EX-99.26DV 13 e8182_ex99-26dv.txt FORM OF EXTENDED NO LAPSE GUARANTEE RIDER Extended No Lapse Guarantee Rider In this rider "we", "our" and "us" mean AXA Equitable Life Insurance Company. "You" and "your" mean the owner of the policy at the time an owner's right is exercised. EFFECTIVE DATE OF THIS RIDER. This rider is effective on the Register Date of this policy. THIS RIDER'S BENEFIT. This rider will prevent this policy from lapsing at the beginning of a policy month provided that all of the following conditions are met: a) this rider has not terminated; and b) the sum of premium payments accumulated at 4% per annum, less any partial withdrawals accumulated at 4% per annum, is at least equal to the sum of the monthly Extended No Lapse Guarantee Premiums and guarantee premiums for any additional benefit riders shown in the "Table Of Guarantee Premiums" on Page 3 - Continued, accumulated at 4% per annum, from the Register Date of the policy up to that month; and c) the death benefit option has always been Option A since the policy was issued; and d) any outstanding policy loan and accrued loan interest does not exceed the Policy Account Value. If the Net Policy Account Value at the beginning of the policy month is not sufficient to cover the total monthly deductions for that month and this policy would otherwise go into default, but the above conditions are met, this policy will not be in default and we will take monthly deductions up to the amount in the Policy Account; see the "Grace Period" provision of this policy. The Extended No Lapse Guarantee Premiums for basic life insurance benefits and the guarantee premiums for any additional benefit riders are shown in the "Table Of Guarantee Premiums" on Page 3 - Continued of this policy. Certain policy changes after issue will change the Extended No Lapse Guarantee Premiums but they will not change the guarantee period. THE EXTENDED NO LAPSE GUARANTEE WILL TERMINATE ON THE EFFECTIVE DATE OF A CHANGE TO DEATH BENEFIT OPTION B DURING THE EXTENDED NO LAPSE GUARANTEE PERIOD. FUND ALLOCATIONS. While this rider is part of this policy, the following fund allocation restrictions will apply: a) only our Guaranteed Interest Account (GIA) and certain funds of our Separate Account (SA) are available as investment options, as noted in the application, the prospectus, and any prospectus supplement for this policy. b) the premium allocation percentage for the unloaned portion of our GIA may not exceed 25%. c) net premiums allocated to our GIA will be limited to an amount (which may be zero) that will not result in your value in the unloaned portion of our GIA exceeding 25% of the total unloaned Policy Account Value. Any portion of the net premium not allocated to our GIA will be allocated to our SA in proportion to any payment amounts for our SA that you have specified with that premium, or otherwise in proportion to the premium allocation percentages for our SA then in effect. d) a transfer from your investment funds of our SA into the unloaned portion of our GIA is permitted if it would not result in your value in the unloaned portion of our GIA exceeding 25% of the total unloaned Policy Account Value. If the value in the unloaned portion of our GIA already exceeds 25% of the total unloaned Policy Account Value at the time of transfer request, no transfer will be permitted. e) a partial withdrawal taken from the investment funds of our SA will be limited to an amount (which may be zero) that will not result in your value in the unloaned portion of our GIA exceeding 25% of the total unloaned Policy Account Value. Any portion of the withdrawal not taken from our SA will be taken from the unloaned portion of our GIA. (i) If you tell us how much of the withdrawal is to come from your values in each of the investment funds of our SA, the total amount taken from our SA will be divided among those funds in proportion to the amounts to be withdrawn from our SA as you have specified. (ii) If you do not tell us or if we cannot make the withdrawal in this manner, the amount taken from our SA will be divided among all SA funds in proportion to your values in those funds. f) loan repayments will be allocated in accordance with the "Loan Repayment" provision of this policy, except that any repayments allocated to the unloaned portion of our GIA will be limited to an amount (which may be zero) that will not result in your value in the unloaned portion of our GIA exceeding 25% of the total unloaned Policy Account Value. Any portion of the repayment not allocated to our GIA will be allocated to our SA in proportion to any loan repayment amounts for our SA that you have specified with that loan repayment, or otherwise in proportion to the premium allocation percentages for our SA then in effect. g) monthly deductions, and also any loan interest not paid when due on a policy anniversary, will be taken from your values in the unloaned portion of the GIA and from your values in the investment funds of our SA based on the proportion that these values bear to the total unloaned Policy Account Value. R06-20 If any of these restrictions are changed in the future, we will notify you by prospectus supplement or other form of written communication. If this rider terminates, and this policy remains in force, the fund allocation restrictions imposed by this rider will no longer apply. GRACE PERIOD AND RESTORING YOUR POLICY BENEFITS. While this rider is in effect, references in these policy provisions to "No Lapse Guarantee" shall be deemed to include "Extended No Lapse Guarantee" regarding periods of time, applicable premium amounts, and termination. THE CHARGE FOR THIS RIDER. The monthly charge for this rider is shown in the "Table of Maximum Monthly Charges For Benefits" on Page 4 of this policy. This charge is part of the monthly deductions from the Policy Account during the Extended No Lapse Guarantee period shown on Page 3 of this policy. Certain policy changes after issue will change this charge, but they will not change the guarantee period. WHEN THIS RIDER WILL TERMINATE. This rider will terminate on the earliest of the following dates: a) on the date the policy ends without value at the end of a Grace Period, is given up for its Net Cash Surrender Value, or otherwise terminates; b) on expiration of the Extended No Lapse Guarantee period shown on Page 3 of the policy; c) on the effective date that the death benefit option is ever changed to Option B during the Extended No Lapse Guarantee period; d) on the effective date of the election of any Paid Up Death Benefit Guarantee; e) on the date that a new insured person is substituted for the original insured person under the terms of any Substitution of Insured rider; f) on the date any Loan Extension endorsement becomes effective. You may also terminate this rider at any time after policy issue by asking for this in writing. The effective date of termination will be the beginning of the policy month that coincides with or next follows the date we receive your request. Once this rider terminates for any reason, it may not be restored. INCONTESTABILITY AND SUICIDE EXCLUSIONS. The Incontestability and Suicide Exclusion provisions of this policy also apply to this rider. GENERAL. This rider is part of the policy. Its benefit is subject to all the terms of this rider and the policy. All provisions of the policy will continue to apply except as specifically modified by this rider. AXA EQUITABLE LIFE INSURANCE COMPANY /s/ Christopher M. Condron --------------------------------------- Christopher M. Condron Chairman and Chief Executive Officer /s/ Karen Field Hazin --------------------------------------- Karen Field Hazin, Vice President, Secretary and Associate General Counsel R06-20