0000878467-06-000008 Sample Contracts
EMPIRE FIDELITY INVESTMENTS LIFE INSURANCE COMPANY NEW YORK, NEW YORK SINGLE PREMIUM IMMEDIATE ANNUITY INDIVIDUAL RETIREMENT ANNUITY VARIABLE INCOME NONPARTICIPATINGSingle Premium Immediate Annuity Contract • March 30th, 2006 • Empire Fidelity Investments Variable Annuity Account A
Contract Type FiledMarch 30th, 2006 CompanyEmpire Fidelity Investments Life Insurance Company agrees to pay lifetime income to the Annuitant, and to the Joint Annuitant if any, beginning with the first Annuity Income Date, and to provide the other rights and benefits of this Contract.
Standard Contracts
EMPIRE FIDELITY INVESTMENTS LIFE INSURANCE COMPANY New York, New York SINGLE PREMIUM IMMEDIATE ANNUITY VARIABLE INCOME NONPARTICIPATINGSingle Premium Immediate Annuity Contract • March 30th, 2006 • Empire Fidelity Investments Variable Annuity Account A
Contract Type FiledMarch 30th, 2006 CompanyThe dollar amount of variable annuity income payments will not decrease if the investment return of the separate account, after all expenses, from one Annuity Income Date to the next is equivalent to an effective annual rate that is greater than or equal to the Benchmark Rate of Return of 3.5%. We assess a daily Mortality and Expense Risk Charge against each Contract's assets at an annual rate of 0.50% and a daily Administration Charge against each Contract's assets at an annual rate of 0.10%.