-----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, AEF3k3kQQOQk5wNMyI2Jipt2uRQ0sOJ2YOOBQJ55/ahMOos7a9HYSWsUVNRzaALs UUt1Q3f2XcQBAqIzGpZuQw== 0000892569-04-000828.txt : 20040727 0000892569-04-000828.hdr.sgml : 20040727 20040722190657 ACCESSION NUMBER: 0000892569-04-000828 CONFORMED SUBMISSION TYPE: 485BPOS PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040723 EFFECTIVENESS DATE: 20040723 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEPARATE ACCOUNT A OF PACIFIC LIFE INSURANCE CO CENTRAL INDEX KEY: 0000935823 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 485BPOS SEC ACT: 1933 Act SEC FILE NUMBER: 333-93059 FILM NUMBER: 04927379 BUSINESS ADDRESS: STREET 1: P O BOX 7500 CITY: NEWPORT BEACH STATE: CA ZIP: 92658-7500 BUSINESS PHONE: 7146403743 MAIL ADDRESS: STREET 1: P O BOX 7500 CITY: NEWPORT BEACH STATE: CA ZIP: 92658-7500 FORMER COMPANY: FORMER CONFORMED NAME: SEPARATE ACCOUNT A OF PACIFIC MUTUAL LIFE INS CO DATE OF NAME CHANGE: 19950119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEPARATE ACCOUNT A OF PACIFIC LIFE INSURANCE CO CENTRAL INDEX KEY: 0000935823 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 485BPOS SEC ACT: 1940 Act SEC FILE NUMBER: 811-08946 FILM NUMBER: 04927380 BUSINESS ADDRESS: STREET 1: P O BOX 7500 CITY: NEWPORT BEACH STATE: CA ZIP: 92658-7500 BUSINESS PHONE: 7146403743 MAIL ADDRESS: STREET 1: P O BOX 7500 CITY: NEWPORT BEACH STATE: CA ZIP: 92658-7500 FORMER COMPANY: FORMER CONFORMED NAME: SEPARATE ACCOUNT A OF PACIFIC MUTUAL LIFE INS CO DATE OF NAME CHANGE: 19950119 485BPOS 1 a99795e485bpos.htm INNOVATIONS AND INNOVATIONS SELECT e485bpos
 



As filed with the Securities and Exchange Commission on July 23, 2004.
Registrations Nos.

333-93059
811-08946

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM N-4

     
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
  x
 
   
Pre-Effective Amendment No. ___
  o
   
   
Post-Effective Amendment No. 18
  x
   
 
   
and/or
   
 
   
REGISTRATION STATEMENT UNDER THE INVESTMENT COMPANY ACT OF 1940
  x
 
   
   
Amendment 111
  x
   

(Check appropriate box or boxes)

SEPARATE ACCOUNT A
(Exact Name of Registrant)

PACIFIC LIFE INSURANCE COMPANY
(Name of Depositor)

700 Newport Center Drive
Newport Beach, California 92660
(Address of Depositor’s Principal Executive Offices) (Zip Code)

(949) 219-3743
(Depositor’s Telephone Number, including Area Code)

Diane N. Ledger
Vice President
Pacific Life Insurance Company
700 Newport Center Drive
Newport Beach, California 92660
(Name and address of agent for service)

Copies of all communications to:

     
Diane N. Ledger
Pacific Life Insurance Company
P.O. Box 9000
Newport Beach, CA 92658-9030
  Ruth Epstein, Esq.
Dechert LLP
1775 Eye Street, N.W.
Washington, D.C. 20006-2401

Approximate Date of Proposed Public Offering

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

     
o   immediately upon filing pursuant to paragraph (b) of Rule 485
     
x   on July 23, 2004 pursuant to paragraph (b) of Rule 485
     
o   60 days after filing pursuant to paragraph (a) (1) of Rule 485
     
o   on _____________ pursuant to paragraph (a)(1) of Rule 485

If appropriate, check the following box:

     
o   this post-effective amendment designates a new effective date for a previously filed post-effective amendment.

Title of Securities Being Registered: Interests in the Separate Account Under Pacific Innovations and Pacific Innovations Select individual flexible premium deferred variable annuity contracts.

Filing Fee: None



 


 

SEPARATE ACCOUNT A
FORM N-4
CROSS REFERENCE SHEET

         
PART A        
Item No.       Prospectus Heading
1.
  Cover Page   Cover Page
 
       
2.
  Definitions   TERMS USED IN THIS PROSPECTUS
 
       
3.
  Synopsis   AN OVERVIEW OF PACIFIC
INNOVATIONS AND AN OVERVIEW
OF PACIFIC INNOVATIONS
SELECT
 
       
4.
  Condensed Financial Information   YOUR INVESTMENT OPTIONS — Variable Investment Option Performance; ADDITIONAL INFORMATION — Financial Statements; FINANCIAL HIGHLIGHTS
 
       
5.
  General Description of Registrant, Depositor and Portfolio Companies   AN OVERVIEW OF PACIFIC INNOVATIONS AND AN OVERVIEW OF PACIFIC INNOVATIONS SELECT; PACIFIC LIFE AND THE SEPARATE ACCOUNT — Pacific Life, — Separate Account A; YOUR INVESTMENT OPTIONS — Your Variable Investment Options; ADDITIONAL INFORMATION — Voting Rights
 
       
6.
  Deductions   AN OVERVIEW OF PACIFIC INNOVATIONS AND AN OVERVIEW OF PACIFIC INNOVATIONS SELECT; HOW YOUR INVESTMENTS ARE ALLOCATED — Transfers; CHARGES, FEES AND DEDUCTIONS; WITHDRAWALS — Optional Withdrawal
 
       
      AN OVERVIEW OF PACIFIC INNOVATIONS AND AN OVERVIEW OF PACIFIC INNOVATIONS SELECT; PURCHASING YOUR CONTRACT — How to Apply for your Contract; HOW YOUR INVESTMENTS ARE ALLOCATED; RETIREMENT BENEFITS AND OTHER PAYOUTS — Choosing Your Annuity Option, — Your Annuity Payments, — Death Benefits; ADDITIONAL INFORMATION — Voting Rights, — Changes to Your Contract, — Changes to ALL Contracts, — Inquiries and Submitting
 
       
7.
  General Description of Variable Annuity Contracts   AN OVERVIEW OF PACIFIC INNOVATIONS; AN OVERVIEW OF PACIFIC INNOVATIONS SELECT; PURCHASING YOUR CONTRACT — How to Apply for your Contract; HOW YOUR INVESTMENTS ARE ALLOCATED; RETIREMENT BENEFITS AND OTHER PAYOUTS — Choosing Your Annuity Option, — Your Annuity Payment, — Death Benefits; OTHER OPTIONAL RIDERS; ADDITIONAL INFORMATION — Voting Rights, — Changes to Your Contract, — Changes to ALL Contracts, — Inquiries and Submitting Forms and Requests, — Timing of Payments and Transactions.
 
       
8
  Annuity Period   RETIREMENT BENEFITS AND
OTHER PAYOUTS
 
       
9.
  Death Benefit   RETIREMENT BENEFITS AND
OTHER PAYOUTS — Death
Benefits
 
       
10.
  Purchases and Contract Value   AN OVERVIEW OF PACIFIC INNOVATIONS AND AN OVERVIEW OF PACIFIC INNOVATIONS SELECT; PURCHASING YOUR CONTRACT; HOW YOUR INVESTMENTS ARE ALLOCATED; PACIFIC LIFE AND THE SEPARATE ACCOUNT — Pacific Life; THE GENERAL ACCOUNT — Withdrawals and Transfers
 
       
11.
  Redemptions   AN OVERVIEW OF PACIFIC INNOVATIONS AND AN OVERVIEW OF PACIFIC INNOVATIONS SELECT; CHARGES, FEES AND DEDUCTIONS; WITHDRAWALS; ADDITIONAL INFORMATION — Timing of Payments and Transactions; THE GENERAL ACCOUNT — Withdrawals and Transfers
 
       
12.
  Taxes   CHARGES, FEES AND DEDUCTIONS — Premium Taxes; WITHDRAWALS — Optional Withdrawals, — Tax Consequences of Withdrawals; FEDERAL TAX STATUS
 
       
13.
  Legal Proceedings   Not Applicable
 
       
14.
  Table of Contents of the Statement of Additional Information   CONTENTS OF THE STATEMENT OF
ADDITIONAL INFORMATION

 


 

PART B

         
Item No.       Statement of Additional Information Heading
 
       
15.
  Cover Page   Cover Page
 
       
16.
  Table of Contents   TABLE OF CONTENTS
 
       
17.
  General Information and History   Not Applicable
 
       
18.
  Services   Not Applicable
 
       
19.
  Purchase of Securities Being Offered   THE CONTRACTS AND THE
SEPARATE ACCOUNT —
Calculating Subaccount Unit
Values, — Systematic
Transfer Programs
 
       
20.
  Underwriters   DISTRIBUTION OF THE CONTRACTS — Pacific Select Distributors, Inc.
 
       
21.
  Calculation of Performance Data   PERFORMANCE
 
       
22.
  Annuity Payments   THE CONTRACTS AND THE
SEPARATE ACCOUNT — Variable
Annuity Payment Amounts
 
       
23.
  Financial Statements   FINANCIAL STATEMENTS

PART C

Information required to be included in Part C is set forth under the appropriate Item, so numbered, in Part C to this Registration Statement.

 


 

PROSPECTUS

(included in Registrant’s Form N-4/B, File No. 333-93059, Accession No. 000892569-04-000565 filed on April 30, 2004, Accession No. 0000892569-04-000585 filed on May 3, 2004 and Accession No. 0000892569-04-000764 filed on June 29, 2004 and incorporated by reference herein.)

 


 

STATEMENT OF ADDITIONAL INFORMATION

(included in Registrant’s Form N-4/B, File No. 333-93059, Accession No. 000892569-04-000565 filed on April 30, 2004, Accession No. 0000892569-04-000585 filed on May 3, 2004 and Accession No. 0000892569-04-000764 filed on June 29, 2004 and incorporated by reference herein.)

 


 

This Amendment No. 18 to the Registration Statement on Form N-4 (File Nos. 333-93059, 811-08946) is being filed pursuant to Rule 485(b) under the Securities Act of 1933, as amended, to supplement the Registration Statement. This Amendment does not otherwise delete, amend, or supersede any Prospectus, Statement of Additional Information, exhibit, or other information contained in Post-Effective Amendment No. 17 to the Registration Statement filed on May 3, 2004.


 

Supplement dated July 23, 2004 to the Prospectus dated May 1, 2004
for the Pacific Innovations variable annuity contract issued by Pacific Life Insurance Company
     
    Capitalized terms used in this Supplement are defined in the Prospectus referred to above unless otherwise defined herein. “We,” “us”, or “our” refer to Pacific Life Insurance Company; “you” or “your” refer to the Contract Owner.

This supplement changes the Prospectus as follows:
 
   
AN OVERVIEW OF PACIFIC INNOVATIONS-Optional Riders is amended.   The third paragraph in the Guaranteed Protection Advantage (GPA) Rider subsection is replaced with the following:

You should consult a qualified adviser for complete information and advice before purchasing the GPA Rider.

The first paragraph in the Guaranteed Income Advantage 5 (GIA 5) Rider subsection is replaced with the following:

Subject to state availability, the optional Guaranteed Income Advantage 5 (GIA 5) Rider offers a guaranteed income advantage annuity option when an asset allocation program established and maintained by us for this Rider is used. If you use our DCA Plus Program in conjunction with such an asset allocation program, you also will be considered to have met this requirement. You may buy the GIA 5 Rider on the Contract Date or on any Contract Anniversary.
 
   
AN OVERVIEW OF PACIFIC INNOVATIONS-Contract Transactions Expenses is amended.   The first bullet in the section is replaced with the following:

• Maximum Withdrawal Charge (as a percentage of Purchase Payments)          9.0%1

The fourth bullet in the section is amended as follows:

The fourth bullet titled Loan Administrative Fee and Footnote 4 are deleted. All other references to this fee in the Prospectus are also deleted. We will not charge a Loan Administrative Fee.
 
AN OVERVIEW OF PACIFIC INNOVATIONS-Periodic Expenses is amended.   The section is amended by adding the following to Footnote 13:

If the Effective Date of the rider is before March 1, 2004, the Income Access Rider Annual Charge is currently equal to 0.30% of Contract Value.
 
   
PURCHASING YOUR CONTRACT AND OPTIONAL RIDERS-Purchasing the Stepped-Up Death Benefit Rider is amended.   The last paragraph in the section is replaced with the following:

The SDBR may not otherwise be cancelled. The SDBR may only be purchased if the age of each Annuitant is 75 or younger on the Contract Date.
 
   
PURCHASING YOUR CONTRACT AND OPTIONAL RIDERS-Purchasing the Guaranteed Income Advantage 5 (GIA 5) Rider is amended.   The first paragraph in the section is replaced with the following:

You may purchase the GIA 5 Rider (subject to state availability) on the Contract Date or on any Contract Anniversary. You may purchase the GIA 5 Rider only if:

• the age of each Annuitant is 80 years or younger on the date the GIA 5 Rider is purchased,

• the date of purchase is at least 10 years before your selected Annuity date, and

• the entire Contract Value is invested according to an asset allocation program established and maintained by us for this GIA 5 Rider. If you use our DCA Plus program in conjunction with such as asset allocation program, you will be considered to have met this requirement.


 

     
   
PURCHASING YOUR CONTRACT AND OPTIONAL RIDERS-Purchasing the Income Access Rider is amended.   The second and third paragraphs in the section are replaced with the following:

You cannot request a termination of the Rider, but the Rider will automatically end on the earliest of:

• the Contract Anniversary immediately following the day any portion of the Contract Value is no longer invested according to an asset allocation program established and maintained by us for this Rider,

• the Contract Anniversary immediately following the day the Remaining Protected Balance is reduced to zero,

• the day of the first death of an Owner or the date of death of the sole surviving Annuitant, except as otherwise provided in the paragraph below,

• the day the Contract is terminated in accordance with the provisions of the Contract, except as otherwise provided in the paragraph below, or

• the Annuity Date.

The Rider and the Contract will not terminate on the first death of an Owner or death of the sole surviving Annuitant, or the day the Contract is terminated in accordance with the provision of the Contract if, at the time of those events, the Contract Value is zero and we are making pre-authorized withdrawals of the Remaining Protected Balance under the provisions of the Rider. If we are making pre-authorized withdrawals, the Contract will terminate on the Contract Anniversary immediately following the day the Remaining Protected Balance is zero.
 
   
PURCHASING YOUR CONTRACT AND OPTIONAL RIDERS-Making Your Investments (“Purchase Payments”) is amended.   The second paragraph in the Making Your Initial Investment subsection is amended by adding the following:

As of the date of this supplement, if you allocate all or part of an additional Purchase Payment to the Fixed Option, the maximum aggregate Investment you may have in the Fixed Option is currently $250,000. This limitation is subject to change at any time. Ask your registered representative about current limitations.
 
   
HOW YOUR INVESTMENTS ARE ALLOCATED-Transfers is amended.   The second paragraph of the section is deleted.
 
   
CHARGES, FEES AND DEDUCTIONS-How the Charge is Determined is amended.   The first sentence in the second paragraph in the section is replaced with the following:

We calculate your withdrawal charge by assuming your withdrawal is applied to Purchase Payments first and in the order your Purchase Payments were received.
 
   
CHARGES, FEES AND DEDUCTIONS-Guaranteed Income Advantage 5 (GIA 5) Annual Charge is amended.   The last paragraph in the section is replaced with the following:

Any portion of the GIA 5 Charge we deduct from any fixed option will not be greater than the annual interest credited in excess of 3%.


 

     
   
RETIREMENT BENEFITS AND OTHER PAYOUTS-Death Benefits is amended.   The third and fourth paragraphs of The Amount of the Death Benefit: Death of Annuitant subsection are replaced with the following:

If there is no surviving Joint or Contingent Annuitant, the death benefit proceeds will be payable to the first living person in the following order:

• Owner,

• Joint Owner,

• Contingent Owner,

• Beneficiary, or

• Contingent Beneficiary.

If none are living the proceeds will be payable to the Owner’s Estate.
    If the Owner who is not an Annuitant and the Owner and Annuitant die simultaneously, the death benefit proceeds will be calculated under the Death of Annuitant provisions and proceeds will be paid to the first living person in the following order:

• Joint Owner,

• Contingent Owner,

• Beneficiary, or

• Contingent Beneficiary.

If none are living the proceeds will be paid to the Owner’s Estate.
 
   
OTHER OPTIONAL RIDERS- Guaranteed Protection Advantage 5 (GPA 5) Rider is amended.   The first sentence in the Optional Step-Up in the Guaranteed Protection Amount subsection is replaced with the following:

On any Contract Anniversary beginning with the fifth (5th) anniversary of the Effective Date of this Rider and before the Annuity Date, you may elect to increase (“Step-Up”) your Guaranteed Protection Amount.
 
   
OTHER OPTIONAL RIDERS- Guaranteed Income Advantage II (GIA II) Rider is amended.   The first paragraph in the section is replaced with the following:

If you purchase the optional GIA II Rider (subject to state availability), you may choose any of the Annuity Options described, or you may choose the Guaranteed Income Advantage II Annuity Option provided this Rider has been in effect for at least ten (10) years from the later of its Effective Date or the most recent Step-Up date. You must choose fixed annuity payments under this Guaranteed Income Advantage II Annuity Option. The guaranteed income purchased per $1,000 of the net amount applied to the annuity payments will be based on an annual interest rate of 2.5% and the 1983a Annuity Mortality Table with the age set back 10 years. The net amount applied to the annuity payments under the GIA II Annuity Option will be based on the Net Guaranteed Income Base, which is described below. The Rider contains annuity tables for each GIA II Annuity Option available.

The following is added to the first paragraph in the Guaranteed Income Base subsection:

If this Rider is effective on the Contract Date, the Guaranteed Income Base is equal to the Initial Purchase Payment.
 
    The sixth paragraph in the subsection is deleted.


 

     
    The following is added before the last paragraph in the subsection:

If the owner dies while this Rider is in effect and if the surviving spouse of the deceased Owner elects to continue the Contract in accordance with its terms, then the provisions of this Rider will continue, unless otherwise terminated.
 
   
OTHER OPTIONAL RIDERS- Guaranteed Income Advantage 5 (GIA 5) Rider is amended.   The first sentence in the section is replaced with the following:

If you purchase the optional GIA 5 Rider (subject to state availability), you may choose any of the Annuity Options described, or you may choose the Guaranteed Income Advantage 5 Annuity Option provided this Rider has been in effect for at least ten (10) years from the later of its Effective Date or the most recent Step-Up date.
 
   
OTHER OPTIONAL RIDERS-Income Access Rider is amended.   The last sentence in the first paragraph following Example #1 is deleted.

The fifth and sixth paragraphs following Example #4 are replaced with the following:

You cannot request a termination of the Rider, but the Rider will automatically end on the earliest of:

• the Contract Anniversary immediately following the day any portion of the Contract Value is no longer invested according to an asset allocation program established and maintained by us for this Rider,

• the Contract Anniversary immediately following the day the Remaining Protected Balance is reduced to zero,

• the day of the first death of an Owner or the date of death of the sole surviving Annuitant, except as otherwise provided in the paragraph below,

• the day the Contract is terminated in accordance with the provisions of the Contract, except as provided in the paragraph below, or

• the Annuity Date.

The Rider and the Contract will not terminate on the first death of an Owner or death of the sole surviving Annuitant, or the day the Contract is terminated in accordance with the provision of the Contract if, at the time of those events, the Contract Value is zero and we are making pre-authorized withdrawals of the Remaining Protected Balance under the provisions of the Rider. If we are making pre-authorized withdrawals, the Contract will terminate on the Contract Anniversary immediately following the day the Remaining Protected Balance is zero.

The information in the last row of the “Contract Years” column in Example #5 is replaced with the following:

Beginning of Year 7
(Balances immediately after the Step-Up)


 

     
   
FEDERAL TAX STATUS-Impact of Federal Income Taxes is amended.   The section is replaced with the following:

Impact of Federal Income Taxes

In general, in the case of Non-Qualified Contracts, if you are an individual and expect to accumulate your Contract Value over a relatively long period of time without making significant withdrawals, there may be federal income tax advantages in purchasing such a Contract. This is because any increase in Contract Value is not subject to current taxation. Income taxes are deferred until the money is withdrawn, at which point taxation occurs only on the gain from the investment in the Contract. With income taxes deferred, you may accumulate more money over the long term through a variable annuity than you may through non-tax-deferred investments. The advantage may be greater if you decide to liquidate your Contract Value in the form of monthly annuity payments after your retirement, or if your tax rate is lower at that time than during the period that you held the Contract, or both.

When withdrawals or distributions are taken from the variable annuity, the gain is taxed as ordinary income. This may be a potential disadvantage because money that had been invested in other types of assets may qualify for a more favorable federal tax rate. For example, the tax rate applicable both to the sale of capital gain assets held more than one year and to the receipt of qualifying dividends by individuals is generally 15% (5% for lower-income individuals). In contrast, an ordinary income tax rate of up to 35% applies to taxable withdrawals on distributions from a variable annuity. Also, withdrawals or distributions taken from a variable annuity may be subject to a penalty tax equal to 10% of the taxable portion, although exceptions to the penalty tax may apply (see WITHDRAWALS — Tax Consequences of Withdrawals section in this Prospectus).

An owner of a variable annuity cannot deduct or offset losses on transfers to or from Subaccounts, or at the time of any partial withdrawals. If you surrender your Contract and your Net Contract Value is less than the aggregate of your Investments in the Contract (reduced by any previous non-taxable distributions), there may be a deductible ordinary income loss, although the deduction may be limited. Consult with your tax adviser regarding the impact of federal income taxes on your specific situation.
 
   
ADDITIONAL INFORMATION- Electronic Delivery Authorization is amended.   The section is replaced with the following:

Electronic Delivery Authorization

Subject to availability, you may authorize us to provide Prospectuses, statements, and other information (“documents”) electronically by so indicating on the application, via telephone, or by sending us instructions in writing in a form acceptable to us to receive such documents electronically. You must provide us with a current and active e-mail address and have internet access to use this service. While we impose no additional charge for this service, there may be potential costs associated with electronic delivery, such as on-line charges. Documents will be available on our Internet Website. You may access and print all documents provided through this service. As documents become available, we will notify you of this by sending you an e-mail message that will include instructions on how to retrieve the document. You are responsible for any e-mail filters that may prevent you from receiving e-mail notifications and for notifying Pacific Life promptly in the event that your e-mail address changes. You may revoke your consent for electronic delivery at any time, provided that we are properly notified, and we will then start providing you with a paper copy of all required documents. We will provide you with paper copies at any time upon request. Such a request will not constitute revocation of your consent to receive required documents electronically.


 

     
   
APPENDIX A: STATE LAW VARIATIONS is amended.   Appendix A is replaced with the following:

PURCHASING YOUR CONTRACT AND OPTIONAL BENEFIT RIDERS

The Contract and all optional benefit riders are not available in the states of New Jersey, Oregon and Washington.

The Earnings Enhancement Guarantee (EEG) Rider is not available in the state of Minnesota.
 
    Transfers/THE GENERAL ACCOUNT — Withdrawals and Transfers

For Contracts issued in the state of Florida, we may reject any transfer request. We also reserve the right to limit the size of transfers to $500, limit the number to no more than 15 per year, restrict transfers and to suspend the right to transfer.
 
    Making Your Investments (“Purchase Payments”)

For Contracts issued in the state of Massachusetts, you may make additional Investments after your initial Investment only during the first Contract Year.
 
    Withdrawal Charge

For Contracts issued in the state of Pennsylvania, the waiver of withdrawal charges does not apply with respect to the terminal condition benefit until after the first Contract Anniversary for the Owner or the Annuitant. The waiver of withdrawal charges with respect to the nursing home benefit does not apply if the Owner or Annuitant is confined on the Contract Date nor until 90 days after the Contract Date. Separate periods of confinement occurring within six (6) months of a previous confinement for the same or related condition is considered the same confinement for purposes of determining the satisfaction of the elimination period. A new elimination period will only begin more than six (6) months from the most recent confinement for the same or related condition.
 
    For Contracts issued in one of the following states:

Massachusetts
Texas

We cannot waive any withdrawal charge on full or partial withdrawals if the Owner or Annuitant has been diagnosed with a medically determinable condition that results in a life expectancy of twelve (12) months or less and/or has been confined to an accredited nursing home.
 
    Withdrawal Enhancements

For Contracts issued in one of the following states:

Connecticut
Texas

We cannot calculate the withdrawal charge on more favorable terms than as otherwise described under the provisions of the Contract.
 
    Annual Fee

For Contracts issued in the state of South Carolina, any portion of the Annual Fee we deduct from any fixed-rate General Account Investment Option will not be greater that the annual interest credited to such Investment Option in excess of 3%.
 
    Annuitization/Default Annuity Date and Options

For Contracts issued in the state of Texas, the Conversion Amount annuitized must be at least $2,000, otherwise, we reserve the right to terminate the contract and pay a single amount equal to the withdrawal proceeds.


 

     
    Choosing Your Annuity Date

For Contracts issued in the state of Texas, any portion of the Net Contract Value not converted to provide annuity payments on the Annuity Date, may not be used to continue the contract.
 
    Frequency of Payments

For Contracts issued in the state of Texas, your initial annuity payment must be at least $20.
 
    Your Annuity Payments

For Contracts issued in the state of Montana, the basis of computations used in determining the annuity rates contained in the Contract are on a unisex basis.
 
    Death Benefits

If your Contract was issued before April 2, 2001, and you purchased the optional Premier Death Benefit Rider (“PDBR”) and your Contract was issued in the state of Texas, the effective annual rate of interest used in determining the Death Benefit Amount under the optional Premier Death Benefit Rider is 5% which is equivalent to a daily factor of 1.00013368.
 
    Optional Withdrawals/THE GENERAL ACCOUNT — Withdrawals and Transfers

For Contracts issued in the state of Maryland, if your partial withdrawal leaves you with a Net Contract Value of less than $1,000, we have the right, at our option, to refuse to make the withdrawal.

For Contracts issued in the state of Texas, if your partial withdrawal leaves you with a Net Contract Value of less than $500, we have the right, at our option to terminate your Contract and send you the withdrawal proceeds.
 
    Right to Cancel (“Free Look”)

For residents of the state of California sixty (60) years of age or older, the Free Look period is a 30-day period beginning on the day you receive your Contract.

For Contracts issued in the states of Idaho and North Dakota, the Free Look period is a 20-day period beginning on the day you receive your Contract.

There may be extended Free Look periods in some states for replacement business. Please consult with your registered representative if you have any questions regarding your state’s Free Look period.
 
    Loans

For Contracts issued in the state of Vermont, there is no maximum loan amount. However, if the amount of the loan taken exceeds 50% of the Contract Value; or $50,000 less the highest outstanding Contract Debt during the 12-month period immediately preceding the effective date of the loan, you may be subject to a tax penalty or other adverse tax consequences.

For Contracts issued in the state of Wisconsin, the loan interest rate for Contracts issued under a Qualified Plan subject to the requirements of Title 1 of ERISA, will be an annual rate, set at the time the loan is made, equal to the higher of 4% or the Moody’s Corporate Bond Yield Average-Monthly Average Corporates, as published by Moody’s Investors Service, Inc., or its successor.


 

Supplement dated July 23, 2004 to the Prospectus dated May 1, 2004
for the Pacific Innovations Select variable annuity contract issued by Pacific Life Insurance Company
     
    Capitalized terms used in this Supplement are defined in the Prospectus referred to above unless otherwise defined herein. “We,” “us”, or “our” refer to Pacific Life Insurance Company; “you” or “your” refer to the Contract Owner.
    This supplement changes the Prospectus as follows:
 
   
AN OVERVIEW OF PACIFIC INNOVATIONS SELECT-Optional Riders is amended.   The third paragraph in Guaranteed Protection Advantage (GPA) Rider subsection is replaced with the following:

You should consult a qualified adviser for complete information and advice before Purchasing the GPA Rider.

The first paragraph in Guaranteed Income Advantage 5 (GIA 5) Rider subsection is replaced with the following:

Subject to state availability, the optional Guaranteed Income Advantage 5 (GIA 5) Rider offers a guaranteed income advantage annuity option when an asset allocation program established and maintained by us is used. If you use our DCA Plus Program in conjunction with such an asset allocation program, you also will be considered to have met this requirement. You may buy the GIA 5 Rider on the Contract Date or on any Contract Anniversary.

The first paragraph in the Income Access Rider subsection is amended to add the following:

You may buy the Income Access Rider on the Contract Date or on any Contract Anniversary.
 
   
AN OVERVIEW OF PACIFIC INNOVATIONS SELECT-Contract Transaction Expenses is amended.   The fourth bullet in the section is amended as follows:

The fourth bullet titled Loan Administrative Fee and Footnote 4 are deleted. All other references to this fee in the Prospectus are also deleted. We will not charge a Loan Administrative Fee.
 
   
AN OVERVIEW OF PACIFIC INNOVATIONS SELECT-Periodic Expenses is amended.   The section is amended by adding the following to Footnote 12:

The optional Guaranteed Income Advantage Rider (GIA Rider) is only available until the GIA II or GIA 5 Riders become available in your state. Ask your registered representative about their current availability.

The section is amended by adding the following to Footnote 13:

If the Effective Date of the Rider is before March 1, 2004, the Income Access Rider Annual Charge is currently equal to 0.30% of Contract Value.


 

     
   
AN OVERVIEW OF PACIFIC INNOVATIONS SELECT-Examples is amended.   The section is replaced with the following:

The following examples are intended to help you compare the cost of investing in your Contract with the cost of investing in other variable annuity contracts. These costs include Contract transaction expenses, the maximum periodic Contract expenses (including the combination of optional Riders whose cumulative expenses totaled more than any other combination of optional Riders), Separate Account annual expenses, and Portfolio fees and expenses for the year ended December 31, 2003. Premium taxes and/or other taxes may also be applicable.
                                           
    The examples assume that you invest $10,000 in the Contract for the time periods indicated. They also assume that your Investment has a 5% return each year and assumes the maximum and minimum fees and expenses of all of the Investment Options available. Although your actual costs may be higher or lower, based on these assumptions, your maximum and minimum costs would be:
 
    • If you surrendered your Contract:
 
      Maximum*
1 Year
    3 Years       5 Years       10 Years      
      $1,231       $2,145       $2,945       $5,745      
 
      Minimum*
1 Year
    3 Years       5 Years       10 Years      
      $832       $985       $1,073       $2,312      
 
    • If you annuitized your Contract:
 
      Maximum*
1 Year
    3 Years       5 Years       10 Years      
      $1,231       $1,785       $2,945       $5,745      
 
      Minimum*
1 Year
    3 Years       5 Years       10 Years      
      $832       $625       $1,073       $2,312      
 
   
• If you did not surrender or annuitize, but left the money in your Contract:
 
      Maximum*
1 Year
    3 Years       5 Years       10 Years      
      $601       $1,785       $2,945       $5,745      
 
      Minimum*
1 Year
    3 Years       5 Years       10 Years      
      $202       $625       $1,073       $2,312      
 
      In calculating the examples above, we used the maximum and minimum net operating expenses of all the Portfolios for the 1 year period and the maximum and minimum total operating expenses for the 3, 5 and 10 year periods as shown in the Fees And Expenses Paid By The Fund section of the Pacific Select Fund Prospectus. For more information on fees and expenses, see CHARGES, FEES AND DEDUCTIONS in this Prospectus, and see each Fund’s Prospectuses.


 

       
   
PURCHASING YOUR CONTRACT AND OPTIONAL RIDERS-Purchasing the Guaranteed Income Advantage 5 (GIA 5) Rider is amended.   The first paragraph in the section is replaced with the following:

You may purchase the GIA 5 Rider (subject to state availability) on the Contract Date or on any subsequent Contract Anniversary. You may purchase the GIA 5 Rider only if:
 
    •  the age of each Annuitant is 80 years or younger on the date the GIA 5 Rider is purchased,
 
    •  the date of purchase is at least 10 years before your selected Annuity date, and
 
    •  the entire Contract Value is invested according to an asset allocation program established and maintained by us for this GIA 5 Rider. If you use our DCA Plus program in conjunction with such an asset allocation program, you will be considered to have met this requirement.
 
     
PURCHASING YOUR CONTRACT AND OPTIONAL RIDERS-Purchasing the Guaranteed Income Advantage (GIA) Rider is amended.   The first paragraph in the section is replaced with the following:

The GIA Rider is only available for purchase until the date the GIA II or GIA 5 Riders become available in your state. Ask your registered representative about their current availability. You may purchase the GIA Rider on the Contract Date or on any Contract Anniversary. You may purchase the GIA Rider only if:
 
    •  the age of each Annuitant is 80 years or younger on the date the GIA Rider is purchased, and
 
    •  the date of purchase is at least 10 years before your selected Annuity date.
 
    The GIA Rider will remain in effect until the earlier of:
 
    •  the date a full withdrawal of the amount available for withdrawal under the Contract,
 
    •  the date death benefit proceeds become payable under the Contract,
 
    •  the date the Contract is terminated in accordance with the terms of the Contract,
 
    •  the Annuity Date, or
 
    •  termination of the GIA Rider.


 

     
   
PURCHASING YOUR CONTRACT AND OPTIONAL RIDERS-Purchasing the Income Access Rider is amended.   The second and third paragraphs in the section are replaced with the following:

You cannot request a termination of the Rider, but the Rider will automatically end on the earliest of:

• the Contract Anniversary immediately following the day any portion of the Contract Value is no longer invested according to an asset allocation program established and maintained by us for this Rider,

• the Contract Anniversary immediately following the day the Remaining Protected Balance is reduced to zero,

• the day of the first death of an Owner or the date of death of the sole surviving Annuitant, except as otherwise provided in the paragraph below,

• the day the Contract is terminated in accordance with the provisions of the Contract, except as otherwise provided in the paragraph below, or

• the Annuity Date.

The Rider and the Contract will not terminate on the first death of an Owner or death of the sole surviving Annuitant, or the day the Contract is terminated in accordance with the provision of the Contract if, at the time of those events, the Contract Value is zero and we are making pre-authorized withdrawals of the Remaining Protected Balance under the provisions of the Rider. If we are making pre-authorized withdrawals, the Contract will terminate on the Contract Anniversary immediately following the day the Remaining Protected Balance is zero.
 
   
PURCHASING YOUR CONTRACT AND OPTIONAL RIDERS-Making Your Investments (“Purchase Payments”) is amended.   The second paragraph in the Making Your Initial Investment subsection is amended by adding the following:

As of the date of this supplement, if your Contract was issued before November 1, 2002 and you allocate all or part of an additional Purchase Payment to the Fixed Option, the maximum aggregate Investment you may have in the Fixed Option is currently $250,000. This limitation is subject to change at any time. Ask your registered representative about current limitations.
 
   
HOW YOUR INVESTMENTS ARE ALLOCATED-Portfolio Optimization is amended.   Model E in the Portfolio Optimization Model Allocations as of May 7, 2004 chart is amended by revising the Emerging Markets Investment Option to read:

Emerging Markets  4%
 
   
HOW YOUR INVESTMENTS ARE ALLOCATED-Transfers is amended.   The second paragraph in the section is deleted.
 
   
CHARGES, FEES AND DEDUCTIONS-Annual Fee is amended.   The second paragraph in the section is amended to add the following:

Any portion of the Annual Fee we deduct from any of our fixed options (if available under the Contract) will not be greater than the annual interest credited in excess of the option’s minimum guaranteed interest rate.
 
   
CHARGES, FEES AND DEDUCTIONS-Guaranteed Income Advantage 5 (GIA 5) Annual Charge is amended.   The last paragraph in the section is replaced with the following:

Any portion of the GIA 5 Charge we deduct from any fixed option will not be greater than the annual interest credited in excess of 3%.


 

     
   
RETIREMENT BENEFITS AND OTHER PAYOUTS – Death Benefits is amended.   The third and fourth paragraphs of The Amount of the Death Benefit: Death of Annuitant subsection are replaced with the following:

If there is no surviving Joint or Contingent Annuitant, the death benefit proceeds will be payable to the first living person in the following order:

• Owner,

• Joint Owner,

• Contingent Owner,

• Beneficiary, or

• Contingent Beneficiary.

If none are living the proceeds will be payable to the Owner’s Estate.

If the Owner who is not an Annuitant and the Owner and Annuitant die simultaneously, the death benefit proceeds will be calculated under the Death of Annuitant provisions and proceeds will be paid to the first living person in the following order:

• Joint Owner,

• Contingent Owner,

• Beneficiary, or

• Contingent Beneficiary.

If none are living the proceeds will be paid to the Owner’s Estate.
 
   
OTHER OPTIONAL RIDERS- Guaranteed Protection Advantage 5 (GPA 5) Rider is amended.   The first sentence in Optional Step-Up in the Guaranteed Protection Amount subsection is replaced with the following:

On any Contract Anniversary beginning with the fifth (5th) anniversary of the Effective Date of this Rider and before the Annuity Date, you may elect to increase (“Step-Up”) your Guaranteed Protection Amount.
 
   
OTHER OPTIONAL RIDERS- Guaranteed Income Advantage II (GIA II) Rider is amended.   The following is added to the first paragraph in the Guaranteed Income Base subsection:

If this Rider is effective on the Contract Date, the Guaranteed Income Base is equal to the Initial Purchase Payment.

The following is added before the last paragraph of the subsection:

If the owner dies while this Rider is in effect and if the surviving spouse of the deceased Owner elects to continue the Contract in accordance with its terms, then the provisions of this Rider will continue, unless otherwise terminated.
The sixth paragraph of the subsection is deleted.
 
   
OTHER OPTIONAL RIDERS- Guaranteed Income Advantage 5 (GIA 5) Rider is amended.   The fifth paragraph in the Election of Step-Up subsection is replaced with the following:

The annuity payments that may be elected under the GIA 5 Annuity Option are:

• Life only,

• Life with 10 Years or More Period Certain,

• Joint and Survivor Life, or

• 15 Years or More Period Certain.


 

       
   
OTHER OPTIONAL RIDERS-Income Access Rider is amended.   The last sentence in the first paragraph following Example #1 is deleted.

The fifth and sixth paragraphs following Example #4 are replaced with the following:

You cannot request a termination of the Rider, but the Rider will automatically end on the earliest of:
 
    •  the Contract Anniversary immediately following the day any portion of the Contract Value is no longer invested according to an asset allocation program established and maintained by us for this Rider,
 
    •  the Contract Anniversary immediately following the day the Remaining Protected Balance is reduced to zero,
 
    •  the day of the first death of an Owner or the date of death of the sole surviving Annuitant, except as otherwise provided in the paragraph below,
 
    •  the day the Contract is terminated in accordance with the provisions of the Contract, except as otherwise provided in the paragraph below, or
 
    •  the Annuity Date.
 
    The Rider and the Contract will not terminate on the first death of an Owner or death of the sole surviving Annuitant, or the day the Contract is terminated in accordance with the provision of the Contract if, at the time of those events, the Contract Value is zero and we are making pre-authorized withdrawals of the Remaining Protected Balance under the provisions of the Rider. If we are making pre-authorized withdrawals, the Contract will terminate on the Contract Anniversary immediately following the day the Remaining Protected Balance is zero.

The information in the last row of the “Contract Years” column in Example #5 subsection is replaced with the following:

Beginning of Year 7
(Balances immediately after the Step-Up)


 

     
   
FEDERAL TAX STATUS-Impact of Federal Income Taxes is amended.   The section is replaced with the following:

Impact of Federal Income Taxes
In general, in the case of Non-Qualified Contracts, if you are an individual and expect to accumulate your Contract Value over a relatively long period of time without making significant withdrawals, there may be federal income tax advantages in purchasing such a Contract. This is because any increase in Contract Value is not subject to current taxation. Income taxes are deferred until the money is withdrawn, at which point taxation occurs only on the gain from the investment in the Contract. With income taxes deferred, you may accumulate more money over the long term through a variable annuity than you may through non-tax-deferred investments. The advantage may be greater if you decide to liquidate your Contract Value in the form of monthly annuity payments after your retirement, or if your tax rate is lower at that time than during the period that you held the Contract, or both.

When withdrawals or distributions are taken from the variable annuity, the gain is taxed as ordinary income. This may be a potential disadvantage because money that had been invested in other types of assets may qualify for a more favorable federal tax rate. For example, the tax rate applicable both to the sale of capital gain assets held more than one year and to the receipt of qualifying dividends by individuals is generally 15% (5% for lower-income individuals). In contrast, an ordinary income tax rate of up to 35% applies to taxable withdrawals on distributions from a variable annuity. Also, withdrawals or distributions taken from a variable annuity may be subject to a penalty tax equal to 10% of the taxable portion, although exceptions to the penalty tax may apply (see WITHDRAWALS — Tax Consequences of Withdrawals section in this Prospectus).

An owner of a variable annuity cannot deduct or offset losses on transfers to or from Subaccounts, or at the time of any partial withdrawals. If you surrender your Contract and your Net Contract Value is less than the aggregate of your Investments in the Contract (reduced by any previous non-taxable distributions), there may be a deductible ordinary income loss, although the deduction may be limited. Consult with your tax adviser regarding the impact of federal income taxes on your specific situation.
 
   
ADDITIONAL INFORMATION- Electronic Delivery Authorization is amended.   The section is replaced with the following:

Electronic Delivery Authorization
Subject to availability, you may authorize us to provide Prospectuses, statements, and other information (“documents”) electronically by so indicating on the application, via telephone, or by sending us instructions in writing in a form acceptable to us to receive such documents electronically. You must provide us with a current and active e-mail address and have internet access to use this service. While we impose no additional charge for this service, there may be potential costs associated with electronic delivery, such as on-line charges. Documents will be available on our Internet Website. You may access and print all documents provided through this service. As documents become available, we will notify you of this by sending you an e-mail message that will include instructions on how to retrieve the document. You are responsible for any e-mail filters that may prevent you from receiving e-mail notifications and for notifying Pacific Life promptly in the event that your e-mail address changes. You may revoke your consent for electronic delivery at any time, provided that we are properly notified, and we will then start providing you with a paper copy of all required documents. We will provide you with paper copies at any time upon request. Such a request will not constitute revocation of your consent to receive required documents electronically.


 

     
   
APPENDIX A: STATE LAW VARIATIONS is amended.   The Appendix A is replaced with the following:

Your Fixed Options
For Contracts issued before November 1, 2002, the Fixed Option is not available in Alabama, Massachusetts, or Oregon. If you use the DCA Plus and terminate the program, any remaining balance in the DCA Plus Fixed Option will be transferred to the Money Market Investment Option, unless you provide us with other transfer instructions.

Withdrawal Charge
Variations to the Withdrawal Charge section — if your Contract was delivered in one of the following states:

Massachusetts
Texas
New Jersey

We cannot waive any withdrawal charge on full or partial withdrawals if the Annuitant has been diagnosed with a medically determinable condition that results in a life expectancy of twelve (12) months of less and/or has been confined to an accredited nursing home.

If your Contract was issued in the state of Pennsylvania, we cannot waive any withdrawal charge on a full or partial withdrawal, if the Annuitant or Owner is first diagnosed with a medically determined condition that results in a life expectancy of twelve months or less, before the first Contract Anniversary.
 
    Annuitization/ Default Annuity Date and Options
If your contract is delivered in the state of Texas, the Conversion Amount annuitized must be at least $2,000, otherwise, we reserve the right to terminate the contract and pay a single amount equal to the withdrawal proceeds.
 
    Frequency of Payments
If your contract was delivered in the state of Texas, your initial annuity payment must be at least $20.
 
    Death Benefits
If your Contract was issued before January 1, 2003, and you purchased the optional Premier Death Benefit Rider (PDBR), and your Contract was delivered in the following states:

Texas
Washington

The effective annual rate of interest used in determining the Death Benefit Amount under the optional Premier Death Benefit Rider is 5% which is equivalent to a daily factor of 1.00013368.
 
    Optional Withdrawals
For Contracts delivered to residents of Maryland, if your partial withdrawal leaves you with a Net Contract Value of less than $500, we have the right, at our option, to refuse to make the withdrawal.

For Contracts delivered to residents of Texas, if your partial withdrawal leaves you with a Net Contract Value of less than $500, we have the right, at our option, to terminate your Contract and send you the withdrawal proceeds.


 

       
    Right to Cancel (“Free Look”)
There may be extended Free Look periods in some states for replacement business. Please consult with your registered representative if you have any questions regarding your state’s Free Look period.

For residents of the state of Arizona sixty-five (65) years of age or older, the Free Look period is a 30-day period beginning on the day you receive your Contract.
 
    For Contracts issued in the states of Idaho and North Dakota, the Free Look period is a 20-day period beginning on the day you receive your Contract.
    For residents of the state of California sixty (60) years of age or older, the Free Look period is a 30-day period beginning on the day you receive your Contract.
 
    If you are a California applicant age 60 or older and your Contract is delivered or issued for delivery on or after July 1, 2004, you must elect, at the time you apply for your Contract, to receive a return of either your Purchase Payments or your Contract Value proceeds if you exercise your Right to Cancel and return your Contract to us.
 
    If you elect to receive the return of Purchase Payments option, the following will apply:
 
    •  We will allocate all or any portion of any Purchase Payment we receive to any available fixed option if you instruct us to do so. We will allocate all or any portion of any Purchase Payment designated for any Variable Investment Option to the Money Market Subaccount until the Free Look Transfer Date. The Free Look Transfer Date is 30 days from the Contract Date. On the Free Look Transfer Date, we will automatically transfer your Money Market Subaccount Value according to the instructions on your application, or your most recent instruction, if any. This automatic transfer to the Variable Investment Options according to your initial allocation instruction is excluded from the Transfer limitations. See HOW YOUR INVESTMENTS ARE ALLOCATED — Transfers section in the Prospectus.
 
    •  If you specifically instruct us to allocate all or any portion of any additional Purchase Payments we receive to any Variable Investment Option other than the Money Market Subaccount before the Free Look Transfer Date, you will automatically change your election to the return of your Contract Value proceeds option. This will automatically cancel your election of the “return of Purchase Payments” option for the entire Contract.
 
    •  If you request a transfer of all or any portion of your Contract Value from the Money Market Subaccount to any other Variable Investment Option before the Free Look Transfer Date, you will automatically change your election to the return of your Contract Value proceeds option. This will automatically cancel your election of the “return of Purchase Payments” option for the entire Contract.
 
    •  If you exercise your Right to Cancel, we will send you your Purchase Payments.
 
    If you elect the return of Contract Value proceeds option, the following will apply:
 
    •  We will immediately allocate any Purchase Payments we receive to the Investment Options you select on your application or your most recent instructions, if any.
 
    •  If you exercise your Right to Cancel, we will send you your Contract Value proceeds described in the Right to Cancel (“Free Look”) section of this prospectus.
 
    •  Once you elect this option, it may not be changed.
 
    Timing of Payments and Transactions
For Contracts issued in the state of West Virginia, withdrawals from a fixed option; death benefit payments attributable to any fixed option value; fixed periodic annuity payments or payment of proceeds may be delayed for up to thirty days after the request is effective.


 

     
    Unisex Contracts
For Contracts issued in the state of Montana, benefits provided under the contract are determined on a unisex basis.
 
    Withdrawal Enhancements
If your Contract was issued in one of the following states:

Connecticut
New Jersey
Oregon
Texas

We cannot calculate the withdrawal charge on more favorable terms than as otherwise described under the provisions of the Contract.
 
    Loans
If your Contract was issued in the state of New Jersey, the minimum loan amount is $500.

If your Contract was issued in one of the following states:

Pennsylvania
Vermont

There is no maximum loan amount. However, if the amount of the loan taken exceeds 50% of the Contract Value; or $50,000 less the highest outstanding Contract Debt during the 12-month period immediately preceding the effective date of the loan, you may be subject to a tax penalty or other adverse tax consequences.

If your Contract was issued in one of the following states:

Connecticut
Oregon
Wisconsin

The loan interest rate for Contracts issued under a Qualified Plan subject to the requirements of Title 1 of ERISA, will be an annual rate, set at the time the loan is made, equal to the higher of 4% or the Moody’s Corporate Bond Yield Average-Monthly Average Corporates, as published by Moody’s Investors Service, Inc., or its successor.
 
    Confirmations, Statements and Other Reports to Contract Owners
For Contracts issued in the state of New Jersey, after the Annuity Date and if annuity payments are made on a variable basis, we will provide you with an annual report that provides a reconciliation of annuity payments, showing the annuity unit values listed by Subaccount.


 

PART II

Part C: OTHER INFORMATION

     Item 24. Financial Statements and Exhibits

  (a)   Financial Statements
 
      Part A: None
 
      Part B:

  (1)   Registrant’s Financial Statements

Audited Financial Statements dated as of December 31, 2003 which are incorporated by reference from the 2003 Annual Report include the following for Separate Account A:

Statements of Assets and Liabilities
Statements of Operations
Statements of Changes in Net Assets
Notes to Financial Statements

  (2)   Depositor’s Financial Statements

Audited Consolidated Financial Statements dated as of December 31, 2003 and 2002, and for the three year period ended December 31, 2003, included in Part B include the following for Pacific Life:

Independent Auditors’ Report
Consolidated Statements of Financial Condition
Consolidated Statements of Operations
Consolidated Statements of Stockholder’s Equity
Consolidated Statements of Cash Flows
Notes to Consolidated Financial Statements

  (b)   Exhibits

                 
    1.     (a)   Resolution of the Board of Directors of the Depositor authorizing establishment of Separate Account A and Memorandum establishing Separate Account A.1
 
               
          (b)   Memorandum Establishing Two New Variable Accounts—Aggressive Equity and Emerging Markets Portfolios.1
 
               
          (c)   Resolution of the Board of Directors of Pacific Life Insurance Company authorizing conformity to the terms of the current Bylaws.1

II-1

 


 

  2.   Not applicable
                 
    3.     (a)   Distribution Agreement between Pacific Mutual Life and Pacific Select Distributors, Inc (PSD)1
 
               
          (b)   Form of Selling Agreement between Pacific Mutual Life, PSD and Various Broker-Dealers1
                         
    4.     (a)     (1 )   Pacific Innovations—Form of Individual Flexible Premium Deferred Variable Annuity Contract (Form No. 10-12600)1
 
                       
                (2 )   Pacific Innovations Select—Form of Individual Flexible Premium Deferred Variable Annuity Contract (Form No. 10-10300)11

  (b)   Qualified Pension Plan Rider (Form No. R90-PEN-V)1
 
  (c)   403(b) Tax-Sheltered Annuity Rider10
 
  (d)   Section 457 Plan Rider (Form No. 24-123799)1
 
  (e)   Individual Retirement Annuity Rider (Form No. 20-18900)11
 
  (f)   Roth Individual Retirement Annuity Rider (Form No. 20-19000)11
 
  (g)   SIMPLE Individual Retirement Annuity Rider (Form No. 20-19100)11
 
  (h)   Qualified Retirement Plan Rider10

                 
  (i)     (1 )   Pacific Innovations—Stepped-Up Death Benefit Rider (Form No. 20-12601)1
 
               
        (2 )   Pacific Innovations Select—Stepped-Up Death Benefit Rider (Form No. 20-13500)5
 
               
  (j)     (1 )   Premier Death Benefit Rider (Form No. 20-12602)1
 
               
        (2 )   Premier Death Benefit Rider (Form No. 20-18000)11

  (k)   Guaranteed Earnings Enhancement (EEG) Rider (Form No. 20-14900)6
 
  (l)   Guaranteed Income Advantage (GIA) Rider (Form No. 20-15100)8
 
  (m)   Form of Guaranteed Protection Advantage (GPA) Rider (Form No. 20-16200)9
 
  (n)   Form of Guaranteed Protection Advantage 5 Rider (Form No. 20-19500)14

                 
  (o)     (1 )   Income Access Rider (Form No. 20-19800)12
 
               
        (2 )   Form of Income Access Rider (Form No. 20-1104)15

  (p)   Pacific Innovations Select—DCA Plus Fixed Option Rider (Form No. 20-1103)14
 
  (q)   Form of Guaranteed Income Advantage II Rider (Form No. 20-1109)15
 
  (r)   Form of Guaranteed Income Advantage 5 Rider (Form No. 20-1102)15

                         
    5.     (a)     (1 )   Pacific Innovations—Variable Annuity Application (Form No. 25-12610)4
 
                       
                (2 )   Pacific Innovations Select—Variable Annuity Application (Form No. 25-10300)11

  (b)   Variable Annuity PAC APP1
 
  (c)   Application/Confirmation Form2
 
  (d)   Guaranteed Income Advantage (GIA) Rider Request (Form No. 1209-1A)9
 
  (e)   Form of Guaranteed Earnings Enhancement (EEG) Rider Request Application6
 
  (f)   Form of Guaranteed Protection Advantage (GPA) Rider Request (Form No. 55-16600)9
 
  (g)   Form of Guaranteed Protection Advantage 5 Rider Request Form (Form No. 2311-BA)12
 
  (h)   Form of Income Access Rider Request Form (Form No. 2315-3A)12

                 
    6.     (a)   Pacific Life’s Articles of Incorporation1
 
               
          (b)   By-laws of Pacific Life1

  7   Not applicable

                 
    8.     (a)   Fund Participation Agreement7
 
               
          (b)   Addendum to the Fund Participation Agreement (to add the Strategic Value and Focused 30 Portfolios)7
 
               
          (c)   Addendum to the Fund Participation Agreement (to add nine new Portfolios)7
 
               
          (d)   Addendum to the Fund Participation Agreement (to add the Equity Income and Research Portfolios)10

  9   Opinion and Consent of legal officer of Pacific Life as to the legality of Contracts being registered.1

II-2

 


 

  10.   Independent Auditors’ Consent 16
 
  11.   Not applicable
 
  12.   Not applicable
 
  13.   Not applicable
 
  14.   Not applicable
 
  15.   Powers of Attorney10
 
  16.   Not applicable

1   Included in Registrant’s Form N-4, File No. 333-93059, Accession No. 0000912057-99-009849 filed on December 17, 1999 and incorporated by reference herein.
 
2   Included in Registrant’s Form N-4, File No. 333-93059, Accession No. 0000912057-00-015739 filed on March 31, 2000 and incorporated by reference herein.
 
3   Included in Registrant’s Form N-4/A, File No. 333-93059, Accession No. 0000912057-00-018010 filed on April 14, 2000 and incorporated by reference herein.
 
4   Included in Registrant’s Form N-4/B, File No. 333-93059, Accession No. 0000912057-00-052614 filed on December 7, 2000 and incorporated by reference herein.
 
5   Included in Registrant’s Form N-4/A, File No. 333-93059, Accession No. 0000912057-00-055027 filed on December 28, 2000 and incorporated by reference herein.
 
6   Included in Registrant’s Form N-4/A, File No. 333-93059 Accession No. 0000912057-01-007165 filed on March 2, 2001 and incorporated by reference herein.
 
7   Included in Registrant’s Form N-4/A, File No. 333-93059, Accession No. 0000912057-01-510459 filed on April 25, 2001 and incorporated by reference herein.
 
8   Included in Registrant’s Form N-4/A, File No. 333-93059, Accession No. 0001017062-01-500247 filed on May 10, 2001 and incorporated by reference herein.
 
9   Included in Registrant’s Form N-4/A, File No. 333-93059, Accession No. 0000898430-01-503115 filed on October 25, 2001 and incorporated by reference herein.
 
10   Included in Registrant’s Form N-4/B, File No. 333-93059, Accession No. 0001017062-02-000788 filed on April 30, 2002 and incorporated by reference herein.
 
11   Included in Registrant’s Form N-4/B, File No. 333-93059, Accession No. 0001017062-02-002149 filed on December 19, 2002 and incorporated by reference herein.
 
12   Included in Registrant’s Form N-4/B, File No. 333-93059, Accession No. 0001017062-03-000460 filed on March 18, 2003 and incorporated by reference herein.
 
13   Included in Registrant’s Form N-4/B, File No. 333-93059, Accession No. 0001017062-03-000934 filed on April 25, 2003 and incorporated by reference herein.
 
14   Included in Registrant’s Form N-4/A, File No. 333-93059, Accession No. 0001193125-03-099264 filed on December 24, 2003 and incorporated by reference herein.
15   Included in Registrant’s Form N-4/B, File No. 333-93059, Accession No. 0001193125-04-031276 filed on February 27, 2004.
16   Included in Registrant’s Form N-4/B, File No. 333-93059, Accession No. 0001193125-04-031276 filed on February 27, 2004.

Item 25. Directors and Officers of Pacific Life

     
    Positions and Offices
Name and Address   with Pacific Life
Thomas C. Sutton
  Director, Chairman of the Board, and Chief Executive Officer
 
   
Glenn S. Schafer
  Director and President
 
   
Khanh T. Tran
  Director, Executive Vice President and Chief Financial Officer
 
   
David R. Carmichael
  Director, Senior Vice President and General Counsel
 
   
Audrey L. Milfs
  Director, Vice President and Corporate Secretary
 
   
Edward R. Byrd
  Vice President, Controller, and Chief Accounting Officer
 
   
Brian D. Klemens
  Vice President and Treasurer
 
   
Gerald W. Robinson
  Executive Vice President

The address for each of the persons listed above is as follows:

700 Newport Center Drive
Newport Beach, California 92660

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Item 26. Persons Controlled by or Under Common Control with Pacific Life or Separate Account A

The following is an explanation of the organization chart of Pacific Life’s subsidiaries:

PACIFIC LIFE, SUBSIDIARIES & AFFILIATED ENTERPRISES
LEGAL STRUCTURE

Pacific Life is a California Stock Life Insurance Company wholly-owned by Pacific LifeCorp (a Delaware Stock Holding Company) which is, in turn, 98% owned by Pacific Mutual Holding Company (a California Mutual Holding Company). Other subsidiaries of Pacific LifeCorp are: a 91% ownership of Aviation Capital Group Holding Corp. (a Delaware Corporation); College Savings Bank (a New Jersey Chartered Capital Stock Savings Bank) and its subsidiary College Savings Trust (a Montana Chartered Uninsured Trust Company); M.L. Stern & Co., LLC (a Delaware Limited Liability Company) and its subsidiary Tower Asset Management, LLC (a Delaware Limited Liability Company); Pacific Asset Funding, LLC (a Delaware Limited Liability Company) and its subsidiaries PL Trading Company, LLC (a Delaware Limited Liability Company) and Pacific Life Trade Services, Limited (a Hong Kong Limited Corporation); and Pacific Life & Annuity Services, Inc. (a Colorado Corporation). A Subsidiary of Aviation Capital Group Holding Corp., is Aviation Capital Group Corp. (a Delaware Corporation), which in turn, is the parent of: ACG Acquisition V Corporation (a Delaware Corporation), and ACG Trust II Holding LLC, and has a 50% ownership of ACG Acquisition VI LLC (a Nevada Limited Liability Company); and a 33% ownership of ACG Acquisition IX LLC. ACG Trust II Holding LLC owns Aviation Capital Group Trust II (a Delaware statutory trust), which in turn owns ACG Acquisition XXV LLC, ACG Acquisition XXVI LLC, and ACG Acquisition XXIX LLC. Subsidiaries of ACG Acquisition XXV LLC are ACG Acquisition 37-38 LLCS and ACG Acquisition Ireland II, Limited (an Irish Corporation); ACG Acquisition XXVI LLC; and ACG Acquisition XXVII LLC. Subsidiaries of ACG Acquisition VI LLC are: a 34% ownership of ACG Acquisition VIII LLC; a 20% ownership of ACG Acquisition XIV LLC; and a 20% ownership of ACG Acquisition XIX LLC, which in turn owns ACG Acquisition XIX Holding LLC, which owns Aviation Capital Group Trust (a Delaware statutory trust). Subsidiaries of Aviation Capital Group Trust are: ACG Acquisition XV LLC; ACG Acquisition XX LLC and its subsidiary ACG Acquisition Ireland, Limited (an Irish Corporation); and ACG Acquisition XXI, LLC and ACG Acquisition XXIX LLC. Subsidiaries of ACG Acquisition XXIX LLC are: ACG Acquisition XXX LLCs; ACG Acquisition 35 LLC; ACG Acquisition 32-34, 36 and 39 LLCs; and ACGFS LLC. Pacific Life is the parent company of: Pacific Life & Annuity Company (an Arizona Stock Life Insurance Company); Pacific Select Distributors, Inc.; Pacific Asset Management LLC (a Delaware Limited Liability Company); Confederation Life Insurance and Annuity Company (a Georgia Company); a 9% ownership of Scottish Re Group Limited [(a Cayman Islands Holding Company) abbreviated structure]; a 95% ownership of Grayhawk Golf Holdings, LLC (a Delaware Limited Liability Company), and its subsidiary Grayhawk Golf L.L.C. (an Arizona Limited Liability Company); a 67% ownership of Pacific Mezzanine Associates, L.L.C. (a Delaware Limited Liability Company) and its subsidiary Pacific Mezzanine Investors, L.L.C., (a Delaware Limited Liability Company) who is the sole general partner of the PMI Mezzanine Fund, L.P. (a Delaware Limited Partnership); Las Vegas Golf I, LLC (a Delaware Limited Liability Company); Las Vegas Golf II, LLC (a Delaware Limited Liability Company); and North Carolina Property, LLC (a Delaware Limited Liability Company). Subsidiaries of Pacific Asset Management LLC are: a 21% ownership of Carson-Pacific LLC (a Delaware Limited Liability Company); PMRealty Advisors Inc.; a non-managing membership interest in Allianz-PacLife Partners LLC (a Delaware Limited Liability Company); and Pacific Financial Products Inc. (a Delaware Corporation). Allianz-PacLife Partners LLC and Pacific Financial Products, Inc., own the Class E units of Allianz Dresdner Asset Management of America L.P. (a Delaware Limited Partnership). Subsidiaries of Pacific Select Distributors, Inc., include: Associated Financial Group, Inc., Mutual Service Corporation (a Michigan Corporation), United Planners’ Group, Inc. (an Arizona Corporation), and a 62% ownership of Waterstone Financial Group, Inc. (an Illinois Corporation). Subsidiaries of Associated Financial Group, Inc., are Associated Planners Investment Advisory, Inc., Associated Securities Corp., West Coast Realty Management, Inc., Associated Planners Securities Corporation of Nevada, Inc. (a Nevada Corporation), and West Coast Realty Advisors, Inc. Subsidiaries of Mutual Service Corporation are Advisors’ Mutual Service Center, Inc. (a Michigan Corporation) and Contemporary Financial Solutions, Inc. (a Delaware Corporation). United Planners’ Group, Inc. is the general partner and holds an approximate 45% general partnership interest in United Planners’ Financial Services of America (an Arizona Limited Partnership). Subsidiaries of United Planners’ Financial Services of America are UPFSA Insurance Agency of Arizona, Inc. (an Arizona Corporation), UPFSA Insurance Agency of California, Inc., United Planners Insurance Agency of Massachusetts, Inc. (a Massachusetts Corporation). All corporations are 100% owned unless otherwise indicated. All entities are California corporations unless otherwise indicated.

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Item 27. Number of Contractholders

                 
  (1) Pacific Innovations – Approximately           Qualified
              Non Qualified
 
               
  (2) Pacific Innovations Select – Approximately           Qualified
              Non Qualified
 
               

Item 28. Indemnification

  (a)   The Distribution Agreement between Pacific Life and Pacific Select Distributors, Inc. (PSD) provides substantially as follows:

      Pacific Life hereby agrees to indemnify and hold harmless PSD and its officers and directors, and employees for any expenses (including legal expenses), losses, claims, damages, or liabilities incurred by reason of any untrue statement or representation of a material fact or any omission or alleged omission to state a material fact required to be stated to make other statements not misleading, if made in reliance on any prospectus, registration statement, post-effective amendment thereof, or sales materials supplied or approved by Pacific Life or the Separate Account. Pacific Life shall reimburse each such person for any legal or other expenses reasonably incurred in connection with investigating or defending any such loss, liability, damage, or claim. However, in no case shall Pacific Life be required to indemnify for any expenses, losses, claims, damages, or liabilities which have resulted from the willful misfeasance, bad faith, negligence, misconduct, or wrongful act of PSD.
 
      PSD hereby agrees to indemnify and hold harmless Pacific Life, its officers, directors, and employees, and the Separate Account for any expenses, losses, claims, damages, or liabilities arising out of or based upon any of the following in connection with the offer or sale of the contracts: (1) except for such statements made in reliance on any prospectus, registration statement or sales material supplied or approved by Pacific Life or the Separate Account, any untrue or alleged untrue statement or representation is made; (2) any failure to deliver a currently effective prospectus; (3) the use of any unauthorized sales literature by any officer, employee or agent of PSD or Broker; (4) any willful misfeasance, bad faith, negligence, misconduct or wrongful act. PSD shall reimburse each such person for any legal or other expenses reasonably incurred in connection with investigating or defending any such loss, liability, damage, or claim.

  (b)   The Form of Selling Agreement between Pacific Life, Pacific Select Distributors, Inc. (PSD) and Various Broker-Dealers provides substantially as follows:

      Pacific Life and PSD agree to indemnify and hold harmless Selling Broker-Dealer and General Agent, their officers, directors, agents and employees, against any and all losses, claims, damages or liabilities to which they may become subject under the 1933 Act, the 1934 Act, or other federal or state statutory law or regulation, at common law or otherwise, insofar as such losses, claims, damages or liabilities (or actions in respect thereof) arise

II-5


 

      out of or are based upon any untrue statement or alleged untrue statement of a material fact or any omission or alleged omission to state a material fact required to be stated or necessary to make the statements made not misleading in the registration statement for the Contracts or for the shares of Pacific Select Fund (the “Fund”) filed pursuant to the 1933 Act, or any prospectus included as a part thereof, as from time to time amended and supplemented, or in any advertisement or sales literature approved in writing by Pacific Life and PSD pursuant to Section IV.E. of this Agreement.
 
      Selling Broker-Dealer and General Agent agree to indemnify and hold harmless Pacific Life, the Fund and PSD, their officers, directors, agents and employees, against any and all losses, claims, damages or liabilities to which they may become subject under the 1933 Act, the 1934 Act or other federal or state statutory law or regulation, at common law or otherwise, insofar as such losses, claims, damages or liabilities (or actions in respect thereof) arise out of or are based upon: (a) any oral or written misrepresentation by Selling Broker-Dealer or General Agent or their officers, directors, employees or agents unless such misrepresentation is contained in the registration statement for the Contracts or Fund shares, any prospectus included as a part thereof, as from time to time amended and supplemented, or any advertisement or sales literature approved in writing by Pacific Life and PSD pursuant to Section IV.E. of this Agreement, (b) the failure of Selling Broker-Dealer or General Agent or their officers, directors, employees or agents to comply with any applicable provisions of this Agreement or (c) claims by Sub-agents or employees of General Agent or Selling Broker-Dealer and General Agent will reimburse Pacific Life or PSD or any director, officer, agent or employee of either entity for any legal or other expenses reasonably incurred by Pacific Life, PSD, or such officer, director, agent or employee in connection with investigating or defending any such loss, claims, damages, liability or action. This indemnity agreement will be in addition to any liability which Broker-Dealer may otherwise have.

II-6


 

Item 29. Principal Underwriters

  (a)   PSD also acts as principal underwriter for Pacific Select Variable Annuity Separate Account, Separate Account B, Pacific Corinthian Variable Separate Account, Pacific Select Separate Account, Pacific Select Exec Separate Account, COLI Separate Account, COLI II Separate Account, COLI III Separate Account, Separate Account A of Pacific Life & Annuity Company, Pacific Select Exec Separate Account of Pacific Life & Annuity Company,
 
  (b)   For information regarding PSD, reference is made to Form B-D, SEC File No. 8-15264, which is herein incorporated by reference.
 
  (c)   PSD retains no compensation or net discounts or commissions from the Registrant.

Item 30. Location of Accounts and Records

      The accounts, books and other documents required to be maintained by Registrant pursuant to Section 31(a) of the Investment Company Act of 1940 and the rules under that section will be maintained by Pacific Life at 700 Newport Center Drive, Newport Beach, California 92660.

Item 31. Management Services

      Not applicable

Item 32. Undertakings

      The registrant hereby undertakes:

  (a)   to file a post-effective amendment to this registration statement as frequently as is necessary to ensure that the audited financial statements in this registration statement are never more than 16 months old for so long as payments under the variable annuity contracts may be accepted, unless otherwise permitted.
 
  (b)   to include either (1) as a 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, or (3) to deliver a Statement of Additional Information with the Prospectus.
 
  (c)   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.

II-7


 

Additional Representations

     (a) The Registrant and its Depositor are relying upon American Council of Life Insurance, SEC No-Action Letter, SEC Ref. No. 1P-6-88 (November 28, 1988) with respect to annuity contracts offered as funding vehicles for retirement plans meeting the requirements of Section 403(b) of the Internal Revenue Code, and the provisions of paragraphs (1)-(4) of this letter have been complied with.

     (b) The Registrant and its Depositor are relying upon Rule 6c-7 of the Investment Company Act of 1940 with respect to annuity contracts offered as funding vehicles to participants in the Texas Optional Retirement Program, and the provisions of Paragraphs (a)-(d) of the Rule have been complied with.

     (c) REPRESENTATION PURSUANT TO SECTION 26(f) OF THE INVESTMENT COMPANY ACT OF 1940: Pacific Life Insurance Company and Registrant represent that the fees and charges to be deducted under the Variable Annuity Contract (“Contract”) described in the prospectus contained in this registration statement are, in the aggregate, reasonable in relation to the services rendered, the expenses expected to be incurred, and the risks assumed in connection with the Contract.

II-8


 

SIGNATURES

     Pursuant to the requirements of the Securities Act of 1933 and the Investment Company Act of 1940, the Registrant certifies that it meets the requirements of Securities Act Rule 485(b) for effectiveness of this Registration Statement and has caused this Post-Effective Amendment No. 18 to the Registration Statement on Form N-4 to be signed on its behalf by the undersigned thereunto duly authorized in the City of Newport Beach, and the State of California on this 23rd day of July, 2004.

         
    SEPARATE ACCOUNT A
    (Registrant)
 
       
 
       
  By:   PACIFIC LIFE INSURANCE COMPANY
 
       
  By:    
     
 
      Thomas C. Sutton*
      Chairman and Chief Executive Officer
 
       
 
       
  By:   PACIFIC LIFE INSURANCE
      COMPANY
      (Depositor)
 
       
  By:    
     
 
      Thomas C. Sutton*
      Chairman and Chief Executive Officer

     Pursuant to the requirements of the Securities Act of 1933, this Post-Effective Amendment No. 18 to the Registration Statement has been signed below by the following persons in the capacities and on the dates indicated:

         
Signature
  Title
  Date
 

Thomas C. Sutton*
  Director, Chairman of the Board
and Chief Executive Officer
  July 23, 2004    
 

Glenn S. Schafer*
  Director and President   July 23, 2004    
 

Khanh T. Tran*
  Director, Executive Vice President
and Chief Financial Officer
  July 23, 2004    
 

David R. Carmichael*
  Director, Senior Vice President
and General Counsel
  July 23, 2004    
 

Audrey L. Milfs*
  Director, Vice President and
Corporate Secretary
  July 23, 2004    
 

Edward R. Byrd*
  Vice President, Controller, and
Chief Accounting Officer
  July 23, 2004    
 

Brian D. Klemens*
  Vice President and Treasurer   July 23, 2004    
 

Gerald W. Robinson*
  Executive Vice President   July 23, 2004    
*By: /s/ DAVID R. CARMICHAEL

David R. Carmichael
as attorney-in-fact
      July 23, 2004    

(Powers of Attorney are contained in Post-Effective Amendment No. 9 of the Registration Statement filed on Form N-4/B for Separate Account A, File No. 333-93059, Accession No. 0001017062-02-000788 filed on April 30, 2002, as Exhibit 15.)

II-9

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