Form 485BPOS AuguStar Variable Accoun
File No. 333-164073
811-1978
811-1978
Securities and Exchange Commission
Washington, D.C. 20549
Washington, D.C. 20549
Form N-4
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REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
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Pre-Effective Amendment No.
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Post-Effective Amendment No. 33
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[X]
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and/or
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REGISTRATION STATEMENT UNDER THE INVESTMENT COMPANY ACT OF 1940
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Amendment No. 35
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[X]
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AuguStar Variable Account A
(Exact Name of Registrant)
AuguStar Life Insurance Company
(Name of Depositor)
One Financial Way, Montgomery, Ohio 45242
(Address of Depositor’s Principal Executive Offices)
(513) 794-6100
(Depositor’s Telephone Number, including Area Code)
Manda Ghaferi, General Counsel
AuguStar Life Insurance Company
P.O. Box 237, Cincinnati, Ohio 45201
AuguStar Life Insurance Company
P.O. Box 237, Cincinnati, Ohio 45201
(Name and Address of Agent for Service)
Approximate Date of Proposed Public Offering: Continuous
It is proposed that this filing will become effective:
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immediately upon filing pursuant to paragraph (b) of Rule 485
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[X]
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on May 1, 2026 pursuant to paragraph (b) of Rule 485
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60 days after filing pursuant to paragraph (a)(1) of Rule 485
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on (date) pursuant to paragraph (a)(1) of Rule 485
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If appropriate, check the following box:
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This post-effective amendment designates a new effective date for a previously filed
post-effective
amendment.
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Check each box that appropriately characterizes the Registrant:
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New Registrant (as applicable, a Registered Separate Account or Insurance Company
that has not filed a
Securities Act registration statement or amendment thereto within 3 years preceding
this filing)
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Emerging Growth Company (as defined by Rule 12b-2 under the Securities Exchange Act
of 1934
(“Exchange Act”))
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If an Emerging Growth Company, indicate by check mark if the Registrant has elected
not to use the
extended transition period for complying with any new or revised financial accounting
standards provided
pursuant to Section 7(a)(2)(B) of Securities Act
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[X]
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Insurance Company relying on Rule 12h-7 under the Exchange Act
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Smaller reporting company (as defined by Rule 12b-2 under the Exchange Act)
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ONcore Xtra II Variable Annuity
Prospectus
Flexible Purchase Payment Individual Variable Annuity Contract
Issued by
AUGUSTAR® LIFE INSURANCE COMPANY
through
AUGUSTAR VARIABLE ACCOUNT A
AUGUSTAR® LIFE INSURANCE COMPANY
through
AUGUSTAR VARIABLE ACCOUNT A
May 1, 2026
This prospectus describes ONcore Xtra II, an individual, flexible premium deferred
variable annuity contract issued by AuguStar Life Insurance Company (“AuguStar Life”) through a separate account, AuguStar Variable Account A (“VAA”). The contract has not been offered for new sales since 2018. This prospectus describes
the features, benefits and risks applicable to existing contract owners. This contract was not available in all states.
Variable annuities provide Contract Value and lifetime annuity payments that vary
with the investment results of the mutual funds listed later in this prospectus (“Funds”) that you choose. You may direct the allocation of your purchase payments to one or more investment options of VAA and the Fixed Accumulation Account.
Currently, your allocation of Contract Value may be to no more than 18 of the available investment options and the
Fixed Accumulation Account. VAA is a separate account of AuguStar Life. The assets of VAA are invested in shares
of the Funds. See Appendix A for additional information about each investment option.
The contract is a complex investment and involves risks, including potential loss
of principal. The contract is not a short-term investment and is not appropriate for an investor who needs ready access
to cash. Withdrawals could result in surrender charges, taxes and tax penalties.
You cannot be sure that the Contract Value or annuity payments will equal or exceed
your purchase payments. Any guarantees under the contract or optional riders that exceed the value of your interest
in VAA are paid from our general account (not the VAA). Therefore, any amounts that we may pay under the contract in
excess of your interest in VAA are subject to our financial strength and claims-paying ability and our long-term ability
to make such payments. In the event of an insolvency or receivership, payments we make from our general account to satisfy
claims under the contract would generally receive the same priority as our other policy holder obligations.
The contract is not insured by the FDIC or any other agency. It is not a deposit or obligation of any bank and is not bank
guaranteed.
This contract includes an extra credit to your contract each time you make a purchase
payment. The expenses for this contract may be higher than expenses for a contract without an extra credit feature
and the amount of the extra credit may be more than offset by the additional fees and charges associated with this contract.
The extra credit may be recaptured upon death or certain withdrawals.
Keep this prospectus for future reference. It sets forth the information about VAA
and the variable annuity contract that you should know before investing.
Additional information about certain investment products, including variable annuities,
has been prepared by the Securities and Exchange Commission’s staff and is available at Investor.gov.
The Securities and Exchange Commission has not approved or disapproved these securities
or passed upon the accuracy or adequacy of this prospectus. Any representation to the contrary is a criminal
offense.
Form 8563
1
TABLE OF CONTENTS
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Form 8563
2
Glossary
Accumulation Units — Until annuity payments begin, your contract’s value in each subaccount is measured by accumulation units. The dollar value of each unit varies with the investment results of the subaccount’s corresponding Fund.
Annual Credit Calculation Base — The amount to which the annual credit rate is applied in the GLWB riders. The Annual Credit Calculation Base is equal to the GLWB base at the beginning of the annual credit period and is increased for additional purchase payments made since the beginning of the annual credit period.
Annuitant — A living person whose length of life determines the number and value of annuity payments to be made.
Annuity Unit — After annuity payments begin, the amount of each variable payment depends upon the value of your annuity units. The dollar value of each unit varies with the investment results of the subaccount’s corresponding Fund.
Applied for — The date the application for the annuity is signed or the electronic order is submitted to us.
Commission — The Securities and Exchange Commission.
Contract Value — Contract Value is determined by multiplying the total number of units (for each subaccount) credited to the contract by the unit value (for such subaccount) for the current valuation period and adding to that any amount in the Fixed Accumulation Account or a DCA Account.
DCA — Dollar cost averaging.
Death Benefit — The amount used solely to calculate the Death Benefit Adjustment and is not the amount paid to the beneficiary after the death of the annuitant. Death Benefit is the greatest of (i) total Contract Value, (ii) net purchase payments less pro-rata withdrawals or (iii) stepped-up Death Benefit amount if the contract has been in effect for at least 8 years, unless one of the riders added to your contract provides for a higher benefit.
Death Benefit Adjustment — The Death Benefit Adjustment is an amount added to the Contract Value to determine the Proceeds paid to the beneficiary. It represents the difference, if any, between the highest guaranteed death benefit amount and the Contract Value on the applicable calculation date as described under “Basic Death Benefit” if the Contract Value on this date is lower than the highest guaranteed death benefit amount. If the Contract Value on the applicable calculation date is higher than the highest guaranteed death benefit amount, no Death Benefit Adjustment will be made.
Enhanced DCA Account — An account available for purchase payments, subject to certain limitations, that provides a fixed interest rate that is higher than the rate being credited to the Fidelity® VIP Government Money Market Portfolio.
Free Look — A period of ten (10) or more days after receipt of the contract during which you have the right to cancel your contract and receive a refund without incurring surrender charges. The amount of the refund may equal either the amount of purchase payments or the Contract Value as of the date of cancellation, depending on applicable state law requirements. Upon such refund, the contract shall be void.
Fund — A mutual fund in which subaccount assets may be invested. See “The Funds” and Appendix A later in this prospectus.
GEB — The gain enhancement benefit riders offered with this contract.
GLWB — The guaranteed lifetime withdrawal benefit riders offered with this contract.
GMDB — The guaranteed minimum death benefit amount provided for by the GMDB riders offered with this contract. The Combo Death Benefit, Premium Protection, Premium Protection Plus, and 5% GMDBR80 Plus are the GMDB riders.
Good order — An instruction or request is in good order when it is received in our home office, or other place we may specify, and has such clarity and completeness that we do not have to exercise any discretion to carry out the instruction or request. We may require that the instruction or request be given in a certain form.
GPP — The guaranteed principal protection rider offered with this contract.
Notice — A written form acceptable to us, signed by you and received at our home office (the address listed on the first page of the prospectus). We have specified forms or may require specific information in writing for certain transactions, such as a surrender request. Contact us or your registered representative for more information.
Participating Spouse — One of two people upon whose life and age the benefits under the joint GLWB riders are based.
Pro rata — A pro rata adjustment means the benefit or rider base will be reduced by the same percentage that the Contract Value was reduced by a withdrawal in excess of that provided for by the contract or rider. If your Contract Value is lower than your rider base, a pro rata reduction will reduce your rider base by a greater
Form 8563
3
amount than a dollar for dollar reduction would. If your Contract Value is higher than your rider base, a pro rata reduction will reduce your rider base less than a dollar for dollar reduction would.
Proceeds — The amount that the beneficiary receives if the annuitant dies before annuity payments begin.
Required Minimum Distribution or RMD – The minimum amount that you must withdraw each year from your qualified retirement plans starting in the calendar year following the year in which you reach the required beginning age as defined by the Internal Revenue Code (the “Code”).
RMD treatment – RMD treatment means that you may take your Required Minimum Distribution, even if it exceeds what would otherwise be the allowable annual withdrawal amount, without it being treated as an excess withdrawal under your rider. Certain conditions apply in order to receive RMD treatment. Please see "Optional Death Benefit Riders" and "Optional Guaranteed Lifetime Withdrawal Benefit (‘GLWB’) Riders" for more information.
Subaccount — A subdivision of VAA. The assets of each subaccount are invested in a corresponding available Fund.
Surrender — To redeem the contract before annuity payments begin and receive its value minus any applicable surrender charge or other charges.
Valuation Period — The period of time from one determination of variable subaccount unit and annuity unit values to their next determination. A valuation period usually ends at 4:00 p.m. Eastern time on each day the New York Stock Exchange is open for unrestricted trading. The valuation period may end sooner to correspond to earlier closing of the New York Stock Exchange. Accumulation unit and annuity unit values for each annuity period are determined at the end of that valuation period.
VAA (Variable Account A) — A separate account of AuguStar Life Insurance Company consisting of assets segregated from AuguStar's general assets for the purpose of funding annuity contracts whose values vary with the investment results of the separate account’s underlying Funds.
We, Us, Our — We, us and our refer to AuguStar Life Insurance Company.
Withdraw — To receive part of the contract’s value without entirely redeeming or surrendering the contract.
You — You means the owner(s) of the contract or the last surviving owner’s estate if all owners are deceased.
Form 8563
4
Overview of the Contract
PURPOSE
The ONcore Xtra II contract is intended to help you save for retirement or another
long-term investment purpose through investments in a variety of investment options during the Accumulation Period.
The contract also offers death benefits designed to protect your designated beneficiaries. The contract also has
certain optional living benefits which can provide you the opportunity to take income. Through the annuitization feature,
the contract can supplement your retirement income by providing a stream of income payments. This contract may be appropriate
if you have a long investment time horizon. It is not intended for people who may need to make early
or frequent withdrawals or intend to engage in frequent trading in the Funds.
PHASES OF THE CONTRACT
Your contract has two phases:
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the Accumulation Period, when you make purchase payments to us, and
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the Annuity Period, when we make income payments to you.
ACCUMULATION PERIOD
During the Accumulation Period, to help you accumulate assets, you can allocate your
purchase payment to:
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a variety of subaccounts. Each subaccount invests in a corresponding Fund, each of
which has its own investment strategies, investment adviser(s), expense ratios, and returns;
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the Fixed Accumulation Account, which offers a guaranteed fixed interest rate for
one year periods. The Fixed Accumulation Account is not available with certain optional benefit riders; and
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the Enhanced DCA account (available for purchase payments), which offers a fixed interest
rate.
A list of available investment options is provided in Appendix A: Funds Available Under the Contract.
ANNUITY PERIOD
You can elect to annuitize your contract and turn your Contract Value into a stream
of fixed and/or variable income payments from us. Variable payments depend on the performance of the subaccounts.
Currently, we offer income options that provide payments for (1) life; (2) for life with a certain minimum number
of payments; or (3) for life with a certain amount of payments. Depending on the annuity option you elect, any remaining
amounts guaranteed (such as certain period payments or a death benefit) under the annuity option you selected
will be paid to your beneficiary. We may offer other options, at our discretion, where permitted by state law.
Please note that if you annuitize, your Contract Value will be converted to income
payments and you may no longer withdraw money at will from your contract. All benefits (including guaranteed minimum
death benefits and living benefits) terminate when you annuitize.
PRIMARY CONTRACT FEATURES AND OPTIONS
Accessing your money. Until you annuitize, you have full access to your money. You can choose to withdraw
your Contract Value at any time. Withdrawals will reduce your Contract Value and may be
subject to surrender charges, withdrawal fees, income taxes and, if you are younger than 59 1∕2, a tax penalty. Withdrawals may also reduce (possibly by more than the amount withdrawn) or terminate any guaranteed benefits. Please see “Death Benefit” and “Optional Living Benefit Riders” for more information.
Tax treatment. Your purchase payments generally accumulate on a tax-deferred basis. This means your
earnings are not taxed until you take money out of your contract, such as when (1) you make a withdrawal;
(2) you receive an income payment from the contract; or (3) upon payment of death benefit proceeds.
Death benefits. Your Contract includes a basic Death Benefit that is the greatest of: (i) the total
Contract Value, (ii) net purchase payments less pro-rata withdrawals or (iii) the stepped-up Death Benefit
(which is set to the Contract Value, if higher, on each 8 year anniversary, adjusted for purchase payments and withdrawals).
Please note that Death Benefit is used solely to calculate the Death Benefit Adjustment and is not the amount paid to
your designated beneficiaries after the death of the annuitant. You may have also purchased optional riders under the
contract that provide additional death benefits for an additional fee. These riders may increase the amount of money
payable to your designated beneficiaries upon your death.
Form 8563
5
Optional benefits that occur during your lifetime. For an additional fee, you may have purchased optional living benefit riders that offer protection against market risk (the risk that your investments may
decline in value or underperform your expectations) and may guarantee a minimum lifetime income.
Nursing Facility Confinement Benefit. At no additional charge, the Contract includes a Nursing Facility Confinement Rider with all Contracts (subject to applicable issue state and age limitations).
This benefit increases the amount that can be withdrawn from your Contract without a surrender charge when certain qualifying
events occur.
Automatic portfolio rebalancing and dollar cost averaging. At no additional charge, you may select automatic portfolio rebalancing, which automatically rebalances your value in the subaccounts to maintain
your chosen percentage allocation. Alternately, at no additional charge, you may select a Dollar Cost Averaging
program, which automatically transfers a specific amount of money from the Fixed Accumulation Account or subaccounts
to any other subaccount at set intervals, subject to limitations of certain optional living or death benefit
riders you may have elected. For additional purchase payments of $3,600 or more, you may select the Enhanced DCA Account, at no
additional charge, which transfers amounts automatically to the subaccounts you choose in specified monthly
increments and pays you interest on amounts remaining in the account.
Electronic Delivery. You may elect to receive electronic delivery of current prospectuses related to this
contract, as well as certain other contract related documents.
Extra Credit. This contract includes an extra credit to your contract each time you
make a purchase payment. The expenses for this contract may be higher than expenses for a contract without an extra
credit feature and the amount of the extra credit may be more than offset by the additional fees and charges associated
with this contract. The extra credit may be recaptured upon death or certain withdrawals. Please see “Extra Credit” for more information.
Form 8563
6
Important Information You Should Consider About the Contract
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FEES AND EXPENSES
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LOCATION IN
PROSPECTUS
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Are There Charges or
Adjustments for Early
Withdrawals?
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Yes. If you withdraw money from your contract within 9 years following your
last purchase payment, you will be assessed a surrender charge. The maximum
surrender charge is 9% of total purchase payment, minus all previous
withdrawals, during the first year, declining down to 0% over the 9 years. For
example, if you make an early withdrawal within the first year, you could pay a
withdrawal charge of up to $9,000 on a $100,000 investment. This loss will be
greater if you also have to pay taxes or tax penalties. During each contract
year, you may withdraw not more than 10% of the Contract Value (as of the
day of the first withdrawal made during that contract year) without a
surrender charge. Extra credits may be recaptured upon certain withdrawals.
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Fees and Expenses;
and Deductions and
Expenses –
Surrender
Charge
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Are There Transaction
Charges?
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Yes. In addition to surrender charges, you may also be charged for other
transactions, such as when you transfer Contract value between investment
options more than 12 times per contract year, take more than 14 withdrawals
in a contract year or for special requests (such as wire transfers or overnight
mail).
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Fees and Expenses;
and Deductions and
Expenses –
Withdrawal Fee and
Transfer Fee
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Are There Ongoing
Fees and Expenses?
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Yes. The table below describes the fees and expenses that you may pay each
year, depending on the options you choose. Please refer to your contract
specifications page for information about the specific fees you will pay each
year based on the options you have elected.
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Fees and Expenses;
and Deductions and
Expenses; and
Appendix A: Funds
Available Under the
Contract
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Annual Fee
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Minimum
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Maximum
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1. Base Contract
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1.70%1
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1.70%1
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2. Investment options (Fund fees and
expenses)
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0.35%2
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3.19%2
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3. Optional benefits available for an
additional charge (for a single optional
benefit, if elected)
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0.15%3
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1.35 %3
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Because your contract is customizable, the choices you make affect how much you will
pay. To help you
understand the cost of owning your contract, the following table shows the lowest
and highest cost you
could pay each year, based on current charges. This estimate assumes that you do not take withdrawals
from the contract, which could add surrender charges that substantially increase costs.
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Lowest Annual Cost Estimate:
$1,789
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Highest Annual Cost Estimate:
$6,306
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Assumes:
●Investment of $100,000
●5% annual appreciation
●Least expensive combination of contract
classes and Fund fees and expenses
●No optional benefits
●No sales charges
●No additional purchase payments,
transfers or withdrawals
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Assumes:
●Investment of $100,000
●5% annual appreciation
●Most expensive combination of contract classes,
optional benefits, and Fund fees and expenses
●No sales charges
●No additional purchase payments, transfers or
withdrawals
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1
As a percentage of average Contract Value in the separate account.
2
As a percentage of average Fund net assets.
3
The minimum fee reflects the current charge for the least expensive optional benefit,
the GEB, calculated as an annualized percentage of the Contract Value on a contract anniversary. The maximum fee reflects the current charge for the most
expensive optional benefit, the Income Opportunity GLWB (Joint Life), calculated as an annualized
percentage of the amount that is guaranteed under the optional benefit.
Form 8563
7
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RISKS
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Location in
Prospectus
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Is There a Risk of
Loss from Poor
Performance?
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Yes. You can lose money by investing in this contract.
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Principal Risks of
Investing in the
Contract
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Is this a Short-Term
Investment?
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No. This contract is not designed for short-term investing and is not
appropriate for an investor who needs ready access to cash.
Withdrawals may result in surrender charges, taxes, and tax
penalties.
Surrender charges apply for 9 years following your last purchase
payment. They will reduce the value of your contract if you
withdraw money during that time. The benefits of tax deferral and
living benefit protections also mean the contract is more beneficial
to investors with a long time horizon.
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Principal Risks of
Investing in the
Contract
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What Are the Risks
Associated with the
Investment
Options?
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An investment in this contract is subject to the risk of poor
investment performance and can vary depending on the
performance of the investment options you choose.
Each investment option (including the Fixed Accumulation Account
and the Enhanced DCA Account) has its own unique risks.
You should review the prospectuses for the available Funds before
making an investment decision.
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Principal Risks of
Investing in the
Contract
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What Are the Risks
Related to the
Insurance
Company?
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Any obligations (including under the Fixed Accumulation Account),
guarantees, and benefits of the contract are subject to the
claims-paying ability of AuguStar Life. More information about
AuguStar Life, including our financial strength ratings, is available
upon request by calling us at 888.925.6446.
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Principal Risks of
Investing in the
Contract
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RESTRICTIONS
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Location in
Prospectus
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Are There
Restrictions on the
Investment
Options?
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Yes. We reserve the right to charge $10 for each transfer when you
transfer money between subaccounts in excess of 12 times in a
contract year.
We reserve the right to limit transfers in circumstances of frequent
or large transfers.
We reserve the right to remove, close or substitute Funds as
investment options that are available under the contract.
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Investment Options –
The Funds;
Deductions and
Expenses – Transfer
Fee; and
Accumulation Period
Transfers Among
Subacccounts;
Accumulation Period -
Purchase Payments
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Are There any
Restrictions on
Contract Benefits?
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Yes. Certain optional benefits limit or restrict the investment
options that you may select under the contract. We may change the
investment restrictions in the future, including limiting the
investment options available with the optional benefit. Certain
optional benefits could limit subsequent purchase payments.
Certain benefits may limit withdrawals or other rights under the
contract. Under certain benefits, withdrawals may reduce the value
of an optional benefit by an amount greater than the value
withdrawn, which could significantly reduce the value of or even
terminate the benefit.
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Death Benefit – Basic
Death Benefit; Death
Benefit –Optional
Death Benefit Riders
and Optional Living
Benefit Riders
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Form 8563
8
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TAXES
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Location in
Prospectus
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What Are the
Contract’s Tax
Implications?
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Consult with a tax professional to determine the tax implications of
an investment in and purchase payments received under this
contract.
If you purchase the contract through a tax-qualified plan or
individual retirement account (IRA), you do not get any additional
tax deferral.
Earnings on your contract are taxed at ordinary income tax rates
when you withdraw them, and you may have to pay a penalty if you
take a withdrawal before age 59 1∕2.
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Federal Tax Status
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CONFLICTS OF INTEREST
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Location in
Prospectus
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How Are
Investment
Professionals
Compensated?
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Although the contracts are no longer offered for new sales, firms
and their registered representatives that sold the contracts may still
be paid for those sales. Your investment professional may receive
compensation for having sold this contract to you in the form of
commissions, service fees, additional cash benefits (e.g. bonuses),
and non-cash compensation. Accordingly, investment professionals
may have had a financial incentive to offer or recommend this
contract over another investment.
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AuguStar
Life Insurance
Company
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Should I Exchange
My Contract?
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Some investment professionals may have a financial incentive to
offer you a new contract in place of the one you own. You should
only consider exchanging your contract if you determine, after
comparing the features, fees, and risks of both contracts, that it is in
your best interest to purchase the new contract rather than
continue to own your existing contract.
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N/A
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Form 8563
9
Fees and Expenses
The following tables describe the fees and expenses that you will pay when buying,
owning, and making partial or total withdrawals from the contract. Please refer to your Contract specifications
page for information about the specific fees you will pay each year based on the options you have elected. The first
table describes the fees and expenses that you will pay at the time that you buy the contract, make a partial or
total withdrawal from the Contract, or transfer Contract Value between investment options. State premium taxes
may also be deducted.
Transaction Expenses
Deferred Sales Load (or Surrender Charge) (as a percentage of your total purchase payments minus all
previous withdrawals)
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Payment Year
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1
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2
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3
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4
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5
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6
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7
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8
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9
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10+
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Charge
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9%
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8%
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7%
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6%
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5%
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4%
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3%
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2%
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1%
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0%
|
|
Transfer Fee
(for transfers in excess of 12 per year; currently no charge)
|
$10
|
|
Premium Tax
(charged upon annuitization, surrender or when assessed) (Percentage of each
purchase payment)
|
0% - 5% (depending on state law)
|
|
Withdrawal Fee
(for withdrawals in excess of 14 per contract year; currently no charge)
|
The lesser of 2% of the amount
withdrawn or $15
|
The next table describes the fees and expenses that you will pay each year during
the time that you own the contract (not including Fund fees and expenses). If you choose to purchase an optional benefit,
you will pay additional charges, as shown below.
Annual Contract Expenses
|
Administrative Expenses
(no fee if your Contract Value exceeds $50,000)
|
$30
|
|
Base Contract Charges
(as a % of average account value in the separate account)
|
1.70%
|
|
Optional Benefit Expenses
|
Maximum
Charge
|
Current
Charge
|
|
Annual Stepped-Up Death Benefit
(% of the optional death benefit amount)
|
0.25%
|
0.25%
|
|
5% GMDBR80 Plus
(% of the optional death benefit amount)
|
0.45%
|
0.45%
|
|
Combo Death Benefit
(% of the optional death benefit amount) (assessed quarterly)
|
1.50%
|
0.65%
|
|
Premium Protection or Joint Premium Protection death benefit at issue ages
through 70
(% of the optional death benefit amount)
|
0.10%
|
0.10%
|
|
Premium Protection or Joint Premium Protection death benefit at issue ages
71-75
(% of the optional death benefit amount)
|
0.25%
|
0.25%
|
|
Premium Protection Plus or Joint Premium Protection Plus death benefit
(% of the optional death benefit amount)
|
0.90%
|
0.45%
|
|
GEB at issue ages through 70
(% of your Contract Value on the contract anniversary)
|
0.15%
|
0.15%
|
|
GEB at issue ages 71-75
(% of your Contract Value on the contract anniversary)
|
0.30%
|
0.30%
|
Form 8563
10
|
Optional Benefit Expenses
|
Maximum
Charge
|
Current
Charge
|
|
GEB “Plus” at issue ages through 70
(% of your Contract Value on the contract anniversary)
|
0.30%
|
0.30%
|
|
GEB “Plus” at issue ages 71-75
(% of your Contract Value on the contract anniversary)
|
0.60%
|
0.60%
|
|
GLWB Plus (applied for on or after May 1, 2013)
(% of the GLWB Base)
|
2.00%
|
1.05%
|
|
GLWB Plus (applied for prior to May 1, 2013)
(% of the GLWB Base)
|
2.00%
|
0.95%
|
|
Joint GLWB Plus (applied for on or after May 1, 2013)
(% of the GLWB Base)
|
2.50%
|
1.35%
|
|
Joint GLWB Plus (applied for prior to May 1, 2013)
(% of the GLWB Base)
|
2.50%
|
1.25%
|
|
GPP (2012) (applied for on or after November 16, 2015)
(% of your average guaranteed principal amount at beginning and end of
contract year)
|
1.30%
|
0.65%
|
|
GPP (2012) (applied for prior to November 16, 2015)
(% of your average guaranteed principal amount at beginning and end of
contract year)
|
0.90%
|
0.45%
|
|
GLWB (2012)
(% of the GLWB Base)
|
2.10%
|
1.05%
|
|
Joint GLWB (2012)
(% of the GLWB Base)
|
2.70%
|
1.35%
|
|
GLWB (2011)
(% of the GLWB Base)
|
2.00%
|
0.95%
|
|
Joint GLWB (2011)
(% of the GLWB Base)
|
2.40%
|
1.20%
|
|
GLWB
(% of the GLWB Base)
|
2.00%
|
0.95%
|
|
Joint GLWB
(% of the GLWB Base)
|
2.00%
|
1.05%
|
|
GPP
(% of your average annual guaranteed principal amount)
|
0.55%
|
0.55%
|
The next table shows the minimum and maximum total operating expenses charged by the
Funds that you may pay periodically during the time that you own the contract (before any fee waiver or expense
reimbursement). The expenses are expressed as a percentage of average net assets of the Funds and may
be higher or lower in the future. A complete list of Funds available under the contract, including their annual expenses,
may be found in Appendix A.
Annual Fund Expenses
|
|
Minimum
|
Maximum
|
|
Total Annual Fund Operating Expenses
(Expenses that are deducted from the Fund assets,
including management and administration fees,
distribution and/or service (12b-1) fees, and other
expenses)
|
0.35%
|
3.38%
|
Form 8563
11
Example
The Example is intended to help you compare the cost of investing in the contract
with the cost of investing in other variable annuity policies. These costs include transaction expenses, annual contract
expenses and annual Fund expenses. The Example assumes that you invest $100,000 in the contract for the time
periods indicated. The Example also assumes that your investment has a 5% return each year, and assumes the most
expensive combination of annual Fund expenses and optional benefits available for an additional charge (using
the maximum possible charge). Although your actual costs may be higher or lower, based on these assumptions your
costs would be:
|
If you surrender your contract at the end of the applicable
time period
|
If you annuitize or do not surrender your contract at the
end of the applicable time period
|
||||||
|
1 Year
|
3 Years
|
5 Years
|
10 Years
|
1 Year
|
3 Years
|
5 Years
|
10 Years
|
|
$16,420
|
$32,466
|
$50,206
|
$102,723
|
$8,290
|
$26,094
|
$45,616
|
$102,723
|
Form 8563
12
Principal Risks of Investing in the Contract
This section is intended to summarize the principal risks of investing in the contract.
Additional risks and details regarding various risk and benefits of investing in the contract are described in
relevant sections of the prospectus. The contract may be subject to additional risks other than those identified and described
in the prospectus.
Risks Associated with Variable Investment Options
You bear the risk of any decline in your Contract Value resulting from the performance
of Funds you have chosen. The Contract Value could decline significantly, and there is a risk of loss of the entire
amount invested. This risk varies with each Fund. This risk could have a significant negative impact on certain benefits
and guarantees under the contract. For more information about the risks of investing in a particular Fund, see that Fund’s prospectus. You should review the Fund prospectuses before making an investment decision.
Not a Short-Term Savings Vehicle
The contract is intended for retirement savings or other long-term investment purposes.
It is not suitable as a short-term savings vehicle. This means if you plan to take withdrawals or surrender
the contract for short-term needs, it may not be the right contract for you. Charges may be assessed on withdrawals and
surrenders, which could be substantial. Taxes and tax penalties may also apply. Early or excess withdrawals could substantially reduce or even terminate some of the benefits available under the contract. Please discuss your insurance
needs and financial objectives with your financial professional.
Insurance Company Risk
No company other than AuguStar Life has any legal responsibility to pay amounts that
we owe under the contract. The general obligations and any guaranteed benefits (including any fixed account) under
the contract are supported by our general account and are subject to our claims paying ability. You should look solely
to our financial strength for our claims-paying ability. We are subject to risks related to disasters and other events,
such as storms, earthquakes, fires, outbreaks of infectious diseases, utility failures, terrorist acts, political and
social developments, and military and governmental actions. We are also subject to risks resulting from information systems
failures or cyberattack. These events could adversely affect us and our ability to conduct business and process transactions.
Although we have business continuity plans, it is possible that the plans may not operate as intended
or required and that we may not be able to provide required services, process transactions, deliver documents or calculate
values. It is also possible that service levels may decline as a result of such events.
Possible Adverse Tax Consequences
The tax considerations associated with the contract vary and can be complicated. The
tax considerations discussed in this prospectus are general in nature and describe only federal income tax law. Withdrawals
from your contract are generally subject to ordinary income taxation on the amount of any investment gain
unless the distribution qualifies as a nontaxable exchange or transfer. In addition, if you take a distribution prior to the taxpayer’s age 59½, you may be subject to an additional federal 10% tax in addition to ordinary income taxes on any
gain. Tax law and rules may change which could affect contracts purchased before the change. Before making purchase payments
or taking other action related to your contract, you should consult with a tax professional to determine
the tax implications of an investment in, and payments received under, the contract.
Optional Benefits Risks
You may never need or use certain features provided by the contract. In that case,
you may pay for a feature for which you never realize a benefit. Certain benefits are subject to conditions. If those
conditions are not met, you may not realize a benefit from the contract. Withdrawals could significantly reduce or terminate
your benefit under certain optional riders. Certain benefits also restrict the Funds you may choose. Amounts
invested in accordance with those restrictions may earn a return that is less than the return you might have earned
on those amounts in other Funds had you not been subject to any investment restrictions. Some riders’ fees may be currently charged at less than their maximum amounts. We may increase these expenses up to the maximum amounts. We will
provide prior written notice of when we will increase fees and supplement the prospectus as applicable.
Risk of Contract Changes
We reserve numerous rights under the contract. For example, we reserve the right to
remove, close or substitute Funds as investment options under the contract. We may limit your allocation of Contract
Value to no more than 10 subaccounts. We reserve the right to prohibit or limit additional purchase payments
under certain optional benefits. We may limit total purchase payments under the contract.
Form 8563
13
Risk of Contract Termination
Your contract will terminate if your Contract Value is reduced to zero. Your Contract
Value can become zero due to the assessment of contract or rider charges after you have taken partial withdrawals and/or
due to poor market performance. If your Contract Value is reduced to zero, your contract will terminate
unless you have purchased a rider that provides for continuation of benefits and you are in compliance with the rider’s terms for continuation. Please see the “Optional Guaranteed Lifetime Withdrawal Benefit ('GLWB') Riders” section later in this prospectus for more information.
Risks Associated with Extra Credits
The amount of any extra credits under this contract may be more than offset by the
additional fees and charges associated with this contract. Extra credits may be recaptured if you exercise your
free look option and upon death or certain withdrawals. Extra credits may be excluded from certain benefit amounts under this contract. Please see “Extra Credit,” “Optional Death Benefit Riders,” and “Optional Living Benefit Riders” for more information.
Form 8563
14
Benefits Available Under the Contract
The following tables summarize information about the benefits available under the
contract. None of the optional benefits are currently available for purchase.
BASIC DEATH BENEFIT (automatically included with the Contract)
|
Name of benefit
|
Purpose
|
Fee
|
Brief description of
restrictions/limitations
|
|
Basic Death
Benefit
|
Guarantees a Death Benefit
at least equal to the greatest
of: (i) total Contract Value; (ii)
net purchase payments less
pro-rata withdrawals; or (iii)
the stepped-up Death Benefit
(which is set to the Contract
Value on each 8-year
anniversary, if higher,
adjusted for purchase
payments and withdrawals)
|
No additional charge
|
Withdrawals could significantly
reduce benefit
Extra credits may not be included in
the death benefit
|
OPTIONAL DEATH BENEFITS AVAILABLE FOR A FEE
|
Name of benefit
|
Purpose
|
Annual fee
|
Brief description of
restrictions/limitations
|
|
|
Annual
Stepped-Up
Death Benefit
|
Guarantees a Death Benefit
will be the greater of total
purchase payments or the
highest contract anniversary
value
|
(as a % of benefit base)
|
●Withdrawals proportionately
reduce the benefit, which could
significantly reduce the benefit
●Stops accumulating at contract
anniversary after annuitant’s
85th birthday
●Extra credits may not be included
in the death benefit.
|
|
|
Maximum
|
Current
|
|||
|
0.25%
|
0.25%
|
|||
|
5% GMDBR80
Plus
|
Guarantees 5% annual rate of
return on the Death Benefit
|
(as a % of benefit base)
|
●Withdrawals reduce the benefit;
those in excess of 5% annually
proportionately reduce the
benefit, which could significantly
reduce or terminate the benefit
●Stops accumulating at contract
anniversary after annuitant’s
80th birthday
●Values allocated to a money
market portfolio or the Fixed
Accumulation Account may earn
less than 5%
●Cannot exceed 2 times purchase
payments, adjusted for
withdrawals
●Extra credits may not be included
in the death benefit.
|
|
|
Maximum
|
Current
|
|||
|
0.45%
|
0.45%
|
|||
Form 8563
15
|
Name of benefit
|
Purpose
|
Annual fee
|
Brief description of
restrictions/limitations
|
|
|
Premium
Protection
(Single Life)
|
Guarantees a Death Benefit
equal to your purchase
payments
|
For issue ages through 70
(as a % of benefit base)
|
●Withdrawals reduce the benefit,
which could significantly reduce
or terminate the benefit
●Sold only in conjunction with
certain GLWB (Single Life) riders
●We may limit additional purchase
payments
●Extra credits are excluded from
the death benefit
|
|
|
Maximum
|
Current
|
|||
|
0.10%
|
0.10%
|
|||
|
For issue ages 71-75 (as a
% of benefit base)
|
||||
|
Maximum
|
Current
|
|||
|
0.25%
|
0.25%
|
|||
|
Premium
Protection (Joint
Life)
|
Guarantees a Death Benefit
equal to your purchase
payments
|
For issue ages through 70
(as a % of benefit base)
|
●Withdrawals reduce the benefit,
which could significantly reduce
or terminate the benefit
●Sold only in conjunction with
certain GLWB (Joint Life) riders
●We may limit additional purchase
payments
●Extra credits are excluded from
the death benefit
|
|
|
Maximum
|
Current
|
|||
|
0.10%
|
0.10%
|
|||
|
For issue ages 71-75 (as a
% of benefit base)
|
||||
|
Maximum
|
Current
|
|||
|
0.25%
|
0.25%
|
|||
|
Premium
Protection Plus
(Single Life)
|
Guarantees a Death Benefit
equal to your purchase
payments or the Contract
Value on the 7th contract
anniversary
|
(as a % of benefit base)
|
●Withdrawals in excess of an
annual allowable amount reduce
the benefit, which could
significantly reduce or terminate
the benefit
●Sold only in conjunction with
certain GLWB (Single Life) riders
●We may limit additional purchase
payments
●Extra credits are excluded from
the death benefit
|
|
|
Maximum
|
Current
|
|||
|
0.90%
|
0.45%
|
|||
|
Premium
Protection Plus
(Joint Life)
|
Guarantees a Death Benefit
equal to your purchase
payments or the Contract
Value on the 7th contract
anniversary
|
(as a % of benefit base)
|
●Withdrawals in excess of an
annual allowable amount reduce
the benefit, which could
significantly reduce or terminate
the benefit
●Sold only in conjunction with
certain GLWB (Joint Life) riders
●We may limit additional purchase
payments
●Extra credits are excluded from
the death benefit
|
|
|
Maximum
|
Current
|
|||
|
0.90%
|
0.45%
|
|||
|
GEB
|
Pays an additional amount
that is intended to help pay
part of the income taxes due
at the time of death of the
annuitant (up to 25% of the
lesser of (a) 2 times purchase
payments less withdrawals or
(b) Contract Value on date of
death minus purchase
payments and withdrawals)
|
For issue ages through 70
(as a % of Contract Value)
|
●Withdrawals proportionately
reduce the benefit, which could
significantly reduce the benefit
●Benefit cannot exceed
$1,000,000
●Purchase payments made within
6 months of the date of death will
not be included in benefit
|
|
|
Maximum
|
Current
|
|||
|
0.15%
|
0.15%
|
|||
|
For issue ages 71-75 (as a
% of Contract Value)
|
||||
|
Maximum
|
Current
|
|||
|
0.30%
|
0.30%
|
|||
Form 8563
16
|
Name of benefit
|
Purpose
|
Annual fee
|
Brief description of
restrictions/limitations
|
|
|
GEB Plus
|
Pays an additional amount
that is intended to help pay
part of the income taxes due
at the time of death of the
annuitant (up to 40% of the
lesser of (a) 2 1∕2 times
purchase payments less
withdrawals or (b) Contract
Value on date of death minus
purchase payments and
withdrawals)
|
For issue ages through 70
(as a % of Contract Value)
|
●Withdrawals proportionately
reduce the benefit, which could
significantly reduce the benefit
●Benefit cannot exceed
$1,000,000
●Purchase payments made within
6 months of the date of death will
not be included in benefit
|
|
|
Maximum
|
Current
|
|||
|
0.30%
|
0.30%
|
|||
|
For issue ages 71-75 (as a
% of Contract Value)
|
||||
|
Maximum
|
Current
|
|||
|
0.60%
|
0.60%
|
|||
|
Combo Death
Benefit
|
Guarantees a Death Benefit
equal to the highest contract
anniversary value prior to the
annuitant’s 81st birthday or
purchase payments earning
6% simple interest annually
|
(as a % of benefit base;
assessed quarterly)
|
●Withdrawals proportionately
reduce the benefit, which could
significantly reduce or terminate
the benefit
●Stops accumulating at contract
anniversary after annuitant’s
80th birthday and when reaches
two times purchase payments
●Subject to investment restrictions
●We may limit additional purchase
payments
●Extra credits are excluded from
the death benefit
|
|
|
Maximum
|
Current
|
|||
|
1.50%
|
0.65%
|
|||
OPTIONAL LIVING BENEFITS AVAILABLE FOR A FEE
|
Name of benefit
|
Purpose
|
Annual fee
|
Brief description of
restrictions/limitations
|
|
|
GPP (2012)
|
Guarantees return of
principal without
annuitization on the 10th
rider anniversary, with ability
to reset the guaranteed
amount under certain
circumstances
|
Applied for on or after
November 16, 2015 (as a
percentage of average
annual guaranteed
principal amount)
|
●Withdrawals proportionately
reduce the benefit, which could
significantly reduce the benefit
●Purchase payments made after
the first 6th months of the
contract are not included
●We may limit additional purchase
payments
●Subject to investment restrictions
|
|
|
Maximum
|
Current
|
|||
|
1.30%
|
0.65%
|
|||
|
Applied for prior to
November 16, 2015 (as a
percentage of average
annual guaranteed
principal amount)
|
||||
|
Maximum
|
Current
|
|||
|
0.90%
|
0.45%
|
|||
|
GPP
|
Guarantees return of
principal without
annuitization on the 10th
rider anniversary, with ability
to reset under certain
circumstances
|
(as a percentage of
average annual
guaranteed principal
amount)
|
●Withdrawals proportionately
reduce the benefit, which could
significantly reduce the benefit.
●Purchase payments made after
the first 6th months of the
contract are not included
●We may limit additional purchase
payments
●Subject to investment restrictions
|
|
|
Maximum
|
Current
|
|||
|
0.55%
|
0.55%
|
|||
Form 8563
17
|
Name of benefit
|
Purpose
|
Annual fee
|
Brief description of
restrictions/limitations
|
|
|
GLWB Plus
|
Provides a guaranteed level
of withdrawals in each
contract year beginning
when the annuitant is 59 1∕2
for the lifetime of the
annuitant
|
Applied for on or after
May 1, 2013 (as a
percentage of benefit
base)
|
●Withdrawals in excess of an
annual allowable amount reduce
the benefit, which could
significantly reduce or terminate
the benefit
●Annual credit to benefit base
subject to limitations
●We may limit additional purchase
payments
●Subject to investment restrictions
●Extra credits are excluded from
the benefit
|
|
|
Maximum
|
Current
|
|||
|
2.00%
|
1.05%
|
|||
|
Applied for prior to
May 1, 2013 (as a
percentage of benefit
base)
|
||||
|
Maximum
|
Current
|
|||
|
2.00%
|
0.95%
|
|||
|
Joint GLWB Plus
|
Provides a guaranteed level
of withdrawals in each
contract year beginning
when the youngest spouse is
59 1∕2 for the lifetime of the
annuitant and the surviving
spouse
|
Applied for on or after
May 1, 2013 (as a
percentage of benefit
base)
|
●Withdrawals in excess of an
annual allowable amount reduce
the benefit, which could
significantly reduce or terminate
the benefit
●Annual credit to benefit base
subject to limitations
●We may limit additional purchase
payments
●Cannot replace a covered spouse
●Subject to investment restrictions
●Extra credits are excluded from
the benefit
|
|
|
Maximum
|
Current
|
|||
|
2.50%
|
1.35%
|
|||
|
Applied for prior to
May 1, 2013 (as a
percentage of benefit
base)
|
||||
|
Maximum
|
Current
|
|||
|
2.50%
|
1.25%
|
|||
|
GLWB (2012)
|
Provides a guaranteed level
of withdrawals in each
contract year beginning
when the annuitant is 59 1∕2
for the lifetime of the
annuitant
|
(as a percentage of
benefit base)
|
●Withdrawals in excess of an
annual allowable amount reduce
the benefit, which could
significantly reduce or terminate
the benefit
●Annual credit to benefit base
subject to limitations
●We may limit additional purchase
payments
●Subject to investment restrictions
●Extra credits are excluded from
the benefit
|
|
|
Maximum
|
Current
|
|||
|
2.10%
|
1.05%
|
|||
|
Joint GLWB
(2012)
|
Provides a guaranteed level
of withdrawals in each
contract year beginning
when the annuitant is 59 1∕2
for the lifetime of the
annuitant and the surviving
spouse
|
(as a percentage of
benefit base)
|
●Withdrawals in excess of an
annual allowable amount reduce
the benefit, which could
significantly reduce or terminate
the benefit
●Annual credit to benefit base
subject to limitations
●We may limit additional purchase
payments
●Cannot replace a covered spouse
●Subject to investment restrictions
●Extra credits are excluded from
the benefit
|
|
|
Maximum
|
Current
|
|||
|
2.70%
|
1.35%
|
|||
Form 8563
18
|
Name of benefit
|
Purpose
|
Annual fee
|
Brief description of
restrictions/limitations
|
|
|
GLWB (2011)
|
Provides a guaranteed level
of withdrawals in each
contract year beginning
when the annuitant is 59 1∕2
for the lifetime of the
annuitant
|
(as a percentage of
benefit base)
|
●Withdrawals in excess of an
annual allowable amount reduce
the benefit, which could
significantly reduce or terminate
the benefit
●Annual credit to benefit base
subject to limitations
●We may limit additional purchase
payments
●Subject to investment restrictions
●Extra credits are excluded from
the benefit
|
|
|
Maximum
|
Current
|
|||
|
2.00%
|
0.95%
|
|||
|
Joint GLWB
(2011)
|
Provides a guaranteed level
of withdrawals in each
contract year beginning
when the annuitant is 59 1∕2
for the lifetime of the
annuitant and the surviving
spouse
|
(as a percentage of
benefit base)
|
●Withdrawals in excess of an
annual allowable amount reduce
the benefit, which could
significantly reduce or terminate
the benefit
●Annual credit to benefit base
subject to limitations
●We may limit additional purchase
payments
●Cannot replace a covered spouse
●Subject to investment restrictions
●Extra credits are excluded from
the benefit
|
|
|
Maximum
|
Current
|
|||
|
2.40%
|
1.20%
|
|||
|
GLWB
|
Provides a guaranteed level
of withdrawals in each
contract year beginning
when the annuitant is 59 1∕2
for the lifetime of the
annuitant
|
(as a percentage of
benefit base)
|
●Withdrawals in excess of an
annual allowable amount reduce
the benefit, which could
significantly reduce or terminate
the benefit
●Annual credit to benefit base
subject to limitations
●We may limit additional purchase
payments
●Subject to investment restrictions
●Extra credits are excluded from
the benefit
|
|
|
Maximum
|
Current
|
|||
|
2.00%
|
0.95%
|
|||
|
Joint GLWB
|
Provides a guaranteed level
of withdrawals in each
contract year beginning
when the annuitant is 59 1∕2
for the lifetime of the
annuitant and the surviving
spouse
|
(as a percentage of
benefit base)
|
●Withdrawals in excess of an
annual allowable amount reduce
the benefit, which could
significantly reduce or terminate
the benefit
●Annual credit to benefit base
subject to limitations
●We may limit additional purchase
payments
●Cannot replace a covered spouse
●Subject to investment restrictions
●Extra credits are excluded from
the benefit
|
|
|
Maximum
|
Current
|
|||
|
2.00%
|
1.05%
|
|||
Form 8563
19
Certain optional benefits are mutually exclusive. The following shows which riders
you may not have at the same time:
|
If you have this rider
|
you cannot have this rider
|
|
GPP or GPP (2012)
|
Any GLWB
|
|
One of the GMDB riders
|
Any other GMDB rider
|
|
GLWB or Joint GLWB riders
|
Any other rider except the annual stepped-up death
benefit
|
|
GLWB (2011) or Joint GLWB (2011)
|
Any other rider except the annual stepped-up death
benefit, Premium Protection, or Premium Protection Plus
|
|
GLWB (2012) or Joint GLWB (2012)
|
Any other rider except the annual stepped-up death
benefit, Premium Protection, Premium Protection Plus,
or deferral credit with age requirement
|
|
GLWB Plus or Joint GLWB Plus
|
Any other rider except the annual stepped-up death
benefit, Premium Protection, Premium Protection Plus,
deferral credit without age requirements or 8 year GPP
with GLWB
|
|
Combo Death Benefit rider
|
Any other rider
|
OTHER OPTIONAL BENEFITS INCLUDED WITH ALL CONTRACTS AT NO ADDITIONAL COST
|
Name of Benefit
|
Purpose
|
Fee
|
Brief Description of
Restrictions/Limitations
|
|
Portfolio
Rebalancing
|
Automatically rebalances
your Contract Value at
specified intervals to
maintain the percentage
allocated to each of two or
more designated Funds at a
pre- set level
|
None
|
●Cannot be used with a dollar cost
averaging program
|
|
Dollar Cost
Averaging
|
Automatically transfers a
specific amount of money
from the Fixed Accumulation
Account or the Funds to any
of the other subaccounts at
set intervals
|
None
|
●Only available for contracts with
at least $3,600 of Contract Value
●Each transfer must be at least
$300
●Must schedule at least 12
transfers if from a Fund and 3
transfers if from the Fixed
Accumulation Account
●Cannot be used with portfolio
rebalancing
●We may discontinue the program
to contracts that are not
currently enrolled
●Subject to limitations with certain
optional riders
|
Form 8563
20
|
Name of Benefit
|
Purpose
|
Fee
|
Brief Description of
Restrictions/Limitations
|
|
Enhanced DCA
Account
|
Automatically transfers
amounts to the Funds you
choose in specified monthly
increments and pays you
interest on amounts
remaining in the account
|
None
|
●Only available for purchase
payments of at least $3,600
●Must be transferred within
specified periods of time
●We may discontinue providing
upon prior written notice
|
|
Nursing Facility
Confinement
Benefit
|
Allows you to withdraw
Contract Value without a
surrender charge when
certain qualifying events
occur
|
None
|
●Only available if the contract was
issued prior to the annuitant’s
80th birthday (your 80th birthday
generally for contracts issued
before May 1, 2016)
●Must meet certain conditions to
qualify (such as confinement for a
certain period of time)
|
Form 8563
21
AuguStar Life Insurance Company
AuguStar Life was organized under the laws of Ohio on September 9, 1909, as The Ohio
National Life Insurance Company, and in 2023 changed its name to AuguStar Life Insurance Company. We write
life, accident and health insurance and annuities in 49 states, the District of Columbia and Puerto Rico. Our
home office is located at One Financial Way, Montgomery, Ohio 45242. We are a stock life insurance company owned
by Constellation Insurance, Inc., which is whollyowned by Constellation Insurance Holdings, Inc. Currently, Constellation
Insurance, Inc., has assets of approximately $48.1 billion and equity of approximately $2.4 billion.
We are obligated to pay all amounts promised to investors under the contract, subject
to our financial strength and claims-paying ability.
AuguStar Life and/or its affiliates may pay certain retail broker-dealers additional
compensation or reimbursement for their efforts in selling our variable contracts. Reimbursements and additional compensation
are paid for the purpose of, among other things, training the broker-dealers’ registered representatives regarding the procedures for submitting business to us, internally marketing our products to their registered representatives,
educating registered representatives about the benefits and options available under the variable contracts
and about the benefits of variable contracts generally. These additional amounts are paid from our profits, not deducted from the contract owners’ purchase payments.
Additionally, we may compensate some broker-dealers more than others for the sale
of our products. This differential compensation may be based on several factors including, but not limited to, the size
of the selling broker-dealer, the amount of previous business generated by the broker-dealer and the length of time
AuguStar Life has contracted with the broker-dealer for the distribution of our contracts. As with reimbursements, these
payments are not deducted from contract owners’ purchase payments.
From time to time, AuguStar Life and/or its affiliates may also provide non-cash or
cash compensation to certain financial institutions or their registered representatives in the form of occasional
gifts, meals, tickets to events, educational conference support, special recognition support or other forms of non-cash
and cash compensation as may be permitted by certain regulations applicable to broker-dealers.
We may credit additional amounts under our contracts for contracts sold to registered
representatives (and their immediate families) of broker-dealers that have (i) a selling agreement with us and
our principal underwriter to sell the contracts and (ii) approved the payment of the additional amount to their registered
representatives. There will be no commissions paid on the sale of these contracts.
With the increased use of technologies such as the Internet, our business is potentially
susceptible to operational, information security, and related risks. In general, cyber incidents can result from
deliberate attacks or unintentional events, which may include, theft, misuse, corruption or destruction of data, denial
of service attacks on websites, and other operational disruptions to name a few. Cyber incidents can affect us, the underlying
Funds, intermediaries, and other affiliated or third party service providers whose operations may impact your
contract. While we have established business continuity plans in the event of, and risk management systems to prevent,
such cyber incidents, there are inherent limitations in such plans and systems, including the possibility that certain
risks have not been identified. There can be no assurance that we, the Funds or our service providers will avoid losses
affecting your contract due to cyberattacks or information security breaches in the future.
AuguStar Variable Account A
We established VAA on August 1, 1969 as a separate account for funding variable annuity
contracts. Purchase payments for the variable annuity contracts are allocated to one or more subaccounts of VAA.
Currently your allocation of Contract Value may be to no more than 18 of the available subaccounts. We reserve
the right to limit your allocation of Contract Value to no more than 10 of the available subaccounts. You assume all of
the investment risk for Contract Value allocated to the subaccounts. You may be subject to additional restrictions
on allocations if you purchase certain optional riders. Please see “Investment Restrictions for Certain Optional Riders” for more information.
Income, gains and losses, whether or not realized, from assets allocated to VAA are
credited to or charged against VAA without regard to our other income, gains or losses. The assets maintained in VAA
will not be charged with any liabilities arising out of any of our other business. Nevertheless, all obligations arising under
the contracts, including the commitment to make annuity payments, are our general corporate obligations. Accordingly,
all our assets are available to meet our obligations under the contracts. Unlike assets in VAA or other separate
accounts we have established, all of our other assets may be charged with any liabilities arising out of any of our other
business.
Form 8563
22
Any guarantees under the contract that exceed your Contract Value in the VAA, such as those associated with the guaranteed benefit rider options or the death benefit rider options, are paid from
our general account (not the separate account). Therefore, any amounts that we may pay under the contract in excess of Contract
Value in the VAA are subject to our financial strength and claims-paying ability and our long-term ability
to make such payments. In the event of an insolvency or receivership, payments we make from our general account to satisfy
claims under the contract would generally receive the same priority as our other policy holder obligations.
We reserve the right, within the law, to make additions, deletions and substitutions
for the subaccounts and the portfolios available in the VAA. We may substitute shares of other portfolios for
shares already purchased, or to be purchased in the future, under the contract. This substitution might occur if shares
of one or more of the portfolios should become inappropriate for purposes of the contract, in the judgment of our management.
The new portfolio may have higher fees and charges than the existing portfolio and not all portfolios may
be available to all classes of contracts. No substitution or deletion will be made to the contract without prior notice to you
and before any necessary orders of the SEC in accordance with the 1940 Act, and your prior approval if required by law.
We also reserve the right to establish additional subaccounts, each of which would
invest in shares of an investment company, with a specified investment objective. We may also eliminate one or more
subaccounts if, in our sole discretion, marketing, tax or investment conditions warrant. We will not eliminate
a subaccount without prior notice to you and before any necessary order of the SEC, and your prior approval if required
by law. Not all subaccounts may be available to all classes of contracts.
If permitted by law, and with your prior approval if required by law, we may create
new separate accounts; deregister the VAA under the 1940 Act in the event such registration is no longer required; manage
the VAA under the direction of committee; or combine the VAA with one of our other separate accounts. Further, to
the extent permitted by applicable law, we may transfer the assets of the VAA to another separate account.
VAA is registered as a unit investment trust under the Investment Company Act of 1940.
The assets of the subaccounts of VAA are invested at net asset value in Fund shares. Values of other contracts not
offered through this prospectus are also allocated to VAA, including some subaccounts that are not available for these
contracts.
Investment Options
You may allocate your Contract Values to Funds or the Fixed Accumulation Account as
described below. If you purchase certain optional riders, you may be subject to restrictions on allocations. Please see “Investment Restrictions for Certain Optional Riders” below.
Fixed Accumulation Account
The Fixed Accumulation Account guarantees a fixed return for a specified period of
time and guarantees the principal against loss. We may also refer to the Fixed Accumulation Account as the Fixed Account.
For any new contract sales that may occur, we reserve the right to not offer the Fixed Accumulation Account to new
contracts. The Fixed Accumulation Account is not registered as an investment company. Interests in it are not subject
to the provisions or restrictions of federal securities laws. Disclosures regarding the Fixed Accumulation Account are subject to certain generally
applicable provisions of the federal securities laws regarding the accuracy and completeness
of disclosures. We invest our general assets at our discretion as allowed by Ohio law.
Information regarding the Fixed Accumulation Account, including (i) its name, (ii)
its term, and (iii) its minimum guaranteed interest rate is available in Appendix A.
The Fixed Accumulation Account is a subset of our general account. The general account
consists of all of our general assets other than those allocated to a separate account. If the Fixed Accumulation
Account is available on your contract, you may allocate purchase payments and Contract Value between the Fixed Accumulation
Account and the Funds, subject to certain restrictions described below.
The amount of investment income allocated to the contracts varies from year to year
at our sole discretion. However, we guarantee that we will credit interest at a rate of not less than the minimum rate
required by the applicable non-forfeiture law in the state where your contract was issued to Contract Values
allocated to the Fixed Accumulation Account. We may credit interest at a rate in excess of the guaranteed minimum interest
rate allowed by state law, but any such excess interest credit will be in our sole discretion.
We guarantee that, before annuity payments begin, the value of a contract in the Fixed
Accumulation Account will never be less than:
Form 8563
23
●
the amount of purchase payments allocated to, and transfers into, the Fixed Accumulation
Account, plus
●
interest credited at a rate declared by us for each year compounded annually, plus
●
any additional excess interest we may credit to guaranteed values, minus
●
any withdrawals and transfers from the guaranteed values, minus
●
any surrender charge on withdrawals, state premium taxes, transfer fees, and the portion
of the $30 annual contract administration charge allocable to the Fixed Accumulation Account.
No deductions are made from the Fixed Accumulation Account for Account Expense Charges
or Mortality and Expense Risk Charges. Insurance risk charges for optional benefit riders are taken pro rata
from the Fixed Accumulation Account, where permissible by applicable state law, and variable subaccounts.
Other than pursuant to a DCA (scheduled transfer) or portfolio rebalancing program,
we may restrict transfers of your Fixed Accumulation Account value during a contract year to not more than 20% of that
value as of the beginning of a contract year (or $1,000, if greater). As provided by state law, we may defer the
payment of amounts to be withdrawn from the Fixed Accumulation Account for up to six months from the date we receive
your written request for withdrawal.
The Funds
The Funds are mutual funds registered under the Investment Company Act 1940. Fund
shares are sold only to insurance company separate accounts to fund variable annuity contracts and variable life insurance
policies and, in some cases, to qualified plans. The value of each Fund’s investments fluctuates daily and is subject to the risk that Fund management may not anticipate or make changes necessary in the investments to meet changes in
economic conditions. Contract Value allocated to the subaccounts will vary based on the performance of the Funds
in which the subaccounts invest. There is a risk of loss of the entire amount invested.
Information regarding each Fund, including (i) its name, (ii) its type (e.g., money
market fund, bond fund, balanced fund, etc.), (iii) its investment adviser and any sub-investment adviser, (iv) current expenses,
and (v) performance is available in Appendix A to this prospectus. Each Fund has issued a prospectus that contains
more detailed information about it. Read the Fund prospectuses carefully before investing. They may contain information
about other funds that are not available as investment options for these contracts. You cannot be sure that any Fund
will achieve its stated objectives and policies. For a free copy of the Fund prospectuses, call 888.925.6446.
The Funds receive investment advice from their investment advisers. The Funds pay
each of the investment advisers a fee as shown in the prospectus for each Fund. In some cases, the investment adviser
pays part of its fee to a subadviser.
AuguStar Life and our affiliates may receive payments from the underlying Funds, their
advisers, subadvisers, distributors, or affiliates thereof, in connection with certain administrative, marketing
and other support services provided by us and expenses incurred in offering and selling our variable annuity
products. While only certain types of payments are made in connection with your particular contract, all such payments may
influence decisions made by AuguStar Life and our affiliates regarding products we offer, including your contract.
AuguStar Life receives Rule 12b-1 fees which compensate our affiliate, AuguStar Distributors,
Inc. for distribution and administrative services (including recordkeeping services and mailing prospectuses
and reports to contract owners invested in the Portfolios). These fees are paid by the underlying Portfolio out of each Portfolio’s assets and are therefore borne by contract owners. We also receive “revenue sharing” payments from advisers of the underlying Portfolios or their affiliates (not the Portfolios), which compensate us for administrative
services. The maximum combined 12b-1 fees and revenue sharing payments we receive with respect to a Portfolio
are equal to an annual rate of 0.55% of the average assets allocated to the Portfolio under the contract.
Some of the Funds are structured as a “Fund of Funds.” A Fund of Funds is a mutual fund that invests primarily in a portfolio of other mutual funds. Because a Fund of Funds invests in other mutual funds
rather than individual securities, the Fund of Funds bears a proportionate share of expenses charged by the underlying
funds in which it invests. Therefore, a Fund of Funds may have higher expenses than direct investments in the
underlying Funds. You should read the Fund prospectuses carefully for more information.
Form 8563
24
Periodically some of the Funds may be closed to future allocation of purchase payments.
This may be at the request of the Fund or based on a decision made by us. Advance written notice will be given to
contract owners prior to any such closure.
The investment policies, objectives and/or names of some of the Funds may be similar
to those of other investment companies managed by the same investment adviser or subadviser. However, similar funds
often do not have comparable investment performance. The investment results of the Funds may be higher
or lower than those of the other funds.
We reserve the right, within the law, to make additions, deletions and substitutions
for the subaccounts and the portfolios available in the VAA. We may substitute shares of other portfolios for
shares already purchased, or to be purchased in the future, under the contract. This substitution might occur if shares
of one or more of the portfolios should become inappropriate for purposes of the contract, in the judgment of our management.
The new portfolio may have higher fees and charges than the existing portfolio and not all portfolios may
be available to all classes of contracts. No substitution or deletion will be made to the contract without prior notice to you
and before any necessary orders of the SEC in accordance with the 1940 Act, and your prior approval if required by law.
We also reserve the right to establish additional subaccounts, each of which would
invest in shares of an investment company, with a specified investment objective. We may also eliminate one of more
subaccounts if, in our sole discretion, marketing, tax or investment conditions warrant. We will not eliminate
a subaccount without prior notice to you and before any necessary order of the SEC, and your prior approval if required
by law. Not all subaccounts may be available to all classes of contracts.
If permitted by law, and with your prior approval if required by law, we may create
new separate accounts; deregister the VAA under the 1940 Act in the event such registration is no longer required; manage
the VAA under the direction of committee; or combine the VAA with one of our other separate accounts. Further, to
the extent permitted by applicable law, we may transfer the assets of the VAA to another separate account.
Investment Restrictions for Certain Optional Riders
Certain riders available with this contract require you to allocate your purchase
payments and Contract Value in accordance with restrictions described in this section. For more information on a
particular rider, please see the rider description later in this prospectus. See Appendix A for the investment options available
with each rider with investment restrictions.
Certain GLWB riders and GPP (2012)
Beginning May 1, 2017, for any GLWB or GPP (2012) riders applied for on or after October
1, 2012, your purchase payments and Contract Value must be allocated to the investment options in the Categories
listed in Appendix A and in accordance with the restrictions specified below. The revised investment restrictions
will apply to new purchases of one of these riders, future purchase payments and transfer requests. If you purchased
one of these riders prior to May 1, 2017 and you do not make any additional purchase payments or transfer requests after
the change in investment restrictions, the revised investment restrictions will not apply to you. The Fixed
Accumulation Account is not an available investment option with any GLWB or GPP (2012) riders applied for on or after
October 1, 2012. Your purchase payments and Contract Value must be allocated in compliance with the following restrictions:
(1)
at least 25% must be allocated to investment options included in Category 1; provided,
however, that you may not allocate more than 50% of your total purchase payments or Contract Value to
any one investment option within Category 1; and
(2)
no more than 75% may be allocated to investment options included in Category 2; provided,
however, that you may not allocate more than 25% of your total purchase payments or Contract
Value to any one investment option within Category 2.
Beginning March 3, 2017, if you applied for the GLWB Plus, Joint GLWB Plus or GPP
(2012) before October 1, 2012, your purchase payments and Contract Value must be allocated to the investment options in
the Categories listed in Appendix A and in accordance with the restrictions specified below. The revised investment
restrictions will apply to future purchase payments and transfer requests. If you do not make any additional
purchase payments or transfer requests after the change in investment restrictions, the revised investment restrictions
will not apply to you. The Fixed Accumulation Account is not an available investment option with the GLWB Plus, Joint
GLWB Plus or GPP (2012) applied for before October 1, 2012. Your purchase payments and Contract Value must be allocated
in compliance with the following restrictions:
(1)
at least 50% must be allocated to investment options included in Category 1; and
Form 8563
25
(2)
no more than 50% may be allocated to investment options included in Category 2.
GLWB (2012), GLWB (2011) and GLWB
Beginning March 3, 2017, if you selected the GLWB (2012), Joint GLWB (2012), GLWB
(2011), Joint GLWB (2011), GLWB or Joint GLWB, your purchase payments and Contract Value must be allocated to the
investment options in the Categories listed in Appendix A and in accordance with the restrictions specified
below. The revised investment restrictions will apply to future purchase payments and transfer requests. If you
do not make any additional purchase payments or transfer requests after the change in investment restrictions, the new
investment restrictions will not apply to you. The Fixed Accumulation Account is not an available investment option
with the GLWB (2012), Joint GLWB (2012), GLWB (2011), Joint GLWB (2011), GLWB or Joint GLWB. Your purchase payments
and Contract Value must be allocated in compliance with (1) or (2) specified below:
|
(1)
|
100% must be allocated to one of the following portfolios: AVIP Moderately Conservative
Model Portfolio,
AVIP Balanced Model Portfolio or AVIP Moderate Growth Model Portfolio.
|
|
|
or
|
|
|
|
(2)
|
(a)
|
at least 30% must, but no more than 60% may, be allocated to investment options included
in Category
1;
|
|
|
(b)
|
no more than 70% may be allocated to investment options included in Category 2;
|
|
|
(c)
|
no more than 25% may be allocated to investment options included in Category 3; and
|
|
|
(d)
|
no more than 15% may be allocated to investment options included in Category 4.
|
Combo Death Benefit
For the Combo Death Benefit Rider, your purchase payments and Contract Value must
be allocated to the investment options in the Categories listed in Appendix A and in accordance with the restrictions
specified below. The Fixed Accumulation Account is not an available investment option with the Combo Death Benefit.
Your purchase payments and Contract Value must be allocated in compliance with the following restrictions:
(1)
at least 25% must, but no more than 50% may, be allocated to investment options included
in Category 1;
(2)
no more than 75% may be allocated to investment options included in Category 2;
(3)
no more than 25% may be allocated to investment options included in Category 3; and
(4)
no more than 10% may be allocated to investment options included in Category 4.
Additional information
You may allocate purchase payments to the Enhanced dollar-cost averaging (“DCA”) account and transfer amounts out of the account in accordance with the restrictions described above. You may not establish
a DCA program with scheduled transfers from a Fund and comply with these restrictions. See “Scheduled Transfers (Dollar Cost Averaging)” for more details about dollar cost averaging.
Strategies of Certain Funds.
As described above and in Appendix A, if you have any GLWB Preferred I.S., GLWB Plus
or GPP (2012) rider, you may only allocate your purchase payments and Contract Value to a limited subset of the
investment options that are available under the contract if you did not have one of these riders. The Funds available
with these riders, including certain that are advised by an affiliate of ours, employ risk management strategies
that are intended to manage the Fund’s volatility or reduce downside exposure of the Fund during significant market downturns. During rising markets, these strategies may result in your Contract Value rising less than would have been
the case if you had been invested in a Fund without these risk management strategies. If you allocate your Contract Value
to these Funds, your Contract Value may, however, decrease less in a declining market than would have been the case
if you had been invested in Funds without these strategies.
Limiting downside exposure and reducing volatility of these Funds may have the effect
of mitigating the financial risks to which we are subjected by providing the guaranteed benefits under the riders. If these
strategies are successful in limiting downside exposure and reducing volatility, we expect to benefit from a reduction
of the risks arising from our
Form 8563
26
guarantee obligations, to reduce our costs to purchase hedge investments to manage
the risks of our guarantee obligations, and to reduce our regulatory capital requirements associated with our
guarantee obligations. Our interest in reducing loss and the volatility of Contract Values may be deemed to present a
potential conflict of interest with respect to the interest of contract owners. Additionally, these risk management strategies
may also suppress the value of your guaranteed rider benefit that is eligible for periodic benefit step-ups or
resets because your benefit base is available for step-ups or resets only when your Contract Value is higher than your
benefit base.
These Funds are also available investment options under the contract with other riders
or without any riders. For more information about the Funds and the investment strategies they employ, please refer
to the Funds' current prospectuses. For a free copy of the Fund prospectuses, call 888.925.6446.
Transfers.
Any transfer request or change in allocation or rebalance instructions must comply
with the applicable investment restrictions. Any transfer request from one Category to another must result in an
allocation that continues to meet the investment restrictions. If you make a transfer within a Category, you will still
be deemed to have met the investment restrictions, even if your Contract Value has increased beyond the percentage limit.
Please note that a transfer request will not update your purchase payment allocation or rebalance instructions. You must provide us separate instructions to change your purchase payment allocation or rebalance instructions.
Classifications.
We have classified investment options into the Categories in Appendix A based on the fund’s characteristics and our determination of their risk. If a new investment choice is added to your contract,
we will determine which of the Categories, if any, it will be placed in. We may reassess our determination of risk
based on characteristics such as investment objective, strategy or holdings and may change the classification of any
investment option in the individual Categories with advance written notice to you. We may limit the availability of any
asset allocation Model Portfolio or any investment option under the riders. We may apply any changes to future purchase
payments and transfer requests. If an existing investment option becomes unavailable for the allocation of future
purchase payments and you wish to make additional purchase payments, you will need to provide us updated allocation
instructions that comply with the restrictions described above in this section. If a change in classification applies
to future transfer requests, any transfer request you make must comply with the new investment restrictions. If you do not make
any additional purchase payments or transfer requests after a change in classification, the new investment
restrictions will not apply to you. If you fail to provide us with new instructions as described and your allocation of purchase
payments or Contract Value violates the investment restrictions, your rider will be terminated.
Rebalancing.
If you are required to or choose to allocate your purchase payments to individual
investment options described in this section and Appendix A, you must provide us with rebalance allocation instructions
that comply with the Fund Category and percentage limitations described for your rider. On each three-month anniversary
of the date the applicable rider was added, we will rebalance your Contract Value in accordance with your rebalance
instructions.
Termination.
You will not violate the investment restrictions simply because your Contract Value
in the Categories increases or decreases above or below the specified limits. You will violate the investment restrictions
if you allocate purchase payments or Contract Value in a manner not specified above.
●
If you have purchased the GLWB or Joint GLWB, your rider will be terminated if you
violate the restrictions.
●
If you have purchased the GLWB (2012), GLWB Plus or GLWB (2011), your rider will be
terminated if you violate the restrictions. Furthermore if you have purchased the Premium Protection death benefit
rider, Premium Protection Plus death benefit rider, either deferral credit rider or the 8-year guaranteed
principal protection rider, it will also be terminated.
●
If you have purchased the Joint GLWB (2012), Joint GLWB Plus or Joint GLWB (2011),
your rider will be terminated if you violate the restrictions. Furthermore if you have purchased the
Joint Premium Protection death benefit rider or the Joint Premium Protection Plus death benefit rider, it will
also be terminated.
●
If you have purchased the GPP (2012), your rider will be terminated if you violate
the restrictions.
Form 8563
27
●
If you have purchased the Combo Death Benefit, your rider will be terminated if you
violate the restrictions.
If one of these riders is terminated, a prorated annual rider charge will apply. Please see "Optional Death Benefit Riders," "Optional Guaranteed Lifetime Withdrawal Benefit ('GLWB') Riders" and "Optional
Guaranteed Principal Protection ('GPP')" for details.
Mixed and Shared Funding
In addition to being offered to VAA, certain Fund shares are offered to our other
separate accounts for variable annuity contracts and a separate account of AuguStar Life Assurance Corporation for variable
life insurance contracts. Fund shares may also be offered to other insurance company separate accounts and qualified
plans. It is conceivable that in the future it may become disadvantageous for one or more of variable life and variable
annuity separate accounts, or separate accounts of other life insurance companies, and qualified plans to invest
in Fund shares. Although neither we nor any of the Funds currently foresee any such disadvantage, the Board of Directors
or Trustees of each Fund will monitor events to identify any material conflict among different types of owners and
to determine if any action should be taken. That could possibly include the withdrawal of VAA’s participation in a Fund. Material conflicts could result from such things as:
●
changes in state insurance law;
●
changes in federal income tax law;
●
changes in the investment management of any Fund; or
●
differences in voting instructions given by different types of owners.
Voting Rights
We will vote Fund shares held in VAA at Fund shareholders meetings in accordance with
voting instructions received from contract owners. We will determine the number of Fund shares for which you are
entitled to give instructions as described below. This determination will be within 90 days before the shareholders
meeting. Proxy material and forms for giving voting instructions will be distributed to each owner. We will vote Fund
shares held in VAA, for which no timely instructions are received, in proportion to the instructions that we do receive.
There is no minimum number of contract owners required to form a quorum. As a result, a small number of contract
owners may determine the outcome of a vote submitted to the Fund by VAA.
Until annuity payments begin, the number of Fund shares for which you may instruct
us is determined by dividing your Contract Value in each Fund by the net asset value of a share of that Fund as of the
same date. After annuity payments begin, the number of Fund shares for which you may instruct us is determined by dividing
the actuarial liability for your variable annuity by the net asset value of a Fund share as of the same date. Generally,
the number of shares tends to decrease as annuity payments progress.
Changes in Your Contract
Changes in Applicable Law
We reserve the right to change your contract without your consent in order to comply
with any laws and regulations that apply, including but not limited to, changes in the Internal Revenue Code, Treasury
Regulations or in published rulings of the Internal Revenue Service and in Department of Labor regulations.
Any change in your contract must be in writing and made by the President, a Vice President
or the Secretary of AuguStar Life. We will provide you written notice of any contract change and amend this prospectus
as applicable. We may enforce our reservation of rights under this contract in response to our experience
or determination of risk
Risk of Increase in Current Fees and Expenses
Some riders’ fees may be currently charged at less than their maximum amounts. We may increase these expenses up to the maximum amounts. We will provide prior written notice of when we will increase
fees and amend the prospectus as applicable.
Form 8563
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Risk of Contract Termination
Your contract will terminate if your Contract Value is reduced to zero. Your Contract
Value can become zero due to the assessment of contract or rider charges after you have taken partial withdrawals and/or
due to poor market performance. If your Contract Value is reduced to zero, your contract will terminate
unless you have purchased a rider that provides for continuation of benefits and you are in compliance with the rider’s terms for continuation. Please see the “Optional Guaranteed Lifetime Withdrawal Benefit ('GLWB') Riders” section later in this prospectus for more information.
Distribution of Variable Annuity Contracts
The variable annuity contracts are sold by our insurance agents who are also registered
representatives of broker-dealers that have entered into distribution agreements with AuguStar Distributors, Inc. (“ADI”), an affiliate of ours. ADI is the principal underwriter of the contracts. ADI and the broker-dealers
are registered under the Securities Exchange Act of 1934 and are members of the Financial Industry Regulatory Authority.
We pay ADI up to 4.80% of each purchase payment and ADI then pays that to the broker-dealers. The amounts may vary
by broker-dealer. The broker-dealers pay their registered representatives from their own funds. Purchase
payments on which nothing is paid to registered representatives may not be included in amounts on which we pay the sales
compensation to ADI. If our surrender charge is not sufficient to recover the fee paid to ADI, any deficiency
will be made up from our general assets. These include, among other things, any profit from the mortality and expense risk charges. ADI’s principal business address is One Financial Way, Montgomery, Ohio 45242.
Deductions and Expenses
Surrender Charge
Surrenders and Partial Withdrawals.
There is no deduction from purchase payments to pay sales expense. We may assess a
surrender charge if you surrender the contract or withdraw part of its value. If other fees or charges are
being assessed in addition to the surrender charge, we will calculate the surrender charge first. We deduct the surrender
charge from the amount paid to you. We will deduct the surrender charge pro-rata from each investment option included
in the withdrawal. The surrender charge is a percentage of your total purchase payments minus all previous
withdrawals. This percentage varies with the number of years from the date the purchase payments were made (starting
with the first purchase payment) as follows:
|
Years
|
Payment
|
|
1st
|
9%
|
|
2nd
|
8%
|
|
3rd
|
7%
|
|
4th
|
6%
|
|
5th
|
5%
|
|
6th
|
4%
|
|
7th
|
3%
|
|
8th
|
2%
|
|
9th
|
1%
|
|
10th and later
|
0%
|
During each contract year, you may withdraw not more than 10% of the Contract Value
(as of the day of the first withdrawal made during that contract year) without a surrender charge. You may take
this 10% annual free withdrawal in up to 12 installments.
The purpose of this charge is to defray expenses relating to the sale of the contract,
including compensation to broker-dealers or other benefits provided under the contract, cost of sales literature
and prospectuses, and other expenses related to sales activity. If proceeds from surrender charge do not cover
the expected costs of distributing the contracts, any amount paid by us for distribution costs may be paid from our general
account, which may consist, among other things, of proceeds derived from base contract expenses deducted from
the contract.
Form 8563
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Annuitization
We do not assess a surrender charge, under certain circumstances, if you annuitize your contract. See “Annuity Period — Annuity Options” later in this prospectus.
Death Benefit
We do not assess a surrender charge upon any Proceeds paid to a beneficiary upon the
death of the annuitant. See “Death Benefit — How will the Proceeds be paid to the beneficiary?” later in this prospectus.
Withdrawal Fee
We may also charge a withdrawal fee of up to the lesser of 2% of the amount withdrawn
or $15 per withdrawal for withdrawals in excess of 14 in a contract year. This charge is to reimburse us for
administrative processing expenses associated with a withdrawal. We are not currently charging the fee. We will provide
30 days notice prior to assessing a withdrawal fee. We deduct the withdrawal fee from the amount paid to you. We will
deduct the withdrawal fee pro-rata from each investment option included in the withdrawal.
Annual Contract Fee
Each year on the contract anniversary (or when you surrender the contract), we will
deduct an annual contract fee of $30 from the Contract Value, pro-rata from your values in each Fund and the Fixed
Accumulation Account (but not the Enhanced DCA). This helps to repay us for maintaining the contract for contracts under
$50,000. This helps to cover expenses for accounting, auditing, legal, contract owner services, reports to regulatory
authorities and contract owners, contract issue, etc. The account expense charge is not sufficient to cover these expenses
for contracts under $50,000. There is no contract fee for contracts having a value of at least $50,000 at the contract
anniversary. There is no charge after annuity payments begin. We guarantee not to increase the annual contract fee.
Deduction for Account Expense Fee
At the end of each valuation period before annuity payments begin we deduct from your
Contract Value allocated to the subaccounts an amount equal to 0.25% on an annual basis of the Contract Value
allocated to the subaccounts. This deduction reimburses us for amounts not covered by the annual contract fee. Examples
of these are accounting, auditing, legal, contract owner services, reports to regulatory authorities and contract
owners, contract issue, etc.
Deduction for Mortality and Expense Risk Fee
We guarantee that, until annuity payments begin, the contract’s value will not be affected by any excess of sales and administrative expenses over the deductions for them. We also guarantee to pay a death
benefit if the annuitant dies before annuity payments begin. After annuity payments begin, and except in the instance of the annuitant’s death, we guarantee that variable annuity payments will not be affected by adverse mortality
experience or expenses.
For assuming these risks, when we determine the accumulation unit values and the annuity
unit values for each subaccount, we make a deduction from the applicable investment results equal to 1.45%
of the Contract Value on an annual basis allocated to the subaccounts. We may decrease that deduction at any time
and we may increase it not more often than annually to not more than 1.45% on an annual basis. We may discontinue
this limitation on our right to increase the deduction up to 1.45%. The mortality and expense risk charge is an indivisible
whole of the amount currently being deducted. However, we believe that a reasonable allocation would be
0.80% for mortality risk, and 0.65% for expense risk. We hope to realize a profit from this charge. However there
will be a loss if the deduction fails to cover the actual risks involved.
Charges for Optional Benefits
There is an additional annual charge if you choose an optional benefit. See the individual
discussion of each rider later in this prospectus for details on the riders and the amounts upon which the charges are
based. The additional charge is made on each contract anniversary and will be deducted from your Contract Value. (For
contracts issued in Washington and North Carolina, there are limitations on certain rider charges being deducted
from the fixed accumulation account.) The charges for optional benefits are to compensate us for the risks of the underlying
guarantees provided by the riders. The optional benefits are not currently available, and some were not available in
all states. We reserve the right to terminate or modify these benefits for new contracts at any time.
Form 8563
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If you choose one of the optional death benefit riders described under “Death Benefit,” those annual charges are the following percentages of the optional death benefit amounts:
|
Annual Stepped-Up Death Benefit
|
0.25%
|
|
Combo Death Benefit
|
1.50%
|
|
(currently 0.65% annually; assessed 0.1625% quarterly)
|
(maximum charge)
|
|
Premium Protection or Joint Premium Protection death benefit at issue ages through
70
|
0.10%
|
|
Premium Protection or Joint Premium Protection death benefit at issue ages 71 through
75
|
0.25%
|
|
Premium Protection Plus or Joint Premium Protection Plus death benefit
|
0.90%
|
|
(currently 0.45%)
|
(maximum charge)
|
|
5% GMDBR80 Plus
|
0.45%
|
If you choose the GEB, as described under “Death Benefit,” the annual charge is the following percentage of your Contract Value on the contract anniversary:
|
GEB at issue ages through 70
|
0.15%
|
|
GEB at issue ages 71 through 75
|
0.30%
|
|
GEB “Plus” at issue ages through 70
|
0.30%
|
|
GEB “Plus” at issue ages 71 through 75
|
0.60%
|
If you choose a GPP rider, the annual charge is the following percentage of your average
guaranteed principal amount at the beginning and the end of the contract year as described under “Optional Guaranteed Principal Protection (“GPP”)”:
|
GPP (2012) (applied for on or after November 16, 2015)
|
1.30%
|
|
(currently 0.65%)
|
(maximum charge)
|
|
GPP (2012) (applied for before November 16, 2015)
|
0.90%
|
|
(currently 0.45%)
|
(maximum charge)
|
|
GPP
|
0.55%
|
If you choose one of the GLWB riders, the annual charge is the following percentage
of your GLWB base as described under “Optional Guaranteed Lifetime Withdrawal Benefit (‘GLWB’) Riders:”
|
GLWB Plus*
|
2.00%
|
|
(currently 1.05%)
|
(maximum charge)
|
|
Joint GLWB Plus**
|
2.50%
|
|
(currently 1.35%)
|
(maximum charge)
|
|
GLWB (2012)
|
2.10%
|
|
(currently 1.05%)
|
(maximum charge)
|
|
Joint GLWB (2012)
|
2.70%
|
|
(currently 1.35%)
|
(maximum charge)
|
|
GLWB (2011)
|
2.00%
|
|
(currently 0.95%)
|
(maximum charge)
|
|
Joint GLWB (2011)
|
2.40%
|
|
(currently 1.20%)
|
(maximum charge)
|
|
GLWB
|
2.00%
|
|
(currently 0.95%)
|
(maximum charge)
|
|
Joint GLWB
|
2.00%
|
|
(currently 1.05%)
|
(maximum charge)
|
Form 8563
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*
Charge is 1.05% for riders applied for on or after May 1, 2013. For other riders,
charge is 0.95%.
**
Charge is 1.35% for riders applied for on or after May 1, 2013. For other riders,
charge is 1.25%.
Transfer Fee
We may charge a transfer fee of $10 for each transfer of values from one or more subaccounts
to other subaccounts for transfers in excess of 12 in a contract year. Only one charge is assessed for transfers
out of any one subaccount, even if the transfer is to multiple subaccounts. The fee is charged pro rata against the subaccounts
from which the transfer is made. We are not currently charging this fee. This charge is to reimburse us for administrative
processing expenses associated with a transfer. Other restrictions may apply to transfers. See “Transfers among Subaccounts” below.
Deduction for State Premium Tax
Depending on your state, a premium tax or some similar charge may be levied based
on the amount of your annuity purchase payments. We will deduct from your Contract Value the amount of any applicable
premium taxes or similar assessment charged by any state or other governmental entity. While the rates are
subject to change, the range for the premium tax is currently between 0.0% and 5.0%. If a charge is assessed, we will deduct
that amount from your Contract Value at the time the contract is surrendered, at the time you annuitize,
or at such earlier time that we may become subject to the premium tax. We may also deduct the premium tax from any death
benefit proceeds.
Fund Expenses
There are deductions from, and expenses paid out of, the assets of the Funds. These
are described in the Fund prospectuses. The value of the assets in VAA will indirectly reflect the Funds’ total fees and expenses. The Funds’ total fees and expenses are not part of the contract and may vary from year to year. Deductions
for fund expense continue after annuity payments begin for the amounts which are allocated to a Fund. See Appendix
A for a list of the Funds available under the contract, including their annual expenses.
Description of Variable Annuity Contracts
Free Look
You may revoke the contract at any time until the end of 10 days after you receive
it (or such longer period as may be required by your state law) and get a refund of the Contract Value (minus any extra
units credited) as of the date of cancellation. Our recapture of the extra units credited to your contract may result
in your receiving less than the original amount invested if market performance has been negative at the time the free look
request is processed. To revoke, you must return the contract to us within the free look period. We must receive your
contract at our home office (the address listed on the first page of the prospectus) by 4:00 p.m. Eastern time on the
last day of the free look period. In some states, we are required to return the greater of purchase payments received during
the free-look period or Contract Value as of the Valuation Period the request for free-look is received by
our Home Office. For contracts issued in such states, we reserve the right to allocate all purchase payments received during
the free-look period to the Fidelity® VIP Government Money Market Portfolio. On the next Valuation Period after the expiration of the free-look period, we will allocate your assets in the Fidelity® VIP Government Money Market Portfolio to your requested investment options. We are currently not allocating purchase payments to the Fidelity® VIP Government Money Market Portfolio during the free-look period, but reserve the right to do so with prior notice
provided to contract owners. If you are a California resident 60 years old or older and at the time you apply for your
contract you elect to receive a return of your purchase payments if you exercise your free look, any purchase payments to be
allocated to variable Funds will first be allocated to the Fixed Accumulation Account until the end of the free look
period. If you are a California resident 60 years old or older and you do not elect to receive a return of your purchase payment,
you will receive a refund of your Contract Value if you exercise your free look. For IRAs, you may get a refund
of the greater of your purchase payments or the current Contract Value. We deem you to receive the contract and the
free look period to begin five days after we mail your contract to you.
Accumulation Period
Purchase Payments
The minimum initial purchase payment is $5,000 ($2,000 for IRAs). You may make additional
payments of at least $500 at any time ($300 for payroll deduction plans; $100 for electronic payments). (If
you purchased your contract in Oregon prior to May 1, 2016, you may not make additional purchase payments.)
Form 8563
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We currently limit your total purchase payments to $3,000,000. We reserve the right
to limit your total purchase payments to the lesser of the following:
(a)
for any one contract, the lesser of 150% of your initial purchase payment (for example,
$7,500 if your initial purchase payment was $5,000) or $1,000,000; and
(b)
for all our variable annuities sold to you, or covering the life of the annuitant,
$1,000,000.
We will provide you prior written notice before we enforce the limits in (a) or (b)
above.
If the check for your payment is dishonored, you will be liable to us for any changes
in the market value between the date we receive your check and the date we are notified that the payment was dishonored.
We reserve the right to require company approval prior to accepting purchase payments
in excess of the above limits. We reserve the right to not allow any additional purchase payments or to limit additional
purchase payments if you have purchased the Premium Protection rider, Joint Premium Protection rider, Premium
Protection Plus rider, Joint Premium Protection Plus rider, any GLWB or GPP (2012). If you purchase one of these
riders, we currently limit total purchase payments to $3,000,000. Please see the descriptions of the riders later in
this prospectus.
Extra Credit
We credit (from our general account) an extra amount to your contract each time you
make a purchase payment. You will receive a 4% credit on the first $250,000 of purchase payments you make to your
contract. Once your purchase payments exceed $250,000 to this contract, you will receive a 5% credit on the amount
which exceeds $250,000. However, if your purchase payments for this contract exceed $250,000 during the first
contract year, then you will receive a 5% credit for all purchase payments made during the first year. We allocate
your extra credits pro rata to the subaccounts of VAA and to the Fixed Accumulation Account in the same ratio as the
purchase payments. We are able to pay this extra credit because (a) the contract’s surrender charge is higher than that of other similar contract that do not provide an extra credit, and (b) the sales representative receives a lower commission
for selling this contract than for other similar contracts that do not provide an extra credit. AuguStar Life will profit
to the extent revenues, if any, from higher surrender charges (paid only by those who surrender or withdraw money from
the contract within nine years after their purchase payment) might exceed the amount of extra credits.
Extra credits are not part of the amount you will be paid if you use the free look
option. We may not credit extra amounts on purchase payments you make within one year of a free withdrawal to the
extent those purchase payments are less than the amount you withdrew. Extra credits within one year of death are
not included in amounts payable for death benefits. Extra credits within one year of a stepped-up death benefit are not
included in the increased death benefit amount. Extra credits within one year of your confinement remain part of your
Contract Value, but they will not be included in amounts we pay under the Nursing Facility Confinement benefit. While
extra credits are normally beneficial, you could be slightly worse off for having received an extra credit if
the full amount of the credit is recaptured when there is negative investment performance:
●
during the period prior to exercise of free look rescission rights; or
●
during the period (of no more than one year) between an extra credit and recapture
of that credit upon payment of nursing facility confinement or death benefits if, and to the extent that, the
loss on such a recapture exceeded prior extra credits and gains thereon
Extra Credits that we recover if you
●
exercise your free look option,
●
are paid a death benefit (including stepped-up death benefits),
●
are paid a Nursing Facility Confinement benefit, or
●
annuitize your contract within two years of the date your contract is issued (generally
for contracts applied for on or after May 1, 2016)
will not exceed the maximum sales load that would apply to a normal surrender on that
date.
We do not consider extra credits to be purchase payments or to be “investment in the contract” as described in Federal Tax Status.
Accumulation Units
Until the annuity payout date, the Contract Value is measured by accumulation units.
As you make each purchase payment, we credit units to the contract (see Crediting Accumulation Units). The number
of units remains constant between purchase payments but their dollar value varies with the investment results
of each Fund to which payments are allocated.
Form 8563
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Crediting Accumulation Units
Your registered representative will send an order or application, together with the
first purchase payment, to our home office for acceptance. We may enter into arrangements with certain broker-dealers
whereby submission of the completed application and first purchase payment to the broker-dealer will be credited
and deemed accepted by us on the date received by them. Such arrangements are at our sole discretion and approved
by our Board of Directors. Before entering into such arrangements, we first must ensure that the broker-dealer has adequate
compliance controls in place to prevent applications received after the cut-off time (usually 4:00 p.m. Eastern
time) from being submitted to us for issuance as if received before the cut-off time.
Upon acceptance, we issue a contract and we credit the first purchase payment to the
contract in the form of accumulation units. If all information necessary for issuing a contract and processing
the purchase payment is complete, we will credit your first purchase payment within two business days after receipt.
If we do not receive everything necessary to make the application in good order within five business days, we will
return the purchase payment to you immediately unless you specifically consent to having us retain the purchase payment
until the necessary information is completed. After that, we will credit the purchase payment within two business days.
Unless otherwise prohibited by law, no contract is effective until the purchase payment
is received and the contract is issued during the lifetime of the annuitant. If the annuitant dies before the contract
is issued and we are not notified at our home office of the annuitant’s death, our sole obligation is to return the Contract Value to you or your estate upon notice and proof of the death of the annuitant.
You must send any additional purchase payments directly to our home office. They will
then be applied to your contract according to your allocation instructions to provide that number of accumulation units
(for each subaccount) determined by dividing the amount of the purchase payment by the unit value next computed
after we receive the payment at our home office. Except as detailed in the paragraph above, payments received
after 4 p.m. (Eastern time) at our home office on a valuation period (earlier when the New York Stock Exchange
closes early) will be priced at the next calculated unit value. If you have not provided allocation instructions, we will
treat that purchase payment as not in good order until such time as we receive valid instructions.
Allocation of Purchase Payments
You may allocate your Contract Values among up to 18 investment options including
the variable subaccounts of VAA and to the Fixed Accumulation Account (if available). We reserve the right to
limit your allocation of purchase payments to no more than 10 of the available investment options. We will provide you
prior written notice before we will limit you to no more than 10 investment options. The amount you allocate to any
Fund or to the Fixed Accumulation Account must equal a whole percent. You may change your allocation of future purchase
payments at any time by sending written notice to our home office. Changes in allocation of purchase payments
are not deemed effective until received by us at our home office. You may be subject to restrictions on allocations
if you purchase certain optional riders. Please see “Investment Restrictions for Certain Optional Riders” for more information.
Accumulation Unit Value and Accumulation Value
We set the original accumulation unit value of each subaccount of VAA for these contracts
at the beginning of the first valuation period for each such subaccount. We determine the unit value for any later
valuation period by multiplying the unit value for the immediately preceding valuation period by the net investment
factor (described below) for such later valuation period. We determine a contract’s value by multiplying the total number of units (for each subaccount) credited to the contract by the unit value (for such subaccount) for the current valuation
period and adding to that any amount in the Fixed Accumulation Account or in a Dollar Cost Averaging Account.
Net Investment Factor
The net investment factor measures the investment results of each subaccount. The
investment performance and expenses of each Fund, and the deduction of contract charges, affect daily changes in the subaccounts’ accumulation unit values. The net investment factor for each subaccount for any valuation period
is determined by dividing (a) by (b), then subtracting (c) from the result, where:
(a) is:
(1)
the net asset value of the corresponding Fund share at the end of a valuation period,
plus
Form 8563
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(2)
the per share amount of any dividends or other distributions declared for that Fund if the “ex-dividend” date occurs during the valuation period, plus or minus
(3)
a per share charge or credit for any taxes paid or reserved for the maintenance or
operation of that subaccount; (No federal income taxes apply under present law.)
(b) is the net asset value of the corresponding Fund share at the end of the preceding
valuation period; and
(c) is the deduction for administrative and sales expenses and risk undertakings.
Surrender and Withdrawal
Before annuity payments begin you may surrender (totally withdraw the value of) your
contract, or withdraw part of the Contract Value (at least $300). If you take withdrawals via electronic funds transfer,
you may withdraw less than $300. You must make all surrender or withdrawal requests by providing Notice to us.
The surrender charge may then apply. That charge is taken from the total amount withdrawn.
Unless you specify otherwise, the withdrawal will be made pro-rata from your values
in each Fund. The amount you may withdraw is the Contract Value less any surrender charge and any premium tax charge
that may apply. In the case of a surrender, we subtract any contract administration charge. We will pay you within
seven days after we receive your request. However, we may defer payment of Fixed Accumulation Account values as described
below. Surrenders and withdrawals are limited or not permitted in connection with certain retirement plans
as discussed in "Qualified Pension or Profit-Sharing Plans". For possible tax consequences of a surrender or withdrawal, see “Federal Tax Status” below.
If you request a surrender or withdrawal which includes Contract Values derived from
purchase payments that have not yet cleared the banking system, we may delay mailing the portion relating to such
payments until your check has cleared.
Your right to withdraw may be suspended or the date of payment postponed:
(1)
for any period during which the New York Stock Exchange is closed (other than customary
weekend and holiday closings) or during which the Commission has restricted trading on the Exchange;
(2)
for any period during which an emergency, as determined by the Commission, exists
as a result of which disposal of securities held in a Fund is not reasonably practical, or it is not reasonably practical
to determine the value of a Fund’s net assets; or
(3)
such other periods as the Commission may order to protect security holders.
If your Contract Value is reduced to zero, your contract will terminate unless you
have purchased a rider that provides for continuation of benefits and you are in compliance with the rider’s terms for continuation. Certain riders permit you to take withdrawals in an amount less than $500 and for amounts that will reduce your
contract below the contract minimum. Please see the “Optional Guaranteed Lifetime Withdrawal Benefit (“GLWB”) Riders” section later in this prospectus for more information.
Transfers among Subaccounts
You may transfer Contract Values from one or more Funds to one or more other Funds.
You may make transfers at any time before annuity payments begin. The amount of any transfer must be at least $300
(or the entire value of the contract’s interest in a Fund, if less). Not more than 20% of a contract’s Guaranteed Account value (or $1,000, if greater) as of the beginning of a contract year may be transferred to variable Funds during
that contract year.
We may limit the number, frequency, method or amount of transfers. We may limit transfers
from any Fund on any one day to 1% of the previous day’s total net assets of that Fund if we or the Fund in our discretion, believe that the Fund might otherwise be damaged. In determining which requests to honor, scheduled transfers
(under a DCA program) will be made first, followed by mailed written requests in the order postmarked and, lastly,
telephone, facsimile and other electronic requests in the order received. This policy will be applied uniformly without
exception. We will notify you if your requested transfer is not made. Current SEC rules preclude us from processing
at a later date those requests that were not honored. Accordingly, you would need to submit a new transfer request in
order to make a transfer that was not honored because of these limitations.
Form 8563
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Certain third parties may offer you investment management services for your contract.
We will honor transfer requests from these third parties only if you give us a written authorization to do so. Fees
you pay for such other services are in addition to any contract charges.
We discourage excessive trading and market timing through your contract. Excessive
trading into and out of the portfolios can disrupt portfolio investment strategies and increase the portfolios’ operating expenses. In addition, excessive trading lowers overall portfolio performance for long term investors, prevents
portfolio managers from taking timely advantage of investment opportunities, and creates liquidity risks for the
portfolios. The contract and the underlying portfolios are not designed to accommodate excessive trading practices.
We and the portfolios reserve the right, in our sole discretion, to restrict or reject purchase and exchange orders
which we believe represent excessive or disruptive trading. Listed below are some, but not necessarily all the steps we may
take to discourage excessive trading and market timing.
The first time the contract owner is determined to have traded excessively, we will
notify the contract owner in writing that his or her contract will be monitored for additional transactions in excess of
the established limits and such subsequent activity may result in suspension of electronic transfer privileges and/or
suspension of all transfer privileges. The established limits are determined internally as a protection against
frequent trading and are not disclosed in the prospectus or other otherwise made public.
Upon the second instance of excessive trading, the contract owner will be advised
that his or her electronic transfer privileges have been suspended and that all transfer requests must be submitted in
writing and delivered via U.S. mail.
Upon the third instance of excessive trading, we will suspend some, or all transfer
privileges. The contract owner will be informed in writing of the denial of future transfer privileges. If a contract owner
decides to surrender the contract following suspension of transfer privileges, the contract owner will incur the resulting
surrender charge, if any.
We may, in our sole discretion take any contract off of the list of monitored contracts,
or restore suspended transfer privileges if we determine that the transactions were inadvertent or were not done
with the intent to market time. Otherwise, all of our policies related to excessive trading and market timing as described
in this section will be applied to all contract owners uniformly and without exception. Other trading activities may
be detrimental to the portfolios. Therefore, we may place a contract on the list of monitored contracts despite the
fact the contract owner has not exceeded the established transfer limits. You may be deemed to have traded excessively
even if you have not exceeded the number of free transfers permitted by your contract.
Some of the factors we may consider when determining whether or not to place a contract
on the list of monitored contracts may include, but not be limited to:
●
The number of transfers made in a defined period;
●
The dollar amount of the transfer;
●
The total assets of the portfolios involved in the transfer;
●
The investment objectives of the particular portfolios involved in your transfers;
and/or
●
Whether the transfer appears to be a part of a pattern of transfers to take advantage
of short-term market fluctuations or market inefficiencies.
Contract owners who have not engaged in market timing or excessive trading may also
be prevented from transferring Contract Values if we, or the portfolios, believe that an intermediary associated with the contract owner’s account has otherwise been involved in market timing or excessive trading on behalf of other contract
owners. Likewise, contract owners who have not engaged in intentional market timing or engaged in intentional
disruptive or excessive trading may have their transfers rejected or their transfer privileges suspended if their
trading activity generates an exception report in our transfer monitoring systems.
Contract owners seeking to engage in excessive trading practices may deploy a variety
of strategies to avoid detection, and there is no guarantee that we or the portfolios will be able to identify such
contract owners or curtail their trading practices. Our ability and the ability of the portfolios to detect and curtail excessive
trading practices may also be limited by operational systems and technology limitations. In addition, because the portfolios
receive orders from omnibus accounts, which is common among funds offering portfolios to insurance companies offering
variable products, the portfolios may not be able to detect an individual’s excessive trading practices through these omnibus accounts. If we are unable to detect those contract owners engaging in market timing and/or excessive
trading, the previously mentioned harm associated with excessive trading (lower portfolio performance, liquidity
risks, increased portfolio expenses, etc.) may occur.
Form 8563
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We may alter or amend this policy as required to comply with state or federal regulations
and such regulations may impose stricter standards than currently adopted by us or the portfolios.
Pursuant to rules adopted by the Securities and Exchange Commission, we are required
to enter into agreements with the Funds which require us to provide the Funds, upon their request, with certain
information including taxpayer identification numbers of contract owners and the amounts and dates of any purchase,
redemption, transfer or exchange requests by contract owners. We are also required to restrict or prohibit
further purchases or exchange requests into the Funds by a contract owner upon instruction from the Funds.
Effective Time for Purchase, Transfer or Redemption Orders
Orders to purchase, redeem or transfer units received after the close of the New York
Stock Exchange, typically 4:00 p.m. (Eastern time) on a valuation period (earlier on those days when the New
York Stock Exchange closes early) will not become effective until the next business day.
However, we may enter into arrangements with certain broker-dealers whereby orders
to purchase accumulation units (either through an initial purchase or subsequent purchase payments to an existing
contract) will be credited and deemed accepted by us on the date received by them. Such arrangements are at our sole
discretion and approved by our Board of Directors. Before entering into such arrangements, we will first ensure
that the broker-dealer has adequate compliance controls in place to prevent orders to purchase units received
after the cut-off time (usually 4:00 p.m. Eastern time) from being credited as if received before the cut-off time.
Electronic Access
If you give us authorization, your contract and unit values and interest rates can
be checked by telephoning us at 888.925.6446, or by accessing our web site at augustarfinancial.com. You may also
request transfers or make allocation changes on our web site. You may only make one electronic, facsimile or telephone (collectively, “electronic”) transfer request per day.
We will honor pre-authorized electronic transfer instructions from anyone who provides
the personal identifying information requested. We will not honor electronic transfer requests after we receive
notice of your death. For added security, we send the contract owner a written confirmation of all electronic transfers
on the next business day. However, if we cannot complete a transfer as requested, our customer service representative
will contact the owner in writing sent within 48 hours of the electronic request. You may think that you have limited this access to yourself, or to yourself and your representative. However, anyone giving us the necessary identifying
information can use electronic access once you authorize it.
Please note that telephone and/or other means of electronic communication may not
always be available. Any telephone or electronic device, whether it is yours, your service provider’s, your agent’s or ours can experience inaccessibility, power outages or slowdowns for a variety of reasons. These periods
of inaccessibility may delay or prevent our receipt and processing of your requests. Although we have taken precautions
and have emergency contingency plans to limit these problems, we cannot promise complete reliability
under all circumstances. If you experience such problems, you should make your transfer request by writing to our
home office.
We reserve the right to limit or restrict electronic access in any form at any time
as to any contract owner.
Scheduled Transfers (Dollar Cost Averaging)
We administer a Dollar Cost Averaging (“DCA”) program enabling you to preauthorize automatic monthly or quarterly transfers of a specified dollar amount from the Fixed Accumulation Account or the
Funds to any of the other subaccounts. There is no charge for participating in a DCA program. Each transfer
under the DCA program must be at least $300. For a DCA program from a Fund, at least 12 transfers must be scheduled.
For a DCA program from the Fixed Accumulation Account, at least three transfers must
be scheduled. The DCA program is only available to contracts having a total accumulation value of at least $3,600.
No transfer fees will be incurred for DCA transfers and they do not count against the 12 free transfers allowed each contract
year. Unless you have a rider with investment restrictions, a DCA program may be made with transfers from Funds or the Fidelity® VIP Government Money Market Portfolio to any other Funds at any time during the contract.
A DCA program with transfers from the Fixed Accumulation Account to any other Funds
may be made if the DCA program is established at the time the contract is issued, and the DCA program is
scheduled to begin within 6 months of the time you make purchase payments from which DCA transfers will be made. A DCA program
from the Fixed Accumulation Account may not exceed 2 years.
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DCA generally has the effect of reducing the risk of purchasing at the top of a market
cycle by reducing the average cost of indirectly purchasing Fund shares through the subaccounts to less than the average
price of the shares on the same purchase dates. DCA transfers from the Fixed Accumulation Account or from a Fund with
a stabilized net asset value, such as the Fidelity® VIP Government Money Market Portfolio, will generally reduce the average total cost of indirectly purchasing Fund shares because greater numbers of shares will be purchased when the
share prices are lower than when prices are higher. However, DCA does not assure you of a profit, nor does it
protect against losses in a declining market. In addition, in a rising market, DCA will produce a lower rate of return than
will a single up-front investment.
The DCA program may be discontinued at any time by you as long as we receive notice
of the cancellation at least 7 business days before the next scheduled transfers. We reserve the right to not offer
the DCA program to new contracts in the future. Upon prior written notice, we may discontinue providing the DCA program
to existing contracts that are not currently enrolled in a DCA program.
Enhanced DCA Account. We currently offer the Enhanced DCA program for initial purchase payments (or additional
purchase payments of $3,600 or greater) which are allocated to the Enhanced DCA account
that provides a fixed interest rate that is higher than the rate being credited to the Fidelity® VIP Government Money Market Portfolio. The Enhanced DCA account is a subset of our general account. The Enhanced DCA program
is the same as the DCA program except as described in this section. The Enhanced DCA program requires the purchase
payment be fully transferred from the account within specified periods of time. Each DCA transfer must be at least
$300. An Enhanced DCA program can be discontinued at any time by you as long as we receive notice of the cancellation
at least 7 business days before the next scheduled transfer. Terminating this program will result in all remaining
funds transferred to the subaccounts of your choice or to the Fixed Accumulation Account. We reserve the right to not offer
the Enhanced DCA program to new contracts in the future. Upon prior written notice, we may discontinue providing
the Enhanced DCA program for additional purchase payments.
Portfolio Rebalancing
You may have us automatically transfer amounts on a quarterly, semi-annual or annual
basis to maintain a specified percentage (whole percentages only) of Contract Value in each of two or more designated
Funds. The purpose of a portfolio rebalancing strategy is to maintain, over time, your desired allocation
percentage in the designated Funds having differing investment performance. Portfolio rebalancing will not necessarily
enhance future performance or protect against future losses.
There is no charge for participating in portfolio rebalancing, and the transfer charge
does not apply to portfolio rebalancing transactions. These transactions do not count against the 12 free transfers
you are allowed each contract year. You may not have portfolio rebalancing for any Funds that are part of a DCA
program.
Nursing Facility Confinement
We will not assess a surrender charge if the annuitant is confined (generally, for
contracts applied for prior to May 1, 2016, if you are confined) to a state licensed or legally operated hospital or in-patient
nursing home facility for at least 30 consecutive days. Extra units credited within one year before your confinement
are not included in amounts we will pay under this benefit. This waiver of the surrender charge is not available in New
Jersey and Massachusetts, and terms may vary based on application or issue date. Contact us or your registered representative
for more information. Generally for contracts applied for on or after May 1, 2016, it only applies when:
●
the contract was issued before the annuitant’s 80th birthday; and
●
we receive the request for withdrawal, together with proof of the confinement, at
our home office while the annuitant is confined or within 90 days after discharge from the facility, or if you
can show it was not reasonably possible to provide proof within such time, you provide such proof as soon as possible;
provided, however, except in the absence of legal capacity you must provide the proof within a year of such time.
For contracts applied for before May 1, 2016, it only applies when:
●
the confinement begins after the first contract anniversary and before annuity payments
begin;
●
the contract was issued before your 80th birthday; and
●
we receive the request for withdrawal, together with proof of the confinement, at
our home office while you are confined or within 90 days after discharge from the facility, unless otherwise agreed
to by us.
Form 8563
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Death Benefit
Death Benefit
Basic Death Benefit
What does the beneficiary receive upon death of the annuitant before the annuity payout
date?
If the annuitant dies before the annuity payout date, your contract provides for the
beneficiary to receive Proceeds from the contract. The Proceeds equal (i) the Contract Value and (ii) any Death Benefit
Adjustment, on the calculation date as described below. After the annuity payout date, unless a rider provides otherwise,
your contract will no longer qualify for any Death Benefit Adjustment upon the death of the Annuitant.
What is the amount of the Death Benefit Adjustment?
The Death Benefit Adjustment is equal to the difference, if any, between the highest
guaranteed death benefit amount and the Contract Value as of the calculation date as described below. The Death Benefit
is used solely to calculate the Death Benefit Adjustment and is not an amount paid to the beneficiary.
The Death Benefit is the greatest of: (i) the total Contract Value (ii) net purchase
payments less pro-rata withdrawals ; or (iii) the stepped-up Death Benefit amount (as described in the paragraph below) if
the contract has been in effect for at least 8 years, unless one of the riders added to your contract provides for a higher
death benefit.
For the 8-year period beginning on the eighth contract anniversary, the stepped-up
Death Benefit will be the greater of (i) the Contract Value as of the eighth anniversary or (ii) net purchase payments
less pro-rata withdrawals made on or before the eighth anniversary. For example, if (i) your initial purchase payment was
$100,000; (ii) you make no additional purchase payments or take any withdrawals, and (iii) on your eighth contract
anniversary, your Contract Value was $115,000, your Death Benefit will be set equal to $115,000.
At the beginning of each later 8-year period, the stepped up Death Benefit will be
the greater of (i) the Contract Value on that date or (ii) the death benefit as of the last day of the preceding 8-year
period adjusted for any payments or withdrawals. The stepped-up Death Benefit amount is increased by purchase payments
and decreased pro-rata by withdrawals made during each 8-year period after the eighth anniversary. Generally,
for contracts applied for on or after May 1, 2016, your Death Benefit is not eligible for a step-up under this provision
once the annuitant is 85 years old. Therefore, if you purchase this contract when the annuitant is 77 years old or older,
your Death Benefit will not be eligible for any step-up under this provision. For contracts applied for before May
1, 2016, your Death Benefit is not eligible for a step-up under this provision once the annuitant is 90 years old. Variations
apply based on state of issue and application or issue date. Contact us or your registered representative for more information.
For purposes of the paragraphs above, “net purchase payments” means your total purchase payments less an amount for any applicable premium tax or similar state or local tax. “Pro rata withdrawals” mean an adjustment for any amounts you have withdrawn from the contract based on the percentage reduction to
the total Contract Value which resulted from the withdrawal.
If the Contract Value is equal to or greater than the Death Benefit on the calculation
date as described below, then there is no Death Benefit Adjustment that will be added to the Proceeds. If the Contract
Value is less than the Death Benefit on the calculation date as described below, then there is a Death Benefit Adjustment
that will be added to the Proceeds. See the examples below.
When are Contract Value and Death Benefit Adjustment calculated for purposes of this
section?
The Contract Value is calculated as of the date that we receive proof of the annuitant’s death and satisfactory instruction from the beneficiary for the disposition of the contract.
The Death Benefit Adjustment is calculated as of the earlier of: (i) the date we are in receipt of proof of the annuitant’s death; or (ii) 90 days from the date of the annuitant’s death.
Examples of Death Benefit Adjustment calculation:
If the Contract Value on date of the Death Benefit Adjustment calculation is $100,000
and the Death Benefit is $85,000, then there is no Death Benefit Adjustment.
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If the Contract Value on date of the Death Benefit Adjustment calculation is $85,000
and the Death Benefit is $100,000, then the Death Benefit Adjustment is $15,000 ($100,000 Death Benefit minus $85,000
Contract Value). $15,000 is added to the Fidelity® VIP Government Money Market Portfolio until satisfactory instructions are received from the beneficiary as to settlement of the contract or the beneficiary gives us different
investment instructions. If the Contract Value is $60,000 when we receive satisfactory instructions to settle the contract,
then the beneficiary will receive $75,000 ($15,000 + $60,000). If the Contract Value is $120,000 when we receive satisfactory
instructions, then the beneficiary will receive $135,000 ($15,000 + $120,000).
Where are the Proceeds invested before being paid out to a beneficiary?
From the date of the annuitant’s death until the Proceeds are paid to the beneficiary, unless the beneficiary elects to change the subaccount allocations, the Contract Value will remain invested in the
subaccounts selected by the owner. If we have not yet received the required documents necessary to pay the Proceeds to the
beneficiary, the amount equal to the Death Benefit Adjustment is added to the contract in the Fidelity® VIP Government Money Market Portfolio.
What are the consequences of any change in the Contract Value before the Death Benefit
Adjustment is calculated?
The beneficiary may decide to reallocate the Contract Value to different subaccounts
in an effort to minimize the risk of market fluctuation. If the beneficiary elects to change the subaccount allocations
before the date that the Death Benefit Adjustment is calculated, then any resulting change in Contract Value will have an
impact on the Death Benefit Adjustment amount when it is calculated.
What are the consequences of any change in the Contract Value after the Death Benefit
Adjustment is calculated?
Any change in the Contract Value, including, but not limited to market fluctuation,
after the effective date of the Death Benefit Adjustment, and before we distribute the contract Proceeds, will affect the
amount to be paid to the beneficiary. If the Contract Value increases or decreases, the amount of the Proceeds
will be correspondingly increased or decreased. As such, the actual amount paid upon disposition of the contract may
be more or less than the highest Death Benefit provided under your contract or optional riders.
How will the Proceeds be paid to the beneficiary?
The Proceeds will be paid to the beneficiary in a single sum unless you or the beneficiary(ies)
elect settlement under one or more settlement options. If there are multiple beneficiaries and the owner has
not selected a settlement option, all the beneficiaries must agree on a settlement option or the payout value will be paid
in lump sums to all of them proportionally. We must receive all required documentation or forms (for example,
the claim form and certified death certificate) from all beneficiaries before the Proceeds will be distributed. (Please
contact us at 888.925.6446 for more information about the documentation and forms we require.) If we are unable to locate
one of the beneficiaries, we will provide written notice to his or her last known address. If he or she does not respond
to us within 30 days, his or her portion of the Proceeds will revert to the state as unclaimed property. We do not
assess a surrender charge on any Proceeds paid to a beneficiary. A spouse who elects to continue the contract will
not be assessed a surrender charge on the Proceeds, but will be assessed a surrender charge in accordance with the “Surrender Charge” provision of this prospectus on any additional purchase payments that the spouse makes to the contract.
Unless otherwise designated by the contract owner before the date of annuitant’s death, the beneficiary may elect one of the following settlement options:
(1)
Five Year Continuance — Beneficiary may elect to receive the Proceeds over a period of five years or less from the date of the annuitant’s death. All Proceeds must be liquidated within the five year period that begins on the date of the annuitant’s death.
(2)
Ten Year Continuance — Beneficiary may elect to receive the Proceeds over a period of ten years or less from the date of the annuitant’s death. All Proceeds must be liquidated within the ten year period that begins on the date of the annuitant’s death. If the annuitant had reached the Required Beginning Date (“RBD”) for required minimum distributions prior to his or her death, Beneficiary must also receive
a portion of the Proceeds each year prior to the year of required liquidation in the form of required
minimum distributions, unless otherwise exempted under federal tax regulations. The amounts of the annual
minimum distributions must comply with applicable federal tax regulations and withdrawals of lesser or greater
amounts may subject you to adverse tax consequences. Please consult your tax adviser for advice
on how the Ten Year Continuance option would affect you.
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(3)
Beneficiary Stretch — Beneficiary may elect to receive the Proceeds in the form of required minimum distributions each year. This option must be elected within twelve months from the date of the annuitant’s death. The amounts of the annual minimum distributions, and the length of time they
are received, must comply with applicable federal tax regulations and withdrawals of lesser or greater
amounts may subject you to adverse tax consequences. Please consult your tax advisor for advice on how the
Beneficiary Stretch option would affect you.
(4)
Immediate Annuitization — Beneficiary may elect to annuitize the annuity but must do so within twelve months from the date of the annuitant’s death.
(5)
Lump Sum Distribution — Beneficiary may elect a lump sum distribution.
If the sole, primary beneficiary is the surviving spouse of the owner and annuitant
and there is either no surviving owner or the surviving spouse is also the sole surviving owner, the spouse may continue
the contract as the owner and annuitant, or choose one of the settlement options listed above.
Not all of the settlement options may be available based on the tax disposition of
the contract, the date of the annuitant's death and/or details about the beneficiary and the beneficiary's circumstances.
Other considerations:
We may require any designated beneficiary have an insurable interest in the life of
the annuitant. We will notify you when we issue the contract or when you request a beneficiary change if we are unable
to accept your designated beneficiary.
Any guarantees under the contract or death benefit riders that exceed the value of
your interest in the separate account VAA are paid from our general account (not the VAA). Therefore, any amounts that we
may pay under the contract in excess of your interest in the VAA are subject to our financial strength and claims-paying
ability and our long-term ability to make such payments. In the event of an insolvency or receivership, payments
we make from our general account to satisfy claims under the contract would generally receive the same priority
as our other policy holder obligations.
Optional Death Benefit Riders
Annual Stepped-Up Death Benefit.
In those states where permitted, we offer an optional annual stepped-up death benefit
at the time the contract is issued. With that option, the Death Benefit on the first contract anniversary will
be the greater of (a) the Contract Value then or (b) net purchase payments less pro-rata withdrawals made on or before that
date. For example, if (i) your initial purchase payment was $100,000; (ii) you make no additional purchase payments or take
any withdrawals, and (iii) on your first contract anniversary, your Contract Value was $105,000, your Death Benefit
will be set equal to $105,000. On each contract anniversary after that (until the annuitant attains age 86), the death
benefit will be reset to the greater of (a) the Contract Value on that anniversary date or (b) the death benefit as of the
last preceding anniversary adjusted for any purchase payments or withdrawals. The stepped-up death benefit amount is increased
by purchase payments and decreased by pro-rata withdrawals made during the period between contract anniversaries.
There is an annual rider charge of 0.25% of the optional death benefit amount. On each anniversary the charge
for the rider will be deducted on a pro rata basis in proportion to your current investment option allocations, but
will not be deducted from the Enhanced DCA account. You cannot purchase the annual stepped-up death benefit once
the annuitant is 76 years old.
Combo Death Benefit.
In those states where permitted, we currently offer the Combo Death Benefit rider (“Combo Death Benefit”) when you apply for the contract. In the future we may, at our sole option, offer the Combo
Death Benefit to existing contracts, in which case it may be added on a contract anniversary. You may not purchase the Combo
Death Benefit if you have any other optional rider. You may not purchase this rider once the annuitant is 76 years
old. The Combo Death Benefit rider combines features of both a step-up death benefit and an annual credit death benefit
in one death benefit rider.
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Death Benefit.
With the Combo Death Benefit rider, the Death Benefit is the greater of (a) the Contract
Value as of the effective date of the Death Benefit Adjustment or (b) the GMDB amount. The initial GMDB amount with
this rider is equal to your initial net purchase payment (excluding any extra credits, if applicable) if the rider is
added when the contract is issued. If the rider is added after your contract is issued, the initial GMDB amount is equal to
your Contract Value when the rider is added. We reserve the right to limit or not allow additional purchase payments to contracts
with the Combo Death Benefit.
After the rider is issued, the GMDB amount with the Combo Death Benefit is the greater of the (a) “Step-Up Death Benefit Amount” or (b) “Annual Credit Death Benefit Amount” described below.
Step-Up Death Benefit Amount.
The initial Step-Up Death Benefit Amount is equal to the initial GMDB amount under
this rider. On each contract anniversary until the annuitant’s 81st birthday or unless a step-up is or was declined, the Step-Up Death Benefit Amount will increase, to the then current Contract Value (before deducting any applicable
charges) if greater than the existing Step-Up Death Benefit Amount. The Step-Up Death Benefit Amount is increased
by the amount of each subsequent net purchase payment (excluding any extra credits, if applicable) at the
time of payment. Any withdrawal you take will reduce the Step-Up Death Benefit Amount on that day on a pro rata basis.
That means the Step-Up Death Benefit Amount will be reduced by the same percentage the withdrawal reduces your
Contract Value. For example, if your Contract Value is $110,000, your Step-Up Death Benefit Amount is $100,000 and
you withdraw $1,000, your Step-Up Death Benefit Amount will be reduced to $99,090, i.e. $100,000 – ([$1,000/$110,000] x $100,000).
Annual Credit Death Benefit Amount.
Until the annuitant’s 81st birthday, your Annual Credit Death Benefit Amount is eligible for an increase each year equal to 6% simple interest of the “Death Benefit Annual Credit Calculation Base.” (The 6% simple interest is referred to as the “Death Benefit Annual Credit Rate.”) The initial Annual Credit Death Benefit Amount is equal to the initial GMDB amount under this rider. It is increased by the amount of each subsequent net purchase
payment (excluding any extra credits, if applicable) at the time of payment. Any withdrawal you take will reduce
the Annual Credit Death Benefit Amount on that day on a pro rata basis. That means the Annual Credit Death Benefit
Amount will be reduced by the same percentage the withdrawal reduces your Contract Value.
On each contract anniversary until the annuitant’s 81st birthday, the Annual Credit Death Benefit Amount will be set equal to:
(a)
the existing Annual Credit Death Benefit Amount, plus
(b)
an amount equal to the Death Benefit Annual Credit Rate multiplied by the Death Benefit
Annual Credit Calculation Base.
The Death Benefit Annual Credit Calculation Base is the amount to which the Death
Benefit Annual Credit Rate is applied. The initial Death Benefit Annual Credit Calculation Base is equal to the
initial GMDB amount under this rider. It is increased by the amount of each subsequent net purchase payment (excluding any
extra credits, if applicable) at the time of payment. Any withdrawal you take will reduce the Death Benefit Annual Credit
Calculation Base on that day by the amount of the withdrawal in other words dollar-for-dollar.
We reserve the right to change the Death Benefit Annual Credit Rate for the Combo
Death Benefit on new riders issued in the future.
The Annual Credit Death Benefit Amount shall not exceed two times your total net purchase
payments, adjusted for any withdrawals from your contract. This means that, unless the Step-Up Death Benefit
Amount is higher, the total GMDB amount with this rider will not exceed two times your total net purchase payments.
Any withdrawals you take during a contract year will reduce the maximum Annual Credit Death Benefit Amount on a pro
rata basis.
Rider Charge.
If you choose the Combo Death Benefit rider, there is an annual charge of 0.65%. The
charge is assessed on a quarterly basis, each contract quarter, in an amount equal to 0.1625% times the GMDB amount
under this rider.
The charge for your Combo Death Benefit rider will be deducted on a pro rata basis
in proportion to your current investment option allocations, but will not be deducted from the Enhanced DCA account.
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The charge for the Combo Death Benefit rider ends when the rider terminates. (See “Termination” below.) We may increase the charge for the Combo Death Benefit rider on any contract anniversary
once the rider reaches the third anniversary. The new charge will not exceed 1.50% of the GMDB amount under this rider.
You may avoid an increase in the charge by declining any and all future increases in the Step-Up Death Benefit
Amount due to annual step-ups, but you will then no longer be eligible for any further increases of the GMDB to the Step-Up
Death Benefit Amount. To opt-out of an increase in the charge, you must notify us in writing, or in any other
manner acceptable to us, within 30 days of our notice of the increased rider charge rate.
Investment Restrictions.
In order to have the Combo Death Benefit rider, you must allocate your purchase payments
and Contract Value in accordance with the Fund Category requirements described in “Investment Restrictions for Certain Optional Riders” and Appendix A. You may not allocate purchase payments or Contract Value to the Fixed
Accumulation Account. You may allocate purchase payments to the Enhanced DCA account and transfer amounts in
accordance with the investment restrictions. The Combo Death Benefit rider will be terminated if you cease to comply with the requirements described in “Investment Restrictions for Certain Optional Riders.”
Termination.
You may cancel the Combo Death Benefit rider at any time by providing Notice to us.
Otherwise, this rider will terminate if:
●
your contract terminates according to its terms;
●
your contract reaches the Annuity Payout Date;
●
the funds are allocated in a manner that violate the investment restrictions;
●
you annuitize your contract;
●
the annuitant dies, except in the case of spousal continuation; or
●
you transfer or assign your contract, except in the following circumstances:
●
the new contract owner or assignee assumes full ownership of the contract and is essentially
the same person;
●
ownership of an IRA or Roth IRA is being changed from one custodian to another, from
the determining life to a custodian, or from a custodian to the determining life; or
●
the assignment is for the purpose of effectuating a 1035 exchange of the Contract
(i.e. the option may continue during the temporary assignment period and not terminate until the Contract is actually
surrendered).
Spousal Continuation.
If your surviving spouse chooses to continue the contract under the spousal continuation
option and becomes the sole owner and annuitant, the Combo Death Benefit rider will be continued. Effective the original annuitant’s date of death, the Step-Up Death Benefit Amount, Annual Credit Death Benefit Amount and Annual Credit
Calculation Base will be set equal to the greater of (a) Contract Value as of such date of death (after applying
any applicable Death Benefit Adjustment) and (b) the respective Step-Up Death Benefit Amount, Annual Credit Death
Benefit Amount or Annual Credit Calculation Base as of the original annuitant’s date of death. If your surviving spouse chooses to continue the contract, the charges for this rider will continue. We will only allow one spousal continuation of the Combo Death Benefit rider.
Premium Protection Riders.
In those states where permitted, we offer the Premium Protection death benefit rider (“Premium Protection rider”) at the time the contract is issued. In the future, we may, at our sole option, offer
this rider after the contract is issued, in which case it may be added on a contract anniversary. This rider is available only
when purchased in conjunction with the GLWB (2012), GLWB (2011) or GLWB Plus rider described later in this prospectus.
If you purchase this rider, you cannot have any other optional living benefit or death benefit rider except the GLWB
(2012), GLWB (2011), GLWB Plus, the deferral credit rider or the 8-year guaranteed principal protection rider. You
cannot purchase this rider once the annuitant is 76 years old.
Death Benefit.
With the Premium Protection rider, the Death Benefit is the greater of (a) the Contract
Value as of the effective date of the Death Benefit Adjustment or (b) the GMDB amount. The initial GMDB amount is equal
to your initial purchase payment (excluding extra credits, if applicable). If we allow you to add the rider
on a subsequent contract anniversary,
Form 8563
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the initial GMDB amount will be equal to the then current Contract Value. The GMDB
amount is increased for additional purchase payments and decreased dollar for dollar for withdrawals up to your maximum
annual withdrawal under your respective GLWB rider, whereas the basic Death Benefit provided for under the contract
is reduced on a pro rata basis for withdrawals.
If your surviving spouse chooses to continue the contract under the spousal continuation
option and becomes the sole owner and annuitant, the GMDB amount will be set equal to the Contract Value (after
the application of any Death Benefit Adjustment) if it is greater than the current GMDB amount.
Please note that withdrawals you take under the GLWB (2012), GLWB (2011) or GLWB Plus
(including maximum annual withdrawals) reduce the GMDB amount under this rider. Therefore, you should carefully
consider whether this rider is appropriate for you.
Excess Withdrawals.
When computing the Premium Protection rider Death Benefit, the GMDB amount also is
reduced by any excess withdrawals. An excess withdrawal is the amount a withdrawal exceeds the maximum annual
withdrawal you may take under the GLWB rider you own. For example, assume the maximum annual withdrawal you
may withdraw is $5,000 under your GLWB rider and in one contract year you withdraw $6,000. The $1,000 difference
between the $6,000 withdrawn and the $5,000 maximum annual withdrawal limit would be an excess withdrawal.
Allowable annual withdrawals begin under the GLWB riders when the annuitant reaches 59 1∕2, so any withdrawal before the annuitant is 59 1∕2 is an excess withdrawal for the Premium Protection rider as well as for the GLWB
riders.
An excess withdrawal will reduce the GMDB amount by the greater of (a) the same percentage
the excess withdrawal reduces your Contract Value (i.e. pro-rata) or (b) the dollar amount of the excess
withdrawal. For example, assume your GMDB amount is $100,000 at the beginning of the contract year and your maximum annual
withdrawal under your GLWB rider is $5,000. Assume your Contract Value is $90,000 and you withdraw $6,000.
First we process that portion of the withdrawal up to your maximum annual withdrawal, which is $5,000. Your GMDB amount
decreases to $95,000 and your Contract Value decreases to $85,000. Then we process that portion of the withdrawal
in excess of your maximum annual withdrawal under the GLWB rider, which is $1,000. Your GMDB amount will be
reduced to $93,882, i.e. $95,000 x (1 — $1,000/$85,000) because the pro-rata reduction of $1,118 is greater than the dollar amount of your $1,000 excess withdrawal. Your Contract Value will be reduced to $84,000.
For another example, assume the same facts above except your Contract Value prior
to the withdrawal is $120,000. After we process the maximum annual withdrawal portion of your withdrawal, which is
$5,000, your GMDB amount is $95,000 and your Contract Value is $115,000. After we process the portion of your
withdrawal in excess of your maximum annual withdrawal, your GMDB amount will be reduced to $94,000 ($95,000 — $1,000) because the dollar for dollar reduction of $1,000 is greater than the pro-rata reduction of $826 ($1,000/$115,000
x $95,000). Your Contract Value will be reduced to $114,000.
Because the allowable annual withdrawals under the GLWB riders begin when the annuitant
is 59 1∕2, any withdrawal under the contract prior to the annuitant reaching age 59 1∕2 is an excess withdrawal under the Premium Protection rider. Since excess withdrawals may reduce your GMDB amount by an amount greater than
the dollar value of the withdrawal, any withdrawals you take before the annuitant is 59 1∕2 may significantly reduce or eliminate the Death Benefit under this rider.
Rider Charge.
There is an annual charge for the Premium Protection rider for annuitant issue ages
through age 70 of 0.10% of your GMDB amount. For annuitant issue ages 71 through 75, there is an annual charge for
this rider of 0.25%. We reserve the right to lower the charge for this rider at any contract anniversary. If we do lower
the charge for the rider, we reserve the right to increase the charge up to the original charge on any contract anniversary.
On each anniversary the charge for the Premium Protection rider will be deducted on
a pro rata basis in proportion to your current investment option allocations, but will not be deducted from the Enhanced
DCA account. We reserve the right to prorate the annual charge for the rider if (i) the annuitant dies, (ii) you
surrender the contract, (iii) the rider is terminated due to the termination of your GLWB, or (iv) you annuitize your contract.
Termination.
If you choose the Premium Protection rider, you cannot later discontinue it unless
we otherwise agree. This rider will terminate if:
Form 8563
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●
your contract terminates according to its terms (unless otherwise provided in this
rider);
●
your GMDB amount is reduced to zero;
●
your Contract Value goes to zero because of an excess withdrawal;
●
your GLWB rider terminates;
●
you annuitize your contract;
●
the annuitant dies, except in the case of spousal continuation;
●
you transfer or assign your contract or the benefits under the rider, except in the
case of spousal continuation; or
●
you exercise the 8-year guaranteed principal protection rider.
Since you may have the Premium Protection rider only if you have the GWLB (2012),
GLWB (2011) or GLWB Plus rider, any termination of your GLWB rider will automatically terminate the Premium Protection
rider as well. If you have purchased the Premium Protection rider and violate the investment restrictions of
your GLWB, both the GLWB rider and the Premium Protection rider will be terminated.
Required Minimum Distributions (Qualified Contracts Only).
If you are required to take withdrawals from your contract under the Required Minimum
Distribution regulations under the Code, we will allow you to take your Required Minimum Distribution (or “RMD”) for a given year without treating it as an excess withdrawal even if it exceeds your maximum annual withdrawal under your
GLWB rider. Please note that RMDs are calculated on a calendar year basis and your maximum annual withdrawal under
your GLWB rider is calculated on a contract year basis. Any RMD you take will reduce your GMDB amount dollar for dollar. Any withdrawals in a contract year that exceed your maximum annual withdrawal and your
RMD will be considered excess withdrawals. You may withdraw your RMD under this rider without a surrender charge
even if your RMD exceeds 10% of your Contract Value. You will receive RMD treatment on or after January 1 of the
first calendar year after your contract was issued. To elect monthly RMD treatment, you must provide Notice to us
on or before January 25 of that calendar year and you must elect a monthly payment date on or before the 25th day
of the month. If the date you elect is not the end of a Valuation Period (generally, a day when the NYSE is open), we
will make the payment on, and as of, the end of the next applicable Valuation Period. If you elect monthly RMD treatment,
we will automatically pay you the greater of your RMD or your maximum annual withdrawal on a monthly basis each month.
Once you elect monthly RMD treatment, you cannot revoke it. You may elect to not take a monthly withdrawal
by providing Notice to us, but you will not be able to take that withdrawal later and still receive RMD treatment
for it. If you do later take such withdrawal, the entire withdrawal will be considered an excess withdrawal.
If you die and your spouse elects to continue the contract, your spouse may revoke
monthly RMD treatment by providing Notice to us within 30 days of the later of the date of spousal continuation
or December 31 of the calendar year in which you died. If your spouse revokes monthly RMD treatment, he or she may
elect monthly RMD treatment in the future when he or she is required to take RMDs from the contract. If your spouse
continues the contract, is eligible for monthly RMD treatment and does not revoke monthly RMD treatment, he or she will
continue to receive monthly RMD treatment with the applicable RMD amount based upon the continuing spouse’s age beginning in the calendar year after you die. We reserve the right to modify or eliminate RMD treatment if there
is any change to the Code or regulations regarding RMDs, including guidance by the Internal Revenue Service. We
will provide you 30 days written notice, when practicable, of any modifications to or termination of the RMD treatment
with the Premium Protection rider.
Premium Protection (Joint Life).
In those states where permitted, we also offer a joint life version of the Premium Protection rider (“Joint Premium Protection”). The Joint Premium Protection rider is the same as the Premium Protection rider except as described below.
The Joint Premium Protection rider is available only when purchased in conjunction
with either the Joint GLWB (2012), Joint GLWB (2011) or Joint GLWB Plus described later in this prospectus. If you purchase
this rider, you cannot have any other optional living benefit or death benefit rider except the Joint GLWB (2012),
Joint GLWB (2011),.
Allowable annual withdrawals begin under the Joint GLWB (2012), Joint GLWB (2011)
or Joint GLWB Plus rider when the youngest Participating Spouse reaches 59½, so any withdrawal before the youngest Participating Spouse is 59½ (including any RMD) is an excess withdrawal under the terms of the rider. Maximum
annual withdrawals under the Joint
Form 8563
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GLWB (2012), Joint GLWB (2011) or Joint GLWB Plus are also based on the age of the
youngest Participating Spouse, so the maximum amount you may withdraw annually under the Joint Premium Protection rider
will depend on the age of the youngest Participating Spouse and reduce the GMDB amount on a dollar for dollar
basis. (Please see the description of the Joint GLWB (2012), Joint GLWB (2011) or Joint GLWB Plus later in this prospectus
for more details on the youngest Participating Spouse.)
Premium Protection Plus Riders.
In those states where permitted, in the past we offered the Premium Protection Plus death benefit rider (“Premium Protection Plus rider”) at the time the contract was issued. The Premium Protection Plus rider differs from the Premium Protection rider in that a withdrawal that is not an excess withdrawal does not decrease
the GMDB amount up to the contract anniversary after the annuitant turns 85, after which time the GMDB amount
is decreased for such withdrawals on a dollar for dollar basis, and the GMDB amount may step-up to your
Contract Value on the seventh rider anniversary.
In the future, we may, at our sole option, offer this rider to existing contracts,
in which case it may be added on a contract anniversary. This rider is available only when purchased in conjunction with
the GLWB (2012), GLWB (2011) or GLWB Plus rider described later in this prospectus. If you purchase this rider, you
cannot have any other living benefit or death benefit rider except the GLWB (2012), GLWB (2011) or GLWB Plus, a deferral credit
rider or the 8-year guaranteed principal protection rider. You cannot purchase this rider once the annuitant is 71
years old.
Death Benefit.
With the Premium Protection Plus rider, the Death Benefit is the greater of (a) the
Contract Value as of the effective date of the Death Benefit Adjustment or (b) the GMDB amount. The initial GMDB amount
is equal to your initial purchase payment (excluding extra credits, if applicable). If we allow you to add
the rider on a subsequent contract anniversary, the initial GMDB amount will be equal to the then current Contract Value.
The GMDB amount is increased for additional purchase payments. You may take withdrawals up to your annual maximum
annual withdrawal under your respective GLWB rider until the contract anniversary after the annuitant turns
85 without reducing the GMDB amount. Following the contract anniversary after the annuitant turns 85, withdrawals
up to your maximum annual withdrawal under your GLWB rider reduce the GMDB amount dollar for dollar.
If your surviving spouse chooses to continue the contract under the spousal continuation
option and becomes the sole owner and annuitant, the GMDB amount will be set equal to the Contract Value (after
the application of any Death Benefit Adjustment) if it is greater than the current GMDB amount.
The Premium Protection Plus rider provides for a one-time step-up of the GMDB amount
on the seventh rider anniversary. If, on the seventh rider anniversary, your Contract Value is greater
than the GMDB amount, we will set your GMDB amount equal to your Contract Value.
Excess Withdrawals.
When computing the Premium Protection Plus rider Death Benefit, the GMDB amount is
reduced by any excess withdrawals. An excess withdrawal is the amount a withdrawal exceeds the maximum annual
withdrawal you may take under the GLWB rider you own. For example, assume the maximum annual withdrawal you
may withdraw is $5,000 under your GLWB rider and in one contract year you withdraw $6,000. The $1,000 difference
between the $6,000 withdrawn and the $5,000 maximum annual withdrawal limit would be an excess withdrawal.
Allowable annual withdrawals begin under the GLWB riders when the annuitant reaches 59 1∕2, so any withdrawal before the annuitant is 59 1∕2 is an excess withdrawal.
An excess withdrawal will reduce the GMDB amount by the greater of (a) the same percentage
the excess withdrawal reduces your Contract Value (i.e. pro-rata) or (b) the dollar amount of the excess
withdrawal. For example, assume the annuitant is 65 and your GMDB amount is $100,000 at the beginning of the contract
year and your maximum annual withdrawal under your GLWB rider is $5,000. Assume your Contract Value is $90,000
and you withdraw $6,000. First we process that portion of the withdrawal up to your maximum annual withdrawal, which
is $5,000. Because the annuitant is less than 85 years old, your GMDB amount is not reduced for that portion of the
withdrawal that is equal to your maximum annual withdrawal, $5,000. Your Contract Value decreases to $85,000. Then
we process that portion of the withdrawal in excess of your maximum annual withdrawal under your GLWB rider, which
is $1,000. Your GMDB amount will be reduced to $98,824, i.e. $100,000 x (1 — $1,000/$85,000) because the pro-rata reduction of $1,176 is greater than the dollar amount of your $1,000 excess withdrawal. Your Contract Value will
be reduced to $84,000.
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For another example, assume the same facts above except your Contract Value prior
to the withdrawal is $120,000. After we process the maximum annual withdrawal portion of your withdrawal, $5,000,
your GMDB amount remains $100,000 and your Contract Value is $115,000. After we process the portion of your
withdrawal in excess of your maximum annual withdrawal, your GMDB amount will be reduced to $99,000 ($100,000 — $1,000) because the dollar for dollar reduction of $1,000 is greater than the pro-rata reduction of $870 ($1,000/$115,000
x $100,000). Your Contract Value will be reduced to $114,000.
Because the allowable annual withdrawals under the GLWB riders begin when the annuitant
is 59 1∕2, any withdrawal under the contract prior to the annuitant reaching age 59 1∕2 is an excess withdrawal under the Premium Protection Plus rider. Since excess withdrawals may reduce your GMDB amount by an amount greater
than the dollar value of your withdrawal, any withdrawals you take before the annuitant is 59 1∕2 may significantly reduce or eliminate the Death Benefit under this rider.
Rider Charge.
There is an annual charge for the Premium Protection Plus rider of 0.45% of your GMDB
amount. We may increase the charge for this rider on the seventh rider anniversary if your GMDB amount is set
equal to your Contract Value. The new charge will be no higher than the then current charge for new issues of the rider
or if we are not issuing the rider, a rate we declare, in our sole discretion. We guarantee the new charge will not exceed 0.90%.
If we notify you of a charge increase effective upon the step-up on the seventh rider anniversary, you may decline
to accept an increase in the charge for the rider by declining the step-up within 30 days in a form acceptable
to us.
We reserve the right to lower the charge for this rider at any contract anniversary.
If we do lower the charge for the rider, we reserve the right to increase the charge up to the original charge on any
contract anniversary.
On each anniversary the charge for the Premium Protection Plus rider will be deducted
on a pro rata basis in proportion to your current investment option allocations, but will not be deducted from the Enhanced
DCA account. We reserve the right to prorate the annual charge for the rider if (i) the annuitant dies, (ii)
you surrender the contract, (iii) the rider is terminated due to the termination of your GLWB, or (iv) you annuitize your contract.
Termination.
If you choose the Premium Protection Plus rider, you cannot later discontinue it unless
we otherwise agree. This rider will terminate if:
●
your contract terminates according to its terms (unless otherwise provided in this
rider);
●
your GMDB amount is reduced to zero;
●
your Contract Value goes to zero because of an excess withdrawal;
●
you enter the Lifetime Annuity Period under your GLWB rider because your Contract
Value is reduced to zero (other than by an excess withdrawal);
●
your GLWB rider terminates;
●
you annuitize your contract;
●
the annuitant dies, except in the case of spousal continuation;
●
you transfer or assign your contract or the benefits under the rider, except in the
case of spousal continuation; or
●
you exercise the 8-year guaranteed principal protection rider.
Since you may have the Premium Protection Plus rider only if you have the GLWB (2012),
GLWB (2011) or GLWB Plus rider, any termination of your GLWB rider will automatically terminate the Premium
Protection Plus rider as well. If you have purchased the Premium Protection Plus rider and violate the investment restrictions
of your GLWB, both the GLWB rider and the Premium Protection Plus rider will be terminated.
Required Minimum Distributions (Qualified Contracts Only).
If you are required to take withdrawals from your contract under the Required Minimum
Distribution regulations under the Code, we will allow you to take your Required Minimum Distribution (or “RMD”) for a given year without treating it as an excess withdrawal even if it exceeds your maximum annual withdrawal under your
GLWB rider. Please note that RMDs are calculated on a calendar year basis and your maximum annual withdrawal under
your GLWB rider is calculated on a contract year basis. Any RMD you take until the contract anniversary after the annuitant is 85 years old
Form 8563
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will not reduce the GMDB amount. Any RMD you take following the contract anniversary
after the annuitant is 85 will reduce your GMDB amount dollar for dollar. Any withdrawals in a contract year that
exceed your maximum annual withdrawal and your RMD will be considered excess withdrawals. You may withdraw your
RMD under this rider without a surrender charge even if your RMD exceeds 10% of your Contract Value.
You will receive RMD treatment on or after January 1 of the first calendar year after
your contract was issued. To elect monthly RMD treatment, you must provide Notice to us on or before January 25 of that
calendar year and you must elect a monthly payment date on or before the 25th day of the month. If the date you
elect is not the end of a Valuation Period (generally, a day when the NYSE is open), we will make the payment on, and
as of, the end of the next applicable Valuation Period. If you elect monthly RMD treatment, we will pay you the greater
of your RMD or your maximum annual withdrawal on a monthly basis each month. Once you elect monthly RMD treatment,
you cannot revoke it. You may elect to not take a monthly withdrawal by providing Notice to us, but you will
not be able to take that withdrawal later and still receive RMD treatment for it. If you do later take such withdrawal,
it will be considered an excess withdrawal.
If you die and your spouse elects to continue the contract, your spouse may revoke
monthly RMD treatment by providing Notice to us within 30 days of the later of the date of spousal continuation
or December 31 of the calendar year in which you died. If your spouse revokes monthly RMD treatment, he or she may
elect monthly RMD treatment in the future when he or she is required to take RMDs from the contract. If your spouse
continues the contract, is eligible for monthly RMD treatment and does not revoke monthly RMD treatment, he or she will
continue to receive monthly RMD treatment with the applicable RMD amount based upon the continuing spouse’s age beginning in the calendar year after you die. We reserve the right to modify or eliminate RMD treatment if there
is any change to the Code or regulations regarding RMDs, including guidance by the Internal Revenue Service. We
will provide you 30 days written notice, when practicable, of any modifications to or termination of the RMD treatment
with the Premium Protection rider.
Premium Protection Plus (Joint Life).
In those states where permitted, in the past we also offered a joint life version
of the Premium Protection Plus rider (“Joint Premium Protection Plus”). The Joint Premium Protection Plus rider is the same as the Premium Protection Plus rider except as described below.
The Joint Premium Protection Plus rider is available only when purchased in conjunction
with the Joint GLWB (2012), Joint GLWB (2011) or Joint GLWB Plus described later in this prospectus. If you purchase
this rider, you cannot have any other rider except the Joint GLWB (2012), Joint GLWB (2011), Joint GLWB Plus, a deferral
credit rider or the 8-year guaranteed principal protection rider.
Allowable annual withdrawals begin under the Joint GLWB (2012), Joint GLWB (2011) or Joint GLWB Plus rider when the youngest Participating Spouse reaches 59 1∕2, so any withdrawal before the youngest Participating Spouse is 59 1∕2 (including any RMD) is an excess withdrawal. Maximum annual withdrawals under the Joint GLWB (2012), Joint GLWB (2011) or Joint GLWB Plus are also based on the age of the youngest Participating Spouse, so the maximum amount you may withdraw under the Joint Premium Protection Plus rider will depend on the age of the youngest Participating Spouse. You are not eligible for RMD treatment with the Joint Premium Protection Plus rider until the youngest Participating Spouse is 59 1∕2 years old. (Please see the description of the Joint GLWB (2012), Joint GLWB (2011) or Joint GLWB Plus later in this prospectus for more details on the Participating Spouse.)
Allowable annual withdrawals begin under the Joint GLWB (2012), Joint GLWB (2011) or Joint GLWB Plus rider when the youngest Participating Spouse reaches 59 1∕2, so any withdrawal before the youngest Participating Spouse is 59 1∕2 (including any RMD) is an excess withdrawal. Maximum annual withdrawals under the Joint GLWB (2012), Joint GLWB (2011) or Joint GLWB Plus are also based on the age of the youngest Participating Spouse, so the maximum amount you may withdraw under the Joint Premium Protection Plus rider will depend on the age of the youngest Participating Spouse. You are not eligible for RMD treatment with the Joint Premium Protection Plus rider until the youngest Participating Spouse is 59 1∕2 years old. (Please see the description of the Joint GLWB (2012), Joint GLWB (2011) or Joint GLWB Plus later in this prospectus for more details on the Participating Spouse.)
5% GMDBR80 Plus.
In those states where permitted, in the past we offered the 5% GMDBR80 Plus at the
time the contract was issued. You cannot purchase this rider once the annuitant is 76 years old.
With the 5% GMDBR80 Plus, the death benefit is the greater of (a) the Contract Value
as of the effective date of the Death Benefit Adjustment or (b) the GMDB amount. The initial GMDB amount is total
net purchase payments made when you purchase the contract and within the first three months after the contract
is issued. The GMDB amount is adjusted for withdrawals from the contract as described below and is increased by
(i) additional purchase payments and (ii) an increase for each valuation period, until the annuitant attains age 80, at
an effective annual rate of 5% for values in variable portfolios (other than the Fidelity® VIP Government Money Market Portfolio). Values in the Fidelity® VIP Government Money Market Portfolio or the Fixed Accumulation Account will accumulate
at the lesser of 5% or the rate being credited to the Fidelity® VIP Government Money Market Portfolio or the Fixed Accumulation Account on those days in which the values are so allocated. During the free look period, a different
rate may apply in certain states. The total death benefit amount with 5% GMDBR80 Plus shall not exceed two times your total
net purchase payments, adjusted for withdrawals.
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Any withdrawals in a contract year equal to or less than 5% of the GMDB amount as
of the beginning of that year will reduce the GMDB amount and the maximum death benefit amount by the amount of such
withdrawals. Any withdrawals in a contract year in excess of 5% of the GMDB amount as of the beginning
of that year will reduce the GMDB and maximum death benefit amounts pro rata. In other words, under the pro rata
adjustment, the guaranteed minimum death benefit amount and the maximum death benefit amount will both be reduced
by the same percentage that the Contract Value was reduced because of the withdrawal in excess of 5%. There
is an additional annual charge for this option of 0.45% of the 5% GMDBR80 Plus amount. On each anniversary the charge
for the rider will be deducted on a pro rata basis in proportion to your current investment option allocations, but
will not be deducted from the Enhanced DCA account.
Gain Enhancement Benefit.
In those states where permitted, we offer Gain Enhancement Benefit (“GEB”) riders at the time the contract is issued. You cannot purchase these riders once the annuitant is 76 years old. This benefit
will never exceed $1,000,000. With the GEB option, the following amount will be added to any other amount payable upon the annuitant’s death:
●
25% of the lesser of (a) two times net purchase payments less pro rata withdrawals
or (b) the total Contract Value on the date of death minus net purchase payments less pro rata withdrawals; or
●
40% of the lesser of (a) two and a half times net purchase payments less pro rata
withdrawals, or (b) the total Contract Value on the date of death minus net purchase payments less pro rata withdrawals.
This is the GEB “Plus.”
For the regular GEB option, there is an additional annual charge of 0.15% of the Contract
Value (or 0.30% if the annuitant is age 71 to 75 when your contract is issued). If you choose the GEB “Plus,” the charge is 0.30% of the Contract Value (or 0.60% for issue ages 71 to 75). On each anniversary the charge for the rider
will be deducted on a pro rata basis in proportion to your current investment option allocations, but will not be
deducted from the Enhanced DCA account. After the contract has been in effect for 6 months, any purchase payments
made within 6 months before the date of death will not be included for calculating the amount of this benefit. You
may choose GEB in addition to one of the other death benefit options. If you choose GEB, you cannot later discontinue it.
That means even if the GEB will be of no further benefit to you, you will continue to be charged for it.
Death Benefit Examples
Please see Appendix B for examples of how the various death benefits work.
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Annuity Period
Annuity Payout Date
Annuity payments begin on the annuity payout date. You may select this date when the
contract is issued. It must be at least 30 days after the contract date. You may change it at any time by providing
Notice to us prior to the earlier of (i) the annuitant’s death or (ii) the annuity payout date. Generally, for contracts applied for on or after May 1, 2016, the contract restricts the annuity payout date to not later than the contract anniversary following the annuitant’s 95th birthday. For contracts applied for before May 1, 2016, the contract restricts the
annuity payout date to not later than the first of the month following the annuitant’s 90th birthday. Variations in the annuity payout date apply based on state of issue and application or issue date. Contact us or your registered representative
for more information. This restriction may be modified by applicable state law, or we may agree to waive it or
to allow the annuitant to defer receiving annuity payments. If you choose to defer receiving annuity payments, unless
a rider provides otherwise, your contract will no longer qualify for any guaranteed living benefit or the Death Benefit
Adjustment upon the death of the Annuitant.
The contracts include our guarantee that we will pay annuity payments for the lifetime
of the annuitant (and any joint annuitant) in accordance with the contract’s annuity rates, no matter how long you live.
Once annuity payments begin, you may not surrender the contract for cash except that,
upon the death of the annuitant, we may permit the beneficiary, at our sole discretion, to surrender the
contract for the commuted value of any remaining period-certain payments.
Annuity Options
You may elect one or more of the following annuity options. You may change the election
any time before the annuity payout date. The variable part of the Contract Value will be used to provide a variable
annuity and the fixed portion of the contract will be used to provide a fixed annuity, unless you elect otherwise.
|
Option 1(a):
|
Life Annuity with installment payments for the lifetime of the annuitant. (The
contract has no more value after the annuitant’s death). Under this annuity
option, it is possible to receive only one annuity payment.
|
|
Option 1(b):
|
Life Annuity with installment payments guaranteed for five years and then
continuing during the remaining lifetime of the annuitant.
|
|
Option 1(c):
|
Life Annuity with installment payments guaranteed for ten years and then
continuing during the remaining lifetime of the annuitant.
|
|
Option 1(d):
|
Installment Refund Life Annuity with payments guaranteed for a period certain
and then continuing during the remaining lifetime of the annuitant. The
number of period-certain payments is equal to the amount applied under this
option divided by the amount of the first payment.
|
|
Option 2(a):
|
Joint & Survivor Life Annuity with installment payments during the lifetime of
the annuitant and then continuing during the lifetime of a contingent
annuitant. (The contract has no more value after the second annuitant’s
death.) Under this annuity option, it is possible to receive only one annuity
payment.
|
|
Option 2(b):
|
Joint & Survivor Life Annuity with installment payments guaranteed for ten
years and then continuing during the remaining lifetime of the annuitant or a
contingent annuitant.
|
We may agree to other settlement options.
Unless you direct otherwise, we will apply the Contract Value as of the annuity payout
date to provide annuity payments pro-rata from each Fund in the same proportion as the Contract Values immediately
before the annuity payout date.
Generally, for contracts applied for on or after May 1, 2016, if no election is in
effect on the annuity payout date and the contract is a tax-qualified contract, we will apply Contract Value under Option 1(b)
with the beneficiary as payee for any remaining period-certain installments payable after the death of the annuitant. If
no election is in effect on the annuity payout date and the contract is not a tax-qualified contract, we will apply Contract
Value under Option 1(c) with the
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beneficiary as payee for any remaining period-certain installments payable after the
death of the annuitant. For contracts applied for before May 1, 2016, if no election is in effect on the annuity
payout date, we will apply Contract Value under Option 1(c) with the beneficiary as payee for any remaining period-certain
installments payable after the death of the annuitant. Variations apply based on state of issue and application or
issue date. Contact us or your registered representative for more information. The Pension Reform Act of 1974 might
require certain contracts to provide a Joint and Survivor Annuity. If the contingent annuitant is not related to
the annuitant, Options 2(a) and 2(b) are available only if we agree.
Determination of Amount of the First Variable Annuity Payment
To determine the first variable annuity payment we apply the Contract Value for each
Fund in accordance with the contract’s settlement option tables. We divide the account value by $1,000 and then multiply the result by the applicable factor in the contract’s settlement option tables. The rates in those tables depend upon the annuitant’s (and any contingent annuitant’s) age and sex and the option selected. The annuitant’s sex is not a factor in contracts issued to plans sponsored by employers subject to Title VII of the Civil Rights Act of 1964
or similar state statutes. We determine the value to be applied at the end of a valuation period (selected by us
and uniformly applied) not more than 10 valuation periods before the annuity payout date.
If the amount that would be applied under an option is less than $5,000, we will pay
the Contract Value to the annuitant in a single sum. If the first periodic payment under any option would be less than
$100, we may change the frequency of payments so that the first payment is at least $100.
Annuity Units and Variable Payments
After your first annuity payment, later variable annuity payments will vary to reflect
the investment performance of your Funds. The amount of each payment depends on the number of your annuity units.
To determine the number of annuity units for each Fund, divide the dollar amount of the first annuity payment
from each Fund by the value of that Fund’s annuity unit. This number of annuity units remains constant during the annuity payment period unless you transfer among Funds.
We set the annuity unit value for each Fund for the valuation period when the first
variable annuity was calculated for these contracts. The annuity unit value for each later valuation period equals the
annuity unit value for the immediately preceding valuation period multiplied by the net investment factor for such later
valuation period and by a factor (0.999919 for a one-day valuation period) to neutralize an assumed interest rate of
3%. A higher interest assumption would mean a higher initial annuity payment but a more slowly rising series of subsequent
annuity payments if annuity unit values were increasing (or a more rapidly falling series of subsequent annuity
payments if annuity unit values were decreasing). A lower interest assumption would have the opposite effect. If the actual
net investment rate were equal to the assumed interest rate, annuity payments would stay level.
The dollar amount of each later variable annuity payment equals your constant number
of annuity units for each Fund multiplied by the value of the annuity unit for the valuation period.
Transfers During Annuity Payout
After annuity payments have been made for at least 12 months, the annuitant can change
the Funds on which variable annuity payments are based. There is no transfer fee during annuity payout. Transfers
may not be made between guaranteed and variable accounts during annuity payout. You may change the underlying
Funds by providing Notice to us in writing at our home Office. Upon receipt of your request, we will change that
portion of the periodic variable annuity payment as you direct to reflect the investment results of different Funds.
To do this, we convert the number of annuity units being changed to the number of annuity units of the Funds to which you
are changing. If an annuity payment is already in process at the time we receive your request to change the Fund
allocations, the change will not be reflected in your next annuity payment. It will be reflected in the payment received
thereafter.
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Optional Living Benefit Riders
Optional Guaranteed Principal Protection (“GPP”)
In those states where permitted, we may offer the GPP rider when you apply for the
contract. We may, at our sole option, also offer the GPP rider to existing contracts, in which case it may be added
on a contract anniversary, if the annuitant is then under age 80. GPP is not available when your contract includes any
GLWB.
If you continue the GPP rider until the end of its 10-year term, and do not make any
withdrawals, we guarantee that your eligible Contract Value will not be less than it was at the beginning of the
10-year term. On the last day of the 10-year term, we will add an amount to your total Contract Value to increase it to the “guaranteed principal amount” if the eligible Contract Value at the end of the 10-year term is less than the guaranteed
principal amount. The guaranteed principal amount is the Contract Value:
(a)
as of the first day of the rider’s term or
(b)
the amount in (a) plus the total of any purchase payments made in the first 6 months
if the rider was included in the contract when you purchased the contract,
(c)
reduced pro rata for any withdrawals you made.
Contract Value attributable to purchase payments made after the rider is added (or
after the first 6 months if the rider is included when the contract was issued) are not included in the guaranteed principal
amount and do not count as part of your eligible Contract Value at the end of the term for purposes of determining the
benefit amount.
Any guarantees under the contract that exceed the value of your interest in the separate
account VAA, such as those associated with the GPP, are paid from our general account (not the VAA). Therefore,
any amounts that we may pay under the contract in excess of your interest in the VAA are subject to our financial
strength and claims-paying ability and our long-term ability to make such payments. In the event of an insolvency or
receivership, payments we make from our general account to satisfy claims under the contract would generally receive
the same priority as our other policy holder obligations.
The charge for the GPP rider is made on each contract anniversary at the rate of 0.55%
of the average of your guaranteed principal amount at the beginning and the end of each contract year. This
charge will discontinue if the GPP rider is terminated. However, if the GPP is terminated because you stop using a model, a full annual
rider charge will be assessed without being prorated to the date of termination.
At the end of the 10-year term, you may reset the rider for another 10-year term if
the annuitant is then under age 80. The guaranteed principal amount under the new GPP 10-year term will be your total
Contract Value as of the end of the 10-year term then ended, including any amount we then add pursuant to the earlier
GPP 10-year term, subject to adjustment for any withdrawals. You may also reset the GPP rider’s guaranteed principal amount at the current Contract Value on any contract anniversary after the rider has been in effect for
at least 5 years (if the annuitant is then under age 80). This starts a new 10-year rider term. If the annuitant dies during
the 10-year term, and his or her spouse continues the contract, the GPP rider may also be continued.
In those states where permitted, we offer the GPP (2012) rider. GPP (2012) is identical
to the GPP except for the investment restrictions and the charge. Once the GPP (2012) is available, you may
not purchase the GPP. Neither the GPP (2012) nor the GPP is available when your contract includes any GLWB rider.
Effective March 3, 2017, in order to have the GPP (2012) rider, you must allocate
your purchase payments and Contract Value in accordance with the Fund Category requirements described in “Investment Restrictions for Certain Optional Riders” and Appendix A. If you purchased the GPP (2012) rider prior to March 3, 2017, these revised requirements will only apply to you if you make additional purchase payments or transfer requests. You
may not allocate purchase payments or Contract Value to the Fixed Accumulation Account. You may allocate purchase
payments to the Enhanced DCA account and transfer amounts in accordance with the investment restrictions. If you cease to comply with the requirements described in “Investment Restrictions for Certain Optional Riders,” we will terminate your GPP (2012) rider. If the rider is so terminated, a prorated annual rider charge will be assessed.
If you choose the GPP (2012) rider, there is an annual charge of 0.65% of the average
of your guaranteed principal amount at the beginning and the end of each contract year (0.45% for riders applied
for before November 16, 2015). On each anniversary the charge for the rider will be deducted on a pro rata basis in
proportion to your current investment option allocations, but will not be deducted from the Enhanced DCA account. We may
increase the charge for the GPP
Form 8563
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(2012) on any contract anniversary that you reset the rider. That means if you never
reset your GPP (2012), we will not increase your charge. The new charge will be no higher than the then current charge
for new issues of this rider or if we are not issuing this rider, a rate we declare, in our sole discretion. We guarantee
the new charge will not exceed 1.30% of the average of your guaranteed principal amount at the beginning and the end of
each contract year (0.90% for riders applied for before November 16, 2015).
See Appendix C for an example of how the GPP and GPP (2012) works.
Optional Guaranteed Lifetime Withdrawal Benefit (“GLWB”) Riders
This section describes the optional Guaranteed Lifetime Withdrawal Benefit (“GLWB”) riders that we offer. Not all of the riders may be available in all states. You may only have one of the GLWB riders
on your contract.
Subject to the conditions described below, the GLWB riders provide a guaranteed level
of withdrawals from your contract in each contract year for the lifetime of the annuitant beginning when the
annuitant is age 59 1∕2. The GLWB riders may help protect you from the risk that you may outlive your income.
GLWB (2012) and GLWB Plus
In those states where permitted, we offer the GLWB Plus rider when you apply for the
contract. The GLWB (2012) rider is not available for purchase on or after May 1, 2012. In the future we may, at our
sole option, offer the GLWB Plus rider to existing contracts, in which case it may be added on a contract anniversary. You
may not have the GLWB (2012) rider if you have any rider, other than the annual stepped-up death benefit, Premium Protection
death benefit, Premium Protection Plus death benefit or one of the deferral credit riders. You may not purchase
the GLWB Plus rider if you have any rider, other than the annual stepped-up death benefit, Premium Protection death
benefit, Premium Protection Plus death benefit, one of the deferral credit riders or the 8-year guaranteed principal
protection rider. You may not purchase the GLWB Plus rider once the annuitant is 86 years old.
Any guarantees under the contract that exceed the value of your interest in the separate
account VAA, such as guarantees associated with the GLWB (2012) or GLWB Plus riders, are paid from our
general account (not the VAA). Therefore, any amounts that we may pay under the contract in excess of your interest
in the VAA are subject to our financial strength and claims-paying ability and our long-term ability to make such
payments. In the event of an insolvency or receivership, payments we make from our general account to satisfy claims
under the contract would generally receive the same priority as our other policyholder obligations.
With the GLWB (2012) and GLWB Plus riders, you may take annual withdrawals up to a
maximum amount regardless of your Contract Value and without a surrender charge. The maximum annual withdrawals
you may take are determined by applying a percentage to a value we refer to as the GLWB base. The percentage you
may take is set at the time of your first withdrawal under the rider and is based on the annuitant’s age bracket. The higher the annuitant’s age bracket at the time of the first withdrawal, the larger the allowable withdrawal percentage
will be. Unlike the GLWB base, the percentage can only change in limited circumstances. The GLWB base, which
is described below, is recalculated at least annually, so the maximum annual withdrawals you may take can
change every contract year. Certain of your actions can increase or decrease the GLWB base, which would affect
your maximum annual withdrawals. These actions include making additional purchase payments, not taking
withdrawals, taking withdrawals before age 59 1∕2 or taking more than the maximum annual withdrawals.
GLWB base.
The initial GLWB base is equal to your initial net purchase payment (excluding any
extra credits, if applicable) if the rider is added when the contract is issued. If the rider is added after your contract is
issued, the initial GLWB base is equal to your Contract Value when the rider is added. The GLWB base is increased dollar for
dollar by purchase payments when made and decreased for “excess withdrawals” as described below. (If you make an additional purchase payment on the day the rider is added, the GLWB base will be increased by the additional purchase
payment.) Withdrawals that do not exceed the maximum annual withdrawals allowed under this rider will not decrease the
GLWB base but will decrease your Contract Value, the Death Benefit under your contract, the optional annual stepped-up
death benefit or Premium Protection death benefit rider and the guaranteed principal amount under the 8-year
guaranteed principal protection rider. We reserve the right to limit or not allow additional purchase payments to
contracts with the GLWB (2012) or GLWB Plus.
On each contract anniversary, the GLWB base is reset to the greatest of (a) the GLWB
base as of the previous contract anniversary plus subsequent net purchase payments (excluding any extra credits, if
applicable), adjusted for any excess withdrawals, (b) the then-current Contract Value, after deducting any applicable charges
for the contract or any rider
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you have, (also called the “step-up base”) or (c) the “annual credit base” described below. If we notify you that the charge for the GLWB (2012) or GLWB Plus will be increased upon a reset to the step-up
base, you have a right to opt out of the reset to the step-up base within 30 days after your contract anniversary. See
the Charge section below for more information.
The GLWB base is used solely for the purpose of calculating benefits under the GLWB
(2012) or GLWB Plus rider. It does not provide a Contract Value or guarantee performance of any investment option.
Annual credit base.
With the GLWB (2012) and GLWB Plus, there is a ten-year period called the “annual credit period” that begins on the date the rider is issued. During the annual credit period, you may be eligible for
the annual credit base, which provides a credit to your GLWB base of 6% simple interest (for GLWB Plus riders applied for on
or after March 25, 2013) of the “Annual Credit Calculation Base” for each year you do not take any withdrawals. (The 6% simple interest is referred to as an annual credit.) You will start a new ten-year annual credit period on each contract
anniversary the GLWB base is set equal to the step-up base. If your GLWB base is not set equal to the step-up base,
you will not start a new ten-year annual credit period. If you take a withdrawal from your contract during the annual
credit period, you will not be eligible for any annual credit for the year in which you took the withdrawal.
The annual credit base on a rider anniversary is equal to:
(a)
the GLWB base as of the prior contract anniversary, plus
(b)
net purchase payments (excluding any extra credits, if applicable) made during the
prior contract year, plus
(c)
6% of the Annual Credit Calculation Base.
The Annual Credit Calculation Base is the amount to which the 6% annual credit rate
is applied. The Annual Credit Calculation Base is equal to the GLWB base at the beginning of the annual credit period,
increased for any additional net purchase payments (excluding any extra credits, if applicable) made since the beginning
of the annual credit period. If the GLWB base is adjusted due to an excess withdrawal and is less than the Annual
Credit Calculation Base, the Annual Credit Calculation Base will be lowered to the GLWB base at that time.
For GLWB Plus riders applied for between December 3, 2012 and March 25, 2013, the
annual credit is 7%. For GLWB Plus riders applied for before December 3, 2012 and for GLWB (2012) riders, the annual
credit is 8%.
We reserve the right to change the annual credit rate for the GLWB Plus on new contracts
issued in the future.
Deferral Credit Rider.
In the past, we issued a deferral credit rider, at no charge, with the GLWB (2012)
or GLWB Plus at the time the riders were issued. For contracts applied for before May 1, 2012, if you purchased the GLWB
Plus, we issued a deferral credit rider without age requirements. With this rider, if you take no withdrawals in the
first ten contract years the GLWB Plus rider is in effect, we guarantee that your GLWB base on your tenth rider anniversary
will be at least:
(a)
200% of an amount equal to (i) your initial GLWB base plus (ii) total net subsequent
purchase payments (excluding any extra credits, if applicable) made in the first contract year the rider
is in effect, plus
(b)
any net purchase payments (excluding any extra credits, if applicable) made in the
second through tenth years; plus
(c)
any annual credits (as described above in Annual Credit Base) that you may earn on
any net purchase payments (excluding any extra credits, if applicable) made in the second through the
tenth year.
For example, if your initial purchase payment is $100,000, you make no additional
purchase payments and you take no withdrawals, we guarantee your GLWB base on the tenth rider anniversary will be at
least $200,000. In this example, if you make an additional purchase payment of $100,000 in year one, we guarantee your
GLWB base on the tenth rider anniversary will be at least $400,000. If you also make an additional purchase payment
in year three of $50,000, we guarantee your GLWB base on the tenth rider anniversary will be at least $482,000,
which is 200% of ($100,000 initial purchase payment + $100,000 additional purchase payment in year one) + $50,000 additional
purchase payment in year three + $32,000 (8% annual credits earned on the $50,000 additional purchase payment
for years three through ten).
There is no additional annual charge for the deferral credit rider without age requirements.
If you applied for your contract between May 1, 2012 and December 3, 2012 and purchased
the GLWB Plus or if you purchased the GLWB (2012), we issued a deferral credit rider with age requirements.
With this deferral credit rider, if you take no withdrawals until the later of (i) the rider anniversary immediately following the annuitant’s 70th birthday (youngest Participating Spouse’s 70th birthday with the Joint GLWB Plus or Joint GLWB (2012)) or (ii) your tenth rider anniversary, we guarantee that your GLWB base on the later of such dates will be at
least:
(a)
200% of an amount equal to (i) your initial GLWB base plus (ii) total net subsequent
purchase payments made in the first contract year the rider is in effect, plus
Form 8563
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(b)
any net purchase payments made after the first contract year the rider is in effect;
plus
(c)
any annual credits (as described above in Annual Credit Base) that you may earn on
any net purchase payments made after the first contract year the rider is in effect.
There is no additional annual charge for the deferral credit rider with age requirements.
Excess withdrawals.
The GLWB base is reduced by any excess withdrawals. An excess withdrawal is the amount
a withdrawal exceeds the maximum annual withdrawal under the GLWB (2012) or GLWB Plus rider. For example, assume
the maximum annual withdrawal you may withdraw is $5,000 under the GLWB (2012) or GLWB Plus rider and
in one contract year you withdraw $6,000. The $1,000 difference between the $6,000 withdrawn and the $5,000
maximum annual withdrawal limit would be an excess withdrawal. An excess withdrawal will reduce your GLWB base
by the greater of (a) the same percentage the excess withdrawal reduces your Contract Value (i.e. pro-rata) or (b)
the dollar amount of the excess withdrawal.
For example, assume your GLWB base is $100,000 at the beginning of the contract year
and your withdrawal percentage is 5%, so your maximum annual withdrawal is $5,000. That means you can
withdraw $5,000 without it affecting your GLWB base. Assume your Contract Value is $90,000 and you withdraw $6,000.
First we process that portion of the withdrawal up to your maximum annual withdrawal, which is $5,000. Your
GLWB base remains $100,000 and your Contract Value decreases to $85,000. Then we process that portion of the
withdrawal in excess of your maximum annual withdrawal, which is $1,000. Because you have already taken your maximum
annual withdrawal, the $1,000 withdrawal will reduce the GLWB base. Your GLWB base will be reduced to $98,824, i.e. $100,000 x (1 — $1,000/$85,000) because the pro-rata reduction of $1,176 is greater than the dollar
amount of your $1,000 excess withdrawal. Your Contract Value will be reduced to $84,000.
For another example, assume the same facts above except your Contract Value prior
to the withdrawal is $120,000. After we process the maximum annual withdrawal portion of your withdrawal, $5,000,
your GLWB base remains $100,000 and your Contract Value is $115,000. After we process the portion of your
withdrawal in excess of your maximum annual withdrawal, your GLWB base will be reduced to $99,000 ($100,000 — $1,000) because the dollar for dollar reduction of $1,000 is greater than the pro-rata reduction of $870 ($1,000/$115,000
x $100,000). Your Contract Value will be reduced to $114,000.
Because the allowable annual withdrawals under the GLWB (2012) and GLWB Plus riders
begin when the annuitant is 59 1∕2, any withdrawal under the contract prior to the annuitant reaching age 59 1∕2 is an excess withdrawal. Since excess withdrawals reduce your GLWB base by the greater of pro-rata or the dollar
amount of the excess withdrawal, any withdrawals you take before the annuitant is 59 1∕2 may significantly reduce or eliminate the lifetime maximum annual withdrawals under this rider.
Maximum Annual Withdrawals.
The maximum amount you may withdraw in a contract year under the GLWB (2012) or GLWB
Plus riders without reducing your GLWB base is based upon the annuitant’s age when withdrawals begin. The maximum amount you may withdraw in a contract year under the GLWB (2012) rider is equal to the following
withdrawal percentages multiplied by the “GLWB base”:
|
Annuitant’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4.00%
|
|
65 to 74
|
5.00%
|
|
75 to 79
|
5.50%
|
|
80 to 84
|
6.00%
|
|
85+
|
6.50%
|
Form 8563
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The maximum amount you may withdraw in a contract year under the GLWB Plus rider without
reducing your GLWB base is equal to the maximum annual withdrawal percentage multiplied by the GLWB base.
For GLWB Plus riders applied for on or after May 1, 2013, the maximum amount you may withdraw in a contract
year under the GLWB Plus rider is equal to the following withdrawal percentages multiplied by the “GLWB base”:
|
Annuitant’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4.00%
|
|
65 to 69
|
4.50%
|
|
70 to 74
|
5.00%
|
|
75 to 79
|
5.50%
|
|
80 to 84
|
6.25%
|
|
85+
|
7.00%
|
For GLWB Plus riders applied for on or after March 25, 2013 and before May 1, 2013,
the maximum amount you may withdraw in a contract year under the GLWB Plus rider is equal to the following withdrawal
percentages multiplied by the “GLWB base”:
|
Annuitant’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4.00%
|
|
65 to 74
|
4.50%
|
|
75 to 79
|
5.50%
|
|
80 to 84
|
6.25%
|
|
85+
|
7.00%
|
For GLWB Plus riders applied for on or after August 20, 2012 and before March 25,
2013, the maximum amount you may withdraw in a contract year under the GLWB Plus rider is equal to the following
withdrawal percentages multiplied by the “GLWB base”:
|
Annuitant’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4.00%
|
|
65 to 74
|
5.00%
|
|
75 to 79
|
5.50%
|
|
80 to 84
|
6.25%
|
|
85+
|
7.00%
|
For GLWB Plus riders applied for on or after May 1, 2012 and before August 20, 2012,
the maximum amount you may withdraw in a contract year under the GLWB Plus rider is equal to the following withdrawal
percentages multiplied by the “GLWB base”:
|
Annuitant’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4.10%
|
|
65 to 74
|
5.10%
|
|
75 to 79
|
5.75%
|
|
80 to 84
|
6.25%
|
|
85+
|
7.00%
|
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For GLWB Plus riders applied for prior to May 1, 2012, the maximum amount you may
withdraw in a contract year under the rider without reducing your GLWB base is equal to the following withdrawal percentages
multiplied by the GLWB base:
|
Annuitant’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4.25%
|
|
65 to 74
|
5.25%
|
|
75 to 79
|
6.00%
|
|
80 to 84
|
6.50%
|
|
85+
|
7.00%
|
In the future, we may offer GLWB Plus riders that have different maximum annual withdrawal
percentages.
After you start taking withdrawals, the maximum percentage you may withdraw will not
automatically increase to a higher percentage when the annuitant reaches a higher age bracket. Your maximum withdrawal
percentage will only increase, based on the annuitant’s then current age, on any contract anniversary on which the GLWB base has been increased to the step-up base as described above under “GLWB base.” You may opt out of a reset to the step-up base and avoid an increase in the rider’s charge, but you will then no longer be eligible for any further resets of the GLWB base to the step-up base. If you opt-out, you will also no longer be eligible for
any increases in the maximum annual withdrawal percentages based on the annuitant’s age.
Any withdrawal you take before the annuitant is 59 1∕2 is an excess withdrawal and reduces the GLWB base by the greater of the pro-rata or dollar amount of the excess withdrawal. It does not affect
the maximum percentage you may withdraw once you take your first withdrawal after the annuitant is 59 1∕2.
You may withdraw the maximum annual withdrawal amount under the GLWB (2012) or GLWB
Plus rider without a surrender charge even if the maximum annual withdrawal amount exceeds 10% of your
Contract Value. We reserve the right to charge a withdrawal fee of up to the lesser of 2% of the amount withdrawn
or $15 per withdrawal for withdrawals in excess of 14 in a contract year. We are not currently charging this
fee. If charged, this fee would be assessed against your Contract Value and would not affect the amount you withdraw
at that time.
Withdrawals under the GLWB (2012) or the GLWB Plus will be deducted pro-rata from
the investment options you have selected.
Please note that if you have the annual stepped-up death benefit, any withdrawals
you take under the GLWB (2012) or GLWB Plus (including maximum annual withdrawals) reduce the death benefit pro-rata.
Therefore, you should carefully consider whether the annual stepped-up death benefit is appropriate for you.
Example.
Please see Appendix D for a detailed example of how the annual credit base and withdrawals
work with the GLWB (2012) and GLWB Plus.
Lifetime Annuity Period.
During the Lifetime Annuity Period, we will pay you monthly payments in an annual
amount equal to the then current annual withdrawal amount you may take under the GLWB (2012) or GLWB Plus rider for
the lifetime of the annuitant. Once you enter the Lifetime Annuity Period, we will not accept any additional purchase
payments and you will no longer be eligible for any further increases in the GLWB base. Furthermore, except as expressly
stated in the Premium Protection death benefit rider or the Premium Protection Plus death benefit rider,
the contract will only provide the benefits under the GLWB (2012) or GLWB Plus rider.
You will enter the “Lifetime Annuity Period” when (a) the annuitant is at least 59 1∕2 years old and (b) the earlier of (i) the day your Contract Value goes to zero other than because of an excess withdrawal (such
as due to a decline in market value or an allowable withdrawal) or (ii) the contract anniversary immediately following the annuitant’s 95th birthday.
When you enter the Lifetime Annuity Period, we will immediately make a payment to
you equal to the excess, if any, of your maximum annual withdrawal over the total withdrawals you have taken during that
contract year. If you were taking systematic withdrawals, your payments will continue until you have reached
your maximum annual withdrawal for the contract year. Then, you will begin receiving the lifetime annuity on the
first day of the month following the first contract anniversary in the Lifetime Annuity Period.
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If your Contract Value goes to zero other than because of an excess withdrawal before
the annuitant is 59 1∕2 years old, the Lifetime Annuity Period is deferred until the annuitant reaches age 59 1∕2. In determining whether your Contract Value goes to zero because of an excess withdrawal, we will first calculate your Contract
Value for that valuation period and then determine the effect of an excess withdrawal on your Contract Value. If a
decline in market value and the then allowable withdrawal reduce your Contract Value to zero on a day you requested an
excess withdrawal, we will not pay you the excess withdrawal since you do not have any Contract Value left based upon
the non-excess portion of your requested withdrawal. You will, however, still be eligible to enter the Lifetime Annuity
Period. If the excess withdrawal reduces your Contract Value to zero, you will not be eligible to enter the Lifetime
Annuity Period and your rider will terminate.
For example, assume your allowable withdrawal is $5,000, your Contract Value is $5,500
and you request a withdrawal of $6,000. Further assume on the day you request the withdrawal, your Contract Value
declines by $500. We first process the change in Contract Value due to the market and the allowable withdrawal,
which reduces your Contract Value to zero ($5,500 — $500 market decline — $5,000 allowable withdrawal). You cannot take the $1,000 excess withdrawal since your Contract Value is zero, but you will be eligible to enter the
Lifetime Annuity Period and receive monthly payments equal to one-twelfth of your current maximum annual withdrawal.
Now assume your allowable withdrawal is $5,000, your Contract Value is $6,000 and
you request a withdrawal of $6,000. Also assume on the day you request the withdrawal, your Contract Value declines
by $500. We first process the change in Contract Value due to the market and the allowable withdrawal, which reduces
your Contract Value to $500 ($6,000 — $500 market decline — $5,000 allowable withdrawal). We then process the excess withdrawal. Since your Contract Value is $500, you may only take another $500. Because the $500 is an excess
withdrawal, we will assess a surrender charge, if applicable, against that amount and you would receive less than
the additional $500. The excess withdrawal reduces your Contract Value to zero; therefore, you will not be eligible
to enter the Lifetime Annuity Period. You should carefully consider any withdrawal that may totally deplete your Contract
Value and should talk to your registered representative to determine whether the withdrawal would be appropriate
for you.
Generally, for riders applied for before May 1, 2016, with the GLWB (2012) or GLWB
Plus rider, we will delay the annuity payout date under your contract to the contract anniversary immediately following the annuitant’s 95th birthday. This does not affect the termination of, or extend, any Death Benefit under the contract
or other rider unless expressly stated in the rider. In lieu of the benefits under the GLWB (2012) or GLWB Plus rider,
you may annuitize under the terms of your contract or under the terms of any single premium, immediate fixed annuity
we offer based upon your Contract Value at that time. We will notify you at least 90 days in advance of your annuitization.
At that time you may ask us what other options are available to you.
If you elect the lifetime annuity payout option and there is Contract Value remaining
in your annuity, you should ask us about the alternative immediate fixed annuity options that we might have generally
available for sale at that time. It is possible that one of those alternative fixed annuity options might pay you a higher
stream of income or otherwise better fit your circumstances and needs. We will be happy to provide you with whichever
immediate fixed annuity option you choose.
You should consult with your registered representative to determine which payout option
is best for you.
Rider Charge.
If you have the GLWB (2012) rider, there is an annual charge of 1.05% of the GLWB
base. If you choose the GLWB Plus rider, there is an annual charge of 1.05% of the GLWB base (0.95% for riders applied
for before May 1, 2013). The charge for the GLWB (2012) or GLWB Plus rider ends when you begin the Lifetime Annuity Period
or the rider terminates. (See “Termination” below.) We may increase the charge for the GLWB (2012) or GLWB Plus rider on any contract anniversary that your GLWB base is reset to the step-up base once the rider reaches the third
anniversary. That means if your GLWB base is never increased to the step-up base, we will not increase your charge. The
new charge will not be higher than the then current charge for new issues of this rider or if we are not issuing the rider,
a rate we declare, in our sole discretion. For the GLWB (2012), we guarantee the new charge will not exceed 2.10% of the GLWB
base. For the GLWB Plus, we guarantee the new charge will not exceed 2.00% of the GLWB base.
You may opt out of a reset to the step-up base and avoid an increase in the charge,
but you will then no longer be eligible for any further resets of the GLWB base to the step-up base. If you opt-out,
you will also no longer be eligible for any increases in the maximum annual withdrawal percentages based on the annuitant’s age. To opt-out of an increase in the charge, you must notify us in writing, or in any other manner acceptable to
us, within 30 days of the contract anniversary.
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We reserve the right to lower the charge for the GLWB (2012) or GLWB Plus rider at
any contract anniversary. If we do lower the charge for the rider, we reserve the right to increase the charge up to
the original charge on any contract anniversary.
On each anniversary the charge for your GLWB rider will be deducted on a pro rata
basis in proportion to your current investment option allocations, but will not be deducted from the Enhanced DCA account.
We reserve the right to prorate the annual charge for the rider if (i) the annuitant dies, (ii) you surrender
the contract, (iii) the rider is terminated for any reason, or (iv) you annuitize your contract.
Investment Restrictions.
Effective March 3, 2017, in order to have the GLWB (2012) rider, you must allocate
any variable account portion of your purchase payments and Contract Value to (a) one of AVIP Moderately Conservative Model
Portfolio, AVIP Balanced Model Portfolio or AVIP Moderate Growth Model Portfolio or (b) in accordance with
the Fund Category requirements described in “Investment Restrictions for Certain Optional Riders” and Appendix A. These revised requirements will only apply to you if you make additional purchase payments or transfer requests. You may
not allocate purchase payments or Contract Value to the Fixed Accumulation Account. You may allocate purchase payments
to the Enhanced DCA account and transfer amounts in accordance with the investment restrictions. If you cease to comply with the requirements described in “Investment Restrictions for Certain Optional Riders” and Appendix A we will terminate your GLWB (2012) rider. If the rider is so terminated, a prorated annual rider charge will be assessed.
Effective March 3, 2017, in order to have the GLWB Plus rider, you must allocate your
purchase payments and Contract Value in accordance with the Fund Category requirements described in “Investment Restrictions for Certain Optional Riders” and Appendix A. If you purchased the GLWB Plus rider prior to March 3, 2017, these revised requirements will only apply to you if you make additional purchase payments or transfer requests. You
may not allocate purchase payments or Contract Value to the Fixed Accumulation Account. You may allocate purchase
payments to the Enhanced DCA account and transfer amounts in accordance with the investment restrictions. If you cease to comply with the requirements described in “Investment Restrictions for Certain Optional Riders” and Appendix A we will terminate your GLWB Plus rider. If the rider is so terminated, a prorated annual rider charge will be assessed.
The investment restrictions with the GLWB (2012) provide many more choices of investment
options for you to allocate your purchase payments and contract value among than the investment restrictions with
the GLWB Plus. The investment options with the GLWB (2012) offer the potential for more variability in
their returns, either higher or lower, than one would expect for a similar investment option with the GLWB Plus. The investment
options with the GLWB Plus seek to moderate overall volatility or hedge against downmarket volatility. Other
investment options that are available if you do not select the GLWB Plus may offer the potential for higher returns. You should consult with your registered representative and carefully consider whether the limited investment options with
the GLWB Plus meet your investment objectives and risk tolerance.
Guaranteed Principal Protection with the GLWB Plus
With the GLWB Plus, we will issue a guaranteed principal protection rider at the time
the GLWB Plus rider is issued. Effective March 25, 2013, this guaranteed principal protection rider is not available.
With this rider, if you do not make any withdrawals in the first 8 years the rider is in effect and you elect to exercise
the benefit, we guarantee that your Contract Value at the end of the eight-year term will not be less than it was at the
beginning of the 8-year term. If you elect to exercise the benefit, on the last day of the 8-year term if your “eligible contract value” is less than the guaranteed principal amount, we will add an amount to your Contract Value to increase
the eligible contract value to the guaranteed principal amount.
If this rider is added when your contract is issued, your eligible contract value
is equal to your initial purchase payment plus any purchase payments you make within the first 6 months after your contract
is issued. If this rider is added after the contract is issued, the eligible contract value is equal to your Contract Value
on the date the rider is added. Your eligible contract value is adjusted for any gains or losses in your Contract Value
due to performance of the investment options you have selected. It is also reduced by the dollar amount of any withdrawals
you take and for applicable rider and contract charges.
The guaranteed principal amount is your Contract Value as of the first day of the rider’s term (plus, if the rider is added when the contract is issued, any purchase payments you make in the first 6 months)
reduced pro rata for any withdrawals you make during the 8 year term. A pro rata reduction means that a withdrawal
will reduce the guaranteed
Form 8563
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principal amount by the same percentage the withdrawal reduces the eligible contract
value. For example, assume (i) your eligible contract value is $200,000; (ii) your guaranteed principal amount is
$100,000 and (iii) you take a withdrawal of $50,000. Your eligible contract value would be reduced to $150,000 ($200,000 – $50,000). Your guaranteed principal amount would be reduced by the same percentage (25%) to $75,000.
You must elect to exercise this benefit by providing Notice to us within 30 days of
the 8th rider anniversary. If you elect to exercise this benefit, your GLWB Plus rider, any Premium Protection or Premium
Protection Plus riders and any deferral credit rider you have will terminate and you will receive no further benefits
under those riders.
There is no charge for this guaranteed principal protection rider in conjunction with
the GLWB Plus.
This 8-year guaranteed principal protection rider will terminate when the GLWB Plus
rider terminates. Also, this rider will terminate upon (i) the expiration of its 8-year term if it is not elected on,
or up to 30 days after, the 8th rider anniversary; (ii) commencement of any annuity option or (iii) the death of the Annuitant,
except in the case of Spousal Continuation.
Required Minimum Distributions (Qualified Contracts Only).
If you are required to take withdrawals from your contract under the Required Minimum
Distribution regulations under the Code, we will allow you to take your Required Minimum Distribution (or “RMD”) for a given year even if it exceeds your maximum annual withdrawal under the GLWB (2012) or GLWB Plus rider without it
affecting your GLWB base. Please note that RMDs are calculated on a calendar year basis and your maximum annual
withdrawal under your GLWB rider is calculated on a contract year basis. Any withdrawals in a contract year that exceed your maximum annual withdrawal and your RMD will be considered excess withdrawals and will reduce
the GLWB base. You may withdraw your RMD under the GLWB (2012) or GLWB Plus rider without a surrender charge
even if your RMD exceeds 10% of your Contract Value.
You will receive RMD treatment on or after January 1 of the first calendar year after
your contract was issued. To elect monthly RMD treatment, you must provide Notice to us on or before January 25 of that
calendar year and you must elect a monthly payment date on or before the 25th day of the month. If the date you
elect is not the end of a Valuation Period (generally, a day when the NYSE is open), we will make the payment on, and
as of, the end of the next applicable Valuation Period. If you elect monthly RMD treatment, we will automatically pay you
the greater of your RMD or your maximum annual withdrawal on a monthly basis each month. Once you elect monthly RMD treatment, you cannot revoke it. You may elect to not take a monthly withdrawal by providing Notice to us, but you
will not be able to take that withdrawal later and still receive RMD treatment for it. If you do later take such
withdrawal, it will be considered an excess withdrawal.
If you die and your spouse elects to continue the contract, your spouse may revoke
monthly RMD treatment by providing Notice to us within 30 days of the later of the date of spousal continuation
or December 31 of the calendar year in which you died. If your spouse revokes monthly RMD treatment, he or she may
elect monthly RMD treatment in the future when he or she is required to take RMDs from the contract. If your spouse
continues the contract, is eligible for monthly RMD treatment and does not revoke monthly RMD treatment, he or she will
continue to receive monthly RMD treatment with the applicable RMD amount based upon the continuing spouse’s age beginning in the calendar year after you die.
We reserve the right to modify or eliminate RMD treatment if there is any change to
the Code or regulations regarding RMDs, including guidance by the Internal Revenue Service. We will provide you 30 days
written notice, when practicable, of any modifications to or termination of the RMD treatment with the
GLWB (2012) or GLWB Plus.
Termination.
The GLWB (2012) and GLWB Plus riders will terminate when the contract is terminated
in accordance with its terms (unless otherwise provided in the rider) or if your Contract Value goes to zero because
of an excess withdrawal. The rider will terminate if the funds are allocated in a manner that violate the investment
restrictions. The GLWB (2012) and GLWB Plus riders will also terminate if you annuitize your contract, or, except in
the case of spousal continuation, if the annuitant dies or you transfer or assign your contract or the benefits under the GWLB
(2012) or GLWB Plus rider. The GLWB Plus terminates if you have chosen the optional guaranteed principal protection
with it and elect to exercise that feature on the 8th rider anniversary. If you have the GLWB (2012) or GLWB Plus, it
will continue until it is terminated as described in this section.
Spousal Continuation.
If your surviving spouse chooses to continue the contract under the spousal continuation
option and becomes the sole owner and annuitant, the GLWB (2012) or GLWB Plus rider will be continued. Your spouse
will be eligible to take withdrawals under this rider when he or she reaches age 59 1∕2, and the maximum annual withdrawal will be based on
Form 8563
60
your spouse’s age when he or she begins taking such withdrawals. If you die before age 59 1∕2 or on or after age 59 1∕2 but before taking any withdrawals, the GLWB base will be set equal to the greater of (a)
Contract Value (after applying any applicable death benefit adjustments) or (b) the GLWB base as of the earlier of (i)
the date we are in receipt of proof of the annuitant’s death or (ii) 90 days from the date of the annuitant’s death. If you die on or after age 59 1∕2 and after you have begun to take withdrawals, the GLWB base will be set equal to the Contract Value
(after applying any Death Benefit Adjustment) as of the earlier of (a) the date we are in receipt of proof of the annuitant’s death or (b) 90 days from the date of the annuitant’s death. We will use the surviving spouse’s age to calculate maximum annual withdrawals when, and if, the surviving spouse is eligible to enter the Lifetime Withdrawal
Period. (For example, if the surviving spouse is 40, he or she will not be eligible to enter the Lifetime Withdrawal
Period until he or she turns 59 1∕2.)
Guaranteed Lifetime Withdrawal Benefit (Joint Life) (2012) and Guaranteed Lifetime
Withdrawal Benefit (Joint Life) Plus
In those states where permitted, we offer a Guaranteed Lifetime Withdrawal Benefit (Joint Life) Plus rider (“Joint GLWB Plus”) at the time the contract is issued. The Guaranteed Lifetime Withdrawal Benefit (Joint Life) (2012) rider (“Joint GLWB (2012)”) is not available for purchase on or after May 1, 2012. The Joint GLWB (2012) and the Joint GLWB Plus differ from the GLWB (2012) and GLWB Plus, respectively, since the surviving spouse
continues to receive the same payment the annuitant was receiving before his or her death if he or she was in the
Lifetime Withdrawal Period at the time of death, and allowable withdrawals under the rider are calculated based upon
the youngest Participating Spouse’s age. Subject to the conditions described, the Joint GLWB (2012) or Joint GLWB Plus rider provides a guaranteed level of withdrawals from your contract in each contract year, beginning
when the youngest spouse is age 59 1∕2 for the lifetime of you and your spouse. The Joint GLWB (2012) or Joint GLWB Plus
rider may help protect you from the risk that you and your spouse might outlive your income. The Joint GLWB (2012)
and Joint GLWB Plus differ from electing spousal continuation under the GLWB (2012) and GLWB Plus, respectively, because
you have the potential to have a higher GLWB base upon the death of the first spouse, who is also the annuitant,
with the Joint GLWB (2012) or Joint GLWB Plus. The Joint GLWB (2012) has a higher charge than the GLWB (2012), and
the Joint GLWB Plus has a higher charge than the GLWB Plus.
We may, at our sole option, offer the Joint GLWB Plus rider to existing contracts,
in which case it may be added on a contract anniversary. You may not add the rider once either spouse is 86 years old.
The Joint GLWB (2012) and the Joint GLWB Plus riders are the same as the GLWB (2012) and GLWB Plus riders, respectively,
except as described below.
The Joint GLWB (2012) or Joint GLWB Plus rider is available to two people who are
legally married at the time the rider is added. We refer to these people as “Participating Spouses.” A Participating Spouse is one of two people upon whose life and age the benefits under the Joint GWLB (2012) or GLWB Plus rider are based. On
the date the rider is added, either (a) the two Participating Spouses must be joint owners and one must be the annuitant
or (b) one Participating Spouse is the owner and annuitant and the other is the sole beneficiary. No one can be added
as a Participating Spouse after the rider is added to the contract, and once someone loses his or her status as a Participating
Spouse, it cannot be regained. Status as a Participating Spouse will be lost in the following situations:
●
when a Participating Spouse dies;
●
when a sole owner Participating Spouse requests that the other Participating Spouse
be removed by giving Notice to us;
●
if one Participating Spouse is the sole owner and the Participating Spouses divorce,
the non-owner spouse will cease to be a Participating Spouse;
●
if the Participating Spouses are joint owners and they divorce, the non-annuitant
will cease to be a Participating Spouse.
Please note that if one of the spouses ceases to be a Participating Spouse, you will
continue to be charged for the Joint GLWB (2012) or Joint GLWB Plus rider.
Form 8563
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The maximum amount you may withdraw in a contract year under the Joint GLWB Plus rider
without reducing your GLWB base is equal to the maximum annual withdrawal percentage multiplied by the GLWB
base. For Joint GLWB Plus riders applied for on or after May 1, 2013, the maximum amount you may withdraw in
a contract year under the Joint GLWB Plus rider is equal to the following withdrawal percentages multiplied by the “GLWB base”:
|
Youngest Participating
Spouse’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
3.75%
|
|
65 to 69
|
4.00%
|
|
70 to 74
|
4.50%
|
|
75 to 79
|
5.00%
|
|
80 to 84
|
6.00%
|
|
85+
|
6.50%
|
For Joint GLWB Plus riders applied for on or after March 25, 2013 and before May 1,
2013, the maximum amount you may withdraw in a contract year under the Joint GLWB Plus rider is equal to the following
withdrawal percentages multiplied by the “GLWB base”:
|
Youngest Participating
Spouse’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
3.75%
|
|
65 to 74
|
4.00%
|
|
75 to 79
|
5.00%
|
|
80 to 84
|
6.00%
|
|
85+
|
6.50%
|
For Joint GLWB Plus riders applied for on or after August 20, 2012 and before March
25, 2013, the maximum amount you may withdraw in a contract year under the Joint GLWB Plus rider is equal to the
following withdrawal percentages multiplied by the “GLWB base”:
|
Youngest Participating
Spouse’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4.00%
|
|
65 to 74
|
4.50%
|
|
75 to 79
|
5.00%
|
|
80 to 84
|
6.00%
|
|
85+
|
6.50%
|
For Joint GLWB Plus riders applied for on or after May 1, 2012 and before August 20,
2012, the maximum amount you may withdraw in a contract year under the Joint GLWB Plus rider is equal to the following
withdrawal percentages multiplied by the “GLWB base”:
|
Youngest Participating
Spouse’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4.00%
|
|
65 to 74
|
5.00%
|
|
75 to 79
|
5.50%
|
|
80 to 84
|
6.00%
|
|
85+
|
6.50%
|
Form 8563
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For Joint GLWB Plus riders applied for prior to May 1, 2012, the maximum amount you
may withdraw in a contract year under the rider without reducing your GLWB base is equal to the following withdrawal
percentages multiplied by the GLWB base:
|
Youngest Participating
Spouse’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4.25%
|
|
65 to 74
|
5.25%
|
|
75 to 79
|
6.00%
|
|
80 to 84
|
6.50%
|
|
85+
|
7.00%
|
In the future, we may offer Joint GLWB Plus riders that have different maximum annual
withdrawal percentages.
Under the Joint GLWB (2012) or Joint GLWB Plus rider, the amount you may withdraw
under the rider is based upon the youngest Participating Spouse’s age. Therefore, if the youngest Participating Spouse is younger than 59 1∕2 years old, any withdrawals under the contract (including RMDs) will be excess withdrawals under the
Joint GLWB (2012) or Joint GLWB Plus rider until the youngest Participating Spouse becomes 59 1∕2. Please carefully consider whether the Joint GLWB (2012) or Joint GLWB Plus is appropriate for you if there is a significant difference
in age between you and your spouse.
If you have the Joint GLWB (2012) rider, there is an annual charge of 1.35% of the
GLWB base. If you choose the Joint GLWB Plus rider, there is an annual charge of 1.35% of the GLWB base (1.25% for riders
applied for before May 1, 2013).
We may increase the charge for the Joint GLWB (2012) or Joint GLWB Plus rider on any
contract anniversary that your GLWB base is reset to the step-up base once the rider reaches the third anniversary.
The new charge will not be higher than the then current charge for new issues of the rider or if we are not issuing
the rider, a rate we declare, in our sole discretion. We guarantee the new charge will not exceed 2.70% of the GLWB base for
the Joint GLWB (2012) and 2.50% of the GLWB base for the Joint GLWB Plus.
The 8-year guaranteed principal protection rider and deferral credit rider are not
available for Joint GLWB Plus riders applied for on or after December 3, 2012.
If we are required by state law, we will allow civil union partners to purchase the
Joint GLWB (2012) or Joint GLWB Plus rider in certain states and receive the same benefits as a Participating Spouse while
both Participating Spouses are living. Please note that because civil union partners are not eligible for spousal continuation
under the Code, there may be no benefit to such partners from buying the Joint GLWB (2012) or Joint GLWB
Plus rider versus the GLWB (2012) or GLWB Plus rider. You should consult with your tax advisor before purchasing this rider. Please contact
your registered representative or call us at 1-888-925-6446 for more information about
whether your state recognizes civil unions.
You will enter the Lifetime Annuity Period when (a) the youngest Participating Spouse
is at least 59 1∕2 years old, and (b) the earlier of (i) the day your Contract Value goes to zero other than because of
an excess withdrawal (such as due to a decline in market value or an allowable withdrawal) or (ii) the contract anniversary
immediately following the annuitant’s 95th birthday. If your Contract Value goes to zero other than because of an excess withdrawal before the youngest Participating Spouse is 59 1∕2 years old, the Lifetime Annuity Period is deferred until the youngest Participating
Spouse reaches age 59 1∕2. In that scenario, we will make the first payment immediately upon the youngest Participating
Spouse reaching age 59 1∕2. During the Lifetime Annuity Period, we will pay you monthly payments in an annual
amount equal to the then current annual withdrawal amount you may take under the Joint GLWB
(2012) or Joint GLWB Plus rider (as based on the youngest Participating Spouse’s age) until the death of the last surviving Participating Spouse.
In lieu of the benefits under this rider, you may annuitize under the terms of your
contract or under the terms of any single premium, immediate fixed annuity we offer based upon your Contract Value at
that time.
You should consult with your financial representative to determine which payout option
is best for you.
If you are the sole owner and upon your death your surviving Participating Spouse
elects spousal continuation, the GLWB base will be set equal to the greater of (a) Contract Value (after applying any
applicable death benefit adjustments) or (b) the GLWB base as of the earlier of (i) the date we are in receipt of proof of the annuitant’s death or
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(ii) 90 days from the date of the annuitant’s death. Your Participating Spouse will be eligible to take withdrawals under this rider when he or she reaches age 59 1∕2 and the maximum annual withdrawal will be based on your spouse’s age when he or she begins taking such withdrawals. Please note that since civil union
partners are not eligible for spousal continuation under the Code, they are also not eligible for spousal continuation under
this rider.
GLWB (2011)
In those states where permitted, we may offer the GLWB (2011) rider when you apply
for the contract. In the future we may, at our sole option, offer the GLWB (2011) rider to existing contracts, in which
case it may be added on a contract anniversary. You may not purchase the GLWB (2011) rider if you have any rider, other
than the annual stepped-up death benefit, Premium Protection death benefit, or Premium Protection Plus death
benefit on your contract. You may not purchase this rider once the annuitant is 86 years old.
Any guarantees under the contract that exceed the value of your interest in the separate
account VAA, such as those associated with the GLWB (2011) rider, are paid from our general account (not the
VAA). Therefore, any amounts that we may pay under the contract in excess of your interest in the VAA are subject to
our financial strength and claims-paying ability and our long-term ability to make such payments. In the event
of an insolvency or receivership, payments we make from our general account to satisfy claims under the contract would
generally receive the same priority as our other policyholder obligations.
With the GLWB (2011) rider, you may take annual withdrawals regardless of your Contract
Value and without a surrender charge. The maximum annual withdrawals you may take are determined by applying
a percentage to a value we refer to as the GLWB base. The percentage you may take is set at the time of your
first withdrawal and is based on the annuitant’s age bracket. The higher the annuitant’s age bracket at the time of the first withdrawal, the larger the allowable withdrawal percentage will be. Unlike the GLWB base, the percentage can
only change in limited circumstances. The GLWB base, which is described below, is recalculated at least annually,
so the maximum annual withdrawals you may take can change every contract year. Certain of your actions can
increase or decrease the GLWB base, which would affect your maximum annual withdrawals. These actions include making
additional purchase payments, not taking withdrawals, taking withdrawals before age 59 1∕2 or taking more than the maximum annual withdrawals.
GLWB base.
The initial GLWB base is equal to your initial net purchase payment (excluding any
extra credits, if applicable) if the rider is added when the contract is issued. If the rider is added after your contract is
issued, the initial GLWB base is equal to your Contract Value when the rider is added. The GLWB base is increased dollar for
dollar by purchase payments when made and decreased for “excess withdrawals” as described below. (If you make an additional purchase payment on the day the rider is added, the GLWB base will be increased by the additional purchase
payment.) Withdrawals that do not exceed the maximum annual withdrawals allowed under this rider will not decrease the
GLWB base but will decrease your Contract Value and the Death Benefit under your contract, the optional annual
stepped-up death benefit or Premium Protection death benefit rider. We reserve the right to limit or not allow
additional purchase payments to contracts with the GLWB (2011).
On each contract anniversary, the GLWB base is reset to the greatest of (a) the GLWB
base as of the previous contract anniversary plus subsequent net purchase payments (excluding any extra credits, if
applicable), adjusted for any excess withdrawals, (b) the then-current Contract Value (also called the “step-up base”) or (c) the “annual credit base” described below. If we notify you that the charge for the GLWB (2011) will be increased
upon a reset to the step-up base, you have a right to opt out of the reset to the step-up base within 30 days
after your contract anniversary. See the Charge section below for more information.
The GLWB base is used solely for the purpose of calculating benefits under the GLWB
(2011) rider. It does not provide a Contract Value or guarantee performance of any investment option.
Annual credit base.
With the GLWB (2011), there is a ten-year period called the “annual credit period” that begins on the date the rider is issued. During the annual credit period, you may be eligible for the annual credit
base, which provides for a credit to your GLWB base of 8% simple interest of the “Annual Credit Calculation Base” for each year you do not take any withdrawals. (The 8% simple interest is referred to as an annual credit.) You will
start a new ten-year annual credit
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period on each contract anniversary the GLWB base is set equal to the step-up base.
If your GLWB base is not set equal to the step-up base, you will not start a new ten-year annual credit period. If you
take a withdrawal from your contract during the annual credit period, you will not be eligible for the annual credit for
the year in which you took the withdrawal.
The annual credit base on a rider anniversary is equal to:
(a)
the GLWB base as of the prior contract anniversary, plus
(b)
net purchase payments (excluding any extra credits, if applicable) made during the
prior contract year, plus
(c)
8% of the Annual Credit Calculation Base.
The Annual Credit Calculation Base is the amount to which the 8% annual credit rate
is applied. The Annual Credit Calculation Base is equal to the GLWB base at the beginning of the annual credit period,
increased for any additional purchase payments made since the beginning of the annual credit period. If there is
an excess withdrawal and the GLWB base after it has been adjusted for the excess withdrawal is less than the Annual
Credit Calculation Base, the Annual Credit Calculation Base will be lowered to the GLWB base at that time.
Deferral Credit.
If you take no withdrawals in the first ten contract years the GLWB (2011) rider is
in effect, we guarantee that your GLWB base on your tenth GLWB (2011) rider anniversary will be at least:
(a)
200% of an amount equal to (i) your initial GLWB base plus (ii) total net subsequent
purchase payments made in the first contract year the rider is in effect, plus
(b)
any net purchase payments made in the second through tenth years; plus
(c)
any annual credits (as described above in Annual Credit Base) that you may earn on
any net purchase payments made in the second through the tenth year.
For example, if your initial purchase payment is $100,000, you make no additional
purchase payments and you take no withdrawals, we guarantee your GLWB base on the tenth rider anniversary will be at
least $200,000. In this example, if you make an additional purchase payment of $100,000 in year one, we guarantee your
GLWB base on the tenth rider anniversary will be at least $400,000. If you also make an additional purchase payment
in year three of $50,000, we guarantee your GLWB base on the tenth rider anniversary will be at least $482,000,
which is 200% of ($100,000 initial purchase payment + $100,000 additional purchase payment in year one) + $50,000 additional
purchase payment in year three + $32,000 (8% annual credits earned on the $50,000 additional purchase payment
for years three through ten).
Excess withdrawals.
The GLWB base is reduced by any excess withdrawals. An excess withdrawal is the amount
a withdrawal exceeds the maximum annual withdrawal under this rider. For example, assume the maximum annual
withdrawal you may withdraw is $5,000 under the GLWB (2011) rider and in one contract year you withdraw
$6,000. The $1,000 difference between the $6,000 withdrawn and the $5,000 maximum annual withdrawal limit would
be an excess withdrawal. An excess withdrawal will reduce your GLWB base by the greater of (a) the same percentage
the excess withdrawal reduces your Contract Value (i.e. pro-rata) or (b) the dollar amount of the excess withdrawal.
For example, assume your GLWB base is $100,000 at the beginning of the contract year
and your withdrawal percentage is 5%, so your maximum annual withdrawal is $5,000. That means you can
withdraw $5,000 without it affecting your GLWB base. Assume your Contract Value is $90,000 and you withdraw $6,000.
First we process that portion of the withdrawal up to your maximum annual withdrawal, which is $5,000. Your
GLWB base remains $100,000 and your Contract Value decreases to $85,000. Then we process that portion of the
withdrawal in excess of your maximum annual withdrawal, which is $1,000. Because you have already taken your maximum
annual withdrawal, the $1,000 withdrawal will reduce the GLWB base. Your GLWB base will be reduced to $98,824, i.e. $100,000 x (1 — $1,000/$85,000) because the pro-rata reduction of $1,176 is greater than the dollar
amount of your $1,000 excess withdrawal. Your Contract Value will be reduced to $84,000.
For another example, assume the same facts above except your Contract Value prior
to the withdrawal is $120,000. After we process the maximum annual withdrawal portion of your withdrawal, $5,000,
your GLWB base remains $100,000 and your Contract Value is $115,000. After we process the portion of your
withdrawal in excess of your maximum annual withdrawal, your GLWB base will be reduced to $99,000 ($100,000 — $1,000) because the dollar for dollar reduction of $1,000 is greater than the pro-rata reduction of $870 ($1,000/$115,000
x $100,000). Your Contract Value will be reduced to $114,000.
Form 8563
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Because the allowable annual withdrawals under this rider begin when the annuitant
is 59 1∕2, any withdrawal under the contract prior to the annuitant reaching age 59 1∕2 is an excess withdrawal. Since excess withdrawals reduce your GLWB base by the greater of pro-rata or the dollar amount of the excess withdrawal,
any withdrawals you take before the annuitant is 59 1∕2 may significantly reduce or eliminate the lifetime maximum annual withdrawals under
this rider.
Maximum Annual Withdrawals.
The maximum amount you may annually withdraw under the GLWB (2011) rider without reducing
your GLWB base is based upon the annuitant’s age when withdrawals begin and is equal to the following withdrawal percentages multiplied by the “GLWB base”:
|
Annuitant’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4%
|
|
65 to 74
|
5%
|
|
75 to 79
|
5.5%
|
|
80 to 84
|
6%
|
|
85+
|
6.5%
|
After you start taking withdrawals, the maximum percentage you may withdraw will not
automatically increase to a higher percentage when the annuitant reaches a higher age bracket. Your maximum withdrawal
percentage will only increase, based on the annuitant’s then current age, on any contract anniversary on which the GLWB base has been increased to the step-up base as described above. You may opt out of a reset to the
step-up base and avoid an increase in the rider’s charge, but you will then no longer be eligible for any further resets of the GLWB base to the step-up base. If you opt-out, you will also no longer be eligible for any increases in the maximum
annual withdrawal percentages based on the annuitant’s age.
Any withdrawal you take before the annuitant is 59 1∕2 is an excess withdrawal and reduces the GLWB base by the greater of pro-rata or the dollar amount of the excess withdrawal. It does not affect
the maximum percentage you may withdraw once you take your first withdrawal after the annuitant is 59 1∕2.
You may withdraw the maximum annual withdrawal amount under the GLWB (2011) rider
without a surrender charge even if the maximum annual withdrawal amount exceeds 10% of your Contract Value. We
reserve the right to charge a withdrawal fee of up to the lesser of 2% of the amount withdrawn or $15 per withdrawal
for withdrawals in excess of 14 in a contract year. We are not currently charging this fee. If charged, this fee would
be assessed against your Contract Value and would not affect the amount you withdraw at that time.
Please note that if you have the annual stepped-up death benefit, any withdrawals
you take under the GLWB (2011) (including maximum annual withdrawals) reduce the death benefit pro-rata. Therefore,
you should carefully consider whether the annual stepped-up death benefit is appropriate for you.
Example.
The following provides an example of how the annual credit base and withdrawals work.
Assume you purchase a contract with an initial purchase payment of $100,000 and select the GLWB (2011) rider.
Further assume (i) the annuitant is age 65 at the time of purchase; (ii) you take a withdrawal of $1,000
in year five and one of $50,000 in year six and take no other withdrawals in the first ten years, (iii) you make an additional
purchase payment of $50,000 in year three and one of $10,000 in year eight, (iv) during year one your Contract Value increases
$30,000, net of contract expenses and charges, due to market performance, and (v) the market is flat, net of
contract expenses and charges, over the next ten years of your contract. Your initial GLWB base and Annual Credit
Calculation Base is $100,000. Since you took no withdrawals in years one, you receive a $8,000 credit on the first contract
anniversary (8% of $100,000 Annual Credit Calculation Base) and your annual credit base is $108,000 after year
one.
Your GLWB base is the greater of your annual credit base and your step-up base. Your
Contract Value increased by $30,000 during year one due to market performance, so at the beginning of year two
your GLWB base is set equal to the step-up base of $130,000, i.e. your then current Contract Value, which is greater
than your annual credit base. Because
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your GLWB base was set equal to the step-up base, you start a new ten-year annual
credit period, unless you chose to decline the step-up. Your Annual Credit Calculation Base is set equal to the GLWB
base of $130,000. You receive an annual credit at the end of year two of $10,400 (8% of $130,000 Annual Credit Calculation
Base). Your annual credit base and GLWB base are $140,400 after year two ($130,000 prior GLWB base + $10,400
annual credit).
At the start of year three, you make an additional purchase payment of $50,000, so
your Annual Credit Calculation Base increases to $180,000 ($130,000 prior Annual Credit Calculation Base + $50,000 additional
purchase payment). Your GLWB base immediately increases with the additional purchase payment to $190,400 ($140,400
prior GLWB base + $50,000 additional purchase payment). Your annual credit at the end of year three
is $14,400 (8% of $180,000 Annual Credit Calculation Base). Your annual credit base after year three, therefore, is
$204,800 ($140,400 prior GLWB base + $50,000 purchase payment + $14,400 annual credit), and your GLWB base is set equal
to your annual credit base. Your Contract Value also increases to $180,000 with the additional purchase payment of
$50,000.
In year four you take no withdrawals and make no additional purchase payments. Your
annual credit for year four is $14,400 (8% of $180,000 Annual Credit Calculation Base), so your annual credit base,
and therefore your GLWB base, at the end of year four is $219,200 ($204,800 prior GLWB base + $14,400 annual credit).
In year five, when the annuitant is age 70 and your maximum annual withdrawal amount
under the rider is $10,960 (5% of $219,200), you take a withdrawal of $1,000. Your Contract Value is reduced to $179,000.
Because your withdrawal is less than the maximum annual withdrawal, your GLWB base is not reduced by the withdrawal
and remains $219,200. Further, because you took a withdrawal, you are not eligible for the annual credit
in year five.
In year six, when the annuitant is age 71 and your maximum annual withdrawal amount
under the rider is $10,960 (5% of $219,200), you take a withdrawal of $50,000. Because your withdrawal exceeds your
maximum annual withdrawal amount, $39,040 of it is an excess withdrawal and you are not eligible for an annual
credit at the end of year six. Your Contract Value after the allowed withdrawal of $10,960 was $168,040 ($179,000 — $10,960). Upon the excess withdrawal, your GLWB base is set equal to $168,274, i.e. $219,200 x (1 — $39,040/$168,040). Because the GLWB base after adjustment for the excess withdrawal of $168,274 is less than the Annual Credit
Calculation Base of $180,000, the Annual Credit Calculation Base is set equal to the GLWB base of $168,274.
In year seven you take no withdrawals and make no additional purchase payments. Your
annual credit for year seven is $13,462 (8% of $168,274 Annual Credit Calculation Base), so your annual credit base,
and therefore, your GLWB base, at the end of the year seven is $181,736 ($168,274 prior GLWB base + $13,462 annual credit).
At the start of year eight, you make an additional purchase payment of $10,000. Your
GLWB base immediately increases with the additional purchase payment to $191,736 ($181,736 prior GLWB base + $10,000
additional purchase payment). Your Annual Credit Calculation Base increases to $178,274 ($168,274 prior
Annual Credit Calculation Base + $10,000 additional purchase payment). Your annual credit at the end of year eight
is $14,262 (8% of $178,274 Annual Credit Calculation Base). Your annual credit base at the end of year eight, therefore,
is $205,998 ($181,736 prior GLWB base + $10,000 additional purchase payment + $14,262 annual credit), and your GLWB
base is set equal to your annual credit base.
Since you take no more withdrawals and add no more purchase payments in years nine
and ten, for each year, your annual credit will be $14,262 (8% of $178,274 Annual Credit Calculation Base). Furthermore,
since the market is flat, your GLWB base increases each of those years by the amount of the annual credit to
$220,260 for year nine and $234,522 for year ten.
You started a new ten-year annual credit period at the beginning of year two because
your GLWB base was set equal to the step-up base so you are eligible for the annual credit in year eleven. Since you
took no withdrawals or made no purchase payments in year eleven, you receive an annual credit of $14,262 (8% of $178,274
Annual Credit Calculation Base) and your GLWB base after year eleven is $248,784 ($234,522 prior GLWB base +
$14,262 annual credit).
Lifetime Annuity Period.
During the Lifetime Annuity Period, we will pay you monthly payments in an annual
amount equal to the then current annual withdrawal amount you may take under the GLWB (2011) rider for the lifetime
of the annuitant. Once you enter the Lifetime Annuity Period, we will not accept any additional purchase payments and
you will no longer be eligible for any further increases in the GLWB base. Furthermore, except as expressly stated in
the Premium Protection death benefit rider or the Premium Protection Plus death benefit rider, the contract will
only provide the benefits under the GLWB (2011) rider.
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You will enter the “Lifetime Annuity Period” when (a) the annuitant is at least 59 1∕2 years old and (b) the earlier of (i) the day your Contract Value goes to zero other than because of an excess withdrawal (such
as due to a decline in market value or an allowable withdrawal) or (ii) the contract anniversary immediately following the annuitant’s 95th birthday.
When you enter the Lifetime Annuity Period, we will immediately make a payment to
you equal to the excess, if any, of your maximum annual withdrawal over the total withdrawals you have taken during that
contract year. If you were taking systematic withdrawals, your payments will continue until you have reached
your maximum annual withdrawal for the contract year. Then, you will begin receiving a lifetime annuity on the first
day of the month following the contract anniversary in the Lifetime Annuity Period.
If your Contract Value goes to zero other than because of an excess withdrawal before
the annuitant is 59 1∕2 years old, the Lifetime Annuity Period is deferred until the annuitant reaches age 59 1∕2. In determining whether your Contract Value goes to zero because of an excess withdrawal, we will first calculate your Contract
Value for that valuation period and then determine the effect of an excess withdrawal on Contract Value. If a decline
in market value and the then allowable withdrawal reduce your Contract Value to zero on a day you requested an
excess withdrawal, we will not pay you the excess withdrawal since you do not have any Contract Value left based upon
the non-excess portion of your requested withdrawal. You will, however, still be eligible to enter the Lifetime Annuity
Period. If the excess withdrawal reduces your Contract Value to zero, you will not be eligible to enter the Lifetime
Annuity Period and your rider will terminate.
For example, assume your allowable withdrawal is $5,000, your Contract Value is $5,500
and you request a withdrawal of $6,000. Further assume on the day you request the withdrawal, your Contract Value
declines by $500. We first process the change in Contract Value due to the market and the allowable withdrawal,
which reduces your Contract Value to zero ($5,500 — $500 market decline — $5,000 allowable withdrawal). You cannot take the $1,000 excess withdrawal since your Contract Value is zero, but you will be eligible to enter the
Lifetime Annuity Period and receive monthly payments equal to one-twelfth of your current maximum annual withdrawal.
Now assume your allowable withdrawal is $5,000, your Contract Value is $6,000 and
you request a withdrawal of $6,000. Also assume on the day you request the withdrawal, your Contract Value declines
by $500. We first process the change in Contract Value due to the market and the allowable withdrawal, which reduces
your Contract Value to $500 ($6,000 — $500 market decline — $5,000 allowable withdrawal). We then process the excess withdrawal. Since your Contract Value is $500, you may only take another $500. Because the $500 is an excess
withdrawal, we will assess a surrender charge, if applicable, against that amount and you would receive less than
the additional $500. The excess withdrawal reduces your Contract Value to zero; therefore, you will not be eligible
to enter the Lifetime Annuity Period. You should carefully consider any withdrawal that may totally deplete your Contract
Value and should talk to your registered representative to determine whether the withdrawal would be appropriate
for you.
Generally, for riders applied for before May 1 2016, with the GLWB (2011) rider, we
will delay the annuity payout date under your contract to the contract anniversary immediately following the annuitant’s 95th birthday. This does not affect the termination of, or extend, any Death Benefit under the contract or other
rider unless expressly stated in the rider. In lieu of the benefits under the GLWB (2011) rider, you may annuitize under
the terms of your contract or under the terms of any single premium, immediate fixed annuity we offer based upon your
Contract Value at that time. We will notify you at least 90 days in advance of your annuitization. At that time you
may ask us what other options are available to you.
If you elect the lifetime annuity payout option and there is Contract Value remaining
in your annuity, you should ask us about the alternative immediate fixed annuity options that we might have generally
available for sale at that time. It is possible that one of those alternative fixed annuity options might pay you a higher
stream of income or otherwise better fit your circumstances and needs. We will be happy to provide you with whichever
immediate fixed annuity option you choose.
You should consult with your registered representative to determine which payout option
is best for you.
Rider Charge.
If you choose the GLWB (2011) rider, there is an annual charge of 0.95% of the GLWB
base. The charge for the GLWB (2011) rider ends when you begin the Lifetime Annuity Period or the rider terminates. (See “Termination” below.) We may increase the charge for the GLWB (2011) rider on any contract anniversary that
your GLWB base is reset to the step-up base once the rider reaches the third anniversary. That means if your GLWB
base is never increased to the step-up base, we will not increase your charge. The new charge will not be higher
than the then current charge for new issues of this rider or if we are not issuing the rider, a rate we declare, in our
sole discretion. We guarantee the new charge will not exceed 2.00% of the GLWB base.
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You may opt out of a reset to the step-up base and avoid an increase in the charge,
but you will then no longer be eligible for any further resets of the GLWB base to the step-up base. If you opt-out,
you will also no longer be eligible for any increases in the maximum annual withdrawal percentages based on the annuitant’s age. To opt-out of an increase in the charge, you must notify us in writing, or in any other manner acceptable to
us, within 30 days of the contract anniversary.
We reserve the right to lower the charge for the GLWB (2011) rider at any contract
anniversary. If we do lower the charge for the rider, we reserve the right to increase the charge up to the original
charge on any contract anniversary.
On each anniversary the charge for the GLWB rider will be deducted on a pro rata basis
in proportion to your current investment option allocations, but will not be deducted from the Enhanced DCA account.
We reserve the right to prorate the annual charge for the rider if (i) the annuitant dies, (ii) you surrender
the contract, (iii) the rider is terminated because you violate the investment restrictions, or (iv) you annuitize
your contract.
Investment Restrictions.
Effective March 3, 2017, in order to have the GLWB (2011) rider, you must allocate
your purchase payments and Contract Value to (a) one of AVIP Moderately Conservative Model Portfolio, AVIP Balanced
Model Portfolio or AVIP Moderate Growth Model Portfolio or (b) in accordance with the Fund Category requirements described in “Investment Restrictions for Certain Optional Riders” and Appendix A. These revised requirements will only apply to you if you make additional purchase payments or transfer requests. You may not allocate purchase payments
or Contract Value to the Fixed Accumulation Account. You may allocate purchase payments to the Enhanced DCA
account and transfer amounts in accordance with the investment restrictions. If you cease to comply with the requirements described in “Investment Restrictions for Certain Optional Riders” and Appendix A, we will terminate your GLWB (2011) rider. If the rider is so terminated, a prorated annual rider charge will be assessed.
Required Minimum Distributions (Qualified Contracts Only).
If you are required to take withdrawals from your contract under the Required Minimum
Distribution regulations under the Code, we will allow you to take your Required Minimum Distribution (or “RMD”) for a given year even if it exceeds your maximum annual withdrawal under the GLWB (2011) rider without it affecting your
GLWB base. Any withdrawals in a contract year that exceed your maximum annual withdrawal and your RMD will be
considered excess withdrawals and will reduce the GLWB base. You may withdraw your RMD under this rider without
a surrender charge even if your RMD exceeds 10% of your Contract Value.
You may elect RMD treatment on or after January 1 of the first calendar year after
your contract was issued by providing Notice to us. You will not receive RMD treatment without providing Notice to us. You may take your RMD payments on a non-systematic basis or you may elect to receive monthly payments. To elect monthly
RMD treatment, you must provide Notice to us on or before January 25 of that calendar year and you must elect
a monthly payment date on or before the 25th day of the month. If the date you elect is not the end of a Valuation
Period (generally, a day when the NYSE is open), we will make the payment on, and as of, the end of the next applicable
Valuation Period. If you elect monthly RMD treatment, we will pay you the greater of your RMD or your maximum annual
withdrawal on a monthly basis each month. Once you elect monthly RMD treatment, you cannot revoke it. You may elect to not take a monthly withdrawal by providing Notice to us, but you will not be able to take that withdrawal
later and still receive RMD treatment for it. If you do later take such withdrawal, it will be considered an excess
withdrawal.
If you die and your spouse elects to continue the contract, your spouse may revoke
RMD treatment by providing Notice to us within 30 days of the later of the date of spousal continuation or December
31 of the calendar year in which you died. If your spouse revokes RMD treatment, any withdrawal that exceeds the maximum
annual withdrawal will be an excess withdrawal. If your spouse revokes RMD treatment, he or she may elect RMD treatment
in the future when he or she is required to take RMDs from the contract. If your spouse continues the contract,
is eligible for RMD treatment and does not revoke RMD treatment, he or she will continue to receive RMD treatment with
the applicable RMD amount based upon the continuing spouse’s age beginning in the calendar year after you die.
We reserve the right to modify or eliminate RMD treatment if there is any change to
the Code or regulations regarding RMDs, including guidance by the Internal Revenue Service. We will provide you 30 days
written notice, when practicable, of any modifications to or termination of the RMD treatment with the
GLWB (2011).
Termination.
The GLWB (2011) rider will terminate when the contract is terminated in accordance
with its terms (unless otherwise provided in this rider) or if your Contract Value goes to zero because of an excess
withdrawal. The rider will terminate if the funds are allocated in a manner that violate the investment restrictions. The
GLWB (2011) rider will also terminate if
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you annuitize your contract, or, except in the case of spousal continuation, if the
annuitant dies or you transfer or assign your contract or the benefits under the GWLB rider. If you choose the GLWB (2011),
it will continue until it is terminated as described in this section.
Spousal Continuation.
If your surviving spouse chooses to continue the contract under the spousal continuation
option and becomes the sole owner and annuitant, the GLWB (2011) rider will be continued. Your spouse will be
eligible to take withdrawals under this rider when he or she reaches age 59 1∕2, and the maximum annual withdrawal will be based on your spouse’s age when he or she begins taking such withdrawals. If you die before age 59 1∕2 or after age 59 1∕2 but before taking any withdrawals, the GLWB base will be set equal to the greater of (a) Contract Value
(after applying any applicable death benefit adjustments) or (b) the GLWB base as of the earlier of (i) the date we are in receipt of proof of the annuitant’s death or (ii) 90 days from the date of the annuitant’s death. If you die after age 59 1∕2 and after you have begun to take withdrawals, the GLWB base will be set equal to the Contract Value (after applying
any Death Benefit Adjustment) as of the earlier of (a) the date we are in receipt of proof of the annuitant’s death or (b) 90 days from the date of the annuitant’s death. We will use the surviving spouse’s age to calculate maximum annual withdrawals when, and if, the surviving spouse is eligible to enter the Lifetime Withdrawal Period. (For example,
if the surviving spouse is 40, he or she will not be eligible to enter the Lifetime Withdrawal Period until he or she turns
59 1∕2.)
Guaranteed Lifetime Withdrawal Benefit (Joint Life) (2011)
In those states where permitted, we may offer a Guaranteed Lifetime Withdrawal Benefit rider (Joint Life) (“Joint GLWB (2011)”) at the time the contract is issued. The Joint GLWB (2011) differs from the GLWB (2011) since the surviving spouse continues to receive the same payment the annuitant was receiving before his
or her death if he or she was in Lifetime Withdrawal Period at the time of death, and allowable withdrawals under the
rider are calculated based upon the youngest Participating Spouse’s age. Subject to the conditions described, the Joint GLWB (2011) rider provides a guaranteed level of withdrawals from your contract in each contract year, beginning
when the youngest spouse is age 59 1∕2 for the lifetime of you and your spouse. The Joint GLWB (2011) rider may help protect
you from the risk that you and your spouse might outlive your income. The Joint GLWB (2011) differs from electing
spousal continuation under the GLWB (2011) because you have the potential to have a higher GLWB base upon the death
of the first spouse, who is also the annuitant, with the Joint GLWB (2011). The Joint GLWB (2011) has a higher charge
than the GLWB (2011).
We may, at our sole option, offer the Joint GLWB (2011) rider to existing contracts,
in which case it may be added on a contract anniversary. You may not add this rider once either spouse is 86 years old.
The Joint GLWB (2011) rider is the same as the GLWB (2011) rider except as described below.
The Joint GLWB (2011) rider is available to two people who are legally married at
the time the rider is added. We refer to these people as “Participating Spouses.” A Participating Spouse is one of two people upon whose life and age the benefits under the Joint GWLB rider are based. On the date the rider is added, either
(a) the two Participating Spouses must be joint owners and one must be the annuitant or (b) one Participating Spouse
is the owner and annuitant and the other is the sole beneficiary. No one can be added as a Participating Spouse after
the rider is added to the contract, and once someone loses his or her status as a Participating Spouse, it cannot be regained.
Status as a Participating Spouse will be lost in the following situations:
●
when a Participating Spouse dies;
●
when a sole owner Participating Spouse requests that the other Participating Spouse
be removed by giving Notice to us;
●
if one Participating Spouse is the sole owner and the Participating Spouses divorce,
the non-owner spouse will cease to be a Participating Spouse;
●
if the Participating Spouses are joint owners and they divorce, the non-annuitant
will cease to be a Participating Spouse.
Please note that if one of the spouses ceases to be a Participating Spouse, you will
still be charged for the Joint GLWB (2011) rider.
Under the Joint GLWB (2011) rider, the amount you may withdraw under the rider is
based upon the youngest Participating Spouse’s age. Therefore, if the youngest Participating Spouse is younger than 59 1∕2 years old, any withdrawals under the contract (including RMDs) will be excess withdrawals under the
Joint GLWB (2011) rider until the youngest Participating Spouse becomes 59 1∕2. Please carefully consider whether the Joint GLWB (2011) is appropriate for you if there is a significant difference in age between you and your spouse.
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If you choose the Joint GLWB (2011) rider, there is an annual charge of 1.20% of the
GLWB base. We may increase the charge for the Joint GLWB (2011) rider on any contract anniversary that your GLWB
base is reset to the step-up base once the rider reaches the third anniversary. The new charge will not be higher than
the then current charge for new issues of the rider or if we are not issuing the rider, a rate we declare, in our
sole discretion. We guarantee the new charge will not exceed 2.40% of the GLWB base.
If we are required by state law, we will allow civil union partners to purchase the
Joint GLWB (2011) rider in certain states and receive the same benefits as a Participating Spouse while both Participating
Spouses are living. Please note that because civil union partners are not eligible for spousal continuation under
the Code, there may be no benefit to such partners from buying the Joint GLWB (2011) rider versus the GLWB (2011) rider. You should consult with your tax advisor before purchasing this rider. Please contact your registered representative
or call us at 1-888-925-6446 for more information about whether your state recognizes civil unions.
You will enter the Lifetime Annuity Period when (a) the youngest Participating Spouse
is at least 59 1∕2 years old, and (b) the earlier of (i) the day your Contract Value goes to zero other than because of
an excess withdrawal (such as due to a decline in market value or an allowable withdrawal) or (ii) the contract anniversary
immediately following the annuitant’s 95th birthday. If your Contract Value goes to zero other than because of an excess withdrawal before the youngest Participating Spouse is 59 1∕2 years old, the Lifetime Annuity Period is deferred until the youngest Participating
Spouse reaches age 59 1∕2. In that scenario, we will make the first payment immediately upon the youngest Participating
Spouse reaching age 59 1∕2. During the Lifetime Annuity Period, we will pay you monthly payments in an annual
amount equal to the then current annual withdrawal amount you may take under the Joint GLWB
(2011) rider (as based on the youngest Participating Spouse’s age) for the lifetime of the annuitant.
In lieu of the benefits under this rider, you may annuitize under the terms of your
contract or under the terms of any single premium, immediate fixed annuity we offer based upon your Contract Value at
that time.
You should consult with your financial representative to determine which payout option
is best for you.
If you are the sole owner and your surviving Participating Spouse elects spousal continuation,
the GLWB base will be set equal to the greater of (a) Contract Value (after applying any applicable death benefit
adjustments) or (b) the GLWB base as of the earlier of (i) the date we are in receipt of proof of the annuitant’s death or (ii) 90 days from the date of the annuitant’s death. Your Participating Spouse will be eligible to take withdrawals under this rider when he or she reaches age 59 1∕2 and the maximum annual withdrawal will be based on your spouse’s age when he or she begins taking such withdrawals. Please note that since civil union partners are not eligible for spousal
continuation under the Code, they are also not eligible for spousal continuation under this rider.
Other GLWB Versions
In those states where permitted, we may offer an earlier version of the GLWB rider
when you apply for the contract. If you choose the GLWB rider, you may not have any other rider available under this contract
except for the annual stepped-up death benefit. In the future we may, at our sole option, offer the GLWB
rider to existing contracts, in which case it may be added on a contract anniversary. You may not purchase the GLWB rider
if you have any rider, other than the annual stepped-up death benefit, on your contract. If the GLWB (2011) rider is
available, you may not purchase the GLWB rider. You may not purchase this rider once the annuitant is 86 years old.
Any guarantees under the contract that exceed the value of your interest in the separate
account VAA, such as those associated with the GLWB riders, are paid from our general account (not the VAA).
Therefore, any amounts that we may pay under the contract in excess of your interest in the VAA are subject to our financial
strength and claims-paying ability and our long-term ability to make such payments. In the event of an insolvency
or receivership, payments we make from our general account to satisfy claims under the contract would generally
receive the same priority as our other policy holder obligations.
With the GLWB rider, you may take annual withdrawals regardless of your Contract Value
and without a surrender charge. The maximum annual withdrawals you may take are determined by applying a percentage
to a value we refer to as the GLWB base. The percentage you may take is set at the time of your first withdrawal
and is based on the annuitant’s age bracket. The higher the annuitant’s age bracket at the time of the first withdrawal, the larger the allowable withdrawal percentage will be. Unlike the GLWB base, the percentage can
only change in limited circumstances. The GLWB base, which is described below, is recalculated annually,
so the amount you may withdraw can change every year. Certain of your actions can increase or decrease the GLWB base,
which would affect the annual amount you may withdraw. These actions include making additional purchase payments,
not taking withdrawals, taking withdrawals before age 59 1∕2 or taking more than the maximum annual withdrawals.
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GLWB base.
The initial GLWB base is equal to your initial purchase payment if the rider is added
at issue. The GLWB base is increased dollar for dollar by purchase payments when made and decreased pro-rata for “excess withdrawals” as described below. Withdrawals that do not exceed the maximum annual withdrawals allowed under
this rider will not decrease the GLWB base but will decrease your Contract Value and possibly the Death Benefit.
On each contract anniversary, the GLWB base is reset to the greater of (a) the GLWB
base as of the previous anniversary plus subsequent purchase payments, adjusted for any excess withdrawals, (b) the then-current
Contract Value (also called the “step-up base”) or (c) the “annual credit base” described below.
If you take no withdrawals in the first ten contract years the GLWB rider is in effect,
we guarantee that your GLWB base on your tenth GLWB rider anniversary will be at least:
(a)
200% of an amount equal to your initial GLWB base plus total subsequent purchase payments
made in the first contract year the rider is in effect, plus
(b)
any purchase payments made in the second through tenth years.
For example, if your initial purchase payment is $100,000, you make no additional
purchase payments and you take no withdrawals, we guarantee your GLWB base on the tenth rider anniversary will be at
least $200,000. In this example, if you make an additional purchase payment of $100,000 in year one, we guarantee your
GLWB base on the tenth rider anniversary will be at least $400,000. If you also make an additional purchase payment
in year three of $50,000, we guarantee your GLWB base on the tenth rider anniversary will be at least $450,000,
which is 200% of ($100,000 initial purchase payment + $100,000 additional purchase payment in year one) + $50,000 additional
purchase payment in year three.
The GLWB base is used solely for the purpose of calculating benefits under the GLWB
rider. It does not provide a Contract Value or guarantee performance of any investment option.
Annual credit base.
With the GLWB, there is a ten-year period called the “annual credit period” that begins on the date the rider is issued. During the annual credit period, you may be eligible for the annual credit base, which
provides for a credit to your GLWB base of 8% simple interest of the “Annual Credit Calculation Base” for each year you do not take any withdrawals. You will start a new ten-year annual credit period on each contract anniversary the GLWB
base is set equal to the step-up base. If your GLWB base is not set equal to the step-up base, you will not start a
new ten-year annual credit period. If you take a withdrawal from your contract during the annual credit period, you will
not be eligible for the annual credit for the year in which you took the withdrawal.
The annual credit base at the end of the contract year is equal to:
(a)
the GLWB base as of the prior contract anniversary, plus
(b)
purchase payments made during the current contract year, plus
(c)
8% of the Annual Credit Calculation Base.
The Annual Credit Calculation Base is the amount to which the 8% annual credit rate
is applied. The Annual Credit Calculation Base is equal to the GLWB base at the beginning of the annual credit period,
increased for any additional purchase payments made since the beginning of the annual credit period. If there is
an excess withdrawal and the GLWB base after it has been adjusted for the excess withdrawal is less than the Annual
Credit Calculation Base, the Annual Credit Calculation Base will be lowered to the GLWB base at that time.
Excess withdrawals.
The GLWB base is reduced pro-rata by any excess withdrawals. An excess withdrawal
is the amount a withdrawal exceeds the maximum annual withdrawal under this rider. For example, assume you may
withdraw $5,000 annually under the GLWB rider and in one contract year you withdraw $6,000. $1,000 would be
an excess withdrawal. An excess withdrawal will reduce your GLWB base by the same percentage the excess withdrawal
reduces your Contract Value.
For example, assume your GLWB base is $100,000 at the beginning of the contract year
and your withdrawal percentage is 5%, so your maximum annual withdrawal is $5,000. That means you can
withdraw $5,000 without it affecting your GLWB base. Assume your Contract Value is $90,000 and you withdraw $6,000.
First we process that portion of the withdrawal that is allowed, $5,000. Your GLWB base remains $100,000
and your Contract Value
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decreases to $85,000. Then we process that portion of the withdrawal in excess of
your maximum annual withdrawal, $1,000. Because you have already taken your maximum annual withdrawal, the $1,000
withdrawal will reduce the GLWB base pro rata. Your GLWB base will be reduced to $98,824, i.e. $100,000 — ([$1,000/$85,000] x $100,000) and your Contract Value is $84,000.
Because the allowable annual withdrawals under this rider begin when the annuitant
is 59 1∕2, any withdrawal under the contract prior to the annuitant reaching age 59 1∕2 is an excess withdrawal. Since excess withdrawals reduce your GLWB base pro-rata, any withdrawals you take before the annuitant is 59 1∕2 may significantly reduce or eliminate the lifetime maximum annual withdrawals under this rider.
Maximum Annual Withdrawals.
The amount you may annually withdraw under the GLWB rider is based upon the annuitant’s age when withdrawals begin and is equal to the following withdrawal percentages multiplied by the “GLWB base”:
|
Annuitant’s Age
|
Maximum Annual
Withdrawal %
|
|
59½ to 64
|
4%
|
|
65 to 79
|
5%
|
|
80+
|
6%
|
After you start taking withdrawals, the maximum percentage you may withdraw will not
automatically increase to a higher percentage when the annuitant reaches a higher age bracket. Your maximum withdrawal
percentage will only increase based on the annuitant’s then current age on a contract anniversary when the GLWB base has been increased to the step-up base as described above. Any withdrawal you take before the annuitant
is 59 1∕2 is an excess withdrawal and reduces the GLWB base pro-rata. It does not affect the maximum percentage you
may withdraw once you take your first withdrawal after the annuitant is 59 1∕2.
You may withdraw the maximum annual withdrawal amount under the GLWB (2011) rider
without a surrender charge even if the maximum annual withdrawal amount exceeds 10% of your Contract Value. We
reserve the right to charge a withdrawal fee of up to the lesser of 2% of the amount withdrawn or $15 per withdrawal
for withdrawals in excess of 14 in a contract year. We are not currently charging this fee. If charged, this fee would
be assessed against your Contract Value and would not affect the amount you withdraw at that time.
Example.
The following provides an example of how the annual credit base and withdrawals work.
Assume you purchase a contract with an initial purchase payment of $100,000 and select the GLWB rider. Further
assume (i) the annuitant is age 65 at the time of purchase; (ii) you take a withdrawal of $1,000 in year five
and one of $50,000 in year six and take no other withdrawals in the first ten years, (iii) you make an additional purchase
payment of $50,000 in year three and one of $10,000 in year eight, (iv) during year one your Contract Value increases $30,000,
net of contract expenses and charges, due to market performance, and (v) the market is flat, net of contract expenses
and charges, over the next ten years of your contract. Your initial GLWB base and Annual Credit Calculation Base
is $100,000. Since you took no withdrawals in year one or two and the market was flat, you receive a $8,000 credit
on the first contract anniversary (8% of $100,000 Annual Credit Calculation Base) and your annual credit base and GLWB base
are $108,000 after year one.
Your Contract Value increased by $30,000 during year one due to market performance,
so at the beginning of year two your GLWB base is set equal to the step-up base of $130,000, i.e. your then current
Contract Value. Because your GLWB base was set equal to the step-up base, you start a new ten-year annual credit period.
Your Annual Credit Calculation Base is set equal to the GLWB base of $130,000. You receive an annual credit at the
end of year two of $10,400 (8% of $130,000 Annual Credit Calculation Base). Your annual credit base and GLWB base are
$140,400 after year two ($130,000 prior GLWB base + $10,400 annual credit).
At the start of year three, you make an additional purchase payment of $50,000, so
your Annual Credit Calculation Base increases to $180,000 ($130,000 prior Annual Credit Calculation Base + $50,000 additional
purchase payment). Your GLWB base immediately increases with the additional purchase payment to $190,400 ($140,400
prior GLWB base + $50,000 additional purchase payment). Your annual credit at the end of year three
is $14,400 (8% of $180,000 Annual Credit Calculation Base). Your annual credit base after year three, therefore, is
$204,800 ($140,400 prior GLWB base + $50,000 purchase payment + $14,400 annual credit), and your GLWB base is set equal
to your annual credit base.
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In year four you take no withdrawals and make no additional purchase payments. Your
annual credit for year four is $14,400 (8% of $180,000 Annual Credit Calculation Base), so your annual credit base,
and therefore your GLWB base, after year four is $219,200 ($204,800 prior GLWB base + $14,400 annual credit).
In year five, when the annuitant is age 70 and your maximum annual withdrawal amount
under the rider is $10,960 (5% of $219,200), you take a withdrawal of $1,000. Because your withdrawal is less than
the maximum annual withdrawal, your GLWB base is not reduced by the withdrawal and remains $219,200. Further, because
you took a withdrawal, you are not eligible for the annual credit in year five.
In year six, when the annuitant is age 71 and your maximum annual withdrawal amount
under the rider is $10,960 (5% of $219,200), you take a withdrawal of $50,000. Because your withdrawal exceeds your
maximum annual withdrawal amount, $39,040 of it is an excess withdrawal and you are not eligible for an annual
credit at the end of year six. Your Contract Value after the allowed withdrawal of $10,960 was $168,040. Upon the excess
withdrawal, your GLWB base is set equal to $168,274, i.e. $219,200 – [($39,040/$168,040) x $219,200]. Because the GLWB base after adjustment for the excess withdrawal of $168,274 is less than the Annual Credit Calculation Base
of $180,000, the Annual Credit Calculation Base is set equal to the GLWB base of $168,274.
In year seven you take no withdrawals and make no additional purchase payments. Your
annual credit for year seven is $13,462 (8% of $168,274 Annual Credit Calculation Base), so your annual credit base,
and therefore, your GLWB base, after year seven is $181,736 ($168,274 prior GLWB base + $13,462 annual credit).
At the start of year eight, you make an additional purchase payment of $10,000. Your
GLWB base immediately increases with the additional purchase payment to $191,736 ($181,736 prior GLWB base + $10,000
additional purchase payment). Your Annual Credit Calculation Base increases to $178,274 ($168,274 prior
Annual Credit Calculation Base + $10,000 additional purchase payment). Your annual credit at the end of year eight
is $14,262 (8% of $178,274 Annual Credit Calculation Base). Your annual credit base after year eight, therefore, is
$205,998 ($181,736 prior GLWB base + $10,000 additional purchase payment + $14,262 annual credit), and your GLWB base is
set equal to your annual credit base.
Since you take no more withdrawals and add no more purchase payments in years nine
and ten, for each year, your annual credit will be $14,262 (8% of $178,274 Annual Credit Calculation Base). Furthermore,
since the market is flat, your GLWB base increases each of those years by the amount of the annual credit to
$220,260 for year nine and $234,522 for year ten.
You started a new ten-year annual credit period at the beginning of year two because
your GLWB base was set equal to the step-up base so you are eligible for the annual credit in year eleven. Since you
took no withdrawals or made no purchase payments in year eleven, you receive an annual credit of $14,262 (8% of $178,274
Annual Credit Calculation Base) and your GLWB base after year eleven is $248,784 ($234,522 prior GLWB base +
$14,262 annual credit).
Lifetime Annuity Period.
You will enter the “Lifetime Annuity Period” when (a) the annuitant is at least 59 1∕2 years old and (b) (i) your Contract Value goes to zero other than because of an excess withdrawal (such as due to a decline
in market value or an allowable withdrawal) or (ii) your contract reaches the annuity payout date. If your Contract
Value goes to zero other than because of an excess withdrawal before the annuitant is 59 1∕2 years old, the Lifetime Annuity Period is deferred until the annuitant reaches age 59 1∕2. In determining whether your Contract Value goes to zero because of an excess withdrawal,
we will first calculate your Contract Value for that valuation period and then determine
the effect of an excess withdrawal on Contract Value. If a decline in market value and the then allowable
withdrawal reduce your Contract Value to zero on a day you requested an excess withdrawal, we will not pay you the
excess withdrawal since you do not have any Contract Value left. You will, however, still be eligible to enter the Lifetime
Annuity Period. If the excess withdrawal reduces your Contract Value to zero, you will not be eligible to enter
the Lifetime Annuity Period.
For example, assume your allowable withdrawal is $5,000, your Contract Value is $5,500
and you request a withdrawal of $6,000. Further assume on the day you request the withdrawal, your Contract Value
declines by $500. We first process the change in Contract Value due to the market and the allowable withdrawal,
which reduces your Contract Value to zero ($5,500 — $500 market decline — $5,000 allowable withdrawal). You cannot take the $1,000 excess withdrawal since your Contract Value is zero, but you will be eligible to enter the
Lifetime Annuity Period.
Now assume your allowable withdrawal is $5,000, your Contract Value is $6,000 and
you request a withdrawal of $6,000. Also assume on the day you request the withdrawal, your Contract Value declines
by $500. We first process the change in Contract Value due to the market and the allowable withdrawal, which reduces
your Contract Value to $500 ($6,000 — $500 market decline — $5,000 allowable withdrawal). We then process the excess withdrawal. Since your
Form 8563
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Contract Value is $500, you may only take another $500. Because the $500 is an excess
withdrawal, we will assess a surrender charge, if applicable, against that amount and you would receive less than
the additional $500. The excess withdrawal reduces your Contract Value to zero; therefore, you will not be eligible
to enter the Lifetime Annuity Period. You should carefully consider any withdrawal that may deplete your Contract Value
and should talk to your registered representative to determine whether the withdrawal would be appropriate
for you.
During the Lifetime Annuity Period, we will pay you monthly payments in an annual
amount equal to the then current annual withdrawal amount you may take under the GLWB rider for the lifetime of the
annuitant. Once you enter the Lifetime Annuity Period, we will not accept any additional purchase payments and you
will no longer be eligible for any further increases in the GLWB base. Furthermore, the contract will only provide the
benefits under the GLWB rider.
In lieu of this annual payout for the lifetime of the annuitant, you may elect to
receive an age-based lump sum or an underwritten lump sum settlement option. Under the age-based lump sum settlement option,
you will receive an amount equal to the then current maximum annual withdrawal amount you may take under
the GLWB rider multiplied by the multiplier specified below:
|
Annuitant’s Age
Nearest Birthday
|
Multiplier
|
|
60-64
|
6.7
|
|
65-69
|
5.7
|
|
70-74
|
4.7
|
|
75-79
|
3.7
|
|
80-84
|
2.7
|
|
85-89
|
2.0
|
|
90+
|
1.4
|
You may elect the underwritten lump sum settlement option if a licensed physician
attests that the annuitant is in good health and has a life expectancy that is in line with that of the average purchaser
of annuity products at that age. The amount you may receive under this option will be determined based on age and sex,
taking into account health information on the annuitant.
In lieu of the benefits under this rider, you may annuitize under the terms of your
contract or under the terms of any single premium, immediate annuity we offer based upon your Contract Value at that
time.
Whether you should elect the lifetime annuity payout option or the lump sum settlement
option depends upon your personal circumstances and risk tolerance. The lifetime annuity payout option provides
a guaranteed stream of payments over the remainder of your life and, as such, protects you against the risk
that you could outlive your available income. However, if you elect the lifetime annuity payout option, you will not have
the ability to receive any payment from your annuity other than the income stream provided by the lifetime annuity payout
option. In contrast, if you elect the lump sum settlement option, you will have access immediately to the proceeds to
invest, save or spend as you choose, but you will have no guarantee of future payments. In that case, you assume
the risk that you might outlive your available funds and have no proceeds or stream of income available from this
annuity in the future.
If you elect the lifetime annuity payout option and there is Contract Value remaining
in your annuity, you should ask us about the alternative immediate annuity options under the contract or that we might
have generally available for sale at that time. It is possible that one of those alternative annuity options might pay
you a higher stream of income or otherwise better fit your circumstances and needs. We will be happy to provide you
with whichever immediate annuity option you choose. We will not assess a surrender charge if you choose an alternative
annuity option if one of the following is true:
(1)
If the withdrawal for the alternative annuity option is before the end of the second
contract year, the annuity income must be payable for the lifetime of the annuitant and joint annuitant, if any;
(2)
If the withdrawal for the alternative annuity option is during the third through fifth
contract years, the annuity income must be payable over a period of not less than ten years or payable over the
lifetime of the annuitant and joint annuitant, if any; or
(3)
If the withdrawal for the alternative annuity option is after the fifth contract year,
the annuity income must be payable over a period of not less than five years or payable over the lifetime of
the annuitant and joint annuitant, if any.
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If you elect the lump sum payment option and you are in good health, you may wish
to consider the underwritten lump sum settlement option. The underwritten lump sum settlement option is a benefit for
you if your health is materially better than an average person your age. If you request the underwritten lump sum settlement
option and we determine that your health is materially better than the average person your age,
we may pay you a higher lump sum amount than you would have otherwise received under the appropriate table in your
rider. Keep in mind that if you request an underwritten lump sum settlement, we have the right to gather whatever
medical information we determine that we need to assess your health.
You should consult with your financial representative to determine which payout option
is best for you.
Rider Charge.
If you choose the GLWB rider, there is an annual charge of 0.95% of the GLWB base.
The charge for the GLWB rider ends when you begin the Lifetime Annuity Period or the rider terminates. (See “Termination” below.) We may increase the charge for the GLWB rider on any contract anniversary that your GLWB base is reset
to the step-up base once the surrender charge period ends for your contract. That means if your GLWB base is never
increased to the step-up base, we will not increase your charge. The new charge will not be higher than the then
current charge for new issues of this rider, and we guarantee that it will not exceed 2.00% of the GLWB base.
You may opt out of a reset to the step-up base and avoid an increase in the charge,
but you will then no longer be eligible for any further resets of the GLWB base to the step-up base. If you opt-out,
you will also no longer be eligible for any increases in the maximum annual withdrawal percentages based on the annuitant’s age. To opt-out of an increase in the charge, you must notify us in writing, or in any other manner acceptable to
us, within 30 days of the contract anniversary.
Death Benefit.
The GLWB rider provides for a death benefit upon the death of the annuitant. If the
rider is added at issue, the initial GLWB death benefit is equal to your initial purchase payment. If we allow you to add
the rider on a subsequent contract anniversary, the initial GLWB death benefit will be equal to the then current Contract
Value. The GLWB death benefit is increased for additional purchase payments and decreased dollar for dollar by withdrawals
up to your maximum annual withdrawal amounts. Any excess withdrawals will decrease the GLWB death benefit pro-rata.
Because this death benefit is determined by your purchase payments and is reduced by withdrawals, if
your total withdrawals over the life of the contract exceed your purchase payments, you will not have any death benefit
under this rider. The GLWB death benefit is no longer in effect if you choose a lump sum settlement option in lieu
of annual payments upon entering the Lifetime Annuity Period or if you elect to annuitize based upon your Contract Value.
The death benefit is used to calculate the death benefit adjustment which affects
the amount of proceeds received by the beneficiary. Please see the “Death Benefit” section earlier in this prospectus for more details.
Investment Restrictions.
Effective March 3, 2017, in order to have the GLWB rider, you must allocate any variable
account portion of your purchase payments and Contract Value to (a) one of AVIP Moderately Conservative Model
Portfolio, AVIP Balanced Model Portfolio or AVIP Moderate Growth Model Portfolio or (b) in accordance with
the Fund Category requirements described in “Investment Restrictions for Certain Optional Riders” and Appendix A. These revised requirements will only apply to you if you make additional purchase payments or transfer requests. You may
not allocate purchase payments or Contract Value to the Fixed Accumulation Account. You may allocate purchase payments
to the Enhanced DCA account and transfer amounts in accordance with the investment restrictions. If you cease to comply with the requirements described in “Investment Restrictions for Certain Optional Riders” and Appendix A, we will terminate your GLWB rider. If the rider is so terminated, a prorated annual rider charge will
be assessed.
Required Minimum Distributions.
If you are required to take withdrawals from your contract under the Required Minimum
Distribution regulations under the Code, we will allow you to take your Required Minimum Distribution (or “RMD”) even if it exceeds your maximum annual withdrawal under the GLWB rider without it affecting your GLWB base. Any withdrawals
in a contract year that exceed your maximum annual withdrawal and your RMD will be considered excess withdrawals
and will reduce the GLWB base pro-rata. You may withdraw your RMD under this rider without a surrender
charge even if your RMD exceeds 10% of your Contract Value.
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We reserve the right to modify or eliminate RMD treatment if there is any change to
the Code or regulations regarding RMDs. We will provide you 30 days written notice, when practicable, of any modifications
to or termination of the RMD treatment with the GLWB.
Termination.
If you choose the GLWB rider, you cannot later discontinue it unless we otherwise
agree. The GLWB rider will terminate if your Contract Value goes to zero because of an excess withdrawal. The GLWB rider
will also terminate if you annuitize your contract or if the annuitant dies, except in the case of spousal continuation.
Spousal Continuation.
If your surviving spouse chooses to continue the contract under the spousal continuation
option and becomes the sole owner and annuitant, the GLWB rider will be continued. Your spouse will be eligible
to take withdrawals under this rider when he or she reaches age 59 1∕2, and the maximum annual withdrawal will be based on your spouse’s age when he or she begins taking such withdrawals. If you die before age 59 1∕2 or after age 59 1∕2 but before taking any withdrawals, the GLWB base will be set equal to the greater of (a) Contract Value (after applying any
applicable death benefit adjustments) or (b) the GLWB base as of the earlier of (i) the date we are in receipt of proof of the annuitant’s death or (ii) 90 days from the date of the annuitant’s death. If you die after age 59 1∕2 and after you have begun to take withdrawals, the GLWB base will be set equal to the Contract Value (after applying
any death benefit adjustments) as of the earlier of (a) the date we are in receipt of proof of the annuitant’s death or (b) 90 days from the date of the annuitant’s death. The death benefit under this rider will be reset to the current Contract Value (after applying any death benefit adjustment) if that amount is greater than the then current death benefit
under this rider.
Guaranteed Lifetime Withdrawal Benefit (Joint Life)
In those states where permitted, we may offer a guaranteed lifetime withdrawal benefit rider (joint life) (“Joint GLWB”) at the time the contract is issued. Subject to the conditions described, the Joint
GLWB rider provides a guaranteed level of withdrawals from your contract in each contract year, beginning when the youngest
spouse is age 59 1∕2, for the lifetime of you and your spouse. The Joint GLWB rider may help protect you from the
risk that you and your spouse might outlive your income. The Joint GLWB differs from electing spousal continuation
under the GLWB because you have the potential to have a higher GLWB base upon the death of the first spouse with
the Joint GLWB. The Joint GLWB has a higher charge than the GLWB.
We may, at our sole option, offer the Joint GLWB rider to existing contracts, in which
case it may be added on a contract anniversary. You may not add this rider once either spouse is 86 years old. The Joint
GLWB rider is the same as the GLWB rider except as described below.
The Joint GLWB rider is available to two people who are legally married at the time
the rider is added. We refer to these people as “participating spouses.” A participating spouse is one of two people upon whose life and age the benefits under the Joint GWLB rider are based. On the date the rider is added, either (a) the
two participating spouses must be joint owners and one must be the annuitant or (b) one participating spouse is the
owner and annuitant and the other is the sole beneficiary. No one can be added as a participating spouse after the rider
is added to the contract, and once someone loses his or her status as a participating spouse, it cannot be regained.
Status as a participating spouse will be lost in the following situations:
●
when a participating spouse dies;
●
when a sole owner participating spouse requests that the other participating spouse
be removed;
●
if one participating spouse is the sole owner and the participating spouses divorce,
the non-owner spouse will cease to be a participating spouse;
●
if the participating spouses are joint owners and they divorce, the non-annuitant
will cease to be a participating spouse.
Please note that if one of the spouses ceases to be a participating spouse, you will
still be charged for the Joint GLWB rider.
Under the Joint GLWB rider, the amount you may withdraw under the rider is based upon
the youngest participating spouse’s age. Therefore, if the youngest participating spouse is younger than 59 1∕2 years old, any withdrawals under the contract will be excess withdrawals under the Joint GLWB rider until the youngest
participating spouse becomes 59 1∕2.
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If you choose the Joint GLWB rider, there is an annual charge of 1.05% of the GLWB
base. We may increase the charge for the Joint GLWB rider on any contract anniversary that your GLWB base is reset
to the step-up base once the surrender charge period ends for your contract. The new charge will not be higher
than the then current charge for new issues of the rider, and we guarantee that the charge will not exceed 2.00% of the
GLWB base.
If required by state law, we will allow civil union partners to purchase the Joint
GLWB rider in certain states and receive the same benefits as a participating spouse while both participating spouses are living.
Please note that because civil union partners are not eligible for spousal continuation under the Code, there may
be adverse tax consequences with withdrawals and other transactions upon the death of the first partner. You should consult with your tax advisor before purchasing this rider. Please contact your registered representative or call
us at 1-888-925-6446 for more information about whether your state recognizes civil unions.
You will enter the Lifetime Annuity Period when (a) the youngest participating spouse
is at least 59 1∕2 years old, and (b) (i) your Contract Value goes to zero other than because of an excess withdrawal (such
as due to a decline in market value or an allowable withdrawal) or (ii) your contract reaches the annuity payout
date. If your Contract Value goes to zero other than because of an excess withdrawal before the youngest participating
spouse is 59 1∕2 years old, the Lifetime Annuity Period is deferred until the youngest participating spouse reaches
age 59 1∕2. In that scenario, we will make the first payment immediately upon the youngest participating spouse reaching
age 59 1∕2. During the Lifetime Annuity Period, we will pay you monthly payments in an annual amount equal to the
then current annual withdrawal amount you may take under the Joint GLWB rider (as based on the youngest participating spouse’s age) for the lifetime of the annuitant.
In lieu of this annual payout for the lifetime of the annuitant, you may elect to
receive an age-based lump sum or an underwritten lump sum settlement option. Under the age-based lump sum settlement option
if there is only one surviving participating spouse, you will receive an amount equal to the then current
maximum annual withdrawal amount you may take under the Joint GLWB rider multiplied by the multiplier specified
below:
|
Participating Spouse’s
Age
Nearest Birthday
|
Multiplier
|
|
60-64
|
6.7
|
|
65-69
|
5.7
|
|
70-74
|
4.7
|
|
75-79
|
3.7
|
|
80-84
|
2.7
|
|
85-89
|
2.0
|
|
90+
|
1.4
|
Under the age-based lump sum settlement option if there are two surviving participating
spouses, you will receive an amount equal to the then current maximum annual withdrawal amount you may take under
the Joint GLWB rider multiplied by the multiplier specified below, based on the youngest participating
spouse:
|
Youngest Participating
Spouse’s Age
Nearest Birthday
|
Multiplier
|
|
60-64
|
8.4
|
|
65-69
|
7.5
|
|
70-74
|
6.5
|
|
75-79
|
5.2
|
|
80-84
|
4.0
|
|
85-89
|
2.9
|
|
90+
|
2.0
|
You may elect the underwritten lump sum settlement option if a licensed physician
attests that the youngest participating spouse is in good health and has a life expectancy that is in line with
that of the average purchaser of annuity products at that age. The amount you may receive under this option will be
determined based on age and sex, taking into account health information on the youngest participating spouse.
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In lieu of the benefits under this rider, you may annuitize under the terms of your
contract or under the terms of any single premium, immediate annuity we offer based upon your Contract Value at that
time.
You should consult with your financial representative to determine which payout option
is best for you.
If you are the sole owner and your surviving participating spouse elects spousal continuation,
the GLWB base will be set equal to the greater of (a) Contract Value (after applying any applicable death benefit
adjustments) or (b) the GLWB base as of the earlier of (i) the date we are in receipt of proof of the annuitant’s death or (ii) 90 days from the date of the annuitant’s death. Your participating spouse will be eligible to take withdrawals under this rider when he or she reaches age 59 1∕2, and the maximum annual withdrawal will be based on your spouse’s age when he or she begins taking such withdrawals. Please note that civil union partners are not eligible for spousal continuation
under the Code.
The death benefit under the Joint GLWB rider ceases after the death benefit adjustment,
if any, for the second participating spouse.
Other Information
Assignment
Amounts payable in settlement of a contract may not be commuted, anticipated, assigned
or otherwise encumbered, or pledged as loan collateral to anyone other than us. We may require that any assignee
or owner have an insurable interest in the life of the annuitant. To the extent permitted by law, such amounts
are not subject to any legal process to pay any claims against an annuitant before annuity payments begin. The owner of a
tax-qualified contract may not, but the owner of a non-tax-qualified contract may, collaterally assign the contract before
the annuity payout date. Ownership of a tax-qualified contract may not be transferred except to:
●
the annuitant,
●
a trustee or successor trustee of a pension or profit-sharing trust which is qualified
under Section 401 of the Code,
●
the employer of the annuitant provided that the contract after transfer is maintained
under the terms of a retirement plan qualified under Section 403(a) of the Code for the benefit of the
annuitant, or
●
as otherwise permitted by laws and regulations governing plans for which the contract
may be issued.
Reports and Confirmations
Before the annuity payout date, we will send you quarterly statements showing the
number of units credited to the contract by Fund and the value of each unit as of the end of the last quarter. In
addition, as long as the contract remains in effect, we will forward any periodic Fund reports.
We will send you a written confirmation of your purchase payments, transfers and withdrawals.
For regularly recurring transactions, such as dollar cost averaging and payroll deduction programs, we may
confirm the transactions in a quarterly report. Review your statements and confirmations to verify their accuracy.
You must report any error or inaccuracy to us within 30 days. Otherwise, we are not responsible for losses due
to the error or inaccuracy.
Substitution for Fund Shares
If investment in a Fund is no longer possible or we believe it is inappropriate to
the purposes of the contract, we may substitute one or more other funds. Substitution may be made as to both existing investments
and the investment of future purchase payments. However, no substitution will be made until we receive any
necessary approval of the Securities and Exchange Commission. We may also add other Funds as eligible investments
of VAA.
Contract Owner Inquiries
Direct any questions to AuguStar Life Insurance Company, Variable Annuity Administration,
P.O. Box 2669, Cincinnati, Ohio 45201; telephone 888.925.6446 (8:30 a.m. to 4:30 p.m., Eastern time).
Performance Data
We may advertise performance data for the various Funds showing the percentage change
in unit values based on the performance of the applicable Fund over a period of time (usually a calendar year).
We determine the percentage change by dividing the increase (or decrease) in value for the unit by the unit value
at the beginning of the period. This percent reflects the deduction of any asset-based contract charge but does not reflect
the deduction of any applicable contract administration charge and surrender charges. The deduction of a contract
administration charge and surrender charges would reduce any percentage increase or make greater any percentage
decrease.
Form 8563
79
Advertising may also include average annual total return figures calculated as shown
in the Statement of Additional Information. The average annual total return figures reflect the deduction of applicable
contract administration charges or surrender charge as well as applicable asset-based charges.
We may also distribute sales literature comparing separate account performance to
the Consumer Price Index or to such established market indexes as the Dow Jones Industrial Average, the Standard & Poor’s 500 Stock Index, IBC’s Money Fund Reports, Lehman Brothers Bond Indices, the Morgan Stanley Europe Australia
Far East Index, Morgan Stanley World Index, Russell 2000 Index, or other variable annuity separate accounts
or mutual funds with investment objectives similar to those of the Funds.
Financial Statements
The complete financial statements of VAA and AuguStar Life are incorporated by reference
in the Statement of Additional Information.
Federal Tax Status
The following discussion of federal income tax treatment of amounts received under
a variable annuity contract does not cover all situations or issues. It is not intended as tax advice. Consult a qualified
tax adviser to apply the law to your circumstances. Tax laws can change, even for contracts that have already been issued.
Tax law revisions, with unfavorable consequences, could have retroactive effect on previously issued contracts
or on later voluntary transactions in previously issued contracts.
We are taxed as a life insurance company under Subchapter L of the Internal Revenue Code (the “Code”). Since the operations of VAA are a part of, and are taxed with, our operations, VAA is not separately taxed as a “regulated investment company” under Subchapter M of the Code. The law does not now provide for payment of federal income tax on dividend income or capital gains distributions from Fund shares held in VAA
or upon capital gains realized by VAA on redemption of Fund shares.
The contracts are considered annuity contracts under Section 72 of the Code, which
generally provides for taxation of annuities. Under existing provisions of the Code, any increase in the Contract Value
is not taxable to you as the owner or annuitant until you receive it, either in the form of annuity payments, as contemplated
by the contract, or in some other form of distribution. (As of the date of this prospectus, proposals to modify taxation
of annuities may be under consideration by the federal government.) The owner of a non-tax qualified contract
must be a natural person for this purpose. With certain exceptions, where the owner of a non-tax qualified contract
is a non-natural person (corporation, partnership or trust) any increase in the accumulation value of the contract attributable
to purchase payments made after February 28, 1986 will be treated as ordinary income received or accrued by
the contract owner during the current tax year.
The income and gains within an annuity contract are generally tax deferred for natural
persons. Within a tax-qualified plan, the plan itself provides tax deferral. Therefore, the tax-deferred treatment
otherwise available to an annuity contract is not a factor to consider when purchasing an annuity within a tax-qualified
plan or arrangement.
When a non-tax-qualified contract is issued in connection with a deferred compensation
plan or arrangement, all rights, discretions and powers relative to the contract are vested in the employer and you
must look only to your employer for the payment of deferred compensation benefits. Generally, in that case, an annuitant will have no “investment in the contract” and amounts received by you from your employer under a deferred compensation arrangement will be taxable in full as ordinary income in the years you receive the payments.
When annuity payments begin, each payment is taxable under Section 72 of the Code
as ordinary income in the year of receipt if you have neither paid any portion of the purchase payments nor previously
been taxed on any portion of the purchase payments. If any portion of the purchase payments has been paid from or included
in your taxable income, this aggregate amount will be considered your “investment in the contract.” You will be entitled to exclude from your taxable income a portion of each annuity payment equal to your “investment in the contract” divided by the period of expected annuity payments, determined by your life expectancy and the form of annuity
benefit. Once you recover your “investment in the contract,” all further annuity payments will be included in your taxable income.
A withdrawal of contract values is taxable as ordinary income in the year received
to the extent that the accumulated value of the contract immediately before the payment exceeds the “investment in the contract.” If you elect to withdraw any portion of your accumulated value in lieu of receiving annuity payments,
that withdrawal is treated as a distribution of earnings first and only second as a recovery of your “investment in the contract.” Any part of the value of the contract that you assign or pledge to secure a loan will be taxed as if it had
been a withdrawal and may be subject to a penalty tax.
Form 8563
80
Under tax regulations, all contracts issued in the same calendar year to the same
owner should be treated as one contract for tax reporting purposes, so that cost basis and gain will be aggregated
for the purpose of determining the taxable portion of any withdrawal.
There is a penalty tax equal to 10% of any amount that must be included in gross income
for tax purposes. The penalty will not apply to a redemption that is:
●
received on or after the taxpayer reaches age 59 1∕2;
●
made to a beneficiary on or after the death of the annuitant;
●
attributable to the taxpayer’s becoming disabled;
●
made as a series of substantially equal periodic payments for the life of the annuitant
(or joint lives of the annuitant and beneficiary);
●
from a contract that is a qualified funding asset for purposes of a structured settlement;
●
made under an annuity contract that is purchased with a single premium and with an
annuity payout date not later than a year from the purchase of the annuity;
●
incident to divorce;
●
a qualified reservist distribution;
●
a distribution for qualifying medical expenses or health insurance;
●
a distribution from an IRA for a first home purchase;
●
taken from an IRA for higher education expenses;
●
a qualified birth or adoption distribution;
●
to a victim of domestic abuse by a spouse or domestic partner (up to the lesser of
$10,000 or 50% of account);
●
taken from an IRA for a qualified first-time home purchase (up to $10,000);
●
taken from an IRA where the taxpayer has been certified as terminally ill under the
Code; or
●
taken for personal or family emergency expenses (once per calendar year, up to the
lesser of $1,000 or vested account balance over $1,000); or
●
taken from an IRA as a Qualified Disaster Recovery Distribution (“QDRD”), does not exceed $22,000, is taken within 180 days of the disaster, and the taxpayer’s principal residence is located within a federally-declared disaster area, with the taxpayer having sustained an economic loss.
Any taxable amount you withdraw from an annuity contract is automatically subject
to 10% withholding unless you elect not to have withholding apply. If you elect not to have withholding apply to
an early withdrawal or if an insufficient amount is withheld, you may be responsible for payment of estimated tax. You may also
incur penalties under the estimated tax rules if the withholding and estimated tax payments are not sufficient.
If you fail to provide your taxpayer identification number, any payments under the contract will automatically be subject
to withholding. The Code requires 20% withholding for distributions from contracts owned by tax qualified plans.
Tax-Deferred Annuities
Under the provisions of Section 403(b) of the Code, employees may exclude from their
gross income purchase payments made for annuity contracts purchased for them by public educational institutions
and certain tax-exempt organizations which are described in Section 501(c)(3) of the Code. You may make this
exclusion to the extent that the aggregate purchase payments plus any other amounts contributed to purchase the contract
and toward benefits under qualified retirement plans do not exceed certain limits in the Code. Employee contributions
are, however, subject to social security (FICA) tax withholding. All amounts you receive under a contract,
either in the form of annuity payments or cash withdrawal, will be taxed under Section 72 of the Code as ordinary income
for the year received, except for exclusion of any amounts representing “investment in the contract.” Under certain circumstances, amounts you receive may be used to make a “tax-free rollover” into one of the types of individual retirement arrangements permitted under the Code. Amounts you receive that are eligible for “tax-free rollover” will be subject to an automatic 20% withholding unless you directly roll over such amounts from the tax-deferred annuity to the individual
retirement arrangement.
With respect to a contract set up under Section 403(b) of the Code, distributions
may be paid only when the employee:
●
attains age 59 1∕2,
Form 8563
81
●
separates from the employer’s service,
●
dies,
●
becomes disabled as defined in the Code, or
●
incurs a financial hardship as defined in the Code.
In the case of hardship, cash distributions may not exceed the amount of your purchase
payments. These restrictions do not affect your right to transfer investments among the Funds and do not limit the
availability of transfers between tax-deferred annuities.
Qualified Pension or Profit-Sharing Plans
Under present law, purchase payments made by an employer or trustee, for a plan or
trust qualified under Section 401(a) or 403 of the Code, are generally excludable from the employee’s gross income. Any purchase payments made by the employee, or which are considered taxable income to the employee in the
year such payments are made, constitute an “investment in the contract” under Section 72 of the Code for the employee’s annuity benefits. Salary reduction payments (unless characterized as Roth contributions) to a profit sharing
plan qualifying under Section 401(k) of the Code are generally excludable from the employee’s gross income up to certain limits in the Code, and therefore are not considered “investment in the contract”.
The Code requires plans to prohibit any distribution to a plan participant prior to
age 59 1∕2, except in the event of death, total disability, financial hardship, separation from service (special rules apply
for plan terminations) or other special circumstances (described above in “Federal Tax Status”). Distributions generally must begin no later than April 1 of the calendar year following the year in which the participant reaches age 72. For participants
born prior to July 1, 1949, distributions must begin by April 1 of the year following the year the participant
attains age 70 1∕2. For individuals who attain age 72 after December 31, 2022, and attain age 73 prior to January 1, 2033,
distributions must begin by April 1 of the year following the year the individual attains age 73. For individuals who attain
age 74 on or after January 1, 2033, distributions must begin by April 1 of the year following the year that the individual
attains age 75. Premature distribution of benefits or contributions in excess of those permitted by the Code
may result in certain penalties under the Code. (Special tax treatment, including capital gain treatment and 5-year forward
averaging, may be available to those born before 1936). If you receive such a distribution you may be able to make a “tax-free rollover” of the distribution less your “investment in the contract” into another qualified plan in which you are a participant or into one of the types of individual retirement arrangements permitted under the Code. Your
surviving spouse receiving such a distribution may be able to make a tax-free rollover to one of the types of individual
retirement arrangements permitted under the Code. Amounts received that are eligible for “tax-free rollover” will be subject to an automatic 20% withholding unless such amounts are directly rolled over to another qualified plan
or individual retirement arrangement.
Withholding on Annuity Payments
Distributions from tax-deferred annuities (i.e. 403b plans) or qualified pension and
profit sharing plans that are eligible for “tax-free rollover” will be subject to an automatic 20% withholding unless such amounts are directly rolled over to an individual retirement arrangement or another qualified plan. Federal income tax
withholding is required on annuity payments. However, recipients of annuity payments are allowed to elect not to have
the tax withheld. This election may be revoked at any time and withholding would begin after that. If you do not give
us your taxpayer identification number, any payments under the contract will automatically be subject to withholding.
Individual Retirement Annuities (IRAs)
See IRA Disclosure Statement (Appendix E), following.
Form 8563
82
Appendix A – Funds Available Under the Contract
Variable Options. The following is a list of Funds available under the contract, which is subject to change, as discussed in the prospectus. Depending on the optional benefits you choose, you may not be able
to invest in certain Funds. You can find the prospectuses and other information about the Funds online at augustarfinancial.com/variableproducts. You can also request this information at no cost by calling 888.925.6446 or by sending
an email request to [email protected].
The current expenses and performance information below reflects fees and expenses
of the Funds, but does not reflect the other fees and expenses that your contract may charge. Expenses would be higher
and performance would be lower if these charges were included. Each Fund’s past performance is not necessarily an indication of future performance.
|
Type/Investment
Objective
|
Fund and Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of 12/31/2025)
|
||
|
1 year
|
5 year
|
10 year
|
|||
|
Equity
|
AVIP AB Mid Cap Core Portfolio
(Class I)(3)
Adviser: Constellation Investments, Inc.
Subadviser: AllianceBernstein L.P.
|
0.92%
|
6.42%
|
4.97%
|
9.99%
|
|
Equity
|
AVIP AB Relative Value Portfolio
(Class I)(8)
Adviser: Constellation Investments, Inc.
Subadviser: AllianceBernstein L.P.
|
0.74%
|
10.11%
|
N/A
|
N/A
|
|
Equity
|
AVIP AB Small Cap Portfolio (Class I)(1)
Adviser: Constellation Investments, Inc.
Subadviser: AllianceBernstein L.P.
|
0.86%
|
4.89%
|
1.53%
|
8.67%
|
|
Allocation
|
AVIP Balanced Model Portfolio (Class I)
Adviser: Constellation Investments, Inc.
|
0.98%
|
13.80%
|
5.87%
|
N/A
|
|
Equity
|
AVIP BlackRock Advantage International
Equity Portfolio (Class I)
Adviser: Constellation Investments, Inc.
Subadviser: BlackRock Investment
Management, LLC
|
0.88%
|
33.04%
|
10.56%
|
8.33%
|
|
Equity
|
AVIP BlackRock Advantage Large Cap
Core Portfolio (Class I)
Adviser: Constellation Investments, Inc.
Subadviser: BlackRock Investment
Management, LLC
|
0.70%
|
20.20%
|
14.57%
|
13.59%
|
|
Equity
|
AVIP BlackRock Advantage Large Cap
Growth Portfolio (Class I)
Adviser: Constellation Investments, Inc.
Subadviser: BlackRock Investment
Management, LLC
|
0.71%
|
21.51%
|
13.88%
|
15.52%
|
|
Equity
|
AVIP BlackRock Advantage Large Cap
Value Portfolio (Class I)
Adviser: Constellation Investments, Inc.
Subadviser: BlackRock Investment
Management, LLC
|
0.75%
|
18.44%
|
12.15%
|
9.82%
|
|
Equity
|
AVIP BlackRock Advantage Small Cap
Growth Portfolio (Class I)
Adviser: Constellation Investments, Inc.
Subadviser: BlackRock Investment
Management, LLC
|
0.92%
|
14.14%
|
3.08%
|
9.71%
|
Form 8563
83
|
Type/Investment
Objective
|
Fund and Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of 12/31/2025)
|
||
|
1 year
|
5 year
|
10 year
|
|||
|
Allocation
|
AVIP BlackRock Balanced Allocation
Portfolio (Class I)
Adviser: Constellation Investments, Inc.
Subadviser: BlackRock Investment
Management, LLC
|
0.57%
|
16.61%
|
10.40%
|
10.82%
|
|
Fixed Income
|
AVIP Bond Portfolio (Class I)(2)
Adviser: Constellation Investments, Inc.
|
0.61%
|
7.67%
|
-0.06%
|
3.36%
|
|
Allocation
|
AVIP Constellation Dynamic Risk
Balanced Portfolio (Class I)(6)
Adviser: Constellation Investments, Inc.
|
0.87%
|
12.44%
|
4.92%
|
8.94%
|
|
Allocation
|
AVIP Constellation Managed Risk
Balanced Portfolio (Class I)
Adviser: Constellation Investments, Inc.
|
0.64%
|
13.29%
|
N/A
|
N/A
|
|
Allocation
|
AVIP Constellation Managed Risk
Growth Portfolio (Class I)
Adviser: Constellation Investments, Inc.
|
0.65%
|
15.92%
|
N/A
|
N/A
|
|
Allocation
|
AVIP Constellation Managed Risk
Moderate Growth Portfolio (Class I)(7)
Adviser: Constellation Investments, Inc.
|
0.63%
|
14.75%
|
N/A
|
N/A
|
|
Fixed Income
|
AVIP Core Plus Bond Portfolio (Class I)(9)
Adviser: Constellation Investments, Inc.
|
0.59%
|
6.60%
|
-0.36%
|
N/A
|
|
Equity
|
AVIP Fidelity Institutional AM® Equity
Growth Portfolio (Class I)(5)
Adviser: Constellation Investments, Inc.
Subadviser: FIAM LLC
|
0.77%
|
15.35%
|
10.70%
|
15.69%
|
|
Allocation
|
AVIP Growth Model Portfolio (Class I)
Adviser: Constellation Investments, Inc.
|
1.01%
|
17.78%
|
8.85%
|
N/A
|
|
Fixed Income
|
AVIP High Income Bond Portfolio
(Class I)(10)
Adviser: Constellation Investments, Inc.
|
0.88%
|
8.31%
|
3.85%
|
5.77%
|
|
Equity
|
AVIP Intech U.S. Low Volatility Portfolio
(Class I)
Adviser: Constellation Investments, Inc.
Subadviser: Intech Investment
Management LLC
|
0.62%
|
12.23%
|
N/A
|
N/A
|
|
Allocation
|
AVIP Moderate Growth Model Portfolio
(Class I)
Adviser: Constellation Investments, Inc.
|
0.97%
|
15.81%
|
7.58%
|
N/A
|
|
Allocation
|
AVIP Moderately Conservative Model
Portfolio (Class I)
Adviser: Constellation Investments, Inc.
|
1.03%
|
11.43%
|
4.22%
|
N/A
|
|
Equity
|
AVIP Nasdaq-100® Index Portfolio
(Class I)
Adviser: Constellation Investments, Inc.
Subadviser: Geode Capital
Management LLC
|
0.44%
|
20.54%
|
14.85%
|
19.20%
|
Form 8563
84
|
Type/Investment
Objective
|
Fund and Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of 12/31/2025)
|
||
|
1 year
|
5 year
|
10 year
|
|||
|
Equity
|
AVIP S&P 500® Index Portfolio (Class I)(4)
Adviser: Constellation Investments, Inc.
Subadviser: Geode Capital
Management LLC
|
0.38%
|
17.43%
|
13.99%
|
14.37%
|
|
Equity
|
AVIP S&P MidCap 400® Index Portfolio
(Class I)
Adviser: Constellation Investments, Inc.
Subadviser: Geode Capital
Management LLC
|
0.41%
|
7.08%
|
8.57%
|
9.16%
|
|
Equity
|
BNY Mellon Appreciation Portfolio
(Service Class)
Adviser: BNY Mellon Investment
Adviser, Inc.
|
1.10%
|
9.78%
|
9.08%
|
12.63%
|
|
Equity
|
Federated Hermes Kaufmann Fund II
(Service Class)
Adviser: Federated Global Investment
Management Corp.
|
1.79%*
|
11.26%
|
1.26%
|
9.61%
|
|
Equity
|
Fidelity® VIP Equity-Income PortfolioSM
(Service Class 2)
Adviser: Fidelity Management &
Research Company
|
0.71%
|
18.75%
|
12.23%
|
11.32%
|
|
Capital
Preservation
|
Fidelity® VIP Government Money
Market Portfolio (Service Class)
Adviser: Fidelity Management &
Research Company
Subadviser: Fidelity Investments Money
Management, Inc.
|
0.35%
|
4.03%
|
3.02%
|
1.95%
|
|
Equity
|
Fidelity® VIP Mid Cap Portfolio (Service
Class 2)
Adviser: Fidelity Management &
Research Company
|
0.80%
|
11.49%
|
9.83%
|
10.31%
|
|
Equity
|
Fidelity® VIP Real Estate Portfolio
(Service Class 2)
Adviser: Fidelity Management &
Research Company
|
0.85%
|
2.90%
|
3.98%
|
3.61%
|
|
Allocation
|
Franklin Allocation VIP Fund (Class 4)
Adviser: Franklin Advisers, Inc.
Subadviser: Templeton Global Advisors
Limited, Franklin Templeton
Institutional, LLC, ClearBridge
Investments, LLC, Brandywine Global
Investment Management, LLC, Western
Asset Management Company, LLC,
Western Asset Management Company
Limited
|
0.92%*
|
12.53%
|
5.60%
|
7.19%
|
|
Equity
|
Franklin DynaTech VIP Fund (Class 4)
Adviser: Franklin Advisers, Inc.
|
0.98%
|
17.90%
|
8.96%
|
13.95%
|
|
Allocation
|
Franklin Income VIP Fund (Class 4)
Adviser: Franklin Advisers, Inc.
|
0.82%
|
12.43%
|
7.54%
|
7.19%
|
Form 8563
85
|
Type/Investment
Objective
|
Fund and Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of 12/31/2025)
|
||
|
1 year
|
5 year
|
10 year
|
|||
|
Equity
|
Franklin Templeton Foreign VIP Fund
(Class 4)
Adviser: Templeton Investment Counsel,
LLC
|
1.18%*
|
28.97%
|
8.14%
|
5.64%
|
|
Equity
|
Goldman Sachs Strategic Growth Fund
(Service Class)
Adviser: Goldman Sachs Asset
Management, L.P.
|
0.96%*
|
17.58%
|
12.48%
|
16.14%
|
|
Equity
|
Goldman Sachs U.S. Equity Insights Fund
(Service Class)
Adviser: Goldman Sachs Asset
Management, L.P.
|
0.77%*
|
15.49%
|
13.57%
|
13.49%
|
|
Equity
|
Invesco V.I. EQV International Equity
Fund (Series II)
Adviser: Invesco Advisers, Inc.
|
1.15%
|
16.23%
|
3.42%
|
5.95%
|
|
Allocation
|
Janus Henderson Balanced Portfolio
(Service Class)
Adviser: Janus Henderson Investors
US LLC
|
0.87%
|
14.82%
|
8.21%
|
9.86%
|
|
Equity
|
Janus Henderson Global Research
Portfolio (Service Class)
Adviser: Janus Henderson Investors
US LLC
|
1.07%
|
20.60%
|
12.23%
|
12.64%
|
|
Equity
|
Janus Henderson Overseas Portfolio
(Service Class)
Adviser: Janus Henderson Investors
US LLC
|
0.96%
|
28.58%
|
9.17%
|
8.97%
|
|
Equity
|
Janus Henderson Research Portfolio
(Service Class)
Adviser: Janus Henderson Investors
US LLC
|
1.07%
|
18.10%
|
13.83%
|
15.59%
|
|
Equity
|
Lazard Retirement Emerging Markets
Equity Portfolio (Service Class)
Adviser: Lazard Asset Management LLC
|
1.38%*
|
41.77%
|
10.76%
|
9.35%
|
|
Equity
|
Lazard Retirement International Equity
Portfolio (Service Class)
Adviser: Lazard Asset Management LLC
|
1.10%*
|
33.12%
|
7.95%
|
6.82%
|
|
Equity
|
LVIP ClearBridge Variable Dividend
Strategy Portfolio (Standard Class)(14)†
Adviser: Lincoln Financial Investments
Corporation
Subadviser: ClearBridge Investments,
LLC(14)
|
0.75%*
|
12.62%
|
11.86%
|
12.45%
|
|
Equity
|
LVIP ClearBridge Variable Large Cap
Value Portfolio (Standard Class)(15)†
Adviser: Lincoln Financial Investments
Corporation
Subadviser: ClearBridge Investments,
LLC(15)
|
0.72%*
|
10.20%
|
10.11%
|
10.01%
|
Form 8563
86
|
Type/Investment
Objective
|
Fund and Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of 12/31/2025)
|
||
|
1 year
|
5 year
|
10 year
|
|||
|
Equity
|
LVIP JPMorgan Small Cap Core Fund
(Standard Class)^
Adviser: Lincoln Financial Investments
Corporation
Subadviser: J.P. Morgan Investment
Management Inc.
|
0.77%
|
10.27%
|
6.40%
|
8.95%
|
|
Equity
|
MFS® Massachusetts Investors Growth
Stock Portfolio (Service Class)
Adviser: Massachusetts Financial
Services Company
|
0.97%*
|
9.61%
|
9.74%
|
13.98%
|
|
Equity
|
MFS® Mid Cap Growth Series (Service
Class)
Adviser: Massachusetts Financial
Services Company
|
1.06%*
|
3.40%
|
3.03%
|
11.32%
|
|
Equity
|
MFS® New Discovery Series (Service
Class)
Adviser: Massachusetts Financial
Services Company
|
1.12%*
|
12.56%
|
-0.54%
|
10.46%
|
|
Allocation
|
MFS® Total Return Series (Service Class)
Adviser: Massachusetts Financial
Services Company
|
0.86%*
|
10.91%
|
6.16%
|
7.36%
|
|
Equity
|
Morgan Stanley VIF Growth Portfolio
(Class II)
Adviser: Morgan Stanley Investment
Management, Inc.
|
0.82%*
|
35.38%
|
3.15%
|
17.46%
|
|
Allocation
|
Nomura VIP Asset Strategy Series
(Service Class)(11)
Adviser: Delaware Management
Company
Subadviser: Macquarie Investment
Management Austria Kapitalanlage
AG(11)
|
0.77%*
|
16.66%
|
7.07%
|
7.84%
|
|
Equity
|
Nomura VIP Natural Resources Series
(Service Class)(12)
Adviser: Delaware Management
Company
Subadviser: Van Eck Associates
Corporation and Macquarie Investment
Management Global Limited(12)
|
1.12%*
|
37.75%
|
15.73%
|
6.94%
|
|
Equity
|
Nomura VIP Science and Technology
Series (Service Class)(13)
Adviser: Delaware Management
Company
Subadviser: Macquarie Investment
Management Global Limited(13)
|
1.15%
|
33.36%
|
13.71%
|
17.20%
|
|
Real Assets
|
PIMCO CommodityRealReturn® Strategy
Portfolio (Administrative Class)
Adviser: Pacific Investment
Management Company LLC
|
3.19%*
|
18.79%
|
10.55%
|
6.54%
|
Form 8563
87
|
Type/Investment
Objective
|
Fund and Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of 12/31/2025)
|
||
|
1 year
|
5 year
|
10 year
|
|||
|
Fixed Income
|
PIMCO Global Bond Opportunities
Portfolio (Unhedged) (Administrative
Class)
Adviser: Pacific Investment
Management Company LLC
|
1.15%
|
12.75%
|
0.15%
|
2.46%
|
|
Fixed Income
|
PIMCO Low Duration Portfolio
(Administrative Class)
Adviser: Pacific Investment
Management Company LLC
|
0.66%
|
5.52%
|
1.57%
|
1.79%
|
|
Fixed Income
|
PIMCO Real Return Portfolio
(Administrative Class)
Adviser: Pacific Investment
Management Company LLC
|
1.39%
|
7.85%
|
1.21%
|
3.21%
|
|
Fixed Income
|
PIMCO Short-Term Portfolio
(Administrative Class)
Adviser: Pacific Investment
Management Company LLC
|
0.65%
|
4.67%
|
3.25%
|
2.76%
|
*
Annual expenses reflect temporary fee reductions.
^
Available only in contracts with value allocated to this Fund as of May 1, 2023.
†
Available only in contracts with value allocated to this Fund prior to April 24, 2026.
(1)
On October 10, 2025, Lazard Retirement US Small Cap Equity Select Portfolio, AB VPS
Small Cap Growth Portfolio, Royce Small-Cap Portfolio, and Royce Micro-Cap Portfolio were replaced by AVIP AB
Small Cap Portfolio.
(2)
On October 10, 2025, Janus Henderson Flexible Bond Portfolio was replaced by AVIP Bond Portfolio.
(3)
On October 10, 2025, Neuberger Berman AMT Mid Cap Intrinsic Value Portfolio was replaced
with AVIP AB Mid Cap Core Portfolio.
(4)
On October 10, 2025, Goldman Sachs U.S. Equity Insights Fund was replaced with AVIP S&P 500® Index Portfolio.
(5)
On October 10, 2025, Fidelity® VIP Growth Portfolio was replaced with AVIP Fidelity Institutional AM® Equity Growth Portfolio.
(6)
On October 10, 2025, Franklin VolSmart Allocation VIP Fund, Goldman Sachs Trend Driven
Allocation Fund, and Lazard Retirement Global Dynamic Multi-Asset Portfolio were replaced with AVIP Constellation
Dynamic Risk Balanced Portfolio.
(7)
On October 17, 2025, Fidelity® VIP Target Volatility Portfolio and AB VPS Global Risk Allocation-Moderate Portfolio were replaced with AVIP Constellation Managed Risk Moderate Growth Portfolio.
(8)
On October 17, 2025, AB VPS Relative Value Portfolio was replaced with AVIP AB Relative
Value Portfolio.
(9)
On December 5, 2025, AVIP Federated Core Plus Bond Portfolio was renamed to AVIP Core
Plus Bond Portfolio. Federated Investment Management Company was removed as subadviser.
(10)
On December 5, 2025, AVIP Federated High Income Bond Portfolio was renamed to AVIP
High Income Bond Portfolio. Federated Investment Management Company was removed as subadviser.
(11)
On December 5, 2025, Macquarie VIP Asset Strategy Series was renamed to Nomura VIP
Asset Strategy Series. Securian Asset Management, Inc. was removed as subadviser and replaced with Macquarie
Investment Management Austria Kapitalanlage AG.
(12)
On December 5, 2025, Macquarie VIP Natural Resources Series was renamed to Nomura VIP Natural Resources
Series. Securian Asset Management, Inc. was removed as subadviser and replaced with Van Eck Associates Corporation and Macquarie Investment Management Global Limited.
(13)
On December 5, 2025, Macquarie VIP Science and Technology Series was renamed to Nomura
VIP Science and Technology Series. Securian Asset Management, Inc. was removed as subadviser and replaced
with Macquarie Investment Management Global Limited.
Form 8563
88
(14)
On April 24, 2026, ClearBridge Variable Dividend Strategy Portfolio was renamed LVIP
ClearBridge Variable Dividend Strategy Fund. Class I was changed to Standard Class. Legg Mason Partners
Fund Advisor, LLC was removed as adviser and replaced with Lincoln Financial Investments Corporation.
(15)
On April 24, 2026, ClearBridge Variable Large Cap Value Portfolio was renamed LVIP
ClearBridge Variable Large Cap Value Fund. Class I was changed to Standard Class. Legg Mason Partners Fund Advisor,
LLC was removed as adviser and replaced with Lincoln Financial Investments Corporation.
Form 8563
89
Investment Options Available with Certain Optional Riders
GLWB Plus and GPP (2012) Applied for on or after October 1, 2012
Allocations:
|
|
Minimum
|
Maximum
|
|
Category 1 Investment Options
|
25%
|
100%
|
|
Any individual investment
option included in Category 1
|
0%
|
50%
|
|
Category 2 Investment Options
|
0%
|
75%
|
|
Any individual investment
option included in Category 2
|
0%
|
25%
|
Investment Options:
|
CATEGORY 1
|
AVIP Constellation Dynamic Risk Balanced
Portfolio
AVIP Constellation Managed Risk Balanced
Portfolio
AVIP Constellation Managed Risk Moderate
Growth Portfolio
|
|
|
CATEGORY 2
|
AVIP Balanced Model Portfolio
AVIP BlackRock Balanced Allocation Portfolio
AVIP Intech U.S. Low Volatility Portfolio
AVIP Constellation Managed Risk Growth
Portfolio
|
Janus Henderson Balanced Portfolio
MFS® Total Return Series
|
GLWB Plus and GPP (2012) Applied for prior to October 1, 2012
Allocations:
|
|
Minimum
|
Maximum
|
|
Category 1 Investment Options
|
50%
|
100%
|
|
Category 2 Investment Options
|
0%
|
50%
|
Investment Options:
|
CATEGORY 1
|
AVIP Constellation Dynamic Risk Balanced
Portfolio
AVIP Constellation Managed Risk Balanced
Portfolio
|
AVIP Constellation Managed Risk Moderate
Growth Portfolio
AVIP Constellation Managed Risk Growth
Portfolio
|
|
CATEGORY 2
|
AVIP BlackRock Balanced Allocation Portfolio
AVIP Intech U.S. Low Volatility Portfolio
|
|
GLWB, GLWB (2011), GLWB (2012)
Option 1 – Select A Single Option
Allocation: 100%
Investment Options:
AVIP Moderately Conservative Model Portfolio
AVIP Balanced Model Portfolio
AVIP Moderate Growth Model Portfolio
Form 8563
90
Option 2 – Select Multiple Options
Allocations:
|
|
Minimum
|
Maximum
|
|
Category 1 Investment Options
|
30%
|
60%
|
|
Category 2 Investment Options
|
0%
|
70%
|
|
Category 3 Investment Options
|
0%
|
25%
|
|
Category 4 Investment Options
|
0%
|
15%
|
Investment Options:
|
CATEGORY 1
|
AVIP Bond Portfolio
AVIP Core Plus Bond Portfolio
Fidelity® VIP Government Money Market
Portfolio
|
PIMCO Real Return Portfolio
PIMCO Short-Term Portfolio
PIMCO Low Duration Portfolio
|
|
CATEGORY 2
|
AVIP AB Relative Value Portfolio
AVIP BlackRock Balanced Allocation Portfolio
AVIP S&P 500® Index Portfolio
AVIP BlackRock Advantage Large Cap Value
Portfolio
AVIP Nasdaq-100® Index Portfolio
AVIP BlackRock Advantage Large Cap Core
Portfolio
AVIP BlackRock Advantage Large Cap Growth
Portfolio
AVIP S&P MidCap 400® Index Portfolio
AVIP Constellation Dynamic Risk Balanced
Portfolio
AVIP Constellation Managed Risk Balanced
Portfolio
AVIP Constellation Managed Risk Moderate
Growth Portfolio
AVIP Constellation Managed Risk Growth
Portfolio
AVIP Intech U.S. Low Volatility Portfolio
BNY Mellon Appreciation Portfolio
|
Fidelity® VIP Equity-Income PortfolioSM
Franklin Income VIP Fund
Franklin DynaTech VIP Fund
Franklin Allocation VIP Fund
Franklin Templeton Foreign VIP Fund
Goldman Sachs U.S. Equity Insights Fund
Goldman Sachs Strategic Growth Fund
Nomura VIP Asset Strategy Series
Janus Henderson Research Portfolio
Janus Henderson Balanced Portfolio
MFS® Total Return Series
MFS® Massachusetts Investors Growth Stock
Portfolio
Morgan Stanley VIF Growth Portfolio
PIMCO Global Bond Opportunities Portfolio
(Unhedged)
|
|
CATEGORY 3
|
AVIP BlackRock Advantage International Equity
Portfolio
AVIP Fidelity Institutional AM® Equity Growth
Portfolio
AVIP High Income Bond Portfolio
AVIP AB Mid Cap Core Portfolio
Invesco V.I. EQV International Equity Fund
Federated Hermes Kaufmann Fund II
Fidelity® VIP Mid Cap Portfolio
|
Janus Henderson Overseas Portfolio
Janus Henderson Global Research Portfolio
Lazard Retirement International Equity Portfolio
MFS® Mid Cap Growth Series
|
|
CATEGORY 4
|
AVIP AB Small Cap Portfolio
AVIP BlackRock Advantage Small Cap Growth
Portfolio
Fidelity® VIP Real Estate Portfolio
Nomura VIP Natural Resources Series
Nomura VIP Science and Technology Series
|
Lazard Retirement Emerging Markets Equity
Portfolio
MFS® New Discovery Series
PIMCO CommodityRealReturn® Strategy
Portfolio
|
Form 8563
91
Combo Death Benefit
Allocations:
|
|
Minimum
|
Maximum
|
|
Category 1 Investment Options
|
25%
|
50%
|
|
Category 2 Investment Options
|
0%
|
75%
|
|
Category 3 Investment Options
|
0%
|
25%
|
|
Category 4 Investment Options
|
0%
|
10%
|
Investment Options:
|
CATEGORY 1
|
AVIP Bond Portfolio
AVIP Core Plus Bond Portfolio
Fidelity® VIP Government Money Market
Portfolio
|
PIMCO Real Return Portfolio
PIMCO Short-Term Portfolio
PIMCO Low Duration Portfolio
|
|
CATEGORY 2
|
AVIP AB Relative Value Portfolio
AVIP BlackRock Balanced Allocation Portfolio
AVIP S&P 500® Index Portfolio
AVIP BlackRock Advantage Large Cap Value
Portfolio
AVIP AB Mid Cap Core Portfolio
AVIP BlackRock Advantage Large Cap Growth
Portfolio
AVIP S&P MidCap 400® Index Portfolio
AVIP Constellation Dynamic Risk Balanced
Portfolio
AVIP Moderately Conservative Model Portfolio
AVIP Balanced Model Portfolio
AVIP Moderate Growth Model Portfolio
AVIP Growth Model Portfolio
AVIP Constellation Managed Risk Balanced
Portfolio
AVIP Constellation Managed Risk Moderate
Growth Portfolio
AVIP Constellation Managed Risk Growth
Portfolio
AVIP Intech U.S. Low Volatility Portfolio
|
BNY Mellon Appreciation Portfolio
Fidelity® VIP Equity-Income PortfolioSM
Goldman Sachs U.S. Equity Insights Fund
Goldman Sachs Strategic Growth Fund
Janus Henderson Research Portfolio
Janus Henderson Balanced Portfolio
Janus Henderson Global Research Portfolio
Franklin Income VIP Fund
Franklin Allocation VIP Fund
MFS® Total Return Series
MFS® Massachusetts Investors Growth Stock
Portfolio
|
Form 8563
92
|
CATEGORY 3
|
AVIP AB Small Cap Portfolio
AVIP Nasdaq-100® Index Portfolio
AVIP BlackRock Advantage Large Cap Core
Portfolio
AVIP Fidelity Institutional AM® Equity Growth
Portfolio
Invesco V.I. EQV International Equity Fund
Federated Hermes Kaufmann Fund II
Fidelity® VIP Mid Cap Portfolio
Franklin DynaTech VIP Fund
Franklin Templeton Foreign VIP Fund
|
Nomura VIP Asset Strategy Series
Nomura VIP Science and Technology Series
Lazard Retirement International Equity Portfolio
MFS® Mid Cap Growth Series
Morgan Stanley VIF Growth Portfolio
|
|
CATEGORY 4
|
AVIP BlackRock Advantage International Equity
Portfolio
AVIP High Income Bond Portfolio
AVIP BlackRock Advantage Small Cap Growth
Portfolio
Fidelity® VIP Real Estate Portfolio
Nomura VIP Natural Resources
|
Janus Henderson Overseas Portfolio
Lazard Retirement Emerging Markets Equity
Portfolio
MFS® New Discovery Series
PIMCO Global Bond Opportunities Portfolio
(Unhedged)
PIMCO CommodityRealReturn® Strategy
Portfolio
|
Form 8563
93
Fixed Options. The following is a list of fixed interest options currently available under the contract.
To the extent permitted by the contract, we may change the features of the fixed interest options
listed below, offer new fixed interest options, and terminate existing fixed interest options. We will provide you
with written notice before doing so. If applicable, depending on the optional benefits you choose, you may not be able
to invest in the fixed options listed below.
|
Name
|
Term
|
Guaranteed
Minimum
Interest Rate
|
|
Fixed Account
|
12 months
|
1.75%
|
|
Enhanced DCA Account
|
6 or 12 months
|
1.75%
|
Form 8563
94
Appendix B – Death Benefit Examples
The following provide examples of how the various Death Benefits work.
Basic Death Benefit Example
The following is an example of how the basic Death Benefit included with your contract
works.
Assume you purchase a contract with an initial purchase payment of $100,000 and your
contract comes with a built-in Basic Death Benefit. Further assume (i) in the first 6 years the return is 5% net of fees and each subsequent year’s return is -2% net of fees; (ii) you take a withdrawal of $10,000 on the last day of year 3; and (iii) you don’t take any other withdrawals or add additional premium. The following shows your Contract Value and
the Basic Death Benefit at the end of each contract year.
|
|
Contract Value
|
Basic Death
Benefit
|
|
Year 1 Starting Value
|
$100,000
|
$100,000
|
|
Year 1 Ending Value
|
$105,000
|
$100,000
|
|
Year 2 Ending Value
|
$110,250
|
$91,362
|
|
Year 3 Ending Value
|
$105,763
|
$91,362
|
|
Year 4 Ending Value
|
$111,051
|
$91,362
|
|
Year 5 Ending Value
|
$116,603
|
$91,362
|
|
Year 6 Ending Value
|
$122,433
|
$91,362
|
|
Year 7 Ending Value
|
$119,985
|
$91,362
|
|
Year 8 Ending Value
|
$117,585
|
$117,585
|
|
Year 9 Ending Value
|
$115,233
|
$117,585
|
|
Year 10 Ending Value
|
$112,929
|
$117,585
|
On every eighth anniversary the Basic Death Benefit steps-up to the Contract Value
if it is higher than the existing Basic Death Benefit. In this example, you take a withdrawal of $10,000 in year 3 which reduces
the Basic Death Benefit on a pro rata basis. Because the Contract Value is higher than the Basic Death Benefit
on the eighth contract anniversary, the Basic Death Benefit is set equal to the Contract Value.
Annual Stepped-Up Death Benefit Example
The following is an example of how the Annual Stepped Up Death Benefit rider works.
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the Annual Stepped-Up Death Benefit. Further assume (i) in the first 5 years the return is 4% net of fees and each subsequent year’s return is -2% net of fees; (ii) you take a withdrawal of $10,000 on the last day of contract year 7; and (iii) you don’t take any other withdrawals or add additional premium. The following shows your Contract Value and
the Annual Stepped-Up Death Benefit value at the end of each contract year.
|
|
Contract Value
|
Annual Step Up
Value
|
|
Year 1 Starting Value
|
$100,000
|
$100,000
|
|
Year 1 Ending Value
|
$104,000
|
$104,000
|
|
Year 2 Ending Value
|
$108,160
|
$108,160
|
|
Year 3 Ending Value
|
$112,486
|
$112,486
|
|
Year 4 Ending Value
|
$116,986
|
$116,986
|
|
Year 5 Ending Value
|
$121,665
|
$121,665
|
|
Year 6 Ending Value
|
$119,232
|
$121,665
|
|
Year 7 Ending Value
|
$106,847
|
$111,253
|
Form 8563
95
|
|
Contract Value
|
Annual Step Up
Value
|
|
Year 8 Ending Value
|
$104,710
|
$111,253
|
|
Year 9 Ending Value
|
$102,616
|
$111,253
|
|
Year 10 Ending Value
|
$100,564
|
$111,253
|
On each anniversary prior to the annuitant’s 86th birthday, the Annual Stepped-Up Death Benefit will reset to the Contract Value when the Contract Value is higher than the Annual Stepped-Up Death
Benefit value. In this example, in years 1-5 the Contract Value is higher than the prior Annual Stepped-Up Death Benefit
value on the anniversary, therefore the Annual Stepped-Up Death Benefit resets to the Contract Value. In year
6, the Annual Stepped-Up Death Benefit value does not change because the Contract Value is lower. In year 7, there
is a $10,000 withdrawal that causes a pro rata reduction to the Annual Stepped-Up Death Benefit. In years 8-10, the Annual
Stepped-Up Death Benefit value does not change because the Contract Value is lower on each anniversary.
Combo Death Benefit
The following is an example of how the Combo Death Benefit rider works.
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the Combo Death Benefit rider. Further assume (i) in the first 5 years the return is 6% net of fees and each subsequent year’s return is -2% net of fees and (ii) You take a withdrawal of $5,000 at the end of year 8. The following
shows your Contract Value and the Combo Death Benefit rider values at the end of each contract year.
|
|
Contract Value
|
Death Benefit
Annual Credit
Calculation Base
|
Annual Credit
Death Benefit
Amount
|
Step-Up Death
Benefit Amount
|
|
Year 1 Starting Value
|
$100,000
|
$100,000
|
$100,000
|
$100,000
|
|
Year 1 Ending Value
|
$106,000
|
$100,000
|
$106,000
|
$106,000
|
|
Year 2 Ending Value
|
$112,360
|
$100,000
|
$112,000
|
$112,360
|
|
Year 3 Ending Value
|
$119,102
|
$100,000
|
$118,000
|
$119,102
|
|
Year 4 Ending Value
|
$126,248
|
$100,000
|
$124,000
|
$126,248
|
|
Year 5 Ending Value
|
$133,823
|
$100,000
|
$130,000
|
$133,823
|
|
Year 6 Ending Value
|
$131,146
|
$100,000
|
$136,000
|
$133,823
|
|
Year 7 Ending Value
|
$128,523
|
$100,000
|
$142,000
|
$133,823
|
|
Year 8 Ending Value
|
$120,953
|
$95,000
|
$142,063
|
$128,510
|
|
Year 9 Ending Value
|
$118,534
|
$95,000
|
$147,763
|
$128,510
|
|
Year 10 Ending Value
|
$116,163
|
$95,000
|
$153,463
|
$128,510
|
On each anniversary 6% of the Death Benefit Annual Credit Calculation Base is added
to your Annual Credit Death Benefit Amount. The Step-Up Death Benefit Amount is equal to the highest anniversary
contract value, adjusted for withdrawals. At the end of year 1 the Contract Value, Annual Credit Death Benefit
Amount and Step-Up Death Benefit Amount are all equal because they all earned 6%. In years 2-5 the Contract Value and
Step-Up Death Benefit Amount are higher because the Contract Value is compounding at 6% per year. In years 6 and
7 the Annual Credit Death Benefit Amount continues to grow while the Step-Up Death Benefit Amount remains static because
the anniversary Contract Value is lower than the Step-Up Death Benefit Amount on the contract anniversary.
In year 8 the $5,000 withdrawal reduces the Death Benefit
Annual Credit Calculation Base dollar for dollar; both the Annual Credit Death Benefit
Amount and Step Up Death Benefit Amount are adjusted pro-rata. Starting in year 9 the Annual Credit Death Benefit
Amount is increased by 6% of the new Death Benefit Annual Credit Calculation Base of $95,000.
Premium Protection rider
The following is an example of how the Premium Protection Rider works.
Form 8563
96
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the Premium Protection Rider, which can only be purchased in conjunction with a GLWB rider. Further assume (i) in
the first year return is -5% net of fees and each subsequent year’s return is 3% net of fees; (ii) your initial GLWB maximum annual withdrawal rate is 5%; (iii) you start withdrawing the maximum amount allowed under the rider ($5,000) in
year 1; (iv) you take a withdrawal of $10,000 on the last day of contract year 6; (v) you then continue to take the maximum
allowable amount under your GLWB in the following years; and (vi) you don’t take any other withdrawals or add additional premium. The following shows your Contract Value and Premium Protection GMDB amount at the end of each contract
year.
|
|
Contract Value
|
Premium
Protection GMDB
Amount
|
|
Year 1 Starting Value
|
$100,000
|
$100,000
|
|
Year 1 Ending Value
|
$90,000
|
$95,000
|
|
Year 2 Ending Value
|
$87,700
|
$90,000
|
|
Year 3 Ending Value
|
$85,331
|
$85,000
|
|
Year 4 Ending Value
|
$82,891
|
$80,000
|
|
Year 5 Ending Value
|
$80,378
|
$75,000
|
|
Year 6 Ending Value
|
$72,789
|
$65,000
|
|
Year 7 Ending Value
|
$70,294
|
$60,321
|
|
Year 8 Ending Value
|
$67,724
|
$55,643
|
|
Year 9 Ending Value
|
$65,077
|
$50,964
|
|
Year 10 Ending Value
|
$62,351
|
$46,286
|
In each year you take a withdrawal that does not exceed the maximum annual withdrawal
under your GLWB, the Premium Protection death benefit will be reduced dollar for dollar. For withdrawals
that are in excess of the maximum annual withdrawal under your GLWB, the portion that exceeds the maximum annual withdrawal
will reduce your Premium Protection GMDB amount by the greater of dollar for dollar or pro rata. In
this example, the excess withdrawal of $5,000 in year 6 reduced the Premium Protection GMDB amount dollar for dollar because
the Contract Value was higher than the Premium Protection GMDB amount on the date of the withdrawal. The
excess withdrawal also reduces the GLWB Base, which in turn lowers the maximum annual amount available for withdrawal
under the GLWB and, therefore, bears on future reductions to the Premium Protection GMDB amount.
Premium Protection Plus Example
The following is an example of how the Premium Protection Plus Rider works.
Assume you purchase a contract with an initial purchase payment of $100,000, the annuitant
is under age 76 at the time of purchase, and you select the Premium Protection Plus Rider, which can only be purchased
in conjunction with a GLWB rider. Further assume (i) in the first year return is -5% net of fees and each subsequent year’s return is 3% net of fees; (ii) your initial GLWB maximum annual withdrawal rate is 5%; (iii) you start
withdrawing the maximum amount allowed under the rider ($5,000) in year 1; (iv) you take a withdrawal of $10,000
on the last day of contract year 6; (v) you then continue to take the maximum allowable amount under your GLWB in the following years; and (vi) you don’t take any other withdrawals or add additional premium. The following shows your Contract
Value and Premium Protection Plus GMDB amount at the end of each contract year.
|
|
Contract Value
|
Premium
Protection Plus
GMDB Amount
|
|
Year 1 Starting Value
|
$100,000
|
$100,000
|
|
Year 1 Ending Value
|
$90,000
|
$100,000
|
|
Year 2 Ending Value
|
$87,700
|
$100,000
|
|
Year 3 Ending Value
|
$85,331
|
$100,000
|
Form 8563
97
|
|
Contract Value
|
Premium
Protection Plus
GMDB Amount
|
|
Year 4 Ending Value
|
$82,891
|
$100,000
|
|
Year 5 Ending Value
|
$80,378
|
$100,000
|
|
Year 6 Ending Value
|
$72,789
|
$93,572
|
|
Year 7 Ending Value
|
$70,294
|
$93,572
|
|
Year 8 Ending Value
|
$67,724
|
$93,572
|
|
Year 9 Ending Value
|
$65,077
|
$93,572
|
|
Year 10 Ending Value
|
$62,351
|
$93,572
|
In each year you take a withdrawal that does not exceed the maximum annual withdrawal
under your GLWB, the Premium Protection Plus death benefit will not be reduced. For withdrawals that are
in excess of the maximum annual withdrawal under your GLWB, the portion that exceeds the maximum annual withdrawal
will reduce your Premium Protection Plus GMDB amount by the greater of dollar for dollar or pro rata. In this
example, the excess withdrawal of $5,000 in year 6 reduced the Premium Protection Plus GMDB amount pro rata because
the Contract Value was lower than the Premium Protection GMDB amount on the date of the withdrawal. The excess
withdrawal also reduces the GLWB Base, which in turn lowers the maximum annual amount available for withdrawal
under the GLWB and, therefore, bears on future reductions to the Premium Protection Plus GMDB amount.
5% GMDBR80 Plus Example
The following is an example of how the 5% GMDBR80 Plus rider works.
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the 5% GMDBR80 Plus. Further assume (i) a return of 3% annually net of fees; (ii) none of the assets are
allocated to the Fixed Accumulation Account or a money market portfolio; (iii) you withdraw the maximum allowed of 5%
of the GMDBR anniversary GMDB amount on the last day of each contract year beginning in year 4; and (iv) you don’t take any other withdrawals or add additional premium. The following shows your Contract Value and 5% GMDBR80 Plus GMDB
amount at the end of each contract year.
|
|
Contract Value
|
GMDBR Value
|
|
Year 1 Starting Value
|
$100,000
|
$100,000
|
|
Year 1 Ending Value
|
$103,000
|
$105,000
|
|
Year 2 Ending Value
|
$106,090
|
$110,250
|
|
Year 3 Ending Value
|
$109,273
|
$115,763
|
|
Year 4 Ending Value
|
$106,763
|
$115,763
|
|
Year 5 Ending Value
|
$104,178
|
$115,763
|
|
Year 6 Ending Value
|
$101,515
|
$115,763
|
|
Year 7 Ending Value
|
$98,772
|
$115,763
|
|
Year 8 Ending Value
|
$95,947
|
$115,763
|
|
Year 9 Ending Value
|
$93,037
|
$115,763
|
|
Year 10 Ending Value
|
$90,040
|
$115,763
|
In each year you do not take a withdrawal the rider grows at an annual effective rate
of 5%. In years that you withdraw the maximum allowed under the rider, the 5% GMDBR80 Plus rider will have the same
value at the end of each contract year.
Gain Enhancement Benefit Example
The following is an example of how the Gain Enhancement Benefit rider works.
Form 8563
98
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the Gain Enhancement Benefit rider. Further assume (i) for the first 9 years the Contract Value grows by 5% per
year net of all fees and that in year 10 the return net of fees is -5%; and (ii) you do not add any additional premium or take
any withdrawals. The following shows your Contract Value and Gain Enhancement Benefit value at the end of each contract
year.
|
|
Contract Value
|
Gain
Enhancement
Benefit Value
|
|
Year 1 Starting Value
|
$100,000
|
$0
|
|
Year 1 Ending Value
|
$105,000
|
$1,250
|
|
Year 2 Ending Value
|
$110,250
|
$2,563
|
|
Year 3 Ending Value
|
$115,763
|
$3,941
|
|
Year 4 Ending Value
|
$121,551
|
$5,388
|
|
Year 5 Ending Value
|
$127,628
|
$6,907
|
|
Year 6 Ending Value
|
$134,010
|
$8,502
|
|
Year 7 Ending Value
|
$140,710
|
$10,178
|
|
Year 8 Ending Value
|
$147,746
|
$11,936
|
|
Year 9 Ending Value
|
$155,133
|
$13,783
|
|
Year 10 Ending Value
|
$147,376
|
$11,844
|
The Gain Enhancement Benefit value is equal to 25% of the lesser of (i) two times
total net purchase payments less pro rata withdrawals; and (ii) the Contract Value minus total net purchase payments less
pro rata withdrawals, but can never exceed $1,000,000. In each of the first 9 years the Gain Enhancement Benefit
value grows as the Contract Value increases. In year 10 the Gain Enhancement Benefit values decreases because the Contract
Value decreases.
Gain Enhancement Benefit Plus Example
The following is an example of how the Gain Enhancement Benefit Plus rider works.
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the Gain Enhancement Benefit Plus rider. Further assume (i) for the first 9 years the Contract Value grows by 5%
per year net of all fees and that in year 10 the return net of fees is -5%; and (ii) you do not add any additional premium or
take any withdrawals. The following shows your Contract Value and Gain Enhancement Benefit Plus value at the end of each
contract year.
|
|
Contract Value
|
Gain
Enhancement
Benefit Plus
value
|
|
Year 1 Starting Value
|
$100,000
|
$0
|
|
Year 1 Ending Value
|
$105,000
|
$2,000
|
|
Year 2 Ending Value
|
$110,250
|
$4,100
|
|
Year 3 Ending Value
|
$115,763
|
$6,305
|
|
Year 4 Ending Value
|
$121,551
|
$8,620
|
|
Year 5 Ending Value
|
$127,628
|
$11,051
|
|
Year 6 Ending Value
|
$134,010
|
$13,604
|
|
Year 7 Ending Value
|
$140,710
|
$16,284
|
|
Year 8 Ending Value
|
$147,746
|
$19,098
|
|
Year 9 Ending Value
|
$155,133
|
$22,053
|
|
Year 10 Ending Value
|
$147,376
|
$18,950
|
Form 8563
99
The Gain Enhancement Benefit Plus value is equal to 40% of the lesser of (i) two and
half times total net purchase payments less pro rata withdrawals; and (ii) the Contract Value minus total net purchase
payments less pro rata withdrawals. In each of the first 9 years the Gain Enhancement Benefit Plus value
grows as the contract value increases. In year 10 the Gain Enhancement Benefit values decreases because the Contract Value
decreases.
Form 8563
100
Appendix C – Guaranteed Principal Protection Example
The following is an example of how the GPP rider works.
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the GPP rider. Further assume (i) that for each of the first 5 years your return net of fees is 4% and that all subsequent year’s returns are -3% net of fees; (ii) you reset the guaranteed principal amount to the contract value at the
end of year 5; and (iii) you take a withdrawal of $10,000 at the end of year 6. The following shows your Contract Value,
Guaranteed Principal Amount and Eligible Contract Value at the end of each contract year.
|
|
Contract Value
|
Eligible Contract
Value
|
Guaranteed
Principal Amount
|
|
Year 1 Starting Value
|
$100,000
|
$100,000
|
$100,000
|
|
Year 1 Ending Value
|
$104,000
|
$104,000
|
$100,000
|
|
Year 2 Ending Value
|
$108,160
|
$108,160
|
$100,000
|
|
Year 3 Ending Value
|
$112,486
|
$112,486
|
$100,000
|
|
Year 4 Ending Value
|
$116,986
|
$116,986
|
$100,000
|
|
Year 5 Ending Value
|
$121,665
|
$121,665
|
$121,665
|
|
Year 6 Ending Value
|
$109,232
|
$109,232
|
$111,461
|
|
Year 7 Ending Value
|
$107,047
|
$107,047
|
$111,461
|
|
Year 8 Ending Value
|
$104,906
|
$104,906
|
$111,461
|
|
Year 9 Ending Value
|
$102,808
|
$102,808
|
$111,461
|
|
Year 10 Ending Value
|
$100,752
|
$100,752
|
$111,461
|
|
Year 11 Ending Value
|
$98,737
|
$98,737
|
$111,461
|
|
Year 12 Ending Value
|
$96,762
|
$96,762
|
$111,461
|
|
Year 13 Ending Value
|
$94,827
|
$94,827
|
$111,461
|
|
Year 14 Ending Value
|
$92,931
|
$92,931
|
$111,461
|
|
Year 15 Ending Value
|
$111,461
|
N/A
|
N/A
|
During each year you do not take a withdrawal your Guaranteed Principal Amount (GPA)
will remain the same regardless of market performance. The Eligible Contract Value (ECV) is the current
value of any premiums made in the first 6 months. After 5 years you may reset the GPA and ECV to the Contract Value
on the anniversary. You must wait at least 5 years between resets and you cannot reset once the annuitant has attained
age 80. Resets start a new 10-year rider term. All withdrawals, such as the one taken in year 6, reduce the GPA in a
pro rata fashion. Upon reaching the 10th anniversary of the later of the issue date and the last rider reset date, the
Contract Value will be automatically adjusted by the difference between the GPA and ECV if greater than zero. In the example
that adjustment was made at the end of year 15, at which point the rider terminates.
Form 8563
101
Appendix D – GLWB (2012) and GLWB Plus Examples
The following provide examples of how the annual credit base and withdrawals work
under the GLWB (2012) and GLWB Plus.
GLWB Plus applied for on or after May 1, 2013
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the GLWB Plus rider. Further assume (i) the annuitant is age 65 at the time of purchase; (ii) you take a withdrawal
of $1,000 in year five and one of $50,000 in year six and take no other withdrawals in the first ten years, (iii) you
make an additional purchase payment of $50,000 in year three and one of $10,000 in year eight, (iv) during year one your
Contract Value increases $30,000, net of contract expenses and charges, due to market performance, and (v) the market is
flat, net of contract expenses and charges, over the next ten years of your contract. Your initial GLWB base and Annual
Credit Calculation Base is $100,000. Since you took no withdrawals in years one, you receive a $6,000 credit
on the first contract anniversary (6% of $100,000 Annual Credit Calculation Base) and your annual credit base is $106,000
after year one.
Your GLWB base is the greater of your annual credit base and your step-up base. Your
Contract Value increased by $30,000 during year one due to market performance, so at the beginning of year two
your GLWB base is set equal to the step-up base of $130,000, i.e. your then current Contract Value, which is greater
than your annual credit base. Because your GLWB base was set equal to the step-up base, you start a new ten-year annual
credit period, unless you chose to decline the step-up. Your Annual Credit Calculation Base is set equal to the GLWB
base of $130,000. You receive an annual credit at the end of year two of $7,800 (6% of $130,000 Annual Credit Calculation
Base). Your annual credit base and GLWB base are $137,800 after year two ($130,000 prior GLWB base + $7,800 annual
credit).
At the start of year three, you make an additional purchase payment of $50,000, so
your Annual Credit Calculation Base increases to $180,000 ($130,000 prior Annual Credit Calculation Base + $50,000 additional
purchase payment). Your GLWB base immediately increases with the additional purchase payment to $187,800 ($137,800
prior GLWB base + $50,000 additional purchase payment). Your annual credit at the end of year three
is $10,800 (6% of $180,000 Annual Credit Calculation Base). Your annual credit base after year three, therefore, is
$198,600 ($137,800 prior GLWB base + $50,000 purchase payment + $10,800 annual credit), and your GLWB base is set equal
to your annual credit base. Your Contract Value also increases to $180,000 with the additional purchase payment of
$50,000.
In year four you take no withdrawals and make no additional purchase payments. Your
annual credit for year four is $10,800 (6% of $180,000 Annual Credit Calculation Base), so your annual credit base,
and, therefore, your GLWB base at the end of year four is $209,400 ($198,600 prior GLWB base + $10,800 annual credit).
In year five, when the annuitant is age 70 and your maximum annual withdrawal amount
under the rider is $10,470 (5.0% of $209,400), you take a withdrawal of $1,000. Your Contract Value is reduced
to $179,000. Because your withdrawal is less than the maximum annual withdrawal, your GLWB base is not reduced
by the withdrawal and remains $209,400. Further, because you took a withdrawal, you are not eligible for
the annual credit in year five.
In year six, when the annuitant is age 71 and your maximum annual withdrawal amount
under the rider is $10,470 (5.0% of $209,400), you take a withdrawal of $50,000. Because your withdrawal exceeds your
maximum annual withdrawal amount, $39,530 of it is an excess withdrawal and you are not eligible for an annual
credit at the end of year six. Your Contract Value after the allowed withdrawal of $10,470 was $168,530 ($179,000 — $10,470). Upon the excess withdrawal, your GLWB base is set equal to $160,284, i.e. $209,400 x (1 — $39,530/$168,530). Because the GLWB base after adjustment for the excess withdrawal of $160,284 is less than the Annual Credit
Calculation Base of $180,000, the Annual Credit Calculation Base is set equal to the GLWB base of $160,284.
In year seven you take no withdrawals and make no additional purchase payments. Your
annual credit for year seven is $9,617 (6% of $160,284 Annual Credit Calculation Base), so your annual credit base,
and therefore, your GLWB base at the end of the year seven is $169,901 ($160,284 prior GLWB base + $9,617 annual credit).
At the start of year eight, you make an additional purchase payment of $10,000. Your
GLWB base immediately increases with the additional purchase payment to $179,901 ($169,901 prior GLWB base + $10,000
additional purchase payment). Your Annual Credit Calculation Base increases to $170,284 ($160,284 prior
Annual Credit Calculation Base + $10,000 additional purchase payment). Your annual credit at the end of year eight
is $10,217 (6% of $170,284 Annual Credit Calculation Base). Your annual credit base at the end of year eight, therefore,
is $190,118 ($169,901 prior GLWB base + $10,000 additional purchase payment + $10,217 annual credit), and your GLWB
base is set equal to your annual credit base.
Form 8563
102
Since you take no more withdrawals and add no more purchase payments in years nine
and ten, for each year, your annual credit will be $10,217 (6% of $170,284 Annual Credit Calculation Base). Furthermore,
since the market is flat, your GLWB base increases each of those years by the amount of the annual credit to
$200,335 for year nine and $210,552 for year ten.
You started a new ten-year annual credit period at the beginning of year two because
your GLWB base was set equal to the step-up base so you are eligible for the annual credit in year eleven. Since you
took no withdrawals or made no purchase payments in year eleven, you receive an annual credit of $10,217 (6% of $170,284
Annual Credit Calculation Base) and your GLWB base after year eleven is $220,769 ($210,552 prior GLWB base +
$10,217 annual credit).
GLWB Plus applied for between March 25, 2013 and May 1, 2013
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the GLWB Plus rider. Further assume (i) the annuitant is age 65 at the time of purchase; (ii) you take a withdrawal
of $1,000 in year five and one of $50,000 in year six and take no other withdrawals in the first ten years, (iii) you
make an additional purchase payment of $50,000 in year three and one of $10,000 in year eight, (iv) during year one your
Contract Value increases $30,000, net of contract expenses and charges, due to market performance, and (v) the market is
flat, net of contract expenses and charges, over the next ten years of your contract. Your initial GLWB base and Annual
Credit Calculation Base is $100,000. Since you took no withdrawals in years one, you receive a $6,000 credit
on the first contract anniversary (6% of $100,000 Annual Credit Calculation Base) and your annual credit base is $106,000
after year one.
Your GLWB base is the greater of your annual credit base and your step-up base. Your
Contract Value increased by $30,000 during year one due to market performance, so at the beginning of year two
your GLWB base is set equal to the step-up base of $130,000, i.e. your then current Contract Value, which is greater
than your annual credit base. Because your GLWB base was set equal to the step-up base, you start a new ten-year annual
credit period, unless you chose to decline the step-up. Your Annual Credit Calculation Base is set equal to the GLWB
base of $130,000. You receive an annual credit at the end of year two of $7,800 (6% of $130,000 Annual Credit Calculation
Base). Your annual credit base and GLWB base are $137,800 after year two ($130,000 prior GLWB base + $7,800 annual
credit).
At the start of year three, you make an additional purchase payment of $50,000, so
your Annual Credit Calculation Base increases to $180,000 ($130,000 prior Annual Credit Calculation Base + $50,000 additional
purchase payment). Your GLWB base immediately increases with the additional purchase payment to $187,800 ($137,800
prior GLWB base + $50,000 additional purchase payment). Your annual credit at the end of year three
is $10,800 (6% of $180,000 Annual Credit Calculation Base). Your annual credit base after year three, therefore, is
$198,600 ($137,800 prior GLWB base + $50,000 purchase payment + $10,800 annual credit), and your GLWB base is set equal
to your annual credit base. Your Contract Value also increases to $180,000 with the additional purchase payment of
$50,000.
In year four you take no withdrawals and make no additional purchase payments. Your
annual credit for year four is $10,800 (6% of $180,000 Annual Credit Calculation Base), so your annual credit base,
and, therefore, your GLWB base at the end of year four is $209,400 ($198,600 prior GLWB base + $10,800 annual credit).
In year five, when the annuitant is age 70 and your maximum annual withdrawal amount
under the rider is $9,423 (4.50% of $209,400), you take a withdrawal of $1,000. Your Contract Value is reduced
to $179,000. Because your withdrawal is less than the maximum annual withdrawal, your GLWB base is not reduced
by the withdrawal and remains $209,400. Further, because you took a withdrawal, you are not eligible for
the annual credit in year five.
In year six, when the annuitant is age 71 and your maximum annual withdrawal amount
under the rider is $9,423 (4.50% of $209,400), you take a withdrawal of $50,000. Because your withdrawal exceeds your
maximum annual withdrawal amount, $40,577 of it is an excess withdrawal and you are not eligible for an annual
credit at the end of year six. Your Contract Value after the allowed withdrawal of $9,423 was $169,577 ($179,000 — $9,423). Upon the excess withdrawal, your GLWB base is set equal to $159,294, i.e. $209,400 x (1 — $40,577/$169,577). Because the GLWB base after adjustment for the excess withdrawal of $159,294 is less than the Annual Credit
Calculation Base of $180,000, the Annual Credit Calculation Base is set equal to the GLWB base of $159,294.
In year seven you take no withdrawals and make no additional purchase payments. Your
annual credit for year seven is $9,558 (6% of $159,294 Annual Credit Calculation Base), so your annual credit base,
and therefore, your GLWB base at the end of the year seven is $168,852 ($159,294 prior GLWB base + $9,558 annual credit).
At the start of year eight, you make an additional purchase payment of $10,000. Your
GLWB base immediately increases with the additional purchase payment to $178,852 ($168,852 prior GLWB base + $10,000
additional purchase payment). Your Annual Credit Calculation Base increases to $169,294 ($159,294 prior
Annual Credit Calculation Base +
Form 8563
103
$10,000 additional purchase payment). Your annual credit at the end of year eight
is $10,158 (6% of $169,294 Annual Credit Calculation Base). Your annual credit base at the end of year eight, therefore,
is $189,009 ($168,852 prior GLWB base + $10,000 additional purchase payment + $10,158 annual credit), and your GLWB
base is set equal to your annual credit base.
Since you take no more withdrawals and add no more purchase payments in years nine
and ten, for each year, your annual credit will be $10,158 (6% of $169,294 Annual Credit Calculation Base). Furthermore,
since the market is flat, your GLWB base increases each of those years by the amount of the annual credit to
$199,167 for year nine and $209,325 for year ten.
You started a new ten-year annual credit period at the beginning of year two because
your GLWB base was set equal to the step-up base so you are eligible for the annual credit in year eleven. Since you
took no withdrawals or made no purchase payments in year eleven, you receive an annual credit of $10,158 (6% of $169,294
Annual Credit Calculation Base) and your GLWB base after year eleven is $219,482 ($209,325 prior GLWB base +
$10,158 annual credit).
GLWB Plus applied for between December 3, 2012 and March 25, 2013
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the GLWB Plus rider. Further assume (i) the annuitant is age 65 at the time of purchase; (ii) you take a withdrawal
of $1,000 in year five and one of $50,000 in year six and take no other withdrawals in the first ten years, (iii) you
make an additional purchase payment of $50,000 in year three and one of $10,000 in year eight, (iv) during year one your
Contract Value increases $30,000, net of contract expenses and charges, due to market performance, and (v) the market is
flat, net of contract expenses and charges, over the next ten years of your contract. Your initial GLWB base and Annual
Credit Calculation Base is $100,000. Since you took no withdrawals in years one, you receive a $7,000 credit
on the first contract anniversary (7% of $100,000 Annual Credit Calculation Base) and your annual credit base is $107,000
after year one.
Your GLWB base is the greater of your annual credit base and your step-up base. Your
Contract Value increased by $30,000 during year one due to market performance, so at the beginning of year two
your GLWB base is set equal to the step-up base of $130,000, i.e. your then current Contract Value, which is greater
than your annual credit base. Because your GLWB base was set equal to the step-up base, you start a new ten-year annual
credit period, unless you chose to decline the step-up. Your Annual Credit Calculation Base is set equal to the GLWB
base of $130,000. You receive an annual credit at the end of year two of $9,100 (7% of $130,000 Annual Credit Calculation
Base). Your annual credit base and GLWB base are $139,100 after year two ($130,000 prior GLWB base + $9,100 annual
credit).
At the start of year three, you make an additional purchase payment of $50,000, so
your Annual Credit Calculation Base increases to $180,000 ($130,000 prior Annual Credit Calculation Base + $50,000 additional
purchase payment). Your GLWB base immediately increases with the additional purchase payment to $189,100 ($139,100
prior GLWB base + $50,000 additional purchase payment). Your annual credit at the end of year three
is $12,600 (7% of $180,000 Annual Credit Calculation Base). Your annual credit base after year three, therefore, is
$201,700 ($139,100 prior GLWB base + $50,000 purchase payment + $12,600 annual credit), and your GLWB base is set equal
to your annual credit base. Your Contract Value also increases to $180,000 with the additional purchase payment of
$50,000.
In year four you take no withdrawals and make no additional purchase payments. Your
annual credit for year four is $12,600 (7% of $180,000 Annual Credit Calculation Base), so your annual credit base,
and, therefore, your GLWB base at the end of year four is $214,300 ($201,700 prior GLWB base + $12,600 annual credit).
In year five, when the annuitant is age 70 and your maximum annual withdrawal amount
under the rider is $10,715 (5.00% of $214,300), you take a withdrawal of $1,000. Your Contract Value is reduced
to $179,000. Because your withdrawal is less than the maximum annual withdrawal, your GLWB base is not reduced
by the withdrawal and remains $214,300. Further, because you took a withdrawal, you are not eligible for
the annual credit in year five.
In year six, when the annuitant is age 71 and your maximum annual withdrawal amount
under the rider is $10,715 (5.00% of $214,300), you take a withdrawal of $50,000. Because your withdrawal exceeds
your maximum annual withdrawal amount, $39,285 of it is an excess withdrawal and you are not eligible
for an annual credit at the end of year six. Your Contract Value after the allowed withdrawal of $10,715 was $168,285 ($179,000 — $10,715). Upon the excess withdrawal, your GLWB base is set equal to $164,273, i.e. $214,300 x (1 — $39,285/$168,285). Because the GLWB base after adjustment for the excess withdrawal of $164,273 is less than the Annual Credit
Calculation Base of $180,000, the Annual Credit Calculation Base is set equal to the GLWB base of $164,273.
In year seven you take no withdrawals and make no additional purchase payments. Your
annual credit for year seven is $11,499 (7% of $164,273 Annual Credit Calculation Base), so your annual credit base,
and therefore, your GLWB base at the end of the year seven is $175,772 ($164,273 prior GLWB base + $11,499 annual credit).
Form 8563
104
At the start of year eight, you make an additional purchase payment of $10,000. Your
GLWB base immediately increases with the additional purchase payment to $185,772 ($175,772 prior GLWB base + $10,000
additional purchase payment). Your Annual Credit Calculation Base increases to $174,273 ($164,273 prior
Annual Credit Calculation Base + $10,000 additional purchase payment). Your annual credit at the end of year eight
is $12,199 (7% of $174,273 Annual Credit Calculation Base). Your annual credit base at the end of year eight, therefore,
is $197,971 ($175,772 prior GLWB base + $10,000 additional purchase payment + $12,199 annual credit), and your GLWB
base is set equal to your annual credit base.
Since you take no more withdrawals and add no more purchase payments in years nine
and ten, for each year, your annual credit will be $12,199 (7% of $174,273 Annual Credit Calculation Base). Furthermore,
since the market is flat, your GLWB base increases each of those years by the amount of the annual credit to
$210,170 for year nine and $222,370 for year ten.
You started a new ten-year annual credit period at the beginning of year two because
your GLWB base was set equal to the step-up base so you are eligible for the annual credit in year eleven. Since you
took no withdrawals or made no purchase payments in year eleven, you receive an annual credit of $12,199 (7% of $174,273
Annual Credit Calculation Base) and your GLWB base after year eleven is $234,569 ($222,370 prior GLWB base +
$12,199 annual credit).
GLWB Plus applied for between August 20, 2012 and December 3, 2012
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the GLWB Plus rider. Further assume (i) the annuitant is age 65 at the time of purchase; (ii) you take a withdrawal
of $1,000 in year five and one of $50,000 in year six and take no other withdrawals in the first ten years, (iii) you
make an additional purchase payment of $50,000 in year three and one of $10,000 in year eight, (iv) during year one your
Contract Value increases $30,000, net of contract expenses and charges, due to market performance, and (v) the market is
flat, net of contract expenses and charges, over the next ten years of your contract. Your initial GLWB base and Annual
Credit Calculation Base is $100,000. Since you took no withdrawals in years one, you receive a $8,000 credit
on the first contract anniversary (8% of $100,000 Annual Credit Calculation Base) and your annual credit base is $108,000
after year one.
Your GLWB base is the greater of your annual credit base and your step-up base. Your
Contract Value increased by $30,000 during year one due to market performance, so at the beginning of year two
your GLWB base is set equal to the step-up base of $130,000, i.e. your then current Contract Value, which is greater
than your annual credit base. Because your GLWB base was set equal to the step-up base, you start a new ten-year annual
credit period, unless you chose to decline the step-up. Your Annual Credit Calculation Base is set equal to the GLWB
base of $130,000. You receive an annual credit at the end of year two of $10,400 (8% of $130,000 Annual Credit Calculation
Base). Your annual credit base and GLWB base are $140,400 after year two ($130,000 prior GLWB base + $10,400
annual credit).
At the start of year three, you make an additional purchase payment of $50,000, so
your Annual Credit Calculation Base increases to $180,000 ($130,000 prior Annual Credit Calculation Base + $50,000 additional
purchase payment). Your GLWB base immediately increases with the additional purchase payment to $190,400 ($140,400
prior GLWB base + $50,000 additional purchase payment). Your annual credit at the end of year three
is $14,400 (8% of $180,000 Annual Credit Calculation Base). Your annual credit base after year three, therefore, is
$204,800 ($140,400 prior GLWB base + $50,000 purchase payment + $14,400 annual credit), and your GLWB base is set equal
to your annual credit base. Your Contract Value also increases to $180,000 with the additional purchase payment of
$50,000.
In year four you take no withdrawals and make no additional purchase payments. Your
annual credit for year four is $14,400 (8% of $180,000 Annual Credit Calculation Base), so your annual credit base,
and, therefore, your GLWB base at the end of year four is $219,200 ($204,800 prior GLWB base + $14,400 annual credit).
In year five, when the annuitant is age 70 and your maximum annual withdrawal amount
under the rider is $10,960 (5.00% of $219,200), you take a withdrawal of $1,000. Your Contract Value is reduced
to $179,000. Because your withdrawal is less than the maximum annual withdrawal, your GLWB base is not reduced
by the withdrawal and remains $219,200. Further, because you took a withdrawal, you are not eligible for
the annual credit in year five.
In year six, when the annuitant is age 71 and your maximum annual withdrawal amount
under the rider is $10,960 (5.00% of $219,200), you take a withdrawal of $50,000. Because your withdrawal exceeds
your maximum annual withdrawal amount, $39,040 of it is an excess withdrawal and you are not eligible
for an annual credit at the end of year six. Your Contract Value after the allowed withdrawal of $10,960 was $168,040 ($179,000 — $10,960). Upon the excess withdrawal, your GLWB base is set equal to $168,274, i.e. $219,200 x (1 — $38,821/$167,821). Because the GLWB base after adjustment for the excess withdrawal of $168,274 is less than the Annual Credit
Calculation Base of $180,000, the Annual Credit Calculation Base is set equal to the GLWB base of $168,274.
Form 8563
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In year seven you take no withdrawals and make no additional purchase payments. Your
annual credit for year seven is $13,462 (8% of $168,274 Annual Credit Calculation Base), so your annual credit base,
and therefore, your GLWB base at the end of the year seven is $181,736 ($168,274 prior GLWB base + $13,462 annual credit).
At the start of year eight, you make an additional purchase payment of $10,000. Your
GLWB base immediately increases with the additional purchase payment to $191,736 ($181,736 prior GLWB base + $10,000
additional purchase payment). Your Annual Credit Calculation Base increases to $178,274 ($168,274 prior
Annual Credit Calculation Base + $10,000 additional purchase payment). Your annual credit at the end of year eight
is $14,262 (8% of $178,274 Annual Credit Calculation Base). Your annual credit base at the end of year eight, therefore,
is $205,998 ($181,736 prior GLWB base + $10,000 additional purchase payment + $14,262 annual credit), and your GLWB
base is set equal to your annual credit base.
Since you take no more withdrawals and add no more purchase payments in years nine
and ten, for each year, your annual credit will be $14,262 (8% of $178,274 Annual Credit Calculation Base). Furthermore,
since the market is flat, your GLWB base increases each of those years by the amount of the annual credit to
$220,260 for year nine and $234,522 for year ten.
You started a new ten-year annual credit period at the beginning of year two because
your GLWB base was set equal to the step-up base so you are eligible for the annual credit in year eleven. Since you
took no withdrawals or made no purchase payments in year eleven, you receive an annual credit of $14,262 (8% of $178,274
Annual Credit Calculation Base) and your GLWB base after year eleven is $248,784 ($234,522 prior GLWB base +
$14,262 annual credit).
GLWB Plus applied for before August 20, 2012
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the GLWB Plus rider. Further assume (i) the annuitant is age 65 at the time of purchase; (ii) you take a withdrawal
of $1,000 in year five and one of $50,000 in year six and take no other withdrawals in the first ten years, (iii) you
make an additional purchase payment of $50,000 in year three and one of $10,000 in year eight, (iv) during year one your
Contract Value increases $30,000, net of contract expenses and charges, due to market performance, and (v) the market is
flat, net of contract expenses and charges, over the next ten years of your contract. Your initial GLWB base and Annual
Credit Calculation Base is $100,000. Since you took no withdrawals in years one, you receive a $8,000 credit
on the first contract anniversary (8% of $100,000 Annual Credit Calculation Base) and your annual credit base is $108,000
after year one.
Your GLWB base is the greater of your annual credit base and your step-up base. Your
Contract Value increased by $30,000 during year one due to market performance, so at the beginning of year two
your GLWB base is set equal to the step-up base of $130,000, i.e. your then current Contract Value, which is greater
than your annual credit base. Because your GLWB base was set equal to the step-up base, you start a new ten-year annual
credit period, unless you chose to decline the step-up. Your Annual Credit Calculation Base is set equal to the GLWB
base of $130,000. You receive an annual credit at the end of year two of $10,400 (8% of $130,000 Annual Credit Calculation
Base). Your annual credit base and GLWB base are $140,400 after year two ($130,000 prior GLWB base + $10,400
annual credit).
At the start of year three, you make an additional purchase payment of $50,000, so
your Annual Credit Calculation Base increases to $180,000 ($130,000 prior Annual Credit Calculation Base + $50,000 additional
purchase payment). Your GLWB base immediately increases with the additional purchase payment to $190,400 ($140,400
prior GLWB base + $50,000 additional purchase payment). Your annual credit at the end of year three
is $14,400 (8% of $180,000 Annual Credit Calculation Base). Your annual credit base after year three, therefore, is
$204,800 ($140,400 prior GLWB base + $50,000 purchase payment + $14,400 annual credit), and your GLWB base is set equal
to your annual credit base. Your Contract Value also increases to $180,000 with the additional purchase payment of
$50,000.
In year four you take no withdrawals and make no additional purchase payments. Your
annual credit for year four is $14,400 (8% of $180,000 Annual Credit Calculation Base), so your annual credit base,
and, therefore, your GLWB base at the end of year four is $219,200 ($204,800 prior GLWB base + $14,400 annual credit).
In year five, when the annuitant is age 70 and your maximum annual withdrawal amount
under the rider is $11,179 (5.10% of $219,200), you take a withdrawal of $1,000. Your Contract Value is reduced
to $179,000. Because your withdrawal is less than the maximum annual withdrawal, your GLWB base is not reduced
by the withdrawal and remains $219,200. Further, because you took a withdrawal, you are not eligible for
the annual credit in year five.
In year six, when the annuitant is age 71 and your maximum annual withdrawal amount
under the rider is $11,179 (5.10% of $219,200), you take a withdrawal of $50,000. Because your withdrawal exceeds
your maximum annual withdrawal amount, $38,821 of it is an excess withdrawal and you are not eligible
for an annual credit at the end of year
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six. Your Contract Value after the allowed withdrawal of $11,179 was $167,821 ($179,000 — $11,179). Upon the excess withdrawal, your GLWB base is set equal to $168,494, i.e. $219,200 x (1 — $38,821/$167,821). Because the GLWB base after adjustment for the excess withdrawal of $168,494 is less than the Annual Credit
Calculation Base of $180,000, the Annual Credit Calculation Base is set equal to the GLWB base of $168,494.
In year seven you take no withdrawals and make no additional purchase payments. Your
annual credit for year seven is $13,480 (8% of $168,494 Annual Credit Calculation Base), so your annual credit base,
and therefore, your GLWB base at the end of the year seven is $181,974 ($168,494 prior GLWB base + $13,480 annual credit).
At the start of year eight, you make an additional purchase payment of $10,000. Your
GLWB base immediately increases with the additional purchase payment to $191,974 ($181,974 prior GLWB base + $10,000
additional purchase payment). Your Annual Credit Calculation Base increases to $178,494 ($168,494 prior
Annual Credit Calculation Base + $10,000 additional purchase payment). Your annual credit at the end of year eight
is $14,280 (8% of $178,494 Annual Credit Calculation Base). Your annual credit base at the end of year eight, therefore,
is $206,254 ($181,974 prior GLWB base + $10,000 additional purchase payment + $14,280 annual credit), and your GLWB
base is set equal to your annual credit base.
Since you take no more withdrawals and add no more purchase payments in years nine
and ten, for each year, your annual credit will be $14,280 (8% of $178,494 Annual Credit Calculation Base). Furthermore,
since the market is flat, your GLWB base increases each of those years by the amount of the annual credit to
$220,534 for year nine and $234,814 for year ten.
You started a new ten-year annual credit period at the beginning of year two because
your GLWB base was set equal to the step-up base so you are eligible for the annual credit in year eleven. Since you
took no withdrawals or made no purchase payments in year eleven, you receive an annual credit of $14,280 (8% of $178,494
Annual Credit Calculation Base) and your GLWB base after year eleven is $249,094 ($234,814 prior GLWB base +
$14,280 annual credit).
GLWB (2012)
Assume you purchase a contract with an initial purchase payment of $100,000 and select
the GLWB (2012) rider. Further assume (i) the annuitant is age 65 at the time of purchase; (ii) you take
a withdrawal of $1,000 in year five and one of $50,000 in year six and take no other withdrawals in the first ten years, (iii)
you make an additional purchase payment of $50,000 in year three and one of $10,000 in year eight, (iv) during year
one your Contract Value increases $30,000, net of contract expenses and charges, due to market performance, and (v)
the market is flat, net of contract expenses and charges, over the next ten years of your contract. Your initial GLWB
base and Annual Credit Calculation Base is $100,000. Since you took no withdrawals in years one, you receive a $8,000
credit on the first contract anniversary (8% of $100,000 Annual Credit Calculation Base) and your annual credit
base is $108,000 after year one.
Your GLWB base is the greater of your annual credit base and your step-up base. Your
Contract Value increased by $30,000 during year one due to market performance, so at the beginning of year two
your GLWB base is set equal to the step-up base of $130,000, i.e. your then current Contract Value, which is greater
than your annual credit base. Because your GLWB base was set equal to the step-up base, you start a new ten-year annual
credit period, unless you chose to decline the step-up. Your Annual Credit Calculation Base is set equal to the GLWB
base of $130,000. You receive an annual credit at the end of year two of $10,400 (8% of $130,000 Annual Credit Calculation
Base). Your annual credit base and GLWB base are $140,400 after year two ($130,000 prior GLWB base + $10,400
annual credit).
At the start of year three, you make an additional purchase payment of $50,000, so
your Annual Credit Calculation Base increases to $180,000 ($130,000 prior Annual Credit Calculation Base + $50,000 additional
purchase payment). Your GLWB base immediately increases with the additional purchase payment to $190,400 ($140,400
prior GLWB base + $50,000 additional purchase payment). Your annual credit at the end of year three
is $14,400 (8% of $180,000 Annual Credit Calculation Base). Your annual credit base after year three, therefore, is
$204,800 ($140,400 prior GLWB base + $50,000 purchase payment + $14,400 annual credit), and your GLWB base is set equal
to your annual credit base. Your Contract Value also increases to $180,000 with the additional purchase payment of
$50,000.
In year four you take no withdrawals and make no additional purchase payments. Your
annual credit for year four is $14,400 (8% of $180,000 Annual Credit Calculation Base), so your annual credit base,
and, therefore, your GLWB base at the end of year four is $219,200 ($204,800 prior GLWB base + $14,400 annual credit).
In year five, when the annuitant is age 70 and your maximum annual withdrawal amount
under the rider is $10,960 (5% of $219,200), you take a withdrawal of $1,000. Your Contract Value is reduced to $179,000.
Because your withdrawal is less than the maximum annual withdrawal, your GLWB base is not reduced by the withdrawal
and remains $219,200. Further, because you took a withdrawal, you are not eligible for the annual credit
in year five.
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In year six, when the annuitant is age 71 and your maximum annual withdrawal amount
under the rider is $10,960 (5% of $219,200), you take a withdrawal of $50,000. Because your withdrawal exceeds your
maximum annual withdrawal amount, $39,040 of it is an excess withdrawal and you are not eligible for an annual
credit at the end of year six. Your Contract Value after the allowed withdrawal of $10,960 was $168,040 ($179,000 — $10,960). Upon the excess withdrawal, your GLWB base is set equal to $168,274, i.e. $219,200 x (1 — $39,040/$168,040). Because the GLWB base after adjustment for the excess withdrawal of $168,274 is less than the Annual Credit
Calculation Base of $180,000, the Annual Credit Calculation Base is set equal to the GLWB base of $168,274.
In year seven you take no withdrawals and make no additional purchase payments. Your
annual credit for year seven is $13,462 (8% of $168,274 Annual Credit Calculation Base), so your annual credit base,
and therefore, your GLWB base at the end of the year seven is $181,736 ($168,274 prior GLWB base + $13,462 annual credit).
At the start of year eight, you make an additional purchase payment of $10,000. Your
GLWB base immediately increases with the additional purchase payment to $191,736 ($181,736 prior GLWB base + $10,000
additional purchase payment). Your Annual Credit Calculation Base increases to $178,274 ($168,274 prior
Annual Credit Calculation Base + $10,000 additional purchase payment). Your annual credit at the end of year eight
is $14,262 (8% of $178,274 Annual Credit Calculation Base). Your annual credit base at the end of year eight, therefore,
is $205,998 ($181,736 prior GLWB base + $10,000 additional purchase payment + $14,262 annual credit), and your GLWB
base is set equal to your annual credit base.
Since you take no more withdrawals and add no more purchase payments in years nine
and ten, for each year, your annual credit will be $14,262 (8% of $178,274 Annual Credit Calculation Base). Furthermore,
since the market is flat, your GLWB base increases each of those years by the amount of the annual credit to
$220,260 for year nine and $234,522 for year ten.
You started a new ten-year annual credit period at the beginning of year two because
your GLWB base was set equal to the step-up base so you are eligible for the annual credit in year eleven. Since you
took no withdrawals or made no purchase payments in year eleven, you receive an annual credit of $14,262 (8% of $178,274
Annual Credit Calculation Base) and your GLWB base after year eleven is $248,784 ($234,522 prior GLWB base +
$14,262 annual credit).
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Appendix E – IRA Disclosure Statement
This statement is designed to help you understand the requirements of federal tax
law which apply to your individual retirement annuity (IRA), your Roth IRA, your simplified employee pension IRA (SEPP-IRA)
for employer contributions, your Savings Incentive Match Plan for Employees (SIMPLE) IRA, or to one you purchase
for your spouse. You can obtain more information regarding your IRA either from your sales representative or from
any district office of the Internal Revenue Service.
Free Look Period
The annuity contract offered by this prospectus gives you the opportunity to revoke
the contract for a full refund within 10 days after you receive it (or a longer period as may be required by your state
law) and for IRAs, get a refund of the greater of your purchase payments or the current Contract Value if you exercise your
free look. Any purchase payments in these states to be allocated to variable Funds may first be allocated to the Fidelity® VIP Government Money Market Portfolio until the end of the free look period. If you are a California resident
60 years old or older and at the time you apply for your contract you elect to receive a return of your purchase payments if
you exercise your free look, any purchase payments to be allocated to variable Funds will first be allocated to the
Fixed Accumulation Account until the end of the free look period. We deem you to receive the contract and the free look
period to begin five days after we mail your contract to you. This is a more liberal provision than is required in connection
with IRAs. To exercise this “free-look” provision, you must return the contract to us within the free look period. We must receive your contract at our home office (the address listed on the first page of the prospectus) by 4:00 p.m.
Eastern time on the last day of the free look period.
Eligibility Requirements
IRAs are intended for all persons with earned compensation whether or not they are
covered under other retirement programs. Additionally if you have a non-working spouse (and you file a joint tax
return), you may establish an IRA on behalf of your non-working spouse. A working spouse may establish his or her own IRA.
A divorced spouse receiving taxable alimony (and no other income) may also establish an IRA.
Contributions and Deductions
Contributions to a traditional IRA will be deductible if You are not an “active participant” in an employer maintained qualified retirement plan or if You have Adjusted Gross Income which does not exceed the “applicable dollar limit”. For a single taxpayer, the applicable dollar limitation is $81,000 in 2026, with the amount of IRA contribution which may be deducted reduced proportionately for Adjusted Gross Income between $81,000 and $91,000. For married couples filing jointly, the applicable dollar limitation is $129,000, with the amount of IRA contribution which may be deducted reduced proportionately for Adjusted Gross Income between $129,000 and $149,000. There is no deduction allowed for IRA contributions when Adjusted Gross Income reaches $91,000 for individuals and $149,000 for married couples filing jointly. IRA contributions must be made by no later than the time You file Your income tax return for that year. Special limits apply for the non-active participant spouse where a joint return is
filed with an active participant.
The IRA maximum annual contribution and the associated tax deduction is limited to
the lesser of: (1) $7,500 in 2026 or (2) 100% of Your earned compensation. Those age 50 or older may make an additional IRA contribution
of $1,100 per year in 2026. In the case of any taxable year beginning in a calendar year after 2026, the $1,000 shall be periodically increased as stipulated in IRC Sections 219(b)(5)(B)(ii), 219 (b)(5)(C)(iii) and 219(b)(5)(D). Contributions in
excess of the limits may be subject to penalty. See below.
The maximum tax-deductible annual contribution that a divorced spouse with no other income may make
to an IRA is the lesser of (1) $7,100 or (2) 100% of taxable alimony.
Contributions made by Your employer to Your SEP-IRA are excludable from Your gross income for tax purposes in the calendar year for which the amount is contributed. Certain employees who participate
in a SEP-IRA will be entitled to elect to have their employer make contributions to their SEP-IRA on their behalf or to receive the contributions in cash. If the employee elects to have contributions made on the employee’s behalf to the SEPP, the employee’s salary is reduced by the amount of the contribution, and those funds are not treated as current taxable income. Salary-reduction SEP-IRAs (also called “SARSEPs”) are available only if at least 50% of the employees elect to have amounts contributed to the SEP-IRA and if the employer has 25 or fewer employees at all times during the preceding
year. New SARSEPs may no longer be established. Elective deferrals under a SARSEP are subject to an inflation-adjusted
limit which is $24,500 for 2026.
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Under a SEP-IRA agreement, the maximum annual contribution which Your employer may make on Your behalf to a SEP-IRA contract which is excludable from Your income is the lesser of 100% of Your salary or $72,000 in 2026. An employee who is a participant in a SEPP-IRA agreement may make after-tax contributions
to the SEP-IRA contract, subject to the contribution limits applicable to IRAs in general. Those employee contributions
will be deductible subject to the deductibility rules described above. The Internal Revenue Service has reviewed
the format of Your SEP-IRA and issued an opinion letter to us stating that it qualifies as a prototype SEP-IRA.
If You or Your employer should contribute more than the maximum contribution amount to Your IRA or SEP-IRA, the excess amount will be considered an “excess contribution”. You may withdraw an excess contribution from Your IRA (or SEP-IRA) before Your tax filing date without adverse tax consequences. If, however, You fail to withdraw any such excess contribution before Your tax filing date, a 6% excise tax will be imposed on the excess for the tax year of
contribution.
Once the 6% excise tax has been imposed, an additional 6% penalty for the following
tax year can be avoided if the excess is (1) withdrawn before the end of the following year, or (2) treated as a
current contribution for the following year.
An individual retirement annuity must be an annuity contract. In our opinion, the
optional additional death benefits available under the contract are part of the annuity contract. There is a risk, however,
that the Internal Revenue Service would take the position that one or more of the optional additional death benefits
are not part of the annuity contract. In such a case, the charges for the optional additional death benefits would be considered
distributions from the IRA and would be subject to tax, including penalty taxes. The charges for the optional
additional death benefits would not be deductible. It is possible that the IRS could determine that optional death proceeds
in excess of the greater of the Contract Value or net Purchase Payments are taxable to Your Beneficiary. Should the IRS so rule, we may have to tax report such excess death benefits as taxable income to Your Beneficiary. If the IRS were to take such a position, we would take all reasonable steps to avoid this result, including the right to amend
the Contract, with appropriate notice to You.
The contracts may not be eligible for use in Puerto Rico IRAs.
IRA for Non-working Spouse
If you establish an IRA for yourself, you may also be eligible to establish an IRA for your “non-working” spouse. In order to be eligible to establish such a spousal IRA, you must file a joint tax return with
your spouse and if your non-working spouse has compensation, his/her compensation must be less than your compensation
for the year. Contributions of up to $14,000 may be made to the two IRAs if the combined compensation of you and your
spouse is at least equal to the amount contributed. If requirements for deductibility (including income levels) are
met, you will be able to deduct an amount equal to the least of (i) the amount contributed to the IRA’s; (ii) $14,000; or (iii) 100% of your combined gross income.
Contributions in excess of the contribution limits may be subject to penalty. See above under “Contributions and Deductions”. If you contribute more than the allowable amount, the excess portion will be considered an excess contribution. The rules for correcting it are the same as discussed above for regular
IRAs.
Other than the items mentioned in this section, all of the requirements generally
applicable to IRAs are also applicable to IRAs established for non-working spouses.
Rollover Contribution
Once every year, you may withdraw any portion of the value of your IRA (or SEPP-IRA)
and move it to another IRA. Withdrawals may also be made from other IRAs and contributed to this contract. Note – you are limited to one rollover per year regardless of how many IRA contracts you own. This transfer of funds from
one IRA to another is called a “rollover” IRA. To qualify as a rollover contribution, the entire portion of the withdrawal must be reinvested in another IRA within 60 days after the date it is received. You are not allowed a tax-deduction
for the amount of any rollover contribution. Transfers of funds directly from one IRA to another IRA, if done properly,
is not a rollover and is not subject to the once per year limitation.
A similar type of rollover to an IRA can be made with the proceeds of a qualified
distribution from a qualified retirement plan or tax-sheltered annuity. Properly made, such a distribution will not be taxable
until you receive payments from the IRA created with it. You may later roll over such a contribution to another qualified
retirement plan. (You may roll less than all of a qualified distribution into an IRA, but any part of it not rolled
over will be currently includable in your income without any capital gains treatment.)
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Premature Distributions
At no time can an interest in your IRA (or SEPP-IRA) be forfeited. The federal tax
law does not permit you to use your IRA (or SEPP-IRA) as security for a loan. Furthermore, as a general rule, you may not
sell or assign your interest in your IRA (or SEPP-IRA) to anyone. Use of an IRA (or SEPP-IRA) as security or assignment of
it to another will invalidate the entire annuity. It then will be includable in your income in the year it is invalidated and
will be subject to a 10% penalty tax if you are not at least age 59 1∕2 or totally disabled. (You may, however, assign your IRA (or SEPP-IRA) without penalty
to your former spouse in accordance with the terms of a divorce decree.)
You may withdraw part of the value of your IRA (or SEPP-IRA). If a withdrawal does
not qualify as a rollover, the amount withdrawn will be includable in your income and subject to the 10% penalty if you
are not at least age 59 1∕2 or totally disabled or the withdrawal meets the requirements of another exception contained in
the Code, unless you comply with special rules requiring distributions to be made at least annually over your
life expectancy.
The 10% penalty tax does not apply to the withdrawal of an excess contribution as
long as the excess is withdrawn before the due date of your tax return. Withdrawals of excess contributions after
the due date of your tax return will generally be subject to the 10% penalty unless the excess contribution results from
erroneous information from a plan trustee making an excess rollover contribution or unless you are over age 59 1∕2 or are disabled.
Distribution at Retirement
Once you have attained age 59 1∕2 (or have become totally disabled), you may elect to receive a distribution of your
IRA (or SEPP-IRA) regardless of when you actually retire. You may elect to receive the
distribution in either one sum or under any one of the periodic payment options available under the contract. The distributions
from your IRA under any one of the periodic payment options or in one sum will be treated as ordinary income
as you receive them unless nondeductible contributions were made to the IRA. In that case, only earnings will
be income.
Required Minimum Distributions
Required Minimum Distributions are required to be taken from this contract as of the owner’s Required Beginning Date (“RBD”). The RBD for individuals born on or after July 1, 1949 is April 1 of the year following the year in which the individual attains age 72. For individuals born before July 1, 1949, the RBD is April
1 of the year following the year in which the individual attains age 70 1∕2. For individuals born on or after January 1, 1951 and prior to January 1, 1960, the
RBD is April 1 of the year following the year in which the individual attains age
73. For individuals born on or after January 1, 1960, the RBD is April 1 of the year following the year in which the individual
attains age 75.
Inadequate Distributions — 50% Tax
Your IRA or SEPP-IRA is intended to provide retirement benefits over your lifetime.
Thus, federal law requires that you either (1) receive a lump-sum distribution of your IRA by your RBD or (2) start to
receive periodic payments by that date. If you elect to receive periodic payments, those payments are calculated by dividing
your account balance by the distribution period shown on the Uniform Lifetime Table published by the Internal
Revenue Service. If the payments are not sufficient to meet these requirements, an excise tax of 50% will be imposed on
the amount of any underpayment.
Death Benefits
If you die before receiving the entire value of your IRA (or SEPP-IRA), the remaining
interest must be distributed to your beneficiary within 10 years of death or applied to purchase an immediate annuity for
the beneficiary within one year of death, with the annuity limited in duration to 10 years. If your beneficiary is an
eligible designated beneficiary, that individual may “stretch” the IRA, taking annual required minimum distributions over the individual’s life expectancy. An eligible designated beneficiary is defined as (1) your spouse, (2) any beneficiary
no more than ten years younger than you, (3) your minor child, but only until the child reaches the age of majority, (4)
a disabled individual, or (5) a chronically ill individual. Special rules apply to spousal beneficiaries regarding
the date required distributions must begin. Non-natural person beneficiaries must receive their benefit within 5 years
of death.
Roth IRAs
Section 408A of the IRC permits eligible individuals to contribute to a type of IRA known as a “Roth IRA.” In 2026, contributions may be made to a Roth IRA by taxpayers with adjusted gross incomes of
less than $242,000 for married individuals filing jointly and less than $153,000 for single individuals. Married individuals filing separately are not eligible to contribute to a Roth IRA. The maximum amount of contributions allowable for any
taxable year to all Roth IRAs
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maintained by an individual is generally the same as the contribution limits for traditional
IRAs (the limit is phased out for incomes between $242,000 and $252,000 for married and between $153,000 and $168,000 for singles). The contribution limit is reduced by the amount of any contributions made to a non-Roth
IRA. Contributions to a Roth IRA are not deductible. Catch up contributions are available for persons age 50 or older.
After 2024, the maximum regular contribution and income amounts above will be adjusted by the Secretary of the Treasury
for cost-of-living increases under IRC Section 408A(c)(3). For 2026, catch up contributions is $1,100.
All or part of amounts in a non-Roth IRA may be converted, transferred or rolled over
to a Roth IRA. Some or all of the IRA value will typically be includable in the taxpayer’s gross income. Provided a rollover contribution meets the requirements for IRAs under Section 408(d)(3) of the IRC; a rollover may be made from a Roth IRA to another Roth IRA.
Persons considering a rollover, transfer or conversion should consult their own tax
advisor.
“Qualified distributions” from a Roth IRA are excludable from gross income. A “qualified distribution” is a distribution that satisfies two requirements: (1) the distribution must be made (a) after the owner
of the IRA attains age 59 1∕2; (b) after the owner’s death; (c) due to the owner’s disability; or (d) for a qualified first time homebuyer distribution within the meaning of Section 72(t)(2)(F) of the Code; and (2) the distribution must be made
in the year that is at least five years after the first year for which a contribution was made to any Roth IRA established
for the owner or five years after a rollover, transfer or conversion was made from a non-Roth IRA to a Roth IRA. Distributions
from a Roth IRA that are not qualified distributions will be treated as made first from contributions and then
from earnings, and taxed generally in the same manner as distributions from a non-Roth IRA.
Distributions from a Roth IRA need not commence at the owner’s RBD. However, if the owner dies before the entire interest in a Roth IRA is distributed, any remaining interest in the contract must
be distributed by December 31 of the calendar year containing the fifth anniversary of the owner’s death subject to certain exceptions.
Savings Incentive Match Plan for Employees (SIMPLE)
An employer may sponsor a plan allowing for employee salary deferral contributions
with an additional employer contribution. SIMPLE plans may operate as a 401(k) or an IRA. Limits for employee
contributions to a SIMPLE are $18,200 in 2026. Employees age 50 and older may contribute an additional $4,000 in 2026 (or $5,250 if between the ages of 60 to 63). Distributions from a SIMPLE are subject to restrictions similar to distributions
from a traditional IRA. Additional terms of Your SIMPLE are in a summary plan description distributed by Your employer.
Reporting to the IRS
Whenever you are liable for one of the penalty taxes discussed above (6% for excess
contributions, 10% for premature distributions or 50% for underpayments), you must file Form 5329 with the Internal
Revenue Service. The form is to be attached to your federal income tax return for the tax year in which the penalty applies.
Normal contributions and distributions must be shown on your income tax return for the year to which they relate.
Form 8563
112
Illustration of IRA Fixed Accumulations
|
Year
|
$1,000 Annual
Contribution
|
$1,000 One Time
Contribution
|
Year
|
$1,000 Annual
Contribution
|
$1,000 One Time
Contribution
|
|
1
|
$1,020.00
|
$1,020.00
|
37
|
$55,114.94
|
$2,080.67
|
|
2
|
$2,060.40
|
$1,040.40
|
38
|
$57,237.24
|
$2,122.28
|
|
3
|
$3,121.61
|
$1,061.21
|
39
|
$59,401.98
|
$2,164.73
|
|
4
|
$4,204.04
|
$1,082.43
|
40
|
$61,610.02
|
$2,208.02
|
|
5
|
$5,308.12
|
$1,104.08
|
41
|
$63,862.22
|
$2,252.18
|
|
6
|
$6,434.28
|
$1,126.16
|
42
|
$66,159.47
|
$2,297.22
|
|
7
|
$7,582.97
|
$1,148.68
|
43
|
$68,502.66
|
$2,343.16
|
|
8
|
$8,754.63
|
$1,171.65
|
44
|
$70,892.71
|
$2,390.02
|
|
9
|
$9,949.72
|
$1,195.08
|
45
|
$73,330.56
|
$2,437.82
|
|
10
|
$11,168.71
|
$1,218.98
|
46
|
$75,817.18
|
$2,486.58
|
|
11
|
$12,412.09
|
$1,243.36
|
47
|
$78,353.52
|
$2,536.31
|
|
12
|
$13,680.33
|
$1,268.23
|
48
|
$80,940.59
|
$2,587.04
|
|
13
|
$14,973.94
|
$1,293.59
|
49
|
$83,579.40
|
$2,638.78
|
|
14
|
$16,293.42
|
$1,319.46
|
50
|
$86,270.99
|
$2,691.56
|
|
15
|
$17,639.28
|
$1,345.85
|
51
|
$89,016.41
|
$2,745.39
|
|
16
|
$19,012.07
|
$1,372.77
|
52
|
$91,816.74
|
$2,800.30
|
|
17
|
$20,412.31
|
$1,400.23
|
53
|
$94,673.07
|
$2,856.31
|
|
18
|
$21,840.56
|
$1,428.23
|
54
|
$97,586.53
|
$2,913.44
|
|
19
|
$23,297.37
|
$1,456.79
|
55
|
$100,558.26
|
$2,971.71
|
|
20
|
$24,783.32
|
$1,485.93
|
56
|
$103,589.43
|
$3,031.14
|
|
21
|
$26,298.98
|
$1,515.65
|
57
|
$106,681.22
|
$3,091.76
|
|
22
|
$27,844.96
|
$1,545.96
|
58
|
$109,834.84
|
$3,153.60
|
|
23
|
$29,421.86
|
$1,576.88
|
59
|
$113,051.54
|
$3,216.67
|
|
24
|
$31,030.30
|
$1,608.42
|
60
|
$116,332.57
|
$3,281.00
|
|
25
|
$32,670.91
|
$1,640.59
|
61
|
$119,679.22
|
$3,346.62
|
|
26
|
$34,344.32
|
$1,673.40
|
62
|
$123,092.81
|
$3,413.55
|
|
27
|
$36,051.21
|
$1,706.87
|
63
|
$126,574.66
|
$3,481.82
|
|
28
|
$37,792.23
|
$1,741.01
|
64
|
$130,126.16
|
$3,551.46
|
|
29
|
$39,568.08
|
$1,775.83
|
65
|
$133,748.68
|
$3,622.49
|
|
30
|
$41,379.44
|
$1,811.35
|
66
|
$137,443.65
|
$3,694.94
|
|
31
|
$43,227.03
|
$1,847.58
|
67
|
$141,212.53
|
$3,768.84
|
|
32
|
$45,111.57
|
$1,884.53
|
68
|
$145,056.78
|
$3,844.22
|
|
33
|
$47,033.80
|
$1,922.22
|
69
|
$148,977.91
|
$3,921.10
|
|
34
|
$48,994.48
|
$1,960.66
|
70
|
$152,977.47
|
$3,999.52
|
|
35
|
$50,994.37
|
$1,999.87
|
71
|
$157,057.02
|
$4,079.51
|
|
36
|
$53,034.25
|
$2,039.87
|
72
|
$161,218.16
|
$4,161.10
|
Neither the values, nor any earnings on the values in this variable annuity policy
are guaranteed. To the extent that amounts are invested in the Fixed Accumulation Account of the insurer, the principal
is guaranteed as well as interest at the guaranteed rate contained in the policy. For purposes of this projection, an annual
earnings rate of 2% has been assumed. Withdrawals from the policy will incur a surrender charge for 9 years after
amounts are deposited into the policy as follows: Year 1- 9%, Year 2- 8%, Year 3- 7%, Year 4- 6%, Year 5- 5%, Year
6- 4%, Year 7- 3%, Year 8- 2%, Year 9- 1%. See “Surrender Charge” in this prospectus for further information regarding application of the surrender charge.
Form 8563
113
The Statement of Additional Information (“SAI”) includes additional information. We have incorporated the SAI by reference. It is available upon request and without charge by calling us at 888.925.6446
and is available at augustarfinancial.com/variableproducts. You may request other information about this contract and make investor inquiries by calling us at 888.925.6446. Reports and other information about VAA are available on the SEC’s website at http://www.sec.gov. Copies of this information may be obtained, upon payment of a duplicating fee, by
electronic request at the following email address: [email protected].
Form 8563
114
STATEMENT OF ADDITIONAL INFORMATION
ONcore Xtra II
May 1, 2026
Issued by
AuguStar® Variable Account A
of
AuguStar® Life Insurance Company
AuguStar® Variable Account A
of
AuguStar® Life Insurance Company
This Statement of Additional Information (“SAI”) is not a Prospectus and should be read in conjunction with the Contract's Prospectus, dated May 1, 2026. A copy of the prospectus may be obtained without charge by calling 888.925.6446, visiting https://funddocs.filepoint.com/augustarvp, or writing us at:
One Financial Way
Montgomery, Ohio 45242
Montgomery, Ohio 45242
TABLE OF CONTENTS
|
The Company and the Separate Account
|
2
|
|
Custodian
|
2
|
|
Independent Registered Public Accounting Firm
|
2
|
|
Underwriter
|
2
|
|
Financial Statements
|
2
|
The Company and the Separate Account
AuguStar Life Insurance Company
AuguStar Life Insurance Company (“AuguStar Life”) was organized under the laws of Ohio on September 9, 1909, as The Ohio National Life Insurance Company, and in 2023 changed its name to AuguStar Life Insurance Company. We write life, accident and health insurance and annuities in 49 states, the District of Columbia and Puerto Rico. Our home office is located at One Financial Way, Montgomery, Ohio 45242. We are a stock life insurance company owned by Constellation Insurance, Inc., which is wholly-owned by Constellation Insurance Holdings, Inc. Currently, Constellation Insurance, Inc. has assets of approximately $48.1 billion and equity of approximately $2.4 billion.
AuguStar Life Insurance Company (“AuguStar Life”) was organized under the laws of Ohio on September 9, 1909, as The Ohio National Life Insurance Company, and in 2023 changed its name to AuguStar Life Insurance Company. We write life, accident and health insurance and annuities in 49 states, the District of Columbia and Puerto Rico. Our home office is located at One Financial Way, Montgomery, Ohio 45242. We are a stock life insurance company owned by Constellation Insurance, Inc., which is wholly-owned by Constellation Insurance Holdings, Inc. Currently, Constellation Insurance, Inc. has assets of approximately $48.1 billion and equity of approximately $2.4 billion.
AuguStar Variable Account A
AuguStar Variable Account A (“VAA”) was established on August 1, 1969, as a separate account for funding variable annuity contracts.
AuguStar Variable Account A (“VAA”) was established on August 1, 1969, as a separate account for funding variable annuity contracts.
Custodian
AuguStar Life Insurance Company, the depositor, One Financial Way, Montgomery, Ohio 45242, holds custody of VAA’s assets.
Independent Registered Public Accounting Firm
The financial statements of AuguStar Variable Account A and the statutory financial
statements and financial statement schedules of AuguStar Life Insurance Company have been incorporated by reference herein
in reliance upon the reports of KPMG LLP, independent registered public accounting firm, and upon the authority
of said firm as experts in accounting and auditing.
The KPMG LLP report dated April 8, 2026 of AuguStar Life Insurance Company includes explanatory language that states that the financial statements are prepared by AuguStar Life Insurance Company using
statutory accounting practices prescribed or permitted by the Ohio Department of Insurance, which is a basis of accounting
other than U.S. generally accepted accounting principles. Accordingly, the KPMG LLP audit report states that
the financial statements are not presented fairly in accordance with U.S. generally accepted accounting principles
and further states that those financial statements are presented fairly, in all material respects, in accordance with statutory
accounting practices prescribed or permitted by the Ohio Department of Insurance.
Underwriter
While the contracts are not currently available for sale, we continue to accept additional
purchase payments. AuguStar Distributors, Inc. (“ADI”), the principal underwriter of the contracts, is located at One Financial Way, Cincinnati, OH 45242. ADI is a wholly-owned subsidiary of Constellation Insurance, Inc. The aggregate
amount of commissions paid to ADI for contracts issued by VAA, and the amounts retained by ADI, for each of the
last three years have been:
|
Year
|
Aggregate Commissions
|
Retained Commissions
|
|
2025
|
$841,328
|
$466,474
|
|
2024
|
$1,254,403
|
$553,222
|
|
2023
|
$1,522,763
|
$608,300
|
Financial Statements
The December 31, 2025 financial statements of VAA and the December 31, 2025 financial statements of the Depositor are incorporated into this SAI by reference to VAA’s most recent Form N-VPFS filed with the SEC.
2
Part C – Other Information
Item 27. Exhibits
|
Exhibit
|
Description
|
Location
|
|
(a)
|
Resolution of Board of Directors of the Depositor authorizing
establishment of the Registrant was filed as Exhibit A(1) of
the Registrant’s registration statement on Form S-6 on
August 3, 1982 (File no. 2-78652) and is incorporated by
reference herein.
|
No link available.
|
|
(b)
|
Custodian Agreements
|
Not applicable
|
|
(c)
|
Underwriting Contracts
|
|
|
(1)
|
Principal Underwriting Agreement for Variable Annuities
between the Depositor and Ohio National Equities, Inc. was
filed as Exhibit (3)(a) of the Registrant’s Form N-4 on
December 30, 1997 (File no. 333-43515) and is incorporated
by reference herein.
|
|
|
(2)
|
Registered Representative’s Sales Contract with Variable
Annuity Supplement was filed as Exhibit (3)(b) of the
Registrant’s Form N-4, Post-Effective Amendment No. 9 on
February 27, 1991 (File no. 2-91213) and is incorporated by
reference herein.
|
No link available.
|
|
(3)
|
Variable Annuity Sales Commission Schedule was filed as
Exhibit A(3)(c) of the Registrant’s registration statement on
Form S-6 on May 18, 1984 (File no. 2-91213) and is
incorporated by reference herein.
|
No link available.
|
|
(4)
|
Selling Agreement and commission schedule between Ohio
National Equities, Inc. and other broker-dealers for the
distribution of “ONcore” Variable Annuities was filed as
Exhibit (3)(d) of the Registrant’s Form N-4, Pre-Effective
Amendment No. 2 on April 16, 1998 (File no. 333-43515) and
is incorporated by reference herein.
|
|
Exhibit
|
Description
|
Location
|
|
(d)
|
Contracts
|
|
|
(1)
|
Variable Deferred Annuity Contract, Form 06-VA-5, was
filed as Exhibit 99(4)(a) of the Registrant’s Pre-Effective
Amendment No. 1 to the registration statement on Form N-4
filed on May 18, 2010 (File No. 333-164073) and is
incorporated by reference herein.
|
|
|
(2)
|
Guaranteed Minimum Death Benefit, Form 09-GMD-1, was
filed as Exhibit 99(4)(g) of the Registrant’s registration
statement on Form N-4, Pre-Effective Amendment No. 1 on
April 10, 2009 (File No. 333-156432) and is incorporated by
reference herein.
|
|
|
(3)
|
Annual Step-Up Death Benefit Rider, Form 05-AMD-1, was
filed as Exhibit 99(4)(i) of the Registrant’s registration
statement on Form N-4, Pre-Effective Amendment No. 1 on
April 10, 2009 (File No. 333-156432) and is incorporated by
reference herein.
|
|
|
(4)
|
Guaranteed Principal Protection, Form 03-GPP-1, was filed as
Exhibit 99(4)(j) of the Registrant’s registration statement on
Form N-4, Pre-Effective Amendment No. 1 on April 10, 2009
(File No. 333-156432) and is incorporated by reference
herein.
|
|
|
(5)
|
Form of Guaranteed Lifetime Withdrawal Benefit Rider,
Form 10-GLW-1, was filed as Exhibit 99(4)(g) of the
Registrant’s Form N-4, Post-Effective Amendment No. 37 on
April 30, 2010 (333-43515) and is incorporated by reference
herein.
|
|
|
(6)
|
Form of Guaranteed Lifetime Withdrawal Benefit (Joint Life)
Rider, Form 10-GLW-2, was filed as Exhibit 99(4)(h) of the
Registrant’s Form N-4, Post-Effective Amendment No. 37 on
April 30, 2010 (333-43515) and is incorporated by reference
herein.
|
|
|
(7)
|
Form of Guaranteed Lifetime Withdrawal Benefit (Single
Life) Rider, Form 11-GLW-1, was filed as Exhibit 99(4)(i) of
the Registrant’s registration statement, Form N-4
Post-Effective Amendment No. 8 on October 22, 2010 (File
No. 333-156430) and is incorporated by reference herein.
|
|
|
(8)
|
Form of Guaranteed Lifetime Withdrawal Benefit (Joint Life)
Rider, Form 11-GLW-2, was filed as Exhibit 99(4)(j) of the
Registrant’s registration statement, Form N-4 Post-Effective
Amendment No. 8 on October 22, 2010 (File No.
333-156430) and is incorporated by reference herein.
|
|
|
(9)
|
Form of Premium Protection Death Benefit (Single Life)
Rider, Form 11-GPD-1, was filed as Exhibit 99(4)(k) of the
Registrant’s registration statement, Form N-4 Post-Effective
Amendment No. 8 on October 22, 2010 (File No.
333-156430) and is incorporated by reference herein.
|
|
Exhibit
|
Description
|
Location
|
|
(10)
|
Form of Premium Protection Death Benefit (Joint Life) Rider,
Form 11-GPD-2, was filed as Exhibit 99(4)(l) of the
Registrant’s registration statement, Form N-4 Post-Effective
Amendment No. 8 on October 22, 2010 (File No.
333-156430) and is incorporated by reference herein.
|
|
|
(11)
|
Form of Premium Protection Plus Death Benefit (Single Life)
Rider, Form 11-GED-1, was filed as Exhibit 99(4)(m) of the
Registrant’s registration statement, Form N-4 Post-Effective
Amendment No. 8 on October 22, 2010 (File No.
333-156430) and is incorporated by reference herein.
|
|
|
(12)
|
Form of Premium Protection Death Benefit (Joint Life) Rider,
Form 11-GED-2, was filed as Exhibit 99(4)(n) of the
Registrant’s registration statement, Form N-4 Post-Effective
Amendment No. 8 on October 22, 2010 (File No.
333-156430) and is incorporated by reference herein.
|
|
|
(13)
|
Form of Guaranteed Lifetime Withdrawal Benefit (Single
Life) Rider, Form 12-GLW-1.5, was filed as Exhibit 99(4)(p)
of the Registrant’s registration statement, Form N-4
Post-Effective Amendment No. 39 on December 22, 2011
(File No. 333-86603) and is incorporated by reference herein.
|
|
|
(14)
|
Form of Guaranteed Lifetime Withdrawal Benefit (Joint Life)
Rider, Form 12-GLW-2.5, was filed as Exhibit 99(4)(q) of the
Registrant’s registration statement, Form N-4 Post-Effective
Amendment No. 39 on December 22, 2011 (File No.
333-86603) and is incorporated by reference herein.
|
|
|
(15)
|
Form of Guaranteed Lifetime Withdrawal Benefit Plus
(Single Life) Rider, Form 12-GLWP-1.5, was filed as Exhibit
99(4)(r) of the Registrant’s registration statement, Form N-4
Post-Effective Amendment No. 39 on December 22, 2011
(File No. 333-86603) and is incorporated by reference herein.
|
|
|
(16)
|
Form of Guaranteed Lifetime Withdrawal Benefit Plus (Joint
Life) Rider, Form 12-GLWP-2.5, was filed as Exhibit 99(4)(s)
of the Registrant’s registration statement, Form N-4
Post-Effective Amendment No. 39 on December 22, 2011
(File No. 333-86603) and is incorporated by reference herein.
|
|
|
(17)
|
Form of Deferral Credit for the Guaranteed Lifetime
Withdrawal Benefit Rider, Form 12-DC-GLW-1, was filed as
Exhibit 99(4)(t) of the Registrant’s registration statement,
Form N-4 Post-Effective Amendment No. 45 on
December 22, 2011 (File No. 333-43515) and is incorporated
by reference herein.
|
|
|
(18)
|
Form of Deferral Credit with Minimum Age Requirements for
the Guaranteed Lifetime Withdrawal Benefit Rider (Single
Life), Form 12-DCMAR-GLW-1, was filed as Exhibit
99(4)(u) of the Registrant’s registration statement, Form N-4
Post-Effective Amendment No. 45 on December 22, 2011
(File No. 333-43515) and is incorporated by reference herein.
|
|
Exhibit
|
Description
|
Location
|
|
(19)
|
Form of Deferral Credit with Minimum Age Requirements for
the Guaranteed Lifetime Withdrawal Benefit Rider (Joint
Life), Form 12-DCMAR-GLW-2, was filed as Exhibit
99(4)(v) of the Registrant’s registration statement, Form N-4
Post-Effective Amendment No. 45 on December 22, 2011
(File No. 333-43515) and is incorporated by reference herein.
|
|
|
(20)
|
Form of Guaranteed Principal Protection for the Guaranteed
Lifetime Withdrawal Benefit, Form 12-GPP-GLW-1, was
filed as Exhibit 99(4)(w) of the Registrant’s registration
statement, Form N-4 Post-Effective Amendment No. 45 on
December 22, 2011 (File No. 333-43515) and is incorporated
by reference herein.
|
|
|
(21)
|
Form of Guaranteed Principal Protection, Form 12-GPP-1.5,
was filed as Exhibit 99(4)(x) of the Registrant’s registration
statement, Form N-4 Post-Effective Amendment No. 39 on
December 22, 2011 (File No. 333-86603) and is incorporated
by reference herein.
|
|
|
(22)
|
Form of Premium Protection Death Benefit (Single Life)
Rider, Form 12-GPD-1, was filed as Exhibit 99(4)(y) of the
Registrant’s registration statement, Form N-4 Post-Effective
Amendment No. 45 on December 22, 2011 (File No.
333-43515) and is incorporated by reference herein.
|
|
|
(23)
|
Form of Premium Protection Death Benefit (Joint Life) Rider,
Form 12-GPD-2, was filed as Exhibit 99(4)(z) of the
Registrant’s registration statement, Form N-4 Post-Effective
Amendment No. 45 on December 22, 2011 (File No.
333-43515) and is incorporated by reference herein.
|
|
|
(24)
|
Form of Premium Protection Plus Death Benefit (Single Life)
Rider, Form 12-PPDP-1.5, was filed as Exhibit 99(4)(aa) of
the Registrant’s registration statement, Form N-4
Post-Effective Amendment No. 39 on December 22, 2011
(File No. 333-86603) and is incorporated by reference herein.
|
|
|
(25)
|
Form of Premium Protection Plus Death Benefit (Joint Life)
Rider, Form 12-PPDP-2.5, was filed as Exhibit 99(4)(bb) of
the Registrant’s registration statement, Form N-4
Post-Effective Amendment No. 39 on December 22, 2011
(File No. 333-86603) and is incorporated by reference herein.
|
|
|
(26)
|
Form of Guaranteed Lifetime Withdrawal Benefit Plus
(Single Life) Rider, Form 12-GLWP-1.5.10, was filed as
Exhibit 99(4)(cc) of the Registrant’s registration statement,
Form N-4 Post-Effective Amendment No. 10 on July 31, 2012
(File No. 333-164073) and is incorporated by reference
herein.
|
|
|
(27)
|
Form of Guaranteed Lifetime Withdrawal Benefit Plus (Joint
Life) Rider, Form 12-GLWP-2.5.10, was filed as Exhibit
99(4)(dd) of the Registrant’s registration statement, Form N-4
Post-Effective Amendment No. 10 on July 31, 2012 (File No.
333-164073) and is incorporated by reference herein.
|
|
Exhibit
|
Description
|
Location
|
|
(28)
|
Form of Guaranteed Principal Protection, Form
12-GPP-1.5.10, was filed as Exhibit 99(4)(ee) of the
Registrant’s registration statement, Form N-4 Post-Effective
Amendment No. 10 on July 31, 2012 (File No. 333-164073)
and is incorporated by reference herein.
|
|
|
(29)
|
Form of Guaranteed Principal Protection for the Guaranteed
Lifetime Withdrawal Benefit, Form 12-GPP-GLW-1, was
filed as Exhibit 99(4)(cc) of the Registrant’s registration
statement, Form N-4 Post-Effective Amendment No. 10 on
July 31, 2012 (File No. 333-164070) and is incorporated by
reference herein.
|
|
|
(30)
|
Variable Deferred Annuity Contract, Form ICC16-VA-2, was
filed as Exhibit 99(4)(p) of the Registrant’s registration
statement, Form N-4 Post-Effective Amendment No. 9 on
April 28, 2016 (File No. 333-182250) and is incorporated by
reference herein.
|
|
|
(31)
|
Nursing Home Waiver, Form ICC16-NHW-1, was filed as
Exhibit 99(4)(q) of the Registrant’s registration statement,
Form N-4 Post-Effective Amendment No. 9 on April 28, 2016
(File No. 333-182250) and is incorporated by reference
herein.
|
|
|
(32)
|
Fixed Accumulation Account Rider, Form ICC16-FAA-2,
was filed as Exhibit 99(4)(n) of the Registrant’s registration
statement, Form N-4 Post-Effective Amendment No. 8 on
April 28, 2016 (File No. 333-182249) and is incorporated by
reference herein.
|
|
|
(33)
|
Combo Death Benefit Rider, Form ICC16-CDB-1, was filed
as Exhibit 99(4)(s) of the Registrant’s registration statement,
Form N-4 Post-Effective Amendment No. 9 on April 28, 2016
(File No. 333-182250) and is incorporated by reference
herein.
|
|
|
(34)
|
Xtra Credit Endorsement (aka Premium Bonus), Form
ICC16-XCE-1, was filed as Exhibit 99(4)(o) of the
Registrant’s registration statement, Form N-4 Post-Effective
Amendment No. 8 on April 28, 2016 (File No. 333-182249)
and is incorporated by reference herein.
|
|
|
(35)
|
Form of Gain Enhancement Benefit Rider, Form 02-ADB-2,
was filed as Exhibit 99(4)(d) of the Registrant’s registration
statement, Form N-4 Pre-Effective Amendment No. 1 on
October 14, 2016 (File No. 333-212677) and is incorporated
by reference herein.
|
|
|
(36)
|
Form of Gain Enhancement Benefit Plus Rider, Form
02-ADB-1, was filed as Exhibit 99(4)(e) of the Registrant’s
registration statement, Form N-4 Pre-Effective Amendment
No. 1 on October 14, 2016 (File No. 333-212677) and is
incorporated by reference herein.
|
|
Exhibit
|
Description
|
Location
|
|
(e)
|
Applications
|
|
|
(1)
|
Variable Annuity Application, Form 4896, was filed as
Exhibit 99(5)(a) of the Registrant’s registration statement on
Form N-4, Post-Effective Amendment No. 4 on April 25,
2014 (File No. 333-182250) and is incorporated by reference
herein.
|
|
|
(2)
|
Variable Annuity Application, Form ICC16-4900, was filed
as Exhibit 99(5)(b) of the Registrant’s registration statement,
Form N-4 Post-Effective Amendment No. 9 on April 28, 2016
(File No. 333-182250) and is incorporated by reference
herein.
|
|
|
(f)
|
Insurance Company’s Certificate of Incorporation and
By-Laws
|
|
|
(1)
|
Articles of Incorporation of the Depositor were filed as
Exhibit A(6)(a) of Ohio National Variable Interest Account
registration statement on Form N-8B-2 on July 11, 1980 (File
no. 811-3060) and is incorporated by reference herein.
|
No link available.
|
|
(2)
|
Code of Regulations (by-laws) of the Depositor were filed as
Exhibit A(6)(b) of Ohio National Variable Interest Account
registration statement on Form N-8B-2 on July 11, 1980 (File
no. 811-3060) and is incorporated by reference herein.
|
No link available.
|
|
(3)
|
Amended and Restated Articles of Incorporation of the
Depositor was filed on Form N-4 Post-Effective Amendment
No. 30 on April 30, 2024 (File No. 333-164073) and is
incorporated by reference herein.
|
|
|
(4)
|
Amended and Restated Code of Regulations (by-laws) of the
Depositor was filed on Form N-4 Post-Effective Amendment
No. 30 on April 30, 2024 (File No. 333-164073) and is
incorporated by reference herein.
|
|
|
(5)
|
Amended and Restated Articles of Incorporation of the
Depositor was filed on Form N-4 Post-Effective Amendment
No. 30 on April 30, 2024 (File No. 333-164073) and is
incorporated by reference herein.
|
|
|
(g)
|
Reinsurance Contracts
|
Not applicable
|
|
Exhibit
|
Description
|
Location
|
|
(h)
|
Participation Agreements
|
|
|
(1)
|
Fund Participation Agreement between the Depositor and
Janus Aspen Series was filed as Exhibit (3)(e) of the
Registrant’s Form N-4, Pre-Effective Amendment No. 1 on
April 10, 1998 (File no. 333-43515) and is incorporated by
reference herein.
|
|
|
(2)
|
Participation Agreement between the Depositor and Strong
Variable Insurance Funds, Inc. was filed as Exhibit (3)(f) of
the Registrant’s Form N-4, Pre-Effective Amendment No. 1
on April 10, 1998 (File no. 333-43515) and is incorporated by
reference herein.
|
|
|
(3)
|
Fund Participation Agreement between the Depositor and
Prudential Funds were filed as Exhibit (3)(g) of the
Registrant’s Post-Effective Amendment No. 51 (File No.
333-43515) on April 26, 2006 and is incorporated by
reference herein.
|
|
|
(4)
|
Fund Participation Agreement between the Depositor and
Neuberger Berman Advisers Management Trust were filed as
Exhibit (3)(h) of the Registrant’s Post-Effective Amendment
No. 51 (File No. 333-43515) on April 26, 2006 and is
incorporated by reference herein.
|
|
|
(5)
|
Amendment to Fund Participation Agreement between the
Depositor and The Universal Institutional Funds were filed as
Exhibit (3)(i) of the Registrant’s Post-Effective Amendment
No. 51 (File No. 333-43515) on April 26, 2006 and is
incorporated by reference herein.
|
|
|
(6)
|
Participation Agreement between The Ohio National Life
Insurance Company, Ohio National Equities, Inc., Franklin
Templeton Variable Insurance Products Trust and
Franklin/Templeton Distributors, Inc. was filed as Exhibit
99(h)(4) of Post-Effective Amendment No. 3 of Ohio
National Life Assurance Corporation’s registration statement
on Form N-6 on April 26, 2006 (File No. 333-109900) and is
incorporated by reference herein.
|
|
|
(7)
|
Amendment to Participation Agreement between The Ohio
National Life Insurance Company, Ohio National Equities,
Inc., Franklin Templeton Variable Insurance Products Trust
and Franklin/Templeton Distributors, Inc. was filed as Exhibit
99(h)(5) of Post-Effective Amendment No. 3 of Ohio
National Life Assurance Corporation’s registration statement
on Form N-6 on April 26, 2006 (File No. 333-109900) and is
incorporated by reference herein.
|
|
|
(8)
|
First Amendment to the Participation Agreement by and
between Salomon Brothers Variable Series Funds Inc., The
Ohio National Life Insurance Company and Ohio National
Life Assurance Corporation was filed as Exhibit 99(h)(6) of
Post-Effective Amendment No. 3 of Ohio National Life
Assurance Corporation’s registration statement on Form N-6
on April 26, 2006 (File No. 333-109900) and is incorporated
by reference herein.
|
|
Exhibit
|
Description
|
Location
|
|
(9)
|
Participation Agreement between the Depositor and Lincoln
Variable Insurance Products Trust, Lincoln Financial
Distributors, Inc., and Lincoln Investment Advisors
Corporation was filed as Exhibit 99(h)(9) on the Registrant’s
Form N-4, Post-Effective Amendment No. 59 on April 28,
2023 and is incorporated by reference herein.
|
|
|
(i)
|
Administrative Contracts
|
Not applicable
|
|
(j)
|
Other Material Contracts
|
Not applicable
|
|
(k)
|
Opinion of Counsel and consent to its use was filed as Exhibit
99(k) on the Registrant’s Form N-4, Post-Effective
Amendment No. 28 on April 29, 2021 and is incorporated by
reference herein.
|
|
|
(l)
|
Consents of KPMG LLP
|
|
|
(m)
|
Omitted Financial Statements
|
None
|
|
(n)
|
Initial Capital Agreements
|
Not applicable
|
|
(o)
|
Form of Initial Summary Prospectuses
|
Not applicable
|
|
(p)
|
Powers of Attorney
|
|
|
(q)
|
Letter Regarding Change in Certifying Accountant
|
Not applicable
|
|
(r)
|
Historical Current Limits on Index Gains
|
Not applicable
|
|
|
Item 28. Directors and Officers of the Depositor
The principal business address for each officer and director is One Financial Way,
Montgomery, Ohio 45242, unless otherwise noted.
|
Name
|
Position and Offices with Depositor
|
|
Anurag Chandra (1)
|
Director, Chairman and CEO
|
|
Philippe Charette (2)
|
Director
|
|
Patricia Guinn
|
Director
|
|
Wes Thompson
|
Director
|
|
Steven C. Verney
|
Director
|
|
James Cheng
|
Director
|
|
Clifford J. Jack
|
President & CEO, AuguStar Retirement
|
|
David A. Azzarito (4)
|
President, AuguStar Seguros
|
|
Nancy M. Westbrock
|
President & CEO, ONESCO
|
|
Michael Akker
|
SVP & Chief Operating Officer, AuguStar Life
|
|
Name
|
Position and Offices with Depositor
|
|
Lori Dashewich
|
SVP, Chief Financial Officer
|
|
Sachin Jain
|
SVP, Chief Investment Officer & President, Constellation Investments
|
|
Carlos Paiva (4)
|
SVP, Corporate Secretary & General Counsel and Compliance Officer,
AuguStar Seguros
|
|
Scott N. Shepherd
|
SVP, Chief Risk Officer & President, Constellation Re
|
|
Marc A. Socol
|
SVP & Chief Revenue Officer, AuguStar Retirement
|
|
Shimon Bachrach
|
VP, Chief Pricing Officer - Variable Annuities
|
|
Andrea Baker
|
VP, Internal Audit
|
|
G. Timothy Biggs
|
VP, Commercial Mortgage Loans, Constellation Investments
|
|
Richard C. Brooks, Jr.
|
VP, Corporate Legal & Compliance and General Counsel, AuguStar
Life
|
|
Kevin Buhrlage
|
VP Corporate Risk Management & Infrastructure, Constellation
Investments
|
|
William Burrow
|
VP, Strategic Relationships, AuguStar Retirement
|
|
Michelle Carroll
|
VP, Marketing Operations
|
|
Lisa Csaszar
|
VP, AuguStar Retirement Operations
|
|
Christopher Finger
|
VP, Financial Reporting
|
|
Ramon Galanes
|
VP, Corporate Actuarial, AuguStar Seguros
|
|
Manda Ghaferi
|
VP, General Counsel and Assistant Secretary, AuguStar Retirement
|
|
Elizabeth Griffith
|
VP, Head of Distribution Services, AuguStar Retirement
|
|
Hunter Jones
|
VP, Chief Compliance Officer, Constellation Investments
|
|
Mark Kehoe
|
VP, Corporate Credit, Constellation Investments
|
|
Carolyn J. Krisko
|
VP & Controller
|
|
Sharon Luty
|
VP, Strategic Platforms and Integration, AuguStar Retirement
|
|
Bradley Owens
|
VP, Corporate Tax
|
|
Theodore Parker
|
VP, National Sales Manager, AuguStar Retirement
|
|
Mark Peterson
|
VP, Chief Distribution Officer, AuguStar Life
|
|
Rajiv Ranjan (5)
|
VP, ALM & Hedging Strategy, Constellation Investments
|
|
David Shaver
|
VP, Chief Pricing Officer, AuguStar Life
|
|
David E. Spaulding
|
VP, Finance, AuguStar Seguros
|
|
Daniel Starishevsky
|
VP, Head of Marketing, AuguStar Retirement
|
|
David Szeremet
|
VP, Advanced Sales, AuguStar Life
|
|
Andrew J. VanHoy
|
VP, ONESCO Compliance
|
|
Joel G. Varland
|
VP, Enterprise Risk Management
|
|
Name
|
Position and Offices with Depositor
|
|
Gwen Vaught
|
VP, Underwriting and New Business, AuguStar Life
|
|
Jeff Weisman
|
VP, Structured Products, Constellation Investments
|
|
Donna K. Weninger
|
VP, Head of Actuarial Valuation
|
|
Corey Wilkosz
|
VP, Chief Pricing Officer - Fixed and Indexed Annuities
|
|
Michelle Wilson
|
VP, Human Resources
|
|
Molly Akin
|
Chief Compliance Officer, Separate Accounts
|
|
Brijendra Grewal
|
Treasurer & Chief Corporate Development Officer & President,
Institutional Markets
|
|
Marc "Ari" Bruger (5)
|
Managing Director, Constellation Investments
|
|
Jonathan Egol
|
Managing Director, Constellation Investments
|
|
Megan Meyer
|
General Counsel and Assistant Secretary, Constellation Investments
|
|
Emily M. Reed
|
Assistant Corporate Secretary & Paralegal
|
(1) 1211 6th Avenue, 30th Floor New York, NY 10036
(2) 1000 Place Jean-Paul-Riopelle Montreal, PQ H2ZB3
(3) 5650 Yonge Street Toronto, Ontario M2M 4H5
(4) 550 West Cypress Creek Road Suite 370 Fort Lauderdale, FL 33309
(5) 31 W. 52nd Street, Suite 2401, New York, NY 10019
(2) 1000 Place Jean-Paul-Riopelle Montreal, PQ H2ZB3
(3) 5650 Yonge Street Toronto, Ontario M2M 4H5
(4) 550 West Cypress Creek Road Suite 370 Fort Lauderdale, FL 33309
(5) 31 W. 52nd Street, Suite 2401, New York, NY 10019
Item 29. Persons Controlled by or Under Common Control with the Depositor or Registrant
The Registrant is a separate account of the Depositor. The Depositor is an indirect
subsidiary of Constellation Insurance GP LLC. An organization chart for Constellation Insurance GP LLC is set
forth below.
La Caisse, owns (1) 49.5% of the voting securities of Constellation Insurance GP,
LLC; and (2) 20% of the voting securities of Constellation Insurance Holdings, Inc., an Ohio intermediate
holding company.
Ontario Teachers’ Pension Plan Constellation Voting Trust, a Canadian voting trust, owns 29.9% of the voting securities of Constellation Insurance GP, LLC.
11004883 Canada Inc., a Canadian holding company, owns (1) 19.6% of the voting securities
of Constellation Insurance GP, LLC; and (2) 20% of the voting securities of Constellation Insurance
Holdings, Inc.
Constellation Insurance GP LLC, a Delaware holding company, owns 100% of the voting
securities of ONLH Holdings GP LLC, a Delaware intermediate holding company.
ONLH Holdings GP LLC owns 99% of the voting securities of ONLH Holdings LP, a Delaware
limited partnership.
ONLH Holdings LP owns 60% of the voting securities of Constellation Insurance Holdings,
Inc. and 100% of the voting securities of Constellation Investments, Inc., an Ohio investment adviser.
|
Name (and Business)
|
Jurisdiction
|
% Owned
|
|
Constellation Investments, Inc.
(investment adviser)
|
Ohio
|
100%
|
Constellation Insurance Holdings, Inc., owns 100% of the voting securities of Constellation
Insurance, Inc., an Ohio intermediate holding company and 100% of the voting securities of Sycamore Re,
Ltd., a Cayman captive reinsurance company.
|
Name (and Business)
|
Jurisdiction
|
% Owned
|
|
Sycamore Re, Ltd.
(captive reinsurance company)
|
Cayman
|
100%
|
Constellation Insurance, Inc. owns the percentage of voting securities shown for the
following entities which were organized under the laws of the jurisdictions listed:
|
Name (and Business)
|
Jurisdiction
|
% Owned
|
|
AuguStar Life Insurance Company
(insurance company)
|
Ohio
|
100%
|
|
Financial Way Realty, Inc
(realty company)
|
Ohio
|
100%
|
|
Sycamore Re, Ltd.
(captive reinsurance company)
|
Cayman
|
100%
|
|
ONTech, SMLLC
(technology company)
|
Delaware
|
100%
|
|
Name (and Business)
|
Jurisdiction
|
% Owned
|
|
The O.N. Equity Sales Company
(securities broker dealer)
|
Ohio
|
100%
|
|
AuguStar Distributors, Inc.
(securities broker dealer)
|
Ohio
|
100%
|
AuguStar Life Insurance Company owns the percentage of voting securities shown for
the following entities which were organized under the laws of the jurisdictions listed:
|
Name (and Business)
|
Jurisdiction
|
% Owned
|
|
AuguStar Variable Insurance Products Fund, Inc.
(registered investment company)
|
Maryland
|
100%
|
|
Kenwood Re, Inc.
(captive reinsurance company)
|
Vermont
|
100%
|
|
Montgomery Re, Inc.
(captive reinsurance company)
|
Vermont
|
100%
|
|
Name (and Business)
|
Jurisdiction
|
% Owned
|
|
Camargo Re Captive, Inc.
(captive reinsurance company)
|
Ohio
|
100%
|
|
National Security Life and Annuity Company
(insurance company)
|
New York
|
100%
|
|
Sunrise Captive Re, LLC
(captive reinsurance company)
|
Ohio
|
100%
|
|
ON Foreign Holdings, LLC
(holding company)
|
Delaware
|
100%
|
The O.N. Equity Sales Company owns the percentage of voting securities shown for the
following entities which were organized under the laws of the jurisdictions listed:
|
Name (and Business)
|
Jurisdiction
|
% Owned
|
|
O.N. Investment Management Company
(investment adviser)
|
Ohio
|
100%
|
|
Ohio National Insurance Agency, Inc.
|
Ohio
|
100%
|
ON Foreign Holdings, LLC owns (1) 100% of the voting securities of AuguStar Lending,
LLC, a holding company organized under the laws of Delaware, (2) 100% of the voting securities of
ON Overseas Holdings Inc., a holding company organized under the laws of Netherlands, (3) 0.01%
of the voting securities of O.N. International do Brasil Participações Ltda., a holding company organized under the laws of Brazil and (4) 0.02% of the voting securities of AuguStar Seguros y Reaseguros S.A., an insurance
company organized under the laws of Peru.
ON Overseas Holdings Inc. owns 100% of the voting securities of ON Netherlands Holdings,
Inc., a holding company organized under the laws of the Netherlands.
ON Netherlands Holdings, Inc. owns (1) 100% of the voting securities of ON Global
Holdings, LLC, a holding company organized under the laws of Delaware, (2) 99.98% of the voting securities
of AuguStar Seguros y Reaseguros S.A., an insurance company organized under the laws of Peru, (3) 99.99%
of the voting securities of O.N. International do Brasil Participações Ltda., a holding company organized under the laws of Brazil and (4) 7.90% of the voting securities of AuguStar Sudamerica S.A., a holding company
organized under the laws of Chile.
ON Global Holdings, LLC owns (1) 92.1% of the voting securities of AuguStar Sudamerica
S.A., a holding company organized under the laws of Chile and (2) 0.01% of the voting securities of
AuguStar Seguros de Vida S.A., an insurance company organized under the laws of Chile.
AuguStar Sudamerica S.A. owns 99.99% of the voting securities of AuguStar Seguros
de Vida S.A., an insurance company organized under the laws of Chile.
Separate financial statements are filed with the Commission for AuguStar Life Insurance
Company under registrant AuguStar Variable Account R, AuguStar Variable Account B and AuguStar Variable
Account D and National Security Life and Annuity Company under registrant National Security
Variable Account L and National Security Variable Account N.
Item 30. Indemnification
The sixth article of the Depositor’s Articles of Incorporation, as amended, provides as follows:
Each former, present and future Director, Officer or Employee of the Corporation (and
his heirs, executors or administrators), or any such person (and his heirs, executors or administrators)
who serves at the Corporation’s request as a director, officer, partner, member or employee of another corporation, partnership or business organization or association of any type whatsoever shall be
indemnified by the Corporation against reasonable expenses, including attorneys’ fees, judgments, fine and amounts paid in settlement actually and reasonably incurred by him in connection with the defense
of any contemplated, pending or threatened action, suit or proceeding, civil, criminal, administrative
or investigative, other than an action by or in the right of the corporation, to which he is or may be made a party
by reason of being or having been such Director, Officer, or Employee of the Corporation or having served at the Corporation’s request as such director, officer, partner, member or employee of any other business
organization or association, or in connection with any appeal therein, provided a determination is
made by majority vote of a disinterested quorum of the Board of Directors (a) that such a person acted in
good faith and in a manner he reasonably believed to be in or not opposed to the best interests of the
Corporation, and (b) that, in any matter the subject of criminal action, suit or proceeding, such person had
no reasonable cause to believe his conduct was unlawful. The termination of any action, suit or proceeding
by judgment, order, settlement, conviction, or upon a plea of nolo contendere or its equivalent, shall
not, of itself create a presumption that the person did not act in good faith in any manner which he reasonably
believed to be in or not opposed to the best interests of the Corporation, and with respect to any criminal
action or proceeding, he had reasonable cause to believe that his conduct was unlawful. Such
right of indemnification shall not be deemed exclusive of any other rights to which such person
may be entitled. The manner by which the right to indemnification shall be determined in the absence
of a disinterested quorum of the Board of Directors shall be set forth in the Code of Regulations or
in such other manner as permitted by law. Each former, present, and future Director, Officer or Employee of
the Corporation (and his heirs, executors or administrators) who serves at the Corporation’s request as a director, officer, partner, member or employee of another corporation, partnership or business organization
or association of any type whatsoever shall be indemnified by the Corporation against reasonable
expenses, including attorneys’ fees, actually and reasonably incurred by him in connection with the defense or settlement of any contemplated, pending or threatened action, suit or proceeding, by or in the right
of the Corporation to procure a judgment in its favor, to which he is or may be a party by reason of being
or having been such Director, Officer or Employee of the Corporation or having served at the Corporation’s request as such director, officer, partner, member or employee of any other business organization
or association, or in connection with any appeal therein, provided a determination is made by majority vote
of a disinterested quorum of the Board of Directors (a) that such person was not, and has not been adjudicated
to have been negligent or guilty of misconduct in the performance of his duty to the Corporation
or to such other business organization or association, and (b) that such person acted in good faith
and in a manner he reasonably believed to be in or not opposed to the best interests of the Corporation.
Such right of indemnification shall not be deemed exclusive of any other rights to
which such person may be entitled. The manner by which the right of indemnification shall be determined
in the absence of a disinterested quorum of the Board of Directors shall be as set forth in the Code of
Regulations or in such other manner as permitted by law.
In addition, Article XII of the Depositor’s Code of Regulations states as follows:
If any director, officer or employee of the Corporation may be entitled to indemnification
by reason of Article Sixth of the Amended Articles of Corporation, indemnification shall be made
upon either (a) a determination in writing of the majority of disinterested directors present, at a
meeting of the Board at which all disinterested directors present constitute a quorum, that the director,
officer or employee in question was acting in good faith and in a manner he reasonably believed to be in
or not opposed to the best interests of this Corporation or of such other business organization or association
in which he served at the Corporation’s request, and that, in any matter which is the subject of a criminal action, suit or proceeding, he had no reasonable cause to believe that his conduct was unlawful and
in an action by or in the right of the Corporation to procure a judgment in its favor that such person was
not and has not been adjudicated to have been negligent or guilty of misconduct in the performance of his
duty to the Corporation or to such other business organization or association; or (b) if the number
of all disinterested directors would not be sufficient at any time to constitute a quorum, or if the number
of disinterested directors present at two consecutive meetings of the Board has not been sufficient
to constitute a quorum, a determination to the same effect as set forth in the foregoing clause (a) shall be
made in a written opinion by independent legal counsel other than an attorney, or a firm having association
with it an attorney, who has been retained by or who has performed services for this Corporation, or any person
to be indemnified within the past five years, or by the majority vote of the policyholders, or by the
Court of Common Pleas or the court in which such action, suit or proceeding was brought. Prior to making
any such determination, the Board of Directors shall first have received the written opinion of General Counsel
that a number of directors sufficient to constitute a quorum, as named therein, are disinterested directors.
Any director who is a party to or threatened with the action, suit or proceeding in question, or any
related action, suit or proceeding, or has had or has an interest therein adverse to that of the Corporation,
or who for any other reason has been or would be affected thereby, shall not be deemed a disinterested
director and shall not be qualified to vote on the question of indemnification. Anything in this Article to
the contrary notwithstanding, if a judicial or administrative body determines as part of the settlement
of any action, suit or proceeding that the Corporation should indemnify a director, officer or employee
for the amount of the settlement, the Corporation shall so indemnify such person in accordance with such
determination. Expenses incurred with respect to any action, suit or proceeding which may qualify
for indemnification may be advanced by the Corporation prior to final disposition thereof upon receipt
of an undertaking by or on behalf of the director, officer or employee to repay such amount if it is ultimately
determined hereunder that he is not entitled to indemnification or to the extent that the amount so advanced
exceeds the indemnification to which he is ultimately determined to be entitled.
Item 31. Principal Underwriters
The principal underwriter of the Registrant’s securities is presently AuguStar Distributors, Inc. (“ADI”). ADI is a wholly-owned subsidiary of Constellation Insurance, Inc. ADI also serves as the
principal underwriter of securities issued by AuguStar Variable Account B, AuguStar Variable Account D and
AuguStar Variable Account R, other separate accounts of the Depositor which are registered as unit investment
trusts. ADI also serves as the principal underwriter of securities issued by National Security Variable
Accounts N and L, separate accounts of the Depositor’s affiliate, National Security Life and Annuity Company.
The directors and officers of ADI are:
|
Name
|
Position with ADI
|
|
Marc A. Socol
|
Director, Chairman of the Board and President
|
|
Andrew J. VanHoy
|
Director, Vice President, Compliance
|
|
Name
|
Position with ADI
|
|
Clifford J. Jack
|
Director
|
|
Bradley Owens
|
VP, Corporate Tax
|
|
Teresa R. Cooper
|
Treasurer & Comptroller
|
|
Manda Ghaferi
|
Secretary
|
The principal business address of each of the foregoing is One Financial Way, Montgomery,
Ohio 45242.
During the last fiscal year, ADI received the following commissions and other compensation,
directly or indirectly, from the Registrant
|
Net Underwriting
Discounts and
Commissions
|
Compensation on
Redemption and
Annuitization
|
Brokerage
Commissions
|
Compensation
|
|
$841,328
|
None
|
None
|
None
|
Item 32. Location of Accounts and Records
All records referenced are maintained and in the custody of AuguStar Life Insurance
Company at its principal executive office located at One Financial Way Montgomery, Ohio 45242-5800.
Item 33. Management Services
Not applicable.
Item 34. Fee Representation
Pursuant to Section 26(f)(2)(A) of the Investment Company Act of 1940, as amended,
AuguStar Life Insurance Company hereby represents that the fees and charges deducted under the contract,
in the aggregate, are reasonable in relation to the services rendered, the expenses expected to be incurred,
and the risks assumed by AuguStar Life Insurance Company.
Signatures
Pursuant to the requirements of the Securities Act of 1933 and the Investment Company
Act of 1940, the registrant, AuguStar Variable Account A, certifies that it meets all of the requirements
for effectiveness of this registration statement under Rule 485(b) under the Securities Act, and has duly caused
this registration statement to be signed on its behalf by the undersigned, duly authorized, in the City
of Montgomery and the State of Ohio on this 27th day of April, 2026.
AuguStar Variable Account A
(Registrant)
(Registrant)
|
By:
|
AuguStar Life Insurance Company
(Depositor)
|
|
By:
|
/s/ Clifford J. Jack
|
|
|
Clifford J. Jack, President & CEO, AuguStar Retirement
|
AuguStar Variable Account A
(Registrant)
(Registrant)
|
By:
|
/s/ Clifford J. Jack
|
|
|
Clifford J. Jack, President & CEO, AuguStar Retirement
|
Pursuant to the requirements of the Securities Act of 1933, this registration statement
has been signed below by the following persons in the capacities and on the dates indicated.
|
Signature
|
Title
|
Date
|
|
/s/ Clifford J. Jack
Clifford J. Jack
|
President & CEO, AuguStar Retirement
(Principal Executive Officer)
|
April 27, 2026
|
|
*Anurag Chandra
Anurag Chandra
|
Director, Chairman and CEO
|
April 27, 2026
|
|
*Philippe Charette
Philippe Charette
|
Director
|
April 27, 2026
|
|
*James Cheng
James Cheng
|
Director
|
April 27, 2026
|
|
*Patricia Guinn
Patricia Guinn
|
Director
|
April 27, 2026
|
|
*Wes Thompson
Wes Thompson
|
Director
|
April 27, 2026
|
|
*Steven C. Verney
Steven C. Verney
|
Director
|
April 27, 2026
|
|
*Lori Dashewich
Lori Dashewich
|
SVP, Chief Financial Officer
(Principal Accounting Officer and Principal
Financial Officer)
|
April 27, 2026
|
ATTACHMENTS / EXHIBITS
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