EX-99.4(U) 3 a02095exv99w4xuy.htm EXHIBIT 4(U) exv99w4xuy
 

(PACIFIC LIFE LOGO)

     
 
  Pacific Life Insurance Company
700 Newport Center Drive
Newport Beach, CA 92660
A Stock Company

GUARANTEED INCOME ANNUITY (GIA) RIDER

Pacific Life Insurance Company has issued this Rider as a part of the annuity Contract to which it is attached. Please read it carefully.

All provisions of the Contract that do not conflict with this Rider apply to this Rider. In the event of any conflict between the provisions of this Rider and the provisions of the Contract, the provisions of this Rider shall prevail over the provisions of the Contract.

The provisions of this Rider relate only to the GIA Annuity Option, and do not impact any of the other Annuity Options described in the Contract.

The numeric examples provided in this Rider are based on certain assumptions. They have been provided to assist in understanding the benefits provided by this Rider and to demonstrate how Purchase Payments received and withdrawals made from the Contract prior to the Annuity Date affect the values and benefits under this Rider over an extended period of time.

TABLE OF CONTENTS

         
    Page
Definition of Terms
    1  
Guaranteed Income Annuity (GIA)
    2  
GIA Annual Charge
    2  
GIA Annuity Option
    2  
Application of Net Amount
    3  
Initial Values
    3  
Subsequent Values
    4  
Limitation on Subsequent Purchase Payments
    5  
Partial Annuitization of Net Contract Value
    5  
Applicability of Rates
    5  
Basis of Computations
    5  
Rates Not Shown
    5  
Continuation of Rider if Surviving Spouse Continues Contract
    5  
Termination of Rider
    5  
Rider Effective Date
    5  
GIA Annuity Option Tables
    6  
Sample Calculations
    8  

Definition of Terms – Unless redefined in this Rider, the terms defined in the Contract will have the same meaning when used in this Rider.

1


 

Guaranteed Income Annuity (GIA) – You have purchased a Guaranteed Income Annuity (GIA) Rider. Subject to the terms and conditions described herein, this Rider adds an Annuity Option to the Contract called the “GIA Annuity Option”.

This Rider may be purchased on the Contract Date or on any subsequent Contract Anniversary, provided:

(a)   the age of each Annuitant is 80 years or younger on the date of purchase; and
 
(b)   the entire Contract Value is invested according to an asset allocation program established and maintained by us for this Rider.

The date of purchase is the Rider Effective Date as shown on Page 5.

GIA Annual Charge – An annual charge for expenses related to this Rider will be deducted from the Investment Options on a proportionate basis relative to the Account Value in each such option.

The annual charge is deducted, in arrears, on each Contract Anniversary that this Rider remains in effect. The annual charge is equal to [0.50%] multiplied by the greater of the Guaranteed Income Base or the Contract Value on the day the charge is deducted.

If this Rider terminates on a Contract Anniversary, the entire annual charge for the prior Contract Year will be deducted from the Contract Value on that Contract Anniversary.

If the Rider terminates prior to a Contract Anniversary, we will prorate the annual charge. The prorated amount will be based on the greater of the Guaranteed Income Base or the Contract Value as of the day the Rider terminates. Such prorated amount will be deducted from the Contract Value on the earlier of the day the Contract terminates or the Contract Anniversary immediately following the day the Rider terminates.

We will waive the annual charge if the Rider terminates as a result of the death of an Owner or sole surviving Annuitant, or upon full annuitization of the Contract.

Any portion of the annual charge we deduct from any of our fixed-rate General Account options (if available under the Contract) will not be greater than the annual interest credited in excess of that option’s minimum guaranteed interest rate.

GIA Annuity Option – While this Rider is in effect and in lieu of the Annuity Options described in the Contract, you may, prior to the Annuity Date, elect to have annuity payments made under the GIA Annuity Option, provided this Rider has been in effect for at least ten (10) years from the Rider Effective Date.

If you elect this option, any withdrawal charge (if applicable) that would otherwise be waived in connection with a conversion to an Annuity Option as described in the Contract will apply.

Annuity payments under this option will be paid in fixed dollar amounts under any one of the payment methods described below:

  Life Only – Periodic payments are made to the designated payee during the Annuitant’s lifetime. Payments stop when the Annuitant dies.

  Life with Period Certain – Periodic payments are made to the designated payee during the Annuitant’s lifetime, with payments guaranteed for a period certain, as selected by you prior to the Annuity Date, of ten (10) years or more. If the Annuitant dies before the guaranteed payments are completed, we will pay the remainder of the guaranteed payments to the first among the following who is (1) living; or (2) an entity or corporation entitled to receive the remainder of the guaranteed payments:

(a)   the Owner;
 
(b)   the Joint Owner;
 
(c)   the Contingent Owner;
 
(d)   the Beneficiary; or
 
(e)   the Contingent Beneficiary.

2


 

    If none are living (or if there is no entity or corporation entitled to receive the remainder of the guaranteed payments), we will pay the remainder of the guaranteed payments to the Owner’s estate.
 
    If the Annuitant dies after all of the payments under the period certain have been paid, payments will stop when the Annuitant dies.
 
  Joint and Survivor Life – Periodic payments are made to the designated payee during the lifetime of the Primary Annuitant. After the death of the Primary Annuitant, periodic payments are based on the life of the secondary Annuitant named in the election if, and so long as, such secondary Annuitant lives. Payments made based on the life of the secondary Annuitant may be in installments equal to 50%, 66-2/3% or 100% (as specified in the election) of the original payment amount payable during the lifetime of the Primary Annuitant. If you elect a reduced payment based on the life of the secondary Annuitant, annuity payments will be equal to 50% or 66-2/3% of the original payment payable during the lifetime of the Primary Annuitant. Payments stop when both Annuitants have died.
 
  Period Certain Only – Periodic payments are made to the designated payee, with payments guaranteed for a period certain, as selected by you prior to the Annuity Date, of twenty (20) years or more. If the Annuitant dies before the guaranteed payments are completed, we will pay the remainder of the guaranteed payments to the first among the following who is (1) living; or (2) an entity or corporation entitled to receive the remainder of the guaranteed payments:

(a)   the Owner;
 
(b)   the Joint Owner;
 
(c)   the Contingent Owner;
 
(d)   the Beneficiary; or
 
(e)   the Contingent Beneficiary.

    If none are living (or if there is no entity or corporation entitled to receive the remainder of the guaranteed payments), we will pay the remainder of the guaranteed payments to the Owner’s estate.

Application of Net Amount – On the Annuity Date, we will apply the net amount as a single premium, based on the payment method chosen under the GIA Annuity Option provision, and the age and sex of each Annuitant, under the appropriate annuity rates contained in this Rider.

The net amount applied as a single premium on the Annuity Date is equal to the greater of: (a) the Guaranteed Income Base on that day; or (b) the GIA Step-Up Value on that day; less any:

  applicable withdrawal charges resulting from the conversion to the GIA Annuity Option;

  applicable annual charges for expenses related to other optional benefit riders attached to the Contract that are in effect as of the Annuity Date; and

  charges for premium taxes and/or other taxes.

The net amount applied will be held in our General Account.

Initial Values – The Guaranteed Income Base, GIA Withdrawal Base, GIA Withdrawal Amount and GIA Step-Up Value are values used in determining the net amount applied on the Annuity Date to provide payments under the GIA Annuity Option.

These initial values are determined on the Rider Effective Date as follows:

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

  If this Rider is effective on a Contract Anniversary, the Guaranteed Income Base and GIA Withdrawal Base are equal to the Contract Value on that day.

  The GIA Withdrawal Amount for the Contract Year beginning on the Rider Effective Date is equal to 5% of the GIA Withdrawal Base.

  The GIA Step-Up Value is equal to the Contract Value on the Rider Effective Date.

3


 

The GIA Withdrawal Base and GIA Withdrawal Amount after the Rider Effective Date are recalculated only on each subsequent Contract Anniversary.

Subsequent Values – The Guaranteed Income Base, GIA Withdrawal Base, GIA Withdrawal Amount and GIA Step-Up Value after the Rider Effective Date are determined as follows:

    Guaranteed Income Base – On any day after the Rider Effective Date, the Guaranteed Income Base is equal to:

  the Guaranteed Income Base on the prior day, multiplied by a daily factor of 1.000133680, which is equivalent to increasing the Guaranteed Income Base at an annual growth rate of 5%; plus

  Purchase Payments received by us on that day; less

  adjustments for withdrawals made on that day.

    The adjustment for each withdrawal is calculated by multiplying the Guaranteed Income Base immediately prior to the withdrawal by the percentage decrease in Contract Value as a result of the withdrawal.
 
    However, on each Contract Anniversary after the Rider Effective Date, if there is at least one withdrawal during the prior Contract Year and the cumulative withdrawals for that Contract Year do not exceed the sum of:

(a)   the GIA Withdrawal Amount for that Contract Year, and
 
(b)   any remaining dollar amount of the prior Contract Year’s GIA Withdrawal Amount;

    the Guaranteed Income Base as of that Contract Anniversary will be reset to equal:

  the Guaranteed Income Base on the Rider Effective Date or prior Contract Anniversary, whichever is later, increased at an annual growth rate of 5%; plus

  the amount of any subsequent Purchase Payments received by us during the prior Contract Year, each increased at an annual growth rate of 5% from the effective date of that Purchase Payment; less

  the amount of cumulative withdrawals during the prior Contract Year.

    The 5% annual growth rate will stop accruing as of the earlier of:

  the Contract Anniversary prior to the youngest Annuitant’s 81st birthday; or

  the day this Rider terminates.

    GIA Withdrawal Base – On each Contract Anniversary after the Rider Effective Date, the GIA Withdrawal Base is equal to:

  the GIA Withdrawal Base determined on the Rider Effective Date; plus

  the amount of any subsequent Purchase Payments received by us after the Rider Effective Date, up through the day immediately prior to that Contract Anniversary.

    GIA Withdrawal Amount – On each Contract Anniversary after the Rider Effective Date, the GIA Withdrawal Amount for the Contract Year beginning on that Contract Anniversary is equal to 5% of the GIA Withdrawal Base as of that Contract Anniversary.

    GIA Step-Up Value – On any day after the Rider Effective Date, the GIA Step-Up Value is equal to:

  the GIA Step-Up Value as of the prior day, plus

  Purchase Payments received by us on that day, less

  adjustment for withdrawals made on that day.

    The adjustment for each withdrawal is calculated by multiplying the GIA Step-Up Value immediately prior to the withdrawal by the percentage decrease in Contract Value as a result of the withdrawal.

4


 

    On any Contract Anniversary after the Rider Effective Date and prior to the youngest Annuitant’s 81st birthday, the GIA Step-Up Value is set equal to the greater of:

(a)   the Contract Value as of that Contract Anniversary; or
 
(b)   the GIA Step-Up Value immediately prior to that Contract Anniversary.

    The GIA Step-Up Value on each Contract Anniversary on and after the youngest Annuitant’s 81st birthday is equal to the GIA Step-Up Value immediately prior to that Contract Anniversary.

Limitation on Subsequent Purchase Payments – For purposes of this Rider, in no event may any Purchase Payment received on and after the first (1st) Contract Anniversary, measured from the Rider Effective Date, result in the total of all Purchase Payments received after that Contract Anniversary to exceed $100,000, without our prior approval.

This provision only applies if the Contract permits Purchase Payments after the first (1st) Contract Anniversary, measured from the Contract Date.

Partial Annuitization of Net Contract Value – Any portion of the Net Contract Value converted to provide payments under any one of the Annuity Options described in the Contract, will be considered a “withdrawal” for purposes of determining withdrawal adjustments to the Guaranteed Income Base and GIA Step-Up Value.

Applicability of Rates – The annuity rates contained in this Rider will be used to provide a guaranteed monthly income for each $1,000 of net amount applied.

For some Qualified Plans and in some states, the use of sex-distinct income factors are prohibited. For those Qualified Plans, we use blended unisex income factors for life payment options for both male and female Annuitants.

Basis of Computations – The actuarial basis for the annuity rates contained in this Rider is the 1996 US Annuity 2000 Mortality Table, age set back eight (8) years with interest at an effective annual rate of 2.0%.

Rates Not Shown – Any rates and/or ages not shown in the tables contained in this Rider will be provided by the Company upon request.

Continuation of Rider if Surviving Spouse Continues Contract – 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.

Termination of Rider – Except as otherwise provided under the Continuation of Rider if Surviving Spouse Continues Contract provision of this Rider, this Rider will automatically terminate upon the earliest to occur of one of the following events:

(a)   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;
 
(b)   the day we receive notification from you to terminate this Rider;
 
(c)   the day of the first death of an Owner or the date of death of the sole surviving Annuitant;
 
(d)   the day the Contract is terminated in accordance with the provisions of the Contract; or
 
(e)   the Annuity Date.

Rider Effective Date – This Rider is effective as of the Contract Date, unless a later date is shown below.

    Rider Effective Date: [Date]

All other terms and conditions of the Contract remain unchanged by this Rider.

PACIFIC LIFE INSURANCE COMPANY

     
-s- Thomas C Sutton
  -s- Audrey L. Milfs
Chairman and Chief Executive Officer   Secretary

5


 

GIA ANNUITY OPTION TABLES

LIFE ONLY OR
LIFE WITH PERIOD CERTAIN OF 10 AND 20 YEARS

                                                                         
    Male
  Female
  Unisex
            Life with           Life with           Life with
    Life   Period Certain   Life   Period Certain   Life   Period Certain
Age
  Only
  10 Yr.
  20 Yr.
  Only
  10 Yr.
  20 Yr.
  Only
  10 Yr.
  20 Yr.
30
    2.41       2.41       2.40       2.32       2.32       2.32       2.37       2.36       2.36  
35
    2.52       2.52       2.51       2.42       2.42       2.42       2.47       2.47       2.47  
40
    2.66       2.66       2.65       2.54       2.54       2.54       2.60       2.60       2.59  
45
    2.83       2.83       2.81       2.69       2.69       2.68       2.76       2.76       2.75  
50
    3.05       3.04       3.01       2.87       2.87       2.85       2.96       2.95       2.93  
55
    3.32       3.30       3.24       3.10       3.09       3.06       3.21       3.20       3.15  
60
    3.65       3.62       3.51       3.38       3.37       3.31       3.52       3.50       3.42  
65
    4.09       4.03       3.83       3.76       3.73       3.62       3.92       3.88       3.73  
70
    4.67       4.56       4.17       4.25       4.19       3.97       4.46       4.38       4.08  
75
    5.47       5.23       4.50       4.92       4.80       4.35       5.19       5.02       4.43  
80
    6.58       6.04       4.77       5.88       5.59       4.68       6.22       5.82       4.73  
85
    8.11       6.93       4.93       7.28       6.55       4.90       7.69       6.75       4.91  
90
    10.25       7.79       5.01       9.37       7.56       5.00       9.80       7.68       5.00  
95
    13.21       8.46       5.03       12.46       8.37       5.03       12.83       8.42       5.03  

JOINT LIFE WITH 100% SURVIVOR LIFE

Primary Annuitant
Male Age

                                                 
Female Age
  60
  65
  70
  75
  80
  85
60
    3.07       3.16       3.24       3.29       3.33       3.35  
65
    3.21       3.35       3.48       3.57       3.64       3.69  
70
    3.34       3.54       3.73       3.90       4.02       4.11  
75
    3.44       3.70       3.98       4.24       4.46       4.63  
80
    3.52       3.84       4.20       4.58       4.94       5.26  
85
    3.57       3.93       4.37       4.88       5.42       5.94  

Primary Annuitant
Unisex Age

                                                 
Unisex Age
  60
  65
  70
  75
  80
  85
60
    3.08       3.19       3.29       3.37       3.43       3.46  
65
    3.19       3.37       3.52       3.65       3.75       3.82  
70
    3.29       3.52       3.75       3.95       4.12       4.25  
75
    3.37       3.65       3.95       4.26       4.54       4.77  
80
    3.43       3.75       4.12       4.54       4.96       5.36  
85
    3.46       3.82       4.25       4.77       5.36       5.96  

6


 

GIA ANNUITY OPTION TABLES

JOINT LIFE WITH 66 2/3% SURVIVOR LIFE

Primary Annuitant
Male Age

                                                 
Female Age
  60
  65
  70
  75
  80
  85
60
    3.24       3.42       3.60       3.79       3.98       4.17  
65
    3.34       3.57       3.80       4.04       4.28       4.51  
70
    3.43       3.70       4.00       4.31       4.62       4.92  
75
    3.51       3.82       4.18       4.58       5.00       5.41  
80
    3.56       3.92       4.34       4.84       5.39       5.95  
85
    3.60       3.98       4.47       5.06       5.76       6.52  

Primary Annuitant
Unisex Age

                                                 
Unisex Age
  60
  65
  70
  75
  80
  85
60
    3.21       3.41       3.61       3.82       4.03       4.24  
65
    3.30       3.53       3.79       4.05       4.32       4.59  
70
    3.37       3.64       3.96       4.29       4.65       5.00  
75
    3.42       3.74       4.11       4.53       4.99       5.46  
80
    3.46       3.80       4.23       4.74       5.32       5.96  
85
    3.48       3.85       4.32       4.90       5.62       6.44  

JOINT LIFE WITH 50% SURVIVOR LIFE

Primary Annuitant
Male Age

                                                 
Female Age
  60
  65
  70
  75
  80
  85
60
    3.33       3.56       3.82       4.11       4.42       4.74  
65
    3.42       3.68       3.99       4.32       4.69       5.07  
70
    3.49       3.79       4.15       4.55       4.99       5.46  
75
    3.54       3.89       4.30       4.78       5.32       5.90  
80
    3.58       3.96       4.42       4.99       5.65       6.38  
85
    3.61       4.01       4.52       5.16       5.94       6.86  

Primary Annuitant
Unisex Age

                                                 
Unisex Age
  60
  65
  70
  75
  80
  85
60
    3.28       3.52       3.79       4.09       4.42       4.78  
65
    3.35       3.62       3.93       4.29       4.68       5.10  
70
    3.40       3.71       4.07       4.49       4.96       5.48  
75
    3.44       3.78       4.19       4.68       5.25       5.89  
80
    3.47       3.83       4.28       4.85       5.52       6.31  
85
    3.49       3.87       4.35       4.97       5.76       6.71  

PERIOD CERTAIN ONLY

                                                         
Years
          Years
          Years
          Years
       
20
    5.04       26       4.09       32       3.51       38       3.11  
21
    4.84       27       3.98       33       3.43       39       3.06  
22
    4.66       28       3.87       34       3.36       40       3.01  
23
    4.50       29       3.77       35       3.29                  
24
    4.35       30       3.68       36       3.23                  
25
    4.22       31       3.59       37       3.17                  

7


 

GUARANTEED INCOME ANNUITY (GIA) RIDER

SAMPLE CALCULATIONS

The numeric examples shown in this section are based on certain assumptions. They have been provided to assist in understanding the benefits provided by this Rider and to demonstrate how Purchase Payments received and withdrawals made from the Contract prior to the Annuity Date affect the values and benefits under this Rider over an extended period of time. These examples are not intended to serve as projections of future investment returns.

Example #1 – The initial values on the Rider Effective Date based on an Initial Purchase Payment of $100,000. The Initial Purchase Payment is assumed to be the Contract Value if the Rider Effective Date is on a Contract Anniversary.

(TABLE OF EXAMPLE #1)

Example #2 - Subsequent Purchase Payment received during the first Contract Year and its effect on the values and balances under this Rider. This example assumes that no withdrawals have been made.

(TABLE OF EXAMPLE #2)

In addition to Purchase Payments, the Contract Value is further subject to increases and/or decreases during a Contract Year as a result of additional amounts credited, charges, fees and other deductions, and increases and/or decreases in the investment performance of the Variable Account.

The Guaranteed Income Base prior to receipt of the Purchase Payment is assumed to have accumulated to $101,227. This amount is derived by multiplying each day’s Guaranteed Income Base by the daily factor of 1.000133680. As a result of the subsequent Purchase Payment, the Guaranteed Income Base is increased to $201,227 ($101,227 + $100,000). The Guaranteed Income Base will assume to accumulate to $208,727 at the next Contract Anniversary, by multiplying each day’s Guaranteed Income Base immediately after receipt of the subsequent Purchase Payment by the daily factor of 1.000133680.

The GIA Step-Up Value prior to receipt of the Purchase Payment is $100,000. As a result of the subsequent Purchase Payment, the GIA Step-Up Value is increased to $200,000 ($100,000 + $100,000). On the Contract Anniversary at the beginning of Contract Year 2, the Contract Value ($205,242) is greater than the GIA Step-Up Value immediately prior to that Contract Anniversary ($200,000). As a result, the GIA Step-Up Value as of that Contract Anniversary is equal to the Contract Value on that Contract Anniversary ($205,242).

The GIA Withdrawal Base on the Contract Anniversary at the beginning of Contract Year 2 is equal to the GIA Withdrawal Base on the Rider Effective Date ($100,000) plus cumulative Purchase Payments received after the Rider Effective Date ($100,000). As a result of the subsequent Purchase Payment, the GIA Withdrawal Base on the Contract Anniversary at the beginning of Contract Year 2 is equal to $200,000 ($100,000 + $100,000).

The GIA Withdrawal Amount for Contract Year 2 is determined on the Contract Anniversary at the beginning of Contract Year 2, and is equal to 5% of the GIA Withdrawal Base on that Contract Anniversary (5% of $200,000). As a result of the subsequent Purchase Payment, the GIA Withdrawal Amount for Contract Year 2 is equal to $10,000.

Since no withdrawals were made during Contract Year 1, the GIA Withdrawal Amount for Contract Year 1 ($5,000) becomes the remaining dollar amount of the prior Contract Year’s GIA Withdrawal Amount for Contract Year 2.

8


 

GUARANTEED INCOME ANNUITY (GIA) RIDER

SAMPLE CALCULATIONS

Example #3 - Cumulative withdrawals during Contract Year 2 exceeding the sum of: (a) the GIA Withdrawal Amount for Contract Year 2; and (b) the remaining dollar amount of the prior Contract Year’s GIA Withdrawal Amount for Contract Year 2. The withdrawal is assumed to result in a 10% reduction in the Contract Value.

(TABLE OF EXAMPLE #3)

Since the $20,830 withdrawal exceeded the sum of: (a) the GIA Withdrawal Amount for Contract Year 2; and (b) the remaining dollar amount of the prior Contract’s Year’s GIA Withdrawal Amount for Contract Year 2, the remaining dollar amount of the prior Contract Year’s GIA Withdrawal Amount for Contract Year 3 is zero. Withdrawals are first applied to the remaining dollar amount of the prior Contract Year’s GIA Withdrawal Amount, if any, until exhausted, then to the GIA Withdrawal Amount for the current Contract Year, until exhausted.

The GIA Withdrawal Amount for Contract Year 3 is determined on the Contract Anniversary at the beginning of Contract Year 3, and is equal to 5% of the GIA Withdrawal Base on that Contract Anniversary (5% of $200,000). As a result, the GIA Withdrawal Amount for Contract Year 3 is equal to $10,000. The GIA Withdrawal Amount for any Contract Year will not be less than zero.

Immediately after the withdrawal, the Guaranteed Income Base and the GIA Step-Up Value are reduced by the percentage decrease (10%) in Contract Value as a result of the withdrawal.

Since no subsequent Purchase Payments were received during Contract Year 2, the GIA Withdrawal Base at the beginning of Contract Year 3 remains unchanged.

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GUARANTEED INCOME ANNUITY (GIA) RIDER

SAMPLE CALCULATIONS

Example #4 - Cumulative withdrawals during Contract Year 3 not exceeding the sum of: (a) the GIA Withdrawal Amount for Contract Year 3; and (b) the remaining dollar value of the prior Contract Year’s GIA Withdrawal Amount for Contract Year 3.

(TABLE OF EXAMPLE #4)

Because cumulative withdrawals for Contract Year 3 did not exceed the sum of: (a) the GIA Withdrawal Amount for Contract Year 3; and (b) the remaining dollar amount of the prior Contract Year’s GIA Withdrawal Amount for Contract Year 3, the Guaranteed Income Base on the Contract Anniversary at the beginning of Contract Year 4 is calculated as follows:

         
Guaranteed Income Base on the Contract Anniversary at the beginning of Contract Year 3:
  $ 197,247  
Increased at an annual rate of 5% to the Contract Anniversary at the beginning of Contract Year 4:
  + $9,862  
Reduced by the amount equal to the amount withdrawn in Contract Year 3:
  - $8,000  
 
 
 
Guaranteed Income Base on the Contract Anniversary at the beginning of Contract Year 4:
  $ 199,109  

Since no subsequent Purchase Payments were received during Contract Year 3, the GIA Withdrawal Base at the beginning of Contract Year 4 remains unchanged.

The GIA Withdrawal Amount for Contract Year 4 is determined on the Contract Anniversary at the beginning of Contract Year 4, and is equal to 5% of the GIA Withdrawal Base on that Contract Anniversary (5% of $200,000). As a result, the GIA Withdrawal Amount for Contract Year 4 is equal to $10,000.

Because cumulative withdrawals for Contract Year 3 did not exceed the sum of: (a) the GIA Withdrawal Amount for Contract Year 3; and (b) the remaining dollar value of the prior Contract Year’s GIA Withdrawal Amount for Contract Year 3; the dollar amount of the GIA Withdrawal Amount for Contact Year 3 remaining ($2,000) becomes the remaining dollar amount of the prior Contract Year’s GIA Withdrawal Amount for Contract Year 4.

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GUARANTEED INCOME ANNUITY (GIA) RIDER

SAMPLE CALCULATIONS

Example #5 – Rider values on each Contract Anniversary based on an Initial Purchase Payment of $100,000 paid on the Contract Date. The values further assume that no subsequent Purchase Payments are received and no withdrawals are taken during the first ten (10) Contract Years after the Rider Effective Date. The Initial Purchase Payment is assumed to be the Contract Value if the Rider is effective on a Contract Anniversary.

(TABLE OF EXAMPLE #5)

Example #6 – Rider values on each Contract Anniversary based on an Initial Purchase Payment of $100,000 paid on the Contract Date. The values further assume that no subsequent Purchase Payments are received and withdrawals of $5,000 are taken each Contract Year for the first ten (10) Contract Years after the Rider Effective Date. The Initial Purchase Payment is assumed to be the Contract Value if the Rider is effective on a Contract Anniversary.

(TABLE OF EXAMPLE #6)

Should the Contract annuitize immediately after the Rider has been in effect for at least ten (10) years and the GIA Annuity Option has been elected to provide such payments, the net amount applied on the Annuity Date as a single premium to provide the payments is equal to the greater of:

(a)   the Guaranteed Income Base; or
 
(b)   the GIA Step-Up Value; less any:
 
(c)   applicable withdrawal charges resulting from the conversion to the GIA Annuity Option;
 
(d)   applicable annual charges for expenses related to other optional benefit riders attached to the Contract that are in effect as of the Annuity Date; and
 
(e)   charges for premium taxes and/or other taxes.

Under Example #5, the net amount applied on the Annuity Date (the Contract Anniversary at the beginning of Contract Year 11) is equal to the Guaranteed Income Base ($162,889), as it is greater than the GIA Step-Up Value ($115,927) as of the Annuity Date, less the amounts in (c), (d) and (e) above, if any.

Under Example #6, the net amount applied on the Annuity Date (the Contract Anniversary at the beginning of Contract Year 11) is equal to the Guaranteed Income Base ($100,000), as it is greater than the GIA Step-Up Value ($61,983) as of the Annuity Date, less the amounts in (c), (d) and (e) above, if any.

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