Pacific Life Insurance Company • 700 Newport Center Drive • Newport Beach, CA 92660
EXHIBIT (4)(p)
Pacific Life Insurance Company • 000 Xxxxxxx Xxxxxx Xxxxx • Newport Beach, CA 92660
READ YOUR POLICY CAREFULLY. This is a legal contract between you, the Owner, and us, Pacific Life Insurance Company, a stock insurance company. We agree to pay the benefits of this policy according to its provisions. The consideration for this policy is the application for it, a copy of which is attached, and payment of the premiums.
PREMIUMS ARE FLEXIBLE, SUBJECT TO MINIMUMS REQUIRED TO KEEP THE POLICY IN FORCE. VARIABLE ACCOUNT VALUES ARE NOT GUARANTEED, AND MAY INCREASE OR DECREASE DEPENDING UPON VARIABLE ACCOUNT INVESTMENT EXPERIENCE. POLICY LOAN VALUE IS LESS THAN ONE HUNDRED PERCENT (100%) OF THE POLICY’S CASH SURRENDER VALUE.
THE METHOD FOR DETERMINING THE DEATH BENEFIT IS DESCRIBED IN THE DEATH BENEFIT SECTION OF THIS POLICY. THE AMOUNT OF THE DEATH BENEFIT MAY BE FIXED OR VARIABLE ACCORDING TO THE DEATH BENEFIT OPTION SELECTED AND MAY INCREASE OR DECREASE. THE DURATION THIS POLICY REMAINS IN FORCE MAY VARY, DEPENDING ON THE PREMIUMS PAID AND THE INVESTMENT EXPERIENCE OF THE VARIABLE ACCOUNTS.
FREE LOOK RIGHT – You may return this policy within 10 days after you receive it. To do so, deliver or mail it to us or to our agent. This policy will then be deemed void from the beginning and we will refund:
· | any Premium Load deducted from premiums received; plus |
· | any Net Premium allocated to the Fixed Options; plus |
· | the Variable Accumulated Value as of the end of the Valuation Period when we receive the policy; plus |
· | any policy charges and fees deducted from the Variable Accounts. |
Signed for Pacific Life Insurance Company,
Chairman and Chief Executive Officer | Secretary |
FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE
· | Death Benefit Payable On The Death Of The Insured While The Policy Is In Force |
· | Net Cash Surrender Value Payable Upon Surrender While The Policy Is In Force |
· | Adjustable Face Amount |
· | Benefits May Vary Based On Investment Experience |
· | Non-Participating |
POLICY NUMBER: | VP99999990 | OWNER(S): | XXXXXX XXXXXXXX | |||
POLICY DATE: | MAY 1, 2004 | INSURED: | XXXXXX XXXXXXXX | |||
RISK CLASS: | MALE SELECT NONSMOKER | AGE ON POLICY DATE: | 35 | |||
INITIAL FACE AMOUNT: | $100,000 |
NOTE: EVEN IF PLANNED PREMIUMS ARE PAID, IT IS POSSIBLE THAT THE POLICY MAY NOT CONTINUE IN FORCE (THAT IS, IT MAY LAPSE BEFORE THE DEATH OF THE INSURED) DUE TO CHANGES IN INTEREST CREDITED ON THE FIXED OPTIONS, INVESTMENT PERFORMANCE OF THE VARIABLE ACCOUNTS, EXPENSE LOADS, AND COST OF INSURANCE RATES. ADDITIONALLY, LOANS, WITHDRAWALS, AND DEATH BENEFIT OPTION CHANGES WILL AFFECT THE LENGTH OF TIME THE POLICY STAYS IN FORCE.
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POLICY SPECIFICATIONS
BASIC POLICY: |
FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE | |||||
PREMIUMS: |
PLANNED [ANNUAL] PREMIUM | = | $ 1,582.70 | |||
GUIDELINE SINGLE PREMIUM | = | 18,104.80 | ||||
GUIDELINE LEVEL PREMIUM | = | 1,582.70 | ||||
7-PAY PREMIUM | = | 4,022.00 |
DEATH BENEFIT QUALIFICATION TEST: GUIDELINE PREMIUM TEST
(THIS ELECTION IS IRREVOCABLE FOR THE LIFE OF THE CONTRACT)
DEATH BENEFIT OPTION: A
MINIMUM GUARANTEED INTEREST RATE FOR FIXED OPTIONS: [2.50]% ANNUALLY. ANY EXCESS INTEREST DECLARED BY US WILL BE GUARANTEED FOR ONE YEAR.
DIVISOR FOR CALCULATING THE NET AMOUNT AT RISK: [1.002060]
PREMIUM LOAD: FOR EACH PREMIUM PAID THERE IS A PREMIUM LOAD THAT CONSISTS OF A SALES LOAD OF 3.50% PLUS A CHARGE OF 2.35% FOR CERTAIN STATE AND LOCAL PREMIUM TAXES PLUS A CHARGE OF 1.50% FOR CERTAIN FEDERAL TAXES. REFER TO CONTRACT FOR DETAILS.
ADMINISTRATIVE CHARGE: | $7.50 PER MONTH TO AGE 100; $0 THEREAFTER. | |
INITIAL SURRENDER CHARGE: | $111.00 |
MORTALITY AND EXPENSE RISK FACE AMOUNT CHARGE: $19.10 PER MONTH FOR POLICY YEARS 1 TO 10; $0 THEREAFTER.
POLICY NUMBER: | VP99999990 | OWNER(S): | XXXXXX XXXXXXXX | |||
POLICY DATE: | MAY 1, 2004 | INSURED: | XXXXXX XXXXXXXX | |||
RISK CLASS: | MALE SELECT NONSMOKER | AGE ON POLICY DATE: | 35 | |||
INITIAL FACE AMOUNT: | $100,000 |
NOTE: EVEN IF PLANNED PREMIUMS ARE PAID, IT IS POSSIBLE THAT THE POLICY MAY NOT CONTINUE IN FORCE (THAT IS, IT MAY LAPSE BEFORE THE DEATH OF THE INSURED) DUE TO CHANGES IN INTEREST CREDITED ON THE FIXED OPTIONS, INVESTMENT PERFORMANCE OF THE VARIABLE ACCOUNTS, EXPENSE LOADS, AND COST OF INSURANCE RATES. ADDITIONALLY, LOANS, WITHDRAWALS, AND DEATH BENEFIT OPTION CHANGES WILL AFFECT THE LENGTH OF TIME THE POLICY STAYS IN FORCE.
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Page 3.0 |
SUMMARY OF COVERAGES EFFECTIVE ON THE POLICY DATE
P04MVP: | BASIC COVERAGE | |||
FACE AMOUNT: | $100,000.00 | |||
AGE AT ISSUE: | 35 | |||
RISK CLASS: | MALE SELECT NONSMOKER | |||
COVERED PERSON: | XXXXXX XXXXXXXX | |||
R04PNL: | NO LAPSE GUARANTEE RIDER | |
GUARANTEE PERIOD = [LIFETIME or XX YEARS or TO AGE YY] | ||
NO LAPSE PREMIUM = $[X,XXX.XX] | ||
MONTHLY INTEREST RATE FOR ACCUMULATION OF THE NO LAPSE CREDIT IF THE NO LAPSE CREDIT IS POSITIVE: 0.XXXXXX% |
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Page 3.1 |
NO LAPSE GUARANTEE RIDER CHARGES
[Charge is shown only if greater than $0]
Policy Year |
[Monthly Charge per $1 of Net Amount At Risk] |
[Monthly Charge per $1,000 of Face Amount] |
[Monthly Charge per $1 of Accumulated Value] | |||
1 | 0.011 | 0.45 | 0.000625 | |||
2 | 0.011 | 0.45 | 0.000625 | |||
3 | 0.011 | 0.45 | 0.000625 | |||
4 | 0.011 | 0.45 | 0.000625 | |||
5 | 0.011 | 0.45 | 0.000625 | |||
6 | 0.011 | 0.45 | 0.000625 | |||
7 | 0.011 | 0.45 | 0.000625 | |||
8 | 0.011 | 0.45 | 0.000625 | |||
9 | 0.011 | 0.45 | 0.000625 | |||
10 | 0.011 | 0.45 | 0.000625 | |||
11 | 0.011 | 0.45 | 0.000625 | |||
12 | 0.011 | 0.45 | 0.000625 | |||
13 | 0.011 | 0.45 | 0.000625 | |||
14 | 0.011 | 0.45 | 0.000625 | |||
15 | 0.011 | 0.45 | 0.000625 | |||
16 | 0.011 | 0.45 | 0.000625 | |||
17 | 0.011 | 0.45 | 0.000625 | |||
18 | 0.011 | 0.45 | 0.000625 | |||
19 | 0.011 | 0.45 | 0.000625 | |||
20 | 0.011 | 0.45 | 0.000625 | |||
21 | 0.011 | 0.45 | 0.000625 | |||
22 | 0.011 | 0.45 | 0.000625 | |||
23 | 0.011 | 0.45 | 0.000625 | |||
24 | 0.011 | 0.45 | 0.000625 | |||
25 | 0.011 | 0.45 | 0.000625 | |||
26 | 0.011 | 0.45 | 0.000625 | |||
27 | 0.011 | 0.45 | 0.000625 | |||
28 | 0.011 | 0.45 | 0.000625 | |||
29 | 0.011 | 0.45 | 0.000625 | |||
30 | 0.011 | 0.45 | 0.000625 | |||
31 | 0.011 | 0.45 | 0.000625 | |||
32 | 0.011 | 0.45 | 0.000625 | |||
33 | 0.011 | 0.45 | 0.000625 | |||
34 | 0.011 | 0.45 | 0.000625 | |||
35 | 0.011 | 0.45 | 0.000625 | |||
36 | 0.011 | 0.45 | 0.000625 |
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POLICY NUMBER:
XXXXXXXXXXX
NO LAPSE GUARANTEE RIDER CHARGES (continued)
[Charge is shown only if greater than $0]
Policy Year |
[Monthly Rate per $1 of Net Amount At Risk] |
[Monthly Charge per $1,000 of Face Amount] |
[Monthly Rate per $1 of Accumulated Value] | |||
37 | 0.011 | 0.45 | 0.000625 | |||
38 | 0.011 | 0.45 | 0.000625 | |||
39 | 0.011 | 0.45 | 0.000625 | |||
40 | 0.011 | 0.45 | 0.000625 | |||
41 | 0.011 | 0.45 | 0.000625 | |||
42 | 0.011 | 0.45 | 0.000625 | |||
43 | 0.011 | 0.45 | 0.000625 | |||
44 | 0.011 | 0.45 | 0.000625 | |||
45 | 0.011 | 0.45 | 0.000625 | |||
46 | 0.011 | 0.45 | 0.000625 | |||
47 | 0.011 | 0.45 | 0.000625 | |||
48 | 0.011 | 0.45 | 0.000625 | |||
49 | 0.011 | 0.45 | 0.000625 | |||
50 | 0.011 | 0.45 | 0.000625 | |||
51 | 0.011 | 0.45 | 0.000625 | |||
52 | 0.011 | 0.45 | 0.000625 | |||
53 | 0.011 | 0.45 | 0.000625 | |||
54 | 0.011 | 0.45 | 0.000625 | |||
55 | 0.011 | 0.45 | 0.000625 | |||
56 | 0.011 | 0.45 | 0.000625 | |||
57 | 0.011 | 0.45 | 0.000625 | |||
58 | 0.011 | 0.45 | 0.000625 | |||
59 | 0.011 | 0.45 | 0.000625 | |||
60 | 0.011 | 0.45 | 0.000625 | |||
61 | 0.011 | 0.45 | 0.000625 | |||
62 | 0.011 | 0.45 | 0.000625 | |||
63 | 0.011 | 0.45 | 0.000625 | |||
64 | 0.011 | 0.45 | 0.000625 | |||
65 | 0.011 | 0.45 | 0.000625 | |||
66+ |
0 | 0 | 0 |
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TABLE OF INSURANCE CHARGES – BASIC POLICY
GUARANTEED MAXIMUM MONTHLY COST OF INSURANCE RATES PER $1000 OF COVERAGE APPLICABLE TO BASIC POLICY COVERING XXXXXX XXXXXXXX.
AGE | MONTHLY RATE |
AGE | MONTHLY RATE |
AGE | MONTHLY RATE |
AGE | MONTHLY RATE | |||||||
35 |
0.17600 | 60 | 1.34998 | 85 | 13.73773 | |||||||||
36 |
0.18686 | 61 | 1.47355 | 86 | 15.02185 | |||||||||
37 |
0.20022 | 62 | 1.61341 | 87 | 16.35661 | |||||||||
38 |
0.21526 | 63 | 1.77217 | 88 | 17.73798 | |||||||||
39 |
0.23280 | 64 | 1.94909 | 89 | 19.17199 | |||||||||
40 |
0.25202 | 65 | 2.14342 | 90 | 20.67766 | |||||||||
41 |
0.27458 | 66 | 2.35100 | 91 | 22.28714 | |||||||||
42 |
0.29715 | 67 | 2.57276 | 92 | 24.06347 | |||||||||
43 |
0.32307 | 68 | 2.80882 | 93 | 26.11993 | |||||||||
44 |
0.34984 | 69 | 3.06532 | 94 | 28.81300 | |||||||||
45 |
0.37996 | 70 | 3.35367 | 95 | 32.81758 | |||||||||
46 |
0.41093 | 71 | 3.68199 | 96 | 39.64295 | |||||||||
47 |
0.44442 | 72 | 4.06029 | 97 | 53.06605 | |||||||||
48 |
0.47960 | 73 | 4.49620 | 98 | 83.33300 | |||||||||
49 |
0.51898 | 74 | 4.98352 | 99 | 83.33300 | |||||||||
50 |
0.56089 | 75 | 5.51331 | 100+ |
0 | |||||||||
51 |
0.61038 | 76 | 6.07653 | |||||||||||
52 |
0.66577 | 77 | 6.66569 | |||||||||||
53 |
0.72875 | 78 | 7.27588 | |||||||||||
54 |
0.80018 | 79 | 7.92387 | |||||||||||
55 |
0.87672 | 80 | 8.63521 | |||||||||||
56 |
0.96005 | 81 | 9.43078 | |||||||||||
57 |
1.04684 | 82 | 10.33895 | |||||||||||
58 |
1.13962 | 83 | 11.37350 | |||||||||||
59 |
1.23925 | 84 | 12.51385 |
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DEFINITIONS
In this section, we define certain terms used throughout this policy. Other terms may be defined in other parts of the policy. Defined terms are usually capitalized to provide emphasis.
Age – means the Insured’s Age to the nearest birthday as of the Policy Date, increased by the number of complete policy years elapsed.
Code – is the U.S. Internal Revenue Code, as amended, and the rules and regulations issued thereunder.
Coverage Segment – is a layer of insurance coverage with an associated Face Amount. The Face Amount shown in the Policy Specifications is that of the initial Coverage Segment. Any increase in the Face Amount, as shown in a Supplemental Schedule of Coverage, will result in a new Coverage Segment. Any decrease in Face Amount will reduce or eliminate Coverage Segments as described in the Face Amount Decrease subsection.
Evidence of Insurability – is information, including medical information, satisfactory to us that is used to determine insurability and the Insured’s Risk Class.
Face Amount – is the sum of Face Amounts of each Coverage Segment and is used in determining the death benefit under this policy. The Face Amount as of the Policy Date is shown in the Policy Specifications. The Face Amount may be changed, as provided for in the Death Benefit section.
Fixed Options – consist of the Fixed Account and the Fixed LT Account, which are part of our general account.
Home Office – means our Life Insurance Client Services offices.
Insured – is the person insured under this policy, as shown in the Policy Specifications.
Investment Options – consist of the Variable Accounts and the Fixed Options.
Monthly Payment Date – is the day each month on which certain policy charges are deducted from the Accumulated Value. This first Monthly Payment Date is the Policy Date. Later Monthly Payment Dates are the same day each month thereafter.
Net Amount at Risk – is equal to the death benefit as of the most recent Monthly Payment Date divided by the Divisor for Calculating the Net Amount at Risk shown in the Policy Specifications, then reduced by the Accumulated Value at the beginning of the policy month before the Monthly Deduction is due. The Accumulated Value section describes how the Net Amount at Risk is used to calculate the Cost of Insurance Charge.
Net Premium – is the premium we receive reduced by any Premium Load.
PL, we, our, ours, us and the Company – refer to Pacific Life Insurance Company.
Policy Date – is shown on page 3. Policy months, years and anniversaries are measured from this date.
Policy Debt – is the sum of outstanding policy loans plus accrued Loan Interest.
Risk Class – is shown in the Policy Specifications and is used in determining the Insured’s Cost of Insurance Rates.
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Separate Account – is the Pacific Select Exec Separate Account, which is a Separate Account of ours that consists of subaccounts, also called Variable Accounts. Each Variable Account may invest its assets in a separate class of shares of a designated investment company or companies.
Valuation Date – is each day required by applicable law and currently includes each day the New York Stock Exchange is open for trading and our Home Office is open. If any transaction or event is scheduled to occur on a day that is not a Valuation Date, such transaction or event will be deemed to occur on the next following Valuation Date unless otherwise specified.
Valuation Period – is the period of time between successive Valuation Dates.
Variable Account – is a Separate Account of ours or a subaccount of a Separate Account of ours in which assets are segregated from assets in our general account or our other Separate Accounts. Premiums and Accumulated Value under this policy may be allocated to a Variable Account for variable accumulation.
Written Request – is a request in writing, signed by you, and received by us at our Home Office, containing such information that we need to act on the request.
You, your or Owner – refers to the Owner of this policy.
OWNER AND BENEFICIARY
Owner – The Owner of this policy is as shown in the Policy Specifications or in a later Written Request. If you change the Owner, the change is effective on the date the Written Request is signed, subject to our receipt of it. If there are two or more Owners, they will own this contract as joint tenants with right of survivorship.
Assignment – You may assign this policy by Written Request. An assignment will take place only when recorded at our Home Office. When received, the assignment will take effect as of the date the Written Request was signed. Any rights created by the assignment will be subject to any payments made or actions taken by us before the change is recorded. We will not be responsible for the validity of any assignment.
Beneficiary – The beneficiary is named by you in the application to receive the Death Benefit Proceeds. The beneficiary may be one or more persons. If the beneficiary is more than one person, they will share the Death Benefit Proceeds equally or as you may otherwise specify by Written Request. The interest of any beneficiary will be subject to any assignment. If you have named a contingent beneficiary, that person becomes the beneficiary if the beneficiary dies before the Insured. A beneficiary may not, at or after the Insured’s death, assign, transfer or encumber any benefit payable. To the extent allowed by law, policy benefits will not be subject to the claims of any creditor of any beneficiary.
You may make a change of beneficiary by Written Request on a form provided by us while the Insured is living. The change will take place as of the date the request is signed. Any rights created by the change will be subject to any payments made or actions taken by us before the Written Request is received. You may designate a permanent beneficiary whose rights under the policy cannot be changed without his or her written consent.
The interest of a beneficiary who does not survive to receive payment will pass to the surviving beneficiaries in proportion to their share in the proceeds, unless otherwise provided. If no beneficiaries survive to receive payment, the death proceeds will pass to the Owner, or the Owner’s estate if the Owner does not survive to receive payment.
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PREMIUMS
Premiums – This policy will not be in force until the initial premium is paid. The initial premium is payable either at our Home Office or to our agent. Additional premiums, if any, are payable in advance at our Home Office. At your request, a premium receipt signed by one of our officers will be given to you. No premium may be less than $50. Premiums may be paid at any time, subject to the premium limitations shown later in this section.
Planned Premium – is the amount of premium you plan to pay. It is shown in the Policy Specifications and may be changed by Written Request. Payment of the Planned Premium does not guarantee that the policy will continue in force.
Premium Allocation – Allocation of the initial Net Premium will be done on the issue date or, if later, the date the premium is received and accepted by us. Any Net Premiums received before your policy has been placed in force, due to the presence of outstanding requirements, will be allocated to the Money Market Variable Account until the requirements are satisfied. At such time, the Accumulated Value in the Money Market Variable Account will be transferred to the Investment Options according to the premium allocation specified in the application or your most recent allocation instructions received by us, if any. Net Premiums received after your policy has been placed in force will be allocated to the Investment Options according to your most recent allocation instructions. Upon Written Request, you may change the premium allocation.
Premium Limitation – We will not accept premiums after the Insured’s Age 100, although you may make a loan repayment at any time. We reserve the right to require Evidence of Insurability, satisfactory to us, for any unscheduled premium payment that would result in an immediate increase in the difference between the death benefit and the Accumulated Value.
Guideline Premium Limit – This subsection applies only if you have elected the Guideline Premium Test as the Death Benefit Qualification Test. In order for this policy to be treated as life insurance under section 7702 of the Code, the sum of the premiums paid less a portion of any withdrawals, as defined in the Code, may not exceed the greater of:
· | The Guideline Single Premium; or |
· | The sum of the Guideline Level Premiums to the date of payment. |
The Guideline Premiums are shown in the Policy Specifications. The Guideline Premiums may change whenever there is a change in the Face Amount of insurance or in other policy benefits. Any such Guideline Premium change will be shown in a supplemental schedule that we will send to you at the time of the change. The Guideline Premiums are used solely to determine the premium limits, beyond which this policy would fail to be classified as life insurance under the Code. Payment of the Guideline Premiums does not guarantee that the policy will never lapse and additional premiums may be necessary to prevent the policy from lapsing in the future.
The Guideline Premiums are determined by the rules, which apply to this policy as set forth in the Code. The Guideline Premiums will be revised to conform to any changes in the Code. In the event that a premium payment would exceed such revised limits, we reserve the right to refund the excess payment to you, provided that we may not refuse any premium payment necessary to keep this policy in force. Further, we reserve the right to make distributions from the policy to the extent we deem it necessary to continue to qualify this policy as life insurance under the Code.
DEATH BENEFIT
Death Benefit – This policy provides a death benefit on the death of the Insured while this policy is in force. This section describes how the death benefit is calculated. On the date of death, the death benefit is the larger of:
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· | The death benefit as calculated under the Death Benefit Option in effect; or |
· | The Minimum Death Benefit calculated under the Death Benefit Qualification Test elected. |
Death Benefit Options – You have elected the Death Benefit Option in the application. The Death Benefit Option for this policy appears in the Policy Specifications. The Death Benefit Options are explained below.
· | Option A – The death benefit equals the Face Amount. |
· | Option B – The death benefit equals the Face Amount plus the Accumulated Value at death. |
· | Option C – The death benefit equals the Face Amount plus the sum of the premiums paid minus the sum of any withdrawals taken and any other distribution of the Accumulated Value to the date of death. If the sum of the withdrawals is greater than the sum of the premiums paid, then the death benefit may be less than the Face Amount. |
Change of Death Benefit Option – The Death Benefit Option may be changed to Option A or B upon Written Request at a maximum of once per year. Changes to Option C are not permitted. After any such change, the Face Amount will be that amount which results in the death benefit after the change being equal to the death benefit before the change. The change will be effective on the Monthly Payment Date on or next following the day we receive your Written Request at our Home Office. We reserve the right to disallow any Death Benefit Option Change from Option A to B that would result in the Face Amount remaining after the change to be less than $50,000.
Death Benefit Qualification Test – In order for your policy to be classified as life insurance under the Code, it must satisfy one of two Death Benefit Qualification Tests. Unless you have elected otherwise, the Death Benefit Qualification Test for this policy is the Guideline Premium Test. The Death Benefit Qualification Test for this policy appears in the Policy Specifications. It may not be changed at any later time. The two Death Benefit Qualification Tests are explained in this subsection.
1. | Cash Value Accumulation Test – The Minimum Death Benefit will be the amount required for this policy to be deemed “life insurance” according to the Code, but not less than 101% of the Accumulated Value. |
2. | Guideline Premium Test – The Minimum Death Benefit at any time is the Accumulated Value multiplied by the death benefit percentage for the Age of the Insured as shown in the following table. |
Age | Death Benefit Percentage |
Age | Death Benefit Percentage |
Age | Death Benefit Percentage |
Age | Death Benefit Percentage | |||||||
0-40 |
250% | 50 | 185% |
60 | 130% | 70 | 115% | |||||||
41 |
243 | 51 | 178 | 61 | 128 | 71 | 113 | |||||||
42 |
236 | 52 | 171 | 62 | 126 | 72 | 111 | |||||||
43 |
229 | 53 | 164 | 63 | 124 | 73 | 109 | |||||||
44 |
222 | 54 | 157 | 64 | 122 | 74 | 107 | |||||||
45 |
215 | 55 | 150 | 65 | 120 | 75-90 | 105 | |||||||
46 |
209 | 56 | 146 | 66 | 119 | 91 | 104 | |||||||
47 |
203 | 57 | 142 | 67 | 118 | 92 | 103 | |||||||
48 |
197 | 58 | 138 | 68 | 117 | 93 | 102 | |||||||
49 |
191 | 59 | 134 | 69 | 116 | Over 93 | 101 |
Death Benefit Proceeds – The Death Benefit Proceeds are the actual amount payable if the Insured dies while this policy is in force. The Death Benefit Proceeds are equal to the death benefit, as of the date of the Insured’s death, less any Policy Debt and less any due and unpaid monthly deductions occurring during a grace period.
We will pay the Death Benefit Proceeds to the beneficiary within one month after we receive, at our Home Office, due proof of the Insured’s death and proof of interest of the claimant. The Death Benefit Proceeds
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paid are subject to the conditions and adjustments defined in other policy provisions, such as General Provisions, Withdrawals, Policy Loans, and Timing of Payments and Transfers. We will pay interest on Death Benefit Proceeds as required by applicable law.
Face Amount Change – Subject to our approval, the Owner may change the Face Amount if such request is made:
· | during the lifetime of the Insured; |
· | no more often than once in any policy year; and |
· | on your Written Request while this policy is in force. |
Face Amount Increase – You may submit an application to increase the Face Amount by an amount not less than $25,000. The Insured must be Age 90 or less and the application must include evidence of insurability satisfactory to us. The effective date of the increased Face Amount will be the first Monthly Payment Date on or following the date all required conditions are met. We reserve the right to limit increases to one per policy year and to charge a fee to evaluate insurability, not to exceed $100, which will be deducted proportionately from the Accumulated Value in the Investment Options.
Upon approval of any unscheduled increase, we will send you a Supplemental Schedule of Coverage, which will include the following information:
· | the increased Face Amount and the effective date of the increase; |
· | the risk class for the increase; |
· | the Guaranteed Maximum Monthly Cost of Insurance Rates applicable to the increase; |
· | the Mortality and Risk Charges for the increase; |
· | the Maximum Surrender Charge and the Surrender Charge Factor for the increase; and |
· | if the Guideline Premium Test is used, the new Guideline Premiums. |
Face Amount Decrease – Subject to other requirements described in this section, you may, by Written Request, decrease the Face Amount if there are one or more Coverage Segments eligible for decrease. A Coverage Segment is eligible for decrease only if it has attained the fifth anniversary of its effective date. We reserve the right to require that the Face Amount remaining after the decrease be at least $50,000. In such case, we will decrease the Face Amount by decreasing or eliminating the Coverage Segments eligible for decrease in the reverse order in which they arose. The effective date of the decreased Face Amount will be the first Monthly Payment Date on or following the date we receive the Written Request.
The request for a decrease in the Face Amount will be subject to the Guideline Premium Limit as defined in the Code. This may result in a refund of premiums and/or the distribution of Accumulated Value in order to maintain compliance with such limit. Such request will not be allowed if the resulting Guideline Premium limit could cause an amount in excess of the Net Cash Surrender Value to be distributed from the policy.
Change in Benefits – Under the Guideline Premium Test, any change in policy or rider benefits will require an adjustment to the Guideline Premium Limit. See the Tax Qualification as Life Insurance subsection of the General Provisions section for details.
ACCUMULATED VALUE
Accumulated Value – on each Valuation Date is the sum of the Fixed Accumulated Value plus the Variable Accumulated Value plus the Loan Account.
Fixed Accumulated Value – The Fixed Accumulated Value is the sum of the Accumulated Value in each Fixed Option. The Fixed Options consist of the Fixed Account and the Fixed LT Account.
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This subsection describes how we calculate the Accumulated Value in each Fixed Option. We credit interest on a daily basis using a 365-day year and at an annual effective rate not less than the Minimum Guaranteed Interest Rate for Fixed Options shown in the Policy Specifications. At our discretion, we may credit a higher rate of interest. Each Fixed Option may have its own unique rate. The interest rate in effect at the beginning of the policy year will be effective for the duration of that year. The Accumulated Value for each Fixed Option on any Valuation Date is the following, including interest on each:
· | the Accumulated Value for the Fixed Option on the prior Monthly Payment Date; |
· | plus the amount of any Net Premium received and allocated to the Fixed Option since the last Monthly Payment Date; |
· | plus the amount of any transfer to the Fixed Option, including transfers from the Loan Account, since the last Monthly Payment Date; |
· | minus the monthly deduction and other deductions due, if any, and assessed against the Fixed Option; and |
· | minus the amount of any withdrawals, or transfers from the Fixed Option, including transfers to the Loan Account, since the last Monthly Payment Date. |
Variable Accumulated Value – The Variable Accumulated Value is the sum of the Accumulated Value in each Variable Account.
This subsection describes how we calculate the Accumulated Value in each Variable Account. Assets in each Variable Account are divided into Accumulation Units, which are measures of value used for bookkeeping purposes. We credit your policy with Accumulation Units in each Variable Account as a result of:
· | the amount of any Net Premium received and allocated to the Variable Account; and |
· | transfers of Accumulated Value to the Variable Account, including transfers from the Loan Account. |
We debit Accumulation Units in each Variable Account as a result of:
· | transfers from the Variable Account, including transfers to the Loan Account; |
· | surrender and withdrawals from the Variable Account; and |
· | the monthly deduction and other deductions due, if any, and assessed against the Variable Account. |
To determine the number of Accumulation Units debited or credited for a transaction, we divide the dollar amount of the transaction by the Unit Value of the affected Variable Account.
To determine your Accumulated Value in each Variable Account, we multiply the number of Accumulation Units in the Variable Account by the Unit Value of the Variable Account. The number of Accumulation Units in each Variable Account will not change because of subsequent changes in Unit Value.
The Unit Value of each Variable Account initially was $10. The Unit Value of each Variable Account is determined on each Valuation Date. To calculate the Unit Value of a Variable Account on any Valuation Date, we adjust the Unit Value from the previous Valuation Date for:
· | any dividends or distributions paid to the Variable Account; |
· | the investment performance of the Variable Account, which is based on the investment performance of the corresponding portfolio and includes expenses related to the portfolio’s management; |
· | charges, if any, that may be assessed by us for income taxes attributable to the operation of the Variable Account. |
Loan Account – The Loan Account is the amount set aside to secure Policy Debt. We will credit interest to the Loan Account on a daily basis using a 365-day year, at a rate equivalent to the annual rate shown in the Policy Specifications as the Minimum Guaranteed Interest Rate for Fixed Options. At our discretion, we may credit a higher rate of interest on the Loan Account. The amount in the Loan Account on any Valuation Date is the following, including interest on each:
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· | the amount in the Loan Account as of the end of the prior Monthly Payment Date; |
· | plus any loan taken since the prior Monthly Payment Date; and |
· | minus any loan amount repaid since the prior Monthly Payment Date. |
On each policy anniversary, if the amount in the Loan Account exceeds Policy Debt, the excess will be transferred from the Loan Account to the Investment Options according to your most recent premium allocation instructions, and if Policy Debt exceeds the amount in the Loan Account, the excess will be transferred from the Investment Options on a proportionate basis to the Loan Account.
POLICY CHARGES
Monthly Deduction – A Monthly Deduction for a policy month is due on each Monthly Payment Date prior to the Insured’s Age 100 and is equal to the sum of the following:
· | the Cost of Insurance Charge; |
· | the Mortality and Expense Risk Charge; |
· | the Administrative Charge; and |
· | rider or benefit charges, if any. |
Unless you have made a Written Request to the contrary, the Monthly Deduction will be charged proportionately to the Accumulated Value in each Investment Option. Beginning at Age 100, there is no Monthly Deduction whatsoever.
Cost of Insurance Charge – The Cost of Insurance is equal to (1) multiplied by (2), with the result divided by 1000, where:
(1) is the applicable monthly Cost of Insurance Rate; and
(2) is the Net Amount at Risk.
Net Amount at Risk– The Net Amount at Risk is defined in the Definitions section. If there are multiple Coverage Segments, the Net Amount at Risk will be allocated proportionately to each Coverage Segment according to Face Amount.
Cost of Insurance Rates – Each Coverage Segment has its own set of Cost of Insurance Rates. These rates will not exceed the Guaranteed Maximum Monthly Cost of Insurance Rates, which, for the initial Coverage Segment are shown in the Policy Specifications, and for any subsequent Coverage Segment are shown in the Supplemental Schedule of Coverage corresponding to such Coverage Segment. The current Cost of Insurance rates may be lower and will be determined by us at our sole discretion. Cost of Insurance Rates will apply uniformly to all members of the same class. Class is determined by a number of factors, including the Insured’s Age, Risk Class, Policy Date and policy duration. Any changes in the Cost of Insurance Rates will apply uniformly to all members of the same class.
Mortality and Expense Risk Charge – The Mortality and Expense Risk Charge is to compensate us for the risk we assume that mortality, expenses and other costs of providing your policy will be greater than estimated. Beginning on the Policy Date and monthly thereafter, the Mortality and Expense Risk Charge will be the sum of the Mortality and Expense Risk Asset Charge and the Mortality and Expense Risk Face Amount Charge.
The Mortality and Expense Risk Asset Charge is applied to the unloaned Accumulated Value as of the Monthly Payment Date, but not past the Insured’s Age 100. We guarantee that the charge will not be more than the following:
· | a charge of 0.000375 (0.45% annually) applied to the first $25,000 of unloaned Accumulated Value; plus |
· | a charge of 0.000042 (0.05% annually) applied to the unloaned Accumulated Value above $25,000. |
We may charge a lesser amount than the maximum guaranteed charge described in this subsection. If we charge a lesser amount, it will apply uniformly to all policies with the same form number.
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The Mortality and Expense Risk Face Amount Charge is shown in the Policy Specifications, and is based on the Face Amount at policy issue. If there have been increases in the Face Amount, each increase will have a corresponding Mortality and Expense Risk Face Amount Charge related to the amount of the increase. These charges will be specified in the Supplemental Schedule of Coverage at the time of the increase.
Administrative Charge – The Administrative Charge is shown in the Policy Specifications.
Premium Load – A Premium Load will be charged each time that a premium is paid to cover certain local, state and federal tax and certain sales and distribution costs. The Premium Load will equal the premium paid multiplied by the Premium Load rate shown in the Policy Specifications. The Premium Load associated with each premium will be immediately deducted from the premium paid. We reserve the right to increase the Premium Load with respect to the charge for local, state, and federal tax. We will only increase the Premium Load if the effective tax paid by us increases. We will notify you of any such change.
Other Taxes – In addition to the charges imposed under Premium Load and elsewhere, we reserve the right to make a charge for federal, state or local taxes that may be attributable to the Variable Accounts or to our operations with respect to this policy if we incur any such taxes.
Grace Period and Lapse – If the Accumulated Value less Policy Debt on a Monthly Payment Date is not sufficient to cover the current monthly deduction, a grace period of 61 days will be allowed for the payment of sufficient premium to keep your policy in force.
The grace period begins on the Monthly Payment Date on which the insufficiency occurred and ends 61 days thereafter. At the start of the grace period, we will notify you and any assignee of record at the last known address. The notice will state the due date and the amount of premium required for your policy to remain in force. A minimum of three times the monthly deduction due when the insufficiency occurred, plus Premium Load, must be paid. There is no penalty for paying a premium during the grace period. Your policy will remain in force during the grace period. If sufficient premium is not paid by the end of the grace period, a lapse will occur. Thirty-one days prior to lapse, we will send you and any assignee of record a notice containing the lapse date and the required premium to keep your policy in force. If the Insured dies during the grace period, the Death Benefit Proceeds will be reduced by any overdue charges. Upon lapse, the policy will terminate with no value.
Reinstatement – If it has not been surrendered, this policy may be reinstated not more than five years after the end of the grace period. To reinstate this policy you must provide us with the following:
· | a written application; |
· | evidence of insurability satisfactory to us; |
· | sufficient premium to cover all monthly deductions due and unpaid during the grace period; plus |
· | sufficient premium to keep the policy in force for three months after the date of reinstatement. |
The effective date of the reinstated policy will be the first Monthly Payment Date on or following the date we approve your reinstatement application. If the policy is reinstated on the first Monthly Payment Date following lapse, any Policy Debt on the date of lapse will also be reinstated. If the policy is reinstated after the first Monthly Payment Date following lapse, any Policy Debt outstanding on the date of lapse will be extinguished, except that you may instruct us by Written Request to reinstate the Policy Debt in such case.
TRANSFERS
Transfers – After your initial Net Premium has been allocated according to your instructions and while your policy is in force, you may, upon Written Request, transfer your Accumulated Value, or a part of it, among the Investment Options as provided in this section. No transfer may be made if the policy is in a grace period and the required premium has not been paid.
We reserve the right to:
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· | limit the size of transfers so that each transfer is at least $500; |
· | limit the frequency of transfers to not less than once per quarter; |
· | require that the balance remaining in an Investment Option after a transfer be at least $500; |
· | assess a charge of $25 for each transfer exceeding 12 per policy year; and |
· | waive or reduce the restrictions on the transfer provisions described in this section. |
Transfers To The Fixed Options – You may transfer to the Fixed Options only during the policy month preceding each policy anniversary, subject to the limitations described in the Allocations To The Fixed Options subsection below. Such transfer may be for any amount up to 100% of the Variable Accumulated Value.
Transfers From The Fixed Account – You may transfer from the Fixed Account an amount up to the greater of $5,000 or 25% of the Accumulated Value in the Fixed Account, but only one such transfer may be made in any twelve-month period.
Transfers From The Fixed LT Account – You may transfer from the Fixed LT Account an amount up to the greater of $5,000 or 10% of the Accumulated Value in the Fixed LT Account, but only one such transfer may be made in any twelve-month period.
Allocations To The Fixed Options – We reserve the right to limit aggregate allocations to the Fixed Options during the most recent 12 months for all policies in which you have an ownership interest or to which payments are made by a single payor, as follows:
· | $1,000,000 for Net Premiums; and |
· | $100,000 for loan repayments and transfers. |
Any excess over such limits will be allocated to your other Investment Options according to your most recent instructions. Policies that are Modified Endowment Contracts may not make any allocations to the Fixed LT Account. Allocations include Net Premium payments, transfers and loan repayments.
SURRENDER AND WITHDRAWAL OF VALUES
Surrender – Upon Written Request while the Insured is living, you may surrender this policy for its Net Cash Surrender Value. The policy will terminate on the date the request is received.
Net Cash Surrender Value – The Net Cash Surrender Value is the Cash Surrender Value less any Policy Debt.
Cash Surrender Value – The Cash Surrender Value is the Accumulated Value less any Surrender Charge.
Surrender Charges – A Surrender Charge will be deducted from the Accumulated Value upon surrender of the policy. The Surrender Charge is needed to help pay for costs such as underwriting, policy issue and sales and distribution costs. The initial Surrender Charge is equal to the amount shown on the policy specification pages. This will remain level for the first policy month and then will decrease by 0.8403% of the Initial Surrender Charge per month to zero at the 120th month.
If there have been increases in the Face Amount, each increase will have a corresponding Surrender Charge for the increase. Such Surrender Charge will be calculated as shown above, except that the Initial Surrender Charge for such increase will be specified in a Supplemental Schedule of Coverage at the time of the increase and will remain level for the first month following the effective date of the increase and then will decrease by 0.8403% of the Initial Surrender Charge per month to zero at the 120th month following the effective date of the increase. If there are decreases in the Face Amount, including decreases in the Face Amount due to withdrawals, the Surrender Charge will be unchanged as a result of such decrease in the Face Amount.
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Withdrawals – Upon Written Request on or after the first policy anniversary while the Insured is living, you may withdraw a portion of the Net Cash Surrender Value of this policy. We will deduct a withdrawal fee of $25 from the Accumulated Value for each withdrawal.
Withdrawals will be subject to the following conditions:
· | the amount of each withdrawal must be at least $200; |
· | the Net Cash Surrender Value remaining after each withdrawal must be at least $500; and |
· | if there is any Policy Debt at the time of each withdrawal, the amount of the withdrawal is limited to the excess, if any, of the Cash Surrender Value immediately prior to the withdrawal over the result of the Policy Debt divided by 90%. |
The amount of each withdrawal, and its associated withdrawal fee, will be allocated proportionately to the Accumulated Value in the Investment Options unless you request otherwise. If the Insured dies after the request for a withdrawal is sent to us and prior to the withdrawal being effected, the amount of the withdrawal will be deducted from the Death Benefit Proceeds, which will be determined without taking the withdrawal into account. Unless you request otherwise, no withdrawal will be processed if the withdrawal would cause the policy to become a Modified Endowment Contract. We reserve the right to disallow any withdrawal that would result in the Face Amount remaining after the withdrawal to be less than $50,000.
Because a withdrawal will reduce the Accumulated Value, and because the Death Benefit depends on the Face Amount, Accumulated Value, Death Benefit Option, and Death Benefit Qualification elected (see the Death Benefit section for details), a withdrawal may reduce the Death Benefit. A withdrawal will reduce the Face Amount, but only for policies having Death Benefit Option A. In such case, a withdrawal in excess of the Death Benefit less the Face Amount will reduce the Face Amount by the amount of the excess. However, for the first such withdrawal in each of the first 15 policy years, the Face Amount will be reduced only to the extent that the withdrawal exceeds 10% of the premiums paid.
TIMING OF PAYMENTS AND TRANSFERS
Variable Accounts – With respect to allocations made to the Variable Accounts, we will calculate values for surrenders, withdrawals, loans and, unless transfers are restricted, transfers as of the end of the Valuation Date on or next following the day on which we receive your instructions. For any portion of death benefit depending on the Variable Accumulated Value, we will calculate such value as of the end of the Valuation Date on or next following the day on which the Insured’s death occurs. We will pay such amounts and will process such transfers within seven days after we receive all the information needed for the transaction. However, we may postpone the calculation, payment or transfer of any amounts that are based on the investment performance of the Variable Accounts, if:
· | the New York Stock Exchange is closed on other than customary weekend and holiday closings; |
· | trading on the New York Stock Exchange is restricted as determined by the Securities and Exchange Commission (SEC); |
· | an emergency exists, as determined by the SEC, as a result of which it is not reasonably practicable to determine the value of the Account assets or to dispose of Account securities; or |
· | the SEC by order permits postponement for the protection of policy owners. |
Fixed Options – With respect to allocations made to the Fixed Options, we may defer surrenders, withdrawals, loans (except for loans to pay a premium on any policy issued by us), and transfers from the Fixed Options, for up to six months after we receive your request. If we defer any such payment for more than 30 days after we receive your request, we will pay interest at the rate required by the state in which this policy is delivered, but not less than the Minimum Guaranteed Interest Rate for Fixed Options shown in the Policy Specifications.
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INCOME BENEFITS
Income Benefits – Surrender or withdrawal benefits may be used to buy a lifetime monthly income for the Insured as long as the monthly income is at least $100. Death benefits may be used to buy a monthly income for the lifetime of the beneficiary. The monthly income will automatically be guaranteed to continue for at least ten years, unless another form of payment is requested. Under the automatic form of payment, if the income recipient dies before the end of the ten-year period, payments will continue to the end of the ten-year period to a person designated by the income recipient in writing. The purchase rates for the monthly income will be set periodically by the Company. However, under the automatic income benefit, the monthly income bought by each $1,000 of benefit will never be less than that shown below.
Age | Monthly Income |
Age | Monthly Income |
Age | Monthly Income |
Age | Monthly Income |
Age | Monthly Income | |||||||||
0-30 |
2.79 | 40 | 3.08 | 50 | 3.53 | 60 | 4.26 | 70 | 5.51 | |||||||||
32 |
2.84 | 42 | 3.15 | 52 | 3.65 | 62 | 4.46 | 72 | 5.85 | |||||||||
34 |
2.89 | 44 | 3.23 | 54 | 3.78 | 64 | 4.68 | 74 | 6.22 | |||||||||
36 |
2.95 | 46 | 3.32 | 56 | 3.92 | 66 | 4.93 | 75+ | 6.41 | |||||||||
38 |
3.01 | 48 | 3.42 | 58 | 4.08 | 68 | 5.21 |
Monthly income amount for ages not shown are halfway between the two amounts for the nearest two ages that are shown. Amounts shown are based on the Annuity 2000 table with interest at 2.50%. This benefit is not available if the income would be less than $100 a month. We may require evidence of survival for incomes that last more than ten years.
Other Income Options – Surrender, withdrawal or death benefits may be used under any other payment plans that we make available at that time. There is an Interest Settlement Option available under which we will credit interest monthly. Xxxxxxx left on deposit under this plan, and credited interest, will be accumulated until you request a withdrawal.
POLICY LOANS
Policy Loans – You may obtain loans by Written Request after the Free Look Period, on the sole security of the Loan Account of this policy. We recommend you consult your tax advisor before requesting a policy loan.
Loan Amount Available – The amount of a loan must be at least $200. The amount available for a loan is equal to 90% of Accumulated Value, less any Policy Debt and also less any Surrender Charge that would be imposed if the policy were surrendered on the date the loan is taken or, if greater, the result of (a x b/c)-d, where:
a = | the Accumulated Value less 12 times the most recent monthly deduction less any Surrender Charge on the date of the loan; |
b = | 1 + rate of interest credited on the Loan Account on the date of the loan; |
c = | 1 + the loan interest rate described below; and |
d = | any existing Policy Debt. |
Loan Interest – Interest will accrue daily and is payable in arrears at the annual rate equal to the Minimum Guaranteed Interest Rate for Fixed Options plus 0.25%. Interest not paid when due will be added to the loan principal and bear interest at the same rate.
Loan Account – When a loan is taken, an amount equal to the loan is transferred out of the Accumulated Value in the Investment Options into the Loan Account to secure the loan. Such transfers will be done on a pro rata basis from your Accumulated Value in the Investment Options, unless you request a specific allocation. We will credit interest to the Loan Account as described in the Accumulated Value section.
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On each policy anniversary, if the amount in the Loan Account exceeds Policy Debt, the excess will be transferred from the Loan Account to the Investment Options according to your most recent allocation instructions for allocation of premium. If Policy Debt exceeds the amount in the Loan Account, the excess will be transferred from the Investment Options on a proportionate basis to the Loan Account.
Loan Repayment – Loans may be repaid at any time prior to lapse of this policy. An amount equal to the portion of any loan repaid, but not more than the amount in the Loan Account, will be transferred from the Loan Account to the Investment Options according to your most recent instructions for allocation of premium. We reserve the right to first transfer repayments from the Loan Account to each Fixed Option up to the amount that was originally borrowed. Any excess over such amount will be transferred to the Variable Accounts according to your most recent instructions for allocation of premium. Any payment we receive from you while you have a loan will be first considered a loan repayment, unless you tell us in writing it is a premium payment.
SEPARATE ACCOUNT PROVISIONS
Separate Account – We established the Separate Account and maintain it under the laws and regulations of California. The assets of the Separate Account shall be valued at least as often as any policy benefits vary, but at least monthly. The Separate Account is divided into subaccounts, called Variable Accounts. Xxxxxx and realized and unrealized gains and losses from the assets of each Variable Account are credited or charged against it without regard to our other income, gains or losses. Assets may be put in our Separate Account to support this policy and other variable life policies. Assets may be put in our Separate Account for other purposes, but not to support contracts or policies other than variable life contracts or policies.
The assets of our Separate Account are our property. The portion of its assets equal to the reserves and other policy liabilities with respect to our Separate Account will not be chargeable with liabilities arising out of any other business we conduct. We may transfer assets of a Variable Account in excess of the reserves and other liabilities with respect to that Variable Account to another Variable Account or to our general account. All obligations arising under the policy are general corporate obligations of ours. We do not hold ourselves out to be trustees of the Separate Account assets.
Variable Accounts – Each Variable Account may invest its assets in a separate class of shares of a designated investment company or companies. The Variable Accounts of our Separate Account that were available for your initial allocations are shown in the Policy Specifications. From time to time, we may make other Variable Accounts available to you. We will provide you with written notice of all material details including investment objectives and all charges.
We reserve the right, subject to compliance with the law then in effect, to:
· | change or add designated investment companies; |
· | add, remove or combine Variable Accounts; |
· | add, delete or make substitutions for the securities that are held or purchased by the Separate Account or any Variable Account; |
· | register or deregister any Variable Account under the Investment Company Act of 1940; |
· | change the classification of any Variable Account; |
· | operate any Variable Account as a managed investment company or as a unit investment trust; |
· | combine the assets of any Variable Account with other Separate Accounts or subaccounts of ours or our affiliates; |
· | transfer the assets of any Variable Account to other Separate Accounts or subaccounts of ours or our affiliates; |
· | run any Variable Account under the direction of a committee, board, or other group; |
· | restrict or eliminate any voting rights of Owners with respect to any Variable Account, or other persons who have voting rights as to any Variable Account; |
· | change the allocations permitted under the policy; |
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· | terminate and liquidate any Variable Account; and |
· | make any other change needed to comply with law. |
If any of these changes result in a material change in the underlying investment of a Variable Account of our Separate Account, we will notify you of such change.
Unless required by law or regulation, an investment policy may not be changed without our consent. We will not change the investment policy of the Separate Account without the approval of the Insurance Commissioner in the state of California, and the approval process is on file with the Commissioner.
SUBSTITUTION OF INSURED
Benefit – Subject to our approval, you may request a substitution of the Insured under this policy for a new Insured after the first policy year. We will require the following before we substitute the Insured:
· | The new Insured must submit evidence of insurability satisfactory to us. |
· | You must submit a written application for the substitution. |
We may adjust the Face Amount, Accumulated Value, Surrender Charge, and any policy fees and charges to reflect the new Insured. A revised schedule of benefits will be sent to you outlining the benefits for the new Insured. Riders on the new Insured will be added only with our consent and subject to our requirements for those riders. If approved, the substitution will be effective on the next Monthly Payment Date on or following our approval.
With respect to the substituted Insured, the incontestability and suicide exclusion periods will begin on the substitution date, or any later reinstatement date. If the substituted Insured commits suicide, while sane or insane, within 2 years of the effective date of the substitution, no Death Benefit Proceeds will be paid. Instead, we will return the Net Cash Surrender Value as of the substitution date, plus any premiums paid and less any loans and Withdrawals taken all since the substitution date.
GENERAL PROVISIONS
Entire Contract – This policy is a contract between you and us. This policy, the attached copy of the initial application, any applications for reinstatement, all subsequent applications to change the policy, any endorsements, benefits, or riders, and all additional policy information sections added to this policy are the entire contract. Only our president, chief executive officer or secretary is authorized to change this contract or extend the time for paying premiums. Any such change must be in writing.
All statements in the application shall, in the absence of fraud, be deemed representations and not warranties. We will not use any statement to contest this policy or defend a claim on grounds of misrepresentation unless the statement is in an application.
Incontestability – We will not contest this policy unless there was a material misrepresentation in an application, including any reinstatement application. The policy will terminate upon successful contest. Except for failure to pay premiums, this policy cannot be contested after the expiration of the following time periods:
· | If this policy has not been reinstated, we cannot contest the death benefit due to the Face Amount of any Coverage Segment after it has been in force during the Insured’s lifetime for two years from its effective date; and |
· | Following reinstatement, we cannot contest this policy after it has been in force during the Insured’s lifetime for two years from the reinstatement date. |
Non-Participating – This policy will not share in any of our surplus earnings.
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Juvenile Insured – If an Insured’s Age on the Policy Date is less than 20, you may apply for nonsmoker risk status when the Insured attains Age 20. This option must be requested in writing and accompanied by satisfactory evidence of nonsmoking.
Suicide Exclusion – If the Insured dies by suicide, while sane or insane, within two years after the Policy Date, no Death Benefit Proceeds will be paid. Instead, we will return the sum of the premiums paid, less the sum of any Policy Debt and withdrawals.
If the Insured dies by suicide, while sane or insane, within two years of the effective date of any increase in the Face Amount, no benefit will be paid with respect to such increase. Instead, we will refund the Cost of Insurance Charges made with respect to that increase.
Misstatement – If the Insured’s Age is misstated in the application, the amount of the death benefit shall be the greater of that which would be purchased by the most recent Cost of Insurance Charge at the correct Age, or the Minimum Death Benefit for the correct Age.
Reports – A report will be mailed to you to your last known address at the end of each policy year. This report will include the following information for the reporting period:
· | the Accumulated Value; |
· | any Surrender Charges; |
· | the Cash Surrender Value; |
· | the current death benefit; |
· | any existing Policy Debt; |
· | transactions that occurred during the reporting period; |
· | any change in the Guideline Premiums, if applicable; and |
· | any information required by law. |
In addition to the above report, we will mail you annually a report containing financial statements for the Separate Account and the designated investment company or companies in which the Separate Account invests, the latter of which will include a list of the portfolio securities of the investment company, as required by the Investment Company Act of 1940. We will also send any other reports as required by federal securities law.
Policy Illustrations – Upon request we will give you an illustration of the future benefits under this policy based upon both guaranteed and current cost factor assumptions. However, if you ask us to do this more than once in any policy year, we reserve the right to charge you a fee not to exceed $25 per request for this service. Illustrated benefits that are not guaranteed, such as benefits based on the current cost factor assumptions, will vary depending upon a number of factors, including but not limited to, changes in future investment performance.
Basis of Values – A detailed statement showing how values are determined has been filed with the state insurance department, where required. All values are at least equal to the minimums required by the law of the state in which this policy is delivered, based on the Minimum Guaranteed Interest Rate for Fixed Options shown in the Policy Specifications and the 1980 Commissioner’s Standard Ordinary Mortality, except for unisex issues which are based on the 1980 Commissioner’s Standard Ordinary Table B (80% male and 20% female).
Ownership of Assets – We have the exclusive and absolute control of our assets, including all assets in the Separate Account.
Tax Qualification as Life Insurance – This policy is intended to qualify as a life insurance contract for federal tax purposes, and the death benefit under this policy is intended to qualify for federal income tax exclusion. The policy, including any other rider, benefit or endorsement, shall be interpreted to ensure and maintain such tax qualification, despite any other provision to the contrary. We will not accept a premium payment, which would cause the policy to fail to qualify as a life insurance contract for federal tax purposes.
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If at any time the premiums paid under the policy exceed the amount allowable for such tax qualification, the excess amount, including any associated investment gains or losses, shall be removed from the policy as of the date of its payment, and any appropriate adjustment in the death benefit shall be made as of such date. The excess amount, as determined under federal tax law, including any associated investment gains or losses, shall be refunded no later than 60 days after the end of the applicable contract year. For any such refund, any premium load originally assessed will be refunded and no surrender charges will apply.
If this excess amount is not refunded by the end of such 60-day period, the death benefit shall be increased retroactively to the minimum extent necessary so that at no time is the death benefit ever less than the amount necessary to ensure or maintain such tax qualification, and the Accumulated Value will be reduced to reflect the increased Monthly Deductions as a result of such death benefit increase. If you request a decrease in policy or rider benefits, it may cause a reduction in any applicable limitations on premiums or cash values for the policy under federal tax law. Such a reduction in these limits may require us to make a distribution from the policy equal to the greatest amount by which the premiums paid or cash values for the policy, as determined under federal tax law, exceed any such reduced limits, in order to maintain the policy’s tax qualification. If such a distribution is made, the distribution will be paid to you and the Accumulated Value will be reduced by the amount of the distribution. However, no request for a decrease in policy or rider benefits will be allowed to the extent that the resulting reduction in such tax limits would require us to distribute more than the Net Cash Surrender Value for the policy.
Modified Endowment Contract Status – Unless you have given us Written Notice to the contrary, the provisions of this Modified Endowment Contract Status subsection apply. Under federal tax law, if the funding of a life insurance contract occurs too rapidly, it becomes a Modified Endowment Contract and fails to qualify for certain favorable treatment as a result. This policy is intended to qualify as a life insurance contract that is not a Modified Endowment Contract for federal tax purposes. This policy, including any other rider, benefit or endorsement, shall be interpreted to prevent the policy from being subject to such Modified Endowment Contract treatment, despite any other provision to the contrary. We will not accept a payment as premium or otherwise which would cause the policy to become a Modified Endowment Contract. The 7-Pay Premium, shown on Page 3.0, is used solely to determine the premium limits, beyond which this policy would become a Modified Endowment Contract. Payment of one or more 7-Pay Premiums does not guarantee that the policy will never lapse and additional premiums may be necessary to prevent the policy from lapsing in the future.
If at any time the amounts paid under the policy exceed the limit for avoiding such Modified Endowment Contract treatment, the excess amount, including any associated investment gains or losses, shall be removed from the policy as of the date of its payment, and any appropriate adjustment in the death benefit shall be made as of such date. The excess amount, as determined under federal tax law, including any associated investment gains or losses, shall be refunded no later than 60 days after the end of the applicable contract year. For any such refund, any premium load originally assessed will be refunded and no surrender charges will apply.
If this excess amount is not refunded by the end of such 60-day period, the death benefit shall be increased retroactively to the minimum extent necessary so that at no time is the death benefit ever less than the amount necessary to avoid such Modified Endowment Contract treatment, and the Accumulated Value will be reduced to reflect the increased Monthly Deductions as a result of such death benefit increase.
Any request that would change the death benefits under the policy and riders will not be processed if the change would cause the policy to be treated as a Modified Endowment Contract. Such changes include a reduction in the Face Amount, a change in death benefit option, and a reduction in the Face Amount due to a withdrawal.
Other Distributions of Accumulated Value – If the Net Amount at Risk ever exceeds three times the original Face Amount, we reserve the right to make a distribution of Accumulated Value to make the Net Amount at Risk equal three times the original Face Amount. In such case, the distribution will be treated
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as a premium refund and no surrender charge will be imposed. By treating the distribution as a premium refund, we mean that, in addition to the distribution of Accumulated Value, which you will receive, we will also pay you an amount representing a return of premium load associated with the distribution. The amount representing the return of premium load will be equal to the reduction in Accumulated Value multiplied by (1/(1-premium load rate))-1, provided that such amount can never exceed the total premium load paid under the policy.
Compliance – We reserve the right to make any change to the provisions of this policy to comply with, or give you the benefit of, any federal or state statute, rule, or regulation, including but not limited to requirements for life insurance contracts under the Code or any state. We will provide you with a copy of any such change, and file such a change with the insurance supervisory official of the state in which this policy is delivered. You have the right to refuse any such change.
Termination – This policy terminates on the earliest of:
· | the death of the insured; |
· | lapse of the policy; or |
· | surrender of the policy. |
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INDEX
Accumulated Value Administrative Charge Age Assignment Basis of Values Beneficiary Cash Surrender Value Cash Value Accumulation Test Change of Death Benefit Option Code Compliance Cost of Insurance Charge Cost of Insurance Rates Coverage Segments Death Benefit Death Benefit Options Death Benefit Proceeds Death Benefit Qualification Test Definitions Entire Contract Evidence of Insurability Face Amount Face Amount Change Face Amount Decrease Face Amount Increase Fixed Accumulated Value Fixed Options Grace Period Guideline Premium Limit Guideline Premium Test Home Office Income Benefits Incontestability Insured Interest Settlement Option Investment Options Juvenile Insured Lapse Loan Account Loan Amount Available |
9 12 5 6 18 6 13 8 8 5 20 11 11 5 7 8 8 8 5 17 5 5 9 9 9 9 5, 14 12 7 8 5 15 17 5 15 5 18 12 10, 15 15 |
Loan Interest Loan Repayment Misstatement Modified Endowment Contract Status Monthly Deduction Monthly Payment Date Mortality and Expense Risk Charge Net Amount at Risk Net Cash Surrender Value Net Premium Non-Participating Owner Planned Premium Policy Charges Policy Date Policy Debt Policy Illustrations Policy Loans Premium Allocation Premium Limitation Premium Load Premiums Reinstatement Reports Risk Class Separate Account Substitution of Insured Suicide Exclusion Surrender Surrender Charges Tax Qualification as Life Insurance Termination Timing of Payments and Transfers Transfers Valuation Date Valuation Period Variable Account Variable Accumulated Value Withdrawals Written Request |
15 16 18 19 11 5 11 5, 11 13 5 17 6 7 11 5 5 18 15 7 7 12 7 12 18 5 6, 16 17 18 13 13 18 20 14 12 6 6 6, 16 10 14 6 |
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Pacific Life Insurance Company • 000 Xxxxxxx Xxxxxx Xxxxx • Newport Beach, CA 92660
FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE
· | Death Benefit Payable On The Death Of The Insured While The Policy Is In Force |
· | Net Cash Surrender Value Payable Upon Surrender While The Policy Is In Force |
· | Adjustable Face Amount |
· | Benefits May Vary Based On Investment Experience |
· | Non-Participating |
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