EX-99.4(D)(1) 5 a19-9294_1ex99d4d1.htm EX-99.4(D)(1)

 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

Summary of Coverages Effective on the Policy Date

 

 

 

[R17FNL

Flexible Duration No-Lapse Guarantee Rider

S18FNL

 

 

 

 

Maximum No-Lapse Guarantee Period: [Lifetime] ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[ICC18 S18PI6]

Page [X]


 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

EFFECTS OF THE RIDER ON THE POLICY

 

Rider Charge – On each Monthly Payment Date prior to the Monthly Deduction End Date, a Net Amount at Risk Based Rider Charge is deducted from the Policy’s Accumulated Value as a Monthly Deduction.

This charge is the maximum charge we guarantee.  We may charge less than the maximum charge, and the charge may vary by Class.  Note that Class includes the Policy form to which this Rider is attached.

 

Any lesser charge will apply uniformly to all members of the same Class.

 

This Rider Charge is not an Optional Benefit Charge for purposes of determining the No-Lapse Monthly Deduction and does not reduce the No-Lapse Guarantee Value.

 

Net Amount at Risk Based Rider Charge The Net Amount at Risk Based Rider Charge is equal to (c x d) where:

 

c = The applicable Monthly Rate per $1 of Net Amount at Risk, if any, shown below; and

d = The Net Amount at Risk on each Monthly Payment Date.

 

GENERAL PROVISIONS OF THIS RIDER

 

Changes in Face Amount – You may not request any Face Amount increases after the Effective Date of this Rider.

 

Rider Reinstatement –This Rider may not be reinstated if it was terminated before the date the Policy ceased to be In Force.  Otherwise, this Rider will reinstate on the date that the Policy is reinstated.  The No-Lapse Guarantee Value will be set equal to the Net No-Lapse Guarantee Value on the date the Policy ceases to be In Force.   The No-Lapse Guarantee Value on the date of Rider Reinstatement, but prior to receipt of any Premium, will be calculated as though the Rider remained In Force for the period of time between the date the Policy ceased to be In Force to the date of Rider ReinstatementThe Policy Loan, if any, will not be reinstated.  If the net No-Lapse Guarantee Value remains negative, then the No-Lapse Guarantee is not in effect. To bring the No-Lapse Guarantee into effect, you may restore the Net No-Lapse Guarantee Value as described in the Restoring the Net No-Lapse Guarantee Value provision of this Rider.

 

 

FLEXIBLE DURATION NO-LAPSE GUARANTEE RIDER VALUE FEATURES

 

Rider Termination This Rider will terminate on the earliest of the following:

 

·                  Your Written Request;

·                  Surrender of the Policy;

·                  The date the Policy ceases to be In Force;

·                  When applicable to the Policy, allocation of funds into an Investment Option that is not allowed;

·                  Upon electing an increase in Face Amount;

·                  The end of the Maximum No-Lapse Guarantee Period shown in the Policy Specifications;

·                  The date on which the Net No-Lapse Guarantee Value and the Net Accumulated Value are both less than or equal to zero.  If this occurs, the Policy will enter its Grace Period.  At the end of the Grace Period, the Policy will terminate and this Rider will provide no further benefits.

 

Upon Rider Termination, the No Lapse Guarantee Value is set to zero and will remain at zero.  At that time, Rider Charges cease and will no longer be deducted from the Policy’s Accumulated Value.

 

PROCESSING OF PREMIUM

 

[In the first Policy year, Net Basic Premium and Net Excess Premium are added to the Basic Fund.]

 

 

ICC18 S18FNL

Page [X]


 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

 

 

ALTERNATIVE NO-LAPSE COST OF INSURANCE REDUCTION AMOUNT

 

[The Alternative No-Lapse Cost of Insurance Reduction Amount is equal to the Reduction Amount.]

 

 

ALTERNATIVE NO-LAPSE COST OF INSURANCE GUARANTEE VALUE

 

[The Alternative No-Lapse Cost of Insurance Guarantee Value is equal to the No-Lapse Guarantee Value.]

 

 

AVERAGE NO-LAPSE GUARANTEE VALUE

 

[Policy Year

Average No-Lapse Guarantee Value

1, 2

$0.00;

3 – 7

Alternative No-Lapse Cost of Insurance Guarantee Value as of the end of Policy year one, such amount being no less than zero;

8-11

Alternative No-Lapse Cost of Insurance Guarantee Value as of the end of the Policy Year five years prior to the current Policy Year, such amount being no less than zero;

12+

The average of the Alternative No-Lapse Cost of Insurance Guarantee Value as of the end of the Policy Year five years prior and the Alternative No-Lapse Cost of Insurance Guarantee Value as of the end of Policy Year ten years prior to the current Policy Year, such amount being no less than zero.]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ICC18 S18FNL

Page [X]


 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

 

FLEXIBLE DURATION NO-LAPSE GUARANTEE RIDER VALUE FACTORS

 

 

 

Policy
Year

Annual

Premium
Threshold

No-
Lapse

Premium Load
Rate*

Excess
Premium
Load
Rate

Reinvestment
Risk Refund
Percent

1

$[6,153.09

[5.20%

[10.00%

[0.0000%

2

6,153.09

5.20%

10.00%

0.0000%

3

6,153.09

5.20%

10.00%

0.0000%

4

6,153.09

5.20%

10.00%

0.0000%

5

6,153.09

5.20%

10.00%

0.0000%

6

6,153.09

5.20%

10.00%

0.0000%

7

6,153.09

5.20%

10.00%

0.0000%

8

6,153.09

5.20%

10.00%

0.0000%

9

6,153.09

5.20%

10.00%

0.0000%

10

6,153.09

5.20%

10.00%

0.0000%

11

5,649.18

5.20%

10.00%

0.0000%

12

5,229.70

5.20%

10.00%

0.0000%

13

4,875.19

5.20%

10.00%

0.0000%

14

4,571.75

5.20%

10.00%

0.0000%

15

4,309.16

5.20%

10.00%

0.0000%

16

4,079.79

5.20%

10.00%

0.0000%

17

3,877.79

5.20%

10.00%

0.0000%

18

3,698.60

5.20%

10.00%

0.0000%

19

3,538.64

5.20%

10.00%

0.0000%

20

3,395.03

5.20%

10.00%

0.0000%

21

3,265.47

5.20%

10.00%

0.0000%

22

3,148.14

5.20%

10.00%

0.0000%

23

3,041.64

5.20%

10.00%

0.0000%

24

2,944.76

5.20%

10.00%

0.0000%

25

2,856.46

5.20%

10.00%

0.0000%

26

2,775.85

5.20%

10.00%

0.0000%

27

2,702.28

5.20%

10.00%

0.0000%

28

2,635.35

5.20%

10.00%

0.0000%

29

2,574.65

5.20%

10.00%

0.0000%

30

2,519.76

5.20%

10.00%

0.0000%

31

2,470.29

5.20%

10.00%

0.0000%

32

2,425.74

5.20%

10.00%

0.0000%

33

2,385.52

5.20%

10.00%

0.0000%

34

2,505.98

5.20%

10.00%

0.0000%

35

2,765.93

5.20%

10.00%

0.0000%

36

3,068.80

5.20%

10.00%

0.0000%

37

3,426.84

5.20%

10.00%

0.0000%

38

3,850.22

5.20%

10.00%

0.0000%

39

4,342.96

5.20%

10.00%

0.0000%

40

4,898.87

5.20%

10.00%

0.0000%

41

5,517.85

5.20%

10.00%

0.0000%

42

6,210.81

5.20%

10.00%

0.0000%

43

6,971.98

5.20%

10.00%

0.0000%

44

7,810.21

5.20%

10.00%

0.0000%

 

* We reserve the right to use a lower No-Lapse Premium Load Rate than shown in this column.  If we do, we will do so in a uniform and nondiscriminatory manner.

 

 

ICC18 S18FNL

Page [X]


 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

FLEXIBLE DURATION NO-LAPSE GUARANTEE RIDER VALUE FACTORS

(continued)

 

 

Policy
Year

Annual

Premium
Threshold

No-Lapse

Premium
Load
Rate*

Excess
Premium
Load
Rate

Reinvestment
Risk Refund
Percent

45

8,765.46

5.20%

10.00%

0.0000%

46

9,863.62

5.20%

10.00%

0.0000%

47

11,130.54

5.20%

10.00%

0.0000%

48

12,540.89

5.20%

10.00%

0.0000%

49

14,178.83

5.20%

10.00%

0.0000%

50

16,062.03

5.20%

10.00%

0.0000%

51

18,238.79

5.20%

10.00%

0.0000%

52

20,742.51

5.20%

10.00%

0.0000%

53

23,593.83

5.20%

10.00%

0.0000%

54

26,788.38

5.20%

10.00%

0.0000%

55

30,211.48

5.20%

10.00%

0.0000%

56

33,812.53

5.20%

10.00%

0.0000%

57

37,358.98

5.20%

10.00%

0.0000%

58

40,820.95

5.20%

10.00%

0.0000%

59

44,162.85

5.20%

10.00%

0.0000%

60

47,208.56

5.20%

10.00%

0.0000%

61

49,821.62

5.20%

10.00%

0.0000%

62

53,637.50

5.20%

10.00%

0.0000%

63

57,688.13

5.20%

10.00%

0.0000%

64

62,076.99

5.20%

10.00%

0.0000%

65

66,703.86

5.20%

10.00%

0.0000%

66

71,473.73

5.20%

10.00%

0.0000%

67

75,890.97

5.20%

10.00%

0.0000%

68

80,285.31

5.20%

10.00%

0.0000%

69

84,575.05

5.20%

10.00%

0.0000%

70

88,683.29

5.20%

10.00%

0.0000%

71

92,531.87

5.20%

10.00%

0.0000%

72

96,052.88

5.20%

10.00%

0.0000%

73

101,086.27

5.20%

10.00%

0.0000%

74

106,378.72

5.20%

10.00%

0.0000%

75

111,947.64

5.20%

10.00%

0.0000%

76

117,805.49

5.20%

10.00%

0.0000%

77

123,973.93

5.20%

10.00%

0.0000%

78

130,474.98

5.20%

10.00%

0.0000%

79

137,332.57

5.20%

10.00%

0.0000%

80

144,582.83

5.20%

10.00%

0.0000%

81

152,273.16

5.20%

10.00%

0.0000%

82

160,468.13

5.20%

10.00%

0.0000%

83

169,283.80

5.20%

10.00%

0.0000%

84

178,943.34

5.20%

10.00%

0.0000%

85

178,992.78

5.20%

10.00%

0.0000%

86+

178,992.78]

5.20]%

10.00]%

0.0000]%

 

*We reserve the right to use a lower No-Lapse Premium Load Rate than shown in this column.  If we do, we will do so in a uniform and nondiscriminatory manner.

 

 

 

 

 

 

ICC18 S18FNL

Page [X]


 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

FLEXIBLE DURATION NO-LAPSE GUARANTEE RIDER VALUE FACTORS

(continued)

 

 

Policy

Year

Basic

Accumulation Factor

Excess Accumulation

Factor

COI Reduction

Factor

1

[0.001651600

[0.001651581

[0.08333333

2

0.001651600

0.001651581

0.08333333

3

0.001651600

0.001651581

0.08333333

4

0.001651600

0.001651581

0.08333333

5

0.001651600

0.001651581

0.08333333

6

0.001651600

0.001651581

0.08333333

7

0.001651600

0.001651581

0.08333333

8

0.001651600

0.001651581

0.08333333

9

0.001651600

0.001651581

0.08333333

10

0.001651600

0.001651581

0.08333333

11

0.001651600

0.001651581

0.08333333

12

0.001651600

0.001651581

0.08333333

13

0.001651600

0.001651581

0.08333333

14

0.001651600

0.001651581

0.08333333

15

0.001651600

0.001651581

0.08333333

16

0.001651600

0.001651581

0.08333333

17

0.001651600

0.001651581

0.08333333

18

0.001651600

0.001651581

0.08333333

19

0.001651600

0.001651581

0.08333333

20

0.001651600

0.001651581

0.08333333

21

0.001651600

0.001651581

0.08333333

22

0.001794650

0.001651581

0.08333333

23

0.001937450

0.001651581

0.08333333

24

0.002080050

0.001651581

0.08333333

25

0.002222300

0.001651581

0.08333333

26

0.002364300

0.001651581

0.08333333

27

0.002870550

0.001651581

0.08333333

28

0.003374000

0.001651581

0.08333333

29

0.003874600

0.001651581

0.08333333

30

0.004372450

0.001651581

0.08333333

31

0.004867600

0.001651581

0.08333333

32

0.004867600

0.001651581

0.08333333

33

0.004867600

0.001651581

0.08333333

34

0.004867600

0.001651581

0.08333333

35

0.004867600

0.001651581

0.08333333

36

0.004867600

0.001651581

0.08333333

37

0.004867600

0.001651581

0.08333333

38

0.004867600

0.001651581

0.08333333

39

0.004867600

0.001651581

0.08333333

40

0.004867600

0.001651581

0.08333333

41

0.004867600

0.001651581

0.08333333

42

0.004233400

0.001651581

0.08333333

43

0.003594700

0.001651581

0.08333333

44

0.002951600

0.001651581

0.08333333

 

 

 

 

 

ICC18 S18FNL

Page [X]


 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

FLEXIBLE DURATION NO-LAPSE GUARANTEE RIDER VALUE FACTORS

(continued)

 

Policy

Year

Basic

Accumulation Factor

Excess Accumulation

Factor

COI Reduction

Factor

 

 

 

 

45

0.002303900

0.001651581

0.08333333

46

0.001651600

0.001651581

0.08333333

47

0.001651600

0.001651581

0.08333333

48

0.001651600

0.001651581

0.08333333

49

0.001651600

0.001651581

0.08333333

50

0.001651600

0.001651581

0.08333333

51

0.001651600

0.001651581

0.08333333

52

0.001651600

0.001651581

0.08333333

53

0.001651600

0.001651581

0.08333333

54

0.001651600

0.001651581

0.08333333

55

0.001651600

0.001651581

0.08333333

56

0.001651600

0.001651581

0.08333333

57

0.001651600

0.001651581

0.08333333

58

0.001651600

0.001651581

0.08333333

59

0.001651600

0.001651581

0.08333333

60

0.001651600

0.001651581

0.08333333

61

0.001651600

0.001651581

0.08333333

62

0.001651600

0.001651581

0.00000000

63

0.001651600

0.001651581

0.00000000

64

0.001651600

0.001651581

0.00000000

65

0.001651600

0.001651581

0.00000000

66

0.001651600

0.001651581

0.00000000

67

0.001651600

0.001651581

0.00000000

68

0.001651600

0.001651581

0.00000000

69

0.001651600

0.001651581

0.00000000

70

0.001651600

0.001651581

0.00000000

71

0.001651600

0.001651581

0.00000000

72

0.001651600

0.001651581

0.00000000

73

0.001651600

0.001651581

0.00000000

74

0.001651600

0.001651581

0.00000000

75

0.001651600

0.001651581

0.00000000

76

0.001651600

0.001651581

0.00000000

77

0.001651600

0.001651581

0.00000000

78

0.001651600

0.001651581

0.00000000

79

0.001651600

0.001651581

0.00000000

80

0.001651600

0.001651581

0.00000000

81

0.001651600

0.001651581

0.00000000

82

0.001651600

0.001651581

0.00000000

83

0.001651600

0.001651581

0.00000000

84

0.001651600

0.001651581

0.00000000

85

0.001651600

0.001651581

0.00000000

86+

0.001651600]

0.001651581]

0.00000000]

 

 

 

 

 

 

 

ICC18 S18FNL

Page [X]


 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

FLEXIBLE DURATION NO-LAPSE GUARANTEE RIDER CHARGES

 

Policy

Year

[Monthly Rate per $1

of Net Amount at

Risk

 

Policy

Year

Monthly Rate

per $1 of Net

Amount at

Risk

 

 

 

 

 

1

[0.0001950

 

44

0.0001950

2

0.0001950

 

45

0.0001950

3

0.0001950

 

46

0.0001950

4

0.0001950

 

47

0.0001950

5

0.0001950

 

48

0.0001950

6

0.0001950

 

49

0.0001950

7

0.0001950

 

50

0.0001950

8

0.0001950

 

51

0.0001950

9

0.0001950

 

52

0.0001950

10

0.0001950

 

53

0.0001950

11

0.0001950

 

54

0.0001950

12

0.0001950

 

55

0.0001950

13

0.0001950

 

56

0.0001950

14

0.0001950

 

57

0.0001950

15

0.0001950

 

58

0.0001950

16

0.0001950

 

59

0.0001950

17

0.0001950

 

60

0.0001950

18

0.0001950

 

61

0.0001950

19

0.0001950

 

62

0.0001950

20

0.0001950

 

63

0.0001950

21

0.0001950

 

64

0.0001950

22

0.0001950

 

65

0.0001950

23

0.0001950

 

66

0.0001950

24

0.0001950

 

67

0.0001950

25

0.0001950

 

68

0.0001950

26

0.0001950

 

69

0.0001950

27

0.0001950

 

70

0.0001950

28

0.0001950

 

71

0.0001950

29

0.0001950

 

72

0.0001950

30

0.0001950

 

73

0.0001950

31

0.0001950

 

74

0.0001950

32

0.0001950

 

75

0.0001950

33

0.0001950

 

76

0.0001950

34

0.0001950

 

77

0.0001950

35

0.0001950

 

78

0.0001950

36

0.0001950

 

79

0.0001950

37

0.0001950

 

80

0.0001950

38

0.0001950

 

81

0.0001950

39

0.0001950

 

82

0.0001950

40

0.0001950

 

83

0.0001950

41

0.0001950

 

84

0.0001950

42

0.0001950

 

85

0.0001950

43

0.0001950

 

86+

0.0000000]]

 

 

 

 

 

 

 

 

 

 

 

 

ICC18 S18FNL

Page [X]


 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

FLEXIBLE DURATION NO-LAPSE GUARANTEE RIDER VALUE FACTORS

APPLICABLE TO FACE AMOUNT OF [BASE POLICY]

 

 

 

Policy Year

No-Lapse Cost of

Insurance Rates

Alternative No-Lapse

Cost of Insurance Rates

No-Lapse

Coverage

Charges

No-Lapse

Administrative

Charges

1

[0.00001530

[0.00006530

[48.62

[10.00

2

0.00001748

0.00006748

48.62

10.00

3

0.00002841

0.00007841

48.62

10.00

4

0.00003278

0.00008278

48.62

10.00

5

0.00003788

0.00008788

48.62

10.00

6

0.00004298

0.00009298

48.62

10.00

7

0.00004881

0.00009881

48.62

10.00

8

0.00005901

0.00010901

48.62

10.00

9

0.00006848

0.00011848

48.62

10.00

10

0.00007431

0.00012431

48.62

10.00

11

0.00007940

0.00009088

0.00

10.00

12

0.00008742

0.00010006

0.00

10.00

13

0.00009907

0.00011340

0.00

10.00

14

0.00011219

0.00012842

0.00

10.00

15

0.00012530

0.00014345

0.00

10.00

16

0.00014060

0.00016098

0.00

10.00

17

0.00015589

0.00017851

0.00

10.00

18

0.00017119

0.00019605

0.00

10.00

19

0.00019086

0.00021860

0.00

10.00

20

0.00021563

0.00024700

0.00

10.00

21

0.00024623

0.00028210

0.00

10.00

22

0.00027901

0.00031973

0.00

10.00

23

0.00031106

0.00035653

0.00

10.00

24

0.00033874

0.00038833

0.00

10.00

25

0.00036424

0.00041763

0.00

10.00

26

0.00039484

0.00045279

0.00

10.00

27

0.00043344

0.00049719

0.00

10.00

28

0.00048225

0.00055335

0.00

10.00

29

0.00053762

0.00061709

0.00

10.00

30

0.00059808

0.00068676

0.00

10.00

31

0.00066437

0.00076320

0.00

10.00

32

0.00073358

0.00084307

0.00

10.00

33

0.00080861

0.00092974

0.00

10.00

34

0.00089093

0.00102493

0.00

10.00

35

0.00098345

0.00113202

0.00

10.00

36

0.00109126

0.00125699

0.00

10.00

37

0.00121874

0.00140497

0.00

10.00

38

0.00136954

0.00158033

0.00

10.00

39

0.00154510

0.00178492

0.00

10.00

40

0.00174325

0.00201638

0.00

10.00

41

0.00196398

0.00227492

0.00

10.00

42

0.00220365

0.00255647

0.00

10.00

43

0.00246590

0.00286557

0.00

10.00

44

0.00275365

0.00320593

0.00

10.00

 

 

 

 

 

 

ICC18 S18FNL

Page [X]


 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

FLEXIBLE DURATION NO-LAPSE GUARANTEE RIDER VALUE FACTORS

APPLICABLE TO FACE AMOUNT OF [BASE POLICY]

(continued)

 

 

 

Policy Year

No-Lapse Cost of

Insurance Rates

Alternative No-

Lapse Cost of

Insurance Rates

No-Lapse

Coverage

Charges

No-Lapse

Administrative

Charges

45

0.00308073

0.00359438

0.00

10.00

46

0.00345590

0.00404199

0.00

10.00

47

0.00390173

0.00457680

0.00

10.00

48

0.00439855

0.00517653

0.00

10.00

49

0.00497623

0.00587891

0.00

10.00

50

0.00564133

0.00669440

0.00

10.00

51

0.00641133

0.00764779

0.00

10.00

52

0.00729862

0.00875905

0.00

10.00

53

0.00831120

0.01004421

0.00

10.00

54

0.00944836

0.01150969

0.00

10.00

55

0.01067001

0.01311117

0.00

10.00

56

0.01195869

0.01483208

0.00

10.00

57

0.01323134

0.01656467

0.00

10.00

58

0.01447704

0.01829371

0.00

10.00

59

0.01568267

0.01999966

0.00

10.00

60

0.01678412

0.02158728

0.00

10.00

61

0.01773115

0.02297533

0.00

10.00

62

0.01911744

0.02504717

0.00

10.00

63

0.02059333

0.02730749

0.00

10.00

64

0.02219744

0.02983151

0.00

10.00

65

0.02389407

0.03258213

0.00

10.00

66

0.02564897

0.03552075

0.00

10.00

67

0.02727930

0.03834193

0.00

10.00

68

0.02890599

0.04125059

0.00

10.00

69

0.03049844

0.04419525

0.00

10.00

70

0.03202752

0.04711985

0.00

10.00

71

0.03346335

0.04995900

0.00

10.00

72

0.03477971

0.05264655

0.00

10.00

73

0.03666574

0.05664956

0.00

10.00

74

0.03865375

0.06108167

0.00

10.00

75

0.04075031

0.06601939

0.00

10.00

76

0.04295978

0.07155390

0.00

10.00

77

0.04528945

0.07781152

0.00

10.00

78

0.04774588

0.08495840

0.00

10.00

79

0.05033489

0.09322148

0.00

10.00

80

0.05306450

0.10293589

0.00

10.00

81

0.05594271

0.11461256

0.00

10.00

82

0.05897609

0.12908445

0.00

10.00

83

0.06217411

0.14789834

0.00

10.00

84

0.06554623

0.17443778

0.00

10.00

85

0.06910047

0.17459582

0.00

10.00

86+

0.07284776]

0.17459582]

0.00]

10.00]

 

 

 

 

 

 

ICC18 S18FNL

Page [X]


 

POLICY NUMBER: [VF99999990]

POLICY SPECIFICATIONS

 

FLEXIBLE DURATION NO-LAPSE GUARANTEE RIDER VALUE FACTORS

APPLICABLE TO FACE AMOUNT OF [SVER Term Insurance – 3 Rider]

 

 

 

Policy Year

No-Lapse Cost of

Insurance Rates

Alternative No-

Lapse Cost of

Insurance Rates

No-Lapse

Coverage

Charges

No-Lapse

Administrative

Charges

1

[0.00001530

[0.00006530

[17.17

[0.00

2

0.00001748

0.00006748

17.17

0.00

3

0.00002841

0.00007841

17.17

0.00

4

0.00003278

0.00008278

17.17

0.00

5

0.00003788

0.00008788

17.17

0.00

6

0.00004298

0.00009298

17.17

0.00

7

0.00004881

0.00009881

17.17

0.00

8

0.00005901

0.00010901

17.17

0.00

9

0.00006848

0.00011848

17.17

0.00

10

0.00007431

0.00012431

17.17

0.00

11

0.00007940

0.00009088

0.00

0.00

12

0.00008742

0.00010006

0.00

0.00

13

0.00009907

0.00011340

0.00

0.00

14

0.00011219

0.00012842

0.00

0.00

15

0.00012530

0.00014345

0.00

0.00

16

0.00014060

0.00016098

0.00

0.00

17

0.00015589

0.00017851

0.00

0.00

18

0.00017119

0.00019605

0.00

0.00

19

0.00019086

0.00021860

0.00

0.00

20

0.00021563

0.00024700

0.00

0.00

21

0.00024623

0.00028210

0.00

0.00

22

0.00027901

0.00031973

0.00

0.00

23

0.00031106

0.00035653

0.00

0.00

24

0.00033874

0.00038833

0.00

0.00

25

0.00036424

0.00041763

0.00

0.00

26

0.00039484

0.00045279

0.00

0.00

27

0.00043344

0.00049719

0.00

0.00

28

0.00048225

0.00055335

0.00

0.00

29

0.00053762

0.00061709

0.00

0.00

30

0.00059808

0.00068676

0.00

0.00

31

0.00066437

0.00076320

0.00

0.00

32

0.00073358

0.00084307

0.00

0.00

33

0.00080861

0.00092974

0.00

0.00

34

0.00089093

0.00102493

0.00

0.00

35

0.00098345

0.00113202

0.00

0.00

36

0.00109126

0.00125699

0.00

0.00

37

0.00121874

0.00140497

0.00

0.00

38

0.00136954

0.00158033

0.00

0.00

39

0.00154510

0.00178492

0.00

0.00

40

0.00174325

0.00201638

0.00

0.00

41

0.00196398

0.00227492

0.00

0.00

42

0.00220365

0.00255647

0.00

0.00

43

0.00246590

0.00286557

0.00

0.00

44

0.00275365

0.00320593

0.00

0.00

 

 

 

 

 

 

ICC18 S18FNL

Page [X]


 

POLICY NUMBER: [VF99999990]

 

POLICY SPECIFICATIONS

 

FLEXIBLE DURATION NO-LAPSE GUARANTEE RIDER VALUE FACTORS

APPLICABLE TO FACE AMOUNT OF [SVER Term Insurance – 3 Rider]

(continued)

 

 

 

Policy Year

No-Lapse Cost of

Insurance Rates

Alternative No-

Lapse Cost of

Insurance Rates

No-Lapse

Coverage

Charges

No-Lapse

Administrative

Charges

45

0.00308073

0.00359438

0.00

0.00

46

0.00345590

0.00404199

0.00

0.00

47

0.00390173

0.00457680

0.00

0.00

48

0.00439855

0.00517653

0.00

0.00

49

0.00497623

0.00587891

0.00

0.00

50

0.00564133

0.00669440

0.00

0.00

51

0.00641133

0.00764779

0.00

0.00

52

0.00729862

0.00875905

0.00

0.00

53

0.00831120

0.01004421

0.00

0.00

54

0.00944836

0.01150969

0.00

0.00

55

0.01067001

0.01311117

0.00

0.00

56

0.01195869

0.01483208

0.00

0.00

57

0.01323134

0.01656467

0.00

0.00

58

0.01447704

0.01829371

0.00

0.00

59

0.01568267

0.01999966

0.00

0.00

60

0.01678412

0.02158728

0.00

0.00

61

0.01773115

0.02297533

0.00

0.00

62

0.01911744

0.02504717

0.00

0.00

63

0.02059333

0.02730749

0.00

0.00

64

0.02219744

0.02983151

0.00

0.00

65

0.02389407

0.03258213

0.00

0.00

66

0.02564897

0.03552075

0.00

0.00

67

0.02727930

0.03834193

0.00

0.00

68

0.02890599

0.04125059

0.00

0.00

69

0.03049844

0.04419525

0.00

0.00

70

0.03202752

0.04711985

0.00

0.00

71

0.03346335

0.04995900

0.00

0.00

72

0.03477971

0.05264655

0.00

0.00

73

0.03666574

0.05664956

0.00

0.00

74

0.03865375

0.06108167

0.00

0.00

75

0.04075031

0.06601939

0.00

0.00

76

0.04295978

0.07155390

0.00

0.00

77

0.04528945

0.07781152

0.00

0.00

78

0.04774588

0.08495840

0.00

0.00

79

0.05033489

0.09322148

0.00

0.00

80

0.05306450

0.10293589

0.00

0.00

81

0.05594271

0.11461256

0.00

0.00

82

0.05897609

0.12908445

0.00

0.00

83

0.06217411

0.14789834

0.00

0.00

84

0.06554623

0.17443778

0.00

0.00

85

0.06910047

0.17459582

0.00

0.00

86+

0.07284776]

0.17459582]

0.00]

0.00]

 

 

 

 

 

 

 

 

 

ICC18 S18FNL

Page [X]