-----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, FAHfsUvTFyDbJFNo12fTj+1JXOlowlXITMLOOJ52Rs/d573PCvVFqmCO/n4oz5yQ HWjmXUUJt+Ra3QyuiHpciA== 0000836687-08-000436.txt : 20080910 0000836687-08-000436.hdr.sgml : 20080910 20080910145203 ACCESSION NUMBER: 0000836687-08-000436 CONFORMED SUBMISSION TYPE: 485BPOS PUBLIC DOCUMENT COUNT: 10 FILED AS OF DATE: 20080910 DATE AS OF CHANGE: 20080910 EFFECTIVENESS DATE: 20081006 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEPARATE ACCOUNT B OF ING USA ANNUITY LIFE INSURANCE CO CENTRAL INDEX KEY: 0000836687 IRS NUMBER: 410991508 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 485BPOS SEC ACT: 1933 Act SEC FILE NUMBER: 333-28769 FILM NUMBER: 081064953 BUSINESS ADDRESS: STREET 1: 1475 DUNWOODY DRIVE STREET 2: SUITE 400 CITY: WEST CHESTER STATE: PA ZIP: 19380-2700 BUSINESS PHONE: 610-425-3400 MAIL ADDRESS: STREET 1: 1475 DUNWOODY DRIVE STREET 2: SUITE 400 CITY: WEST CHESTER STATE: PA ZIP: 19380-2700 FORMER COMPANY: FORMER CONFORMED NAME: SEPARATE ACCOUNT B OF ING USA ANNUITY & LIFE INSURANCE CO DATE OF NAME CHANGE: 20031230 FORMER COMPANY: FORMER CONFORMED NAME: SEPARATE ACCOUNT B OF GOLDEN AMERICAN LIFE INSURANCE CO DATE OF NAME CHANGE: 19930506 FORMER COMPANY: FORMER CONFORMED NAME: SPECIALTY MANAGERS SEPARATE ACCOUNT B DATE OF NAME CHANGE: 19910529 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEPARATE ACCOUNT B OF ING USA ANNUITY LIFE INSURANCE CO CENTRAL INDEX KEY: 0000836687 IRS NUMBER: 410991508 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 485BPOS SEC ACT: 1940 Act SEC FILE NUMBER: 811-05626 FILM NUMBER: 081064954 BUSINESS ADDRESS: STREET 1: 1475 DUNWOODY DRIVE STREET 2: SUITE 400 CITY: WEST CHESTER STATE: PA ZIP: 19380-2700 BUSINESS PHONE: 610-425-3400 MAIL ADDRESS: STREET 1: 1475 DUNWOODY DRIVE STREET 2: SUITE 400 CITY: WEST CHESTER STATE: PA ZIP: 19380-2700 FORMER COMPANY: FORMER CONFORMED NAME: SEPARATE ACCOUNT B OF ING USA ANNUITY & LIFE INSURANCE CO DATE OF NAME CHANGE: 20031230 FORMER COMPANY: FORMER CONFORMED NAME: SEPARATE ACCOUNT B OF GOLDEN AMERICAN LIFE INSURANCE CO DATE OF NAME CHANGE: 19930506 FORMER COMPANY: FORMER CONFORMED NAME: SPECIALTY MANAGERS SEPARATE ACCOUNT B DATE OF NAME CHANGE: 19910529 0000836687 S000000888 SEPARATE ACCOUNT B OF ING USA ANNUITY LIFE INSURANCE CO C000002506 ING GOLDENSELECT ACCESS 485BPOS 1 final.htm REGISTRATION STATEMENT Access -- Converted by SEC Publisher, created by BCL Technologies Inc., for SEC Filing
As filed with the Securities and Exchange    Registration No. 333-28769 
Commission on September 10, 2008    Registration No. 811-05626 

UNITED STATES     
SECURITIES AND EXCHANGE COMMISSION     
Washington, D.C. 20549     
 
FORM N-4     
 
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933     
                   Pre-Effective Amendment No.    [ ] 
                   Post-Effective Amendment No. 41    [X] 
and/or     
 
REGISTRATION STATEMENT UNDER THE INVESTMENT COMPANY ACT OF 1940     
                   Amendment No.    [X] 
(Check appropriate box or boxes)     
 
SEPARATE ACCOUNT B     
(Exact Name of Registrant)     
 
ING USA ANNUITY AND LIFE INSURANCE COMPANY     
(Name of Depositor)     
1475 Dunwoody Drive     
West Chester, Pennsylvania 19380-1478     
(Address of Depositor’s Principal Executive Offices)     
Depositor’s Telephone Number, including Area Code: (610) 425-3400     
 
John S. (Scott) Kreighbaum, Esq.     
ING Americas (U.S. Legal Services)     
1475 Dunwoody Drive, West Chester, Pennsylvania 19380-1478     
(610) 425-3404     
(Name and Address of Agent for Service of Process)     

Approximate Date of Proposed Public Offering:
As soon as practical after the effective date of the Registration Statement

It is proposed that this filing will become effective (check appropriate box):

[    ]    immediately upon filing pursuant to paragraph (b) of Rule 485 
[ X ]    on October 6, 2008 pursuant to paragraph (b) of Rule 485 
[    ]    60 days after filing pursuant to paragraph (a)(1) of Rule 485 
[    ]    on (date) pursuant to paragraph (a)(1) of Rule 485 

If appropriate, check the following box: 
                   [ ] this post-effective amendment designates a new effective date for a previously filed post- 
                                       effective amendment. 
 
Title of Securities Being Registered: 
Deferred Combination Variable and Fixed Annuity Contracts 



EXPLANATORY NOTE: Each of the Prospectus and Statement of Additional Information, dated April
28, 2008 and as supplemented, is incorporated into Parts A and B, respectively, of this amendment by
reference to Post-Effective Amendment No. 40 to this Registration Statement, as filed on April 8, 2008
(Accession No. 0000836687-08-000165). This amendment further supplements the prospectus and does
not otherwise delete, amend, or supersede any other information in this registration statement, as
previously amended, including exhibits and undertaking.


SUPPLEMENT Dated September 10, 2008 
To The Prospectuses Dated April 28, 2008 For 

                    ING GoldenSelect Access    ING GoldenSelect Generations 
                    ING Architect Variable Annuity    ING GoldenSelect Landmark 
                    ING GoldenSelect ESII    ING GoldenSelect Premium Plus 

Issued By ING USA Annuity and Life Insurance Company 
Through Its Separate Account B

  This supplement updates the prospectus, effective October 6, 2008. Please read it carefully and keep it
with your copy of the prospectus for future reference. If you have any questions, please call our
Customer Contact Center at 1-800-366-0066.

  The following investment portfolios are now available under your Contract, with more information about
them hereby added to “Appendix B – The Investment Portfolios” (and their names hereby added to the
list of available investment portfolios towards the front of the prospectus).

Fund Name and     
Investment Adviser/Subadviser    Investment Objective 
ING Investors Trust     
       7337 E. Doubletree Ranch Road, Scottsdale, AZ 85258     


ING American Funds World Allocation Portfolio    Seeks long-term growth of capital. 
     Investment Adviser: Directed Services LLC     


ING Lifestyle Conservative Portfolio (Class S)    Seeks growth of capital and current income. 
     Investment Adviser: ING Investments, LLC     
     Asset Allocation Consultants: Ibbotson Associates and     
     ING Investment Management Co.     


ING Oppenheimer Active Asset Allocation Portfolio    Seeks long-term growth of capital with a secondary objective of 
     (Class S)    current income. 
     Investment Adviser: Directed Services LLC     
     Investment Subadviser: OppenheimerFunds, Inc.     


ING Van Kampen Global Tactical Asset Allocation    Seeks capital appreciation over time. 
     Portfolio (Class S)     
     Investment Adviser: Directed Services LLC     
     Investment Subadviser: Van Kampen     



ING USA – 151233    1    10/08 


Fund Name and     
Investment Adviser/Subadviser    Investment Objective 
ING Variable Portfolios, Inc.     
       7337 E. Doubletree Ranch Road, Scottsdale, AZ 85258     


 
ING Global Equity Option Portfolio (Class S)    Seeks long-term growth of capital. 
 
     Investment Adviser: ING Investments, LLC     
     Investment Subadviser: ING Investment Management     
     Co.     


ING Russell™ Global Large Cap Index 85% Portfolio    Seeks to maximize total return over the long term by allocating 
     (Class S)    its assets among stock, bonds, short-term instruments and other 
    investments. 
     Investment Adviser: ING Investments, LLC     
     Investment Subadviser: ING Investment Management     
     Co.     



Please note that each of these investment portfolios is a Covered Fund for purposes of determining your
Contract’s death benefit and the value of your benefits under any living benefit rider, as applicable.
Moreover, these investment portfolios are Accepted Funds for purposes of any living benefit rider’s asset
allocation requirements, namely, Fixed Allocation Funds Automatic Rebalancing. Accordingly, these
investment portfolios are hereby added to the list of currently available Accepted Funds, wherever
appropriate.

The following investment portfolio is now reopened to new premiums and Contract value allocations –
with more information about it hereby added to “Appendix B – The Investment Portfolios” (and its name
hereby added to the list of available investment portfolios towards the front of the prospectus).

Fund Name and     
Investment Adviser/Subadviser    Investment Objective 
ING Investors Trust     
       7337 E. Doubletree Ranch Road, Scottsdale, AZ 85258     


ING Evergreen Omega Portfolio (Class S)    Seeks long-term capital growth 
 
     Investment Adviser: Directed Services LLC     
     Investment Subadviser: Evergreen Investment     
     Management Company, LLC     



Please note that the ING Evergreen Omega Portfolio is a Covered Fund for purposes of determining your
Contract’s death benefit and the value of your benefits under any living benefit rider, as applicable, and is
also an Other Fund for purposes of Fixed Allocation Funds Automatic Rebalancing.

ING USA – 151233    2    10/08 


SUPPLEMENT Dated September 10, 2008 
To The Prospectuses Dated April 28, 2008 For 

                    ING GoldenSelect Access    ING GoldenSelect Opportunities 
                    ING Architect Variable Annuity    ING GoldenSelect Landmark 
                    ING GoldenSelect ESII    ING GoldenSelect Legends 
                    ING GoldenSelect Generations    ING GoldenSelect Premium Plus 

Issued By ING USA Annuity and Life Insurance Company 
Through Its Separate Account B

This supplement updates the prospectus, effective October 6, 2008. Please read it carefully and keep it
with your copy of the prospectus for future reference. If you have any questions, please call our
Customer Contact Center at 1-800-366-0066.

For ING LifePay Plus and ING Joint LifePay Plus riders purchased on or after October 6, 2008,
the minimum Fixed Allocation Fund percentage is 25% for Contract value allocated to portfolios
other than Accepted Funds. So Fixed Allocation Funds Automatic Rebalancing would apply in
the event your Contract value allocated to the Fixed Allocation Funds is less than 25% of the
total Contract value allocated among the Fixed Allocation Funds and Other Funds on any ING
LifePay Plus Rebalancing Date – all as detailed in your prospectus. Previously, the Fixed
Allocation Fund percentage was 20%.

See “Investment Option Restrictions” under “Living Benefit Riders – ING LifePay Plus
Minimum Guaranteed Withdrawal Benefit (“ING LifePay Plus”) Rider” or “–ING Joint LifePay
Plus Minimum Guaranteed Withdrawal Benefit (“ING Joint LifePay Plus”) Rider.”

All references to the Fixed Allocation Fund percentage for these riders in the prospectus are
hereby changed accordingly.

ING USA – 151234    1    10/08 


SUPPLEMENT Dated September 10, 2008 
To The Prospectuses Dated April 28, 2008 For 

                    ING GoldenSelect Access    ING GoldenSelect Opportunities 
                    ING Architect Variable Annuity    ING GoldenSelect Landmark 
                    ING GoldenSelect ESII    ING GoldenSelect Legends 
                    ING GoldenSelect Generations    ING GoldenSelect Premium Plus 

Issued By ING USA Annuity and Life Insurance Company 
Through Its Separate Account B

For Contracts issued in the State of Nevada:

This supplement updates the prospectus, effective October 6, 2008. Please read it carefully and keep it
with your copy of the prospectus for future reference. If you have any questions, please call our
Customer Contact Center at 1-800-366-0066.

For ING LifePay Plus and ING Joint LifePay Plus riders purchased on or after October 6, 2008,
the minimum Fixed Allocation Fund percentage is 25% for Contract value allocated to portfolios
other than Accepted Funds. So Fixed Allocation Funds Automatic Rebalancing would apply in
the event your Contract value allocated to the Fixed Allocation Funds is less than 25% of the
total Contract value allocated among the Fixed Allocation Funds and Other Funds on any ING
LifePay Plus Rebalancing Date – all as detailed in your prospectus. Previously, the Fixed
Allocation Fund percentage was 20%.

Since the Division of Insurance has not yet approved for sale in Nevada the current version of
these riders available elsewhere, as reflected in the body of the prospectus, the disclosure subject
to this change can be found in the relevant appendix: “ING LifePay Plus and ING Joint LifePay
Plus.” See “Investment Option Restrictions” under “ING LifePay Plus Minimum Guaranteed
Withdrawal Benefit (“ING LifePay Plus”) Rider” or “ING Joint LifePay Plus Minimum
Guaranteed Withdrawal Benefit (“ING Joint LifePay Plus”) Rider.”

All references to the Fixed Allocation Fund percentage in the prospectus for these riders are
hereby changed accordingly.

ING USA-NV only – 151235    1    10/08 


PART C - OTHER INFORMATION 

ITEM 24: FINANCIAL STATEMENTS AND EXHIBITS 
 
Financial Statements:     
   (a)    Included in Part B: 
Financial Statements of ING USA Annuity and Life Insurance Company:
    -    Report of Independent Registered Public Accounting Firm 
    -    Statements of Operations for the years ended December 31, 2007, 2006, and 2005 
    -    Balance Sheets as of December 31, 2007 and 2006 
    -    Statements of Changes in Shareholder’s Equity for the years ended December 31, 
        2007, 2006, and 2005 
    -    Statements of Cash Flows for the years ended December 31, 2007, 2006, and 2005 
    -    Notes to Financial Statements 
    Financial Statements of Separate Account B: 
    -    Report of Independent Registered Public Accounting Firm 
    -    Statements of Assets and Liabilities as of December 31, 2007 
    -    Statements of Operations for the year ended December 31, 2007 
    -    Statements of Changes in Net Assets for the years ended December 31, 2007 and 
        2006 
    -    Notes to Financial Statements 
    Condensed Financial Information (Accumulation Unit Values) 

 Exhibits:     
    (b)     
(1)        Resolution of the board of directors of Depositor authorizing the establishment of the 
        Registrant, incorporated herein by reference to Post-Effective Amendment No. 29 to a 
        Registration Statement on form N-4 for Golden American Life Insurance Company 
        Separate Account B filed with the Securities and Exchange Commission on April 30, 
        1999 (File Nos. 033-23351, 811-05626). 
 
(2)        Not applicable. 
 
(3)               a.    Distribution Agreement between the Depositor and Directed Services, Inc., incorporated 
        herein by reference to Post-Effective Amendment No. 29 to a Registration Statement on 
        form N-4 for Golden American Life Insurance Company Separate Account B filed with 
        the Securities and Exchange Commission on April 30, 1999 (File Nos. 033-23351, 811- 
        05626). 
 
               b.    Form of Dealers Agreement, incorporated herein by reference to Post-Effective 
        Amendment No. 29 to a Registration Statement on form N-4 for Golden American Life 
        Insurance Company Separate Account B filed with the Securities and Exchange 
        Commission on April 30, 1999 (File Nos. 033-23351, 811-05626). 
 
               c.    Organizational Agreement, incorporated herein by reference to Post-Effective 
        Amendment No. 29 to a Registration Statement on form N-4 for Golden American Life 
        Insurance Company Separate Account B filed with the Securities and Exchange 
        Commission on April 30, 1999 (File Nos. 033-23351, 811-05626). 


    d.    Addendum to Organizational Agreement, incorporated herein by reference to Post- 
        Effective Amendment No. 29 to a Registration Statement on form N-4 for Golden 
        American Life Insurance Company Separate Account B filed with the Securities and 
        Exchange Commission on April 30, 1999 (File Nos. 033-23351, 811-05626). 
 
    e.    Expense Reimbursement Agreement, incorporated herein by reference to Post-Effective 
        Amendment No. 29 to a Registration Statement on form N-4 for Golden American Life 
        Insurance Company Separate Account B filed with the Securities and Exchange 
        Commission on April 30, 1999 (File Nos. 033-23351, 811-05626). 
 
    f.    Form of Assignment Agreement for Organizational Agreement, incorporated herein by 
        reference to Post-Effective Amendment No. 29 to a Registration Statement on form N-4 
        for Golden American Life Insurance Company Separate Account B filed with the 
        Securities and Exchange Commission on April 30, 1999 (File Nos. 033-23351, 811- 
        05626). 
 
    g.    Amendment to the Distribution Agreement between ING USA and Directed Services 
        Inc., incorporated herein by reference to Post-Effective Amendment No. 26 to a 
        Registration Statement on Form N-4 for ING USA Annuity and Life Insurance Company 
        Separate Account B filed with the Securities and Exchange Commission on April 13, 
        2004 (File Nos. 333-28755, 811-05626). 
 
    h.    Form of Rule 22c-2 Agreement, incorporated herein by reference to Post-Effective 
        Amendment No. 10 to a Registration Statement on Form N-4 for ReliaStar Life Insurance 
        Company of New York Separate Account NY-B filed with the Securities and Exchange 
        Commission on April 12, 2007 (File Nos. 333-115515, 811-07935). 
 
(4)    a.    Individual Deferred Combination Variable and Fixed Annuity Contract (GA-IA-1034) 
        (02/97), incorporated herein by reference to Post-Effective Amendment No. 3 to a 
        Registration Statement on Form N-4 for Golden American Life Insurance Company 
        Separate Account B filed with the Securities and Exchange Commission on April 23, 
        1999 (File Nos. 333-28769, 811-05626). 
 
    b.    Group Deferred Combination Variable and Fixed Annuity Contract (GA-CA-1034) 
        (02/97), incorporated herein by reference to Post-Effective Amendment No. 3 to a 
        Registration Statement on Form N-4 for Golden American Life Insurance Company 
        Separate Account B filed with the Securities and Exchange Commission on April 23, 
        1999 (File Nos. 333-28769, 811-05626). 
 
    c.    Individual Deferred Variable Annuity Contract (GA-IA-1035) (02/97), incorporated 
        herein by reference to Post-Effective Amendment No. 3 to a Registration Statement on 
        Form N-4 for Golden American Life Insurance Company Separate Account B filed with 
        the Securities and Exchange Commission on April 23, 1999 (File Nos. 333-28769, 811- 
        05626). 
 
    d.    Individual Retirement Annuity Rider (GA-RA-1009) (12/02), incorporated herein by 
        reference to Post-Effective Amendment No. 34 to a Registration Statement on Form N-4 
        for Golden American Life Insurance Company Separate Account B filed with the 
        Securities and Exchange Commission on April 15, 2003 (File Nos. 033-23351, 811- 
        05626). 


e.    ROTH Individual Retirement Annuity Rider (GA-RA-1038) (12/02), incorporated herein 
    by reference to Post-Effective Amendment No. 34 to a Registration Statement on Form 
    N-4 for Golden American Life Insurance Company Separate Account B filed with the 
    Securities and Exchange Commission on April 15, 2003 (File Nos. 033-23351, 811- 
    05626). 
 
f.    Minimum Guaranteed Income Benefit Rider (IU-RA-1047) (01/05), incorporated herein 
    by reference to Post-Effective Amendment No. 31 to a Registration Statement on Form 
    N-4 for ING USA Annuity and Life Insurance Company Separate Account B filed with 
    the Securities and Exchange Commission on or about April 20, 2005 (File Nos. 333- 
    28755, 811-05626). 
 
g.    Minimum Guaranteed Income Benefit Rider (IU-RA-1047) (08-06), incorporated herein 
    by reference to Registration Statement on Form N-4 for ING USA Annuity and Life 
    Insurance Company Separate Account B filed with the Securities and Exchange 
    Commission on May 9, 2006 (File Nos. 333-133944, 811-05626). 
 
h.    Minimum Guaranteed Withdrawal Benefit Rider (GA-RA-1048) (01/02), incorporated 
    herein by reference to Post-Effective Amendment No. 25 to a Registration Statement on 
    Form N-4 for ING USA Annuity and Life Insurance Company Separate Account B filed 
    with the Securities and Exchange Commission on February 13, 2004 (File Nos. 333- 
    28679, 811-05626). 
 
i.    Minimum Guaranteed Withdrawal Benefit Rider with Reset Option (ING 
    PrincipalGuard) (GA-RA-1046), incorporated herein by reference to Post-Effective 
    Amendment No. 25 to a Registration Statement on Form N-4 for ING USA Annuity and 
    Life Insurance Company Separate Account B filed with the Securities and Exchange 
    Commission on or about February 13, 2004 (File Nos. 333-28755, 811-05626). 
 
j.    Minimum Guaranteed Withdrawal Benefit Rider with Reset Option (ING LifePay) (IU- 
    RA-3023), incorporated herein by reference to Post-Effective Amendment No. 32 to a 
    Registration Statement on Form N-4 for ING USA Annuity and Life Insurance Company 
    Separate Account B filed with the Securities and Exchange Commission on August 5, 
    2005 (File Nos. 333-28755, 811-05626). 
 
k.    Minimum Guaranteed Withdrawal Benefit Rider with Reset Option (ING Joint LifePay) 
    (IU-RA-3029), incorporated herein by reference to Registration Statement on Form N-4 
    for ING USA Annuity and Life Insurance Company Separate Account B filed with the 
    Securities and Exchange Commission on May 9, 2006 (File Nos. 333-133944, 811- 
    05626). 
 
l.    Excluded Funds Endorsement (Inforce Riders), incorporated herein by reference to Post- 
    Effective Amendment No.12 to a Registration Statement on Form N-4 for Golden 
    American Life Insurance Company Separate Account B filed with the Securities and 
    Exchange Commission on April 23, 2001 (File Nos. 333-28769, 811-05626). 
 
m.    Guaranteed Death Benefit Transfer Endorsement No. 1 (7% Solution Enhanced) (GA-RA- 
    1044-1) (01/02), incorporated herein by reference to Post-Effective Amendment No. 25 to 
    a Registration Statement on Form N-4 for ING USA Annuity and Life Insurance Company 
    Separate Account B filed with the Securities and Exchange Commission on February 13, 
    2004 (File Nos. 333-28679, 811-05626). 


n.    Guaranteed Death Benefit Transfer Endorsement No. 2 (Ratchet Enhanced) (GA-RA- 
    1044-2) (10/03), incorporated herein by reference to Post-Effective Amendment No. 25 
    to a Registration Statement on Form N-4 for ING USA Annuity and Life Insurance 
    Company Separate Account B filed with the Securities and Exchange Commission on 
    February 13, 2004 (File Nos. 333-28679, 811-05626). 
 
o.    Guaranteed Death Benefit Transfer Endorsement No. 3 (Standard) (GA-RA-1044-3) 
    (01/02), incorporated herein by reference to Post-Effective Amendment No. 25 to a 
    Registration Statement on Form N-4 for ING USA Annuity and Life Insurance Company 
    Separate Account B filed with the Securities and Exchange Commission on February 13, 
    2004 (File Nos. 333-28679, 811-05626). 
 
p.    Guaranteed Death Benefit Transfer Endorsement No. 4 (Max 7 Enhanced) (GA-RA- 
    1044-4) (10/03), incorporated herein by reference to Post-Effective Amendment No. 25 
    to a Registration Statement on Form N-4 for ING USA Annuity and Life Insurance 
    Company Separate Account B filed with the Securities and Exchange Commission on 
    February 13, 2004 (File Nos. 333-28679, 811-05626). 
 
q.    Guaranteed Death Benefit Transfer Endorsement No. 5 (Base Death Benefit) (GA-RA- 
    1044-5) (01/02), incorporated herein by reference to Post-Effective Amendment No. 25 
    to a Registration Statement on Form N-4 for ING USA Annuity and Life Insurance 
    Company Separate Account B filed with the Securities and Exchange Commission on 
    February 13, 2004 (File Nos. 333-28679, 811-05626). 
 
r.    Guaranteed Death Benefit Transfer Endorsement No. 6 (Inforce Contracts) (GA-RA- 
    1044-6) (01/02), incorporated herein by reference to Post-Effective Amendment No. 25 
    to a Registration Statement on Form N-4 for ING USA Annuity and Life Insurance 
    Company Separate Account B filed with the Securities and Exchange Commission on 
    February 13, 2004 (File Nos. 333-28679, 811-05626). 
 
s.    Earnings Enhancement Death Benefit Rider (GA-RA-1086), incorporated herein by 
    reference to Post-Effective Amendment No. 11 to a Registration Statement on Form N-4 
    for Golden American Life Insurance Company Separate Account B filed with the 
    Securities and Exchange Commission on February 23, 2001 (File Nos. 333-28769, 811- 
    05626). 
 
t.    Simple Retirement Account Rider (GA-RA-1026) (12/02), incorporated herein by 
    reference to Post-Effective Amendment No. 34 to a Registration Statement on Form N-4 
    for Golden American Life Insurance Company Separate Account B filed with the 
    Securities and Exchange Commission on April 15, 2003 (File Nos. 033-23351, 811- 
    05626). 
 
u.    403(b) Rider (GA-RA-1040), incorporated herein by reference to Post-Effective 
    Amendment No. 34 to a Registration Statement on Form N-4 for Golden American Life 
    Insurance Company Separate Account B filed with the Securities and Exchange 
    Commission on April 15, 2003 (File Nos. 033-23351, 811-05626). 


    v.    Section 72 Rider (GA-RA-1001) (12/94), incorporated herein by reference to 
        Registration Statement on Form N-4 for ING USA Annuity and Life Insurance Company 
        Separate Account B filed with the Securities and Exchange Commission on May 9, 2006 
        (File Nos. 333-133944, 811-05626). 
 
    w.    Section 72 Rider (GA-RA-1002) (12/94), incorporated herein by reference to 
        Registration Statement on Form N-4 for ING USA Annuity and Life Insurance Company 
        Separate Account B filed with the Securities and Exchange Commission on May 9, 2006 
        (File Nos. 333-133944, 811-05626). 
 
    x.    Nursing Home Waiver for Group Certificates (GA-RA-1003) (12/94), incorporated 
        herein by reference to Registration Statement on Form N-4 for ING USA Annuity and 
        Life Insurance Company Separate Account B filed with the Securities and Exchange 
        Commission on May 9, 2006 (File Nos. 333-133944, 811-05626). 
 
    y.    Nursing Home Waiver for Individual Certificates (GA-RA-1004) (12/94), incorporated 
        herein by reference to Registration Statement on Form N-4 for ING USA Annuity and 
        Life Insurance Company Separate Account B filed with the Securities and Exchange 
        Commission on May 9, 2006 (File Nos. 333-133944, 811-05626). 
 
    z.    Minimum Guaranteed Withdrawal Benefit Rider with Automatic Reset (ING LifePay 
        Plus)(IU-RA-3061), incorporated herein by reference to Post-Effective Amendment No. 
        40 to a Registration Statement on Form N-4 for ING USA Annuity and Life Insurance 
        Company Separate Account B filed with the Securities and Exchange Commission on 
        July 25, 2007 (File Nos. 333-28679, 811-05626). 
 
    aa.    Minimum Guaranteed Withdrawal Benefit Rider with Automatic Reset (ING Joint 
        LifePay Plus) (IU-RA-3062), incorporated herein by reference to Post-Effective 
        Amendment No. 40 to a Registration Statement on Form N-4 for ING USA Annuity and 
        Life Insurance Company Separate Account B filed with the Securities and Exchange 
        Commission on July 25, 2007 (File Nos. 333-28679, 811-05626). 
 
    bb.    Combination Minimum Guaranteed Withdrawal Benefit and Death Benefit Rider (ING 
        LifePay Plus) (IU-RA-3077), incorporated herein by reference to Post-Effective 
        Amendment No. 43 to a Registration Statement on Form N-4 for ING USA Annuity and 
        Life Insurance Company Separate Account B filed with the Securities and Exchange 
        Commission on April 7, 2008 (File Nos. 333-28755, 811-05626). 
 
    cc.    Combination Minimum Guaranteed Withdrawal Benefit and Death Benefit Rider (ING 
        Joint LifePay Plus) (IU-RA-3078), incorporated herein by reference to Post-Effective 
        Amendment No. 43 to a Registration Statement on Form N-4 for ING USA Annuity and 
        Life Insurance Company Separate Account B filed with the Securities and Exchange 
        Commission on April 7, 2008 (File Nos. 333-28755, 811-05626). 
 
(5)    a.    Deferred Variable Annuity Application. (GA-CDF-1109) (09/05), incorporated herein by 
        reference to Post-Effective Amendment No. 34 to a Registration Statement on Form N-4 
        for ING USA Annuity and Life Insurance Company Separate Account B filed with the 
        Securities and Exchange Commission on October 26, 2005 (File Nos. 333-28755, 811- 
        05626). 


    b.    Group Deferred Combination Variable and Fixed Annuity Enrollment Form (GA-EA- 
        1050) (11-22-1999), incorporated herein by reference to Post-Effective Amendment No 4 
        to a Registration Statement on Form N-4 for Golden American Life Insurance Company 
        Separate Account B filed with the Securities and Exchange Commission on December 3, 
        1999 (File Nos. 333-28769, 811-05626). 
 
    c.    Deferred Variable Annuity Application (137098) (08-21-2006), incorporated herein by 
        reference to Post-Effective Amendment No. 36 to a Registration Statement on Form N-4 
        for ING USA Annuity and Life Insurance Company Separate Account B filed with the 
        Securities and Exchange Commission on August 21, 2006 (File Nos. 333-28769, 811- 
        05626). 
 
    d.    Deferred Variable Annuity Application (137098) (04-28-2008), incorporated herein by 
        reference to Post-Effective Amendment No. 43 to a Registration Statement on Form N-4 
        for ING USA Annuity and Life Insurance Company Separate Account B filed with the 
        Securities and Exchange Commission on April 7, 2008 (File Nos. 333-28755, 811- 
        05626). 
 
    e.    Deferred Variable Annuity Application (137098) (10-6-2008), attached. 
 
(6)    a.    Amendment to Articles of Incorporation Providing for the Name Change of Golden 
        American Life Insurance Company, dated (11/21/03), incorporated herein by reference to 
        Post-Effective Amendment No. 1 to a Registration Statement on Form S-1 for ING USA 
        Annuity and Life Insurance Company filed with the Securities and Exchange 
        Commission on April 9, 2007 (File No. 333-133076). 
 
    b.    Amendment to Articles of Incorporation Providing for the Change in Purpose and Powers 
        of ING USA Annuity and Life Insurance Company, dated (03/04/04), incorporated herein 
        by reference to Post-Effective Amendment No. 1 to a Registration Statement on Form S- 
        1 for ING USA Annuity and Life Insurance Company filed with the Securities and 
        Exchange Commission on April 9, 2007 (File No. 333-133076). 
 
    c.    Amended and Restated By-Laws of ING USA Annuity and Life Insurance Company, 
        dated (12/15/04), incorporated herein by reference to Post-Effective Amendment No. 1 to 
        a Registration Statement on Form S-1 for ING USA Annuity and Life Insurance 
        Company filed with the Securities and Exchange Commission on April 9, 2007 (File No. 
        333-133076). 
 
    d.    Resolution of the board of directors for Power of Attorney, dated 04/23/99, incorporated 
        herein by reference to Post-Effective Amendment No. 12 to a Registration Statement on 
        Form N-4 for Golden American Life Insurance Company Separate Account B filed with 
        the Securities and Exchange Commission on April 23, 1999 (File Nos. 033-59261, 811- 
        05626). 
 
    e.    Articles of Merger and Agreement and Plan of Merger of USGALC, ULAIC, ELICI into 
        GALIC and renamed ING USA Annuity and Life Insurance Company, dated 06/25/03, 
        incorporated herein by reference to Post-Effective Amendment No. 25 to a Registration 
        Statement on Form N-4 for ING USA Annuity and Life Insurance Company Separate 
        Account B filed with the Securities and Exchange Commission on February 13, 2004 
        (File Nos. 333-28679, 811-05626). 


(7)        Not Applicable 
 
(8)    a.    Service Agreement by and between Golden American Life Insurance Company and 
        Directed Services, Inc., incorporated herein by reference to Post-Effective Amendment 
        No. 28 to a Registration Statement on form N-4 for Golden American Life Insurance 
        Company Separate Account B filed with the Securities and Exchange Commission on 
        May 1, 1998 (File Nos. 033-23351, 811-05626) 
 
    b.    Asset Management Agreement between Golden American Life Insurance Company and 
        ING Investment Management LLC, incorporated herein by reference to Post-Effective 
        Amendment No. 29 to a Registration Statement on form N-4 for Golden American Life 
        Insurance Company Separate Account B filed with the Securities and Exchange 
        Commission on April 30, 1999 (File Nos. 033-23351, 811-05626). 
 
    c.    Participation Agreement by and between AIM Variable Insurance Funds, Inc., Golden 
        American Life Insurance Company and Directed Services, Inc., incorporated herein by 
        reference to Post-Effective Amendment No. 32 to a Registration Statement on form N-4 
        for Golden American Life Insurance Company Separate Account B filed with the 
        Securities and Exchange Commission on April 26, 2002 (File Nos. 033-23351, 811- 
        05626). 
 
    d.    Amendment to Participation Agreement by and between AIM Variable Insurance Funds, 
        Inc., Golden American Life Insurance Company and Directed Services, Inc., incorporated 
        herein by reference to Post-Effective amendment No. 8 to a Registration Statement on 
        Form N-4 for ING USA Annuity and Life Insurance Company Separate Account B filed 
        with the Securities and Exchange Commission on December 2, 2005 (File Nos. 333- 
        33914, 811-05626). 
 
    e.    Participation Agreement between Golden American Life Insurance Company, American 
        Funds Insurance Series and Capital Research and Management Company, incorporated 
        herein by reference to Pre-Effective Amendment No. 1 to a Registration Statement on 
        Form N-6 for ReliaStar Life Insurance Company Select * Life Variable Account filed 
        with the Securities and Exchange Commission on July 17, 2003 (File Number 333- 
        105319). 
 
    f.    Participation Agreement by and between ING Investors Trust, Golden American Life 
        Insurance Company and Directed Services, Inc., incorporated herein by reference to Post- 
        Effective Amendment No. 6 to a Registration Statement on Form N-4 for ING USA 
        Annuity and Life Insurance Company Separate Account B filed with the Securities and 
        Exchange Commission on April 21, 2005 (File Nos. 333-70600, 811-05626). 
 
    g.    Rule 22c-2 Agreement dated no later than April 16, 2007 is effective October 16, 2007 
        between ING Funds Services, LLC, ING Life Insurance and Annuity Company, ING 
        National Trust, ING USA Annuity and Life Insurance Company, ReliaStar Life 
        Insurance Company, ReliaStar Life Insurance Company of New York, Security Life of 
        Denver Insurance Company and Systematized Benefits Administrators Inc., incorporated 
        by reference to Post-Effective Amendment No. 50 to Registration Statement on Form N- 
        4 (File No. 033-75962), as filed on June 15, 2007. 


h.    Participation Agreement by and between ING Variable Insurance Trust, Golden 
    American Life Insurance Company and ING Mutual Funds Management Co. LLC and 
    ING Funds Distributor, Inc., incorporated herein by reference to Post-Effective 
    amendment No. 32 to a Registration Statement on form N-4 for Golden American Life 
    Insurance Company Separate Account B filed with the Securities and Exchange 
    Commission on April 26, 2002 (File Nos. 033-23351, 811-05626). 
 
i.    Participation Agreement by and between Pilgrim Variable Products Trust, Golden 
    American Life Insurance Company and Directed Services, Inc., incorporated herein by 
    reference to Post-Effective amendment No. 32 to a Registration Statement on form N-4 
    for Golden American Life Insurance Company Separate Account B filed with the 
    Securities and Exchange Commission on April 26, 2002 (File Nos. 033-23351, 811- 
    05626). 
 
j.    Amendment to Participation Agreement by and between ING Variable Products Trust, 
    Golden American Life Insurance Company, ING Investments, LLC and ING Funds 
    Distributor, Inc., incorporated herein by reference to Post-Effective amendment No. 8 to 
    a Registration Statement on Form N-4 for ING USA Annuity and Life Insurance 
    Company Separate Account B filed with the Securities and Exchange Commission on 
    December 2, 2005 (File Nos. 333-33914, 811-05626). 
 
k.    Participation Agreement by and between ING Variable Portfolios, Inc., Golden American 
    Life Insurance Company and Directed Services, Inc., incorporated herein by reference to 
    Post-Effective Amendment No. 1 to a Registration Statement on Form N-4 for Golden 
    American Life Insurance Company Separate Account B filed with the Securities and 
    Exchange Commission on April 29, 2002 (File Nos. 333-70600, 811-05626). 
 
l.    Participation Agreement by and between Portfolio Partners, Inc., Golden American Life 
    Insurance Company and Directed Services, Inc. incorporated herein by reference to Post- 
    Effective Amendment No. 1 to a Registration Statement on Form N-4 for Golden 
    American Life Insurance Company Separate Account B filed with the Securities and 
    Exchange Commission on April 29, 2002 (File Nos. 333-70600, 811-05626). 
 
m.    Amendment to Participation Agreement by and between Portfolio Partners, Inc., Golden 
    American Life Insurance Company and Directed Services, Inc., incorporated herein by 
    reference to Post-Effective Amendment No. 1 to a Registration Statement on Form N-4 
    for Golden American Life Insurance Company Separate Account B filed with the 
    Securities and Exchange Commission on April 29, 2002 (File Nos. 333-70600, 811- 
    05626). 
 
n.    Second Amendment to Participation Agreement by and between ING Partners, Inc., 
    Golden American Life Insurance Company, ING Life Insurance and Annuity Company 
    and ING Financial Advisers, LLC, incorporated herein by reference to Post-Effective 
    amendment No. 8 to a Registration Statement on Form N-4 for ING USA Annuity and 
    Life Insurance Company Separate Account B filed with the Securities and Exchange 
    Commission on December 2, 2005 (File Nos. 333-33914, 811-05626). 


o.    Participation Agreement by and between Fidelity Distributors Corporation, Golden 
    American Life Insurance Company and Variable Insurance Products Funds, incorporated 
    herein by reference to Post-Effective amendment No. 32 to a Registration Statement on 
    form N-4 for Golden American Life Insurance Company Separate Account B filed with 
    the Securities and Exchange Commission on April 26, 2002 (File Nos. 033-23351, 811- 
    05626). 
 
p.    Amendment to Participation Agreement by and between Fidelity Distributors 
    Corporation and ING USA Annuity and Life Insurance Company, incorporated herein by 
    reference to Post-Effective amendment No. 8 to a Registration Statement on Form N-4 
    for ING USA Annuity and Life Insurance Company Separate Account B filed with the 
    Securities and Exchange Commission on December 2, 2005 (File Nos. 333-33914, 811- 
    05626). 
 
q.    Rule 22c-2 Agreement dated no later than April 16, 2007 and is effective as of October 
    16, 2007 between Fidelity Distributors Corporation, ING Life Insurance and Annuity 
    Company, ING National Trust, ING USA Annuity and Life Insurance Company, 
    ReliaStar Life Insurance Company, ReliaStar Life Insurance Company of New York, 
    Security Life of Denver Insurance Company and Systematized Benefits Administrators 
    Inc., incorporated by reference to Post-Effective Amendment No. 50 to Registration 
    Statement on Form N-4 (File No. 033-75962), as filed on June 15, 2007. 
 
r.    Letter Agreement dated May 16, 2007 and effective July 2, 2007 between ING USA 
    Annuity and Life Insurance Company, Variable Insurance Products Fund, Variable 
    Insurance Products Fund II, Variable Insurance Products Fund III, Variable Insurance 
    Products Fund V and Fidelity Distributors Corporation, incorporated by reference to 
    Post-Effective Amendment No. 3 to the Registration Statement on Form N-4 (File No. 
    333-117260), as filed on October 23, 2007. 
 
s.    Amended and Restated Participation Agreement as of December 30, 2005 by and among 
    Franklin Templeton Variable Insurance Products Trust/Templeton Distributors, Inc., ING 
    Life Insurance and Annuity Company, ING USA Annuity and Life Insurance Company, 
    ReliaStar Life Insurance Company, ReliaStar Life Insurance Company of New York and 
    Directed Services, Inc., incorporated herein by reference to Post Effective Amendment 
    No. 17 of a Registration Statement on Form N-4 for ReliaStar Life Insurance Company 
    Separate Account NY-B filed with the Securities and Exchange Commission on February 
    1, 2007 (File Nos. 333-85618, 811-07935). 
 
t.    Participation Agreement between Golden American Life Insurance Company, INVESCO 
    Variable Investment Funds, Inc., INVESCO Funds Group, Inc. and INVESCO 
    Distributors, Inc. incorporated herein by reference to Post-Effective amendment No. 1 to 
    a Registration Statement on Form N-4 for ING USA Annuity and Life Insurance 
    Company Separate Account B filed with the Securities and Exchange Commission on 
    April 29, 2002 (File Nos. 333-63692, 811-05626). 
 
u.    Participation Agreement by and between Liberty Variable Investment Trust, Columbia 
    Management Advisors, Inc. and ING USA Annuity and Life Insurance Company, 
    incorporated herein by reference to Post-Effective amendment No. 8 to a Registration 
    Statement on Form N-4 for ING USA Annuity and Life Insurance Company Separate 
    Account B filed with the Securities and Exchange Commission on December 2, 2005 
    (File Nos. 333-33914, 811-05626). 


v.    Participation Agreement by and between PIMCO Variable Insurance Trust, Golden 
    American Life Insurance Company and PIMCO Funds Distributors LLC, incorporated 
    herein by reference to Pre-Effective Amendment No. 1 to a Registration Statement on 
    Form N-4 for Golden American Life Insurance Company Separate Account B filed with 
    the Securities and Exchange Commission on June 23, 2000 (File Nos. 333-33914, 811- 
    05626). 
 
w.    Amendment to Participation Agreement by and between PIMCO Variable Insurance 
    Trust, Golden American Life Insurance Company and PIMCO Funds Distributors LLC, 
    incorporated herein by reference to Post-Effective Amendment No. 8 to a Registration 
    Statement on Form N-4 for ING USA Annuity and Life Insurance Company Separate 
    Account B filed with the Securities and Exchange Commission on December 2, 2005 
    (File Nos. 333-33914, 811-05626). 
 
x.    Participation Agreement by and between Pioneer Variable Contracts Trust, Golden 
    American Life Insurance Company, Pioneer Investment Management, Inc. and Pioneer 
    Funds Distributor, Inc., incorporated herein by reference to Post-Effective Amendment 
    No. 32 to a Registration Statement on form N-4 for Golden American Life Insurance 
    Company Separate Account B filed with the Securities and Exchange Commission on 
    April 26, 2002 (File Nos. 033-23351, 811-05626). 
 
y.    Participation Agreement by and between ProFunds, Golden American Life Insurance 
    Company and ProFunds Advisors LLC, incorporated herein by reference to Post- 
    Effective Amendment No. 8 to a Registration Statement on Form N-4 for ING USA 
    Annuity and Life Insurance Company Separate Account B filed with the Securities and 
    Exchange Commission on December 2, 2005 (File Nos. 333-33914, 811-05626). 
 
z.    Amendment to Participation Agreement by and between ProFunds, Golden American 
    Life Insurance Company and ProFunds Advisors LLC, incorporated herein by reference 
    to Post-Effective Amendment No. 8 to a Registration Statement on Form N-4 for ING 
    USA Annuity and Life Insurance Company Separate Account B filed with the Securities 
    and Exchange Commission on December 2, 2005 (File Nos. 333-33914, 811-05626). 
 
aa.    Participation Agreement by and between Prudential Series Fund, Inc., Golden American 
    Life Insurance Company Prudential Insurance Company of America and Prudential 
    Investment Management Services LLC, incorporated herein by reference to Pre-Effective 
    Amendment No. 1 to a Registration Statement on Form N-4 for Golden American Life 
    Insurance Company Separate Account B filed with the Securities and Exchange 
    Commission on June 23, 2000 (File Nos. 333-33914, 811-05626). 
 
bb.    Amendment to Participation Agreement by and between Prudential Series Fund, Inc., 
    Golden American Life Insurance Company, Prudential Insurance Company of America 
    and Prudential Investment Management Services LLC, incorporated herein by reference 
    to Post-Effective Amendment No. 9 to a Registration Statement on form N-4 for Golden 
    American Life Insurance Company Separate Account B filed with the Securities and 
    Exchange Commission on December 15, 2000 (File Nos. 333-28679, 811-05626). 


    cc.    Amendment to Participation Agreement as of June 5, 2007 by and between Franklin 
        Templeton Variable Insurance Products Trust, Franklin/Templeton Distributors, Inc., 
        ING Life Insurance and Annuity Company, ING USA Annuity and Life Insurance 
        Company, ReliaStar Life Insurance Company, ReliaStar Life Insurance Company of New 
        York, and Directed Services, LLC, incorporated herein by reference to Pre-Effective 
        Amendment No. 1 to a Registration Statement on Form N-4 for ReliaStar Life Insurance 
        Company of New York Separate Account NY-B filed with the Securities and Exchange 
        Commission on July 6, 2007 (File Nos. 333-139695, 811-07935). 
 
    dd.    Rule 22c-2 Agreement dated no later than April 16, 2007, and is effective as of October, 
        16, 2007, between BlackRock Distributors, Inc., on behalf of and as distributor for the 
        BlackRock Funds and the Merrill Lynch family of funds and ING Life Insurance and 
        Annuity Company, ING National Trust, ING USA Annuity and Life Insurance Company, 
        ReliaStar Life Insurance Company, ReliaStar Life Insurance Company of New York, 
        Security Life of Denver Insurance Company and Systematized Benefits Administrators 
        Inc., incorporated herein by reference to Post-Effective Amendment No. 43 to a 
        Registration Statement on Form N-4 for ING USA Annuity and Life Insurance Company 
        Separate Account B filed with the Securities and Exchange Commission on April 7, 2008 
        (File Nos. 333-28755, 811-05626). 
 
    ee.    Rule 22c-2 Agreement dated no later than April 16, 2007 and is effective as of October 
        16, 2007 between AIM Investment Services, Inc., ING Life Insurance and Annuity 
        Company, ReliaStar Life Insurance Company, ReliaStar Life Insurance Company of New 
        York, Security Life of Denver Insurance Company and Systematized Benefits 
        Administrators Inc., incorporated by reference to Post-Effective Amendment No. 50 to 
        Registration Statement on Form N-4 (File No. 033-75962), as filed on June 15, 2007. 
 
    ff.    Rule 22c-2 Agreement dated April 16, 2007 and is effective as of October 16, 2007 
        among Columbia Management Services, Inc., ING Life Insurance and Annuity Company, 
        ING National Trust, ING USA Annuity and Life Insurance Company, ReliaStar Life 
        Insurance Company, ReliaStar Life Insurance Company of New York, Security Life of 
        Denver Life Insurance Company and Systematized Benefits Administrators Inc., 
        incorporated by reference to Post-Effective Amendment No. 3 to Registration Statement 
        on Form N-4 (File No. 333-134760), as filed on July 27, 2007. 
 
(9)        Opinion and Consent of Counsel, attached. 
 
(10)        Consent of Independent Registered Public Accounting Firm, attached. 
 
(11)        Not Applicable. 
 
(12)        Not Applicable. 
 
(13)        Powers of Attorney, incorporated herein by reference to Post-Effective Amendment No. 
        40 to a Registration Statement on Form N-4 for ING USA Annuity & Life Insurance 
        Company Separate Account B filed with the Securities and Exchange Commission on 
        April 8, 2008 (File Nos. 333-28769, 811-05626). 


 ITEM 25: DIRECTORS AND OFFICERS OF THE DEPOSITOR 
 
Name    Principal Business Address    Position(s) with Depositor 
Valerie G. Brown*    5780 Powers Ferry Road    President 
    Atlanta, GA 30327-4390     
Bridget M. Healy*    230 Park Avenue, 13th Floor    Director 
    New York, NY 10169     
Robert G. Leary*    230 Park Avenue    Director 
    New York, NY 10169     
Kathleen A. Murphy*    One Orange Way    Director 
    Windsor, CT 06095-4774     
Thomas J. McInerney*    One Orange Way    Director and Chairman 
    Windsor, CT 06095-4774     
Catherine H. Smith*    One Orange Way    Director and Senior Vice President 
    Windsor, CT 06095-4774     
David A. Wheat*    5780 Powers Ferry Road    Chief Financial Officer, Director 
    Atlanta, GA 30327-4390    and Executive Vice President 
Steven T. Pierson*    5780 Powers Ferry Road    Senior Vice President and Chief 
    Atlanta, GA 30327-4390    Accounting Officer 
Boyd G. Combs    5780 Powers Ferry Road    Senior Vice President, Tax 
    Atlanta, GA 30327-4390     
Daniel P. Mulheran, Sr.    20 Washington Avenue South    Senior Vice President 
    Minneapolis, MN 55401     
Stephen J. Preston    1475 Dunwoody Drive    Senior Vice President 
    West Chester, PA 19380     
David S. Pendergrass    5780 Powers Ferry Road    Senior Vice President and Treasurer 
    Atlanta, GA 30327-4390     
Spencer T. Shell    5780 Powers Ferry Road    Vice President and Assistant 
    Atlanta, GA 30327-4390    Treasurer 
Michel G. Perreault    1475 Dunwoody Drive    Senior Vice President and 
    West Chester, PA 19380    Appointed Actuary 
Linda E. Senker    1475 Dunwoody Drive    Vice President and Chief 
    West Chester, PA 19380    Compliance Officer 
Joy M. Benner    20 Washington Avenue South    Secretary 
    Minneapolis, MN 55401     

  *Principal delegated legal authority to execute this registration statement pursuant to Powers of Attorney.

ITEM 26: PERSONS CONTROLLED BY OR UNDER COMMON CONTROL WITH THE
DEPOSITOR OR REGISTRANT

Incorporated herein by reference to Item 26 in Post-Effective Amendment No. 53 to Registration
Statement on Form N-4 for Variable Annuity Account C of ING Life Insurance and Annuity Company
(File No. 333-01107), as filed with the Securities and Exchange Commission on August 18, 2008.

ITEM 27: NUMBER OF CONTRACT OWNERS

As of August 29, 2008, there are 11,429 qualified contract owners and 9,666 non-qualified contract
owners.


ITEM 28: INDEMNIFICATION

ING USA shall indemnify (including therein the prepayment of expenses) any person who is or was a
director, officer or employee, or who is or was serving at the request of ING USA as a director, officer or
employee of another corporation, partnership, joint venture, trust or other enterprise for expenses
(including attorney’s fees), judgments, fines and amounts paid in settlement actually and reasonably
incurred by him with respect to any threatened, pending or completed action, suit or proceedings against
him by reason of the fact that he is or was such a director, officer or employee to the extent and in the
manner permitted by law.

ING USA may also, to the extent permitted by law, indemnify any other person who is or was serving
ING USA in any capacity. The Board of Directors shall have the power and authority to determine who
may be indemnified under this paragraph and to what extent (not to exceed the extent provided in the
above paragraph) any such person may be indemnified.

A corporation may procure indemnification insurance on behalf of an individual who is or was a director
of the corporation. ING America Insurance Holdings, Inc. maintains a Professional Liability umbrella
insurance policy issued by an international insurer. The policy covers ING America Insurance Holdings,
Inc. and any company in which ING America Insurance Holdings, Inc. has a controlling interest of 50%
or more. This would encompass the principal underwriter as well as the depositor. Additionally, the
parent company of ING America Insurance Holdings, Inc., ING Groep N.V., maintains an excess
umbrella cover with limits in excess of $125,000,000. The policy provides for the following types of
coverage: errors and omissions/professional liability, directors and officers, employment practices,
fiduciary and fidelity.

Insofar as indemnification for liabilities arising under the Securities Act of 1933, as amended, may be
permitted to directors, officers and controlling persons of the Registrant, as provided above or otherwise,
the Registrant has been advised that in the opinion of the SEC such indemnification by the Depositor is
against public policy, as expressed in the Securities Act of 1933, and therefore may be unenforceable. In
the event that a claim of such indemnification (except insofar as it provides for the payment by the
Depositor of expenses incurred or paid by a director, officer or controlling person in the successful
defense of any action, suit or proceeding) is asserted against the Depositor by such director, officer or
controlling person and the SEC is still of the same opinion, the Depositor or 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 of whether such indemnification by the Depositor is against public
policy as expressed by the Securities Act of 1933 and will be governed by the final adjudication of such
issue.

ITEM 29: PRINCIPAL UNDERWRITER

(a) At present, Directed Services LLC, the Registrant’s Distributor, serves as principal underwriter
for all contracts issued by ING USA Annuity and Life Insurance Company. Directed Services LLC is the
principal underwriter for Separate Account A, Separate Account B, ING USA Separate Account EQ,
ReliaStar Life Insurance Company of New York Separate Account NY-B, Alger Separate Account A of
ING USA and the ING Investors Trust.

(b) The following information is furnished with respect to the principal officers and directors of
Directed Services LLC, the Registrant’s Distributor. The principal business address for each officer and
director following is 1475 Dunwoody Drive, West Chester, PA 19380-1478, unless otherwise noted.


 Names    Principal Business Address    Positions and Offices with Underwriter 
 A. Bayard Closser            President and Director     
 Shaun P. Mathews    10 State House Square        Director and Executive Vice President 
    Hartford, CT 06103                 
 Valerie G. Brown            Director         
 Kimberly A. Anderson    7337 E Doubletree Ranch Road    Senior Vice President     
    Scottsdale, AZ 85258                 
 Michael J. Roland    7337 E Doubletree Ranch Road    Senior Vice President     
    Scottsdale, AZ 85258                 
 Stanley D. Vyner    230 Park Ave 13th Floor        Senior Vice President     
    New York, NY 10169                 
 Richard E. Gelfand            Chief Financial Officer     
 Beth G. Shanker    1290 Broadway        Broker Dealer Chief Compliance Officer 
    Denver, CO 80203                 
 Ernest C’Debaca    7337 E Doubletree Ranch Road    Investment Advisory Chief Compliance 
    Scottsdale, AZ 85258        Officer and Senior Vice President 
 Julius A. Drelick, III    7337 E Doubletree Ranch Road    Vice President     
    Scottsdale, AZ 85258                 
 William A. Evans    10 State House Square        Vice President     
    Hartford, CT 06103                 
 Todd R. Modic    7337 E Doubletree Ranch Road    Vice President     
    Scottsdale, AZ 85258                 
 Spencer T. Shell    5780 Powers Ferry Road        Vice President and Assistant Treasurer 
    Atlanta, GA 30327-4390             
 David S. Pendergrass    7337 E Doubletree Ranch Road    Vice President and Treasurer 
    Scottsdale, AZ 85258                 
 Joy M. Benner    20 Washington Avenue South    Secretary     
    Minneapolis, MN 55401                 
 Diana R. Cavender    20 Washington Avenue South    Assistant Secretary     
    Minneapolis, MN 55401                 
 Randall K. Price    20 Washington Avenue South    Assistant Secretary     
    Minneapolis, MN 55401                 
 Susan M. Vega    20 Washington Avenue South    Assistant Secretary     
    Minneapolis, MN 55401                 
 G. Stephen Wastek    7337 E Doubletree Ranch Road,    Assistant Secretary     
    Scottsdale, AZ 85258                 
 Bruce Kuennen            Attorney-in-Fact     
 
(c)                     
    2007 Net                 
    Underwriting                 
Name of Principal    Discounts and    Compensation    Brokerage     
Underwriter    Commission    on Redemption    Commissions    Compensation 
   Directed Services LLC    $553,818,186    $0        $0    $0 

ITEM 30: LOCATION OF ACCOUNTS AND RECORDS

All accounts, books and other documents required to be maintained by Section 31(a) of the 1940 Act and
the rules under it relating to the securities described in and issued under this Registration Statement are
maintained by the Depositor and located at: 909 Locust Street, Des Moines, Iowa 50309, 1475 Dunwoody
Drive, West Chester, PA 19380 and at 5780 Powers Ferry Road, N.W., Atlanta, GA 30327-4390.


  ITEM 31: MANAGEMENT SERVICES

  None.

  ITEM 32: UNDERTAKINGS

  (a) Registrant hereby undertakes to file a post-effective amendment to this registration statement as
frequently as it is necessary to ensure that the audited financial statements in the registration statement are
never more than 16 months old so long as payments under the variable annuity contracts may be
accepted;

(b) Registrant hereby undertakes to include either (1) as part of any application to purchase a contract
offered by the prospectus, a space that an applicant can check to request a Statement of Additional
Information, or (2) a post card or similar written communication affixed to or included in the prospectus
that the applicant can remove to send for a Statement of Additional Information; and

(c) Registrant hereby undertakes to deliver any Statement of Additional Information and any financial
statements required to be made available under this Form promptly upon written or oral request.

REPRESENTATIONS 

1. The account meets the definition of a “separate account” under federal securities laws.

2. ING USA Annuity and Life Insurance Company hereby represents that the fees and charges deducted
under the Contract described in the Prospectus, in the aggregate, are reasonable in relation to the services
rendered, the expenses to be incurred and the risks assumed by the Company.


SIGNATURES 

As required by the Securities Act of 1933 and the Investment Company Act of 1940, the Registrant
certifies that it meets the requirement of Securities Act Rule 485(b) for effectiveness of this Post-
Effective Amendment to its Registration Statement on Form N-4 and has caused this Post-Effective
Amendment to be signed on its behalf in the City of West Chester and Commonwealth of Pennsylvania,
on the 10th day of September, 2008.

    SEPARATE ACCOUNT B 
    (Registrant) 
 
By:    ING USA ANNUITY AND LIFE INSURANCE COMPANY 
    (Depositor) 
 
By:     

    Valerie G. Brown* 
    President (principal executive officer) 
 
By:    /s/ John S. Kreighbaum 
    John S. (Scott) Kreighbaum as 
    Attorney-in-Fact 

As required by the Securities Act of 1933, this Post-Effective Amendment to the Registration Statement
has been signed by the following persons in the capacities indicated on September 10, 2008.

Signatures    Officer Titles 
    President 

Valerie G. Brown*    (principal executive officer) 
    Chief Accounting Officer 

Steven T. Pierson*     
DIRECTORS     
    Chief Financial Officer 

David A. Wheat*     

Bridget M. Healy*     

Robert G. Leary*     

 
Thomas J. McInerney*     

Kathleen A. Murphy*     


Signatures    Officer Titles 

Catherine H. Smith*     
 
By:    /s/ John S. Kreighbaum 
John S. (Scott) Kreighbaum as
    Attorney-in-Fact     

  *Executed by John S. (Scott) Kreighbaum on behalf of those indicated pursuant to Powers of Attorney.


EXHIBIT INDEX
ITEM    EXHIBIT    PAGE # 
(5)e    Deferred Variable Annuity Application (137098) (10-6-2008)    EX-99.B5E 
(9)    Opinion and Consent of Counsel    EX-99.B9 
(10)    Consent of Independent Registered Public Accounting Firm    EX-99.B10 


EX-99.B5E 2 gscountrywide137098.htm APPLICATION 137098_10062008 gscountrywide137098.htm -- Converted by SEC Publisher, created by BCL Technologies Inc., for SEC Filing

Issued by ING USA Annuity and Life Insurance Company
A member of the ING family of companies
Distributed by Directed Services LLC

 

ING GoldenSelect

Deferred Variable Annuity Application

Countrywide except FL, MA, MD, NC, NJ, NV, OR and TX

 

 

 

 

 

 

 

 

 

 

Annuities



IMPORTANT INFORMATION AND REMINDERS
Page 1

  • The name, trust date (if applicable), address, birth date, Social Security number/tax identification number, and country of citizenship is provided for each individual/entity named.

Page 2

  • The primary or contingent status for each named beneficiary is entered in section 3(A).
  • Each beneficiary is named individually. If there are any trust designations, the trust name and the trust date are included.
  • Designated beneficiary percentages are clearly entered and total 100% for all primary beneficiaries and 100% for all contingent beneficiaries.
  • If a separate sheet containing additional beneficiary information is needed, that sheet is signed and dated by the owner.
  • If the ING Joint LifePay Plus living benefit option is selected on a custodially owned contract, the custodial beneficiary information is entered in section 3(B).

Page 3

  • If a transfer is required, the approximate transfer amount is entered in section 4. If there are multiple transfers, each approximate transfer amount is entered separately.
  • The initial premium meets the selected product’s minimum requirements.
  • Select one product and one death benefit. If choosing an optional living benefit rider, select only one.
  • Enhanced death benefits or earnings multiplier cannot be selected with joint owners.
  • If Telephone/Electronic Transmission Reallocation Authorization is selected, the owner has initialed where required to authorize the agent. The name and Social Security number for each additional person is entered in section 6.

Page 4

  • The owner and joint owner (if applicable) have initialed their consent to future electronic information delivery. We will not provide their e-mail addresses to any third party.
  • The plan type for this new annuity (e.g., Non-Qualified, IRA, Simple IRA) is indicated in section 8, and any applicable conversion/establishment dates are provided.
  • If a replacement is involved, the appropriate transfer and state replacement forms are completed and submitted with this application.

Page 5

  • Use section 10A only if you have not elected the ING LifePay Plus or ING Joint LifePay Plus living benefit options.
  • All allocations (fixed and variable) total 100% of the initial investment amount.
  • To elect an optional DCA transfer program, allocate money to either ING Liquid Assets or 6-Month DCA, and indicate the funds the DCA is to go to by writing percentages in the “DCA Allocation % (Optional)” columns. Both allocations must total 100%.

Page 6

  • Use section 10B only if you have elected the ING LifePay Plus or ING Joint LifePay Plus living benefit options.
  • Please note, contracts that elect the ING LifePay Plus or ING Joint LifePay Plus options must comply with the fund allocation requirements as described on this page (see Options 1-3) and in your prospectus. These requirements apply to both initial and DCA allocations. Please see the next page for examples.
  • Applications that do not comply with these requirements will be deemed not in good order, and the contract will not be issued until correct investment instructions are received.
  • After contract issue, ING USA Annuity and Life Insurance Company may periodically rebalance the contract value to remain in compliance with the ING LifePay Plus and ING Joint LifePay Plus allocation requirements. Please see your prospectus for additional information.
  • To elect an optional DCA transfer program, allocate money to either ING Liquid Assets or 6-Month DCA, and indicate the funds the DCA is to go to by writing percentages in the “DCA Allocation % (Optional)” columns. Both allocations must total 100%.

Page 7

• Provide any additional remarks in section 12 (e.g., additional beneficiaries).

Page 8

  • The owner has signed and dated section 14, including the city and state where this application was signed. If this is different from the owner’s resident state, an explanation is provided at the top of page 1 and a “Nexus Information Worksheet” is submitted with this application.
  • If this form is signed by a power of attorney, legal guardian, etc. a copy of the appropriate supporting documentation is provided confirming the signer’s ability to act on behalf of the owner.

Page 9

  • The name, Social Security number, phone number, broker/dealer branch, and signature for each agent is provided.
  • If more than one agent is listed, the agent commission split is entered and totals 100%.
MAILING INSTRUCTIONS         
Send completed and signed documents to:         
For Regular Mail:    ING ANNUITIES    For Overnight Delivery:    ING ANNUITIES 
    Attn: New Business        Attn: New Business 
    PO Box 9271        909 Locust Street 
    Des Moines, IA 50306-9271        Des Moines, IA 50309-2899 

To contact our Licensing Department, please call 800-235-5965.     
To contact our Client Services Department, please call 800-366-0066.     
To contact our Sales Desk, please call:     
INDEPENDENT DIVISION    NYSE/REGIONAL DIVISION 
800-344-6860    800-243-3706 


  EXAMPLES OF ING LIFEPAY PLUS AND ING JOINT LIFEPAY PLUS FUND ALLOCATIONS

If you elect ING LifePay Plus or ING Joint LifePay Plus, there are allocation guidelines that must be followed.
Option 1: You may allocate entirely among Accepted Funds without restriction.
Option 2: You may elect not to allocate any account value to Accepted Funds and allocate entirely among the LifePay Plus Fixed Allocation Fund(s) and
Other Funds. However, at least 25% of the account value must be invested in the LifePay Plus Fixed Allocation Fund(s).
Option 3: You may allocate among a combination of Accepted Funds, the LifePay Plus Fixed Allocation Fund(s), and Other Funds. However, at least 25%
of the account value not invested in Accepted Funds must be invested in the LifePay Plus Fixed Allocation Fund(s).




  Here are some common allocation percentage combinations you might want to use:

Accepted    Fixed Allocation Fund(s)    Other    Accepted    Fixed Allocation Fund(s)    Other 






0%    25.00%    75.00%    55%    11.25%    33.75% 






5%    23.75%    71.25%    60%    10.00%    30.00% 






10%    22.50%    67.50%    65%    8.75%    26.25% 






15%    21.25%    63.75%    70%    7.50%    22.50% 






20%    20.00%    60.00%    75%    6.25%    18.75% 






25%    18.75%    56.25%    80%    5.00%    15.00% 






30%    17.50%    52.50%    85%    3.75%    11.25% 






35%    16.25%    48.75%    90%    2.50%    7.50% 






40%    15.00%    45.00%    95%    1.25%    3.75% 






45%    13.75%    41.25%    100%    0.00%    0.00% 






50%    12.50%    37.50%             








IMPORTANT INFORMATION ABOUT THE ING JOINT LIFEPAY PLUS LIVING BENEFIT RIDER

There are certain issue requirements that must be met to successfully elect the ING Joint LifePay Plus living bene t rider. Applications
that do not comply with these issue requirements will be deemed not in good order, and the contract will not be issued.

The ING USA Annuity and Life Insurance Company Joint LifePay Plus living benefit rider can only be issued if there are two
individuals who are married at the time of issue and meet the ownership, annuitant and beneficiary issue requirements listed
in the table below. ING USA Annuity and Life Insurance Company will comply with the then current definition of marriage under
federal tax law and regulations and federal tax publications issued by the Internal Revenue Service (IRS). The IRS has interpreted
marriage to mean a legal union between a man and a woman as husband and wife. Please consult your financial advisor to
determine whether you meet the requirements.

ING Joint LifePay Plus Living Benefit Issue Requirements

            Annuitant(s)    Primary Beneficiary 
Type of Plan    Owner1    Ownership Requirements    Requirements    Requirements 





Non-Qualified    Joint owners    The two owners must be the    Must be a spouse.    None 
        two spouses.         




    Single owner    The owner must be a spouse.    Must be a spouse.    Sole primary beneficiary 
                must be the owner’s spouse. 





Qualified-IRA    Single owner2    The owner must be a spouse.    Must be the owner.    Sole primary beneficiary 
                must be the owner’s spouse.3 






1 Non-natural owners are not allowed. Neither joint owners nor non-natural owners are allowed under quali ed plans.
2 Includes custodial accounts. The bene cial owner of the custodial account must be one of the spouses.
3 If a custodial account, this requirement applies to the bene ciary information on record with the custodian.

Changes in ownership, annuitant and/or beneficiary designations, and changes in marital status may affect the terms and conditions
of the ING Joint LifePay Plus living benefit option. Please refer to your prospectus for complete details to determine if this living
benefit option is consistent with your needs and objectives in purchasing an annuity contract.

If you decide to elect the ING Joint LifePay Plus living benefit option, please be sure to provide names, birth dates and Social Security
numbers wherever requested on the application. Please follow the instructions listed on the “Important Information and Reminders”
page at the beginning of this document.



For Agent Use Only: Client Account Number             



If this application is being signed in a state other than the owner’s resident state, please specify the state where the business was 
solicited and the purpose of the visit.                 





1(A). OWNER (Please provide supporting documentation for all non-natural owners.)     
Name                                                     Trust Date     




SSN/TIN        Birth Date                                                                                   Male         Female 


Street Address                     





    (No P.O. Box addresses.)                               City                                                         State    ZIP 
Mailing Address                     





    (If different than above.)                               City                                                         State    ZIP 
Phone                       E-mail Address         




Country of Citizenship                     






1(B). JOINT OWNER    (Standard Death Benefit option only. Earnings Multiplier not available.)     
Relationship to Owner                     






Name                                                     Trust Date     




SSN/TIN        Birth Date                                                                                   Male         Female 


Street Address                     





    (No P.O. Box addresses.)                               City                                                         State    ZIP 
Mailing Address                     





    (If different than above.)                               City                                                         State    ZIP 
Phone                       E-mail Address         




Country of Citizenship                     






2(A). ANNUITANT                     
Relationship to Owner:         Owner    Joint Owner     Other (Please complete the information below if this choice is selected.) 
Name                Relationship to Owner     




SSN        Birth Date                                                                                   Male         Female 


Street Address                     





    (No P.O. Box addresses.)                               City                                                         State    ZIP 
Country of Citizenship                     






2(B). CONTINGENT ANNUITANT (Optional.)             
Name                Relationship to Owner     




SSN        Birth Date                                                                                   Male         Female 


Street Address                     





    (No P.O. Box addresses.)                               City                                                         State    ZIP 
Country of Citizenship                     





GA-CDF-1109(04/08)            Page 1 of 9                                                                 Order #137098 10/06/2008 


3(A). BENEFICIARY(S) (All fields for each beneficiary must be completed. Complete Section 3B for custodially owned contracts.) 
       Restricted Beneficiary. (If selected, complete a “Restricted Beneficiary” form and submit with this application.)         
Beneficiary proceeds will be split equally if no percentages are provided.                 
Primary Beneficiary                     
Name                                                                                                         Birth Date    Percent            % 


SSN/TIN                                                                                                       Relationship to Owner                 




Address                     





       Primary    Contingent Beneficiary                 
Name                                                                                                         Birth Date    Percent            % 


SSN/TIN                                                                                                         Relationship to Owner                 





Address                     





       Primary    Contingent Beneficiary                 
Name                                                                                                         Birth Date    Percent            % 


SSN/TIN                                                                                                         Relationship to Owner                 





Address                     





Please use the space in Section 12 if you need to list additional bene ciaries.                 





3(B). CUSTODIAL BENEFICIARY (Required if Joint LifePay Plus is selected on a custodially owned contract. This sole beneficiary 
must be the spouse of the annuitant. All fields must be completed.)                 

Name                                                                                                       Birth Date    Percent    100    % 

SSN/TIN                                                                                                       Is this sole beneficiary the spouse of the annuitant?    Yes    No 

Address                     





SAMPLE BENEFICIARY DESIGNATIONS                 
Be sure to use given names such as “Mary M. Doe,” not “Mrs. John Doe,” and include the address and relationship of the 
beneficiary or beneficiaries to the owner. The following designations may be helpful to you:         



        Relationship             
    Name    to Owner    Birth Date    SSN/TIN    Percent 






 
 One Primary Bene ciary    Mary M. Doe    Sister    03/31/1950    123-45-6789    100% 






 
 Two Primary Bene ciaries    Jane J. Doe    Mother    04/01/1940    ###-##-####    50% 
    John J. Doe    Father    05/01/1935    ###-##-####    50% 






 One Primary Bene ciary    Jane J. Doe    Wife    11/30/1923    ###-##-####    100% 
 One Contingent    John J. Doe    Son    06/18/1951    ###-##-####    100% 






 
 Estate    Estate of John Doe    Estate    N/A    67-981239    100% 






 
    ABC Trust                 
 Trust        Trust    N/A    44-234567    100% 
    Dated 1/1/85                 






 Testamentary Trust1    Trust created by the Last                 
        Testamentary             
 (Trust established within the    Will and Testament of        N/A    38-078602    100% 
 owner’s will)    John Doe    Trust             






1If the trust is terminated or if no trustee is qualified to receive the proceeds within six months of the insured’s death, then the proceeds go to the owner or 
owner’s estate.                     
GA-CDF-1109(04/08)        Page 2 of 9        Order #137098 10/06/2008 


4. INITIAL INVESTMENT (Make all checks payable to ING USA Annuity and Life Insurance Company.)

  Initial Premium Paid $

  Estimated Amount of Transfer/1035 Exchange $

5.      PRODUCT SELECTION (Must select one.)
 
  Premium Plus                      ES II                            Landmark                      Access
 

Death Benefit Option (Select one. If a death benefit is not chosen, the death benefit will be the Standard Death Benefit.)

Standard (This is the only death benefit option available to joint owners.)

  Annual Ratchet (Only Available in WA.) 1

Quarterly Ratchet (Not available in WA.) 1

MAX 5.5 (Only Available in WA.) 1

MAX 7% Solution (Not available in WA.) 1

1Only available for owner and annuitant ages 0-75, unless LifePay Plus or Joint LifePay Plus is elected. If LifePay Plus or Joint LifePay Plus is elected, owner ages 0-79
are permitted. Please consider the additional cost of these options (0.75% of MGWB Base for LifePay Plus and 0.95% of MGWB Base for Joint LifePay Plus) as well
as their interaction with the death benefit elected to determine if this combination is appropriate considering your investment objectives.

Optional Earnings Multiplier

Earnings Multiplier Benefit Rider (Not available for joint owners or in the state of WA.)

Optional Living Benefit (May select one.)

Minimum Guaranteed Income Benefit (MGIB) (Only available for owner and annuitant ages 0 - 75 years.)
ING LifePay Plus Minimum Guaranteed Withdrawal Benefit (2008.v1) (“LifePay Plus”)2

ING Joint LifePay Plus Minimum Guaranteed Withdrawal Benefit (2008.v1) (“Joint LifePay Plus”) 2
There are specific ownership and beneficiary requirements for election of the Joint LifePay Plus benefit option.

2 Funds must be allocated per the LifePay Plus and Joint LifePay Plus requirements detailed on page 6. Read your prospectus carefully regarding details about the
LifePay Plus and Joint LifePay Plus options. Applications that do not comply with these requirements will be deemed not in good order, and the contract will not be
issued until correct investment instructions are received.

6. TELEPHONE/ELECTRONIC TRANSMISSION AUTHORIZATION

I authorize ING USA Annuity and Life Insurance Company to act upon instructions given by electronic means or voice command
from the agent that signs in section 15 and/or the following individuals listed below upon furnishing their Social Security Number
or alternative identification number.
To authorize an individual (including an agent), owner must initial:
Provide the name and Social Security Number of other authorized individuals below:

Name  _______________________________   SSN/TIN  _____________________________
Name  _______________________________   SSN/TIN  _____________________________

Neither the Company nor any person authorized by the Company will be responsible for any claim, loss, liability, or expense in 
connection with instructions received by electronic means or voice command from such person if the Company or other such person 
acted on such electronic means or voice command in good faith in reliance upon this authorization. The Company will continue to 
act upon this authorization until such time as the person indicated above is no longer affiliated with the broker/dealer under which 
my contract was purchased or until such time as I notify the Company in writing of a change in instructions. 
 
Note: If a Social Security Number/Tax ID Number is not provided, the proposed individual will not be authorized for certain transactions. 
GA-CDF-1109(04/08)    Page 3 of 9    Order #137098 10/06/2008 


7. ELECTRONIC INFORMATION CONSENT

(Both owners must consent for jointly owned contracts.)
I consent to electronic delivery by ING USA, when available, of:

(Owner Initials) (Owner Initials)

  • Legal disclosure materials (prospectuses and prospectus supplements for the variable annuity and the underlying funds and annual and semi-annual reports for the underlying funds).
  • Account documents (quarterly statements and immediate con rmations).
  • Related correspondence (privacy notice and other notices to customers).

I con rm that I have ready access to a computer with the hardware and software necessary (a CD-ROM drive and Adobe® Acrobat®,
and Internet access and an active e-mail account) to receive this information electronically – in the form of a compact disc, by e-mail
or by notice to me of this information being made available on ING’s website – and to be able to read and retain it.

I understand that:

  • There is no charge for electronic delivery, although I may incur the costs of Internet access and computer usage.
  • I may always request a paper copy of this information at any time for no charge, even though I consented to electronic delivery or if I decide to revoke my consent.
  • ING is not required to deliver this information electronically and may discontinue electronic delivery in whole or part at any time.

This consent is effective until further notice by ING or I revoke it.

Please call 800-366-0066 if you would like to revoke your consent, wish to receive a paper copy of any of the information above, or
need to update your e-mail address indicated on page 1 of this application.

8. PLAN TYPE

Non-Qualified

1035 Exchange

Qualified

         IRA    IRA Rollover from Qualified Plan             
         SEP-IRA    IRA Transfer (e.g., Trustee to Trustee transfer)             
         Qualified Other                 




         Indicate contribution amount and appropriate tax year             



         Roth IRA. If transfer, provide original conversion/establishment date and amount             



         Simple IRA. If transfer, provide original establishment date and amount             




9. REPLACEMENT                 
Do you currently have any existing individual life insurance policies or annuity contracts?    Yes    No     
Will this contract replace any life insurance policy or annuity contract in this or any other company?    Yes                   No 
If “Yes,” please identify each policy or contract and the issuing company.             
Company    Policy/Contract #             



Company    Policy/Contract #             



Company    Policy/Contract #             



Company    Policy/Contract #             



If either or both of the questions in this section are answered “Yes,” please complete and return with this form a copy of any state 
replacement form(s), as applicable.                 
GA-CDF-1109(04/08)    Page 4 of 9            Order #137098 10/06/2008 


10A. ALLOCATION SELECTION – USE IF YOU HAVE NOT ELECTED THE LIFEPAY PLUS OR JOINT LIFEPAY PLUS BENEFIT OPTION
Complete page 6, Section 10B if you have elected the LifePay Plus or Joint LifePay Plus benefit option.
To elect an optional DCA transfer program, allocate money to either ING Liquid Assets or 6-Month DCA3, and indicate the funds the
DCA is to go to by writing percentages in the ”DCA (Optional)” columns. Enter allocations in whole percentages. The initial and DCA

allocations must each total 100%.    Variable Investments1         
Initial        DCA    Initial        DCA 
Allocation %             Allocation %    Allocation %        Allocation % 
(Required)        (Optional)     (Required)        (Optional) 
_______
% BlackRock Global Allocation V.I.
 
       _______
%
 
  _______
% ING Marsico Growth
 
  _______
%
 
_______
% Fidelity
® VIP Contrafund 
       _______
%
 
  _______
% ING Marsico International Opportunities
 
  _______
%
 
_______
% ING AllianceBernstein Mid Cap Growth
 
       _______
%
 
  _______
% ING MFS Total Return
 
  _______
%
 
_______
% ING American Funds Asset Allocation
 
       _______
%
 
  _______
% ING MFS Utilities
 
  _______
%
 
_______
% ING American Funds Bond
 
       _______
%
 
  _______
% ING Multi-Manager International Small Cap Equity
_______
%
 
_______
% ING American Funds Growth
 
       _______
%
 
  _______
% ING Oppenheimer Active Asset Allocation
 
  _______
%
 
_______
% ING American Funds Growth-Income
 
       _______
%
 
  _______
% ING Oppenheimer Global
 
  _______
%
 
_______
% ING American Funds International
 
       _______
%
 
  _______
% ING Oppenheimer Main Street
 
  _______
%
 
_______
% ING American Funds World Allocation
 
       _______
%
 
  _______
% ING PIMCO Core Bond
 
  _______
%
 
_______
% ING Baron Small Cap Growth
 
       _______
%
 
  _______
% ING Pioneer Mid Cap Value
 
  _______
%
 
_______
% ING BlackRock Global Science and Technology
 
       _______
%
 
  _______
% ING Russell Global Large Cap Index 85%
 
  _______
%
 
_______
% ING BlackRock Large Cap Growth
 
       _______
%
 
  _______
% ING Russell Large Cap Index
 
  _______
%
 
_______
% ING Columbia Small Cap Value II
 
       _______
%
 
  _______
% ING Russell Mid Cap Index
 
  _______
%
 
_______
% ING Davis New York Venture
 
       _______
%
 
  _______
% ING Russell Small Cap Index
 
  _______
%
 
_______
% ING Evergreen Health Sciences
 
       _______
%
 
  _______
% ING T. Rowe Price Capital Appreciation
 
  _______
%
 
_______
% ING Evergreen Omega
 
       _______
%
 
  _______
% ING T. Rowe Price Equity Income
 
  _______
%
 
_______
% ING FMR
(SM) Diversi ed Mid Cap 
       _______
%
 
  _______
% ING T. Rowe Price Growth Equity
 
  _______
%
 
_______
% ING Focus 5
 
       _______
%
 
  _______
% ING Templeton Foreign Equity
 
  _______
%
 
_______
% ING Franklin Income
 
       _______
%
 
  _______
% ING Templeton Global Growth
 
  _______
%
 
_______
% ING Franklin Mutual Shares
 
       _______
%
 
  _______
% ING Van Kampen Capital Growth
 
  _______
%
 
_______
% ING Franklin Templeton Founding Strategy
 
       _______
%
 
  _______
% ING Van Kampen Comstock
 
  _______
%
 
_______
% ING Global Equity Option
 
       _______
%
 
  _______
% ING Van Kampen Equity & Income
 
  _______
%
 
_______
% ING Global Real Estate
 
       _______
%
 
  _______
% ING Van Kampen Global Franchise
 
  _______
%
 
_______
% ING Global Resources
 
       _______
%
 
  _______
% ING Van Kampen Global Tactical Asset Allocation
 
  _______
%
 
_______
% ING International Index
 
       _______
%
 
  _______
% ING Van Kampen Growth and Income
 
  _______
%
 
_______
% ING Janus Contrarian
 
       _______
%
 
  _______
% ING VP Growth and Income
 
  _______
%
 
_______
% ING JPMorgan Emerging Markets Equity
 
       _______
%
 
  _______
% ING VP Intermediate Bond
 
  _______
%
 
_______
% ING JPMorgan Mid Cap Value
 
       _______
%
 
  _______
% ING VP MidCap Opportunities
 
  _______
%
 
_______
% ING Julius Baer Foreign
 
       _______
%
 
  _______
% ING VP Small Company
 
  _______
%
 
_______
% ING Lehman Brothers U.S. Aggregate Bond Index
_______
%
 
  _______
% ING WisdomTree
(SM) Global High Yielding Equity Index
_______
%
 
_______
% ING Liquid Assets
2 
       _______
%
 
           
ING Lifestyle Portfolios1
_______
% ING Lifestyle Aggressive Growth
 
       _______
%
 
  _______
% ING Lifestyle Moderate
 
  _______
%
 
_______
% ING Lifestyle Conservative
 
       _______
%
 
  _______
% ING Lifestyle Moderate Growth
 
  _______
%
 
_______
% ING Lifestyle Growth
 
       _______
%
 
           
Fixed Investments2
Enter the allocation percentage and the fixed interest period. Check availability prior to selection.
_______
% 6
 
  Month DCA3        _______
%
 
  Year Fixed     
_______
%
 
  Year Fixed        _______
%
 
  Year Fixed     
_______
%
 
  Year Fixed        _______
%
 
  Year Fixed     
    100 % Allocation Total (Initial and DCA (if elected) allocations must each total 100%.)     
1 The available share class is subject to distribution and/or service (12b-1) fees.         
2 Death benefit and living benefit guarantees may be affected by amounts invested in or transferred to and from these investment options. 
3 Not available in Washington. Only available in New Hampshire with the Landmark product.         
GA-CDF-1109(04/08)    Page 5 of 9    Order #137098 10/06/2008 

 
 

10B. ALLOCATION SELECTION – USE IF YOU HAVE ELECTED THE LIFEPAY PLUS OR JOINT LIFEPAY PLUS BENEFIT OPTION
Complete page 5, Section 10A if you did not elect the LifePay Plus or Joint LifePay Plus benefit option.
Enter allocations in whole percentages according to the following options. DCA allocations also must follow the option limitations.
To elect an optional DCA transfer program, allocate money to either ING Liquid Assets or 6-Month DCA3, and indicate the funds the
DCA is to go to by writing percentages in the “DCA (Optional)” columns. The initial and DCA allocations must each total 100%.
Option 1 - You may allocate entirely among Accepted Funds without restriction.
Option 2 - You may elect not to allocate any account value to Accepted Funds and allocate entirely among the LifePay Plus Fixed
Allocation Fund(s) and Other Funds. However, at least 25% of the account value must be invested in the LifePay Plus Fixed
Allocation Fund(s).
Option 3 - You may allocate among a combination of Accepted Funds, the LifePay Plus Fixed Allocation Fund(s), and Other Funds.
However, at least 25% of the account value not invested in Accepted Funds must be invested in the LifePay Plus Fixed

    Allocation Fund(s).                 
Accepted Funds                 
Initial        DCA    Initial        DCA 
Allocation %    Variable Investments1    Allocation % Allocation %        Allocation % 
(Required)        (Optional)    (Required)         (Optional) 
_______
% BlackRock Global Allocation V.I.
 
  _______
%
 
  _______
% ING Russell Global Large Cap Index 85%
 
  _______
%
 
_______
% ING American Funds Asset Allocation
 
  _______
%
 
  _______
% ING T. Rowe Price Capital Appreciation
 
  _______
%
 
_______
% ING American Funds World Allocation
 
  _______
%
 
  _______
% ING Van Kampen Equity & Income
 
  _______
%
 
_______
% ING Franklin Templeton Founding Strategy
 
  _______
%
 
  _______
% ING Van Kampen Global Tactical Asset Allocation
 
  _______
%
 
_______
% ING Global Equity Option
 
  _______
%
 
  _______
% ING WisdomTree
(SM) Global High Yielding Equity Index
_______
%
 
_______
% ING LifeStyle Conservative
 
  _______
%
 
           
_______
% ING Lifestyle Growth
 
  _______
%
 
           
_______
% ING Lifestyle Moderate
 
  _______
%
 
      Fixed Investments2     
_______
% ING Lifestyle Moderate Growth
 
  _______
%
 
  _______
% 6 Month DCA
3 
  ___N_A___% 
_______
% ING Liquid Assets
2 
  _______
%
 
  _______
%
 
  Year Fixed    ___N_A___% 
_______
% ING MFS Total Return
 
  _______
%
 
  _______
%
 
  Year Fixed    ___N_A___% 
_______
% ING Oppenheimer Active Asset Allocation
 
  _______
%
 
  _______
%
 
  Year Fixed    ___N_A___% 
LifePay Plus Fixed Allocation Fund(s)1                 
_______
% ING American Funds Bond
 
  _______
%
 
  If you have chosen to allocate according to Option 2 or 3 
_______
% ING Lehman Brothers U.S. Aggregate Bond Index
_______
%
 
  above, at least 25% of the account value not invested in 
_______
% ING PIMCO Core Bond
 
  _______
%
 
  Accepted Funds must be invested in the LifePay Plus Fixed 
_______
% ING VP Intermediate Bond
 
  _______
%
 
  Allocation Fund(s).     
Other Funds1                 
_______
% Fidelity
® VIP Contrafund 
  _______
%
 
  _______
% ING Lifestyle Aggressive Growth
 
  _______
%
 
_______
% ING AllianceBernstein Mid Cap Growth
 
  _______
%
 
  _______
% ING Marsico Growth
 
  _______
%
 
_______
% ING American Funds Growth
 
  _______
%
 
  _______
% ING Marsico International Opportunities
 
  _______
%
 
_______
% ING American Funds Growth-Income
 
  _______
%
 
  _______
% ING MFS Utilities
 
  _______
%
 
_______
% ING American Funds International
 
  _______
%
 
  _______
% ING Multi-Manager International Small Cap Equity
_______
%
 
_______
% ING Baron Small Cap Growth
 
  _______
%
 
  _______
% ING Oppenheimer Global
 
  _______
%
 
_______
% ING BlackRock Global Science and Technology
 
  _______
%
 
  _______
% ING Oppenheimer Main Street
 
  _______
%
 
_______
% ING BlackRock Large Cap Growth
 
  _______
%
 
  _______
% ING Pioneer Mid Cap Value
 
  _______
%
 
_______
% ING Columbia Small Cap Value II
 
  _______
%
 
  _______
% ING Russell Large Cap Index
 
  _______
%
 
_______
% ING Davis New York Venture
 
  _______
%
 
  _______
% ING Russell Mid Cap Index
 
  _______
%
 
_______
% ING Evergreen Health Sciences
 
  _______
%
 
  _______
% ING Russell Small Cap Index
 
  _______
%
 
_______
% ING Evergreen Omega
 
  _______
%
 
  _______
% ING T. Rowe Price Equity Income
 
  _______
%
 
_______
% ING FMR
(SM) Diversi ed Mid Cap 
  _______
%
 
  _______
% ING T. Rowe Price Growth Equity
 
  _______
%
 
_______
% ING Focus 5
 
  _______
%
 
  _______
% ING Templeton Foreign Equity
 
  _______
%
 
_______
% ING Franklin Income
 
  _______
%
 
  _______
% ING Templeton Global Growth
 
  _______
%
 
_______
% ING Franklin Mutual Shares
 
  _______
%
 
  _______
% ING Van Kampen Capital Growth
 
  _______
%
 
_______
% ING Global Real Estate
 
  _______
%
 
  _______
% ING Van Kampen Comstock
 
  _______
%
 
_______
% ING Global Resources
 
  _______
%
 
  _______
% ING Van Kampen Global Franchise
 
  _______
%
 
_______
% ING International Index
 
  _______
%
 
  _______
% ING Van Kampen Growth and Income
 
  _______
%
 
_______
% ING Janus Contrarian
 
  _______
%
 
  _______
% ING VP Growth and Income
 
  _______
%
 
_______
% ING JPMorgan Emerging Markets Equity
 
  _______
%
 
  _______
% ING VP MidCap Opportunities
 
  _______
%
 
_______
% ING JPMorgan Mid Cap Value
 
  _______
%
 
  _______
% ING VP Small Company
 
  _______
%
 
_______
% ING Julius Baer Foreign
 
  _______
%
 
           
____1_0_0___% Allocation Total (Initial and DCA (if elected) allocations must each total 100%.)
1 The available share class is subject to distribution and/or service (12b-1) fees.             
2 Death benefit and living benefit guarantees may be affected by amounts invested in or transferred to and from these investment options.     
3 Not available in Washington. Only available in New Hampshire with the Landmark product.         
GA-CDF-1109(04/08)    Page 6 of 9    Order #137098 10/06/2008 
 

11. OPTIONAL ACCOUNT REBALANCING PROGRAM (May not use with Dollar Cost Averaging.)
Automatic Allocation Rebalancing will occur on the last business day of the next scheduled rebalancing date. Please consult your
prospectus for details regarding this feature as well as restrictions, minimum or maximum limitations, fees and other applicable
information. Automatic Allocation Rebalancing does not apply to the Fixed Investments and cannot be elected if you participate
in Dollar Cost Averaging. The percentages will be proportionally recalculated for subsequent reallocations if you have chosen a
Fixed Allocation Election. Any subsequent reallocation, add-on or partial withdrawal you direct, other than on a pro rata basis, will
terminate this program.

Please rebalance my portfolio to the allocations on this application:

Quarterly   

Semi-Annually

Annually

12. SPECIAL REMARKS

 

 

 

13. STATE REQUIRED NOTICES

Below are notices that apply only in certain states. Please read the following carefully to see if any apply in your state.
Arizona: On receiving your written request, we will provide you with information regarding the benefits and provisions of the
annuity contract for which you have applied. If you are not satisfied, you may cancel your contract by returning it within 20 days, or
within 30 days if you are 65 years of age or older on the date of the application for the annuity, after the date you receive it. Any
premium paid for the returned contract will be refunded without interest.

California Reg. 789.8: The sale or liquidation of any asset in order to buy insurance, either life insurance or an annuity 
contract, may have tax consequences. Terminating any life insurance policy or annuity contract may have early withdrawal penalties 
or other costs or penalties, as well as tax consequences. You may wish to consult independent legal or financial advice before 
the sale or liquidation of any asset and before the purchase of any life insurance or annuity contract. 

Colorado: It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the
purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and
civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading
facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or
claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of
insurance within the department of regulatory agencies.
Florida: Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an
application containing false, incomplete, or misleading information is guilty of a felony of the third degree.
Kentucky: Any person who knowingly and with intent to defraud any insurance company or other person files an application for
insurance containing any materially false information or conceals, for the purpose of misleading, information concerning any fact
material thereto commits a fraudulent insurance act, which is a crime.

New Jersey: Any person who includes any false or misleading information on an application for an insurance policy is subject to 
criminal and civil penalties. 

Ohio: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application
or files a claim containing a false or deceptive statement is guilty of insurance fraud.
Pennsylvania: Any person who knowingly and with intent to defraud any insurance company or other person files an application for
insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information
concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and
civil penalties.
Virginia: Any person who, with the intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an
application or files a claim containing a false or deceptive statement may have violated the state law.
Arkansas, Washington D.C., Hawaii, Louisiana, Maine, New Mexico, Oklahoma, and Tennessee: Any person who
knowingly and with intent to injure, defraud or deceive any insurance company, submits an application for insurance containing
any materially false, incomplete, or misleading information, or conceals for the purpose of misleading, any material fact, is guilty
of insurance fraud, which is a crime and in certain states, a felony. Penalties may include imprisonment, fine, denial of benefits, or civil
damages.
Washington: It is a crime to knowingly provide false, incomplete, or misleading information to an insurance company for the
purpose of defrauding the company. Penalties include imprisonment, fines, and denial of insurance benefits.

GA-CDF-1109(04/08)    Page 7 of 9    Order #137098 10/06/2008 


14. SIGNATURES AND ACKNOWLEDGEMENTS (Please read carefully and sign below.)

Important information: To help the government fight the funding for terrorism and money laundering
activities, federal law requires all financial institutions to obtain, verify, and record information that
identifies each person who opens an account. What this means to you: When you apply for an annuity,
we will ask for your name, address, date of birth, and other information that will allow us to identify
you. We may also ask to see your driver’s license or other identifying documents.
By signing below, I acknowledge receipt of the Prospectus. I agree that, to the best of my knowledge
and belief, all statements and answers in this form are complete and true and may be relied upon in
determining whether to issue the applied for variable annuity. Only the owner and ING USA Annuity
and Life Insurance Company have the authority to modify this form.
Variable Annuities and the underlying series shares or securities which fund them are not insured by the FDIC
or any other agency. They are not deposits or other obligations of any bank and are not bank guaranteed.
They are also subject to market fluctuation, investment risk and possible loss of principal invested.
I understand that when based on the investment experience of the Separate Account Division, the
variable annuity cash surrender values may increase or decrease on any day and that no minimum value
is guaranteed. The variable annuity applied for is in accord with my anticipated financial objectives.
I understand that the value allocated to any Account subject to a Market Value Adjustment may increase
or decrease if surrendered or withdrawn prior to a specified date(s) as stated in the contract.
I understand that IRAs and other qualified plans already provide tax deferral like that provided by the
contract. For an additional cost, the contract provides additional features and benefits, including death
benefits and the ability to receive a lifetime income. I should not purchase a qualified contract unless I
want these benefits, taking into account their cost.
In certain circumstances, Fixed Allocation Fund Automatic Rebalancing may result in a reallocation into
the LifePay Plus Fixed Allocation Fund(s), even if you have not previously been invested in them. By
electing to purchase the LifePay Plus or Joint LifePay Plus option (if chosen), you are providing ING USA
Annuity and Life Insurance Company with direction and authorization to process these transactions,
including reallocations into the LifePay Plus Fixed Allocation Fund(s). You should not purchase the
LifePay Plus or Joint LifePay Plus option if you do not wish to have your contract value reallocated in
this manner.

TAXPAYER CERTIFICATION

Under penalties of perjury, my/our signature(s) certifies/certify that:

1.      The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me).
 
2.      I am not subject to backup withholding because (a) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (b) the IRS has notified me that I am no longer subject to backup withholding.
 
3.      I am a U.S. citizen or U.S. resident alien.
 

The Internal Revenue Service does not require your consent to any provision of this document other than the
certifications required to avoid backup withholding.

Owner Signature             



Signed at (City, State)        Date     



 
Joint Owner Signature (if applicable)             



Signed at (City, State)        Date     



 
Annuitant Signature (if other than owner)             



Signed at (City, State)        Date     



GA-CDF-1109(04/08)    Page 8 of 9        Order #137098 10/06/2008 


15. AGENT INFORMATION

  Check here if the applicant is on active duty with the U.S. Armed Forces or is a dependent of any active duty service member of
the U.S. Armed Forces. Complete the Military Personnel Financial Services Disclosure Regarding Insurance Products and return
it with this application.

Does the applicant have existing individual life insurance policies or annuity contracts?    Yes    No         
Do you have reason to believe that the contract applied for will replace any existing annuity or life insurance coverage?    Yes    No 

If either or both of the questions in this section are answered “Yes,” please complete and return with this form a copy of any state
replacement form(s), as applicable.

If your state has adopted the NAIC Model Replacement Regulation or other state specific replacement regulations, did
you remember to do the following?

Provide any required replacement notice to the client and offer to read it aloud? (Note: If any of the questions in Replacement
Section 9 or in this Section 15 are answered “Yes,” you must provide a replacement notice.)

  Complete any required state specific paperwork?

By signing below you certify: 1) replacement questions were answered, 2) any sales material was shown to the applicant and a copy was
left with the applicant, 3) you used only insurer-approved sales material, 4) you have not made statements that differ from
the sales material, and 5) no promises were made about the future value of any contract elements that are not guaranteed. (This
includes any expected future index gains that may apply to this contract.)

Premium Plus Only:    Producer Contract    ING Employee Contract     
 
Compensation Alternative (Select one. Please verify with your broker/dealer that the option you select is available.): 
     A    B  C                D  E         
 
     Check here if there are multiple agents on this contract.     
Split: for Agent #1 _________________%, Agent #2_________________%, Agent #3_________________% 
Please Note: Compensation will be split equally if no percentage is indicated. Partial percentages will be rounded up. Percentages 
must total 100%. Agent #1 will be given the highest percentage in the case of unequal percentages. Agent #1 will receive all 
correspondence regarding the policy.         
Agent #1                 
Print Name                                       Signature     




SSN                                           Agent Phone     






Broker/Dealer Branch                                     Broker Code     



Agent #2                 
Print Name                                       Signature     




SSN                                           Agent Phone     






Broker/Dealer Branch                                     Broker Code     



Agent #3                 
Print Name                                       Signature     





SSN                                           Agent Phone     





Broker/Dealer Branch                                     Broker Code     




GA-CDF-1109(04/08)          Page 9 of 9    Order #137098 10/06/2008 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GA-CDF-1109(04/08)
137098
10/06/2008


EX-99.B9 3 accessopinionltr-908.htm OPINION LETTER accessopinionltr-908.htm -- Converted by SEC Publisher, created by BCL Technologies Inc., for SEC Filing

[ING STATIONERY]

September 10, 2008

Members of the Board of Directors
ING USA Annuity and Life Insurance Company
1475 Dunwoody Drive
West Chester, PA 19380-1478

Ladies and Gentlemen:

In my capacity as Counsel for ING USA Annuity and Life Insurance Company (the “Company”), I have
examined the Registration Statement on Form N-4 in connection with the registration under the Securities
Act of 1933, as amended to the date hereof, of an indefinite number of units of interest in Separate
Account B of the Company (the “Account”). I am familiar with the proceedings taken and proposed to be
taken in connection with the authorization, issuance and sale of units.

Based upon my examination and upon my knowledge of the corporate activities relating to the Account, it
is my opinion that:

(1)    The Company was organized in accordance with the laws of the State of Iowa and is a 
    duly authorized stock life insurance company under the laws of Iowa and the laws of 
    those states in which the Company is admitted to do business; 
 
(2)    The Account is a validly established separate investment account of the Company; 
 
(3)    Under Iowa law, the portion of the assets to be held in the Account equals the reserve and 
    other liabilities for variable benefits under variable annuity contracts to be issued by the 
    Account, and such assets are not chargeable with liabilities arising out of any other 
    business the Company conducts; 
 
(4)    The units and the variable annuity contracts will, when issued and sold in the manner 
    described in the registration statement, be legal and binding obligations of the Company 
    and will be legally and validly issued, fully paid, and non-assessable. 

I hereby consent to the filing of this opinion as an exhibit to the registration statement.

Sincerely,

/s/ John S. Kreighbaum
John S. (Scott) Kreighbaum
Counsel

1475 Dunwoody Drive
West Chester, PA 19380-1478

Tel: 610-425-3404
Fax: 610-425-3520


EX-99.B10 4 consent333-28769.htm CONSENT consent333-28769.htm -- Converted by SEC Publisher, created by BCL Technologies Inc., for SEC Filing

Exhibit 99-B.10 – Consent of Ernst and Young LLP, Independent Registered Public
Accounting Firm

We consent to the reference to our firm under the caption “Independent Registered Public
Accounting Firm” and to the use of our report dated March 25, 2008, with respect to the
consolidated financial statements of ING USA Annuity and Life Insurance Company as
of December 31, 2007 and 2006, and for each of the three years in the period ended
December 31, 2007, and to the use of our report dated March 21, 2008, with respect to
the statements of assets and liabilities of Separate Account B of ING USA Annuity and
Life Insurance Company as of December 31, 2007, and the related statements of
operations and changes in net assets for the periods disclosed in the financial statements,
incorporated by reference in Post-Effective Amendment No. 41 to the Registration
Statement (Form N-4 No. 333-28769) and the related Prospectus and Statement of
Additional Information of Separate Account B of ING USA Annuity and Life Insurance
Company.

/s/ Ernst & Young LLP 

Atlanta, Georgia
September 10, 2008


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