1
GENERAL AMERICAN
LIFE INSURANCE COMPANY
ST. LOUIS, MISSOURI 63166
In consideration of the Contract
Owner's application and the
contributions to be made by the
Contract Owner as provided herein,
the Company agrees to pay benefits,
to the extent required by this
contract, to those individuals
entitled to such benefits.
The provisions on the following
pages are a part of this contract.
-----------------------------
PRESIDENT
-----------------------------
SECRETARY
TAX SHELTERED GROUP VARIABLE
ANNUITY CONTRACT
Funds in Separate Account
and General Account
Individual Allocation
Annual Dividend
ALL INSTALLMENTS 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
AMOUNTS.
V82-300
V82-300 Page 1
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TABLE OF CONTENTS
Section
1 Definitions
2 Contributions, Charges, and
Xxxxxxxxxxx
3 Valuation
4 Annuity Provisions
5 Death Benefits
6 Termination Benefits
7 General Provisions
V82-300 Page 2
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CONTRACT SPECIFICATIONS
CONTRACT OWNER:
CONTRACT NO.:
CONTRACT DATE:
EXECUTION DATE:
EXECUTED AT:
DELIVERED IN:
V82-300 Page 3
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SECTION 1. DEFINITIONS
1.01 ACCUMULATION UNIT. This is an accounting method we use to
determine the value of your contract prior to the annuity
commencement date. This unit will be valued on each business
day as of the time of the closing of the New York Stock
Exchange.
1.02 ANNUITANT. A participant who is receiving annuity
installments under this contract.
1.03 ANNUITY. This is a series of installments provided under this
contract for a participant by application of the dollar value
of accumulation units in his individual account.
1.04 ANNUITY COMMENCEMENT DATE. This is the date upon which
annuity installments begin, as elected by the participant.
1.05 ANNUITY UNIT. An accounting method used to determine the
amounts payable to an annuitant on and after the annuity
commencement date. This unit will be valued on each business
day as of the time of the closing of the New York Stock
Exchange.
1.06 BUSINESS DAY. This is a day on which both we and the New York
Stock Exchange are open for business. Each business day ends
at the time of the New York Stock Exchange closes.
1.07 CONTRACT ANNIVERSARY. An anniversary of the contract date.
1.08 CONTRACT YEAR. Any period of one year commencing with the
contract date or with any contract anniversary.
1.09 GENERAL ACCOUNT. An account which consists of all assets of
the Company other than those in the Separate Account or any
other segregated investment account.
1.10 INDIVIDUAL ACCOUNT. The sum of the accumulation units
credited to a participant.
1.11 PARTICIPANT. An employee for whom an application has been
submitted and for whom a contribution has been made.
1.12 PARTICIPANT'S ANNIVERSARY. An anniversary of the date on
which a participant's individual account is established in
accordance with the terms of this contract.
1.13 SEPARATE ACCOUNT. A segregated investment account entitled
Separate Account No. 2 established by us in accordance with
Missouri law.
1.14 WE, US, AND OUR. The General American Life Insurance Company.
YOU, YOUR. The owner of this contract. The owner is as shown
in the application unless later changed as provided in this
contract.
SECTION 2. CONTRIBUTIONS, CHARGES, AND WITHDRAWALS
2.01 PAYMENT OF CONTRIBUTIONS
All contributions shall be paid by you directly to us at our
Home Office in St. Louis, Missouri.
2.02 APPLICATION OF CONTRIBUTIONS
We shall first deduct from any contribution for a Participant
the premium for any optional benefits provided by a
supplemental agreement. Deductions for any applicable premium
taxes on the remaining contribution shall then be made by us
from each contribution received. The balance of each
contribution remaining after these deductions is the net
contribution. We shall apply such net contribution to provide
for General Account or Separate Account accumulation units or
both as elected by you. The number of General Account or
Separate Account accumulation units credited to the
V82-300 Page 4
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Participant's Individual Account shall be determined by
dividing the applicable portion of the net contribution by the
appropriate accumulation unit value next determined after such
contribution is received by us at the Home Office. The number
of accumulation units so provided shall not be changed by any
subsequent change in the accumulation unit value.
2.03 CONTINGENT DEFERRED SALES CHARGE
We shall not deduct a sales charge for any contribution for a
participant when received. During the first nine years of the
participant's individual account, we shall deduct a withdrawal
or surrender charge that will never exceed the lesser of 9
percent of the total net contributions or an amount calculated
according to the following schedule:
Participant's Withdrawal/
Individual Account Surrender
Contract Year Charge
1 9%
2 8
3 7
4 6
5 5
6 4
7 3
8 2
9 1
Beginning with the participant's tenth year of participation
we will not deduct a withdrawal or surrender charge. We will
not deduct a withdrawal or surrender charge if the participant
dies or becomes totally disabled. Also, we will not deduct a
withdrawal or surrender charge if the accumulated value is
annuitized after the fifth year of participation.
This charge shall be made by canceling a number of accumulation
units equal to the charge divided by the respective accumulation
unit value next determined after the fifth year of participation.
This charge will be made by canceling a number of accumulation
units equal to the charge divided by the respective accumulation
unit value next determined after the beginning of the date of
withdrawal or surrender.
2.04 PARTIAL WITHDRAWAL
You may, at the direction of the participant, withdraw
accumulation units from any participant's individual account
upon satisfactory written request received by us at our Home
Office prior to the annuity commencement date. No such
withdrawal shall be less than $100.00. Unless otherwise
specified in the request, the withdrawal shall be made based
on the current allocation of the contributions to the General
Account and the Separate Account. The units will be withdrawn
at the unit value next determined after written request is
received by us at our Home Office or after the beginning of
the date of withdrawal specified, whichever is later.
SECTION 3. VALUATION
3.01 NET INVESTMENT FACTOR
The net investment factor for any Business Day is 1.0 plus a
rate of investment income that we will declare in advance. We
guarantee that the rate will be no less than 4 percent per
year compounded annually.
The Separate Account net investment factor for any business
day is (a) dividend by (b) where
(a) is
(1) the value of the assets in the Separate Account at
the end of the previous business day for contracts
receiving the same or similar tax treatment as this
contract, plus
(2) the investment income and the capital gains,
realized or unrealized, credited to such
V82-300 Page 5
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assets since the end of the previous business day,
minus
(3) the capital losses, realized or unrealized, charged
against such assets in such period, minus
(4) any amount charged against the Separate Account in
such a period for taxes or as a reserve for taxes
attributable to the maintenance or operation of the
Separate Account for contracts receiving the same
or similar tax treatment as this contract, minus
(5) a charge for investment management services and
mortality and expense rate guarantees to be
determined by us but not to exceed .003445 percent
of such assets for each calendar day since the end
of the previous business day.
(b) is the value of the assets in the Separate Account at the
end of the previous business day for contracts receiving
the same or similar tax treatment as this contract.
3.02 ACCUMULATION UNIT VALUE
The value of a Separate Account No. 2 accumulation unit is
established at 10.00 dollars as of the end of the Business Day
on January 4, 1971, and the value of a General Account
accumulation unit is established at 10.00 dollars as of the
end of the business day on April 1, 1982. The value of the
respective accumulation unit is determined at the end of any
later Business Day. The value is determined by multiplying
the accumulation unit value for the end of the immediately
preceding Business Day by the net investment factor for such
later Business Day.
3.03 ANNUITY UNIT VALUE
The value of a Separate Account No. 2 Annuity Unit is
established at 10.00 dollars as of the end of the business day
on January 4, 1971, and the value of a General Account Annuity
Unit is established at 10.00 dollars at the end of the
business day on April 1, 1982. The value of the respective
annuity unit is determined at the end of any later business
day. The value is determined by multiplying such value for
the end of the preceding business day by the product of (a)
.99989256 once for each calendar day between the end of the
sixth preceding business day and the end of the fifth
preceding such business day.
3.04 VALUATION OF ASSETS
Assets in the Separate Accounts shall be valued at the end of
each business day at their fair market value or, where there
is no readily available market, at their fair value as
determined by us, in accordance with recognized accounting
procedures. Direct expenses involved in the purchase or sale
of assets for the Separate Accounts, including, but not
limited to, brokerage commission, exchange fees, taxes, and
postage, shall be included in such valuation.
SECTION 4. ANNUITY PROVISIONS
4.01 NOTICE TO EFFECT AN ANNUITY
You shall notify us at least 30 days in advance to effect an
annuity for a participant on his annuity commencement date.
4.02 ELECTION OF OPTIONAL ANNUITIES
You may specify the annuity option under which installments
are to be made to an annuitant provided such notification is
received by us at least 30 days prior to the annuity
commencement date. In the absence of such an election, the
retirement annuity will be a life annuity with 120
installments guaranteed.
V82-300 Page 6
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If option 2 or 5 is elected, installments may not be
guaranteed for a period longer than the life expectancy of the
annuitant.
4.03 ANNUITY OPTIONS
(See Annuity Option Tables at the end of this section.) At
the maturity of this policy, the proceeds may be placed under
any of the following options:
OPTION 1.
LIFE ANNUITY. We will pay a monthly income during a person's
lifetime. The income will cease with the last installment
preceding the death of that person.
OPTION 2.
LIFE ANNUITY WITH 60, 120, 180 OR 240 MONTHLY INSTALLMENTS
GUARANTEED. We will pay a monthly income during a person's
lifetime with the guarantee that if, at death of the person,
installments have been made for less than 60 months, 120
months, 180 months, or 240 months, as elected, installments
shall be continued to the Beneficiary during the remainder of
the elected period.
OPTION 3.
UNIT REFUND LIFE ANNUITY. We will pay a monthly income during
a person's lifetime that will cease with the last installment
due prior to the death of that person, with the guarantee
that, at the death of the payee, the Beneficiary will receive
an additional payment of the dollar value of the number of
annuity units equal to the excess, if any, of (a) over (b)
where (a) is the total applied under the option divided by the
annuity unit value at the annuity commencement date and (b) is
the number of annuity units represented by each installment
multiplied by the number of installments made. Such dollar
value shall be determined by multiplying the above number of
annuity units by the annuity unit value on the Business Day
coincident with or next following the date on which written
notice of death is received by us at our Home Office.
OPTION 4.
JOINT AND SURVIVOR INCOME FOR LIFE. We will pay monthly
installments jointly to two payees if both are living when the
installments become payable. The annuitant will be designated
as primary payee. Full installments will continue so long as
the primary payee is living. If the primary payee dies after
installments begin, full installments or installments of 1/2
or 2/3, (whichever you elected when applying for this option)
will continue to the other payee during his or her lifetime.
OPTION 5.
INCOME FOR A FIXED PERIOD. We will pay the proceeds in equal
installments over a period of from 3 to 30 years. The amount
of each installment will be based upon the period and the
frequency of the installments selected from Option 5 Table.
OPTION 6.
INCOME OF A FIXED AMOUNT. We will pay the proceeds in equal
installments in the amount and at the intervals agreed upon
until the proceeds applied under this option, with interest
credited at the current annual rate, are exhausted. The final
installment will be for the then remaining balance only.
OPTION 7.
INTEREST INCOME. We will hold the proceeds on deposit and pay
or credit interest at the current annual rate. Payment of
interest will be at such times and for such periods as are
agreeable to you and us.
4.04 DATE OF PAYMENT
The first payment under Option 7 will be made at the end of
the period selected, measured from the date on which written
notice of death is received by us at the Home Office. The
first payment under any other option shall be made on the
annuity commencement date or upon the date of surrender or as
of the date on which written notice of death is received by us
at the Home Office, as applicable.
V82-300 Page 7
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4.05 ALLOCATION OF ANNUITY
When you elect one of the first five annuity options, you may
further elect to have the annuity purchased in the form of the
variable annuity, guaranteed annuity, or a combination of
both. If you elect option 6, you may specify whether the net
investment factor for Separate Account No. 2 or the General
Account is to apply, or whether the amount due shall be split
between the two accounts. If no election is made to the
contrary on these options, that portion of accumulated value
in the Separate Account shall be applied to provide a variable
annuity and that portion in the General Account shall be
applied to provide a guaranteed annuity. If you elect option
7, we will consider this an election to place the entire
accumulated value in the General Account.
4.06 MINIMUM AMOUNTS
The minimum amount to be placed under an option is $5,000, and
the minimum amount of any payment is $50 per month, unless
these minimums are waived or changed by us.
4.07 GUARANTEED ANNUITY OPTION INTEREST RATE
We use a guaranteed effective annual rate of 4% in computing
payments under all options.
4.08 FIRST PAYMENT
We will make the first payment as of the option effective
date.
4.09 PAYEE
A person who receives benefits under an option is a payee. A
payee must be a natural person receiving benefits in his or
her own right, or be a legal guardian. With our consent, the
payee may be a trustee, assignee, corporation, or partnership.
4.10 CONTINGENT PAYEE
The payee may name contingent payees, subject to any
restrictions under an annuity option chosen during the
annuitant's lifetime, under the following conditions:
(1) If you are the payee; or
(2) If, at any time after the annuitant's death and
during the option period, no previously named
contingent payee is living.
Designations made by the payee under these provisions may be
changed by the payee. Such changes must be made by written
request satisfactory to us. Changes will only take effect
when we accept them in writing at our Home Office. At that
time, the contingent interest of any other person is
terminated as of the date of the payee signed the request,
whether or not the payee is living when we receive the
request.
4.11 LIFE INCOME OPTIONS
Life Income Options are based on the payee's sex and age
nearest birthday on the annuity option effective date. We
have the right to require satisfactory proof of age and sex.
If age or sex has been incorrectly stated, the proper
adjustments in payments will be made. We may also require
proof that the payee is living on any payment due date.
V82-300 Page 8
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ANNUITY OPTION TABLES
For Each $1,000
Option 1 Option 2 Option 3 Option 5
-----------------------------------------------------------------------------------------------
60 120 180 240
Age of Payee Life Months Months Months Months Unit Income for a
Male Female Annuity Guar. Guar. Guar. Guar. Refund Fixed Period
-----------------------------------------------------------------------------------------------
Years Monthly
Certain Installments
------- ------------
45 50 $ 4.70 $ 4.69 $4.66 $4.60 $4.53 $4.50
46 51 4.77 4.76 4.72 4.66 4.57 4.55
47 52 4.84 4.83 4.79 4.72 4.62 4.60
48 53 4.92 4.91 4.86 4.78 4.67 4.65 3 $29.39
49 54 5.00 4.98 4.93 4.84 4.73 4.71 4 22.47
50 55 5.09 5.07 5.01 4.91 4.78 4.77 5 18.32
51 56 5.17 5.15 5.08 4.98 4.84 4.83 6 15.56
52 57 5.27 5.24 5.17 5.05 4.89 4.89 7 13.59
53 58 5.36 5.33 5.25 5.12 4.95 4.96 8 12.11
54 59 5.46 5.43 5.34 5.19 5.01 5.03 9 10.97
55 60 5.57 5.54 5.43 5.27 5.06 5.10 10 10.06
56 61 5.68 5.64 5.53 5.35 5.12 5.18 11 9.31
57 62 5.80 5.76 5.63 5.43 5.18 5.26 12 8.69
58 63 5.93 5.88 5.73 5.51 5.24 5.34 13 8.17
59 64 6.06 6.00 5.84 5.60 5.30 5.43 14 7.72
60 65 6.20 6.14 5.96 5.69 5.36 5.52 15 7.34
61 66 6.35 6.28 6.08 5.78 5.42 5.62 16 7.00
62 67 6.51 6.43 6.21 5.87 5.48 5.72 17 6.70
63 68 6.69 6.59 6.34 5.97 5.53 5.82 18 6.44
64 69 6.87 6.77 6.48 6.06 5.58 5.93 19 6.21
65 70 7.07 6.95 6.62 6.16 5.64 6.05 20 6.00
66 71 7.28 7.14 6.77 6.25 5.69 6.17 21 5.81
67 72 7.51 7.35 6.93 6.35 5.73 6.30 22 5.64
68 73 7.75 7.57 7.09 6.44 5.77 6.43 23 5.49
69 74 8.01 7.81 7.26 6.54 5.81 6.57 24 5.35
70 75 8.30 8.05 7.43 6.63 5.85 6.71 25 5.22
71 76 8.60 8.32 7.60 6.72 5.88 6.85 26 5.10
72 77 8.93 8.60 7.78 6.80 5.91 7.02 27 4.99
73 78 9.28 8.90 7.96 6.88 5.93 7.17 28 4.89
74 79 9.67 9.21 8.14 6.95 5.95 7.34 29 4.80
75 80 10.08 9.55 8.32 7.02 5.96 7.51 30 4.72
76 81 10.53 9.90 8.50 7.08 5.98 7.70
77 82 11.02 10.27 8.67 7.13 5.98 7.87
78 83 11.54 10.66 8.84 7.18 5.99 8.06
79 84 12.11 11.06 9.01 7.22 5.99 8.25
80 85 and 12.73 11.48 9.16 7.25 6.00 8.46
81 over 13.41 11.92 9.31 7.27 6.00 8.65
82 14.14 12.38 9.44 7.29 6.00 8.83
83 14.95 12.85 7.31 7.31 6.00 9.02
84 15.84 13.33 9.67 7.32 6.00 9.19
85 and 16.82 13.83 9.76 7.32 6.00 9.39
over
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ANNUITY OPTION TABLES (Cont'd)
For Each $1,000
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Option 4-MONTHLY INSTALLMENTS JOINT AND EQUAL TO SECONDARY PAYEE
-------------------------------------------------------------------------------------------------------------
Age of Age of Secondary Payee
Primary
Payee
-------------------------------------------------------------------------------------------------------------
MALE 45 46 47 48 49 50 51 52 53 54 55
-------------------------------------------------------------------------------------------------------------
FEMALE 50 51 52 53 54 55 56 57 58 59 60
-------------------------------------------------------------------------------------------------------------
50 55 $4.27 $4.30 $4.34 $4.37 $4.40 $4.43 $4.46 $4.49 $4.51 $4.53 $4.55
51 56 4.28 4.32 4.36 4.39 4.43 4.46 4.49 4.52 4.55 4.57 4.59
52 57 4.29 4.33 4.37 4.41 4.45 4.49 4.52 4.55 4.58 4.61 4.64
53 58 4.30 4.34 4.38 4.43 4.47 4.51 4.55 4.58 4.62 4.65 4.68
54 59 4.30 4.35 4.39 4.44 4.49 4.53 4.57 4.61 4.65 4.69 4.72
55 60 4.31 4.36 4.40 4.45 4.50 4.55 4.59 4.64 4.68 4.72 4.76
56 61 4.31 4.36 4.41 4.46 4.51 4.56 4.61 4.66 4.71 4.75 4.79
57 62 4.32 4.37 4.42 4.47 4.53 4.58 4.63 4.68 4.73 4.78 4.83
58 63 4.32 4.37 4.43 4.48 4.54 4.59 4.65 4.70 4.76 4.81 4.86
59 64 4.33 4.38 4.43 4.49 4.55 4.60 4.66 4.72 4.78 4.83 4.89
60 65 4.33 4.38 4.44 4.50 4.56 4.62 4.68 4.74 4.80 4.86 4.92
61 66 4.33 4.39 4.45 4.51 4.57 4.63 4.69 4.75 4.81 4.88 4.94
62 67 4.34 4.40 4.45 4.51 4.57 4.64 4.70 4.77 4.83 4.90 4.96
63 68 4.34 4.40 4.46 4.52 4.58 4.65 4.71 4.78 4.85 4.92 4.98
64 69 4.35 4.41 4.47 4.53 4.59 4.66 4.72 4.79 4.86 4.93 5.00
65 70 4.35 4.41 4.47 4.53 4.60 4.67 4.73 4.80 4.88 4.95 5.02
66 71 4.36 4.42 4.48 4.54 4.61 4.67 4.74 4.81 4.89 4.96 5.04
67 72 4.37 4.42 4.49 4.55 4.62 4.68 4.75 4.83 4.90 4.98 5.06
68 73 4.37 4.43 4.49 4.56 4.62 4.69 4.76 4.84 4.91 4.99 5.07
69 74 4.38 4.44 4.50 4.56 4.63 4.70 4.77 4.85 4.92 5.00 5.09
70 75 4.38 4.44 4.51 4.57 4.64 4.71 4.78 4.86 4.93 5.02 5.10
71 76 4.39 4.45 4.51 4.58 4.65 4.72 4.79 4.87 4.94 5.03 5.11
72 77 4.39 4.45 4.52 4.58 4.65 4.72 4.80 4.87 4.95 5.04 5.12
73 78 4.40 4.46 4.52 4.59 4.66 4.73 4.81 4.88 4.96 5.05 5.14
74 79 4.41 4.47 4.53 4.60 4.67 4.74 4.81 4.89 4.97 5.06 5.15
75 80 4.41 4.47 4.54 4.60 4.67 4.75 4.82 4.90 4.98 5.07 5.16
------------------------------------------------------------------------------------------------------------
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Age of Age of Secondary Payee
Primary
Payee
---------------------------------------------------------------------------------------------------
MALE 56 57 58 59 60 61 62 63 64 65
---------------------------------------------------------------------------------------------------
FEMALE 61 62 63 64 65 66 67 68 69 70
---------------------------------------------------------------------------------------------------
50 55 $4.56 $4.58 $4.59 $4.60 $4.62 $4.63 $4.64 $4.65 $4.66 $4.67
51 56 4.61 4.63 4.65 4.66 4.68 4.69 4.70 4.71 4.72 4.73
52 57 4.66 4.68 4.70 4.72 4.74 4.75 4.77 4.78 4.79 4.80
53 58 4.71 4.73 4.76 4.78 4.80 4.81 4.83 4.85 4.86 4.88
54 59 4.75 4.78 4.81 4.83 4.86 4.88 4.90 4.92 4.93 4.95
55 60 4.79 4.83 4.86 4.89 4.92 4.94 4.96 4.98 5.00 5.02
56 61 4.84 4.87 4.91 4.94 4.97 5.00 5.03 5.05 5.08 5.10
57 62 4.87 4.92 4.96 5.00 5.03 5.06 5.10 5.12 5.15 5.18
58 63 4.91 4.96 5.00 5.05 5.09 5.12 5.16 5.19 5.22 5.25
59 64 4.94 5.00 5.05 5.09 5.14 5.18 5.22 5.26 5.30 5.33
60 65 4.97 5.03 5.09 5.14 5.19 5.24 5.29 5.33 5.37 5.41
61 66 5.00 5.06 5.12 5.18 5.24 5.29 5.35 5.40 5.44 5.49
62 67 5.03 5.10 5.16 5.22 5.29 5.35 5.40 5.46 5.51 5.56
63 68 5.05 5.12 5.19 5.26 5.33 5.40 5.46 5.52 5.58 5.64
64 69 5.08 5.15 5.22 5.30 5.37 5.44 5.51 5.58 5.65 5.71
65 70 5.10 5.18 5.25 5.33 5.41 5.49 5.56 5.64 5.71 5.78
66 71 5.12 5.20 5.28 5.36 5.45 5.53 5.61 5.69 5.77 5.85
67 72 5.14 5.22 5.31 5.39 5.48 5.57 5.66 5.74 5.83 5.92
68 73 5.16 5.24 5.33 5.42 5.51 5.60 5.70 5.79 5.89 5.98
69 74 5.17 5.26 5.35 5.44 5.54 5.64 5.73 5.83 5.94 6.04
70 75 5.19 5.28 5.37 5.47 5.56 5.67 5.77 5.87 5.98 6.09
71 76 5.20 5.29 5.39 5.49 5.59 5.69 5.80 5.91 6.03 6.14
72 77 5.21 5.31 5.40 5.51 5.61 5.72 5.83 5.95 6.07 6.19
73 78 5.23 5.32 5.42 5.52 5.63 5.74 5.86 5.98 6.10 6.23
74 79 5.24 5.34 5.44 5.54 5.65 5.77 5.88 6.01 6.14 6.27
75 80 5.25 5.35 5.45 5.56 5.67 5.79 5.91 6.04 6.17 6.31
---------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Option 4-MONTHLY INSTALLMENTS-JOINT AND EQUAL TO SECONDARY PAYEE
-------------------------------------------------------------------------------------------------------------
Age of Age of Secondary Payee
Primary
Payee
-------------------------------------------------------------------------------------------------------------
MALE 45 46 47 48 49 50 51 52 53 54 55
-------------------------------------------------------------------------------------------------------------
FEMALE 50 51 52 53 54 55 56 57 58 59 60
-------------------------------------------------------------------------------------------------------------
50 55 $4.64 $4.66 $4.68 $4.70 $4.72 $4.74 $4.75 $4.77 $4.78 $4.79 $4.80
51 56 4.68 4.71 4.73 4.75 4.77 4.79 4.81 4.83 4.84 4.85 4.87
52 57 4.73 4.75 4.78 4.80 4.82 4.84 4.87 4.88 4.90 4.92 4.93
53 58 4.77 4.80 4.82 4.85 4.87 4.90 4.92 4.94 4.96 4.98 5.00
54 59 4.81 4.84 4.87 4.90 4.91 4.95 4.98 5.00 5.02 5.05 5.07
55 60 4.86 4.89 4.92 4.95 4.98 5.01 5.04 5.06 5.09 5.11 5.13
56 61 4.90 4.94 4.97 5.00 5.03 5.06 5.09 5.12 5.15 5.18 5.20
57 62 4.95 498 5.02 5.05 5.09 5.12 5.15 5.18 5.21 5.24 5.27
58 63 5.00 5.03 5.07 5.11 5.14 5.18 5.21 5.14 5.28 5.31 5.34
59 64 5.05 5.09 5.12 5.16 5.20 523 5.27 5.31 5.34 5.38 5.41
60 65 5.10 5.14 5.18 5.21 5.25 5.29 5.33 5.37 5.41 5.45 5.48
61 66 5.15 5.19 5.23 5.27 5.31 5.35 5.40 5.44 5.48 5.52 5.56
62 67 5.21 5.25 5.29 5.33 5.37 5.42 5.46 5.50 5.55 5.59 5.63
63 68 5.27 5.31 5.35 5.39 5.44 5.48 5.53 5.57 5.62 5.67 5.71
64 69 5.33 5.37 5.41 5.46 5.50 5.55 5.60 5.65 5.69 5.74 5.79
65 70 5.39 5.43 5.48 5.52 5.57 5.62 5.67 5.72 5.77 5.82 5.87
66 71 5.45 5.50 5.55 5.59 5.64 5.69 5.74 5.80 5.85 5.90 5.96
67 72 5.52 557 5.62 5.67 5.72 5.77 5.82 5.87 5.93 5.99 6.04
68 73 5.59 5.64 5.69 5.74 5.79 5.85 5.90 5.96 6.01 6.07 6.13
69 74 5.66 5.71 5.76 5.82 5.87 5.92 5.98 6.04 6.10 6.16 6.22
70 75 5.74 5.79 5.84 5.89 5.95 6.01 6.07 6.13 6.19 6.25 6.32
71 76 5.81 5.86 5.92 5.97 6.03 6.09 6.15 6.22 6.28 6.35 6.41
72 77 5.89 5.94 6.00 6.06 6.12 6.18 6.24 6.31 6.37 6.44 6.51
73 78 5.97 6.03 6.08 6.14 6.20 6.27 6.33 6.40 6.47 6.54 6.61
74 79 6.05 6.11 6.17 6.23 6.29 6.36 6.43 6.50 6.57 6.64 6.72
75 80 6.14 6.20 6.26 6.32 6.39 6.45 6.52 6.60 6.67 6.75 6.82
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Age of Age of Secondary Payee
Primary
Payee
---------------------------------------------------------------------------------------------------
MALE 56 57 58 59 60 61 62 63 64 65
---------------------------------------------------------------------------------------------------
FEMALE 61 62 63 64 65 66 67 68 69 70
---------------------------------------------------------------------------------------------------
50 55 $4.81 $4.82 $4.83 $4.83 $4.84 $4.85 $4.85 54.86 $4.86 $4.87
51 56 4.88 4.89 4.90 4.90 4.91 4.92 4.93 4.93 4.94 4.94
52 57 4.95 4.96 4.97 4.98 4.99 5.00 5.00 5.01 5.02 5.02
53 58 5.01 5.03 5.04 5.05 5.06 5.07 5.08 5.09 5.10 5.11
54 59 5.08 5.10 5.12 5.13 5.14 5.15 5.17 5.18 5.18 5.19
55 60 5.15 5.17 5.19 5.21 5.22 5.24 5.25 5.26 5.27 5.28
56 61 5.23 5.25 5.27 5.29 5.31 5.32 5.34 5.35 5.36 5.38
57 62 5.30 5.32 5.35 5.37 5.39 5.41 5.43 5.44 5.46 5.47
58 63 5.17 5.40 5.43 5.45 5.48 5.50 5.52 5.54 5.55 5.57
59 64 5.45 5.48 5.51 5.54 5.56 5.59 5.61 5.63 5.65 5.67
60 65 5.52 5.56 5.59 5.62 5.65 5.68 5.71 5.73 5.76 5.78
61 66 5.60 5.64 5.67 5.71 5.74 5.78 5.81 5.84 5.86 5.89
62 67 5.68 5.72 5.76 5.80 5.84 5.87 5.91 5.94 5.97 6.00
63 68 5.76 5.80 5.85 5.89 5.93 5.97 6.01 6.05 6.08 6.12
64 69 5.84 5.89 5.94 5.98 6.03 6.07 6.12 6.16 6.20 6.24
65 70 5.92 5.98 6.03 6.08 6.13 6.18 6.23 6.27 6.32 6.36
66 71 6.01 6.07 6.12 6.18 5.23 6.28 6.34 6.39 6.44 6.49
67 72 6.10 6.16 6.22 6.28 6.33 6.39 6.45 6.51 6.56 6.62
68 73 6.19 6.25 6.32 6.38 6.44 6.50 6.57 6.63 6.69 6.75
69 74 6.29 6.35 6.42 6.48 6.55 6.62 6.68 6.75 6.82 6.89
70 75 6.38 6.45 6.52 6.59 6.66 6.73 6.81 6.88 6.95 7.02
71 76 6.48 6.55 6.63 6.70 6.77 6.85 6.93 7.01 7.09 7.17
72 77 6.58 6.66 6.73 6.81 6.89 6.97 7.05 7.14 7.22 7.31
73 78 6.69 6.77 6.85 6.93 7.01 7.10 7.18 7.27 7.36 7.46
74 79 6.80 6.88 6.96 7.04 7.13 7.22 7.32 7.41 7.51 7.61
75 80 6.91 6.99 7.08 7.17 7.26 7.35 7.45 7.55 7.65 7.76
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V82-300 Page 8b
11
ANNUITY OPTION TABLES (Cont'd)
For Each $1,000
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Option 4-MONTHLY INSTALLMENTS-JOINT AND TWO THIRDS TO SECONDARY PAYEE
-------------------------------------------------------------------------------------------------------------
Age of Age of Secondary Payee
Primary
Payee
-------------------------------------------------------------------------------------------------------------
MALE 45 46 47 48 49 50 51 52 53 54 55
-------------------------------------------------------------------------------------------------------------
FEMALE 50 51 52 53 54 55 56 57 58 59 60
-------------------------------------------------------------------------------------------------------------
50 55 $4.51 $4.54 $4.56 $4.59 $4.61 $4.63 $4.65 $4.67 $4.69 $4.70 $4.71
51 56 4.54 4.57 4.60 4.63 4.65 4.68 4.70 4.72 4.74 4.76 4.77
52 57 4.57 4.60 4.63 4.66 4.69 4.72 4.74 4.77 4.79 4.81 4.83
53 58 4.60 4.63 4.67 4.70 4.73 4.76 4.79 4.82 4.84 4.87 4.89
54 59 4.63 4.67 4.70 4.74 4.77 4.80 4.83 4.86 4.89 4.92 4.94
55 60 4.66 4.70 4.74 4.77 4.81 4.84 4.88 4.91 4.94 4.97 5.00
56 61 4.69 4.73 4.77 4.81 4.85 4.88 4.92 4.96 4.99 5.03 5.06
57 62 4.72 4.76 4.80 4.84 4.88 4.93 4.97 5.00 5.04 5.08 5.11
58 63 4.75 4.79 4.84 4.88 4.92 4.97 5.01 5.05 5.09 5.13 5.17
59 64 4.78 4.83 4.87 4.92 4.96 5.01 5.05 5.10 5.14 5.18 5.23
60 65 4.81 4.86 4.91 4.95 5.00 5.05 5.09 5.14 5.19 5.23 5.28
61 66 4.85 4.89 4.94 4.99 5.04 5.09 5.14 5.19 5.24 5.29 5.34
62 67 4.88 4.93 4.98 5.03 5.08 5.13 5.18 5.23 5.29 5.34 5.39
63 68 4.92 4.97 5.02 5.07 5.12 5.17 5.23 5.28 5.34 5.39 5.45
64 69 4.96 5.00 5.06 5.11 5.16 5.22 5.27 5.33 5.39 5.44 5.50
65 70 4.99 5.04 5.10 5.15 5.20 5.26 5.32 5.38 5.44 5.50 5.56
66 71 5.03 5.08 5.14 5.19 5.25 5.31 5.37 5.43 5.49 5.55 5.62
67 72 5.07 5.13 5.18 5.24 5.29 5.35 5.42 5.48 5.54 5.61 5.67
68 73 5.11 5.17 5.22 5.28 5.34 5.40 5.47 5.53 5.60 5.66 5.73
69 74 5.16 5.21 5.27 5.33 5.39 5.45 5.52 5.58 5.65 5.72 5.79
70 75 5.20 5.26 5.31 5.37 5.44 5.50 5.57 5.64 5.71 5.78 5.85
71 76 5.24 5.30 5.36 5.42 5.49 5.55 5.62 5.69 5.76 5.84 5.91
72 77 5.29 5.35 5.41 5.47 5.54 5.60 5.67 5.74 5.82 5.89 5.97
73 78 5.34 5.40 5.46 5.52 5.59 5.66 5.73 5.80 5.88 5.95 6.03
74 79 5.38 5.44 5.51 5.57 5.64 5.71 5.78 5.86 5.93 6.01 6.10
75 80 5.43 5.49 5.56 5.62 5.69 5.76 5.84 5.91 5.99 6.08 6.16
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Age of Age of Secondary Payee
Primary
Payee
---------------------------------------------------------------------------------------------------
MALE 56 57 58 59 60 61 62 63 64 65
---------------------------------------------------------------------------------------------------
FEMALE 61 62 63 64 65 66 67 68 69 70
---------------------------------------------------------------------------------------------------
50 55 $4.73 $4.74 $4.75 $4.75 $4.76 $4.77 $4.78 $4.78 $4.79 $4.80
51 56 4.79 4.80 4.81 4.82 4.83 4.84 4.85 4.86 4.86 4.87
52 57 4.85 4.86 4.88 4.89 4.90 4.91 4.92 4.93 4.94 4.95
53 58 4.91 4.93 4.94 4.96 4.97 4.98 5.00 5.01 5.02 5.03
54 59 4.97 4.99 5.01 5.03 5.04 5.06 5.07 5.09 5.10 5.11
55 60 5.03 5.05 5.08 5.10 5.12 5.13 5.15 5.17 5.18 5.19
56 61 5.09 5.12 5.14 5.17 5.19 5.21 5.23 5.25 5.26 5.28
57 62 5.15 5.18 5.21 5.24 5.26 5.29 5.31 5.33 5.35 5.37
58 63 5.21 5.24 5.28 5.31 5.34 5.37 5.39 5.42 5.44 5.46
59 64 5.27 5.31 5.34 5.38 5.41 5.45 5.48 5.50 5.53 5.55
60 65 5.33 5.37 5.41 5.45 5.49 5.53 5.56 5.59 5.62 5.65
61 66 5.38 5.43 5.48 5.52 5.56 5.61 5.64 5.68 5.72 5.75
62 67 5.44 5.49 5.54 5.59 5.64 5.69 5.73 5.77 5.81 5.85
63 68 5.50 5.56 5.61 5.66 5.72 5.77 5.82 5.86 5.91 5.95
64 69 5.56 5.62 5.68 5.74 5.79 5.85 5.90 5.95 6.00 6.05
65 70 5.62 5.68 5.74 5.81 5.87 5.93 5.99 6.05 6.10 6.16
66 71 5.68 5.75 5.81 5.88 5.94 6.01 6.07 6.14 6.20 6.26
67 72 5.74 5.81 5.88 5.95 6.02 6.09 6.16 6.23 6.30 6.37
68 73 5.80 5.87 5.95 6.02 6.10 6.17 6.25 6.32 6.40 6.47
69 74 5.86 5.94 6.02 6.09 6.17 6.25 6.33 6.42 6.50 6.58
70 75 5.93 6.01 6.08 6.17 6.25 6.33 6.42 6.51 6.60 6.68
71 76 5.99 6.07 6.15 6.24 6.33 6.42 6.51 6.60 6.69 6.79
72 77 6.05 6.14 6.22 6.31 6.40 6.50 6.59 6.69 6.79 6.89
73 78 6.12 6.20 6.29 6.39 6.48 6.58 6.68 6.78 6.89 7.00
74 79 6.18 6.27 6.36 6.46 6.56 6.66 6.77 6.88 6.99 7.10
75 80 6.25 6.34 6.44 6.53 6.64 6.74 6.85 6.97 7.09 7.21
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V82-300 Page 8c
12
4.12 DEATH OF XXXXX
If a payee dies, any installments still payable under a
specified certain period will be paid as they become due to
the surviving or next succeeding payee. If no designated
payee survives, the commuted value of any unpaid
installments will be paid in one sum to the estate of the
last payee to die.
4.13 RIGHTS UNDER ANNUITY OPTIONS
No payee has the right to make any change in the provisions
of the agreement or to receive the benefits in any manner
other than that stated in the agreement, unless such right
was reserved in the agreement. We will not make any
payments in advance, nor commute installments under any life
income option.
4.14 BASIS OF COMMUTATION
Commutation of installments for other than life income
options will be at the effective annual rate of 4%
compounded annually.
4.15 EXTENDED PROVISIONS
Provisions for settlement of benefits different from those
stated in this policy may only be made upon written
agreement with us.
4.16 COMPANY LIABILITY
We will be fully discharged by any payment we make before a
written request for an election, change or revocation was
made and is received in our Home Office.
SECTION 5. DEATH BENEFITS
5.01 DEATH BENEFITS
In the event of the death of the participant before the
annuity commencement date, the beneficiary of the
participant will receive the accumulated value of the
participant's individual account.
The accumulated value of a participant's individual account,
shall, for the purposes of this provision, be that value as
determined after written notice of death is received by us
at our Home Office. The death benefits may be taken in one
sum or under any of the annuity options available in our
Individual Variable Annuity Contract then being issued, if
any.
SECTION 6. TERMINATION BENEFITS
6.01 TERMINATION BENEFITS
Upon termination of participation prior to the annuity
commencement date, the participant may elect with respect to
the accumulation units in his individual account:
(a) to have the accumulated value applied to provide
annuity payments under one of the options described in
section 4; or
(b) to leave the accumulated value in the contract, in
which case the number of accumulation units in his
individual account will remain fixed, but the value
thereof will vary as described in section 3; or
(c) to receive the accumulated value on the basis of the
accumulation unit value next determined after the
written request for surrender is received by us at our
Home Office; or
(d) to convert to an Individual Variable Annuity Contract,
if appropriate individual contracts are issued by us on
the effective date of termination, on the basis set
forth by us at the time of such conversion.
SECTION 7. GENERAL PROVISIONS
7.01 CERTIFICATES
We shall issue to you for delivery to each participant an
individual certificate setting forth in substance the
benefits to which each participant is entitled under this
contract. The word "certificate" as used herein shall
include certificate riders and certificate supplements, if
any.
We will provide to you and the participants such information
and reports as the laws and regulations of the appropriate
jurisdiction shall require.
V82-300 Page 9
13
7.02 GENERAL PROVISIONS GOVERNING ANNUITY PAYMENTS
Whenever any payment hereunder shall be contingent upon the
survival of some person, evidence of such person's survival
must be furnished to us either by personal endorsement by
such persons of the check drawn for such payment or by other
evidence satisfactory to us.
7.03 FACILITY OF PAYMENT
If any payee under this contract is a minor or is, in our
judgment, otherwise legally incapable of personally
receiving and giving a valid receipt for any payment due him
under this contract, we may, unless and until claim shall
have been made by a duly appointed guardian or committee of
such payee, make such payment, or any part of it, to any
person or institution then in our judgment contributing
toward, or providing for, the care and maintenance of such
person. Such payment shall completely discharge our
liability with respect to the amount so paid.
7.04 SPENDTHRIFT CLAUSE
The benefits under this contract shall not be assigned,
transferred, commuted, anticipated or encumbered and, to the
extent permitted by law, shall be exempt from attachment and
otherwise free from the claim of creditors.
7.05 PERSONAL DATA
You shall furnish any information or evidence which we may
reasonably require in order to administer this contract. If
you cannot furnish any required item of information, we may
request that any other person concerned furnish such
information. We shall not be liable for the fulfillment of
any obligations in any way dependent on such information
until we receive such information in a form satisfactory to us.
Information furnished to us may be corrected for
demonstrated errors therein unless we have already acted to
our prejudice by relying on such information. Any records
prepared by us from information furnished as described above
shall constitute prima facie evidence as to the truth of the
information so recorded.
7.06 MISSTATEMENT OF ESSENTIAL FACTS
If the date of birth or sex of any person on whose life any
payment hereunder is based has been misstated, any amount
payable under this contract with respect to such person
shall be such as the value of the Participant's Individual
Account would have purchased based on the correct date of
birth and sex. If annuity installments are being made with
respect to such person, underpayments made by us will be
added to and overpayments will be charged against annuity
installments becoming due thereafter.
7.07 MODIFICATION OF THIS CONTRACT
This contract along with any attached riders may be modified
at any time, subject to the laws of the jurisdiction in
which it is delivered, by written agreement between you and
us. No such modification shall adversely affect
accumulation units or annuity units credited to Participants
or Annuitants prior to the effective date of such
modification unless it is deemed advisable to make such
change of retroactive effect in order to meet the
requirement of any law or regulation issued by any
governmental agency or unless all affected Participants
consent thereto.
We may not make any unilateral change in this contract prior
to the third Contract Anniversary, except as required in
order to make this contract conform with any law or
regulation issued by any governmental agency. On the third
Contract Anniversary or any later Contract Anniversary we
may change this contract in any respect provided that (a)
any such modification will not affect in any way the amount
or terms of any annuity purchased prior to the effective
date of such modification, and (b) such modification shall
not change (i) the amount of deductions from withdrawals,
(ii) any factor used in determining accumulation or annuity
unit values, or (iii)
V82-300 Page 10
14
any factor used to determine the amount of any annuity
installment as they apply to accumulation unit purchases by
contributions in any year not in excess of twice the first annual
contribution for Participants who were in the plan prior to the
effective date of such change. We shall give you a written
notice of any such modification at least 90 days prior to the
effective date thereof.
Any portion of an increase in the annual contribution which
causes the annual contribution to exceed twice the first
annual contribution will be subject to the contract
provisions effective at the time of the increase. These
provisions will remain applicable so long as the annual
contribution is continued at that level.
7.08 CONTRACT
This contract along with any attached rider(s) and your
application, a copy of which is attached and made a part
thereof, constitute the entire contract.
No change or modification of this contract and its rider(s)
or waiver of its conditions can be made or will be valid
unless made in writing and signed by our President, a Vice
President or Secretary. No assignment of this contract by
you shall be binding upon us unless in writing and until
filed at our Home Office. We assume no responsibility for
the validity of any assignment.
We reserve the right to terminate this contract if the Plan
ceases to be qualified under the Internal Revenue Code or
any other law.
7.09 BENEFICIARY
A Participant may designate a beneficiary to receive any
death benefit that may become payable at or after his death
as a result of the operation of the plan, and may change
such designation from time to time except in regard to a
contingent Annuitant after the Participant begins receiving
installments while the Joint and Last Survivor Life Annuity
option is in effect. Any designation or change shall be
made by written notice in a form satisfactory to us and
filed at our Home Office, and when it is received, the
designation or change shall relate back and take effect as
of the date it was signed, whether or not the Participant is
living at the time of the receipt of such written notice. A
beneficiary who becomes entitled to receive benefits under
the plan may also designate in the same manner, a beneficiary to
receive any death benefit that may become payable under the plan
at or after his death.
If no beneficiary has been designated by a payee described
above, or if no designated beneficiary is living on the date
a lump sum death benefit is payable or on the date any
installment payments are to be continued, we will pay the
lump sum death benefit or the commuted value of the
installment payments, whichever is applicable, to the person
or persons specified in the Plan. If the Plan does not
specify the person or persons to whom payment is to be made,
then we shall make payment to the former payee's spouse, if
living at the death of the payee; if not then living,
equally to the payee's children who survive him; if none are
surviving, to either the surviving father or mother of such
payee, or to both equally if both survive; if none of the
above survive the payee, to his executors or administrators.
7.10 RELATION OF THIS CONTRACT TO SEPARATE ACCOUNTS
We shall have exclusive and absolute ownership and control
of the assets of both our General Account and our Separate
Accounts. Our method of determination of the value of an
accumulation unit (or an annuity unit) will be conclusive
upon you, any Participant, and any beneficiary.
The variable annuity benefits of this contract are funded
solely from the assets of the Separate Accounts of which it
is an obligation and except to the extent of such limited
expense and mortality guarantees, shall have no claim
against any of our other assets.
The assets allocated to the Separate Accounts may be
invested in any class of
V82-300 Page 11
15
investments which we are permitted to make in accordance with the
laws of Missouri, as amended from time to time, and in accordance
with the resolution adopted by our Board of Directors applicable
to such Accounts. The investment or reinvestment of such assets
shall be determined by us at our sole discretion. The
investment income and gains or losses from the assets in the
Separate Accounts shall be credited or charged against the
Separate Accounts without regard to our other investment
income or gains or losses.
The portion of the assets of the Separate Accounts equal to
the reserves and other contract liabilities with respect to
the Separate Accounts shall not be chargeable with
liabilities arising out of any other business that we may
conduct.
7.11 ANNUAL DIVIDENDS
Your Contract shares in our divisible surplus while it is in
force prior to the annuity commencement date. Each year we
will determine the share of divisible surplus, if any,
accruing to your contract. Investment results are credited
directly through the changes in the value of the
accumulation units and annuity units. Also, most mortality
and expense savings are credited directly through decreases
in the appropriate charges. Therefore, the Company expects
little or no divisible surplus to be credited to your
Contract.
7.12 DEFERMENT
Any payment from the General Account upon partial withdrawal
or termination of a Participant may be deferred by us for a
period not exceeding six months after receipt of application, or
the maximum period permitted by law if less than six months.
7.13 LIMITATION ON BENEFITS
Annuity installments to any Annuitant may be decreased if
required by the Plan. The commuted value of such decrease
shall be distributed as you direct.
7.14 VOTING RIGHTS
Our annual meeting for the election of directors and the
transaction of other business is held each year at our Home
Office in St. Louis, Missouri, at 9:00 a.m. on the fourth
Tuesday in January. We are a mutual company owned by
Policyholders and contractholders and, as such, you are
entitled to vote at such elections and participate in such
meetings in accordance with our Charter and By-laws.
V82-300 Page 12