Exhibit (g)(4)
652-3-0
ADDENDUM TO THE
AUTOMATIC AGREEMENT Dated April 1, 1990
between
IDS LIFE INSURANCE COMPANY OF NEW YORK, Albany, New York
and
[name of reinsurance company], [city and state of reinsurance company]
This Addendum is Effective November 1, 1993
I. ADDITION OF 1 YEAR TERM AND 10 YEAR TERM PLANS
Effective November 1, 1993, reinsurance required by the CEDING COMPANY on
the policy plans listed below will be assumed by [name of reinsurance
company] under the terms of this Agreement:
1 YEAR TERM
10 YEAR TERM
Exhibit B (Rev. 5/l/92) of this Agreement is hereby replaced by the
attached Exhibit B (Rev. 11/1/93) which now includes 1 Year Term and 10
Year Term in the list of plans reinsured.
The cover page for Exhibit C (Rev. 5/l/92) is hereby replaced by the
attached Exhibit C cover page (Rev. 11/1/93) which now includes the pay
percentages for 1 Year Term and 10 Year Term Plans.
II. All provisions of the Automatic Reinsurance Agreement not specifically
modified herein remain unchanged.
652-3-0
IN WITNESS WHEREOF, both parties have executed this Addendum in duplicate as
follows:
IDS LIFE INSURANCE COMPANY OF NEW YORK
By: [ILLEGIBLE] By: [ILLEGIBLE]
--------------------------- ----------------------------------
Title: REINSURANCE OFFICER Title: UNDERWRITING OFFICER
Date: 4/7/94
[name of reinsurance company]
By: [signature] By: [signature]
Title: [title] Title: [title]
Date: 2-15-94
652-3-0
EXHIBIT B
POLICY PLANS REINSURED
Effective April 1, 1990
UNIVERSAL LIFE
Base Plans: XX00, XX000, XX000, XXX, XXX00 and EUL100
Riders: Other Insured Riders (OIR) and Waiver of Monthly Deductions
(WMD)
FIXED PREMIUM, FIXED BENEFIT WHOLE LIFE
Base Plan: Whole Life
Riders: Annual Reducing Term (ART) and Waiver of Premium (WP)
LEVEL BENEFIT TERM INSURANCE
Base Plans: YRT, YRT-7 and 10 Year Renewable Term
Riders: Annual Reducing Term (ART) and Waiver of Premium (WP)
DECREASING BENEFIT TERM INSURANCE
Base Plan: ART
Riders: Annual Reducing Term (ART) and Waiver of Premium (WP)
Effective May 1, 1991
VUL-350
Effective May 1, 1992
LIFE PROTECTION PLUS (LPP), OTHER INSURED RIDER (OIR), WAIVER OF MONTHLY
DEDUCTIONS (WMD)
LPP policies written with a Survivor Insurance Rider (SIR) attached are
excluded from the Automatic Risk Pool.
(Rev. 11/1/93)
652-3-0
EXIHBIT B (Continued)
POLICY PLANS REINSURED
Effective November 1, 1993
1 YEAR TERM AND 10 YEAR TERM
Note: 1 Year Term and 10 Year Term policies issued to replace policies
issued earlier by the CEDING COMPANY will not be considered continuations
under this Agreement, provided the replacement policies are fully
underwritten.
(Rev. 11/1/93)
652-3-0
EXHIBIT C
PREMIUMS
Life Reinsurance
The consideration payable for this coverage shall be based on the
appropriate life rate from the attached Rate Table C-1, multiplied by the
pay percentages listed below:
Covered Plans and OIR and ART Riders other than Life Protection
Plus and accompanying OIR
Policy Year Percentage
----------- ----------
1 [percentage]
2 & After [percentage]
Life Protection Plus and accompanying OIR
Policy Year Percentage
----------- ----------
1 [percentage]
2 & After [percentage]
1 Year Term and 10 Year Term
Risk Class Policy Year
---------- -----------
1 2-10 11+
--- ---- ----
Wellness [percentage] [percentage] [percentage]
Nonsmoker [percentage] [percentage] [percentage]
Smoker [percentage] [percentage] [percentage]
For substandard table ratings, the premiums will be increased by
[percentage] per table.
For permanent flat extra premiums (payable for six years or more) the
premium due will be [name] in the first year and [percentage] of the
amount charged the insured on the amount reinsured in renewal years. For
flat extra premium payable for five years or less, the premium due will be
based on the amount charged the insured on the amount reinsured,
multiplied by [percentage] in the first year and [percentage] in renewal
years.
IDS LIFE INSURANCE COMPANY [name of reinsurance company]
OF NEW YORK
[ILLEGIBLE] [signature]
Title: REINSURANCE [ILLEGIBLE] Date: 9/15/94 Title: Date: 9-12-94
652-3-0
EXHIBIT C
PREMIUMS
Life Reinsurance
The consideration payable for this coverage shall be based on the
appropriate life rate from the attached Rate Table C-1, multiplied by the
pay percentages listed below:
Covered Plans and OIR and ART Riders other than Life Protection Plus
and accompanying OIR
Policy Year Percentage
----------- ----------
1 [percentage]
2 & After [percentage]
Life Protection Plus and accompanying OIR
Policy Year Percentage
----------- ----------
1 [percentage]
2 & After [percentage]
The consideration payable for this coverage shall be based on the
appropriate life rate from the attached Rate Table C-2, multiplied by the
pay percentages listed below:
1 Year Term and 10 Year Term
Risk Class Policy Year
---------- -----------
1 2-10 1l+
-- ---- ----
Wellness [percentage] [percentage] [percentage]
Nonsmoker [percentage] [percentage] [percentage]
Smoker [percentage] [percentage] [percentage]
For substandard table ratings, the premiums will be increased by
[percentage] per table.
For permanent flat extra premiums (payable for [number] years or more) the
premium due will be [number] in the first year and [percentage] of the
amount charged the insured on the amount reinsured in renewal years. For
flat extra premiums payable for five years or less, the premium due will
be based on the amount charged the insured on the amount reinsured,
multiplied by [percentage] in the first year and [percentage] in renewal
years.
(Rev. 11/1/93)
652-3-0
EXHIBIT C (Continued)
Waiver of Premium Benefits
The premium to be paid for reinsurance of Waiver of Premium benefits will
be the premium charged the insured on the amount reinsured, multiplied by
[percentage] in the first year and [percentage] in renewal years.
(Rev. 11/1/93)
