-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, QHccN1CWw5MBOXSJKw/OM1gX4LSqDUJxLOwl2PGprj5wWKyf9TRc1FYDwOoutr9S GZPMCSVX42LaDpQQsq/G2g== 0000912057-97-011607.txt : 19970402 0000912057-97-011607.hdr.sgml : 19970402 ACCESSION NUMBER: 0000912057-97-011607 CONFORMED SUBMISSION TYPE: POS AM PUBLIC DOCUMENT COUNT: 6 FILED AS OF DATE: 19970401 SROS: NONE FILER: COMPANY DATA: COMPANY CONFORMED NAME: GLENBROOK LIFE & ANNUITY CO CENTRAL INDEX KEY: 0000945094 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] IRS NUMBER: 351113325 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: POS AM SEC ACT: 1933 Act SEC FILE NUMBER: 033-92842 FILM NUMBER: 97572968 BUSINESS ADDRESS: STREET 1: 3100 SANDERS ROAD CITY: NORTHBROOK STATE: IL ZIP: 60062 BUSINESS PHONE: 8474022400 MAIL ADDRESS: STREET 1: 3100 SANDERS RD CITY: NORTHBROOK STATE: IL ZIP: 60062 POS AM 1 POS AM AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON APRIL 1, 1997 FILE NO. 33-92842 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ------------------------ FORM S-1 REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933 POST-EFFECTIVE AMENDMENT NO. 2 /X/ ------------------------ GLENBROOK LIFE AND ANNUITY COMPANY (Exact Name of Registrant as specified in its charter) ILLINOIS 6311 35-1113325 (State or other jurisdiction (Primary Standard Industrial (I.R.S. Employer of Classification Code Number) Identification incorporation or organization) Number)
3100 Sanders Road Northbrook, Illinois 60062 (Address of Principal Executive Office) MICHAEL J. VELOTTA VICE PRESIDENT, SECRETARY AND GENERAL COUNSEL GLENBROOK LIFE AND ANNUITY COMPANY 3100 SANDERS ROAD NORTHBROOK, ILLINOIS 60062 847/402-2400 (Name and Complete Address of Agent for Service) ------------------------ COPIES TO: GREGOR B. MCCURDY, ESQUIRE JOHN R. HEDRICK, ESQUIRE ROUTIER AND JOHNSON, P.C. ALLSTATE LIFE FINANCIAL 1700 K. STREET N. W., SUITE SERVICES, INC. 1003 3100 SANDERS ROAD WASHINGTON, D.C. 20006 NORTHBROOK, IL 60062 ------------------------ APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC: THE ANNUITY CONTRACT COVERED BY THIS REGISTRATION STATEMENT IS TO BE ISSUED PROMPTLY AND FROM TIME TO TIME AFTER THE EFFECTIVE DATE OF THIS REGISTRATION STATEMENT. If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933 check the following box: /X/ If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. / / If this Form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. / / If delivery of the prospectus is expected to be made pursuant to Rule 434, please check the following box. / / CALCULATION OF REGISTRATION FEE CHART - --------------------------------------------------------------------------------------------------------------- Proposed Maximum Proposed Maximum Amount of Title of Each Class of Amount to Offering Price Aggregate Registration Fee Securities to be Registered be Registered Per Share Offering Price - --------------------------------------------------------------------------------------------------------------- Deferred Annuity Contracts and Participating Interests therein . . . . . . . . . . . . * * * * - ---------------------------------------------------------------------------------------------------------------
* These Contracts are not issued in predetermined amounts or units. A maximum aggregate offering price of $150,290,000 was previously registered. No additional amount of securities is being registered by this post effective amendment to the registration statement. GLENBROOK LIFE AND ANNUITY COMPANY 3100 SANDERS ROAD NORTHBROOK, ILLINOIS 60062 (800) 755-5275 INDIVIDUAL FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACTS This prospectus describes the Individual Flexible Payment Deferred Annuity Contract ("Contract") offered by Glenbrook Life and Annuity Company ("Company"), a wholly owned subsidiary of Allstate Life Insurance Company. Allstate Life Financial Services, Inc. is the principal underwriter. The Contract has the flexibility to allow you to shape an annuity to fit your particular needs. It is designed to aid you in your choice of short-term, mid-term, or long-term financial planning and can be used for retirement planning regardless of whether the plan qualifies for special federal income tax treatment. The Company will accept an initial purchase payment of $3,000 ($2,000 for a Qualified Contract). Additional purchase payments of $100 or more may be added to the Contract. Withdrawals under the Contract may be subject to a Market Value Adjustment. Therefore, the Owner bears some investment risk under the Contract. THE CONTRACTS MAY BE DISTRIBUTED THROUGH BROKER-DEALERS WHICH HAVE RELATIONSHIPS WITH BANKS OR OTHER FINANCIAL INSTITUTIONS; HOWEVER, THE CONTRACTS ARE NOT DEPOSITS, OR OBLIGATIONS OF, OR GUARANTEED BY SUCH INSTITUTIONS OR ANY FEDERAL REGULATORY AGENCY. INVESTMENT IN THE CONTRACTS INVOLVES INVESTMENT RISKS, INCLUDING POSSIBLE LOSS OF PRINCIPAL. THESE CONTRACTS ARE NOT FDIC INSURED. THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION, NOR HAS THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION PASSED UPON THE ACCURACY OR ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE. PLEASE READ THIS PROSPECTUS CAREFULLY AND RETAIN IT FOR FUTURE REFERENCE. THE DATE OF THIS PROSPECTUS IS MAY 1, 1997. THE CONTRACTS MAY NOT BE AVAILABLE IN ALL STATES. At least once each Contract Year prior to the Payout Start Date, the Company will send the Owner an annual statement that contains certain information pertinent to the individual Owner's Contract. The annual statement details values and specific Contract data that applies to each particular Contract. The annual statement does not contain financial statements of the Company although the Company's financial statements are on page F-1. Our Company files annual and quarterly reports and other information with the SEC. You may read and copy any reports, statements or other information we file at the SEC's public reference room in Washington, D.C. You can request copies of these documents upon payment of a duplicating fee, by writing to the SEC. Please call the SEC at 1-800-SEC-0330 for further information on the operation of the public reference rooms. Our SEC filings are also available to the public on the SEC Internet site http://www.sec.gov.). THIS PROSPECTUS DOES NOT CONSTITUTE AN OFFERING IN ANY JURISDICTION IN WHICH SUCH OFFERING MAY NOT LAWFULLY BE MADE. NO DEALER, SALESMAN, OR OTHER PERSON IS AUTHORIZED TO GIVE ANY INFORMATION OR MAKE ANY REPRESENTATIONS IN CONNECTION WITH THIS OFFERING OTHER THAN THOSE CONTAINED IN THIS PROSPECTUS, AND, IF GIVEN OR MADE, SUCH OTHER INFORMATION OR REPRESENTATIONS MUST NOT BE RELIED UPON. - ------------------------------------------------------------------------------ TABLE OF CONTENTS
PAGE GLOSSARY................................................................. 4 THE CONTRACTS............................................................ 6 The Purchase of the Contract.......................................... 6 The Accumulation Phase................................................ 7 Adjustments to Account Value (Withdrawal Charge, Market Value Adjustment and Taxes)................................................ 9 The Parties to the Contract........................................... 11 The Death Benefit Provisions.......................................... 12 The Payout Phase...................................................... 13 AMENDMENT OF THE CONTRACTS............................................... 14 DISTRIBUTION OF THE CONTRACTS............................................ 14 FEDERAL TAX MATTERS...................................................... 15 Introduction.......................................................... 15 Taxation of the Company............................................... 15 Taxation of Annuities in General...................................... 15 Tax Deferral...................................................... 15 Taxation of Partial and Full Withdrawals.......................... 15 Taxation of Annuity Payments...................................... 15 Taxation of Annuity Death Benefits................................ 16 Penalty Tax on Premature Distributions............................ 16 Aggregation of Annuity Contracts.................................. 16 IRS Required Distribution at Death Rules.......................... 16
2
PAGE Qualified Plans....................................................... 16 Types of Qualified Plans.............................................. 17 Individual Retirement Annuities................................... 17 Simplified Employee Pension Plans................................. 17 Savings Incentive Match Plans for Employees (SIMPLE Plans)........ 17 Tax Sheltered Annuities........................................... 17 Corporate and Self-Employed Pension and Profit Sharing Plans...... 17 State and Local Government and Tax-Exempt Organization Deferred Compensation Plans............................................... 17 Income Tax Withholding............................................ 18 THE COMPANY.............................................................. 18 Business.............................................................. 18 Reinsurance Agreements................................................ 18 Investments by the Company............................................ 19 SELECTED FINANCIAL DATA.................................................. 20 Management's Discussion and Analysis of Financial Condition and Results of Operations........................................................ 20 Results of Operations............................................. 21 Financial Position................................................ 21 Liquidity and Capital Resources................................... 22 Pending Accounting Standard....................................... 23 COMPETITION.............................................................. 23 EMPLOYEES................................................................ 23 PROPERTIES............................................................... 23 STATE AND FEDERAL REGULATION............................................. 23 EXECUTIVE OFFICERS AND DIRECTORS OF THE COMPANY.......................... 24 EXECUTIVE COMPENSATION................................................... 26 LEGAL PROCEEDINGS........................................................ 27 EXPERTS.................................................................. 27 LEGAL MATTERS............................................................ 27 FINANCIAL STATEMENTS..................................................... F-1 APPENDIX A............................................................... A-1
3 GLOSSARY ACCOUNT(S) -- Are distinguished by Guarantee Period(s) and the dates the period(s) begins. Accounts are established when purchase payments are made and when previous accounts expire and a new Guarantee Period is selected. ACCOUNT VALUE -- The Account Value is the accumulation of funds allocated to that Account and interest credited less any withdrawals. ADJUSTED ACCOUNT VALUE -- The Account Value adjusted by any Market Value Adjustment. ANNUITANT(S) -- The person or persons whose life determines the latest Payout Start Date and the amount and duration of any income payments for Income Plan options other than Guaranteed Payments for a Specified Period. BENEFICIARY(IES) -- The person(s) to whom any benefits are due when a Death Benefit is payable and there is no surviving Owner. COMPANY("WE," "US") -- Glenbrook Life and Annuity Company. CONTRACT -- The Glenbrook Life and Annuity Company Flexible Payment Deferred Annuity Contract, known as "The Glenbrook Choice Plus" that is described in this prospectus. CONTRACT ANNIVERSARY -- An anniversary of the date that the Contract was issued. CONTRACT VALUE -- The sum of all Account Values. CONTRACT YEAR -- A period of 12 months starting with the issue date or any Contract Anniversary. DEATH BENEFIT -- The Death Benefit is the Contract Value plus any positive Market Value Adjustment applied to the portion of the Contract Value in excess of the Free Withdrawal Amount. FREE WITHDRAWAL AMOUNT -- A portion of each Account Value which may be withdrawn each year without incurring a Withdrawal Charge or a Market Value Adjustment. GUARANTEE PERIOD -- A period of years for which a specified effective annual interest rate is guaranteed by the Company. INCOME PLAN -- One of several ways in which a series of payments are made after the Payout Start Date. Income payments are based on the Contract Value adjusted by any applicable Market Value Adjustment on the Payout Start Date. ISSUE DATE -- The date the Contract becomes effective. MARKET VALUE ADJUSTMENT -- The Market Value Adjustment is an increase or decrease in a withdrawal payment, Death Benefit payment or in the amount applied to an Income Plan reflecting the impact of changes in interest rates between the time the Account was established and the time of distribution.
4 OWNER(S)("YOU") -- The person or persons designated as the Owner in the Contract. PAYOUT START DATE -- The date the Contract Value adjusted by any Market Value Adjustment is applied to an Income Plan. TREASURY RATE -- The U.S. Treasury Note Constant Maturity weekly yield as reported in Federal Reserve Bulletin Release H.15. WITHDRAWAL CHARGE -- The charge that is assessed by the Company on withdrawals in excess of the Free Withdrawal Amount.
- -------------------------------------------------------------------------------- 5 THE CONTRACTS THE PURCHASE OF 1. WHAT IS THE PURPOSE OF THE CONTRACT? THE CONTRACT The Contract described in this prospectus is designed to aid you in your choice of short-term, mid-term, or long-term financial planning and can be used for retirement planning regardless of whether the plan qualifies for special federal income tax treatment. The Contract has an accumulation phase and a payout phase. The accumulation phase is the first of the two phases and begins on the issue date and continues until the Payout Start Date. During the accumulation phase, interest is credited to the purchase payment(s) and both a cash withdrawal benefit and a Death Benefit are available. The payout phase begins on the Payout Start Date and provides income payments under an Income Plan. The payout phase continues until the Company makes the last payment as provided by the Income Plan. 2. HOW IS A CONTRACT PURCHASED? The minimum initial purchase payment the Company will accept is $3,000 ($2,000 for a qualified contract). Additional purchase payments of $100 or more may be added to the Contract. The Owner must select the Guarantee Period(s) in which to allocate each purchase payment. Guarantee Periods will be offered at the Company's discretion and may range from one to ten years. No less than $100 may be allocated to any one Guarantee Period. The Company reserves the right to limit or increase the amount of purchase payments it will accept. 3. DOES THIS CONTRACT HAVE A FREE-LOOK PROVISION? Yes. The Owner may cancel the Contract anytime within 20 days after receipt of the Contract, or longer if required by state law, and receive a full refund of all purchase payments. For Contracts issued in California, the Owner will receive the greater of the Adjusted Account Value or the sum of all purchase payments. 4. CAN ADDITIONS BE MADE TO THE CONTRACT AFTER THE INITIAL PURCHASE PAYMENT? Yes, additional purchase payments may be made at any time during the accumulation phase of the Contract. Subsequent purchase payments must be at least $100 and may be made from a bank account through Automatic Additions. For each purchase payment, the Owner must select a Guarantee Period(s) to which the purchase payment will be allocated. The Company reserves the right to limit the number of additional purchase payments. 5. ONCE A CONTRACT IS PURCHASED, HOW IS THE OWNER INFORMED AS TO THE STATUS OF THE CONTRACT? There are several ways an Owner may receive information about the Contract. At least once a year, prior to the Payout Start Date, the Owner will be sent a statement containing Account Value information of the Contract. Another option the Owner has is to call the Company's Customer Support Unit directly at 1-800-755-5275.
6 THE ACCUMULATION 6. HOW IS INTEREST CREDITED TO THE CONTRACT? PHASE Interest will be credited to initial purchase payments from the Issue Date. Interest will be credited to subsequent purchase payments from the date of receipt by the Company. No deductions are made from purchase payments. Therefore, the full amount of every purchase payment is invested in an Account for accumulation of interest. Interest is credited daily to each Guarantee Period in the Contract and is based upon the interest rate of the Guarantee Period which has been chosen. For current interest rate information, please contact your sales representative or the Company's Customer Support Unit at 1-800-755-5275. The following example illustrates how an Account Value would grow given an assumed purchase payment, Guarantee Period, and effective annual interest rate. The effective annual interest rate is defined as the yield resulting when interest credited at the underlying daily rate has compounded for a full year.
EXAMPLE OF INTEREST CREDITING DURING THE GUARANTEE PERIOD: Purchase Payment:.............................................. $10,000.00 Guarantee Period:.............................................. 5 years Effective Annual Rate:......................................... 4.50%
END OF CONTRACT YEAR:
YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 ------------- ------------- ------------- ------------- ------------- Beginning Account Value $ 10,000.00 X (1 + Effective Annual Rate) 1.045 ------------- $ 10,450.00 Account Value at end of Contract $ 10,450.00 year 1 X (1 + Effective Annual 1.045 ------------- Rate) $ 10,920.25 Account Value at end of Contract $ 10,920.25 year 2 X (1 + Effective Annual 1.045 ------------- Rate) $ 11,411.66 Account Value at end of Contract $ 11,411.66 year 3 X (1 + Effective Annual 1.045 ------------- Rate) $ 11,925.19 Account Value at end of Contract $ 11,925.19 year 4 X (1 + Effective Annual 1.045 ------------- Rate) Account Value at end of Guarantee Period: $ 12,461.82 ------------- ------------- TOTAL INTEREST CREDITED IN GUARANTEE PERIOD: $2,461.82 ($12,461.82 - $10,000.00)
NOTE: The above illustration assumes no withdrawals of any amount during the entire five year period. A Market Value Adjustment and Withdrawal Charge would apply to any such interim withdrawal in excess of the Free Withdrawal Amount. The hypothetical interest rate is for illustrative purposes only and is not intended to predict future interest rates to be declared under the Contract. Actual interest rates declared for any given Guarantee Period may be more or less than shown above but will never be less than the guaranteed minimum rate as found in the Contract. 7 The Company has no specific formula for determining the rate of interest that it will declare initially or in the future. Such interest rates will be reflective of investment returns available at the time of the determination. In addition, the management of the Company may also consider various other factors in determining interest rates, including regulatory and tax requirements, sales commissions and administrative expenses borne by the Company, general economic trends, and competitive factors. THE MANAGEMENT OF THE COMPANY WILL MAKE THE FINAL DETERMINATION AS TO THE INTEREST RATES TO BE DECLARED. THE COMPANY CAN NEITHER PREDICT NOR GUARANTEE FUTURE INTEREST RATES TO BE DECLARED. 7. WHAT HAPPENS TO THE ACCOUNT VALUE AT THE END OF A GUARANTEE PERIOD? Prior to the end of a Guarantee Period, a notice will be mailed to the Owner outlining the options available at the end of a Guarantee Period. Within 30 days after the end of a Guarantee Period the Owner may: - take no action and the Company will automatically apply the Account Value to a new Guarantee Period of the same duration to be established on the day the previous Guarantee Period expired; or - notify the Company to apply the Account Value to a Guarantee Period(s) of a new duration to be established on the day the previous Guarantee Period expired; or - receive a portion of the Account Value or the entire Account Value through a partial or full withdrawal that is not subject to a Market Value Adjustment. In this case, the amount withdrawn will be deemed to have been withdrawn on the day the Guarantee Period expired. 8. IS IT POSSIBLE TO PRESELECT A RENEWAL GUARANTEE PERIOD AT THE POINT OF PURCHASE? Yes. The Automatic Laddering Program allows the Owner to choose, in advance, one renewal Guarantee Period for all renewing Accounts. The Owner can select the Automatic Laddering Program at any time during the accumulation phase, including on the Issue Date. The Automatic Laddering Program will continue until the Owner gives written notice to the Company. 9. CAN A PARTIAL WITHDRAWAL OR A FULL WITHDRAWAL BE TAKEN AT ANY TIME? Yes. As long as the Contract is still in the accumulation phase and has not entered the payout phase, the Owner may withdraw money from the Contract or surrender the Contract at any time (a Withdrawal Charge, Market Value Adjustment and taxes may apply, including a 10% penalty tax for withdrawals prior to the Owner attaining age 59 1/2). Partial withdrawals may be taken automatically through Systematic Withdrawals. The Owner must specify the Account from which the withdrawal will be taken. If any partial withdrawal reduces an Account Value to less than $100, the withdrawal will be treated as a request to withdraw the entire Account Value. If the withdrawal reduces the Contract Value to less than $2,000, the withdrawal will be treated as a request to withdraw the entire Contract Value. The Company may defer payment of any partial withdrawal or full withdrawal for a period not exceeding six months from the date of the receipt of the request.
8 ADJUSTMENTS TO ACCOUNT VALUE 10. IF A PARTIAL WITHDRAWAL OR FULL WITHDRAWAL IS REQUESTED, HOW (WITHDRAWAL CHARGE, IS THE AMOUNT RECEIVED DETERMINED? MARKET VALUE The main component in determining the amount received by the ADJUSTMENT AND Owner is the amount which was requested, however, there may be TAXES) adjustments to the requested amount. A Withdrawal Charge may reduce the amount requested. A Market Value Adjustment may apply which would reduce or increase the amount requested. Premium taxes and federal income tax withholding may apply and would reduce the amount requested. In summary: The amount received by the Owner under a partial withdrawal or full withdrawal request equals the amount requested less a Withdrawal Charge (if applicable) plus or minus a Market Value Adjustment (if applicable) less premium taxes and withholding (if applicable). The questions which follow further clarify the components used in determining the amount received upon a partial withdrawal or full withdrawal. 11. UPON A FULL WITHDRAWAL OF THE ENTIRE CONTRACT, IS IT POSSIBLE THAT THE MARKET VALUE ADJUSTMENT AND WITHDRAWAL CHARGE COULD CAUSE THE AMOUNT RECEIVED TO BE LESS THAN THE INITIAL PURCHASE PAYMENT AND ANY SUBSEQUENT PAYMENTS? No. This Contract has a return of purchase payment guarantee which provides that the amount received upon a full withdrawal is guaranteed never to be less than the sum of initial and any subsequent purchase payments less amounts previously received (prior to withholding and the deduction of any taxes if applicable). However, to the extent that premium taxes are assessed against the Contract or income tax is withheld, the amount received upon a full withdrawal may be less than the initial and any subsequent purchase payments. The renewal of any individual Account(s) within the entire Contract does not in any way change the return of purchase payment guarantee provided by this Contract. Upon Account renewal, the return of purchase payment guarantee will not be adjusted to include any accrued interest, but will continue to apply to the initial and any subsequent purchase payments. 12. UPON A PARTIAL WITHDRAWAL OR FULL WITHDRAWAL, IS THE ENTIRE AMOUNT REQUESTED SUBJECT TO A WITHDRAWAL CHARGE AND A MARKET VALUE ADJUSTMENT? No. Only amounts in excess of any remaining Free Withdrawal Amount within an Account will be subject to a Withdrawal Charge and a Market Value Adjustment. A Free Withdrawal Amount is available in every payment year of a Guarantee Period and is equal to 10% of the purchase payment allocated to the Guarantee Period. Any unused Free Withdrawal Amount in a payment year may not be used to increase the Free Withdrawal Amount in a subsequent Account year nor may it be used to increase the Free Withdrawal Amount in another Guarantee Period. In addition to the Free Withdrawal Amount, any amounts withdrawn from Accounts which are within the first 30 days of their renewal Guarantee Periods will be completely free from any Market Value Adjustment.
9 13. WHAT IS THE WITHDRAWAL CHARGE UPON A PARTIAL WITHDRAWAL OR FULL WITHDRAWAL? The amount withdrawn from the Account Value in excess of the Free Withdrawal Amount is subject to the following Withdrawal Charge:
PAYMENT YEAR 1 2 3 4 5 6 AND LATER - --------------- ---- ---- ---- ---- ---- -------------- Percentage 7% 7% 6% 5% 4% 0%
For each purchase payment withdrawal, the payment year in the above table is measured from the date we received the purchase payment. The Withdrawal Charge is determined by multiplying the percentage corresponding to the payment year times that part of each withdrawal that is in excess of the Free Withdrawal Amount. The Company will waive any Withdrawal Charge prior to the Payout Start Date if at least 30 days after the Issue Date any Owner (or Annuitant if the Owner is not a natural person) is first confined to a long term care facility or hospital for at least 90 consecutive days, confinement is prescribed by a physician and is medically necessary, and the request for a withdrawal and adequate written proof of confinement are received by us no later than 90 days after discharge. 14. WHAT IS THE MARKET VALUE ADJUSTMENT UPON A PARTIAL OR FULL WITHDRAWAL OR AT DEATH? The Market Value Adjustment will be applied to all amounts withdrawn, paid at death or applied to an Income Plan, which are not exempt from adjustment as discussed in question 12. The Market Value Adjustment reflects the relationship between (1) the Treasury Rate for the time remaining in the Guarantee Period at the time of death or the request for withdrawal, and (2) the Treasury Rate at the time the Account was established for a maturity equal to the Account Guarantee Period. Since current Treasury Rates are the basis for the investment yields at the time, and current interest rates are based, in part, upon investment yields available when the Account was established, the effect of the Market Value Adjustment will be closely related to the levels of such yields. As such, the Owner bears some investment risk under the Contract. Generally, if the Treasury Rate at the time the Account was established is lower than the Treasury Rate (interest rate for a period equal to the time remaining in the Account), then the Market Value Adjustment will result in a lower amount payable to the Owner. Similarly, if the Treasury Rate at the time the Account was established is higher than the applicable current Treasury Rate, then the Market Value Adjustment will result in a higher amount payable to the Owner. For example, assume the Owner purchases a Contract and selects an initial Guarantee Period of five years and the Treasury Rate for that duration is 4.5%. Assume that at the end of 3 years, the Owner makes a partial withdrawal. If, at that later time, the Treasury Rate for a 2 year Guarantee Period is 4.8%, then the Market Value Adjustment will be negative, which will result in a decrease in the amount payable to the Owner. Similarly, if the Treasury Rate for the 2 year Guarantee Period is 4.2%, then the Market Value Adjustment will be positive, which will result in an increase in the amount payable to the Owner.
10 The formula for calculating the Market Value Adjustment is set forth in Appendix A to this prospectus which also contains additional illustrations of the application of the Market Value Adjustment. 15. THE IRS REQUIRES ANNUAL WITHDRAWALS TO BE TAKEN FROM QUALIFIED CONTRACTS UPON ATTAINMENT OF AGE 70. WILL THESE WITHDRAWALS INCUR WITHDRAWAL CHARGES AND MARKET VALUE ADJUSTMENTS? No. Both the Withdrawal Charge and Market Value Adjustment will be waived on withdrawals taken to satisfy IRS required minimum distribution rules for this Contract. 16. WHAT ARE THE TAX IMPLICATIONS ASSOCIATED WITH THE CONTRACT? It varies based upon the Owner's circumstances. Generally, the two areas which may give rise to a taxable situation are personal federal and state income taxation and taxation of the Company. With respect to personal federal and state income tax, an annuity contract Owner who is a natural person is not taxed on increases in the Contract Value until a distribution occurs. For federal income tax purposes, distributions include the receipt of proceeds from loans and an assignment or pledge of any portion of the value of the Contract, as well as withdrawals, income payments, or Death Benefits. In addition, personal federal and state income tax withholding may be deducted from partial withdrawal and full withdrawal payments. Amounts withheld for personal taxes do not necessarily represent the Owner's entire income tax liability. With respect to taxation of the Company, premium taxes and other applicable taxes imposed on the Company may be deducted from the Contract's purchase payment or Contract Value upon a full withdrawal or annuitization of the Contract. Current premium tax rates range from 0 to 3.5%, but are subject to change by state regulation. There are several exceptions to the above generalizations. More complete information can be found in the "Federal Tax Matters" section found on page 15 of this prospectus. THE PARTIES TO THE 17. WHAT RIGHTS DOES AN OWNER HAVE IN THIS CONTRACT? CONTRACT This Contract offers the Owner several rights. The Owner may: - receive any withdrawals or periodic income payments from the Contract, unless the Owner has directed the Company to pay them to someone else; - name and change the Owner, Beneficiary, and Annuitant (only if Owner is a natural person); - assign benefits under the Contract prior to the Payout Start Date; - elect a Death Benefit option upon death of a co-owner or Annuitant if the Owner is not a natural person; and - terminate the Contract. The above may be subject to the rights of any irrevocable Beneficiary.
11 18. WHAT PURPOSE DOES THE ANNUITANT SERVE? The Annuitant's life determines the income payments which will begin on the Payout Start Date. This Contract requires an Annuitant at all times during the accumulation phase and on the Payout Start Date. The Annuitant must be a natural person. A Death Benefit may be payable upon the death of the Annuitant only if the Owner is not a natural person. 19. WHO IS THE BENEFICIARY TO THE CONTRACT? The Beneficiary varies based upon who the Owner is, and the designation of the parties to the Contract by the Owner. If the Owner is a natural person, the Beneficiary will be determined from the most recent written request of the Owner. If the Owner does not name a Beneficiary or if the Beneficiaries named are no longer living, the Beneficiary will be: - a contingent beneficiary named by the Owner; otherwise - the Owner's spouse if living; otherwise - the Owner's children, equally, if living; otherwise - the Owner's estate. 20. WHAT PURPOSE DOES THE BENEFICIARY SERVE? The Beneficiary becomes the new Owner if the sole surviving Owner dies prior to the Payout Start Date. If the sole surviving Owner dies after the Payout Start Date, the Beneficiary will receive any guaranteed income payments scheduled to continue. THE DEATH BENEFITS 21. UPON DEATH OF THE OWNER, WHO IS THE NEW OWNER OF THE PROVISIONS CONTRACT? The new Owner is any surviving joint Owner(s) or if none, the Beneficiary. 22. UPON DEATH OF THE OWNER, WHAT OPTIONS DOES THE NEW OWNER HAVE? In most cases, the new Owner of the Contract has the following three options: - receive the Contract Value adjusted by any positive Market Value Adjustment within 5 years of the date of death; or - receive the Death Benefit in a lump sum. The Death Benefit is equal to the Contract Value plus any positive Market Value Adjustment; or - apply the Death Benefit to an Income Plan with income payments beginning within one year of the date of death. Income payments must be made over the life of the new Owner, or a period not to exceed the life expectancy of the new Owner, or the life of the new Owner with payments guaranteed for a period not to exceed the life expectancy of the new Owner. If the new Owner is the spouse of the deceased Owner, the new Owner may elect to continue the Contract. See question 23, below. If the new Owner is a non-natural person, then the new Owner must receive the Death Benefit in a lump sum within 5 years. 23. IF THE NEW OWNER IS THE SURVIVING SPOUSE OF THE DECEASED OWNER, WHAT HAPPENS TO THE CONTRACT UPON THE OWNER'S DEATH? In addition to the options available in question 22, a surviving spousal Owner has the following options:
12 - continue the Contract as if the death had not occurred; and - if the Contract is continued, one withdrawal of any amount within the year of death is allowed which will not be assessed a Withdrawal Charge (a Market Value Adjustment will apply). If the surviving spouse is under 59 1/2, a 10% penalty tax may apply to the withdrawal. 24. IF THE OWNER IS NOT THE ANNUITANT AND THE ANNUITANT DIES PRIOR TO THE PAYOUT START DATE, WHAT HAPPENS TO THE CONTRACT? If the Owner is a natural person, the Contract will continue as if the death had not occurred. The new Annuitant will be the youngest Owner; or If the Owner is not a natural person, the Owner will receive the Death Benefit in a lump sum within 5 years of the date of death. THE PAYOUT PHASE 25. WHAT IS THE PAYOUT START DATE? The date on which the accumulation phase ceases and the payout phase begins. During the payout phase, the Owner receives income payments based upon an Income Plan selected by the Owner from the Contract. The payout phase will continue until the Company makes the last payment as provided by the Income Plan chosen. The Owner may change the Payout Start Date at anytime by notifying the Company in writing of the change at least 30 days before the scheduled Payout Start Date. The Payout Start Date must be at least one month after the issue date and on or before the later of: - the Annuitant's 90th birthday; or - the 10th anniversary of the Contract's Issue Date. 26. WHAT TYPES OF INCOME PLANS ARE AVAILABLE IN THE CONTRACT? Income payments are made under an Income Plan which may be chosen by the Owner. The types of Income Plans which are available are as follows: - Life Income with Guaranteed Payments -- If the Annuitant dies before all the guaranteed payments have been made, the remainder of the guaranteed payments will be made to the Owner; or - Joint and Survivor Life Income with Guaranteed Payments -- If both the Annuitant and Joint Annuitant die before the guaranteed payments have been made, the remainder of the guaranteed payments will be made to the Owner; or - Guaranteed Payments for a Specified Period -- Payments under this option do not depend on the continuation of the Annuitant's life. Any period for which payments are guaranteed may range from 60 to 360 months. If any Owner dies, guaranteed income payments will continue as scheduled. Up to 30 days before the Payout Start Date, the Owner may change the Income Plan or request any other form of Income Plan agreeable to both the Company and the Owner. If the Company does not receive a written choice from the Owner, the Income Plan will be life income with 120 monthly payments guaranteed. If an Income Plan is chosen which depends on the Annuitant's or Joint Annuitant's life, proof of age will be required before income payments begin. The Company reserves the right to accept other Income Plans.
13 27. HOW ARE THE INCOME PAYMENTS FROM AN INCOME PLAN DETERMINED? To determine the income payments, the Contract Value, adjusted by any Market Value Adjustment less any applicable premium taxes, will be applied to the greater of: - payment plan rates declared by the Company; or - guaranteed payment plan rates as described in the Contract. If the monthly income payments determined under the Income Plan are less than $20, the Company may pay the Contract Value, adjusted by any Market Value Adjustment less any applicable premium taxes, in a lump sum or change the payment frequency to an interval which results in income payments of at least $20. The Contracts are based on life annuity tables that provide for different benefit payments to men and women of the same age (except in states which require unisex annuity tables). Nevertheless, in accordance with the U.S. Supreme Court's decision in ARIZONA GOVERNING COMMITTEE V. NORRIS, in certain employment-related situations, annuity tables that do not vary on the basis of sex may be used. Accordingly, if the Contract is to be used in connection with an employment-related retirement or benefit plan, consideration should be given in consultation with legal counsel, to the impact of NORRIS on any such plan before making any contributions under these Contracts. The dollar amount of income payments is generally affected by the duration of the Income Plan selected. For example, if an Income Plan Guaranteed for Life is chosen, the income payments may be greater or less than income payments under an Income Plan for a specified period depending on the life expectancy of the Annuitant. Also, the Company may require proof that the Annuitant or joint Annuitant is still alive before the Company makes each payment that depends on their continued life. 28. CAN PARTIAL WITHDRAWALS BE TAKEN FROM THE CONTRACT OR CAN THE CONTRACT BE SURRENDERED ONCE IT HAS ENTERED THE PAYOUT PHASE? No. After the Contract Value has been applied to an Income Plan on the Payout Start Date, the Income Plan can not be changed, the exchange of the Contract Value for an Income Plan can not be reversed, and no withdrawals can be made. ---------------------------------------------------------------- AMENDMENT OF THE The Company reserves the right to amend the Contracts to meet the CONTRACTS requirements of applicable federal or state laws or regulations. The Company will notify the Owner of any such amendments. ---------------------------------------------------------------- DISTRIBUTION OF THE Allstate Life Financial Services, Inc. ("ALFS"), 3100 Sanders CONTRACTS Road, Northbrook, Illinois, a wholly owned subsidiary of Allstate Life, acts as the principal underwriter of the Contracts. ALFS is registered as a broker-dealer under the Securities Exchange Act of 1934 and became a member of the National Association of Securities Dealers, Inc. on June 30, 1993. Contracts are sold by registered representatives of broker-dealers or bank employees who are licensed insurance agents appointed by the Company, either individually or through an incorporated insurance agency. The Company may pay up to a maximum sales commission of 8% both upon sale of the Contract and upon renewal of a Guarantee Period.
14 The Underwriting Agreement between the Company and ALFS provides that the Company will indemnify ALFS for certain damages that may be caused by actions, statements or omissions by the Company. ---------------------------------------------------------------- FEDERAL TAX MATTERS INTRODUCTION THE FOLLOWING DISCUSSION IS GENERAL AND IS NOT INTENDED AS TAX ADVICE. THE COMPANY MAKES NO GUARANTEE REGARDING THE TAX TREATMENT OF ANY CONTRACT OR TRANSACTION INVOLVING A CONTRACT. Federal, state, local and other tax consequences of ownership or receipt of distributions under an annuity contract depend on the individual circumstances of each person. If you are concerned about any tax consequences with regard to your individual circumstances, you should consult a competent tax adviser. TAXATION OF THE The Company is taxed as a life insurance company under Part I of COMPANY Subchapter L of the Internal Revenue Code. The following discussion assumes that the Company is taxed as a life insurance company under Part I of Subchapter L. TAXATION OF TAX DEFERRAL. In general, an annuity contract owned by a natural ANNUITIES IN GENERAL person is not taxed on increases in the contract value until a distribution occurs. Annuity contracts owned by non-natural persons are generally not treated as annuity contracts for federal income tax purposes and the income on such contracts is taxed as ordinary income received or accrued by the owner during the taxable year. There are exceptions to the non-natural owner rule and you should discuss these with your tax advisor. TAXATION OF PARTIAL AND FULL WITHDRAWALS. In the case of a partial withdrawal under a non-qualified contract, amounts received are taxable to the extent the contract value, without regard to any surrender charges, exceeds the investment in the contract. In the case of a partial withdrawal under a qualified contract, the portion of the payment that bears the same ratio to the total payment that the investment in the contract bears to the contract value, can be excluded from income. In the case of a full withdrawal under a non-qualified contract or a qualified contract, the amount received will be taxable only to the extent it exceeds the investment in the contract. If an individual transfers an annuity contract without full and adequate consideration to a person other than the individual's spouse (or to a former spouse incident to a divorce), the owner will be taxed on the difference between the contract value and the investment in the contract at the time of transfer. Other than in the case of certain qualified contracts, any amount received as a loan under a contract, and any assignment or pledge (or agreement to assign or pledge) of the contract value is treated as a withdrawal of such amount or portion. TAXATION OF ANNUITY PAYMENTS. Generally, the rule for income taxation of payments received from an annuity contract provides for the return of the owner's investment in the contract in equal tax-free amounts over the payment period. The balance of each payment received is taxable. In the case of fixed annuity payments, the amount excluded from income is determined by multiplying the payment by the ratio of the investment in the contract (adjusted for any refund feature or period certain) to the total expected value of annuity payments for the term of the contract.
15 TAXATION OF ANNUITY DEATH BENEFITS. Amounts may be distributed from an annuity contract because of the death of an owner or annuitant. Generally, such amounts are includible in income as follows: (1) if distributed in a lump sum, the amounts are taxed in the same manner as a full withdrawal or (2) if distributed under an annuity option, the amounts are taxed in the same manner as an annuity payment. PENALTY TAX ON PREMATURE DISTRIBUTIONS. There is a 10% penalty tax on the taxable amount of any premature distribution from a non-qualified annuity contract. The penalty tax generally applies to any distribution made prior to the owner attaining age 59 1/2. However, there should be no penalty tax on distributions to owners (1) made on or after the owner attains age 59 1/2; (2) made as a result of the owner's death or disability; (3) made in substantially equal periodic payments over life or life expectancy; or (4) made under an immediate annuity. Similar rules apply for distributions from qualified contracts. AGGREGATION OF ANNUITY CONTRACTS. All non-qualified annuity contracts issued by the Company (or its affiliates) to the same owner during any calendar year will be aggregated and treated as one annuity contract for purposes of determining the taxable amount of a distribution. IRS REQUIRED DISTRIBUTION AT DEATH RULES. In order to be considered an annuity contract for federal income tax purposes, an annuity contract must provide: (1) if any owner dies on or after the annuity start date but before the entire interest in the contract has been distributed, the 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 owner's death; (2) if any owner dies prior to the annuity start date, the entire interest in the contract will be distributed within five years after the date of the owner's death. These requirements are satisfied if any portion of the owner's interest which is payable to, or for the benefit of, a designated beneficiary is distributed over the life of such beneficiary (or over a period not extending beyond the life expectancy of the beneficiary) and the distributions begin within one year of the owner's death. If the owner's designated beneficiary is the surviving spouse of the owner, the contract may be continued with the surviving spouse as the new owner. If the owner of the contract is a nonnatural person, then the annuitant will be treated as the owner for purposes of applying the distribution at death rules. Also, a change of annuitant on a contract owned by a nonnatural person will be treated as the death of the owner. QUALIFIED PLANS This annuity contract may be used with several types of qualified plans. The tax rules applicable to participants in such qualified plans vary according to the type of plan and the terms and conditions of the plan itself. Adverse tax consequences may result from excess contributions, premature distributions, distributions that do not conform to specified commencement and minimum distribution rules, excess distributions and in other circumstances. Owners and participants under the plan and annuitants and beneficiaries under the contract may be subject to the terms and conditions of the plan regardless of the terms of the contract.
16 TYPES OF QUALIFIED INDIVIDUAL RETIREMENT ANNUITIES. Section 408 of the Code permits PLANS eligible individuals to contribute to an individual retirement program known as an Individual Retirement Annuity. Individual Retirement Annuities are subject to limitations on the amount that can be contributed and on the time when distributions may commence. Certain distributions from other types of qualified plans may be "rolled over" on a tax-deferred basis into an Individual Retirement Annuity. SIMPLIFIED EMPLOYEE PENSION PLANS. Section 408(k) of the Code allows employers to establish simplified employee pension plans for their employees using the employees' individual retirement annuities if certain criteria are met. Under these plans the employer may, within specified limits, make deductible contributions on behalf of the employees to their individual retirement annuities. SAVINGS INCENTIVE MATCH PLANS FOR EMPLOYEES (SIMPLE PLANS). Sections 408(p) and 401(k) of the Code allow employers with 100 or fewer employees to establish SIMPLE retirement plans for their employees. SIMPLE plans may be structured as a SIMPLE retirement account using an employee's IRA to hold the assets or as a Section 401(k) qualified cash or deferred arrangement. In general, a SIMPLE plan consists of a salary deferral program for eligible employees and matching contributions made by employers. Employers intending to use the contract in conjunction with SIMPLE PLANS should seek competent tax and legal advice. TAX SHELTERED ANNUITIES. Section 403(b) of the Code permits public school employees and employees of certain types of tax-exempt organizations (specified in Section 501(c)(3) of the Code) to have their employers purchase annuity contracts for them, and subject to certain limitations, to exclude the purchase payments from the employees' gross income. An annuity contract used for a Section 403(b) plan must provide that distributions attributable to salary reduction contributions made after 12/31/88, and all earnings on salary reduction contributions, may be made only after the employee attains age 59 1/2, separates from service, dies, becomes disabled or on the account of hardship (earnings on salary reduction contributions may not be distributed for hardship). CORPORATE AND SELF-EMPLOYED PENSION AND PROFIT SHARING PLANS. Sections 401(a) and 403(a) of the Code permit corporate employers to establish various types of tax favored retirement plans for employees. The Self-Employed Individuals Retirement Act of 1962, as amended, (commonly referred to as "H.R. 10" or "Keogh") permits self-employed individuals to establish tax favored retirement plans for themselves and their employees. Such retirement plans may permit the purchase of annuity contracts in order to provide benefits under the plans. STATE AND LOCAL GOVERNMENT AND TAX-EXEMPT ORGANIZATION DEFERRED COMPENSATION PLANS. Section 457 of the Code permits employees of state and local governments and tax-exempt organizations to defer a portion of their compensation without paying current taxes. The employees must be participants in an eligible deferred compensation plan. Generally, under the non-natural owner rules, such contracts are not treated as annuity contracts for federal income tax purposes. However, under these plans, contributions made for the benefit of the employees will not be includible in the employees' gross income until distributed from the plan.
17 INCOME TAX WITHHOLDING. The Company is required to withhold federal income tax at a rate of 20% on all "eligible rollover distributions" unless an individual elects to make a "direct rollover" of such amounts to another qualified plan or Individual Retirement Account or Annuity (IRA). Eligible rollover distributions generally include all distributions from qualified contracts, excluding IRAs, with the exception of (1) required minimum distributions, or (2) a series of substantially equal periodic payments made over a period of at least 10 years, or the life (joint lives) of the participant (and beneficiary). For any distributions from non-qualified annuity contracts, or distributions from qualified contracts which are not considered eligible rollover distributions, the Company may be required to withhold federal and state income taxes unless the recipient elects not to have taxes withheld and properly notifies the Company of such election. ---------------------------------------------------------------- THE COMPANY BUSINESS Glenbrook Life and Annuity Company (the "Company") is a stock life insurance company which was organized under the laws of the State of Illinois in 1992. The Company was originally organized under the laws of the State of Indiana in 1965. From 1965 to 1983 the Company was known as "United Standard Life Assurance Company" and from 1983 to 1992 the Company was known as "William Penn Life Assurance Company of America." As of the date of this prospectus, the Company is licensed to operate in the District of Columbia and all states except New York. The Company intends to market the Contract in those jurisdictions in which it is licensed to operate. The Company's home office is located at 3100 Sanders Road, Northbrook, Illinois 60062. The Company is wholly owned by Allstate Life Insurance Company ("Allstate Life"), which is wholly owned by Allstate Insurance Company, a wholly owned subsidiary of The Allstate Corporation (the "Corporation"). On June 30, 1995, Sears, Roebuck and Co. ("Sears") distributed its 80.3% ownership in the Corporation to Sears common shareholders through a tax-free dividend. REINSURANCE Effective December 31, 1993, the Company entered into an AGREEMENTS assumption reinsurance treaty with an affiliate, Glenbrook Life Insurance Company, to reinsure certain annuity contracts. Per the terms of the agreement, the Company assumed all of Glenbrook Life Insurance Company's liability under such contracts. The Company and Allstate Life entered into a reinsurance agreement effective on June 5, 1992. All business issued subsequent to that date is reinsured with Allstate Life, while previously issued business is reinsured with non-affiliated reinsurers. Under the reinsurance agreement, Purchase Payments under general account contracts are automatically transferred to and become invested with the assets of Allstate Life, which accepts 100% of the liability under such contracts. Accordingly, the results of operations with respect to applications received and contracts issued by the Company are not reflected in the Company's financial statements. The amounts reflected in the Company's financial statements related only to the investment of those assets of the Company that are not transferred to Allstate Life under the reinsurance agreement. The obligations of Allstate Life under the terms of the reinsurance agreement are to the Company; the Company remains the sole obligor under the contracts to the Owners.
18 INVESTMENTS BY THE The Company's general account assets, like the general account COMPANY assets of other insurance companies, including Allstate Life, must be invested in accordance with applicable state laws. These laws govern the nature and quality of investments that may be made by life insurance companies and the percentage of their assets that may be committed to any particular type of investment. In general, these laws permit investments, within specified limits and subject to certain qualifications, in federal, state, and municipal obligations, corporate bonds, preferred stocks, real estate mortgages, real estate and certain other investments. All of the Company's general account assets are available to meet the Company's obligations. The Company will primarily invest its general account assets in investment-grade fixed income securities including the following: Securities issued by the United States Government or its agencies or instrumentalities, which may or may not be guaranteed by the United States Government; Debt instruments, including, but not limited to, issues of or guaranteed by banks or bank holding companies, and of corporations, which are deemed by the Company's management to have qualities appropriate for inclusion in this portfolio; Commercial mortgages, mortgage-backed securities collateralized by real estate mortgage loans, or securities collateralized by other assets, that are insured or guaranteed by the Federal Home Loan Mortgage Association, the Federal National Mortgage Association or the Government National Mortgage Association, or that have an investment grade at time of purchase within the four highest grades assigned by Moody's Investors Services, Inc. (Aaa, Aa, A or Baa), Standard & Poor's Corporation (AAA, AA, A or BBB) or any other nationally recognized rating service; Commercial paper, cash, or cash equivalents, and other short-term investments having a maturity of less than one year that are considered by the Company's management to have investment quality comparable to securities having the ratings stated above. In addition, interest rate swaps, futures, options, rate caps, and other hedging instruments may be used solely for non-speculative hedging purposes. Anticipated use of these financial instruments shall be limited to protecting the value of portfolio sales or purchases, or to enhance yield through the creation of a synthetic security. In addition, the Company maintains certain unitized Separate Accounts which invest in shares of open-end investment companies registered under the Investment Company Act of 1940. These Separate Account assets, which relate to the Company's variable annuity and variable life contracts, do not support the Company's obligations under the Contracts. ----------------------------------------------------------------
19 SELECTED FINANCIAL The following selected financial data for the Company should be DATA read in conjunction with the financial statements and notes thereto included in this prospectus beginning on page F-1.
GLENBROOK LIFE AND ANNUITY COMPANY SELECTED FINANCIAL DATA ($ IN THOUSANDS)
YEAR-END FINANCIAL DATA 1996 1995 1994 1993 1992(1) - ---------------------------------------- ------------- ------------- ----------- ----------- ----------- For The Years Ended December 31: Income Before Income Tax Expense...... $ 3,774 $ 4,455 $ 2,017 $ 836 $ 337 Net Income............................ 2,435 2,879 1,294 529 212 As of December 31: Total Assets.......................... 2,404,770 1,409,705 750,245 169,361 12,183
- ------------------------ (1) For the period from April 1, 1992 (date of acquisition) to December 31, 1992. Effective December 31, 1993, the Company adopted Statement of Financial Accounting Standard ("SFAS") No. 115, "Accounting for Certain Investments in Debt and Equity Securities." Under SFAS No. 115, fixed income securities classified as available for sale are carried at fair value. The net effect of adoption of this SFAS increased shareholder's equity at December 31, 1993 by $693 thousand, and did not have a material impact on net income. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS The following discussion highlights significant factors influencing results of operations and financial position of Glenbrook Life and Annuity Company (the "Company"). It should be read in conjunction with the financial statements and related notes. The Company, which is wholly owned by Allstate Life Insurance Company ("ALIC"), markets life insurance contracts and annuity products through banks and broker-dealers. The Company and ALIC entered into a reinsurance agreement effective on June 5, 1992. All business issued subsequent to that date is ceded to ALIC. Life insurance in force prior to that date is ceded to non-affiliated reinsurers. The Company's results of operations relate to the investment of those assets of the Company that are not transferred to ALIC under the reinsurance agreement. Separate Account assets and liabilities are carried at fair value in the statements of financial position. The Separate Account investment portfolios were initially funded with a $10.0 million seed money contribution from the Company in 1995. Investment income and realized gains and losses of the Separate Accounts, other than the portion related to the Company's participation, accrue directly to the contractholders and, therefore, are not included in the Company's statements of operations.
20 RESULTS OF OPERATIONS
1996 1995 1994 --------- --------- --------- ($ IN THOUSANDS) Net investment income...................... $ 3,774 $ 3,996 $ 2,017 --------- --------- --------- Realized capital gains, after tax.......... $ -- $ 298 $ -- --------- --------- --------- Net income................................. $ 2,435 $ 2,879 $ 1,294 --------- --------- --------- Fixed income securities, at amortized cost...................................... $ 46,925 $ 44,112 $ 51,527 --------- --------- ---------
Net income decreased by $444 thousand or 15.4% in 1996 to $2.4 million due to decreases in net investment income and realized capital gains. The $1.6 million increase in net income in 1995 reflects the increase in net investment income and realized capital gains. As a result of the reinsurance agreement, the Company's results of operations include only investment income earned on its investment portfolio. Net investment income in 1996 decreased 5.6% or $222 thousand to $3.8 million compared to $4.0 million in 1995. The decrease reflects the impact of the Company's $10.0 million original investment in the variable funds of the Separate Account, whose assets are invested predominantly in equity securities. The dividend yield on the variable funds is significantly below the level of interest earned on fixed income securities in which the $10.0 million was invested prior to the fourth quarter of 1995. This decrease in income was partially offset by additional investment income earned on the higher base of investments arising from positive cash flows from operating activities in 1996. Net investment income increased $2.0 million in 1995 due to an increased level of investments and a $40.0 million capital contribution received from ALIC in the third quarter of 1994. Realized capital gains after tax of $298 thousand in 1995 were the result of sales of investments to fund the Company's participation in the Separate Accounts. FINANCIAL POSITION
1996 1995 ------------- ------------- ($ IN THOUSANDS) Fixed income securities, at fair value.......... $ 49,389 $ 48,815 ------------- ------------- Short-term investments.......................... $ 1,287 $ 2,102 ------------- ------------- Separate Account assets......................... $ 272,420 $ 15,578 ------------- ------------- Contractholder funds............................ $ 2,060,419 $ 1,340,925 ------------- ------------- Reinsurance recoverable from ALIC............... $ 2,060,419 $ 1,340,925 ------------- ------------- Separate Account liabilities.................... $ 260,290 $ 5,048 ------------- -------------
21 The Company's fixed income securities portfolio consists of publicly traded corporate bonds, mortgage-backed securities and U.S. government bonds. The Company generally holds its fixed income securities for the long term, but has classified all of these securities as available for sale to allow maximum flexibility in portfolio management. At December 31, 1996, net unrealized capital gains on the fixed income securities portfolio totaled $4.3 million compared to $5.2 million as of December 31, 1995. The decrease in the unrealized gain position is primarily attributable to rising interest rates, partially offset by an increase in unrealized gains on the Company's participation in the Separate Account. All of the Company's fixed income securities portfolio is rated investment grade, with a National Association of Insurance Commissioners ("NAIC") rating of 1 or a Moody's rating of Aaa, Aa or A. At December 31, 1996 and 1995, $16.4 million and $19.2 million, respectively, of the fixed income portfolio were invested in mortgage-backed securities ("MBS"). At December 31, 1996, all of the MBS were investment grade and have underlying collateral that is guaranteed by U.S. government entities. MBS, however, are subject to interest rate risk as the duration and ultimate realized yield are affected by the rate of repayment of the underlying mortgages. The Company attempts to limit interest rate risk by purchasing MBS whose cost does not significantly exceed par value, and with repayment protection to provide a more certain cash flow to the Company. At December 31, 1996, the amortized cost of the MBS portfolio was below par value by $402 thousand. The Company closely monitors its fixed income portfolio for declines in value that are other than temporary. Securities are placed on non-accrual status when they are in default or when the receipt of interest payments is in doubt. The Company's short-term investment portfolio was $1.3 million and $2.1 million at December 31, 1996 and 1995, respectively. The Company invests all available cash balances in taxable and tax-exempt short-term securities having a final maturity date or redemption date of one year or less. During 1996, contractholder funds and amounts recoverable from ALIC under the reinsurance agreement increased by $719.5 million. The increases resulted from sales of the Company's flexible premium deferred annuities, interest credited to contractholders, and sales of single premium life insurance policies, partially offset by surrenders, withdrawals and death benefits. Reinsurance recoverable from ALIC relates to contract benefit obligations ceded to ALIC. Separate Account assets increased by $256.8 million and Separate Account liabilities increased by $255.2 million as compared with December 31, 1995. The increases were attributable to increased sales of flexible premium deferred variable annuity contracts and the favorable investment performance of the Separate Account investment portfolios, partially offset by variable annuity contract charges, surrenders and withdrawals.
LIQUIDITY AND ALIC authorized a $20.0 million capital contribution to the CAPITAL RESOURCES Company in 1996, which the Company received in January 1997.
22 Under the terms of intercompany reinsurance agreements, assets of the Company that relate to insurance in force, excluding Separate Account assets, are transferred to ALIC, which maintains the investment portfolios supporting the Company's products. The NAIC has a standard for assessing the solvency of insurance companies, which is referred to as risk-based capital ("RBC"). The requirement consists of a formula for determining each insurer's RBC and a model law specifying regulatory actions if an insurer's RBC falls below specified levels. The RBC formula for life insurance companies establishes capital requirements relating to insurance risk, business risk, asset risk and interest rate risk. At December 31, 1996, RBC for the Company was significantly above a level that would require regulatory action. PENDING ACCOUNTING In June 1996, the Financial Accounting Standards Board issued STANDARD Statement of Financial Accounting Standards No. 125, "Accounting for Transfers of Financial Assets and Extinguishments of Liabilities." This standard distinguishes between transfers of financial assets as sales versus financing transactions based upon relinquishment of control and addresses the accounting for securitizations, securities lending, repurchase agreements and insubstance defeasance transactions. The requirements of this statement that were effective on January 1, 1997 were adopted and are not expected to have a material impact on the results of operations or financial position of the Company. ---------------------------------------------------------------- COMPETITION The Company is engaged in a business that is highly competitive because of the large number of stock and mutual life insurance companies and other entities competing in the sale of insurance and annuities. There are approximately 1,700 stock, mutual and other types of insurers in business in the United States. A.M. Best Company assigns A+ (Superior) to Allstate Life which automatically reinsures all net business of the Company. A.M. Best Company also assigns the Company the rating of A+(r) because the Company automatically reinsures all business with Allstate Life. Standard & Poor's Insurance Rating Services assigns AA+ (Excellent) to Glenbrook Life's claims-paying ability and Moody's assigns an Aa3 (Excellent) financial stability rating to Glenbrook Life. The Company shares the same ratings of its parent, Allstate Life Insurance Company. ---------------------------------------------------------------- EMPLOYEES As of December 31, 1996, Glenbrook Life and Annuity Company has approximately 123 employees at its home office in Northbrook, Illinois. ---------------------------------------------------------------- PROPERTIES The Company occupies office space provided by Allstate Insurance Company, in Northbrook, Illinois. Expenses associated with these offices are allocated on a direct and indirect basis to the Company. ---------------------------------------------------------------- STATE AND FEDERAL The insurance business of the Company is subject to comprehensive REGULATION and detailed regulation and supervision throughout the United States.
23 The laws of the various jurisdictions establish supervisory agencies with broad administrative powers with respect to licensing to transact business, overseeing trade practices, licensing agents, approving policy forms, establishing reserve requirements, fixing maximum interest rates on life insurance policy loans and minimum rates for accumulation of surrender values, prescribing the form and content of required financial statements and regulating the type and amounts of investments permitted. Each insurance company is required to file detailed annual reports with supervisory agencies in each of the jurisdictions in which it does business and its operations and accounts are subject to examination by such agencies at regular intervals. Under insurance guaranty fund law, in most states, insurers doing business therein can be assessed up to prescribed limits for contract owner losses incurred as a result of company insolvencies. The amount of any future assessments on the Company under these laws cannot be reasonably estimated. Most of these laws do provide, however, that an assessment may be excused or deferred if it would threaten an insurer's own financial strength. In addition, several states, including Illinois, regulate affiliated groups of insurers, such as the Company and its affiliates, under insurance holding company legislation. Under such laws, intercompany transfers of assets and dividend payments from insurance subsidiaries may be subject to prior notice or approval, depending on the size of such transfers and payments in relation to the financial positions of the companies. Although the federal government generally does not directly regulate the business of insurance, federal initiatives often have an impact on the business in a variety of ways. Current and proposed federal measures which may significantly affect the insurance business include employee benefit regulation, controls on medical care costs, removal of barriers preventing banks from engaging in the securities and insurance business, tax law changes affecting the taxation of insurance companies, the tax treatment of insurance products and its impact on the relative desirability of various personal investment vehicles, and proposed legislation to prohibit the use of gender in determining insurance and pension rates and benefits. ---------------------------------------------------------------- EXECUTIVE OFFICERS The directors and executive officers are listed below, together AND DIRECTORS OF THE with information as to their ages, dates of election and COMPANY principal business occupations during the last five years (if other than their present business occupations). LOUIS G. LOWER, II, 51, Chief Executive Officer and Chairman of the Board (1995)* Also Director (1986-Present) and Senior Vice President (1995-Present) of Allstate Insurance Company; Director (1991-Present) of Allstate Life Financial Services, Inc.; Director (1986-Present) and President (1990-Present) Allstate Life Insurance Company; Director (1983-Present) and Chairman of the Board (1990-Present) of Allstate Life Insurance Company of New York; Director (1990-Present), Chairman of the Board of Directors and Chief Executive Officer (1995-Present), Chairman of the Board of Directors and President (1990-1995) of Glenbrook Life Insurance Company; Director and Chairman of the Board (1995-Present) of Laughlin Group Holdings, Inc.; Director and Chairman of the Board of Directors and Chief Executive Officer (1989-Present) Lincoln Benefit Life Company; Director (1986-Present), Chairman of the
24 Board of Directors and Chief Executive Officer (1995-Present) of Northbrook Life Insurance Company; and Chairman of the Board of Directors and Chief Executive Officer (1995-Present) Surety Life Insurance Company. PETER H. HECKMAN, 51, President, Chief Operating Officer and Director (1996)* Also Director and Vice President (1988-Present) of Allstate Life Insurance Company; Director (1990-1996), Vice President (1989-Present), Allstate Life Insurance Company of New York; Director (1991-1993) of Allstate Life Financial Services, Inc.; Director (1990-Present), President and Chief Operating Officer (1996-Present), and Vice President (1990-1996), Glenbrook Life Insurance Company; Director (1995-Present) and Vice Chairman of the Board (1996-Present) Laughlin Group Holdings, Inc.; Director (1990-Present) and Vice Chairman of the Board (1996-Present) Lincoln Benefit Life Company; Director (1988-Present) President and Chief Operating Officer (1996-Present), and was Vice President (1989-1996), Northbrook Life Insurance Company; and Director (1995-Present) and Vice Chairman of the Board (1996-Present) Surety Life Insurance Company. MICHAEL J. VELOTTA, 50, Vice President, Secretary, General Counsel, and Director (1992)* Also Director and Secretary (1993-Present) of Allstate Life Financial Services, Inc.; Director (1992-Present) Vice President, Secretary and General Counsel (1993-Present) Allstate Life Insurance Company; Director (1992-Present) Vice President, Secretary and General Counsel (1993-Present) Allstate Life Insurance Company of New York; Director (1992-Present) Vice President, Secretary and General Counsel (1993-Present) Glenbrook Life Insurance Company; Director and Secretary (1995-Present) Laughlin Group Holdings, Inc.; Director (1992-Present) and Assistant Secretary (1995-Present) Lincoln Benefit Life Company; Director (1992-Present) Vice President, Secretary and General Counsel (1993-Present) Northbrook Life Insurance Company; and Director and Assistant Secretary (1995-Present) Surety Life Insurance Company. JOHN R. HUNTER, 41, Director (1996)* Also Assistant Vice President (1990-Present) Allstate Life Insurance Company; Assistant Vice President (1996-Present) Allstate Life Insurance Company of New York; Director (1996-Present) Glenbrook Life Insurance Company; and Director (1994-Present) and Assistant Vice President (1990-Present) Northbrook Life Insurance Company. G. CRAIG WHITEHEAD, 50, Senior Vice President and Director (1995)* Also Assistant Vice President (1991-Present) Allstate Life Insurance Company; Director (1994-Present) Assistant Vice President (1991-Present) Glenbrook Life Insurance Company; Assistant Vice President (1992-Present) Secretary (1995) Glenbrook Life and Annuity Company; Director (1995-Present) Laughlin Group Holdings, Inc. MARLA G. FRIEDMAN, 43, Vice President (1996)* Also Director (1991-Present) and Vice President (1988-Present) Allstate Life Insurance Company; Director (1993-1996) Allstate Life Financial Services, Inc.; Assistant Vice President (1996-Present) Allstate Life Insurance Company of New York; Director (1991-1996), President and Chief Operating Officer
25 (1995-1996) and Vice President (1990-1995) and (1996-Present) Glenbrook Life Insurance Company; Director and Vice Chairman of the Board (1995-1996) Laughlin Group Holdings, Inc.; and Director (1989-1996), President and Chief Operating Officer (1995-1996) and Vice President (1996-Present) Northbrook Life Insurance Company. KEVIN R. SLAWIN, 39, Vice President (1996)* Also Assistant Vice President and Assistant Treasurer (1995-1996) Allstate Insurance Company; Director (1996-Present) and Assistant Treasurer (1995-1996) Allstate Life Financial Services, Inc.; Director and Vice President (1996-Present) and Assistant Treasurer (1995-1996) Allstate Life Insurance Company; Director and Vice President (1996-Present) and Assistant Treasurer (1995-1996) Allstate Life Insurance Company of New York; Director and Vice President (1996-Present) and Assistant Treasurer (1995-1996) Glenbrook Life Insurance Company; Director (1996-Present) and Assistant Treasurer (1995-1996) Laughlin Group Holdings, Inc.; Director (1996-Present) Lincoln Benefit Life Company; Director and Vice President (1996-Present) and Assistant Treasurer (1995-1996) Northbrook Life Insurance Company; Director (1996-Present) Surety Life Insurance Company; and Assistant Treasurer and Director (1994-1995) Sears Roebuck and Co.; and Treasurer and First Vice President (1986-1994) Sears Mortgage Corporation. CASEY J. SYLLA, 53, Chief Investment Officer (1995)* Also Director (1995-Present) Senior Vice President and Chief Investment Officer (1995-Present) Allstate Insurance Company; Director (1995-Present) Chief Investment Officer (1995-Present) Allstate Life Insurance Company; Chief Investment Officer (1995-Present) Allstate Life Insurance Company of New York; Chief Investment Officer (1995-Present) Glenbrook Life Insurance Company; and Director and Chief Investment Officer (1995-Present) Northbrook Life Insurance Company. Prior to 1995 he was Senior Vice President and Executive Officer-Investments (1992-1995) of Northwestern Mutual Life Insurance Company. JAMES P. ZILS, 46, Treasurer (1995)* Also Vice President and Treasurer (1995-Present) Allstate Insurance Company; Treasurer (1995-Present) Allstate Life Financial Services, Inc.; Treasurer (1995-Present) Allstate Life Insurance Company; Treasurer (1995-Present) Allstate Life Insurance Company of New York; Treasurer (1995-Present) Glenbrook Life Insurance Company; Treasurer (1995-Present) Laughlin Group Holdings, Inc.; and Treasurer (1995-Present) Northbrook Life Insurance Company. Prior to 1995 he was Vice President of Allstate Life Insurance Company. Prior to 1993 he held various management positions. * Date elected to current office. ---------------------------------------------------------------- EXECUTIVE Executive officers of the Company also serve as officers of COMPENSATION Allstate Life and receive no compensation directly from the Company. Some of the officers also serve as officers of other companies affiliated with the Company. Allocations have been made as to each individual's time devoted to his or her duties as an executive officer of the Company. However, no officer's compensation allocated to the Company exceeded $100,000 in 1996. The allocated cash compensation of all officers of the Company as a group for services rendered in
26 all capacities to the Company during 1996 totalled $3,965.52. Directors of the Company receive no compensation in addition to their compensation as employees of the Company. Shares of the Company and Allstate Life are not directly owned by any director or officer of the Company. The percentage of shares of The Allstate Corporation beneficially owned by any director, and by all directors and officers of the Company as a group, does not exceed one percent of the class outstanding.
SUMMARY COMPENSATION TABLE (ALLSTATE LIFE INSURANCE COMPANY)
LONG TERM COMPENSATION -------------------------------------------------- AWARDS PAYOUTS ANNUAL COMPENSATION ------------------------- ---------------------- ---------------------------------- (G) (E) (F) SECURITIES (H) (I) (C) (D) OTHER ANNUAL RESTRICTED UNDERLYING LTIP ALL OTHER (A) (B) SALARY BONUS COMPENSATION STOCK OPTIONS/SARS PAYOUTS COMPENSATION NAME AND PRINCIPAL POSITION YEAR ($) ($) $ AWARD(S) (#) ($) ($) - ------------------------------------ ---- --------- -------- ------------ ---------- ------------ -------- ------------ Louis G. Lower, II 1996 $ 436,800 $246,781 $10,246 $ 0 $ 18,258 $ 0 $5,250(1) Chief Executive Officer and 1995 $ 416,000 $266,175 $17,044 199,890 $131,997 $411,122 $5,250(1) Chairman 1994 $ 389,050 $ 43,973 $26,990 $170,660 N/A 0 $1,890(1) - ------------------------------ (1) Amount received by Mr. Lower which represents the value allocated to his account from employer contributions under The Savings and Profit Sharing Fund of Allstate Employees and prior to 1996, The Profit Sharing Fund and to its predecessor, The Savings and Profit Sharing Fund of Sears employees.
---------------------------------------------------------------- LEGAL PROCEEDINGS The Company is involved in pending and threatened litigation in the normal course of its business in which claims for monetary damages are asserted. Management, after consultation with legal counsel, does not anticipate the ultimate liability arising from such pending or threatened litigation to have a material effect on the financial condition of the Company. ---------------------------------------------------------------- EXPERTS The financial statements, and financial statement schedule of the Company included in this prospectus have been audited by Deloitte & Touche LLP, Two Prudential Plaza, 180 North Stetson Avenue, Chicago, Illinois, 60601-6779, independent auditors, as stated in their report appearing herein, and are included in reliance upon the report of such firm given upon their authority as experts in accounting and auditing. ---------------------------------------------------------------- LEGAL MATTERS Certain legal matters relating to the federal securities laws applicable to the issue and sale of the Contracts have been passed upon by Routier and Johnson, P.C., of Washington, D.C. All matters of Illinois law pertaining to the Contracts, including the validity of the Contracts and the Company's right to issue such Contracts under Illinois insurance law, have been passed upon by Michael J. Velotta, General Counsel of the Company. ----------------------------------------------------------------
27 INDEPENDENT AUDITORS' REPORT TO THE BOARD OF DIRECTORS AND SHAREHOLDER OF GLENBROOK LIFE AND ANNUITY COMPANY: We have audited the accompanying Statements of Financial Position of Glenbrook Life and Annuity Company (the "Company") as of December 31, 1996 and 1995, and the related Statements of Operations, Shareholder's Equity and Cash Flows for each of the three years in the period ended December 31, 1996. Our audits also included Schedule IV -- Reinsurance. These financial statements and financial statement schedule are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements and financial statement schedule based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, such financial statements present fairly, in all material respects, the financial position of Glenbrook Life and Annuity Company as of December 31, 1996 and 1995, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 1996 in conformity with generally accepted accounting principles. Also, in our opinion, Schedule IV - -- Reinsurance, when considered in relation to the basic financial statements taken as a whole, presents fairly, in all material respects, the information set forth therein. /s/ Deloitte & Touche LLP Chicago, Illinois February 21, 1997 F-1 GLENBROOK LIFE AND ANNUITY COMPANY STATEMENTS OF FINANCIAL POSITION
DECEMBER 31, ---------------------------- 1996 1995 ($ IN THOUSANDS) ------------- ------------- ASSETS Investments Fixed income securities, at fair value (amortized cost $46,925 and $44,112)................................................................... $ 49,389 $ 48,815 Short-term.................................................................. 1,287 2,102 ------------- ------------- Total investments........................................................... 50,676 50,917 Reinsurance recoverable from Allstate Life Insurance Company.................. 2,060,419 1,340,925 Cash.......................................................................... -- 264 Net receivable from affiliates................................................ 19,206 -- Other assets.................................................................. 2,049 2,021 Separate Accounts............................................................. 272,420 15,578 ------------- ------------- Total assets............................................................ $ 2,404,770 $ 1,409,705 ------------- ------------- ------------- ------------- LIABILITIES Contractholder funds.......................................................... $ 2,060,419 $ 1,340,925 Income taxes payable.......................................................... 653 1,637 Deferred income taxes......................................................... 1,528 1,828 Net payable to affiliates..................................................... -- 255 Separate Accounts............................................................. 260,290 5,048 ------------- ------------- Total liabilities....................................................... 2,322,890 1,349,693 ------------- ------------- SHAREHOLDER'S EQUITY Common stock, $500 par value, 4,200 shares authorized, issued, and outstanding.................................................................. 2,100 2,100 Additional capital paid-in.................................................... 69,641 49,641 Unrealized net capital gains.................................................. 2,790 3,357 Retained income............................................................... 7,349 4,914 ------------- ------------- Total shareholder's equity.............................................. 81,880 60,012 ------------- ------------- Total liabilities and shareholder's equity.............................. $ 2,404,770 $ 1,409,705 ------------- ------------- ------------- -------------
See notes to financial statements. F-2 GLENBROOK LIFE AND ANNUITY COMPANY STATEMENTS OF OPERATIONS
YEAR ENDED DECEMBER 31, ------------------------------- 1996 1995 1994 ($ IN THOUSANDS) --------- --------- --------- REVENUES Net investment income..................................................... $ 3,774 $ 3,996 $ 2,017 Realized capital gains and losses......................................... -- 459 -- --------- --------- --------- INCOME BEFORE INCOME TAX EXPENSE.......................................... 3,774 4,455 2,017 INCOME TAX EXPENSE........................................................ 1,339 1,576 723 --------- --------- --------- NET INCOME................................................................ $ 2,435 $ 2,879 $ 1,294 --------- --------- --------- --------- --------- ---------
See notes to financial statements. F-3 GLENBROOK LIFE AND ANNUITY COMPANY STATEMENTS OF SHAREHOLDER'S EQUITY
YEAR ENDED DECEMBER 31, ------------------------------- 1996 1995 1994 ($ IN THOUSANDS) --------- --------- --------- COMMON STOCK.......................................................... $ 2,100 $ 2,100 $ 2,100 --------- --------- --------- ADDITIONAL CAPITAL PAID-IN Balance, beginning of year............................................ 49,641 49,641 9,641 Capital contributions................................................. 20,000 -- 40,000 --------- --------- --------- Balance, end of year.................................................. 69,641 49,641 49,641 --------- --------- --------- UNREALIZED NET CAPITAL GAINS Balance, beginning of year............................................ 3,357 (1,118) 693 Net (decrease) increase............................................... (567) 4,475 (1,811) --------- --------- --------- Balance, end of year.................................................. 2,790 3,357 (1,118) --------- --------- --------- RETAINED INCOME Balance, beginning of year............................................ 4,914 2,035 741 Net income............................................................ 2,435 2,879 1,294 --------- --------- --------- Balance, end of year.................................................. 7,349 4,914 2,035 --------- --------- --------- Total shareholder's equity........................................ $ 81,880 $ 60,012 $ 52,658 --------- --------- --------- --------- --------- ---------
See notes to financial statements. F-4 GLENBROOK LIFE AND ANNUITY COMPANY STATEMENTS OF CASH FLOWS
YEAR ENDED DECEMBER 31, --------------------------------- 1996 1995 1994 ($ IN THOUSANDS) --------- ---------- ---------- CASH FLOWS FROM OPERATING ACTIVITIES Net income............................................................ $ 2,435 $ 2,879 $ 1,294 Adjustments to reconcile net income to net cash provided by operating activities Change in deferred income taxes..................................... 4 (39) 71 Realized capital gains and losses................................... -- (459) -- Changes in other operating assets and liabilities................... (510) 1,217 (251) --------- ---------- ---------- Net cash provided by operating activities......................... 1,929 3,598 1,114 --------- ---------- ---------- CASH FLOWS FROM INVESTING ACTIVITIES Fixed income securities Proceeds from sales................................................. -- 7,836 -- Investment collections.............................................. 2,891 1,568 649 Investment purchases................................................ (5,667) (1,491) (42,729) Participation in Separate Accounts.................................... (232) (10,069) -- Change in short-term investments, net................................. 815 (1,178) 667 --------- ---------- ---------- Net cash used in investing activities............................. (2,193) (3,334) (41,413) --------- ---------- ---------- CASH FLOWS FROM FINANCING ACTIVITIES Capital contribution.................................................. -- -- 40,000 --------- ---------- ---------- Net cash provided by financing activities......................... -- -- 40,000 --------- ---------- ---------- NET (DECREASE) INCREASE IN CASH....................................... (264) 264 (299) CASH AT BEGINNING OF YEAR............................................. 264 -- 299 --------- ---------- ---------- CASH AT END OF YEAR................................................... $ -- $ 264 $ -- --------- ---------- ---------- --------- ---------- ---------- SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION Noncash financing activity: Capital contribution receivable from Allstate Life Insurance Company............................................................ $ 20,000 $ -- $ -- --------- ---------- ---------- --------- ---------- ----------
See notes to financial statements. F-5 GLENBROOK LIFE AND ANNUITY COMPANY NOTES TO FINANCIAL STATEMENTS ($ IN THOUSANDS) 1. GENERAL BASIS OF PRESENTATION The accompanying financial statements include the accounts of Glenbrook Life and Annuity Company (the "Company"), a wholly owned subsidiary of Allstate Life Insurance Company ("ALIC"), which is wholly owned by Allstate Insurance Company ("AIC"), a wholly owned subsidiary of The Allstate Corporation (the "Corporation"). On June 30, 1995, Sears, Roebuck and Co. ("Sears") distributed its 80.3% ownership in the Corporation to Sears common shareholders through a tax-free dividend (the "Distribution"). These financial statements have been prepared in conformity with generally accepted accounting principles. To conform with the 1996 presentation, certain items in the prior years' financial statements and notes have been reclassified. NATURE OF OPERATIONS The Company markets interest-sensitive life insurance and various annuity products in the United States through banks and broker-dealers. Annuities include deferred annuities, such as variable annuities and fixed rate flexible premium annuities. The Company has entered into exclusive distribution arrangements with management investment companies to market its variable annuity contracts. Annuity and life insurance contracts issued by the Company are subject to discretionary withdrawal or surrender by the contractholder, subject to applicable surrender charges. These contracts are reinsured with ALIC (see Note 3), which invests premiums and deposits to create cash flows that will fund future benefits and expenses. In order to support competitive credited rates, ALIC adheres to a basic philosophy of matching assets with related liabilities to limit interest rate risk, while maintaining adequate liquidity and a prudent and diversified level of credit risk. The Company monitors economic and regulatory developments which have the potential to impact its business. There continues to be proposed federal legislation and regulation which would allow banks greater participation in securities and insurance businesses, which could present an increased level of competition for sales of the Company's annuity contracts. Furthermore, the market for deferred annuities and interest-sensitive life insurance is enhanced by the tax incentives available under current law. Any legislative changes which lessen these incentives are likely to negatively impact the market for these products. The Company is authorized to sell life and annuity products in all states except New York, as well as the District of Columbia. The top geographic locations for statutory premiums earned are Florida, California, Pennsylvania, Michigan, Oregon, Texas and Georgia for the year ended December 31, 1996. No other jurisdiction accounted for more than 5% of statutory premiums. All premiums and contract charges are ceded to ALIC under reinsurance agreements. 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES INVESTMENTS Fixed income securities include bonds and mortgage-backed securities. All fixed income securities are carried at fair value and may be sold prior to their contractual maturity ("available for sale"). The difference between amortized cost and fair value, net of deferred income taxes, is reflected as a F-6 GLENBROOK LIFE AND ANNUITY COMPANY NOTES TO FINANCIAL STATEMENTS (CONTINUED) ($ IN THOUSANDS) 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED) component of shareholder's equity. Provisions are recognized for declines in the value of fixed income securities that are other than temporary. Such writedowns are included in realized capital gains and losses. Short-term investments are carried at cost which approximates fair value. Investment income consists primarily of interest, which is recognized on an accrual basis. Interest income on mortgage-backed securities is determined on the effective yield method, based on the estimated principal repayments. Accrual of income is suspended for fixed income securities that are in default or when the receipt of interest payments is in doubt. Realized capital gains and losses are determined on a specific identification basis. RECOGNITION OF PREMIUM REVENUE AND CONTRACT CHARGES Revenues on interest-sensitive life insurance contracts are comprised of contract charges and fees, and are recognized when assessed against the policyholder account balance. Revenues on annuities, which are considered investment contracts, include contract charges and fees for contract administration and surrenders. These revenues are recognized when levied against the contract balances. REINSURANCE The Company and ALIC entered into a reinsurance agreement effective on June 5, 1992. All business issued subsequent to that date is ceded to ALIC. Life insurance in force prior to that date is ceded to non-affiliated reinsurers. Contract charges and credited interest are ceded and shown net of such cessions in the statements of operations. Under the reinsurance agreement with ALIC, all premiums and deposits are transferred to ALIC. The amounts shown in the Company's statements of operations relate to the investment of those assets of the Company that are not transferred to ALIC under the reinsurance agreement. Reinsurance recoverable and contractholder funds are reported separately in the statements of financial position. The Company continues to have primary liability as the direct insurer for risks reinsured. INCOME TAXES The income tax provision is calculated under the liability method. Deferred tax assets and liabilities are recorded based on the difference between the financial statement and tax bases of assets and liabilities and the enacted tax regulations. Deferred income taxes also arise from unrealized capital gains or losses on fixed income securities carried at fair value. SEPARATE ACCOUNTS During 1995, the Company began issuing flexible premium deferred variable annuity contracts, the assets and liabilities of which are legally segregated and shown in the accompanying statements of financial position as assets and liabilities of the Separate Accounts (Glenbrook Life and Annuity Company Variable Annuity Account and Glenbrook Life and Annuity Company Separate Account A), unit investment trusts registered with the Securities and Exchange Commission. Assets of the Separate Accounts, including the Company's ownership interest ("Participation"), are invested in funds of management investment companies and are carried at fair value. Unrealized gains and losses on the Company's Participation, net of deferred income taxes, is shown as a component of F-7 GLENBROOK LIFE AND ANNUITY COMPANY NOTES TO FINANCIAL STATEMENTS (CONTINUED) ($ IN THOUSANDS) 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED) shareholder's equity. Investment income and realized capital gains and losses arising from the Participation are included in the Company's statements of operations. At December 31, 1996 and 1995, the Participation amounted to $12,130 and $10,530, respectively. The Company intends to liquidate its Participation during 1997. Investment income and realized capital gains and losses of the Separate Accounts, other than the portion related to the Participation, accrue directly to the contractholders and, therefore, are not included in the accompanying statements of operations. Revenues to the Company from the Separate Accounts consist of contract maintenance fees, administrative fees and mortality and expense risk charges, which are ceded to ALIC. CONTRACTHOLDER FUNDS Contractholder funds arise from the issuance of individual or group contracts that include an investment component, including most annuities and interest-sensitive life insurance. Payments received are recorded as interest-bearing liabilities. Contractholder funds are equal to deposits received and interest credited to the benefit of the contractholder less withdrawals, mortality charges and administrative expenses. Credited interest rates on contractholder funds ranged from 3.15% to 7.45% for those contracts with fixed interest rates and from 4.25% to 7.90% for those with flexible rates during 1996. USE OF ESTIMATES The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual results could differ from those estimates. 3. RELATED PARTY TRANSACTIONS REINSURANCE Contract charges ceded to ALIC under reinsurance agreements were $4,254, $1,523 and $409 in 1996, 1995, and 1994, respectively. Credited interest, policy benefits and expenses ceded to ALIC amounted to $113,703, $71,905, and $26,177 in 1996, 1995, and 1994, respectively. Investment income earned on the assets which support contractholder funds is not included in the Company's financial statements as those assets are owned and managed by ALIC under the terms of the reinsurance agreements. BUSINESS OPERATIONS The Company utilizes services and business facilities owned or leased, and operated by AIC in conducting its business activities. The Company reimburses AIC for the operating expenses incurred by AIC on behalf of the Company. The cost to the Company is determined by various allocation methods and is primarily related to the level of services provided. Operating expenses, including compensation and retirement and other benefit programs, allocated to the Company were $759, $348 and $271 in 1996, 1995 and 1994, respectively. Of these costs, the Company retains investment related expenses. All other costs are ceded to ALIC under reinsurance agreements. LAUGHLIN GROUP Laughlin Group, Inc. ("Laughlin") is an indirect wholly owned subsidiary of ALIC. Laughlin markets certain of the Company's flexible premium deferred variable annuity contracts and flexible premium deferred fixed annuity contracts. Sales commissions paid to Laughlin and ceded to ALIC were $8,623 F-8 GLENBROOK LIFE AND ANNUITY COMPANY NOTES TO FINANCIAL STATEMENTS (CONTINUED) ($ IN THOUSANDS) 3. RELATED PARTY TRANSACTIONS (CONTINUED) during 1996 and $3,439 subsequent to the Laughlin acquisition in September 1995. The Company had a receivable of $850 from Laughlin at December 31, 1996, which is included in net receivable from affiliates in the statements of financial position. 4. INVESTMENTS FAIR VALUES The amortized cost, gross unrealized gains and losses and fair value for fixed income securities are as follows:
GROSS UNREALIZED AMORTIZED ---------------------- FAIR COST GAINS (LOSSES) VALUE ----------- --------- ----------- --------- AT DECEMBER 31, 1996 - ------------------------------------------------------ U.S. government and agencies.......................... $ 24,265 $ 1,722 $ (3) $ 25,984 Corporate............................................. 6,970 96 (15) 7,051 Mortgage-backed securities............................ 15,690 664 -- 16,354 ----------- --------- --- --------- Total............................................... $ 46,925 $ 2,482 $ (18) $ 49,389 ----------- --------- --- --------- ----------- --------- --- --------- AT DECEMBER 31, 1995 - ------------------------------------------------------ U.S. government and agencies.......................... $ 24,722 $ 3,470 $ -- $ 28,192 Corporate............................................. 1,304 120 -- 1,424 Mortgage-backed securities............................ 18,086 1,113 -- 19,199 ----------- --------- --- --------- Total............................................... $ 44,112 $ 4,703 $ -- $ 48,815 ----------- --------- --- --------- ----------- --------- --- ---------
SCHEDULED MATURITIES The scheduled maturities for fixed income securities at December 31, 1996 are as follows:
AMORTIZED FAIR COST VALUE ----------- --------- Due in one year or less................................................... $ -- $ -- Due after one year through five years..................................... -- -- Due after five years through ten years.................................... 22,395 23,325 Due after ten years....................................................... 8,840 9,710 ----------- --------- 31,235 33,035 Mortgage-backed securities................................................ 15,690 16,354 ----------- --------- Total................................................................... $ 46,925 $ 49,389 ----------- --------- ----------- ---------
Actual maturities may differ from those scheduled as a result of prepayments by the issuers. F-9 GLENBROOK LIFE AND ANNUITY COMPANY NOTES TO FINANCIAL STATEMENTS (CONTINUED) ($ IN THOUSANDS) 4. INVESTMENTS (CONTINUED) NET INVESTMENT INCOME
YEAR ENDED DECEMBER 31, ------------------------------- 1996 1995 1994 --------- --------- --------- Fixed income securities............................................ $ 3,478 $ 3,850 $ 1,984 Short-term......................................................... 126 113 48 Participation in Separate Accounts................................. 232 69 -- --------- --------- --------- Investment income, before expense................................ 3,836 4,032 2,032 Investment expense............................................... 62 36 15 --------- --------- --------- Net investment income.......................................... $ 3,774 $ 3,996 $ 2,017 --------- --------- --------- --------- --------- ---------
PROCEEDS FROM SALES OF FIXED INCOME SECURITIES AND REALIZED CAPITAL GAINS There were no sales of investments in 1996 or 1994. In 1995, proceeds from sales of investments in fixed income securities were $7,836. These sales resulted in gross realized gains of $459 and related income taxes of $161. UNREALIZED NET CAPITAL GAINS AND LOSSES Unrealized net capital gains and losses on fixed income securities and the Company's participation in the Separate Accounts included in shareholder's equity at December 31, 1996 are as follows:
AMORTIZED FAIR UNREALIZED COST VALUE NET GAINS ----------- --------- ----------- Fixed income securities....................................... $ 46,925 $ 49,389 $ 2,464 Participation in Separate Accounts............................ 10,301 12,130 1,829 ----------- --------- ----------- Total....................................................... $ 57,226 $ 61,519 4,293 ----------- --------- ----------- --------- Deferred income taxes......................................... (1,503) ----------- Unrealized net capital gains.................................. $ 2,790 ----------- -----------
CHANGE IN UNREALIZED NET CAPITAL GAINS AND LOSSES
YEAR ENDED DECEMBER 31, ------------------------------- 1996 1995 1994 --------- --------- --------- Fixed income securities.......................................... $ (2,239) $ 6,423 $ (2,786) Participation in Separate Accounts............................... 1,368 461 -- Deferred income taxes............................................ 304 (2,409) 975 --------- --------- --------- Change in unrealized net capital gains and losses................ $ (567) $ 4,475 $ (1,811) --------- --------- --------- --------- --------- ---------
SECURITIES ON DEPOSIT At December 31, 1996, fixed income securities with a carrying value of $9,105 were on deposit with regulatory authorities as required by law. F-10 GLENBROOK LIFE AND ANNUITY COMPANY NOTES TO FINANCIAL STATEMENTS (CONTINUED) ($ IN THOUSANDS) 5. FINANCIAL INSTRUMENTS In the normal course of business, the Company invests in various financial assets and incurs various financial liabilities. The fair value estimates of financial instruments are not necessarily indicative of the amounts the Company might pay or receive in actual market transactions. Potential taxes and other transaction costs have not been considered in estimating fair value. The disclosures that follow do not reflect the fair value of the Company as a whole since a number of the Company's assets (including reinsurance recoverable) and liabilities (including deferred income taxes) are not considered financial instruments and are not carried at fair value. Other assets and liabilities considered financial instruments, including accrued investment income and cash, are generally of a short-term nature. It is assumed that their carrying value approximates fair value. FINANCIAL ASSETS
AT DECEMBER 31, ---------------------------------------------- 1996 1995 ------------------------ -------------------- CARRYING CARRYING FAIR VALUE FAIR VALUE VALUE VALUE ----------- ----------- --------- --------- Fixed income securities................................... $ 49,389 $ 49,389 $ 48,815 $ 48,815 Short-term investments.................................... 1,287 1,287 2,102 2,102 Separate Accounts......................................... 272,420 272,420 15,578 15,578
Fair values for fixed income securities are based on quoted market prices. Short-term investments are highly liquid investments with maturities of less than one year whose carrying value approximates fair value. Assets of the Separate Accounts are carried in the statements of financial position at fair value. FINANCIAL LIABILITIES
AT DECEMBER 31, ---------------------------------------------------------- 1996 1995 ---------------------------- ---------------------------- CARRYING FAIR CARRYING FAIR VALUE VALUE VALUE VALUE ------------- ------------- ------------- ------------- Contractholder funds on investment contracts... $ 2,059,642 $ 1,949,329 $ 1,340,925 $ 1,282,248 Separate Accounts.............................. 260,290 260,290 5,048 5,048
The fair value of contractholder funds on investment contracts is based on the terms of the underlying contracts. Reserves on investment contracts with no stated maturities (single premium and flexible premium deferred annuities) are valued at the account balance less surrender charges. The fair value of immediate annuities and annuities without life contingencies with fixed terms is estimated using discounted cash flow calculations based on interest rates currently offered for contracts with similar terms and durations. Separate Account liabilities are carried at the fair value of the underlying assets. 6. INCOME TAXES The Company will file a separate federal income tax return and is not a party to any tax sharing agreements in the current tax year. F-11 GLENBROOK LIFE AND ANNUITY COMPANY NOTES TO FINANCIAL STATEMENTS (CONTINUED) ($ IN THOUSANDS) 6. INCOME TAXES (CONTINUED) Prior to the Distribution, the Corporation and all of its domestic subsidiaries including the Company (the "Allstate Group") joined with Sears and its domestic business units (the "Sears Group") in the filing of a consolidated federal income tax return (the "Sears Tax Group") and were parties to a federal income tax allocation agreement (the "Tax Sharing Agreement"). Under the Tax Sharing Agreement, the Company, through the Corporation, paid to or received from the Sears Group the amount, if any, by which the Sears Tax Group's federal income tax liability was affected by virtue of inclusion of the Company in the consolidated federal income tax return. Effectively, this resulted in the Company's annual income tax provision being computed as if the Company filed a separate return, except that items such as net operating losses, capital losses or similar items, which might not be recognized in a separate return, were allocated according to the Tax Sharing Agreement. The Allstate Group and Sears Group have entered into an agreement which governs their respective rights and obligations with respect to federal income taxes for all periods prior to the Distribution ("Consolidated Tax Years"). The agreement provides that all Consolidated Tax Years will continue to be governed by the Tax Sharing Agreement with respect to the Company's federal income tax liability. The Company will be eligible for inclusion in the consolidated federal income tax return of the Corporation and its subsidiaries in 1997. The components of the deferred income tax liability at December 31, 1996 and 1995 are as follows:
AT DECEMBER 31, -------------------- 1996 1995 --------- --------- Unrealized net capital gains on fixed income securities...................... $ 1,503 $ 1,807 Difference in tax bases of investments....................................... 25 21 --------- --------- Total deferred liability................................................... $ 1,528 $ 1,828 --------- --------- --------- ---------
The components of income tax expense are as follows:
YEAR ENDED DECEMBER 31, ------------------------------- 1996 1995 1994 --------- --------- --------- Current.............................................................. $ 1,335 $ 1,615 $ 652 Deferred............................................................. 4 (39) 71 --------- --------- --------- Total income tax expense........................................... $ 1,339 $ 1,576 $ 723 --------- --------- --------- --------- --------- ---------
The Company paid income taxes of $2,597, $874 and $57 in 1996, 1995 and 1994, respectively. The Company had income taxes payable of $653 and $1,637 at December 31, 1996 and 1995, respectively. F-12 GLENBROOK LIFE AND ANNUITY COMPANY NOTES TO FINANCIAL STATEMENTS (CONTINUED) ($ IN THOUSANDS) 7. STATUTORY FINANCIAL INFORMATION The following tables reconcile net income and shareholder's equity as reported herein in conformity with generally accepted accounting principles with statutory net income and capital and surplus, determined in accordance with statutory accounting practices prescribed or permitted by insurance regulatory authorities:
NET INCOME ------------------------------- YEAR ENDED DECEMBER 31, ------------------------------- 1996 1995 1994 --------- --------- --------- Balance per generally accepted accounting principles............... $ 2,435 $ 2,879 $ 1,294 Deferred income taxes............................................ 4 (39) 71 Unrealized gain on participation in Separate Accounts............ 1,368 -- -- Non-admitted assets and statutory reserves....................... (50) (171) (80) --------- --------- --------- Balance per statutory accounting practices......................... $ 3,757 $ 2,669 $ 1,285 --------- --------- --------- --------- --------- ---------
SHAREHOLDER'S EQUITY -------------------- AT DECEMBER 31, -------------------- 1996 1995 --------- --------- Balance per generally accepted accounting principles....................... $ 81,880 $ 60,012 Deferred income taxes.................................................... 1,528 1,828 Unrealized gain/loss on fixed income securities.......................... (2,464) (4,703) Non-admitted assets and statutory reserves............................... (3,751) (1,419) Other.................................................................... (1,499) (1,413) --------- --------- Balance per statutory accounting practices................................. $ 75,694 $ 54,305 --------- --------- --------- ---------
PERMITTED STATUTORY ACCOUNTING PRACTICES The Company prepares its statutory financial statements in accordance with accounting principles and practices prescribed or permitted by the Illinois Department of Insurance. Prescribed statutory accounting practices include a variety of publications of the National Association of Insurance Commissioners, as well as state laws, regulations, and general administrative rules. Permitted statutory accounting practices encompass all accounting practices not so prescribed. The Company does not follow any permitted statutory accounting practices that have a material effect on statutory surplus or risk-based capital. DIVIDENDS The ability of the Company to pay dividends is dependent on business conditions, income, cash requirements of the Company and other relevant factors. The payment of shareholder dividends by insurance companies without the prior approval of the state insurance regulator is limited to formula amounts based on net income and capital and surplus, determined in accordance with statutory accounting practices, as well as the timing and amount of dividends paid in the preceding twelve months. The maximum amount of dividends that the Company can distribute during 1997 without prior approval of the Illinois Department of Insurance is $7,359. F-13 GLENBROOK LIFE AND ANNUITY COMPANY SCHEDULE IV -- REINSURANCE ($ IN THOUSANDS)
GROSS NET AMOUNT CEDED AMOUNT --------- --------- --------- YEAR ENDED DECEMBER 31, 1996 - ----------------------------------------------------------------------------- Life insurance in force...................................................... $ 2,436 $ 2,436 $ -- --------- --------- --------- --------- --------- --------- Premiums and contract charges: Life and annuities......................................................... $ 4,254 $ 4,254 $ -- --------- --------- --------- --------- --------- --------- GROSS NET AMOUNT CEDED AMOUNT --------- --------- --------- YEAR ENDED DECEMBER 31, 1995 - ----------------------------------------------------------------------------- Life insurance in force...................................................... $ 1,250 $ 1,250 $ -- --------- --------- --------- --------- --------- --------- Premiums and contract charges: Life and annuities......................................................... $ 6,571 $ 6,571 $ -- --------- --------- --------- --------- --------- --------- GROSS NET AMOUNT CEDED AMOUNT --------- --------- --------- YEAR ENDED DECEMBER 31, 1994 - ----------------------------------------------------------------------------- Life insurance in force...................................................... $ 1,250 $ 1,250 $ -- --------- --------- --------- --------- --------- --------- Premiums and contract charges: Life and annuities......................................................... $ 409 $ 409 $ -- --------- --------- --------- --------- --------- ---------
F-14 APPENDIX A MARKET VALUE ADJUSTMENT The Market Value Adjustment is based on the following: I = Treasury Rate for a maturity equal to the Account's Guarantee Period for the week preceding the establishment of the Account N = the number of whole and partial years from the date we receive the withdrawal or Death Benefit request, or from the Payout Start Date to the end of the Account's Guarantee Period; and J = the Treasury Rate for a maturity of length N for the week preceding the date we determine the Market Value Adjustment. If a note with a maturity of length N is not available, a weighted average will be used. If N is one year or less, J will be the 1-year Treasury Rate.
The Market Value Adjustment factor is determined from the following formula: .9 X (I-J) X N Any amount withdrawn from the Account Value which is subject to a Market Value Adjustment will be multiplied by the Market Value Adjustment factor to determine the Market Value Adjustment. ILLUSTRATION EXAMPLE OF MARKET VALUE ADJUSTMENT Purchase Payment: $10,000 Guarantee Period: 5 Years Guaranteed Interest Rate: 4.50% 5-Year Treasury Rate at the time the Sub-Account is established: 4.50% Full Withdrawal: End of Contract Year 3
NOTE: THIS ILLUSTRATION ASSUMES THAT PREMIUM TAXES WERE NOT APPLICABLE. EXAMPLE 1: (Assumes declining interest rates) Step 1: Calculate Account Value at end of Contract Year 3: = 10,000.00 X (1.045)3 = $11,411.66 Step 2: Calculate the Free Withdrawal Amount: Free Withdrawal Amount: = .10 X 10,000.00 = $1,000.00 Step 3: Calculate the Withdrawal Charge: = .06 X (11,411.66) - (1,000) = $624.70 Step 4: Calculate the Market Value Adjustment: I = 4.50% J = 4.20% N = 5 years - 3 years = 2 years A-1 Market Value Adjustment factor: .9 X (I-J) X N .9 X (.045 - .042) X 2 = .0054 Market Value Adjustment = factor X amount subject to Market Value Adjustment: = .0054 X (11,411.66 - 1,000) = $56.22 Step 5: Calculate the actual amount received by customers as a result of a full withdrawal at the end of Contract Year 3: = 11,411.66 - 624.70 + 56.22 = $10,843.18 EXAMPLE 2: (Assumes rising interest rates) Step 1: Calculate Account Value at end of Contract Year 3: = 10,000.00 X (1.045)3 = $11,411.66 Step 2: Calculate the Free Withdrawal Amount: Free Withdrawal Amount: = .10 X 10,000.00 = $1,000.00 Step 3: Calculate the Withdrawal Charge: = .06 X (11,411.66 - 1,000) = $624.70 Step 4: Calculate the Market Value Adjustment: I = 4.50% J = 4.80% N = 5 years - 3 years = 2 years Market Value Adjustment factor: .9 X (I-J) X N = .9 X (.045 - .048) X 2 = -.0054 Market Value Adjustment = factor X amount subject to Market Value Adjustment: = -.0054 (11,411.66 - 1,000) = - $56.22 Step 5: Calculate the net surrender value at end of Contract Year 3: = 11,411.66 - 624.70 - 56.22 = $10,730.74
A-2 PART II INFORMATION NOT REQUIRED IN PROSPECTUS ITEM 13. OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION. Pursuant to Item 511 of Regulation S-K, the Registrant hereby represents that the following expenses totaling approximately $23,525 will be incurred or are anticipated to be incurred in connection with the issuance and distribution of the securities to be registered: registration fees - 0; cost of printing and engraving - $18,475; legal fees - $5,000; and accounting fees - $500. All amounts are estimated. ITEM 14. INDEMNIFICATION OF DIRECTORS AND OFFICERS. The By-Laws of Glenbrook Life and Annuity Company ("Registrant") which are incorporated herein by reference as Exhibit (3), provide that Registrant will indemnify its officers and directors for certain damages and expenses that may be incurred in the performance of their duty to Registrant. No indemnification is provided, however, when such person is adjudged to be liable for negligence or misconduct in the performance of his or her duty, unless indemnification is deemed appropriate by the court upon application. ITEM 15. RECENT SALES OF UNREGISTERED SECURITIES. Not applicable. ITEM 16. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES.
EXHIBIT NO. DESCRIPTION (1) Form of Underwriting Agreement* (2) Not Applicable (3) (i) Articles of Incorporation** (ii) By-Laws** (4) Form of Glenbrook Life and Annuity Flexible Payment Deferred Annuity Contract and Application (5) Opinion of General Counsel re: Legality (6) Not Applicable (7) Not Applicable (8) Not Applicable (9) Not Applicable (10) Reinsurance Agreement between Glenbrook Life and Annuity Company and Allstate Life Insurance Company** (11) Not Applicable (12) Not Applicable (14) Not Applicable (15) Not Applicable (16) Not Applicable (21) Not Applicable (23)(a) Consent of Independent Public Accountants (23)(b) Consent of Counsel (24) Powers of Attorney (25) Not Applicable (26) Not Applicable (27) Financial Data Schedule*** (28) Not Applicable (99) Resolution of Board of Directors*
* Previously filed in Form S-1 Registration Statement No. 33-92842 dated April 10, 1996. ** Previously filed in Form S-1 Registration Statement No. 333-07275 dated June 28, 1996 and incorporated by reference. *** Previously filed in Registrants Form 10-K filed March 31, 1997. II-1 ITEM 17. UNDERTAKINGS. The undersigned registrant, Glenbrook Life and Annuity Company, hereby undertakes: (1) To file, during any period in which offers or sales are being made, a post-effective amendment to this registration statement: (i) To include any prospectus required by section 10(a)(3) of the Securities Act of 1933; (ii) To reflect in the prospectus any facts or events arising after the effective date of the registration statement (or the most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in the information set forth in the registration statement; (iii) To include any material information with respect to the plan of distribution not previously disclosed in the registration statement or any material change to such information in the registration statement; (2) That, for the purpose of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof; (3) To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering. Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the registrant, Glenbrook Life and Annuity Company, pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by registrant of expenses incurred or paid by a director, officer or controlling person of registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue. II-2 SIGNATURES Pursuant to the requirements of the Securities Act of 1933 the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized, and its seal to be hereunto affixed and attested, in the Township of Northfield State of Illinois, on the 26th day of March, 1997. GLENBROOK LIFE AND ANNUITY COMPANY (Registrant) (SEAL) Attest: /s/BRENDA D. SNEED By: /s/MICHAEL J. VELOTTA ----------------------- ----------------------------- Brenda D. Sneed Michael J. Velotta Assistant Secretary Vice President, Secretary and and Assistant General General Counsel Counsel Pursuant to the requirements of the Securities Act of 1933, this registration statement has been duly signed below by the following Directors and Officers of Glenbrook Life and Annuity Company on the 26th day of March, 1997. */LOUIS G. LOWER, II Chairman of the Board of Directors and - ----------------------- Chief Executive Officer Louis G. Lower, II (Principal Executive Officer) /s/MICHAEL J. VELOTTA - ----------------------- Vice President, Secretary, General Michael J. Velotta Counsel and Director */PETER H. HECKMAN - ----------------------- President, Chief Operating Officer Peter H. Heckman and Director */JOHN R. HUNTER Director - ----------------------- John R. Hunter */G. CRAIG WHITEHEAD - ----------------------- Senior Vice President and Director G. Craig Whitehead */MARLA G. FRIEDMAN - ----------------------- Vice President Marla G. Friedman */KEVIN R. SLAWIN Vice President - ----------------------- (Principal Financial Officer) Kevin R. Slawin */CASEY J. SYLLA - ----------------------- Chief Investment Officer and Director Casey J. Sylla */KEITH A. HAUSCHILDT Assistant Vice President and Controller - ----------------------- (Principal Accounting Officer) Keith A. Hauschildt */JAMES P. ZILS - ----------------------- Treasurer James P. Zils */By Michael J. Velotta, pursuant to power of attorney filed herewith. II-3 INDEX TO EXHIBITS The following exhibits are filed herewith: (1) Form of Underwriting Agreement* (2) Not Applicable (3) (i) Articles of Incorporation** (ii) By-Laws** (4) Form of Glenbrook Life and Annuity Company Flexible Premium Deferred Annuity Contract and Application (5) Opinion of General Counsel re: Legality (6) Not Applicable (7) Not Applicable (8) Not Applicable (9) Not Applicable (10) Reinsurance Agreement between Glenbrook Life and Annuity Company and Allstate Life Insurance Company** (11) Not Applicable (12) Not Applicable (14) Not Applicable (15) Not Applicable (16) Not Applicable (21) Not Applicable (23)(a) Consent of Independent Public Accountants (23)(b) Consent of Counsel (24) Powers of Attorney (25) Not Applicable (26) Not Applicable (27) Financial Data Schedule*** (28) Not Applicable (99) Resolution of Board of Directors*
* Previously filed in Form S-1 Registration Statement No. 33-92842 dated April 10, 1996. ** Previously filed in Form S-1 Registration Statement No. 333-07275 dated June 28, 1996 and incorporated by reference. *** Previously filed in Registrants Form 10-K filed March 31, 1997. EX-4 2 EXHIBIT 4 FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT GLENBROOK LIFE AND ANNUITY COMPANY, A Stock Company, Home Office: Allstate Plaza, Northbrook, Illinois 60062 This Contract is issued in consideration of the initial purchase payment and any application. Glenbrook Life and Annuity Company will pay the benefits of this Contract, subject to its terms and conditions. Throughout this Contract, "you" and "your" refer to the Contract owner(s). "We", "us" and "our" refer to Glenbrook Life and Annuity Company. This flexible payment deferred annuity provides a cash withdrawal benefit and a death benefit prior to the Payout Start Date and periodic income payments beginning on the Payout Start Date. THE CASH WITHDRAWAL BENEFIT, THE DEATH BENEFIT AND THE AMOUNT APPLIED TO AN INCOME PLAN MAY BE SUBJECT TO A MARKET VALUE ADJUSTMENT WHICH MAY RESULT IN AN UPWARD OR DOWNWARD ADJUSTMENT OF THE AMOUNT DISTRIBUTED. This Contract does not pay dividends. The tax status as it applies to the owner should be reviewed each year. PLEASE READ YOUR CONTRACT CAREFULLY THIS IS A LEGAL CONTRACT BETWEEN THE CONTRACT OWNER(S) AND GLENBROOK LIFE AND ANNUITY COMPANY. IMPORTANT YOU HAVE PURCHASED A MODIFIED GUARANTEED ANNUITY CONTRACT. CAREFULLY REVIEW IT FOR LIMITATIONS. THIS CONTRACT MAY BE RETURNED WITHIN 30 DAYS FROM THE DATE YOU RECEIVED IT FOR A REFUND OF THE GREATER OF PURCHASE PAYMENTS OR THE CONTRACT VALUE ADJUSTED BY ANY MARKET VALUE ADJUSTMENT ON THE DAY THE CONTRACT IS RECEIVED BY THE INSURANCE COMPANY OR AGENT WHO SOLD YOU THIS CONTRACT. A RETURN OF THE CONTRACT AFTER 30 DAYS MAY RESULT IN A SUBSTANTIAL PENALTY, KNOWN AS A WITHDRAWAL CHARGE (SEE PAGE 6). /s/ Michael J. Velotta /s/ Louis G. Lower, II Secretary Chief Executive Officer Flexible Payment Deferred Annuity PAGE 1 - -------------------------------------------------------------------------------- ANNUITY DATA - -------------------------------------------------------------------------------- CONTRACT NUMBER: . . . . . . . . . . . . . . . . . . . . . . . 444444444 ISSUE DATE:. . . . . . . . . . . . . . . . . . . . . . . . . . JULY 1, 1993 INITIAL PURCHASE PAYMENT:. . . . . . . . . . . . . . . . . . . $10,000.00 RATE ALLOCATED GUARANTEE GUARANTEED GUARANTEED AMOUNT ($) PERIOD INTEREST RATE THROUGH - ---------- --------- ------------- ---------- 2,000.00 1 YEARS 4.50% 06/30/1994 2,000.00 3 YEARS 4.55% 06/30/1996 1,000.00 5 YEARS 5.25% 06/30/1998 1,000.00 6 YEARS 5.35% 06/30/1999 1,000.00 7 YEARS 5.50% 06/30/2000 1,000.00 8 YEARS 5.60% 06/30/2001 1,000.00 9 YEARS 5.70% 06/30/2002 1,000.00 10 YEARS 5.80% 06/30/2003 MINIMUM GUARANTEED RATE: . . . . . . . . . . . . . . . . . . . 3.00% OWNER: . . . . . . . . . . . . . . . . . . . . . . . . . . . . JOHN DOE ANNUITANT: . . . . . . . . . . . . . . . . . . . . . . . . . . JOHN DOE AGE AT ISSUE: . . . . . . . . . . . . . . . . . . . . . . 35 SEX:. . . . . . . . . . . . . . . . . . . . . . . . . . . MALE RELATIONSHIP BENEFICIARY TO OWNER PERCENTAGE - ----------- ------------ ---------- JANE DOE WIFE 100% PAYOUT START DATE: . . . . . . . . . . . . . . . . . . . . . . JULY 1, 2048 - -------------------------------------------------------------------------------- GENERAL DEFINITIONS - -------------------------------------------------------------------------------- ACCOUNT. An Account consists of funds that are allocated to a Guarantee Period. You will create an Account(s): - - when you make a purchase payment; or - - when you select a new Guarantee Period after the prior Guarantee Period expires. The Account continues until the end of the Guarantee Period. ACCOUNT VALUE. The funds allocated to an Account plus the interest credited to it minus any withdrawals. CONTRACT VALUE. The sum of the Account Values. GUARANTEE PERIOD. A period of years for which a specified interest rate is guaranteed. MARKET VALUE ADJUSTMENT. An increase or decrease in a withdrawal payment to you, in a death benefit payment, or in the amount applied to an income plan, reflecting changes in the level of interest rates since the Account was established. The method of calculation is explained on Page 7. PAYOUT START DATE. The date the Contract Value adjusted by any Market Value Adjustment is applied to an income plan. The projected date is shown on the Annuity Data Page. You may change the Payout Start Date by writing to us at least 30 days prior to this date. The Payout Start Date must be on or before the later of: - - the annuitant's 90th birthday; or - - the 10th anniversary of the Contract's issue date. PAGE 3 - -------------------------------------------------------------------------------- THE PERSONS INVOLVED - -------------------------------------------------------------------------------- OWNER. The person named at the time of application is the owner of this Contract unless subsequently changed. As owner, you will receive any periodic income payments, unless you have directed us to pay them to someone else. You may exercise all rights stated in this Contract, subject to the rights of any irrevocable beneficiary. You may change the owner or beneficiary at any time. Once we have received a satisfactory written request for an owner or beneficiary change, the change will take effect as of the date you signed it. We are not liable for any payment we make or other action we take before receiving any written request for a change from you. You may not assign an interest in this Contract as collateral or security for a loan. However, prior to the Payout Start Date, you may assign periodic income payments under this Contract. We are bound by an assignment only if it is signed by the assignor and filed with us. We are not responsible for the validity of an assignment. If the sole surviving owner dies prior to the Payout Start Date, the beneficiary becomes the new owner. If the sole surviving owner dies after the Payout Start Date, the beneficiary becomes the new owner and will receive any subsequent guaranteed income payments. If more than one person is designated as owner: - - owner as used in this Contract refers to all people named as owners, unless otherwise indicated; - - any request to exercise ownership rights must be signed by all owners; and - - on the first death of a person who is an owner, the surviving person(s) named as owner will continue as owner. ANNUITANT. The annuitant must be a natural person. If the annuitant dies prior to the Payout Start Date, the new annuitant will be: - - the youngest owner; otherwise, - - the youngest beneficiary. BENEFICIARY. The beneficiary is the person(s) named on the Annuity Data Page, but may be changed by the owner, as described above. We will determine the beneficiary from the most recent written request we have received from you. If you do not name a primary beneficiary or if all of the primary beneficiaries named are no longer living, the beneficiary will be: - - a contingent beneficiary named by you; otherwise - - your spouse if living; otherwise - - your children equally if living; otherwise - - your estate. The beneficiary may become the owner under the circumstances described above. The beneficiary may not assign benefits under the Contract until the beneficiary becomes the owner. PAGE 4 - -------------------------------------------------------------------------------- PURCHASE PAYMENTS AND CONTRACT VALUE - -------------------------------------------------------------------------------- MAKING PURCHASE PAYMENTS. You may make purchase payments at any time until the earlier of the Payout Start Date and the end of the contract year in which the oldest owner attains age 91. The minimum purchase payment that can be allocated to any one Account is $100. We may limit the maximum amount of total purchase payments we will accept. You must select the Guarantee Period for each purchase payment made. If you do not select a Guarantee Period for a purchase payment, we will assign the same period as used for the most recent purchase payment. Guarantee Periods may be 1, 3, 5, 6, 7, 8, 9, or 10 years. We may change the Guarantee Periods available for additional purchase payments. We may deduct premium taxes from purchase payments or from later payments we make to you. SELECTING A NEW GUARANTEE PERIOD. We will mail you a notice prior to the expiration of each Guarantee Period outlining the options available at the end of a Guarantee Period. During the 30 day period after a Guarantee Period expires you may: - - take no action and we will automatically apply the Account Value to a new Guarantee Period of the same duration to be established on the day the previous Guarantee Period expired; or - - notify us to apply the Account Value to a new Guarantee Period(s) to be established on the day the previous Guarantee Period expired; or - - receive a portion of the Account Value or the entire Account Value through a partial or full withdrawal that is not subject to a Market Value Adjustment. In this case, the amount withdrawn will be deemed to have been withdrawn on the day the Guarantee Period expired. The minimum amount that can be allocated to a new Guarantee Period is $100. CREDITING INTEREST. We credit interest daily to each Account at a rate which compounds over one year to the interest rate we guaranteed when the Account was established. We credit interest to the initial purchase payment from the issue date. We credit interest to subsequent purchase payments from the date we receive them. The interest rates will be no less than the minimum guaranteed rate shown on the Annuity Data Page. DETERMINING THE CONTRACT VALUE. Your Contract Value is the sum of the Account Values. If you withdraw the entire Contract Value, you may receive an amount greater or less than the Contract Value because a Market Value Adjustment, a Withdrawal Charge, income tax withholding, and a premium tax charge may apply. PAGE 5 - -------------------------------------------------------------------------------- WITHDRAWALS - -------------------------------------------------------------------------------- WITHDRAWAL LIMITS. You may withdraw part or all of your Contract Value at any time prior to the Payout Start Date. You must specify the Account(s) from which you wish to make a withdrawal. A withdrawal must be at least $50. If any withdrawal reduces an Account Value to less than $100, we will treat the request as a withdrawal of the entire Account Value. If any withdrawal reduces the Contract Value to less than $2,000, we will treat the request as a withdrawal of the entire Contract Value. However, we will require confirmation of your withdrawal request before we make such a withdrawal. If you withdraw the entire Contract Value, the Contract will terminate. WITHDRAWALS WHEN A GUARANTEE PERIOD EXPIRES. You may withdraw part or all of the Account Value without a Market Value Adjustment during the 30 day period after a Guarantee Period expires. However, any applicable Withdrawal Charge will apply to the amount withdrawn in excess of the free withdrawal amount. The amount withdrawn will be deemed to have been withdrawn on the day the Guarantee Period expired. FREE WITHDRAWAL AMOUNT. The Free Withdrawal Amount for each Account is equal to 10% of the amount initially allocated to the Account. Each year you may withdraw the Free Withdrawal Amount from each Account without any Withdrawal Charge or Market Value Adjustment. Each year begins on the anniversary of the date the Account was established. Any Free Withdrawal Amount which is not actually withdrawn in a year may not be carried over to increase the Free Withdrawal Amount in a subsequent year. Similarly, a Free Withdrawal Amount not withdrawn from one Account may not be transferred to increase a Free Withdrawal Amount in another Account. OTHER WITHDRAWALS. A Market Value Adjustment and any applicable Withdrawal Charge will be applied to the amount withdrawn from the Account Value in excess of the Free Withdrawal Amount. IMPACT OF WITHDRAWAL ON THE ACCOUNT VALUE. The Account Value will be reduced by the amount we pay you, income tax we withhold for you, the Withdrawal Charge, and any applicable premium tax charge. The Account Value will also be increased by a positive Market Value Adjustment or reduced by a negative Market Value Adjustment. WITHDRAWAL CHARGE. The amount withdrawn from the Account Value in excess of the Free Withdrawal Amount is subject to a Withdrawal Charge as follows: Payment Year: 1 2 3 4 5 6 and Later Percentage: 7% 7% 6% 5% 4% 0% For each purchase payment or interest withdrawal, the Payment Year in the table is measured from the date we received the purchase payment. The Withdrawal Charge is determined by multiplying the percentage corresponding to the Payment Year times the amount withdrawn in excess of the Free Withdrawal Amount. PAGE 6 MARKET VALUE ADJUSTMENT. A Market Value Adjustment is an increase or decrease in a withdrawal payment to you, in a death benefit payment, or in the amount applied to an income plan, reflecting changes in the level of interest rates since the Account was established. As used in this provision, "Treasury Rate" means the U. S. Treasury Note Constant Maturity weekly yield as reported in Federal Reserve Bulletin Release H.15. The Market Value Adjustment is based on the following: I = the Treasury Rate for a maturity equal to the Account's Guarantee Period for the week preceding the establishment of the Account; N = the number of whole and partial years from the date we receive the withdrawal or death benefit request, or from the Payout Start Date, to the end of the Account's Guarantee Period; J = the Treasury Rate for a maturity of length N for the week preceding the receipt of the withdrawal request, death benefit request, or Income Payment request. If a Note with a maturity of length N is not available, a weighted average will be used. If N is one year or less, J will be the 1-year Treasury Rate. An adjustment factor is determined from the following formula: .9 x (I-J) x N Any amount withdrawn from the Account Value which is subject to a Market Value Adjustment is multiplied by the adjustment factor to determine the amount of the Market Value Adjustment. RETURN OF PURCHASE PAYMENT GUARANTEE. If you withdraw the entire Contract Value to terminate the Contract, the amount we pay you (including any premium tax and income tax we withhold for you) will never be less than all purchase payments minus any prior amounts we paid you (including income tax we withheld for you). PAGE 7 - -------------------------------------------------------------------------------- DEATH BENEFIT - -------------------------------------------------------------------------------- A death benefit may be paid to the owner determined immediately after the death if, prior to the Payout Start Date: - - any owner dies; or - - the annuitant dies and the owner is not a natural person. DEATH BENEFIT AMOUNT. The death benefit is the Contract Value plus any positive Market Value Adjustment applied to the portion of the Contract Value in excess of the Free Withdrawal Amount. (Refer to Pages 6 and 7 for an explanation of Market Value Adjustment and Free Withdrawal Amount.) Any applicable taxes may be deducted. We will calculate the value of the death benefit as of the date we receive due proof of death, consisting of one of the following: - - a certified copy of a death certificate; or - - a certified copy of a decree of a court of competent jurisdiction as to a finding of death; or - - any other proof acceptable to us. DISTRIBUTION OF DEATH BENEFIT. If the owner eligible to receive the death benefit is not a natural person, then the owner must receive the death benefit in a lump sum within five years. Otherwise, within 60 days of the date when the death benefit is calculated, the owner may elect to receive the death benefit under an income plan or in a lump sum. Payments from the income plan must begin within one year of the date of death and must be payable throughout: - - the life of the owner; or - - a period not to exceed the life expectancy of the owner; or - - the life of the owner with payments guaranteed for a period not to exceed the life expectancy of the owner. Any death benefit payable in a lump sum must be paid within five years of the date of death. If no election is made, funds will be distributed at the end of the five year period. If the surviving spouse of the deceased owner is the new owner, then the spouse may elect one of the options listed above or may continue the Contract as if the death had not occurred. If the Contract is continued as if the death had not occurred, the surviving spouse may make a single withdrawal of any amount within one year of the date of death without incurring a Withdrawal Charge. However, a Market Value Adjustment, determined as of the date of the withdrawal, will apply. The single withdrawal amount is in addition to the annual Free Withdrawal Amount. If the Contract is continued and there is no annuitant, the new annuitant will be the surviving spouse. PAGE 8 - -------------------------------------------------------------------------------- INCOME PAYMENT OPTIONS - -------------------------------------------------------------------------------- INCOME PLANS. The Contract Value adjusted by any Market Value Adjustment on the Payout Start Date, less any applicable taxes, will be applied to your income plan choice from the following list. Minimum guaranteed payments for each income plan are shown in the income payment tables on Page 10. 1. LIFE INCOME WITH GUARANTEED PAYMENTS. We will make payments for as long as theannuitant lives. If the annuitant dies before the selected number of guaranteed payments have been made, we will continue to pay the remainder of the guaranteed payments. 2. JOINT AND SURVIVOR LIFE INCOME WITH GUARANTEED PAYMENTS. We will make payments for as long as either the annuitant or joint annuitant, named at the time of income plan selection, lives. If both the annuitant and the joint annuitant die before the selected number of guaranteed payments have been made, we will continue to pay the remainder of the guaranteed payments. 3. GUARANTEED PAYMENTS FOR A SPECIFIED PERIOD. We will make payments for a specified period beginning on the Payout Start Date. These payments do not depend on the annuitant's life. The number of months guaranteed may be from 60 to 360. We reserve the right to make available other income plans. PAYOUT TERMS AND CONDITIONS. The income payments are subject to the following terms and conditions: - - If the Contract Value adjusted by any Market Value Adjustment and applicable premium taxes is not enough to provide an initial payment of at least $20, we reserve the right to: - change the payment frequency to make the payment at least $20; or - terminate the Contract and pay you the Contract Value adjusted by any Market Value Adjustment and applicable premium taxes in a lump sum. - - If we do not receive a written choice of an income plan from you at least 30 days before the Payout Start Date, the income plan will be life income with guaranteed payments for 120 months. - - If you choose an income plan which depends on any person's life, we may require: - proof of age and sex before income payments begin; and - proof that the annuitant or joint annuitant is still alive before we make each payment. - - After the Payout Start Date, the income plan cannot be changed and withdrawals cannot be made. - - If any owner dies after the Payout Start Date, the remaining income payments will be paid to the successor owner as scheduled. PAGE 9 INCOME PAYMENT TABLES. Income payments will be at least the amount based on the adjusted age of the annuitant(s) and the tables below, less any federal income taxes which are withheld. The adjusted age is the actual age on the Payout Start Date reduced by one year for each six full years between January 1, 1983 and the Payout Start Date. Income payments for ages and guaranteed payment periods not shown below will be determined on a basis consistent with that used to determine those that are shown. The income payment tables are based on 3% interest and the 1983a Annuity Mortality Tables. INCOME PLAN 1 - LIFE INCOME WITH GUARANTEED PAYMENTS FOR 120 MONTHS
- ---------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------- Monthly Income Payment for each $1,000 Applied to this Income Plan - ---------------------------------------------------------------------------------------------------------------------------- Annuitant's Annuitant's Annuitant's Age Male Female Age Male Female Age Male Female - ---------------------------------------------------------------------------------------------------------------------------- 35 $3.43 $3.25 49 $4.15 $3.82 63 $5.52 $4.97 36 3.47 3.28 50 4.22 3.88 64 5.66 5.09 37 3.51 3.31 51 4.29 3.94 65 5.80 5.22 38 3.55 3.34 52 4.37 4.01 66 5.95 5.35 39 3.60 3.38 53 4.45 4.07 67 6.11 5.49 40 3.64 3.41 54 4.53 4.14 68 6.27 5.64 41 3.69 3.45 55 4.62 4.22 69 6.44 5.80 42 3.74 3.49 56 4.71 4.29 70 6.61 5.96 43 3.79 3.53 57 4.81 4.38 71 6.78 6.13 44 3.84 3.58 58 4.92 4.46 72 6.96 6.31 45 3.90 3.62 59 5.02 4.55 73 7.13 6.50 46 3.96 3.67 60 5.14 4.65 74 7.31 6.69 47 4.02 3.72 61 5.26 4.75 75 7.49 6.88 48 4.08 3.77 62 5.39 4.86 - ---------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------
INCOME PLAN 2 - JOINT AND SURVIVOR LIFE INCOME WITH GUARANTEED PAYMENTS FOR 120 MONTHS
- ---------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------- Monthly Income Payment for each $1,000 Applied to this Income Plan - ---------------------------------------------------------------------------------------------------------------------------- Female Annuitant's Age ----------------------------------------------------------------------------------------------------------- Male Annuitant's 35 40 45 50 55 60 65 70 75 Age - ---------------------------------------------------------------------------------------------------------------------------- 35 $3.09 $3.16 $3.23 $3.28 $3.32 $3.36 $3.39 $3.40 $3.42 40 3.13 3.22 3.31 3.39 3.46 3.51 3.56 3.59 3.61 45 3.17 3.28 3.39 3.50 3.60 3.69 3.76 3.81 3.85 50 3.19 3.32 3.45 3.60 3.74 3.87 3.98 4.07 4.14 55 3.21 3.35 3.51 3.68 3.87 4.06 4.23 4.37 4.48 60 3.23 3.37 3.55 3.75 3.98 4.23 4.47 4.70 4.88 65 3.24 3.39 3.57 3.80 4.07 4.37 4.71 5.04 5.34 70 3.24 3.40 3.59 3.83 4.13 4.48 4.90 5.36 5.81 75 3.25 3.41 3.61 3.86 4.17 4.56 5.04 5.61 6.22 - ---------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------
INCOME PLAN 3 - GUARANTEED PAYMENTS FOR A SPECIFIED PERIOD - ------------------------------------------------------------- - ------------------------------------------------------------- Monthly Income Payment for each Specified Period $1,000 Applied to this Income Plan - ------------------------------------------------------------- 10 Years $9.61 11 Years 8.86 12 Years 8.24 13 Years 7.71 14 Years 7.26 15 Years 6.87 16 Years 6.53 17 Years 6.23 18 Years 5.96 19 Years 5.73 20 Years 5.51 - ------------------------------------------------------------- - ------------------------------------------------------------- PAGE 10 - -------------------------------------------------------------------------------- GENERAL PROVISIONS - -------------------------------------------------------------------------------- THE ENTIRE CONTRACT. The entire Contract consists of this Contract, any attached application, and any attached endorsements. All statements made in written applications are representations and not warranties. We will not use any statement in defense of a claim or to void the Contract unless it is included in a written application. Only our officers may change the Contract or waive a right or requirement. No other individual may do this. We may not modify this Contract without your consent, except to make it comply with any changes in the Internal Revenue Code or as required by any other applicable law. INCONTESTABILITY. We will not contest the validity of this Contract after the issue date. MISSTATEMENT OF AGE OR SEX. If any age or sex has been misstated, we will pay the amounts which would have been paid at the correct age and sex. If we find the misstatement of age or sex after the income payments begin, we will: - - pay all amounts underpaid including interest; or - - stop payments until the total payments are equal to the corrected amount. For purposes of the Misstatement of Age or Sex provision, interest will be calculated at an effective annual rate of 6%. ANNUAL STATEMENT. At least once a year, prior to the Payout Start Date, we will send you a statement containing Contract Value information. We will provide you with Contract Value information at any time upon request. The information provided will comply with any applicable law. SETTLEMENTS. We may require that this Contract be returned to us prior to any settlement. Any full withdrawal or death benefit under this Contract will not be less than the minimum benefits required by any statute of the state in which the Contract is delivered. DEFERMENT OF PAYMENTS. We reserve the right to defer payment of any withdrawal for up to six months after the date you request it. PAGE 11 GLENBROOK LIFE AND ANNUITY COMPANY (HEREIN CALLED "WE" OR "US") AMENDATORY ENDORSEMENT FOR WAIVER OF CHARGES The following provisions are added to your Contract: We will waive any withdrawal charge prior to the Payout Start Date if beginning at least 30 days after the Contract date: 1. any owner becomes confined to a Long Term Care Facility or a Hospital for at least 90 consecutive days; 2. the request for a withdrawal and adequate proof of confinement are received by us no later than 90 days after discharge from a Long Term Care Facility or Hospital; and 3. confinement in a Long Term Care Facility is prescribed by a Physician and is Medically Necessary. "Long Term Care Facility" is a facility which: 1. is located in the United States or its territories; 2. is licensed by the jurisdiction in which it is located; 3. provides custodial care under the supervision of a registered nurse (R.N.); and 4. can accommodate three or more persons. Long Term Care Facility does not include any place owned or operated by your spouse, children, parents, grandparents, grandchildren, siblings, or in-laws. "Hospital" is a facility which: 1. is licensed as a hospital by the jurisdiction in which it is located; 2. is supervised by a staff of licensed physicians; 3. provides nursing services 24 hours a day by, or under the supervision, of a registered nurse (R.N.); 4. operates primarily for the care and treatment of sick or injured persons as inpatients for a charge; and 5. has access to medical, diagnostic and major surgical facilities. "Physician" is a licensed medical doctor (M.D.) or a licensed doctor of osteopathy (D.O.) practicing within the scope of his or her license. Physician does not include the individual, a spouse, children, parents, grandparents, grandchildren, siblings, or in-laws. "Medically Necessary" means appropriate and consistent with the diagnosis in accord with accepted standards of practice, and which could not have been omitted without adversely affecting the individual's condition. /s/ Michael J. Velotta /s/ Louis G. Lower, II Secretary Chief Executive Officer GLENBROOK LIFE AND ANNUITY COMPANY (HEREIN CALLED "WE" OR "US") AMENDATORY ENDORSEMENT FOR IRA PLANS This contract is changed as follows: 1. The owner of this contract must be the Annuitant. 2. Except in the case of a rollover contribution (as permitted by Section 402(c), 403(a)(4), 403(a)(5), 403(b)(8) or 408(d)(3) of the Internal Revenue Code (the "Code") or a contribution made in accordance with the terms of a Simplified Employee Pension (SEP) as described in Section 408(k) of the Code, no contributions will be accepted unless they are in cash, and the total of such contributions shall not exceed $2,000 for any taxable year. 3. You and your beneficiaries may not: a. transfer; b. sell; c. assign; d. discount; or e. pledge this contract for any purpose. 4. Your rights in this contract are nonforfeitable. This contract is for the exclusive benefit of you and your beneficiaries. 5. Notwithstanding any provision of the contract to the contrary, the distribution of your interest in the contract shall be made in accordance with the minimum distribution requirements of Section 408(b)(3) of the Code and the regulations thereunder, including the incidental death benefit provisions of Section 1.401(a)(9)-2 of the proposed regulations, all of which are incorporated by reference. Your entire interest in the contract must be distributed, or begin to be distributed, by your required beginning date, which is the April 1st following the calendar year you reach age 70 1/2. For each succeeding year, a distribution must be made on or before December 31st. By the required beginning date you may elect to have your interest distributed in one of the following forms: a. a single sum payment; b. equal or substantially equal payments over your life; c. equal or substantially equal payments over your life and the life of your designated beneficiary; d. equal or substantially equal payments over a specified period that may not be longer than your life expectancy; or e. equal or substantially equal payments over a specified period that may not be longer than the joint life and last survivor expectancy of you and your designated beneficiary. 6. If you die before your entire interest is distributed, the entire remaining interest will be distributed as follows: a. If you die on or after distributions have begun under Paragraph 5, the entire remaining interest must be distributed at least as rapidly as provided by Paragraph 5; b. If you die before distributions have begun under Paragraph 5, the entire remaining interest must be distributed as elected by you, or if you have not made an election, as elected by the beneficiary or beneficiaries as follows: 1) by December 31st of the year containing the fifth anniversary of your death; or 2) in equal or substantially equal payments over the life of life expectancy of the designated beneficiary or beneficiaries starting by December 31st of the year following the year of your death. If, however, the beneficiary is your surviving spouse, then this distribution is not required to begin before December 31st of the year in which you would have turned 70 1/2. c. If the designated beneficiary is your surviving spouse, the spouse may treat the contract as his or her own IRA. This election will be deemed to have been made if such surviving spouse makes a regular IRA contribution to the contract, makes a rollover to or from such contract, or fails to elect any of the above provisions. 7. Unless you elect otherwise prior to the commencement of distributions under Paragraph 5 or, if applicable, by the surviving spouse if you die before distributions have begun, the life expectancy of you or your spouse beneficiary shall be recalculated annually for purposes of distributions under Paragraph 5 and 6. An election not to recalculate shall be irrevocable and shall apply to all subsequent years. The life expectancy of a non-spouse beneficiary shall not be recalculated. 8. You may satisfy the minimum distribution requirements under Section 408(a)(6) and 408(b)(3) of the Code by receiving a distribution from one IRA that is equal to the amount required to satisfy the minimum distribution requirements for two or more IRA's. For this purpose, if you own more than one IRA, you may use the 'alternative method' described in Notice 88-38, 1988-1 C.B. 524, to satisfy the minimum distribution requirements described above. 9. We will issue annual reports containing account value information. /s/ Michael J. Velotta /s/ Louis G. Lower, II Secretary Chief Executive Officer GLENBROOK LIFE AND ANNUITY COMPANY AMENDATORY ENDORSEMENT FOR UNISEX PLANS All references to sex are deleted from your Contract. The following language and tables replace the INCOME PAYMENT TABLES section of your Contract. Income payments will be at least the amount based on the adjusted age of the annuitant(s) and the tables below, less any federal income taxes which are withheld. The adjusted age is the actual age on the Payout Start Date reduced by one year for each six full years between January 1, 1983 and the Payout Start Date. Income payments for ages and guaranteed payment periods not shown below will be determined on a basis consistent with that used to determine those that are shown. The Income Payment Tables are based on 3.0% interest and an 80% female, 20% male blend of the sex distinct 1983a Annuity Mortality Tables. INCOME PLAN 1 - LIFE INCOME WITH GUARANTEED PAYMENTS FOR 120 MONTHS
- -------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------- Monthly Income Payment for each $1,000 Applied to this Income Plan - -------------------------------------------------------------------------------------------------- Annuitant's Monthly Annuitant's Monthly Annuitant's Monthly Age Payment Age Payment Age Payment - -------------------------------------------------------------------------------------------------- 45 $3.68 59 $4.64 73 $6.63 46 3.73 60 4.75 74 6.81 47 3.78 61 4.85 75 7.00 48 3.83 62 4.97 76 7.21 49 3.89 63 5.08 77 7.41 50 3.95 64 5.20 78 7.60 51 4.01 65 5.34 79 7.79 52 4.08 66 5.47 80 7.98 53 4.15 67 5.61 81 8.16 54 4.22 68 5.77 82 8.34 55 4.30 69 5.93 83 8.50 56 4.37 70 6.09 84 8.65 57 4.47 71 6.26 85 8.78 58 4.55 72 6.44 - -------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------
INCOME PLAN 2 - JOINT AND SURVIVOR LIFE INCOME WITH GUARANTEED PAYMENTS FOR 120 MONTHS
- -------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------- Monthly Income Payment for each $1,000 Applied to this Income Plan - -------------------------------------------------------------------------------------------------- Annuitant's Age 45 50 55 60 65 70 75 80 85 - -------------------------------------------------------------------------------------------------- 45 $3.35 $3.44 $3.51 $3.56 $3.60 $3.63 $3.65 $3.67 $3.67 50 3.44 3.55 3.66 3.75 3.82 3.87 3.91 3.93 3.94 55 3.51 3.66 3.81 3.95 4.07 4.16 4.22 4.26 4.29 60 3.56 3.75 3.95 4.15 4.34 4.49 4.61 4.68 4.72 65 3.60 3.82 4.07 4.34 4.61 4.86 5.07 5.21 5.29 70 3.63 3.87 4.16 4.49 4.86 5.24 5.57 5.83 5.98 75 3.65 3.91 4.22 4.61 5.07 5.57 6.08 6.51 6.79 80 3.67 3.93 4.26 4.68 5.21 5.83 6.51 7.13 7.59 85 3.67 3.94 4.29 4.72 5.29 5.98 6.79 7.59 8.20 - -------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------
INCOME PLAN 3 - GUARANTEED PAYMENTS FOR A SPECIFIED PERIOD - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- Monthly Income Payments for each Specified Period $1,000 Applied to this Income Plan - -------------------------------------------------------------------------------- 10 Years $9.61 11 Years 8.86 12 Years 8.24 13 Years 7.71 14 Years 7.26 15 Years 6.87 16 Years 6.53 17 Years 6.23 18 Years 5.96 19 Years 5.73 20 Years 5.51 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- /s/ Michael J. Velotta /s/ Louis G. Lower, II Secretary Chief Executive Officer GLENBROOK LIFE AND ANNUITY COMPANY (HEREIN CALLED "WE" OR "US") AMENDATORY ENDORSEMENT FOR 403(b) ANNUITIES The following provisions are added to your Contract: 1. The owner of this Contract must be the annuitant. 2. You may not: a. transfer; b. sell; c. assign; d. discount; or e. pledge this Contract for any purpose to any person but us. 3. Account balances accruing after December 31, 1986 must begin to be paid out by the April 1 after the calendar year in which you reach age 70 1/2. The distribution may be made in a single sum or in periodic payments. a. The payments must be over: 1) your life; or 2) the lives of you and your "designated beneficiary"; or 3) a period certain not extending beyond your life expectancy; or 4) a period certain not extending beyond the life expectancy of you and your "designated beneficiary". For the purpose of this endorsement, the "designated beneficiary" is the natural person that you name prior to the payout start date. b. The minimum amount you are required to receive for any tax year is: 1) the value of the Contract at the end of the prior year, divided by; 2) your life expectancy (or the joint and last survivor expectancy of you and your "designated beneficiary") using the age(s) as of your birthday(s) in that year. 4. For account balances accruing after December 31, 1988, distributions of purchase payments made under a salary reduction agreement may only occur upon: a. or after attainment of age 59 1/2; or b. separation from service; or c. death; or d. disability (as defined in Internal Revenue Code Section 72(m)(7)); or e. hardship. In the case of hardship distributions, earnings due to these purchase payments cannot be withdrawn. The plan administrator will be responsible for determining whether an individual's circumstances meet the definition of hardship as set forth in the Internal Revenue Code and Regulations. 5. For the purpose of this endorsement, "account balances" includes: a. any purchase payments make after the specified date: 1) December 31, 1986; or 2) December 31, 1988 whichever is applicable; and b. all earnings credited after the specified date. You are permitted to directly rollover all or a portion of any eligible rollover distribution which you receive, to an eligible retirement plan (i.e., IRA, 401(a), or 403(b)). In the case of an eligible rollover distribution to your surviving spouse, an eligible retirement plan is limited to an IRA. An eligible rollover distribution is any distribution from your account except: 1. one of a series of payments pursuant to a life or a joint life income option, or 2. one of a series of payments pursuant to a period certain income option based on your life expectancy (or joint life expectancy of you and your designated beneficiary), or 3. one of a series of substantially equal periodic payments for a specified period of ten years or more, or 4. one that qualifies as a required minimum distribution as defined by section 401(a)(9) of the Internal Revenue Code. /s/ Michael J. Velotta /s/ Louis G. Lower, II Secretary Chief Executive Officer GLENBROOK LIFE Glenbrook Life and Annuity Company ------------------------------ P.O. Box 94042 A MEMBER OF THE ALLSTATE GROUP Palatine, IL 60094 ANNUITY DATA PAGE AND APPLICATION FOR THE GLENBROOK CHOICE PLUS ANNUITY CONTRACT NUMBER________________________ PAYOUT START DATE / / Annuitant's 90th Birthday INITIAL PURCHASE PAYMENT_______________ / / 10th Anniversary of Issue Date ISSUE DATE ______/______/______ / / Qualified Minimum Distribution TAX QUALIFIED PLAN / / Yes / / No / / IRA Rollover / / IRA Transfer / / IRA/Year of Contribution________ / / Other___________ MINIMUM GUARANTEED RATE FOR FIXED ACCOUNT: 3.00% INVESTMENT ALTERNATIVE ALLOCATION $ __________ at ________ % 1 Year Guarantee Period $ __________ at ________ % 7 Year Guarantee Period $ __________ at ________ % 3 Year Guarantee Period $ __________ at ________ % 8 Year Guarantee Period $ __________ at ________ % 5 Year Guarantee Period $ __________ at ________ % 9 Year Guarantee Period $ __________ at ________ % 6 Year Guarantee Period $ __________ at ________ % 10 Year Guarantee Period OWNER(S) Name_______________________________________ Soc. Sec. No. _______-_______-_______ Birth Date ____/____/____ Address ___________________________________ City ________________________________ State ______ Zip ________ / / Male / / Female Relationship to Other Owner ___________________________________ Name_______________________________________ Soc. Sec. No. _______-_______-_______ Birth Date ____/____/____ / / Male / / Female Relationship to Other Owner ___________________________________ ANNUITANT (LEAVE BLANK IF ANNUITANT SAME AS SOLE OWNER.) Name_______________________________________ Soc. Sec. No. _______-_______-_______ Birth Date ____/____/____ Address ___________________________________ City ________________________________ State ______ Zip ________ / / Male / / Female BENEFICIARY Primary_____________________________________________________ Relationship to Owner ________________________ Contingent _________________________________________________ Relationship to Owner ________________________ SPECIAL INSTRUCTIONS: REPLACEMENT: Will the annuity applied for replace any existing insurance or annuity? / / Yes / / No Company ___________________________________________ Policy No. _________________________________________ ___________________________________________________________________________________________________________ I UNDERSTAND THAT ANY DISTRIBUTION PRIOR TO THE END OF A RATE GUARANTEE PERIOD MAY BE SUBJECT TO A MARKET VALUE ADJUSTMENT. I HAVE RECEIVED THE CURRENT PROSPECTUS FOR THIS GLENBROOK LIFE FLEXIBLE PAYMENT DEFERRED ANNUITY. I have read the above statements. I represent that they are complete and true to the best of my knowledge. Signed at ______________________________________________________________ Date ____/____/____ City State Signature(s) of Owner(s) ________________________________________________________________________________ Phone No(s). of Owner(s) __________________________________________________________________________________ ___________________________________________________________________________________________________________ AGENT USE ONLY Do you have any reason to believe that the Contract applied for is to replace or change any existing annuity or life insurance? / / Yes / / No Agent's Signature__________________________________ Agent/Branch No._______________________________________ Agent's Name_______________________________________ License Identification No.____________________________ OWNER (CA)
GLENBROOK LIFE Glenbrook Life and Annuity Company ------------------------------ P.O. Box 94042 A MEMBER OF THE ALLSTATE GROUP Palatine, IL 60094 ANNUITY DATA PAGE AND APPLICATION FOR: FLEXIBLE PAYMENT DEFERRED ANNUITY (GLAU120) CONTRACT NUMBER________________________ PAYOUT START DATE / / Annuitant's 90th Birthday INITIAL PURCHASE PAYMENT_______________ / / 10th Anniversary of Issue Date ISSUE DATE ______/______/______ / / Qualified Minimum Distribution TAX QUALIFIED PLAN / / Yes / / No / / IRA Rollover / / IRA Transfer / / IRA/Year of Contribution________ / / Other___________ MINIMUM GUARANTEED RATE FOR FIXED ACCOUNT: 3.00% INVESTMENT ALTERNATIVE ALLOCATION $ __________ at ________ % 1 Year Guarantee Period $ __________ at ________ % 7 Year Guarantee Period $ __________ at ________ % 3 Year Guarantee Period $ __________ at ________ % 8 Year Guarantee Period $ __________ at ________ % 5 Year Guarantee Period $ __________ at ________ % 9 Year Guarantee Period $ __________ at ________ % 6 Year Guarantee Period $ __________ at ________ % 10 Year Guarantee Period OWNER(S) Name_______________________________________ Soc. Sec. No. _______-_______-_______ Birth Date ____/____/____ Address ___________________________________ City ________________________________ State ______ Zip ________ / / Male / / Female Relationship to Other Owner ___________________________________ Name_______________________________________ Soc. Sec. No. _______-_______-_______ Birth Date ____/____/____ / / Male / / Female Relationship to Other Owner ___________________________________ ANNUITANT (LEAVE BLANK IF ANNUITANT SAME AS SOLE OWNER.) Name_______________________________________ Soc. Sec. No. _______-_______-_______ Birth Date ____/____/____ Address ___________________________________ City ________________________________ State ______ Zip ________ / / Male / / Female BENEFICIARY Primary_____________________________________________________ Relationship to Owner ________________________ Contingent _________________________________________________ Relationship to Owner ________________________ SPECIAL INSTRUCTIONS: REPLACEMENT: Will the annuity applied for replace any existing insurance or annuity? / / Yes / / No Company ___________________________________________ Policy No. _________________________________________ ___________________________________________________________________________________________________________ I UNDERSTAND THAT ANY DISTRIBUTION PRIOR TO THE END OF A RATE GUARANTEE PERIOD MAY BE SUBJECT TO A MARKET VALUE ADJUSTMENT. I HAVE RECEIVED THE CURRENT PROSPECTUS FOR THIS GLENBROOK LIFE FLEXIBLE PAYMENT DEFERRED ANNUITY. I have read the above statements. I represent that they are complete and true to the best of my knowledge. Signed at ______________________________________________________________ Date ____/____/____ City State Signature(s) of Owner(s) ________________________________________________________________________________ Phone No(s). of Owner(s) __________________________________________________________________________________ ___________________________________________________________________________________________________________ AGENT USE ONLY Do you have any reason to believe that the Contract applied for is to replace or change any existing annuity or life insurance? / / Yes / / No Agent's Signature__________________________________ Agent/Branch No._______________________________________ Agent's Name_______________________________________ License Identification No.____________________________ OWNER (FL)
TABLE OF MINIMUM GUARANTEED VALUES* YEARS SINCE PURCHASE TOTAL PAYMENT ACCOUNT WITHDRAWAL WAS MADE VALUE VALUE ----------- ----------- ---------- $ $ 1 1,030 1,000 2 2,090 2,000 3 3,183 3,000 4 4,309 4,067 5 5,468 5,183 6 6,662 6,372 7 7,892 7,595 8 9,159 8,852 9 10,463 10,144 10 11,807 11,473 11 13,192 12,840 12 14,617 14,246 13 16,086 15,692 14 17,598 17,180 15 19,156 18,710 16 20,761 20,283 17 22,414 21,902 18 24,116 23,567 19 25,870 25,280 20 27,676 27,042 *These Minimum Guaranteed Values assume that a Contract is issued with an initial purchase payment of $1,000 and subsequent purchase payments of $1,000 are made each year for the remaining 19 years. It is assumed that all purchase payments are allocated to the 1 Year Guarantee Period. Interest is credited at the minimum guaranteed effective annual interest rate shown on the reverse side. These values assume that no partial withdrawals are made and no state premium taxes must be paid. If withdrawals are made or state premium taxes must be paid, the Minimum Guaranteed Values will be less than those shown. The same calculation method applies to subsequent purchase payments. The Total Withdrawal Value does not reflect any Market Value Adjustment that may be taken. EX-5 3 EXHIBIT 5 GLENBROOK LIFE AND ANNUITY COMPANY LAW AND REGULATION DEPARTMENT 3100 Sanders Road, J5B Northbrook, Illinois 60062 Direct Dial Number 847-402-2400 Facsimile 847-402-4371 Michael J. Velotta Please direct reply to: Vice President, Secretary Post Office Box 3005 and General Counsel Northbrook, Illinois 60065-3005 May 25, 1995 TO: Glenbrook Life and Annuity Company Northbrook, Illinois 60062 FROM: Michael J. Velotta Vice President, Secretary and General Counsel RE: Form S-1 Registration Statement Under the Securities Act of 1933 File No. 33- With reference to the Registration Statement on Form S-1 filed by Glenbrook Life and Annuity Company with the Securities and Exchange Commission covering Flexible Payment Deferred Annuity Contracts ("Contracts"), I have examined such documents and such law as I have considered necessary and appropriate, and on the basis of such examination, it is my opinion that: 1. Glenbrook Life and Annuity Company is duly organized and existing under the laws of the State of Illinois and has been duly authorized to do business and to issue the Contracts by the Director of Insurance of the State of Illinois. 2. The Contracts covered by the above Registration Statement are approved and authorized by the Director of Insurance of the State of Illinois and when issued will be valid, legal and binding obligations of Glenbrook Life and Annuity Company. I hereby consent to the filing of this opinion as an exhibit to the above Registration Statement and to the use of my name under the caption "Legal Matters" in the Prospectus constituting a part of the Registration statement. Sincerely, /s/ MICHAEL J. VELOTTA Michael J. Velotta Vice President, Secretary and General Counsel EX-23.(A) 4 EXHIBIT 23(A) INDEPENDENT AUDITORS' CONSENT We consent to the use in this Post-Effective Amendment No. 2 to Registration Statement No. 033-92842 of Glenbrook Life and Annuity Company on Form S-1 of our report dated February 21, 1997 relating to the financial statements and financial statement schedule of Glenbrook Life and Annuity Company, appearing in the Prospectus, which is part of such Registration Statement, and to the reference to us under the heading "Experts" in such Prospectus. /s/ Deloitte & Touche LLP Chicago, Illinois March 28, 1997 EX-23.(B) 5 EXHIBIT 23(B) ROUTIER, MACKEY AND JOHNSON, P.C. ATTORNEYS AT LAW 1700 K. STREET, N.W. SUITE 1003 WASHINGTON, D.C. 20006 (202) 296-4852 August 15, 1995 CONSENT OF COUNSEL Re: Glenbrook Life and Annuity Company Registration Statement on Form S-1 File No. 33-92842 ---------------------------------- We hereby consent to the reference to this firm under the caption "Legal Matters" in the prospectus forming part of the above-referenced registration statement under the Securities Act of 1933 with respect to certain deferred annuity contracts to be issued by Glenbrook Life and Annuity. Routier, Mackey and Johnson, P.C. By: /s/ GREGOR B. MCCURDY -------------------------- Gregor B. McCurdy EX-24 6 EXHIBIT 24 POWER OF ATTORNEY WITH RESPECT TO THE GLENBROOK LIFE AND ANNUITY COMPANY FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT WITH MARKET VALUE ADJUSTED FIXED ACCOUNT "THE GLENBROOK CHOICE PLUS ANNUITY" AS FILED ON FORM S-1 Know all men by these presents that Louis G. Lower II, whose signature appears below, constitutes and appoints Michael J. Velotta, his attorney-in- fact, with power of substitution, and his in any and all capacities, to sign any registration statements and amendments thereto for the Glenbrook Life and Annuity Company Contract referenced above and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorney-in-fact, or his substitute or substitutes, may do or cause to be done by virtue hereof. January 23, 1997 ------------------------------ Date /s/ LOUIS G. LOWER, II ------------------------------ Louis G. Lower, II Chairman of the Board and Chief Executive Officer Glenbrook Life and Annuity Company POWER OF ATTORNEY WITH RESPECT TO THE GLENBROOK LIFE AND ANNUITY COMPANY FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT WITH MARKET VALUE ADJUSTED FIXED ACCOUNT "THE GLENBROOK CHOICE PLUS ANNUITY" AS FILED ON FORM S-1 Know all men by these presents that Marla G. Friedman whose signature appears below, constitutes and appoints Louis G. Lower, II, and Michael J. Velotta, her attorneys-in-fact, with power of substitution, and her in any and all capacities, to sign any registration statements and amendments thereto for the Glenbrook Life and Annuity Company Contract referenced above and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorneys-in-fact, or his substitute or substitutes, may do or cause to be done by virtue hereof. January 23, 1997 ------------------------------ Date /s/ MARLA G. FRIEDMAN ------------------------------ Marla G. Friedman Vice President Glenbrook Life and Annuity Company POWER OF ATTORNEY WITH RESPECT TO THE GLENBROOK LIFE AND ANNUITY COMPANY FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT WITH MARKET VALUE ADJUSTED FIXED ACCOUNT "THE GLENBROOK CHOICE PLUS ANNUITY" AS FILED ON FORM S-1 Know all men by these presents that Kevin R. Slawin whose signature appears below, constitutes and appoints Louis G. Lower, II, and Michael J. Velotta, his attorneys-in-fact, with power of substitution, and him in any and all capacities, to sign any registration statements and amendments thereto for the Glenbrook Life and Annuity Company Contract referenced above and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorneys-in-fact, or his substitute or substitutes, may do or cause to be done by virtue hereof. January 23, 1997 ------------------------------ Date /s/ KEVIN R. SLAWIN ------------------------------ Kevin R. Slawin Vice President Glenbrook Life and Annuity Company POWER OF ATTORNEY WITH RESPECT TO THE GLENBROOK LIFE AND ANNUITY COMPANY FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT WITH MARKET VALUE ADJUSTED FIXED ACCOUNT "THE GLENBROOK CHOICE PLUS ANNUITY" AS FILED ON FORM S-1 Know all men by these presents that Peter H. Heckman whose signature appears below, constitutes and appoints Louis G. Lower, II, and Michael J. Velotta, his attorneys-in-fact, with power of substitution, and him in any and all capacities, to sign any registration statements and amendments thereto for the Glenbrook Life and Annuity Company Contract referenced above and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorneys-in-fact, or his substitute or substitutes, may do or cause to be done by virtue hereof. January 23, 1997 ------------------------------ Date /s/ PETER H. HECKMAN ------------------------------ Peter H. Heckman President, Chief Operating Officer and Director Glenbrook Life and Annuity Company POWER OF ATTORNEY WITH RESPECT TO THE GLENBROOK LIFE AND ANNUITY COMPANY FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT WITH MARKET VALUE ADJUSTED FIXED ACCOUNT "THE GLENBROOK CHOICE PLUS ANNUITY" AS FILED ON FORM S-1 Know all men by these presents that Keith A. Hauschildt whose signature appears below, constitutes and appoints Louis G. Lower, II, and Michael J. Velotta, his attorneys-in-fact, with power of substitution, and him in any and all capacities, to sign any registration statements and amendments thereto for the Glenbrook Life and Annuity Company Contract referenced above and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorneys-in-fact, or his substitute or substitutes, may do or cause to be done by virtue hereof. January 23, 1997 ------------------------------ Date /s/ KEITH A. HAUSCHILDT ------------------------------ Keith A. Hauschildt Assistant Vice President & Controller Glenbrook Life and Annuity Company POWER OF ATTORNEY WITH RESPECT TO THE GLENBROOK LIFE AND ANNUITY COMPANY FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT WITH MARKET VALUE ADJUSTED FIXED ACCOUNT "THE GLENBROOK CHOICE PLUS ANNUITY" AS FILED ON FORM S-1 Know all men by these presents that Michael J. Velotta, whose signature appears below, constitutes and appoints Louis G. Lower, II, his attorney-in- fact, with power of substitution, and his in any and all capacities, to sign any registration statements and amendments thereto for the Glenbrook Life and Annuity Company Contract referenced above and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorney-in-fact, or his substitute or substitutes, may do or cause to be done by virtue hereof. January 23, 1997 ------------------------------ Date /s/ MICHAEL J. VELOTTA ------------------------------ Michael J. Velotta Vice President, Secretary, General Counsel and Director Glenbrook Life and Annuity Company POWER OF ATTORNEY WITH RESPECT TO THE GLENBROOK LIFE AND ANNUITY COMPANY FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT WITH MARKET VALUE ADJUSTED FIXED ACCOUNT "THE GLENBROOK CHOICE PLUS ANNUITY" AS FILED ON FORM S-1 Know all men by these presents that John R. Hunter whose signature appears below, constitutes and appoints Louis G. Lower, II, and Michael J. Velotta, his attorneys-in-fact, with power of substitution, and him in any and all capacities, to sign any registration statements and amendments thereto for the Glenbrook Life and Annuity Company Contract referenced above and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorneys-in-fact, or his substitute or substitutes, may do or cause to be done by virtue hereof. January 23, 1997 ------------------------------ Date /s/ JOHN R. HUNTER ------------------------------ John R. Hunter Director Glenbrook Life and Annuity Company POWER OF ATTORNEY WITH RESPECT TO THE GLENBROOK LIFE AND ANNUITY COMPANY FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT WITH MARKET VALUE ADJUSTED FIXED ACCOUNT "THE GLENBROOK CHOICE PLUS ANNUITY" AS FILED ON FORM S-1 Know all men by these presents that G. Craig Whitehead whose signature appears below, constitutes and appoints Louis G. Lower, II, and Michael J. Velotta, his attorneys-in-fact, with power of substitution, and him in any and all capacities, to sign any registration statements and amendments thereto for the Glenbrook Life and Annuity Company Contract referenced above and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorneys-in-fact, or his substitute or substitutes, may do or cause to be done by virtue hereof. January 23, 1997 ------------------------------ Date /s/ G. CRAIG WHITEHEAD ------------------------------ G. Craig Whitehead Senior Vice President and Director Glenbrook Life and Annuity Company POWER OF ATTORNEY WITH RESPECT TO THE GLENBROOK LIFE AND ANNUITY COMPANY FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT WITH MARKET VALUE ADJUSTED FIXED ACCOUNT "THE GLENBROOK CHOICE PLUS ANNUITY" AS FILED ON FORM S-1 Know all men by these presents that Casey J. Sylla whose signature appears below, constitutes and appoints Louis G. Lower, II, and Michael J. Velotta, his attorneys-in-fact, with power of substitution, and him in any and all capacities, to sign any registration statements and amendments thereto for the Glenbrook Life and Annuity Company Contract referenced above and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorneys-in-fact, or his substitute or substitutes, may do or cause to be done by virtue hereof. January 23, 1997 ------------------------------ Date /s/ CASEY J. SYLLA ------------------------------ Casey J. Sylla Chief Investment Officer Glenbrook Life and Annuity Company POWER OF ATTORNEY WITH RESPECT TO THE GLENBROOK LIFE AND ANNUITY COMPANY FLEXIBLE PAYMENT DEFERRED ANNUITY CONTRACT WITH MARKET VALUE ADJUSTED FIXED ACCOUNT "THE GLENBROOK CHOICE PLUS ANNUITY" AS FILED ON FORM S-1 Know all men by these presents that James P. Zils whose signature appears below, constitutes and appoints Louis G. Lower, II, and Michael J. Velotta, his attorneys-in-fact, with power of substitution, and him in any and all capacities, to sign any registration statements and amendments thereto for the Glenbrook Life and Annuity Company Contract referenced above and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorneys-in-fact, or his substitute or substitutes, may do or cause to be done by virtue hereof. January 23, 1997 ------------------------------ Date /s/ JAMES P. ZILS ------------------------------ James P. Zils Treasurer Glenbrook Life and Annuity Company -----END PRIVACY-ENHANCED MESSAGE-----