EX-99.B(D)(2) 3 a20-38017_1ex99dbd2.htm EX-99.B(D)(2)

Exhibit 99.B(d)(2)

 

Policy Specifications

 

Policy Number [SPECIMEN]

 

Insured:

[JOHN DOE]

Issue Age and Sex:

[35] [MALE]

 

 

 

 

Rate Class:

[STANDARD]

 

 

 

 

 

 

Owner:

[JANE DOE]

 

 

 

 

 

 

 

 

 

 

 

Initial Specified Amount:

$[100,000]

Policy Date:

[MARCH 1, 2021]

 

 

 

 

Minimum Specified Amount:

$[25,000]

Date of Issue:

[MARCH 1, 2021]

 

 

 

 

Monthly Anniversary Day:

[01]

 

 

 

 

 

 

Plan of Insurance:

INDIVIDUAL FLEXIBLE PREMIUM VARIABLE ADJUSTABLE LIFE INSURANCE WITH LONG-TERM CARE BENEFITS

 

 

Separate Account:

[Lincoln Life Flexible Premium Variable Account M]

 

NOTE:       This Policy provides life insurance coverage to the death of the Insured if sufficient premiums are paid.  The duration of coverage will depend on the amount, timing, and frequency of premium payments, Premium Loads, interest credited, Cost of Insurance, Administrative Fees, investment performance of the Separate Account, any loans or partial surrenders, and the cost of additional benefits. The Planned Premium may need to be increased to keep this Policy and the coverage In Force.

 

Premium Payments:

 

Planned Premium: $[8,000.00]

 

 

 

 

 

Premiums may be accepted until the Insured’s Attained Age [121].

 

 

 

 

 

Additional premium payments may vary by frequency or amount.

 

 

 

Payment Mode:

 

[ANNUALLY]

 

 

 

Minimum Additional Premium Payment Amount:

 

No premium payment may be less than $[200.00] Annually or $[15.00] if paid by electronic funds transfer.

 

 

 

Annual Premium Limit:

 

$[28,725] in Policy Year [4] and thereafter.

 

 

 

Limit Single Premium:

 

$[94,005]

 

 

 

Limit Level Premium:

 

$[9,575]

 

 

 

Beneficiary:

 

[As named in the application for this Policy, unless later changed.]

 

 

 

Guaranteed Minimum Fixed Account Interest Rate:

 

[1.00]% annual effective rate ([0.00272616]% daily).

 

ICC20-MGV892-1

 

1


 

Policy Specifications

 

Policy Number [SPECIMEN]

 

Minimum Specified Amount Increase:

 

$[1,000]

 

 

 

Maximum Attained Age for a Specified Amount Increase:

 

Increases in Specified Amount not allowed after the Insured reaches Attained Age [70].

 

 

 

Maximum Number of Specified Amount Increases per Policy Year:

 

[Increases not allowed] in Policy Year(s) [1]; and
[1] in Policy Year [2] and thereafter.

 

 

 

Minimum Specified Amount Decrease:

 

$[1,000]

 

 

 

Maximum Number of Specified Amount Decreases per Policy Year:

 

[Decreases not allowed] in Policy Year(s) [1 and 2]; and
[1] in Policy Year [3] and thereafter.

 

 

 

Loan Information

 

 

 

 

 

Minimum Loan Amount:

 

$[100.00]

 

 

 

Minimum Loan Repayment Amount:

 

$[25.00]

 

 

 

Loan Interest Rate Charged:

 

[3.00]% annual effective rate in all Policy Years.

 

 

 

Loan Account Credited Interest Rate:

 

[1.00]% annual effective rate ([0.00272616]% daily) in all Policy Years.

 

 

 

Partial Surrenders

 

 

 

 

 

Amount of Partial Surrenders:

 

Must be at least $[500.00]; and/or not more than an amount equal to the Surrender Value of this Policy as of the end of the Valuation Period ending on the Valuation Day on which the request is received in a form acceptable to us, minus $[500.00].

 

 

 

Maximum Number of Partial Surrenders per Policy Year:

 

Transfers

 

Partial surrender not allowed in the first Policy Month; and

 

[1] per Policy Year beginning with the second Policy Month and thereafter.

 

 

 

Minimum Transfer Amount:

 

$[50] or the entire value of the Fixed Account or Sub-Account being transferred, whichever is less.

 

 

 

Minimum Remaining Value of the Fixed Account or any Sub-Account(s) After a Transfer:

 

$100.00 unless the entire value of the Fixed Account or Sub-Account(s) is being transferred.

 

 

 

Limitation on Transfers from the Fixed Account:

 

Cannot exceed the greater of [25.00]% of the Fixed Account Value as of the immediately preceding Policy Anniversary; or the total dollar amount transferred from the Fixed Account in the immediately preceding Policy Year.

 

 

 

Account(s) available from which to transfer funds for Dollar Cost Averaging:

 

[money market Sub-Account

Fixed Account (may be elected at policy issue only)]

 

2


 

Policy Specifications

 

Policy Number [SPECIMEN]

 

Riders and Benefits Charges

 

Value Protection Rider

 

Factors used in the No-Lapse Provisions:

 

Policy Year

 

Monthly Accumulation 
Factor

 

Monthly No-Lapse
Premium

 

[1 - 35

 

[1.00327374

 

$

[352.98

]

36] and thereafter

 

1.00486756]

 

$

0.00

 

 

The Monthly No-Lapse Premium as of the Policy Date is shown above, and may change as described in the No-Lapse Provisions of the Value Protection Rider.

 

Protected LTC Ratio:

 

[0.5000000000]

 

 

 

Long-Term Care Benefits Rider

 

 

 

 

 

Monthly LTC Charge Rate:

 

[1.04735]

 

 

 

Minimum LTC Duration:

 

[36] months

 

 

 

Initial LTC Benefit Limit:

 

$[150,000.12]

 

 

 

Initial Maximum Monthly LTC Benefit:

 

$[4,166.67]

 

 

 

Right to Purchase Optional Inflation Protection:

 

[ELECTED]

 

The Monthly LTC Charge Rate and Rider benefit limits as of the Policy Date are shown above, and may change as described in the Long-Term Care Benefits Rider.

 

Initial Market Benefit Floor:

 

$[75,000.00]

 

 

 

Market Benefit Multiplier:

 

[2]

 

 

 

Market Benefit Divisor:

 

[50]

 

 

 

Caregiver Training Benefit Limit:

 

$[500.00]

 

To contact your Long-Term Care Claims Specialist, please call [800 487-1485].

 

3a


 

Policy Specifications

 

Policy Number [SPECIMEN]

 

Table of Surrender Charges

 

See Surrender Provisions for an explanation of when this table will be used.

 

Policy Year

 

Surrender Charge as of 
Beginning of Policy Year

 

 

 

 

 

[1

 

$

[2,057.00

 

 

 

 

 

2

 

$

1,983.00

 

 

 

 

 

3

 

$

1,906.00

 

 

 

 

 

4

 

$

1,826.00

 

 

 

 

 

5

 

$

1,743.00

 

 

 

 

 

6

 

$

1,657.00

 

 

 

 

 

7

 

$

1,568.00

 

 

 

 

 

8

 

$

1,475.00

 

 

 

 

 

9

 

$

1,378.00

 

 

 

 

 

10

 

$

1,277.00

 

 

 

 

 

11

 

$

1,172.00

 

 

 

 

 

12

 

$

1,062.00

 

 

 

 

 

13

 

$

948.00

 

 

 

 

 

14

 

$

829.00

 

 

 

 

 

15

 

$

704.00

 

 

 

 

 

16

 

$

575.00

 

 

 

 

 

17

 

$

440.00

 

 

 

 

 

18

 

$

299.00

 

 

 

 

 

 

19

 

$

153.00

]

 

 

 

 

20] and thereafter

 

$

0.00

 

 

Calculation of Surrender Charge for Decrease in Specified Amount

 

For decreases in Specified Amount, including a decrease in Specified Amount resulting from a partial surrender but excluding full surrender of this Policy, the charge will be calculated as (1) multiplied by (2), where:

 

(1)         is the amount of the decrease; and

 

(2)         is the then applicable surrender charge from the Table of Surrender Charges shown above.

 

See the “Surrender Charge for Full Surrender” provision for an explanation of the charge upon full surrender of this Policy.

 

3b


 

Policy Specifications

 

Policy Number [SPECIMEN]

 

Table of Expense Charges and Fees

 

The following expenses and fees are charged under this Policy:

 

Guaranteed Maximum Premium Load

 

We will deduct a Premium Load from each premium payment. The Premium Load is calculated by multiplying each premium payment by the applicable percentage, which will not exceed the amount(s) shown below.  After the Insured’s Attained Age 121, no further premium payments may be made.

 

[25.00]% for Policy Year(s) 1 and thereafter.

 

Cost of Insurance

 

See the “Cost of Insurance” provision. The Net Amount at Risk Discount Factor used in that provision is [1.00082954].

 

Guaranteed Maximum Monthly Administrative Fee

 

The Monthly Administrative Fee equals (1) plus (2), where:

 

(1)         is a monthly charge of [0.329] per $1,000 of Initial Specified Amount for [240] Policy Months; and

 

(2)         is a monthly charge per $1,000 for any increase in Specified Amount for [240] Policy Months following the date of increase.

 

The rate used to calculate the charges described in (1) and (2) above varies by the Insured’s sex and age (Issue Age for the charges in (1) or Attained Age on the date of the increase for the charges in (2)).

 

Guaranteed Maximum M&E and Asset Charge Rate

 

[0.105]% monthly in Policy Years [1-10];

 

[0.045]% monthly in Policy Years [11] and thereafter until the Insured’s Attained Age 121.

 

Transfer Fee

 

$[25.00] per transfer request for each transfer request in excess of [24] during any Policy Year.

 

Guaranteed Maximum Partial Surrender Fee: $[150.00]

 

3c


 

Policy Specifications

 

Policy Number [SPECIMEN]

 

Table of Guaranteed Maximum Cost of Insurance Rates

 

The monthly Cost of Insurance rates per $1,000 of net amount at risk vary by the Insured’s sex, Issue  Age and the Policy Year, but will not exceed the rates shown in the table below in accordance with the [Ultimate 2017 CSO, Male/Female, Composite Tobacco, Age Last Birthday] mortality table.

 

Policy
Year

 

Monthly
Rate

 

Policy
Year

 

Monthly
Rate

 

Policy
Year

 

Monthly
Rate

 

 

 

 

 

 

 

 

 

 

 

 

 

[1

 

0.11758

 

31

 

0.93648

 

61

 

24.21720

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

0.12842

 

32

 

1.03082

 

62

 

26.25159

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

0.14094

 

33

 

1.13202

 

63

 

28.51121

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

0.15263

 

34

 

1.24347

 

64

 

31.02914

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

0.16515

 

35

 

1.37197

 

65

 

33.77547

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

0.17767

 

36

 

1.52184

 

66

 

36.61924

 

 

 

 

 

 

 

 

 

 

 

 

 

7

 

0.18936

 

37

 

1.69912

 

67

 

39.44941

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

0.19939

 

38

 

1.90568

 

68

 

42.34621

 

 

 

 

 

 

 

 

 

 

 

 

 

9

 

0.20356

 

39

 

2.14001

 

69

 

45.25809

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

0.20941

 

40

 

2.40147

 

70

 

48.12900

 

 

 

 

 

 

 

 

 

 

 

 

 

11

 

0.21442

 

41

 

2.68599

 

71

 

50.89244

 

 

 

 

 

 

 

 

 

 

 

 

 

12

 

0.22027

 

42

 

2.99295

 

72

 

53.99864

 

 

 

 

 

 

 

 

 

 

 

 

 

13

 

0.22611

 

43

 

3.32601

 

73

 

58.09567

 

 

 

 

 

 

 

 

 

 

 

 

 

14

 

0.23113

 

44

 

3.69588

 

74

 

62.62918

 

 

 

 

 

 

 

 

 

 

 

 

 

15

 

0.23948

 

45

 

4.11521

 

75

 

67.67469

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

0.25118

 

46

 

4.59696

 

76

 

73.32811

 

 

 

 

 

 

 

 

 

 

 

 

 

17

 

0.26622

 

47

 

5.14125

 

77

 

79.71406

 

 

 

 

 

 

 

 

 

 

 

 

 

18

 

0.28294

 

48

 

5.78293

 

78

 

80.11620

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

0.30300

 

49

 

6.55095

 

79

 

80.51834

 

 

 

 

 

 

 

 

 

 

 

 

 

20

 

0.32558

 

50

 

7.44129

 

80

 

80.92048

 

 

 

 

 

 

 

 

 

 

 

 

 

21

 

0.35235

 

51

 

8.47400

 

81

 

81.32262

 

 

 

 

 

 

 

 

 

 

 

 

 

22

 

0.38247

 

52

 

9.66230

 

82

 

81.72477

 

 

 

 

 

 

 

 

 

 

 

 

 

23

 

0.41762

 

53

 

11.01321

 

83

 

82.12691

 

 

 

 

 

 

 

 

 

 

 

 

 

24

 

0.45782

 

54

 

12.50715

 

84

 

82.52905

 

 

 

 

 

 

 

 

 

 

 

 

 

25

 

0.50473

 

55

 

14.11597

 

85

 

82.93119

 

 

 

 

 

 

 

 

 

 

 

 

 

26

 

0.55754

 

56

 

15.80879

 

86

 

83.33333

 

 

 

 

 

 

 

 

 

 

 

 

 

27

 

0.61877

 

57

 

17.53629

 

87 and

 

0.00000

]

 

 

 

 

 

 

 

 

 

 

 

 

28

 

0.68759

 

58

 

19.27103

 

later

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29

 

0.76488

 

59

 

20.96545

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30

 

0.84811

 

60

 

22.53736

 

 

 

 

 

 

3d


 

Policy Specifications

 

Policy Number [SPECIMEN]

 

Corridor Percentages Table

 

Death Benefit Qualification Test: Cash Value Accumulation Test

 

See the “Death Benefit Proceeds” provision and “Income Tax on Death Benefits” provision for an explanation of how this table will be used.

 

Insured’s
Attained
Age

 

Corridor
Percentage

 

Insured’s
Attained
Age

 

Corridor
Percentage

 

 

 

 

 

 

 

 

 

[35

 

527

%

70

 

176

%

 

 

 

 

 

 

 

 

36

 

509

%

71

 

171

%

 

 

 

 

 

 

 

 

37

 

493

%

72

 

167

%

 

 

 

 

 

 

 

 

38

 

477

%

73

 

163

%

 

 

 

 

 

 

 

 

39

 

462

%

74

 

159

%

 

 

 

 

 

 

 

 

40

 

447

%

75

 

155

%

 

 

 

 

 

 

 

 

41

 

433

%

76

 

152

%

 

 

 

 

 

 

 

 

42

 

419

%

77

 

148

%

 

 

 

 

 

 

 

 

43

 

406

%

78

 

145

%

 

 

 

 

 

 

 

 

44

 

393

%

79

 

142

%

 

 

 

 

 

 

 

 

45

 

381

%

80

 

139

%

 

 

 

 

 

 

 

 

46

 

369

%

81

 

136

%

 

 

 

 

 

 

 

 

47

 

357

%

82

 

134

%

 

 

 

 

 

 

 

 

48

 

345

%

83

 

131

%

 

 

 

 

 

 

 

 

49

 

334

%

84

 

129

%

 

 

 

 

 

 

 

 

50

 

323

%

85

 

127

%

 

 

 

 

 

 

 

 

51

 

313

%

86

 

125

%

 

 

 

 

 

 

 

 

52

 

303

%

87

 

123

%

 

 

 

 

 

 

 

 

53

 

293

%

88

 

121

%

 

 

 

 

 

 

 

 

54

 

284

%

89

 

120

%

 

 

 

 

 

 

 

 

55

 

275

%

90

 

118

%

 

 

 

 

 

 

 

 

56

 

266

%

91

 

117

%

 

 

 

 

 

 

 

 

57

 

258

%

92

 

116

%

 

 

 

 

 

 

 

 

58

 

250

%

93

 

115

%

 

 

 

 

 

 

 

 

59

 

242

%

94

 

114

%

 

 

 

 

 

 

 

 

60

 

235

%

95

 

112

%

 

 

 

 

 

 

 

 

61

 

227

%

96

 

111

%

 

 

 

 

 

 

 

 

62

 

221

%

97

 

109

%

 

 

 

 

 

 

 

 

63

 

214

%

98

 

107

%

 

 

 

 

 

 

 

 

64

 

208

%

99

 

104

%

 

 

 

 

 

 

 

 

65

 

202

%

100

 

100

%]

 

 

 

 

 

 

 

 

66

 

196

%

and later

 

 

 

 

 

 

 

 

 

 

 

67

 

191

%

 

 

 

 

 

 

 

 

 

 

 

 

68

 

186

%

 

 

 

 

 

 

 

 

 

 

 

 

69

 

181

%

 

 

 

 

 

3e


 

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