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GENERAL PROVISIONS
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ASSIGNMENT. The Owner may not use this Contract as collateral or security for a
loan. However, the Owner may assign this Contract before the Income Date, but We
will not be bound by an assignment unless it is in writing and has been recorded
at the Company's Service Center. An assignment will take effect when recorded by
the Company. We are not responsible for any payment made before an assignment is
recorded. The Owner may exercise these rights subject to the interest of any
assignee or irrevocable beneficiary. We assume no responsibility for the
validity or tax consequences of any assignment. If You make an assignment, You
may have to pay income tax. You are encouraged to seek competent legal and/or
tax advice.
BENEFICIARY. The Owner may designate the Beneficiary(ies) to receive any amount
payable under this Contract on the Owner's death or, as applicable, on the
Annuitant's death. The original Beneficiary(ies) will be named in the
application, if any, and on the Contract Data Page. If two or more persons are
named, those surviving the Owner will share equally unless otherwise stated. If
there are no surviving Beneficiaries at the death of the Owner, the Death
Benefit will be paid to the Owner's estate. Upon the death of a Joint Owner, the
surviving Joint Owner, if any, will be treated as the primary Beneficiary and
all other Beneficiaries will be treated as Contingent Beneficiaries. The Owner
may change the Beneficiary(ies) by submitting a written request to the Service
Center, unless an irrevocable Beneficiary(ies) designation was previously filed.
Any change will take effect when recorded by the Company. The Company is not
liable for any payment made or action taken before the Company records the
change.
CHARGES AND FEES. The Company may assess fees or charges under the Contract.
Please see the Contract Data Page for more information as to fees or charges.
CONFORMITY WITH STATE LAWS. This Contract will be interpreted under the law of
the state in which it is issued. Any provision which is in conflict with the law
of such state, is amended to conform to the minimum requirements of such law.
CONTESTABILITY. The Company will not contest this Contract from its Issue Date,
as shown on the Contract Data Page.
DEFERMENT OF PAYMENTS. We may defer making payments from the Guaranteed Account
for up to 6 months. Interest, subject to state requirements, will be credited
during the deferral period.
DOLLAR COST AVERAGING. The Owner may arrange to have a regular amount of money
transferred automatically from the one year Guaranteed Option or one of the
Investment Portfolios of the Contract to (an) Investment Portfolio(s).
ENTIRE CONTRACT. The Contract, application, if any, and any applicable riders,
endorsements and amendments together make up the entire Contract.
MISSTATEMENT OF AGE. If the age of the Annuitant has been misstated, the
benefits will be those which the Premiums paid would have purchased at the
correct age. Any underpayments will be adjusted immediately by the Company.
Overpayments will be deducted from future payments.
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GENERAL PROVISIONS (CONT'D)
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MODIFICATION OF CONTRACT. Any change or waiver of the provisions of this
Contract must be in writing and signed by the President, a Vice President, the
Secretary or Assistant Secretary of the Company. No broker or producer has
authority to change or waive any provision of this Contract. The Company may
amend or waive any portion of this Contract without notice or consent if state
or federal law so requires.
NONPARTICIPATING. This Contract does not share in Our surplus or earnings.
PROOF OF AGE OR SURVIVAL. The Company may require satisfactory proof of correct
age at any time. If any payment under this Contract is contingent upon the
Annuitant, Owner or Beneficiary being alive, the Company may require
satisfactory proof of survival.
PROTECTION OF PROCEEDS. No Beneficiary may commute, encumber, alienate or assign
any payment under this Contract before it is due. To the extent permitted by
law, no payment will be subject to the debts, contracts or engagements of any
Beneficiary. In addition, to the extent permitted by law, no payment will be
subject to any judicial process to levy You or attach the same for payment
thereof.
REPORTS. The Company will send You a report at least once a year. We will also
send You reports as required by law. They shall be addressed to the last address
of the Owner known to the Company.
SUBSTITUTION OF INVESTMENT PORTFOLIOS. If any Investment Portfolio is no longer
available for investment by the Separate Account or if, in the judgment of the
Company's Board of Directors, further investment in the Investment Portfolio is
no longer appropriate in view of the purpose of the Contract, the Company may
substitute one Investment Portfolio for another. No substitution of securities
may take place without prior approval of the Securities and Exchange Commission.
SUSPENSION OF PAYMENTS. The Company may suspend or postpone any payments from
the Investment Portfolios if any of the following occur:
a) The New York Stock Exchange is closed;
b) Trading on the New York Stock Exchange is restricted;
c) An emergency exists such that it is not reasonably practical to dispose of
securities in the Separate Account or to determine the value of its assets;
or
d) The Securities and Exchange Commission, by order, so permits for the
protection of Contract Owners.
TAXES. The Company may deduct from the Contract Value any premium taxes or other
taxes payable to a state or other government entity. Should We advance any
amount so due, We are not waiving any right to collect such amount at a later
date. The Company will deduct any withholding taxes required by applicable law.
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TABLE OF INCOME OPTIONS
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The following table is for this Contract whose net proceeds are $1,000, and
will apply pro rata to the amount payable under this Contract.
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UNDER OPTION 4 MONTHLY INSTALLMENT UNDER OPTIONS 1 OR 3
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No. of Monthly No. of Mos. No. of Mos. No. of Mos.
Monthly Install-menAge of Certain Age of Certain Age of Certain
Install- Payee Payee Payee
ments Life 120 240 Life 120 240 Life 120 240
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60 17.95 40 3.53 3.52 3.50 60 4.97 4.88 4.57 80 10.23 8.11 5.49
72 15.17 41 3.57 3.56 3.53 61 5.10 4.99 4.64 81 10.77 8.29 5.50
84 13.19 42 3.62 3.61 3.57 62 5.23 5.11 4.71 82 11.33 8.45 5.50
96 11.71 43 3.67 3.66 3.61 63 5.37 5.23 4.78 83 11.95 8.61 5.51
108 10.56 44 3.72 3.71 3.66 64 5.52 5.36 4.85 84 12.61 8.74 5.51
120 9.64 45 3.77 3.75 3.70 65 5.68 5.49 4.91 85 13.31 8.88 5.52
132 8.89 46 3.82 3.80 3.75 66 5.86 5.63 4.98 86 14.07 8.99 5.52
144 8.26 47 3.89 3.86 3.79 67 6.04 5.79 5.04 87 14.87 9.10 5.52
156 7.73 48 3.94 3.92 3.84 68 6.23 5.93 5.10 88 15.73 9.18 5.52
168 7.28 49 4.00 3.98 3.90 69 6.45 6.10 5.16 89 16.65 9.26 5.52
180 6.88 50 4.07 4.04 3.95 70 6.68 6.27 5.20 90 17.61 9.34 5.52
192 6.55 51 4.14 4.10 4.00 71 6.92 6.44 5.25 91 18.63 9.40 5.52
204 6.25 52 4.21 4.18 4.06 72 7.20 6.62 5.30 92 19.71 9.45 5.52
216 5.97 53 4.29 4.25 4.11 73 7.48 6.80 5.34 93 20.85 9.49 5.52
228 5.74 54 4.37 4.32 4.18 74 7.79 6.99 5.37 94 22.05 9.52 5.52
240 5.52 55 4.46 4.41 4.24 75 8.13 7.19 5.40 95 23.33 9.56 5.52
252 5.34 56 4.54 4.49 4.30 76 8.48 7.37 5.42 96 24.69 9.59 5.52
264 5.16 57 4.65 4.57 4.37 77 8.87 7.56 5.45 97 26.17 9.60 5.52
276 5.00 58 4.74 4.67 4.44 78 9.30 7.75 5.46 98 27.79 9.62 5.52
288 4.86 59 4.86 4.77 4.50 79 9.74 7.94 5.48 99 29.61 9.63 5.52
300 4.72
Note: Due to the length of the information, the Table for Option 2 is available
from the Service Center upon Your request.
