UNDER |
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THE SECURITIES ACT OF 1933
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x | |
Pre-Effective Amendment No
|
o | |
Post-Effective Amendment No. 7
|
x |
UNDER |
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THE INVESTMENT COMPANY ACT OF 1940
|
x | |
Amendment No. 379
|
x |
o | immediately upon filing pursuant to paragraph (b) of Rule 485 | ||
o | on pursuant to paragraph (b) of Rule 485 | ||
ý | 60 days after filing pursuant to paragraph (a)(1) of Rule 485 | ||
o | on pursuant to paragraph (a)(1) of Rule 485 |
o | this post-effective amendment designates a new effective date for a previously filed post-effective amendment. |
PACIFIC JOURNEY SELECT® | PROSPECTUS MAY 1, 2013 |
Pacific Select Fund
AIM Variable Insurance Funds (Invesco Variable Insurance Funds) AllianceBernstein Variable Products Series Fund, Inc. American Century Variable Portfolios, Inc. BlackRock Variable Series Funds, Inc. Fidelity® Variable Insurance Products Funds First Trust Variable Insurance Trust |
Franklin Templeton Variable Insurance Products Trust
GE Investments Funds, Inc. Janus Aspen Series Lord Abbett Series Fund, Inc. MFS® Variable Insurance Trust PIMCO Variable Insurance Trust Van Eck VIP Trust |
Emerging Markets Debt International Small-Cap Mid-Cap Value Equity Index Small-Cap Index Small-Cap Equity American Funds® Asset Allocation American Funds® Growth-Income American Funds® Growth Large-Cap Value Technology Floating Rate Loan |
Global Absolute Return Small-Cap Growth Comstock Growth LT Focused 30 Health Sciences International Value Long/Short Large-Cap International Large-Cap Mid-Cap Growth Real Estate Small-Cap Value |
Main
Street®
Core Emerging Markets Cash Management High Yield Bond Managed Bond Inflation Managed Pacific Dynamix Conservative Growth Pacific Dynamix Moderate Growth Pacific Dynamix Growth Portfolio Optimization Conservative Portfolio Optimization Moderate-Conservative Portfolio Optimization Moderate |
Portfolio Optimization Growth Portfolio Optimization Aggressive-Growth Mid-Cap Equity Dividend Growth Short Duration Bond Currency Strategies Large-Cap Growth Precious Metals Diversified Bond Inflation Protected |
AIM Variable Insurance
Funds (Invesco Variable Insurance Funds) Invesco V.I. Balanced-Risk Allocation Fund Series II |
AllianceBernstein Variable
Products Series Fund, Inc. AllianceBernstein VPS Balanced Wealth Strategy Portfolio Class B |
American Century Variable
Portfolios, Inc. American Century VP Mid Cap Value Class II |
||
BlackRock Variable Series
Funds, Inc. BlackRock Global Allocation V.I. Fund Class III |
Fidelity®
Variable Insurance Products Funds Fidelity VIP Contrafund® Portfolio Service Class 2 Fidelity VIP FundsManager® 60% Portfolio Service Class 2 |
First Trust Variable
Insurance Trust First Trust/Dow Jones Dividend & Income Allocation Portfolio |
||
Franklin Templeton Variable
Insurance Products Trust Franklin Rising Dividends Securities Fund Class 2 Franklin Templeton VIP Founding Funds Allocation Fund Class 4 Mutual Global Discovery Securities Fund Class 2 Templeton Global Bond Securities Fund Class 2 |
GE Investments Funds,
Inc. GE Investments Total Return Fund Class 3 |
Janus Aspen Series Janus Aspen Balanced Portfolio Service Shares |
||
Lord Abbett Series Fund,
Inc. Lord Abbett Bond Debenture Portfolio Class VC |
MFS®
Variable Insurance Trust MFS® Total Return Series Service Class MFS® Utilities Series Service Class |
PIMCO Variable Insurance
Trust PIMCO CommodityRealReturn® Strategy Portfolio Advisor Class PIMCO Global Multi-Asset Portfolio Advisor Class |
||
Van Eck VIP Trust Van Eck VIP Global Hard Assets Fund Class S |
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Back Cover |
3
4
5
6
| CoreIncome Advantage 4 Select (Single or Joint) |
| CoreIncome Advantage Select (Single or Joint) |
| Income Access Select |
| Guaranteed Protection Advantage 3 Select |
7
8
Maximum Withdrawal Charge (as a percentage of
Purchase Payments
withdrawn)1
|
Age of Payment in Years:
|
1 | 2 | 3 | 4 | 5 | 6 | 7 or more | |||||||
Withdrawal Charge Percentage:
|
7% | 7% | 6% | 5% | 3% | 1% | 0% |
Maximum Withdrawal Charge with Four Year Withdrawal
Charge Option (as a percentage of Purchase Payments
withdrawn)1
|
Age of Payment in Years:
|
1 | 2 | 3 | 4 | 5 or more | |||||
Withdrawal Charge Percentage:
|
7% | 7% | 6% | 5% | 0% |
Annual Fee2 | $ | 40.00 |
Without
Stepped-Up |
With
Stepped-Up |
|||||||||||||||
Death Benefit
Rider |
Death Benefit
Rider |
|||||||||||||||
and Four Year |
With Four Year |
and Four Year |
||||||||||||||
Withdrawal |
With
Stepped-Up |
Withdrawal |
Withdrawal |
|||||||||||||
Charge Option | Death Benefit Rider Only | Charge Option Only | Charge Option | |||||||||||||
Mortality and Expense Risk
Charge4
|
0.95% | 0.95% | 0.95% | 0.95% | ||||||||||||
Administrative
Fee4
|
0.15% | 0.15% | 0.15% | 0.15% | ||||||||||||
Stepped-Up Death Benefit Rider
Charge4,5
|
N/A | 0.20% | N/A | 0.20% | ||||||||||||
Four Year Withdrawal Charge
Option4,6
|
N/A | N/A | 0.35% | 0.35% | ||||||||||||
Total Separate Account A Annual Expenses
|
1.10% | 1.30% | 1.45% | 1.65% | ||||||||||||
Loan Expenses (interest on Contract Debt) (Loans are only available with certain Qualified Contracts. See FEDERAL TAX ISSUES Qualified Contracts General Rules Loans): | ||||||||||||||||
Loan Interest Rate
(net)7
|
2.00% |
Maximum Charge |
||||
Percentage | ||||
Guaranteed Minimum Withdrawal Benefit
|
||||
CoreIncome Advantage 4 Select Charge
(Single)9
|
1.00% | |||
CoreIncome Advantage 4 Select Charge
(Joint)9
|
1.50% | |||
CoreIncome Advantage Select Charge
(Single)10
|
2.00% | |||
CoreIncome Advantage Select Charge
(Joint)10
|
2.50% | |||
Income Access Select
Charge11
|
2.75% | |||
Guaranteed Minimum Accumulation Benefit
|
||||
Guaranteed Protection Advantage 3 Select
Charge12
|
2.25% |
Current Charge |
Maximum Charge |
|||||||
Percentage | Percentage | |||||||
CoreIncome Advantage Plus Charge
(Single)13
|
0.40% | 1.20% | ||||||
CoreIncome Advantage Plus Charge
(Joint)13
|
0.60% | 1.50% | ||||||
CoreIncome Advantage 5 Plus Charge
(Single)14
|
0.80% | 1.50% | ||||||
CoreIncome Advantage 5 Plus Charge
(Joint)14
|
1.35% | 1.75% |
9
Current Charge |
Maximum Charge |
|||||||
Percentage | Percentage | |||||||
CoreIncome Advantage 5
Charge15
|
0.80% | 1.20% | ||||||
CoreProtect Advantage
Charge16
|
1.00% | 1.50% | ||||||
Income Access
Charge17
|
||||||||
If the Rider Effective Date is on or after October 1, 2012
|
1.10% | 1.75% | ||||||
If the Rider Effective Date is before October 1, 2012
|
0.75% | 0.75% | ||||||
Guaranteed Minimum Accumulation Benefit
|
||||||||
Guaranteed Protection Advantage 3 (GPA 3)
Charge18
|
||||||||
If the Rider Effective Date is on or after October 1, 2012
|
1.30% | 1.75% | ||||||
If the Rider Effective Date is before October 1, 2012
|
1.00% | 1.00% | ||||||
Guaranteed Protection Advantage 5 (GPA 5)
Charge19
|
0.75% | 0.75% | ||||||
Optional Death Benefit
|
||||||||
Earnings Enhancement Guarantee (EEG)
Charge20
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0.25% | 0.25% |
1 | The withdrawal charge may or may not apply or may be reduced under certain circumstances. The age is measured from the date of each Purchase Payment. For situations where a withdrawal charge may not apply, see CHARGES, FEES AND DEDUCTIONS and see WITHDRAWALS Withdrawals Free of a Withdrawal Charge for situations where the withdrawal charge amount may be reduced. | |
2 | We deduct an Annual Fee on each Contract Anniversary up to your Annuity Date and when you make a full withdrawal if the Contract Value on these days is less than $50,000 after deducting any outstanding loan and interest (your Net Contract Value). See CHARGES, FEES AND DEDUCTIONS. | |
3 | The Variable Account Value is the value of your Variable Investment Options on any Business Day. | |
4 | This is an annual rate and is assessed on a daily basis. The daily rate is calculated by dividing the annual rate by 365. | |
5 | If you buy the Stepped-Up Death Benefit, we will add this charge to the Mortality and Expense Risk Charge until your Annuity Date. | |
6 | If you buy this option, the charge is added to the Mortality and Expense Risk Charge. The charge is only deducted for the first 4 Contract Years and will be deducted even if no withdrawals are made during that period. If you annuitize your Contract during the first 4 Contract Years, the charge will stop on your Annuity Date. | |
7 | If we process a loan on your Contract, we will charge you a gross interest rate of 5.00% on your outstanding principal amount. We will credit you the amount of 3.00% on any Contract Value attributed to your Loan Account. The net amount of interest you pay on your loan will be 2.00% annually. See FEDERAL TAX ISSUES Qualified Contracts General Rules Loans. |
8 | Only one guaranteed minimum withdrawal benefit rider may be owned or in effect at the same time. Only one guaranteed minimum accumulation benefit rider may be owned or in effect at the same time. |
9 | If you buy CoreIncome Advantage 4 Select (Single) or (Joint), the annual charge is deducted from your Contract Value on a quarterly basis. The quarterly charge is the charge percentage in effect for you (divided by 4) multiplied by the Protected Payment Base. The initial Protected Payment Base is equal to the initial Purchase Payment if purchased at Contract issue or is equal to the Contract Value if the Rider is purchased on a Contract Anniversary. For a complete explanation of the Protected Payment Base, see OPTIONAL LIVING BENEFIT RIDERS CoreIncome Advantage 4 Select (Single) or (Joint). The quarterly amount deducted may increase or decrease due to changes in your Protected Payment Base and/or due to changes in the annual charge percentage applied. Your Protected Payment Base may increase due to additional Purchase Payments, decrease due to withdrawals or also change due to Resets. We deduct the charge proportionately from your Investment Options (excluding the DCA Plus Fixed Option) every quarter following the Rider Effective Date, during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. The charge may be waived under certain circumstances. See CHARGES, FEES, AND DEDUCTIONS Optional Rider Charges. |
10 | If you buy CoreIncome Advantage Select (Single) or (Joint), the annual charge is deducted from your Contract Value on a quarterly basis. The quarterly charge is the charge percentage in effect for you (divided by 4) multiplied by the Protected Payment Base. The initial Protected Payment Base is equal to the initial Purchase Payment if purchased at Contract issue or is equal to the Contract Value if the Rider is purchased on a Contract Anniversary. For a complete explanation of the Protected Payment Base, see OPTIONAL LIVING BENEFIT RIDERS CoreIncome Advantage Select (Single) or (Joint). The quarterly amount deducted may increase or decrease due to changes in your Protected Payment Base and/or due to changes in the annual charge percentage applied. Your Protected Payment Base may increase due to additional Purchase Payments, decrease due to withdrawals or also change due to Resets. We deduct the charge proportionately from your Investment Options (excluding the DCA Plus Fixed Option) every quarter following the Rider Effective Date, during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. The charge may be waived under certain circumstances. See CHARGES, FEES, AND DEDUCTIONS Optional Rider Charges. |
11 | If you buy Income Access Select, the annual charge is deducted from your Contract Value on a quarterly basis. The quarterly charge is the charge percentage in effect for you (divided by 4) multiplied by the Protected Payment Base. The initial Protected Payment Base is equal to the initial Purchase Payment if purchased at Contract issue or is equal to the Contract Value if the Rider is purchased on a Contract Anniversary. For a complete explanation of the Protected Payment Base, see OPTIONAL LIVING BENEFIT RIDERS Income Access Select. The quarterly amount deducted may increase or decrease due to changes in your Protected Payment Base and/or due to changes in the annual charge percentage applied. Your Protected Payment Base may increase due to additional Purchase Payments, decrease due to withdrawals or also change due to Resets. We deduct the charge proportionately from your Investment Options (excluding the DCA Plus Fixed Option) every quarter following the Rider Effective Date, during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. The charge may be waived under certain circumstances. See CHARGES, FEES AND DEDUCTIONS Optional Rider Charges. |
12 | If you buy Guaranteed Protection Advantage 3 Select, the annual charge is deducted from your Contract Value on a quarterly basis. The quarterly charge is the charge percentage in effect for you (divided by 4) multiplied by the Guaranteed Protection Amount. The initial Guaranteed Protection Amount is equal to the initial Purchase Payment if purchased at Contract issue or is equal to the Contract Value if the Rider is purchased on a Contract Anniversary. For a complete explanation of the Guaranteed Protection Amount, see OPTIONAL LIVING BENEFIT RIDERS Guaranteed Protection Advantage 3 Select. The quarterly amount deducted may increase or decrease due to changes in your Guaranteed Protection Amount and/or due to changes in the annual charge percentage applied. Your Guaranteed Protection Amount may increase due to additional Purchase Payments made the first year of a Term, decrease due to withdrawals or also change due to Step-Ups. We deduct the charge proportionately from your Investment Options (excluding the DCA Plus Fixed Option) every quarter following the Rider Effective Date, during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. The charge may be waived under certain circumstances. See CHARGES, FEES AND DEDUCTIONS Optional Rider Charges. |
10
13 | If you purchased CoreIncome Advantage Plus (Single) or (Joint), the annual charge is deducted from your Contract Value on a quarterly basis. The quarterly charge is the current charge percentage (divided by 4) multiplied by the Protected Payment Base. The initial Protected Payment Base is equal to the initial Purchase Payment if purchased at Contract issue or is equal to the Contract Value if the Rider is purchased on a Contract Anniversary. For a complete explanation of the Protected Payment Base, see APPENDIX H. The quarterly amount deducted may increase or decrease due to changes in your Protected Payment Base. Your Protected Payment Base may increase due to additional Purchase Payments, decrease due to withdrawals or also change due to Resets. We deduct the charge proportionately from your Investment Options (excluding the DCA Plus Fixed Option) every quarter following the Rider Effective Date, during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. Under the Single version, we will waive the annual charge if the Rider terminates as a result of the death of an Owner or sole surviving Annuitant, upon full annuitization of your Contract, or if your Contract Value is zero. Under the Joint version, we will waive the annual charge if the Rider terminates as a result of the death of the surviving Designated Life, upon full annuitization of your Contract, or if your Contract Value is zero. Upon annuitization, the annual charge is only waived for the quarter that annuitization occurs. If the Rider terminates as a result of death, any annual charge deducted between the date of death and the Notice Date will be prorated as applicable to the date of death and added to the Contract Value on the Notice Date. See CHARGES, FEES, AND DEDUCTIONS Optional Rider Charges. |
14 | If you purchased CoreIncome Advantage 5 Plus (Single) or (Joint), the annual charge is deducted from your Contract Value on a quarterly basis. The quarterly charge is the current charge percentage (divided by 4) multiplied by the Protected Payment Base. The initial Protected Payment Base is equal to the initial Purchase Payment if purchased at Contract issue or is equal to the Contract Value if the Rider is purchased on a Contract Anniversary. For a complete explanation of the Protected Payment Base, see APPENDIX H. The quarterly amount deducted may increase or decrease due to changes in your Protected Payment Base. Your Protected Payment Base may increase due to additional Purchase Payments, decrease due to withdrawals or also change due to Resets. We deduct the charge proportionately from your Investment Options (excluding the DCA Plus Fixed Option) every quarter following the Rider Effective Date, during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. Under the Single version, we will waive the annual charge if the Rider terminates as a result of the death of an Owner or sole surviving Annuitant, upon full annuitization of your Contract, or if your Contract Value is zero. Under the Joint version, we will waive the annual charge if the Rider terminates as a result of the death of the surviving Designated Life, upon full annuitization of your Contract, or if your Contract Value is zero. Upon annuitization, the annual charge is only waived for the quarter that annuitization occurs. If the Rider terminates as a result of death, any annual charge deducted between the date of death and the Notice Date will be prorated as applicable to the date of death and added to the Contract Value on the Notice Date. See CHARGES, FEES, AND DEDUCTIONS Optional Rider Charges. |
15 | If you purchased CoreIncome Advantage 5, the annual charge is deducted from your Contract Value on a quarterly basis. The quarterly charge is the current charge percentage (divided by 4) multiplied by the Protected Payment Base. The initial Protected Payment Base is equal to the initial Purchase Payment if purchased at Contract issue or is equal to the Contract Value if the Rider is purchased on a Contract Anniversary. For a complete explanation of the Protected Payment Base, see APPENDIX H. The quarterly amount deducted may increase or decrease due to changes in your Protected Payment Base. Your Protected Payment Base may increase due to additional Purchase Payments, decrease due to withdrawals or also change due to Resets. We deduct the charge proportionately from your Investment Options (excluding the DCA Plus Fixed Option) every quarter following the Rider Effective Date, during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. We will waive the annual charge if the Rider terminates as a result of the death of an Owner or sole surviving Annuitant, upon full annuitization of your Contract, or if your Contract Value is zero. Upon annuitization, the annual charge is only waived for the quarter that annuitization occurs. If the Rider terminates as a result of death, any annual charge deducted between the date of death and the Notice Date will be prorated as applicable to the date of death and added to the Contract Value on the Notice Date. See CHARGES, FEES, AND DEDUCTIONS Optional Rider Charges. CoreIncome Advantage 5 is no longer available for purchase. |
16 | If you purchased CoreProtect Advantage, the annual charge is deducted from your Contract Value on a quarterly basis. The quarterly charge is the current charge percentage (divided by 4) multiplied by the Protected Payment Base. The initial Protected Payment Base is equal to the initial Purchase Payment if purchased at Contract issue or is equal to the Contract Value if the Rider is purchased on a Contract Anniversary. For a complete explanation of the Protected Payment Base, see APPENDIX H. The quarterly amount deducted may increase or decrease due to changes in your Protected Payment Base. Your Protected Payment Base may increase due to additional Purchase Payments, increases to the Annual Credit Value or Highest Anniversary Value, decrease due to withdrawals or also change due to Resets. We deduct this charge proportionately from your Investment Options (excluding the DCA Plus Fixed Option) every quarter following the Rider Effective Date, during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. We will waive the annual charge if the Rider terminates as a result of the death of an Owner or sole surviving Annuitant, upon full annuitization of your Contract or if your Contract Value is zero. Upon annuitization, the annual charge is only waived for the quarter that annuitization occurs. If the Rider terminates as a result of death, any annual charge deducted between the date of death and the Notice Date will be prorated as applicable to the date of death and added to the Contract Value on the Notice Date. See CHARGES, FEES, AND DEDUCTIONS Optional Rider Charges. CoreProtect Advantage is no longer available for purchase. |
17 | If you purchased Income Access, the annual charge is equal to the current charge percentage multiplied by the Contract Value. The charge is deducted from your Contract Value on an annual basis. We deduct this charge proportionately from your Investment Options on each Contract Anniversary following the Effective Date of the Rider during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. Under the terms and conditions of the Rider, the annual charge percentage may change to the current charge percentage if an Automatic Reset or Owner-Elected Reset occurs, but will never be more than the maximum charge percentage. 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 your Contract. Upon annuitization, the annual charge is only waived for the Contract Year that annuitization occurs. If the Rider terminates as a result of death, any annual charge deducted between the date of death and the Notice Date will be prorated as applicable to the date of death and added to the Contract Value on the Notice Date. See CHARGES, FEES, AND DEDUCTIONS Optional Rider Charges. |
18 | If you purchased GPA 3, the annual charge is equal to the current charge percentage multiplied by the Guaranteed Protection Amount. The charge is deducted from your Contract Value on an annual basis. The initial Guaranteed Protection Amount is equal to the initial Purchase Payment if purchased at Contract issue or is equal to Contract Value if the Rider is purchased on a Contract Anniversary. For a complete explanation of the Guaranteed Protection Amount, see APPENDIX H. We deduct this charge proportionately from your Investment Options on each Contract Anniversary following the Effective Date of the Rider during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. Under the terms and conditions of the Rider, the annual charge percentage may change to the current charge percentage if a Step-Up is elected but will never be more than the maximum charge percentage. 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 your Contract. Upon annuitization, the annual charge is only waived for the Contract Year that annuitization occurs. If the Rider terminates as a result of death, any annual charge deducted between the date of death and the Notice Date will be prorated as applicable to the date of death and added to the Contract Value on the Notice Date. See CHARGES, FEES, AND DEDUCTIONS Optional Rider Charges. |
19 | If you purchased GPA 5, the annual charge is equal to the current charge percentage multiplied by the Contract Value. The charge is deducted from your Contract Value on an annual basis. We deduct this charge proportionately from your Investment Options on each Contract Anniversary following the Effective Date of the Rider during the term of the Rider and while the Rider is in effect, and when the Rider is terminated. Under the terms and conditions of the Rider, the annual charge percentage may change to the current charge percentage if a Step-Up is elected but will never be more than the maximum charge percentage. 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 your Contract. Upon annuitization, the annual charge is only waived for the Contract Year that annuitization occurs. If the Rider terminates as a result of death, any annual charge deducted between the date of death and the Notice Date will be prorated as applicable to the date of death and added to the Contract Value on the Notice Date. See CHARGES, FEES, AND DEDUCTIONS Optional Rider Charges. |
11
20 | If you buy EEG, the annual charge is equal to the current charge percentage multiplied by the Contract Value, deducted on an annual basis. We deduct this charge proportionately from your Investment Options on each Contract Anniversary following the date you purchase the Rider, and when you make a full withdrawal, if EEG is in effect on that date. See CHARGES, FEES AND DEDUCTIONS. |
12
Minimum | Maximum | |||||||
Range of total annual portfolio operating expenses before any waivers or expense reimbursements | [ ] | [ ] | ||||||
Range of total annual portfolio operating expenses after any waivers or expense reimbursements | [ ] | [ ] |
13
| If you surrendered your Contract: |
1 Year | 3 Years | 5 Years | 10 Years | |||||
Maximum*
|
$1,274 | $2,477 | $3,350 | $6,485 | ||||
Minimum*
|
$811 | $1,100 | $1,050 | $2,088 |
| If you annuitized your Contract: |
1 Year | 3 Years | 5 Years | 10 Years | |||||
Maximum*
|
$1,274 | $1,937 | $3,236 | $6,485 | ||||
Minimum*
|
$811 | $560 | $963 | $2,088 |
| If you did not surrender or annuitize, but left the money in your Contract: |
1 Year | 3 Years | 5 Years | 10 Years | |||||
Maximum*
|
$644 | $1,937 | $3,236 | $6,485 | ||||
Minimum*
|
$181 | $560 | $963 | $2,088 |
* | In calculating the examples above, we used the maximum and minimum total operating expenses of all the Portfolios as shown in the Fees And Expenses section of each Fund Prospectus. For more information on Contract fees and expenses, see CHARGES, FEES AND DEDUCTIONS in this Prospectus, and see each Fund Prospectus. See the FINANCIAL HIGHLIGHTS section in this Prospectus for condensed financial information about the Subaccounts. |
14
PACIFIC SELECT FUND | INVESTMENT GOAL | MANAGER | ||
Emerging Markets Debt | Seeks to maximize total return consistent with prudent investment management. | Ashmore Investment Management Limited | ||
International Small-Cap | Seeks long-term growth of capital. | Batterymarch Financial Management, Inc. | ||
Mid-Cap Value | Seeks long-term growth of capital. | BlackRock Capital Management, Inc. | ||
Equity Index | Seeks investment results that correspond to the total return of common stocks that are publicly traded in the U.S. | BlackRock Investment Management, LLC | ||
Small-Cap Index | Seeks investment results that correspond to the total return of an index of small-capitalization companies. | BlackRock Investment Management, LLC | ||
Small-Cap Equity | Seeks long-term growth of capital. |
Franklin Advisory Services, LLC & BlackRock Investment Management, LLC |
||
American Funds Asset Allocation | Seeks high total returns (including income and capital gains) consistent with preservation of capital over the long-term. |
Capital Research and Management Company (adviser to the Master Asset Allocation Fund) |
||
American Funds Growth-Income |
Seeks long-term growth of capital and income. |
Capital Research and Management Company (adviser to the Master Growth-Income Fund) |
||
American Funds Growth |
Seeks long-term growth of capital. |
Capital Research and Management Company (adviser to the Master Growth Fund) |
||
Large-Cap Value | Seeks long-term growth of capital; current income is of secondary importance. | ClearBridge Advisors, LLC | ||
Technology | Seeks long-term growth of capital. | Columbia Management Investment Advisers, LLC | ||
Floating Rate Loan | Seeks a high level of current income. | Eaton Vance Management | ||
Global Absolute Return | Seeks to provide total return. | Eaton Vance Management | ||
Small-Cap Growth | Seeks capital appreciation; no consideration is given to income. | Fred Alger Management, Inc. | ||
Comstock | Seeks long-term growth of capital. | Invesco Advisers, Inc. | ||
Growth LT | Seeks long-term growth of capital. | Janus Capital Management LLC | ||
Focused 30 | Seeks long-term growth of capital. | Janus Capital Management LLC | ||
Health Sciences | Seeks long-term growth of capital. | Jennison Associates LLC | ||
International Value | Seeks long-term capital appreciation primarily through investment in equity securities of corporations domiciled in countries with developed economies and markets other than the U.S. Current income from dividends and interest will not be an important consideration. | J.P. Morgan Investment Management Inc. | ||
Long/Short Large-Cap | Seeks above-average total returns. | J.P. Morgan Investment Management Inc. | ||
15
PACIFIC SELECT FUND | INVESTMENT GOAL | MANAGER | ||
International Large-Cap | Seeks long-term growth of capital. | MFS Investment Management | ||
Mid-Cap Growth | Seeks long-term growth of capital. | Morgan Stanley Investment Management Inc. | ||
Real Estate | Seeks current income and long-term capital appreciation. | Morgan Stanley Investment Management Inc. | ||
Small-Cap Value | Seeks long-term growth of capital. | NFJ Investment Group LLC | ||
Main Street Core | Seeks long-term growth of capital and income. | OppenheimerFunds, Inc. | ||
Emerging Markets | Seeks long-term growth of capital. | OppenheimerFunds, Inc. | ||
Cash Management | Seeks current income consistent with preservation of capital. | Pacific Asset Management | ||
High Yield Bond | Seeks a high level of current income. | Pacific Asset Management | ||
Managed Bond | Seeks to maximize total return consistent with prudent investment management. | Pacific Investment Management Company LLC | ||
Inflation Managed | Seeks to maximize total return consistent with prudent investment management. | Pacific Investment Management Company LLC | ||
Pacific Dynamix Conservative Growth |
Seeks current income and moderate growth of capital. | Pacific Life Fund Advisors LLC | ||
Pacific Dynamix Moderate Growth |
Seeks long-term growth of capital and low to moderate income. | Pacific Life Fund Advisors LLC | ||
Pacific Dynamix Growth |
Seeks moderately high, long-term growth of capital with low, current income. | Pacific Life Fund Advisors LLC | ||
Portfolio Optimization Conservative | Seeks current income and preservation of capital. | Pacific Life Fund Advisors LLC | ||
Portfolio Optimization Moderate-Conservative | Seeks current income and moderate growth of capital. | Pacific Life Fund Advisors LLC | ||
Portfolio Optimization Moderate | Seeks long-term growth of capital and low to moderate income. | Pacific Life Fund Advisors LLC | ||
Portfolio Optimization Growth | Seeks moderately high, long-term capital appreciation with low, current income. | Pacific Life Fund Advisors LLC | ||
Portfolio Optimization Aggressive-Growth | Seeks high, long-term capital appreciation. | Pacific Life Fund Advisors LLC | ||
Mid-Cap Equity | Seeks capital appreciation. | Scout Investments, Inc. | ||
Dividend Growth | Seeks long-term growth of capital. | T. Rowe Price Associates, Inc. | ||
Short Duration Bond | Seeks current income; capital appreciation is of secondary importance. | T. Rowe Price Associates, Inc. | ||
Currency Strategies | Seeks to provide total return. | UBS Global Asset Management (Americas) Inc. | ||
Large-Cap Growth | Seeks long-term growth of capital; current income is of secondary importance. | BlackRock Investment Management, LLC | ||
Precious Metals | Seeks long-term growth of capital. | Wells Capital Management Incorporated | ||
Diversified Bond | Seeks to maximize total return consistent with prudent investment management. | Western Asset Management Company | ||
Inflation Protected | Seeks to maximize total return consistent with prudent investment management. | Western Asset Management Company | ||
16
AIM VARIABLE INSURANCE FUNDS (INVESCO VARIABLE INSURANCE FUNDS) |
INVESTMENT GOAL | MANAGER | ||
Invesco V.I. Balanced-Risk Allocation Fund Series II | Total return with a low to moderate correlation to traditional financial market indices. | Invesco Advisers, Inc. | ||
ALLIANCEBERNSTEIN VARIABLE PRODUCTS SERIES FUND, INC. |
INVESTMENT GOAL | MANAGER | ||
AllianceBernstein VPS Balanced Wealth Strategy Portfolio Class B |
Maximize total return consistent with the advisers determination of reasonable risk. | AllianceBernstein L.P. | ||
AMERICAN CENTURY VARIABLE PORTFOLIOS, INC. |
INVESTMENT GOAL | MANAGER | ||
American Century VP Mid Cap Value Class II |
Seeks long-term capital growth. Income is a secondary objective. | American Century Investment Management, Inc. | ||
BLACKROCK VARIABLE SERIES FUNDS, INC. |
INVESTMENT GOAL |
MANAGER |
||
BlackRock Global Allocation V.I. Fund Class III |
Seeks high total investment return. | BlackRock Advisors, LLC | ||
FIDELITY VARIABLE INSURANCE PRODUCTS FUNDS |
INVESTMENT GOAL |
MANAGER |
||
Fidelity VIP Contrafund Portfolio Service Class 2 |
Seeks long-term capital appreciation. | Fidelity Management & Research Co., Inc. | ||
Fidelity VIP FundsManager 60% Portfolio Service Class 2 |
Seeks high total return. | Strategic Advisers, Inc. | ||
FIRST TRUST VARIABLE INSURANCE TRUST |
INVESTMENT GOAL | MANAGER | ||
First Trust/Dow Jones Dividend & Income Allocation Portfolio |
Seeks to provide total return by allocating among dividend-paying stocks and investment grade bonds. | First Trust Advisors L.P. | ||
17
FRANKLIN TEMPLETON VARIABLE INSURANCE PRODUCTS TRUST |
INVESTMENT GOAL | MANAGER | ||
Franklin Rising Dividends Securities Fund Class 2 |
Seeks long-term capital appreciation. Preservation of capital, while not a goal, is also an important consideration. | Franklin Advisory Services, LLC | ||
Franklin Templeton VIP Founding Funds Allocation Fund Class 4 |
Seeks capital appreciation, with income as a secondary goal. | Franklin Templeton Services, LLC serves as the Funds administrator. | ||
Mutual Global Discovery Securities Fund Class 2 |
Seeks capital appreciation. | Franklin Mutual Advisers, LLC | ||
Templeton Global Bond Securities Fund Class 2 |
Seeks high current income, consistent with preservation of capital. Capital appreciation is a secondary consideration. | Franklin Advisers, Inc. | ||
GE INVESTMENTS FUNDS, INC. |
INVESTMENT GOAL |
MANAGER |
||
GE Investments Total Return Fund Class 3 |
Highest total return, composed of current income and capital appreciation, as is consistent with prudent investment risk. | GE Asset Management Incorporated | ||
JANUS ASPEN SERIES | INVESTMENT GOAL |
MANAGER |
||
Janus Aspen Balanced Portfolio Service Shares |
Seeks long-term capital growth, consistent with preservation of capital and balanced by current income. | Janus Capital Management LLC | ||
LORD ABBETT SERIES FUND, INC. |
INVESTMENT GOAL |
MANAGER |
||
Lord Abbett Bond Debenture Portfolio Class VC |
Seeks high current income and the opportunity for capital appreciation to produce a high total return | Lord, Abbett & Co., LLC | ||
MFS VARIABLE INSURANCE TRUST |
INVESTMENT GOAL | MANAGER | ||
MFS Total Return Series Service Class |
Seeks total return. | Massachusetts Financial Services Company | ||
MFS Utilities Series Service Class |
Seeks total return. | Massachusetts Financial Services Company | ||
PIMCO VARIABLE INSURANCE TRUST |
INVESTMENT GOAL | MANAGER | ||
PIMCO CommodityRealReturn Strategy Portfolio Advisor Class |
Seeks maximum real return, consistent with prudent investment management. | Pacific Investment Management Company, LLC | ||
PIMCO Global Multi-Asset Portfolio Advisor Class |
Seeks total return which exceeds that of a blend of 60% MSCI World Index/40% Barclays Capital U.S. Aggregate Index. | Pacific Investment Management Company, LLC | ||
VAN ECK VIP TRUST |
INVESTMENT GOAL |
MANAGER |
||
Van Eck VIP Global Hard Assets Fund Class S |
Seeks long-term capital appreciation by investing primarily in hard asset securities. Income is a secondary consideration. | Van Eck Associates Corporation | ||
18
19
| personal checks or cashiers checks drawn on a U.S. bank, | |
| money orders and travelers checks in single denominations of more than $10,000 if they originate in a U.S. bank, | |
| third party payments when there is a clear connection of the third party to the underlying transaction, and | |
| wire transfers that originate in U.S. banks. |
| cash, | |
| credit cards or checks drawn against a credit card account, | |
| money orders or travelers checks in single denominations of $10,000 or less, | |
| starter checks, |
20
| home equity checks, | |
| cashiers checks, money orders, travelers checks or personal checks drawn on non-U.S. banks, even if the payment may be effected through a U.S. bank, | |
| third party payments if there is not a clear connection of the third party to the underlying transaction, and | |
| wire transfers that originate from foreign bank accounts. |
| Category A 15% to Diversified Bond, 10% to Managed Bond and 5% to Cash Management, | |
| Category B 15% to Focused 30, 10% to Small-Cap Index, 10% to Mid-Cap Growth, 5% to Large-Cap Growth and 5% to Large-Cap Value, and | |
| Category C 10% to International Value, 10% to International Large-Cap and 5% to Emerging Markets. |
21
Category A Fixed Income Investment Options | ||||||
Cash Management | Diversified Bond | Emerging Markets Debt | Floating Rate Loan | |||
High Yield Bond | Inflation Managed | Inflation Protected | Managed Bond | |||
Short Duration Bond |
Category B Domestic Equity Investment Options | ||||||
American Funds Growth | American Funds Growth-Income | Comstock | Dividend Growth | |||
Equity Index | Focused 30 | Growth LT | Large-Cap Growth | |||
Large-Cap Value | Long/Short Large-Cap | Main Street Core | Mid-Cap Equity | |||
Mid-Cap Growth | Mid-Cap Value | Small-Cap Equity | Small-Cap Growth | |||
Small-Cap Index | Small-Cap Value |
Category C International Equity and Sector Investment Options | ||||||
Emerging Markets | Health Sciences | International Large-Cap | International Small-Cap | |||
International Value | Real Estate | Technology |
Category D Asset Allocation Investment Options | ||||||
AllianceBernstein VPS Balanced Wealth Strategy Portfolio | American Funds Asset Allocation | BlackRock Global Allocation V.I. Fund | Fidelity VIP FundsManager 60% Portfolio | |||
First Trust/Dow Jones Dividend & Income Allocation Portfolio |
Franklin Templeton VIP Founding Funds Allocation Fund |
GE Investments Total Return Fund | Invesco V.I. Balanced-Risk Allocation Fund | |||
MFS Total Return Series | Pacific Dynamix Conservative Growth | Pacific Dynamix Growth | Pacific Dynamix Moderate Growth | |||
PIMCO Global Multi-Asset Portfolio | Portfolio Optimization Aggressive-Growth | Portfolio Optimization Conservative | Portfolio Optimization Growth | |||
Portfolio Optimization Moderate | Portfolio Optimization Moderate-Conservative |
22
where
|
(Y) | = | the Unit Value for that Subaccount as of the end of the preceding Business Day; and | |||
(Z) | = | the Net Investment Factor for that Subaccount for the period (a valuation period) between that Business Day and the immediately preceding Business Day. |
where
|
(A) | = | the per share value of the assets of that Subaccount as of the end of that valuation period, which is equal to: a + b + c |
where
|
(a) | = | the net asset value per share of the corresponding Portfolio shares held by that Subaccount as of the end of that valuation period; | |||
(b) | = | the per share amount of any dividend or capital gain distributions made by each Fund for that Portfolio during that valuation period; and | ||||
(c) | = | any per share charge (a negative number) or credit (a positive number) for any income taxes and/or any other taxes or other amounts set aside during that valuation period as a reserve for any income and/or any other taxes which we determine to have resulted from the operations of the Subaccount or Contract, and/or any taxes attributable, directly or indirectly, to Purchase Payments; |
(B) | = | the net asset value per share of the corresponding Portfolio shares held by the Subaccount as of the end of the preceding valuation period; and | ||||
(C) | = | a factor that assesses against the Subaccount net assets for each calendar day in the valuation period the basic Risk Charge plus the Administrative Fee and any applicable increase in the Risk Charge (see CHARGES, FEES AND DEDUCTIONS). |
23
24
| not accepting transfer instructions from a financial advisor acting on behalf of more than one Contract Owner, and | |
| not accepting preauthorized transfer forms from market timers or other entities acting on behalf of more than one Contract Owner at a time. |
25
| the free withdrawal amount (see WITHDRAWALS Withdrawals Free of a Withdrawal Charge), | |
| death benefit proceeds, except as provided under the DEATH BENEFITS AND OPTIONAL DEATH BENEFIT RIDERS Non-Natural Owner section for certain Non-Natural Owners, | |
| amounts converted after the 1st Contract Anniversary to a life contingent Annuity Option or an Annuity Option with a period certain of at least 5 years that is offered under the Contract, unless guaranteed variable annuity payments under Annuity Option 2 or 4 are subsequently redeemed (see ANNUITIZATION Choosing Your Annuity Option), | |
| withdrawals by Owners to meet the minimum distribution rules for Qualified Contracts as they apply to amounts held under the Contract, | |
| withdrawals after the 1st Contract Anniversary, if the Owner or Annuitant has been diagnosed with a medically determinable condition that results in a life expectancy of 12 months or less and we are provided with medical evidence In Proper Form, or | |
| subject to medical evidence provided In Proper Form, after 90 days from the Contract Date, full or partial withdrawals while the Owner or Annuitant has been confined to an accredited nursing home for 60 days or longer. See ADDITIONAL INFORMATION State Considerations. |
| a physicians note recommending the Owner or Annuitants admittance to a nursing home, | |
| an admittance form which shows the type of facility the Owner or Annuitant entered, and | |
| a bill from the nursing home which shows that the Owner or Annuitant met the 60 day nursing home confinement requirement. |
| is operating in accordance with the law of jurisdiction in which it is located, | |
| is primarily engaged in providing, in addition to room and board, skilled nursing care under the supervision of a duly licensed physician, and | |
| provides continuous 24 hour a day nursing service by or under the supervision of a registered nurse, and maintains a daily record of the patient. |
26
Withdrawal |
||||
Charge as a |
||||
percentage of the |
||||
Age of Payment |
Purchase Payment |
|||
in Years | withdrawn | |||
1
|
7 | % | ||
2
|
7 | % | ||
3
|
6 | % | ||
4
|
5 | % | ||
5
|
3 | % | ||
6
|
1 | % | ||
7 or more
|
0 | % |
27
28
Maximum Annual Charge |
|||||||||||||||||||||
Percentage Under the Rider |
|||||||||||||||||||||
10-Year |
10-Year |
10-Year |
|||||||||||||||||||
Treasury Rate |
Treasury Rate |
Treasury Rate |
|||||||||||||||||||
Monthly |
Monthly |
Monthly |
|||||||||||||||||||
Average |
Average |
Average |
To determine the amount to be |
||||||||||||||||||
Less than |
2.00% to |
4.00% or |
deducted, the percentage that |
The Charge is |
|||||||||||||||||
Rider Name | 2.00% | 3.99% | more | applies to you is multiplied by the: | deducted on each: | ||||||||||||||||
CoreIncome Advantage Select (Single)
|
2.00% | 1.50% | 1.00% | Protected Payment Base1 | Quarterly Rider Anniversary | ||||||||||||||||
CoreIncome Advantage Select (Joint)
|
2.50% | 2.00% | 1.50% | Protected Payment Base | Quarterly Rider Anniversary | ||||||||||||||||
CoreIncome Advantage 4 Select (Single)
|
1.00% | 0.75% | 0.50% | Protected Payment Base | Quarterly Rider Anniversary | ||||||||||||||||
CoreIncome Advantage 4 Select (Joint)
|
1.50% | 1.25% | 1.00% | Protected Payment Base | Quarterly Rider Anniversary | ||||||||||||||||
Income Access Select
|
2.75% | 2.25% | 1.50% | Protected Payment Base | Quarterly Rider Anniversary | ||||||||||||||||
GPA 3 Select
|
2.25% | 2.00% | 1.75% | Guaranteed Protection Amount1 | Quarterly Rider Anniversary | ||||||||||||||||
1 | Protected Payment Base or Guaranteed Protection Amount are defined, where applicable, in the Rider Terms subsection for each rider referenced above. See OPTIONAL LIVING BENEFIT RIDERS. |
29
30
Maximum |
|||||||||||||||
Current |
Annual Charge |
To determine the amount to be |
|||||||||||||
Annual Charge |
Percentage |
deducted, the Annual Charge |
The Charge is |
||||||||||||
Optional Rider | Percentage | Under the Rider | Percentage is multiplied by the: | deducted on each: | |||||||||||
Earnings Enhancement Guarantee (EEG)
|
0.25% | 0.25% | Contract Value | Contract Anniversary | |||||||||||
CoreIncome Advantage Plus
(Single)1
|
0.40% | 1.20% | Protected Payment Base | Quarterly Rider Anniversary | |||||||||||
CoreIncome Advantage Plus
(Joint)2
|
0.60% | 1.50% | Protected Payment Base | Quarterly Rider Anniversary | |||||||||||
CoreIncome Advantage 5 Plus
(Single)3
|
0.80% | 1.50% | Protected Payment Base | Quarterly Rider Anniversary | |||||||||||
CoreIncome Advantage 5 Plus
(Joint)4
|
1.35% | 1.75% | Protected Payment Base | Quarterly Rider Anniversary | |||||||||||
CoreIncome Advantage
55
|
0.80% | 1.20% | Protected Payment Base | Quarterly Rider Anniversary | |||||||||||
CoreProtect
Advantage6
|
1.00% | 1.50% | Protected Payment Base | Quarterly Rider Anniversary | |||||||||||
Income Access
|
|||||||||||||||
If the Rider Effective Date is on or after October 1, 2012
|
1.10% | 1.75% | Contract Value | Contract Anniversary | |||||||||||
If the Rider Effective Date is before October 1, 2012
|
0.75% | 0.75% | Contract Value | Contract Anniversary | |||||||||||
Guaranteed Protection Advantage 3 (GPA 3)
|
|||||||||||||||
If the Rider Effective Date is on or after October 1, 2012
|
1.30% | 1.75% | Contract Value | Contract Anniversary | |||||||||||
If the Rider Effective Date is before October 1,
20127
|
1.00% | 1.00% | Contract Value | Contract Anniversary | |||||||||||
Guaranteed Protection Advantage 5 (GPA 5)
|
0.75% | 0.75% | Contract Value | Contract Anniversary | |||||||||||
1 | If you purchased CoreIncome Advantage Plus (Single) and the Rider Effective Date is on or after May 1, 2012 and before October 1, 2012, the charge percentage is equal to 0.30% unless a Reset occurs. |
2 | If you purchased CoreIncome Advantage Plus (Joint) and the Rider Effective Date is on or after May 1, 2012 and before October 1, 2012, the charge percentage is equal to 0.50% unless a Reset occurs. |
3 | If you purchased CoreIncome Advantage 5 Plus (Single) and the Rider Effective Date is on or after May 1, 2012 and before October 1, 2012, the charge percentage is equal to 0.60% unless a Reset occurs. |
4 | If you purchased CoreIncome Advantage 5 Plus (Joint) and the Rider Effective Date is on or after May 1, 2012 and before October 1, 2012, the charge percentage is equal to 0.80% unless a Reset occurs. If you purchased this Rider and the Rider Effective Date is on or after October 1, 2012 and before February 1, 2013, the charge percentage is equal to 1.00% unless a Reset occurs. |
5 | If you purchased CoreIncome Advantage 5 and the Rider Effective Date is on or after May 1, 2012 and before October 1, 2012, the charge percentage is equal to 0.60% unless a Reset occurs. |
6 | If you purchased CoreProtect Advantage and the Rider Effective Date is before May 1, 2012, the charge percentage is equal to 0.85% unless a Reset occurs. If you purchased this Rider and the Rider Effective Date is on or after May 1, 2012 and before October 1, 2012, the charge percentage is equal to 0.95% unless a Reset occurs. |
7 | If you purchased GPA 3 and the Rider Effective Date is before May 1, 2012, the charge percentage is equal to 0.95% unless a Step-up occurs. |
31
32
| the net amount from a fixed option will be converted into fixed annuity payments, and | |
| the net amount from your Variable Account Value will be converted into variable annuity payments directed to the Subaccounts proportionate to your Account Value in each. |
| If you have a Non-Qualified Contract, your default Annuity Option will be Life with a ten year Period Certain. | |
| If you have a Qualified Contract, your default Annuity Option will be Life with a five year Period Certain or a shorter period certain as may be required by federal regulation. If you are married, different requirements may apply. Please contact your plan administrator for further information, if applicable. | |
| If the net amount is less than $10,000, the entire amount will be distributed in one lump sum. |
33
1. | Life Only. Periodic payments are made to the designated payee during the Annuitants lifetime. Payments stop when the Annuitant dies. |
2. | Life with Period Certain. Periodic payments are made to the designated payee during the Annuitants lifetime, with payments guaranteed for a specified period. You may choose to have payments guaranteed from 5 through 30 years (in full years only). The guaranteed period may be limited on Qualified Contracts based on your life expectancy. |
3. | 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 will continue to be made during the lifetime of the secondary Annuitant named in the election. You may choose to have the payments during the lifetime of the surviving secondary Annuitant equal 50%, 662/3% or 100% of the original amount payable during the lifetime of the Primary Annuitant (you must make this election when you choose your Annuity Option). If you elect a reduced payment based on the life of the secondary Annuitant, fixed annuity payments will be equal to 50% or 662/3% of the original fixed payment payable during the lifetime of the Primary Annuitant; variable annuity payments will be determined using 50% or 662/3%, as applicable, of the number of Annuity Units for each Subaccount credited to the Contract as of the date of death of the Primary Annuitant. Payments stop when both Annuitants have died. |
4. | Period Certain Only. Periodic payments are made to the designated payee, guaranteed for a specified period. You may choose to have payments guaranteed from 5 through 30 years (in full years only). The guaranteed period may be limited on Qualified Contracts based on your life expectancy. |
| the Annuity Option is elected as the form of payments of death benefit proceeds, or | |
| the Annuitant dies before the period certain has ended and the Beneficiary requests a redemption of the variable annuity payments. |
34
| the Owner; | |
| the Joint Owner; | |
| the Beneficiary; or | |
| the Contingent Beneficiary. |
| the Joint Owner; | |
| the Beneficiary; or | |
| the Contingent Beneficiary. |
35
| Owner, | |
| Joint Owner, | |
| Beneficiary, or | |
| Contingent Beneficiary. |
| your Contract Value as of that day, or | |
| your aggregate Purchase Payments reduced by an amount for each withdrawal, which is calculated by multiplying the aggregate Purchase Payments received before each withdrawal by the ratio of the amount of the withdrawal, including any withdrawal charge, to the Contract Value immediately prior to each withdrawal. The reduction made, when the Contract Value is less than aggregate Purchase Payments made into the Contract, may be greater than the actual amount withdrawn. |
36
| a surviving Joint Annuitant, or | |
| a surviving Contingent Annuitant. |
| a Contract Owner who is an Annuitant dies before the Annuity Date, or | |
| a Contract Owner, who is not an Annuitant, and the Annuitant die simultaneously. |
37
| December 31 of the year following the year the Annuitant died, or | |
| December 31 of the year in which the deceased Annuitant would have turned 701/2. |
(a) | the Death Benefit Amount as of the Notice Date. |
| your Contract Value as of that day, or | |
| your aggregate Purchase Payments reduced by an amount for each withdrawal, which is calculated by multiplying the aggregate Purchase Payments received before each withdrawal by the ratio of the amount of the withdrawal, including any withdrawal charge, to the Contract Value immediately prior to each withdrawal. The reduction made, when the Contract Value is less than aggregate Purchase Payments made into the Contract, may be greater than the actual amount withdrawn. |
38
(b) | the Guaranteed Minimum Death Benefit Amount as of the Notice Date. |
| adding the aggregate amount of any Purchase Payments received by us since the Milestone Date, and | |
| subtracting an amount for each withdrawal that has occurred since that Milestone Date, which is calculated by multiplying the Death Benefit Amount before the withdrawal by the ratio of the amount of each withdrawal that has occurred since that Milestone Date, including any withdrawal charge, to the Contract Value immediately prior to the withdrawal. The reduction made, when the Contract Value is less than aggregate Purchase Payments made into the Contract, may be greater than the actual amount withdrawn. |
| the date a full withdrawal of the amount available for withdrawal is made under the Contract, | |
| the date death benefit proceeds become payable under the Contract, | |
| the date the Contract is terminated in accordance with the provisions of the Contract, or | |
| the Annuity Date. |
| 40% of Earnings, or | |
| 40% of Remaining Purchase Payments, excluding any Purchase Payments made in the 12 months prior to the date of death, adjusted for withdrawals. |
39
| 25% of Earnings, or | |
| 25% of Remaining Purchase Payments, excluding any Purchase Payments made in the 12 months prior to the date of death, adjusted for withdrawals. |
(a) | If the Rider is effective on the Contract Date, Remaining Purchase Payments are equal to: |
| the Initial Purchase Payments, plus | |
| any additional Purchase Payments added, minus | |
| 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: |
| the Contract Value on the Effective Date, plus | |
| any additional Purchase Payments added since the Rider Effective Date, minus | |
| the amount that each withdrawal taken after the Rider Effective Date exceeds the amount of Earnings in the Contract accumulated since that date. Withdrawals are assumed to be taken first from Earnings accumulated since the Rider Effective Date, then from Purchase Payments in the order that they were received. |
| the date a full withdrawal of the amount available for withdrawal is made under the Contract, | |
| the date death benefit proceeds become payable under the Contract, | |
| the date the Contract is terminated in accordance with the provisions of the Contract, or | |
| the Annuity Date. |
40
41
| severance from employment, | |
| death, | |
| disability as defined in Section 72(m)(7) of the Code, | |
| reaching age 591/2, or | |
| hardship as defined for purposes of Section 401 of the Code. |
42
| CoreIncome Advantage 4 Select (Single or Joint) |
| CoreIncome Advantage Select (Single or Joint) |
| Income Access Select |
| Guaranteed Protection Advantage 3 Select |
43
| 100% to one allowable Asset Allocation Model, OR | |
| 100% among allowable Investment Options. |
Allowable Asset Allocation Models | ||
Custom
Model1
|
Allowable Investment Options | ||
AllianceBernstein VPS Balanced Wealth Strategy Portfolio1
American Funds Asset Allocation BlackRock Global Allocation V.I. Fund Fidelity VIP FundsManager 60% Portfolio First Trust/Dow Jones Dividend & Income Allocation Portfolio Franklin Templeton VIP Founding Funds Allocation Fund1 GE Investments Total Return Fund Invesco V.I. Balanced-Risk Allocation Fund Janus Aspen Balanced Portfolio |
MFS Total Return Series
Pacific Dynamix Conservative Growth Pacific Dynamix Moderate Growth Pacific Dynamix Growth1 Portfolio Optimization Conservative Portfolio Optimization Moderate-Conservative Portfolio Optimization Moderate Portfolio Optimization Growth1 PIMCO Global Multi-Asset Portfolio |
1 | Only available for optional living benefit riders with a Rider Effective Date before May 1, 2012. |
44
FROM | TO | WHEN | ||||
Income Access Select
|
CoreIncome Advantage Select (Single) or (Joint) CoreIncome Advantage 4 Select (Single) or (Joint) |
On any Contract Anniversary. | ||||
CoreIncome Advantage 4 Select (Single)
|
Income Access Select CoreIncome Advantage Select (Single) or (Joint) CoreIncome Advantage 4 Select (Joint) |
On any Contract Anniversary. | ||||
CoreIncome Advantage 4 Select (Joint)
|
Income Access Select CoreIncome Advantage Select (Single) or (Joint) CoreIncome Advantage 4 Select (Single) |
On any Contract Anniversary. | ||||
CoreIncome Advantage Select (Single)
|
Income Access Select CoreIncome Advantage Select (Joint) CoreIncome Advantage 4 Select (Single) or (Joint) |
On any Contract Anniversary. | ||||
CoreIncome Advantage Select (Joint)
|
Income Access Select CoreIncome Advantage Select (Single) CoreIncome Advantage 4 Select (Single) or (Joint) |
On any Contract Anniversary. | ||||
Income Access
|
Income Access Select CoreIncome Advantage Select (Single) or (Joint) CoreIncome Advantage 4 Select (Single) or (Joint) |
On any Contract Anniversary. | ||||
CoreIncome Advantage Plus (Single) or (Joint)
|
Income Access Select CoreIncome Advantage 4 Select (Single) or (Joint) |
On any Contract Anniversary. | ||||
CoreIncome Advantage Select (Single) or (Joint) |
On any Contract Anniversary beginning with the 5th Contract Anniversary measured from the Contract issue date. | |||||
CoreIncome Advantage 5 Plus (Single) or (Joint)
|
Income Access Select CoreIncome Advantage 4 Select (Single) or (Joint) |
On any Contract Anniversary. | ||||
CoreIncome Advantage Select (Single) or (Joint) | On any Contract Anniversary beginning with the 5th Contract Anniversary measured from the Contract issue date. | |||||
45
FROM | TO | WHEN | ||||
CoreProtect Advantage
|
Income Access Select CoreIncome Advantage 4 Select (Single) or (Joint) |
On any Contract Anniversary. | ||||
CoreIncome Advantage Select (Single) or (Joint) | On any Contract Anniversary beginning with the 5th Contract Anniversary measured from the Contract issue date. | |||||
CoreIncome Advantage 5
|
Income Access Select | On any Contract Anniversary. | ||||
CoreIncome Advantage Select (Single) or (Joint) | On any Contract Anniversary beginning with the 5th Contract Anniversary measured from the Contract issue date. | |||||
FROM | TO | WHEN | ||||
Guaranteed Protection Advantage 3 (GPA 3) Guaranteed Protection Advantage 5 (GPA 5) |
Guaranteed Protection Advantage 3 Select | On any Contract Anniversary. | ||||
| the Designated Life is 85 years of age or younger, |
| the Owner and Annuitant is the same person (except for Non-Natural Owners), |
| the Contract is not issued as an Inherited IRA, Inherited Roth IRA, or Inherited TSA, and |
| you allocate your entire Contract Value according to the Investment Allocation Requirements. |
46
47
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions, |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, |
| the Annual RMD Amount is based on the previous year-end fair market value of this Contract only, and |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
| the Protected Payment Amount will be paid each year until the date of death of the Designated Life or when a death benefit becomes payable under the Contract, |
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency as elected by the Owner, but no less frequently than annually, |
48
| no additional Purchase Payments will be accepted under the Contract, and |
| the Contract will cease to provide any death benefit (amount will be zero). |
| the Life Only fixed annual payment amount based on the terms of your Contract, or | |
| the Protected Payment Amount in effect at the maximum Annuity Date. |
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, |
| the date of the death of the Designated Life or when a death benefit becomes payable under the Contract, |
| the day the Contract is terminated in accordance with the provisions of the Contract, |
| the day we are notified of an ownership change of a Non-Qualified Contract (excluding ownership changes: to or from certain trusts, adding or removing the Owners spouse, or for Riders issued in California or Connecticut), |
| the day you exchange this Rider for another withdrawal benefit Rider, |
| the Annuity Date (see the Annuitization subsection for additional information), |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount, or |
| the day the Contract Value is reduced to zero if the Designated Life is younger than age 591/2. |
49
| the Contract is issued as: |
| Non-Qualified Contract (this Rider is not available if the Owner is a trust or other entity), or |
| Qualified Contract under Code Section 408(a), 408(k), 408A, 408(p) or 403(b), except for Inherited IRAs, Inherited Roth IRAs, Inherited TSAs, 401(a), 401(k), Individual(k), Keogh, or 457 plan. |
| both Designated Lives are 85 years or younger |
| you allocate your entire Contract Value according to the Investment Allocation Requirements, |
| the Contract must be structured so that upon the death of one Designated Life, the surviving Designated Life may retain or assume ownership of the Contract, and |
| any Owner/Annuitant is a Designated Life (except for custodial owned IRA or TSA Contracts). |
| a sole Owner with the Owners Spouse designated as the sole primary Beneficiary, | |
| Joint Owners, where the Owners are each others Spouses, or | |
| if the Contract is issued as a custodial owned IRA or TSA, the beneficial owner must be the Annuitant and the Annuitants Spouse must be designated as the sole primary Beneficiary under the Contract. The custodian, under a custodial owned IRA or TSA, for the benefit of the beneficial owner, may be designated as sole primary Beneficiary provided that the Spouse of the beneficial owner is the sole primary Beneficiary of the custodial account. |
| be the Owner (or Annuitant, in the case of a custodial owned IRA or TSA), or |
| remain the Spouse of the other Designated Life and be the first in line of succession, as determined under the Contract, for payment of any death benefit. |
50
51
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions, |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, |
| the Annual RMD Amount is based on the previous year-end fair market value of this Contract only, |
| the youngest Designated Life is age 591/2 or older, and |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
| the Protected Payment Amount will be paid each year until the death of all Designated Lives eligible for lifetime benefits, |
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency as elected by the Owner, but no less frequently than annually, |
| no additional Purchase Payments will be accepted under the Contract, and |
| the Contract will cease to provide any death benefit (amount will be zero). |
52
| the Life Only or Joint Life Only fixed annual payment amount based on the terms of your Contract, or | |
| the Protected Payment Amount in effect at the maximum Annuity Date. |
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, | |
| the date of the death of all Designated Lives eligible for lifetime benefits, | |
| upon the death of the first Designated Life, if a death benefit is payable and a Surviving Spouse who chooses to continue the Contract is not a Designated Life eligible for lifetime benefits, | |
| upon the death of the first Designated Life, if a death benefit is payable and the Contract is not continued by a Surviving Spouse who is a Designated Life eligible for lifetime benefits, | |
| if both Designated Lives are Joint Owners and there is a change in marital status, the Rider will terminate upon the death of the first Designated Life who is a Contract Owner, | |
| the day the Contract is terminated in accordance with the provisions of the Contract, |
| the day that neither Designated Life is an Owner (or Annuitant, in the case of a custodial owned IRA or TSA) (this bullet does not apply if this Rider is issued in California or Connecticut), |
53
| in California and Connecticut, if neither Designated Life is an Owner (or Annuitant in the case of a Custodial owned IRA or TSA), upon the earlier of the death of the first Designated Life or when a death benefit becomes payable under the Contract, |
| the day you exchange this Rider for another withdrawal benefit Rider, | |
| the Annuity Date (see the Annuitization subsection for additional information), | |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount, or | |
| the day the Contract Value is reduced to zero if the youngest Designated Life is younger than age 591/2. |
| the Designated Life is 85 years of age or younger, |
| the Owner and Annuitant is the same person (except for Non-Natural Owners), |
| the Contract is not issued as an Inherited IRA, Inherited Roth IRA, or Inherited TSA, and |
| you allocate your entire Contract Value according to the Investment Allocation Requirements. |
54
55
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions, |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, |
| the Annual RMD Amount is based on the previous year-end fair market value of this Contract only, and |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
| the Protected Payment Amount will be paid each year until the date of death of the Designated Life or when a death benefit becomes payable under the Contract, |
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency as elected by the Owner, but no less frequently than annually, |
| no additional Purchase Payments will be accepted under the Contract, and |
| the Contract will cease to provide any death benefit (amount will be zero). |
56
| the Life Only fixed annual payment amount based on the terms of your Contract, or | |
| the Protected Payment Amount in effect at the maximum Annuity Date. |
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, |
| the date of the death of the Designated Life or when a death benefit becomes payable under the Contract, |
| the day the Contract is terminated in accordance with the provisions of the Contract, |
| the day we are notified of an ownership change of a Non-Qualified Contract (excluding ownership changes: to or from certain trusts, adding or removing the Owners spouse, or for Riders issued in California or Connecticut), |
| the day you exchange this Rider for another withdrawal benefit Rider, |
| the Annuity Date (see the Annuitization subsection for additional information), |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount, or |
| the day the Contract Value is reduced to zero if the Designated Life is younger than age 65. |
| the Contract is issued as: |
| Non-Qualified Contract (this Rider is not available if the Owner is a trust or other entity), or |
57
| Qualified Contract under Code Section 408(a), 408(k), 408A, 408(p) or 403(b), except for Inherited IRAs, Inherited Roth IRAs, Inherited TSAs, 401(a), 401(k), Individual(k), Keogh, or 457 plan. |
| both Designated Lives are 85 years or younger, |
| you allocate your entire Contract Value according to the Investment Allocation Requirements, |
| the Contract must be structured so that upon the death of one Designated Life, the surviving Designated Life may retain or assume ownership of the Contract, and |
| any Owner/Annuitant is a Designated Life (except for custodial owned IRA or TSA Contracts). |
| a sole Owner with the Owners Spouse designated as the sole primary Beneficiary, | |
| Joint Owners, where the Owners are each others Spouses, or | |
| if the Contract is issued as a custodial owned IRA or TSA, the beneficial owner must be the Annuitant and the Annuitants Spouse must be designated as the sole primary Beneficiary under the Contract. The custodian, under a custodial owned IRA or TSA, for the benefit of the beneficial owner, may be designated as sole primary Beneficiary provided that the Spouse of the beneficial owner is the sole primary Beneficiary of the custodial account. |
| be the Owner (or Annuitant, in the case of a custodial owned IRA or TSA), or |
| remain the Spouse of the other Designated Life and be the first in line of succession, as determined under the Contract, for payment of any death benefit. |
58
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions, |
59
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, |
| the Annual RMD Amount is based on the previous year-end fair market value of this Contract only, |
| the youngest Designated Life is age 65 or older, and |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
| the Protected Payment Amount will be paid each year until the death of all Designated Lives eligible for lifetime benefits, |
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency as elected by the Owner, but no less frequently than annually, |
| no additional Purchase Payments will be accepted under the Contract, and |
| the Contract will cease to provide any death benefit (amount will be zero). |
| the Life Only or Joint Life Only fixed annual payment amount based on the terms of your Contract, or | |
| the Protected Payment Amount in effect at the maximum Annuity Date. |
60
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, | |
| the date of the death of all Designated Lives eligible for lifetime benefits, | |
| upon the death of the first Designated Life, if a death benefit is payable and a Surviving Spouse who chooses to continue the Contract is not a Designated Life eligible for lifetime benefits, | |
| upon the death of the first Designated Life, if a death benefit is payable and the Contract is not continued by a Surviving Spouse who is a Designated Life eligible for lifetime benefits, | |
| if both Designated Lives are Joint Owners and there is a change in marital status, the Rider will terminate upon the death of the first Designated Life who is a Contract Owner, | |
| the day the Contract is terminated in accordance with the provisions of the Contract, |
| the day that neither Designated Life is an Owner (or Annuitant, in the case of a custodial owned IRA or TSA) (this bullet does not apply if this Rider is issued in California or Connecticut), |
| in California and Connecticut, if neither Designated Life is an Owner (or Annuitant in the case of a Custodial owned IRA or TSA), upon the earlier of the death of the first Designated Life or when a death benefit becomes payable under the Contract, |
| the day you exchange this Rider for another withdrawal benefit Rider, | |
| the Annuity Date (see the Annuitization subsection for additional information), | |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount, or |
| the day the Contract Value is reduced to zero if the youngest Designated Life is younger than age 65. |
61
| the age of each Owner and Annuitant is 85 years or younger, |
| the Contract is not issued as an Inherited IRA, Inherited Roth IRA or Inherited TSA, and |
| you allocate your entire Contract Value according to the Investment Allocation Requirements. |
62
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency, as elected by you, but no less frequently than annually, until the Remaining Protected Balance is reduced to zero, |
| no additional Purchase Payments will be accepted under the Contract, |
| any Remaining Protected Balance will not be available for payment in a lump sum or may not be applied to provide payments under an Annuity Option, and |
| the Contract will cease to provide any death benefit (amount will be zero). |
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions, |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, |
| the Annual RMD Amount is based on the previous year-end fair market value of this Contract only, and |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
63
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, |
| the day the Remaining Protected Balance is reduced to zero, |
| the day we are notified of an ownership change of a Non-Qualified Contract (excluding ownership changes: to or from certain trusts, adding or removing the Owners spouse, or for Riders issued in California or Connecticut), |
| when a death benefit becomes payable under the Contract (except as provided under the Continuation of Rider if Surviving Spouse Continues Contract subsection), |
| the day the Contract is terminated in accordance with the provisions of the Contract, |
| the day you exchange this Rider for another withdrawal benefit Rider, |
| the Annuity Date, or |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount. |
64
| the age of any Owner and Annuitant on the date of purchase is the lesser of: |
| 85 years or younger, or |
| at least 10 years younger than the maximum annuitization age specified in your Contract, |
| the Rider Effective Date is at least 10 years before your selected Annuity Date, and |
| you allocate your entire Contract Value according to the Investment Allocation Requirements. |
(a) | is the Contract Value at the start of the Term, |
(b) | is the amount of each subsequent Purchase Payment received during the first year of the Term, and |
(c) | is a pro rata adjustment for withdrawals made from the Contract during the Term. The adjustment for each withdrawal is calculated by multiplying the Guaranteed Protection Amount prior to the withdrawal by the ratio of the amount of the withdrawal, including any applicable withdrawal charges, premium taxes, and/or other taxes, to the Contract Value immediately prior to the withdrawal. |
| your election of a Step-Up must be received, In Proper Form, within 60 days after the Contract Anniversary on which the Step-Up is effective, | |
| the Guaranteed Protection Amount will be equal to your Contract Value as of the Effective Date of the Step-Up (Step-Up Date), |
65
| a new 10-year Term will begin as of the Step-Up Date, and | |
| you may not elect another Step-Up until on or after the 3rd anniversary of the latest Step-Up Date. |
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, |
| the day we receive notification from the Owner to terminate the Rider, |
| the date a full withdrawal of the amount available for withdrawal is made under the Contract, |
| the day we are notified of an ownership change of a Non-Qualified Contract (excluding ownership changes: to or from certain trusts, adding or removing the Owners spouse, or for Riders issued in California or Connecticut), |
| when a death benefit becomes payable under the Contract (except as provided under the Continuation of Rider if Surviving Spouse Continues Contract subsection), |
| the date the Contract is terminated according to the provisions of the Contract, or |
| the Annuity Date. |
66
67
Without Stepped-Up |
With Stepped-Up |
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Death Benefit Rider |
With Four Year |
Death Benefit Rider |
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and Four Year Withdrawal |
With Stepped-Up |
Withdrawal |
and Four Year Withdrawal |
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Charge Option | Death Benefit Rider | Charge Option | Charge Option | |||||||||||||||||||||||||||||||||||||||||||||
Number of |
Number of |
Number of |
Number of |
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Subaccount |
Subaccount |
Subaccount |
Subaccount |
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AUV at |
AUV |
Units |
AUV at |
AUV |
Units |
AUV at |
AUV |
Units |
AUV at |
AUV |
Units |
|||||||||||||||||||||||||||||||||||||
Beginning |
at End |
Outstanding |
Beginning |
at End |
Outstanding |
Beginning |
at End |
Outstanding |
Beginning |
at End |
Outstanding |
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of Year | of Year | at End of Year | of Year | of Year | at End of Year | of Year | of Year | at End of Year | of Year | of Year | at End of Year | |||||||||||||||||||||||||||||||||||||
Emerging Markets Debt | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | ||||||||||||||||||||||||||||||||||||||||||||||||
International Small-Cap | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $7.89 | $7.87 | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
09/13/2011-12/31/2011 | $8.06 | $7.89 | 2 | $8.12 | $7.87 | 1,147 | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Mid-Cap Value | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.55 | N/A | $8.53 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/13/2011-12/31/2011 | $9.71 | $8.55 | 2,450 | N/A | N/A | N/A | $9.29 | $8.53 | 6,970 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Equity Index | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.29 | N/A | $9.27 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/13/2011-12/31/2011 | $9.72 | $9.29 | 5,560 | N/A | N/A | N/A | $9.35 | $9.27 | 12,432 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Small-Cap Index | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.67 | N/A | $8.65 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/13/2011-12/31/2011 | $9.59 | $8.67 | 4,959 | N/A | N/A | N/A | $9.08 | $8.65 | 6,271 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Small-Cap Equity | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.91 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
10/31/2011-12/31/2011 | $8.80 | $8.91 | 3,856 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
American Funds® Asset Allocation | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.34 | $9.33 | $9.32 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
05/24/2011-12/31/2011 | $9.73 | $9.34 | 54,391 | $9.13 | $9.33 | 22,545 | $9.12 | $9.32 | 10,943 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
American Funds® Growth-Income | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.06 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/29/2011-12/31/2011 | $9.62 | $9.06 | 3,654 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
American Funds® Growth | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.69 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/29/2011-12/31/2011 | $9.61 | $8.69 | 13,745 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Large-Cap Value | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.37 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
10/31/2011-12/31/2011 | $9.18 | $9.37 | 1,308 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Technology | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.95 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
10/11/2011-12/31/2011 | $8.87 | $8.95 | 432 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Floating Rate Loan | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.94 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
11/16/2011-12/31/2011 | $9.94 | $9.94 | 3,602 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Global Absolute Return | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | ||||||||||||||||||||||||||||||||||||||||||||||||
Small-Cap Growth1 | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
2011 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Comstock | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.86 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
11/16/2011-12/31/2011 | $8.66 | $8.86 | 4,117 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Growth LT | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | N/A | N/A | $8.71 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/30/2011-12/31/2011 | N/A | N/A | N/A | N/A | N/A | N/A | $9.71 | $8.71 | 1,991 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Focused 30 | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.52 | N/A | $8.50 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
09/15/2011-12/31/2011 | $8.72 | $8.52 | 768 | N/A | N/A | N/A | $8.72 | $8.50 | 580 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Health Sciences | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.42 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
10/11/2011-12/31/2011 | $8.76 | $9.42 | 442 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
International Value | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $7.83 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
09/15/2011-12/31/2011 | $7.87 | $7.83 | 1,649 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
68
Without Stepped-Up |
With Stepped-Up |
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Death Benefit Rider |
With Four Year |
Death Benefit Rider |
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and Four Year Withdrawal |
With Stepped-Up |
Withdrawal |
and Four Year Withdrawal |
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Charge Option | Death Benefit Rider | Charge Option | Charge Option | |||||||||||||||||||||||||||||||||||||||||||||
Number of |
Number of |
Number of |
Number of |
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Subaccount |
Subaccount |
Subaccount |
Subaccount |
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AUV at |
AUV |
Units |
AUV at |
AUV |
Units |
AUV at |
AUV |
Units |
AUV at |
AUV |
Units |
|||||||||||||||||||||||||||||||||||||
Beginning |
at End |
Outstanding |
Beginning |
at End |
Outstanding |
Beginning |
at End |
Outstanding |
Beginning |
at End |
Outstanding |
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of Year | of Year | at End of Year | of Year | of Year | at End of Year | of Year | of Year | at End of Year | of Year | of Year | at End of Year | |||||||||||||||||||||||||||||||||||||
Long/Short Large-Cap | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.87 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
09/15/2011-12/31/2011 | $8.70 | $8.87 | 3,327 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
International Large-Cap | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.05 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
08/30/2011-12/31/2011 | $8.41 | $8.05 | 5,345 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Mid-Cap Growth | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.05 | $8.04 | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
09/13/2011-12/31/2011 | $8.07 | $8.05 | 2,460 | $8.65 | $8.04 | 587 | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Real Estate | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.42 | $9.41 | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/29/2011-12/31/2011 | $9.76 | $9.42 | 14,425 | $8.81 | $9.41 | 671 | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Small-Cap Value | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.21 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
09/29/2011-12/31/2011 | $8.36 | $9.21 | 2,095 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Main Street® Core | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.46 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
09/15/2011-12/31/2011 | $9.06 | $9.46 | 6,944 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Emerging Markets | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $7.95 | $7.94 | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/29/2011-12/31/2011 | $9.54 | $7.95 | 15,034 | $8.34 | $7.94 | 2,637 | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Cash Management1 | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
2011 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
High Yield Bond | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.72 | $9.71 | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/29/2011-12/31/2011 | $9.82 | $9.72 | 8,806 | $9.35 | $9.71 | 431 | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Managed Bond | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $10.05 | $10.04 | $10.03 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/29/2011-12/31/2011 | $10.00 | $10.05 | 15,603 | $10.02 | $10.04 | 296 | $9.90 | $10.03 | 999 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Inflation Managed | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $10.59 | $10.58 | $10.57 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/13/2011-12/31/2011 | $10.06 | $10.59 | 11,813 | $10.46 | $10.58 | 279 | $10.02 | $10.57 | 12,100 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Pacific Dynamix Conservative Growth |
||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.77 | $9.76 | $9.75 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
05/18/2011-12/31/2011 | $9.94 | $9.77 | 43,723 | $9.76 | $9.76 | 1,029 | $9.81 | $9.75 | 10,257 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Pacific Dynamix Moderate Growth | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.40 | $9.39 | $9.38 | $9.37 | ||||||||||||||||||||||||||||||||||||||||||||
05/09/2011-12/31/2011 | $9.92 | $9.40 | 471,900 | $9.66 | $9.39 | 28,262 | $9.95 | $9.38 | 20,924 | $9.31 | $9.37 | 5,300 | ||||||||||||||||||||||||||||||||||||
Pacific Dynamix Growth | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.07 | $9.06 | $9.05 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
05/24/2011-12/31/2011 | $9.66 | $9.07 | 304,490 | $9.51 | $9.06 | 11,467 | $9.73 | $9.05 | 27,738 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Portfolio Optimization Conservative | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.88 | $9.86 | $9.85 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
05/18/2011-12/31/2011 | $9.65 | $9.88 | 107,120 | $9.96 | $9.86 | 50,590 | $9.82 | $9.85 | 44,595 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Portfolio Optimization Moderate-Conservative |
||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.60 | $9.59 | $9.58 | $9.57 | ||||||||||||||||||||||||||||||||||||||||||||
06/07/2011-12/31/2011 | $9.97 | $9.60 | 288,963 | $9.77 | $9.59 | 53,162 | $9.82 | $9.58 | 19,664 | $9.88 | $9.57 | 5,949 | ||||||||||||||||||||||||||||||||||||
Portfolio Optimization Moderate | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.33 | $9.32 | $9.31 | $9.30 | ||||||||||||||||||||||||||||||||||||||||||||
05/03/2011-12/31/2011 | $9.82 | $9.33 | 919,810 | $9.82 | $9.32 | 270,823 | $9.97 | $9.31 | 84,464 | $9.92 | $9.30 | 99,282 | ||||||||||||||||||||||||||||||||||||
Portfolio Optimization Growth | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.07 | $9.06 | $9.05 | $9.04 | ||||||||||||||||||||||||||||||||||||||||||||
05/19/2011-12/31/2011 | $9.84 | $9.07 | 500,487 | $9.76 | $9.06 | 212,623 | $9.10 | $9.05 | 45,744 | $8.73 | $9.04 | 2,822 | ||||||||||||||||||||||||||||||||||||
Portfolio Optimization Aggressive-Growth1 |
||||||||||||||||||||||||||||||||||||||||||||||||
2012 | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
2011 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Mid-Cap Equity | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.71 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/29/2011-12/31/2011 | $9.58 | $8.71 | 12,107 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Dividend Growth | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.42 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
09/29/2011-12/31/2011 | $8.63 | $9.42 | 7,902 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
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Without Stepped-Up |
With Stepped-Up |
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Death Benefit Rider |
With Four Year |
Death Benefit Rider |
||||||||||||||||||||||||||||||||||||||||||||||
and Four Year Withdrawal |
With Stepped-Up |
Withdrawal |
and Four Year Withdrawal |
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Charge Option | Death Benefit Rider | Charge Option | Charge Option | |||||||||||||||||||||||||||||||||||||||||||||
Number of |
Number of |
Number of |
Number of |
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Subaccount |
Subaccount |
Subaccount |
Subaccount |
|||||||||||||||||||||||||||||||||||||||||||||
AUV at |
AUV |
Units |
AUV at |
AUV |
Units |
AUV at |
AUV |
Units |
AUV at |
AUV |
Units |
|||||||||||||||||||||||||||||||||||||
Beginning |
at End |
Outstanding |
Beginning |
at End |
Outstanding |
Beginning |
at End |
Outstanding |
Beginning |
at End |
Outstanding |
|||||||||||||||||||||||||||||||||||||
of Year | of Year | at End of Year | of Year | of Year | at End of Year | of Year | of Year | at End of Year | of Year | of Year | at End of Year | |||||||||||||||||||||||||||||||||||||
Short Duration Bond | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.94 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
08/30/2011-12/31/2011 | $9.98 | $9.94 | 1,508 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Currency Strategies | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | ||||||||||||||||||||||||||||||||||||||||||||||||
Large-Cap Growth | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.10 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
12/30/2011-12/31/2011 | $9.10 | $9.10 | 786 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Precious Metals | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | ||||||||||||||||||||||||||||||||||||||||||||||||
Diversified Bond | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $10.28 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
10/31/2011-12/31/2011 | $10.26 | $10.28 | 487 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Inflation Protected | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $10.73 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
08/30/2011-12/31/2011 | $10.55 | $10.73 | 2,064 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Invesco V.I. Balanced-Risk Allocation Fund Series II |
||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $10.60 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/13/2011-12/31/2011 | $9.87 | $10.60 | 50,914 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
AllianceBernstein VPS Balanced Wealth Strategy Portfolio Class B |
||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.10 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
11/17/2011-12/31/2011 | $9.00 | $9.10 | 16,670 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
BlackRock Global Allocation V.I. Fund Class III |
||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.97 | $8.96 | $8.95 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
05/10/2011-12/31/2011 | $9.86 | $8.97 | 312,765 | $9.57 | $8.96 | 144,648 | $9.54 | $8.95 | 73,054 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
Fidelity VIP FundsManager® 60% Portfolio Service Class 2 | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | ||||||||||||||||||||||||||||||||||||||||||||||||
First Trust/Dow Jones Dividend & Income Allocation Portfolio | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | ||||||||||||||||||||||||||||||||||||||||||||||||
Franklin Templeton VIP Founding Funds Allocation Fund Class 4 |
||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $8.94 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
05/24/11-12/31/2011 | $9.73 | $8.94 | 40,722 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
GE Investments Total Return Fund Class 3 |
||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.09 | $9.07 | $9.07 | N/A | ||||||||||||||||||||||||||||||||||||||||||||
06/24/2011-12/31/2011 | $9.53 | $9.09 | 218,158 | $8.68 | $9.07 | 73,085 | $9.66 | $9.07 | 13,959 | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
MFS® Total Return Series Service Class | ||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.52 | $9.51 | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
07/14/2011-12/31/2011 | $9.34 | $9.52 | 19,772 | $9.75 | $9.51 | 19,720 | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
PIMCO Global Multi-Asset Portfolio Advisor Class |
||||||||||||||||||||||||||||||||||||||||||||||||
2012 | $9.08 | $9.07 | N/A | N/A | ||||||||||||||||||||||||||||||||||||||||||||
05/10/2011-12/31/2011 | $9.88 | $9.08 | 18,955 | $9.33 | $9.07 | 979 | N/A | N/A | N/A | N/A | N/A | N/A | ||||||||||||||||||||||||||||||||||||
1 | As of December 31, 2011, this Subaccount has not commenced operations. |
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| made on or after the date you reach age 591/2, | |
| made by a Beneficiary after your death, | |
| attributable to your becoming disabled, | |
| any payment made under an immediate annuity, | |
| attributable to an investment in the Contract made prior to August 14, 1982, or | |
| any distribution that is a part of a series of substantially equal periodic payments (Code Section 72(q) payments) made (at least annually) over your life (or life expectancy) or the joint lives (or life expectancies) of you and your designated beneficiary. |
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| made to a beneficiary after the owners/participants death, | |
| attributable to the owner/participant becoming disabled under Section 72(m)(7), | |
| that are part of a series of substantially equal periodic payments (also referred to as SEPPs or 72(t) payments) made (at least annually) over your life (or life expectancy) or the joint lives (or joint life expectancies) of you and your designated beneficiary, | |
| for certain higher education expenses (IRAs only), | |
| used to pay for certain health insurance premiums or medical expenses (IRAs only), | |
| for costs related to the purchase of your first home (IRAs only), and | |
| (except for IRAs) made to an employee after separation from service after reaching age 55 (or age 50 in the case of a qualified public safety employee). |
| the distributee directs the transfer of such amounts in cash to another Qualified Plan or a traditional IRA, or | |
| the payment is a minimum distribution required under the Code. |
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| no longer than the joint life expectancy of the Annuitant and Beneficiary in the year that the Annuitant reaches age 701/2, and | |
| must be shorter than such joint life expectancy if the Beneficiary is not the Annuitants spouse and is more than 10 years younger than the Annuitant. |
| not subject to Title 1 of ERISA, | |
| issued under Section 403(b) of the Code, and | |
| issued under a Plan that permits Loans (a Loan Eligible Plan). |
| 50% of the amount available for withdrawal under this Contract (see WITHDRAWALS Optional Withdrawals Amount Available for Withdrawal), or | |
| $50,000 less your highest outstanding Contract Debt during the 12-month period immediately preceding the effective date of your loan. |
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| your Contract Value allocated to the Subaccount corresponding to that Portfolio, divided by | |
| the net asset value per share of that Portfolio. |
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| cease offering any Subaccount; | |
| add or change designated investment companies or their portfolios, or other investment vehicles; | |
| add, delete or make substitutions for the securities and other assets that are held or purchased by the Separate Account or any Variable Account; | |
| permit conversion or exchanges between portfolios and/or classes of contracts on the basis of Owners requests; | |
| add, remove or combine Variable Accounts; | |
| combine the assets of any Variable Account with any other of our separate accounts or of any of our affiliates; | |
| register or deregister Separate Account A or any Variable Account under the 1940 Act; | |
| operate any Variable Account as a managed investment company under the 1940 Act, or any other form permitted by law; | |
| run any Variable Account under the direction of a committee, board, or other group; | |
| restrict or eliminate any voting rights of Owners with respect to any Variable Account or other persons who have voting rights as to any Variable Account; | |
| make any changes required by the 1940 Act or other federal securities laws; | |
| make any changes necessary to maintain the status of the Contracts as annuities under the Code; | |
| make other changes required under federal or state law relating to annuities; | |
| suspend or discontinue sale of the Contracts; and | |
| comply with applicable law. |
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| We impose no additional charge for electronic delivery, although your Internet provider may charge for Internet access. |
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| You must provide a current e-mail address and notify us promptly when your e-mail address changes. | |
| You must update any e-mail filters that may prevent you from receiving e-mail notifications from us. | |
| You may request a paper copy of the information at any time for no charge, even though you consented to electronic delivery, or if you decide to revoke your consent. | |
| For jointly owned contracts, both owners are consenting that the primary owner will receive information electronically. (Only the primary owner will receive e-mail notices.) | |
| Electronic delivery will be cancelled if e-mails are returned undeliverable. | |
| This consent will remain in effect until you revoke it. |
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| We will allocate all or any portion of any Purchase Payment we receive to any available fixed option if you instruct us to do so. We will allocate all or any portion of any Purchase Payment designated for any Variable Investment Option to the Cash Management Subaccount until the Free Look Transfer Date. The Free Look Transfer Date is 30 days from the Contract Date. On the Free Look Transfer Date, we will automatically transfer your Cash Management Subaccount Value according to the instructions on your application, or your most recent instruction, if any. This automatic transfer to the Variable Investment Options according to your initial allocation instruction is excluded from the Transfer limitations. See HOW YOUR PURCHASE PAYMENTS ARE ALLOCATED Transfers and Market-timing Restrictions. | |
| If you specifically instruct us to allocate all or any portion of any additional Purchase Payments we receive to any Variable Investment Option other than the Cash Management Subaccount before the Free Look Transfer Date, you will automatically change your election to the return of your Contract Value proceeds option. This will automatically cancel your election of the return of Purchase Payments option for the entire Contract. | |
| If you request a transfer of all or any portion of your Contract Value from the Cash Management Subaccount to any other Variable Investment Option before the Free Look Transfer Date, you will automatically change your election to the return of your Contract |
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Value proceeds option. This will automatically cancel your election of the return of Purchase Payments option for the entire Contract. |
| If you exercise your Right to Cancel, we will send you your Purchase Payments. |
| We will immediately allocate any Purchase Payments we receive to the Investment Options you select on your application or your most recent instructions, if any. | |
| If you exercise your Right to Cancel, we will send you your Contract Value proceeds described in the Right to Cancel (Free Look) section of this prospectus. | |
| Once you elect this option, it may not be changed. |
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| interest, plus | |
| Purchase Payments allocated to the DCA Plus Fixed Option, plus | |
| any additional amounts allocated to the DCA Plus Fixed Option, |
| transfers, including transfers to the Loan Account, | |
| withdrawals, including any applicable withdrawal charges, | |
| amounts applied to provide an annuity, | |
| annual fees, | |
| charges for premium taxes and/or other taxes, and | |
| proportionate reductions for annual charges for expenses relating to optional benefit riders attached to the Contract. |
| the date death benefit proceeds become payable under the Contract, | |
| the date you transfer the entire amount from the DCA Plus Fixed Option to another Investment Option, | |
| the date the Contract is terminated, or | |
| the Annuity Date. |
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PERFORMANCE
|
||
Total Returns
|
||
Yields
|
||
Performance Comparisons and Benchmarks
|
||
Power of Tax Deferral
|
||
DISTRIBUTION OF THE CONTRACTS
|
||
Pacific Select Distributors, Inc. (PSD)
|
||
THE CONTRACTS AND THE SEPARATE ACCOUNT
|
||
Calculating Subaccount Unit Values
|
||
Variable Annuity Payment Amounts
|
||
Redemptions of Remaining Guaranteed Variable Payments Under
Options 2 and 4
|
||
Corresponding Dates
|
||
Age and Sex of Annuitant
|
||
Systematic Transfer Programs
|
||
Pre-Authorized Withdrawals
|
||
More on Federal Tax Issues
|
||
Safekeeping of Assets
|
||
FINANCIAL STATEMENTS
|
||
INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM AND INDEPENDENT
AUDITORS
|
||
You can receive a copy of the Pacific Journey Select SAI without charge by calling us at (800) 722-4448 or you can visit our website at www.pacificlife.com to download a copy. Financial advisors may call us at (800) 722-2333. | ||
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| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 64 years old. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,000 | ||||||
| Protected Payment Base = Initial Purchase Payment = $100,000 |
| Protected Payment Amount = 4% of Protected Payment Base = $4,000 |
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 64 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| No withdrawals taken. |
| Automatic Reset at Beginning of Contract Year 2. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $8,280 | ||||||
92
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 64 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| A withdrawal equal to or less than the Protected Payment Amount is taken during Contract Year 2. |
| Contract Value immediately before withdrawal = $221,490. |
| Automatic Resets at Beginning of Contract Years 2 and 3. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $8,280 | ||||||
Activity
|
$5,000 |
$216,490 (after $5,000 withdrawal) |
$207,000 | $3,280 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $216,490 | $207,000 | $8,280 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $216,490 | $216,490 | $8,660 | ||||||
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 64 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. |
| Contract Value immediately before withdrawal = $195,000. |
| Automatic Resets at Beginning of Contract Years 2 and 3. |
93
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $8,280 | ||||||
Activity
|
$30,000 |
$165,000 (after $30,000 withdrawal) |
$182,926 | $0 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $192,000 | $182,926 | $7,317 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $192,000 | $192,000 | $7,680 | ||||||
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 561/2 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. |
| Contract Value immediately before withdrawal = $221,490. |
| Automatic Resets at Beginning of Contract Years 2, 3 and 4. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $0 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $0 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $0 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $0 | ||||||
Activity
|
$25,000 |
$196,490 (after $25,000 withdrawal) |
$182,000 | $0 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $196,490 | $182,000 | $0 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $196,490 | $196,490 | $0 | ||||||
Year 4 Contract Anniversary
|
(Prior to Automatic Reset) | $205,000 | $196,490 | $0 | ||||||
Year 4 Contract Anniversary
|
(After Automatic Reset) | $205,000 | $205,000 | $8,200 | ||||||
94
Annual |
Protected |
Protected |
||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
|||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | |||||
05/01/2006 | $100,000 | $4,000 | ||||||||
Contract Anniversary |
||||||||||
01/01/2007
|
$7,500 | |||||||||
03/15/2007
|
$1,875 | $100,000 | $2,125 | |||||||
05/01/2007
|
$100,000 | $4,000 | ||||||||
Contract Anniversary |
||||||||||
06/15/2007
|
$1,875 | $100,000 | $2,125 | |||||||
09/15/2007
|
$1,875 | $100,000 | $250 | |||||||
12/15/2007
|
$1,875 | $100,000 | $0 | |||||||
01/01/2008
|
$8,000 | |||||||||
03/15/2008
|
$2,000 | $100,000 | $0 | |||||||
05/01/2008
|
$100,000 | $4,000 | ||||||||
Contract Anniversary |
||||||||||
95
Annual |
Protected |
Protected |
||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
|||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | |||||
05/01/2006 | $0 | $100,000 | $4,000 | |||||||
Contract Anniversary |
||||||||||
01/01/2007
|
$7,500 | |||||||||
03/15/2007
|
$1,875 | $100,000 | $2,125 | |||||||
04/01/2007
|
$2,000 | $100,000 | $125 | |||||||
05/01/2007
|
$100,000 | $4,000 | ||||||||
Contract Anniversary |
||||||||||
06/15/2007
|
$1,875 | $100,000 | $2,125 | |||||||
09/15/2007
|
$1,875 | $100,000 | $250 | |||||||
11/15/2007
|
$4,000 | $95,820 | $0 | |||||||
| Contract Value = $90,000 | |
| Protected Payment Base = $100,000 | |
| Protected Payment Amount = $250 |
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 64 years old. |
| No subsequent Purchase Payments are received. |
| Withdrawals, each equal to 4% of the Protected Payment Base are taken each Contract Year. |
| No Automatic Reset is assumed during the life of the Rider. |
| Death occurs during Contract Year 26 after the $4,000 withdrawal was made. |
96
Protected |
Protected |
|||||||
Contract |
End of Year |
Payment |
Payment |
|||||
Year | Withdrawal | Contract Value | Base | Amount | ||||
1
|
$4,000 | $96,489 | $100,000 | $4,000 | ||||
2
|
$4,000 | $92,410 | $100,000 | $4,000 | ||||
3
|
$4,000 | $88,543 | $100,000 | $4,000 | ||||
4
|
$4,000 | $84,627 | $100,000 | $4,000 | ||||
5
|
$4,000 | $80,662 | $100,000 | $4,000 | ||||
6
|
$4,000 | $76,648 | $100,000 | $4,000 | ||||
7
|
$4,000 | $72,583 | $100,000 | $4,000 | ||||
8
|
$4,000 | $68,467 | $100,000 | $4,000 | ||||
9
|
$4,000 | $64,299 | $100,000 | $4,000 | ||||
10
|
$4,000 | $60,078 | $100,000 | $4,000 | ||||
11
|
$4,000 | $55,805 | $100,000 | $4,000 | ||||
12
|
$4,000 | $51,478 | $100,000 | $4,000 | ||||
13
|
$4,000 | $47,096 | $100,000 | $4,000 | ||||
14
|
$4,000 | $42,660 | $100,000 | $4,000 | ||||
15
|
$4,000 | $38,168 | $100,000 | $4,000 | ||||
16
|
$4,000 | $33,619 | $100,000 | $4,000 | ||||
17
|
$4,000 | $29,013 | $100,000 | $4,000 | ||||
18
|
$4,000 | $24,349 | $100,000 | $4,000 | ||||
19
|
$4,000 | $19,626 | $100,000 | $4,000 | ||||
20
|
$4,000 | $14,844 | $100,000 | $4,000 | ||||
21
|
$4,000 | $10,002 | $100,000 | $4,000 | ||||
22
|
$4,000 | $5,099 | $100,000 | $4,000 | ||||
23
|
$4,000 | $0 | $100,000 | $4,000 | ||||
24
|
$4,000 | $0 | $100,000 | $4,000 | ||||
25
|
$4,000 | $0 | $100,000 | $4,000 | ||||
26
|
$4,000 | $0 | $100,000 | $4,000 | ||||
| Protected Payment Base = Initial Purchase Payment = $100,000 |
| Protected Payment Amount = 4% of Protected Payment Base = $4,000 |
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| All Designated Lives are 64 years old. |
| No subsequent Purchase Payments are received. |
| Withdrawals, each equal to 4% of the Protected Payment Base are taken each Contract Year. |
| No Automatic Reset is assumed during the life of the Rider. |
| All Designated Lives remain eligible for lifetime income benefits while the Rider is in effect. |
| Surviving Spouse continues Contract upon the death of the first Designated Life. |
| Surviving Spouse dies during Contract Year 26 after the $4,000 withdrawal was made. |
97
Protected |
Protected |
|||||||
Contract |
End of Year |
Payment |
Payment |
|||||
Year | Withdrawal | Contract Value | Base | Amount | ||||
1
|
$4,000 | $96,489 | $100,000 | $4,000 | ||||
2
|
$4,000 | $92,410 | $100,000 | $4,000 | ||||
3
|
$4,000 | $88,543 | $100,000 | $4,000 | ||||
4
|
$4,000 | $84,627 | $100,000 | $4,000 | ||||
5
|
$4,000 | $80,662 | $100,000 | $4,000 | ||||
6
|
$4,000 | $76,648 | $100,000 | $4,000 | ||||
7
|
$4,000 | $72,583 | $100,000 | $4,000 | ||||
8
|
$4,000 | $68,467 | $100,000 | $4,000 | ||||
9
|
$4,000 | $64,299 | $100,000 | $4,000 | ||||
10
|
$4,000 | $60,078 | $100,000 | $4,000 | ||||
11
|
$4,000 | $55,805 | $100,000 | $4,000 | ||||
12
|
$4,000 | $51,478 | $100,000 | $4,000 | ||||
13
|
$4,000 | $47,096 | $100,000 | $4,000 | ||||
Activity (Death of first Designated Life) 14 |
$4,000 | $42,660 | $100,000 | $4,000 | ||||
15
|
$4,000 | $38,168 | $100,000 | $4,000 | ||||
16
|
$4,000 | $33,619 | $100,000 | $4,000 | ||||
17
|
$4,000 | $29,013 | $100,000 | $4,000 | ||||
18
|
$4,000 | $24,349 | $100,000 | $4,000 | ||||
19
|
$4,000 | $19,626 | $100,000 | $4,000 | ||||
20
|
$4,000 | $14,844 | $100,000 | $4,000 | ||||
21
|
$4,000 | $10,002 | $100,000 | $4,000 | ||||
22
|
$4,000 | $5,099 | $100,000 | $4,000 | ||||
23
|
$4,000 | $0 | $100,000 | $4,000 | ||||
24
|
$4,000 | $0 | $100,000 | $4,000 | ||||
25
|
$4,000 | $0 | $100,000 | $4,000 | ||||
26
|
$4,000 | $0 | $100,000 | $4,000 | ||||
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 4% of Protected Payment Base = $4,000 |
98
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 65 years old. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | ||||||
| Protected Payment Base = Initial Purchase Payment = $100,000 |
| Protected Payment Amount = 5% of Protected Payment Base = $5,000 |
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 65 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| No withdrawals taken. |
| Automatic Reset at Beginning of Contract Year 2. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $10,350 | ||||||
99
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 65 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| A withdrawal lower than the Protected Payment Amount is taken during Contract Year 2. |
| Contract Value immediately before withdrawal = $221,490. |
| Automatic Resets at Beginning of Contract Years 2 and 3. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $10,350 | ||||||
Activity
|
$5,000 |
$216,490 (after $5,000 withdrawal) |
$207,000 | $5,350 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $216,490 | $207,000 | $10,350 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $216,490 | $216,490 | $10,825 | ||||||
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 65 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. |
| Contract Value immediately before withdrawal = $195,000. |
| Automatic Resets at Beginning of Contract Years 2 and 3. |
100
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $10,350 | ||||||
Activity
|
$30,000 |
$165,000 (after $30,000 withdrawal) |
$184,975 | $0 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $192,000 | $184,975 | $9,249 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $192,000 | $192,000 | $9,600 | ||||||
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 62 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. |
| Contract Value immediately before withdrawal = $221,490. |
| Automatic Resets at Beginning of Contract Years 2, 3 and 4. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $0 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $0 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $0 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $0 | ||||||
Activity
|
$25,000 |
$196,490 (after $25,000 withdrawal) |
$182,000 | $0 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $196,490 | $182,000 | $0 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $196,490 | $196,490 | $0 | ||||||
Year 4 Contract Anniversary
|
(Prior to Automatic Reset) | $205,000 | $196,490 | $0 | ||||||
Year 4 Contract Anniversary
|
(After Automatic Reset) | $205,000 | $205,000 | $10,250 | ||||||
101
Annual |
Protected |
Protected |
||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
|||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | |||||
05/01/2006 | $100,000 | $5,000 | ||||||||
Contract Anniversary |
||||||||||
01/01/2007
|
$7,500 | |||||||||
03/15/2007
|
$1,875 | $100,000 | $3,125 | |||||||
05/01/2007
|
$100,000 | $5,000 | ||||||||
Contract Anniversary |
||||||||||
06/15/2007
|
$1,875 | $100,000 | $3,125 | |||||||
09/15/2007
|
$1,875 | $100,000 | $1,250 | |||||||
12/15/2007
|
$1,875 | $100,000 | $0 | |||||||
01/01/2008
|
$8,000 | |||||||||
03/15/2008
|
$2,000 | $100,000 | $0 | |||||||
05/01/2008
|
$100,000 | $5,000 | ||||||||
Contract Anniversary |
||||||||||
102
Annual |
Protected |
Protected |
||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
|||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | |||||
05/01/2006 | $0 | $100,000 | $5,000 | |||||||
Contract Anniversary |
||||||||||
01/01/2007
|
$7,500 | |||||||||
03/15/2007
|
$1,875 | $100,000 | $3,125 | |||||||
04/01/2007
|
$2,000 | $100,000 | $1,125 | |||||||
05/01/2007
|
$100,000 | $5,000 | ||||||||
Contract Anniversary |
||||||||||
06/15/2007
|
$1,875 | $100,000 | $3,125 | |||||||
09/15/2007
|
$1,875 | $100,000 | $1,250 | |||||||
11/15/2007
|
$4,000 | $96,900 | $0 | |||||||
| Contract Value = $90,000 | |
| Protected Payment Base = $100,000 | |
| Protected Payment Amount = $1,250 |
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 65 years old. |
| No subsequent Purchase Payments are received. |
| Withdrawals, each equal to 5% of the Protected Payment Base are taken each Contract Year. |
| No Automatic Reset is assumed during the life of the Rider. |
| Death occurred during Contract Year 26 after the $5,000 withdrawal was made. |
103
Protected |
Protected |
|||||||
Contract |
End of Year |
Payment |
Payment |
|||||
Year | Withdrawal | Contract Value | Base | Amount | ||||
1
|
$5,000 | $96,489 | $100,000 | $5,000 | ||||
2
|
$5,000 | $92,410 | $100,000 | $5,000 | ||||
3
|
$5,000 | $88,543 | $100,000 | $5,000 | ||||
4
|
$5,000 | $84,627 | $100,000 | $5,000 | ||||
5
|
$5,000 | $80,662 | $100,000 | $5,000 | ||||
6
|
$5,000 | $76,648 | $100,000 | $5,000 | ||||
7
|
$5,000 | $72,583 | $100,000 | $5,000 | ||||
8
|
$5,000 | $68,467 | $100,000 | $5,000 | ||||
9
|
$5,000 | $64,299 | $100,000 | $5,000 | ||||
10
|
$5,000 | $60,078 | $100,000 | $5,000 | ||||
11
|
$5,000 | $55,805 | $100,000 | $5,000 | ||||
12
|
$5,000 | $51,478 | $100,000 | $5,000 | ||||
13
|
$5,000 | $47,096 | $100,000 | $5,000 | ||||
14
|
$5,000 | $42,660 | $100,000 | $5,000 | ||||
15
|
$5,000 | $38,168 | $100,000 | $5,000 | ||||
16
|
$5,000 | $33,619 | $100,000 | $5,000 | ||||
17
|
$5,000 | $29,013 | $100,000 | $5,000 | ||||
18
|
$5,000 | $24,349 | $100,000 | $5,000 | ||||
19
|
$5,000 | $19,626 | $100,000 | $5,000 | ||||
20
|
$5,000 | $14,844 | $100,000 | $5,000 | ||||
21
|
$5,000 | $10,002 | $100,000 | $5,000 | ||||
22
|
$5,000 | $5,099 | $100,000 | $5,000 | ||||
23
|
$5,000 | $0 | $100,000 | $5,000 | ||||
24
|
$5,000 | $0 | $100,000 | $5,000 | ||||
25
|
$5,000 | $0 | $100,000 | $5,000 | ||||
26
|
$5,000 | $0 | $100,000 | $5,000 | ||||
| Protected Payment Base = Initial Purchase Payment = $100,000 |
| Protected Payment Amount = 5% of Protected Payment Base = $5,000 |
104
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 65 years old. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,500 | ||||||
| Protected Payment Base = Initial Purchase Payment = $100,000 |
| Protected Payment Amount = 4.5% of Protected Payment Base = $4,500 |
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 65 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| No withdrawals taken. |
| Automatic Reset at Beginning of Contract Year 2. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,500 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $9,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $9,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $9,315 | ||||||
105
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 65 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| A withdrawal lower than the Protected Payment Amount is taken during Contract Year 2. |
| Contract Value immediately before withdrawal = $221,490. |
| Automatic Resets at Beginning of Contract Years 2 and 3. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,500 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $9,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $9,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $9,315 | ||||||
Activity
|
$5,000 |
$216,490 (after $5,000 withdrawal) |
$207,000 | $4,315 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $216,490 | $207,000 | $9,315 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $216,490 | $216,490 | $9,742 | ||||||
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 65 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. |
| Contract Value immediately before withdrawal = $195,000. |
| Automatic Resets at Beginning of Contract Years 2 and 3. |
106
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,500 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $9,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $9,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $9,315 | ||||||
Activity
|
$30,000 |
$165,000 (after $30,000 withdrawal) |
$183,940 | $0 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $192,000 | $183,940 | $8,277 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $192,000 | $192,000 | $8,640 | ||||||
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| Every Designated Life is 65 years old. |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. |
| Contract Value immediately before withdrawal = $221,490. |
| Automatic Resets at Beginning of Contract Years 2, 3 and 4. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $0 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $0 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $0 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $0 | ||||||
Activity
|
$25,000 |
$196,490 (after $25,000 withdrawal) |
$182,000 | $0 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $196,490 | $182,000 | $0 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $196,490 | $196,490 | $0 | ||||||
Year 4 Contract Anniversary
|
(Prior to Automatic Reset) | $205,000 | $196,490 | $0 | ||||||
Year 4 Contract Anniversary
|
(After Automatic Reset) | $205,000 | $205,000 | $9,225 | ||||||
107
Annual |
Protected |
Protected |
||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
|||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | |||||
05/01/2006 | $100,000 | $4,500 | ||||||||
Contract Anniversary |
||||||||||
01/01/2007
|
$7,500 | |||||||||
03/15/2007
|
$1,875 | $100,000 | $2,625 | |||||||
05/01/2007
|
$100,000 | $4,500 | ||||||||
Contract Anniversary |
||||||||||
06/15/2007
|
$1,875 | $100,000 | $2,625 | |||||||
09/15/2007
|
$1,875 | $100,000 | $750 | |||||||
12/15/2007
|
$1,875 | $100,000 | $0 | |||||||
01/01/2008
|
$8,000 | |||||||||
03/15/2008
|
$2,000 | $100,000 | $0 | |||||||
05/01/2008
|
$100,000 | $4,500 | ||||||||
Contract Anniversary |
||||||||||
108
Annual |
Protected |
Protected |
||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
|||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | |||||
05/01/2006 | $0 | $100,000 | $4,500 | |||||||
Contract Anniversary |
||||||||||
01/01/2007
|
$7,500 | |||||||||
03/15/2007
|
$1,875 | $100,000 | $2,625 | |||||||
04/01/2007
|
$2,000 | $100,000 | $625 | |||||||
05/01/2007
|
$100,000 | $4,500 | ||||||||
Contract Anniversary |
||||||||||
06/15/2007
|
$1,875 | $100,000 | $2,625 | |||||||
09/15/2007
|
$1,875 | $100,000 | $750 | |||||||
11/15/2007
|
$4,000 | $96,360 | $0 | |||||||
| Contract Value = $90,000 |
| Protected Payment Base = $100,000 |
| Protected Payment Amount = $750 |
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| All Designated Lives are 65 years old. |
| No subsequent Purchase Payments are received. |
| Withdrawals, each equal to 4.5% of the Protected Payment Base are taken each Contract Year. |
| No Automatic Reset is assumed during the life of the Rider. |
| All Designated Lives remain eligible for lifetime income benefits while the Rider is in effect. |
109
| Surviving Spouse continues Contract upon the death of the first Designated Life. |
| Surviving Spouse died during Contract Year 26 after the $4,500 withdrawal was made. |
Protected |
Protected |
|||||||
Contract |
End of Year |
Payment |
Payment |
|||||
Year | Withdrawal | Contract Value | Base | Amount | ||||
1
|
$4,500 | $96,489 | $100,000 | $4,500 | ||||
2
|
$4,500 | $92,410 | $100,000 | $4,500 | ||||
3
|
$4,500 | $88,543 | $100,000 | $4,500 | ||||
4
|
$4,500 | $84,627 | $100,000 | $4,500 | ||||
5
|
$4,500 | $80,662 | $100,000 | $4,500 | ||||
6
|
$4,500 | $76,648 | $100,000 | $4,500 | ||||
7
|
$4,500 | $72,583 | $100,000 | $4,500 | ||||
8
|
$4,500 | $68,467 | $100,000 | $4,500 | ||||
9
|
$4,500 | $64,299 | $100,000 | $4,500 | ||||
10
|
$4,500 | $60,078 | $100,000 | $4,500 | ||||
11
|
$4,500 | $55,805 | $100,000 | $4,500 | ||||
12
|
$4,500 | $51,478 | $100,000 | $4,500 | ||||
13
|
$4,500 | $47,096 | $100,000 | $4,500 | ||||
Activity (Death of first Designated Life) 14 |
$4,500 | $42,660 | $100,000 | $4,500 | ||||
15
|
$4,500 | $38,168 | $100,000 | $4,500 | ||||
16
|
$4,500 | $33,619 | $100,000 | $4,500 | ||||
17
|
$4,500 | $29,013 | $100,000 | $4,500 | ||||
18
|
$4,500 | $24,349 | $100,000 | $4,500 | ||||
19
|
$4,500 | $19,626 | $100,000 | $4,500 | ||||
20
|
$4,500 | $14,844 | $100,000 | $4,500 | ||||
21
|
$4,500 | $10,002 | $100,000 | $4,500 | ||||
22
|
$4,500 | $5,099 | $100,000 | $4,500 | ||||
23
|
$4,500 | $0 | $100,000 | $4,500 | ||||
24
|
$4,500 | $0 | $100,000 | $4,500 | ||||
25
|
$4,500 | $0 | $100,000 | $4,500 | ||||
26
|
$4,500 | $0 | $100,000 | $4,500 | ||||
| Protected Payment Base = Initial Purchase Payment = $100,000 |
| Protected Payment Amount = 4.5% of Protected Payment Base = $4,500 |
110
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Contract |
Payment |
Payment |
Protected |
||||||||
Payment | Withdrawal | Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $7,000 | $100,000 | |||||||
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Remaining Protected Balance = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 7% of Protected Payment Base = $7,000 |
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| A subsequent Purchase Payment of $20,000 is received during Contract Year 1. |
| No withdrawals taken. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Contract |
Payment |
Payment |
Protected |
||||||||
Payment | Withdrawal | Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $7,000 | $100,000 | |||||||
Activity
|
$20,000 | $122,000 | $120,000 | $8,400 | $120,000 | |||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $122,000 | $120,000 | $8,400 | $120,000 | |||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $122,000 | $122,000 | $8,540 | $122,000 | |||||||
111
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| A subsequent Purchase Payment of $20,000 is received during Contract Year 1. |
| Automatic Reset at the Beginning of Contract Year 2. |
| A withdrawal equal to or less than the Protected Payment Amount is taken during Contract Year 2. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Payment |
Payment |
Protected |
|||||||||
Payment | Withdrawal | Contract Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $7,000 | $100,000 | |||||||
Activity
|
$20,000 | $122,000 | $120,000 | $8,400 | $120,000 | |||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $122,000 | $120,000 | $8,400 | $120,000 | |||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $122,000 | $122,000 | $8,540 | $122,000 | |||||||
Activity
|
$8,540 | $116,000 | $122,000 | $0 | $113,460 | |||||||
Year 3 Contract Anniversary
|
$116,000 | $122,000 | $8,540 | $113,460 | ||||||||
| the Protected Payment Base remains unchanged; and |
| the Remaining Protected Balance is reduced by the amount of the withdrawal to $113,460 ($122,000 − $8,540). |
| Initial Purchase Payment = $100,000 |
| Rider Effective Date = Contract Date |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. |
| Automatic Reset at Beginning of Contract Year 2 and 4. |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Contract |
Payment |
Payment |
Protected |
||||||||
Payment | Withdrawal | Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $7,000 | $100,000 | |||||||
Activity
|
$100,000 | $200,000 | $200,000 | $14,000 | $200,000 | |||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $14,000 | $200,000 | |||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $14,490 | $207,000 | |||||||
Activity
|
$15,000 | $206,490 | $206,503 | $0 | $192,000 | |||||||
Year 3 Contract Anniversary
|
$206,490 | $206,503 | $14,455 | $192,000 | ||||||||
Year 4 Contract Anniversary
|
(Prior to Automatic Reset) | $220,944 | $206,503 | $14,455 | $192,000 | |||||||
Year 4 Contract Anniversary
|
(After Automatic Reset) | $220,944 | $220,944 | $15,466 | $220,944 | |||||||
| Contract Value = $221,490 |
| Protected Payment Base = $207,000 |
| Remaining Protected Balance = $207,000 |
| Protected Payment Amount = $14,490 (7% × Protected Payment Base; 7% × $207,000 = $14,490) |
| No withdrawals were taken prior to the excess withdrawal |
112
113
Annual |
Protected |
Protected |
Remaining |
|||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
Protected |
||||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | Balance | ||||||
05/01/2006 Contract Anniversary |
$100,000 | $7,000 | $100,000 | |||||||||
01/01/2007
|
$7,500 | |||||||||||
03/15/2007
|
$1,875 | $100,000 | $5,125 | $98,125 | ||||||||
05/01/2007 Contract Anniversary |
$100,000 | $7,000 | $98,125 | |||||||||
06/15/2007
|
$1,875 | $100,000 | $5,125 | $96,250 | ||||||||
09/15/2007
|
$1,875 | $100,000 | $3,250 | $94,375 | ||||||||
12/15/2007
|
$1,875 | $100,000 | $1,375 | $92,500 | ||||||||
01/01/2008
|
$8,000 | |||||||||||
03/15/2008
|
$2,000 | $100,000 | $0 | $90,500 | ||||||||
05/01/2008 Contract Anniversary |
$100,000 | $7,000 | $90,500 | |||||||||
Annual |
Protected |
Protected |
Remaining |
|||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
Protected |
||||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | Balance | ||||||
05/01/2006 Contract Anniversary |
$100,000 | $7,000 | $100,000 | |||||||||
01/01/2007
|
$7,500 | |||||||||||
03/15/2007
|
$1,875 | $100,000 | $5,125 | $98,125 | ||||||||
04/01/2007
|
$2,000 | $100,000 | $3,125 | $96,125 | ||||||||
05/01/2007 Contract Anniversary |
$100,000 | $7,000 | $96,125 | |||||||||
06/15/2007
|
$1,875 | $100,000 | $5,125 | $94,250 | ||||||||
09/15/2007
|
$1,875 | $100,000 | $3,250 | $92,375 | ||||||||
11/15/2007
|
$4,000 | $99,140 | $0 | $88,358 | ||||||||
| Contract Value = $90,000 |
| Protected Payment Base = $100,000 |
114
| Remaining Protected Balance = $92,375 |
| Protected Payment Amount less withdrawals already taken = $7,000 − $3,750 = $3,250 |
115
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| A subsequent Purchase Payment of $20,000 is received in Contract Year 1 and $10,000 is received in Contract Year 4. | |
| A withdrawal of $10,000 is taken during Contract Year 7. |
Beginning |
Purchase |
Guaranteed |
Amount |
|||||||
of Contract |
Payments |
Withdrawal |
Contract |
Protection |
added to the |
|||||
Year | Received | Amount | Value | Amount | Contract Value | |||||
1
|
$100,000 | $100,000 | $100,000 | |||||||
Activity
|
$20,000 | $118,119 | $120,000 | |||||||
2
|
$117,374 | $120,000 | ||||||||
3
|
$114,439 | $120,000 | ||||||||
4
|
$111,578 | $120,000 | ||||||||
Activity
|
$10,000 | $119,480 | $120,000 | |||||||
5
|
$118,726 | $120,000 | ||||||||
6
|
$124,662 | $120,000 | ||||||||
Step-Up (New 10- Year Term Begins) |
$124,662 | $124,662 | ||||||||
7
|
$121,546 | $124,662 | ||||||||
Activity
|
$10,000 | $109,259 | $114,209 | |||||||
8
|
$108,570 | $114,209 | ||||||||
9
|
$105,856 | $114,209 | ||||||||
10
|
$103,209 | $114,209 | ||||||||
11
|
$100,629 | $114,209 | ||||||||
12
|
$98,114 | $114,209 | ||||||||
13
|
$95,661 | $114,209 | ||||||||
14
|
$93,269 | $114,209 | ||||||||
15
|
$90,937 | $114,209 | ||||||||
Values at End of 15th Year |
$88,664 $114,209 |
$114,209 $0 |
$25,545 |
|||||||
(a) | is the Contract Value at the start of the Term, | |
(b) | is the amount of each subsequent Purchase Payment received during the first year of the Term, and | |
(c) | is a pro rata adjustment for withdrawals made from the Contract during the Term. The adjustment for each withdrawal is calculated by multiplying the Guaranteed Protection Amount prior to the withdrawal by the ratio of the amount of the withdrawal, including any applicable withdrawal charges, premium taxes, and/or other taxes, to the Contract Value immediately prior to the withdrawal. |
| Guaranteed Protected Amount = Initial Purchase Payment = $100,000 ($100,000 + 0 − 0 = $100,000) |
116
117
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| A subsequent Purchase Payment of $25,000 is received in Contract Year 3. | |
| A withdrawal of $35,000 is taken during Contract Year 6. | |
| A withdrawal of $10,000 is taken during Contract Year 11. |
Beginning |
Purchase |
Return of |
||||||
of Contract |
Payments |
Withdrawal |
Purchase |
|||||
Year | Received | Amount | Contract Value1 | Payments1 | ||||
1
|
$100,000 | $100,000 | $100,000 | |||||
2
|
$103,000 | $100,000 | ||||||
3
|
$106,090 | $100,000 | ||||||
Activity
|
$25,000 | $133,468 | $125,000 | |||||
4
|
$134,458 | $125,000 | ||||||
5
|
$138,492 | $125,000 | ||||||
6
|
$142,647 | $125,000 | ||||||
Activity
|
$35,000 | $110,844 | $95,000 | |||||
7
|
$111,666 | $95,000 | ||||||
8
|
$103,850 | $95,000 | ||||||
9
|
$96,580 | $95,000 | ||||||
10 | $89,820 | $95,000 | ||||||
11
|
$10,000 | $73,530 | $83,629 | |||||
12
|
$68,383 | $83,629 | ||||||
13
|
$63,596 | $83,629 | ||||||
14 Death Occurs |
$59,144 | $83,629 | ||||||
1 | The greater of the Contract Value or the adjusted Return of Purchase Payments represents the Death Benefit Amount. |
| Return of Purchase Payment = Initial Purchase Payment = $100,000 | |
| Contract Value = Initial Purchase Payment = $100,000 |
118
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| A subsequent Purchase Payment of $25,000 is received in Contract Year 3. | |
| A withdrawal of $35,000 is taken during Contract Year 6. | |
| Annual Step-Ups occur on each of the first 7 Contract Anniversaries. |
Guaranteed |
||||||||||
Minimum |
||||||||||
Beginning |
Purchase |
Return of |
(Stepped-Up) |
|||||||
of Contract |
Payments |
Withdrawal |
Contract |
Purchase |
Death Benefit |
|||||
Year | Received | Amount | Value1 | Payments1 | Amount | |||||
1
|
$100,000 | $100,000 | $100,000 | $100,000 | ||||||
2
|
$103,000 | $100,000 | $103,000 | |||||||
3
|
$106,090 | $100,000 | $106,090 | |||||||
Activity
|
$25,000 | $133,468 | $125,000 | $131,090 | ||||||
4
|
$134,458 | $125,000 | $134,458 | |||||||
5
|
$138,492 | $125,000 | $138,492 | |||||||
6
|
$142,647 | $125,000 | $142,647 | |||||||
Activity
|
$35,000 | $110,844 | $95,000 | $108,412 | ||||||
7
|
$111,666 | $95,000 | $111,666 | |||||||
8
|
$103,850 | $95,000 | $111,666 | |||||||
9
|
$96,580 | $95,000 | $111,666 | |||||||
Death Occurs |
$89,820 | $95,000 | $111,666 | |||||||
1 | The greater of the Contract Value or the adjusted Return of Purchase Payments represents the Death Benefit Amount. |
| Return of Purchase Payment = Initial Purchase Payment = $100,000 | |
| Guaranteed Minimum (Stepped-Up) Death Benefit Amount = Initial Purchase Payment = $100,000 | |
| Contract Value = Initial Purchase Payment = $100,000 |
119
120
| Initial Purchase Payment = $100,000 | |
| Rider effective Date = Contract Date | |
| A subsequent Purchase Payment of $20,000 is received during Contract Year 3. | |
| A withdrawal of $20,000 is taken during Contract Year 7. | |
| A withdrawal of $10,000 is taken during Contract Year 8. |
Adjustment to |
||||||||||||||||
Beginning |
Purchase |
Remaining |
Remaining |
|||||||||||||
of Contract |
Payments |
Withdrawal |
Contract |
Purchase |
Purchase |
|||||||||||
Year | Received | Amount | Value | Earnings1 | Payments | Payments | 40% EEG2 | 25% EEG3 | ||||||||
1
|
$100,000 | $100,000 | $0 | $100,000 | | $0 | $0 | |||||||||
2
|
$103,000 | $3,000 | $100,000 | | $1,200 | $750 | ||||||||||
3
|
$106,090 | $6,090 | $100,000 | | $2,436 | $1,523 | ||||||||||
Activity
|
$20,000 | $128,468 | $8,468 | $120,000 | | $3,387 | $2,117 | |||||||||
4
|
$129,421 | $9,421 | $120,000 | | $3,768 | $2,355 | ||||||||||
5
|
$133,304 | $13,304 | $120,000 | | $5,321 | $3,326 | ||||||||||
6
|
$137,303 | $17,303 | $120,000 | | $6,921 | $4,326 | ||||||||||
7
|
$141,422 | $21,422 | $120,000 | | $8,569 | $5,355 | ||||||||||
Activity
|
$20,000 | $124,592 | $4,592 | $120,000 | | $1,837 | $1,148 | |||||||||
8
|
$125,516 | $5,516 | $120,000 | | $2,206 | $1,379 | ||||||||||
Activity
|
$10,000 | $118,330 | $0 | $118,330 | $1,670 | $0 | $0 | |||||||||
9
|
$119,208 | $878 | $118,330 | | $351 | $219 | ||||||||||
Death at the beginning of year 10 |
$126,360 | $8,030 | $118,330 | | $3,212 | $2,008 | ||||||||||
1 | For Rider purposes, Earnings are equal to the Contract Value less Remaining Purchase Payments. | |
2 | 40% EEG amount is applicable if the oldest Annuitant was age 69 or younger on the Rider Effective Date. | |
3 | 25% EEG amount is applicable if the oldest Annuitant was age 70 to 75 on the Rider Effective Date. |
| Remaining Purchase Payments = Initial Purchase Payment = $100,000 |
121
122
123
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions in effect at that time, | |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, | |
| the Annual RMD Amount is based on this Contract only, and | |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
124
| the Protected Payment Amount will be paid each year until the date of death of an Owner or the date of death of the sole surviving Annuitant (first Annuitant in the case of a Non-Natural Owner), |
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency as elected by the Owner, but no less frequently than annually, |
| no additional Purchase Payments will be accepted under the Contract, and |
| the Contract will cease to provide any death benefit. |
125
| the Life Only fixed annual payment amount based on the terms of your Contract, or | |
| the Protected Payment Amount in effect at the maximum Annuity Date. |
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, | |
| the date of the death of an Owner or the date of death of the sole surviving Annuitant, | |
| for Contracts with a Non-Natural Owner, the date of death of any Annuitant, including Primary, Joint and Contingent Annuitants, | |
| the day the Contract is terminated in accordance with the provisions of the Contract, |
| the day we are notified of a change in ownership of the Contract to a non-spouse Owner if the Contract is Non-Qualified (excluding changes in ownership to or from certain trusts or if this Rider is issued in California), | |
| the day the Contingent Annuitant becomes the Annuitant (if this Rider is issued in California), |
| the day you exchange this Rider for another withdrawal benefit Rider, | |
| the Annuity Date (see the Annuitization subsection for additional information), | |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount, or | |
| the day the Contract Value is reduced to zero if the oldest Owner (or youngest Annuitant, in the case of a Non-Natural Owner or if this Rider is issued in California) is younger than age 591/2. |
| a sole Owner with the Owners Spouse designated as the sole primary Beneficiary, | |
| Joint Owners, where the Owners are each others Spouses, or | |
| if the Contract is issued as a custodial owned IRA or TSA, the beneficial owner must be the Annuitant and the Annuitants Spouse must be designated as the sole primary Beneficiary under the Contract. The custodian, under a custodial owned IRA or TSA, for the benefit of the beneficial owner, may be designated as sole primary Beneficiary provided that the Spouse of the beneficial owner is the sole primary Beneficiary of the custodial account. |
126
| be the Owner (or Annuitant, in the case of a custodial owned IRA or TSA), | |
| remain the Spouse of the other Designated Life and be the first in line of succession, as determined under the Contract, for payment of any death benefit. |
127
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions in effect at that time, | |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, | |
| the Annual RMD Amount is based on this Contract only, | |
| the youngest Designated Life is age 591/2 or older, and | |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
128
| the Protected Payment Amount will be paid each year until the death of all Designated Lives eligible for lifetime benefits, | |
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency as elected by the Owner, but no less frequently than annually, | |
| no additional Purchase Payments will be accepted under the Contract, and | |
| the Contract will cease to provide any death benefit. |
129
| the Life Only or Joint Life Only fixed annual payment amount based on the terms of your Contract, or | |
| the Protected Payment Amount in effect at the maximum Annuity Date. |
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, | |
| the date of the death of all Designated Lives eligible for lifetime benefits, | |
| upon the death of the first Designated Life, if a death benefit is payable and a Surviving Spouse who chooses to continue the Contract is not a Designated Life eligible for lifetime benefits, | |
| upon the death of the first Designated Life, if a death benefit is payable and the Contract is not continued by a Surviving Spouse who is a Designated Life eligible for lifetime benefits, | |
| if both Designated Lives are Joint Owners and there is a change in marital status, the Rider will terminate upon the death of the first Designated Life who is a Contract Owner, | |
| the day the Contract is terminated in accordance with the provisions of the Contract, | |
| the day that neither Designated Life is an Owner (or Annuitant, in the case of a custodial owned IRA or TSA) (this bullet does not apply if this Rider is issued in California), | |
| the day you exchange this Rider for another withdrawal benefit Rider, | |
| the Annuity Date (see the Annuitization subsection for additional information), | |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount, or | |
| the day the Contract Value is reduced to zero if the youngest Designated Life is younger than age 591/2. |
130
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant (every Designated Life for Joint) is 64 years old. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,000 | ||||||
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 4% of Protected Payment Base = $4,000 |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant (every Designated Life for Joint) is 64 years old. | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| No withdrawals taken. | |
| Automatic Reset at Beginning of Contract Year 2. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $8,280 | ||||||
131
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant (every Designated Life for Joint) is 64 years old. | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal equal to or less than the Protected Payment Amount is taken during Contract Year 2. | |
| Contract Value immediately before withdrawal = $221,490. | |
| Automatic Resets at Beginning of Contract Years 2 and 3. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $8,280 | ||||||
Activity
|
$5,000 |
$216,490 (after $5,000 withdrawal) |
$207,000 | $3,280 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $216,490 | $207,000 | $8,280 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $216,490 | $216,490 | $8,660 | ||||||
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant (every Designated Life for Joint) is 64 years old. | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. | |
| Contract Value immediately before withdrawal = $195,000. | |
| Automatic Resets at Beginning of Contract Years 2 and 3. |
132
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $4,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $8,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $8,280 | ||||||
Activity
|
$30,000 |
$165,000 (after $30,000 withdrawal) |
$182,926 | $0 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $192,000 | $182,926 | $7,317 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $192,000 | $192,000 | $7,680 | ||||||
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant (youngest Designated Life for Joint) is 561/2 years old. | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. | |
| Contract Value immediately before withdrawal = $221,490. | |
| Automatic Resets at Beginning of Contract Years 2, 3 and 4. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $0 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $0 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $0 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $0 | ||||||
Activity
|
$25,000 |
$196,490 (after $25,000 withdrawal) |
$182,000 | $0 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $196,490 | $182,000 | $0 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $196,490 | $196,490 | $0 | ||||||
Year 4 Contract Anniversary
|
(Prior to Automatic Reset) | $205,000 | $196,490 | $0 | ||||||
Year 4 Contract Anniversary
|
(After Automatic Reset) | $205,000 | $205,000 | $8,200 | ||||||
133
Annual |
Protected |
Protected |
||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
|||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | |||||
05/01/2006 | $100,000 | $4,000 | ||||||||
Contract Anniversary |
||||||||||
01/01/2007
|
$7,500 | |||||||||
03/15/2007
|
$1,875 | $100,000 | $2,125 | |||||||
05/01/2007
|
$100,000 | $4,000 | ||||||||
Contract Anniversary |
||||||||||
06/15/2007
|
$1,875 | $100,000 | $2,125 | |||||||
09/15/2007
|
$1,875 | $100,000 | $250 | |||||||
12/15/2007
|
$1,875 | $100,000 | $0 | |||||||
01/01/2008
|
$8,000 | |||||||||
03/15/2008
|
$2,000 | $100,000 | $0 | |||||||
05/01/2008
|
$100,000 | $4,000 | ||||||||
Contract Anniversary |
||||||||||
134
Annual |
Protected |
Protected |
||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
|||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | |||||
05/01/2006 | $0 | $100,000 | $4,000 | |||||||
Contract Anniversary |
||||||||||
01/01/2007
|
$7,500 | |||||||||
03/15/2007
|
$1,875 | $100,000 | $2,125 | |||||||
04/01/2007
|
$2,000 | $100,000 | $125 | |||||||
05/01/2007
|
$100,000 | $4,000 | ||||||||
Contract Anniversary |
||||||||||
06/15/2007
|
$1,875 | $100,000 | $2,125 | |||||||
09/15/2007
|
$1,875 | $100,000 | $250 | |||||||
11/15/2007
|
$4,000 | $95,820 | $0 | |||||||
| Contract Value = $90,000 | |
| Protected Payment Base = $100,000 | |
| Protected Payment Amount = $250 |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant is 64 years old. | |
| No subsequent Purchase Payments are received. | |
| Withdrawals, each equal to 4% of the Protected Payment Base are taken each Contract Year. | |
| No Automatic Reset or Owner-Elected Reset is assumed during the life of the Rider. | |
| Death occurs during Contract Year 26 after the $4,000 withdrawal was made. |
135
Protected |
Protected |
|||||||
Contract |
End of Year |
Payment |
Payment |
|||||
Year | Withdrawal | Contract Value | Base | Amount | ||||
1
|
$4,000 | $96,489 | $100,000 | $4,000 | ||||
2
|
$4,000 | $92,410 | $100,000 | $4,000 | ||||
3
|
$4,000 | $88,543 | $100,000 | $4,000 | ||||
4
|
$4,000 | $84,627 | $100,000 | $4,000 | ||||
5
|
$4,000 | $80,662 | $100,000 | $4,000 | ||||
6
|
$4,000 | $76,648 | $100,000 | $4,000 | ||||
7
|
$4,000 | $72,583 | $100,000 | $4,000 | ||||
8
|
$4,000 | $68,467 | $100,000 | $4,000 | ||||
9
|
$4,000 | $64,299 | $100,000 | $4,000 | ||||
10
|
$4,000 | $60,078 | $100,000 | $4,000 | ||||
11
|
$4,000 | $55,805 | $100,000 | $4,000 | ||||
12
|
$4,000 | $51,478 | $100,000 | $4,000 | ||||
13
|
$4,000 | $47,096 | $100,000 | $4,000 | ||||
14
|
$4,000 | $42,660 | $100,000 | $4,000 | ||||
15
|
$4,000 | $38,168 | $100,000 | $4,000 | ||||
16
|
$4,000 | $33,619 | $100,000 | $4,000 | ||||
17
|
$4,000 | $29,013 | $100,000 | $4,000 | ||||
18
|
$4,000 | $24,349 | $100,000 | $4,000 | ||||
19
|
$4,000 | $19,626 | $100,000 | $4,000 | ||||
20
|
$4,000 | $14,844 | $100,000 | $4,000 | ||||
21
|
$4,000 | $10,002 | $100,000 | $4,000 | ||||
22
|
$4,000 | $5,099 | $100,000 | $4,000 | ||||
23
|
$4,000 | $0 | $100,000 | $4,000 | ||||
24
|
$4,000 | $0 | $100,000 | $4,000 | ||||
25
|
$4,000 | $0 | $100,000 | $4,000 | ||||
26
|
$4,000 | $0 | $100,000 | $4,000 | ||||
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 4% of Protected Payment Base = $4,000 |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| All Designated Lives are 64 years old. | |
| No subsequent Purchase Payments are received. | |
| Withdrawals, each equal to 4% of the Protected Payment Base are taken each Contract Year. | |
| No Automatic Reset or Owner-Elected Reset is assumed during the life of the Rider. | |
| All Designated Lives remain eligible for lifetime income benefits while the Rider is in effect. | |
| Surviving Spouse continues Contract upon the death of the first Designated Life. |
136
| Surviving Spouse dies during Contract Year 26 after the $4,000 withdrawal was made. |
Protected |
Protected |
|||||||
Contract |
End of Year |
Payment |
Payment |
|||||
Year | Withdrawal | Contract Value | Base | Amount | ||||
1
|
$4,000 | $96,489 | $100,000 | $4,000 | ||||
2
|
$4,000 | $92,410 | $100,000 | $4,000 | ||||
3
|
$4,000 | $88,543 | $100,000 | $4,000 | ||||
4
|
$4,000 | $84,627 | $100,000 | $4,000 | ||||
5
|
$4,000 | $80,662 | $100,000 | $4,000 | ||||
6
|
$4,000 | $76,648 | $100,000 | $4,000 | ||||
7
|
$4,000 | $72,583 | $100,000 | $4,000 | ||||
8
|
$4,000 | $68,467 | $100,000 | $4,000 | ||||
9
|
$4,000 | $64,299 | $100,000 | $4,000 | ||||
10
|
$4,000 | $60,078 | $100,000 | $4,000 | ||||
11
|
$4,000 | $55,805 | $100,000 | $4,000 | ||||
12
|
$4,000 | $51,478 | $100,000 | $4,000 | ||||
13
|
$4,000 | $47,096 | $100,000 | $4,000 | ||||
Activity (Death of first Designated Life) 14 |
$4,000 | $42,660 | $100,000 | $4,000 | ||||
15
|
$4,000 | $38,168 | $100,000 | $4,000 | ||||
16
|
$4,000 | $33,619 | $100,000 | $4,000 | ||||
17
|
$4,000 | $29,013 | $100,000 | $4,000 | ||||
18
|
$4,000 | $24,349 | $100,000 | $4,000 | ||||
19
|
$4,000 | $19,626 | $100,000 | $4,000 | ||||
20
|
$4,000 | $14,844 | $100,000 | $4,000 | ||||
21
|
$4,000 | $10,002 | $100,000 | $4,000 | ||||
22
|
$4,000 | $5,099 | $100,000 | $4,000 | ||||
23
|
$4,000 | $0 | $100,000 | $4,000 | ||||
24
|
$4,000 | $0 | $100,000 | $4,000 | ||||
25
|
$4,000 | $0 | $100,000 | $4,000 | ||||
26
|
$4,000 | $0 | $100,000 | $4,000 | ||||
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 4% of Protected Payment Base = $4,000 |
137
138
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions in effect at that time, | |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, | |
| the Annual RMD Amount is based on this Contract only, and | |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
| the Protected Payment Amount will be paid each year until the date of death of an Owner or the date of death of the sole surviving Annuitant (first Annuitant in the case of a Non-Natural Owner), |
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency as elected by the Owner, but no less frequently than annually, |
| no additional Purchase Payments will be accepted under the Contract, and |
| the Contract will cease to provide any death benefit. |
139
| the Life Only fixed annual payment amount based on the terms of your Contract, or | |
| the Protected Payment Amount in effect at the maximum Annuity Date. |
140
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, | |
| the date of the death of an Owner or the date of death of the sole surviving Annuitant, | |
| for Contracts with a Non-Natural Owner, the date of death of any Annuitant, including Primary, Joint and Contingent Annuitants, | |
| the day the Contract is terminated in accordance with the provisions of the Contract, |
| the day we are notified of a change in ownership of the Contract to a non-spouse Owner if the Contract is Non-Qualified (excluding changes in ownership to or from certain trusts or if this Rider is issued in California), | |
| the day the Contingent Annuitant becomes the Annuitant (if this Rider is issued in California), |
| the day you exchange this Rider for another withdrawal benefit Rider, | |
| the Annuity Date (see the Annuitization subsection for additional information), | |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount, or | |
| the day the Contract Value is reduced to zero if the oldest Owner (or youngest Annuitant, in the case of a Non-Natural Owner or if this Rider is issued in California) is younger than age 591/2. |
| a sole Owner with the Owners Spouse designated as the sole primary Beneficiary, | |
| Joint Owners, where the Owners are each others Spouses, or | |
| if the Contract is issued as a custodial owned IRA or TSA, the beneficial owner must be the Annuitant and the Annuitants Spouse must be designated as the sole primary Beneficiary under the Contract. The custodian, under a custodial owned IRA or TSA, for the benefit of the beneficial owner, may be designated as sole primary Beneficiary provided that the Spouse of the beneficial owner is the sole primary Beneficiary of the custodial account. |
| be the Owner (or Annuitant, in the case of a custodial owned IRA or TSA), | |
| remain the Spouse of the other Designated Life and be the first in line of succession, as determined under the Contract, for payment of any death benefit. |
141
142
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions in effect at that time, | |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, | |
| the Annual RMD Amount is based on this Contract only, | |
| the youngest Designated Life is age 591/2 or older, and | |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
| the Protected Payment Amount will be paid each year until the death of all Designated Lives eligible for lifetime benefits, | |
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency as elected by the Owner, but no less frequently than annually, | |
| no additional Purchase Payments will be accepted under the Contract, and | |
| the Contract will cease to provide any death benefit. |
143
| the Life Only or Joint Life Only fixed annual payment amount based on the terms of your Contract, or | |
| the Protected Payment Amount in effect at the maximum Annuity Date. |
144
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, | |
| the date of the death of all Designated Lives eligible for lifetime benefits, | |
| upon the death of the first Designated Life, if a death benefit is payable and a Surviving Spouse who chooses to continue the Contract is not a Designated Life eligible for lifetime benefits, | |
| upon the death of the first Designated Life, if a death benefit is payable and the Contract is not continued by a Surviving Spouse who is a Designated Life eligible for lifetime benefits, | |
| if both Designated Lives are Joint Owners and there is a change in marital status, the Rider will terminate upon the death of the first Designated Life who is a Contract Owner, | |
| the day the Contract is terminated in accordance with the provisions of the Contract, | |
| the day that neither Designated Life is an Owner (or Annuitant, in the case of a custodial owned IRA or TSA) (this bullet does not apply if this Rider is issued in California), | |
| the day you exchange this Rider for another withdrawal benefit Rider, | |
| the Annuity Date (see the Annuitization subsection for additional information), | |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount, or | |
| the day the Contract Value is reduced to zero if the youngest Designated Life is younger than age 591/2. |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant (every Designated Life for Joint) is 64 years old. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | ||||||
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 5% of Protected Payment Base = $5,000 |
145
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant (every Designated Life for Joint) is 64 years old. | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| No withdrawals taken. | |
| Automatic Reset at Beginning of Contract Year 2. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $10,350 | ||||||
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant (every Designated Life for Joint) is 64 years old. | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal lower than the Protected Payment Amount is taken during Contract Year 2. | |
| Contract Value immediately before withdrawal = $221,490. | |
| Automatic Resets at Beginning of Contract Years 2 and 3. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $10,350 | ||||||
Activity
|
$5,000 |
$216,490 (after $5,000 withdrawal) |
$207,000 | $5,350 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $216,490 | $207,000 | $10,350 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $216,490 | $216,490 | $10,825 | ||||||
146
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant (every Designated Life for Joint) is 64 years old. | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. | |
| Contract Value immediately before withdrawal = $195,000. | |
| Automatic Resets at Beginning of Contract Years 2 and 3. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $10,000 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $10,350 | ||||||
Activity
|
$30,000 |
$165,000 (after $30,000 withdrawal) |
$184,975 | $0 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $192,000 | $184,975 | $9,249 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $192,000 | $192,000 | $9,600 | ||||||
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant (youngest Designated Life for Joint) is 561/2 years old. | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. | |
| Contract Value immediately before withdrawal = $221,490. |
147
| Automatic Resets at Beginning of Contract Years 2, 3 and 4. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
|||||||||
Purchase |
Contract |
Payment |
Payment |
|||||||
Payment | Withdrawal | Value | Base | Amount | ||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $0 | ||||||
Activity
|
$100,000 | $200,000 | $200,000 | $0 | ||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $0 | ||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $0 | ||||||
Activity
|
$25,000 |
$196,490 (after $25,000 withdrawal) |
$182,000 | $0 | ||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $196,490 | $182,000 | $0 | ||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $196,490 | $196,490 | $0 | ||||||
Year 4 Contract Anniversary
|
(Prior to Automatic Reset) | $205,000 | $196,490 | $0 | ||||||
Year 4 Contract Anniversary
|
(After Automatic Reset) | $205,000 | $205,000 | $10,250 | ||||||
148
Annual |
Protected |
Protected |
||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
|||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | |||||
05/01/2006 | $100,000 | $5,000 | ||||||||
Contract Anniversary |
||||||||||
01/01/2007
|
$7,500 | |||||||||
03/15/2007
|
$1,875 | $100,000 | $3,125 | |||||||
05/01/2007
|
$100,000 | $5,000 | ||||||||
Contract Anniversary |
||||||||||
06/15/2007
|
$1,875 | $100,000 | $3,125 | |||||||
09/15/2007
|
$1,875 | $100,000 | $1,250 | |||||||
12/15/2007
|
$1,875 | $100,000 | $0 | |||||||
01/01/2008
|
$8,000 | |||||||||
03/15/2008
|
$2,000 | $100,000 | $0 | |||||||
05/01/2008
|
$100,000 | $5,000 | ||||||||
Contract Anniversary |
||||||||||
Annual |
Protected |
Protected |
||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
|||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | |||||
05/01/2006 | $0 | $100,000 | $5,000 | |||||||
Contract Anniversary |
||||||||||
01/01/2007
|
$7,500 | |||||||||
03/15/2007
|
$1,875 | $100,000 | $3,125 | |||||||
04/01/2007
|
$2,000 | $100,000 | $1,125 | |||||||
05/01/2007
|
$100,000 | $5,000 | ||||||||
Contract Anniversary |
||||||||||
06/15/2007
|
$1,875 | $100,000 | $3,125 | |||||||
09/15/2007
|
$1,875 | $100,000 | $1,250 | |||||||
11/15/2007
|
$4,000 | $96,900 | $0 | |||||||
| Contract Value = $90,000 | |
| Protected Payment Base = $100,000 | |
| Protected Payment Amount = $1,250 |
149
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Every Owner and Annuitant is 64 years old. | |
| No subsequent Purchase Payments are received. | |
| Withdrawals, each equal to 5% of the Protected Payment Base are taken each Contract Year. | |
| No Automatic Reset or Owner-Elected Reset is assumed during the life of the Rider. | |
| Death occurred during Contract Year 26 after the $5,000 withdrawal was made. |
Protected |
Protected |
|||||||
Contract |
End of Year |
Payment |
Payment |
|||||
Year | Withdrawal | Contract Value | Base | Amount | ||||
1
|
$5,000 | $96,489 | $100,000 | $5,000 | ||||
2
|
$5,000 | $92,410 | $100,000 | $5,000 | ||||
3
|
$5,000 | $88,543 | $100,000 | $5,000 | ||||
4
|
$5,000 | $84,627 | $100,000 | $5,000 | ||||
5
|
$5,000 | $80,662 | $100,000 | $5,000 | ||||
6
|
$5,000 | $76,648 | $100,000 | $5,000 | ||||
7
|
$5,000 | $72,583 | $100,000 | $5,000 | ||||
8
|
$5,000 | $68,467 | $100,000 | $5,000 | ||||
9
|
$5,000 | $64,299 | $100,000 | $5,000 | ||||
10
|
$5,000 | $60,078 | $100,000 | $5,000 | ||||
11
|
$5,000 | $55,805 | $100,000 | $5,000 | ||||
12
|
$5,000 | $51,478 | $100,000 | $5,000 | ||||
13
|
$5,000 | $47,096 | $100,000 | $5,000 | ||||
14
|
$5,000 | $42,660 | $100,000 | $5,000 | ||||
15
|
$5,000 | $38,168 | $100,000 | $5,000 | ||||
16
|
$5,000 | $33,619 | $100,000 | $5,000 | ||||
17
|
$5,000 | $29,013 | $100,000 | $5,000 | ||||
18
|
$5,000 | $24,349 | $100,000 | $5,000 | ||||
19
|
$5,000 | $19,626 | $100,000 | $5,000 | ||||
20
|
$5,000 | $14,844 | $100,000 | $5,000 | ||||
21
|
$5,000 | $10,002 | $100,000 | $5,000 | ||||
22
|
$5,000 | $5,099 | $100,000 | $5,000 | ||||
23
|
$5,000 | $0 | $100,000 | $5,000 | ||||
24
|
$5,000 | $0 | $100,000 | $5,000 | ||||
25
|
$5,000 | $0 | $100,000 | $5,000 | ||||
26
|
$5,000 | $0 | $100,000 | $5,000 | ||||
150
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 5% of Protected Payment Base = $5,000 |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| All Designated Lives are 64 years old. | |
| No subsequent Purchase Payments are received. | |
| Withdrawals, each equal to 5% of the Protected Payment Base are taken each Contract Year. | |
| No Automatic Reset or Owner-Elected Reset is assumed during the life of the Rider. | |
| All Designated Lives remain eligible for lifetime income benefits while the Rider is in effect. | |
| Surviving Spouse continues Contract upon the death of the first Designated Life. | |
| Surviving Spouse died during Contract Year 26 after the $5,000 withdrawal was made. |
Protected |
Protected |
|||||||
Contract |
End of Year |
Payment |
Payment |
|||||
Year | Withdrawal | Contract Value | Base | Amount | ||||
1
|
$5,000 | $96,489 | $100,000 | $5,000 | ||||
2
|
$5,000 | $92,410 | $100,000 | $5,000 | ||||
3
|
$5,000 | $88,543 | $100,000 | $5,000 | ||||
4
|
$5,000 | $84,627 | $100,000 | $5,000 | ||||
5
|
$5,000 | $80,662 | $100,000 | $5,000 | ||||
6
|
$5,000 | $76,648 | $100,000 | $5,000 | ||||
7
|
$5,000 | $72,583 | $100,000 | $5,000 | ||||
8
|
$5,000 | $68,467 | $100,000 | $5,000 | ||||
9
|
$5,000 | $64,299 | $100,000 | $5,000 | ||||
10
|
$5,000 | $60,078 | $100,000 | $5,000 | ||||
11
|
$5,000 | $55,805 | $100,000 | $5,000 | ||||
12
|
$5,000 | $51,478 | $100,000 | $5,000 | ||||
13
|
$5,000 | $47,096 | $100,000 | $5,000 | ||||
Activity (Death of first Designated Life) 14 |
$5,000 | $42,660 | $100,000 | $5,000 | ||||
15
|
$5,000 | $38,168 | $100,000 | $5,000 | ||||
16
|
$5,000 | $33,619 | $100,000 | $5,000 | ||||
17
|
$5,000 | $29,013 | $100,000 | $5,000 | ||||
18
|
$5,000 | $24,349 | $100,000 | $5,000 | ||||
19
|
$5,000 | $19,626 | $100,000 | $5,000 | ||||
20
|
$5,000 | $14,844 | $100,000 | $5,000 | ||||
21
|
$5,000 | $10,002 | $100,000 | $5,000 | ||||
22
|
$5,000 | $5,099 | $100,000 | $5,000 | ||||
23
|
$5,000 | $0 | $100,000 | $5,000 | ||||
24
|
$5,000 | $0 | $100,000 | $5,000 | ||||
25
|
$5,000 | $0 | $100,000 | $5,000 | ||||
26
|
$5,000 | $0 | $100,000 | $5,000 | ||||
151
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 5% of Protected Payment Base = $5,000 |
| 7% of the Protected Payment Base as of that day, or | |
| the Remaining Protected Balance as of that day. |
152
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency, as elected by you, but no less frequently than annually, until the Remaining Protected Balance is reduced to zero, | |
| no additional Purchase Payments will be accepted under the Contract, | |
| any Remaining Protected Balance will not be available for payment in a lump sum or may not be applied to provide payments under an Annuity Option, and | |
| the Contract will cease to provide any death benefit. |
153
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions in effect at that time, | |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, | |
| the Annual RMD Amount is based on this Contract only, and | |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
154
| the Contract Anniversary immediately following the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, | |
| the Contract Anniversary immediately following the day the Remaining Protected Balance is reduced to zero, | |
| the date of the first death of an Owner or the date of death of the sole surviving Annuitant (except as provided under the Continuation of Rider if Surviving Spouse Continues Contract subsection), | |
| for Contracts with a Non-Natural Owner, the date of the first death of an Annuitant, including Primary, Joint and Contingent Annuitants, | |
| the day the Contract is terminated in accordance with the provisions of the Contract, except as otherwise provided in the paragraph below, | |
| the day you exchange this Rider for another withdrawal benefit Rider, | |
| the Annuity Date, or | |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount. |
155
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Contract |
Payment |
Payment |
Protected |
||||||||
Payment | Withdrawal | Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $7,000 | $100,000 | |||||||
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Remaining Protected Balance = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 7% of Protected Payment Base = $7,000 |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| A subsequent Purchase Payment of $20,000 is received during Contract Year 1. | |
| No withdrawals taken. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Contract |
Payment |
Payment |
Protected |
||||||||
Payment | Withdrawal | Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $7,000 | $100,000 | |||||||
Activity
|
$20,000 | $122,000 | $120,000 | $7,000 | $120,000 | |||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $122,000 | $120,000 | $8,400 | $120,000 | |||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $122,000 | $122,000 | $8,540 | $122,000 | |||||||
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| A subsequent Purchase Payment of $20,000 is received during Contract Year 1. | |
| Automatic Reset at the Beginning of Contract Year 2. | |
| A withdrawal equal to or less than the Protected Payment Amount is taken during Contract Year 2. |
156
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Payment |
Payment |
Protected |
|||||||||
Payment | Withdrawal | Contract Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $7,000 | $100,000 | |||||||
Activity
|
$20,000 | $122,000 | $120,000 | $7,000 | $120,000 | |||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $122,000 | $120,000 | $8,400 | $120,000 | |||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $122,000 | $122,000 | $8,540 | $122,000 | |||||||
Activity
|
$8,540 | $116,000 | $122,000 | $8,540 | $113,460 | |||||||
Year 3 Contract Anniversary
|
$116,000 | $122,000 | $8,540 | $113,460 | ||||||||
| the Protected Payment Base remains unchanged; and | |
| the Remaining Protected Balance is reduced by the amount of the withdrawal to $113,460 ($122,000 − $8,540). |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. | |
| Automatic Reset at Beginning of Contract Year 2 and 4. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Contract |
Payment |
Payment |
Protected |
||||||||
Payment | Withdrawal | Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $7,000 | $100,000 | |||||||
Activity
|
$100,000 | $200,000 | $200,000 | $7,000 | $200,000 | |||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $14,000 | $200,000 | |||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $14,490 | $207,000 | |||||||
Activity
|
$15,000 | $206,490 | $206,503 | $14,490 | $192,000 | |||||||
Year 3 Contract Anniversary
|
$206,490 | $206,503 | $14,455 | $192,000 | ||||||||
Year 4 Contract Anniversary
|
(Prior to Automatic Reset) | $220,944 | $206,503 | $14,455 | $192,000 | |||||||
Year 4 Contract Anniversary
|
(After Automatic Reset) | $220,944 | $220,944 | $15,466 | $220,944 | |||||||
| Contract Value = $221,490 | |
| Protected Payment Base = $207,000 | |
| Remaining Protected Balance = $207,000 | |
| Protected Payment Amount = $14,490 (7% × Protected Payment Base; 7% × $207,000 = $14,490) | |
| No withdrawals were taken prior to the excess withdrawal |
157
Annual |
Protected |
Protected |
Remaining |
|||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
Protected |
||||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | Balance | ||||||
05/01/2006 Contract Anniversary |
$100,000 | $7,000 | $100,000 | |||||||||
01/01/2007
|
$7,500 | |||||||||||
03/15/2007
|
$1,875 | $100,000 | $7,000 | $98,125 | ||||||||
05/01/2007 Contract Anniversary |
$100,000 | $7,000 | $98,125 | |||||||||
06/15/2007
|
$1,875 | $100,000 | $7,000 | $96,250 | ||||||||
09/15/2007
|
$1,875 | $100,000 | $7,000 | $94,375 | ||||||||
12/15/2007
|
$1,875 | $100,000 | $7,000 | $92,500 | ||||||||
01/01/2008
|
$8,000 | |||||||||||
03/15/2008
|
$2,000 | $100,000 | $7,000 | $90,500 | ||||||||
05/01/2008 Contract Anniversary |
$100,000 | $7,000 | $90,500 | |||||||||
158
Annual |
Protected |
Protected |
Remaining |
|||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
Protected |
||||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | Balance | ||||||
05/01/2006 Contract Anniversary |
$100,000 | $7,000 | $100,000 | |||||||||
01/01/2007
|
$7,500 | |||||||||||
03/15/2007
|
$1,875 | $100,000 | $7,000 | $98,125 | ||||||||
04/01/2007
|
$2,000 | $100,000 | $7,000 | $96,125 | ||||||||
05/01/2007 Contract Anniversary |
$100,000 | $7,000 | $96,125 | |||||||||
06/15/2007
|
$1,875 | $100,000 | $7,000 | $94,250 | ||||||||
09/15/2007
|
$1,875 | $100,000 | $7,000 | $92,375 | ||||||||
11/15/2007
|
$4,000 | $99,140 | $7,000 | $88,358 | ||||||||
| Contract Value = $90,000 | |
| Protected Payment Base = $100,000 | |
| Remaining Protected Balance = $92,375 | |
| Protected Payment Amount less withdrawals already taken = $7,000 − $3,750 = $3,250 |
159
| the first withdrawal since the Rider Effective Date, or | |
| 10 Contract Anniversaries from the Rider Effective Date. |
| the first withdrawal since the Rider Effective Date, or | |
| 10 Contract Anniversaries from the Rider Effective Date. |
| the Highest Anniversary Value as of the prior day, plus | |
| Purchase Payments received by us on that day. |
| the Contract Value as of that Contract Anniversary (prior to the Rider fee assessment), or | |
| the Highest Anniversary Value immediately prior to that Contract Anniversary. |
| 5% multiplied by the Protected Payment Base as of that day, less cumulative withdrawals during that Contract Year, or | |
| the Remaining Protected Balance as of that day. |
160
| the first withdrawal since the Rider Effective Date, or | |
| 10 Contract Anniversaries from the Rider Effective Date, |
| the first withdrawal since the Rider Effective Date, or | |
| 10 Contract Anniversaries from the Rider Effective Date, |
| the first withdrawal since the Rider Effective Date, or | |
| 10 Contract Anniversaries from the Rider Effective Date, |
161
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions in effect at that time, | |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, | |
| the Annual RMD Amount is based on this Contract only, and | |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
| if the oldest Owner (or youngest Annuitant, in the case of a Non-Natural Owner): |
| was age 64 or younger when the first withdrawal was taken under the Rider, after the Rider Effective Date or the most recent Reset Date, whichever is later, the Protected Payment Amount will be paid each year until the Remaining Protected Balance is reduced to zero, or |
162
| was age 65 or older when the first withdrawal was taken under the Rider after the Rider Effective Date or the most recent Reset Date, whichever is later, the Protected Payment Amount will be paid each year until the day of death of an Owner or sole surviving Annuitant (first Annuitant in the case of a Non-Natural Owner). |
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency as elected by the Owner, but no less frequently than annually, | |
| no additional Purchase Payments will be accepted under the Contract, | |
| any Remaining Protected Balance will not be available for payment in a lump sum and will not be applied to provide payments under an Annuity Option, and | |
| the Contract will cease to provide any death benefit. |
| was age 64 or younger when the first withdrawal was taken under the Rider after the Rider Effective Date or the most recent Reset Date, whichever is later, this Rider will terminate, or | |
| was age 65 or older when the first withdrawal was taken under the Rider after the Rider Effective Date or the most recent Reset Date, whichever is later, you may elect to withdraw up to the Protected Payment Amount each year until the day of death of an Owner or the sole surviving Annuitant (first Annuitant in the case of a Non-Natural Owner). If an Automatic or Owner-Elected Reset occurs, the Remaining Protected Balance will be reinstated to an amount equal to the Contract Value as of that Contract Anniversary. |
| the first withdrawal from the Contract since the Rider Effective Date, or | |
| 10 Contract Anniversaries measured from the Rider Effective Date. |
| total Purchase Payments if the Rider is purchased on the Contract Issue Date, or | |
| the Contract Anniversary Value at the time the Rider is added to the Contract plus any subsequent Purchase Payments received after the Rider Effective Date. |
163
| the first withdrawal since the Rider Effective Date, or | |
| 10 Contract Anniversaries from the Rider Effective Date, |
| the first withdrawal since the Rider Effective Date, or | |
| 10 Contract Anniversaries from the Rider Effective Date, |
| the Life Only fixed annual payment amount based on the terms of your Contract, or | |
| the Protected Payment Amount in effect at the maximum Annuity Date. |
164
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, | |
| the day the Remaining Protected Balance is reduced to zero if the oldest Owner (or youngest Annuitant, in the case of a Non-Natural Owner), was age 64 or younger when the first withdrawal was taken under the Rider after the Rider Effective Date or the most recent Reset Date, whichever is later, | |
| the date of death of an Owner or the sole surviving Annuitant (except as provided under the Continuation of Rider if Surviving Spouse Continues Contract subsection), | |
| for Contracts with a Non-Natural Owner, the date of death of an Annuitant, including Primary, Joint and Contingent Annuitants, | |
| the day the Contract is terminated in accordance with the provisions of the Contract, | |
| the day we are notified of a change in ownership of the Contract to a non-spouse Owner if the Contract is Non-Qualified (excluding changes in ownership to or from certain trusts), | |
| the day you exchange this Rider for another withdrawal benefit Rider, | |
| the Annuity Date (see the Annuitization subsection for additional information), or | |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount. |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Owners Age = 65 on the Contract Date |
Annual |
Highest |
Protected |
Protected |
Remaining |
||||||||||||
Purchase |
Credit |
Anniversary |
Payment |
Payment |
Protected |
|||||||||||
Payment | Withdrawal | Contract Value | Value | Value | Base | Amount | Balance | |||||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $100,000 | $100,000 | $5,000 | $100,000 | |||||||||
| Annual Credit Value = $100,000 | |
| Highest Anniversary Value = $100,000 |
165
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Remaining Protected Balance = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 5% of Protected Payment Base = $5,000 |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Owners Age = 65 on the Contract Date | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| No withdrawals taken. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Annual |
Highest |
Protected |
Protected |
Remaining |
||||||||||||
Purchase |
Credit |
Anniversary |
Payment |
Payment |
Protected |
|||||||||||
Payment | Withdrawal | Contract Value | Value | Value | Base | Amount | Balance | |||||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $100,000 | $100,000 | $5,000 | $100,000 | |||||||||
Activity
|
$100,000 | $200,000 | $200,000 | $200,000 | $200,000 | $10,000 | $200,000 | |||||||||
Year 2 Contract Anniversary
|
$208,000 | $210,000 | $208,000 | $210,000 | $10,500 | $210,000 | ||||||||||
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Owners Age = 65 on the Contract Date | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal equal to or less than the Protected Payment Amount is taken during Contract Years 2 and 4. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Annual |
Highest |
Protected |
Protected |
Remaining |
||||||||||||
Purchase |
Credit |
Anniversary |
Payment |
Payment |
Protected |
|||||||||||
Payment | Withdrawal | Contract Value | Value | Value | Base | Amount | Balance | |||||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $100,000 | $100,000 | $5,000 | $100,000 | |||||||||
Activity
|
$100,000 | $200,000 | $200,000 | $200,000 | $200,000 | $10,000 | $200,000 | |||||||||
Year 2 Contract Anniversary
|
$208,000 | $210,000 | $208,000 | $210,000 | $10,500 | $210,000 | ||||||||||
Activity
|
$10,500 | $205,000 | $210,000 | $0 | $199,500 | |||||||||||
Year 3 Contract Anniversary
|
$205,000 | NA | NA | $210,000 | $10,500 | $199,500 | ||||||||||
Year 4 Contract Anniversary
|
(Prior to Automatic Reset) | $215,000 | NA | NA | $210,000 | $10,500 | $199,500 | |||||||||
Year 4 Contract Anniversary
|
(After to Automatic Reset) | $215,000 | NA | NA | $215,000 | $10,750 | $215,000 | |||||||||
Activity
|
$10,750 | $212,000 | $215,000 | $0 | $204,250 | |||||||||||
Year 5 Contract Anniversary
|
(Prior to Automatic Reset) | $217,000 | NA | NA | $215,000 | $10,750 | $204,250 | |||||||||
Year 5 Contract Anniversary
|
(After to Automatic Reset) | $217,000 | NA | NA | $217,000 | $10,850 | $217,000 | |||||||||
166
| the Protected Payment Base remains unchanged; | |
| the Remaining Protected Balance is reduced by the amount of the withdrawal to $199,500 ($210,000 − $10,500); and | |
| since a withdrawal occurred, the Annual Credit Value and Highest Anniversary Value are no longer applicable. |
| the Protected Payment Base remains unchanged; and | |
| the Remaining Protected Balance is reduced by the amount of the withdrawal to $204,250 ($215,000 − $10,750). |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| Owners Age = 65 on the Contract Date | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Annual |
Highest |
Protected |
Protected |
Remaining |
||||||||||||
Purchase |
Credit |
Anniversary |
Payment |
Payment |
Protected |
|||||||||||
Payment | Withdrawal | Contract Value | Value | Value | Base | Amount | Balance | |||||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $100,000 | $100,000 | $5,000 | $100,000 | |||||||||
Activity
|
$100,000 | $200,000 | $200,000 | $200,000 | $200,000 | $10,000 | $200,000 | |||||||||
Year 2 Contract Anniversary
|
$208,000 | $210,000 | $208,000 | $210,000 | $10,500 | $210,000 | ||||||||||
Activity
|
$20,000 | $195,000 | $200,235 | $0 | $190,000 | |||||||||||
Year 3 Contract Anniversary
|
$195,000 | NA | NA | $200,235 | $10,011 | $190,000 | ||||||||||
Year 4 Contract Anniversary
|
(Prior to Automatic Reset) | $215,000 | NA | NA | $200,235 | $10,011 | $190,000 | |||||||||
Year 4 Contract Anniversary
|
(After to Automatic Reset) | $215,000 | NA | NA | $215,000 | $10,750 | $215,000 | |||||||||
| Contract Value = $215,000 | |
| Protected Payment Base = $210,000 | |
| Remaining Protected Balance = $210,000 | |
| Protected Payment Amount = $10,500 (5% × Protected Payment Base; 5% × $210,000 = $10,500) | |
| No withdrawals were taken prior to the excess withdrawal |
167
Annual |
Protected |
Protected |
Remaining |
|||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
Protected |
||||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | Balance | ||||||
05/01/2006
|
$100,000 | $5,000 | $100,000 | |||||||||
Contract Anniversary |
||||||||||||
01/01/2007
|
$7,500 | |||||||||||
03/15/2007
|
$1,875 | $100,000 | $3,125 | $98,125 | ||||||||
05/01/2007
|
$100,000 | $5,000 | $98,125 | |||||||||
Contract Anniversary |
||||||||||||
06/15/2007
|
$1,875 | $100,000 | $3,125 | $96,250 | ||||||||
09/15/2007
|
$1,875 | $100,000 | $1,250 | $94,375 | ||||||||
12/15/2007
|
$1,875 | $100,000 | $0 | $92,500 | ||||||||
01/01/2008
|
$8,000 | |||||||||||
03/15/2008
|
$2,000 | $100,000 | $0 | $90,500 | ||||||||
05/01/2008
|
$100,000 | $5,000 | $90,500 | |||||||||
Contract Anniversary |
||||||||||||
168
Annual |
Protected |
Protected |
Remaining |
|||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
Protected |
||||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | Balance | ||||||
05/01/2006
|
$0 | $100,000 | $5,000 | $100,000 | ||||||||
Contract Anniversary |
||||||||||||
01/01/2007
|
$7,500 | |||||||||||
03/15/2007
|
$1,875 | $100,000 | $3,125 | $98,125 | ||||||||
04/01/2007
|
$2,000 | $100,000 | $1,125 | $96,125 | ||||||||
05/01/2007
|
$100,000 | $5,000 | $96,125 | |||||||||
Contract Anniversary |
||||||||||||
06/15/2007
|
$1,875 | $100,000 | $3,125 | $94,250 | ||||||||
09/15/2007
|
$1,875 | $100,000 | $1,250 | $92,375 | ||||||||
11/15/2007
|
$4,000 | $96,900 | $0 | $88,300 | ||||||||
169
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| No subsequent Purchase Payments are received. | |
| Owner is age 65 or older when the first withdrawal was taken. | |
| Withdrawals, each equal to 5% of the Protected Payment Base are taken each Contract Year. | |
| No Automatic Reset or Owner-Elected Reset is assumed during the life of the Rider. |
Protected |
Protected |
Remaining |
||||||||
Contract |
End of Year |
Payment |
Payment |
Protected |
||||||
Year | Withdrawal | Contract Value | Base | Amount | Balance | |||||
1
|
$5,000 | $96,489 | $100,000 | $5,000 | $95,000 | |||||
2
|
$5,000 | $94,384 | $100,000 | $5,000 | $90,000 | |||||
3
|
$5,000 | $92,215 | $100,000 | $5,000 | $85,000 | |||||
4
|
$5,000 | $89,982 | $100,000 | $5,000 | $80,000 | |||||
5
|
$5,000 | $87,681 | $100,000 | $5,000 | $75,000 | |||||
6
|
$5,000 | $85,311 | $100,000 | $5,000 | $70,000 | |||||
7
|
$5,000 | $82,871 | $100,000 | $5,000 | $65,000 | |||||
8
|
$5,000 | $80,357 | $100,000 | $5,000 | $60,000 | |||||
9
|
$5,000 | $77,768 | $100,000 | $5,000 | $55,000 | |||||
10
|
$5,000 | $75,101 | $100,000 | $5,000 | $50,000 | |||||
11
|
$5,000 | $72,354 | $100,000 | $5,000 | $45,000 | |||||
12
|
$5,000 | $69,524 | $100,000 | $5,000 | $40,000 | |||||
13
|
$5,000 | $66,610 | $100,000 | $5,000 | $35,000 | |||||
14
|
$5,000 | $63,608 | $100,000 | $5,000 | $30,000 | |||||
15
|
$5,000 | $60,517 | $100,000 | $5,000 | $25,000 | |||||
16
|
$5,000 | $57,332 | $100,000 | $5,000 | $20,000 | |||||
17
|
$5,000 | $54,052 | $100,000 | $5,000 | $15,000 | |||||
18
|
$5,000 | $50,674 | $100,000 | $5,000 | $10,000 | |||||
19
|
$5,000 | $47,194 | $100,000 | $5,000 | $5,000 | |||||
20
|
$5,000 | $43,610 | $100,000 | $5,000 | $0 | |||||
21
|
$5,000 | $39,918 | $100,000 | $5,000 | $0 | |||||
22
|
$5,000 | $36,115 | $100,000 | $5,000 | $0 | |||||
23
|
$5,000 | $32,199 | $100,000 | $5,000 | $0 | |||||
24
|
$5,000 | $28,165 | $100,000 | $5,000 | $0 | |||||
25
|
$5,000 | $24,010 | $100,000 | $5,000 | $0 | |||||
26
|
$5,000 | $19,730 | $100,000 | $5,000 | $0 | |||||
27
|
$5,000 | $15,322 | $100,000 | $5,000 | $0 | |||||
28
|
$5,000 | $10,782 | $100,000 | $5,000 | $0 | |||||
29
|
$5,000 | $6,105 | $100,000 | $5,000 | $0 | |||||
30
|
$5,000 | $1,288 | $100,000 | $5,000 | $0 | |||||
31
|
$5,000 | $0 | $100,000 | $5,000 | $0 | |||||
32
|
$5,000 | $0 | $100,000 | $5,000 | $0 | |||||
33
|
$5,000 | $0 | $100,000 | $5,000 | $0 | |||||
34
|
$5,000 | $0 | $100,000 | $5,000 | $0 | |||||
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Remaining Protected Balance = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 5% of Protected Payment Base = $5,000 |
170
| 5% of the Protected Payment Base as of that day, less cumulative withdrawals during that Contract Year, or | |
| the Remaining Protected Balance as of that day. |
171
| such withdrawal (an RMD Withdrawal) is for purposes of satisfying the minimum distribution requirements of Section 401(a)(9) and related Code provisions in effect at that time, | |
| you have authorized us to calculate and make periodic distribution of the Annual RMD Amount for the Calendar Year required based on the payment frequency you have chosen, | |
| the Annual RMD Amount is based on this Contract only, and | |
| only RMD Withdrawals are made from the Contract during the Contract Year. |
| if the oldest Owner (or youngest Annuitant, in the case of a Non-Natural Owner): |
| was younger than age 591/2 when the first withdrawal was taken under the Rider, after the Rider Effective Date or the most recent Reset Date, whichever is later, the Protected Payment Amount will be paid each year until the Remaining Protected Balance is reduced to zero, or | |
| was age 591/2 or older when the first withdrawal was taken under the Rider after the Rider Effective Date or the most recent Reset Date, whichever is later, the Protected Payment Amount will be paid each year until the day of the first death of an Owner or the date of death of the sole surviving Annuitant (first Annuitant in the case of a Non-Natural Owner). |
172
| the Protected Payment Amount will be paid under a series of pre-authorized withdrawals under a payment frequency as elected by the Owner, but no less frequently than annually, | |
| no additional Purchase Payments will be accepted under the Contract, | |
| any Remaining Protected Balance will not be available for payment in a lump sum and will not be applied to provide payments under an Annuity Option, and | |
| the Contract will cease to provide any death benefit. |
| was younger than age 591/2 when the first withdrawal was taken under the Rider after the Rider Effective Date or the most recent Reset Date, whichever is later, this Rider will terminate, or | |
| was age 591/2 or older when the first withdrawal was taken under the Rider after the Rider Effective Date or the most recent Reset Date, whichever is later, you may elect to withdraw up to the Protected Payment Amount each year until the day of the first death of an Owner or the date of death of the sole surviving Annuitant (first Annuitant in the case of a Non-Natural Owner). If an Automatic or Owner-Elected Reset occurs, the Remaining Protected Balance will be reinstated to an amount equal to the Contract Value as of that Contract Anniversary. |
173
| the Life Only fixed annual payment amount based on the terms of your Contract, or | |
| the Protected Payment Amount in effect at the maximum Annuity Date. |
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, |
174
| the day the Remaining Protected Balance is reduced to zero if the oldest Owner (or youngest Annuitant, in the case of a Non-Natural Owner), was younger than 591/2 when the first withdrawal was taken under the Rider after the Rider Effective Date or the most recent Reset Date, whichever is later, | |
| the date of the first death of an Owner or the date of death of the sole surviving Annuitant (except as provided under the Continuation of Rider if Surviving Spouse Continues Contract subsection), | |
| for Contracts with a Non-Natural Owner, the date of the first death of an Annuitant, including Primary, Joint and Contingent Annuitants, | |
| the day the Contract is terminated in accordance with the provisions of the Contract, | |
| the day we are notified of a change in ownership of the Contract to a non-spouse Owner if the Contract is Non-Qualified (excluding changes in ownership to or from certain trusts), | |
| the day you exchange this Rider for another withdrawal benefit Rider, | |
| the Annuity Date (see the Annuitization subsection for additional information), or | |
| the day the Contract Value is reduced to zero as a result of a withdrawal (except an RMD Withdrawal) that exceeds the Protected Payment Amount. |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Payment |
Payment |
Protected |
|||||||||
Payment | Withdrawal | Contract Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | $100,000 | |||||||
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Remaining Protected Balance = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 5% of Protected Payment Base = $5,000 |
| Rider purchased at Contract issue by a 64-year old. | |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| No withdrawals taken. | |
| Automatic Reset at Beginning of Contract Year 2. |
175
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Payment |
Payment |
Protected |
|||||||||
Payment | Withdrawal | Contract Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | $100,000 | |||||||
Activity
|
$100,000 | $200,000 | $200,000 | $10,000 | $200,000 | |||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $10,000 | $200,000 | |||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $10,350 | $207,000 | |||||||
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal equal to or less than the Protected Payment Amount is taken during Contract Year 2. | |
| Automatic Resets at Beginning of Contract Years 2 and 3. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Payment |
Payment |
Protected |
|||||||||
Payment | Withdrawal | Contract Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | $100,000 | |||||||
Activity
|
$100,000 | $200,000 | $200,000 | $10,000 | $200,000 | |||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $10,000 | $200,000 | |||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $10,350 | $207,000 | |||||||
Activity
|
$5,000 | $216,490 | $207,000 | $5,350 | $202,000 | |||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $216,490 | $207,000 | $10,350 | $202,000 | |||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $216,490 | $216,490 | $10,825 | $216,490 | |||||||
| the Protected Payment Base remains unchanged; and | |
| the Remaining Protected Balance is reduced by the amount of the withdrawal to $202,000 ($207,000 − $5,000) and the Protected Payment Amount is reduced by the amount of the withdrawal to $5,350 ($10,350 − $5,000). |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date |
176
| A subsequent Purchase Payment of $100,000 is received during Contract Year 1. | |
| A withdrawal greater than the Protected Payment Amount is taken during Contract Year 2. | |
| Automatic Resets at Beginning of Contract Years 2 and 3. | |
| Each Contract Anniversary referenced in the table represents the first day of the applicable Contract Year. |
Protected |
Protected |
Remaining |
||||||||||
Purchase |
Contract |
Payment |
Payment |
Protected |
||||||||
Payment | Withdrawal | Value | Base | Amount | Balance | |||||||
Rider Effective Date
|
$100,000 | $100,000 | $100,000 | $5,000 | $100,000 | |||||||
Activity
|
$100,000 | $200,000 | $200,000 | $10,000 | $200,000 | |||||||
Year 2 Contract Anniversary
|
(Prior to Automatic Reset) | $207,000 | $200,000 | $10,000 | $200,000 | |||||||
Year 2 Contract Anniversary
|
(After Automatic Reset) | $207,000 | $207,000 | $10,350 | $207,000 | |||||||
Activity
|
$25,000 | $196,490 | $192,634 | $0 | $182,000 | |||||||
Year 3 Contract Anniversary
|
(Prior to Automatic Reset) | $196,490 | $192,634 | $9,632 | $182,000 | |||||||
Year 3 Contract Anniversary
|
(After Automatic Reset) | $196,490 | $196,490 | $9,825 | $196,490 | |||||||
| Contract Value = $221,490 | |
| Protected Payment Base = $207,000 | |
| Remaining Protected Balance = $207,000 | |
| Protected Payment Amount = $10,350 (5% × Protected Payment Base; 5% × $207,000 = $10,350) | |
| No withdrawals were taken prior to the excess withdrawal |
177
Annual |
Protected |
Protected |
Remaining |
|||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
Protected |
||||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | Balance | ||||||
05/01/2006 | $100,000 | $5,000 | $100,000 | |||||||||
Contract Anniversary |
||||||||||||
01/01/2007
|
$7,500 | |||||||||||
03/15/2007
|
$1,875 | $100,000 | $3,125 | $98,125 | ||||||||
05/01/2007
|
$100,000 | $5,000 | $98,125 | |||||||||
Contract Anniversary |
||||||||||||
06/15/2007
|
$1,875 | $100,000 | $3,125 | $96,250 | ||||||||
09/15/2007
|
$1,875 | $100,000 | $1,250 | $94,375 | ||||||||
12/15/2007
|
$1,875 | $100,000 | $0 | $92,500 | ||||||||
01/01/2008
|
$8,000 | |||||||||||
03/15/2008
|
$2,000 | $100,000 | $0 | $90,500 | ||||||||
05/01/2008
|
$100,000 | $5,000 | $90,500 | |||||||||
Contract Anniversary |
||||||||||||
Annual |
Protected |
Protected |
Remaining |
|||||||||
Activity |
RMD |
Non-RMD |
RMD |
Payment |
Payment |
Protected |
||||||
Date | Withdrawal | Withdrawal | Amount | Base | Amount | Balance | ||||||
05/01/2006 | $0 | $100,000 | $5,000 | $100,000 | ||||||||
Contract Anniversary |
||||||||||||
01/01/2007
|
$7,500 | |||||||||||
03/15/2007
|
$1,875 | $100,000 | $3,125 | $98,125 | ||||||||
04/01/2007
|
$2,000 | $100,000 | $1,125 | $96,125 | ||||||||
05/01/2007
|
$100,000 | $5,000 | $96,125 | |||||||||
Contract Anniversary |
||||||||||||
06/15/2007
|
$1,875 | $100,000 | $3,125 | $94,250 | ||||||||
09/15/2007
|
$1,875 | $100,000 | $1,250 | $92,375 | ||||||||
11/15/2007
|
$4,000 | $96,900 | $0 | $88,300 | ||||||||
178
| Contract Value = $90,000 | |
| Protected Payment Base = $100,000 | |
| Remaining Protected Balance = $92,375 | |
| Protected Payment Amount = $1,250 |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date | |
| No subsequent Purchase Payments are received. | |
| Owner is age 65 when the first withdrawal was taken. | |
| Withdrawals, each equal to 5% of the Protected Payment Base are taken each Contract Year. | |
| No Automatic Reset or Owner-Elected Reset is assumed during the life of the Rider. |
179
Protected |
Protected |
Remaining |
||||||||
Contract |
End of Year |
Payment |
Payment |
Protected |
||||||
Year | Withdrawal | Contract Value | Base | Amount | Balance | |||||
1
|
$5,000 | $96,489 | $100,000 | $5,000 | $95,000 | |||||
2
|
$5,000 | $94,384 | $100,000 | $5,000 | $90,000 | |||||
3
|
$5,000 | $92,215 | $100,000 | $5,000 | $85,000 | |||||
4
|
$5,000 | $89,982 | $100,000 | $5,000 | $80,000 | |||||
5
|
$5,000 | $87,681 | $100,000 | $5,000 | $75,000 | |||||
6
|
$5,000 | $85,311 | $100,000 | $5,000 | $70,000 | |||||
7
|
$5,000 | $82,871 | $100,000 | $5,000 | $65,000 | |||||
8
|
$5,000 | $80,357 | $100,000 | $5,000 | $60,000 | |||||
9
|
$5,000 | $77,768 | $100,000 | $5,000 | $55,000 | |||||
10
|
$5,000 | $75,101 | $100,000 | $5,000 | $50,000 | |||||
11
|
$5,000 | $72,354 | $100,000 | $5,000 | $45,000 | |||||
12
|
$5,000 | $69,524 | $100,000 | $5,000 | $40,000 | |||||
13
|
$5,000 | $66,610 | $100,000 | $5,000 | $35,000 | |||||
14
|
$5,000 | $63,608 | $100,000 | $5,000 | $30,000 | |||||
15
|
$5,000 | $60,517 | $100,000 | $5,000 | $25,000 | |||||
16
|
$5,000 | $57,332 | $100,000 | $5,000 | $20,000 | |||||
17
|
$5,000 | $54,052 | $100,000 | $5,000 | $15,000 | |||||
18
|
$5,000 | $50,674 | $100,000 | $5,000 | $10,000 | |||||
19
|
$5,000 | $47,194 | $100,000 | $5,000 | $5,000 | |||||
20
|
$5,000 | $43,610 | $100,000 | $5,000 | $0 | |||||
21
|
$5,000 | $39,918 | $100,000 | $5,000 | $0 | |||||
22
|
$5,000 | $36,115 | $100,000 | $5,000 | $0 | |||||
23
|
$5,000 | $32,199 | $100,000 | $5,000 | $0 | |||||
24
|
$5,000 | $28,165 | $100,000 | $5,000 | $0 | |||||
25
|
$5,000 | $24,010 | $100,000 | $5,000 | $0 | |||||
26
|
$5,000 | $19,730 | $100,000 | $5,000 | $0 | |||||
27
|
$5,000 | $15,322 | $100,000 | $5,000 | $0 | |||||
28
|
$5,000 | $10,782 | $100,000 | $5,000 | $0 | |||||
29
|
$5,000 | $6,105 | $100,000 | $5,000 | $0 | |||||
30
|
$5,000 | $1,288 | $100,000 | $5,000 | $0 | |||||
31
|
$5,000 | $0 | $100,000 | $5,000 | $0 | |||||
32
|
$5,000 | $0 | $100,000 | $5,000 | $0 | |||||
33
|
$5,000 | $0 | $100,000 | $5,000 | $0 | |||||
34
|
$5,000 | $0 | $100,000 | $5,000 | $0 | |||||
| Protected Payment Base = Initial Purchase Payment = $100,000 | |
| Remaining Protected Balance = Initial Purchase Payment = $100,000 | |
| Protected Payment Amount = 5% of Protected Payment Base = $5,000 |
180
(a) | is the Contract Value at the start of the Term, |
(b) | is the amount of each subsequent Purchase Payment received during the first year of the Term, and |
(c) | is a pro rata adjustment for withdrawals made from the Contract during the Term. The adjustment for each withdrawal is calculated by multiplying the Guaranteed Protection Amount prior to the withdrawal by the ratio of the amount of the withdrawal, including any applicable withdrawal charges, premium taxes, and/or other taxes, to the Contract Value immediately prior to the withdrawal. |
| your election of a Step-Up must be received, In Proper Form, within 60 days after the Contract Anniversary on which the Step-Up is effective, | |
| the Guaranteed Protection Amount will be equal to your Contract Value as of the Effective Date of the Step-Up (Step-Up Date), | |
| a new 10-year Term will begin as of the Step-Up Date, and | |
| you may not elect another Step-Up until on or after the 3rd anniversary of the latest Step-Up Date. |
| the day any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, | |
| the day we receive notification from the Owner to terminate the Rider, | |
| the date a full withdrawal of the amount available for withdrawal is made under the Contract, | |
| the date of the first death of an Owner or the date of death of the last surviving Annuitant (except as provided under the Continuation of Rider if Surviving Spouse Continues Contract subsection), |
181
| for Contracts with a Non-Natural Owner, the date of the first death of an Annuitant, including Primary, Joint and Contingent Annuitants, | |
| the date the Contract is terminated according to the provisions of the Contract, or | |
| the Annuity Date. |
(a) | is the Contract Value at the start of the Term, |
(b) | is the amount of each subsequent Purchase Payment received during the first year of the Term, and |
(c) | is a pro rata adjustment for withdrawals made from the Contract during the Term. The adjustment for each withdrawal is calculated by multiplying the Guaranteed Protection Amount prior to the withdrawal by the ratio of the amount of the withdrawal, including any applicable withdrawal charges, premium taxes, and/or other taxes, to the Contract Value immediately prior to the withdrawal. |
| your election of a Step-Up must be received, In Proper Form, within 60 days after the Contract Anniversary on which the Step-Up is effective, | |
| the Guaranteed Protection Amount will be equal to your Contract Value as of the Effective Date of the Step-Up (Step-Up Date), | |
| a new 10-year Term will begin as of the Step-Up Date, and | |
| you may not elect another Step-Up until on or after the 5th anniversary of the latest Step-Up Date. |
182
| the Contract Anniversary immediately following the date any portion of the Contract Value is no longer allocated according to the Investment Allocation Requirements, | |
| the Contract Anniversary immediately following the date we receive notification from the Owner to terminate the Rider, | |
| the date a full withdrawal of the amount available for withdrawal is made under the Contract, | |
| the date of the first death of an Owner or the date of death of the last surviving Annuitant (except as provided under the Continuation of Rider if Surviving Spouse Continues Contract subsection), | |
| for Contracts with a Non-Natural Owner, the date of the first death of an Annuitant, including Primary, Joint and Contingent Annuitants, | |
| the date the Contract is terminated according to the provisions of the Contract, or | |
| the Annuity Date. |
| Initial Purchase Payment = $100,000 | |
| Rider Effective Date = Contract Date |
183
| A subsequent Purchase Payment of $20,000 is received in Contract Year 1 and $10,000 is received in Contract Year 4. | |
| A withdrawal of $10,000 is taken during Contract Year 7. |
Beginning |
Purchase |
Guaranteed |
Amount |
|||||||
of Contract |
Payments |
Withdrawal |
Contract |
Protection |
added to the |
|||||
Year | Received | Amount | Value | Amount | Contract Value | |||||
1
|
$100,000 | $100,000 | $100,000 | |||||||
Activity
|
$20,000 | $118,119 | $120,000 | |||||||
2
|
$117,374 | $120,000 | ||||||||
3
|
$114,439 | $120,000 | ||||||||
4
|
$111,578 | $120,000 | ||||||||
Activity
|
$10,000 | $119,480 | $120,000 | |||||||
5
|
$118,726 | $120,000 | ||||||||
6
|
$124,662 | $120,000 | ||||||||
Step-Up (New 10- Year Term Begins) |
$124,662 | $124,662 | ||||||||
7
|
$121,546 | $124,662 | ||||||||
Activity
|
$10,000 | $109,259 | $114,209 | |||||||
8
|
$108,570 | $114,209 | ||||||||
9
|
$105,856 | $114,209 | ||||||||
10
|
$103,209 | $114,209 | ||||||||
11
|
$100,629 | $114,209 | ||||||||
12
|
$98,114 | $114,209 | ||||||||
13
|
$95,661 | $114,209 | ||||||||
14
|
$93,269 | $114,209 | ||||||||
15
|
$90,937 | $114,209 | ||||||||
Values at End of 15th Year |
$88,664 $114,209 |
$114,209 $0 |
$25,545 |
|||||||
(a) | is the Contract Value at the start of the Term, | |
(b) | is the amount of each subsequent Purchase Payment received during the first year of the Term, and | |
(c) | is a pro rata adjustment for withdrawals made from the Contract during the Term. The adjustment for each withdrawal is calculated by multiplying the Guaranteed Protection Amount prior to the withdrawal by the ratio of the amount of the withdrawal, including any applicable withdrawal charges, premium taxes, and/or other taxes, to the Contract Value immediately prior to the withdrawal. |
| Guaranteed Protected Amount = Initial Purchase Payment = $100,000 ($100,000 + 0 − 0 = $100,000) |
184
PACIFIC JOURNEY SELECT | WHERE TO GO FOR MORE INFORMATION |
The Pacific Journey Select variable annuity Contract is offered by Pacific Life Insurance Company, 700 Newport Center Drive. P.O. Box 9000, Newport Beach, California 92660.
If you have any questions about the Contract, please ask your financial advisor or contact us. |
You will find more information about this variable annuity contract and Separate Account A in the Statement of Additional Information (SAI) dated May 1, 2013.
The SAI has been filed with the SEC and is considered to be part of this Prospectus because it is incorporated by reference. In this Prospectus, you will find the table of contents for the SAI on page 88. You can get a copy of the SAI at no charge by visiting our website, calling or writing to us, or by contacting the SEC. The SEC may charge you a fee for this information. |
|
How to Contact Us
|
Call or write to us at:
Pacific Life Insurance Company P.O. Box 2378 Omaha, Nebraska 68103-2378 Contract Owners: (800) 722-4448 Financial Advisors: (800) 722-2333 6 a.m. through 5 p.m. Pacific time Send Purchase Payments, other payments and application forms to the following address: By mail Pacific Life Insurance Company P.O. Box 2290 Omaha, Nebraska 68103-2290 By overnight delivery service Pacific Life Insurance Company 1299 Farnam Street, 6th Floor, RSD Omaha, Nebraska 68102 |
|
How to Contact the SEC
|
Commissions Public Reference Section 100 F Street, NE Washington, D.C. 20549 (202) 551-8090 Website: www.sec.gov e-mail: publicinfo@sec.gov |
|
FINRA Public Disclosure Program
|
The Financial Industry Regulatory Authority (FINRA) provides investor protection education through its website and printed materials. The FINRA regulation website address is www.finra.org. An investor brochure that includes information describing the BrokerCheck program may be obtained from FINRA. The FINRA BrokerCheck hotline number is (800) 289-9999. FINRA does not charge a fee for the BrokerCheck program services. |
Page No. | ||||
1 | ||||
1 | ||||
2 | ||||
3 | ||||
4 | ||||
5 | ||||
5 | ||||
7 | ||||
7 | ||||
7 | ||||
9 | ||||
10 | ||||
10 | ||||
11 | ||||
13 | ||||
13 | ||||
16 | ||||
16 | ||||
17 |
i
where
|
T | = | average annual total return | |||
ERV | = | ending redeemable value | ||||
P | = | hypothetical initial payment of $1,000 | ||||
N | = | number of days |
1
YIELD = 2*[(
|
a b c*d |
+ 1)6 − 1] |
where:
|
a | = | net investment income earned during the period by the Portfolio attributable to the Subaccount. | |||
b | = | expenses accrued for the period (net of reimbursements). | ||||
c | = | the average daily number of Subaccount Units outstanding during the period that were entitled to receive dividends. | ||||
d | = | the Unit Value of the Subaccount Units on the last day of the period. |
2
3
4
5
6
where
|
(Y) | = | the Unit Value for that Subaccount as of the end of the preceding Business Day; and | |||
(Z) | = | the Net Investment Factor for that Subaccount for the period (a valuation period) between that Business Day and the immediately preceding Business Day. |
where
|
(A) | = | the per share value of the assets of that Subaccount as of the end of that valuation period, which is equal to: a+b+c |
where
|
(a) | = | the net asset value per share of the corresponding Portfolio shares held by that Subaccount as of the end of that valuation period; | |||
(b) | = | the per share amount of any dividend or capital gain distributions made by the Fund for that Portfolio during that valuation period; and | ||||
(c) | = | any per share charge (a negative number) or credit (a positive number) for any income taxes or other amounts set aside during that valuation period as a reserve for any income and/or any other taxes which we determine to have resulted from the operations of the Subaccount or Contract, and/or any taxes attributable, directly or indirectly, to Investments; |
(B) | = | the net asset value per share of the corresponding Portfolio shares held by the Subaccount as of the end of the preceding valuation period; and | ||||
(C) | = | a factor that assesses against the Subaccount net assets for each calendar day in the valuation period, the basic Risk Charge plus the Administrative Fee and any applicable increase in the Risk Charge (see the CHARGES, FEES AND DEDUCTIONS section in the Prospectus). |
7
8
1.05 |
= 1; 1 − 1 = 0; 0 × 100% = 0%. |
1.026 |
= 0.9771; 0.9771 − 1 = −0.0229; −0.0229 × 100% = −2.29%. |
9
| the Annuity Option is elected as the form of payments of death benefit proceeds, or | |
| the Annuitant dies before the period certain has ended and the Beneficiary requests a redemption of the variable annuity payments. |
10
| your request to stop dollar cost averaging is effective, or | |
| your source Account Value is zero, or | |
| your Annuity Date. |
11
12
13
| not subject to Title 1 of ERISA, | |
| issued under Section 403(b) of the Code, and | |
| permits loans under its terms (a Loan Eligible Plan). |
14
| 50% of the amount available for withdrawal under this Contract (see the WITHDRAWALS Optional Withdrawals Amount Available for Withdrawal section in the Prospectus), or | |
| $50,000 less your highest outstanding Contract Debt during the 12-month period immediately preceding the effective date of your loan. |
15
| attainment of age 591/2, | |
| severance from employment, | |
| death, | |
| disability, and | |
| financial hardship (with respect to contributions only, not income or earnings on these contributions). |
16
17
(a) | Financial Statements | |||||||
Part A: None | ||||||||
Part B: | ||||||||
(1) | Registrants Financial Statements [TO BE FILED] | |||||||
Audited Financial Statements dated as of December 31, 2011 and for each of the periods presented which are incorporated by reference from the 2011 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 Report of Independent Registered Public Accounting Firm |
||||||||
(2) | Depositors Financial Statements [TO BE FILED] | |||||||
Audited Consolidated Financial Statements dated as of December 31, 2011 and 2010, and for each of the three years in the period ended December 31, 2011, 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 Stockholders 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; Included in Registrants Form N-4, File No. 33-88460, Accession No. 0000898430-96-001377 filed on April 19, 1996, and incorporated by reference herein. | ||||||
(b) | Resolution of the Board of Directors of Pacific Life Insurance Company authorizing conformity to the terms of the current Bylaws; Included in Registrants Form N-4, File No. 33-88460, Accession No. 0001017062-98-000945 filed on April 29, 1998, and incorporated by reference herein. |
II-1
2. | Not applicable | |||||||
3. | (a) | Distribution Agreement between Pacific Life Insurance Company, Pacific Life & Annuity Company and Pacific Select Distributors, Inc. (PSD); Included in Registrants Form N-4, File No. 333-60833, Accession No. 0000950123-11-061492 filed on June 24, 2011, and incorporated by reference herein. | ||||||
(b) | Form of Selling Agreement between Pacific Life, PSD and Various Broker Dealers; Included in Registrants Form N-4, File No. 033-88460, Accession No. 0000892569-06-000528 filed on April 18, 2006, and incorporated by reference herein. | |||||||
4. | (a) | (1) | Individual Flexible Premium Deferred Variable Annuity Contract with Four Year Withdrawal Charge Option (Form No. ICC 10:10-1185-L); Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-10-064320 filed on July 8, 2010, and incorporated by reference herein. | |||||
(2) | Individual Flexible Premium Deferred Variable Annuity Contract (Form No. ICC 10:10-1185); Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-10-064320 filed on July 8, 2010, and incorporated by reference herein. | |||||||
(b) | (1) | 403(b) Tax-Sheltered Annuity Rider (Form No. 20-15200); Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-06-000999 filed on August 14, 2006, and incorporated by reference herein. | ||||||
(2) | 403(b) Tax-Sheltered Annuity Rider (Form No. 20-1156); Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-001559 filed on December 4, 2008, and incorporated by reference herein. | |||||||
(3) | 403(b) Tax-Sheltered Annuity Rider (Form No. ICC 12:20-1270) | |||||||
(c) | (1) | Section 457 Plan Rider (Form No. 24-123799); Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-06-000999 filed on August 14, 2006, and incorporated by reference herein. | ||||||
(2) | Section 457 Plan Rider (Form No. ICC 12:20-1271) | |||||||
(d) | (1) | Individual Retirement Annuity Rider (Form No. 20-18900); Included in Registrants Form N-4, File No. 033-88460, Accession No. 0001017062-02-002150 filed on December 19, 2002, and incorporated by reference herein. | ||||||
(2) | Individual Retirement Annuity Rider (Form No. ICC 12:20-1266) | |||||||
(e) | (1) | Roth Individual Retirement Annuity Rider (Form No. 20-19000); Included in Registrants Form N-4, File No. 033-88460, Accession No. 0001017062-02-002150 filed on December 19, 2002, and incorporated by reference herein. | ||||||
(2) | Roth Individual Retirement Annuity Rider (Form No. ICC 12:20-1267) | |||||||
(f) | (1) | SIMPLE Individual Retirement Annuity Rider (Form No. 20-19100); Included in Registrants Form N-4, File No. 033-88460, Accession No. 0001017062-02-002150 filed on December 19, 2002, and incorporated by reference herein. | ||||||
(2) | SIMPLE Individual Retirement Annuity Rider (Form No. ICC 12:20-1268) | |||||||
(g) | (1) | Qualified Retirement Plan Rider (Form No. 20-14200); Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-06-000999 filed on August 14, 2006, and incorporated by reference herein. | ||||||
(2) | Qualified Retirement Plan Rider (Form No. ICC 12:20-1269) | |||||||
(h) | Guaranteed Earnings Enhancement (EEG) Rider (Form No. 20-14900); Included in Registrants Form N-4, File No. 33-88460, Accession No. 0001017062-01-000459 filed on March 2, 2001, and incorporated by reference herein. | |||||||
(i) | Guaranteed Protection Advantage 5 Rider (Form No. 20-19600); Included in Registrants Form N-4, File No. 033-88460, Accession No. 0001193125-04-031337 filed on February 27, 2004, and incorporated by reference herein. | |||||||
(j) | (1) | Income Access Rider (Form No. 20-1104); Included in Registrants Form N-4, File No. 033-88460, Accession No. 0001193125-04-031337 filed on February 27, 2004, and incorporated by reference herein. | ||||||
(2) | Income Access Endorsement (Form No. 15-1122); Included in Registrants Form N-4, File No. 033-88460, Accession No. 0000892569-05-000440 filed on June 15, 2005, and incorporated by reference herein. | |||||||
(3) | Excess Withdrawal Endorsement (Form No. 15-1152C); Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-000961 filed on July 2, 2008, and incorporated by reference herein. | |||||||
(k) | (1) | DCA Plus Fixed Option Rider (Form No. 20-1103); Included in Registrants Form N-4, File No. 033-88460, Accession No. 0001193125-03-099259 filed on December 24, 2003, and incorporated by reference herein. | ||||||
(2) | DCA Plus Fixed Option Rider (Form No. ICC 11:20-1219); Included in Registrants Form N-4, File No. 333-175279, Accession No. 0000950123-11-063391 filed on July 1, 2011, and incorporated by reference herein. | |||||||
(l) | Guaranteed Income Annuity Rider (Form No. 20-1118); Included in Registrants Form N-4, File No. 033-88460, Accession No. 0000892569-04-000888 filed on October 15, 2004, and incorporated by reference herein. | |||||||
(m) | Stepped-Up Death Benefit Rider (Form No. 20-1117); Included in Registrants Form N-4, File No. 033-88460, Accession No. 0000892569-04-000888 filed on October 15, 2004, and incorporated by reference herein. | |||||||
(n) | Guaranteed Protection Advantage 3 Rider (Form No. 20-1145); Included in Registrants Form N-4, File No. 333-141135, Accession No. 0000892569-07-001521 filed on December 12, 2007, and incorporated by reference herein. | |||||||
(o) | Core Withdrawal Benefit Rider (Form No. 20-1162); Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-09-000061 filed on February 9, 2009, and incorporated by reference herein. | |||||||
(p) | Guaranteed Withdrawal Benefit IV Rider (Form No. 20-1176); Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-09-050719 filed on October 16, 2009, and incorporated by reference herein. | |||||||
(q) | Core Withdrawal Benefit II Rider (Form No. 20-1178); Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(r) | Guaranteed Withdrawal Benefit V Rider Single Life (Form No. ICC 10:20-1194); Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-10-115920 filed on December 23, 2010, and incorporated by reference herein. | |||||||
(s) | Guaranteed Withdrawal Benefit V Rider Joint Life (Form No. ICC 10:20-1195); Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-10-115920 filed on December 23, 2010, and incorporated by reference herein. | |||||||
(t) | Guaranteed Withdrawal Benefit VII Rider Single Life (Form No. ICC 11:20-1204); Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-11-036762 filed on April 19, 2011, and incorporated by reference herein. | |||||||
(u) | Guaranteed Withdrawal Benefit VII Rider Joint Life (Form No. ICC 11:20-1205); Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-11-036762 filed on April 19, 2011, and incorporated by reference herein. | |||||||
5. | (a) | Variable Annuity Application; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-10-115920 filed on December 23, 2010, and incorporated by reference herein. | ||||||
6. | (a) | Pacific Lifes Articles of Incorporation; Included in Registrants Form N-4, File No. 33-88460, Accession No. 0001017062-98-000945 filed on April 29, 1998, and incorporated by reference herein. | ||||||
(b) | By-laws of Pacific Life; Included in Registrants Form N-4, File No. 33-88460, Accession No. 0001017062-98-000945 filed on April 29, 1998, and incorporated by reference herein. | |||||||
(c) | Pacific Lifes Restated Articles of Incorporation; Included in Registrants Form N-4, File No. 033-88460, Accession No. 0000892569-06-000528 filed on April 18, 2006, and incorporated by reference herein. | |||||||
(d) | By-laws of Pacific Life As Amended September 1, 2005; Included in Registrants Form N-4, File No. 033-88460, Accession No. 0000892569-06-000528 filed on April 18, 2006, and incorporated by reference herein. | |||||||
7. | Not applicable | |||||||
8. | (a) | Pacific Select Fund Participation Agreement; Included in Registrants Form N-4, File No. 33-88460, Accession No. 0001017062-01-500083 filed on April 25, 2001, and incorporated by reference herein. | ||||||
(b) | Fund Participation Agreement Between Pacific Life Insurance Company, Pacific Select Distributions, Inc., American Funds Insurance Series, American Funds Distributors, and Capital Research and Management Company; Included in Registrants Form N-4, File No. 333-93059, Accession No. 0000892569-05-000253 filed on April 19, 2005, and incorporated by reference herein. | |||||||
(c) | Form of AllianceBernstein Variable Products Series Fund, Inc. Participation Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-000961 filed on July 2, 2008, and incorporated by reference herein. | |||||||
(d) | Form of BlackRock Variable Series Fund, Inc. Participation Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-000961 filed on July 2, 2008, and incorporated by reference herein. | |||||||
(1) | Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(e) | Form of Franklin Templeton Variable Insurance Products Trust Participation Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-000961 filed on July 2, 2008, and incorporated by reference herein. | |||||||
(1) | First Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(2) | Second Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-11-036762 filed on April 19, 2011, and incorporated by reference herein. | |||||||
(f) | Form of AllianceBernstein Investments, Inc. Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-000961 filed on July 2, 2008, and incorporated by reference herein. | |||||||
(g) | Form of BlackRock Distributors, Inc. Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-000961 filed on July 2, 2008, and incorporated by reference herein. | |||||||
(1) | Amendment to Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(h) | Form of Franklin Templeton Services, LLC Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-000961 filed on July 2, 2008, and incorporated by reference herein. | |||||||
(1) | First Amendment to Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(2) | Second Amendment to Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0001193125-12-503004 filed on December 14, 2012, and incorporated by reference herein. | |||||||
(3) | Third Amendment to Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0001193125-12-503004 filed on December 14, 2012, and incorporated by reference herein. | |||||||
(i) | Form of AIM Variable Insurance Funds Participation Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-001559 filed on December 4, 2008, and incorporated by reference herein. | |||||||
(1) | First Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-12-006432 filed on April 24, 2012, and incorporated by reference herein. | |||||||
(j) | Form of Invesco Aim Distributors, Inc. Distribution Services Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-001559 filed on December 4, 2008, and incorporated by reference herein. | |||||||
(k) | Form of Invesco Aim Advisors, Inc. Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-001559 filed on December 4, 2008, and incorporated by reference herein. | |||||||
(l) | Form of GE Investments Funds, Inc. Participation Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-001559 filed on December 4, 2008, and incorporated by reference herein. | |||||||
(1) | Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(m) | Form of GE Investment Distributors, Inc. Distribution and Services Agreement (Amended and Restated); Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(n) | Form of Van Kampen Life Investment Trust Participation Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-001559 filed on December 4, 2008, and incorporated by reference herein. | |||||||
(o) | Form of Van Kampen Funds, Inc. Shareholder Service Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-001559 filed on December 4, 2008, and incorporated by reference herein. | |||||||
(p) | Form of Van Kampen Asset Management Administrative Services Letter Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000892569-08-001559 filed on December 4, 2008, and incorporated by reference herein. | |||||||
(q) | Form of GE Investments Funds, Inc. Investor Services Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(1) | First Amendment to Investor Services Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(r) | Form of PIMCO Variable Insurance Trust Participation Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(1) | First Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-11-036762 filed on April 19, 2011, and incorporated by reference herein. | |||||||
(2) | Second Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-11-036762 filed on April 19, 2011, and incorporated by reference herein. | |||||||
(s) | Form of Allianz Global Investors Distributors LLC Selling Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(t) | Form of PIMCO LLC Services Agreement; Included in Registrants Form N-4, File No. 333-136597, Accession No. 0000950123-10-036152 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(1) | Amendment to Services Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0001193125-12-503004 filed on December 14, 2012, and incorporated by reference herein. | |||||||
(u) | Form of MFS Variable Insurance Trust Participation Agreement; Included in Registrants Form N-4, File No. 333-160772, Accession No. 0000950123-10-036181 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(1) | First Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-160772, Accession No. 0000950123-10-036181 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(2) | Second Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-11-036762 filed on April 19, 2011, and incorporated by reference herein. | |||||||
(v) | Form of MFS Variable Insurance Trust Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-160772, Accession No. 0000950123-10-036181 filed on April 20, 2010, and incorporated by reference herein. | |||||||
(w) | Participation Agreement with Fidelity Variable Insurance Products (Variable Insurance Products Funds, Variable Insurance Products Fund II, Variable Insurance Products Fund III and Variable Insurance Products Funds V); Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-12-006432 filed on April 24, 2012, and incorporated by reference herein. | |||||||
(1) | First Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-12-006432 filed on April 24, 2012, and incorporated by reference herein. | |||||||
(2) | Second Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-12-006432 filed on April 24, 2012, and incorporated by reference herein. | |||||||
(x) | Service Contract with Fidelity Distributors Corporation; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-12-006432 filed on April 24, 2012, and incorporated by reference herein. | |||||||
(1) | Amendment to Service Contract; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-12-006432 filed on April 24, 2012, and incorporated by reference herein. | |||||||
(y) | Participation Agreement with First Trust Variable Insurance Trust; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-12-006432 filed on April 24, 2012, and incorporated by reference herein. | |||||||
(z) | Administrative Services Agreement with First Trust Variable Insurance Trust; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-12-006432 filed on April 24, 2012, and incorporated by reference herein. | |||||||
(aa) | Support Agreement with First Trust Advisors L.P.; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-12-006432 filed on April 24, 2012, and incorporated by reference herein. |
II-2
(bb) | Form of American Century Investment Services, Inc. Participation Agreement; Included in Registrants Form N-6, File No. 333-150092, Accession Number 000950123-12-006370 filed on April 23, 2012. | |||||||
(cc) | Form of American Century Investment Services, Inc. Administrative Services Agreement; Included in Registrants Form N-6, File No. 333-150092, Accession Number 000950123-12-006370 filed on April 23, 2012. | |||||||
(1) | First Amendment to Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0001193125-12-503004 filed on December 14, 2012, and incorporated by reference herein. | |||||||
(dd) | Participation Agreement with Janus Aspen Series; Included in Registrants Form N-6, File No. 333-118913, Accession Number 000892569-07-000444 filed on April 16, 2007. | |||||||
(1) | First Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0001193125-12-503004 filed on December 14, 2012, and incorporated by reference herein. | |||||||
(ee) | Distribution and Shareholder Service Agreement with Janus Capital Management LLC.; Included in Registrants Form N-6, File No. 333-118913, Accession Number 000892569-07-000444 filed on April 16, 2007. | |||||||
(ff) | Administrative Services Agreement with Janus Distributors LLC; Included in Registrants Form N-6, File No. 333-118913, Accession Number 000892569-07-000444 filed on April 16, 2007. | |||||||
(gg) | Form of Lord Abbett Series Fund, Inc. Fund Participation Agreement; Included in Registrants Form N-4, File No. 333-168284, Accession No. 0000950123-10-067409 filed on July 23, 2010, and incorporated by reference herein. | |||||||
(hh) | Form of Lord Abbett Series Fund, Inc. Service Agreement; Included in Registrants Form N-4, File No. 333-168284, Accession No. 0000950123-10-067409 filed on July 23, 2010, and incorporated by reference herein. | |||||||
(ii) | Form of Lord Abbett Series Fund, Inc. Administrative Services Agreement; Included in Registrants Form N-4, File No. 333-168284, Accession No. 0000950123-10-067409 filed on July 23, 2010, and incorporated by reference herein. | |||||||
(jj) | Form of Lord Abbett Series Fund, Inc. Support Payment Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0001193125-12-503004 filed on December 14, 2012, and incorporated by reference herein. | |||||||
(1) | First Amendment to Support Payment Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0001193125-12-503004 filed on December 14, 2012, and incorporated by reference herein. | |||||||
(kk) | Participation Agreement with Van Eck Worldwide Insurance Trust; Included in Registrants Form N-6, File No. 033-21754, Accession No. 0000892569-05-000254 filed on April 19, 2005, and incorporated by reference herein. | |||||||
(1) | First Amendment to Participation Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0001193125-12-503004 filed on December 14, 2012, and incorporated by reference herein. | |||||||
(ll) | Service Agreement with Van Eck Securities Corporation; Included in Registrants Form N-6, File No. 333-118913, Accession No. 0000892569-05-000054 filed on February 10, 2005, and incorporated by reference herein. | |||||||
(1) | First Amendment to Service Agreement; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0001193125-12-503004 filed on December 14, 2012, and incorporated by reference herein. | |||||||
9. | Opinion and Consent of legal officer of Pacific Life Insurance Company as to the legality of Contracts being registered; Included in Registrants Form N-4, File No. 333-168026, Accession No. 0000950123-10-064320 filed on July 8, 2010, and incorporated by reference herein. |
II-3
10. | Consent of Independent Registered Public Accounting Firm and Consent of Independent Auditors; [TO BE FILED] | ||
11. | Not applicable | ||
12. | Not applicable | ||
13. | Powers of Attorney; |
Name and Address | Positions and Offices with Pacific Life | |
James T. Morris |
Director, Chairman and Chief Executive Officer | |
Khanh T. Tran |
Director and President | |
Adrian S. Griggs |
Executive Vice President and Chief Financial Officer | |
Sharon A. Cheever |
Director, Senior Vice President and General Counsel | |
Jane M. Guon |
Director, Vice President and Secretary | |
Edward R. Byrd |
Senior Vice President and Chief Accounting Officer | |
Brian D. Klemens |
Vice President and Controller | |
Dewey P. Bushaw |
Executive Vice President | |
Joseph W. Krum
|
Vice President and Treasurer |
II- 4
Jurisdiction of | ||||
Incorporation | Percentage of | |||
or | Ownership by its | |||
Organization | Immediate Parent | |||
Pacific Mutual Holding Company |
Nebraska | |||
Pacific LifeCorp |
Delaware | 100 | ||
Pacific Life Insurance Company |
Nebraska | 100 | ||
Pacific Life & Annuity Company |
Arizona | 100 | ||
Pacific Select Distributors, Inc. |
California | 100 | ||
Pacific Asset Holding LLC |
Delaware | 100 | ||
Pacific TriGuard Partners LLC |
Delaware | 100 | ||
Grayhawk Golf Holdings, LLC |
Delaware | 95 | ||
Grayhawk Golf L.L.C. |
Arizona | 100 | ||
Las Vegas Golf I, LLC |
Delaware | 100 | ||
Angel Park Golf, LLC |
Nevada | 100 | ||
CW Atlanta, LLC |
Delaware | 100 | ||
City Walk Towers, LLC |
Delaware | 100 | ||
Kierland One, LLC |
Delaware | 100 | ||
Kinzie Member, LLC |
Delaware | 100 | ||
Parcel B Owner LLC |
Delaware | 88 | ||
Kinzie Parcel A Member, LLC |
Delaware | 100 | ||
Parcel A Owner LLC |
Delaware | 90 | ||
PL/KBS Fund Member, LLC |
Delaware | 100 | ||
KBS/PL Properties, L.P. |
Delaware | 99.9 | ||
Wildflower Member, LLC |
Delaware | 100 | ||
Epoch-Wildflower, LLC |
Florida | 99 | ||
Sedona Golf Club, LLC |
Delaware | 100 | ||
Glenoaks Golf Club, LLC |
Delaware | 100 | ||
Polo Fields Golf Club, LLC |
Delaware | 100 | ||
PL Regatta Member, LLC |
Delaware | 100 | ||
Regatta Apartments Investors, LLC |
Delaware | 90 | ||
Pacific Asset Loan LLC |
Delaware | 100 | ||
PL Vintage Park Member, LLC |
Delaware | 100 | ||
PL Broadstone Avena Member, LLC |
Delaware | 100 | ||
Broadstone Avena Investors, LLC |
Delaware | 90 | ||
PAR Industrial LLC |
Delaware | 100 | ||
Confederation Life Insurance and Annuity Company |
Georgia | 100 | ||
Pacific Asset Advisors LLC |
Delaware | 100 | ||
Pacific Life Fund Advisors LLC |
Delaware | 100 | ||
Pacific Alliance Reinsurance Company of Vermont |
Vermont | 100 | ||
Pacific Global Advisors LLC |
Delaware | 100 | ||
Pacific Services Canada Limited |
Canada | 100 | ||
Pacific Life Reinsurance Company II Limited |
Barbados | 100 | ||
Aviation Capital Group Corp. |
Delaware | 100 | ||
ACG Acquisition 4063 LLC |
Delaware | 100 | ||
ACG Acquisition 4084 LLC |
Delaware | 100 | ||
ACG Acquisition Ireland III Limited |
Ireland | 100 | ||
ACG Acquisition Ireland V Ltd. |
Ireland | 100 | ||
ACG Acquisition 4658 LLC |
Delaware | 100 | ||
ACG Acquisition 4913 LLC |
Delaware | 100 | ||
ACG Acquisition 4941 LLC |
Delaware | 100 | ||
ACG Acquisition 4942 LLC |
Delaware | 100 | ||
ACG Acquisition 4891 LLC |
Delaware | 100 | ||
ACG Acquisition 5047 LLC |
Delaware | 100 | ||
ACG Acquisition 5048 LLC |
Delaware | 100 | ||
ACG Acquisition 5063 LLC |
Delaware | 100 | ||
ACG Acquisition 5136 LLC |
Delaware | 100 | ||
ACG Acquisition 38105 LLC |
Delaware | 100 | ||
ACG Acquisition 38106 LLC |
Delaware | 100 | ||
ACG Acquisition 4864 LLC |
Delaware | 100 | ||
ACG Acquisition 4883 LLC |
Delaware | 100 | ||
ACG Acquisition 5096 LLC |
Delaware | 100 | ||
ACG Acquisition 5193 LLC |
Delaware | 100 | ||
ACG Acquisition 5278 LLC |
Delaware | 100 | ||
ACG Acquisition 5299 LLC |
Delaware | 100 | ||
ACG Acquisition 38884 LLC |
Delaware | 100 | ||
ACG Acquisition 38885 LLC |
Delaware | 100 | ||
ACG Acquisition 39891 LLC |
Delaware | 100 | ||
ACG Acquisition 40547 LLC |
Delaware | 100 | ||
ACG ECA Ireland Limited |
Ireland | 100 | ||
ACG Bermuda Leasing Limited |
Bermuda | 100 | ||
ACG Acquisition BR 2012-10A LLC |
Delaware | 100 | ||
ACG Acquisition BR 2012-10B LLC |
Delaware | 100 | ||
ACG Acquisition BR 2012-11 LLC |
Delaware | 100 | ||
ACG Acquisition BR 2013-02 LLC |
Delaware | 100 | ||
ACG Acquisition 2688 LLC |
Delaware | 100 | ||
ACG Acquisition 5661 LLC |
Delaware | 100 | ||
ACG Acquisition 38881 LLC |
Delaware | 100 | ||
ACG Acquisition 39886 LLC |
Delaware | 100 | ||
ACG Acquisition 299495 LLC |
Delaware | 100 | ||
ACG Acquisition 5527 LLC |
Delaware | 100 | ||
ACGFS LLC |
Delaware | 100 | ||
ACG Acquisition 5446 LLC |
Delaware | 100 | ||
ACG Acquisition 5716 LLC |
Delaware | 100 | ||
ACG Acquisition 40544 LLC |
Delaware | 100 | ||
ACG Acquisition 39887 LLC |
Delaware | 100 | ||
ACG Acquisition 299496 LLC |
Delaware | 100 | ||
ACG Acquisition VI LLC |
Nevada | 50 | ||
ACG Acquisition XIX LLC |
Delaware | 20 | ||
ACG XIX Holding LLC |
Delaware | 100 | ||
Aviation Capital Group Trust |
Delaware | 100 | ||
ACG Acquisition XV LLC |
Delaware | 100 | ||
ACG Acquisition XX LLC |
Delaware | 100 | ||
ACG Acquisition (Bermuda) Ltd. |
Bermuda | 100 | ||
ACG Acquisition Ireland Limited |
Ireland | 100 | ||
ACG Acquisition Labuan Ltd. |
Labuan | 100 | ||
ACG Acquisitions Sweden AB |
Sweden | 100 | ||
ACG Acquisition XXI LLC |
Delaware | 100 | ||
ACG Trust 2004-1 Holding LLC |
Delaware | 100 | ||
ACG Funding Trust 2004-1 |
Delaware | 100 | ||
ACG 2004-1 Bermuda Limited |
Bermuda | 100 | ||
ACG Acquisition 2004-1 Ireland Limited |
Ireland | 100 | ||
ACG Trust II Holding LLC |
Delaware | 100 | ||
Aviation Capital Group Trust II |
Delaware | 100 | ||
ACG Acquisition XXV LLC |
Delaware | 100 | ||
ACG Acquisition 37 LLC |
Delaware | 100 |
II- 5
Pacific Journey SelectApproximately
|
89 Qualified | |
524 Non Qualified |
(a) | The Distribution Agreement between Pacific Life Insurance Company, Pacific Life & Annuity Company (collectively referred to as Pacific Life) and Pacific Select Distributors, Inc. (PSD) provides substantially as follows: | ||
Pacific Life shall indemnify and hold harmless PSD and PSDs officers, directors, agents, controlling persons, employees, subsidiaries and affiliates for all attorneys fees, litigation expenses, costs, losses, claims, judgments, settlements, fines, penalties, damages, and liabilities incurred as the direct or indirect result of: (i) negligent, dishonest, fraudulent, unlawful, or criminal acts, statements, or omissions by Pacific Life or its employees, agents, officers, or directors; (ii) Pacific Lifes breach of this Agreement; (iii) Pacific Lifes failure to comply with any statute, rule, or regulation; (iv) a claim or dispute between Pacific Life and a Broker/Dealer (including its Representatives) and/or a Contract owner. Pacific Life shall not be required to indemnify or hold harmless PSD for expenses, losses, claims, damages, or liabilities that result from PSDs misfeasance, bad faith, negligence, willful misconduct or wrongful act. | |||
PSD shall indemnify and hold harmless Pacific Life and Pacific Lifes officers, directors, agents, controlling persons, employees, subsidiaries and affiliates for all attorneys fees, litigation expenses, costs, losses, claims, judgments, settlements, fines, penalties, damages and liabilities incurred as the direct or indirect result of: (i) PSDs breach of this Agreement; and/or (ii) PSDs failure to comply with any statute, rule, or regulation. PSD shall not be required to indemnify or hold harmless Pacific Life for expenses, losses, claims, damages, or liabilities that have resulted from Pacific Lifes willful misfeasance, bad faith, negligence, willful misconduct or wrongful act. | |||
(b) | The Form of Selling Agreement between Pacific Life, Pacific Select Distributors, Inc. (PSD) and Various Broker-Dealers and Agency (Selling Entities) provides substantially as follows: | ||
Pacific Life and PSD agree to indemnify and hold harmless Selling Entities, their officers, directors, agents and employees, against any and all losses, claims, damages, or liabilities to which they may become subject under the Securities Act, the Exchange Act, the Investment Company Act of 1940, 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 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 Securities Act, or any prospectus included as a part thereof, as from time to time amended and supplemented, or in any advertisement or sales literature provided by Pacific Life and PSD. |
II- 6
Selling Entities agree to, jointly and severally, hold harmless and indemnify Pacific Life and PSD and any of their respective affiliates, employees, officers, agents and directors (collectively, Indemnified Persons) against any and all claims, liabilities and expenses (including, without limitation, losses occasioned by any rescission of any Contract pursuant to a free look provision or by any return of initial purchase payment in connection with an incomplete application), including, without limitation, reasonable attorneys fees and expenses and any loss attributable to the investment experience under a Contract, that any Indemnified Person may incur from liabilities resulting or arising out of or based upon (a) any untrue or alleged untrue statement other than statements contained in the registration statement or prospectus relating to any Contract, (b) (i) any inaccurate or misleading, or allegedly inaccurate or misleading sales material used in connection with any marketing or solicitation relating to any Contract, other than sales material provided preprinted by Pacific Life or PSD, and (ii) any use of any sales material that either has not been specifically approved in writing by Pacific Life or PSD or that, although previously approved in writing by Pacific Life or PSD, has been disapproved, in writing by either of them, for further use, or (c) any act or omission of a Subagent, director, officer or employee of Selling Entities, including, without limitation, any failure of Selling Entities or any Subagent to be registered as required as a broker/dealer under the 1934 Act, or licensed in accordance with the rules of any applicable SRO or insurance regulator. |
II- 7
(a) | PSD also acts as principal underwriter for Pacific Select Variable Annuity Separate Account, Separate Account B, Pacific Corinthian Variable Separate Account, Pacific Select Separate Account, Pacific Select Exec Separate Account, COLI Separate Account, COLI II Separate Account, COLI III Separate Account, COLI IV Separate Account, COLI V Separate Account, Separate Account A of Pacific Life & Annuity Company, Pacific Select Exec Separate Account of Pacific Life & Annuity Company, Separate Account I of Pacific Life Insurance Company, Separate Account I of Pacific Life & Annuity Company. | ||
(b) | For information regarding PSD, reference is made to Form B-D, SEC File No. 8-15264, which is herein incorporated by reference. | ||
(c) | PSD retains no compensation or net discounts or commissions from the Registrant. |
(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. |
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SEPARATE ACCOUNT A | ||||||
(Registrant) | ||||||
By: | PACIFIC LIFE INSURANCE COMPANY | |||||
By: | ||||||
Director, Chairman and Chief Executive Officer | ||||||
By: | PACIFIC LIFE INSURANCE COMPANY (Depositor) | |||||
By: | ||||||
Director, Chairman and Chief Executive Officer |
Signature | Title | Date | ||
Director, Chairman and Chief Executive Officer | February 5, 2013 | |||
Director and President | February 5, 2013 | |||
Executive Vice President and Chief Financial Officer | February 5, 2013 | |||
Director, Senior Vice President and General Counsel | February 5, 2013 | |||
Director, Vice President and Secretary | February 5, 2013 | |||
Senior Vice President and Chief Accounting Officer | February 5, 2013 | |||
Vice President and Controller | February 5, 2013 | |||
Executive Vice President | February 5, 2013 | |||
Vice President and Treasurer | February 5, 2013 | |||
*By:
|
/s/ SHARON A. CHEEVER
|
February 5, 2013 | ||||
Sharon A. Cheever | ||||||
as attorney-in-fact |
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Pacific Life Insurance Company [700 Newport Center Drive Newport Beach, CA 92660 (800) 722-4448] |
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Page 1 of 17 |
Page | |||||
Definitions |
2 | ||||
Tax-Sheltered Annuity Provisions |
4 | ||||
Tax Qualification and ERISA Provisions |
12 | ||||
TSA Loan Provisions |
12 | ||||
Tax Treatment and Provisions for Any Nonqualified Portion |
15 | ||||
Termination of Rider |
17 |
Page 2 of 17 |
Page 3 of 17 |
1. | Contract Purchased under a TSA Plan with Nonforfeitable Benefits. The Contract must be purchased under a TSA Plan. Pursuant to Reg. § 1.403(b)-3(a)(1), the Contract may not be purchased under a plan qualifying under Code Section 401(a) or 403(a) or an eligible governmental plan under Code Section 457(b). The Annuitant shall be at all times the Owner of the Contract (or its beneficial Owner where a fiduciary is its legal Owner). Such individual Owners rights under the Contract shall be nonforfeitable, and the Contract shall be for the benefit of such Owner and his or her beneficiaries. |
2. | Contract Benefits Not Transferable. No benefits under the Contract may be transferred, sold, assigned, borrowed or pledged as collateral for a loan, or as security for the performance of an obligation, or for any other purpose, to any person other than Us, except as permitted by (a) a federal tax lien, (b) an order under Code Section 401(a)(13)(C), or (c) Reg. § 1.403(b)-10(b) or (c) (e.g., in the case of a transfer or distribution pursuant to a QDRO, an intra-plan exchange or plan-to-plan transfer described in Section B.11 below, or a direct transfer to a governmental defined benefit plan pursuant to Code Section 403(b)(13) that is described in Section B.4(d) below). |
3. | Contributions. Except in the case of a rollover contribution permitted by Code Section 402(c), 402(e)(6), 403(a)(4), 403(b)(8), 403(b)(10), 408(d)(3), or 457(e)(16), Contributions must be made by or for the Owner (e.g., through the Eligible Employer maintaining the TSA Plan) within certain tax limits or by means of an intra-plan exchange or plan-to-plan transfer described in Section B.11 below. All Contributions must be made in cash. If the Owner dies before the entire interest under the Contract has been distributed, additional Contributions shall not be allowed into the Contract to the extent prohibited by published IRS guidance, e.g., excluding (and allowing in) any rollover or transfer that qualifies under Reg. § 1.403(b)-10(d). Contributions to the Contract shall be transferred to Us within a reasonable period, within the meaning of Reg. § 1.403(b)-8(b), and an Elective Deferral may be contributed up to 15 business days following the month in which such an amount would otherwise have been paid to the Owner. If the Contract is maintained pursuant to a TSA Plan, the Owner, along with the Eligible Employer (and any designated Plan representative other than Us), shall have the sole responsibility for determining whether any Contribution satisfies the applicable income tax requirements; otherwise, the Owner shall have such sole responsibility. |
Page 4 of 17 |
(a) | Elective Deferrals and Their Limits. Pursuant to Code Sections 403(b)(1)(E) and 401(a)(30) and Reg. § 1.403(b)-3(a)(4) and -4(c), any Elective Deferrals (including those contributed to the Contract and any other Elective Deferrals for the Owner under the TSA Plan and under all other plans, contracts and arrangements that are referred to in Reg. § 1.403(b)-3(a)(4) and maintained by the Eligible Employer that maintains the TSA Plan), may not exceed the limits of Code Section 402(g), except as permitted by Code Section 414(u) (for certain veterans rights) or by Code Section 414(v) (for a participant age 50 or over by end of the participants tax year). If Elective Deferrals exceed this limit, We may distribute amounts equal to such excess (including any income allocable thereto) to the Owner as permitted by Reg. § 1.403(b)-4(f)(4). If not so distributed, such excess amounts (including any income allocable thereto) shall be separately accounted for and disbursed in accordance with Code Section 402(g) or 4979(f) or Reg. § 1.403(b)-3(b)(2), -4(f) or -7(c). Contributions of Elective Deferrals into the Contract may be suspended for a period of up to six months after an Owner receives a hardship distribution allowable under Reg. § 1.403(b)-6(d). | ||
(b) | Combined Contributions and Their Limits. Pursuant to Code Sections 403(b)(1) and 415(a)(2) and Reg. § 1.403(b)-3(a)(9) and -4(b), total Contributions into the Contract (including Elective Deferrals) may not exceed certain limits under Code Section 415. Any Elective Deferrals or other Contributions that exceed any applicable limits may not be excludable from gross income. Such excess Contributions (including any income allocable thereto) shall be separately accounted for and disbursed in accordance with Code Section 402(g) or 4979(f) or Reg. § 1.403(b)-3(b)(2), -4(f) or -7(c). The Code Section 415 limits do not apply in the case of a rollover contribution under Code Section 402(c), 402(e)(6), 403(a)(4), 403(b)(8), 403(b)(10), 408(d)(3), or 457(e)(16), a nontaxable transfer from another contract qualifying under Code Section 403(b) or from a custodial account qualifying under Code Section 403(b)(7), or any Contribution allowed by Code Section 414(u). However, if this Contract is limited by its contractual terms to only accepting single deposits or rollover amounts, this Contract shall continue to be subject to such restrictions, except to the extent provided in the Tax Qualification and ERISA Provisions below. We may distribute Contributions (including any income allocable thereto) that were made under a mistake of fact, including (but not limited to) Contributions in excess of the Code Section 402(g) limit or other limit imposed by the Code, but only when permitted by the Code or required by the IRS. | ||
(c) | Separate Accounting. Pursuant to Reg. § 1.403(b)-3(b)(2) and -6(d)(3), separate accounting shall be maintained for amounts held under the Contract for: (i) any Elective Deferrals; (ii) any after-tax employee Contributions; (iii) any other amounts that are transferred into the Contract from any Code Section 403(b)(7) custodial account, (iv) any undistributed excess Contributions or RMDs; (v) any eligible rollover distribution accepted into the Contract pursuant to Reg. § 1.403(b)-10(d); (vi) any unvested Contributions pursuant to Reg. § 1.403(b)-3(d)(2)(ii); (vii) any Contributions eligible for permissive withdrawal under Code Section 414(w)(2); and (viii) other Contributions and amounts added to the Contract values. Such separate accounting maintained for the Contract shall include any amounts for earnings, gains or losses with respect to each of the above separately accounted-for categories. | ||
(d) | Other Contribution Provisions. Contributions by an Eligible Employer for an Owner who is a former employee thereof shall be accepted under this Contract (i) for a period of five tax years following the tax year in which the employee was terminated by the Eligible Employer in accordance with the Reg. § 1.403(b)-4(d), or (ii) pursuant to Reg. § 1.415(c)-2(e)(3)(i) relating to certain compensation paid by the later of 21/2 months after Severance from Employment or the end of the limitation year that includes the date of Severance from Employment, or (iii) that are attributable to compensation described in Reg. § 1.415(c)-2(e)(4) or § 1.415(c)-2(g)(4) relating to compensation paid to participants who are permanently and totally disabled, or (iv) relating to qualified military service under Code Section 414(u) and Reg. § 1.415(c)-2(e)(4) or § 1.415(c)-2(g)(7). Contributions for a church employee as defined under Code Section 414(e)(3)(B) (e.g., a duly ordained, commissioned or licensed minister of a church) shall be accepted as Contributions in accordance with Code Section 415(c)(7). |
Page 5 of 17 |
(e) | Premium Minimums and Refunds. Any Purchase Payment (or premium payment) under the Contract must be at least the minimum as stated in the Purchase Payment (or Premiums) provisions of the Contract. In addition, any Purchase Payment (or premium) refund declared by Us, other than a refund attributable to an excess Contribution, will be applied toward the purchase of additional benefits or the payment of future premiums before the close of the calendar year following the refund. |
4. | Distribution Restrictions. |
(a) | Distribution of Elective Deferrals. Pursuant to Code Section 403(b)(11) and Reg. § 1.403(b)-6, distributions (other than to correct excess Contributions, or upon termination of the TSA Plan) that are attributable to Elective Deferrals may be made only when the Owner attains age 591/2, has a Severance from Employment, dies, becomes disabled (within the meaning of Code Section 72(m)(7)), incurs a hardship, is eligible for a qualified reservist distribution to which Code Section 72(t)(2)(G) applies, is eligible for permissive withdrawal under Code Section 414(w)(2), or is authorized for a federally declared disaster distribution. Any such distribution made due to a hardship is limited to the Owners Elective Deferrals (excluding any income thereon) reduced by the aggregate prior distributions to the Owner from the Contract. | ||
(b) | Other Distributions Not Attributable to Elective Deferrals. Other distributions not attributable to Elective Deferrals but attributable to other amounts that have been held in a Code Section 403(b)(7) custodial account are generally subject to corresponding restrictions, except that no distribution for hardship is allowable under Reg. § 1.403(b)-6(c). Otherwise, distributions from the Contract generally are not permitted prior to the Owners Severance from Employment or some other event allowed by Reg. § 1.403(b)-6(b), except to the extent that such a distribution is attributable to either (i) after-tax employee Contributions or earnings thereon, or (ii) amounts separately accounted for as an eligible rollover distribution pursuant to Reg. § 1.403(b)-6(i) and -10(d). | ||
(c) | Certain Mandatory Distributions. Pursuant to Code Sections 403(b)(10) and 401(a)(31)(B), if the distributee of any mandatory distribution that is described in Code Section 401(a)(31)(B)(ii) and that exceeds $1,000 does not elect to have such distribution paid either to such distributee or in a direct transfer to an eligible retirement plan pursuant to Code Section 401(a)(31)(A), such distribution shall be paid in a direct transfer to an individual retirement plan designated by the Eligible Employer sponsoring the governing TSA Plan (or by another fiduciary thereunder), and the distributee shall be notified in writing about such transfer and that such distribution may be transferred to another individual retirement plan, in accordance with Code Section 401(a)(31) and Reg. § 1.403(b)-7(b)(5) (and to the extent required thereby). | ||
(d) | Purchase of Permissive Service Credit. Pursuant to Code Section 403(b)(13), any amounts held under this Contract may be transferred at the Owners direction in a direct transfer from the Contract to a defined benefit governmental plan under Code Section 414(d) in accordance with Reg. § 1.403(b)-10(b)(4). Withdrawal or surrender charges under the Contract may apply to such transfers as if they were withdrawals. |
5. | Rollover Distributions. Despite any provision of a governing TSA Plan to the contrary that would otherwise limit a distributees election under this Section B.5, pursuant to Code Sections 403(b)(10) and 401(a)(31) and Reg. § 1.403(b)-7(b) a distributee may elect, at the time and in the manner prescribed by Us (and, where applicable, by the Eligible Employer), to have any portion of an eligible rollover distribution (within the meaning of Code Section 402(f)(2)(A)) paid directly to an eligible retirement plan described in Code Section 401(a)(31)(E) that is specified by the distributee, by means of a direct transfer or direct rollover. We may establish reasonable administration rules applicable to such a direct rollover or direct transfer. |
6. | Joint and 50% Survivor Annuity Requirements. For a Contract that is subject to the survivor benefit requirements of Code Section 401(a)(11) under Reg. § 1.401(a)-20, Q&A-3(a) or (d) (e.g., where the TSA Plan is subject to ERISA Title I section 205), if the Owner is married at the Annuity Start Date, payments shall be made in the form of a Joint and 50% Survivor Annuity, with the Owners Spouse as the Joint Annuitant, unless an optional form of benefit is selected in accordance with this Section B.6. Under this Joint and 50% Survivor Annuity form, payments shall be made during the lifetime of the |
Page 6 of 17 |
Owner and, following the Owners death, payments equal to 50% of the joint payment amount shall continue to such Spouse for life. In addition, the benefits under such a Contract are provided in accordance with the applicable consent, present value and other requirements of Code Sections 401(a)(11) and 417 and Reg. § 1.417(e)-1(e) and the rules in Reg. § 1.401(a)-20, Q&A-25 (for participants who are unmarried or who have a change in marital status and for surviving spouses). |
(a) | The Owner may choose (without the consent of any other person) an alternative amount of the payment continuing to the Surviving Spouse from the joint and survivor annuity options available under the Contract (or offered by Us), provided that the amount of each payment to the Surviving Spouse under such option shall be not less than 50%, nor greater than 100%, of the periodic annuity benefit amount paid to the Owner, in accordance with Code Section 417(b). | ||
(b) | In addition to the joint and survivor annuity options described in Section B.6(a) above, as of the Annuity Start Date the Owner can elect any other optional form of payment that is available under the Contract (or offered by Us), provided that both of the following conditions are satisfied: |
(i) | In accordance with Code Section 417 and Reg. § 1.401(a)-20, Q&A-31, the Owner files a Qualified J&S Election with Us within the 180-day period ending on such date, as follows (after receiving a written explanation thereof, including the revocability of such an election during such period, from a Qualified Plan representative): |
(1) | In the case of an Owner who is married at the time of election, a Qualified J&S Election is made by (A) a written statement by the Owner waiving the joint and survivor annuity options described above in this Section B.6 and specifying the form of benefit and the beneficiary designation(s) desired, and (B) a written statement from the Owners Spouse consenting to such election. Neither the form of benefit nor any beneficiary designation selected in such a Qualified J&S Election can be changed without spousal consent, unless such Spouse consents in writing to future designations by the Owner without such spousal consent. Any such written spousal consent must acknowledge the elections effect and be witnessed by a notary public or Qualified Plan representative. If it is established to the satisfaction of a Qualified Plan representative that such Spouses consent cannot be obtained because such Spouse cannot be located or because of other circumstances allowed by Regulations, the Owners election can still be deemed to be a Qualified J&S Election; or | ||
(2) | In the case of an Owner who is not married at the time of election, a Qualified J&S Election is made by a written statement by the Owner to a Qualified Plan representative attesting to the fact that he or she is not married and specifying the optional form of payment and beneficiary designation(s) desired. |
(ii) | The option selected satisfies any applicable RMD requirements of Section B.8 below. |
7. | Survivor Benefits for Plans Subject to Joint and 50% Survivor Annuity Requirements. For a Contract that is subject to the survivor benefit requirements of Code Section 401(a)(11) under Reg. § 1.401(a)-20, Q&A-3(a) or (d), if an Owner is married upon the Owners death, then the deceased Owners interest in the Contract is subject to the provisions of the next paragraph (a) (in addition to Section B.9 below), unless such Spouse is deemed to have consented to a less favorable disposition of such interest in accordance with the next paragraph (b). |
(a) | The Surviving Spouse shall be treated as the sole beneficiary of the following portion of the deceased Owners interest in the Contract, and may apply any part (or all) of such beneficial interest to provide an annuity that satisfies any applicable RMD requirements of Section B.9 below and Reg. § 1.401(a)-20 (e.g., Q&A-20 and Q&A-22): |
(i) | The Surviving Spouse shall be treated as the sole beneficiary of such Owners interest in the Contract if no other beneficiary is entitled to any portion of such interest as of such Owners death, or |
Page 7 of 17 |
(ii) | If some other beneficiary is entitled to any portion of such Owners interest in the Contract as of such Owners death, then the Surviving Spouse shall be treated as the sole beneficiary of at least 50% of the nonforfeitable account balance of the Contract as of such Owners death, in accordance with Code Section 417(c), and all of such Surviving Spouses beneficial interest shall be treated as a Separate Share. |
(b) | The Surviving Spouse shall be deemed to have consented to a less favorable disposition of the deceased Owners interest in the Contract than that provided under the immediately preceding paragraph (a), if in accordance with Code Section 417(a)(2) either: |
(i) | Such Spouse (or such Spouses legal representative) has consented to such a disposition and acknowledged its effect in a written statement witnessed by a notary public or a Qualified Plan representative, or | ||
(ii) | It is established to the satisfaction of a Qualified Plan representative that such consent cannot be obtained because such Spouse cannot be located or does not exist or because of other circumstances allowed by Regulations. |
(c) | Subject to such deemed spousal consent, the Owner may provide for any disposition of such Owners interest in the Contract that is different from that in the immediately preceding paragraph (a) by a revocable election that (i) specifies the form of benefit and the beneficiary designation(s) desired and (ii) otherwise qualifies under Code Section 417, after receiving a written explanation thereof from a Qualified Plan representative. An Owner that makes such a revocable election also shall have the option of selecting a qualified optional survivor annuity in accordance with Code Section 417(a)(1)(A)(ii). |
8. | Required Minimum Distributions (RMDs). The Contract and all benefits, distributions and payments made under it shall comply with and conform to the RMD and incidental benefit rules of Code Sections 401(a)(9) and 403(b)(10) and the Regulations relating thereto (e.g., Reg. § 1.403(b)-6), as well as any applicable survivor benefit rules referred to above in Section B.6 or B.7, and shall be administered or adjusted accordingly, e.g., pursuant to the Tax Qualification Provisions in Part C below. Such rules shall override any benefit, distribution or payment provisions in the Contract that are inconsistent with such rules, and the selection of any annuity or other distribution option described in the Contract (or offered by Us) that does not satisfy the requirements of this Section B.8 or Code Section 401(a)(9) shall not be permitted. Accordingly, except to the extent that RMDs are waived in accordance with Code Section 401(a)(9) (e.g., for 2009): |
(a) | The entire interest under the Contract shall be distributed: |
(i) | No later than the Required Beginning Date, or | ||
(ii) | By periodic distributions, starting no later than the Required Beginning Date, over the Owners life or the lives of the Owner and a Designated Beneficiary (or over a period not extending beyond the Owners Life Expectancy or the joint and last survivor Life Expectancy of the Owner and a Designated Beneficiary). |
(b) | RMDs shall be made in accordance with the Regulations under Code Section 401(a)(9) and related Code provisions. Accordingly: |
(i) | If the Owner has not elected otherwise in writing to Us by the Owners Election Date to have the Owners entire interest distributed under another method available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9) (e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2), the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the Owners account balance for the Contract (as determined under Reg. § 1.401(a)(9)-6, Q&A-12, § 1.403(b)-6(e)(2) and § 1.408-8, Q&A-6, including any adjustment for any rollover, transfer or recharacterization under Reg. § 1.408-8, Q&A-7 or Q&A-8) by the Applicable Distribution Period. For these purposes - |
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(1) | The Applicable Distribution Period is determined by using the Uniform Lifetime Table in Reg. § 1.401(a)(9)-9, Q&A-2, in accordance with Reg. § 1.401(a)(9)-5, Q&A-4(a), or | ||
(2) | If the Owners Spouse is treated as the sole Designated Beneficiary for the Contract (taking any Separate Shares into account) for the Distribution Year under Reg. § 1.401(a)(9)-5, Q&A-4(b), the Applicable Distribution Period is the longer of the distribution period under subparagraph (1) immediately above or the joint Life Expectancy of the Owner and such Spouse, recalculated annually and based on their attained ages as of their birthdays in such Distribution Year, as reflected in the Joint and Last Survivor Table in Reg. § 1.401(a)(9)-9, Q&A-3. |
Such RMD must be distributed no later than the Required Beginning Date for the first Distribution Year, and for each subsequent Distribution Year by December 31 thereof. However, the Owner may arrange to have any portion (or all) of such RMD distributed from another TSA owned by such Owner (rather than from the Contract) in accordance with Reg. § 1.403(b)-6(e)(7). If the Owner dies on or after the Required Beginning Date, an RMD is required for the Owners Year of Death, determined as if the Owner had lived throughout that year. |
(ii) | As of the Owners Election Date or at any time thereafter (on 30 days notice to Us), the Owner may elect in writing to have any portion or all of the undistributed interest under the Contract applied to an annuity option available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9) or Reg. § 1.401(a)(9)-6, Q&A-1(a) (and is not prohibited by any applicable survivor benefit rules referred to in Section B.6 or B.7 above), in accordance with Reg. § 1.401(a)(9)-8, Q&A-2(a)(3). Such an annuity option must make annuity or other periodic payments at intervals no longer than one year, and must satisfy the other requirements of Reg. § 1.401(a)(9)-6, including: |
(1) | Life annuity or a joint and survivor annuity. The Owner must be a measuring life under any life annuity option elected during the Owners lifetime. Any periodic annuity payment to any survivor under a joint and survivor annuity may not exceed the applicable percentage of the annuity payment to the Owner and other limits, as provided in Reg. § 1.401(a)(9)-6, Q&A-2. | ||
(2) | Life (or joint and survivor) annuity with period certain. The amounts and duration of the annuity payments must satisfy the requirements in Reg. § 1.401(a)(9)-6, Q&A-1(b) and Q&A-2(d). | ||
(3) | Period certain annuity without a life contingency. The period certain may not exceed the maximum period specified in Reg. § 1.401(a)(9)-6, Q&A-3(a) and Q&A-10(b). | ||
(4) | Annuity payments may not be in increasing amounts, except as allowed by Reg. § 1.401(a)(9)-6, Q&A-1(a) or Q&A-14. |
(c) | The Owner or any Owners beneficiary, as applicable, shall have the sole responsibility for requesting or arranging for distributions that comply with this Rider and any applicable tax requirements. | ||
(d) | Any current death benefit protection amount (in excess of the current account balance amount), or any disability, health or accident benefit amount, that is provided by the Contract shall not exceed the amount permitted either by the incidental benefit rules in Reg. § 1.403(b)-6(g) or -8(c) or by the TSA Plan. |
9. | RMDs upon Owners Death. Upon the Owners death, RMDs shall be made under the Contract in accordance with this Section B.9 and Code Section 401(a)(9) (and other Code provisions and Regulations relating thereto). Accordingly, selection of any annuity or other distribution option described in the Contract (or offered by Us) that does not satisfy the requirements of this Section B.9 or Code Section 401(a)(9) shall not be permitted. |
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(a) | If the Owner dies before distribution of his or her interest in the Contract has begun in accordance with paragraph 8(a) above and Code Section 401(a)(9)(A)(ii) (e.g., before the Required Beginning Date), the entire interest shall be distributed by December 31 of the fifth calendar year that follows the Owners Year of Death, except to the extent that paragraph 9(c) or (d) below applies. | ||
(b) | If the Owner dies after distribution of the Owners interest in the Contract has begun in accordance with paragraph 8(a) above and Code Section 401(a)(9)(A)(ii) (e.g., on or after the Required Beginning Date) but before the Owners entire interest has been distributed, the remaining interest shall be distributed at least as rapidly as under the method of distribution being used immediately prior to the Owners death, except to the extent that paragraph 9(c) or (d) below applies. To the extent that the Contract has no annuity payout option in effect and no Measuring Designated Beneficiary as of the Applicable Designation Date (and paragraph 9(c) and (d) do not apply), then the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined in accordance with subparagraph 8(b)(i) above) by the Applicable Distribution Period. For this purpose, the Applicable Distribution Period shall be determined by the Owners remaining Life Expectancy, using the Owners age as of the Owners birthday in the Owners Year of Death. For Distribution Years after the Owners Year of Death such Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the Owners Year of Death. | ||
(c) | If the Surviving Spouse is the sole Designated Beneficiary under the Contract (taking any Separate Shares into account) as of the Applicable Designation Date, then - |
(i) | If no irrevocable written election to the contrary has been filed with Us by the deceased Owner or the Surviving Spouse prior to the Spouses Continuation Election Date, the Contract shall continue in the name of the deceased Owner, and RMDs must begin by the Spouses Required Beginning Date and be made in accordance with Section 8 above. For these purposes, the Applicable Distribution Period for each Distribution Year after the Owners Year of Death - |
(1) | Is measured by the Surviving Spouses remaining Life Expectancy, recalculated annually through the Spouses Year of Death, and | ||
(2) | For a Distribution Year after the Spouses Year of Death, is measured by the Surviving Spouses remaining Life Expectancy as of the Surviving Spouses birthday in the Spouses Year of Death, reduced by one year for each calendar year that has elapsed since the calendar year next following the Spouses Year of Death. |
However, if the Owner dies on or after the Required Beginning Date, such Applicable Distribution Period shall not be shorter than the Applicable Distribution Period measured by using the Owners remaining Life Expectancy in accordance with paragraph 9(b) above and Reg. § 1.401(a)(9)-5, Q&A-5(a)(1). If the Surviving Spouse dies before the Spouses Required Beginning Date for such a continued Contract, then the Surviving Spouse shall be treated as the deceased Owner for purposes of this Section 9 (except that any surviving spouse of such a deceased Surviving Spouse cannot continue the Contract further under this subparagraph (i) as a Surviving Spouse). Any Surviving Spouse may arrange to have any portion (or all) of any RMD that is distributable with respect to such Spouses interest in the Contract distributed from another TSA formerly owned by the deceased Owner for which such Spouse is also a designated beneficiary (rather than from the Contract) in accordance with Reg. § 1.403(b)-6(e)(7). |
(ii) | The Surviving Spouse may make an irrevocable election in writing with Us by the Spouses Continuation Election Date to have such Surviving Spouses entire interest under the Contract distributed under another method available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9), e.g., under Reg. |
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§ 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 9(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the Spouses Required Beginning Date, or | ||
(2) | Any other method that provides for periodic distributions that begin no later than the Spouses Required Beginning Date and do not extend beyond the Applicable Distribution Period determined in accordance with subparagraph 9(c)(i) above. |
(d) | If as of the Applicable Designation Date the Contract (taking any Separate Shares into account) has at least one Designated Beneficiary and no entity (e.g., a trust or estate) is treated under Reg. § 1.401(a)(9)-4, Q&A-3 and Q&A-5, as a beneficiary under the Contract, then - |
(i) | To the extent that no irrevocable written election to the contrary has been filed with Us by the deceased Owner or any such Designated Beneficiary by the DB Election Date (and no Surviving Spouse is the sole Designated Beneficiary), then annual distributions of the remaining interest in the Contract must be made over the Applicable Distribution Period starting no later than the DB Required Beginning Date. In that case, the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined in accordance with subparagraph 8(b)(i) above) by the Applicable Distribution Period. For these purposes - |
(1) | The Applicable Distribution Period for the Distribution Year next following the Owners Year of Death is determined by the Measuring Designated Beneficiarys remaining Life Expectancy, using such beneficiarys age as of such beneficiarys birthday in such Distribution Year; and | ||
(2) | For a subsequent Distribution Year the Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the calendar year next following the Owners Year of Death. |
However, if the Owner dies on or after the Required Beginning Date, such Applicable Distribution Period shall not be shorter than the Applicable Distribution Period measured by using the Owners remaining Life Expectancy in accordance with paragraph 9(b) above and Reg. § 1.401(a)(9)-5, Q&A-5(a)(1). Such RMD must be distributed no later than the DB Required Beginning Date, and for each subsequent Distribution Year by December 31 thereof. However, any Designated Beneficiary may arrange to have any portion (or all) of such RMD (that is distributable with respect to such beneficiarys interest in the Contract) distributed from another TSA formerly owned by such deceased Owner for which such beneficiary is also a designated beneficiary (rather than from the Contract) in accordance with Reg. § 1.403(b)-6(e)(7). |
(ii) | Any such Designated Beneficiary may make an irrevocable election in writing with Us by the DB Election Date to have such Designated Beneficiarys entire interest under the Contract distributed under another method available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9), e.g., Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 9(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the DB Required Beginning Date, or | ||
(2) | Any other method that provides for periodic distributions that begin no later than the DB Required Beginning Date and do not extend beyond the Applicable Distribution Period determined in accordance with subparagraph 9(d)(i) above. |
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(e) | Any amounts payable to a minor child of the Owner shall be treated as if they are payable to the Surviving Spouse to the extent that the remainder of the interest becomes payable to such Spouse when such child reaches the age of majority, in accordance with Reg. § 1.401(a)(9)-6, Q&A-15. | ||
(f) | Unless the Owner has provided to the contrary in writing to Us (e.g., by selecting an annuity option that is not prohibited by any applicable survivor benefit rules referred to in Section B.6 or B.7 above), any beneficiary of any interest under the Contract shall have an unlimited right after the Notice Date, upon 30 days written notice to Us, to withdraw any portion or all of such interest or to apply any such amount to an annuity option that qualifies under Reg. § 1.401(a)(9)-5, Q&A-1(e). |
10. | Annual Reports. We shall furnish annual calendar year reports concerning the status of the Contract and such information concerning RMDs as is prescribed by the IRS. |
11. | Tax-Free Exchanges. Tax-free exchanges within the TSA Plan and plan-to-plan transfers involving the Contract shall be allowed prior to the Annuity Start Date, to the extent permitted by Reg. § 1.403(b)-10(b). Withdrawal or surrender charges under the Contract may apply to such exchanges and transfers as if they were withdrawals. |
C. | Tax Qualification and ERISA Provisions |
D. | TSA Loan Provisions |
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1. | TSA Loan Procedures Your TSA Loan request must be submitted on Our Loan Request Form. You may submit such a TSA Loan request at any time after 30 days after your Contracts Effective Date and 90 days prior to the Annuity Start Date. However, before requesting any new TSA Loan, you must wait 30 days after the last payment of a previous TSA Loan. If approved, your TSA Loan usually will be effective as of the end of the business day on which We receive all necessary documentation and signatures in a form satisfactory to Us. We normally will confirm such approval in writing to you and forward proceeds of your TSA Loan to you (along with written confirmation of the amount, effective date and repayment schedule for the TSA Loan) within seven calendar days after the effective date of your TSA Loan. |
2. | Loan Account On the effective date of your TSA Loan, We will transfer an amount equal to the principal amount of your TSA Loan into an account called the Loan Account. If your Contract has Variable Investment Options, We will transfer amounts to the Loan Account on a pro rata basis from your Fixed and Variable Investment Options based on your Contract Value in each. For a Contract issued under a TSA Plan that is exempt from the requirements of Title 1 of ERISA, We will credit interest on amounts in the Loan Account at an annual rate equal to 3.0%. For a Contract issued under a TSA Plan that is subject to the requirements of Title 1 of ERISA, We will credit interest on amounts in the Loan Account at an annual rate that is two percentage points lower than the annual loan interest rate charged on your TSA Loan. Interest earned will accrue daily beginning on the day following the effective day of the TSA Loan. If your Contract has Variable Investment Options, the interest credited and any TSA Loan repayment amounts will be transferred from the Loan Account to your Fixed and Variable Investment Options on a pro rata basis relative to your most recent allocation instructions. |
3. | TSA Loan Amount Limits You may have only one TSA Loan outstanding under the Contract at any time. In addition, no TSA Loan shall be made under your Contract unless such a loan can satisfy both the minimum and maximum TSA Loan amount limits in this Section D.3. The minimum TSA Loan amount is $1,000, and the maximum TSA Loan amount is the lesser of: |
(a) | 50% of your Contract Value; or | ||
(b) | $50,000 less your highest outstanding TSA Loan amount during the 12-month period ending on the date immediately before the effective date of your TSA Loan; or | ||
(c) | if your Contract contains Guaranteed Interest Options (GIOs), 100% of your Contract Value, excluding your GIO Value. |
You should refer to the terms of your particular TSA Plan for any additional TSA Loan restrictions. If you have other loans outstanding pursuant to other Qualified Plans, the TSA Loan amount that you may borrow under the Contract may be further restricted under Code Section 72(p)(2). In addition, no TSA Loan refinancing or multiple TSA Loans are allowable under the Contract. We are not responsible for making any determinations or any interpretations with respect to your TSA Plan (including any permitted TSA Loan amount or refinancing, or any suitability of, or adequate security for, any TSA Loan under ERISA fiduciary standards). |
4. | TSA Loan Interest Rate For a Contract issued under a TSA Plan that is exempt from the requirements of Title 1 of ERISA, you will be charged interest on your TSA Loan at an annual rate equal to 5%. For a Contract issued under a TSA Plan that is subject to the requirements of Title 1 of ERISA, you will be charged interest on your TSA Loan at an annual rate, set at the time the TSA Loan is made, equal to the higher of 5% or the Moodys Corporate Bond Yield Average-Monthly Average Corporates, as published by Moodys Investor Service, Inc., or its successor, for the most recent available month. If this Moodys Corporate Bond Yield Average-Monthly Average Corporates is no longer available, We will use a substantially similar average, subject to compliance with applicable Code requirements and state regulations. However, any such interest rate shall not exceed a reasonable rate of interest, within the meaning of Code Section 4975(d)(1)(D) and Reg. § 1.403(b)-6(f). Interest charged will accrue daily beginning on the day your TSA Loan is effective. |
5. | Repayment and Default Terms You must repay principal and interest of any TSA Loan generally within 5 years after its effective date. However, if you have certified to Us that your TSA Loan |
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proceeds will be used to acquire a principal residence for yourself under Code Section 72(p)(2)(B)(ii), then you may request a TSA Loan for a term of up to 30 years. In either case, you must repay any loan under the Contract in full prior to the Annuity Start Date. |
(a) | Your TSA Loan, including principal and accrued interest, must be repaid in quarterly installments that are substantially level, in accordance with Code Section 72(p)(2)(C). An installment will be due each quarter on the date corresponding to your TSA Loans effective date, beginning with the first such date following the effective date of your TSA Loan. You may, however, repay your entire TSA Loan at any time. If you do so, We will bill you for any accrued interest. Your TSA Loan will be considered repaid only when the interest due also has been paid. We will treat any payment you send to Us as a loan repayment, unless you indicate otherwise. To the extent permitted by law, any loan repayment in excess of the amount then due will be applied to the principal balance of your TSA Loan. Such a repayment will not change the due dates or the periodic repayment amount due for future periods. If a loan repayment is in excess of the principal balance of your TSA Loan, any excess repayment will be refunded to you. Repayments received by Us that are less than the amount then due will be returned to you, unless otherwise required by law. | ||
(b) | If any TSA Loan repayment is not made when due, We will declare the entire remaining TSA Loan balance in default. At that time, We will provide written notification of the amount needed to bring the TSA Loan back to the current status. You will have generally 60 days from the date on which the TSA Loan is declared in default (the grace period) to make the required repayment, but such grace period will not extend beyond the end of the calendar quarter following the calendar quarter in which such TSA Loan repayment was due, in accordance with Reg. § 1.72(p)-1, Q&A-10(a). | ||
(c) | If the required repayment is not received by the end of the grace period, to the extent provided in your TSA Loan agreement or as otherwise required under federal tax law, We will treat the entire unpaid TSA Loan balance (including any accrued interest thereon) as a taxable distribution to you as of the time of such nonpayment, in accordance with Code Section 72(p) and any Regulations relating thereto. The amount of the outstanding TSA loan is taxable at the time of such nonpayment, even if an equal amount is not eligible for distribution from your TSA arrangement or may be subject to contractual withdrawal or surrender charges. To the extent permissible under the Code (including Code Section 403(b)(11)) and ERISA, We also shall process a withdrawal against the Contracts cash value (e.g. by partial surrender) after the end of the grace period so as to surrender the amount of cash value necessary to pay all or a portion of the defaulted TSA Loan balance and any withdrawal or surrender charge and required tax withholding relating thereto. The processing of any such withdrawal after the grace period shall reduce the TSA Loan balance owing and stop any further interest from accruing on the repaid portion of the TSA Loan balance offset. However, it will not prevent or reverse a default of the TSA loan or the tax reporting of the entire TSA Loan balance as a distribution for tax purposes, if the required repayment has not been received by Us from you by the end of the grace period for the repayment. To the extent your Contracts cash value is not then eligible for distribution, the defaulted TSA Loan balance plus accrued interest will be considered a Disqualified TSA Loan, and any amount of your Contracts cash value needed to repay such a Disqualified TSA Loan will be withdrawn as such amount of cash value becomes eligible for distribution. Generally, in order for an amount to be eligible for distribution from a TSA Plan or TSA, you must meet one of several triggering events, e.g., attainment of age 59 1/2, Severance from Employment, death, disability, or financial hardship. | ||
(d) | If there is such a Disqualified TSA Loan under your Contract, any future withdrawals first will be applied as repayment of such Disqualified TSA Loan, including accrued interest and withdrawal charges and charges for applicable taxes, to the extent allowed by law. Any amounts withdrawn and applied as repayment of any of your TSA Loan balance will be withdrawn first from your Loan Account and then from any of your Investment Options on a proportionate basis relative to the Contract Value in each Investment Option. If you have any outstanding TSA Loan balance that is in default, the defaulted TSA Loan balance will be considered a withdrawal or other offset for the purpose of calculating any death benefit proceeds payable under the Contract. If We are prohibited under federal tax law or ERISA from processing a withdrawal to repay amounts for which you are legally in default under the terms of your TSA Loan agreement, you shall continue to be charged interest on the |
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delinquent amounts, as provided under the terms of your TSA Loan agreement, until such a withdrawal can be made. If required by federal tax law, We also will report as a taxable distribution any interest charged and not paid with respect to any amounts in default which We are not permitted to withdraw from the Contracts cash value. When We are no longer prohibited under federal tax law or ERISA from processing a withdrawal to repay amounts for which you are legally in default under the terms of your TSA Loan agreement, We will process a withdrawal against the Contracts cash value so as to surrender the amount of cash value necessary to pay all or a portion of the defaulted TSA Loan balance and any withdrawal or surrender charge and required tax withholding relating thereto. |
E. | Tax Treatment and Provisions for Any Nonqualified Portion |
1. | Required Distributions Before or After the Annuity Start Date |
(a) | Death of Owner or Primary Annuitant, or Change of Primary Annuitant. Subject to the alternative election, spouse beneficiary and interpretative provisions in subsection (b) or (c) immediately below, or in the tax qualification provisions in Section E.2 below, - |
(i) | If any Owner dies on or after the Annuity Start Date and before the entire interest in this contract has been distributed, the remaining portion of such interest shall be distributed at least as rapidly as under the method of distribution being used as of the date of such death; | ||
(ii) | If any Owner dies before the Annuity Start Date, the entire interest in this contract shall be distributed within 5 years after such death; | ||
(iii) | If the Owner is not an individual, then for purposes of the immediately preceding subparagraph (i) or (ii), (1) the Primary Annuitant (see subparagraph (c)(i) below) under this contract shall be treated as the Owner, and (2) any change in the Primary Annuitant allowed by this contract shall be treated as the death of the Owner; and | ||
(iv) | Any postponement of the Annuity Start Date, if allowed by this contract, may not be postponed beyond the Primary Annuitants attaining age 95, without Our written consent. |
(b) | Alternative Election and Spousal Beneficiary Provisions That Satisfy Distribution Requirements. Subject to any restrictions imposed by any Regulations or other published IRS guidance interpreting Code Section 72(s) - |
(i) | If any portion of the interest of an Owner described in subsection (a) immediately above is payable to or for the benefit of an individual designated as a beneficiary by an Owner, and such beneficiary elects after such death to have such portion distributed |
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over a Qualifying Distribution Period (described herein) that is allowed by this contract (or offered by Us) upon such death, then for purposes of satisfying the requirements of subparagraph (a)(i) or (a)(ii) immediately above, such portion shall be treated as distributed entirely on the date such periodic distributions begin. A Qualifying Distribution Period is a period that (1) does not extend beyond such beneficiarys life (or life expectancy) and (2) starts within one year after such death. | |||
(ii) | Such a designated beneficiary includes any individual joint Owner or successor Owner who becomes entitled to any portion of such an interest upon an Owners death, or any other individual who controls the use of the cash value of such a portion upon an Owners death. Any designated beneficiary may elect any settlement or other distribution option that is allowed by this contract (or offered by Us) upon an Owners death if the option is for a Qualifying Distribution Period. In determining which distribution options can qualify for such a Qualifying Distribution Period, We may treat any contract amount that is payable upon an Owners death to a trust (or other entity) for the benefit of an individual beneficiary as an interest (or portion thereof) that is payable for the benefit of such a designated beneficiary under this subsection (b), where such individual beneficiary certifies to us that he or she (1) is treated as the tax owner of such a trust amount for federal income tax purposes (e.g., under Code Sections 671-678) and (2) can compel its distribution to himself or herself from such trust. | ||
(iii) | If any portion of the interest of an Owner described in subsection (a) immediately above is payable to or for the benefit of such Owners surviving spouse (e.g., as a result of such spouse being a joint Owner), then such spouse shall be treated as the Owner with respect to such portion for purposes of the requirements of subsection (a). Where such spouse is the sole designated beneficiary of this contract upon such Owners death, such spouse may elect to continue this contract as the Owner, and We may treat such spouse as the annuitant if such deceased Owner was the annuitant and no other surviving annuitant has been designated. |
(c) | Interpretative Provisions. Subject to any contrary provisions in any Regulations or other published IRS guidance interpreting Code Section 72(s): |
(i) | The Primary Annuitant means the individual, the events in the life of whom are of primary importance in affecting the timing or amount of the payout under the contract, as defined in Code Section 72(s)(6)(B) (and any Regulations relating thereto). | ||
(ii) | We will treat any holder of the contract as its Owner for purposes of subsection (a) or (b) immediately above where necessary or appropriate. |
2. | Tax Qualification. This contract is intended to qualify as an annuity contract for federal income tax purposes and to satisfy the applicable requirements of Code Section 72(s). To achieve these purposes, the provisions of this contract (including this Rider and any other rider or endorsement to the contract that does not specifically override these Section 72(s) tax qualification provisions) shall be interpreted to ensure or maintain such a tax qualification, despite any other provision to the contrary. Any benefits, payments or distributions under this contract shall be conformed or restricted to, or made in, any amount, time and manner needed to maintain such a tax qualification under the applicable provisions of the Code and Regulations. We reserve the right to amend this Rider or the contract from time to time to reflect any clarifications that may be needed or are appropriate to maintain such a tax qualification or to conform this contract to any applicable changes in the tax qualification requirements, as provided in the Code or any Regulations or other published IRS guidance relating thereto, without consent (where allowed by law). We will send you a copy of any such amendment. |
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F. | Termination of Rider |
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[ Chairman and Chief Executive Officer | Secretary ] |
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Pacific Life Insurance Company [700 Newport Center Drive Newport Beach, CA 92660 (800) 722-4448] |
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Definitions |
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457(b) Plan Provisions |
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Tax Qualification Provisions |
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Tax Treatment and Provisions for Any Nonqualified Portion |
10 | |||
Termination of Rider |
12 |
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A. | Definitions |
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1. | Exclusive Benefit. The Annuitant shall be at all times the beneficial or legal Owner of the Contract (e.g., its beneficial Owner where the Eligible Employer or a fiduciary is its legal owner in accordance with Code Section 457(b)(6)). The Contract shall be for the exclusive benefit of such Owner and his or her beneficiaries in accordance with Code Sections 457(g) and 401(f) and Reg. § 1.457-8(a)(3), except in the case of an Eligible Non-Gov. Plan, when all amounts held hereunder must remain subject to the rights of the EO/Owner (Non-Gov.) and its creditors (until paid or made available to the Owner or other beneficiary) in order to comply with Code Section 457(b)(6) and Reg. § 1.457-8(b). | |
2. | Contract Benefits Not Transferable. Pursuant to Code Sections 457(b)(5), (b)(6), (d) and 401(g) and Reg. § 1.457-6 and -8, generally no benefits under the Contract may be transferred, sold, assigned, borrowed or pledged as collateral for a loan, or as security for the performance of an obligation, or for any other purpose, to any person other than Us, except as permitted (a) by a federal tax lien, (b) by an order under Code Section 401(a)(13)(C), (c) in the case of a transfer or distribution pursuant to Code Section 457(e)(16) or Reg. § 1.457-10(b) or (c) (e.g., under Section B.5 below or for a QDRO), or (d) by the EO/Owner (Non-Gov.) or other representative of a governing Eligible Non-Gov. Plan. | |
3. | Deferrals and Contributions. Except in the case of a rollover Contribution permitted by Code Section 402(c), 402(e)(6), 403(a)(4), 403(b)(8), 403(b)(10), 408(d)(3), or 457(e)(16) or Reg. § 1.457-4(c) or -10(e), Annual Deferrals for the Owner under the governing Eligible Plan must be made pursuant to a pre-existing deferral agreement described in Reg. § 1.457-4(b) and must not exceed certain tax limits, as described below. All Contributions into this Contract must be made in cash. If the Owner dies before the entire interest under the Contract has been distributed, additional Contributions shall not be allowed into the Contract to the extent prohibited by published IRS guidance, e.g., excluding (and allowing in) any deferral, rollover or transfer that qualifies under Reg. § 1.457-4(c), -4(d) or -10(e). Contributions to the Contract for deferrals shall be transferred to Us within a reasonable period, and an Annual Deferral amount may be contributed hereto up to 15 business days following |
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the month in which such an amount would otherwise have been paid to the Owner, in accordance with Reg. § 1.457-8(a)(2)(ii). If the Contract is maintained pursuant to an Eligible Plan, the Owner, along with the Eligible Employer (and any designated Plan representative other than Us), shall have the sole responsibility for determining whether any deferral or Contribution satisfies the applicable income tax requirements; otherwise, the Owner shall have such sole responsibility. |
(a) | Annual Deferrals and Their Limits. Pursuant to Code Section 457(b)(2) and (e)(15) and Reg. § 1.457-4(c), -4(d) and -5, any Annual Deferrals (including those contributed to the Contract and any other Annual Deferrals for the Owner under the Eligible Plan and under all other plans, contracts and arrangements that are referred to in Reg. § 1.457-4(c), -4(d) and -5) may not exceed the limits of Code Section 457(b)(2), except as permitted by Code Section 414(u) (for certain veterans rights), Code Sections 414(v) and 457(e)(18) (for catch-up amounts in an Eligible Gov. Plan for a participant age 50 or over by end of the participants tax year), or Code Section 457(b)(3) (for special catch-up amounts in any Eligible Plan). If Annual Deferrals exceed this limit, We shall distribute such excess (including any net income allocable thereto) to the Owner as soon as administratively practical, after the Eligible Employer or other Eligible Plan representative determines and notifies Us about such excess deferral amount, pursuant to Reg. § 1.457-4(e). If not so distributed, such excess deferral amount (including any income allocable thereto) shall be separately accounted for and disbursed subsequently in accordance with Reg. § 1.457-4(e). However, if this Contract is limited by its contractual terms to only accepting single deposits or rollover amounts, this Contract shall continue to be subject to such restrictions, except to the extent provided in the Tax Qualification Provisions below. We may distribute Contributions (including any income allocable thereto) that were made under a mistake of fact, including (but not limited to) Contributions for Annual Deferrals in excess of the Code Section 457(b) or (c) limit or other limit imposed by the Code, but only when permitted by the Code or required by the IRS. | ||
(b) | Separate Accounting. Pursuant to Code Sections 457(e)(16), 402(c)(8)(B) and 402(c)(10) and Reg. § 1.457-4, -6, -10(b) and -10(e), separate accounting shall be maintained for amounts held under the Contract for: (i) any Annual Deferrals; (ii) any catch-up amounts for participants who have attained age 50 under Code Section 414(v); (iii) any special catch-up amounts under Code Section 457(b)(3); (iv) any rollover Contribution that is described above in Section B.3 and accepted into the Contract; (v) any undistributed excess deferrals or RMDs; (vi) any Eligible Gov. Plan amounts eligible for permissive withdrawal under Code Section 414(w)(2) and (5)(C); and (vii) other Contributions and amounts added to the Contract values. Such separate accounting maintained for the Contract shall include any amounts for earnings, gains or losses with respect to each of the above separately accounted-for categories. | ||
(c) | Other Contribution Provisions. In accordance with Reg. § 1.457-4(b) and (d), Contributions by an Eligible Employer for an Owner who is a current or former Plan Participant may be accepted under this Contract (i) relating to certain sick, vacation or back pay, (ii) relating to certain compensation paid by the later of 21/2 months after Severance from Employment or the end of the limitation year that includes the date of Severance from Employment, (iii) relating to compensation paid to participants who are permanently and totally disabled, (iv) relating to qualified military service under Code Section 414(u), or (v) relating to certain non-elective employer Contributions. | ||
(d) | Premium Minimums and Refunds. Any Purchase Payment (or premium payment) under the Contract must be at least the minimum as stated in the Purchase Payment (or Premiums) provisions of the Contract. In addition, any Purchase Payment (or premium) refund declared by Us, other than a refund attributable to an excess Contribution, will be applied toward the purchase of additional benefits or the payment of future premiums before the close of the calendar year following the refund. |
4. | Distribution Restrictions. |
(a) | Payment of Deferrals. Pursuant to Code Section 457(d)(1) and Reg. § 1.457-6 and § 1.401(k)-1(d), amounts deferred under the governing Eligible Plan generally may not be paid or made available hereunder to the Owner or a beneficiary (other than to correct excess |
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deferrals, to satisfy a QDRO, or upon termination of the Eligible Plan) before the Owner has a Severance from Employment, attains age 701/2, dies, becomes disabled (within the meaning of Code Section 72(m)(7)), or in certain cases either incurs an unforeseeable emergency, is eligible for a permissive withdrawal under Code Section 414(w)(2) and (5)(C), or is authorized for a federally declared disaster distribution. | |||
(b) | Certain Mandatory Distributions. Pursuant to Code Sections 401(a)(31)(B) and 457(b)(5) and (d)(1)(C), if the distributee of any mandatory distribution that is described in Code Section 401(a)(31)(B)(ii) and that exceeds $1,000 does not elect to have such distribution paid either to such distributee or in a direct transfer to an eligible retirement plan pursuant to Code Section 401(a)(31)(A), such distribution shall be paid in a direct transfer to an individual retirement plan designated by the Eligible Employer sponsoring the governing Eligible Gov. Plan (or by another fiduciary thereunder), and the distributee shall be notified in writing about such transfer and that such distribution may be transferred to another individual retirement plan, in accordance with Code Sections 401(a)(31) and 457(d)(1)(C) and Reg. § 1.457-7(b)(2) (and to the extent required thereby). | ||
(c) | Purchase of Permissive Service Credit. Pursuant to Code Section 457(e)(17), any amounts held under this Contract pursuant to an Eligible Gov. Plan may be transferred at the Owners direction in a direct transfer from the Contract to a defined benefit governmental plan under Code Section 414(d) in accordance with Reg. § 1.457-10(b)(8). Withdrawal or surrender charges under the Contract may apply to such transfers as if they were withdrawals. |
5. | Rollover and Transfer Distributions. Despite any provision of a governing Eligible Gov. Plan to the contrary that would otherwise limit a distributees election under this Section B.5, pursuant to Code Sections 401(a)(31) and 457(e)(16) or Reg. § 1.457-10(b) a distributee may elect, at the time and in the manner prescribed by Us (and, where applicable, by the Eligible Employer), to have any portion of an eligible rollover distribution (within the meaning of Code Section 402(f)(2)(A)) from this Contract paid directly to an eligible retirement plan described in Code Section 401(a)(31)(E) that is specified by the distributee, by means of a direct transfer or direct rollover. In addition, a governing Eligible Gov. (or Non-Gov.) Plan may provide for a transfer of deferred amounts held under this Contract to certain other Qualified Plans under conditions allowed by Code Section 457(e)(10) or Reg. 1.457-10(b). We may establish reasonable administration rules applicable to any such rollover or transfer. | |
6. | Required Minimum Distributions (RMDs). The Contract and all benefits, distributions and payments made under it shall comply with and conform to the RMD and incidental benefit rules of Code Sections 401(a)(9) and 457(b)(5), (d)(1)(B) and (d)(2) and the Regulations relating thereto (e.g., Reg. § 1.457-6(d)), and shall be administered or adjusted accordingly, e.g., pursuant to the Tax Qualification Provisions in Part C below. Such rules shall override any benefit, distribution or payment provisions in the Contract that are inconsistent with such rules, and the selection of any annuity or other distribution option described in the Contract (or offered by Us) that does not satisfy the requirements of this Section B.6 or Code Section 401(a)(9) shall not be permitted. Accordingly, except to the extent that RMDs are waived in accordance with Code Section 401(a)(9) (e.g., for 2009): |
(a) | The entire interest under the Contract shall be distributed: |
(i) | No later than the Required Beginning Date, or | ||
(ii) | By periodic distributions, starting no later than the Required Beginning Date, over the Owners life or the lives of the Owner and a Designated Beneficiary (or over a period not extending beyond the Owners Life Expectancy or the joint and last survivor Life Expectancy of the Owner and a Designated Beneficiary). |
(b) | RMDs shall be made in accordance with the Regulations under Code Section 401(a)(9) and related Code provisions. Accordingly: |
(i) | If the Owner has not elected otherwise in writing to Us by the Owners Election Date to have the Owners entire interest distributed under another method available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9) (e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2), the RMD amount that |
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must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the Owners account balance for the Contract (as determined under Reg. § 1.401(a)(9)-6, Q&A-12, § 1.403(b)-6(e)(2) and § 1.408-8, Q&A-6, including any adjustment for any rollover, transfer or recharacterization under Reg. § 1.408-8, Q&A-7 or Q&A-8) by the Applicable Distribution Period. For these purposes - |
(1) | The Applicable Distribution Period is determined by using the Uniform Lifetime Table in Reg. § 1.401(a)(9)-9, Q&A-2, in accordance with Reg. § 1.401(a)(9)-5, Q&A-4(a), or | ||
(2) | If the Owners Spouse is treated as the sole Designated Beneficiary for the Contract (taking any Separate Shares into account) for the Distribution Year under Reg. § 1.401(a)(9)-5, Q&A-4(b), the Applicable Distribution Period is the longer of the distribution period under subparagraph (1) immediately above or the joint Life Expectancy of the Owner and such Spouse, recalculated annually and based on their attained ages as of their birthdays in such Distribution Year, as reflected in the Joint and Last Survivor Table in Reg. § 1.401(a)(9)-9, Q&A-3. |
Such RMD must be distributed no later than the Required Beginning Date for the first Distribution Year, and for each subsequent Distribution Year by December 31 thereof. If the Owner dies on or after the Required Beginning Date, an RMD is required for the Owners Year of Death, determined as if the Owner had lived throughout that year. |
(ii) | As of the Owners Election Date or at any time thereafter (on 30 days notice to Us), the Owner may elect in writing to have any portion or all of the undistributed interest under the Contract applied to an annuity option available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9) or Reg. § 1.401(a)(9)-6, Q&A-1(a), in accordance with Reg. § 1.401(a)(9)-8, Q&A-2(a)(3). Such an annuity option must make annuity or other periodic payments at intervals no longer than one year, and must satisfy the other requirements of Reg. § 1.401(a)(9)-6, including: |
(1) | Life annuity or a joint and survivor annuity. The Owner must be a measuring life under any life annuity option elected during the Owners lifetime. Any periodic annuity payment to any survivor under a joint and survivor annuity may not exceed the applicable percentage of the annuity payment to the Owner and other limits, as provided in Reg. § 1.401(a)(9)-6, Q&A-2. | ||
(2) | Life (or joint and survivor) annuity with period certain. The amounts and duration of the annuity payments must satisfy the requirements in Reg. § 1.401(a)(9)-6, Q&A-1(b) and Q&A-2(d). | ||
(3) | Period certain annuity without a life contingency. The period certain may not exceed the maximum period specified in Reg. § 1.401(a)(9)-6, Q&A-3(a) and Q&A-10(b). | ||
(4) | Annuity payments may not be in increasing amounts, except as allowed by Reg. § 1.401(a)(9)-6, Q&A-1(a) or Q&A-14. |
(c) | The Owner or any Owners beneficiary, as applicable, shall have the sole responsibility for requesting or arranging for distributions that comply with this Rider and any applicable tax requirements. | ||
(d) | Any current death benefit protection amount (in excess of the current account balance amount), or any disability, health or accident benefit amount, that is provided by the Contract shall not exceed the amount permitted either by the incidental benefit rules in Reg. § 1.401-1(b)(1)(i) or (ii) or by the governing Plan provisions. |
7. | RMDs upon Owners Death. Upon the Owners death, RMDs shall be made under the Contract in accordance with this Section B.7 and Code Section 401(a)(9) (and other Code provisions and Regulations relating thereto). Accordingly, selection of any annuity or other distribution option described in the Contract (or offered by Us) that does not satisfy the requirements of this Section B.7 or Code Section 401(a)(9) shall not be permitted. |
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(a) | If the Owner dies before distribution of his or her interest in the Contract has begun in accordance with paragraph 6(a) above and Code Section 401(a)(9)(A)(ii) (e.g., before the Required Beginning Date), the entire interest shall be distributed by December 31 of the fifth calendar year that follows the Owners Year of Death, except to the extent that paragraph 7(c) or (d) below applies. | ||
(b) | If the Owner dies after distribution of the Owners interest in the Contract has begun in accordance with paragraph 6(a) above and Code Section 401(a)(9)(A)(ii) (e.g., on or after the Required Beginning Date) but before the Owners entire interest has been distributed, the remaining interest shall be distributed at least as rapidly as under the method of distribution being used immediately prior to the Owners death, except to the extent that paragraph 7(c) or (d) below applies. To the extent that the Contract has no annuity payout option in effect and no Measuring Designated Beneficiary as of the Applicable Designation Date (and paragraph 7(c) and (d) do not apply), then the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined in accordance with subparagraph 6(b)(i) above) by the Applicable Distribution Period. For this purpose, the Applicable Distribution Period shall be determined by the Owners remaining Life Expectancy, using the Owners age as of the Owners birthday in the Owners Year of Death. For Distribution Years after the Owners Year of Death such Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the Owners Year of Death. | ||
(c) | If the Surviving Spouse is the sole Designated Beneficiary under the Contract (taking any Separate Shares into account) as of the Applicable Designation Date, then - |
(i) | If no irrevocable written election to the contrary has been filed with Us by the deceased Owner or the Surviving Spouse prior to the Spouses Continuation Election Date, the Contract shall continue in the name of the deceased Owner, and RMDs must begin by the Spouses Required Beginning Date and be made in accordance with Section B.6 above. For these purposes, the Applicable Distribution Period for each Distribution Year after the Owners Year of Death - |
(1) | Is measured by the Surviving Spouses remaining Life Expectancy, recalculated annually through the Spouses Year of Death, and | ||
(2) | For a Distribution Year after the Spouses Year of Death, is measured by the Surviving Spouses remaining Life Expectancy as of the Surviving Spouses birthday in the Spouses Year of Death, reduced by one year for each calendar year that has elapsed since the calendar year next following the Spouses Year of Death. |
However, if the Owner dies on or after the Required Beginning Date, such Applicable Distribution Period shall not be shorter than the Applicable Distribution Period measured by using the Owners remaining Life Expectancy in accordance with paragraph 7(b) above and Reg. § 1.401(a)(9)-5, Q&A-5(a)(1). If the Surviving Spouse dies before the Spouses Required Beginning Date for such a continued Contract, then the Surviving Spouse shall be treated as the deceased Owner for purposes of this Section 7 (except that any surviving spouse of such a deceased Surviving Spouse cannot continue the Contract further under this subparagraph (i) as a Surviving Spouse). |
(ii) | The Surviving Spouse may make an irrevocable election in writing with Us by the Spouses Continuation Election Date to have such Surviving Spouses entire interest under the Contract distributed under another method available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9), e.g., under Reg. |
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§ 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 7(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the Spouses Required Beginning Date, or | ||
(2) | Any other method that provides for periodic distributions that begin no later than the Spouses Required Beginning Date and do not extend beyond the Applicable Distribution Period determined in accordance with subparagraph 7(c)(i) above. |
(d) | If as of the Applicable Designation Date the Contract (taking any Separate Shares into account) has at least one Designated Beneficiary and no entity (e.g., a trust or estate) is treated under Reg. § 1.401(a)(9)-4, Q&A-3 and Q&A-5, as a beneficiary under the Contract, then - |
(i) | To the extent that no irrevocable written election to the contrary has been filed with Us by the deceased Owner or any such Designated Beneficiary by the DB Election Date (and no Surviving Spouse is the sole Designated Beneficiary), then annual distributions of the remaining interest in the Contract must be made over the Applicable Distribution Period starting no later than the DB Required Beginning Date. In that case, the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined in accordance with subparagraph 6(b)(i) above) by the Applicable Distribution Period. For these purposes - |
(1) | The Applicable Distribution Period for the Distribution Year next following the Owners Year of Death is determined by the Measuring Designated Beneficiarys remaining Life Expectancy, using such beneficiarys age as of such beneficiarys birthday in such Distribution Year; and | ||
(2) | For a subsequent Distribution Year the Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the calendar year next following the Owners Year of Death. |
However, if the Owner dies on or after the Required Beginning Date, such Applicable Distribution Period shall not be shorter than the Applicable Distribution Period measured by using the Owners remaining Life Expectancy in accordance with paragraph 7(b) above and Reg. § 1.401(a)(9)-5, Q&A-5(a)(1). Such RMD must be distributed no later than the DB Required Beginning Date, and for each subsequent Distribution Year by December 31 thereof. |
(ii) | Any such Designated Beneficiary may make an irrevocable election in writing with Us by the DB Election Date to have such Designated Beneficiarys entire interest under the Contract distributed under another method available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9), e.g., Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 7(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the DB Required Beginning Date, or | ||
(2) | Any other method that provides for periodic distributions that begin no later than the DB Required Beginning Date and do not extend beyond the Applicable Distribution Period determined in accordance with subparagraph 7(d)(i) above. |
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(e) | Any amounts payable to a minor child of the Owner shall be treated as if they are payable to the Surviving Spouse to the extent that the remainder of the interest becomes payable to such Spouse when such child reaches the age of majority, in accordance with Reg. § 1.401(a)(9)-6, Q&A-15. |
(f) | Unless the Owner has provided to the contrary in writing to Us (e.g., by selecting an annuity option), any beneficiary of any interest under the Contract shall have an unlimited right after the Notice Date, upon 30 days written notice to Us, to withdraw any portion or all of such interest or to apply any such amount to an annuity option that qualifies under Reg. § 1.401(a)(9)-5, Q&A-1(e). |
8. | Annual Reports. We shall furnish annual calendar year reports concerning the status of the Contract and such information concerning RMDs as is prescribed by the IRS. | |
C. | Tax Qualification Provisions |
D. | Tax Treatment and Provisions for Any Nonqualified Portion |
1. | Required Distributions Before or After the Annuity Start Date |
(a) | Death of Owner or Primary Annuitant, or Change of Primary Annuitant. Subject to the alternative election, spouse beneficiary and interpretative provisions in subsection (b) or (c) immediately below, or in the tax qualification provisions in Section D.2 below, - |
(i) | If any Owner dies on or after the Annuity Start Date and before the entire interest in this contract has been distributed, the remaining portion of such interest shall be distributed at least as rapidly as under the method of distribution being used as of the date of such death; | ||
(ii) | If any Owner dies before the Annuity Start Date, the entire interest in this contract shall be distributed within 5 years after such death; | ||
(iii) | If the Owner is not an individual, then for purposes of the immediately preceding subparagraph (i) or (ii), (1) the Primary Annuitant (see subparagraph (c)(i) below) under this contract shall be treated as the Owner, and (2) any change in the Primary Annuitant allowed by this contract shall be treated as the death of the Owner; and |
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(iv) | Any postponement of the Annuity Start Date, if allowed by this contract, may not be postponed beyond the Primary Annuitants attaining age 95, without Our written consent. |
(b) | Alternative Election and Spousal Beneficiary Provisions That Satisfy Distribution Requirements. Subject to any restrictions imposed by any Regulations or other published IRS guidance interpreting Code Section 72(s) - |
(i) | If any portion of the interest of an Owner described in subsection (a) immediately above is payable to or for the benefit of an individual designated as a beneficiary by an Owner, and such beneficiary elects after such death to have such portion distributed over a Qualifying Distribution Period (described herein) that is allowed by this contract (or offered by Us) upon such death, then for purposes of satisfying the requirements of subparagraph (a)(i) or (a)(ii) immediately above, such portion shall be treated as distributed entirely on the date such periodic distributions begin. A Qualifying Distribution Period is a period that (1) does not extend beyond such beneficiarys life (or life expectancy) and (2) starts within one year after such death. | ||
(ii) | Such a designated beneficiary includes any individual joint Owner or successor Owner who becomes entitled to any portion of such an interest upon an Owners death, or any other individual who controls the use of the cash value of such a portion upon an Owners death. Any designated beneficiary may elect any settlement or other distribution option that is allowed by this contract (or offered by Us) upon an Owners death if the option is for a Qualifying Distribution Period. In determining which distribution options can qualify for such a Qualifying Distribution Period, We may treat any contract amount that is payable upon an Owners death to a trust (or other entity) for the benefit of an individual beneficiary as an interest (or portion thereof) that is payable for the benefit of such a designated beneficiary under this subsection (b), where such individual beneficiary certifies to us that he or she (1) is treated as the tax owner of such a trust amount for federal income tax purposes (e.g., under Code Sections 671-678) and (2) can compel its distribution to himself or herself from such trust. | ||
(iii) | If any portion of the interest of an Owner described in subsection (a) immediately above is payable to or for the benefit of such Owners surviving spouse (e.g., as a result of such spouse being a joint Owner), then such spouse shall be treated as the Owner with respect to such portion for purposes of the requirements of subsection (a). Where such spouse is the sole designated beneficiary of this contract upon such Owners death, such spouse may elect to continue this contract as the Owner, and We may treat such spouse as the annuitant if such deceased Owner was the annuitant and no other surviving annuitant has been designated. |
(c) | Interpretative Provisions. Subject to any contrary provisions in any Regulations or other published IRS guidance interpreting Code Section 72(s): |
(i) | The Primary Annuitant means the individual, the events in the life of whom are of primary importance in affecting the timing or amount of the payout under the contract, as defined in Code Section 72(s)(6)(B) (and any Regulations relating thereto). | ||
(ii) | We will treat any holder of the contract as its Owner for purposes of subsection (a) or (b) immediately above where necessary or appropriate. |
2. | Tax Qualification. This contract is intended to qualify as an annuity contract for federal income tax purposes and to satisfy the applicable requirements of Code Section 72(s). To achieve these purposes, the provisions of this contract (including this Rider and any other rider or endorsement to the contract that does not specifically override these Section 72(s) tax qualification provisions) shall be interpreted to ensure or maintain such a tax qualification, despite any other provision to the contrary. Any benefits, payments or distributions under this contract shall be conformed or restricted to, or made in, any amount, time and manner needed to maintain such a tax qualification under the applicable provisions of the Code and Regulations. We reserve the right to amend this Rider or the |
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contract from time to time to reflect any clarifications that may be needed or are appropriate to maintain such a tax qualification or to conform this contract to any applicable changes in the tax qualification requirements, as provided in the Code or any Regulations or other published IRS guidance relating thereto, without consent (where allowed by law). We will send you a copy of any such amendment. |
E. | Termination of Rider |
1. | When We receive a request to terminate this Rider that is in a form satisfactory to Us, or | |
2. | When the Contract terminates. |
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[ Chairman and Chief Executive Officer | Secretary ] |
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Pacific Life Insurance Company [700 Newport Center Drive Newport Beach, CA 92660 (800) 722-4448] |
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Page | ||||
Definitions |
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IRA Provisions |
4 | |||
Tax Qualification Provisions |
8 |
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A. | Definitions |
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B. | IRA Provisions | |
1. | Annuitant is Owner - The Annuitant shall be at all times the Owner of the Contract (or its beneficial Owner where a fiduciary is its legal Owner). Such individual Owners rights under the Contract shall be nonforfeitable, and the Contract shall be for the exclusive benefit of such Owner and his or her beneficiaries. | |
2. | Benefits Not Transferable - No benefits under the Contract may be transferred, sold, assigned, borrowed, or pledged as collateral for a loan, or as security for the performance of an obligation, or for any other purpose, to any person; except that the Contract may be transferred to a former or separated spouse of the Owner under a divorce or separation instrument described in Code Section 408(d)(6). In the event of such a transfer, the transferee shall be treated for all purposes as the Owner under the Contract. | |
3. | Contributions for Traditional IRA - Except in the case of a rollover Contribution permitted by Code Section 402(c), 402(e)(6), 403(a)(4), 403(b)(8), 403(b)(10), 408(d)(3) or 457(e)(16) or a Contribution made in accordance with the terms of a SEP, the Contributions paid under the Contract must be paid in cash, and for any calendar year may not exceed the lesser of the Owners Compensation for such year or $5,000. For years after 2008, the $5,000 limit is indexed for cost-of-living adjustments under Code Section 219(b)(5)(D) at $500 increments. |
(a) | For an Owner age 50 or older, the $5,000 limit is increased by $1,000. | ||
(b) | However, for any calendar year in which the Owner has attained age 701/2 or for any inherited IRA, the total Contribution limit is reduced to zero under Code Section 219(d)(1) or (4). | ||
(c) | Despite any limit on Contributions, an individual may make a repayment of (i) a qualified reservist distribution described in Code Section 72(t)(2)(G) during the 2-year period beginning on the day after the end of the active duty period or (ii) a distribution for a federally declared disaster when authorized. | ||
(d) | The Owner shall have the sole responsibility for determining whether any Contribution satisfies applicable income tax requirements. |
4. | SEP Contributions - If the Contract is issued as part of a SEP, Contributions must be made in accordance with the written terms of the SEP and Code Section 408(k), and must be paid in cash. | |
5. | SIMPLE Plan Prohibitions - No Contribution shall be allowed into the Contract under a SIMPLE IRA Plan established by an employer pursuant to Code Section 408(p). Also, no transfer or rollover of funds attributable to contributions made by a particular employer under its SIMPLE IRA Plan shall be allowed into the Contract from a SIMPLE IRA prior to the expiration of the 2-year period beginning on the date the individual Owner first participated in that employers SIMPLE IRA Plan. | |
6. | Flexible Premiums - Any premium or Purchase Payment under the Contract (after the initial payment) is not fixed, but may not be less than any minimum amount stated in the Contract Schedule. | |
7. | Refunds - Any premium refund declared by the Company under the Contract, other than a refund attributable to an excess Contribution, shall be applied toward the purchase of additional benefits or the payment of future premiums before the close of the calendar year following the calendar year of the refund. |
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8. | Required Minimum Distributions (RMDs) - The Contract and all benefits, distributions and payments made under it shall comply with and conform to the RMD and incidental death benefit rules in Code Sections 401(a)(9), 408(a)(6) and 408(b)(3) and the Regulations relating thereto, and shall be administered or adjusted accordingly, e.g., pursuant to the Tax Qualification Provisions below. Such rules shall override any benefit, distribution or payment provisions in the Contract that are inconsistent with such rules, and the selection of any annuity or other distribution option described in the Contract (or offered by the Company) that does not satisfy the requirements of this Section B.8 or Code Section 401(a)(9) shall not be permitted. Accordingly, except to the extent that RMDs are waived in accordance with Code Section 401(a)(9) (e.g., for 2009): |
(a) | The entire interest under the Contract shall be distributed: |
(i) | No later than the Required Beginning Date, or | ||
(ii) | By periodic distributions, starting no later than the Required Beginning Date, over the Owners life or the lives of the Owner and a Designated Beneficiary (or over a period not extending beyond the Owners Life Expectancy or the joint and last survivor Life Expectancy of the Owner and a Designated Beneficiary). |
(b) | RMDs shall be made in accordance with the Regulations under Code Sections 401(a)(9) and 408(b)(3) and related Code provisions. Accordingly: |
(i) | If the Owner has not elected otherwise in writing to the Company by the Owners Election Date to have the Owners entire interest distributed under another method available under the Contract (or offered by the Company) that qualifies under Code Section 401(a)(9) (e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2), the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined under Reg. § 1.401(a)(9)-6, Q&A-12, and § 1.408-8, Q&A-6, including any adjustment for any rollover, transfer or recharacterization under Reg. § 1.408-8, Q&A-7 or Q&A-8) by the Applicable Distribution Period. For these purposes - |
(1) | The Applicable Distribution Period is determined by using the Uniform Lifetime Table in Reg. § 1.401(a)(9)-9, Q&A-2, in accordance with Reg. § 1.401(a)(9)-5, Q&A-4(a), or | ||
(2) | If the Owners spouse is treated as the sole Designated Beneficiary for the Contract (taking any Separate Shares into account) for the Distribution Year under Reg. § 1.401(a)(9)-5, Q&A-4(b), the Applicable Distribution Period is the longer of the distribution period under subparagraph (1) immediately above or the joint Life Expectancy of the Owner and such spouse, recalculated annually and based on their attained ages as of their birthdays in such Distribution Year, as reflected in the Joint and Last Survivor Table in Reg. § 1.401(a)(9)-9, Q&A-3. |
Such RMD must be distributed no later than the Required Beginning Date for the first Distribution Year, and for each subsequent Distribution Year by December 31 thereof. However, the Owner may arrange to have any portion (or all) of such RMD distributed from another Non-Roth IRA owned by such Owner (rather than from the Contract), in accordance with Reg. § 1.408-8, Q&A-9. If the Owner dies on or after the Required Beginning Date, an RMD is required for the Owners Year of Death, determined as if the Owner had lived throughout that year. |
(ii) | As of the Owners Election Date or at any time thereafter (on 30 days notice to the Company), the Owner may elect in writing to have any portion or all of the undistributed interest under the Contract applied to an annuity option available under the Contract (or offered by the Company) that qualifies under Code Section 401(a)(9) or Reg. § 1.401(a)(9)-6, Q&A-1(a), in accordance with Reg. § 1.401(a)(9)-8, Q&A-2(a)(3). Such an annuity option must make annuity or other periodic payments at intervals no longer than one year, and must satisfy the other requirements of Reg. § 1.401(a)(9)-6, including: |
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(1) | Life annuity or a joint and survivor annuity. The Owner must be a measuring life under any life annuity elected during the Owners lifetime. Any periodic annuity payment to any survivor under a joint and survivor annuity may not exceed the applicable percentage of the annuity payment to the Owner and other limits, as provided in Reg. § 1.401(a)(9)-6, Q&A-2. | ||
(2) | Life (or joint and survivor) annuity with period certain. The amounts and duration of the annuity payments must satisfy the requirements in Reg. § 1.401(a)(9)-6, Q&A-1(b) and Q&A-2(d). | ||
(3) | Period certain annuity without a life contingency. The period certain may not exceed the maximum period specified in Reg. § 1.401(a)(9)-6, Q&A-3 and Q&A-10(b). | ||
(4) | Annuity payments may not be in increasing amounts, except as allowed by Reg. § 1.401(a)(9)-6, Q&A-1(a) or Q&A-14. |
(c) | The Owner or the Owners beneficiary, as applicable, shall have the sole responsibility for requesting or arranging for distributions that comply with this Rider and applicable income tax requirements. |
9. | RMDs upon Owners Death - Upon the Owners death, RMDs shall be made under the Contract in accordance with this Section B.9 and Code Section 401(a)(9) (and other Code provisions and Regulations relating thereto). Accordingly, selection of any annuity or other distribution option described in the Contract (or offered by the Company) that does not satisfy the requirements of this Section B.9 or Code Section 401(a)(9) shall not be permitted. |
(a) | If the Owner dies before distribution of his or her interest in the Contract has begun in accordance with paragraph 8(a) above, the entire interest shall be distributed by December 31 of the fifth calendar year that follows the Owners Year of Death, except to the extent that paragraph 9(c) or (d) below applies. | ||
(b) | If the Owner dies after distribution of the Owners interest in the Contract has begun in accordance with paragraph 8(a) above but before the Owners entire interest has been distributed, the remaining interest shall be distributed at least as rapidly as under the method of distribution being used immediately prior to the Owners death, except to the extent that paragraph 9(c) or (d) below applies. To the extent that the Contract has no annuity payout option in effect and no Measuring Designated Beneficiary as of the Applicable Designation Date (and paragraph 9(c) and (d) do not apply), then the Applicable Distribution Period shall be determined by the Owners remaining Life Expectancy, using the Owners age as of the Owners birthday in the Owners Year of Death. For Distribution Years after the Owners Year of Death such Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the Owners Year of Death. | ||
(c) | If the Surviving Spouse is the sole Designated Beneficiary under the Contract (taking any Separate Shares into account) as of the Applicable Designation Date, then - |
(i) | If no irrevocable written election to the contrary has been filed with the Company by the deceased Owner or the Surviving Spouse prior to the Spouses Continuation Election Date, the Contract shall continue in the name of the deceased Owner, and RMDs must begin by the Spouses Required Beginning Date and be made in accordance with Section B.8 above. For these purposes, the Applicable Distribution Period for each Distribution Year after the Owners Year of Death - |
(1) | Is measured by the Surviving Spouses remaining Life Expectancy, recalculated annually through the Spouses Year of Death, and | ||
(2) | For a Distribution Year after the Spouses Year of Death, is measured by the Surviving Spouses remaining Life Expectancy as of the Surviving Spouses birthday in the Spouses Year of Death, reduced by one year for each calendar year that has elapsed since the calendar year next following the Spouses Year of Death. |
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However, if the Owner dies on or after the Required Beginning Date, such Applicable Distribution Period shall not be shorter than the Applicable Distribution Period measured by using the Owners remaining Life Expectancy in accordance with paragraph 9(b) above and Reg. § 1.401(a)(9)-5, Q&A-5(a)(1). If the Surviving Spouse dies before the Spouses Required Beginning Date for such a continued Contract, then the Surviving Spouse shall be treated as the deceased Owner for purposes of this Section B.9 (except that any surviving spouse of such a deceased Surviving Spouse cannot continue the Contract further under this subparagraph (i) as a Surviving Spouse). Any Surviving Spouse may arrange to have any portion (or all) of any RMD that is distributable with respect to such Surviving Spouses interest in the Contract distributed from another Non-Roth IRA formerly owned by the deceased Owner for which such Surviving Spouse is also a designated beneficiary (rather than from the Contract), in accordance with Reg. § 1.408-8, Q&A-9. |
(ii) | The Surviving Spouse may elect at any time to treat the entire remaining interest in the Contract as an IRA of such Surviving Spouse, if such Surviving Spouse has an unlimited right to withdraw amounts from the Contract and is the sole beneficiary of the Contract, within the meaning of Reg. § 1.408-8, Q&A-5(a). Such an eligible Surviving Spouse shall make such an election by a written request to the Company to redesignate such Surviving Spouse as the Owner and Annuitant of the Contract. Such an eligible Surviving Spouse shall be deemed to have made such an election if either - |
(1) | Such Surviving Spouse makes any transfer, rollover or other Contribution of any amount for the benefit of such Surviving Spouse into the Contract, or | ||
(2) | Such Surviving Spouse directs the Company in writing to transfer or rollover any part or all of the assets to which such Surviving Spouse is entitled under the Contract to another IRA owned by such Surviving Spouse or to another Plan for the benefit of such Surviving Spouse, or | ||
(3) | Any RMD that is required to be distributed from the Contract under this Section B.9 or under Code Section 401(a)(9) (e.g., in the case of any amount rolled over or transferred into the Contract from a Plan) is not distributed within the appropriate time. |
(iii) | The Surviving Spouse may make an irrevocable election in writing with the Company by the Spouses Continuation Election Date to have such Surviving Spouses entire interest under the Contract distributed under another method available under the Contract (or offered by the Company) that qualifies under Code Section 401(a)(9), e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 9(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the Spouses Required Beginning Date, or | ||
(2) | Any other method that provides for periodic distributions that begin no later than the Spouses Required Beginning Date and do not extend beyond the Applicable Distribution Period determined in accordance with subparagraph 9(c)(i) above. |
(d) | If as of the Applicable Designation Date the Contract (taking any Separate Shares into account) has at least one Designated Beneficiary and no entity (e.g., a trust or estate) is treated under Reg. § 1.401(a)(9)-4, Q&A-3 and Q&A-5, as a beneficiary under the Contract, then - |
(i) | To the extent that no irrevocable election to the contrary has been filed with the Company by the deceased Owner or any such Designated Beneficiary by the DB Election Date (and no Surviving Spouse is the sole Designated Beneficiary), then annual distributions of the remaining interest in the Contract must be made over the Applicable Distribution Period starting with the DB Required Beginning Date. In that case, the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined in accordance with subparagraph 8(b)(i) above) by the Applicable Distribution Period. For these purposes - |
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(1) | The Applicable Distribution Period for the Distribution Year next following the Owners Year of Death is determined by the Measuring Designated Beneficiarys remaining Life Expectancy, using such beneficiarys age as of such beneficiarys birthday in such Distribution Year; and | ||
(2) | For a subsequent Distribution Year the Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the calendar year next following the Owners Year of Death. |
However, if the Owner dies on or after the Required Beginning Date, such Applicable Distribution Period shall not be shorter than the Applicable Distribution Period measured by using the Owners remaining Life Expectancy in accordance with paragraph 9(b) above and Reg. § 1.401(a)(9)-5, Q&A-5(a)(1). Such RMD amount must be distributed no later than the DB Required Beginning Date, and for each subsequent Distribution Year by December 31 thereof. However, any Designated Beneficiary may arrange to have any portion (or all) of such RMD (that is distributable with respect to such beneficiarys interest in the Contract) distributed from another Non-Roth IRA formerly owned by such deceased Owner for which such beneficiary is also a designated beneficiary (rather than from the Contract), in accordance with Reg. § 1.408-8, Q&A-9. |
(ii) | Any such Designated Beneficiary may make an irrevocable election in writing with the Company by the DB Election Date to have such Designated Beneficiarys entire interest under the Contract distributed under another method available under the Contract (or offered by the Company) that qualifies under Code Section 401(a)(9), e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 9(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the DB Required Beginning Date, or | ||
(2) | Any other method that provides for periodic distributions that begin no later than the DB Required Beginning Date and do not extend beyond the Applicable Distribution Period determined in accordance with subparagraph 9(d)(i) above. |
(e) | Any amount payable to a minor child of the Owner shall be treated as if it is payable to the Surviving Spouse to the extent that the remainder of the interest becomes payable to such Spouse when such child reaches the age of majority, in accordance with Reg. § 1.401(a)(9)-6, Q&A-15. | ||
(f) | Unless the Owner has provided to the contrary in writing to the Company (e.g., by selecting a certain annuity option), any beneficiary of any interest under the Contract shall have an unlimited right after the Notice Date, upon 30 days written notice to the Company, to withdraw any portion or all of such interest or to apply any such amount to an annuity option that qualifies under Reg. § 1.401(a)(9)-5, Q&A-1(e). | ||
(g) | If the Owner dies before the entire interest under the Contract has been distributed, no additional cash Contributions or rollover Contributions shall be allowed into the Contract, except where the Surviving Spouse elects (or is deemed to elect) to convert the Contract to be his or her own IRA, as specified above in this Section B.9. |
10. | Annual Reports - The Company shall furnish annual calendar year reports concerning the status of the Contract and such information concerning RMDs as is prescribed by the IRS. | |
C. | Tax Qualification Provisions |
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[ Chairman and Chief Executive Officer | Secretary ] |
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Pacific Life Insurance Company [700 Newport Center Drive Newport Beach, CA 92660 (800) 722-4448] |
Page | ||
Definitions |
2 | |
Roth IRA Provisions |
4 | |
Tax Qualification Provisions |
7 |
Page 1 of 8
A. | Definitions |
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Page 3 of 8
B. | Roth IRA Provisions | |
1. | Annuitant is Owner - The Annuitant shall be at all times the Owner of the Contract (or its beneficial Owner where a fiduciary is its legal Owner). Such individual Owners rights under the Contract shall be nonforfeitable, and the Contract shall be for the exclusive benefit of such Owner and his or her beneficiaries. | |
2. | Benefits Not Transferable - No benefits under the Contract may be transferred, sold, assigned, borrowed or pledged as collateral for a loan, or as security for the performance of an obligation, or for any other purpose, to any person; except that the Contract may be transferred to a former or separated spouse of the Owner under a divorce or separation instrument described in Code Section 408(d)(6). In the event of such a transfer, the transferee shall be treated for all purposes as the Owner under the Contract. |
3. | (a) | Maximum Permissible Amount. Except in the case of a Qualified Rollover Contribution (described in paragraph 3(c) below) or a recharacterization (defined in paragraph 3(e) below), no Contribution shall be allowed into the Contract unless it is in cash, and for any year the total of such Contributions to all the individual Owners Roth IRAs for such year does not exceed the lesser of the Owners Compensation for such year or $5,000. For years after 2008, the $5,000 limit is indexed for cost-of-living adjustments under Code Section 219(b)(5)(D) at $500 increments. | |
For an Owner age 50 or older the $5,000 limit is increased by $1,000. | |||
Such a Contribution is referred to herein as a regular contribution. Contributions may be limited under paragraphs 3(b) through (d) below, and are not allowed for any inherited IRA. |
(b) | Regular Contribution Limit. The maximum regular contribution that can be made to all of the Owners Roth IRAs for a taxable year is the smaller of the amount determined under subparagraph 3(b)(i) or (ii) below. |
(i) | The maximum regular contribution is phased out ratably between certain levels of modified adjusted gross income (modified AGI, defined in paragraph 3(f) below) in accordance with the following table: |
Filing Status
|
Full Contribution | Phase-out Range | No Contribution | |||||
Modified AGI | ||||||||
Single or Head of Household
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$95,000 or less | Between $95,000 and $110,000 | $110,000 or more | |||||
Joint Return or Qualifying Widow(er) |
$150,000 or less | Between $150,000 and $160,000 | $160,000 or more | |||||
Married-Separate Return
|
$0 | Between $0 and $10,000 | $10,000 or more |
If the Owners modified AGI for a taxable year is in the phase-out range, the maximum regular contribution determined under this table for that taxable year is rounded up to the next multiple of $10 and is not reduced below $200. For years after 2006, the dollar amounts above are adjusted for cost-of-living adjustments under Code Section 408A(c)(3)(D) at $1,000 increments. | |||
(ii) | If the Owner makes regular contributions to both Roth and Non-Roth IRAs for a taxable year, the maximum regular contribution that can be made to all the Owners Roth IRAs for that taxable year is reduced by the regular contributions made to the Owners Non-Roth IRAs for the taxable year (ignoring SIMPLE IRA or SEP contributions pursuant to Code Section 408A(f)(2)). |
(c) | Qualified Rollover Contribution Limit. A Qualified Rollover Contribution is defined in Code Section 408A(e), and includes a rollover contribution from another Roth IRA or a rollover contribution of a distribution from an IRA that meets the requirements of Code Section 408(d)(3), |
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except that the one-rollover-per-year rule of Code Section 408(d)(3)(B) does not apply if the rollover contribution is from a Non-Roth IRA. A Qualified Rollover Contribution also includes a rollover from a designated Roth account described in Code Section 402A or a rollover from an eligible retirement plan described in Code Section 402(c)(8)(B). | |||
(d) | SIMPLE IRA limits. No Contribution shall be allowed into the Contract under a SIMPLE IRA Plan established by any employer pursuant to Code Section 408(p). Also, no transfer or rollover of funds attributable to contributions made by a particular employer under its SIMPLE IRA Plan shall be allowed into the Contract from a SIMPLE IRA prior to the expiration of the 2-year period beginning on the date the individual Owner first participated in that employers SIMPLE IRA Plan. | ||
(e) | Recharacterization. A regular contribution to a Non-Roth IRA may be recharacterized pursuant to Reg. § 1.408A-5 as a regular contribution to this Roth IRA, subject to the limits in paragraph 3(b) above. | ||
(f) | Modified AGI. For purposes of paragraphs 3(b) and (c) above, an Owners modified AGI for a taxable year is defined in Code Section 408A(c)(3) and does not include any amount included in adjusted gross income as a result of a rollover from an eligible retirement plan other than a Roth IRA (a conversion). | ||
(g) | Despite any limit on Contributions, an individual may make a repayment of (i) a qualified reservist distribution described in Code Section 72(t)(2)(G) during the 2-year period beginning on the day after the end of the active duty period or (ii) a distribution for a federally declared disaster when authorized. | ||
(h) | The Owner shall have the sole responsibility for determining whether any Contribution satisfies applicable income tax requirements. |
4. | Flexible Premiums - Any premium or Purchase Payment under the Contract (after the initial payment) is not fixed, but may not be less than any minimum amount stated in the Contract Schedule. | |
5. | Refunds - Any premium refund declared by the Company under the Contract, other than a refund attributable to an excess Contribution, shall be applied toward the purchase of additional benefits or the payment of future premiums before the close of the calendar year following the calendar year of the refund. | |
6. | Required Minimum Distributions (RMDs) upon Owners Death - Upon the Owners death, the Contract and all benefits, distributions and payments made under it shall comply with and conform to the RMD and incidental death benefit rules in Code Sections 401(a)(9), 408(a)(6) and 408(b)(3), as modified by Code Section 408A(c)(5), and in the Regulations relating thereto, and shall be administered or adjusted accordingly, e.g., pursuant to the Tax Qualification Provisions below. Such rules shall override any benefit, distribution or payment provisions in the Contract that are inconsistent with such rules, and the selection of any annuity or other distribution option described in the Contract (or offered by the Company) that does not satisfy the requirements of this Section B.6 or Code Section 401(a)(9) shall not be permitted. In addition, each Owners beneficiary shall have the sole responsibility for requesting or arranging for distributions from his interest that comply with this Rider and applicable income tax requirements. No amount is required to be distributed prior to the Owners death. Accordingly, except to the extent that RMDs are waived in accordance with Code Section 401(a)(9) (e.g., for 2009): |
(a) | Upon the Owners death, the entire interest shall be distributed by December 31 of the fifth calendar year that follows the Owners Year of Death, except to the extent that paragraph 6(b) or (c) below applies. | ||
(b) | If the Surviving Spouse is the sole Designated Beneficiary under the Contract (taking any Separate Shares into account) as of the Applicable Designation Date, then - |
(i) | If no irrevocable written election to the contrary has been filed with the Company by the deceased Owner or the Surviving Spouse prior to the Spouses Continuation Election Date, the Contract shall continue in the name of the deceased Owner, and RMDs must begin by the Spouses Required Beginning Date and be distributed over the Surviving Spouses remaining Life Expectancy (by December 31 of each subsequent Distribution Year). The RMD amount |
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that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined under Reg. § 1.401(a)(9)-6, Q&A-12, and § 1.408-8, Q&A-6, including any adjustment for any rollover, transfer or recharacterization under Reg. § 1.408-8, Q&A-7 or Q&A-8) by the Applicable Distribution Period. For these purposes, the Applicable Distribution Period for each Distribution Year after the Owners Year of Death - |
(1) | Is measured by the Surviving Spouses remaining Life Expectancy, recalculated annually through the Spouses Year of Death, and | ||
(2) | For a Distribution Year after the Spouses Year of Death, is measured by the Surviving Spouses remaining Life Expectancy as of the Surviving Spouses birthday in the Spouses Year of Death, reduced by one year for each calendar year that has elapsed since the calendar year next following the Spouses Year of Death. |
If the Surviving Spouse dies before the Spouses Required Beginning Date for such a continued Contract, then the Surviving Spouse shall be treated as the deceased Owner for purposes of this Section B.6 (except that any surviving spouse of such a deceased Surviving Spouse cannot continue the Contract further under this subparagraph (i) as a Surviving Spouse). Any Surviving Spouse may arrange to have any portion (or all) of any RMD that is distributable with respect to such Surviving Spouses interest in the Contract distributed from another Roth IRA formerly owned by such deceased Owner for which such Surviving Spouse is also a designated beneficiary (rather than from the Contract), in accordance with Reg. § 1.408-8, Q&A-9. | |||
(ii) | The Surviving Spouse may elect at any time to treat the entire remaining interest in the Contract as a Roth IRA of such Surviving Spouse, if such Surviving Spouse has an unlimited right to withdraw amounts from the Contract and is the sole beneficiary of the Contract, within the meaning of Reg. § 1.408-8, Q&A-5(a). Such an eligible Surviving Spouse shall make such an election by a written request to the Company to redesignate such Surviving Spouse as the Owner and Annuitant of the Contract. Such an eligible Surviving Spouse shall be deemed to have made such an election if either - |
(1) | Such Surviving Spouse makes any transfer, rollover or other Contribution of any amount for the benefit of such Surviving Spouse into the Contract, or | ||
(2) | Such Surviving Spouse directs the Company in writing to transfer or rollover any part or all of the assets to which such Surviving Spouse is entitled under the Contract to another Roth IRA owned by such Surviving Spouse, or | ||
(3) | Any RMD that is required to be distributed from the Contract under this Section B.6 or under Code Section 401(a)(9) (e.g., in the case of any amount rolled over or transferred into the Contract from a Plan) is not distributed within the appropriate time. |
(iii) | The Surviving Spouse may make an irrevocable election in writing with the Company by the Spouses Continuation Election Date to have such Surviving Spouses entire interest under the Contract distributed under another method available under the Contract (or offered by the Company) that qualifies under Code Section 401(a)(9), e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 6(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the Spouses Required Beginning Date, or | ||
(2) | Any other method that provides for periodic distributions that begin no later than the Spouses Required Beginning Date and do not extend beyond the remaining Life Expectancy of such Surviving Spouse. |
(c) | If as of the Applicable Designation Date the Contract (taking any Separate Shares into account) has at least one Designated Beneficiary and no entity (e.g., a trust or estate) is treated under Reg. § 1.401(a)(9)-4, Q&A-3 and Q&A-5, as a beneficiary under the Contract, then - |
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(i) | To the extent that no irrevocable election to the contrary has been filed with the Company by the deceased Owner or any such Designated Beneficiary by the DB Election Date (and no Surviving Spouse is the sole Designated Beneficiary), then annual distributions of the remaining interest in the Contract must be made over the Applicable Distribution Period starting with the DB Required Beginning Date. In that case, the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined in accordance with subparagraph 6(b)(i) above) by the Applicable Distribution Period. For these purposes - |
(1) | The Applicable Distribution Period for the Distribution Year next following the Owners Year of Death is determined by the Measuring Designated Beneficiarys remaining Life Expectancy, using such beneficiarys age as of such beneficiarys birthday in such Distribution Year; and | ||
(2) | For a subsequent Distribution Year the Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the calendar year next following the Owners Year of Death. |
Such RMD amount must be distributed no later than the DB Required Beginning Date, and for each subsequent Distribution Year by December 31 thereof. However, any Designated Beneficiary may arrange to have any portion (or all) of such RMD (that is distributable with respect to such beneficiarys interest in the Contract) distributed from another Roth IRA formerly owned by such deceased Owner for which such beneficiary is also a designated beneficiary (rather than from the Contract), in accordance with Reg. § 1.408-8, Q&A-9. | |||
(ii) | Any such Designated Beneficiary may make an irrevocable election in writing with the Company by the DB Election Date to have such Designated Beneficiarys entire interest under the Contract distributed under another method available under the Contract (or offered by the Company) that qualifies under Code Section 401(a)(9), e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 6(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the DB Required Beginning Date, or | ||
(2) | Any other method that provides for periodic distributions that begin no later than the DB Required Beginning Date and do not extend beyond the remaining Life Expectancy of the Measuring Designated Beneficiary. |
(d) | Any amount payable to a minor child of the Owner shall be treated as if it is payable to the Surviving Spouse to the extent that the remainder of the interest becomes payable to such Spouse when such child reaches the age of majority, in accordance with Reg. § 1.401(a)(9)-6, Q&A-15. | ||
(e) | Unless the Owner has provided to the contrary in writing to the Company (e.g., by selecting a certain annuity option), any beneficiary of any interest under the Contract shall have an unlimited right after the Notice Date, upon 30 days written notice to the Company, to withdraw any portion or all of such interest or to apply any such amount to an annuity option that qualifies under Reg. § 1.401(a)(9)-5, Q&A-1(e). | ||
(f) | If the Owner dies before the entire interest under the Contract has been distributed, no additional cash Contributions or rollover Contributions shall be allowed into the Contract, except where the Surviving Spouse elects (or is deemed to elect) to convert the Contract to be his or her own Roth IRA, as specified above in this Section B.6. |
7. | Annual Reports - The Company shall furnish annual calendar year reports concerning the status of the Contract and such information concerning RMDs as is prescribed by the IRS. |
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[ Chairman and Chief Executive Officer | Secretary ] |
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Pacific Life Insurance Company [700 Newport Center Drive Newport Beach, CA 92660 (800) 722-4448] |
Page | ||
Definitions |
2 | |
Simple IRA Provisions |
3 | |
Tax Qualification Provisions |
8 |
Page 1 of 9
A. | Definitions |
Page 2 of 9
B. | SIMPLE IRA Provisions | |
1. | Annuitant is Owner - The Annuitant shall be at all times the Owner of the Contract (or its beneficial Owner where a fiduciary is its legal Owner). Such individual Owners rights under the Contract shall be nonforfeitable, and the Contract shall be for the exclusive benefit of such Owner and his or her beneficiaries. | |
2. | Benefits Not Transferable - No benefits under the Contract may be transferred, sold, assigned, borrowed or pledged as collateral for a loan, or as security for the performance of an obligation, or for any other purpose, to any person; except that the Contract may be transferred to a former or separated spouse of the Owner under a divorce or separation instrument described in Code Section 408(d)(6). In the event of such a transfer, the transferee shall be treated for all purposes as the Owner under the Contract. |
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3. | Contributions - No Contribution shall be allowed into the Contract unless it is (a) a cash Contribution made on the Owners behalf under a SIMPLE IRA Plan described in Code Section 408(p) or (b) a rollover Contribution or transfer of assets from another SIMPLE IRA of the Owner. Annual Contribution amounts shall not exceed the $10,000 adjustable limit under Code Section 408(p)(2)(A)(ii) and (2)(E)(i) for years after 2004 (as increased by the required employer contribution amount under Code Section 408(p)(2)(A)(iii) or (B)(i), whichever is applicable). For years after 2005, the $10,000 limit is indexed for cost-of-living adjustments under Code Section 408(p)(2)(E)(ii) at $500 increments. |
(a) | For an Owner age 50 or older the $10,000 limit is increased by $2,500 under Code Section 414(v)(2)(B)(ii). For years after 2006, this $2500 limit also is indexed for cost-of-living adjustments under Code Section 414(v)(2)(C) at $500 increments. | ||
(b) | Despite any limit on Contributions, an individual may make a repayment of (i) a qualified reservist distribution described in Code Section 72(t)(2)(G) during the 2-year period beginning on the day after the end of the active duty period or (ii) a distribution for a federally declared disaster when authorized. | ||
(c) | If the Contract is maintained pursuant to a SIMPLE IRA Plan, the Owner, along with the Owners employer (and any designated Plan representative other than the Company), shall have the sole responsibility for determining whether any Contribution satisfies the applicable income tax requirements; otherwise, the Owner shall have such sole responsibility. |
4. | Initial 2-Year Rules - Prior to the expiration of the 2-year period beginning on the date that the Owner first participated in any SIMPLE IRA Plan maintained by the Owners employer, any rollover, transfer or distribution from this SIMPLE IRA that is not made timely to another SIMPLE IRA of the Owner may be subject to a 25% penalty tax, as well as to ordinary income tax. Any rollover or transfer made after such 2-year period to any IRA of the Owner or other eligible retirement plan under Code Section 408(d)(3)(A) can be tax-free if such transaction is made in a timely and appropriate manner. | |
5. | Transfers Without Cost - Where the Contract has been set up under a SIMPLE IRA Plan of an employer who made all contributions to the SIMPLE IRAs of a designated trustee or issuer, within the meaning of Code Section 408(p)(7), the Owners balance under the Contract may be transferred without cost or penalty, within the meaning of Code Section 408(p)(7), to another IRA of the Owner or to another eligible retirement plan in accordance with Code Section 408(d)(3)(A) and (G). | |
6. | Flexible Premiums - Any premium or Purchase Payment under the Contract (after the initial payment) is not fixed, but may not be less than any minimum account stated in the Contract Schedule. | |
7. | Refunds - Any premium refund declared by the Company under the Contract, other than a refund attributable to an excess Contribution, shall be applied toward the purchase of additional benefits or the payment of future premiums before the close of the calendar year following the calendar year of the refund. | |
8. | Required Minimum Distributions (RMDs) - The Contract and all benefits, distributions and payments made under it shall comply with and conform to the RMD and incidental death benefit rules in Code Sections 401(a)(9), 408(a)(6) and 408(b)(3) and the Regulations relating thereto, and shall be administered or adjusted accordingly, e.g., pursuant to the Tax Qualification Provisions below. Such rules shall override any benefit, distribution or payment provisions in the Contract that are inconsistent with such rules, and the selection of any annuity or other distribution option described in the Contract (or offered by the Company) that does not satisfy the requirements of this Section B.8 or Code Section 401(a)(9) shall not be permitted. Accordingly, except to the extent that RMDs are waived in accordance with Code Section 401(a)(9) (e.g., for 2009): |
(a) | The entire interest under the Contract shall be distributed: |
(i) | No later than the Required Beginning Date, or |
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(ii) | By periodic distributions, starting no later than the Required Beginning Date, over the Owners life or the lives of the Owner and a Designated Beneficiary (or over a period not extending beyond the Owners Life Expectancy or the joint and last survivor Life Expectancy of the Owner and a Designated Beneficiary). |
(b) | RMDs shall be made in accordance with the Regulations under Code Sections 401(a)(9) and 408(b)(3) and related Code provisions. Accordingly: |
(i) | If the Owner has not elected otherwise in writing to the Company by the Owners Election Date to have the Owners entire interest distributed under another method available under the Contract (or offered by the Company) that qualifies under Code Section 401(a)(9) (e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2), the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined under Reg. § 1.401(a)(9)-6, Q&A-12, and § 1.408-8, Q&A-6, including any adjustment for any rollover, transfer or recharacterization under Reg. § 1.408-8, Q&A-7 or Q&A-8) by the Applicable Distribution Period. For these purposes - |
(1) | The Applicable Distribution Period is determined by using the Uniform Lifetime Table in Reg. § 1.401(a)(9)-9, Q&A-2, in accordance with Reg. § 1.401(a)(9)-5, Q&A-4(a), or | ||
(2) | If the Owners spouse is treated as the sole Designated Beneficiary for the Contract (taking any Separate Shares into account) for the Distribution Year under Reg. § 1.401(a)(9)-5, Q&A-4(b), the Applicable Distribution Period is the longer of the distribution period under subparagraph (1) immediately above or the joint Life Expectancy of the Owner and such spouse, recalculated annually and based on their attained ages as of their birthdays in such Distribution Year, as reflected in the Joint and Last Survivor Table in Reg. § 1.401(a)(9)-9, Q&A-3. |
Such RMD must be distributed no later than the Required Beginning Date for the first Distribution Year, and for each subsequent Distribution Year by December 31 thereof. However, the Owner may arrange to have any portion (or all) of such RMD distributed from another Non-Roth IRA owned by such Owner (rather than from the Contract), in accordance with Reg. § 1.408-8, Q&A-9. If the Owner dies on or after the Required Beginning Date, an RMD is required for the Owners Year of Death, determined as if the Owner had lived throughout that year. | |||
(ii) | As of the Owners Election Date or at any time thereafter (on 30 days notice to the Company), the Owner may elect in writing to have any portion or all of the undistributed interest under the Contract applied to an annuity option available under the Contract (or offered by the Company) that qualifies under Code Section 401(a)(9) or Reg. § 1.401(a)(9)-6, Q&A-1(a), in accordance with Reg. § 1.401(a)(9)-8, Q&A-2(a)(3). Such an annuity option must make annuity or other periodic payments at intervals no longer than one year, and must satisfy the other requirements of Reg. § 1.401(a)(9)-6, including: |
(1) | Life annuity or a joint and survivor annuity. The Owner must be a measuring life under any life annuity elected during the Owners lifetime. Any periodic annuity payment to any survivor under a joint and survivor annuity may not exceed the applicable percentage of the annuity payment to the Owner and other limits, as provided in Reg. § 1.401(a)(9)-6, Q&A-2. | ||
(2) | Life (or joint and survivor) annuity with period certain. The amounts and duration of the annuity payments must satisfy the requirements in Reg. § 1.401(a)(9)-6, Q&A-1(b) and Q&A-2(d). | ||
(3) | Period certain annuity without a life contingency. The period certain may not exceed the maximum period specified in Reg. § 1.401(a)(9)-6, Q&A-3 and Q&A-10(b). | ||
(4) | Annuity payments may not be in increasing amounts, except as allowed by Reg. § 1.401(a)(9)-6, Q&A-1(a) or Q&A-14. |
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(c) | The Owner or the Owners beneficiary, as applicable, shall have the sole responsibility for requesting or arranging for distributions that comply with this Rider and applicable income tax requirements. |
9. | RMDs upon Owners Death - Upon the Owners death, RMDs shall be made under the Contract in accordance with this Section B.9 and Code Section 401(a)(9) (and other Code provisions and Regulations relating thereto). Accordingly, selection of any annuity or other distribution option described in the Contract (or offered by the Company) that does not satisfy the requirements of this Section B.9 or Code Section 401(a)(9) shall not be permitted. |
(a) | If the Owner dies before distribution of his or her interest in the Contract has begun in accordance with paragraph 8(a) above, the entire interest shall be distributed by December 31 of the fifth calendar year that follows the Owners Year of Death, except to the extent that paragraph 9(c) or (d) below applies. | ||
(b) | If the Owner dies after distribution of the Owners interest in the Contract has begun in accordance with paragraph 8(a) above but before the Owners entire interest has been distributed, the remaining interest shall be distributed at least as rapidly as under the method of distribution being used immediately prior to the Owners death, except to the extent that paragraph 9(c) or (d) below applies. To the extent that the Contract has no annuity payout option in effect and no Measuring Designated Beneficiary as of the Applicable Designation Date (and paragraph 9(c) and (d) do not apply), then the Applicable Distribution Period shall be determined by the Owners remaining Life Expectancy, using the Owners age as of the Owners birthday in the Owners Year of Death. For Distribution Years after the Owners Year of Death such Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the Owners Year of Death. | ||
(c) | If the Surviving Spouse is the sole Designated Beneficiary under the Contract (taking any Separate Shares into account) as of the Applicable Designation Date, then - |
(i) | If no irrevocable written election to the contrary has been filed with the Company by the deceased Owner or the Surviving Spouse prior to the Spouses Continuation Election Date, the Contract shall continue in the name of the deceased Owner, and RMDs must begin by the Spouses Required Beginning Date and be made in accordance with Section B.8 above. For these purposes, the Applicable Distribution Period for each Distribution Year after the Owners Year of Death - |
(1) | Is measured by the Surviving Spouses remaining Life Expectancy, recalculated annually through the Spouses Year of Death, and | ||
(2) | For a Distribution Year after the Spouses Year of Death, is measured by the Surviving Spouses remaining Life Expectancy as of the Surviving Spouses birthday in the Spouses Year of Death, reduced by one year for each calendar year that has elapsed since the calendar year next following the Spouses Year of Death. |
However, if the Owner dies on or after the Required Beginning Date, such Applicable Distribution Period shall not be shorter than the Applicable Distribution Period measured by using the Owners remaining Life Expectancy in accordance with paragraph 9(b) above and Reg. § 1.401(a)(9)-5, Q&A-5(a)(1). If the Surviving Spouse dies before the Spouses Required Beginning Date for such a continued Contract, then the Surviving Spouse shall be treated as the deceased Owner for purposes of this Section B.9 (except that any surviving spouse of such a deceased Surviving Spouse cannot continue the Contract further under this subparagraph (i) as a Surviving Spouse). Any Surviving Spouse may arrange to have any portion (or all) of any RMD that is distributable with respect to such Surviving Spouses interest in the Contract distributed from another Non-Roth IRA formerly owned by the deceased Owner for which such Surviving Spouse is also a designated beneficiary (rather than from the Contract), in accordance with Reg. § 1.408-8, Q&A-9. | |||
(ii) | The Surviving Spouse may elect at any time to treat the entire remaining interest in the Contract as an IRA of such Surviving Spouse, if such Surviving Spouse has an unlimited right to withdraw amounts from the Contract and is the sole beneficiary of the Contract, within the |
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meaning of Reg. § 1.408-8, Q&A-5(a). Such an eligible Surviving Spouse shall make such an election by a written request to the Company to redesignate such Surviving Spouse as the Owner and Annuitant of the Contract. Such an eligible Surviving Spouse shall be deemed to have made such an election if either - |
(1) | Such Surviving Spouse makes any transfer, rollover or other Contribution of any amount for the benefit of such Surviving Spouse into the Contract, or | ||
(2) | Such Surviving Spouse directs the Company in writing to transfer or rollover any part or all of the assets to which such Surviving Spouse is entitled under the Contract to another IRA owned by such Surviving Spouse or to another Plan for the benefit of such Surviving Spouse, or | ||
(3) | Any RMD that is required to be distributed from the Contract under this Section B.9 or under Code Section 401(a)(9) (e.g., in the case of any amount rolled over or transferred into the Contract from a Plan) is not distributed within the appropriate time. |
(iii) | The Surviving Spouse may make an irrevocable election in writing with the Company by the Spouses Continuation Election Date to have such Surviving Spouses entire interest under the Contract distributed under another method available under the Contract (or offered by the Company) that qualifies under Code Section 401(a)(9), e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 9(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the Spouses Required Beginning Date, or | ||
(2) | Any other method that provides for periodic distributions that begin no later than the Spouses Required Beginning Date and do not extend beyond the Applicable Distribution Period determined in accordance with subparagraph 9(c)(i) above. |
(d) | If as of the Applicable Designation Date the Contract (taking any Separate Shares into account) has at least one Designated Beneficiary and no entity (e.g., a trust or estate) is treated under Reg. § 1.401(a)(9)-4, Q&A-3 and Q&A-5, as a beneficiary under the Contract, then - |
(i) | To the extent that no irrevocable election to the contrary has been filed with the Company by the deceased Owner or any such Designated Beneficiary by the DB Election Date (and no Surviving Spouse is the sole Designated Beneficiary), then annual distributions of the remaining interest in the Contract must be made over the Applicable Distribution Period starting with the DB Required Beginning Date. In that case, the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined in accordance with subparagraph 8(b)(i) above) by the Applicable Distribution Period. For these purposes |
(1) | The Applicable Distribution Period for the Distribution Year next following the Owners Year of Death is determined by the Measuring Designated Beneficiarys remaining Life Expectancy, using such beneficiarys age as of such beneficiarys birthday in such Distribution Year; and | ||
(2) | For a subsequent Distribution Year the Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the calendar year next following the Owners Year of Death. |
However, if the Owner dies on or after the Required Beginning Date, such Applicable Distribution Period shall not be shorter than the Applicable Distribution Period measured by using the Owners remaining Life Expectancy in accordance with paragraph 9(b) above and Reg. § 1.401(a)(9)-5, Q&A-5(a)(1). Such RMD must be distributed no later than the DB Required Beginning Date, and for each subsequent Distribution Year by December 31 thereof. However, any Designated Beneficiary may arrange to have any portion (or all) of such RMD (that is distributable with respect to such beneficiarys interest in the Contract) distributed from another Non-Roth IRA formerly owned by such deceased Owner for which such beneficiary is also a designated beneficiary (rather than from the Contract) in accordance with Reg. § 1.408-8, Q&A-9. |
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(ii) | Any such Designated Beneficiary may make an irrevocable election in writing with the Company by the DB Election Date to have such Designated Beneficiarys entire interest under the Contract distributed under another method available under the Contract (or offered by the Company) that qualifies under Code Section 401(a)(9), e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 9(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the DB Required Beginning Date, or | ||
(2) | Any other method that provides for periodic distributions that begin no later than the DB Required Beginning Date and do not extend beyond the Applicable Distribution Period determined in accordance with subparagraph 9(d)(i) above. |
(e) | Any amount payable to a minor child of the Owner shall be treated as if it is payable to the Surviving Spouse to the extent that the remainder of the interest becomes payable to such Spouse when such child reaches the age of majority, in accordance with Reg. § 1.401(a)(9)-6, Q&A-15. | ||
(f) | Unless the Owner has provided to the contrary in writing to the Company (e.g., by selecting a certain annuity option), any beneficiary of any interest under the Contract shall have an unlimited right after the Notice Date, upon 30 days written notice to the Company, to withdraw any portion or all of such interest or to apply any such amount to an annuity option that qualifies under Reg. § 1.401(a)(9)-5, Q&A-1(e). | ||
(g) | If the Owner dies before the entire interest under the Contract has been distributed, no additional cash Contributions or rollover Contributions shall be allowed into the Contract, except where the Surviving Spouse elects (or is deemed to elect) to convert the Contract to be his or her own IRA, as specified above in this Section B.9. |
10. | Annual Reports - The Company shall furnish annual calendar year reports concerning the status of the Contract and such information concerning RMDs as is prescribed by the IRS. If Contributions made on the Owners behalf under the SIMPLE IRA Plan maintained by the Owners employer are received by the Company directly from such employer, the Company will provide such employer with the summary description required by Code Section 408(l)(2)(B). | |
C. | Tax Qualification Provisions | |
The Contract as amended by this Rider is intended to qualify as part of a tax-qualified individual retirement arrangement, plan or contract under Code Section 408(p), and to satisfy the applicable requirements of Code Section 408(p) and any Regulations relating thereto. To achieve these purposes, the provisions of this Rider and the Contract (including any other rider or endorsement that does not specifically override these tax qualification provisions) are to be interpreted to ensure or maintain such a tax qualification, despite any other provision to the contrary. Any benefits, payments or distributions under the Contract shall be conformed or restricted to, or made in, any amount, time and manner needed to maintain such a tax qualification under the applicable provisions of the Code and Regulations, and the Contract shall be subject to separate accounting (e.g., for undistributed excess contributions or RMDs, with earnings thereon), subdivision or severance (e.g., into an annuity contract that is subject to Code Section 72(s) provisions) to maintain such a tax qualification (including the favorable tax treatment of the Contract or any distribution thereunder), to the maximum extent possible. The Company reserves the right to amend this Rider or the Contract from time to time to reflect any clarifications that may be needed or are appropriate to maintain such a tax qualification or to conform the Contract to any applicable changes in the tax qualification requirements, as provided in the Code or any Regulations or other published IRS guidance relating thereto, without consent (where allowed by law). The Company will send you a copy of any such amendment. |
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[ Chairman and Chief Executive Officer | Secretary ] |
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Pacific Life Insurance Company [700 Newport Center Drive Newport Beach, CA 92660 (800) 722-4448] |
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Page | ||||
Definitions |
2 | |||
Qualified Plan Provisions |
4 | |||
Tax Qualification and ERISA Provisions |
11 | |||
Tax Treatment and Provisions for Any Nonqualified Portion |
12 | |||
Termination of Rider |
14 |
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A. | Definitions |
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B. | Qualified Plan Provisions |
1. | Nonforfeitable and Exclusive Benefits. The Annuitant shall be at all times the beneficial or legal Owner of the Contract (e.g., its beneficial Owner where a fiduciary is its legal Owner). Such individual Owners rights under the Contract shall be nonforfeitable except for validly forfeitable amounts held hereunder and designated as such under the governing Plan, and the Contract shall be for the exclusive benefit of such Owner and his or her beneficiaries. |
2. | Contract Benefits Not Transferable. No benefits under the Contract may be transferred, sold, assigned, borrowed or pledged as collateral for a loan, or as security for the performance of an obligation, or for any other purpose, to any person other than Us, except as permitted (a) by a federal tax lien, (b) by an order under Code Section 401(a)(13)(C), or (c) in the case of a transfer or distribution pursuant to a QDRO. |
3. | Contributions. Except in the case of a rollover contribution permitted by Code Section 402(c), 402(e)(6), 403(a)(4), 403(b)(8), 403(b)(10), 408(d)(3), or 457(e)(16), Contributions must be made by or for the Owner (e.g., through the Employer or a Qualified Plan representative) within certain tax limits. All Contributions must be made in cash. If the Owner dies before the entire interest under the Contract has been distributed, additional Contributions shall not be allowed into the Contract to the extent prohibited by published IRS guidance, e.g., excluding (and allowing in) any rollover or transfer that qualifies under Reg. § 1.415(c)-1(b)(1)(iii). Contributions to the Contract shall be transferred to Us within a reasonable period, and an Elective Deferral may be contributed up to 15 business days following the month in which such an amount would otherwise have been paid to the Owner. If the Contract is maintained pursuant to a Qualified Plan, the Owner, along with the Employer (and any designated Plan representative other than Us), shall have the sole responsibility for determining whether any Contribution satisfies the applicable income tax requirements; otherwise, the Owner shall have such sole responsibility. |
(a) | Elective Deferrals and Their Limits. Pursuant to Code Section 401(a)(30) and Reg. § 1.401(a)-30(a) and § 1.402(g)-1, any Elective Deferrals (including those contributed to the Contract and any other Elective Deferrals for the Owner under the Qualified Plan and under all other plans, contracts and arrangements that are referred to in Reg. § 1.402(g)-1 and maintained by the Employer that maintains the Qualified Plan), may not exceed the limits of Code Section 402(g), except as permitted by Code Section 414(u) (for certain veterans rights) or by Code Section 414(v) (for catch-up contributions for a participant age 50 or over by end of the participants tax year). Elective Deferrals under a SIMPLE 401(k) Plan are subject to additional limits under Code Sections 401(k)(11)(B) and 408(p)(2)(A)(ii) and Reg. § 1.401(k)-4(e)(2). If Elective Deferrals exceed any such limit, We may distribute amounts equal to such excess (including any income allocable thereto) to the Owner as permitted by Reg. § 1.402(g)-1(e). If not so distributed, such excess amounts (including any income allocable thereto) shall be separately accounted for and disbursed in accordance with Code Section 402(g) or 4979(f) or Reg. § 1.402(g)-1(e). |
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(b) | Combined Contributions and Their Limits. Pursuant to Code Section 415(c)(1) and Reg. § 1.415(c)-1, total Contributions into the Contract (including Elective Deferrals) may not exceed certain limits under Code Section 415. Total Contributions to a SIMPLE 401(k) Plan are subject to additional limits under Code Section 401(k)(11)(B) and Reg. § 1.401(k)-4(e). Any Elective Deferrals or other Contributions that exceed any applicable limits may not be excludable from gross income. Such excess Contributions (including any income allocable thereto) shall be separately accounted for and disbursed in accordance with Code Section 402(g) or 4979(f) or Reg. § 1.402(g)-1(e) or § 1.415(c)-1(b)(2)(ii)(D). The Code Section 415 limits do not apply in the case of a rollover contribution under Code Section 402(c), 402(e)(6), 403(a)(4), 403(b)(8), 403(b)(10), 408(d)(3), or 457(e)(16), a nontaxable transfer from another contract qualifying as part of a Plan under Code Section 401(a), or any Contribution allowed by Code Section 414(u). Similarly, SIMPLE 401(k) Plan Contribution limits under Code Section 401(k)(11)(B) do not apply to rollover contributions described in Reg. § 1.402(c)-2, Q&A-1(a). However, if this Contract is limited by its contractual terms to only accepting single deposits or rollover amounts, this Contract shall continue to be subject to such restrictions, except to the extent provided in the Tax Qualification and ERISA Provisions below. We may distribute Contributions (including any income allocable thereto) that were made under a mistake of fact, including (but not limited to) Contributions in excess of the Code Section 402(g) limit or other limit imposed by the Code, but only when permitted by the Code or required by the IRS. |
(c) | Separate Accounting. Pursuant to Reg. § 1.401(k)-1(e)(3) and -1(f)(3), separate accounting shall be maintained for amounts held under the Contract for: (i) any Elective Deferrals; (ii) any after-tax employee Contributions; (iii) any catch-up Contributions for participants who have attained age 50 under Code Section 414(v); (iv) safe harbor Plan Contributions under Code Section 401(k)(12) or (13); (v) any rollover Contribution that is described above in Section B.3(b) and accepted into the Contract; (vi) any undistributed excess Contributions or RMDs; (vii) any Contributions eligible for permissive withdrawal under Code Section 414(w)(2); (viii) any designated forfeitable Contributions; (ix) any Roth Contributions; (x) any SIMPLE 401(k) Plan Contributions (elective, matching or nonelective Contributions under Reg. § 1.401(k)-4(e)); and (xi) other Contributions and amounts added to the Contract values. Such separate accounting maintained for the Contract shall include any amounts for earnings, gains or losses with respect to each of the above separately accounted-for categories. |
(d) | Other Contribution Provisions. Contributions by an Employer for an Owner who is a former employee thereof shall be accepted under this Contract (i) pursuant to Reg. § 1.415(c)-2(e)(3)(i) relating to certain compensation paid by the later of 21/2 months after Severance from Employment or the end of the limitation year that includes the date of Severance from Employment, or (ii) that are attributable to compensation described in Reg. § 1.415(c)-2(e)(4) or § 1.415(c)-2(g)(4) relating to compensation paid to participants who are permanently and totally disabled, or (iii) relating to qualified military service under Code Section 414(u) or Reg. § 1.415(c)-2(e)(4) or -2(g)(7). |
(e) | Suspension of Contributions for Hardship Distributions. Contributions of Elective Deferrals into the Contract and Contributions therein for a safe harbor Plan under Code Section 401(k)(12) or (13) may be suspended for a period of up to six months after an Owner receives a hardship distribution allowable under Reg. § 1.401(k)-1(d)(3)(iv)(E). |
(f) | Premium Minimums and Refunds. Any Purchase Payment (or premium payment) under the Contract must be at least the minimum as stated in the Purchase Payment (or Premiums) provisions of the Contract. In addition, any Purchase Payment (or premium) refund declared by Us, other than a refund attributable to an excess Contribution, will be applied toward the purchase of additional benefits or the payment of future premiums before the close of the calendar year following the refund. |
4. | Distribution Restrictions. |
(a) | Distribution of Elective Deferrals. Pursuant to Code Section 401(k)(2), (8) and (11)-(13) and Reg. § 1.401(k)-1(d), distributions (other than to correct excess Contributions, or upon termination of the Qualified Plan) that are attributable to Elective Deferrals may be made only when the Owner has a Severance from Employment, dies, becomes disabled (within the |
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meaning of Code Section 72(m)(7)), or in certain cases attains age 59 1/2, incurs a hardship, is eligible for a qualified reservist distribution to which Code Section 72(t)(2)(G) applies, is eligible for permissive withdrawal under Code Section 414(w)(2), or is authorized for a federally declared disaster distribution. Any such distribution made due to a hardship is limited to the Owners Elective Deferrals (excluding any income thereon) reduced by the aggregate prior distributions of Elective Deferrals to the Owner in accordance with Reg. § 1.401(k)-1(d)(3). |
(b) | Other Distributions Not Attributable to Elective Deferrals. Other distributions not attributable to Elective Deferrals generally are not permitted prior to the Owners Severance from Employment or some other event allowed by Reg. § 1.401(k)-1(d), except to the extent that such a distribution is attributable to either (i) after-tax employee Contributions or earnings thereon, or (ii) amounts separately accounted for as an eligible rollover distribution pursuant to IRS guidance (e.g., Rev. Rul. 2004-12). However, certain employer Contributions to a safe harbor Plan under Code Section 401(k)(12) or (13) are subject to the distribution restrictions for Elective Deferrals, pursuant to Code Section 401(k)(12)(E)(i) or 401(k)(13)(D)(iii). |
(c) | Certain Mandatory Distributions. Pursuant to Code Section 401(a)(31)(B), if the distributee of any mandatory distribution that is described in Code Section 401(a)(31)(B)(ii) and that exceeds $1,000 does not elect to have such distribution paid either to such distributee or in a direct transfer to an eligible retirement plan pursuant to Code Section 401(a)(31)(A), such distribution shall be paid in a direct transfer to an individual retirement plan designated by the Employer sponsoring the governing Qualified Plan (or by another fiduciary thereunder), and the distributee shall be notified in writing about such transfer and that such distribution may be transferred to another individual retirement plan, in accordance with Code Section 401(a)(31) or Reg. § 1.401(a)(31)-1 (and to the extent required thereby). |
5. | Rollover Distributions. Despite any provision of a governing Plan to the contrary that would otherwise limit a distributees election under this Section B.5, pursuant to Code Section 401(a)(31) a distributee may elect, at the time and in the manner prescribed by Us (and, where applicable, by the Employer), to have any portion of an eligible rollover distribution (within the meaning of Code Section 402(f)(2)(A)) paid directly to an eligible retirement plan described in Code Section 401(a)(31)(E) that is specified by the distributee, by means of a direct transfer or direct rollover. We may establish reasonable administration rules applicable to such a direct rollover or direct transfer. |
6. | Joint and 50% Survivor Annuity Requirements. If the Owner is married at the Annuity Start Date, payments shall be made in the form of a Joint and 50% Survivor Annuity, with the Owners Spouse as the Joint Annuitant, unless an optional form of benefit is selected in accordance with this Section B.6. Under this Joint and 50% Survivor Annuity form, payments shall be made during the lifetime of the Owner and, following the Owners death, payments equal to 50% of the joint payment amount shall continue to such Spouse for life. In addition, the benefits under such a Contract are provided in accordance with the applicable consent, present value and other requirements of Code Sections 401(a)(11) and 417 and Reg. § 1.417(e)-1(e) and the rules in Reg. § 1.401(a)-20, Q&A-25 (for participants who are unmarried or who have a change in marital status and for surviving spouses). |
(a) | The Owner may choose (without the consent of any other person) an alternative amount of the payment continuing to the Surviving Spouse from the joint and survivor annuity options available under the Contract (or offered by Us), provided that the amount of each payment to the Surviving Spouse under such option shall be not less than 50%, nor greater than 100%, of the periodic annuity benefit amount paid to the Owner, in accordance with Code Section 417(b). |
(b) | In addition to the joint and survivor annuity options described in Section B.6(a) above, as of the Annuity Start Date the Owner can elect any other optional form of payment that is available under the Contract (or offered by Us), provided that both of the following conditions are satisfied: |
(i) | In accordance with Code Section 417 and Reg. § 1.401(a)-20, Q&A-31, the Owner files a Qualified J&S Election with Us within the 180-day period ending on such date, as follows (after receiving a written explanation thereof, including the revocability of such an election during such period, from a Qualified Plan representative): |
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(1) | In the case of an Owner who is married at the time of election, a Qualified J&S Election is made by (A) a written statement by the Owner waiving the joint and survivor annuity options described above in this Section B.6 and specifying the form of benefit and the beneficiary designation(s) desired, and (B) a written statement from the Owners Spouse consenting to such election. Neither the form of benefit nor any beneficiary designation selected in such a Qualified J&S Election can be changed without spousal consent, unless such Spouse consents in writing to future designations by the Owner without such spousal consent. Any such written spousal consent must acknowledge the elections effect and be witnessed by a notary public or Qualified Plan representative. If it is established to the satisfaction of a Qualified Plan representative that such Spouses consent cannot be obtained because such Spouse cannot be located or because of other circumstances allowed by Regulations, the Owners election can still be deemed to be a Qualified J&S Election; or |
(2) | In the case of an Owner who is not married at the time of election, a Qualified J&S Election is made by a written statement by the Owner to a Qualified Plan representative attesting to the fact that he or she is not married and specifying the optional form of payment and beneficiary designation(s) desired. |
(ii) | The option selected satisfies any applicable RMD requirements of Section B.8 below. |
7. | Survivor Benefits for Plans Subject to Joint and 50% Survivor Annuity Requirements. If an Owner is married upon the Owners death, then the deceased Owners interest in the Contract is subject to the provisions of the next paragraph (a) (in addition to Section B.9 below), unless such Spouse is deemed to have consented to a less favorable disposition of such interest in accordance with the next paragraph (b). |
(a) | The Surviving Spouse shall be treated as the sole beneficiary of the following portion of the deceased Owners interest in the Contract, and may apply any part (or all) of such beneficial interest to provide an annuity that satisfies any applicable RMD requirements of Section B.9 below and Reg. § 1.401(a)-20 (e.g., Q&A-20 and Q&A-22): |
(i) | The Surviving Spouse shall be treated as the sole beneficiary of such Owners interest in the Contract if no other beneficiary is entitled to any portion of such interest as of such Owners death, or |
(ii) | If some other beneficiary is entitled to any portion of such Owners interest in the Contract as of such Owners death, then the Surviving Spouse shall be treated as the sole beneficiary of at least 50% of the nonforfeitable account balance of the Contract as of such Owners death, in accordance with Code Section 417(c), and all of such Surviving Spouses beneficial interest shall be treated as a Separate Share. |
(b) | The Surviving Spouse shall be deemed to have consented to a less favorable disposition of the deceased Owners interest in the Contract than that provided under the immediately preceding paragraph (a), if in accordance with Code Section 417(a)(2) either: |
(i) | Such Spouse (or such Spouses legal representative) has consented to such a disposition and acknowledged its effect in a written statement witnessed by a notary public or a Qualified Plan representative, or |
(ii) | It is established to the satisfaction of a Qualified Plan representative that such consent cannot be obtained because such Spouse cannot be located or does not exist or because of other circumstances allowed by Regulations. |
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(c) | Subject to such deemed spousal consent, the Owner may provide for any disposition of such Owners interest in the Contract that is different from that in the immediately preceding paragraph (a) by a revocable election that (i) specifies the form of benefit and the beneficiary designation(s) desired and (ii) otherwise qualifies under Code Section 417, after receiving a written explanation thereof from a Qualified Plan representative. An Owner that makes such a revocable election also shall have the option of selecting a Qualified optional survivor annuity in accordance with Code Section 417(a)(1)(A)(ii). |
8. | Required Minimum Distributions (RMDs). The Contract and all benefits, distributions and payments made under it shall comply with and conform to the RMD and incidental benefit rules of Code Section 401(a)(9) and the Regulations relating thereto, as well as any applicable survivor benefit rules referred to above in Section B.6 or B.7, and shall be administered or adjusted accordingly, e.g., pursuant to the Tax Qualification Provisions in Part C below. Such rules shall override any benefit, distribution or payment provisions in the Contract that are inconsistent with such rules, and the selection of any annuity or other distribution option described in the Contract (or offered by Us) that does not satisfy the requirements of this Section B.8 or Code Section 401(a)(9) shall not be permitted. Accordingly, except to the extent that RMDs are waived in accordance with Code Section 401(a)(9) (e.g., for 2009): |
(a) | The entire interest under the Contract shall be distributed: |
(i) | No later than the Required Beginning Date, or |
(ii) | By periodic distributions, starting no later than the Required Beginning Date, over the Owners life or the lives of the Owner and a Designated Beneficiary (or over a period not extending beyond the Owners Life Expectancy or the joint and last survivor Life Expectancy of the Owner and a Designated Beneficiary). |
(b) | RMDs shall be made in accordance with the Regulations under Code Section 401(a)(9) and related Code provisions. Accordingly: |
(i) | If the Owner has not elected otherwise in writing to Us by the Owners Election Date to have the Owners entire interest distributed under another method available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9) (e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2), the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the Owners account balance for the Contract (as determined under Reg. § 1.401(a)(9)-6, Q&A-12, § 1.403(b)-6(e)(2) and § 1.408-8, Q&A-6, including any adjustment for any rollover, transfer or recharacterization under Reg. § 1.408-8, Q&A-7 or Q&A-8) by the Applicable Distribution Period. For these purposes - |
(1) | The Applicable Distribution Period is determined by using the Uniform Lifetime Table in Reg. § 1.401(a)(9)-9, Q&A-2, in accordance with Reg. § 1.401(a)(9)-5, Q&A-4(a), or |
(2) | If the Owners Spouse is treated as the sole Designated Beneficiary for the Contract (taking any Separate Shares into account) for the Distribution Year under Reg. § 1.401(a)(9)-5, Q&A-4(b), the Applicable Distribution Period is the longer of the distribution period under subparagraph (1) immediately above or the joint Life Expectancy of the Owner and such Spouse, recalculated annually and based on their attained ages as of their birthdays in such Distribution Year, as reflected in the Joint and Last Survivor Table in Reg. § 1.401(a)(9)-9, Q&A-3. |
(ii) | As of the Owners Election Date or at any time thereafter (on 30 days notice to Us), the Owner may elect in writing to have any portion or all of the undistributed interest under the Contract applied to an annuity option available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9) or Reg. § 1.401(a)(9)-6, Q&A-1(a) |
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(and is not prohibited by any applicable survivor benefit rules referred to in Section B.6 or B.7 above), in accordance with Reg. § 1.401(a)(9)-8, Q&A-2(a)(3). Such an annuity option must make annuity or other periodic payments at intervals no longer than one year, and must satisfy the other requirements of Reg. § 1.401(a)(9)-6, including: |
(1) | Life annuity or a joint and survivor annuity. The Owner must be a measuring life under any life annuity option elected during the Owners lifetime. Any periodic annuity payment to any survivor under a joint and survivor annuity may not exceed the applicable percentage of the annuity payment to the Owner and other limits, as provided in Reg. § 1.401(a)(9)-6, Q&A-2. |
(2) | Life (or joint and survivor) annuity with period certain. The amounts and duration of the annuity payments must satisfy the requirements in Reg. § 1.401(a)(9)-6, Q&A-1(b) and Q&A-2(d). |
(3) | Period certain annuity without a life contingency. The period certain may not exceed the maximum period specified in Reg. § 1.401(a)(9)-6, Q&A-3(a) and Q&A-10(b). |
(4) | Annuity payments may not be in increasing amounts, except as allowed by Reg. § 1.401(a)(9)-6, Q&A-1(a) or Q&A-14. |
(c) | The Owner or any Owners beneficiary, as applicable, shall have the sole responsibility for requesting or arranging for distributions that comply with this Rider and any applicable tax requirements. |
(d) | Any current death benefit protection amount (in excess of the current account balance amount), or any disability, health or accident benefit amount, that is provided by the Contract shall not exceed the amount permitted either by the incidental benefit rules in Reg. § 1.401-1(b)(1)(i) or (ii) or by the governing Plan provisions. |
9. | RMDs upon Owners Death. Upon the Owners death, RMDs shall be made under the Contract in accordance with this Section B.9 and Code Section 401(a)(9) (and other Code provisions and Regulations relating thereto). Accordingly, selection of any annuity or other distribution option described in the Contract (or offered by Us) that does not satisfy the requirements of this Section B.9 or Code Section 401(a)(9) shall not be permitted. |
(a) | If the Owner dies before distribution of his or her interest in the Contract has begun in accordance with paragraph 8(a) above and Code Section 401(a)(9)(A)(ii) (e.g., before the Required Beginning Date), the entire interest shall be distributed by December 31 of the fifth calendar year that follows the Owners Year of Death, except to the extent that paragraph 9(c) or (d) below applies. |
(b) | If the Owner dies after distribution of the Owners interest in the Contract has begun in accordance with paragraph 8(a) above and Code Section 401(a)(9)(A)(ii) (e.g., on or after the Required Beginning Date) but before the Owners entire interest has been distributed, the remaining interest shall be distributed at least as rapidly as under the method of distribution being used immediately prior to the Owners death, except to the extent that paragraph 9(c) or (d) below applies. To the extent that the Contract has no annuity payout option in effect and no Measuring Designated Beneficiary as of the Applicable Designation Date (and paragraph 9(c) and (d) do not apply), then the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined in accordance with subparagraph 8(b)(i) above) by the Applicable Distribution Period. For this purpose, the Applicable Distribution Period shall be determined by the Owners remaining Life Expectancy, using the Owners age as of the Owners birthday in the Owners Year of Death. For Distribution Years after the Owners Year of Death such Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the Owners Year of Death. |
Page 9 of 14
(c) | If the Surviving Spouse is the sole Designated Beneficiary under the Contract (taking any Separate Shares into account) as of the Applicable Designation Date, then - |
(i) | If no irrevocable written election to the contrary has been filed with Us by the deceased Owner or the Surviving Spouse prior to the Spouses Continuation Election Date, the Contract shall continue in the name of the deceased Owner, and RMDs must begin by the Spouses Required Beginning Date and be made in accordance with Section B.8 above. For these purposes, the Applicable Distribution Period for each Distribution Year after the Owners Year of Death - |
(1) | Is measured by the Surviving Spouses remaining Life Expectancy, recalculated annually through the Spouses Year of Death, and |
(2) | For a Distribution Year after the Spouses Year of Death, is measured by the Surviving Spouses remaining Life Expectancy as of the Surviving Spouses birthday in the Spouses Year of Death, reduced by one year for each calendar year that has elapsed since the calendar year next following the Spouses Year of Death. |
(ii) | The Surviving Spouse may make an irrevocable election in writing with Us by the Spouses Continuation Election Date to have such Surviving Spouses entire interest under the Contract distributed under another method available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9), e.g., under Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 9(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the Spouses Required Beginning Date, or |
(2) | Any other method that provides for periodic distributions that begin no later than the Spouses Required Beginning Date and do not extend beyond the Applicable Distribution Period determined in accordance with subparagraph 9(c)(i) above. |
(d) | If as of the Applicable Designation Date the Contract (taking any Separate Shares into account) has at least one Designated Beneficiary and no entity (e.g., a trust or estate) is treated under Reg. § 1.401(a)(9)-4, Q&A-3 and Q&A-5, as a beneficiary under the Contract, then - |
(i) | To the extent that no irrevocable written election to the contrary has been filed with Us by the deceased Owner or any such Designated Beneficiary by the DB Election Date (and no Surviving Spouse is the sole Designated Beneficiary), then annual distributions of the remaining interest in the Contract must be made over the Applicable Distribution Period starting no later than the DB Required Beginning Date. In that case, the RMD amount that must be distributed each Distribution Year with respect to the Contract shall be equal to the quotient obtained by dividing the account balance for the Contract (as determined in accordance with subparagraph 8(b)(i) above) by the Applicable Distribution Period. For these purposes - |
Page 10 of 14
(1) | The Applicable Distribution Period for the Distribution Year next following the Owners Year of Death is determined by the Measuring Designated Beneficiarys remaining Life Expectancy, using such beneficiarys age as of such beneficiarys birthday in such Distribution Year; and |
(2) | For a subsequent Distribution Year the Applicable Distribution Period is reduced by one year for each calendar year that has elapsed since the calendar year next following the Owners Year of Death. |
(ii) | Any such Designated Beneficiary may make an irrevocable election in writing with Us by the DB Election Date to have such Designated Beneficiarys entire interest under the Contract distributed under another method available under the Contract (or offered by Us) that qualifies under Code Section 401(a)(9), e.g., Reg. § 1.401(a)(9)-6, Q&A-1(a), or § 1.401(a)(9)-8, Q&A-2. In addition to any optional method that qualifies under the 5-year rule in paragraph 9(a) above, such optional methods include the following: |
(1) | Any annuity option that satisfies Reg. § 1.401(a)(9)-5, Q&A-1(e), and provides for periodic distributions that begin no later than the DB Required Beginning Date, or |
(2) | Any other method that provides for periodic distributions that begin no later than the DB Required Beginning Date and do not extend beyond the Applicable Distribution Period determined in accordance with subparagraph 9(d)(i) above. |
(e) | Any amounts payable to a minor child of the Owner shall be treated as if they are payable to the Surviving Spouse to the extent that the remainder of the interest becomes payable to such Spouse when such child reaches the age of majority, in accordance with Reg. § 1.401(a)(9)-6, Q&A-15. |
(f) | Unless the Owner has provided to the contrary in writing to Us (e.g., by selecting an annuity option that is not prohibited by any applicable survivor benefit rules referred to in Section B.6 or B.7 above), any beneficiary of any interest under the Contract shall have an unlimited right after the Notice Date, upon 30 days written notice to Us, to withdraw any portion or all of such interest or to apply any such amount to an annuity option that qualifies under Reg. § 1.401(a)(9)-5, Q&A-1(e). |
10. | Annual Reports. We shall furnish annual calendar year reports concerning the status of the Contract and such information concerning RMDs as is prescribed by the IRS. |
C. | Tax Qualification and ERISA Provisions |
Page 11 of 14
D. | Tax Treatment and Provisions for Any Nonqualified Portion |
1. | Required Distributions Before or After the Annuity Start Date |
(a) | Death of Owner or Primary Annuitant, or Change of Primary Annuitant. Subject to the alternative election, spouse beneficiary and interpretative provisions in subsection (b) or (c) immediately below, or in the tax qualification provisions in Section D.2 below, - |
(i) | If any Owner dies on or after the Annuity Start Date and before the entire interest in this contract has been distributed, the remaining portion of such interest shall be distributed at least as rapidly as under the method of distribution being used as of the date of such death; |
(ii) | If any Owner dies before the Annuity Start Date, the entire interest in this contract shall be distributed within 5 years after such death; |
(iii) | If the Owner is not an individual, then for purposes of the immediately preceding subparagraph (i) or (ii), (1) the Primary Annuitant (see subparagraph (c)(i) below) under this contract shall be treated as the Owner, and (2) any change in the Primary Annuitant allowed by this contract shall be treated as the death of the Owner; and |
(iv) | Any postponement of the Annuity Start Date, if allowed by this contract, may not be postponed beyond the Primary Annuitants attaining age 95, without Our written consent. |
(b) | Alternative Election and Spousal Beneficiary Provisions That Satisfy Distribution Requirements. Subject to any restrictions imposed by any Regulations or other published IRS guidance interpreting Code Section 72(s) - |
(i) | If any portion of the interest of an Owner described in subsection (a) immediately above is payable to or for the benefit of an individual designated as a beneficiary by an Owner, and such beneficiary elects after such death to have such portion distributed over a Qualifying Distribution Period (described herein) that is allowed by this contract (or offered by Us) upon such death, then for purposes of satisfying the requirements of subparagraph (a)(i) or (a)(ii) immediately above, such portion shall be treated as distributed entirely on the date such periodic distributions begin. A Qualifying Distribution Period is a period that (1) does not extend beyond such beneficiarys life (or life expectancy) and (2) starts within one year after such death. |
(ii) | Such a designated beneficiary includes any individual joint Owner or successor Owner who becomes entitled to any portion of such an interest upon an Owners death, or any other individual who controls the use of the cash value of such a portion upon an Owners death. Any designated beneficiary may elect any settlement or other distribution option that is allowed by this contract (or offered by Us) upon an Owners death if the option is for a Qualifying Distribution Period. In determining which distribution options can qualify for such a Qualifying Distribution Period, We may treat any contract amount that is payable upon an Owners death to a trust (or other entity) |
Page 12 of 14
for the benefit of an individual beneficiary as an interest (or portion thereof) that is payable for the benefit of such a designated beneficiary under this subsection (b), where such individual beneficiary certifies to us that he or she (1) is treated as the tax owner of such a trust amount for federal income tax purposes (e.g., under Code Sections 671-678) and (2) can compel its distribution to himself or herself from such trust. |
(iii) | If any portion of the interest of an Owner described in subsection (a) immediately above is payable to or for the benefit of such Owners surviving spouse (e.g., as a result of such spouse being a joint Owner), then such spouse shall be treated as the Owner with respect to such portion for purposes of the requirements of subsection (a). Where such spouse is the sole designated beneficiary of this contract upon such Owners death, such spouse may elect to continue this contract as the Owner, and We may treat such spouse as the annuitant if such deceased Owner was the annuitant and no other surviving annuitant has been designated. |
(c) | Interpretative Provisions. Subject to any contrary provisions in any Regulations or other published IRS guidance interpreting Code Section 72(s): |
(i) | The Primary Annuitant means the individual, the events in the life of whom are of primary importance in affecting the timing or amount of the payout under the contract, as defined in Code Section 72(s)(6)(B) (and any Regulations relating thereto). |
(ii) | We will treat any holder of the contract as its Owner for purposes of subsection (a) or (b) immediately above where necessary or appropriate. |
2. | Tax Qualification. This contract is intended to qualify as an annuity contract for federal income tax purposes and to satisfy the applicable requirements of Code Section 72(s). To achieve these purposes, the provisions of this contract (including this Rider and any other rider or endorsement to the contract that does not specifically override these Section 72(s) tax qualification provisions) shall be interpreted to ensure or maintain such a tax qualification, despite any other provision to the contrary. Any benefits, payments or distributions under this contract shall be conformed or restricted to, or made in, any amount, time and manner needed to maintain such a tax qualification under the applicable provisions of the Code and Regulations. We reserve the right to amend this Rider or the contract from time to time to reflect any clarifications that may be needed or are appropriate to maintain such a tax qualification or to conform this contract to any applicable changes in the tax qualification requirements, as provided in the Code or any Regulations or other published IRS guidance relating thereto, without consent (where allowed by law). We will send you a copy of any such amendment. |
Page 13 of 14
E. | Termination of Rider |
1. | When We receive a request to terminate this Rider that is in a form satisfactory to Us, or | |
2. | When the Contract terminates. |
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[ Chairman and Chief Executive Officer | Secretary ] |
Page 14 of 14
| Registration Statements under Separate Account A of Pacific Life Insurance Company (811-08946): 033-88458, 333-53040, 333-93059, 033-88460, 333-60833, 333-136597, 333-140881, 333-141135, 333-145822 , 333-148865, 333-160772, 333-160999, 333-168026, 333-168284, 333-175279, 333-178739, 333-184973, 333-185326, 333-185327 and 333-185328. | ||
| Registration Statement under Pacific Select Variable Annuity Separate Account of Pacific Life Insurance Company (811-05980): 033-32704. | ||
| Registration Statement under Separate Account B of Pacific Life Insurance Company (811-07859): 333-14131. | ||
| Registration Statement under Pacific Corinthian Variable Separate Account of Pacific Life Insurance Company (811-07082): 333-39209. |
1-14-13
|
/s/ Khanh T. Tran | ||
Dated: |
|||
Khanh T. Tran |
| Registration Statements under Separate Account A of Pacific Life Insurance Company (811-08946): 033-88458, 333-53040, 333-93059, 033-88460, 333-60833, 333-136597, 333-140881, 333-141135, 333-145822 , 333-148865, 333-160772, 333-160999, 333-168026, 333-168284, 333-175279, 333-178739, 333-184973, 333-185326, 333-185327 and 333-185328. | ||
| Registration Statement under Pacific Select Variable Annuity Separate Account of Pacific Life Insurance Company (811-05980): 033-32704. | ||
| Registration Statement under Separate Account B of Pacific Life Insurance Company (811-07859): 333-14131. | ||
| Registration Statement under Pacific Corinthian Variable Separate Account of Pacific Life Insurance Company (811-07082): 333-39209. |
1-14-13
|
/s/ James T. Morris | ||
Dated: |
|||
James T. Morris |
| Registration Statements under Separate Account A of Pacific Life Insurance Company (811-08946): 033-88458, 333-53040, 333-93059, 033-88460, 333-60833, 333-136597, 333-140881, 333-141135, 333-145822 , 333-148865, 333-160772, 333-160999, 333-168026, 333-168284, 333-175279, 333-178739, 333-184973, 333-185326, 333-185327 and 333-185328. | ||
| Registration Statement under Pacific Select Variable Annuity Separate Account of Pacific Life Insurance Company (811-05980): 033-32704. | ||
| Registration Statement under Separate Account B of Pacific Life Insurance Company (811-07859): 333-14131. | ||
| Registration Statement under Pacific Corinthian Variable Separate Account of Pacific Life Insurance Company (811-07082): 333-39209. |
1-8-13
|
/s/ Adrian S. Griggs | ||
Dated: |
|||
Adrian S. Griggs |
| Registration Statements under Separate Account A of Pacific Life Insurance Company (811-08946): 033-88458, 333-53040, 333-93059, 033-88460, 333-60833, 333-136597, 333-140881, 333-141135, 333-145822 , 333-148865, 333-160772, 333-160999, 333-168026, 333-168284, 333-175279, 333-178739, 333-184973, 333-185326, 333-185327 and 333-185328. | ||
| Registration Statement under Pacific Select Variable Annuity Separate Account of Pacific Life Insurance Company (811-05980): 033-32704. | ||
| Registration Statement under Separate Account B of Pacific Life Insurance Company (811-07859): 333-14131. | ||
| Registration Statement under Pacific Corinthian Variable Separate Account of Pacific Life Insurance Company (811-07082): 333-39209. |
1-8-13
|
/s/ Edward R. Byrd | ||
Dated: |
|||
Edward R. Byrd |
| Registration Statements under Separate Account A of Pacific Life Insurance Company (811-08946): 033-88458, 333-53040, 333-93059, 033-88460, 333-60833, 333-136597, 333-140881, 333-141135, 333-145822 , 333-148865, 333-160772, 333-160999, 333-168026, 333-168284, 333-175279, 333-178739, 333-184973, 333-185326, 333-185327 and 333-185328. | ||
| Registration Statement under Pacific Select Variable Annuity Separate Account of Pacific Life Insurance Company (811-05980): 033-32704. | ||
| Registration Statement under Separate Account B of Pacific Life Insurance Company (811-07859): 333-14131. | ||
| Registration Statement under Pacific Corinthian Variable Separate Account of Pacific Life Insurance Company (811-07082): 333-39209. |
1-11-13
|
/s/ Brian D. Klemens | ||
Dated: |
|||
Brian D. Klemens |
| Registration Statements under Separate Account A of Pacific Life Insurance Company (811-08946): 033-88458, 333-53040, 333-93059, 033-88460, 333-60833, 333-136597, 333-140881, 333-141135, 333-145822 , 333-148865, 333-160772, 333-160999, 333-168026, 333-168284, 333-175279, 333-178739, 333-184973, 333-185326, 333-185327 and 333-185328. | ||
| Registration Statement under Pacific Select Variable Annuity Separate Account of Pacific Life Insurance Company (811-05980): 033-32704. | ||
| Registration Statement under Separate Account B of Pacific Life Insurance Company (811-07859): 333-14131. | ||
| Registration Statement under Pacific Corinthian Variable Separate Account of Pacific Life Insurance Company (811-07082): 333-39209. |
1-8-13
|
/s/ Dewey P. Bushaw | ||
Dated: |
|||
Dewey P. Bushaw |
| Registration Statements under Separate Account A of Pacific Life Insurance Company (811-08946): 033-88458, 333-53040, 333-93059, 033-88460, 333-60833, 333-136597, 333-140881, 333-141135, 333-145822 , 333-148865, 333-160772, 333-160999, 333-168026, 333-168284, 333-175279, 333-178739, 333-184973, 333-185326, 333-185327 and 333-185328. | ||
| Registration Statement under Pacific Select Variable Annuity Separate Account of Pacific Life Insurance Company (811-05980): 033-32704. | ||
| Registration Statement under Separate Account B of Pacific Life Insurance Company (811-07859): 333-14131. | ||
| Registration Statement under Pacific Corinthian Variable Separate Account of Pacific Life Insurance Company (811-07082): 333-39209. |
1-14-13
|
/s/ Sharon A. Cheever | ||
Dated: |
|||
Sharon A. Cheever |
| Registration Statements under Separate Account A of Pacific Life Insurance Company (811-08946): 033-88458, 333-53040, 333-93059, 033-88460, 333-60833, 333-136597, 333-140881, 333-141135, 333-145822 , 333-148865, 333-160772, 333-160999, 333-168026, 333-168284, 333-175279, 333-178739, 333-184973, 333-185326, 333-185327 and 333-185328. | ||
| Registration Statement under Pacific Select Variable Annuity Separate Account of Pacific Life Insurance Company (811-05980): 033-32704. | ||
| Registration Statement under Separate Account B of Pacific Life Insurance Company (811-07859): 333-14131. | ||
| Registration Statement under Pacific Corinthian Variable Separate Account of Pacific Life Insurance Company (811-07082): 333-39209. |
1-9-13
|
/s/ Joseph W. Krum | ||
Dated: |
|||
Joseph W. Krum |
| Registration Statements under Separate Account A of Pacific Life Insurance Company (811-08946): 033-88458, 333-53040, 333-93059, 033-88460, 333-60833, 333-136597, 333-140881, 333-141135, 333-145822 , 333-148865, 333-160772, 333-160999, 333-168026, 333-168284, 333-175279, 333-178739, 333-184973, 333-185326, 333-185327 and 333-185328. | ||
| Registration Statement under Pacific Select Variable Annuity Separate Account of Pacific Life Insurance Company (811-05980): 033-32704. | ||
| Registration Statement under Separate Account B of Pacific Life Insurance Company (811-07859): 333-14131. | ||
| Registration Statement under Pacific Corinthian Variable Separate Account of Pacific Life Insurance Company (811-07082): 333-39209. |
1-8-13
|
/s/ Jane M. Guon | ||
Dated: |
|||
Jane M. Guon |
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