| Annuitant Owner | | [THOMAS J. DOE] [JOHN Q. DOE] | | | |----------------------------------------------------------------------------| | Initial Premium Annuity Option Annuity Commencement Date | | [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026]...Deferred Combination Variable and Fixed Annuity Contract • October 2nd, 2000 • Separate Account B of Golden American Life Insurance Co
GOLDEN AMERICAN DEFERRED COMBINATION LIFE INSURANCE VARIABLE AND FIXED COMPANY ANNUITY CONTRACTDeferred Combination Variable and Fixed Annuity Contract • February 2nd, 2018 • VOYA INSURANCE & ANNUITY Co • Life insurance
This is a legal Contract between its Owner and us. Please read it carefully. In this Contract you or your refers to the Owner shown above. We, our or us refers to Golden American Life Insurance Company. You may allocate this Contract's Accumulation Value among the Variable Separate Account, the General Account and the Fixed Account shown in the Schedule.
Annuitant Owner [THOMAS J. DOE] [JOHN Q. DOE] Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2053] Separate Account(s) Contract Number [SEPARATE ACCOUNT B AND THE FIXED ACCOUNT] [123456]Deferred Combination Variable and Fixed Annuity Contract • February 5th, 2018 • VOYA INSURANCE & ANNUITY Co • Life insurance
When a distribution is made from an investment portfolio underlying a Variable Separate Account Division in which reinvestment is not available, we will allocate the amount of the distribution to the [Liquid Asset Division] unless you specify otherwise.
Annuitant Owner [Thomas J. Doe] [John Q. Public] Initial Premium Annuity Option Annuity Commencement Date [$10,000] [Life-10 Year Certain] [January 1, 2024] Separate Account(s) Contract Number [Separate Account B and the Fixed Account] [123456]Deferred Combination Variable and Fixed Annuity Contract • February 2nd, 2018 • VOYA INSURANCE & ANNUITY Co • Life insurance
[IF DEATHBEN="1": The Death Benefit is the greatest of (i) the Accumulation Value, (ii) the Guaranteed Death Benefit, (iii) the Cash Surrender Value, and (iv) the sum of premiums paid, less any partial withdrawals.
GOLDEN --------AMERICAN ----------LIFE INSURANCE -------COMPANY DEFERRED COMBINATION VARIABLE AND FIXED ANNUITY CONTRACTDeferred Combination Variable and Fixed Annuity Contract • February 5th, 2018 • VOYA INSURANCE & ANNUITY Co • Life insurance
This is a legal Contract between its Owner and us. Please read it carefully. In this contract you or your refers to the Owner shown above. We, our or us refers to Golden American Life Insurance Company. You may allocate this Contract's Accumulation Value among the Variable Separate Account, the General Account and the Fixed Account shown in the Schedule.
Contractholder Group Contract Number GOLDEN INVESTORS TRUST G000012-OE Annuitant Owner [THOMAS J. DOE] [JOHN Q. DOE] Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2053] Separate Account(s)...Deferred Combination Variable and Fixed Annuity Contract • February 2nd, 2018 • VOYA INSURANCE & ANNUITY Co • Life insurance
When a distribution is made from an investment portfolio underlying a Variable Separate Account Division in which reinvestment is not available, we will allocate the amount of the distribution to the [Liquid Asset Division] unless you specify otherwise.
