the Guaranteed Period. | ||||||||||||||||
1.18 | Guaranteed Period: | The period of time for which Guaranteed | ||||||||||||||
Rates are guaranteed on the Net | ||||||||||||||||
Purchase Payment and Reinvestments made | ||||||||||||||||
during a current Deposit Period. Such | ||||||||||||||||
period begins on the day following the | ||||||||||||||||
close of the Deposit Period and ends on | ||||||||||||||||
the designated Maturity Date. | ||||||||||||||||
Guaranteed Periods are offered at | ||||||||||||||||
Aetna's discretion for various lengths | ||||||||||||||||
of time ranging up to and including | ||||||||||||||||
ten (10) years. | ||||||||||||||||
During a Deposit Period, Aetna may make | ||||||||||||||||
available any number of Guaranteed | ||||||||||||||||
Periods. The Certificate Holder may | ||||||||||||||||
allocate the Net Purchase Payment or | ||||||||||||||||
Reinvestment into any or all of the | ||||||||||||||||
available Guaranteed Periods. | ||||||||||||||||
1.19 | Guaranteed Period Groups: | All Guaranteed Periods with the same | ||||||||||||||
length of time from the close of the | ||||||||||||||||
Deposit Period until the designated | ||||||||||||||||
Maturity Date. | ||||||||||||||||
1.20 | Maintenance Fee: | The Maintenance Fee, if any (see | ||||||||||||||
Contract Schedule I) will be deducted | ||||||||||||||||
from the Account during the | ||||||||||||||||
Accumulation Period on each anniversary | ||||||||||||||||
of the date the Account is established | ||||||||||||||||
and upon surrender of the entire | ||||||||||||||||
Account. |
G1-MGA-95 | 8 | |||||||||||||||
1.21 | ALIAC Modified | An accumulation option where Aetna guarantees rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AMG Account. | ||||||||||||||
Guaranteed Account | ||||||||||||||||
(AMG Account): | ||||||||||||||||
1.22 | Market Value Adjustment | An adjustment that may apply to the amount withdrawn from a Guaranteed Period prior to the end of that Guaranteed Period. The adjustment reflects the change in the value of the investment due to changes in interest rates since the date of deposit and is computed using the formula given in 3.02. The adjustment is expressed as a percentage or a factor of each dollar being withdrawn. | ||||||||||||||
(MVA): | ||||||||||||||||
1.23 | Matured Period Value: | The amount payable on a Guaranteed Period's Maturity Date. | ||||||||||||||
1.24 | Maturity Date: | The last day of a Guaranteed Period. | ||||||||||||||
1.25 | Net Purchase Payment: | The Purchase Payment less premium taxes, as applicable. | ||||||||||||||
1.26 | Nonunitized Separate | A separate account set up by Aetna under Title 38, Section 38a-433, of the Connecticut General Statutes, that holds assets for AMG Account Guaranteed Periods. There are no discrete units for the AMG Account. The Certificate Holder does not participate in the investment gain or loss from the assets held in the Nonunitized Separate Account. Such gain or loss is borne entirely by Aetna. The assets held in the AMG Account may be chargeable with liabilities arising out of any other business of Aetna. | ||||||||||||||
Account: | ||||||||||||||||
1.27 | Purchase Payment: | Payment accepted by Aetna at its Home Office. Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. No advance notice will be given to the Contract Holder. | ||||||||||||||
1.28 | Reinvestment: | Aetna will notify the Certificate Holder of the approaching Maturity Date at least 18 calendar days prior to the end of any Guaranteed Period. If no specific direction is given by the Certificate Holder prior to the Maturity Date, each Matured Period Value will be reinvested on the Maturity Date for a Guaranteed Period of the same duration. If a Guaranteed Period of the same duration is unavailable, each Matured Period Value will automatically be reinvested on the Maturity Date for the next shortest Guaranteed Period available. If no shorter Guaranteed Period is available, the next longer Guaranteed Period will be used. Aetna will mail a confirmation statement to the Certificate Holder the next business day after the Maturity Date. | ||||||||||||||
At any time prior to the Maturity Date, the Certificate Holder may request in writing a reinvestment of the Matured Period Value in a different Guaranteed Period(s) or a surrender of all or a part of the Matured Period Value without an MVA or Surrender Fee. Such request will be executed on the Maturity Date. If reinvesting in a different Guaranteed Period(s), all or part of the Matured Period Value will be reinvested in the elected | ||||||||||||||||
G1-MGA-95 | 9 | |||||||||||||||
1.28 | Reinvestment: | Guaranteed Period(s) at the then prevailing rate(s) . This provision only applies to a written request from the Certificate Holder received at Aetna's Home Office in good order at least five (5) days prior to the Maturity Date. | ||||||||||
(Cont'd) | ||||||||||||
1.29 | Surrender Value: | The amount payable by Aetna upon the surrender of all or any portion of an Account. | ||||||||||
II. GENERAL PROVISIONS | ||||||||||||
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2.01 | Change of Contract: | Only an authorized officer of Aetna may change the terms of this Contract. Aetna reserves the right to modify this Contract to meet the requirements of applicable state and federal laws or regulations. Aetna will notify the Contract Holder and Certificate Holder in writing of any changes. | ||||||||||
2.02 | Nonparticipating Contract: | The Contract Holder, Certificate Holders or Beneficiaries will not have a right to share in the earnings of Aetna. | ||||||||||
2.03 | Payments and Elections: | While the Certificate Holder is living, Aetna will pay the Certificate Holder any Annuity payments as and when due. After the Certificate Holder's death, or at the death of the first Certificate Holder if the Account is owned jointly, any Annuity payments will be paid in accordance with 4.03. Aetna will make any other payments within seven (7) calendar days of receipt of a written request for payment, which is in good order, at its Home Office, except as provided in 3.10. | ||||||||||
2.04 | State Laws: | The Contract and the certificates comply with the laws of the state in which they are delivered. Any surrender, death, or Annuity payments are equal to or greater than the minimum required by such laws. Annuity tables for legal reserve valuation shall be as required by state law. Such tables may be different from Annuity tables used to determine Annuity payments. | ||||||||||
2.05 | Control of Contract: | This is a Contract between the Contract Holder and Aetna. The Contract Holder has title to the Contract. Contract Holder rights are limited to accepting or rejecting Contract modifications. The Certificate Holder has all other rights to amounts held in his or her Account. | ||||||||||
Each Certificate Holder shall own all amounts held in his or her Account. Each Certificate Holder may make any choices allowed by this Contract for his or her Account. Choices made under this Contract must be in writing. If the Account is owned jointly, both joint Certificate Holders must authorize any choices in writing. Until receipt of such choices at Aetna's Home Office, Aetna may rely on any previous choices made. | ||||||||||||
The Contract is not subject to the claims of any creditors of the Contract Holder or the Certificate Holder, except to the extent permitted by law. | ||||||||||||
G1-MGA-95 | 10 | |||||||||||
2.05 | Control of Contract: | The Certificate Holder may assign or transfer his or her rights under the Contract. Aetna reserves the right not to accept assignment or transfer to a nonnatural person. Any assignment or transfer made must be submitted to | ||||||||||
(Cont'd): | ||||||||||||
Aetna's Home Office in writing and will not be effective until accepted by Aetna. Aetna assumes no responsibility for the validity of any assignment. | ||||||||||||||
2.06 | Designation of | Each Certificate Holder shall name his or her Beneficiary. The Beneficiary may be changed at any time. Changes to a Beneficiary must be submitted to Aetna's Home Office in writing and will not be effective until received and recorded by Aetna. | ||||||||||||
Beneficiary: | ||||||||||||||
2.07 | Misstatements and | If Aetna finds the age of any Annuitant to be misstated, the correct facts will be used to adjust payments. | ||||||||||||
Adjustments: | ||||||||||||||
2.08 | Incontestability: | Aetna will not contest this Contract from its effective date. | ||||||||||||
2.09 | Individual Certificates: | Aetna shall issue a certificate to each Certificate Holder. The certificate will summarize certain provisions of the Contract. Certificates are for information only and are not a part of the Contract, except as evidence of the Certificate Holder's interest in the Contract. | ||||||||||||
III. PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS | ||||||||||||||
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3.01 | Net Purchase Payment: | This amount is the Purchase Payment less any applicable premium tax. Aetna reserves the right to deduct any premium tax at any time from the Purchase Payment or from the Certificate Holder's Account. | ||||||||||||
The Certificate Holder shall designate, on the enrollment form, the allocation percentage of the Net Purchase Payment to be applied to each of the available Guaranteed Periods during the current Deposit Period(s) . The minimum amount that may be allocated to any Guaranteed Period is shown on Contract Schedule I. | ||||||||||||||
3.02 | Market Value Adjustment: | There will be an MVA for any withdrawal from the AMG Account before the end of a Guaranteed Period when the withdrawal is due to: | ||||||||||||
(a) | Any full or partial surrender, but not for a partial withdrawal under the Systematic Withdrawal Option (see 3.05); or | |||||||||||||
(b) | Payment made to a Beneficiary as a death benefit during the Accumulation Period, but not payment made within six months of the date of the Annuitant's death (see 3.06); or | |||||||||||||
(c) | An election of an Annuity option. Only a positive MVA, if any, will apply upon election of option 2 or 3 (see 4.04) . | |||||||||||||
Market value adjusted amounts will be equal to the amount withdrawn multiplied by the following ratio: | ||||||||||||||
x | ||||||||||||||
--- | ||||||||||||||
365 | ||||||||||||||
(1 + i) | ||||||||||||||
------- | ||||||||||||||
x | ||||||||||||||
--- | ||||||||||||||
365 | ||||||||||||||
(1 + j) | ||||||||||||||
G1-MGA-95 | 11 | |||||||||||||
3.02 | Market Value Adjustment: | Where: | ||||||||||||
(Cont'd) | ||||||||||||||
i | is the Deposit Period Yield | |||||||||||||
j | is the Current Yield | |||||||||||||
x | is the number of days remaining, (computed from | |||||||||||||
Wednesday of the week of withdrawal) in the Guaranteed Period. | ||||||||||||||||||
The Deposit Period Yield will be determined as follows: | ||||||||||||||||||
(a) | At the close of the last business day of each week of the Deposit Period, a yield will be computed as the average of the yields on that day of U. S. Treasury Notes which mature in the last three months of the Guaranteed Period. | |||||||||||||||||
(b) | The Deposit Period Yield is the average of those yields for the Deposit Period. If withdrawal is made before the close of the Deposit Period, it is the average of those yields on each week preceding withdrawal. | |||||||||||||||||
The Current Yield is the average of the yields on the last business day of the week preceding withdrawal on the same U. S. Treasury Notes included in the Deposit Period Yield. | ||||||||||||||||||
In the event that no U. S. Treasury Notes which mature in the last three months of the Guaranteed Period exist, Aetna reserves the right to use the U. S. Treasury Notes that mature in the following quarter. | ||||||||||||||||||
3.03 | Notice to the Certificate | The Certificate Holder will receive statements at least annually from Aetna showing the value of any amounts held in the AMG Account. | ||||||||||||||||
Holder: | ||||||||||||||||||
Such values will be as of a specific date no more than 60 days before the date of the notice. | ||||||||||||||||||
3.04 | Loans: | Loans are not available under this Contract. | ||||||||||||||||
3.05 | Systematic Withdrawal | The Certificate Holder may elect a distribution option under which a portion of the Account's Current Value will automatically be surrendered and distributed each year. SWO payments will be calculated based on the Account's full Current Value. The distributed amount is withdrawn pro rata from each Guaranteed Period(s) . A Surrender Fee will not be deducted from any portion of the Current Value which is paid as a distribution under SWO. | ||||||||||||||||
Option (SWO): | ||||||||||||||||||
Certificate Holders should consult their tax adviser prior to requesting this distribution option. | ||||||||||||||||||
(a) | Amount of Distribution: The Certificate Holder may elect one of the three payment methods described below. | |||||||||||||||||
G1-MGA-95 | 12 | |||||||||||||||||
3.05 | Systematic Withdrawal | (1) Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage shown on Contract Schedule I times the Current Value at time of election. This annual dollar amount will remain constant. At its discretion, Aetna may require a minimum initial payment amount; | ||||||||||||||||
Option (SWO): | ||||||||||||||||||
(Cont'd) | ||||||||||||||||||
(2) Specified Period: Payments which are made over a period of time which must be at least 10 years. The annual amount paid each year is | ||||||||||||||||||
calculated by dividing the Current Value as of December 31 of the prior year by the number of payment years remaining; or | ||||||||||||||||||
(3) | Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage shown on Contract Schedule I. The percentage may be changed by written request. Aetna reserves the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Current Value as of December 31 of the year prior to the payment by the designated percentage. | |||||||||||||||||
Payments upon the Certificate Holder's or Annuitant's death will be made to the Beneficiary in the manner described in 3.07. | ||||||||||||||||||
(b) Minimum Initial Current Value: At its discretion, Aetna may require a minimum initial Current Value for election of this option. If after election of this option the Current Value is insufficient to make a scheduled SWO payment, Aetna will distribute the entire Account balance. | ||||||||||||||||||
(c) Date of Distribution: The Certificate Holder shall specify the initial distribution date. As elected by the Certificate Holder, SWO payments will be made on a monthly or quarterly basis unless Aetna allows otherwise. If SWO payments are made more frequently than annually, the designated annual amount is divided by the number of payments due each calendar year. Subsequent distributions will be made on the 15th of any month or such other date as Aetna may designate or allow. | ||||||||||||||||||
(d) Election and Revocation: SWO may be elected by submitting a completed and signed election form to Aetna's Home Office. Aetna reserves the right to establish the date when SWO may first be elected by a Certificate Holder. Once elected, this option may be revoked by the Certificate Holder or spousal Beneficiary, if elected after the Certificate Holder's death, by submitting a written request to Aetna at its Home Office. Any revocation will apply only to amounts not yet paid. SWO may be elected only once by the Certificate Holder or by the spousal Beneficiary. | ||||||||||||||||||
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3.06 Death Benefit Amount: | If the Certificate Holder or Annuitant dies before Annuity payments start, the Beneficiary is entitled to a death benefit under the Account. If the Account is owned jointly, the death benefit is paid at the first death of either of the joint Certificate Holders. If the Account is held by joint Certificate Holders, the survivor will be deemed the designated Beneficiary and any other Beneficiary on record will be treated as the contingent Beneficiary. If the | |||||||||||||||||
Certificate Holder is a nonnatural person, the death benefit will be payable at the death of the Annuitant. | ||||||||||||||||||
If paid within 6 months of the date of the Annuitant's death, the death benefit will be the Current Value of the Account. Otherwise, the death benefit will be the Adjusted Current Value of the Account determined as of the claim date. The claim date is the date when proof of death and the Beneficiary's claim are received in good order at Aetna's Home Office. | ||||||||||||||||||
When the Certificate Holder dies, and the Certificate Holder is not the Annuitant, the death benefit payable will be subject to a Surrender Fee, if applicable. | ||||||||||||||||||
3.07 Death Benefit Options | Prior to any election, or until amounts must be otherwise distributed under this section, the Current Value of the Account will be retained in the Account. The following options are available to the Beneficiary: | |||||||||||||||||
available to Beneficiary: | ||||||||||||||||||
(a) | When the Certificate Holder dies or, if the Certificate Holder is not a natural person, when the Annuitant dies: | |||||||||||||||||
(1) | If the Beneficiary is the Certificate Holder's surviving spouse, the Beneficiary may exercise all Certificate Holder rights under the Contract and continue in the Accumulation Period, or may elect (i) or (ii) below. Distributions from the Account are not required until the spousal Beneficiary's death. The spousal Beneficiary may elect to: | |||||||||||||||||
(i) Apply some or all of the death benefit amount to an Annuity option 1, 2 or 3 (see 4.04); or | ||||||||||||||||||
(ii) Receive, at any time, a lump sum payment equal to the death benefit amount. | ||||||||||||||||||
(2) | If the Beneficiary is an individual who is not the Certificate Holder's surviving spouse, then options (i) or (ii) under (1) above apply. Any portion of the death benefit amount not applied to Annuity option 1, 2 or 3 within one year of the Certificate Holder's death, must be distributed within five years of the date of death. | |||||||||||||||||
(3) | If the Beneficiary is not a natural person, then only option (ii) under (1) above applies. | |||||||||||||||||
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3.07 Death Benefit Options | (4) | If no Beneficiary has been designated, a lump sum payment equal to the death benefit amount will be made to the Certificate Holder's estate. | ||||||||||||||||
available to Beneficiary: | ||||||||||||||||||
(Cont'd) | ||||||||||||||||||
(b) | If the Certificate Holder is a natural person but is not the Annuitant, and the Annuitant dies, the Beneficiary may elect either | |||||||||||||||||
to apply the death benefit amount to Annuity option 1, 2, or 3 within 60 days of the Annuitant's date of death, or to receive a lump sum payment. | ||||
3.08 | Liquidation of Surrender | All or any portion of the Account's Current Value may be surrendered at any time prior to the Annuity Date. Surrender requests can be submitted as a percentage to the Account value or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial surrender, amounts are withdrawn on a pro rata basis from the Guaranteed Period(s) Groups of the AMG Account in which the Current Value is invested. Within a Guaranteed Period Group, the amount to be surrendered will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied. | ||
Value: | ||||
After deduction of the Maintenance Fee and any Premium Tax, if applicable, the surrendered amount shall be reduced by a Surrender Fee, if applicable. An MVA may apply to amounts surrendered. | ||||
3.09 | Surrender Fee: | The Surrender Fee only applies to the Net Purchase Payment portion surrendered and varies according to the elapsed time from the certificate effective date (see Contract Schedule I.) | ||||
No Surrender Fee is deducted from any portion of the Current Value which is paid: | ||||||
(a) | To a Beneficiary due to the Annuitant's death before Annuity payments start (see 3.06); | |||||
(b) | As a premium for an Annuity option 1, 2 or 3 under this Contract (see 4.04); | |||||
(c) | As a distribution under the SWO provision (see 3.05); | |||||||||||
(d) | At least 12 months after the date of the Purchase Payment, in an amount equal to or less than the special withdrawal percentage shown on Contract Schedule I times the Current Value at the time of the withdrawl. This applies to the first surrender request, partial or full, in a calendar year. The Current Value is calculated as of the date the surrender request is received in good order at Aetna's Home Office. This waiver is not available to the Certificate Holder while SWO is in effect; | |||||||||||
(e) | For a full surrender of the Account where the Current Value of the Account is $2,500 or less and no surrenders have been taken from the Account within the prior 12 months; | |||||||||||
(f) | Upon withdrawl of any Matured Period Value; or | |||||||||||
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3.09 | Surrender Fee: | (g) | By Aetna under 3.11. | |||||||||
(Cont'd) | ||||||||||||
3.10 | Payment of Surrender | Under certain emergency conditions, as allowed by law, Aetna may defer payment for a period of up to 6 months. | ||||||||||
Value: | ||||||||||||
3.11 | Payment of Adjusted | Upon 90 days' written notice to the Certificate Holder, Aetna will | ||||||||||
Current Value: |
terminate any Account if the Current Value becomes less than $2,500 immediately following any partial surrender. A Surrender Fee will not be deducted from the Adjusted Current Value. | ||||||||||||||||
IV. ANNUITY PROVISIONS | ||||||||||||||||
----------------------------------------------------------------------------- | ||||||||||||||||
4.01 | Choices to be Made: | The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax) for an Annuity under option 1, 2 or 3 (see 4.04) . The first Annuity payment may not be earlier than twelve months after the Purchase Payment. At least 30 days prior to the Annuity Date, the Certificate Holder must tell Aetna which Annuity option is elected. Annuity payments will be made monthly, unless the Certificate Holder elects otherwise in writing. | ||||||||||||||
In lieu of the election of an Annuity, the Certificate Holder may elect a lump sum payment. | ||||||||||||||||
The Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect a higher interest rate. | ||||||||||||||||
4.02 | Terms of Annuity Options | (a) | When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95. | |||||||||||||
(b) | An Annuity option may not be elected if the first payment would be less than $50 or if the total payments in a year would be less than $250 (less if required by state law) . Aetna reserves the right to increase the minimum first Annuity payment amount and the annual minimum Annuity payment amount based upon increases reflected in the Consumer Price Index-Urban, (CPI-U) since July 1, 1993. | |||||||||||||||
(c) | If an Annuity under option 1, 2 or 3 is chosen and a larger payment would result from applying the Surrender Value to a current Aetna single premium immediate Annuity, Aetna will make the larger payment. | |||||||||||||||
(d) | For purposes of calculating the guaranteed first payment of an Annuity, the Annuitant's and second Annuitant's adjusted age will be used. The Annuitant's and second Annuitant's adjusted age is his or her age as of the birthday closest to the Annuity commencement date reduced by one year for Annuity commencement dates occurring during the period of time | |||||||||||||||
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4.02 | Terms of Annuity Options | through December 31, 1999. The Annuitant's and second Annuitant's age will be reduced by two years for Annuity commencement dates occurring during the period of time from January 1, 2000 through December 31, 2009. The Annuitant's and second Annuitant's age will be reduced by one additional year for Annuity commencement dates occurring in each succeeding decade. | ||||||||||||||
(Cont'd) | ||||||||||||||||
The Annuity purchase rates for options 2 and 3 are based on mortality from 1983 Table a. | ||||||||||||||||||
(e) | Once elected, an Annuity option may not be revoked and Annuity payments cannot be commuted to a lump sum. | |||||||||||||||||
4.03 | Death of Annuitant/ | If the Annuitant dies after Annuity payments have begun, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity option elected. Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death. | ||||||||||||||||
Beneficiary: | ||||||||||||||||||
If the Certificate Holder who is not the Annuitant dies after Annuity payments have begun, any remaining payments under the Annuity option elected will be made to the Beneficiary at least as rapidly as under the method of distribution in effect at the Certificate Holder's death. | ||||||||||||||||||
If the Account is held by joint Certificate Holders, the survivor will be deemed the designated Beneficiary and any other Beneficiary on record will be treated as the contingent Beneficiary. | ||||||||||||||||||
Aetna will require proof of death. | ||||||||||||||||||
4.04 | Annuity Options: | Option 1 -- Payments for a Stated Period of Time -- An Annuity will be paid for the number of years chosen. The number of years must be at least 10 and not more than 30. | ||||||||||||||||
If a nonspouse Beneficiary elects this option at the death of the Certificate Holder, the period selected may not extend beyond the Beneficiary's life expectancy. | ||||||||||||||||||
Option 2 -- Life Income -- An Annuity will be paid for the life of the Annuitant. If also chosen, Aetna will guarantee payments for 60, 120, 180, or 240 months. | ||||||||||||||||||
Option 3 -- Life Income Based upon the Lives of Two Annuitants -- An Annuity will be paid during the lives of the Annuitant and a second Annuitant. Payments will continue until both Annuitants have died. When this option is chosen, one of the following choices must be made: | ||||||||||||||||||
(a) | 100% of the payment to continue after the first death; | |||||||||||||||||
(b) | 66 2/3% of the payment to continue after the first death; | |||||||||||||||||
(c) | 50% of the payment to continue after the first death; | |||||||||||||||||
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4.04 | Annuity Options: | (d) | Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or | |||||||||||||||
(Cont'd) | ||||||||||||||||||
(e) | 100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant. | |||||||||||||||||
Other Options -- Aetna may make other options available as allowed by the laws of the state in which the Contract and the Certificate is delivered. | ||||||||||||||||||
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OPTION 1 |
Payments for a Stated Period of Time Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes |
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0% | ||||||||||
------------------------------------------------------------------------------------------------------------ | ||||||||||
Years | Guaranteed | Monthly | Quarterly | Semi-Annual | Annual | |||||
Rate | Payment | Payment | Payment | Payment | ||||||
------------------------------------------------------------------------------------------------------------ | ||||||||||
5 | 3.00% | 17.91 | 53.59 | 106.78 | 211.99 | |||||
6 | 3.00% | 15.14 | 45.30 | 90.27 | 179.22 | |||||
7 | 3.00% | 13.16 | 39.39 | 78.49 | 155.83 | |||||
8 | 3.00% | 11.68 | 34.96 | 69.66 | 138.31 | |||||
9 | 3.00% | 10.53 | 31.52 | 62.81 | 124.69 | |||||
10 | 3.00% | 9.61 | 28.77 | 57.33 | 113.82 | |||||
11 | 3.00% | 8.86 | 26.52 | 52.85 | 104.93 | |||||
12 | 3.00% | 8.24 | 24.65 | 49.13 | 97.54 | |||||
13 | 3.00% | 7.71 | 23.08 | 45.98 | 91.29 | |||||
14 | 3.00% | 7.26 | 21.73 | 43.29 | 85.95 | |||||
15 | 3.00% | 6.87 | 20.56 | 40.96 | 81.33 | |||||
16 | 3.00% | 6.53 | 19.54 | 38.93 | 77.29 | |||||
17 | 3.00% | 6.23 | 18.64 | 37.14 | 73.74 | |||||
18 | 3.00% | 5.96 | 17.84 | 35.56 | 70.59 | |||||
19 | 3.00% | 5.73 | 17.13 | 34.14 | 67.78 | |||||
20 | 3.00% | 5.51 | 16.50 | 32.87 | 65.26 | |||||
21 | 3.00% | 5.32 | 15.92 | 31.72 | 62.98 | |||||
22 | 3.00% | 5.15 | 15.40 | 30.68 | 60.92 | |||||
23 | 3.00% | 4.99 | 14.92 | 29.74 | 59.04 | |||||
24 | 3.00% | 4.84 | 14.49 | 28.88 | 57.33 | |||||
25 | 3.00% | 4.71 | 14.09 | 28.08 | 55.76 | |||||
26 | 3.00% | 4.59 | 13.73 | 27.36 | 54.31 | |||||
27 | 3.00% | 4.47 | 13.39 | 26.68 | 52.97 | |||||
28 | 3.00% | 4.37 | 13.08 | 26.06 | 51.74 | |||||
29 | 3.00% | 4.27 | 12.79 | 25.49 | 50.60 | |||||
30 | 3.00% | 4.18 | 12.52 | 24.95 | 49.53 | |||||
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OPTION 2 Life Income |
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes |
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
Payments Guaranteed for a Stated Period of Months | ||||||||||
------------------------------------------------------------------------------------------------------------ | ||||||||||
Adjusted | None | 60 | 120 | 180 | 240 | |||||
Age of | ||||||||||
Annuitant | ||||||||||
------------------------------------------------------------------------------------------------------------ | ||||||||||
50 | $ 4.05 | $ 4.05 | $ 4.03 | $ 3.99 | $ 3.93 | |||||
51 | 4.12 | 4.11 | 4.09 | 4.05 | 3.99 | |||||
52 | 4.19 | 4.19 | 4.16 | 4.11 | 4.04 | |||||
53 | 4.27 | 4.26 | 4.23 | 4.18 | 4.10 | |||||
54 | 4.35 | 4.34 | 4.31 | 4.25 | 4.16 | |||||
55 | 4.44 | 4.42 | 4.39 | 4.32 | 4.22 | |||||
56 | 4.53 | 4.51 | 4.47 | 4.40 | 4.29 | |||||
57 | 4.62 | 4.61 | 4.56 | 4.48 | 4.35 | |||||
58 | 4.72 | 4.71 | 4.65 | 4.56 | 4.42 | |||||
59 | 4.83 | 4.81 | 4.75 | 4.64 | 4.49 | |||||
60 | 4.95 | 4.93 | 4.86 | 4.73 | 4.55 | |||||
61 | 5.07 | 5.05 | 4.97 | 4.83 | 4.62 | |||||
62 | 5.20 | 5.17 | 5.08 | 4.92 | 4.69 | |||||
63 | 5.34 | 5.31 | 5.20 | 5.02 | 4.76 | |||||
64 | 5.49 | 5.45 | 5.33 | 5.12 | 4.83 | |||||
65 | 5.65 | 5.61 | 5.47 | 5.22 | 4.89 | |||||
66 | 5.82 | 5.77 | 5.61 | 5.33 | 4.96 | |||||
67 | 6.01 | 5.94 | 5.75 | 5.44 | 5.02 | |||||
68 | 6.20 | 6.13 | 5.91 | 5.54 | 5.08 | |||||
69 | 6.41 | 6.33 | 6.07 | 5.65 | 5.14 | |||||
70 | 6.64 | 6.54 | 6.23 | 5.76 | 5.19 | |||||
71 | 6.88 | 6.76 | 6.41 | 5.86 | 5.24 |
72 | 7.14 | 7.00 | 6.59 | 5.97 | 5.28 | |||||
73 | 7.43 | 7.26 | 6.77 | 6.06 | 5.32 | |||||
74 | 7.73 | 7.53 | 6.96 | 6.16 | 5.35 | |||||
75 | 8.06 | 7.82 | 7.14 | 6.25 | 5.38 | |||||
------------------------------------------------------------------------------------------------------------ | ||||||||||
Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables. |
||||||||||
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OPTION 3
Life Income for Two Payees
Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
------------------------------------------------------------------------------------------------------------ | ||||||||||||
Adjusted Ages | ||||||||||||
------------------------------- | ||||||||||||
Annuitant | Second | Option 3a | Option 3b | Option 3c | Option 3d | Option 3e | ||||||
Annuitant | ||||||||||||
------------------------------------------------------------------------------------------------------------ | ||||||||||||
55 | 50 | $ 3.69 | $ 4.05 | $ 4.27 | $ 3.69 | $ 4.03 | ||||||
55 | 55 | 3.88 | 4.25 | 4.47 | 3.87 | 4.14 | ||||||
55 | 60 | 3.99 | 4.44 | 4.71 | 3.98 | 4.42 | ||||||
60 | 55 | 3.99 | 4.44 | 4.71 | 3.98 | 4.42 | ||||||
60 | 60 | 4.24 | 4.71 | 4.99 | 4.23 | 4.57 | ||||||
60 | 65 | 4.38 | 4.97 | 5.32 | 4.38 | 4.93 | ||||||
65 | 60 | 4.38 | 4.97 | 5.32 | 4.38 | 4.93 | ||||||
65 | 65 | 4.72 | 5.33 | 5.70 | 4.71 | 5.14 | ||||||
65 | 70 | 4.93 | 5.68 | 6.15 | 4.91 | 5.66 | ||||||
70 | 65 | 4.93 | 5.68 | 6.15 | 4.91 | 5.66 | ||||||
70 | 70 | 5.40 | 6.21 | 6.70 | 5.36 | 5.96 | ||||||
70 | 75 | 5.69 | 6.68 | 7.32 | 5.62 | 6.67 | ||||||
75 | 70 | 5.69 | 6.68 | 7.32 | 5.62 | 6.67 | ||||||
75 | 75 | 6.37 | 7.45 | 8.15 | 6.23 | 7.12 | ||||||
75 | 80 | 6.78 | 8.11 | 8.99 | 6.54 | 8.13 |
------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.
G1-MGA-95 | 21 | |
[AETNA LOGO] Aetna Life Insurance and Annuity Company Home Office: 150 Xxxxxxxxxx Xxxxxx Xxxxxxxx, Xxxxxxxxxxx 00000 (000) 000-0000 |
Group Single Premium Modified Guaranteed Deferred Annuity Contract Nonparticipating
THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED PERIOD AT THE TIME OF ITS MATURITY.
G1-MGA-95