VA770NY Thank you for choosing Jackson National Life Insurance Company of New York®, hereinafter also referred to as "the Company" or "Jackson of NY®." READ YOUR CONTRACT CAREFULLY. This annuity contract is issued by the Company and is a legal...
VA770NY
Thank you for choosing Xxxxxxx National Life Insurance Company of New York®, hereinafter also referred to as
"the Company" or "Xxxxxxx of NY®."
READ YOUR CONTRACT CAREFULLY.
This annuity contract is issued by the Company and is a legal agreement between the Owner ("You") and Xxxxxxx
of New York.
THE VALUE OF AMOUNTS ALLOCATED TO THE SEPARATE ACCOUNT DURING THE ACCUMULATION
AND ANNUITY PERIODS IS NOT GUARANTEED AND MAY INCREASE OR DECREASE BASED UPON THE
INVESTMENT EXPERIENCE OF THE FUND(S) UNDERLYING THE SEPARATE ACCOUNT.
IF THE ACTUAL INVESTMENT RATES EXPERIENCED BY THE SEPARATE ACCOUNT ASSETS (PRIOR TO
DEDUCTION OF THE ASSET BASED CHARGES SPECIFIED IN THIS CONTRACT) ARE LESS THAN [1.30%],
VARIABLE ANNUITY PAYMENTS WILL DECREASE OVER TIME.
AMOUNTS ALLOCATED TO THE FIXED ACCOUNT(S) WILL EARN INTEREST AT THE CURRENT INTEREST
RATE FOR THE DURATION OF THE FIXED ACCOUNT OPTION PERIOD. THE INTEREST RATE CREDITED
FOR SUBSEQUENT PERIODS IS SUBJECT TO CHANGE AS DECLARED BY THE COMPANY.
THE FIXED ACCOUNT OPTIONS ARE SUBJECT TO AN INTEREST RATE ADJUSTMENT FORMULA WHICH
MAY INCREASE OR DECREASE AMOUNTS PAYABLE, TRANSFERRED OR WITHDRAWN, BUT THE FIXED
ACCOUNT CONTRACT VALUE WILL NEVER DECREASE TO LESS THAN THE SUM OF THE FIXED
ACCOUNT MINIMUM VALUES.
THE CONTRACT VALUE HELD UNDER A FIXED ACCOUNT OPTION MAY BE WITHDRAWN WITHOUT AN
INTEREST RATE ADJUSTMENT UPON RECEIPT OF WRITTEN NOTICE WITHIN 30 DAYS FOLLOWING THE
END OF THE CORRESPONDING FIXED ACCOUNT OPTION.
PLEASE READ THE IMPORTANT CONTRACT DISCLOSURES ON THE FOLLOWING
PAGE.
NOTICE OF RIGHT TO EXAMINE CONTRACT
YOU MAY RETURN THIS CONTRACT TO THE SELLING PRODUCER OR THE COMPANY WITHIN 20 DAYS
(60 DAYS IF IT WAS PURCHASED AS A REPLACEMENT CONTRACT) AFTER YOU RECEIVE IT. UPON
RECEIPT OF THIS CONTRACT, THE COMPANY WILL REFUND THE CONTRACT VALUE DETERMINED AS
OF THE BUSINESS DAY ON WHICH THE CONTRACT IS RETURNED TO THE SELLING PRODUCER OR THE
COMPANY, INCLUDING ANY FEES OR OTHER CHARGES DEDUCTED FROM THE PREMIUMS OR IMPOSED
UNDER THE CONTRACT. UPON SUCH REFUND, THIS CONTRACT SHALL BE VOID.
Please Note: The Company reserves the right to allocate initial Premium and any subsequent Premium received
during the "Notice of Right to Examine Contract" period to a money market Investment Division or a Fixed Account
and will allocate the Contract Value to the Investment Divisions specified by the Contract Owner when the "Notice
of Right to Examine Contract" period has expired.
Home Office: Service Center:
[0000 Xxxxxxxxxxx Xxxxxx [P.O. Box 24068
Purchase, New York 10577] Lansing, MI 48909-4068
1-800-599-5651
xxx.xxxxxxx.xxx]
INDIVIDUAL DEFERRED VARIABLE AND FIXED ANNUITY CONTRACT WITH INTEREST RATE ADJUSTMENT (FLEXIBLE PREMIUM).
DEATH BENEFIT AVAILABLE. INCOME OPTIONS AVAILABLE. NONPARTICIPATING. CONTAINS PROVISIONS WAIVING WITHDRAWAL
CHARGES.
This Contract is signed by the Company
President Secretary
FINAL 10/18/16
VA770NY Contract Cover Page Continued
IMPORTANT - CONTRACT DISCLOSURES
PLEASE READ CAREFULLY
PLEASE REVIEW THE CONTRACT DATA PAGES FOR CONTRACT CHARGES.
THE FIXED ACCOUNT MINIMUM INTEREST RATE FOR THIS CONTRACT WILL BE REDETERMINED ON THE
REDETERMINATION DATE ANNUALLY EACH JANUARY.
THE COMPANY MAY RESTRICT OR REFUSE FUTURE PREMIUM PAYMENTS, PREMIUM ALLOCATION AND
TRANSFERS TO THE FIXED ACCOUNT OPTION(S) AT ANY TIME, ON A NONDISCRIMINATORY BASIS, IF
THE YIELD ON INVESTMENT WOULD NOT SUPPORT THE MINIMUM INTEREST RATE GUARANTEED
UNDER THE FIXED ACCOUNT(S). SHOULD THE COMPANY IMPOSE SUCH RESTRICTIONS, WE WILL GIVE
AT LEAST 30 DAYS ADVANCE NOTICE TO THE OWNER. WE WILL ALSO PROVIDE WRITTEN NOTICE
WHEN SUCH RESTRICTIONS NO LONGER EXIST.
ONE OR BOTH OF THE DCA+ FIXED ACCOUNT OPTIONS MAY NOT BE AVAILABLE ON THE ISSUE DATE.
PLEASE CHECK THE CONTRACT DATA PAGE TO DETERMINE WHICH DCA+ FIXED ACCOUNT OPTIONS
ARE CURRENTLY AVAILABLE.
ONE OR BOTH OF THE DCA+ FIXED ACCOUNT OPTIONS MAY NOT BE AVAILABLE AFTER ISSUE OF THIS
CONTRACT.
Home Office: Service Center:
[0000 Xxxxxxxxxxx Xxxxxx [P.O. Box 24068
Purchase, New York 10577] Lansing, MI 48909-4068
1-800-599-5651
xxx.xxxxxxx.xxx]
VA770NY 2
TABLE OF CONTENTS
Provision Page Number
Contract Data Pages [3a
Definitions 4
General Provisions 8
Accumulation Provisions 13
Withdrawal Provisions 17
Death Benefit Provisions 21
Income Provisions 25
Termination Provision 29]
If You have questions about this Contract including requests for information about
coverage or complaint resolutions, You may contact our Service Center as specified on
the cover page of the Contract.
VA770NY 3a
CONTRACT DATA PAGE
Contract Number: [1234567890]
Owner: [Xxxx Xxx]
Owner Issue Age: [35]
Joint Owner: [Xxxx Xxx]
Joint Owner Issue Age: [35]
Annuitant: [Xxxx Xxx]
Annuitant Issue Age: [35]
Joint or Contingent Annuitant: [Xxxx Xxx]
Joint or Contingent Annuitant
Issue Age:
[35]
Initial Premium: [$25,000]
Issue Date: [September 1, 2016]
Issue State: New York
Income Date: [September 1, 2076]
Initial Fixed Account
Minimum Interest Rate:
[1.00%]
The Fixed Account Minimum Interest Rate will be
redetermined on each Redetermination Date, as
described under the Accumulation Provisions (Page 16). Initial Base Interest Rate: [1.00% for the 1-Year Fixed Option Period
1.00% for the 3-Year Fixed Option Period
1.00% for the 5-Year Fixed Option Period
1.00% for the 7-Year Fixed Option Period]
Initial Current Interest Rate: [1.00% for the 1-Year Fixed Option Period
1.00% for the 3-Year Fixed Option Period
1.00% for the 5-Year Fixed Option Period
1.00% for the 7-Year Fixed Option Period] Initial Current DCA+ Interest Rate: 6-month [X.XX%] [NOT CURRENTLY AVAILABLE]
12-month [X.XX%] [NOT CURRENTLY AVAILABLE] ONE OR BOTH OF THE DCA+ FIXED ACCOUNT OPTIONS MAY NOT BE AVAILABLE ON THE ISSUE
DATE. AVAILABILITY IS INDICATED ABOVE.
Maximum DCA+ Rate: [8.00%] over the net investment earnings rate. Beneficiary(ies): [Xxxxx Xxx]
VA770NY 3b
CONTRACT DATA PAGE (CONT'D)
Mortality and Expense On an annual basis, this charge equals [0.25%] of the average
Charge: daily Separate Account Contract Value of the Investment
Divisions.
Administration Charge: On an annual basis, this charge equals [0.05%] of the average
daily Separate Account Contract Value of the Investment
Divisions.
This charge will not be assessed if the Contract Value on the later
of the Issue Date or the most recent Contract Quarterly
Anniversary is greater than or equal to [$1,000,000].
If the Contract Value subsequently falls below [$1,000,000] on
any Contract Quarterly Anniversary, this charge will be reinstated.
Total Asset Based Charges: On an annual basis, the total of all asset based charges is
equal to [x.xx%] [during Contract Years 1-[x] and [x.xx%]
afterward] of the average daily Separate Account Contract
Value of the Investment Divisions.
Asset based charges are deducted daily as part of the
Accumulation Unit Value calculation. Total asset based charges
include the Mortality and Expense Charge, the Administration
Charge and asset based charges for optional benefits.
Optional Benefits Elected at Issue:
BENEFIT CHARGE
Guaranteed Minimum Withdrawal
Benefit (GMWB)
On a monthly basis, the charge equals 0.0725% of the
Guaranteed Withdrawal Balance (GWB) and is deducted
from the Separate Account Contract Value (i) at the end of
each Contract Month; and (ii) upon termination of the
GMWB. Upon step-up on or after the 2nd Contract
Anniversary following the effective date of this
endorsement, the Company reserves the right to increase
the GMWB Charge percentage, subject to a maximum
GMWB Charge percentage, on a monthly basis, of
0.1450%.
The GMWB Charge will be discontinued upon the earlier of
the termination of this GMWB or the date on which the
Contract Value equals zero.
VA770NY 3c
CONTRACT DATA PAGE (CONT'D)
Annual Contract An annual charge of no more than [$30.00] will be deducted
Maintenance Charge: on each Contract Anniversary from those Contracts where the
Contract Value is less than [$50,000].
Withdrawal Charge Completed Years Since Withdrawal Charge
Schedule: Receipt of Premium Percentage
0 2.00%
1 2.00%
2 1.00%
3+ 0.00%
The Company will waive the Withdrawal Charge when the Contract
is purchased by employees of the Company. These transactions
will be conducted in a nondiscriminatory manner and under
circumstances that reduce the Company's sales expense.
Withdrawals: Minimum partial withdrawal amount: [$500]
Minimum Contract Value remaining after withdrawal: [$100]
Minimum partial withdrawal made in connection with a systematic
withdrawal program: [$50]
Additional Free Withdrawal Percentage: [10%]
Interest Rate Adjustment: Certain payments, transfers and withdrawals from a Fixed
Account Option are subject to an Interest Rate Adjustment, the
calculation of which may result in an increase or decrease in
amounts payable. In no event will a total withdrawal from a Fixed
Account Option be less than the Fixed Account Minimum Value.
(See page 15 of the Contract for the Interest Rate Adjustment
formula.)
VA770NY 3d
CONTRACT DATA PAGE (CONT'D)
Transfer/Transfer Charge: A fee of [$25.00] is charged for each transfer in excess of [15] in
any Contract Year. Any Transfer Charge is deducted from the
amount transferred prior to the allocation to the new Contract
Option. Transfer Charges will not be applied to Company required
transfers from a Fixed Account Option or to transfers due to dollar
cost averaging or other systematic investment programs provided
by the Company, nor will these transfers count against the [15] free
transfers allowed in a Contract Year.
Asset allocation service providers must comply with the
Company's administrative systems, rules, and procedures.
A transfer will be effective as of the end of the Business Day when
the Company receives a transfer request prior to market close in
Good Order, otherwise the transfer will be effective as of the end
of the next Business Day.
The Company will not be liable for a transfer made in accordance
with the Owner's instructions.
FROM INVESTMENT DIVISION TO INVESTMENT DIVISION.
Prior to and after the Income Date, You may transfer all or a portion
of Your Contract Value in one Investment Division to any available
Investment Division(s). Additional details regarding restrictions on
transfers are outlined in the Transfer provisions on page 10.
FROM INVESTMENT DIVISION TO A FIXED ACCOUNT
OPTION. Prior to the Income Date, You may transfer all or a
portion of Your Contract Value in an Investment Division to a Fixed
Account Option. Additional details regarding restrictions on
transfers are outlined in the Transfer provisions on page 10 and in
the Fixed Account provisions on page 14.
FROM A FIXED ACCOUNT OPTION TO AN INVESTMENT
DIVISION OR TO A FIXED ACCOUNT OPTION. Prior to the
Income Date, You may transfer all or a portion of Your Contract
Value in a Fixed Account Option to any available Investment
Division(s) or Fixed Account Option(s). Such transfers, other than
from a maturing Fixed Account Option within the 30-day period
following its expiration, will be subject to any applicable Interest
Rate Adjustment. Additional details regarding restrictions on
transfers are outlined in the Transfer provisions on page 10 and in
the Fixed Account provisions on page 14.
VA770NY 3e
CONTRACT DATA PAGE (CONT'D)
Premium(s): Premiums are flexible. This means that the Owner may change the
amounts, frequency or timing of Premiums, subject to the minimum
and maximum Premium amounts specified below.
The initial Premium must be at least [$25,000] for Non-Qualified
Plan Contracts and [$25,000] for Qualified Plan Contracts.
Subsequent Premiums must be at least [$500] ([$50] if made in
connection with an automatic payment plan). Total Premiums under
a Contract may not exceed [$1,000,000], or such lesser amount
established by the Company.
The Owner may allocate Premiums among the Fixed Account
Option(s) and Investment Divisions. Allocations may be made in
any percent from 0% to 100%. The minimum that may be allocated
to a Fixed Account Option or an Investment Division is [$100]. The
Company may restrict or refuse Premium allocations to a Fixed
Account Option(s) as outlined in the Transfer provisions on page 10
and in the Fixed Account provisions on page 14. Any subsequent
Premium will be allocated according to the most recent instructions
on file with the Company, provided that each allocation meets the
minimums, regardless of such instructions.
VA770NY 3f
CONTRACT DATA PAGE (CONT'D)
Systematic Investment The minimum allocation amount to participate in the Special
Allocation Amount: Dollar Cost Averaging program is [$15,000].
CONTRACT OPTIONS:
Investment Division(s): Availability is indicated in the Contract, application, current
prospectus and any supplements. The Company may periodically
add or delete Investment Divisions.
Contract Option The number of Contract Options that the Contract Value can
Allocation(s) Allowed: be allocated to may not exceed [99].
Separate Account: [JNLNY Separate Account I]
Fixed Account Options: [1-Year Period; 3-Year Period; 5-Year Period; and 7-Year Period.]
The 1-Year, 3-Year, 5-Year, and 7-Year periods may not be
available at all times. In the event the Company discontinues the
availability of the Fixed Account Option(s) a money market
Investment Division is made available for Premium allocation and
transfers.
Availability is indicated in the current prospectus and any
supplements or related Fixed Account documents.
The Contract Options You have selected will be detailed in a confirmation sent to You by the
Company on or after the Issue Date and are stated in the Contract application attached to the
Contract.
VA770NY 3g
CONTRACT DATA PAGE (CONT'D)
TABLE OF INCOME OPTIONS
The following table is for a Contract whose net proceeds are $1,000, and will apply pro rata to the
amount payable under this Contract.
UNDER OPTION 4 MONTHLY INSTALLMENT UNDER OPTIONS 1 OR 3
No. of
Monthly
Install-
ments
Monthly
Install-
ments
Age
of
Payee
No. of Mos.
Certain
Age
of
Payee
No. of Mos.
Certain
Age of
Payee
No. of Mos.
Certain
Age of
Payee
No. of Mos.
Certain
Male Life 120 240 Male Life 120 240 Female Life 120 240 Female Life 120 240
60 17.09 40 2.33 2.32 2.31 68 4.72 4.57 4.02 40 2.22 2.22 2.21 68 4.36 4.26 3.86
72 14.31 41 2.37 2.36 2.35 69 4.90 4.72 4.09 41 2.26 2.26 2.25 69 4.52 4.40 3.94
84 12.33 42 2.41 2.41 2.39 70 5.09 4.89 4.16 42 2.30 2.30 2.29 70 4.69 4.55 4.02
96 10.84 43 2.45 2.45 2.43 71 5.31 5.06 4.23 43 2.34 2.34 2.32 71 4.87 4.70 4.09
108 9.68 44 2.50 2.50 2.47 72 5.54 5.24 4.29 44 2.38 2.38 2.36 72 5.06 4.87 4.16
120 8.76 45 2.55 2.54 2.52 73 5.79 5.43 4.34 45 2.42 2.42 2.40 73 5.28 5.04 4.22
132 8.00 46 2.60 2.59 2.56 74 6.06 5.63 4.39 46 2.47 2.47 2.45 74 5.51 5.23 4.28
144 7.37 47 2.65 2.64 2.61 75 6.35 5.83 4.43 47 2.52 2.51 2.49 75 5.76 5.42 4.34
156 6.84 48 2.71 2.70 2.66 76 6.67 6.04 4.47 48 2.57 2.56 2.54 76 6.03 5.62 4.38
168 6.38 49 2.77 2.76 2.71 77 7.02 6.26 4.50 49 2.62 2.61 2.59 77 6.33 5.83 4.43
180 5.98 50 2.83 2.82 2.76 78 7.40 6.48 4.52 50 2.67 2.67 2.64 78 6.65 6.04 4.46
192 5.64 51 2.89 2.88 2.82 79 7.81 6.70 4.54 51 2.73 2.72 2.69 79 7.01 6.26 4.49
204 5.33 52 2.96 2.94 2.88 80 8.27 6.92 4.56 52 2.79 2.78 2.74 80 7.40 6.48 4.52
216 5.06 53 3.03 3.01 2.94 81 8.76 7.13 4.57 53 2.85 2.84 2.80 81 7.83 6.70 4.54
228 4.82 54 3.10 3.08 3.00 82 9.30 7.34 4.58 54 2.92 2.91 2.85 82 8.29 6.92 4.56
240 4.60 55 3.18 3.16 3.06 83 9.89 7.53 4.58 55 2.99 2.98 2.91 83 8.80 7.13 4.57
252 4.40 56 3.26 3.23 3.13 84 10.54 7.72 4.59 56 3.07 3.05 2.98 84 9.35 7.33 4.58
264 4.22 57 3.35 3.32 3.19 85 11.26 7.88 4.59 57 3.14 3.12 3.04 85 9.95 7.52 4.58
276 4.06 58 3.44 3.40 3.26 86 12.05 8.03 4.59 58 3.23 3.20 3.11 86 10.59 7.70 4.59
288 3.90 59 3.54 3.49 3.34 87 12.91 8.17 4.59 59 3.31 3.29 3.18 87 11.28 7.87 4.59
300 3.77 60 3.64 3.59 3.41 88 13.86 8.28 4.60 60 3.40 3.37 3.25 88 12.03 8.02 4.59
312 3.64 61 3.74 3.69 3.48 89 14.88 8.38 4.60 61 3.50 3.46 3.32 89 12.84 8.15 4.59
324 3.52 62 3.86 3.79 3.56 90 15.99 8.46 4.60 62 3.60 3.56 3.40 90 13.71 8.27 4.60
336 3.41 63 3.98 3.91 3.64 91 17.17 8.53 4.60 63 3.71 3.66 3.47 91 14.66 8.37 4.60
348 3.31 64 4.11 4.02 3.71 92 18.43 8.58 4.60 64 3.82 3.77 3.55 92 15.70 8.45 4.60
360 3.21 65 4.24 4.15 3.79 93 19.78 8.63 4.60 65 3.95 3.88 3.63 93 16.86 8.53 4.60
66 4.39 4.28 3.87 94 21.20 8.66 4.60 66 4.07 4.00 3.71 94 18.13 8.58 4.60
67 4.55 4.42 3.95 95 22.67 8.68 4.60 67 4.21 4.12 3.79 95 19.53 8.63 4.60
Note: Due to the length of the information, factors for Option 2 are available from the Service
Center upon Your request. You may contact our Service Center as specified on the cover page
of the Contract.
BASIS OF COMPUTATION. The actuarial basis for the Table of Income Options is the 2012
Individual Annuity Mortality Period Table, with an assumed net investment rate of 1.00% and a
0% expense load. The interest rate used in the present value calculation referred to in Options 3
and 4 will be determined by the Company, but in no instance will it be greater than the rate used
to calculate the initial payment. The Table of Income Options does not include any applicable tax.
VA770NY 4
DEFINITIONS
ACCUMULATION UNIT. A unit of measure used to calculate the value in an Investment Division
prior to the Income Date.
ANNUITANT. The natural person(s) on whose life annuity payments for this Contract are based.
Any reference to Annuitant includes any Joint Annuitant. The Company reserves the right to limit
the number of Joint Annuitants to two (2).
ANNUITY UNIT. A unit of measure used to calculate the amount of a variable annuity payment.
BASE INTEREST RATE. The rate of interest declared by the Company for a specified Fixed
Account Option period.
BENEFICIARY(IES). The natural person(s) or entity(ies) designated by the Owner to receive any
death benefit payable under this Contract.
BUSINESS DAY. Any day that the New York Stock Exchange (NYSE) is open for business. The
Business Day ends when the NYSE closes, which is usually at 4 p.m. Eastern Time.
CONTINGENT ANNUITANT. The natural person that is designated as a covered life for purposes
of electing an optional endorsement on a Qualified Plan custodial account contract only. Any
reference to the Annuitant does not include any Contingent Annuitant.
CONTRACT. The Individual Deferred Variable and Fixed Annuity Contract described herein.
CONTRACT ANNIVERSARY. Each one-year anniversary of the Issue Date.
CONTRACT OPTION(S). The allocation options offered under this Contract. Each Contract
Option is more fully explained in the Accumulation Provisions.
CONTRACT QUARTERLY ANNIVERSARY. Each three-month anniversary of the Issue Date.
CONTRACT VALUE. The Contract Value equals the sum of the Separate Account Contract Value
and the Fixed Account Contract Value.
CONTRACT YEAR. The twelve-month period beginning on the Issue Date or on any Contract
Anniversary thereafter while the Contract remains in force.
CURRENT INTEREST RATE. The Base Interest Rate plus any additional interest rate credited
by the Company, less any charges due under any optional endorsements to the Contract. In no
event will the Current Interest Rate be less than the Fixed Account Minimum Interest Rate.
VA770NY 5
DEFINITIONS (CONT'D)
DESIGNATED OPTION(S). The Investment Division(s) and/or Fixed Account Option(s) made
available by the Company and selected by the Owner to which amounts will be transferred from
a Source Option pursuant to one of the Company's systematic investment programs.
DUE PROOF. Evidence of death, including but not limited to a certified death certificate issued
by the governmental authority where the death occurred, or other evidence satisfactory to the
Company.
FIXED ACCOUNT. Contract Values allocated to one or more of the Fixed Account Options.
Allocations made to Fixed Account Options are part of the general account of the Company. The
general account is made up of all general assets of the Company, other than those in the Separate
Account and other segregated asset accounts.
FIXED ACCOUNT CONTRACT VALUE. The sum of all amounts allocated or transferred to the
Fixed Account Options under the Contract, reduced by any applicable taxes, plus all interest
credited to the Fixed Account Options, adjusted for withdrawals (including any applicable charges
and adjustments for such withdrawals), transfers and charges.
FIXED ACCOUNT MINIMUM INTEREST RATE. The interest rate used to determine the Fixed
Account Minimum Value. The Fixed Account Minimum Interest Rate may vary by Redetermination
Period as described in the Accumulation Provisions. The Initial Fixed Account Minimum Interest
Rate is shown on the Contract Data Page.
FIXED ACCOUNT MINIMUM VALUE. Premiums, net of any applicable premium tax, and
transfers allocated to the Fixed Account Option, less transfers, withdrawals, and charges from the
Fixed Account Option, accumulated at the Fixed Account Minimum Interest Rate, less any
Withdrawal Charge or tax due.
FIXED ACCOUNT OPTION. A Contract Option within the Fixed Account for a specific period
under which the Current Interest Rate will be credited.
GOOD ORDER. The receipt by the Company of any and all information, documentation,
instructions and/or Premium deemed necessary by the Company to issue the Contract or execute
any transaction pursuant to the terms of the Contract.
INCOME DATE. The date on which annuity payments are to begin as described in the Income
Provisions.
INTEREST RATE ADJUSTMENT. An adjustment applied, with certain exceptions, to amounts
withdrawn or transferred from a Fixed Account Option prior to the end of the applicable Fixed
Account Option period.
INVESTMENT DIVISIONS. Separate and distinct divisions of the Separate Account to which
specific Underlying Mutual Fund shares are allocated, and for which Accumulation Units and
Annuity Units are separately maintained. The Contract Value in the Investment Divisions will go
up or down depending on the performance of the Underlying Mutual Funds.
VA770NY 6
DEFINITIONS (CONT'D)
ISSUE DATE. The date the Contract was issued by the Company. The Issue Date is shown on
the Contract Data Page.
JOINT OWNER. If there is more than one Owner, each Owner shall be a Joint Owner of the
Contract. Joint Owners have equal ownership rights and must each authorize any exercise of
those ownership rights under the Contract. The Company reserves the right to limit the number
of Joint Owners to two (2).
LATEST INCOME DATE. The Contract Anniversary on or next following the Owner's 95th
birthday under a Non-Qualified Plan Contract, or such earlier date required by the applicable
qualified plan, law or regulation.
NON-QUALIFIED PLAN. A retirement plan which does not qualify for favorable tax treatment
under Section 401, 403, 408, 408A or 457 of the Internal Revenue Code, as amended.
OWNER ("YOU," "YOUR"). The natural person(s) or entity(ies) so designated on the Contract
Data Page, or by subsequent designation, who is entitled to exercise all rights and privileges
under this Contract. Usually, but not always, the Owner is also the Annuitant. If Joint Owners are
designated, all references to Owner shall mean Joint Owners.
PREMIUM(S). Considerations paid into this Contract by or on behalf of the Owner.
QUALIFIED PLAN. A retirement plan which qualifies for favorable tax treatment under Section
401, 403, 408, 408A or 457 of the Internal Revenue Code, as amended.
REDETERMINATION DATE. The date the Fixed Account Minimum Interest Rate is reset as
described in the Fixed Account Minimum Interest Rate provision on page 16 of this Contract. It is
the date each January that coincides with the Issue Date. For example, if Your Contract's Issue
Date is May 23, the Redetermination Date will be January 23 each year following the Issued Date.
REDETERMINATION PERIOD. The twelve-month period beginning on each Redetermination
Date.
REMAINING PREMIUM. The total Premium reduced by withdrawals that incur Withdrawal
Charges and withdrawals of Premiums that are no longer subject to Withdrawal Charges.
SEPARATE ACCOUNT. A segregated asset account established and maintained by the
Company in accordance with applicable law in which a portion of the Company's assets have
been allocated for this and certain other contracts. The name of the Separate Account is shown
on the Contract Data Page.
SEPARATE ACCOUNT CONTRACT VALUE. The current value of the amounts allocated to the
Investment Divisions of this Contract.
SERVICE CENTER. The Company's administrative address and telephone number as specified
on the cover page of the Contract or as may be designated by the Company from time to time.
VA770NY 7
DEFINITIONS (CONT'D)
SOURCE OPTION. The Investment Division or Fixed Account Option made available by the
Company and selected by the Owner from which amounts will be transferred to a Designated
Option(s) pursuant to one of the Company's systematic investment programs.
UNDERLYING MUTUAL FUNDS. The registered management investment companies in which
assets of the Investment Divisions of the Separate Account will be invested.
WITHDRAWAL CHARGE. The charge assessed against certain withdrawals from the Contract.
The Withdrawal Charge Schedule is shown on the Contract Data Page.
WITHDRAWAL VALUE. The Contract Value, less any tax payable, applicable Withdrawal
Charges, Annual Contract Maintenance Charges, and charges due under any optional
endorsement to the Contract, adjusted for any applicable Interest Rate Adjustment.
VA770NY 8
GENERAL PROVISIONS
ANNUITANT. The Owner may change the Annuitant at any time prior to the Income Date, unless
the Owner is not a natural person. If the Owner is not a natural person, the age of the Annuitant
(or oldest Joint Annuitant) will be used in lieu of the Owner's age for all purposes under this
Contract, unless otherwise specified in the Contract. The Waiver of Withdrawal Charge for
Extended Care benefit will apply to the Annuitant when the Owner is not a natural person.
ASSIGNMENT. The Owner may assign this Contract before the Income Date. Unless You inform
us otherwise, an assignment will take effect on the date the request is signed by the Owner,
subject to action taken by the Company prior to the receipt in writing at the Company's Service
Center in Good Order. The Owner may exercise these rights subject to the interest of any
assignee or irrevocable Beneficiary. The Company assumes 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 legal and/or tax advice.
BENEFICIARY. The original primary Beneficiary(ies) will be shown on the Contract Data Page.
The Owner may change the Beneficiary(ies) by submitting a written, signed and dated request to
the Company's Service Center. However, if an irrevocable Beneficiary designation was previously
filed with the Company, the irrevocable Beneficiary must consent in writing to any change. Unless
You specify otherwise, a change in Beneficiary will take effect on the date the request is signed
by the Owner, subject to payments made or action taken by the Company prior to receipt in writing
at the Company's Service Center in Good Order.
CHARGES AND FEES. The Company may assess charges or fees under the Contract. Please
see the Contract Data Page for more information as to charges or fees.
The Annual Contract Maintenance Charge specified on the Contract Data Page will be deducted
on each Contract Anniversary that occurs on or prior to the Income Date. It will also be deducted
when the Contract Value is withdrawn in total if it does not occur on a Contract Anniversary.
CONFORMITY WITH LAWS. This Contract will be interpreted under the law of the state of New
York in which it is issued and any applicable federal laws. Any provision which, on the Issue Date,
is in conflict with New York law or any federal law is amended to conform to the minimum
requirements of such law. Non-conforming provisions may be enforced against the Company to
the extent provided by applicable New York or federal law.
DEFERMENT OF PAYMENTS. The Company may defer payment of a partial and/or total
withdrawal from a Fixed Account Option for a period not exceeding six (6) months after written
request for a withdrawal is received by the Service Center. If required, deferral for the six (6)
month period will be made after the Company requests and receives written approval from the
state regulatory official of the state of New York. The deferred amount will be credited any interest
pursuant to New York law. The Company will not defer death benefit payments, annuity payments,
previously scheduled guaranteed living benefit payments or payments made to comply with the
required minimum distribution requirements of the Internal Revenue Code, as applicable.
VA770NY 9
GENERAL PROVISIONS (CONT'D)
ENTIRE CONTRACT. The Contract, application, and any attached endorsements, riders and
amendments together make up the entire Contract between the Company and the Owner. All
statements made by the applicant for issuance of the Contract shall be deemed representations
and not warranties.
INCONTESTABILITY. The Company will not contest this Contract from its Issue Date, as shown
on the Contract Data Page.
MINIMUM BENEFITS. For any paid up annuity option, cash value or death benefit, the amount
available under this Contract will not be less than the minimum requirements of the state of New
York.
MISSTATEMENT OF AGE AND/OR GENDER. If there is a misstatement of the Owner's or
Annuitant's age and/or gender, the payments will be those that the Premiums paid would have
purchased at the correct age and/or gender as appropriate. Any underpayments or overpayments
will be adjusted immediately by the Company using an interest rate of 1% either as a credit to or
charge against the succeeding payments by the Company.
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 and filed with the New York Department of Financial Services prior to use. Written
consent of the Owner will be obtained prior to changing any terms and conditions of the Contract
in a manner that diminishes the Owner's rights and/or benefits under the Contract. No financial
representative or producer has authority to change or waive any provision of this Contract.
NONPARTICIPATING. This Contract does not share in the Company's surplus or earnings.
PROOF OF AGE, GENDER AND/OR SURVIVAL. The Company may require satisfactory proof
of correct age and/or gender at any time. If any payment under this Contract depends on the
Annuitant, Owner or Beneficiary being alive, the Company may require satisfactory proof of
survival.
PROTECTION OF PROCEEDS. Proceeds under this Contract are not assignable by any
Beneficiary prior to the time they become payable to the Beneficiary. To the extent permitted by
New York law, proceeds are not subject to the claims of creditors or to legal process.
REPORTS. The Company will send You a report at least once a year. The Company will also
send You reports as required by law. They shall be addressed to the last address of the Owner
known by the Company.
VA770NY 10
GENERAL PROVISIONS (CONT'D)
SUBSTITUTION OF INVESTMENT DIVISION(S). The Company may substitute any Underlying
Mutual Fund(s) with another Underlying Mutual Fund without Your consent. Substitution would
occur if the Company determines that the use of certain Underlying Mutual Fund(s) is no longer
possible or if the Company determines it is no longer appropriate for the purposes of the Contract.
No substitution will be made without notice to You and without prior approval of the New York
Department of Financial Services. Changes of Underlying Mutual Fund(s) are subject to the
federal securities laws and the laws of the state of New York. Should a substitution, addition, or
deletion occur, You will be allowed to select from the then current Investment Divisions and
substitution may be made with respect to both existing Contract Value in that Investment
Division(s) and the allocation of future Premiums.
SUSPENSION OF PAYMENTS. The Company may suspend or delay withdrawals of the
Separate Account Contract Value or transfers to or from an Investment Division for any period
when:
1. the NYSE is closed (other than customary weekend and holiday closings);
2. trading on the NYSE is restricted;
3. an emergency exists such that it is not reasonably practical to dispose of securities in the
Investment Division or to determine the value of its assets; or
4. the Securities and Exchange Commission, by order, so permits for the protection of Contract
Owners, provided that applicable rules and regulations of the Securities and Exchange
Commission will govern whether conditions described in (2) and (3) exist.
The Company will not suspend death benefit payments, annuity payments, previously scheduled
guaranteed living benefit payments or payments made to comply with required minimum
distribution requirements of the Internal Revenue Code, as applicable.
TAXES. The Company may deduct from the Contract Value any premium taxes or other taxes
arising from the Contract and payable to the state of New York or other government entity, if
applicable. Should the Company advance any amount so due, the Company does not waive any
right to collect such amounts at a later date. The Company will deduct any withholding taxes
required by applicable law as a result of any withdrawals or amounts payable from this Contract.
TRANSFER. The conditions for transfer between Contract Options are explained on the Contract
Data Page. The Company reserves the right to restrict the number, means and frequency of
transfers per year that may be requested by the Owner.
Your ability to make transfers also is subject to modification if the Company determines, at the
Company's discretion, that the exercise by one or more owners is, or would be, to the
disadvantage of other owners. Restrictions may be applied in any manner reasonably designed
to prevent any use of the transfer provision which is considered by the Company to be to the
disadvantage of other owners. A modification regarding Your ability to make transfers to or from
one or more of the Contract Options could include, but not be limited to:
1. The requirement of a minimum time period between each transfer;
2. Limiting transfer requests of an agent acting on behalf of one or more owners or under a
power of attorney on behalf of one or more owners;
3. Limiting the dollar amount that may be transferred at any one time.
VA770NY 11
GENERAL PROVISIONS (CONT'D)
The Company may impose restrictions on Your ability to make transfers to or from the 1-Year
Fixed Account Option. These restrictions include:
1. A restriction that transfers from the 1-Year Fixed Account Option in any Contract Year may
not exceed the maximum amount, which is equal to:
a. 1/3 of the Contract Value in the 1-Year Fixed Account Option as of the most recent
Contract Anniversary, in the first Contract Year that this restriction is in effect or if in the
prior Contract Year this restriction was in effect and the maximum amount was not
transferred from the 1-Year Fixed Account Option;
b. 1/2 of the Contract Value in the 1-Year Fixed Account Option as of the most recent
Contract Anniversary, if in the prior Contract Year this restriction was in effect and the
maximum amount was transferred from the 1-Year Fixed Account Option but in the second
prior Contract Year either the restriction was not in effect or the maximum amount was not
transferred;
c. the remaining Contract Value in the 1-Year Fixed Account Option, if in both of the two prior
Contract Years this restriction was in effect and the maximum amount was transferred
from the 1-Year Fixed Account Option.
If this restriction is imposed, the Company may:
a. limit Your ability to transfer into or allocate new Premium to the 1-Year Fixed Account
Option in any Contract Year You make a transfer from the 1-Year Fixed Account Option.
b. limit Your ability to transfer from the 1-Year Fixed Account Option in any Contract Year
You make a transfer into or allocate new Premium to the 1-Year Fixed Account Option.
c. require any transfers from the 1-Year Fixed Account Option to occur at least twelve (12)
months after the last transfer from the 1-Year Fixed Account Option in the previous
Contract Year.
If this restriction is imposed, systematic investment programs may be excluded; transfers
under such programs do not count against the maximum amount, and the Contract Value
under such programs is excluded from the determination of the maximum amount.
2. A systematic transfer program in the event that a restriction on transfers from the Fixed
Account Option(s) is imposed.
The Company may from time to time offer optional systematic investment programs that allow
You to transfer funds among the Investment Divisions and the Fixed Account Options. These
programs may include, but are not limited to, dollar cost averaging, portfolio rebalancing, and the
automatic monthly transfer of earnings from the 1-Year Fixed Account Option and/or money
market Investment Division to other Investment Divisions or Fixed Account Options. After issue
of Your Contract, You may elect one of these programs by contacting the Company's Service
Center, and the Company will furnish all necessary forms to request these programs. The
Company makes no guarantee that these programs will result in a profit or protect against loss in
a declining market.
For the optional dollar cost averaging program, You may authorize the automatic transfer of a
fixed dollar amount or selected percentage of the value of a Source Option, periodically to one or
more Designated Option(s). The intervals between transfers may be monthly, quarterly, semi-
annually, or annually.
VA770NY 12
GENERAL PROVISIONS (CONT'D)
The Company may also offer a Special Dollar Cost Averaging program which provides a special
interest rate(s) on new Premium allocated to the 1-Year Fixed Account Option (Source Option)
provided all amounts in the Source Option are transferred to the Designated Option(s) at a
monthly frequency within a 6-month or 12-month duration. The Company may elect not to offer
one or both durations at any time. When offered, You may elect this program on a form provided
by the Company, which discloses the program details and how the special interest rate is credited,
the available Designated Option(s) and the duration(s) available.
If You elected the Special Dollar Cost Averaging program when this Contract was issued, the
duration and interest rate will be specified on the Contract Data Page. If You elect this program
after issue of Your Contract, a confirmation showing the duration and interest rate applicable will
be sent to You. The predetermined level monthly transfer amount is calculated such that the entire
balance of the Source Option will be completely transferred by the end of the specified duration.
In order to participate in the Special Dollar Cost Averaging program, the Separate Account
Contract Value plus the Fixed Account Contract Value must be at least the minimum amount as
specified on the Contract Data Page. Upon the Owner's cancellation of this program, the
Company will transfer the Source Option balance, including any interest, into the Designated
Option(s) selected by the Owner.
WRITTEN NOTICE. Written information or instructions given to the Company by You must be in
Good Order. Any written request or notice You make to the Company must be sent to the Service
Center, unless the Company advises You otherwise. A notice relating to Owner, Beneficiary
designation or assignment changes shall take effect on the date signed by the Owner, subject to
action taken by the Company prior to receipt in writing at the Company's Service Center.
Otherwise, any other Written Notice takes effect on the date it was received at the Service Center.
Any notice the Company sends to the Owner will be sent to the Owner's last known address
unless the Owner requests otherwise in writing. It is Your responsibility to promptly provide the
Company notice of Your address change or any error in a Company notice sent to You.
VA770NY 13
ACCUMULATION PROVISIONS
An Owner may not allocate Contract Values to more than the maximum number of Contract
Options, specified on the Contract Data Page at any one time.
SEPARATE ACCOUNT. The Separate Account consists of assets the Company has set aside
and has kept separate from the Company's general account assets and other segregated asset
accounts. The Separate Account assets will not be charged with liabilities arising out of any other
business the Company may conduct. All the income, gains, and losses resulting from these assets
are credited to or charged against the contracts supported by the Separate Account, and not
against any other contracts the Company may issue. The assets of the Separate Account will be
available to cover the liabilities of the Company's general account only to the extent that the assets
of the Separate Account exceed the liabilities of the Separate Account arising under the Contracts
supported by the Separate Account. The Separate Account consists of several Investment
Divisions. The assets of the Separate Account shall be valued at least as often as any benefits of
this Contract, but in no event will such valuation be less frequently than monthly.
Accumulation Units. The Separate Account Contract Value may increase or decrease
depending on the performance of the Investment Divisions. In order to monitor the Separate
Account Contract Value during the accumulation phase, the Company uses a unit of measure
called an Accumulation Unit. The value of an Accumulation Unit may increase or decrease from
Business Day to Business Day. Adjustments to the Contract Value, such as withdrawals,
transfers, and charges, result in the redemption of Accumulation Units. However, these
adjustments do not affect the value of the Accumulation Units.
When You make an allocation to the Investment Divisions, the Company credits Your Contract
with Accumulation Units. The number of Accumulation Units credited is determined by dividing
the amount allocated to any Investment Division by the Accumulation Unit Value for that
Investment Division at the close of the Business Day when the allocation is made.
Accumulation Unit Value. The Company determines the value of an Accumulation Unit for each
of the Investment Divisions by:
1. determining the total amount of money invested in the particular Investment Division;
2. subtracting from that amount any Mortality and Expense Charge, Administration Charge, and
any other asset based charge for optional benefits and taxes;
3. dividing the remainder by the number of outstanding Accumulation Units.
FIXED ACCOUNT. For any amounts allocated to the Fixed Account, the Owner will select the
duration of the Fixed Account Option from those made available by the Company. Such amounts
will earn interest at the Current Interest Rate for the chosen duration, compounded annually
during the entire Fixed Account Option period. Subsequent Base Interest Rates may be higher or
lower than the Base Interest Rates previously declared by the Company.
VA770NY 14
ACCUMULATION PROVISIONS (CONT'D)
You may allocate Premiums, or make transfers from the Investment Divisions, to the Fixed
Account Options at any time prior to the Income Date, subject to the provisions of this Contract.
However, no Fixed Account Option period other than the 1-Year Fixed Account Option may be
chosen which extends beyond the Income Date. Withdrawals from a Fixed Account Option may
take place thirty (30) days following the end of the corresponding Fixed Account Option period
without being subject to an Interest Rate Adjustment.
Within at least fifteen (15) days, but not more than forty-five (45) days, prior to the end of any
Fixed Account Option period, We will notify You of Your ability to:
a) withdraw amounts allocated to the Fixed Account Option within thirty (30) days following the
end of such Fixed Account Option without an Interest Rate Adjustment;
b) elect any available Fixed Account Option of a different duration within thirty (30) days following
the end of such Fixed Account Option;
c) elect a transfer to Investment Division(s) within thirty (30) days following the end of such Fixed
Account Option; or
d) elect a Fixed Account Option with the same duration, if available, within thirty (30) days
following the end of such Fixed Account Option.
If the Owner does not specify a Fixed Account Option at the time of renewal, the Company will
select the same Fixed Account Option period as has just expired, provided the Fixed Account
Option period is available and does not extend beyond the Income Date. If such Fixed Account
Option period does extend beyond the Income Date, the Company will choose the longest Fixed
Account Option period that will not extend beyond such date. If a renewal occurs within one year
of the Income Date, the Company will credit interest up to the Income Date at the then Current
Interest Rate for the 1-Year Fixed Account Option. If the same Fixed Account Option period as
had just expired is not available and such Fixed Account Option period does not extend beyond
the Income Date, the Company will choose the next shortest Fixed Account Option period
available. If there are no Fixed Account Option periods available at the end of the Fixed Account
Option period the Company will default to a money market Investment Division, unless You
specify otherwise.
The Company may restrict or refuse future Premium payments, Premium allocation and transfers
to the Fixed Account Option(s) at any time, on a nondiscriminatory basis, if the yield on investment
would not support the minimum interest rate guaranteed under the Fixed Account(s). Should the
Company impose such restrictions, we will give at least thirty (30) days advance notice to the
Owner. We will also provide Written Notice when such restrictions no longer exist.
Fixed Account Contract Value. The Fixed Account Contract Value under the Contract shall be
the sum of all amounts allocated or transferred to the Fixed Account Options, reduced by any
applicable taxes, plus all interest credited to the Fixed Account Options, adjusted for withdrawals
(including any applicable charges and adjustments for such withdrawals), transfers and charges.
VA770NY 15
ACCUMULATION PROVISIONS (CONT'D)
Interest Rate Adjustment. Except in the thirty-day period following the end of a Fixed Account
Option, any amount withdrawn or transferred from a Fixed Account Option will be subject to an
Interest Rate Adjustment. The Interest Rate Adjustment will be calculated by multiplying the
amount withdrawn or transferred by the formula described below:
where:
I = The Base Interest Rate credited to the current Fixed Account Option period.
J = The Base Interest Rate that would be credited, at the time of withdrawal or transfer to a
new Fixed Account Option with a duration equal to the numbers of years remaining in the
current Fixed Account Option, increased by 0.25%. When no Fixed Account Option period
of the same duration is available, the rate will be established by linear interpolation.
m = Number of complete months remaining to the end of current Fixed Account Option.
There will be no Interest Rate Adjustment when J is greater than I by less than 0.25%.
In addition, the Interest Rate Adjustment will not be applied to:
1. the payment of death benefit proceeds;
2. amounts annuitized;
3. amounts withdrawn for Contract fees or charges;
4. amounts transferred or withdrawn from the 1-Year Fixed Account Option;
5. amounts required to satisfy required minimum distributions;
6. amounts withdrawn under the Additional Free Withdrawal provision; or
7. amounts withdrawn from a Fixed Account Option in the thirty-day period following the end of
a Fixed Account Option.
In no event will a total withdrawal from a Fixed Account Option be less than the Fixed Account
Minimum Value.
If the Company no longer issues guaranteed rate contracts, then items I and J of the Interest Rate
Adjustment will be determined by using the asked yield to maturity of the U.S. Treasury Notes
with the same remaining term, interpolating where necessary, as published in The Wall Street
Journal on the next succeeding Business Day following the effective date of the Interest Rate
Adjustment.
-1[1+ I ]
(m/12)
[1+ J ] (m/12)
VA770NY 16
ACCUMULATION PROVISIONS (CONT'D)
Fixed Account Minimum Interest Rate. On the Issue Date, the Initial Fixed Account Minimum
Interest Rate is shown on the Contract Data Page. On each subsequent Redetermination Date,
the Fixed Account Minimum Interest Rate will be redetermined. The redetermined rate will apply
for that Redetermination Period.
The Fixed Account Minimum Interest Rate will be equal to:
1. the average of all of the daily reported five-year Constant Maturity Treasury Rates during
October of the previous year, rounded to the nearest 1/20th of a percent; less,
2. 1.25%.
The Fixed Account Minimum Interest Rate determined by this calculation may not be less than
1% nor greater than 3%.
The Company will send You an annual notice of the redetermined Fixed Account Minimum
Interest Rate.
VA770NY 17
WITHDRAWAL PROVISIONS
At or before the Income Date, and while the Owner is living, the Owner may request a total or
partial withdrawal of the Contract Value by submitting a request to the Service Center on a
withdrawal form available from the Company. For a total withdrawal, this Contract must be
returned to the Company's Service Center.
Amounts withdrawn from the Contract Value may be subject to a Withdrawal Charge. In addition
to a Withdrawal Charge, a withdrawal from a Fixed Account Option may also incur an Interest
Rate Adjustment.
Upon a total withdrawal, the Owner will receive the Withdrawal Value. The Withdrawal Value will
be based on values at the end of the Business Day on which the request for withdrawal is received
at the Company's Service Center in Good Order.
In no event shall the amount withdrawn, whether a total withdrawal or partial withdrawal,
exceed the Withdrawal Value.
Each partial withdrawal must be for an amount which is not less than the minimum partial
withdrawal amount specified on the Contract Data Page or, if less, the Owner's entire interest in
the Investment Division or Fixed Account Option. If the Contract Value is less than the minimum
partial withdrawal amount specified on the Contract Data Page, any withdrawal will be treated as
a total withdrawal and the Withdrawal Value will be paid. The minimum withdrawal amount may
vary in connection with an automatic withdrawal program.
The Owner's interest in each Investment Division or Fixed Account Option from which the
withdrawal is requested must be at least equal to the minimum Contract Value specified on the
Contract Data Page after the withdrawal is completed or the Owner's entire interest in that
Investment Division or Fixed Account Option will be withdrawn.
The withdrawal will be made from each Investment Division and each Fixed Account Option in
proportion to their current value, unless otherwise specified. Withdrawals will be based on values
at the end of the Business Day on which the request for withdrawal is received in Good Order at
the Service Center.
The Company will waive the Withdrawal Charge and Interest Rate Adjustment on any withdrawal
necessary to satisfy the minimum distribution requirements of the Internal Revenue Code. Any
withdrawal in excess of the required minimum distribution will cause the entire amount to be
subject to any applicable Withdrawal Charge and/or Interest Rate Adjustment.
You may elect to take a systematic withdrawal by surrendering a specific sum or a certain
percentage on a monthly, quarterly, semiannual or annual basis, subject to the minimum partial
withdrawal amount made in connection with a systematic withdrawal program specified on the
Contract Data Page. Such withdrawals will be counted in determining the portion of the Contract
Value taken as an Additional Free Withdrawal. Systematic withdrawals in excess of the Additional
Free Withdrawal amount may be subject to a Withdrawal Charge and/or an Interest Rate
Adjustment.
VA770NY 18
WITHDRAWAL PROVISIONS (CONT'D)
WITHDRAWAL CHARGE. A Withdrawal Charge may be imposed upon certain withdrawals.
Withdrawal Charges will be calculated in accordance with the Withdrawal Charge Schedule
shown on the Contract Data Page. The Withdrawal Charge is equal to the Withdrawal Charge
percentage applied to the portion of Remaining Premium withdrawn. The Withdrawal Charge will
be taken from the Investment Divisions and the Fixed Account Options in the same proportion as
the requested withdrawal.
The Withdrawal Charge will be deducted from the remaining Contract Value such that the actual
reduction in the Contract Value as a result of the withdrawal will be greater than the withdrawal
amount requested and paid.
For purposes of determining the Withdrawal Charge, earnings are defined as the excess of the
Contract Value over the sum of Remaining Premiums. Withdrawals will be allocated first to
earnings, if any (which may be withdrawn free of any Withdrawal Charge), and second to
Remaining Premium on a first-in, first-out basis so that all withdrawals will be allocated to
Remaining Premium to which the lowest (if any) Withdrawal Charges apply.
ADDITIONAL FREE WITHDRAWAL. During a Contract Year, You may make partial withdrawals
from the Contract without the Withdrawal Charge and Interest Rate Adjustment being applied.
This Additional Free Withdrawal is equal to:
1. the Additional Free Withdrawal Percentage, as specified on the Contract Data Page, of
Premium that remains subject to Withdrawal Charges and that has not been previously
withdrawn (this can be utilized once or in segments throughout the Contract Year); less,
2. earnings, as defined in the Withdrawal Charge provision.
Any amount to satisfy the required minimum distribution would reduce the amount available under
Your Additional Free Withdrawal.
In no event shall the Additional Free Withdrawal exceed the Withdrawal Value.
Withdrawal Charges and Interest Rate Adjustments are waived on amounts withdrawn that are
less than or equal to the Additional Free Withdrawal. Although Additional Free Withdrawals
reduce Contract Value in either the Investment Division and/or the Fixed Account Option, they do
not reduce Remaining Premium. You will not receive the benefit of an Additional Free Withdrawal
if You take a total withdrawal. Withdrawals during the Contract Year in excess of the Additional
Free Withdrawal may be subject to a Withdrawal Charge and any applicable Interest Rate
Adjustment.
This Additional Free Withdrawal is non-cumulative; that is, Additional Free Withdrawals not taken
during any given Contract Year cannot be taken as Additional Free Withdrawals in a subsequent
Contract Year.
VA770NY 19
WITHDRAWAL PROVISIONS (CONT'D)
WAIVER OF WITHDRAWAL CHARGE FOR EXTENDED CARE. If the Owner is confined as an
inpatient to a Nursing Home or Hospital for ninety (90) consecutive days, a period during which
the Withdrawal Charge otherwise would normally apply, the Company will waive the Withdrawal
Charge on any amounts You request withdrawn from the Contract under this provision. The
amount(s) You request withdrawn from the Contract under this provision will not reduce
Remaining Premium.
Withdrawals made pursuant to this provision shall not exceed $250,000. If Your Contract Value
is less than $250,000, You may withdraw 100% of the Contract Value. Withdrawals will be taken
from the Separate Account Contract Value and the Fixed Account Contract Value as stated in the
Withdrawal Provisions of this Contract. A withdrawal from the Fixed Account Option(s) may be
subject to an Interest Rate Adjustment. This may mean an increase or decrease in the amount of
Your benefit.
You can utilize a claim under this benefit only once, regardless of the subsequent confinement
for the same condition or the occurrence of a different condition.
For the purpose of this benefit, the following definitions apply:
Hospital. A facility that:
1. is located within the United States or its territories;
2. which is operated pursuant to the law;
3. operates primarily for the care and treatment of sick and injured persons as inpatients;
4. provides continuous twenty-four (24) hour a day nursing service by or under the
supervision of a registered nurse (R.N.);
5. is supervised by a staff of licensed physicians; and
6. has medical and diagnostic facilities or has access to such facilities on a prearranged
basis.
Immediate Family - means the individual's spouse/domestic partner, child, brother, sister,
parent or grandparent.
Nursing Home. A facility that:
1. is licensed by the appropriate governmental licensing agency as a Nursing Home in the
state in which it operates such facilities;
2. is operated pursuant to the law;
3. charges patients for the care provided;
4. is primarily engaged in providing, in addition to room and board accommodations, nursing
care (skilled, intermediate or custodial) by or under the supervision of a licensed
Physician;
5. provides continuous twenty-four (24) hour a day nursing services by or under the
supervision of a registered nurse (R.N.);
6. has a licensed Physician available to furnish emergency medical care;
7. maintains a daily medical record of each patient; and
8. maintains control and records of dispensed medications.
VA770NY 20
WITHDRAWAL PROVISIONS (CONT'D)
Physician - means an individual who is licensed to practice medicine and treat illness or injury
in the state where treatment is received and who is acting within the scope of his or her license.
The term Physician only refers to a Physician licensed and currently practicing in the United
States or its territories. Physician does not include:
1. an Annuitant or Joint Annuitant;
2. an Owner or Joint Owner;
3. Beneficiary(ies);
4. a person who is part of the Annuitant's or Joint Annuitant's, Owner's or Joint Owner's
Immediate Family.
Physician's Statement - means a written statement, acceptable to the Company, signed by
a Physician which gives the Physician's diagnosis of the Owner's medical condition.
Once Your eligibility has been established, You may request one withdrawal or multiple
withdrawals during Your confinement subject to the maximum allowed. You are not eligible for
this waiver if:
1. You are confined to a Nursing Home or Hospital during the thirty-day period following the
Issue Date, unless such confinement is not related to a subsequent confinement for which
You request the waiver; or,
2. You are no longer confined to a Nursing Home or Hospital.
Confinement to the Nursing Home or Hospital must be prescribed by a Physician and be
medically necessary, meaning the confinement is appropriate and consistent with the
diagnosis in accordance with accepted standards of practice, and which could not have been
omitted without adversely affecting the confined Owner's condition.
Claim Requirements. Written Notice and proof of claim of the Owner's confinement must be
submitted to the Company at its Service Center ninety (90) days after the date the Owner
becomes confined to a Nursing Home or Hospital before a waiver will be considered pursuant to
this provision. Written proof includes: (1) a properly completed Company claim form, (2) Your
signed medical records release; and (3) a Physician's statement of condition satisfactory to the
Company. The Company reserves the right to request additional medical information from any
Physician, Hospital or Nursing Home. The Company may require, at its expense, an additional
examination by a Physician of its choice. If there is a discrepancy between medical opinions, the
opinion of the Company's Physician will govern.
A PAYMENT UNDER THIS PROVISION MAY BE TAXABLE. AS WITH ALL TAX MATTERS,
YOU ARE ENCOURAGED TO SEEK LEGAL AND/OR TAX ADVICE.
VA770NY 21
DEATH BENEFIT PROVISIONS
DEATH BENEFIT PROCEEDS. The settlement of the death proceeds will be made upon receipt
of proof of death in Good Order and will include any required interest from the date of death to
the date of settlement. Interest paid will be at the same rate as paid on death proceeds left with
the Company.
DEATH OF OWNER BEFORE THE INCOME DATE. Upon the death of the Owner, or any Joint
Owner, before the Income Date, the death benefit will be paid to the Beneficiary(ies) designated
by the Owner. If the Owner is not a natural person, the death of any Annuitant will be treated as
the death of the Owner and a new Annuitant may not be designated. In the event of the death of
a Joint Owner, the surviving Joint Owner, if any, will be the primary Beneficiary. Any other
beneficiary designation on record at the Service Center at the time of death will be treated as a
contingent Beneficiary.
DEATH BENEFIT AMOUNT BEFORE THE INCOME DATE. The death benefit is equal to the
greater of:
1. the current Contract Value; or
2. all Premiums (net of any applicable premium tax) paid into the Contract, less any withdrawals
and any applicable Contract charges assessed and adjustments to such withdrawals incurred
since the issuance of the Contract.
All adjustments will occur at the time of the withdrawal or Premium payment. All adjustments for
amounts withdrawn will reduce the death benefit in the same proportion that the Contract Value
was reduced on the date of such withdrawal.
The death benefit amount will be determined as of the end of the Business Day when Due Proof
of the Owner's death satisfactory to the Company and an election as to the type of death benefit
option is received by the Company at its Service Center in Good Order.
From the time of death of the Owner until the death benefit amount is determined, any amount
allocated to an Investment Division will be subject to investment risk. This investment risk is borne
by the Beneficiary(ies).
DEATH BENEFIT OPTIONS BEFORE INCOME DATE. In the event of the death of the Owner
or any Joint Owner before the Income Date, a Beneficiary must request that the death benefit be
paid under one of the death benefit options set out below unless the Owner did so previously.
The following are the available death benefit options:
Option 1 - single lump-sum payment of the death benefit; or
Option 2 - payment of the entire death benefit within five (5) years of the date of the death
of the Owner or any Joint Owner; or
Option 3 - payment of the death benefit under an income option over the lifetime of the
Beneficiary or over a period not extending beyond the life expectancy of the Beneficiary,
with distribution beginning within one (1) year of the date of the death of the Owner or
Joint Owner.
VA770NY 22
DEATH BENEFIT PROVISIONS (CONT'D)
Any portion of the death benefit not applied under Option 3 within one (1) year of the date of the
Owner's death must be distributed within five (5) years of the date of the Owner's death.
If a single lump-sum payment is requested, the amount will be paid within seven (7) calendar days
of receipt of proof of death and the election in Good Order at the Company's Service Center.
Payment to the Beneficiary, other than in a single lump-sum, may only be elected during the sixty-
day period beginning with the date of receipt of Due Proof of death by the Service Center.
Spousal Continuation Option. If the Joint Owner, if any, or the Beneficiary is the spouse of the
deceased Owner, he or she may elect to continue the Contract in his or her own name, at the
current Contract Value, and exercise all the Owner's rights under the Contract in lieu of taking the
death benefit as a lump-sum payment. Optional guaranteed minimum death benefits will be
terminated upon utilization of the Spousal Continuation Option.
Special Spousal Continuation Option. In lieu of taking the death benefit as a lump-sum
payment or continuing the Contract at the then current Contract Value, if the Beneficiary is the
spouse of the Contract Owner, he or she may elect to continue the Contract at an adjusted
Contract Value as described below. The spouse will then exercise all the Contract Owner's rights
under the Contract. The date that the Company receives the spouse's written request to continue
the Contract, under this Special Spousal Continuation Option, and proof of the death of the
Contract Owner in Good Order will be referred to as the Continuation Date.
The Contract Value for the continuing Contract will be adjusted so that it will equal the amount of
the death benefit that would have been payable as a lump-sum payment at Your death. If the
Contract Value on the Continuation Date is less than the death benefit, an amount will be added
to the Contract Value to make up the difference. This amount is referred to as the Continuation
Adjustment. The Continuation Adjustment will be allocated among the Contract Options in
accordance with the current instructions for the Contract, subject to any minimum allocation
restrictions unless the Company receives other allocation instructions with the Special Spousal
Continuation Option election. Withdrawal Charges will continue with the same schedule as prior
to the initial Owner's death. However, no Withdrawal Charge schedule will apply to the
Continuation Adjustment.
For purposes of determining future death benefits under the continuing Contract, the Contract
Value following the application of any Continuation Adjustment will be considered as the initial
Premium of the continuing Contract. Any future death benefit will be determined on that basis and
will use the age of the surviving spouse on the Continuation Date.
This Special Spousal Continuation Option can only be exercised one time under this Contract,
but may not be available if the Owner elected to pre-select the death benefit option. Any benefit
available under this Special Spousal Continuation Option will end upon the change of ownership
or assignment of the Contract. Optional guaranteed minimum death benefits will be terminated
upon utilization of the Special Spousal Continuation Option.
VA770NY 23
DEATH BENEFIT PROVISIONS (CONT'D)
Pre-selected Death Benefit Option Election. Prior to the Income Date, as applicable, the Owner
may designate the death benefit option under which the death benefit will be paid under this
Contract. This designation of the death benefit option must be given in a form acceptable to the
Company, and will take effect only after being recorded by the Company.
The Owner may elect any death benefit option described in this Contract, or other death benefit
option, as agreed upon by the Company at the time of election. Once elected, the designation
can only be revoked or changed by the Owner in a form acceptable to the Company. Upon the
death of the Owner, the Beneficiary may not revoke or modify the death benefit option elected,
subject to the requirements of the Internal Revenue Code. However, at the time of the Owner's
death, the Company reserves the right to change or modify the death benefit option if the death
benefit option previously elected exceeds the life expectancy of the Beneficiary. If a Pre-selected
Death Benefit Option Election is not made by the Owner prior to the Owner's death, the
Beneficiary may request that the death benefit be paid under any of the death benefit options
described in this Contract, or other death benefit option, as agreed upon by the Company at the
time of request.
If a Pre-selected Death Benefit Option Election is in force at the time of the Owner's death, the
payment of the death benefit may not be postponed, nor can the Contract be continued under any
provisions of this Contract. These restrictions apply even if the Beneficiary is the spouse of the
Owner, unless such restriction is prohibited under Section 72(s) of the Internal Revenue Code.
DEATH OF OWNER AFTER THE INCOME DATE. If the Owner or any Joint Owner, who is not
the Annuitant, dies after the Income Date, any remaining payments under the income option
elected will continue at least as rapidly as under the method of distribution in effect at the Owner's
death. Upon the Owner's death after the Income Date, the Beneficiary becomes the Owner.
DEATH OF ANNUITANT BEFORE INCOME DATE. Upon the death of an Annuitant who is not
an Owner before the Income Date, the Contract remains in force and the Owner will become the
Annuitant. The Owner may designate a new Annuitant. However, if the Owner is not a natural
person, the death of the primary Annuitant will be treated as the death of the Owner and a new
Annuitant may not be designated.
DEATH OF ANNUITANT AFTER INCOME DATE. Upon the death of the Annuitant after the
Income Date, the death benefit, if any, will be as specified in the income option elected. Death
benefits will be paid at least as rapidly as under the method of distribution in effect at the
Annuitant's death.
VA770NY 24
DEATH BENEFIT PROVISIONS (CONT'D)
DEATH OF BENEFICIARY BEFORE THE INCOME DATE. The interest of any Beneficiary who
dies before the Owner will end at the death of the Beneficiary. The interest of any Beneficiary who
dies at the time of or within ten (10) days after the death of the Owner will also end if no death
benefit has been paid to the Beneficiary. The death benefit will be paid in equal shares to the
living primary Beneficiary(ies), unless otherwise stated. If no primary Beneficiary(ies) survives the
Owner, death benefits will be paid to any surviving contingent Beneficiary(ies), if named, in equal
shares, 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. If the Owner is not a natural person, the death
of any Annuitant will be treated as the death of the Owner.
DEATH OF BENEFICIARY AFTER THE INCOME DATE. The interest of any Beneficiary who
dies before the Annuitant (death of the second Joint Annuitant, if Joint Annuitants) will end at the
death of the Beneficiary. The interest of any Beneficiary who dies at the time of or within ten (10)
days after the death of the Annuitant will also end if no death benefit has been paid to the
Beneficiary. The death benefit will be paid in equal shares to the living primary Beneficiary(ies),
unless otherwise stated. If no primary Beneficiary(ies) survives the Annuitant, death benefits will
be paid to any surviving contingent Beneficiary(ies), if named, in equal shares, unless otherwise
stated. If there are no surviving Beneficiaries at the death of the Annuitant, the death benefit will
be paid to the living Owner. If the Owner does not survive the Annuitant, the death benefit will be
paid to the Annuitant's estate.
VA770NY 25
INCOME PROVISIONS
INCOME DATE. The date on which annuity payments are to begin. The Income Date may not be
sooner than thirteen (13) months from the Issue Date of the Contract. If no Income Date is
selected, the Income Date will be the Latest Income Date. At any time at least seven (7) days
prior to the Income Date then indicated on the Company's records, the Owner may change the
Income Date by Written Notice to the Company's Service Center, subject to the Latest Income
Date.
INCOME OPTIONS. The Owner, or any Beneficiary who is so entitled, may elect to receive a
single lump-sum distribution. However, a single lump-sum distribution will be deemed to be a total
withdrawal and will terminate the Contract. Alternatively, an income option may be elected. The
Owner may, upon prior Written Notice to the Company at its Service Center, elect an income
option at any time prior to the Income Date or change an income option up to seven (7) days
before the Income Date. Unless otherwise designated, the Owner will be the payee.
If no other income option is elected, monthly annuity payments will be made in accordance with
Option 3 below, a life annuity with 120-month period certain. Payments will be made in monthly,
quarterly, semiannual or annual installments as selected by the Owner. However, if the amount
available to apply under an income option is less than $2,000, and New York law permits, the
Company has the right to make payments in one single lump-sum. The single lump-sum payment
will not be less than would have been applied under an income option. In addition, if the first
payment provided would be less than $20, and New York law permits, the Company may require
payments to be made at quarterly, semiannual or annual intervals so as to result in an initial
payment of at least $20, and the Company has the right to make one single lump-sum payment.
Income payments on the Income Date will not be less than those that would be provided by the
application of the Contract Value to purchase a single premium immediate annuity contract at
purchase rates offered by the Company at that time to the same class of annuitants. The amount
at annuitization will not be less than the greater of the Withdrawal Value or 95% of the Contract
Value after being adjusted by the Interest Rate Adjustment.
NO WITHDRAWALS OF CONTRACT VALUE ARE PERMITTED DURING THE ANNUITY
PERIOD FOR ANY INCOME OPTION UNDER WHICH PAYMENTS ARE BEING MADE
PURSUANT TO LIFE CONTINGENCIES.
Upon written election filed with the Company at its Service Center, the Contract Value will be
applied to provide one of the following income options.
OPTION 1 - LIFE INCOME. An annuity payable monthly during the lifetime of the Annuitant. Under
this income option, no further payments are payable after the death of the Annuitant, and there is
no provision for a death benefit payable to the Owner. Therefore, it is possible under Option 1 for
the Owner to receive only one (1) monthly annuity payment under this income option. In the event
of the death of the Annuitant after the Income Date and prior to the first monthly annuity payment,
the amount allocated to the income option will be paid to the Owner or the Owner's Beneficiary.
VA770NY 26
INCOME PROVISIONS (CONT'D)
OPTION 2 - JOINT AND SURVIVOR. An annuity payable monthly while both the Annuitant and
a designated second person are living. Upon the death of either person, the monthly annuity
payments will continue during the lifetime of the survivor at either the full amount previously
payable or as a percentage (either one-half or two-thirds) of the full amount, as chosen at the time
of election of the income options. If a reduced annuity payment to the survivor is desired, variable
annuity payments will be determined using either one-half or two-thirds of the number of each
type of Annuity Unit credited. Fixed annuity payments will be equal to either one-half or two-thirds
of the fixed annuity payment payable during the joint life of the Annuitant and the designated
second person.
Annuity payments terminate automatically and immediately upon the death of the surviving person
without regard to the number or total amount of payments received. There is no minimum number
of fixed annuity payments, and it is possible to have only one (1) annuity payment if both the
Annuitant and the designated second person die before the due date of the second payment. In
the event of the death of the Annuitant after the Income Date and prior to the first monthly annuity
payment, the amount allocated to the income option will be paid to the Owner or the Owner's
Beneficiary.
OPTION 3 - LIFE ANNUITY WITH 120 OR 240 MONTHLY PERIODS GUARANTEED. An
annuity payable monthly during the lifetime of the Annuitant with the guarantee that if, at the death
of the Annuitant, payments have been made for fewer than the guaranteed 120 or 240 monthly
periods, as elected, the balance of the guaranteed number of payments will continue to be made
to the Owner as scheduled. In the event the Owner dies before the specified number of
guaranteed payments has been made, the Beneficiary(ies) may elect to continue receiving the
fixed and variable payments according to the terms of this Contract or may alternatively elect to
receive the present value of any remaining guaranteed payments in a single lump-sum, the
amount of which is calculated by the Company. The present value of any remaining guaranteed
payments will be based on the total annuity payment as of the date of the calculation. The present
value of any remaining payments will be calculated using the interest rate originally used to
determine the benefit payments upon annuitization.
OPTION 4 - INCOME FOR A SPECIFIED PERIOD. Under this income option, the Owner can
elect monthly payments for any number of years from 5 to 30. This election must be made for full
12-month periods. In the event the Owner dies before the specified number of payments has been
made, the Beneficiary(ies) may elect to continue receiving the fixed and variable payments
according to the terms of this Contract or may alternatively elect to receive the present value of
any remaining guaranteed payments in a single lump-sum, the amount of which is calculated by
the Company. The present value of any remaining guaranteed payments will be based on the
total annuity payment as of the date of the calculation.
ADDITIONAL OPTIONS. Other income options may be made available by the Company.
VA770NY 27
INCOME PROVISIONS (CONT'D)
The Owner may elect either fixed or variable annuity payments as described below.
FIXED ANNUITY PAYMENTS. To the extent a fixed income option has been elected, the
Contract Value allocated to the fixed annuity payment option, less any applicable Premium taxes,
shall be applied to the payment of the income option elected at annuity rates at least as great as
the annuity rates based upon the Table of Income Options specified in the Contract.
In no event will the fixed payments be changed once they begin.
VARIABLE ANNUITY PAYMENT. The initial variable annuity payment is determined by taking
the Contract Value allocated to each Investment Division, less any applicable Premium taxes,
and then applying it to the Table of Income Options specified in the Contract.
The first variable annuity payment is divided by the value of an Annuity Unit as of the Income Date
to establish the number of Annuity Units representing each variable annuity payment. The number
of Annuity Units determined for the first variable annuity payment remains constant for the second
and subsequent variable annuity payments, assuming that no reallocation of Contract Values is
made.
The amount of the second and each subsequent variable annuity payment is determined by
multiplying the number of Annuity Units by the Annuity Unit Value as of the Business Day next
preceding the date on which each payment is due.
Neither expenses actually incurred, other than taxes on the investment return, nor mortality
actually experienced, shall adversely affect the dollar amount of variable annuity payments after
such payments have commenced.
ANNUITY UNIT VALUE. The initial value of an Annuity Unit of each Investment Division was set
when the Investment Divisions were established. The value may increase or decrease from one
Business Day to the next. The Table of Income Options contained in the Contract is based on the
assumed net investment rates described in the Basis of Computation provision. If the actual net
investment rate experienced by an Investment Division exceeds the assumed net investment rate,
variable annuity payments will increase over time. Conversely, if the actual net investment rate is
less than the assumed net investment rate, variable annuity payments will decrease over time. If
the actual net investment rate equals the assumed net investment rate, the variable annuity
payments will remain constant.
The value of a fixed number of Annuity Units will reflect the investment performance of the
Investment Divisions, and the amount of each payment will vary accordingly.
VA770NY 28
INCOME PROVISIONS (CONT'D)
For each Investment Division, the value of an Annuity Unit for any Business Day is determined
by multiplying the Annuity Unit Value for the immediately preceding Business Day by the net
investment factor for the Business Day for which the Annuity Unit Value is being calculated. The
result is then multiplied by a second factor which offsets the effect of the assumed net investment
rate. The net investment factor, which reflects changes in the net asset value of Investment
Divisions, is determined by dividing 1. by 2., and then subtracting 3. from the result, where:
1. Is the net result of:
a. the net asset value of an Investment Division determined as of the end of the Business
Day, plus
b. the per share amount of any dividend or other distribution declared by the Investment
Division if the "ex-dividend" date occurs on the Business Day, plus or minus
c. a per share credit or charge with respect to any taxes paid or reserved for by the Company
which are determined by the Company to be attributable to the operation of the Investment
Division (no federal income taxes are applicable under present law);
2. Is the net asset value of the Investment Division determined as of the end of the preceding
Business Day; and
3. Is the asset charge factor determined by the Company for the Business Day to reflect the
applicable Mortality and Expense Charge, and the Administration Charge.
VA770NY 29
TERMINATION PROVISION
This Contract will terminate and all benefits under this Contract will cease on the earlier of:
1. the date of a total withdrawal;
2. the date the Contract Value falls to zero for any reason; or
3. the date upon which Due Proof of death of the Owner (or any Joint Owner) and an election of
the type of payment to the Beneficiary(ies) is received at our Service Center in Good Order,
unless continued by the spouse under the Spousal Continuation Option or the Special Spousal
Continuation Option.