EX-99.4.19 5 fv131103.txt FORM OF DEFERRED ANNUITY CONTRACT FOR RIVERSOURCE RETIREMENT ADVISOR 4 ACCESS VARIABLE ANNUITY IDS LIFE INSURANCE COMPANY 70100 Ameriprise Financial Center Minneapolis, MN 55474 [RiverSourse Annuities logo] DEFERRED ANNUITY CONTRACT - FLEXIBLE PURCHASE PAYMENTS. - OPTIONAL FIXED DOLLAR OR VARIABLE ACCUMULATION VALUES AND ANNUITY PAYMENTS. - ANNUITY PAYMENTS TO BEGIN ON THE SETTLEMENT DATE. - THIS CONTRACT IS NONPARTICIPATING. DIVIDENDS ARE NOT PAYABLE. Annuitant: John Doe Contract Date: June 15, 2006 Contract Number: XXXX-XXXXXXXX Settlement Date: June 15, 2061 This is a deferred annuity contract. It is a legal contract between you, as the owner, and us, IDS Life Insurance Company, a Stock Company, Minneapolis, Minnesota. PLEASE READ YOUR CONTRACT CAREFULLY.GRAPHIC OMITTED] If the annuitant is living on the settlement date, upon your request, we will begin to pay you monthly annuity payments. Any payments made by us are subject to the terms of this contract. We issue this contract in consideration of your application and the payment of the purchase payments. FIXED ACCOUNT IS AVAILABLE ONLY FOR SPECIAL DOLLAR COST AVERAGING ARRANGEMENTS AND AS PART OF VARIOUS OPTIONAL RIDERS. ACCUMULATION VALUES AND ANNUITY PAYMENTS, WHEN BASED ON THE INVESTMENT RESULTS OF THE VARIABLE SUBACCOUNTS, ARE VARIABLE AND NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. SEE THE FIXED AND VARIABLE ACCOUNTS SECTION FOR VARIABLE PROVISIONS. NOTICE OF YOUR RIGHT TO EXAMINE THIS CONTRACT FOR 10 DAYS. If for any reason you are not satisfied with this contract, return it to us or our representative within 10 days after you receive it. We will then cancel this contract. Upon such cancellation we will refund an amount equal to the sum of the contract value and any premium tax charges paid. This contract will then be considered void from its start. Signed for and issued by IDS Life Insurance Company in Minneapolis, Minnesota, as of the contract date shown above. /s/ Timothy V. Bechtold PRESIDENT /s/ Eric L. Marhoun SECRETARY 131103 (06/2006) GUIDE TO CONTRACT PROVISIONS CONTRACT DATA........................................................Pages 2A-2C Important contract specifications, fund allocations, fees and charges, surrender charge schedule DEFINITIONS............................................................Pages 3-4 GENERAL PROVISIONS........................................................Page 5 Entire Contract Modification of the Contract Incontestable Benefits Based on Incorrect Data State Laws Federal Laws Reports to Owner Evidence of Survival Protection of Proceeds Payments by Us Voting Rights OWNERSHIP, ANNUITANT AND BENEFICIARY......................................Page 6 Owner's Rights Change of Ownership Naming a Beneficiary Change of Beneficiary Beneficiary's Rights Change of Annuitiant or successor annuitant Assignment PAYMENTS TO BENEFICIARY................................................Pages 7-8 Death Benefit Before the Settlement Date Pre-election of an Annuity Payment Plan Spouse Option to Continue Contract Death Benefits After Settlement PURCHASE PAYMENTS.........................................................Page 9 Purchase Payments Amounts and Intervals Payment Limits Allocation of Purchase Payments CONTRACT VALUE.......................................................Pages 10-11 Variable Account Contract Value Fixed Account Contract Value Interest to be Credited Contract Administrative Charge Premium Tax Charges Transfers of Contract Values Dollar Cost Averaging FIXED AND VARIABLE ACCOUNTS..........................................Pages 12-13 The Fixed Account The Variable Account Investments of the Variable Account Valuation of Assets Variable Account Accumulation Units and Values Net Investment Factor Mortality and Expense Risk Charge Annuity Unit Value SURRENDER PROVISIONS.....................................................Page 14 Surrender of the contract for its surrender value Rules for Surrender Surrender Value Suspension or Delay in Payment of Surrender ANNUITY PROVISIONS...................................................Pages 15-16 When annuity payments begin Different ways to receive annuity payments Determination of payment amounts TABLES OF SETTLEMENT RATES...........................................Pages 17-18 Tables showing amount of first variable annuity payment and the guaranteed fixed annuity payments for the various payment plans 131103 Page 2 (06/2006) CONTRACT DATA Annuitant: John Doe Contract Date: June 15, 2006 Contract Number: XXXX-XXXXXXXX Settlement Date: June 15, 2061 Contract Owner: John Doe Age at Issue: 35 Deferred Annuity Contract: ("RIVERSOURCE RETIREMENT ADVISOR ACCESS(SM) VARIABLE ANNUITY") Federal Tax Status: Non-qualified Cash Submitted With Application:* $10,000.00 *Exchanges and transfers from other accounts are not reflected and will be confirmed separately. Scheduled Purchase Payment: Annual Amount: NA Maximum Purchase Payments Permitted: 1st contract year: $1,000,000 Each contract year thereafter: $100,000 Special DCA Minimum Purchase Payment: $10,000 Upon issuance of this contract your purchase payments have been scheduled to be paid and applied to the fixed account and variable subaccounts investing in funds as shown below. You may change the amount, frequency and allocations as provided in this contract. Refer to the Purchase Payments provision.
Purchase Payments Funds Allocation Percentage ----- --------------------- GUARANTEE PERIOD ACCOUNTS (GPA) 1 Year Guarantee Period Account 00.0% 2 Year Guarantee Period Account 00.0% 3 Year Guarantee Period Account 00.0% 4 Year Guarantee Period Account 00.0% 5 Year Guarantee Period Account 00.0% 6 Year Guarantee Period Account 00.0% 7 Year Guarantee Period Account 00.0% 8 Year Guarantee Period Account 00.0% 9 Year Guarantee Period Account 00.0% 10 Year Guarantee Period Account 00.0% AIM V.I. Capital Appreciation Fund, Series II Shares 30.0% Capital Development Fund, Series II Shares 00.0% Financial Services Fund, Series II Shares 00.0% Global Health Care Fund, Series II Shares 00.0% International Growth Fund, Series II Shares 00.0% ALLIANCEBERNSTEIN VPS Global Technology Portfolio (Class B) 00.0% Growth and Income Portfolio (Class B) 00.0% International Value Portfolio (Class B) 00.0% Large Cap Growth Portfolio (Class B) 00.0% AMERICAN CENTURY(R) VP Mid Cap Value, Class II 00.0% Ultra, Class II 00.0% VP Value, Class II 00.0% COLUMBIA High Yield Fund, Variable Series, Class B 00.0% Marsico Growth 00.0% Marsico International Opportunities 00.0% CREDIT SUISSE TRUST Commodity Return Strategy 00.0% DREYFUS VARIABLE INVESTMENT FUND International Equity Portfolio, Service Class Shares 20.0% International Value Portfolio, Service Class Shares 00.0% EATON VANCE VT Floating-Rate Income Fund 00.0% EVERGREEN VA Fundamental Large Cap Fund - Class 2 00.0% International Equity Fund - Class 2 00.0% FIDELITY(R) VIP Contrafund(R) Portfolio Service Class 2 10.0% Mid Cap Portfolio Service Class 2 00.0% Overseas Portfolio Service Class 2 00.0%
131103 Page 2A (6/2006)
Purchase Payments Funds Allocation Percentage ----- --------------------- FRANKLIN TEMPLETON VIP TRUST (FTVIPT) Franklin Real Estate Securities Fund - Class 2 00.0% Franklin Small Cap Value Securities Fund-Class 2 00.0% Mutual Shares Securities Fund - Class 2 00.0% GOLDMAN SACHS VIT StructuredSM U.S. Equity Fund 00.0% LEGG MASON PARTNERS Variable Small Cap Growth Portfolio, Class II 00.0% MFS(R) Investors Growth Stock Series - Service Class 00.0% Total Return Series - Service Class 00.0% Utilities Series - Service Class 20.0% NEUBERGER BERMAN ADVISERS MGMT TRUST International Portfolio S Class 00.0% Socially Responsive Portfolio S Class 00.0% OPPENHEIMER Global Securities Fund/VA, Service Shares 00.0% Main Street Small Cap Fund/VA, Service Shares 00.0% Strategic Bond Fund/VA, Service Shares 00.0% Value Fund/VA, Service Shares 00.0% PIMCO VIT All Asset Portfolio, Advisor Share Class 00.0% RIVERSOURCE(SM) VARIABLE PORTFOLIO Balanced Fund 00.0% Cash Management Fund 00.0% Core Bond Fund 00.0% Diversified Bond Fund 00.0% Diversified Equity Income Fund 00.0% Emerging Markets Fund 00.0% Fundamental Value Fund 00.0% Global Bond Fund 00.0% Global Inflation Protected Securities Fund 00.0% Growth Fund 00.0% High Yield Bond Fund 00.0% Income Opportunities Fund 00.0% International Opportunity Fund 00.0% Large Cap Equity Fund 00.0% Large Cap Value Fund 00.0% Mid Cap Growth Fund 00.0% Mid Cap Value Fund 00.0% S&P 500 Index Fund 00.0% Select Value Fund 00.0% Short Duration U.S. Government Fund 20.0% Small Cap Advantage Fund 00.0% Small Cap Value Fund 00.0% VAN KAMPEN LIT Comstock Portfolio, Class II Shares 00.0% UIF Global Real Estate Portfolio, Class II Shares 00.0% UIF Mid Cap Growth Portfolio, Class II Shares 00.0% WANGER International Small Cap 00.0% U.S. Smaller Companies 00.0% WELLS FARGO Advantage Opportunity Fund 00.0% Advantage Small Cap Growth Fund 00.0% Fixed Account FIX IDS Life Regular Fixed Account 00.00% DCA IDS Life Special DCA Fixed Account 00.0% Fixed Account Minimum Interest Rate: 3.00% annual effective rate Fixed Account Transfer Percentage: 30% (See Transfers of Contract Values provisiion for limits on fixed account transfers.)
Page 2B Fees and Charges: ----------------- Contract Administrative Charge: Initial Annual Charge $30 We reserve the right to adjust this charge after the first contract anniversary, but the charge will never exceed $50. Initial Annual Charge if contract value, or purchase payments less purchase payments surrendered, equals or exceeds $50,000 $0 We reserve the right to charge up to $20 after the first contract anniversary. See Contract Administrative Charge provision. Mortality and Expense Risk Charge: 1.25% Return of Purchase Payment Death Benefit Rider Effective 6-15-2006 Initial Annual Charge* .20% Maximum Five-Year Anniversary Value Death Benefit Rider Effective 6-15-2006 Initial Annual Charge* .10% Maximum Anniversary Value Death Benefit Rider Effective 6-15-2006 Initial Annual Charge* .25% Enhanced Earnings Death Benefit Rider Effective 6-15-2006 Initial Annual Charge* .30% Rider Benefit Percentage 40% Maximum Earnings at Death Percentage 250% Enhanced Earnings Plus Death Benefit Rider Effective 6-15-2006 Initial Annual Charge* .40% Rider Benefit Percentage 40% Maximum Earnings at Death Percentage 250% Exchange Amount Percentage Schedule Death occurring in Contract Years Percentage --------------------------------- ---------- 1 - 2 0% 3 - 4 10% 5 and later 20% Discount for multiple death benefit rider election -.10%/-.05% Total Initial Annual Rider Charges X.XX%
*We reserve the right to adjust rider charges after the tenth rider anniversary by a maximum of .10% for any rider. DEFINITIONS The following words are often used in this contract. When we use these words, this is what we mean: ACCUMULATION UNIT An accumulation unit is an accounting unit of measure. It is used to calculate the variable account contract value prior to settlement. ANNUITANT The person or persons on whose life monthly annuity payments depend. The annuitant may be changed as provided in this contract. ANNUITY UNIT An annuity unit is an accounting unit of measure. It is used to calculate the value of annuity payments from the variable subaccounts on and after the settlement date. CODE The Internal Revenue Code of 1986, as amended, its regulations thereunder and/or promulgations of the Internal Revenue Service, as applicable. CONTRACT ANNIVERSARY The same day and month as the contract date each year that the contract remains in force. CONTRACT DATE The date from which contract anniversaries, contract years, and contract months are determined. Your contract date is shown under Contract Data. CONTRACT VALUE The sum of the Fixed Account Contract Value (which receives a declared interest rate) and the Variable Account Contract Value (which varies with the investment performance of the elected subaccounts) for this contract. FIXED ACCOUNT The fixed account is made up of all our assets other than those in any separate account. FIXED ANNUITY A fixed annuity is an annuity with payments which are guaranteed by us as to dollar amount during the annuity payment period. NONQUALIFIED CONTRACT A contract used primarily for retirement purposes that is not intended to qualify under 401(a), 403 or 408 of the Code. REGULAR FIXED ACCOUNT The Regular Fixed Account is an option available within various optional riders. Purchase payments allocated to the Regular Fixed Account will earn a specified rate of interest. SETTLEMENT The application of the contract value of this contract to an Annuity Payment Plan to provide annuity payments. SETTLEMENT DATE The date shown under Contract Data on which annuity payments are scheduled to begin. This date may be changed as provided in this contract. You will be notified prior to the settlement date, and you will provide instructions to us to select an annuity payment plan. SPECIAL DCA FIXED ACCOUNT The Special DCA fixed account is an option available within the fixed account whereby new purchase payments allocated will earn a specified rate of interest if they are transferred monthly to the variable subaccounts within specified time periods we declare. SUCCESSOR ANNUITANT The person who becomes the annuitant when the current annuitant dies prior to settlement. VALUATION DATE Any normal business day, Monday through Friday, on which the New York Stock Exchange is open, up to the close of business. At the close of business, the next valuation date begins. VALUATION PERIOD A valuation period is the interval of time commencing at the close of business on each valuation date and ending at the close of business on the next valuation date. VARIABLE ANNUITY A variable annuity is an annuity with payments which: (1) are not predetermined or guaranteed as to dollar amounts; and (2) vary in amount with the investment experience of one or more of the variable subaccounts. 131103 Page 3 (06/2006) DEFINITIONS (CONTINUED) VARIABLE SUBACCOUNTS The portfolios of the Variable Account. The subaccounts available on the contract date are named under Contract Data. WE, OUR, US IDS Life Insurance Company WRITTEN REQUEST A request in writing, on a form acceptable to us, signed by you and delivered to us at our corporate office. YOU, YOUR The owner or owners of this contract. The owner may be a natural, living person or a non-natural entity (e.g., a trust or corporation). If this is a nonqualified contract or an investment in a Qualified Plan under section 401(a) of the Code, the owner may be someone other than the annuitant. The owner may be changed as provided in this contract. 131103 Page 4 (06/2006) GENERAL PROVISIONS ENTIRE CONTRACT This contract form and any endorsements or riders are the entire contract between you and us. No one except one of our corporate officers (President, Vice President, Secretary or Assistant Secretary) can change or waive any of our rights or requirements under this contract. That person must do so in writing. None of our other representatives or other persons has the authority to change or waive any of our rights or requirements under this contract. MODIFICATION OF THE CONTRACT This contract may be modified at any time by written agreement between you and us. The modification must be signed by one of our corporate officers (President, Vice President, Secretary or Assistant Secretary). INCONTESTABLE This contract is incontestable from its date of issue. BENEFITS BASED ON INCORRECT DATA If the amount of benefits is determined by data as to a person's age or sex that is incorrect, benefits will be recalculated on the basis of the correct data. Any underpayments made by us will be made up promptly. Any overpayments made by us will be subtracted from future payments under this contract and/or as otherwise legally permissible. STATE LAWS This contract is governed by the laws of the state in which it is delivered. The values and benefits of this contract are at least equal to those required by such state. FEDERAL LAWS This contract is intended to qualify as an annuity contract under Section 72 of the Internal Revenue Code for Federal income tax purposes. To that end, the provisions of this contract are to be interpreted to ensure or maintain such tax qualification, despite any other provisions to the contrary. We reserve the right to unilaterally amend this contract to reflect any clarifications that may be needed or are appropriate to maintain such tax qualification. We will send you a copy of any such amendments. REPORTS TO OWNER At least once a year we will send you a statement showing the contract value and the surrender value of this contract. This statement will be based on any laws or regulations that apply to contracts of this type. EVIDENCE OF SURVIVAL Where any payments under this contract depend on the recipient or annuitant being alive on a given date, proof that such condition has been met may be required by us. Such proof may be required prior to making the payment. PROTECTION OF PROCEEDS Payments under this contract are not assignable by any beneficiary prior to the time they are due. PAYMENTS BY US All sums payable by us are payable from our corporate office. Any payment or surrender from a variable annuity is based on the variable account contract value. VOTING RIGHTS So long as federal law requires, we will give certain voting rights to contract owners. As contract owner, if you have voting rights we will send a notice to you telling you the time and place of the shareholder meeting. The notice will also explain matters to be voted upon and how many votes you have. 131103 Page 5 (06/2006) OWNERSHIP, ANNUITANT AND BENEFICIARY OWNER'S RIGHTS Unless otherwise stated in this contract, you may exercise all rights and privileges provided in this contract or allowed by us. CHANGE OF OWNERSHIP You can change the ownership of this contract by written request. The change must be made while the annuitant is living. Once we record the change, it will take effect as of the date of your request, subject to any action taken or payment made by us before recording. NAMING A BENEFICIARY Except as otherwise provided in the contract, beneficiaries are those you designate to receive benefits of this contract if you die while this contract is in force. We will not be bound by any such designation unless made by written request and recorded by us. Any changes take effect as of the date such written request was signed. However, we are not liable for any payment made by us before we record such written request. For joint spousal ownership with right of survivorship, the surviving spouse is deemed the sole beneficiary superseding any other beneficiary designation. This permits the surviving spouse to use the spousal continuation at death option described in the "Payments to Beneficiary" section of the contract. (The deemed surviving spouse sole beneficiary designation may only be overridden if specifically requested in writing and signed by both joint spousal owners.) CHANGE OF BENEFICIARY If the annuitant is still living, you may change the beneficiary anytime by satisfactory written request to us. Once we record the change, it will take effect as of the date of your request, subject to any action taken or payment made by us before the recording. BENEFICIARY'S RIGHTS If the death benefit under this contract becomes payable to a beneficiary (payee) under an Annuity Payment Plan, that payee shall have the right to name a beneficiary by written request. CHANGE OF ANNUITANT OR SUCCESSOR ANNUITANT If this is a nonqualified contract and you are a natural person, you may change the annuitant or successor annuitant if the request is made before annuity payments begin and while the existing annuitant is living. Once we receive a satisfactory written request and we record the change, it will take effect as of the date of your request, subject to any action taken or payment made by us before the recording. In the case of joint spousal ownership, one owner must be named as successor annuitant. PRE-ELECTION OF AN ANNUITY PAYMENT PLAN If this is a nonqualified contract, you may elect how the death benefit described herein is to be paid under the contract in the event of death before the settlement date by written request. In this event the death benefit shall be payable as so elected by you, rather than as requested by the beneficiary. If for any reason such election does not satisfy Section 72 of the Code or related distribution requirements, the election will be void and the beneficiary will then be permitted to elect payment pursuant to the provisions of the contract. ASSIGNMENT If this is a nonqualified contract, you can assign this contract or any interest in it. Your interest and the interest of any beneficiary are subject to the interest of the assignee. An assignment is not a change of ownership and an assignee is not an owner as these terms are used in this contract. Any amounts payable to the assignee will be paid in a single sum. A copy of any new assignment must be submitted to us at our corporate office. Any assignment is subject to any action taken or payment made by us before the assignment was recorded at our corporate office. We are not responsible for the validity or effect, tax or otherwise, of any assignment. 131103 Page 6 (06/2006) PAYMENTS TO BENEFICIARY Only those beneficiaries who are living when death benefits become payable may share in the benefits, if any. Benefits will be paid to all primary beneficiaries surviving you, in accordance with your last beneficiary designation on file. If none survive, proceeds will be paid to all surviving contingent beneficiaries. If there is no valid beneficiary designation or no beneficiary survives, we will pay the benefits as follows: - if the owner is other than a natural person, we will pay the owner, otherwise; - to your spouse, if living; - if no spouse is living, to your lawful children per stirpes; - if you have no spouse or direct descendents, to your parents equally or the survivor, if living, otherwise to your estate. If the annuity is jointly owned by non-spousal owners, then the death benefit will be paid to the beneficiary at the death of the first joint owner. If the owner is other than a natural person (e.g., a trust or corporation), and ------------------------------------------- the annuitant dies before settlement, death benefits are payable to the beneficiary. The annuitant's age will be used to determine the death benefit. If the annuitant and the owner are not the same person and the annuitant dies ----------------------------------------------------------------------------- before the contract is settled, the owner becomes the annuitant unless a successor annuitant has been previously selected. DEATH BENEFIT BEFORE THE SETTLEMENT DATE If you die before the settlement date while this contract is in force, and if you are age 75 or younger on the Contract Date, we will pay the beneficiary the greater of: 1. the contract value as of the date we receive due proof of death; or 2. the total purchase payments minus any "adjusted partial surrenders." An "adjusted partial surrender" is calculated for each partial surrender as the product of (a) times (b) where: (a) is the ratio of the amount of the partial surrender to the contract value on the date of (but prior to) the partial surrender; and (b) is the death benefit on the date of (but prior to) the partial surrender. If you are age 76 or older on the Contract Date, we will pay the beneficiary the contract value as of the date we receive due proof of death. The death benefit will be payable in a lump sum on the valuation date we receive due proof of death of the owner. Due proof of death includes all documents needed to complete any beneficiary's claim. The beneficiary may elect to receive payment anytime within 5 years after the date of death. In lieu of a lump sum, payment may be made under an Annuity Payment Plan, provided: 1. the beneficiary elects the plan within 60 days after we receive due proof of death; and 2. payments begin no later than one year after the date of death; and 3. the plan provides payments over a period which does not exceed the life or the life expectancy of the beneficiary. In this event, the reference to "annuitant" in the Annuity Provisions shall apply to the beneficiary. We will determine the contract value on which we base amounts payable or applied under this section on the next accumulation unit value calculated after we receive due proof of death at our corporate office. SPOUSE OPTION TO CONTINUE CONTRACT UPON OWNER'S DEATH If the owner's death occurs prior to the settlement date, a spouse who is designated as sole primary beneficiary, or as a joint tenant with right of survivorship, may elect by written request to forego receipt of the death benefit and instead continue this contract as owner, including any associated riders in force, subject to rider continuation rules in effect. If the owner was also the annuitant, then the spouse becomes the annuitant as well. The election by the spouse must be made at the time we receive due proof of death. 131103 Page 7 (06/2006) PAYMENTS TO BENEFICIARY (CONTINUED) DEATH BENEFITS AFTER SETTLEMENT The death of the annuitant triggers a death benefit after the settlement date. The amount payable, if any, will depend on the annuity payment plan then in effect. If the owner is the annuitant and dies after the settlement date, payments cease -------------------------------------- for life-contingency only plans. Payments continue to beneficiaries for the remainder of any guarantee period or for the lifetime of a surviving joint annuitant, if any. If the annuitant is other than the owner and the annuitant dies after the --------------------------------------------------------------- settlement date, payments cease for life-contingency only plans. Payments continue to the owner for the remainder of any guarantee period or for the lifetime of a surviving joint annuitant, if any. If the annuitant is other than the owner and the owner dies after the settlement ----------------------------------------------------------- date, payments continue to the beneficiary according to the payment plan in effect. 131103 Page 8 (06/2006) PURCHASE PAYMENTS PURCHASE PAYMENTS Purchase payments are the payments you make for this contract and the benefits it provides. Purchase payments must be paid or mailed to us at our corporate office or to an authorized agent. If requested, we'll give you a receipt for your purchase payments. Net purchase payments are that part of your purchase payments applied to the contract value. A net purchase payment is equal to the purchase payment less any applicable premium tax charge. AMOUNT AND INTERVALS Purchase payments may be paid in a single sum or in installments until the earlier of: (1) the date this contract terminates by surrender or otherwise; or (2) the date on which the annuity payments begin. Subject to the Payment Limits Provision you may: (1) stop and/or restart purchase payments; or (2) increase or decrease the amount of your purchase payments; or (3) change the interval of your purchase payments. PAYMENT LIMITS PROVISION Maximum Purchase Payments - The maximum purchase payments in the first or later contract years may not exceed the amounts shown under Contract Data. We reserve the right to increase the maximums. Minimum Purchase Payments - If you intend to make installment purchase payments such payments, on an annualized basis, must be at least equal to $600. Additional payments must be at least $50. We reserve the right to cancel this contract if both of the following conditions exist at the same time: (1) no purchase payments have been paid for a continuous period of 24 months; and (2) less than $600 in purchase payments have been paid under this contract. In this event we will give you 30 days written notice of our intent to cancel this contract. Upon such cancellation we will pay you the contract value in one sum. This contract will then terminate. ALLOCATION OF PURCHASE PAYMENTS You instruct us on how you want your purchase payments allocated among the Special DCA fixed account and variable subaccounts. Purchase payment allocations to the Regular Fixed Account are only allowed for various optional rider programs. Your choice for each account may be made in any whole percent from 0% to 100% as long as the total adds up to 100%. Your allocation instructions as of the contract date are shown under Contract Data. By written request, or by other method agreed to by us, you may change your choice of accounts or percentages. The first net purchase payment will be allocated as of the end of the valuation period during which we make an affirmative decision to issue this contract. Net purchase payments after the first will be allocated as of the end of the valuation period during which we receive the payment at our corporate office. 131103 Page 9 (06/2006) CONTRACT VALUE CONTRACT VALUE The contract value at any time is the sum of: (1) the Fixed Account Contract Value; and (2) the Variable Account Contract Value. If: (1) part or all of the contract value is surrendered; or (2) charges described herein are made against the contract value; then a number of accumulation units from the variable subaccounts and an amount from the Regular Fixed Account, if applicable, will be deducted to equal such amount. Such charges may be deducted from any Special DCA fixed account but only if insufficient amounts are available from any Regular Fixed Account and variable subaccounts. For surrenders, deductions will be made from the fixed account or variable subaccounts that you specify. Otherwise, the number of units from the variable subaccounts and the amount from any Regular Fixed Account will be deducted in the same proportion that your interest in each bears to the total contract value less any Special DCA fixed account. VARIABLE ACCOUNT CONTRACT VALUE Your variable account contract value at any time will be the sum of the value of the units in any variable subaccount resulting from: (1) purchase payments allocated to a subaccount; plus (2) any amounts transferred to a subaccount from another subaccount or from the fixed account; less (3) any amounts transferred from a subaccount to another subaccount or to the fixed account; less (4) any amounts deducted from a subaccount for surrenders, contract administrative charges or any rider charges. FIXED ACCOUNT CONTRACT VALUE Your fixed account contract value at any time will be: (1) the sum of all purchase payments allocated to any Regular Fixed Account for various optional rider programs, plus interest credited; plus (2) the sum of all purchase payments allocated to any Special DCA fixed account, plus interest credited; plus (3) any amounts transferred to any Regular Fixed Account from any variable subaccount, plus interest credited; less (4) any amounts transferred from the Regular Fixed Account and Special DCA fixed account to any variable subaccount; less (5) any amounts deducted for surrenders, contract administrative charges or any rider charges. INTEREST TO BE CREDITED We will credit interest to the fixed account contract value. Interest will begin to accrue at our current crediting rate on the date the purchase payments which are received in our corporate office become available to us for use. After the first year, interest will accrue on the fixed account value at rates determined by us and at our discretion. These rates will be based on various factors including, but not limited to, the interest rate environment, returns earned on investments backing these annuities, the rates currently in effect for new and existing company annuities, product design, competition, and the company's revenues and expenses. However, our current crediting rate will never be less than the Fixed Account Minimum Interest Rate shown under Contract Data. CONTRACT ADMINISTRATIVE CHARGE We charge a fee for establishing and maintaining our records for this contract. The charge is shown under Contract Data and is deducted from the contract value at the end of each contract year or, if earlier, when the contract is fully surrendered. The charge deducted will be prorated among the variable subaccounts and any Regular Fixed Account in the same proportion your interest in each bears to the total contract value less any Special DCA fixed account. Such charges will only be deducted from any Special DCA fixed account if insufficient amounts are available from any Regular Fixed Account and variable subaccounts. We reserve the right to adjust this charge after the first contract anniversary but the charge will never exceed the amount shown under Contract Data. We waive or reduce this charge if your contract value, or your total purchase payments, less any purchase payments surrendered, equals or exceeds the amount shown under Contract Data. If you make a full surrender of this contract, we deduct the full contract administrative charge at the time of the full surrender regardless of purchase payments made or contract value. The charge does not apply after settlement of this contract under an annuity payment plan. PREMIUM TAX CHARGES We reserve the right to deduct an amount from the value of this contract at the time that any applicable premium taxes assessed against the Company or otherwise not previously deducted are payable. If a tax is payable at the time of your purchase payment and we choose to not deduct it at that time, we further reserve the right to deduct it at a later date. 131103 Page 10 (06/2006) CONTRACT VALUE (CONTINUED) TRANSFERS OF CONTRACT VALUES While this contract is in force prior to the settlement date, you may transfer all or part of the values held in one or more variable subaccounts to another one or more of the variable subaccounts unless contract values are required to be allocated to certain accounts or subaccounts under the terms of certain optional benefit riders, if any, attached to this contract. You may make a transfer by written request. Transfer requests may also be made according to telephone procedures or automated transfer procedures that are then currently in effect, if any. There is no fee or charge for these transfers. However, the minimum transfer amount is $250, or if less, the entire value in the account from which the transfer is being made. Smaller minimums may apply to automated transfer procedures. These transfer privileges may be suspended or modified by us at any time. The right to transfer contract values among the subaccounts is also subject to modification if we determine, at our sole discretion, that the exercise of that right by one or more contract owners is, or would be, to the disadvantage of other contract owners. Any modification could be applied to transfers to or from some or all of the subaccounts. These modifications could include, but not be limited to, the requirements of a minimum time period between each transfer, not accepting transfer requests of an agent acting under a power of attorney on behalf of more than one contract owner, limiting the dollar amount that may be transferred between the subaccounts by a contract owner at any one time. We may apply these modifications or restrictions in any manner reasonably designed to prevent any use of the transfer right we consider to be to the disadvantage of other contract owners. Transfers into the Regular Fixed Account are not allowed except as part of various optional riders. A money market subaccount will be substituted for any Regular Fixed Account allocations if termination of such riders does not include purchase payment allocation instructions. DOLLAR COST AVERAGING (DCA) You may authorize the automatic transfer of specified amounts, according to rules currently in effect, from any of the variable subaccounts to any other variable subaccounts other than the source account. SPECIAL DCA PROGRAM: You may elect to participate in the Special DCA Program by written request. Under the program you may allocate new purchase payments to the Special DCA fixed account and authorize the automatic transfer of amounts on a monthly basis from the Special DCA fixed account to any of the variable subaccount(s) or any asset allocation models under certain optional benefit riders. The minimum purchase payment into the Special DCA fixed account is shown under Contract Data. All amounts allocated to the Special DCA fixed account will be transferred out within the specified Special DCA fixed account time period you elect from the time periods we make available. We credit interest to each Special DCA fixed account at our current crediting rate for the Special DCA fixed account. We may change the interest rate for any Special DCA fixed account from time to time at our discretion however, the rate will never be less than the Fixed Account Minimum Interest Rate shown under Contract Data. You may terminate the Special DCA Program at any time. However, upon termination or annuitization, any amounts remaining in the Special DCA fixed account will be transferred according to purchase payment allocation instructions then in effect. 131103 Page 11 (06/2006) FIXED AND VARIABLE ACCOUNTS THE FIXED ACCOUNT The fixed account is our general account. It is made up of all of our assets other than: 1. those in the variable subaccounts; and 2. those in any other segregated asset account. THE VARIABLE ACCOUNT The variable account is a separate investment account of ours. It consists of several subaccounts, which are named under Contract Data. We have allocated a part of our assets for this contract to the variable accounts. Such assets remain our property. However, they may not be charged with the liabilities from any other business in which we may take part. INVESTMENTS OF THE VARIABLE ACCOUNT Purchase payments applied to the variable subaccounts will be allocated as specified by the owner. Each variable subaccount will buy, at net asset value, shares of the fund shown for that subaccount under Contract Data or as later added or changed. We may change the funds from which the variable subaccounts buy shares if laws or regulations change, the existing funds become unavailable or in our judgment, the funds are no longer suitable for the subaccounts. We have the right to substitute funds for those shown under Contract Data, including funds other than those shown under Contract Data. We may also: add additional subaccounts investing in other funds; combine subaccounts; transfer assets to and from the subaccounts or the variable account; and eliminate or close any subaccounts. When required, we would first seek approval of the Securities and Exchange Commission and, the insurance regulator of the state where this contract is delivered. VALUATION OF ASSETS Fund shares in the variable subaccounts will be valued at their net asset value. VARIABLE ACCOUNT ACCUMULATION UNITS The number of accumulation units for each of the variable subaccounts is found by adding the number of accumulation units resulting from: 1. purchase payments allocated to the subaccount; and 2. transfers to the subaccount; and subtracting the number of accumulation units from: 1. transfers from the subaccount; and 2. surrenders from the subaccount; and 3. contract administrative charge or any rider charge deductions from the subaccount. The number of accumulation units added or subtracted for each of the above transactions is found by dividing (1) by (2) where: (1) is the amount allocated to or deducted from the subaccount; and (2) is the accumulation unit value for the subaccount for the respective valuation period during which we receive the purchase payment or transfer value, or during which we deducted transfers, surrenders, rider charges or contract administrative charges. VARIABLE ACCOUNT ACCUMULATION UNIT VALUE The value of an accumulation unit for each of the variable subaccounts was arbitrarily set at $1 when the first fund shares were bought. The value for any later valuation period is found as follows: The accumulation unit value for each variable subaccount for the last prior valuation period is multiplied by the net investment factor for the same 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. 131103 Page 12 (06/2006) FIXED AND VARIABLE ACCOUNTS (CONTINUED) NET INVESTMENT FACTOR The net investment factor is an index applied to measure the investment performance of a variable subaccount from one valuation period to the next. The net investment factor may be greater or less than one; therefore, the value of an accumulation or annuity unit may increase or decrease. The net investment factor for any such subaccount for any one valuation period is determined by: dividing (1) by (2) and subtracting (3) from the result. This is done where: (1) is the sum of: a) the net asset value per share of the fund held in the variable subaccount 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 fund held in the variable subaccount, if the "ex-dividend" date occurs during the current valuation period. (2) is the net asset value per share of fund held in the variable subaccount, determined at the end of the last prior valuation period. (3) is a factor representing the mortality and expense risk charge. MORTALITY AND EXPENSE RISK CHARGE In calculating unit values we will deduct a mortality and expense risk charge from the variable subaccounts which is equal, on an annual basis, to a percentage of the daily net asset value. The annual percentage charge is shown under Contract Data. This deduction is made to compensate us for assuming the mortality and expense risks under contracts of this type. We estimate that approximately 2/3 of this charge is for assumption of mortality risk and 1/3 is for assumption of expense risk. The deduction will be: (1) made from each variable subaccount; and (2) computed on a daily basis. ANNUITY UNIT VALUE The value of an Annuity Unit for each variable subaccount was arbitrarily set at $1 when the first funds were bought. The value for any later valuation period is found as follows: 1. The annuity unit value for each variable subaccount for the last prior valuation periods is multiplied by the net investment factor for the subaccount 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 which is built into Table A under the Tables of Settlement Rates section. 131103 Page 13 (06/2006) SURRENDER PROVISIONS SURRENDER By written request and subject to the rules below you may: 1. surrender this contract for the total surrender value; or 2. partially surrender this contract for a part of the surrender value. RULES FOR SURRENDER All surrenders will have the following conditions; 1. You must apply by written request or other method agreed to by us: (a) while this contract is in force; and (b) prior to the earlier of the settlement date or the death of the owner. 2. Unless we agree otherwise, you must surrender an amount equal to at least $250 or the entire contract value, if less. The contract value after a partial surrender must be at least $600. 3. The amount surrendered, less any charges, will normally be paid to you within seven days of our receipt of your written request and the return of this contract, if required. For surrenders from the fixed account and following any required regulatory approval, we have the right to defer payment to you for up to 6 months from the date we receive the request . 4. For partial surrenders, if you do not specify from which accounts the surrender is to be made, the surrender will be made from the variable subaccounts and Regular Fixed Account in the same proportion as your interest in each bears to the contract value less any Special DCA fixed account. Amounts will only be surrendered from any Special DCA fixed account if insufficient amounts are available in the variable subaccounts and Regular Fixed Account. 5. If the owner dies following a surrender request, payment will be made to the owner's estate. 6. Any amounts surrendered and charges which may apply can not be repaid. Upon surrender for the full surrender value this contract will terminate. We may require that you return the contract to us before we pay the full surrender value. SURRENDER VALUE The surrender value at any time will be: 1. the contract value; 2. minus the contract administrative charge and any applicable rider charges. SUSPENSION OR DELAY IN PAYMENT OF SURRENDER We have the right to suspend or delay the date of any surrender payment from the variable subaccounts for any period: 1. when the New York Stock Exchange is closed; or 2. when trading on the New York Stock Exchange is restricted; or 3. when an emergency exists as a result of which: (a) disposal of securities held in the variable subaccounts is not reasonably practicable; or (b) it is not reasonably practicable to fairly determine the value of the net assets of the variable subaccounts; or 4. during any other period when the Securities and Exchange Commission, by order, so permits for the protection of security holders. Rules and regulations of the Securities and Exchange Commission will govern as to whether the conditions set forth in 2 and 3 exist. 131103 Page 14 (06/2006) ANNUITY PROVISIONS SETTLEMENT When settlement occurs, the contract value will be applied to make annuity payments. The first payment will be made as of the settlement date. This date is shown under Contract Data. Before payments begin we will require satisfactory proof that the annuitant is alive. We may also require that you exchange this contract for a supplemental contract, which provides for the annuity payments. CHANGE OF SETTLEMENT DATE You may change the settlement date shown for this contract. Tell us the new date by written request. However the settlement date may not be later than the later of: (1) the annuitant's 90th birthday; or (2) the tenth contract anniversary; or (3) such other date as agreed upon by us. Also, if you select a new date, it must be at least 30 days after we receive your written request at our corporate office. ANNUITY PAYMENT PLANS Subject to the terms of this contract, annuity payments may be made on a fixed dollar basis, a variable basis, or a combination of both. You can schedule receipt of annuity payments according to one of the Plans A through E below or another plan agreed to by us. PLAN A - LIFE INCOME NON-REFUND. Monthly annuity payments will be paid during the lifetime of the annuitant. No payments will be made after the annuitant dies. PLAN B - LIFE INCOME WITH GUARANTEED PERIOD. Monthly annuity payments will be paid during the lifetime of the annuitant with a guarantee that payments will be made for a period certain of at least five, ten, fifteen or twenty years whether or not the annuitant is living. You must select the guaranteed period. PLAN C - LIFE INCOME WITH INSTALLMENT REFUND. Monthly annuity payments will be paid during the lifetime of the annuitant with a guarantee that payments will be made for a certain number of months whether or not the annuitant is living. The number of months is determined by dividing the contract value applied under this plan by the amount of the first monthly payment. PLAN D - JOINT AND SURVIVOR LIFE INCOME NON-REFUND. Monthly payments will be paid during the lifetime of the annuitant and a joint annuitant. When either the annuitant or the joint annuitant dies, we will continue to make monthly payments for the lifetime of the survivor. No payments will be paid after the death of both the annuitant and joint annuitant. PLAN E - TERM CERTAIN INSTALLMENT. Monthly annuity payments will be paid for a specified period of years. The period of years may be no less than 10 nor more than 30. By written request to us at least 30 days before the settlement date, you may select the Plan. The default annuity option is Plan B with payments guaranteed for ten years. If the amount applied to a Plan is less than $2,000 or would not provide an initial monthly payment of at least $20, or if payments are to be made to other than a natural person, we have the right to make a lump sum payment of the surrender value. ALLOCATION OF CONTRACT VALUES AT SETTLEMENT At the time of settlement under an Annuity Payment Plan, you may allocate your contract value to provide fixed dollar payments and/or allocate your contract value in whole percentages among the variable subaccounts to provide variable annuity payments. Unless we agree otherwise, you may use a maximum of five variable subaccounts at any one time during settlement. FIXED ANNUITY A fixed annuity is an annuity with payments that are guaranteed by us as to dollar amount. Fixed annuity payments remain the same. At settlement contract value amounts you allocate will be applied to the applicable Settlement Table. This will be done in accordance with the Payment Plan chosen. The minimum amount payable for each $1,000 so applied is shown in Table B under the Tables of Settlement Rates section. 131103 Page 15 (06/2006) ANNUITY PROVISIONS (CONTINUED) 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 subaccounts. DETERMINATION OF FIRST VARIABLE ANNUITY PAYMENT At settlement, the variable account contract value will be applied to the applicable Settlement Table. This will be done: (1) on the valuation date on or next preceding the 7th calendar day before the settlement date; and (2) in accordance with the Payment Plan chosen. The amount payable for the first payment for each $1,000 so applied is shown in Table A under the Tables of Settlement Rates section. VARIABLE ANNUITY PAYMENTS AFTER THE FIRST PAYMENT Variable annuity payments after the first vary in amount. The amount changes with the investment performance of the variable subaccounts. The dollar amount of variable annuity payments after the first is not fixed. It may change from month to month. 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 valuation date on or next preceding the 7th calendar day before the settlement date. This result establishes the fixed number of annuity units 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 as of the valuation date on or next preceding the 7th calendar day before the date the payment is due. The result establishes the dollar amount of the payment. We guarantee that the dollar amount of each payment after the first will not be affected by variation in expenses or mortality experience. EXCHANGE OF ANNUITY UNITS After annuity payments begin, annuity units of any variable subaccount may be exchanged for units of any of the other variable subaccounts. This may be done no more than once a year. Unless we agree otherwise you may use a maximum of five variable subaccounts at any one time. Once annuity payments start, no exchanges may be made to or from any fixed annuity. 131103 Page 16 (06/2006) TABLES OF SETTLEMENT RATES Table A below shows the amount of the first monthly variable annuity payment, based on a 5% assumed investment return, for each $1,000 of value applied under any payment plan. The amount of the first and all subsequent monthly fixed dollar annuity payments for each $1,000 of value applied under any payment plan will be based on our fixed dollar Table of Settlement Rates in effect at settlement. Such rates are guaranteed to be not less than those shown in Table B. The amount of such annuity payments under Plans A, B and C will depend upon the sex and age of the annuitant at settlement. The amount of such annuity payments under Plan D will depend upon the sex and the age of the annuitant and the joint annuitant at settlement.
TABLE A - DOLLAR AMOUNT OF FIRST MONTHLY VARIABLE ANNUITY PAYMENT PER $1,000 APPLIED ------------------------------------------------------------------------------------------------------------------------------ PLAN A PLAN B PLAN C PLAN D ------------------------------------------------------------------------------------------------------------------------------ Age Life Income with Life Income Joint & Survivor at Beginning Life Income Five Years Ten Years Fifteen Years Installment Non-Refund Annuit- In Non-Refund Certain Certain Certain Refund Male & Female ization Year Male Female Male Female Male Female Male Female Male Female Same Age ------------------------------------------------------------------------------------------------------------------------------ Age 65 2010 6.42 5.92 6.37 5.89 6.23 5.82 6.01 5.71 6.07 5.72 5.35 2015 6.33 5.84 6.28 5.82 6.15 5.76 5.95 5.65 6.00 5.66 5.30 2020 6.24 5.77 6.20 5.75 6.09 5.70 5.90 5.60 5.94 5.61 5.26 2025 6.16 5.71 6.13 5.69 6.02 5.64 5.85 5.55 5.88 5.55 5.21 2030 6.09 5.65 6.05 5.63 5.96 5.59 5.80 5.51 5.82 5.51 5.18 2035 6.01 5.59 5.99 5.58 5.90 5.54 5.75 5.47 5.77 5.46 5.14 ------------------------------------------------------------------------------------------------------------------------------ Age 70 2010 7.29 6.64 7.19 6.58 6.90 6.44 6.49 6.20 6.71 6.29 5.86 2015 7.17 6.53 7.07 6.49 6.81 6.35 6.43 6.13 6.62 6.21 5.79 2020 7.05 6.43 6.97 6.39 6.72 6.27 6.37 6.07 6.54 6.14 5.72 2025 6.94 6.34 6.86 6.31 6.64 6.20 6.32 6.02 6.46 6.07 5.66 2030 6.84 6.25 6.77 6.22 6.56 6.13 6.26 5.96 6.38 6.00 5.61 2035 6.74 6.17 6.67 6.15 6.48 6.06 6.21 5.91 6.31 5.94 5.56 ------------------------------------------------------------------------------------------------------------------------------ Age 75 2010 8.51 7.71 8.28 7.59 7.69 7.24 6.97 6.75 7.54 7.08 6.60 2015 8.34 7.56 8.13 7.45 7.59 7.14 6.91 6.68 7.43 6.97 6.50 2020 8.17 7.41 7.98 7.32 7.49 7.04 6.86 6.62 7.32 6.87 6.40 2025 8.02 7.28 7.84 7.19 7.39 6.94 6.81 6.56 7.22 6.78 6.32 2030 7.87 7.16 7.71 7.08 7.30 6.85 6.75 6.50 7.12 6.69 6.24 2035 7.73 7.04 7.59 6.97 7.21 6.76 6.70 6.45 7.03 6.61 6.16 ------------------------------------------------------------------------------------------------------------------------------ Age 85 2010 12.67 11.74 11.49 10.89 9.37 9.17 7.65 7.61 10.10 9.65 9.30 2015 12.33 11.39 11.26 10.65 9.29 9.06 7.64 7.58 9.91 9.45 9.09 2020 12.00 11.07 11.04 10.41 9.21 8.96 7.62 7.56 9.74 9.28 8.89 2025 11.70 10.77 10.83 10.19 9.13 8.87 7.60 7.53 9.57 9.11 8.70 2030 11.42 10.50 10.63 9.98 9.04 8.77 7.58 7.51 9.42 8.95 8.53 2035 11.15 10.24 10.44 9.78 8.96 8.67 7.56 7.48 9.28 8.80 8.37 ------------------------------------------------------------------------------------------------------------------------------ Age 90 2010 16.12 15.30 13.50 13.10 10.00 9.91 7.79 7.77 12.01 11.61 11.64 2015 15.68 14.81 13.29 12.84 9.96 9.86 7.78 7.77 11.80 11.38 11.35 2020 15.27 14.37 13.08 12.60 9.92 9.81 7.78 7.77 11.60 11.16 11.09 2025 14.88 13.95 12.88 12.36 9.88 9.76 7.78 7.76 11.42 10.96 10.84 2030 14.52 13.57 12.68 12.14 9.84 9.70 7.77 7.76 11.25 10.78 10.61 2035 14.17 13.21 12.49 11.92 9.80 9.65 7.77 7.75 11.08 10.61 10.41 ------------------------------------------------------------------------------------------------------------------------------
Table A above is based on the "Annuity 2000 Mortality Table" with 100% Projection Scale G and a 5.0% assumed investment return. Settlement rates for any year, age, or any combination of year, age and sex not shown above, will be calculated on the same basis as those rates shown in the Table above. Such rates will be furnished by us upon request. Amounts shown in the Table below are based on a 5.0% assumed investment return.
PLAN E - DOLLAR AMOUNT OF FIRST MONTHLY VARIABLE ANNUITY PAYMENT PER $1,000 APPLIED ---------------------------------------------------------------------------------------------------------------------- YEARS PAYABLE MONTHLY PAYMENT YEARS PAYABLE MONTHLY PAYMENT YEARS PAYABLE MONTHLY PAYMENT ---------------------------------------------------------------------------------------------------------------------- 10 10.51 17 7.20 24 5.88 11 9.77 18 6.94 25 5.76 12 9.16 19 6.71 26 5.65 13 8.64 20 6.51 27 5.54 14 8.20 21 6.33 28 5.45 15 7.82 22 6.17 29 5.36 16 7.49 23 6.02 30 5.28 ----------------------------------------------------------------------------------------------------------------------
131103 Page 17 (06/2006)
TABLE B- DOLLAR AMOUNTS OF EACH MONTHLY FIXED DOLLAR ANNUITY PAYMENT PER $1,000 APPLIED ------------------------------------------------------------------------------------------------------------------------------ PLAN A PLAN B PLAN C PLAN D ------------------------------------------------------------------------------------------------------------------------------ Age Life Income with Life Income Joint & Survivor at Beginning Life Income Five Years Ten Years Fifteen Years Installment Non-Refund Annuit- In Non-Refund Certain Certain Certain Refund Male & Female ization Year Male Female Male Female Male Female Male Female Male Female Same Age ------------------------------------------------------------------------------------------------------------------------------ Age 65 2010 4.65 4.19 4.63 4.18 4.53 4.13 4.37 4.05 4.12 3.86 3.68 2015 4.57 4.12 4.54 4.10 4.46 4.06 4.31 3.99 4.07 3.81 3.63 2020 4.48 4.05 4.46 4.04 4.39 4.00 4.25 3.93 4.01 3.77 3.58 2025 4.41 3.98 4.39 3.97 4.32 3.94 4.19 3.88 3.96 3.72 3.54 2030 4.33 3.92 4.31 3.92 4.25 3.89 4.14 3.83 3.92 3.68 3.50 2035 4.26 3.87 4.25 3.86 4.19 3.84 4.08 3.79 3.87 3.64 3.46 ------------------------------------------------------------------------------------------------------------------------------ Age 70 2010 5.53 4.92 5.46 4.89 5.25 4.78 4.91 4.59 4.68 4.38 4.22 2015 5.41 4.82 5.34 4.79 5.15 4.70 4.84 4.53 4.61 4.31 4.15 2020 5.29 4.72 5.24 4.70 5.06 4.62 4.78 4.46 4.54 4.25 4.09 2025 5.19 4.63 5.14 4.61 4.98 4.54 4.72 4.40 4.48 4.20 4.03 2030 5.08 4.55 5.04 4.53 4.90 4.47 4.66 4.34 4.42 4.14 3.97 2035 4.99 4.47 4.95 4.46 4.82 4.40 4.60 4.28 4.36 4.09 3.92 ------------------------------------------------------------------------------------------------------------------------------ Age 75 2010 6.73 5.98 6.56 5.90 6.10 5.64 5.45 5.21 5.39 5.06 4.99 2015 6.56 5.84 6.41 5.77 5.99 5.53 5.39 5.14 5.30 4.98 4.89 2020 6.40 5.70 6.27 5.64 5.89 5.43 5.33 5.07 5.22 4.90 4.80 2025 6.25 5.57 6.13 5.52 5.78 5.33 5.27 5.01 5.13 4.82 4.71 2030 6.11 5.45 6.00 5.40 5.69 5.24 5.22 4.94 5.06 4.75 4.63 2035 5.98 5.34 5.88 5.30 5.59 5.15 5.16 4.88 4.99 4.69 4.56 ------------------------------------------------------------------------------------------------------------------------------ Age 85 2010 10.82 9.93 9.86 9.26 7.94 7.72 6.23 6.18 7.54 7.20 7.71 2015 10.49 9.60 9.63 9.02 7.85 7.61 6.22 6.16 7.39 7.05 7.50 2020 10.18 9.30 9.41 8.78 7.76 7.50 6.20 6.13 7.26 6.92 7.31 2025 9.89 9.01 9.20 8.56 7.68 7.40 6.18 6.10 7.14 6.80 7.13 2030 9.62 8.75 9.00 8.35 7.59 7.30 6.16 6.08 7.03 6.68 6.97 2035 9.36 8.51 8.81 8.16 7.50 7.20 6.14 6.05 6.93 6.58 6.82 ------------------------------------------------------------------------------------------------------------------------------ Age 90 2010 14.23 13.43 11.97 11.56 8.63 8.54 6.38 6.37 9.17 8.85 10.04 2015 13.80 12.97 11.75 11.30 8.59 8.48 6.38 6.36 9.02 8.69 9.77 2020 13.41 12.54 11.54 11.05 8.55 8.42 6.37 6.36 8.88 8.54 9.51 2025 13.04 12.14 11.33 10.81 8.51 8.37 6.37 6.35 8.75 8.41 9.28 2030 12.69 11.78 11.14 10.58 8.46 8.31 6.37 6.35 8.63 8.28 9.06 2035 12.36 11.44 10.94 10.37 8.42 8.26 6.36 6.35 8.52 8.17 8.86 ------------------------------------------------------------------------------------------------------------------------------
Table B above is based on the "Annuity 2000 Mortality Table" at 2.0% annual effective interest rate with 100% Projection Scale G. Settlement rates for any year, age, or any combination of year, age and sex not shown above, will be calculated on the same basis as those rates shown in the Table above. Such rates will be furnished by us upon request. Amounts shown in the Table below are based on a 2.0% annual effective interest rate.
PLAN E - DOLLAR AMOUNT OF EACH MONTHLY FIXED DOLLAR ANNUITY PAYMENT PER $1,000 APPLIED ---------------------------------------------------------------------------------------------------------------------- YEARS PAYABLE MONTHLY PAYMENT YEARS PAYABLE MONTHLY PAYMENT YEARS PAYABLE MONTHLY PAYMENT ---------------------------------------------------------------------------------------------------------------------- 10 9.18 17 5.77 24 4.36 11 8.42 18 5.50 25 4.22 12 7.80 19 5.26 26 4.10 13 7.26 20 5.04 27 3.98 14 6.81 21 4.85 28 3.87 15 6.42 22 4.67 29 3.77 16 6.07 23 4.51 30 3.68 ----------------------------------------------------------------------------------------------------------------------
131103 Page 18 (06/2006) DEFERRED ANNUITY CONTRACT - FLEXIBLE PURCHASE PAYMENTS. - OPTIONAL FIXED DOLLAR OR VARIABLE ACCUMULATION VALUES AND ANNUITY PAYMENTS. - ANNUITY PAYMENTS TO BEGIN ON THE SETTLEMENT DATE. - THIS CONTRACT IS NONPARTICIPATING. DIVIDENDS ARE NOT PAYABLE. IDS LIFE INSURANCE COMPANY 70100 Ameriprise Financial Center Minneapolis, MN 55474