Aetna Life Insurance and Annuity Company
Home Office: 000 XXXXXXXXXX XXX.
HARTFORD, CONNECTICUT 06156
0-000-000-0000
Herein called Aetna
Agrees to pay the benefits stated in this Contract.
THE VARIABLE FEATURES OF THIS CONTRACT ARE DESCRIBED IN PARTS III AND IV.
RIGHT TO CANCEL
The Contract Owner may cancel this Contract within 10 days of receiving it, by
returning this Contract along with a written notice to Aetna at its Home Office.
Within 7 days after it receives the notice of cancellation and this Contract at
its Home Office, Aetna will return the entire consideration paid; plus any
increase or minus any decrease in the cash value of any funds allocated to the
Separate Accounts.
This page, the following pages, and the application make up the entire Contract.
Signed at the Home Office on the Effective Date.
/s/ Xxxxxxx X. Xxxxxxxxx /s/ Xxx Xxxxxxx
Secretary President
INDIVIDUAL VARIABLE, FIXED, OR COMBINATION ANNUITY CONTRACT
NON-PARTICIPATING
ALL PAYMENTS AND VALUES PROVIDED BY THIS CONTRACT,
WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT,
ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT.
SPECIFICATIONS
CONTRACT OWNER
CONTRACT NO.
EFFECTIVE DATE
THIS CONTRACT IS DELIVERED IN
AND IS SUBJECT TO THE LAWS OF THAT JURISDICTION
Guaranteed Interest Rate - There is a guaranteed interest rate for Purchase
Payment(s) held in the General Account. (See 3.02.)
Deductions from the Separate Account - There will be deductions for mortality
and expense risks and administrative fees. (See 3.05.)
Deduction from Purchase Payment(s) - Purchase Payment(s) are subject to a
deduction for premium taxes, if any. (See 3.01.)
This Contract is a legal contract and constitutes the entire legal relationship
between Aetna and the Contract Owner.
READ THIS CONTRACT CAREFULLY. This Contract sets forth, in detail, all of the
rights and obligations of both you and Aetna. IT IS THEREFORE IMPORTANT THAT YOU
READ THIS CONTRACT CAREFULLY.
2
TABLE OF CONTENTS
Page
I. GENERAL DEFINITIONS
1.01. Annuitant ............................................................ 5
1.02. Xxxxxxx .............................................................. 5
1.03. Fixed Account ........................................................ 5
1.04. Fixed Annuity ........................................................ 5
1.05. Fund(s) .............................................................. 5
1.06. General Account ...................................................... 5
1.07. Purchase Payment(s) .................................................. 5
1.08. Separate Account ..................................................... 5
1.09. Valuation Period (Period) ............................................ 5
1.10. Variable Annuity ..................................................... 5
II. GENERAL PROVISIONS
2.01. Change of Contract ................................................... 6
2.02. Change of Fund(s) .................................................... 6
2.03. Nonparticipating Contract ............................................ 6
2.04. Payments ............................................................. 6
2.05. State Laws ........................................................... 6
2.06. Control of Contract .................................................. 6
2.07. Designation of Beneficiary ........................................... 7
2.08. Misstatements and Adjustments ........................................ 7
2.09. Incontestability ..................................................... 7
2.10. Grace Period ......................................................... 7
III. PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS
3.01. Net Purchase Payment(s) .............................................. 8
3.02. Guaranteed Interest Rate -- Fixed Account ............................ 8
3.03. Maintenance Fee ...................................................... 8
3.04. Fund(s) Record Units -- Separate Account ............................. 8
3.05. Net Return Factor(s) -- Separate Account ............................. 8
3.06. Fund(s) Record Unit Value -- Separate Account ........................ 9
3.07. Current Value ........................................................ 9
3.08. Transfer of Current Value from the Funds ............................. 9
3.09. Transfer of Current Value from the Fixed Account ..................... 9
3.10. Notice to the Contract Owner ......................................... 9
3.11. Sum Payable at Death (Before Annuity Payments Start) ................. 9
3.12. Surrender Value ...................................................... 10
3.13. Payment of Surrender Value ........................................... 10
3.14. Table of Minimum Values .............................................. 11
3.15. Reinstatement ........................................................ 12
3.16. Payment of Current Value ............................................. 12
3
IV. ANNUITY PROVISIONS
4.01. Choices to be Made ................................................... 13
4.02. Terms of Annuity Options ............................................. 13
4.03. Death of Annuitant/Beneficiary ....................................... 13
4.04. Fund(s) Annuity Units -- Separate Account ............................ 13
4.05. Fund(s) Annuity Unit Value -- Separate Account ....................... 14
4.06. Annuity Options ...................................................... 14
4
I. GENERAL DEFINITIONS
1.01. Annuitant - A person on whose life an Xxxxxxx has been effected under
this Contract.
1.02. Annuity - Payment of an income:
(a) For the life of one or two persons;
(b) For a stated period, or amount; or
(c) For a combination of (a) and (b).
1.03. Fixed Account - An accumulation option with a guaranteed minimum interest
rate. Aetna may credit a higher rate which is not guaranteed.
1.04. Fixed Annuity - An Annuity with payments which do not vary in amount.
1.05. Fund(s) - The open-end registered management investment companies
(mutual funds) made available by Aetna under this Contract.
1.06. General Account - The Account holding the assets of Aetna, other than
those assets held in the Separate Account.
1.07. Purchase Payment(s) - Payment(s) made to Aetna.
1.08. Separate Account - Variable Annuity Account B is a separate account set
up by Aetna under the Connecticut Insurance Laws which purchases shares
of the Fund(s).
1.09. Valuation Period (Period) - The period of time from the end of one
business day on the New York Stock Exchange to the end of the next
business day.
1.10. Variable Annuity - An Annuity with payments which vary with the net
investment results of a Separate Account.
5
II. GENERAL PROVISION
2.01. Change of Contract: Only an authorized officer of Aetna may change the
terms of this Contract. Aetna will notify the Contract Owner in writing
at least 30 days before the effective date of any change. Any change will
not affect the amount or terms of any Annuity which begins before the
change. Aetna may elect to discontinue accepting Purchase Payment(s)
under this Contract upon 30 days written notice to the Contract Owner.
The following provisions of this Contract will not be changed:
(a) Net Purchase Payment(s);
(b) Guaranteed Interest Rate - Fixed Account;
(c) Net Return Factor(s) - Separate Account;
(d) Current Value;
(e) Surrender Value;
(f) Fund(s) Annuity Unit Value - Separate Account;
(g) Annuity Options;
(h) Fixed Annuity minimum interest rate;
(i) Maximum transfer, maintenance, or surrender fees.
This Contract may also be changed as required by federal or state law.
2.02. Change of Fund(s): Aetna, or the Separate Account and the Fund(s), may:
(a) Change the Fund(s) which may be invested in by the Separate Account;
and
(b) Replace the shares of any Fund(s) held in the Separate Account with
shares of any other Fund(s).
Changes must be:
(a) Approved by a majority vote of persons having an interest in the
Separate Account and the Fund(s); or
(b) Deemed necessary by Aetna under the Investment Company Act of 1940;
or
(c) Deemed necessary by Aetna to accomplish the purpose of the Separate
Account.
Aetna will notify the Contract Owner of any change.
2.03. Nonparticipating Contract: The Contract Owner, Annuitant, or
beneficiaries will not have a right to share in the earnings of Aetna.
2.04. Payments: Aetna will make Annuity payments as and when due. Aetna will
make other payments within 7 days of receipt at its Home Office of a
written claim for payment which is in good order, except as provided in
3.13.
2.05. State Laws: This Contract complies with the laws of the state in which it
is delivered. Any cash, death, or Annuity payments are equal to or
greater than the minimum required by such laws. Annuity tables for legal
reserve valuation shall be as required by state law. Such tables may be
different from annuity tables used to determine Annuity payments.
2.06. Control of Contract: All rights in this Contract rest with the Contract
Owner. The Contract Owner owns all amounts held under this Contract. The
Contract Owner may make any choices allowed by this Contract. Choices
made under this Contract must be in writing. Until receipt of such
choices at its
6
Home Office, Aetna may rely on any previous choices made
2.07. Designation of Beneficiary: The Contract Owner shall name the
beneficiary. The beneficiary may be changed at any time. Until receipt of
written notice of change of beneficiary, Aetna may rely upon the last
named beneficiary.
2.08. Misstatements and Adjustments: If Aetna finds the age, or any relevant
acts to be misstated, the correct facts will be used to adjust payments.
2.09. Incontestability: Aetna cannot cancel this Contract because of any error
of fact on the application.
2.10. Grace Period: This Contract will remain in effect even if Purchase
Payments are not continued.
7
III. PURCHASE PAYMENT, CURRENT
VALUE, AND SURRENDER PROVISIONS
3.01. Net Purchase Payment(s): The actual Purchase Payment(s) less any premium
tax. As a rule, Aetna will deduct the premium tax when Annuity benefits
are purchased (see Part IV). If Aetna determines that it must pay a
premium tax when Purchase Payments are received or at any other time, it
will deduct the tax at that time. Aetna may elect to discontinue
accepting Purchase Payment(s) under this Contract upon 30 days' written
notice to the Contract Owner.
The Net Purchase Payment(s) will be credited to:
(a) The Fixed Account; or
(b) The Fund(s) in which the Separate Account invests.
Aetna must be told the percentage of the Net Purchase Payment(s) to be
applied to each investment above.
During any calendar year, Aetna may be told to change the investment mix
12 times if more than one Purchase Payment is made. Should Aetna allow
additional changes, each may be subject to a fee of up to $10.
3.02. Guaranteed Interest Rate - Fixed Account: On any Purchase Payment(s) made
to the Fixed Account, Aetna will add interest daily at any annual rate no
less than 4%. Aetna may add interest daily at any higher rate determined
by its Board of Directors.
3.03. Maintenance Fee: The Maintenance Fee, will be $15. The Maintenance Fee
will be deducted from the Current Value on the anniversary of the
Contract effective date and on surrender of the entire Contract.
3.04. Fund(s) Record Units - Separate Account: The portion of the Net Purchase
Payment(s) applied to the Separate Account will determine the number of
Fund(s) Record Units. This number is equal to the Net Purchase Payment(s)
divided by the Fund(s) Record Unit Value (see 3.06) for the Valuation
Period in which the Purchase Payment is received in good order.
3.05. Net Return Factor(s) - Separate Account: The Net Return Factors are used
to compute all Separate Account values and payments for any Fund.
The Net Return Factor for each Fund is equal to 1.0000000 plus the Net
Return Rate. The Net Return Rate is equal to:
(a) The value of the shares of the Fund held by the Separate Account at
the end of a Valuation Period; minus
(b) The value of the shares of the Fund held by the Separate Account at
the start of the Valuation Period; plus or minus
(c) Taxes (or reserves for taxes) on the Separate Account (if any);
divided by
(d) The total value of the Fund Record Units and Fund Annuity Units of
the Separate Account (see 3.06 and 4.05) at the start of the
Valuation Period; minus
(e) A daily actuarial charge at an annual rate of 1.25% for annuity
mortality and expense risks and profit; and a daily administrative
charge which will not exceed .25% on an annual basis.
A Net Return Rate may be more or less than 0.
The value of a share of the Fund is equal to the net assets of the Fund
divided by the number of shares outstanding.
The administrative charge may be changed annually except for amounts
which have been used to purchase an Annuity. This charge will not exceed
.25%.
8
3.06. Fund(s) Record Unit Value - Separate Account: The Fund(s) Record Unit
Value is computed by multiplying the Net Return Factor for the current
Valuation Period by the Fund(s) Record Unit Value for the previous
Period. The dollar value of the Fund(s) Record Units, Separate Account
assets, and Variable Annuity payments may go up or down due to investment
gain or loss.
3.07. Current Value: The Current Value (of this Contract) is equal to:
(a) Any amounts in the Fixed Account, including Fixed Account interest
added by Aetna; plus
(b) The sum of any Separate Account Record Unit value(s); less
(c) Any Maintenance Fee(s) due.
Current Value does not include amounts used to purchase an Annuity.
3.08. Transfer of Current Value from the Funds: Before an Annuity Option is
elected, all or any portion of the Current Value may be transferred from
any Fund to any other Fund or to the Fixed Account.
Twelve transfers of Current Value can be made during a calendar year
period. Should Aetna allow additional changes, each may be subject to a
fee of up to $10.
3.09. Transfer of Current Value from the Fixed Account: 10% and/or less of the
Current Value held in the Fixed Account may be transferred to any
Fund(s). Such transfer will be:
(a) Without charge;
(b) Allowed once per calendar year;
(c) Not allowed under an annuity option.
Aetna may, on a temporary basis, allow any larger percent to be
transferred.
The Current Value of the Fixed Account, as used above, is the value when
the request is received at the Home Office of Aetna.
3.10. Notice to the Contract Owner: Aetna will notify the Contract Owner each
year of:
(a) The value of any amounts held in:
(1) The Fixed Account; and
(2) The Fund(s) for the Separate Account; and
(b) The number of any Fund(s) Record Units;
(c) The Fund(s) Record Unit Value(s); and
(d) The Surrender Value of these amounts.
Such number or values will be as of a date no more than 60 days before
the date of the notice.
3.11. Sum Payable at Death (Before Annuity Payments Start): Aetna will pay the
Current Value to the beneficiary if:
(a) The Contract Owner dies before Annuity payments start; and
(b) The notice of death is received in good order by Aetna.
The sum paid will be the Current Value on the date when the notice is
received at Aetna's Home Office. The amount paid from the Fixed Account
will not be less than the Net Purchase Payment(s) allocated to the Fixed
Account including Fixed Account interest added by Aetna (less any prior
transfers (see 3.09) or surrenders).
The following choices are available to any beneficiary subject to any
other terms and
9
conditions of this contract and this section. The beneficiary may choose
to:
(a) Apply any sum to an Annuity Option (see Part IV). In no event may
payments to any beneficiary under an Annuity Option extend beyond the
life expectancy of the beneficiary or any period certain greater than
the beneficiary's life expectancy;
(b) Maintain the Contract, allocate or reallocate any amount to any of
the available investment options; or
(c) Receive a lump sum payment.
If the beneficiary is the surviving spouse, the beneficiary shall be
treated as the successor Contract Owner on Aetna's records. Such
successor Contract Owner may exercise all rights under the Contract.
If the beneficiary is not the surviving spouse, all of the Current Value
must either be applied to Annuity Options 2, 3 or 4 within one year of
the Contract Owner's death, or be paid to the beneficiary within 5 years
of the Contract Owner's death (see Part IV).
If no beneficiary exists, payment will be made to the estate of the
Contract Owner.
3.12. Surrender Value: The Surrender Value is equal to the Current Value less
the Maintenance Fee.
3.13. Payment of Surrender Value: Under certain emergency conditions, Aetna may
defer payment:
(a) For a period of up to 6 months (unless not allowed by state law); and
(b) As provided by federal law.
10
3.14. Table of Minimum Values:
The values in the following Table only apply to Annual Purchase Payments
of exactly $1,000. Values would be different for other Purchase Payment
amounts, if Purchase Payments are not made when due, if partial
surrenders are made, or if Aetna adds interest at a rate greater than the
Guaranteed Interest Rate (see 3.02).
The Surrender Value assumes that a Purchase Payment of exactly $1,000 is
credited at the Guaranteed Interest Rate at the beginning of each
Contract year. An annual Maintenance Fee is deducted at the beginning of
each Contract year after the Contract effective date.
TABLE OF MINIMUM CONTRACT VALUES
PER $1,000 OF NET PURCHASE PAYMENTS
FOR THE FIXED ACCOUNT
Minimum Minimum
End of Minimum Surrender End of Minimum Surrender
Year Reserve Value Year Reserve Value
---- ------- ----- ---- ------- -----
1 $ 1,025 $ 1,025 16 $ 22,370 $ 22,370
2 2,091 2,091 17 24,290 24,290
3 3,200 3,200 18 26,287 26,287
4 4,353 4,353 19 28,363 28,363
5 5,552 5,552 20 30,523 30,523
6 6,799 6,799
7 8,096 8,096 25 42,687 42,687
8 9,445 9,445
9 10,897 10,897 30 57,487 57,487
10 12,306 12,306
11 13,824 13,824 35 75,494 75,494
12 15,401 15,401 40 97,401 97,401
13 17,043 17,043 45 124,055 124,055
14 18,749 18,749 50 156,484 156,484
15 20,524 20,524
11
3.15. Reinstatement: All or a portion of the proceeds of a full surrender of
this Contract may be reinvested within 30 days after the surrender if
allowed by law. Any Maintenance Fee charged at the time of surrender will
be included in the reinstatement. Amounts will be reinstated among the
Fixed Account and the Separate Account in the same proportion as they
were at the time of surrender. The number of Record Units reinstated will
be based on the Record Unit Value(s) next computed after receipt at
Aetna's Home Office of the reinstatement request and the amount to be
reinvested.
Any Maintenance Fee which falls due after the surrender and before the
reinstatement will be deducted from the amount reinstated.
Reinstatement is permitted only once.
3.16. Payment of Current Value: Aetna may pay in a lump sum any Current Value
if Purchase Payment(s) have not been received for three full years and
the Current Value is less than $2,000. Such Current Value paid may not be
reinstated.
12
IV. ANNUITY PROVISION
4.01. Choices to be Made: An Annuity Option may be elected by telling Aetna to
pay all or any portion of the Current Value (minus any premium tax) as a
premium for an Annuity under Option 2, 3, or 4 (see 4.06). The first
Annuity payment must generally be made no later than the first day of the
month following the Annuitant's 75th birthday.
When an Option is chosen, Aetna must also be told whether payments are to
be made other than monthly and to pay:
(a) A Fixed Annuity using the General Account; or
(b) A Variable Annuity using any of the Fund(s) made available by Aetna
for Annuity purposes; or
(c) A combination of (a) and (b).
If a Fixed Annuity is chosen, Aetna will add interest daily at an annual
rate no less than 3.5%. Aetna may add interest daily at any higher rate.
If a Variable Annuity is chosen, an Assumed Annual Net Return Rate of 5%
may be chosen. If not chosen, Aetna will use an Assumed Annual Net Return
Rate of 3.5%.
4.02. Terms of Annuity Options:
(a) When payments start, the age of the Annuitant plus the number of
years for which payments are guaranteed must not exceed 95.
(b) No choice of any Annuity Option may be made if the first payment
would be less than $20 or if the total payments in a year would be
less than $100.
(c) If a Fixed Annuity under Option 2, 3 or 4 is chosen and a larger
payment would result from applying the surrender value to a current
Aetna single premium immediate Annuity, Aetna will make the larger
payment.
(d) Age, where used in the following tables, means age on the birthday
closest to the date of the first payment.
(e) Assumed Annual Net Return Rate is the interest rate used to determine
the amount of the first annuity payment under a Variable Annuity. The
Separate Account must earn this rate plus enough to cover the
mortality and expense risk and administrative fee charges if future
Variable Annuity Payments are to remain level.
4.03. Death of Annuitant/Beneficiary: When an Annuitant dies any remaining
payments will be continued to the beneficiary. If the beneficiary is not
a person or persons, the present value of any remaining payments will be
paid in one sum. If no beneficiary exists, the present value of any
remaining payments will be paid in one sum to the estate of the
Annuitant.
If a beneficiary dies while under Option 1 or while receiving Annuity
payments, the present value of any remaining payments will be paid in one
sum to the estate of the beneficiary. The interest rate used to determine
the first payment will be used to calculate the present value.
4.04. Fund(s) Annuity Units - Separate Account: The number of Fund(s) Annuity
Units is based on the amount of the first Variable Annuity payment which
is equal to:
(a) The portion of the Current Value (minus any premium tax) applied to
pay a Variable Annuity; divided by
13
(b) 1,000; times
(c) The payment rate for the Option chosen.
Such amount, or portion, of the variable payment will be divided by the
Fund(s) Annuity Unit Value (see 4.05) on the tenth Valuation Period
before the due date of the first payment to determine the number of
Fund(s) Annuity Units. The number of Fund(s) Annuity Units remains fixed.
Each future payment is equal to this number times the Fund(s) Annuity
Unit Value on the tenth Valuation Period prior to the due date of the
payment.
4.05. Fund(s) Annuity Unit Value - Separate Account: For any Valuation Period
the Fund(s) Annuity Unit Value is equal to:
(a) The Value for the previous Period; times
(b) The Net Return Factor(s) (see 3.05) for the Period; times
(c) A factor to reflect the Assumed Annual Net Return Rate.
The factor for 3.5% per year is .9999058; for 5% per year it is .9998663.
The dollar value of a Fund(s) Annuity Unit Values and payments may go up
or down due to investment gain or loss.
If Variable Annuity payments are not to decrease, Aetna must earn a gross
return on the assets of the Separate Account of:
[bullet] 4.75% on an annual basis, plus an annual return of up to .25%
needed to offset the administrative charge set at the time
Annuity payments commenced, if an Assumed Annual Net Return Rate
of 3.5% is chosen; or,
[bullet] 6.25% on an annual basis, plus an annual return of up to .25%
needed to offset the administrative charge set at the time
Annuity payments commence, if an Assumed Annual Net Return Rate
of 5% is chosen.
Payments shall not be changed due to changes in the mortality or expense
results or administrative charges.
4.06. Annuity Options:
Option 1 - Payment of Interest on Sum Left with Aetna - This Option may
be used only by the beneficiary when the Annuitant dies before Aetna has
started paying an Annuity. A portion or all of the sum paid upon death
may be held under this Option and will be held in the General Account of
Aetna at interest (see 4.01). The beneficiary may later tell Aetna to:
(a) Pay a portion, or all, of the sum held by Aetna; or
(b) Apply a portion, or all, of the sum held by Aetna to any Annuity
Option below.
If the beneficiary elects that some or all of the sum paid upon death is
to be held under this Option, the beneficiary must tell Aetna to pay the
full sum held under this Option within 5 years after the death of the
Contract Owner.
Option 2 - Payments for a Stated Period of Time - An Annuity will be paid
for the number of years chosen. The number of years must be at least 3
and not more than 30.
If payments for this Option are made under a Variable Annuity, the
present value of any remaining payments may be withdrawn at any time.
Option 3 - Life Income - An Annuity will be paid for the life of the
Annuitant. If also chosen, Aetna will guarantee payments for 60, 120,
180, or 240 months.
Option 4 - Life Income for Two Payees - An Annuity will be paid during
the lives of
14
the Annuitant and a second Annuitant. At the death of either, payments
will continue to the survivor. When this Option is chosen, a choice must
be made of:
(a) 100% of the payment to continue to the survivor;
(b) 66-2/3% of the payment to continue to the survivor;
(c) 50% of the payment to continue to the survivor; or
(d) Payments for a minimum of 120 months, with 100% of the payment to
continue to the survivor.
(e) 100% of the payment to continue to the survivor if the survivor is
the Annuitant, and 50% of the payment to continue to the survivor if
the survivor is the second Annuitant.
Other Options - Aetna may make other options available as allowed by the
laws of the state in which this Contract is delivered.
15
OPTION 2
PAYMENTS FOR A STATED PERIOD OF TIME
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.5%; and
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Years Amount of Years Amount of Years Amount of
of Payments Payments of Payments Payments of Payments Payments
----------- -------- ----------- -------- ----------- --------
3 $29.19 13 $7.94 22 $5.39
4 22.27 14 7.49 23 5.24
5 18.12 15 7.10 24 5.09
6 15.35 16 6.76 25 4.96
7 13.38 17 6.47 26 4.84
8 11.90 18 6.20 27 4.73
9 10.75 19 5.97 28 4.63
10 9.83 20 5.75 29 4.53
11 9.09 21 5.56 30 4.45
12 8.46
Rates for a Variable Annuity with Assumed Net Return Rate of 5%
Years Amount of Years Amount of Years Amount of
of Payments Payments of Payments Payments of Payments Payments
----------- -------- ----------- -------- ----------- --------
3 $29.80 13 $8.64 22 $6.17
4 22.89 14 8.20 23 6.02
5 18.74 15 7.82 24 5.88
6 15.99 16 7.49 25 5.76
7 14.02 17 7.20 26 5.65
8 12.56 18 6.94 27 5.54
9 11.42 19 6.71 28 5.45
10 10.51 20 6.51 29 5.36
11 9.77 21 6.33 30 5.28
12 9.16
16
OPTION 3
LIFE INCOME
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.5%; and
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Payments Guaranteed for a Stated Period of Months
Age of
Annuitant None 60 120 180 240
--------- ---- -- --- --- ---
50 $4.34 $4.34 $4.31 $4.27 $4.22
51 4.41 4.40 4.38 4.33 4.27
52 4.48 4.47 4.45 4.40 4.32
53 4.56 4.55 4.52 4.46 4.38
54 4.64 4.63 4.59 4.53 4.44
55 4.72 4.71 4.67 4.60 4.50
56 4.81 4.80 4.75 4.67 4.56
57 4.91 4.89 4.84 4.75 4.62
58 5.01 4.99 4.93 4.83 4.69
59 5.12 5.10 5.03 4.92 4.75
60 5.23 5.21 5.13 5.00 4.82
61 5.36 5.33 5.24 5.09 4.88
62 5.49 5.45 5.35 5.19 4.95
63 5.63 5.59 5.47 5.28 5.02
64 5.78 5.73 5.60 5.38 5.08
65 5.94 5.89 5.73 5.48 5.15
66 6.11 6.05 5.87 5.58 5.21
67 6.29 6.22 6.02 5.69 5.27
68 6.49 6.41 6.17 5.79 5.33
69 6.70 6.60 6.33 5.90 5.38
70 6.92 6.81 6.49 6.00 5.43
71 7.17 7.04 6.66 6.10 5.48
72 7.43 7.27 6.84 6.20 5.52
73 7.71 7.53 7.02 6.30 5.55
74 8.02 7.80 7.20 6.39 5.59
75 8.35 8.08 7.38 6.48 5.62
Rates are based on mortality from 1983 Table a. The rates do not differ by sex.
Rates for ages not shown will be provided on request and will be computed on a
basis consistent with the rates in the above tables.
17
OPTION 3
Life Income
Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
Payments Guaranteed for a Stated Period of Months
Age of
Annuitant None 60 120 180 240
--------- ---- -- --- --- ---
50 $5.26 $5.25 $5.22 $5.17 $5.11
51 5.33 5.32 5.28 5.23 5.15
52 5.40 5.38 5.34 5.29 5.20
53 5.47 5.45 5.41 5.35 5.26
54 5.54 5.53 5.48 5.41 5.31
55 5.63 5.61 5.56 5.47 5.36
56 5.71 5.69 5.63 5.54 5.42
57 5.80 5.78 5.72 5.61 5.47
58 5.90 5.88 5.81 5.69 5.53
59 6.01 5.98 5.90 5.77 5.59
60 6.12 6.09 6.00 5.85 5.65
61 6.24 6.21 6.10 5.93 5.71
62 6.37 6.33 6.21 6.02 5.77
63 6.51 6.46 6.33 6.11 5.83
64 6.66 6.60 6.45 6.20 5.89
65 6.82 6.75 6.57 6.30 5.95
66 6.99 6.91 6.71 6.39 6.01
67 7.17 7.08 6.85 6.49 6.06
68 7.36 7.27 6.99 6.59 6.12
69 7.57 7.46 7.15 6.69 6.17
70 7.80 7.67 7.30 6.78 6.21
71 8.05 7.89 7.47 6.88 6.25
72 8.31 8.13 7.64 6.97 6.29
73 8.59 8.38 7.81 7.06 6.33
74 8.90 8.64 7.99 7.15 6.36
75 9.23 8.93 8.16 7.23 6.38
Rates are based on mortality from 1983 Table a. The rates do not differ by sex.
Rates for ages not shown will be provided on request and will be computed on a
basis consistent with the rates in the above tables.
18
OPTION 4
LIFE INCOME FOR TWO PAYEES
JOINT AND LAST SURVIVOR ANNUITY
100% TO THE SURVIVOR
NO MINIMUM PERIOD
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.5%; and
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Age Age of Second Annuitant
of Male
Annuitant 45 50 55 60 65 70 75 80 85
--------- ----- ----- ----- ----- ----- ----- ----- ----- -----
45 $3.69 $3.75 $3.81 $3.84 $3.87 $3.90 $3.91 $3.92 $3.92
50 3.75 3.89 3.97 4.04 4.09 4.13 4.15 4.17 4.18
55 3.81 3.97 4.16 4.27 4.35 4.42 4.47 4.50 4.51
60 3.84 4.04 4.27 4.51 4.66 4.78 4.86 4.92 4.95
65 3.87 4.09 4.35 4.66 4.99 5.19 5.35 5.46 5.53
70 3.90 4.13 4.42 4.78 5.19 5.67 5.95 6.17 6.31
75 3.91 4.15 4.47 4.86 5.35 5.95 6.64 7.04 7.34
80 3.92 4.17 4.50 4.92 5.46 6.17 7.04 8.04 8.63
85 3.92 4.18 4.51 4.95 5.53 6.31 7.34 8.63 10.05
Rates for a Variable Annuity with Assumed Net Return Rate of 5%
Age Age of Second Annuitant
of Male
Annuitant 45 50 55 60 65 70 75 80 85
--------- ----- ----- ----- ----- ----- ----- ----- ----- -----
45 $4.63 $4.68 $4.73 $4.77 $4.80 $4.82 $4.84 $4.85 $4.86
50 4.68 4.80 4.88 4.95 5.00 5.04 5.06 5.08 5.10
55 4.73 4.88 5.04 5.15 5.24 5.30 5.35 5.39 5.41
60 4.77 4.95 5.15 5.37 5.52 5.63 5.72 5.79 5.83
65 4.80 5.00 5.24 5.52 5.83 6.04 6.20 6.31 6.39
70 4.82 5.04 5.30 5.63 6.04 6.49 6.77 6.99 7.15
75 4.84 5.06 5.35 5.72 6.20 6.77 7.45 7.86 8.16
80 4.85 5.08 5.39 5.79 6.31 6.99 7.86 8.84 9.43
85 4.86 5.10 5.41 5.83 6.39 7.15 8.16 9.43 10.86
Rates are based on mortality from 1983 Table a. The rates do not differ by sex.
Rates for ages not shown will be provided on request and will be computed on a
basis consistent with the rates in the above tables.
19
OPTION 4
LIFE INCOME FOR TWO PAYEES
JOINT AND LAST SURVIVOR ANNUITY
66-2/3% TO THE SURVIVOR
NO MINIMUM PERIOD
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.5%; and
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Age Age of Second Annuitant
of
Annuitant 45 50 55 60 65 70 75 80 85
--------- ----- ----- ----- ----- ----- ----- ----- ----- -----
45 $3.94 $4.05 $4.18 4.32 $4.48 $4.66 $4.84 $5.02 $5.19
50 4.05 4.20 4.35 4.51 4.69 4.89 5.09 5.30 5.49
55 4.18 4.35 4.54 4.73 4.95 5.18 5.42 5.65 5.87
60 4.32 4.51 4.73 4.99 5.25 5.53 5.82 6.11 6.37
65 4.48 4.69 4.95 5.25 5.61 5.97 6.33 6.69 7.02
70 4.66 4.89 5.18 5.53 5.97 6.49 6.96 7.43 7.88
75 4.84 5.09 5.42 5.82 6.33 6.96 7.73 8.39 9.02
80 5.02 5.30 5.65 6.11 6.69 7.43 8.39 9.54 10.46
85 5.19 5.49 5.87 6.37 7.02 7.88 9.02 10.46 12.15
Rates for a Variable Annuity with Assumed Net Return Rate of 5%
Age Age of Second Annuitant
of
Annuitant 45 50 55 60 65 70 75 80 85
--------- ----- ----- ----- ----- ----- ----- ----- ----- -----
45 $4.87 $4.99 $5.12 $5.27 $5.44 $5.64 $5.86 $6.09 $6.30
50 4.99 5.12 5.26 5.43 5.63 5.85 6.09 6.33 6.57
55 5.12 5.26 5.44 5.63 5.85 6.11 6.38 6.65 6.92
60 5.27 5.43 5.63 5.87 6.14 6.44 6.75 7.07 7.38
65 5.44 5.63 5.85 6.14 6.49 6.84 7.23 7.62 8.00
70 5.64 5.85 6.11 6.44 6.84 7.35 7.84 8.34 8.83
75 5.86 6.09 6.38 6.75 7.23 7.84 8.60 9.28 9.93
80 6.09 6.33 6.65 7.07 7.62 8.34 9.28 10.42 11.35
85 6.30 6.57 6.92 7.38 8.00 8.83 9.93 11.35 13.04
Rates are based on mortality from 1983 Table a. The rates do not differ by sex.
Rates for ages not shown will be provided on request and will be computed on a
basis consistent with the rates in the above tables.
20
OPTION 4
LIFE INCOME FOR TWO PAYEES
JOINT AND LAST SURVIVOR ANNUITY
50% TO THE SURVIVOR
NO MINIMUM PERIOD
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.5%; and
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Age Age of Second Annuitant
of
Annuitant 45 50 55 60 65 70 75 80 85
--------- ----- ----- ----- ----- ----- ----- ----- ----- -----
45 $4.07 $4.22 $4.40 $4.61 $4.87 $5.17 $5.49 $5.84 $6.18
50 4.22 4.37 4.56 4.79 5.06 5.39 5.75 6.13 6.51
55 4.40 4.56 4.76 5.00 5.31 5.66 6.06 6.49 6.91
60 4.61 4.79 5.00 5.27 5.61 6.01 6.46 6.95 7.43
65 4.87 5.06 5.31 5.61 5.99 6.44 6.96 7.54 8.11
70 5.17 5.39 5.66 6.01 6.44 6.99 7.61 8.29 9.00
75 5.49 5.75 6.06 6.46 6.96 7.61 8.43 9.29 10.17
80 5.84 6.13 6.49 6.95 7.54 8.29 9.29 10.54 11.71
85 6.18 6.51 6.91 7.43 8.11 9.00 10.17 11.71 13.57
Rates for a Variable Annuity with Assumed Net Return Rate of 5%
Age Age of Second Annuitant
of
Annuitant 45 50 55 60 65 70 75 80 85
--------- ----- ----- ----- ----- ----- ----- ----- ----- -----
45 $5.01 $5.15 $5.33 $5.56 $5.83 $6.17 $6.55 $6.98 $7.40
50 5.15 5.29 5.48 5.71 6.01 6.36 6.78 7.32 7.68
55 5.33 5.48 5.66 5.91 6.23 6.61 7.05 7.54 8.05
60 5.56 5.71 5.91 6.16 6.51 6.93 7.42 7.96 8.53
65 5.83 6.01 6.23 6.51 6.87 7.34 7.89 8.51 9.16
70 6.17 6.36 6.61 6.93 7.34 7.87 8.51 9.23 10.00
75 6.55 6.78 7.05 7.42 7.89 8.51 9.33 10.20 11.14
80 6.98 7.23 7.54 7.96 8.51 9.23 10.20 11.44 12.64
85 7.40 7.68 8.05 8.53 9.16 10.00 11.14 12.64 14.51
Rates are based on mortality from 1983 Table a. The rates do not differ by sex.
Rates for ages not shown will be provided on request and will be computed on a
basis consistent with the rates in the above tables.
21
OPTION 4
LIFE INCOME FOR TWO PAYEES
JOINT AND LAST SURVIVOR ANNUITY
100% TO THE SURVIVOR
120 MONTHS MINIMUM PERIOD
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.5%; and
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Age Age of Second Annuitant
of
Annuitant 45 50 55 60 65 70 75 80 85
--------- ----- ----- ----- ----- ----- ----- ----- ----- -----
45 $3.69 $3.75 $3.80 $3.84 $3.87 $3.89 $3.91 $3.91 $3.92
50 3.75 3.89 3.97 4.04 4.09 4.13 4.15 4.16 4.17
55 3.80 3.97 4.15 4.26 4.35 4.41 4.46 4.48 4.49
60 3.84 4.04 4.26 4.50 4.65 4.78 4.84 4.89 4.91
65 3.87 4.09 4.35 4.65 4.98 5.17 5.31 5.41 5.46
70 3.89 4.13 4.41 4.76 5.17 5.62 5.87 6.05 6.15
75 3.91 4.15 4.46 4.84 5.31 5.87 6.48 6.79 6.98
80 3.91 4.16 4.48 4.89 5.41 6.05 6.79 7.50 7.83
85 3.92 4.17 4.49 4.91 5.46 6.15 6.98 7.83 8.50
Rates for a Variable Annuity with Assumed Net Return Rate of 5%
Age Age of Second Annuitant
of
Annuitant 45 50 55 60 65 70 75 80 85
--------- ----- ----- ----- ----- ----- ----- ----- ----- -----
45 $4.63 $4.68 $4.73 $4.77 $4.80 $4.82 $4.84 $4.85 $4.85
50 4.68 4.80 4.88 4.94 4.99 5.03 5.06 5.07 5.08
55 4.73 4.88 5.04 5.14 5.23 5.29 5.34 5.37 5.38
60 4.77 4.94 5.14 5.37 5.51 5.62 5.70 5.75 5.78
65 4.80 4.99 5.23 5.51 5.82 6.00 6.15 6.24 6.30
70 4.82 5.03 5.29 5.62 6.00 6.44 6.68 6.86 6.96
75 4.84 5.06 5.34 5.70 6.15 6.68 7.27 7.57 7.76
80 4.85 5.07 5.37 5.75 6.24 6.86 7.57 8.26 8.58
85 4.85 5.08 5.38 5.78 6.30 6.96 7.76 8.58 9.23
Rates are based on mortality from 1983 Table a. The rates do not differ by sex.
Rates for ages not shown will be provided on request and will be computed on a
basis consistent with the rates in the above tables.
22
OPTION 4
LIFE INCOME FOR TWO PAYEES
JOINT AND 1/2 CONTINGENT LIFE INCOME ANNUITY
NO MINIMUM PERIOD
AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.5%; and
Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
Age Age of Second Annuitant
of
Annuitant 45 50 55 60 65 70 75 80 85
--------- ----- ----- ----- ----- ----- ----- ----- ----- -----
45 $3.86 $3.89 $3.93 $3.94 $3.96 $3.97 $3.98 $3.98 $3.98
50 4.02 4.10 4.15 4.18 4.21 4.23 4.24 4.25 4.26
55 4.22 4.31 4.42 4.48 4.53 4.57 4.59 4.61 4.61
60 4.43 4.56 4.70 4.84 4.93 4.99 5.04 5.07 5.09
65 4.69 4.84 5.02 5.22 5.42 5.54 5.63 5.69 5.73
70 4.99 5.17 5.39 5.65 5.93 6.23 6.40 6.52 6.60
75 5.33 5.54 5.82 6.14 6.52 6.95 7.40 7.64 7.81
80 5.70 5.96 6.29 6.69 7.17 7.75 8.41 9.08 9.45
85 6.07 6.38 6.75 7.24 7.84 8.59 9.49 10.51 11.50
Rates for a Variable Annuity with Assumed Net Return Rate of 5%
Age Age of Second Annuitant
of
Annuitant 45 50 55 60 65 70 75 80 85
--------- ----- ----- ----- ----- ----- ----- ----- ----- -----
45 $4.80 $4.83 $4.86 $4.88 $4.89 $4.90 $4.91 $4.92 $4.92
50 4.95 5.02 5.06 5.10 5.13 5.15 5.16 5.17 5.18
55 5.14 5.23 5.32 5.38 5.43 5.46 5.49 5.51 5.52
60 5.36 5.47 5.59 5.72 5.80 5.86 5.91 5.95 5.97
65 5.63 5.77 5.93 6.10 6.29 6.41 6.50 6.56 6.60
70 5.96 6.12 6.31 6.54 6.81 7.08 7.25 7.37 7.46
75 6.35 6.54 6.77 7.06 7.42 7.81 8.25 8.49 8.66
80 6.79 7.01 7.30 7.66 8.11 8.65 9.28 9.93 10.21
85 7.26 7.53 7.86 8.29 8.85 9.55 10.41 11.39 12.37
These Annuity rates are based on mortality from 1983 Table a.
23
Aetna Life Insurance and Annuity Company
Home Office: 000 XXXXXXXXXX XXX.
HARTFORD, CONNECTICUT 06156
0-000-000-0000
INDIVIDUAL VARIABLE, FIXED, OR COMBINATION ANNUITY CONTRACT
NONPARTICIPATING
ALL PAYMENTS AND VALUES PROVIDED BY THIS CONTRACT,
WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT,
ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT.
