-----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, CHsqvabYPT9li9gYkr4gdyowFO1G1TOycAbCVYnPCMY0HUqoD1T7eQTO7iGfJ1cb ci4FhKmXYPxN565CIqeVYQ== 0000912057-01-007165.txt : 20010307 0000912057-01-007165.hdr.sgml : 20010307 ACCESSION NUMBER: 0000912057-01-007165 CONFORMED SUBMISSION TYPE: 485APOS PUBLIC DOCUMENT COUNT: 3 FILED AS OF DATE: 20010302 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEPARATE ACCOUNT A OF PACIFIC LIFE INSURANCE CO CENTRAL INDEX KEY: 0000935823 STANDARD INDUSTRIAL CLASSIFICATION: [] FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 485APOS SEC ACT: SEC FILE NUMBER: 333-93059 FILM NUMBER: 1560668 FILING VALUES: FORM TYPE: 485APOS SEC ACT: SEC FILE NUMBER: 811-08946 FILM NUMBER: 1560669 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 485APOS 1 a2040484z485apos.txt 485APOS As filed with the Securities and Exchange Commission on March 2, 2001. 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 [_] Pre-Effective Amendment No. [_] Post-Effective Amendment No. 5 [X] and/or REGISTRATION STATEMENT UNDER THE INVESTMENT COMPANY ACT OF 1940 [_] Amendment No. 37 [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 Jane A. Kanter, Esq. Pacific Life Insurance Company Dechert Price & Rhoads P.O. Box 9000 1775 Eye Street, N.W. Newport Beach, CA 92658-9030 Washington, D.C. 20006-2401 Approximate Date of Proposed Public Offering It is proposed that this filing will become effective (check appropriate box) [ ] immediately upon filing pursuant to paragraph (b) of Rule 485 [ ] on _____________ pursuant to paragraph (b) of Rule 485 [_] 60 days after filing pursuant to paragraph (a) (1) of Rule 485 [X] on May 1, 2001 pursuant to paragraph (a) (1) of Rule 485 If appropriate, check the following box: [_] this post-effective amendment designates a new effective date for a previously filed post-effective amendment. Title of Securities Being Registered: Interests in Pacific Life Insurance Company Separate Account A Under Variable Annuity Contracts. Filing Fee: None Prospectus (Included in Post-Effective Amendment No. 4 to the Registrant's Registration Statement on Form N-4, File No. 333-93059 Accession No. 0000912057-00-055027 filed on December 28, 2000, and incorporated by reference herein.) Statement of Additional Information (Included in Post-Effective Amendment No. 4 to the Registrant's Registration Statement on Form N-4, File NO. 333-93059 Accession No. 0000912057-00-055027 filed on December 28, 2000, and incorporated by reference herein.) SUPPLEMENT DATED MAY 01, 2001 TO PROSPECTUS DATED MAY 1, 2000 AS SUPPLEMENTED ON JANUARY 2, 2001 FOR PACIFIC INNOVATIONS, A 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, which amends the Prospectus, describes the optional Guaranteed Earnings Enhancement Rider ("GEE Rider"). The AN OVERVIEW OF PACIFIC INNOVATIONS ("THE DEATH BENEFIT") section on page 5 of the Prospectus is amended as follows: GUARANTEED EARNINGS ENHANCEMENT (GEE) RIDER (OPTIONAL) The Guaranteed Earnings Enhancement (GEE) Rider provides for an additional amount ("GEE Amount") to be included in the death benefit proceeds when such proceeds become payable as a result of the Annuitant's death. You may buy the GEE Rider on the Contract Date or on the first Contract Anniversary. For Contracts issued prior to May 1, 2001, the GEE Rider may be purchased on any Contract Anniversary through December 31, 2002. If you buy the GEE Rider within 30 days after the Contract Date or Contract Anniversary, we will make the effective date of the GEE Rider to coincide with that Contract Date or Contract Anniversary. The GEE Rider is not available in all states. Ask your registered representative about its current availability in your state of residence. The expense table under CONTRACT EXPENSES on page 6 of the Prospectus has been revised by adding: Guaranteed Earnings Enhancement (GEE) Rider Charge, (calculated as a percentage of Contract Value)(7) 0.25% (7) If you buy the GEE Rider (subject to state availability), we deduct this charge proportionately from your Investment Options (in arrears) on each Contract Anniversary, and when you make a full withdrawal, if the GEE Rider is in effect on that date. The information under EXAMPLES on page 8 of the Prospectus has been revised as follows: The following table shows the expenses you would pay on each $1,000 you invested if, at the end of each period, you: annuitized your Contract; surrendered your Contract and withdrew the Contract Value, or did not annuitize or surrender, but left the money in your Contract. These examples assume the following: - - the Contract Value starts at $65,000 - - the Investment Options have an annual return of 5% - - the Annual Fee is deducted even when the Contract Value goes over $50,000 and a waiver would normally apply. WITHOUT ANY RIDER reflects the expenses you would pay if you did not buy the optional Stepped-Up Death Benefit Rider (SDBR), or Premier Death Benefit Rider (PDBR), or the Guaranteed Earnings Enhancement (GEE) Rider. WITH SDBR reflects the expenses you would pay if you bought the optional Stepped-Up Death Benefit Rider, but not the PDBR, or GEE Rider. WITH PDBR reflects the expenses you would pay if you bought the optional Premier Death Benefit Rider, but not the SDBR or GEE Rider. WITH GEE RIDER reflects the expenses you would pay if you bought the optional Guaranteed Earnings Enhancement Rider, but not the optional SDBR or PDBR riders. WITH SDBR AND GEE RIDER reflects the expenses you would pay if you bought the optional Stepped-Up Death Benefit Rider and the Guaranteed Earnings Enhancement Rider. WITH PDBR AND GEE RIDER reflects the expenses you would pay if you bought the optional Premier Death Benefit Rider and the Guaranteed Earnings Enhancement Rider. THESE EXAMPLES DO NOT SHOW PAST OR FUTURE EXPENSES. YOUR ACTUAL EXPENSES IN ANY YEAR MAY BE MORE OR LESS THAN THOSE SHOWN HERE.
- ------------------------------------------------------------------------------------------------------------------------------- EXPENSES IF YOU DID NOT ANNUITIZE OR EXPENSES IF YOU EXPENSES IF YOU SURRENDER, BUT LEFT ANNUITIZED SURRENDERED THE MONEY IN YOUR YOUR CONTRACT ($) YOUR CONTRACT ($) CONTRACT ($) - ------------------------------------------------------------------------------------------------------------------------------- Variable Account 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr - ------------------------------------------------------------------------------------------------------------------------------- BLUE CHIP without any Rider 106 76 131 278 106 148 131 278 25 76 131 278 with SDBR 108 82 141 298 108 154 141 298 27 82 141 298 with PDBR 109 87 148 312 109 159 148 312 28 87 148 312 with GEE Rider 108 84 143 303 108 156 143 303 27 84 143 303 with SDBR and GEE Rider 110 90 153 322 110 162 153 322 29 90 153 322 with PDBR and GEE Rider 112 94 160 336 112 166 160 336 31 94 160 336 - ------------------------------------------------------------------------------------------------------------------------------- AGGRESSIVE GROWTH without any Rider 106 78 133 283 106 150 133 283 25 78 133 283 with SDBR 108 84 143 303 108 156 143 303 27 84 143 303 with PDBR 110 88 150 317 110 160 150 317 29 88 150 317 with GEE Rider 109 86 146 308 109 158 146 308 28 86 146 308 with SDBR and GEE Rider 111 91 155 327 111 163 155 327 30 91 155 327 with PDBR and GEE Rider 112 96 163 341 112 168 163 341 31 96 163 341 - ------------------------------------------------------------------------------------------------------------------------------- AGGRESSIVE EQUITY without any Rider 104 71 122 261 104 143 122 261 23 71 122 261 with SDBR 106 77 132 281 106 149 132 281 25 77 132 281 with PDBR 108 82 140 296 108 154 140 296 27 82 140 296 with GEE Rider 107 79 135 286 107 151 135 286 26 79 135 286 with SDBR and GEE Rider 109 85 145 306 109 157 145 306 28 85 145 306 with PDBR and GEE Rider 110 89 152 320 110 161 152 320 29 89 152 320 - ------------------------------------------------------------------------------------------------------------------------------- EMERGING MARKETS without any Rider 109 85 144 306 109 157 144 306 28 85 144 306 with SDBR 111 91 154 325 111 163 154 325 30 91 154 325 with PDBR 112 95 162 339 112 167 162 339 31 95 162 339 with GEE Rider 111 92 157 330 111 164 157 330 30 92 157 330 with SDBR and GEE Rider 113 98 167 348 113 170 167 348 32 98 167 348 with PDBR and GEE Rider 115 103 174 362 115 175 174 362 34 103 174 362 - ------------------------------------------------------------------------------------------------------------------------------- DIVERSIFIED RESEARCH without any Rider 106 76 130 276 106 148 130 276 25 76 130 276 with SDBR 108 82 140 296 108 154 140 296 27 82 140 296 with PDBR 109 86 147 310 109 158 147 310 28 86 147 310 with GEE Rider 108 83 142 301 108 155 142 301 27 83 142 301 with SDBR and GEE Rider 110 89 152 320 110 161 152 320 29 89 152 320 with PDBR and GEE Rider 112 94 159 335 112 166 159 335 31 94 159 335 - ------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------- EXPENSES IF YOU DID NOT ANNUITIZE OR EXPENSES IF YOU EXPENSES IF YOU SURRENDER, BUT LEFT ANNUITIZED SURRENDERED THE MONEY IN YOUR YOUR CONTRACT ($) YOUR CONTRACT ($) CONTRACT ($) - ------------------------------------------------------------------------------------------------------------------------------- Variable Account 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr - ------------------------------------------------------------------------------------------------------------------------------- SMALL-CAP EQUITY without any Rider 103 67 114 246 103 139 114 246 22 67 114 246 with SDBR 105 73 125 266 105 145 125 266 24 73 125 266 with PDBR 106 77 132 281 106 149 132 281 25 77 132 281 with GEE Rider 105 74 127 271 105 146 127 271 24 74 127 271 with SDBR and GEE Rider 107 80 137 291 107 152 137 291 26 80 137 291 with PDBR and GEE Rider 109 85 145 306 109 157 145 306 28 85 145 306 - ------------------------------------------------------------------------------------------------------------------------------- INTERNATIONAL LARGE CAP without any Rider 108 82 139 295 108 154 139 295 27 82 139 295 with SDBR 110 87 149 314 110 159 149 314 29 87 149 314 with PDBR 111 92 156 329 111 164 156 329 30 92 156 329 with GEE Rider 110 89 152 319 110 161 152 319 29 89 152 319 with SDBR and GEE Rider 112 95 161 338 112 167 161 338 31 95 161 338 with PDBR and GEE Rider 114 99 169 352 114 171 169 352 33 99 169 352 - ------------------------------------------------------------------------------------------------------------------------------- EQUITY without any Rider 103 67 114 246 103 139 114 246 22 67 114 246 with SDBR 105 73 125 266 105 145 125 266 24 73 125 266 with PDBR 106 77 132 281 106 149 132 281 25 77 132 281 with GEE Rider 105 74 127 271 105 146 127 271 24 74 127 271 with SDBR and GEE Rider 107 80 137 291 107 152 137 291 26 80 137 291 with PDBR and GEE Rider 109 85 145 306 109 157 145 306 28 85 145 306 - ------------------------------------------------------------------------------------------------------------------------------- I-NET TOLLKEEPER without any Rider 112 94 160 335 112 166 160 335 31 94 160 335 with SDBR 114 100 169 354 114 172 169 354 33 100 169 354 with PDBR 115 104 176 367 115 176 176 367 34 104 176 367 with GEE Rider 114 101 172 359 114 173 172 359 33 101 172 359 with SDBR and GEE Rider 116 107 181 377 116 179 181 377 35 107 181 377 with PDBR and GEE Rider 118 112 189 390 118 184 189 390 37 112 189 390 - ------------------------------------------------------------------------------------------------------------------------------- FINANCIAL SERVICES without any Rider 108 82 140 297 108 154 140 297 27 82 140 297 with SDBR 110 88 150 316 110 160 150 316 29 88 150 316 with PDBR 111 93 157 330 111 165 157 330 30 93 157 330 with GEE Rider 110 90 153 321 110 162 153 321 29 90 153 321 with SDBR and GEE Rider 112 96 162 340 112 168 162 340 31 96 162 340 with PDBR and GEE Rider 114 100 170 354 114 172 170 354 33 100 170 354 - ------------------------------------------------------------------------------------------------------------------------------- HEALTH SCIENCES without any Rider 108 82 140 297 108 154 140 297 27 82 140 297 with SDBR 110 88 150 316 110 160 150 316 29 88 150 316 with PDBR 111 93 157 330 111 165 157 330 30 93 157 330 with GEE Rider 110 90 153 321 110 162 153 321 29 90 153 321 with SDBR and GEE Rider 112 96 162 340 112 168 162 340 31 96 162 340 with PDBR and GEE Rider 114 100 170 354 114 172 170 354 33 100 170 354 - ------------------------------------------------------------------------------------------------------------------------------- TECHNOLOGY without any Rider 108 82 139 295 108 154 139 295 27 82 139 295 with SDBR 110 87 149 314 110 159 149 314 29 87 149 314 with PDBR 111 92 156 329 111 164 156 329 30 92 156 329 with GEE Rider 110 89 152 319 110 161 152 319 29 89 152 319 with SDBR and GEE Rider 112 95 161 338 112 167 161 338 31 95 161 338 with PDBR and GEE Rider 114 99 169 352 114 171 169 352 33 99 169 352 - ------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------- EXPENSES IF YOU DID NOT ANNUITIZE OR EXPENSES IF YOU EXPENSES IF YOU SURRENDER, BUT LEFT ANNUITIZED SURRENDERED THE MONEY IN YOUR YOUR CONTRACT ($) YOUR CONTRACT ($) CONTRACT ($) - ------------------------------------------------------------------------------------------------------------------------------- Variable Account 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr - ------------------------------------------------------------------------------------------------------------------------------- TELECOMMUNICATIONS without any Rider 108 82 139 295 108 154 139 295 27 82 139 295 with SDBR 110 87 149 314 110 159 149 314 29 87 149 314 with PDBR 111 92 156 329 111 164 156 329 30 92 156 329 with GEE Rider 110 89 152 319 110 161 152 319 29 89 152 319 with SDBR and GEE Rider 112 95 161 338 112 167 161 338 31 95 161 338 with PDBR and GEE Rider 114 99 169 352 114 171 169 352 33 99 169 352 - ------------------------------------------------------------------------------------------------------------------------------- MULTI-STRATEGY without any Rider 103 67 114 246 103 139 114 246 22 67 114 246 with SDBR 105 73 125 266 105 145 125 266 24 73 125 266 with PDBR 106 77 132 281 106 149 132 281 25 77 132 281 with GEE Rider 105 74 127 271 105 146 127 271 24 74 127 271 with SDBR and GEE Rider 107 80 137 291 107 152 137 291 26 80 137 291 with PDBR and GEE Rider 109 85 145 306 109 157 145 306 28 85 145 306 - ------------------------------------------------------------------------------------------------------------------------------- EQUITY INCOME without any Rider 103 67 114 246 103 139 114 246 22 67 114 246 with SDBR 105 73 125 266 105 145 125 266 24 73 125 266 with PDBR 106 77 132 281 106 149 132 281 25 77 132 281 with GEE Rider 105 74 127 271 105 146 127 271 24 74 127 271 with SDBR and GEE Rider 107 80 137 291 107 152 137 291 26 80 137 291 with PDBR and GEE Rider 109 85 145 306 109 157 145 306 28 85 145 306 - ------------------------------------------------------------------------------------------------------------------------------- STRATEGIC VALUE without any Rider 106 78 133 282 106 150 133 282 25 78 133 282 with SDBR 108 84 143 302 108 156 143 302 27 84 143 302 with PDBR 110 88 150 316 110 160 150 316 29 88 150 316 with GEE Rider 109 85 145 307 109 157 145 307 28 85 145 307 with SDBR and GEE Rider 111 91 155 326 111 163 155 326 30 91 155 326 with PDBR and GEE Rider 112 96 162 340 112 168 162 340 31 96 162 340 - ------------------------------------------------------------------------------------------------------------------------------- GROWTH LT without any Rider 104 70 120 256 104 142 120 256 23 70 120 256 with SDBR 106 76 130 276 106 148 130 276 25 76 130 276 with PDBR 107 80 137 291 107 152 137 291 26 80 137 291 with GEE Rider 106 77 132 281 106 149 132 281 25 77 132 281 with SDBR and GEE Rider 108 83 142 301 108 155 142 301 27 83 142 301 with PDBR and GEE Rider 110 88 150 316 110 160 150 316 29 88 150 316 - ------------------------------------------------------------------------------------------------------------------------------- FOCUSED 30 without any Rider 106 78 133 282 106 150 133 282 25 78 133 282 with SDBR 108 84 143 302 108 156 143 302 27 84 143 302 with PDBR 110 88 150 316 110 160 150 316 29 88 150 316 with GEE Rider 109 85 145 307 109 157 145 307 28 85 145 307 with SDBR and GEE Rider 111 91 155 326 111 163 155 326 30 91 155 326 with PDBR and GEE Rider 112 96 162 340 112 168 162 340 31 96 162 340 - ------------------------------------------------------------------------------------------------------------------------------- MID-CAP VALUE without any Rider 105 73 125 266 105 145 125 266 24 73 125 266 with SDBR 107 79 135 286 107 151 135 286 26 79 135 286 with PDBR 108 83 142 301 108 155 142 301 27 83 142 301 with GEE Rider 107 80 137 291 107 152 137 291 26 80 137 291 with SDBR and GEE Rider 109 86 147 311 109 158 147 311 28 86 147 311 with PDBR and GEE Rider 111 91 154 325 111 163 154 325 30 91 154 325 - ------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------- EXPENSES IF YOU DID NOT ANNUITIZE OR EXPENSES IF YOU EXPENSES IF YOU SURRENDER, BUT LEFT ANNUITIZED SURRENDERED THE MONEY IN YOUR YOUR CONTRACT ($) YOUR CONTRACT ($) CONTRACT ($) - ------------------------------------------------------------------------------------------------------------------------------- Variable Account 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr - ------------------------------------------------------------------------------------------------------------------------------- INTERNATIONAL VALUE without any Rider 105 75 128 273 105 147 128 273 24 75 128 273 with SDBR 107 81 138 293 107 153 138 293 26 81 138 293 with PDBR 109 85 145 308 109 157 145 308 28 85 145 308 with GEE Rider 108 83 141 298 108 155 141 298 27 83 141 298 with SDBR and GEE Rider 110 88 151 318 110 160 151 318 29 88 151 318 with PDBR and GEE Rider 111 93 158 332 111 165 158 332 30 93 158 332 - ------------------------------------------------------------------------------------------------------------------------------- CAPITAL OPPORTUNITIES without any Rider 104 72 123 263 104 144 123 263 23 72 123 263 with SDBR 106 78 133 283 106 150 133 283 25 78 133 283 with PDBR 108 82 141 298 108 154 141 298 27 82 141 298 with GEE Rider 107 80 136 288 107 152 136 288 26 80 136 288 with SDBR and GEE Rider 109 86 146 308 109 158 146 308 28 86 146 308 with PDBR and GEE Rider 110 90 153 322 110 162 153 322 29 90 153 322 - ------------------------------------------------------------------------------------------------------------------------------- MID-CAP GROWTH without any Rider 105 75 128 273 105 147 128 273 24 75 128 273 with SDBR 107 81 138 293 107 153 138 293 26 81 138 293 with PDBR 109 85 145 308 109 157 145 308 28 85 145 308 with GEE Rider 108 83 141 298 108 155 141 298 27 83 141 298 with SDBR and GEE Rider 110 88 151 318 110 160 151 318 29 88 151 318 with PDBR and GEE Rider 111 93 158 332 111 165 158 332 30 93 158 332 - ------------------------------------------------------------------------------------------------------------------------------- GLOBAL GROWTH without any Rider 109 85 144 306 109 157 144 306 28 85 144 306 with SDBR 111 91 154 325 111 163 154 325 30 91 154 325 with PDBR 112 95 162 339 112 167 162 339 31 95 162 339 with GEE Rider 111 92 157 330 111 164 157 330 30 92 157 330 with SDBR and GEE Rider 113 98 167 348 113 170 167 348 32 98 167 348 with PDBR and GEE Rider 115 103 174 362 115 175 174 362 34 103 174 362 - ------------------------------------------------------------------------------------------------------------------------------- EQUITY INDEX without any Rider 99 54 93 203 99 126 93 203 18 54 93 203 with SDBR 101 60 104 224 101 132 104 224 20 60 104 224 with PDBR 102 65 111 240 102 137 111 240 21 65 111 240 with GEE Rider 101 62 106 229 101 134 106 229 20 62 106 229 with SDBR and GEE Rider 103 68 117 250 103 140 117 250 22 68 117 250 with PDBR and GEE Rider 105 73 124 265 105 145 124 265 24 73 124 265 - ------------------------------------------------------------------------------------------------------------------------------- SMALL-CAP INDEX without any Rider 102 64 110 236 102 136 110 236 21 64 110 236 with SDBR 104 70 120 257 104 142 120 257 23 70 120 257 with PDBR 105 75 128 272 105 147 128 272 24 75 128 272 with GEE Rider 104 72 123 262 104 144 123 262 23 72 123 262 with SDBR and GEE Rider 106 78 133 282 106 150 133 282 25 78 133 282 with PDBR and GEE Rider 108 82 140 297 108 154 140 297 27 82 140 297 - ------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------- EXPENSES IF YOU DID NOT ANNUITIZE OR EXPENSES IF YOU EXPENSES IF YOU SURRENDER, BUT LEFT ANNUITIZED SURRENDERED THE MONEY IN YOUR YOUR CONTRACT ($) YOUR CONTRACT ($) CONTRACT ($) - ------------------------------------------------------------------------------------------------------------------------------- Variable Account 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr - ------------------------------------------------------------------------------------------------------------------------------- REIT without any Rider 107 81 138 292 107 153 138 292 26 81 138 292 with SDBR 109 87 147 311 109 159 147 311 28 87 147 311 with PDBR 111 91 155 326 111 163 155 326 30 91 155 326 with GEE Rider 110 88 150 317 110 160 150 317 29 88 150 317 with SDBR and GEE Rider 112 94 160 335 112 166 160 335 31 94 160 335 with PDBR and GEE Rider 113 99 167 349 113 171 167 349 32 99 167 349 - ------------------------------------------------------------------------------------------------------------------------------- GOVERNMENT SECURITIES without any Rider 102 65 111 239 102 137 111 239 21 65 111 239 with SDBR 104 71 121 259 104 143 121 259 23 71 121 259 with PDBR 105 75 129 274 105 147 129 274 24 75 129 274 with GEE Rider 104 72 124 264 104 144 124 264 23 72 124 264 with SDBR and GEE Rider 106 78 134 284 106 150 134 284 25 78 134 284 with PDBR and GEE Rider 108 83 141 299 108 155 141 299 27 83 141 299 - ------------------------------------------------------------------------------------------------------------------------------- MANAGED BOND without any Rider 102 65 112 241 102 137 112 241 21 65 112 241 with SDBR 104 71 122 261 104 143 122 261 23 71 122 261 with PDBR 106 76 130 276 106 148 130 276 25 76 130 276 with GEE Rider 105 73 125 266 105 145 125 266 24 73 125 266 with SDBR and GEE Rider 107 79 135 286 107 151 135 286 26 79 135 286 with PDBR and GEE Rider 108 83 142 301 108 155 142 301 27 83 142 301 - ------------------------------------------------------------------------------------------------------------------------------- MONEY MARKET without any Rider 99 57 98 212 99 129 98 212 18 57 98 212 with SDBR 101 63 108 233 101 135 108 233 20 63 108 233 with PDBR 103 68 116 249 103 140 116 249 22 68 116 249 with GEE Rider 102 65 111 239 102 137 111 239 21 65 111 239 with SDBR and GEE Rider 104 71 121 259 104 143 121 259 23 71 121 259 with PDBR and GEE Rider 105 75 129 274 105 147 129 274 24 75 129 274 - ------------------------------------------------------------------------------------------------------------------------------- HIGH YIELD BOND without any Rider 102 65 111 240 102 137 111 240 21 65 111 240 with SDBR 104 71 122 260 104 143 122 260 23 71 122 260 with PDBR 106 76 129 275 106 148 129 275 25 76 129 275 with GEE Rider 105 73 124 265 105 145 124 265 24 73 124 265 with SDBR and GEE Rider 107 79 134 285 107 151 134 285 26 79 134 285 with PDBR and GEE Rider 108 83 142 300 108 155 142 300 27 83 142 300 - ------------------------------------------------------------------------------------------------------------------------------- LARGE-CAP VALUE without any Rider 105 73 125 267 105 145 125 267 24 73 125 267 with SDBR 107 79 135 287 107 151 135 287 26 79 135 287 with PDBR 108 84 143 302 108 156 143 302 27 84 143 302 with GEE Rider 107 81 138 292 107 153 138 292 26 81 138 292 with SDBR and GEE Rider 109 87 148 312 109 159 148 312 28 87 148 312 with PDBR and GEE Rider 111 91 155 326 111 163 155 326 30 91 155 326 - -------------------------------------------------------------------------------------------------------------------------------
The following is added to the CHARGES, FEES AND DEDUCTIONS section: GUARANTEED EARNINGS ENHANCEMENT (GEE) CHARGE (OPTIONAL RIDER) If you purchase the GEE Rider, we deduct annually a Guaranteed Earnings Enhancement Charge ("GEE Charge") for expenses related to the GEE Rider. The GEE Charge is equal to 0.25% multiplied by your Contract Value on the date the charge is deducted. We will deduct the GEE Charge from your Investment Options (in arrears) on a proportionate basis on each Contract Anniversary that the GEE Rider remains in effect. Any portion of the GEE Charge we deduct from a Fixed Option will not be greater than the annual interest credited in excess of 3%. If you make a full withdrawal of the amount available for withdrawal during a Contract Year, we will deduct the entire GEE Charge for that Contract Year from the final payment made to you. The following is added to the PURCHASING YOUR CONTRACT section: PURCHASING THE GUARANTEED EARNINGS ENHANCEMENT (GEE) RIDER (OPTIONAL) You may purchase the GEE Rider (subject to state availability) on the Contract Date or on the first Contract Anniversary. For Contracts issued prior to May 1, 2001, you may purchase the GEE Rider on any Contract Anniversary through December 31, 2002. If you buy the GEE Rider within 30 days after the Contract Date or Contract Anniversary, we will make the effective date of the GEE Rider to coincide with that Contract Date or Contract Anniversary. You may purchase the GEE Rider only if the age of each Annuitant is 75 years or younger on the date of purchase. The date of purchase is the Effective Date of the Rider as shown in your Contract. Once purchased, the Rider will remain in effect until the earlier of: (a) the date a full withdrawal of the amount available for withdrawal is made under the Contract; (b) the date a death benefit becomes payable under the Contract; (c) the date the Contract is terminated in accordance with the provisions of the Contract; or (d) the Annuity Date. The following is added to the RETIREMENT BENEFITS AND OTHER PAYOUTS section under DEATH BENEFITS: OPTIONAL GUARANTEED EARNINGS ENHANCEMENT (GEE) RIDER If you purchase the GEE Rider, (subject to state availability), a Guaranteed Earnings Enhancement amount ("GEE Amount") is added to your Contract as follows: GEE AMOUNT - The GEE Amount is calculated as follows: (1) If the age of the oldest Annuitant was age 69 or younger on the Effective Date of the Rider, the GEE Amount is equal to the lesser of: (a) 40% of Earnings; or (b) 40% of Remaining Purchase Payments, excluding any Purchase Payments made in the 12 months prior to the date of death, adjusted for withdrawals. (2) If the age of the oldest Annuitant was age 70 to 75 on the Effective Date of the Rider, the GEE Amount is equal to the lesser of: (a) 25% of Earnings; or (b) 25% of Remaining Purchase Payments, excluding any Purchase Payments made in the 12 months prior to the date of death, adjusted for withdrawals. For purposes of calculating the GEE Amount: (1) EARNINGS are equal to the Contract Value as of the date of death minus Remaining Purchase Payments. (2) REMAINING PURCHASE PAYMENTS is defined as (a) or (b) below: (a) If the Rider is effective on the Contract Date, Remaining Purchase Payments are equal to: (1) the Initial Purchase Payment; plus (2) any additional Purchase Payments added; minus (3) the amount that each withdrawal exceeds the amount of Earnings in the Contract immediately prior to such withdrawal. Withdrawals are assumed to be taken from Earnings first, then from Purchase Payments in the order they were received. (b) If the Rider is effective after the Contract Date, Remaining Purchase Payments are equal to: (1) the Contract Value on the Effective Date; plus (2) any additional Purchase Payments added since the Effective Date of the Rider; minus (3) the amount that each withdrawal taken after the Effective Date of the Rider exceeds the amount of Earnings in the Contract accumulated since that date. Withdrawals are assumed to be taken first from Earnings accumulated since the Effective Date of the Rider, then from Purchase Payments in the order they were received. If the Surviving Spouse of the deceased Owner continues the Contract in accordance with its terms and conditions, then all provisions of the Rider for the Surviving Spouse will be based on the age of the Surviving Spouse on the date of death of the deceased Owner. If the Surviving Spouse is over age 75 on the date of death, the Rider will not be continued for such Surviving Spouse and the benefits and charges provided by the Rider will no longer be applied. Form No. PIGEE0301 SUPPLEMENT DATED MAY 01, 2001 TO PROSPECTUS DATED [APRIL 2, 2001] FOR PACIFIC INNOVATIONS SELECT, A 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, which amends the Prospectus, describes the optional Guaranteed Earnings Enhancement Rider ("GEE Rider"). The AN OVERVIEW OF PACIFIC INNOVATIONS SELECT ("THE DEATH BENEFIT") section on page 5 of the Prospectus is amended as follows: GUARANTEED EARNINGS ENHANCEMENT (GEE) RIDER (OPTIONAL) The Guaranteed Earnings Enhancement (GEE) Rider provides for an additional amount ("GEE Amount") to be included in the death benefit proceeds when such proceeds become payable as a result of the Annuitant's death. You may buy the GEE Rider on the Contract Date or on the first Contract Anniversary. For Contracts issued prior to May 1, 2001, the GEE Rider may be purchased on any Contract Anniversary through December 31, 2002. If you buy the GEE Rider within 30 days after the Contract Date or Contract Anniversary, we will make the effective date of the GEE Rider to coincide with that Contract Date or Contract Anniversary. The GEE Rider is not available in all states. Ask your registered representative about its current availability in your state of residence. The expense table under CONTRACT EXPENSES on page 6 of the Prospectus has been revised by adding: Guaranteed Earnings Enhancement (GEE) Rider Charge, (Calculated as a percentage of Contract Value)(7) 0.25% (7) If you buy the GEE Rider (subject to state availability), we deduct this charge proportionately from your Investment Options (in arrears) on each Contract Anniversary, and when you make a full withdrawal, if the GEE Rider is in effect on that date. The information under EXAMPLES on page 8 of the Prospectus has been revised as follows: The following table shows the expenses you would pay on each $1,000 you invested if, at the end of each period, you: annuitized your Contract; surrendered your Contract and withdrew the Contract Value, or did not annuitize or surrender, but left the money in your Contract. These examples assume the following: - - the Contract Value starts at $65,000 - - the Investment Options have an annual return of 5% - - the Annual Fee is deducted even when the Contract Value goes over $50,000 and a waiver would normally apply. WITHOUT ANY RIDER reflects the expenses you would pay if you did not buy the optional Stepped-Up Death Benefit Rider (SDBR), or Premier Death Benefit Rider (PDBR), or the Guaranteed Earnings Enhancement (GEE) Rider. WITH SDBR reflects the expenses you would pay if you bought the optional Stepped-Up Death Benefit Rider, but not the PDBR, or GEE Rider. WITH PDBR reflects the expenses you would pay if you bought the optional Premier Death Benefit Rider, but not the SDBR or GEE Rider. WITH GEE RIDER reflects the expenses you would pay if you bought the optional Guaranteed Earnings Enhancement Rider, but not the optional SDBR or PDBR riders. WITH SDBR AND GEE RIDER reflects the expenses you would pay if you bought the optional Stepped-Up Death Benefit Rider and the Guaranteed Earnings Enhancement Rider. WITH PDBR AND GEE RIDER reflects the expenses you would pay if you bought the optional Premier Death Benefit Rider and the Guaranteed Earnings Enhancement Rider. THESE EXAMPLES DO NOT SHOW PAST OR FUTURE EXPENSES. YOUR ACTUAL EXPENSES IN ANY YEAR MAY BE MORE OR LESS THAN THOSE SHOWN HERE.
- -------------------------------------------------------------------------------------------------------------------------- EXPENSES IF YOU DID NOT ANNUITIZE OR EXPENSES IF YOU EXPENSES IF YOU SURRENDER, BUT LEFT ANNUITIZED SURRENDERED THE MONEY IN YOUR YOUR CONTRACT ($) YOUR CONTRACT ($) CONTRACT ($) - -------------------------------------------------------------------------------------------------------------------------- VARIABLE ACCOUNT 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr - -------------------------------------------------------------------------------------------------------------------------- BLUE CHIP without any Rider 90 84 143 303 90 120 143 303 27 84 143 303 with SDBR 92 90 153 322 92 126 153 322 29 90 153 322 with PDBR 94 94 160 336 94 130 160 336 31 94 160 336 with GEE Rider 93 91 155 327 93 127 155 327 30 91 155 327 with SDBR and GEE Rider 95 97 165 346 95 133 165 346 32 97 165 346 with PDBR and GEE Rider 96 102 172 359 96 138 172 359 33 102 172 359 - -------------------------------------------------------------------------------------------------------------------------- AGGRESSIVE GROWTH without any Rider 91 85 145 308 91 121 145 308 28 85 145 308 with SDBR 93 91 155 327 93 127 155 327 30 91 155 327 with PDBR 94 96 163 341 94 132 163 341 31 96 163 341 with GEE Rider 93 93 158 332 93 129 158 332 30 93 158 332 with SDBR and GEE Rider 95 99 168 350 95 135 168 350 32 99 168 350 with PDBR and GEE Rider 97 103 175 364 97 139 175 364 34 103 175 364 - -------------------------------------------------------------------------------------------------------------------------- AGGRESSIVE EQUITY without any Rider 89 79 135 286 89 115 135 286 26 79 135 286 with SDBR 91 85 145 306 91 121 145 306 28 85 145 306 with PDBR 92 89 152 320 92 125 152 320 29 89 152 320 with GEE Rider 91 86 147 311 91 122 147 311 28 86 147 311 with SDBR and GEE Rider 93 92 157 330 93 128 157 330 30 92 157 330 with PDBR and GEE Rider 95 97 164 344 95 133 164 344 32 97 164 344 - -------------------------------------------------------------------------------------------------------------------------- EMERGING MARKETS without any Rider 93 92 157 329 93 128 157 329 30 92 157 329 with SDBR 95 98 166 348 95 134 166 348 32 98 166 348 with PDBR 97 103 174 362 97 139 174 362 34 103 174 362 with GEE Rider 96 100 169 353 96 136 169 353 33 100 169 353 with SDBR and GEE Rider 98 106 179 371 98 142 179 371 35 106 179 371 with PDBR and GEE Rider 99 110 186 385 99 146 186 385 36 110 186 385 - -------------------------------------------------------------------------------------------------------------------------- DIVERSIFIED RESEARCH without any Rider 90 83 142 301 90 119 142 301 27 83 142 301 with SDBR 92 89 152 320 92 125 152 320 29 89 152 320 with PDBR 94 94 159 334 94 130 159 334 31 94 159 334 with GEE Rider 93 91 154 325 93 127 154 325 30 91 154 325 with SDBR and GEE Rider 95 97 164 344 95 133 164 344 32 97 164 344 with PDBR and GEE Rider 96 101 171 358 96 137 171 358 33 101 171 358 - -------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------- EXPENSES IF YOU DID NOT ANNUITIZE OR EXPENSES IF YOU EXPENSES IF YOU SURRENDER, BUT LEFT ANNUITIZED SURRENDERED THE MONEY IN YOUR YOUR CONTRACT ($) YOUR CONTRACT ($) CONTRACT ($) - -------------------------------------------------------------------------------------------------------------------------- VARIABLE ACCOUNT 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr - -------------------------------------------------------------------------------------------------------------------------- SMALL-CAP EQUITY without any Rider 87 74 127 271 87 110 127 271 24 74 127 271 with SDBR 89 80 137 291 89 116 137 291 26 80 137 291 with PDBR 91 85 145 306 91 121 145 306 28 85 145 306 with GEE Rider 90 82 140 296 90 118 140 296 27 82 140 296 with SDBR and GEE Rider 92 88 150 316 92 124 150 316 29 88 150 316 with PDBR and GEE Rider 93 92 157 330 93 128 157 330 30 92 157 330 - -------------------------------------------------------------------------------------------------------------------------- INTERNATIONAL LARGE CAP without any Rider 92 89 151 319 92 125 151 319 29 89 151 319 with SDBR 94 95 161 338 94 131 161 338 31 95 161 338 with PDBR 96 99 168 352 96 135 168 352 33 99 168 352 with GEE Rider 95 96 164 343 95 132 164 343 32 96 164 343 with SDBR and GEE Rider 97 102 173 361 97 138 173 361 34 102 173 361 with PDBR and GEE Rider 98 107 181 375 98 143 181 375 35 107 181 375 - -------------------------------------------------------------------------------------------------------------------------- EQUITY without any Rider 87 74 127 271 87 110 127 271 24 74 127 271 with SDBR 89 80 137 291 89 116 137 291 26 80 137 291 with PDBR 91 85 145 306 91 121 145 306 28 85 145 306 with GEE Rider 90 82 140 296 90 118 140 296 27 82 140 296 with SDBR and GEE Rider 92 88 150 316 92 124 150 316 29 88 150 316 with PDBR and GEE Rider 93 92 157 330 93 128 157 330 30 92 157 330 - -------------------------------------------------------------------------------------------------------------------------- I-NET TOLLKEEPER without any Rider 96 101 172 358 96 137 172 358 33 101 172 358 with SDBR 98 107 181 376 98 143 181 376 35 107 181 376 with PDBR 100 112 188 389 100 148 188 389 37 112 188 389 with GEE Rider 99 109 184 381 99 145 184 381 36 109 184 381 with SDBR and GEE Rider 101 115 193 399 101 151 193 399 38 115 193 399 with PDBR and GEE Rider 102 119 200 411 102 155 200 411 39 119 200 411 - -------------------------------------------------------------------------------------------------------------------------- FINANCIAL SERVICES without any Rider 92 90 152 321 92 126 152 321 29 90 152 321 with SDBR 94 95 162 340 94 131 162 340 31 95 162 340 with PDBR 96 100 169 354 96 136 169 354 33 100 169 354 with GEE Rider 95 97 165 345 95 133 165 345 32 97 165 345 with SDBR and GEE Rider 97 103 174 363 97 139 174 363 34 103 174 363 with PDBR and GEE Rider 98 107 181 377 98 143 181 377 35 107 181 377 - -------------------------------------------------------------------------------------------------------------------------- HEALTH SCIENCES without any Rider 92 90 152 321 92 126 152 321 29 90 152 321 with SDBR 94 95 162 340 94 131 162 340 31 95 162 340 with PDBR 96 100 169 354 96 136 169 354 33 100 169 354 with GEE Rider 95 97 165 345 95 133 165 345 32 97 165 345 with SDBR and GEE Rider 97 103 174 363 97 139 174 363 34 103 174 363 with PDBR and GEE Rider 98 107 181 377 98 143 181 377 35 107 181 377 - -------------------------------------------------------------------------------------------------------------------------- TECHNOLOGY without any Rider 92 89 151 319 92 125 151 319 29 89 151 319 with SDBR 94 95 161 338 94 131 161 338 31 95 161 338 with PDBR 96 99 168 352 96 135 168 352 33 99 168 352 with GEE Rider 95 96 164 343 95 132 164 343 32 96 164 343 with SDBR and GEE Rider 97 102 173 361 97 138 173 361 34 102 173 361 with PDBR and GEE Rider 98 107 181 375 98 143 181 375 35 107 181 375 - -------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------- EXPENSES IF YOU DID NOT ANNUITIZE OR EXPENSES IF YOU EXPENSES IF YOU SURRENDER, BUT LEFT ANNUITIZED SURRENDERED THE MONEY IN YOUR YOUR CONTRACT ($) YOUR CONTRACT ($) CONTRACT ($) - -------------------------------------------------------------------------------------------------------------------------- VARIABLE ACCOUNT 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr - -------------------------------------------------------------------------------------------------------------------------- TELECOMMUNICATIONS without any Rider 92 89 151 319 92 125 151 319 29 89 151 319 with SDBR 94 95 161 338 94 131 161 338 31 95 161 338 with PDBR 96 99 168 352 96 135 168 352 33 99 168 352 with GEE Rider 95 96 164 343 95 132 164 343 32 96 164 343 with SDBR and GEE Rider 97 102 173 361 97 138 173 361 34 102 173 361 with PDBR and GEE Rider 98 107 181 375 98 143 181 375 35 107 181 375 - -------------------------------------------------------------------------------------------------------------------------- MULTI-STRATEGY without any Rider 87 74 127 271 87 110 127 271 24 74 127 271 with SDBR 89 80 137 291 89 116 137 291 26 80 137 291 with PDBR 91 85 145 306 91 121 145 306 28 85 145 306 with GEE Rider 90 82 140 296 90 118 140 296 27 82 140 296 with SDBR and GEE Rider 92 88 150 316 92 124 150 316 29 88 150 316 with PDBR and GEE Rider 93 92 157 330 93 128 157 330 30 92 157 330 - -------------------------------------------------------------------------------------------------------------------------- EQUITY INCOME without any Rider 87 74 127 271 87 110 127 271 24 74 127 271 with SDBR 89 80 137 291 89 116 137 291 26 80 137 291 with PDBR 91 85 145 306 91 121 145 306 28 85 145 306 with GEE Rider 90 82 140 296 90 118 140 296 27 82 140 296 with SDBR and GEE Rider 92 88 150 316 92 124 150 316 29 88 150 316 with PDBR and GEE Rider 93 92 157 330 93 128 157 330 30 92 157 330 - -------------------------------------------------------------------------------------------------------------------------- STRATEGIC VALUE without any Rider 91 85 145 307 91 121 145 307 28 85 145 307 with SDBR 93 91 155 326 93 127 155 326 30 91 155 326 with PDBR 94 95 162 340 94 131 162 340 31 95 162 340 with GEE Rider 93 93 157 331 93 129 157 331 30 93 157 331 with SDBR and GEE Rider 95 99 167 349 95 135 167 349 32 99 167 349 with PDBR and GEE Rider 97 103 174 363 97 139 174 363 34 103 174 363 - -------------------------------------------------------------------------------------------------------------------------- GROWTH LT without any Rider 88 77 132 281 88 113 132 281 25 77 132 281 with SDBR 90 83 142 301 90 119 142 301 27 83 142 301 with PDBR 92 88 149 315 92 124 149 315 29 88 149 315 with GEE Rider 91 85 145 306 91 121 145 306 28 85 145 306 with SDBR and GEE Rider 93 91 154 325 93 127 154 325 30 91 154 325 with PDBR and GEE Rider 94 95 162 339 94 131 162 339 31 95 162 339 - -------------------------------------------------------------------------------------------------------------------------- FOCUSED 30 without any Rider 91 85 145 307 91 121 145 307 28 85 145 307 with SDBR 93 91 155 326 93 127 155 326 30 91 155 326 with PDBR 94 95 162 340 94 131 162 340 31 95 162 340 with GEE Rider 93 93 157 331 93 129 157 331 30 93 157 331 with SDBR and GEE Rider 95 99 167 349 95 135 167 349 32 99 167 349 with PDBR and GEE Rider 97 103 174 363 97 139 174 363 34 103 174 363 - -------------------------------------------------------------------------------------------------------------------------- MID-CAP VALUE without any Rider 89 80 137 291 89 116 137 291 26 80 137 291 with SDBR 91 86 147 310 91 122 147 310 28 86 147 310 with PDBR 93 91 154 325 93 127 154 325 30 91 154 325 with GEE Rider 92 88 150 316 92 124 150 316 29 88 150 316 with SDBR and GEE Rider 94 94 159 335 94 130 159 335 31 94 159 335 with PDBR and GEE Rider 95 98 167 348 95 134 167 348 32 98 167 348 - -------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------- EXPENSES IF YOU DID NOT ANNUITIZE OR EXPENSES IF YOU EXPENSES IF YOU SURRENDER, BUT LEFT ANNUITIZED SURRENDERED THE MONEY IN YOUR YOUR CONTRACT ($) YOUR CONTRACT ($) CONTRACT ($) - -------------------------------------------------------------------------------------------------------------------------- VARIABLE ACCOUNT 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr - -------------------------------------------------------------------------------------------------------------------------- INTERNATIONAL VALUE without any Rider 90 82 141 298 90 118 141 298 27 82 141 298 with SDBR 92 88 150 317 92 124 150 317 29 88 150 317 with PDBR 93 93 158 331 93 129 158 331 30 93 158 331 with GEE Rider 92 90 153 322 92 126 153 322 29 90 153 322 with SDBR and GEE Rider 94 96 163 341 94 132 163 341 31 96 163 341 with PDBR and GEE Rider 96 100 170 355 96 136 170 355 33 100 170 355 - -------------------------------------------------------------------------------------------------------------------------- CAPITAL OPPORTUNITIES without any Rider 89 79 136 288 89 115 136 288 26 79 136 288 with SDBR 91 85 145 308 91 121 145 308 28 85 145 308 with PDBR 92 90 153 322 92 126 153 322 29 90 153 322 with GEE Rider 91 87 148 313 91 123 148 313 28 87 148 313 with SDBR and GEE Rider 93 93 158 332 93 129 158 332 30 93 158 332 with PDBR and GEE Rider 95 97 165 346 95 133 165 346 32 97 165 346 - -------------------------------------------------------------------------------------------------------------------------- MID-CAP GROWTH without any Rider 90 82 141 298 90 118 141 298 27 82 141 298 with SDBR 92 88 150 317 92 124 150 317 29 88 150 317 with PDBR 93 93 158 331 93 129 158 331 30 93 158 331 with GEE Rider 92 90 153 322 92 126 153 322 29 90 153 322 with SDBR and GEE Rider 94 96 163 341 94 132 163 341 31 96 163 341 with PDBR and GEE Rider 96 100 170 355 96 136 170 355 33 100 170 355 - -------------------------------------------------------------------------------------------------------------------------- GLOBAL GROWTH without any Rider 93 92 157 329 93 128 157 329 30 92 157 329 with SDBR 95 98 166 348 95 134 166 348 32 98 166 348 with PDBR 97 103 174 362 97 139 174 362 34 103 174 362 with GEE Rider 96 100 169 353 96 136 169 353 33 100 169 353 with SDBR and GEE Rider 98 106 179 371 98 142 179 371 35 106 179 371 with PDBR and GEE Rider 99 110 186 385 99 146 186 385 36 110 186 385 - -------------------------------------------------------------------------------------------------------------------------- EQUITY INDEX without any Rider 83 62 106 229 83 98 106 229 20 62 106 229 with SDBR 85 68 116 250 85 104 116 250 22 68 116 250 with PDBR 87 73 124 265 87 109 124 265 24 73 124 265 with GEE Rider 86 70 119 255 86 106 119 255 23 70 119 255 with SDBR and GEE Rider 88 76 129 275 88 112 129 275 25 76 129 275 with PDBR and GEE Rider 89 80 137 290 89 116 137 290 26 80 137 290 - -------------------------------------------------------------------------------------------------------------------------- SMALL-CAP INDEX without any Rider 86 72 123 262 86 108 123 262 23 72 123 262 with SDBR 88 78 133 282 88 114 133 282 25 78 133 282 with PDBR 90 82 140 297 90 118 140 297 27 82 140 297 with GEE Rider 89 79 135 287 89 115 135 287 26 79 135 287 with SDBR and GEE Rider 91 85 145 307 91 121 145 307 28 85 145 307 with PDBR and GEE Rider 92 90 153 321 92 126 153 321 29 90 153 321 - -------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------- EXPENSES IF YOU DID NOT ANNUITIZE OR EXPENSES IF YOU EXPENSES IF YOU SURRENDER, BUT LEFT ANNUITIZED SURRENDERED THE MONEY IN YOUR YOUR CONTRACT ($) YOUR CONTRACT ($) CONTRACT ($) - -------------------------------------------------------------------------------------------------------------------------- VARIABLE ACCOUNT 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr 1 yr 3 yr 5 yr 10 yr - -------------------------------------------------------------------------------------------------------------------------- REIT without any Rider 92 88 150 316 92 124 150 316 29 88 150 316 with SDBR 94 94 160 335 94 130 160 335 31 94 160 335 with PDBR 95 98 167 349 95 134 167 349 32 98 167 349 with GEE Rider 94 96 162 340 94 132 162 340 31 96 162 340 with SDBR and GEE Rider 96 101 172 359 96 137 172 359 33 101 172 359 with PDBR and GEE Rider 98 106 179 372 98 142 179 372 35 106 179 372 - -------------------------------------------------------------------------------------------------------------------------- GOVERNMENT SECURITIES without any Rider 86 72 124 264 86 108 124 264 23 72 124 264 with SDBR 88 78 134 284 88 114 134 284 25 78 134 284 with PDBR 90 83 141 299 90 119 141 299 27 83 141 299 with GEE Rider 89 80 136 289 89 116 136 289 26 80 136 289 with SDBR and GEE Rider 91 86 146 309 91 122 146 309 28 86 146 309 with PDBR and GEE Rider 92 90 154 323 92 126 154 323 29 90 154 323 - -------------------------------------------------------------------------------------------------------------------------- MANAGED BOND without any Rider 87 73 125 266 87 109 125 266 24 73 125 266 with SDBR 89 79 135 286 89 115 135 286 26 79 135 286 with PDBR 90 83 142 301 90 119 142 301 27 83 142 301 with GEE Rider 89 80 137 291 89 116 137 291 26 80 137 291 with SDBR and GEE Rider 91 86 147 311 91 122 147 311 28 86 147 311 with PDBR and GEE Rider 93 91 154 325 93 127 154 325 30 91 154 325 - -------------------------------------------------------------------------------------------------------------------------- MONEY MARKET without any Rider 84 65 111 239 84 101 111 239 21 65 111 239 with SDBR 86 71 121 259 86 107 121 259 23 71 121 259 with PDBR 87 75 129 274 87 111 129 274 24 75 129 274 with GEE Rider 86 72 124 264 86 108 124 264 23 72 124 264 with SDBR and GEE Rider 88 78 134 284 88 114 134 284 25 78 134 284 with PDBR and GEE Rider 90 83 141 299 90 119 141 299 27 83 141 299 - -------------------------------------------------------------------------------------------------------------------------- HIGH YIELD BOND without any Rider 87 73 124 265 87 109 124 265 24 73 124 265 with SDBR 89 79 134 285 89 115 134 285 26 79 134 285 with PDBR 90 83 142 300 90 119 142 300 27 83 142 300 with GEE Rider 89 80 137 290 89 116 137 290 26 80 137 290 with SDBR and GEE Rider 91 86 147 310 91 122 147 310 28 86 147 310 with PDBR and GEE Rider 93 91 154 324 93 127 154 324 30 91 154 324 - -------------------------------------------------------------------------------------------------------------------------- LARGE-CAP VALUE without any Rider 89 81 138 292 89 117 138 292 26 81 138 292 with SDBR 91 87 147 311 91 123 147 311 28 87 147 311 with PDBR 93 91 155 326 93 127 155 326 30 91 155 326 with GEE Rider 92 88 150 317 92 124 150 317 29 88 150 317 with SDBR and GEE Rider 94 94 160 335 94 130 160 335 31 94 160 335 with PDBR and GEE Rider 95 99 167 349 95 135 167 349 32 99 167 349 - --------------------------------------------------------------------------------------------------------------------------
The following is added to the CHARGES, FEES AND DEDUCTIONS section: GUARANTEED EARNINGS ENHANCEMENT (GEE) CHARGE (OPTIONAL RIDER) If you purchase the GEE Rider, we deduct annually a Guaranteed Earnings Enhancement Charge ("GEE Charge") for expenses related to the GEE Rider. The GEE Charge is equal to 0.25% multiplied by your Contract Value on the date the charge is deducted. We will deduct the GEE Charge from your Investment Options (in arrears) on a proportionate basis on each Contract Anniversary that the GEE Rider remains in effect. Any portion of the GEE Charge we deduct from the fixed rate General Account options will not be greater than the annual interest credited in excess of 3%. If you make a full withdrawal of the amount available for withdrawal during a Contract Year, we will deduct the entire GEE Charge for that Contract Year from the final payment made to you. The following is added to the PURCHASING YOUR CONTRACT section: PURCHASING THE GUARANTEED EARNINGS ENHANCEMENT (GEE) RIDER (OPTIONAL) You may purchase the GEE Rider (subject to state availability) on the Contract Date or on the first Contract Anniversary. For Contracts issued prior to May 1, 2001, you may purchase the GEE Rider on any Contract Anniversary through December 31, 2002. If you buy the GEE Rider within 30 days after the Contract Date or Contract Anniversary, we will make the effective date of the GEE Rider to coincide with that Contract Date or Contract Anniversary. You may purchase the GEE Rider only if the age of each Annuitant is 75 years or younger on the date of purchase. The date of purchase is the Effective Date of the Rider as shown in your Contract. Once purchased, the Rider will remain in effect until the earlier of: (a) the date a full withdrawal of the amount available for withdrawal is made under the Contract; (b) the date a death benefit becomes payable under the Contract; (c) the date the Contract is terminated in accordance with the provisions of the Contract; or (d) the Annuity Date. The following is added to the RETIREMENT BENEFITS AND OTHER PAYOUTS section under DEATH BENEFITS: OPTIONAL GUARANTEED EARNINGS ENHANCEMENT (GEE) RIDER If you purchase the GEE Rider, (subject to state availability), a Guaranteed Earnings Enhancement amount ("GEE Amount") is added to your Contract as follows: GEE AMOUNT - The GEE Amount is calculated as follows: (1) If the age of the oldest Annuitant was age 69 or younger on the Effective Date of the Rider, the GEE Amount is equal to the lesser of: (a) 40% of Earnings; or (b) 40% of Remaining Purchase Payments, excluding any Purchase Payments made in the 12 months prior to the date of death, adjusted for withdrawals. (2) If the age of the oldest Annuitant was age 70 to 75 on the Effective Date of the Rider, the GEE Amount is equal to the lesser of: (a) 25% of Earnings; or (b) 25% of Remaining Purchase Payments, excluding any Purchase Payments made in the 12 months prior to the date of death, adjusted for withdrawals. For purposes of calculating the GEE Amount: (1) EARNINGS are equal to the Contract Value as of the date of death minus Remaining Purchase Payments. (2) REMAINING PURCHASE PAYMENTS is defined as (a) or (b) below: (a) If the Rider is effective on the Contract Date, Remaining Purchase Payments are equal to: (1) the Initial Purchase Payment; plus (2) any additional Purchase Payments added; minus (3) the amount that each withdrawal exceeds the amount of Earnings in the Contract immediately prior to such withdrawal. Withdrawals are assumed to be taken from Earnings first, then from Purchase Payments in the order they were received. (b) If the Rider is effective after the Contract Date, Remaining Purchase Payments are equal to: (1) the Contract Value on the Effective Date; plus (2) any additional Purchase Payments added since the Effective Date of the Rider; minus (3) the amount that each withdrawal taken after the Effective Date of the Rider exceeds the amount of Earnings in the Contract accumulated since that date. Withdrawals are assumed to be taken first from Earnings accumulated since the Effective Date of the Rider, then from Purchase Payments in the order they were received. If the Surviving Spouse of the deceased Owner continues the Contract in accordance with its terms and conditions, then all provisions of the Rider for the Surviving Spouse will be based on the age of the Surviving Spouse on the date of death of the deceased Owner. If the Surviving Spouse is over age 75 on the date of death, the Rider will not be continued for such Surviving Spouse and the benefits and charges provided by the Rider will no longer be applied. Form No. PISGEE0301 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, 1999 which are incorporated by reference from the 1999 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, 1999 and 1998, and for the three year period ended December 31, 1999, 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./3/ II-1 2. Not applicable 3. (a) Distribution Agreement between Pacific Mutual Life and Pacific Mutual Distributors, Inc. ("PMD") (formerly Pacific Equities Network) /1/ (b) Form of Selling Agreement between Pacific Mutual Life, PMD and Various Broker-Dealers /1/ 4. (a) (1) Form of Individual Flexible Premium Deferred Variable Annuity Contract (Form No. 10-12600) /1/ (2) Form of Individual Flexible Premium Deferred Variable Annuity Contract (Form No. 10-13000) /5/ (b) Qualified Pension Plan Rider (Form No. R90-PEN-V) /1/ (c) 403(b) Tax-Sheltered Annuity Rider (Form No. 20-13300) /5/ (d) Section 457 Plan Rider (Form No. 24-123799) /1/ (e) Individual Retirement Annuity Rider (Form No. 20-13900) /4/ (f) Roth Individual Retirement Annuity Rider (Form No. R-RIRA 198) /1/ (g) Simple Individual Retirement Annuity Rider (Form 20-13400) /4/ (h) (1) Stepped-Up Death Benefit Rider (Form No. 20-12601) /1/ (2) Stepped-Up Death Benefit Rider (Form No. 20-13500) /5/ (i) (1) Premier Death Benefit Rider (Form No. 20-12602) /1/ (2) Premier Death Benefit Rider (Form No. 20-13600) /5/ (j) Guaranteed Earnings Enhancement (GEE) Rider (Form No. 20-14900) 5. (a) (1) Variable Annuity Application (Form No. 25-12610) /4/ (2) Variable Annuity Application (Form No. 25-13000) /5/ (b) Variable Annuity PAC APP /1/ (c) Application/Confirmation Form /2/ (d) Form of Guaranteed Earnings Enhancement (GEE) Rider Request Application. 6. (a) Pacific Life's Articles of Incorporation /1/ (b) By-laws of Pacific Life /1/ 7. Not applicable 8. Fund Participation Agreement /2/ 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 /3/ 11. Not applicable 12. Not applicable 13. (a) Performance Calculations /2/ (b) Performance Calculations /5/ 14. Not applicable 15. Powers of Attorney /2/ 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. 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 and Controller 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 II-3 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, 99% owned by Pacific Mutual Holding Company (a California Mutual Holding Company). Pacific Life is the parent company of Pacific Asset Management LLC (a Delaware Limited Liability Company), Pacific Life & Annuity Company, formerly known as PM Group Life Insurance Company (an Arizona Stock Life Insurance Company), Pacific Select Distributors, Inc. (formerly known as Pacific Mutual Distributors, Inc.), and World-Wide Holdings Limited (a United Kingdom Corporation). Pacific Life also has a 40% ownership of American Maturity Life Insurance Company (a Connecticut Stock Life Insurance Company), a 50% ownership of Pacific Mezzanine Associates, L.L.C. (a Delaware Limited Liability Company and a 95% ownership of Grayhawk Golf Holdings, LLC). A subsidiary of Pacific Mezzanine Associates, L.L.C. is 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). Subsidiaries of Pacific Asset Management LLC are PMRealty Advisors Inc. and Pacific Financial Products Inc. (a Delaware Corporation). Pacific Asset Management LLC has an approximate 30% beneficial economic interest in PIMCO Advisors L.P. (a Delaware Limited Partnership). Subsidiaries of Pacific Select Distributors, Inc. include: Associated Financial Group, Inc.; Mutual Service Corporation (a Michigan Corporation), along with its subsidiaries Advisors' Mutual Service Center, Inc. (a Michigan Corporation) and Titan Value Equities Group, Inc.; and United Planners' Group, Inc. (an Arizona Corporation), along with its subsidiary United Planners' Financial Services of America (an Arizona Limited Partnership). Subsidiaries of World-Wide Holdings Limited include: World-Wide Reassurance Company Limited (a United Kingdom Corporation) and World-Wide Reassurance Company (BVI) Limited (a British Virgin Islands Corporation). All corporations are 100% owned unless otherwise indicated. All entities are California corporations unless otherwise indicated. II-4 Item 27. Number of Contractholders Approximately 1,653 Qualified 1,614 Non Qualified Item 28. Indemnification (a) The Distribution Agreement between Pacific Life and Pacific Select Distributors, Inc. ("PSD", formerly known as Pacific Mutual Distributors, Inc.) 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" formerly known as Pacific Mutual Distributors, Inc.) 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 Separate Account, Pacific Select Exec Separate Account, Pacific Select Variable Annuity Separate Account, Pacific Corinthian Variable Separate Account, Separate Account B and Pacific Select Fund. (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(e) 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 (a)(1) for effectiveness of this Registration Statement and has caused this Post-Effective Amendment No. 5 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 2nd day of March, 2001. 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. 5 to the Registration Statement has been signed below by the following persons in the capacities and on the dates indicated: Signature Title Date - ----------------- Director, Chairman of the Board March 2, 2001 Thomas C. Sutton* and Chief Executive Officer - ----------------- Director and President March 2, 2001 Glenn S. Schafer* - ----------------- Director, Executive Vice President March 2, 2001 Khanh T. Tran* and Chief Financial Officer - ----------------- Director, Senior Vice President March 2, 2001 David R. Carmichael* and General Counsel - ----------------- Director, Vice President and March 2, 2001 Audrey L. Milfs* Corporate Secretary - ----------------- Vice President and Controller March 2, 2001 Edward R. Byrd* - ----------------- Vice President and Treasurer March 2, 2001 Brian D. Klemens* - ----------------- Executive Vice President March 2, 2001 Gerald W. Robinson* *By: March 2, 2001 ----------------------------- David R. Carmichael as attorney-in-fact (Powers of Attorney are contained in Pre-Effective Amendment No. 1 of the Registration Statement filed on March 31, 2000 on Form N-4/A for Separate Account A, File No. 333-93059, Accession No. 0000912059-00-015739, as Exhibit 15.) II-9 EX-4.(J) 2 a2040484zex-4_j.txt EX-4.(J) [LOGO]PACIFIC LIFE Pacific Life Insurance Company 700 Newport Center Drive Newport Beach, CA 92660 GUARANTEED EARNINGS ENHANCEMENT (GEE) RIDER This Rider is part of your Contract and should be attached to it. Notwithstanding any provision of your Contract to the contrary, the provisions of this Rider shall prevail over the provisions of your Contract. GUARANTEED EARNINGS ENHANCEMENT (GEE) - You have purchased a Guaranteed Earnings Enhancement (GEE) Rider. This Rider provides for an additional amount ("GEE Amount") to be included in the death benefit proceeds when such proceeds become payable as a result of the Annuitant's death. This Rider may only be purchased if the Age of each Annuitant is 75 years or younger on the date of purchase. The date of purchase is the Effective Date of this Rider as shown on Page 2. Once purchased, this Rider will remain in effect until the earlier of: (a) the date a full withdrawal of the amount available for withdrawal is made under the Contract; (b) the date a death benefit becomes payable under the Contract; (c) the date the Contract is terminated in accordance with the provisions of the Contract; or (d) the Annuity Date. GEE CHARGE - An annual charge ("GEE Charge") for expenses related to this Rider will be deducted from your Investment Options on a proportionate basis on each Contract Anniversary that this Rider remains in effect. The GEE Charge is equal to 0.25% multiplied by the Contract Value on the date the GEE Charge is deducted. Any portion of the GEE Charge we deduct from any of our fixed rate General Account options will not be greater than the annual interest credited in excess of 3%. In the event of a full withdrawal of the amount available for withdrawal under the Contract, the entire GEE Charge for the Contract Year in which such withdrawal occurs will be netted out of the final payment. GEE AMOUNT - The GEE Amount is calculated as follows: (1) If the age of the oldest Annuitant was age 69 or younger on the Effective Date of this Rider, the GEE Amount is equal to the lesser of: (a) 40% of Earnings; or (b) 40% of Remaining Purchase Payments, excluding any Purchase Payments made in the 12 months prior to the date of death, adjusted for withdrawals. (2) If the age of the oldest Annuitant was age 70 to 75 on the Effective Date of this Rider, the GEE Amount is equal to the lesser of: (a) 25% of Earnings; or (b) 25% of Remaining Purchase Payments, excluding any Purchase Payments made in the 12 months prior to the date of death, adjusted for withdrawals. 1 For purposes of calculating the GEE Amount: (1) EARNINGS are equal to the Contract Value as of the date of death minus Remaining Purchase Payments. (2) REMAINING PURCHASE PAYMENTS is defined as (a) or (b) below: (a) If this Rider is effective on the Contract Date, Remaining Purchase Payments are equal to: (1) the Initial Purchase Payment; plus (2) any additional Purchase Payments added; minus (3) the amount that each withdrawal exceeds the amount of Earnings in the Contract immediately prior to such withdrawal. Withdrawals are assumed to be taken from Earnings first, then from Purchase Payments in the order they were received. (b) If this Rider is effective after the Contract Date, Remaining Purchase Payments are equal to: (1) the Contract Value on the Effective Date; plus (2) any additional Purchase Payments added since the Effective Date of this Rider; minus (3) the amount that each withdrawal taken after the Effective Date of this Rider exceeds the amount of Earnings in the Contract accumulated since that date. Withdrawals are assumed to be taken first from Earnings accumulated since the Effective Date of this Rider, then from Purchase Payments in the order they were received. If the Surviving Spouse of the deceased Owner continues the Contract in accordance with its terms and conditions, then all provisions of this Rider for the Surviving Spouse will be based on the age of the Surviving Spouse on the date of death of the deceased Owner. If the Surviving Spouse is over age 75 on the date of death, this Rider will not be continued for such Surviving Spouse and the benefits and charges provided by this Rider will no longer be applied. All other terms and conditions of your Contract remain unchanged. EFFECTIVE DATE - This Rider is effective on the date shown below. Effective Date: [date] PACIFIC LIFE INSURANCE COMPANY /s/ Thomas C. Sutton /s/ Audrey L. Milfs Chairman and Chief Executive Officer Secretary 2 EX-5.D 3 a2040484zex-5_d.txt EXHIBIT 5.D "DRAFT" [LOGO OF PACIFIC LIFE] Pacific Life Insurance Company GUARANTEED EARNINGS P.O. Box 7187 ENHANCEMENT (GEE) Pasadena, CA 91109-7187 RIDER REQUEST (800) 722-2333 The GEE Rider is available for all products EXCEPT Pacific Frontiers and PSVA. Please refer to each product's prospectus for more information. - ------------------------------------------------------------------------------------------------- 1 GENERAL INFORMATION - All Annuitants must be age 75 or younger to purchase the GEE Rider. OWNER Name (FIRST, MIDDLE INITIAL, LAST) Contract No. SSN/TIN Daytime Phone ( ) - ------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------- 2 ADD THE GEE RIDER / / ADD THE GEE RIDER TO MY CONTRACT. I UNDERSTAND THAT: - On each Contract Anniversary, a charge of 0.25% ("GEE Charge") of the Contract Value will be assessed. - In the event of a full withdrawal of the amount available for withdrawal under the Contract, the entire GEE Charge for the Contract Year in which such withdrawal occurs will be netted out of the final payment. - Once purchased, the GEE Rider will remain in effect until the earlier of: (a) the date a full withdrawal of the amount available for withdrawal is made under the Contract; (b) the date a death benefit becomes payable under the Contract; (c) the date the Contract is terminated in accordance with the provisions of the Contract; or (d) the Annuity Date. - ------------------------------------------------------------------------------------------------- 3 SIGNATURES - ---------------------------------- --------------- --------------------------- ----------- Owner's Signature Date Joint Owner's Signature Date ================================================================================================= WHERE TO SEND THIS FORM: PACIFIC LIFE INSURANCE COMPANY P.O. Box 7187 Pasadena, CA 91109-7187 WHO TO CALL FOR HELP OR QUESTIONS: Your registered representative or the Pacific Line at (800) 722-2333. - -------------------------------------------------------------------------------------------------
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