NATIONWIDE LIFE INSURANCE COMPANY
NATIONWIDE
LIFE INSURANCE COMPANY
PO
Box
[Missing Graphic Reference]
Columbus,
Ohio [Missing Graphic Reference]
[Missing
Graphic Reference]
(Hereinafter
called the Company)
NATIONWIDE
LIFE INSURANCE COMPANY will make annuity payments to the Annuitant starting
on
the Annuitization Date, as set forth in the Contract.
This
Contract is provided in return for the purchase payments made as required in
the
Contract.
TEN
DAY LOOK
To
be
sure that the Owner is satisfied with this Contract, the Owner has ten days
to
examine the Contract and return it to the Home Office for any
reason. When the Contract is received in the Home Office, the Company
will return the Contract Value to the Owner, without deduction for any sales
charges or administration fees as of the date of cancellation, where permitted
by state law.
Executed
for the Company on the Date of Issue.
ABCD
Secretary
|
ABCD
President
|
READ
YOUR CONTRACT CAREFULLY
Individual
Flexible Purchase Payment Deferred Variable Annuity,
Non-Participating.
ANNUITY
PAYMENTS AND OTHER VALUES PROVIDED BY THIS CONTRACT, WHEN BASED ON THE
INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE, MAY INCREASE OR
DECREASE IN ACCORDANCE WITH THE FLUCTUATIONS IN THE NET INVESTMENT FACTOR,
AND
ARE NOT GUARANTEED AS TO FIXED-DOLLAR AMOUNT.
NOTICE
- The details of the variable provisions in the
Contract
may be found on Pages 12, 13, and 16.
APO
1293-3AAO
CONTENTS
DATA
PAGE INSERT
DEFINITIONS
The
Company
|
1
|
Accumulation
Unit
|
1
|
Annuitant
|
1
|
Annuitization
Date
|
1
|
Annuity
Commencement Date
|
1
|
Annuity
Payment Option
|
1
|
Annuity
Unit
|
1
|
Beneficiary
|
1
|
Contingent
Beneficiary
|
1
|
Contingent
Designated Annuitant
|
1
|
Contingent
Owner
|
1
|
Contract
Anniversary
|
2
|
Contract
Owner (Owner)
|
2
|
Contract
Value
|
2
|
Contract
Year
|
2
|
Date
of Issue
|
2
|
Designated
Annuitant
|
2
|
Distribution
|
2
|
Fixed
Account
|
2
|
Fixed
Annuity
|
2
|
Home
Office
|
2
|
Non-Qualified
Contract
|
2
|
Non-Qualified
Plan
|
2
|
Purchase
Payment Anniversary
|
2
|
Purchase
Payment Year
|
2
|
Qualified
Contract
|
2
|
Qualified
Plan
|
3
|
Valuation
Date
|
3
|
Valuation
Period
|
3
|
Variable
Account
|
3
|
Variable
Annuity
|
3
|
GENERAL
PROVISIONS
|
|
Contract
Maintenance Charge
|
4
|
Deduction
For Premium Taxes
|
4
|
Mortality
And Expense Risk Charge
|
4
|
Administration
Charge
|
4
|
Beneficiary
Provisions
|
4
|
Contract
Ownership Provisions
|
5
|
Death
Of Designated Annuitant
|
5
|
Death
Of Annuitant
|
6
|
Death
Of Owner
|
6
|
Alteration
Or Modification
|
7
|
Assignment
|
7
|
Entire
Contract
|
7
|
Misstatement
Of Age
|
7
|
Evidence
Of Survival
|
7
|
Protection
Of Proceeds
|
8
|
Reports
|
8
|
Incontestability
|
8
|
Contract
Settlement
|
8
|
Number
And Gender
|
8
|
Non-Participating
|
8
|
ACCUMULATION
PROVISIONS
|
|
Surrender
|
8
|
Contingent
Deferred Sales Charge
|
9
|
Reduction
Or Elimination Of Contingent Deferred Sales Charge
|
9
|
Surrenders
Without Charge
|
10
|
Surrender
Value
|
10
|
Suspension
Or Delay In Payment Of Surrender
|
10
|
Flexible
Purchase Payments
|
10
|
First
Purchase Payment
|
11
|
No
Default
|
11
|
Change
In Purchase Payments
|
11
|
Allocation
Of Purchase Payments
|
11
|
Contract
Value
|
11
|
Fixed
Account Contract Value
|
11
|
Interest
To Be Credited
|
12
|
Variable
Account Contract Value
|
12
|
The
Variable Account
|
12
|
Investments
Of The Variable Account
|
12
|
Sub-Accounts
|
12
|
Valuation
Of Assets
|
12
|
Variable
Account Accumulation Units
|
12
|
Variable
Account Accumulation Unit Value
|
13
|
Net
Investment Factor
|
13
|
Fixed
Account Provisions
|
13
|
Transfer
Provisions
|
14
|
Distribution
Provisions
|
14
|
Exchange
Privilege
|
14
|
ANNUITIZATION
PROVISIONS
|
|
General
|
14
|
Annuitization
|
15
|
Annuity
Commencement Date
|
15
|
Change
Of Annuity Commencement Date
|
15
|
Change
Of Annuity Payment Option
|
15
|
Annuity
Payment Options
|
15
|
Supplementary
Agreement
|
15
|
Frequency
And Amount Of Payments
|
15
|
Fixed
Annuity Provisions
|
16
|
Variable
Annuity
|
16
|
Determination
Of First Variable Annuity Payment
|
16
|
Annuity
Unit Value
|
16
|
Variable
Annuity Payments After The First Payment
|
16
|
ANNUITY
PAYMENT OPTIONS
|
|
General
|
17
|
Life
Annuity
|
17
|
Joint
And Last Survivor Annuity
|
17
|
Life
Annuity With 120 Or 240 Monthly Payments
|
17
|
ANNUITY
TABLES
|
18
|
DEFINITIONS
The
Company - The Company is the Nationwide Life
Insurance Company.
Accumulation
Unit - An Accumulation Unit is an accounting
unit of measure. It is used to calculate the Variable Account
Contract Value prior to the Annuitization Date.
Annuitant
- The Annuitant is the person actually receiving annuity payments and
upon whose continuation of life any annuity payment involving life contingencies
depends.
Annuitization
Date - The Annuitization Date is the date
annuity payments actually begin.
Annuity
Commencement Date - The Annuity Commencement
Date is the date on which annuity payments are to commence. Such date
is the date shown on the Data Page, unless changed.
Annuity
Payment
Option - The Annuity Payment Option is the
method for making annuity payments. Several options are available
under this Contract. The Annuity Payment Option is the form named in
the application, unless changed.
Annuity
Unit - An Annuity Unit is an accounting unit of
measure used to calculate the value of Variable Annuity payments.
Beneficiary
- The Beneficiary is the person named in the application and is subject
to change by the Owner. The Beneficiary may be the recipient of
certain benefits under this Contract when the Owner, Annuitant, or Designated
Annuitant dies.
Contingent
Beneficiary - The Contingent Beneficiary is the
person named in the application and is subject to change by the
Owner. The Contingent Beneficiary may be the recipient of certain
benefits under this Contract if the Beneficiary is not living when the Owner,
Annuitant, or Designated Annuitant dies.
Contingent
Designated Annuitant - The Contingent
Designated Annuitant is named in the application and is subject to change by
the
Owner. If the Owner wishes to name a Contingent Designated Annuitant
he must do so in the application. The Contingent Designated Annuitant
may be the recipient of certain rights or benefits under this Contract when
the
Designated Annuitant dies before the Annuitization Date. If a
Contingent Designated Annuitant is named in the application, all provisions
of
the Contract which are based on the death of the Designated Annuitant will
be
based on the death of the last survivor of the Designated Annuitant and the
Contingent Designated Annuitant. The Owner's right to name a
Contingent Designated Annuitant may be restricted under the provisions of the
retirement or deferred compensation plan for which this Contract is
issued.
Contingent
Owner - The Contingent Owner is named in the
application and is subject to change by the Owner. If the Owner
wishes to name a Contingent Owner, he must do so in the
application. The Contingent Owner may be the recipient of certain
rights or benefits under this Contract when the Owner dies before the
Annuitization Date. The Owner's right to name a Contingent Owner may
be restricted under the provisions of the retirement or deferred compensation
plan for which this Contract is issued.
Contract
Anniversary - A Contract Anniversary is an
anniversary of the Contract Issue Date as shown on the Data Page.
Contract
Owner
(Owner) - The Contract Owner is the person who
possesses all rights under the Contract, including the right to designate and
change any designations of the Contingent Owner, Designated Annuitant,
Contingent Designated Annuitant, Beneficiary, Contingent Beneficiary, Annuity
Payment Option, and the Annuity Commencement Date. The
Owner is the person named in the application, unless changed.
Contract
Value - The Contract Value is the sum of the
value of all Variable Account Accumulation Units attributable to the Contract
plus any amount held under the Contract in the Fixed Account.
Contract
Year - A Contract Year is each Contract
Anniversary.
Date
Of Issue
- The Date of Issue is shown on the Data Page.
Designated
Annuitant - The Designated Annuitant is the
person named, prior to the Annuitization Date, to receive annuity
payments. The Designated Annuitant is named on the Data Page, unless
changed. The Company reserves the right to reject any change of the
Designated Annuitant which has been made without the prior consent of the
Company.
Distribution
- A Distribution is any payment of part or all of the Contract
Value.
Fixed
Account - The Fixed Account is made up of all
assets of the Company other than those in any segregated asset
account.
Fixed
Annuity - A Fixed Annuity is a series of
payments which are guaranteed by the Company as to dollar amount during the
Annuitization period.
Home
Office - The Home Office is the main office of
the Company located in Columbus, Ohio.
Non-Qualified
Contract - A Non-Qualified Contract is a
Contract issued to fund a Non-Qualified Plan.
Non-Qualified
Plan - A Non-Qualified Plan is a retirement
program which does not receive favorable tax treatment under the provisions
of
the Internal Revenue Code.
Purchase
Payment Anniversary - A Purchase Payment
Anniversary is an anniversary of the date a purchase payment is made under
the
Contract.
Purchase
Payment Year - A Purchase Payment Year is each
year starting with the date a purchase payment is made and each Purchase Payment
Anniversary thereafter.
Qualified
Contract - A Qualified Contract is a Contract
issued to fund a Qualified Plan.
Qualified
Plan - A Qualified Plan is a retirement program
which receives favorable tax treatment under the provisions of the Internal
Revenue Code.
Valuation
Date - A Valuation Date is each day the New
York Stock Exchange and the Company's Home Office are open for
business. It may also be any other day during which there is a
sufficient degree of trading of the Variable Account's Mutual Fund shares such
that the current net asset value of its Accumulation Units might be materially
affected.
Valuation
Period - A Valuation Period is the interval of
time between one Valuation Date and the next Valuation Date. It is
measured from the closing of business of the New York Stock Exchange and ending
at the close of business for the next succeeding Valuation Date.
Variable
Account - The Variable Account is named on the
Data Page. It is a separate investment account of the Company
designated as the Nationwide Variable Account-II into which Variable Account
purchase payments are allocated.
Variable
Annuity - A Variable Annuity is a series of
payments which: (1) are not predetermined or guaranteed as to dollar amount;
and
(2) vary in amount with the investment experience of the Variable
Account.
GENERAL
PROVISIONS
Contract
Maintenance Charge
This
charge is a deduction of $30.00 made on each Contract Anniversary, and on any
date that full Contract Value is surrendered if such Surrender occurs on any
date other than a Contract Anniversary. This charge will be allocated
between the Fixed and Variable Accounts in the same percentages as the purchase
payment investment allocations are to the Fixed and Variable
Accounts.
Deduction
For Premium Taxes
Any
premium taxes levied by a state or other governmental entity will be charged
against the Contract Value. The Company will deduct such taxes from
the Contract Value at the time of Annuitization, except in those states which
require such taxes to be paid when purchase payments are made.
Mortality
And Expense Risk Charge
The
Company will deduct a Mortality and Expense Risk Charge equal, on an annual
basis, to 1.25% of the daily net asset value of the Variable
Account. This deduction is made to compensate the Company for
assuming the mortality risks and expense risks under this
Contract. The deduction will be: (1) made from each Sub-Account; (2)
computed on a daily basis; and (3) made in the same proportion that the Contract
Value in each Sub-Account bears to the total Contract Value in the Variable
Account.
Administration
Charge
The
Company will deduct an Administration Charge equal, on an annual basis, to
0.05%
of the daily net asset value of the Variable Account. This deduction
is made to reimburse the Company for expense incurred in the administration
of
the Contract and of the Variable Account. The deduction will be: (1)
made from each Sub-Account; (2) computed on a daily basis; and (3) made in
the
same proportion that the Contract Value in each Sub-Account bears to the total
Contract Value in the Variable Account.
Beneficiary
Provisions
The
Beneficiary and any Contingent Beneficiary are named in the application, unless
changed. If the Beneficiary dies prior to the death of the Designated
Annuitant or Annuitant, the Contingent Beneficiary becomes the
Beneficiary. Unless the Owner has provided otherwise, if there are
two or more Beneficiaries, they will receive equal shares. If there
is no named Beneficiary or Contingent Beneficiary when the Designated Annuitant
or Xxxxxxxxx has died, all rights and interests of the Beneficiary will vest
in
the Contract Owner or the Contract Owner's estate.
Subject
to the terms of any existing assignment, the Owner may name a new Beneficiary
or
a new Contingent Beneficiary at any time. Any new choice of
Beneficiary or Contingent Beneficiary will automatically revoke any prior choice
of Beneficiary or Contingent Beneficiary. Any request for change must
be: (1) made in writing; and (2) received at the Home
Office. The change will become effective as of the date the written
request is signed, whether or not the Designated Annuitant or the Annuitant
is
living at the time of receipt. A new choice of Beneficiary or
Contingent Beneficiary will not apply to any payment made or action taken by
the
Company prior to the time it was received.
Contract
Ownership Provisions
The
Owner
has all rights under the Contract, unless otherwise provided. If the
purchaser names someone other than himself as Owner, the purchaser would have
no
rights under the Contract. The Owner, during the lifetime of the
Designated Xxxxxxxxx and prior to the Annuitization Date, is the person named
in
the application, unless changed. If the Owner dies before the
Annuitization Date, a Distribution will be made in accordance with the Death
of
Owner provision.
The
Owner
may name a new Owner or Contingent Owner at any time prior to the Annuitization
Date. (However, a new Owner may not be named after one of the events
under the Distribution Provisions has occurred.) Any new choice of
Owner or Contingent Owner will automatically revoke any prior choice of Owner
or
Contingent Owner. Any request for change must be: (1) made
in writing; and (2) received at the Home Office. The request for
change must be a "Proper Written Application" and include a signature guarantee
as specified in the "Surrender" section. The change will become
effective as of the date the written request is signed. A new choice
of Owner or Contingent Owner will not apply to any payment made or action taken
by the Company prior to the time it is received.
The
Designated Xxxxxxxxx becomes the Annuitant and becomes the Owner on the
Annuitization Date. The Annuitant's rights regarding ownership may be
restricted under the provisions of the retirement or deferred compensation
plan
for which this Contract is issued.
A
change
in the Designated Annuitant or Contingent Designated Annuitant must be received
before the Annuitization Date and meet the following conditions: (1) the request
for such change must be made by the Owner; (2) the request must be made in
writing on a form acceptable to the Company; (3) the request must be signed
by
the Owner and the person to be named as Designated Annuitant or Contingent
Designated Annuitant; and (4) such change is subject to underwriting and
approval by the Company.
Death
Of Designated Annuitant
A
death
benefit may be payable to the Beneficiary when the Designated Xxxxxxxxx has
died.
If
the
Designated Xxxxxxxxx dies prior to the Annuitization Date, the value of the
death benefit will be determined as of the Valuation Date on or next after
the
date on which the following are received at the Home Office.
|
1.Proof
of the death of the Designated Xxxxxxxxx;
and
|
|
2.Written
request for either a lump sum payment or an Annuity Payment
Option.
|
Proof
of
death is:
|
1.a
copy of a certified death
certificate
|
|
2.a
copy of a certified decree of a court of a competent jurisdiction
as to
the finding of death
|
|
3.a
written statement by a medical doctor who attended the deceased;
or
|
|
4.any
other proof satisfactory to the
Company.
|
The
death
benefit is payable to the Beneficiary unless:
The
Owner
has named a Contingent Designated Annuitant. In such case, the death
benefit is payable upon the death of the last survivor of the Designated
Annuitant and Contingent Designated Annuitant.
The
Beneficiary may elect to receive such Death Benefits in the form of: (1) a
lump
sum distribution or (2) election of an annuity payout. Such election
must be received by the Company within 60 days of the Annuitant's
death.
If
the
Designated Xxxxxxxxx dies prior to the first day of the calendar month after
his
75th birthday the dollar amount of the death benefit will be the greater of:
(1)
the Contract Value; or, (2) the sum of all purchase payments, less any amounts
surrendered.
If:
(1)
the Contract Owner has requested an Annuity Commencement Date later than the
first day of the calendar month after the Designed Annuitant's 75th birthday;
(2) the Company has approved the request; and (3) the Designated Annuitant
dies
after such date; the dollar amount of the death benefit will be equal to the
Contract Value.
Death
Of Annuitant
If
the
Annuitant dies after the Annuitization Date, the death benefit payable, if
any,
will be based on the Annuity Payment Option selected.
Death
Of Owner
In
the
event the Owner dies, the following rules will apply in those situations where
the Contract was not issued in connection with a Qualified Plan.
|
0.Xx
the event the Contract Owner dies prior to the Annuitization Date,
the
entire interest must be distributed within five years after the death
of
the Contract Owner, unless the payee elects to receive Distribution
in the
form of a life annuity or an annuity for a period certain not exceeding
his life expectancy. If the payee does elect to receive such
annuity, payments must begin within one year from the date of the
Owner's
death. Any Distribution will be paid in accordance with one of
the following three elections:
|
|
(a)If
the Contract Owner elects in the application, he may have the Distribution
paid to his estate. If the Owner wishes to have the
Distribution paid to his estate, he must make the election in the
application. If such election is made in the application, the
Distribution must be distributed to the estate within five years
after the
death of the Owner.
|
|
(b)In
lieu of and as an alternative to naming his estate to receive the
Distribution, the Owner may name a Contingent Owner. If the
Contract Owner names a Contingent Owner, the Distribution will be
paid to
the Contingent Owner.
|
|
(c)If
neither the Owner's estate nor a Contingent Owner has been named
to
receive the Distribution, or if the Contingent Owner predeceases
the
Owner, the death benefit will be paid to the Designated
Annuitant. If the Owner is the Designated Annuitant, the
Distribution will be paid to the Beneficiary under the Death of Designated
Annuitant provisions. If the Contract Owner and the Designated
Annuitant are not the same person, no Death Benefit is payable upon
the
death of the Contract Owner, although a Distribution is still
payable.
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0.Xx
the event the recipient of the Distribution is the Contract Owner's
spouse, the Contract may be continued by such spouse without compliance
with the Distribution rules set forth
herein.
|
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0.Xx
the event the Contract Owner dies on or after the Annuitization Date,
and
before the entire interest has been distributed, any remaining portion
of
such interest must be distributed at least as rapidly as under the
method
of Distribution being used as of the date of the Contract Owner's
death.
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Alteration
Or Modification
All
changes in or to the terms of the Contract must be: (1) made in writing; and
(2)
signed by the President or Secretary of the Company. No other person
can alter or change any of the terms or conditions of this
Contract.
Assignment
Unless
otherwise provided, the Owner may assign all rights under this Contract at
any
time during the lifetime of the Designated Annuitant, prior to the Annuitization
Date. The Company will not be bound by any assignment until written
notice is received and recorded at the Home Office. The Company is
not responsible for the validity or tax consequences of any
assignment. An assignment will not apply to any payment made or
action taken by the Company prior to the time it was recorded.
If
this
Contract is a Non-Qualified Contract, the value of any portion of the Contract
which is assigned or pledged may be treated like a cash withdrawal for federal
tax purposes.
If
this
Contract is issued to fund a retirement plan pursuant to Internal Revenue Code
Sections 401, 403, 404, or 408, it may not be assigned, pledged or otherwise
transferred except as allowable by applicable law.
Entire
Contract
This
document is the whole Contract between the Owner and the
Company. This Contract, Data Page and Endorsement(s) (if any), make
up the entire Contract.
Misstatement
of Age
If
the
age of the Annuitant has been misstated, all payments and benefits under this
Contract will be adjusted. Payments and benefits will be made on the basis
of
the Annuitant's correct age. Proof of age of an Annuitant may be required at
any
time, in a form suitable to the Company. When the age of an Annuitant has been
misstated, the dollar amount of any overpayment will be deducted from the next
payment or payments due under this Contract. The dollar amount of any
underpayment made by the Company as a result of any such misstatement will
be
paid in full with the next payment due under this Contract.
Evidence
Of Survival
Where
any
payments under this Contract depend on the recipient being alive on a given
date, proof that such person is living may be required by the
Company. Such proof may be required prior to making the
payments.
Protection
Of Proceeds
Payments
under this Contract are not assignable by any Beneficiary prior to the time
they
are due. Payments are not subject to the claims of creditors or to
legal process, except as mandated by applicable laws.
Reports
At
least
once each year, prior to the Annuitization Date, a Report showing the Contract
Value will be provided to the Owner.
Incontestability
This
Contract will not be contested.
Contract
Settlement
The
Company may require this Contract to be returned to the Home Office prior to
making any payments. All sums payable to or by the Company under this
Contract are payable at the Home Office.
Number
And Gender
Unless
otherwise provided, all references in this Contract which are in the singular
form will include the plural; all references in the plural form will include
the
singular; and all references in the male gender will include the female and
neuter genders.
Non-Participating
This
Contract is non-participating. It will not share in the surplus of
the Company.
ACCUMULATION
PROVISIONS
Surrender
The
Owner
may Surrender part or all of the Contract Value at any time this Contract is
in
force and prior to the earlier of the Annuitization Date or the death of the
Designated Annuitant. For the purpose of calculating the Contingent
Deferred Sales Charge, and in order to minimize the applicable Contingent
Deferred Sales Charge, all amounts withdrawn are deemed to be withdrawn on
a
first-in first-out basis i.e., all withdrawals are deemed to come from the
oldest purchase payments first. (Note - for tax purposes, withdrawals
might be treated differently.) All Surrenders will have the following
conditions:
|
1.The
request for Surrender must be in
writing.
|
|
2.The
Surrender Value will be paid to the Owner when proper written application
and the Contract are received at the Home
Office.
|
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3.The
Company reserves the right to require that the signature(s) be guaranteed
by a member firm of a major stock exchange, Commercial Bank or a
Savings
& Loan. Payment of the Variable Account Contract Value will
be made within seven days of receipt of both proper written application
and the Contract. Payment of the Fixed Account Contract Value
may be deferred up to six months following receipt of
application.
|
|
4.When
written application and the Contract are received, the Company will
Surrender a number of Variable Account Accumulation Units and an
amount
from the Fixed Account needed to equal: (a) the dollar amount requested;
plus (b) any Contingent Deferred Sales Charge which applies; plus
(c) any
Contract Maintenance Charge which
applies.
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5.Unless
the Owner has instructed otherwise, if a partial Surrender is requested,
the Surrender will be made as follows: (a) from the Variable Account
Contract Value; and (b) from the Fixed Account Contract
Value. The amounts surrendered from the Fixed Account and the
Variable Account, will be in the same proportion that the Owner's
interest
in the Fixed Account and Variable Account bears to the total Contract
Value.
|
Contingent
Deferred Sales Charge
If
part
or all of the Contract Value is surrendered, a Contingent Deferred Sales Charge
may be applied at the time of a Surrender. The Contingent Deferred
Sales Charge will be equal to no more than 7% of the lesser of: (1) the total
of
all purchase payments made within 84 months prior to the date of the request
for
Surrender; or (2) the amount surrendered.
The
Contingent Deferred Sales Charge applies to purchase payments as
follows:
Contingent
Deferred Sales Charge
Table
for Contracts Issued On Or After July, 1988
|
|||
Number
of Completed Years From Date Of Purchase Payment
|
Contingent
Deferred Sales Charge
Percentage
|
Number
of Completed Years From Date Of Purchase Payment
|
Contingent
Deferred Sales Charge
Percentage
|
0
|
7%
|
4
|
3%
|
1
|
6%
|
5
|
2%
|
2
|
5%
|
6
|
1%
|
3
|
4%
|
7
|
0%
|
A
Contingent Deferred Sales Charge will not be assessed against any values which
have been held under the Contract for at least 84 months or any values applied
to purchase an annuity.
Reduction
Or Elimination Of Contingent Deferred Sales Charge
The
amount of Contingent Deferred Sales Charges on the Contracts may be reduced
when
sales of the Contracts are made to a trustee, employer or similar entity
pursuant to a retirement plan or when sales are made in a similar arrangement
where offering the Contracts to a group of individuals under such a program
results in savings of sales expenses. The entitlement to such a reduction in
Contingent Deferred Sales Charges will be determined by the
Company.
Surrenders
Without Charge
Once
each
year, starting with the second Purchase Payment Year of a purchase payment,
the
Owner may Surrender, without a Contingent Deferred Sales Charge, an amount
equal
to 10% of the purchase payment at the time of surrender. This free
withdrawal privilege is non-cumulative and must be used in the year
available.
After
a
purchase payment's seventh Purchase Payment
Anniversary, the Owner may Surrender without charge: (1) 100% of the purchase
payment amount, less (2) any amount of the purchase payment previously
surrendered.
Surrender
Value
The
Surrender Value is the amount that will be paid if the full Contract Value
is
surrendered. The Surrender Value at any time will be:
|
1.The
Contract Value; less
|
|
2.Any
Contingent Deferred Sales Charge which applies;
less
|
|
3.Any
Contract Maintenance Charge which
applies.
|
Suspension
Or Delay In Payment Of Surrender
The
Company has the right to suspend or delay the date of any Surrender payment
from
the Variable Account for any period:
|
1.When
the New York Stock Exchange is
closed;
|
|
2.When
trading on the New York Stock Exchange is
restricted;
|
|
3.When
an emergency exists as a result of which: (a) disposal of
securities held in the Variable Account is not reasonably practicable;
or
(b) it is not reasonably practicable to fairly determine the value
of the
net assets of the Variable Account;
|
|
4.During
any other period when the Securities and Exchange Commission, by
order, so
permits for the protection of security holders;
or
|
|
5.When
the request for Surrender is not made in writing or when the signature(s)
of the Owner are not properly
guaranteed.
|
Rules
and
regulations of the Securities and Exchange Commission will govern as to whether
the conditions set forth in numbers 2,3, and 4 above exist.
The
Company further reserves the right to delay payment of a total Surrender of
Fixed Account Contract Value for up to six months in those states where
applicable law requires the Company to reserve such right.
Flexible
Purchase Payments
The
Contract is bought for: (1) The First Purchase Payment; and (2) purchase
payments made after the First, if any. The cumulative total of all
purchase payments under this and any other annuity contract(s) issued by the
Company having the same Designated Annuitant may not exceed $1,000,000 without
the prior consent of the Company.
First
Purchase Payment
The
First
Purchase Payment is due on the Date of Issue. The initial First Year
Purchase Payment may not be less than $1,500 for Non-Qualified
Contracts. However, if periodic payments are expected by the Company,
this initial first year minimum may be satisfied by purchase payments made
on an
annualized basis. For Qualified Contracts issued pursuant to a
retirement plan which receives favorable tax treatment under the provisions
of
Sections 401, 403, 404 or 408 of the Internal Revenue Code, the Company will
accept purchase payments, on an annualized basis. Purchase payments,
if any, after the first Contract Year must be a least $10 each. The
Company reserves the right to reject any purchase payment which does not meet
this minimum payment requirement.
No
Default
There
are
no penalties for failure to continue purchase payments. Unless
surrendered for the full Contract Value, if any purchase payment after the
First
is not paid when due, the Contract will continue in full force until the
Annuitization Date. This Contract will not be in default, even if no
additional purchase payments are made.
Change
In Purchase Payments
The
Owner
is not obligated to continue purchase payments in the amount or at the frequency
selected. The Owner may: (1) increase or decrease the amount of
purchase payments, subject to any minimum payment requirements; or (2) change
the frequency of purchase payments. A change in the frequency or
amount of purchase payments does not have to be made by written
request.
Allocation
Of Purchase Payments
The
Owner
elects to have the purchase payments allocated among the Fixed Account and
the
Sub-Accounts of the Variable Account at the time of application.
Contract
Value
The
Contract Value at any time will be the sum of: (1) the Variable Account Contract
Value; and (2) the Fixed Account Contract Value.
In
the
event of a partial Surrender, the Company will, unless instructed to the
contrary, surrender accumulation Units from all Sub-Accounts in which the
Contract Owner has an interest and from the Fixed Account. The number
of Accumulation Units surrendered from each such Sub-Account and the amount
surrendered from the Fixed Account will be in the same proportion that the
Contract Owner's interest in these Sub-Accounts and Fixed Account bears to
the
total Contract Value.
Fixed
Account Contract Value
The
Fixed
Account Contract Value at any time will be: (1) the sum of all amounts credited
to the Fixed Account under this Contract; less (2) any amounts canceled or
withdrawn for charges, deductions, or Surrenders. With regard to the
Fixed Account, any paid-up annuity, cash surrender, or death benefits that
may
become available, will not be less than the minimum benefits required by any
statute of any state in which this contract is delivered.
Interest
To Be Credited
The
company will credit interest to the Fixed Account Contract
Value. Such interest will be credited at such rate or rates as the
Company prospectively declares from time to time, at the sole discretion of
the
Company. Such rates will be declared to the Owner in writing prior to
each quarterly period. Any such rate or rates so determined, for
which deposits are received, will remain in effect for a period of not less
than
12 months, and remain at such rate unless changed. However, the
Company guarantees that it will credit interest at not less than 3.0% per
year.
Variable
Account Contract Value
The
Variable Account Contract Value is the sum of the value of all Variable Account
Accumulation Units under this Contract.
If:
(1)
part or all of the Variable Account Contract Value is surrendered; or (2)
charges or deductions are made against the Variable Account Contract Value;
then, an appropriate number of Accumulation Units will be canceled or
surrendered to equal such amount.
The
Variable Account
The
Variable Account is a separate investment account of the Company. It
is named on the Data Page. The Company has allocated a part of its
assets for this Contract and certain other contracts to the Variable
Account. Such assets of the Variable Account remain the property of
the Company. However, they may not be charged with the liabilities
from any other business in which the Company may take part.
Investments
Of The Variable Account
The
purchase payments applied to the Variable Account will be invested at net asset
value in one or more of the mutual funds shown on the Data Page.
Sub-Accounts
The
Variable Account is divided into Sub-Accounts which invest in shares of mutual
funds. Purchase payments are allocated among one or more of these
Sub-Accounts, as designated by the Owner.
Valuation
Of Assets
Mutual
fund shares in the Variable Account will be valued at their net asset
value.
Variable
Account Accumulation Units
The
number of Accumulation Units for each Sub-Account of the Variable Account is
found by dividing: (1) the net amount allocated to the Sub-Account; by (2)
the
Accumulation Unit value for the Sub-Account for the Valuation Period during
which the Company received the purchase payment.
Variable
Account Accumulation Unit Value
The
value
of an Accumulation Unit for each Sub-Account of the Variable Account was
arbitrarily set at $10 when the first mutual fund shares were
bought. The value for any later Valuation Period is found as
follows:
The
Accumulation Unit Value for each Sub-Account for the last prior Valuation Period
is multiplied by the Net Investment Factor for the Sub-Account for the next
following Valuation Period. The result is the Accumulation Unit
Value. The value of an Accumulation Unit may increase or decrease
from one Valuation Period to the next. The number of Accumulation
Units will not change as a result of investment experience.
Net
Investment Factor
The
Net
Investment Factor is an index applied to measure the investment performance
of a
Sub-Account from one Valuation Period to the next. The Net Investment
Factor may be greater or less that one; therefore, the value of an Accumulation
Unit may increase or decrease.
The
Net
Investment Factor for any Sub-Account for any Valuation Period is determined
by:
dividing (1) by (2) and subtracting (3) from the result, where:
|
0.xx
the net result of:
|
|
a.the
net asset value per share of the mutual fund held in the Sub-Account,
determined at the end of the current Valuation Period;
plus
|
|
b.the
per share amount of any dividend or capital gain distributions made
by the
mutual fund held in the Sub-Account, if the "ex-dividend" date occurs
during the current Valuation Period; plus or
minus
|
|
c.a
per share charge or credit for any taxes reserved for, which is determined
by the Company to have resulted from the investment operations of
the
Sub-Account.
|
|
0.xx
the net result of:
|
|
a.the
net asset value per share of the mutual fund held in the Sub-Account,
determined at the end of the last prior Valuation Period; plus or
minus
|
|
b.the
per share charge or credit for any taxes reserved for the last prior
Valuation Period.
|
|
0.xx
a factor representing the Mortality and Expense Risk Charge and the
Administration Charge deducted from the Variable Account. Such
factor is equal, on an annual basis, to 1.30% of the daily net asset
value
of the Variable Account.
|
For
funds
that credit dividends on a daily basis and pay such dividends once a month,
the
Net Investment Factor allows for the monthly reinvestment of these daily
dividends.
Fixed
Account Provisions
The
Fixed
Account is the general account of the Company. It is made up of all
assets of the Company other than: (1) those in the Variable Account;
and (2) those in any other segregated asset account.
Transfer
Provisions
The
Owner
may annually transfer a portion of the value of the Fixed Account to the
Variable Account and a portion of the Variable Account to the Fixed
Account, without penalty or adjustment. Transfers from the Fixed
Account to the Variable Account will be determined by the Company, but will
not
be less than 10%, and will be declared before the termination date of the then
current interest rate guarantee period. Transfers from the Fixed
Account must be made within 30 days after the termination date of the guaranteed
period.
The
Owner
may request a transfer of up to 100% of the Contract Value from the Variable
Account to the Fixed Account. The Owner's value in each Sub-Account
will be determined as of the date the transfer request is received in the Home
Office in good order. The Company reserves the right to restrict
transfers to the Fixed Account to 25% of the Contract Value, depending on the
market conditions at the time of the transfer request.
Transfers
from the Fixed Account may not be made prior to the first Contract Anniversary
or within 12 months of any prior Transfer. Transfers must also be
made prior to the Annuitization Date.
Distribution
Provisions
The
following events will give rise to a Distribution:
|
1.Reaching
the Annuitization Date - Distribution will be made pursuant to the
Annuity
Payment Option selected.
|
|
2.Death
of the Designated Annuitant prior to the Annuity Commencement Date
-
Distribution to be made in accordance with the options available
under the
Death of Designated Annuitant provision of this
Contract.
|
|
3.Death
of the Owner - Distribution to be made in a manner consistent with
the
Death of Owner provisions of this
Contract.
|
|
4.Surrender
- Distribution to be made in accordance with the Surrender provisions
of
this Contract.
|
Exchange
Privilege
The
Contract Owner may exchange this Contract for an annuity contract which: (1)
is
issued by the Company; and (2) is determined by the Company to be the type
and
class eligible for such exchange. In determining which contracts may
be of the same type and class as this Contract, the Company shall apply its
rules and regulations applicable thereto. The Contract Owner must
request an exchange: (1) in writing; and (2) at least 45 days prior to the
Annuitization Date. Any such exchange shall be made free from any
Contingent Deferred Sales Charge provided for in this Contract.
ANNUITIZATION
PROVISIONS
General
All
of
the provisions within this section are subject to the restrictions set forth
in
the Section entitled "Death Of Owner."
Annuitization
This
is
the process of purchasing an annuity according to the option selected, during
the payout phase of the Contract. As of the Annuitization Date, the
Contract Value is surrendered and applied to the purchase rate then in effect
for the option selected. The purchase rates for all options will be
determined on a basis not less favorable than the 1971 Individual Annuity
Mortality Table (set back one year) with minimum interest at
3.5%. The rates shown in the Annuity Tables are calculated on this
guaranteed basis. Annuitization is irrevocable once payments have
begun.
Annuity
Commencement Date
Such
date: (1) must be the first day of a calendar month; and (2) must be at least
two years after the Date of Issue. The Annuity Commencement Date may
not be later than the first day of the first calendar month after the
Annuitant's 75th birthday, unless a later date has: (1) been requested by the
Contract Owner; and (2) approved by the Company. This date is
selected by the Owner at the time of application. Any applicable
premium taxes not already deducted will be deducted from the Contract Value
at
this time. The remaining Contract Value will then be applied to the
Annuity Payment Option selected by the Owner.
Change
Of Annuity Commencement Date
The
Owner
may change the Annuity Commencement Date. A change of Annuity
Commencement Date must be made prior to the Annuitization Date and by written
request. The request must be received at the Home Office prior to the
new Annuity Commencement Date. The date to which such a change may be
made must be the first day of a calendar month.
Change
Of Annuity Payment Option
The
Owner
may change the Annuity Payment Option prior to the Annuitization
Date. A change of the Annuity Payment Option must be made by written
request and must be received at the Home Office prior to the Annuitization
Date. After a change of Annuity Payment Option is received at the
Home Office, it will become effective as of the date it was
requested. A change of Annuity Payment Option will not apply to any
payment made or action taken by the Company before it was received.
Annuity
Payment Options
One
Annuity Payment Option or a combination of Annuity Payment Options may be
selected. Any Annuity Payment Option not set forth in the Contract
which is satisfactory to both the Company and the Annuitant may be
selected.
Supplementary
Agreement
A
Supplementary Agreement will be issued within 30 days following the
Annuitization Date. The Supplementary Agreement will set forth the
terms of the Annuity Payment Option selected.
Frequency
And Amount Of Payments
Payments
will be made based on the payment option selected and frequency
selected. However, if the net amount to be applied at the
Annuitization Date is less than $500, the Company has the right to pay such
amount in one lump sum.
If
any
payment provided for would be or becomes less than $20, the Company has the
right to change the frequency of payment to an interval that will result in
payments of at least $20.
Fixed
Annuity Provisions
A
Fixed
Annuity is an annuity with level payments which are guaranteed by the Company
as
to dollar amount during the annuity payment period. At the
Annuitization Date, the Contract Value will be applied to the applicable Annuity
Table. This will be done in accordance with the Annuity Payment
Option selected.
Variable
Annuity
A
Variable Annuity is an annuity with payments which: (1) are not predetermined
or
guaranteed as to dollar amount; and (2) vary in amount with the investment
experience of the Variable Account.
Determination
Of First Variable Annuity Payment
At
the
Annuitization Date, the Variable Account Contract Value will be applied to
the
applicable Annuity Table. This will be done in accordance with the
Annuity Payment Option selected. The Annuity Tables are based on the
1971 Individual Annuity Mortality Table (set back one year) with interest at
3.5%.
Annuity
Unit Value
An
Annuity Unit is used to calculate the value of annuity payments. The
value of an Annuity Unit for each Sub-Account was arbitrarily set at $10 when
the first mutual funds were bought. The value for any later Valuation
Period is found as follows:
|
1.The
Annuity Unit Value for each Sub-Account for the last prior Valuation
Period is multiplied by the Net Investment Factor for the Sub-Account
for
the Valuation Period for which the Annuity Unit Value is being
calculated.
|
|
2.The
result is multiplied by an interest factor. This is done to
neutralize the Assumed Investment Rate of 3.5% per year, which is
built
into the Annuity Tables.
|
Variable
Annuity Payments After The First Payment
Variable
Annuity payments after the first vary in amount. The payment amount
changes with the investment performance of the Sub-Accounts within the Variable
Account. The dollar amount of such payments is determined as
follows:
|
1.The
dollar amount of the first annuity payment is divided by the value
of an
Annuity Unit as of the Annuitization Date. This result
establishes the fixed number of Annuity Units for each Sub-Account,
for
each monthly annuity payment after the first. This number of
Annuity Units remains fixed during the annuity payment
period.
|
|
2.The
fixed number of Annuity Units is multiplied by the Annuity Unit Value
for
the Valuation Period for which the payment is due. This result
establishes the dollar amount of the
payment.
|
The
Company guarantees that the dollar amount of each payment after the first will
not be affected by variations in expenses or mortality experience.
ANNUITY
PAYMENT OPTIONS
General
All
annuity payments will be mailed within 10 working days of the first of the
month
in which they are scheduled to be made.
Life
Annuity
The
amount to be paid under this option will be paid during the lifetime of the
Annuitant. Payments will cease with the last payment due prior to the
death of the Annuitant.
Joint
And Last Survivor Annuity
The
amount to be paid under this option will be paid and continued during the
lifetimes of the Annuitant and designated second person. Payments
will continue as long as either is living.
Life
Annuity With 120 Or 240 Monthly Payments Guaranteed
The
amount to be paid under this option will be paid during the lifetime of the
Annuitant. A guaranteed period of 120 or 240 months may be
selected. If the Annuitant dies prior to the end of this guaranteed
period, the Beneficiary may choose to continue receiving payments until the
end
of the guaranteed period, or receive the commuted value of the
remaining guaranteed payments in a lump sum. Such lump sum payment
will be equal to the present value of the remaining guaranteed payments to
which
the Annuitant would have been entitled had he not died. The payment
will be computed as of the date on which proof of the death of the Annuitant
is
received at the Home Office and computed at an assumed investment rate which
is
the greater of that used in the Annuity Tables in effect on the date of the
calculation of the lump sum and that used in the Annuity Tables in effect on
the
Annuitization Date.
UNISEX
Monthly
Benefits per $1,000 Applied
ANNUITY
TABLES
JOINT
AND SURVIVOR MONTHLY ANNUITY PAYMENTS PER $1,000 APPLIED
Annuitant
Age
50
|
55
|
60
|
65
|
70
|
||
Survivor
Age
|
50
|
$3.91
|
$4.07
|
$4.21
|
$4.34
|
$4.44
|
55
|
4.00
|
4.20
|
4.41
|
4.59
|
4.76
|
|
60
|
4.08
|
4.32
|
4.59
|
4.86
|
5.12
|
|
65
|
4.42
|
4.75
|
5.12
|
5.50
|
||
70
|
4.89
|
5.35
|
5.87
|
LIFE
ANNUITY MONTHLY ANNUITY PAYMENTS PER $1,000 APPLIED
Annuitant's
|
Guaranteed
Period
|
||
Attained
Age Last
Birthday
|
None
|
120
Months
|
240
Months
|
40
|
$3.73
|
$3.72
|
$3.70
|
41
|
3.77
|
3.76
|
3.73
|
42
|
3.81
|
3.80
|
3.77
|
43
|
3.86
|
3.85
|
3.81
|
44
|
3.91
|
3.89
|
3.85
|
45
|
3.96
|
3.94
|
3.89
|
46
|
4.01
|
3.99
|
3.94
|
47
|
4.06
|
4.05
|
3.98
|
48
|
4.12
|
4.10
|
4.03
|
49
|
4.18
|
4.16
|
4.08
|
50
|
4.25
|
4.23
|
4.13
|
51
|
4.32
|
4.29
|
4.19
|
52
|
4.39
|
4.36
|
4.24
|
53
|
4.47
|
4.43
|
4.30
|
54
|
4.55
|
4.51
|
4.36
|
55
|
4.64
|
4.59
|
4.43
|
56
|
4.73
|
4.67
|
4.49
|
57
|
4.82
|
4.76
|
4.55
|
58
|
4.93
|
4.85
|
4.62
|
59
|
5.03
|
4.95
|
4.69
|
60
|
5.15
|
5.05
|
4.76
|
61
|
5.27
|
5.16
|
4.83
|
62
|
5.39
|
5.27
|
4.90
|
63
|
5.53
|
5.39
|
4.97
|
64
|
5.67
|
5.52
|
5.04
|
65
|
5.83
|
5.66
|
5.11
|
66
|
6.00
|
5.80
|
5.18
|
67
|
6.19
|
5.95
|
5.24
|
68
|
6.39
|
6.12
|
5.30
|
69
|
6.61
|
6.29
|
5.36
|
70
|
6.85
|
6.46
|
5.41
|
71
|
7.11
|
6.65
|
5.46
|
72
|
7.39
|
6.85
|
5.50
|
73
|
7.70
|
7.05
|
5.54
|
74
|
8.03
|
7.25
|
5.57
|
75
|
8.40
|
7.46
|
5.59
|
18