As filed with the Securities and Exchange Commission on December 15, 2022
File No. 333-267354
File No. 811-8108
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM N-4
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933 ☐
PRE-EFFECTIVE AMENDMENT NO. 1 ☒
POST-EFFECTIVE AMENDMENT NO. ☐
and/or
REGISTRATION STATEMENT UNDER THE INVESTMENT COMPANY ACT OF 1940 ☐
Amendment No. 356 ☒
Protective Variable Annuity
Separate Account
(Exact Name of Registrant)
Protective Life Insurance Company
(Name of Depositor)
2801 Highway 280 South
Birmingham, Alabama 35223
(Address of Depositor’s Principal Executive Offices)
(205) 268-1000
Depositor’s Telephone Number, including Area Code
BRADFORD RODGERS, Esquire
Protective Life Insurance Company
2801 Highway 280 South
Birmingham, Alabama 35223
(Name and Address of Agent for Services)
Copy to:
STEPHEN E. ROTH, Esquire
THOMAS E. BISSET, Esquire
Eversheds Sutherland (US) LLP
700 Sixth Street, N.W., Suite 700
Washington, DC 20001-3980
Title of Securities Being Registered: Interests in a separate
account issued through variable annuity contracts.
Annual Fee
|
Minimum
| Maximum |
Base Contract (1)
|
1.18%
| 1.18% |
Investment Options (Fund fees and expenses) (2) |
0.35%
| 1.44% |
Optional benefits available for an additional charge (for a single optional benefit, if elected) |
0.20% (3) | 1.50% (4) |
Return of Purchase Payments Death Benefit Fee (as an annualized percentage of the death benefit value on each Monthly Anniversary Date, beginning on the 1st Monthly Anniversary Date)
|
0.20%
|
Maximum Anniversary Value Death Benefit Fee (as an annualized percentage of the death benefit value on each Monthly Anniversary Date, beginning on the 1st Monthly Anniversary Date)
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0.35%
|
Maximum Quarterly Value Death Benefit Fee (as an annualized percentage of the death benefit value on each Monthly Anniversary Date, beginning on the 1st Monthly Anniversary Date)
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0.40%
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Purchase of SecurePay Income rider at Contract Purchase
|
1.50%
|
Purchase of SecurePay Income rider under RightTime
|
1.50%
|
Age of (Younger) Covered Person on the Benefit Election Date |
(One Covered Person)
Withdrawal Percentage -
|
(Two Covered Persons)
Withdrawal Percentage -
|
||||
59.5 | 4.60% | 4.10% | ||||
61 | 4.65% | 4.15% | ||||
62 | 4.75% | 4.25% | ||||
63 | 5.10% | 4.60% | ||||
64 |
5.35% | 4.85% | ||||
65 |
5.45% | 4.95% | ||||
66 | 5.50% | 5.00% | ||||
67 | 5.55% | 5.05% | ||||
68 | 5.60% | 5.10% | ||||
69 | 5.65% | 5.15% | ||||
70 | 5.70% | 5.20% | ||||
71 | 5.75% | 5.25% | ||||
72 | 5.80% | 5.30% | ||||
73 | 5.85% | 5.35% | ||||
74 | 5.90% | 5.40% | ||||
75 | 5.95% | 5.45% | ||||
76 | 6.00% | 5.50% | ||||
77 | 6.05% | 5.55% | ||||
78 | 6.10% | 5.60% | ||||
79 | 6.15% | 5.65% | ||||
80 | 6.20% | 5.70% | ||||
81 | 6.25% | 5.75% | ||||
82 | 6.30% | 5.80% | ||||
83 | 6.35% | 5.85% | ||||
84 | 6.40% | 5.90% | ||||
85 | 6.45% | 5.95% | ||||
86 | 6.50% | 6.00% | ||||
87 | 6.55% | 6.05% | ||||
88 | 6.60% | 6.10% | ||||
89 | 6.65% | 6.15% | ||||
90+ | 6.70% | 6.20% |
|
Protective Dimensions V Variable Annuity
|
| |
Protective Life Insurance Company
Protective Variable Annuity Separate Account P.O. Box 10648 Birmingham, Alabama 35202‑0648 Telephone: 1‑800‑456‑6330 www.protective.com |
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FEES AND EXPENSES
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Charges for Early Withdrawals
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| |
If you surrender or make a withdrawal from your Contract within seven (7) years following your last Purchase Payment and before the Annuity Date, you will be assessed a surrender charge of up to 7% on the amount of the withdrawal minus the annual free withdrawal amount. The surrender charge percentage is based on the cumulative Purchase Payments as of the date each Purchase Payment is made, and declines to 0% over seven (7) years.
For example, assume you purchased a Contract with a single Purchase Payment of $100,000 and surrender the Contract during the first Contract Year. Your free withdrawal amount is $10,000 (10% x $100,000) and is not subject to a surrender charge. If you were subject to the highest surrender charge percentage, you could be assessed a withdrawal charge of up to $6,300 (7% x $90,000) on the remaining amount of your surrender request. However, because the actual surrender charge percentage will be based on your cumulative Purchase Payments, a lower surrender charge percentage would apply and a lower surrender charge assessed.
For additional information about charges for surrenders and early withdrawals, see “CHARGES AND DEDUCTIONS – Surrender Charge (Contingent Deferred Sales Charge)” in the Prospectus.
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Transaction Charges
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| |
In addition to surrender charges, you may also be assessed a fee for each transfer after the first 12 transfers in a Contract Year.
For additional information about transaction charges, see “FEE TABLE – Transaction Expenses” and “CHARGES AND DEDUCTIONS” in the Prospectus.
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Ongoing Fees and Expenses (annual charges)
|
| | 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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Annual Fee
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| |
Minimum
|
| |
Maximum
|
|
| Base contract (1) | | |
1.18%
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| |
1.18%
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| Investment options (Fund fees and expenses) (2) | | |
0.35%
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| |
1.44%
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| Optional benefits available for an additional charge (for a single optional benefit, if elected) | | |
See Rate
Sheet Prospectus Supplement (3) |
| |
See Rate
Sheet Prospectus Supplement (4) |
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Lowest Annual Cost:
$1,207 |
| |
Highest Annual Cost:
$4,706 |
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| Assumes: | | | Assumes: | |
|
•
Investment of $100,000
•
5% annual appreciation
•
Least expensive combination of Base Contract fee and Fund fees and expenses
•
No optional benefits
•
No additional Purchase Payments, transfers or withdrawals
•
No sales charges
|
| |
•
Investment of $100,000
•
5% annual appreciation
•
Most expensive combination of Base Contract fee, optional benefits and Fund fees and expenses
•
No additional Purchase Payments, transfers, or withdrawals
•
No sales charges
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RISKS
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Risk of Loss
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| |
You can lose money by investing in this Contract, including loss of principal.
For additional information about the risk of loss, see “PRINCIPAL RISKS OF INVESTING IN THE CONTRACT” in the Prospectus.
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Not a Short-Term Investment
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| |
This Contract is not a short-term investment and is not appropriate for an investor who needs ready access to cash. Although you are permitted to take withdrawals or surrender the Contract, surrender charges and federal and state income taxes may apply.
Surrender charges may apply for up to seven (7) years following your last Purchase Payment. Withdrawals will reduce your Contract Value and death benefit.
The benefits of tax deferral and living benefit protections also mean the Contract is less beneficial to investors with a short time horizon.
For additional information about the investment profile of the Contract, see “PRINCIPAL RISKS OF INVESTING IN THE CONTRACT,” “CHARGES AND DEDUCTIONS,” ”FEDERAL TAX MATTERS,” and “TAXATION OF ANNUITIES IN GENERAL” in the Prospectus.
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Risks Associated with 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 available under the Contract.
Each Investment Option (including the Guaranteed Account) has its own unique risks.
You should review the prospectuses for the available Funds and consult with your financial professional before making an investment decision.
For additional information about the risks associated with Investment Options, see “PRINCIPAL RISKS OF INVESTING IN THE CONTRACT” in the Prospectus.
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Insurance Company Risks
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An investment in the Contract is subject to the risks related to the Company. Any obligations (including under the Guaranteed Account), guarantees, or benefits under the Contract are subject to the claims-paying ability of the Company. More information about the Company, including its financial strength ratings, is available upon request at no charge by calling us at 1-800-456-6330 or writing us at the address shown on the cover page.
For additional information about Company risks, see “PRINCIPAL RISKS OF INVESTING IN THE CONTRACT,” and “THE COMPANY, VARIABLE ACCOUNT AND FUNDS” in the Prospectus.
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RESTRICTIONS
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Investments
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Currently, there is no charge when you transfer Contract Value among Investment Options. However, we reserve the right to charge $25 for each transfer after the first 12 transfers in any Contract Year in the future.
We reserve the right to remove or substitute Funds as Investment Options that are available under the Contract. We also reserve the right to restrict the allocation of additional Purchase Payments and/or transfers of Contract Value to a Fund if we determine the Fund no longer meets one or more of our Fund selection criteria and/or if a Fund has not attracted significant contract owner assets.
For additional information about Investment Options, see “CHARGES AND DEDUCTIONS – Transfer Fee” and “THE COMPANY, VARIABLE ACCOUNT AND FUNDS – Selection of Funds – Addition, Deletion or Substitutions of Investments” in the Prospectus.
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Optional Benefits
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| |
If you select a Protected Lifetime Income Benefit rider:
•
The Investment Options available to you under the Contract will be limited.
•
You may not make additional Purchase Payments two years or more after the Rider Issue Date or on or after the Benefit Election Date, whichever comes first.
•
Withdrawals from Contract Value that exceed the Annual Withdrawal Amount under the rider may significantly reduce or eliminate the rider benefits.
We may stop offering an optional benefit rider at any time.
If you purchase an optional death benefit, withdrawals may reduce the benefit by an amount greater than the value withdrawn.
For additional information about the optional benefits, see “PROTECTED LIFETIME INCOME BENEFIT (“SECUREPAY INCOME”)” and “DEATH BENEFIT - Selecting a Death Benefit” in the Prospectus.
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TAXES
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Tax Implications
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| |
You should consult with a qualified tax advisor regarding the federal tax implications of an investment in, payments received under, and other transactions in connection with this Contract.
If you purchase the Contract through a tax-qualified plan or individual retirement arrangement (IRA), you do not get any additional tax deferral. Generally, all earnings on the investments underlying the Contract are tax-deferred until distributed or deemed distributed. A distribution from a non-Qualified Contract, which includes a surrender, withdrawal, payment of a death benefit, or annuity income payments, will generally result in taxable income if there has been an increase in the Contract Value. In the case of a Qualified Contract, a distribution generally will result in taxable income even if there has not been an increase in the Contract Value. In certain circumstances, a 10% additional tax may also apply if the Owner takes a withdrawal before age 59½. All amounts includable in income with respect to the Contract are taxed as ordinary income; no amounts are taxed at the special lower rates applicable to long term capital gains and corporate dividends.
For additional information about tax implications, see “FEDERAL TAX MATTERS” and “TAXATION OF ANNUITIES IN GENERAL” in the Prospectus.
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CONFLICTS OF INTEREST
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Investment Professional Compensation
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We pay compensation, in the form of commissions, non-cash compensation, and asset-based compensation, to broker-dealers in connection with the promotion and sale of the Contracts. A portion of any payments made to the broker-dealers may be passed on to their registered representatives in accordance with their internal compensation programs. The prospect of receiving, or the receipt of, asset-based compensation may provide broker-dealers and/or their registered representatives with an incentive to recommend initial or continued investment in the Contracts over other variable insurance products (or other investments). You may wish to take such compensation arrangements into account when considering and evaluating any recommendation relating to the Contracts.
For additional information about compensation, see “DISTRIBUTION OF THE CONTRACTS” in the Prospectus.
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Exchanges
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Some investment professionals may have a financial incentive to offer you a new contract in place of the contract you already own. You should only exchange your current contract if you determine, after comparing the features, fees, and risks of both contracts, that it is better for you to purchase the new contract rather than continue to own your existing contract.
For additional information about exchanges, see “TAXATION OF ANNUITIES IN GENERAL – Exchanges of Annuity Contracts” in the Prospectus.
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Maximum Surrender Charge (as a % of amount surrendered) (1)
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7%
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Transfer Fee (2)
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$25
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Administrative Expenses(1)
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$50
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Base Contract Expenses (as a percentage of average Variable Account value)(2)
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0.65%
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Maximum Premium Based Charge (as an annualized percentage of each Purchase Payment, deducted quarterly)(3)
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0.70%
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Maximum
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Current
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Return of Purchase Payments Death Benefit Fee (as an annualized percentage of the death benefit value on each Monthly Anniversary Date, beginning on the 1st Monthly Anniversary Date)(4)
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1.00%
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See Rate Sheet
Prospectus Supplement |
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Maximum Anniversary Value Death Benefit Fee (as an annualized percentage of the death benefit value on each Monthly Anniversary Date, beginning on the 1st Monthly Anniversary Date)(5)
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1.00%
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See Rate Sheet
Prospectus Supplement |
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Maximum Quarterly Value Death Benefit Fee (as an annualized percentage of the death benefit value on each Monthly Anniversary Date, beginning on the 1st Monthly Anniversary Date)(6)
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1.00%
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See Rate Sheet
Prospectus Supplement |
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Maximum
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Current
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Purchase of SecurePay Income rider at Contract Purchase
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| | | | 2.20% | | | |
See Rate Sheet
Prospectus Supplement |
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Purchase of SecurePay Income rider under RightTime
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| | | | 2.20% | | | |
See Rate Sheet
Prospectus Supplement |
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Minimum
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Maximum
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Annual Fund Expenses before any waivers or expense reimbursements (expenses that are deducted from Fund assets, including management fees, distribution and/or service (12b-1) fees, and other expenses)
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| | | | 0.35% | | | | | | 1.44% | | |
Annual Fund Expenses after any waivers or expense reimbursements (1)
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| | | | 0.35% | | | | | | 1.44% | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 12,238 | | | | | $ | 23,610 | | | | | $ | 34,743 | | | | | $ | 64,844 | | |
Minimum Fund Expense
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| | | $ | 11,266 | | | | | $ | 20,746 | | | | | $ | 30,014 | | | | | $ | 55,815 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 11,018 | | | | | $ | 19,864 | | | | | $ | 28,267 | | | | | $ | 50,613 | | |
Minimum Fund Expense
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| | | $ | 10,040 | | | | | $ | 16,952 | | | | | $ | 23,401 | | | | | $ | 40,943 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 6,010 | | | | | $ | 18,427 | | | | | $ | 31,423 | | | | | $ | 64,844 | | |
Minimum Fund Expense
|
| | | $ | 4,791 | | | | | $ | 15,386 | | | | | $ | 26,493 | | | | | $ | 55,815 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 4,706 | | | | | $ | 14,450 | | | | | $ | 24,673 | | | | | $ | 50,613 | | |
Minimum Fund Expense
|
| | | $ | 3,661 | | | | | $ | 11,358 | | | | | $ | 19,601 | | | | | $ | 40,943 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 10,184 | | | | | $ | 17,128 | | | | | $ | 23,224 | | | | | $ | 37,737 | | |
Minimum Fund Expense
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| | | $ | 9,206 | | | | | $ | 14,202 | | | | | $ | 18,312 | | | | | $ | 27,789 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 9,621 | | | | | $ | 15,451 | | | | | $ | 20,422 | | | | | $ | 32,137 | | |
Minimum Fund Expense
|
| | | $ | 8,636 | | | | | $ | 12,470 | | | | | $ | 15,352 | | | | | $ | 21,504 | | |
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1 year
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3 years
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5 years
|
| |
10 years
|
| ||||||||||||
Maximum Fund Expense
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| | | $ | 3,814 | | | | | $ | 11,546 | | | | | $ | 19,417 | | | | | $ | 37,737 | | |
Minimum Fund Expense
|
| | | $ | 2,769 | | | | | $ | 8,440 | | | | | $ | 14,297 | | | | | $ | 27,789 | | |
| | |
1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 3,212 | | | | | $ | 9,765 | | | | | $ | 16,497 | | | | | $ | 32,137 | | |
Minimum Fund Expense
|
| | | $ | 2,160 | | | | | $ | 6,601 | | | | | $ | 11,212 | | | | | $ | 21,504 | | |
Fund
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| |
Maximum
12b-1 fee |
| |||
Paid to us: | | | | | | | |
AIM Variable Insurance Funds (Invesco Variable Insurance Funds)
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0.25%
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Alliance Bernstein
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0.25%
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American Funds Insurance Series
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0.25%
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BlackRock
|
| | | | 0.25% | | |
Columbia Threadneedle
|
| | |
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0.25%
|
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Fidelity Variable Insurance Products
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0.25%
|
| |
Franklin Templeton Variable Insurance Products Trust
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0.25%
|
| |
Goldman Sachs Variable Insurance Trust
|
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0.25%
|
| |
Legg Mason Partners Variable Equity Trust
|
| | | | 0.25% | | |
PIMCO Variable Insurance Trust
|
| | | | 0.25% | | |
T. Rowe Price
|
| | |
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0.25%
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Name of Benefit
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| |
Purpose
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| |
Is Benefit
Standard or Optional? |
| |
Maximum Fee
|
| |
Brief Description of
Restrictions/Limitations |
|
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Contract Value Death Benefit
|
| | Guarantees beneficiaries will receive a benefit at least equal to your Contract Value. | | | Standard | | | No charge | | |
•
None.
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Return of Purchase Payments Death Benefit
|
| |
Equal to the greater of:
1.
the Contract Value, or
2.
the aggregate Purchase Payments less an adjustment for each withdrawal
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| | Optional | | | 1.00% (as an annualized percentage of the death benefit value on each Monthly Anniversary Date) | | |
•
Available only at purchase.
•
Death Benefit will never be more than the Contract Value plus $1,000,000.
•
It is possible that this Death Benefit will be no greater than the Contract Value Death Benefit, for which we do not assess a fee.
•
Withdrawals can reduce the value of the Death Benefit by more than the amount withdrawn.
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Maximum Anniversary Value Death Benefit
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| |
Equal to the greatest of:
1.
the Contract Value,
2.
the aggregate Purchase Payments less an adjustment for each withdrawal, or
3.
the greatest anniversary value attained prior to the older Owner’s 83rd birthday.
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| | Optional | | | 1.00% (as an annualized percentage of the death benefit value on each Monthly Anniversary Date) | | |
•
Available only at purchase.
•
Death Benefit will never be more than the Contract Value plus $1,000,000.
•
It is possible that this Death Benefit will be no greater than the Contract Value Death Benefit, for which we do not assess a fee.
•
Cannot be elected if the oldest Owner is 78 or older.
•
Withdrawals can reduce the value of the Death Benefit by more than the amount withdrawn.
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Name of Benefit
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| |
Purpose
|
| |
Is Benefit
Standard or Optional? |
| |
Maximum Fee
|
| |
Brief Description of
Restrictions/Limitations |
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Maximum Quarterly Value Death Benefit
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| |
Equal to the greatest of:
1.
the Contract Value,
2.
the aggregate Purchase Payments less an adjustment for each withdrawal, or
3.
the greatest Quarterly Anniversary value attained prior to the older Owner’s 83rd birthday.
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| | Optional | | | 1.00% (as an annualized percentage of the death benefit value on each Monthly Anniversary Date) | | |
•
Available only at purchase.
•
Death Benefit will never be more than the Contract Value plus $1,000,000.
•
It is possible that this Death Benefit will be no greater than the Contract Value Death Benefit, for which we do not assess a fee.
•
Cannot be elected if the oldest Owner is 78 or older.
•
Withdrawals can reduce the value of the Death Benefit by more than the amount withdrawn.
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Name of Benefit
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| |
Purpose
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| |
Maximum Fee
|
| |
Current Fee
|
| |
Brief Description of
Restrictions/Limitations |
|
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SecurePay Income rider
|
| | Provides an Annual Withdrawal Amount that is guaranteed for life, even if Contract Value is reduced to zero. This rider also includes a “roll-up” feature that may increase your Annual Withdrawal Amount. | | |
2.20% (1) (if selected at Contract purchase)
2.20% (1) (under RightTime option)
|
| | See Rate Sheet Prospectus Supplement | | |
•
Benefit limits available Investment Options during accumulation phase and withdrawal phase.
•
Allocation of Purchase Payments or Contract Value to the Fixed Account is not permitted.
•
No Purchase Payments two years or more after Rider Issue Date or on or after Benefit Election Date, whichever comes first.
•
Excess Withdrawals may significantly reduce or eliminate value of benefit.
•
Available to Contract Owners age 55 to 80.
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Single Life Coverage
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Joint Life Coverage
|
|
| Single Owner/Non-spouse Beneficiary | | | Covered Person is the Owner. SecurePay Income rider expires upon death of Covered Person following the Benefit Election Date. | | | Not applicable. | |
| Single Owner/Spouse Beneficiary | | | Covered Person is the Owner. SecurePay Income rider expires upon death of Covered Person following the Benefit Election Date. Upon death of Covered Person following the Benefit Election Date, the surviving spouse may purchase a new SecurePay Income rider if he or she continues the Contract under the spousal continuation provisions and certain conditions are met. (See “Continuation of the Contract by a Surviving Spouse.”) | | | Both are Covered Persons. SecurePay Income rider expires upon death of last surviving Covered Person following the Benefit Election Date. If the surviving spouse continues the Contract, SecurePay Withdrawals will continue unless modified or declined. | |
| Joint Owner/Non-spouse 2nd Owner | | | Covered Person is older Owner. SecurePay Income rider expires upon the death of the Covered Person following the Benefit Election Date. | | | Not applicable. | |
| Joint Owner/Spouse 2nd Owner | | | Covered Person is older Owner. SecurePay Income rider expires upon death of Covered Person following the Benefit Election Date. Upon death of older Owner, the surviving spouse may purchase a new SecurePay Income rider if he or she continues the Contract under the spousal continuation provisions and certain conditions are met. (See “Continuation of the Contract by a Surviving Spouse.”) | | | Both are Covered Persons. SecurePay Income rider expires upon death of last surviving Covered Person following the Benefit Election Date. If the surviving spouse continues the Contract, SecurePay Withdrawals will continue unless modified or declined. | |
| | | |
Allocation by
Investment Category (“AIC”) |
| |
Pre-Selected
Allocation Options |
|
| Rider Accumulation Phase | | | Categories 1-3 are available at designated percentages; Category 4 is not allowed | | | Balanced Growth & Income Domestic Focus, Balanced Growth & Income Global Focus, Balanced toward Growth, Growth Focus | |
| | | |
Allocation by
Investment Category (“AIC”) |
| |
Pre-Selected
Allocation Options |
|
| Rider Withdrawal Phase | | | Not available | | | Balanced Growth & Income Domestic Focus, Balanced Growth & Income Global Focus | |
| | | |
Allocation by
Investment Category (“AIC”) |
| |
Pre-selected
Allocation Options |
|
| Rider Withdrawal Phase | | | Not available | | | Balanced Growth & Income Domestic Focus, Balanced Growth & Income Global Focus | |
|
Name of Benefit
|
| |
Purpose
|
| |
Maximum Fee
|
| |
Brief Description of
Restrictions/Limitations |
|
|
Portfolio Rebalancing
|
| | Automatically rebalances the Sub-Accounts you select (either quarterly, semi-annually or annually) to maintain your chosen percentage allocation of Variable Account value among the Sub-Accounts. | | |
No Charge
|
| |
•
If you purchase the SecurePay Income rider, your allocations must comply with our Allocation Guidelines and Restrictions.
|
|
|
Dollar Cost Averaging
|
| | Automatically transfers a specific amount of money from the DCA Account or the Fixed Account to the Sub-Accounts you select, on a monthly basis over a specific period of time. | | |
No Charge
|
| |
•
If you purchase the SecurePay Income rider, your allocations must comply with our Allocation Guidelines and Restrictions.
|
|
|
Automatic Withdrawal Plan (“AWP”)
|
| | Automatically withdraws a level dollar amount from the Contract on a monthly or quarterly basis before the Annuity Date. | | |
No Charge
|
| |
•
If, during a Contract Year, the amount of withdrawals exceed the annual free withdrawal amount, we will deduct a surrender charge.
•
If you select the SecurePay Income rider, the AWP will reduce the Benefit Base and available SecurePay withdrawals.
•
Income taxes, including a10% additional tax if you are younger than age 591/2, may apply.
|
|
Current Purchase Payment Plus All Prior Purchase Payments Applied to the Contract
|
| |
Quarterly Premium
Based Charge Percentage (as a percentage of each Purchase Payment) |
| |
Annual Equivalent
of Premium Based Charge Percentage |
| ||||||
Less than $50,000
|
| | | | 0.1750% | | | | | | 0.70% | | |
Current Purchase Payment Plus All Prior Purchase Payments Applied to the Contract
|
| |
Quarterly Premium
Based Charge Percentage (as a percentage of each Purchase Payment) |
| |
Annual Equivalent
of Premium Based Charge Percentage |
| ||||||
At least $50,000, but less than $100,000
|
| | | | 0.1600% | | | | | | 0.64% | | |
At least $100,000, but less than $250,000
|
| | | | 0.1250% | | | | | | 0.50% | | |
At least $250,000, but less than $500,000
|
| | | | 0.0875% | | | | | | 0.35% | | |
At least $500,000, but less than $1,000,000
|
| | | | 0.0625% | | | | | | 0.25% | | |
$1,000,000 or more
|
| | | | 0.0375% | | | | | | 0.15% | | |
|
Current Purchase
Payment Plus All Prior Purchase Payments Applied to the Contract |
| |
Number of Complete Years Elapsed
Between the Date the Purchase Payment was Applied to the Contract and the Withdrawal or Surrender Date |
| |||||||||||||||||||||||||||||||||||||||||||||
|
0
|
| |
1
|
| |
2
|
| |
3
|
| |
4
|
| |
5
|
| |
6
|
| |
7+
|
| |||||||||||||||||||||||||||
|
Less than $50,000
|
| | | | 7.0% | | | | | | 6.0% | | | | | | 6.0% | | | | | | 5.0% | | | | | | 4.0% | | | | | | 3.0% | | | | | | 2.0% | | | | | | 0% | | |
|
At least $50,000 but
less than $100,000 |
| | | | 6.0% | | | | | | 5.0% | | | | | | 5.0% | | | | | | 4.0% | | | | | | 3.0% | | | | | | 2.0% | | | | | | 1.0% | | | | | | 0% | | |
|
At least $100,000 but less than $250,000
|
| | | | 5.0% | | | | | | 4.0% | | | | | | 4.0% | | | | | | 3.0% | | | | | | 2.0% | | | | | | 2.0% | | | | | | 1.0% | | | | | | 0% | | |
|
At least $250,000 but less than $500,000
|
| | | | 4.0% | | | | | | 3.0% | | | | | | 3.0% | | | | | | 2.0% | | | | | | 2.0% | | | | | | 1.0% | | | | | | 1.0% | | | | | | 0% | | |
|
At least $500,000 but less than $1,000,000
|
| | | | 3.0% | | | | | | 2.0% | | | | | | 2.0% | | | | | | 2.0% | | | | | | 1.0% | | | | | | 1.0% | | | | | | 0.5% | | | | | | 0% | | |
|
$1,000,000 or more
|
| | | | 2.0% | | | | | | 1.0% | | | | | | 1.0% | | | | | | 1.0% | | | | | | 1.0% | | | | | | 0.5% | | | | | | 0.5% | | | | | | 0% | | |
Fiscal Year Ended
|
| |
Amount Paid to IDI
|
| |||
December 31, 2019
|
| | | $ | 56,817,374 | | |
December 31, 2020
|
| | | $ | 55,084,201 | | |
December 31, 2021
|
| | | $ | 45,344,875 | | |
| |
Asset
Allocation Type |
| | |
Portfolio Company - Investment Adviser; Sub-
Adviser(s), as applicable |
| | |
Current
Expenses |
| | |
Average Annual Total Returns
(as of 12/31/2021) |
| | |
SecurePay Income
Rider Allocation Investment Category(2) |
| | ||||||||
|
1 Year
|
| | |
5 Year
|
| | |
10 Year
|
| | | | | | |||||||||||||
| |
U.S. Equity
|
| | | AB VPS Growth and Income B(1) | | | |
0.84%
|
| | |
27.84%
|
| | |
12.58%
|
| | |
13.39%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | AB VPS Large Cap Growth B | | | |
0.90%
|
| | |
28.65%
|
| | |
25.78%
|
| | |
20.52%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | AB VPS Small Cap Growth B(1) | | | |
1.15%
|
| | |
9.20%
|
| | |
24.72%
|
| | |
17.82%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | | AB VPS Small/Mid Cap Value B | | | |
1.05%
|
| | |
35.60%
|
| | |
9.88%
|
| | |
12.85%
|
| | |
4
|
| |
| |
Taxable Bond
|
| | |
American Funds® IS American High-Income Trust 2(1)
|
| | |
0.55%
|
| | |
8.42%
|
| | |
6.58%
|
| | |
6.23%
|
| | |
2
|
| |
| |
Allocation
|
| | | American Funds® IS Asset Allocation 2 | | | |
0.55%
|
| | |
15.10%
|
| | |
11.71%
|
| | |
11.33%
|
| | |
2
|
| |
| |
Allocation
|
| | | American Funds® IS Capital Income Builder® 2(1) | | | |
0.52%
|
| | |
14.94%
|
| | |
8.26%
|
| | |
—
|
| | |
2
|
| |
| |
Taxable Bond
|
| | | American Funds® IS Capital World Bond 2 | | | |
0.75%
|
| | |
-4.92%
|
| | |
3.49%
|
| | |
2.07%
|
| | |
1
|
| |
| |
International
Equity |
| | |
American Funds® IS Capital World Growth & Income 2(1)
|
| | |
0.67%
|
| | |
14.78%
|
| | |
13.27%
|
| | |
11.63%
|
| | |
3
|
| |
| |
International
Equity |
| | | American Funds® IS Global Growth 2(1) | | | |
0.67%
|
| | |
16.42%
|
| | |
19.70%
|
| | |
15.66%
|
| | |
3
|
| |
| |
International
Equity |
| | | American Funds® IS Global Small Cap 2(1) | | | |
0.90%
|
| | |
6.74%
|
| | |
15.45%
|
| | |
12.51%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | American Funds® IS Growth 2 | | | |
0.60%
|
| | |
21.97%
|
| | |
25.43%
|
| | |
19.71%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | American Funds® IS Growth-Income 2 | | | |
0.54%
|
| | |
24.10%
|
| | |
16.39%
|
| | |
15.42%
|
| | |
3
|
| |
| |
International
Equity |
| | | American Funds® IS International 2 | | | |
0.79%
|
| | |
-1.49%
|
| | |
9.63%
|
| | |
8.13%
|
| | |
3
|
| |
| |
International
Equity |
| | |
American Funds® IS International Growth and Income 2(1)
|
| | |
0.78%
|
| | |
5.37%
|
| | |
8.76%
|
| | |
6.95%
|
| | |
3
|
| |
| |
International
Equity |
| | | American Funds® IS New World 2(1) | | | |
0.82%
|
| | |
4.92%
|
| | |
13.25%
|
| | |
8.67%
|
| | |
4
|
| |
| |
Taxable Bond
|
| | | American Funds® IS The Bond Fund of America 2(1) | | | |
0.45%
|
| | |
-0.31%
|
| | |
4.25%
|
| | |
3.27%
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | American Funds® IS US Government Securities 2(1) | | | |
0.47%
|
| | |
-0.62%
|
| | |
3.30%
|
| | |
2.29%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | |
American Funds® IS Washington Mutual Investor 2(1)
|
| | |
0.52%
|
| | |
27.78%
|
| | |
12.50%
|
| | |
13.75%
|
| | |
3
|
| |
| |
Allocation
|
| | | BlackRock 60/40 Target Allocation ETF VI III(1) | | | |
0.63%
|
| | |
11.70%
|
| | |
10.99%
|
| | |
—
|
| | |
2
|
| |
| |
Allocation
|
| | |
BlackRock Global Allocation V.I. III - BlackRock (Singapore) Limited(1)
|
| | |
1.00%
|
| | |
6.42%
|
| | |
9.71%
|
| | |
7.68%
|
| | |
2
|
| |
| |
International
Equity |
| | |
BlackRock International V.I. I - BlackRock International Limited(1)
|
| | |
0.93%
|
| | |
11.30%
|
| | |
9.61%
|
| | |
7.80%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | |
ClearBridge Variable Mid Cap II - ClearBridge Investments, LLC
|
| | |
1.10%
|
| | |
28.38%
|
| | |
13.98%
|
| | |
14.04%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | |
ClearBridge Variable Small Cap Growth II - ClearBridge Investments, LLC
|
| | |
1.06%
|
| | |
12.31%
|
| | |
21.04%
|
| | |
16.82%
|
| | |
4
|
| |
| |
Allocation
|
| | | Columbia VP Balanced 2 | | | |
1.01%
|
| | |
14.62%
|
| | |
12.18%
|
| | |
11.31%
|
| | |
2
|
| |
| |
Taxable Bond
|
| | | Columbia VP Emerging Markets Bond 2 | | | |
1.01%
|
| | |
-2.45%
|
| | |
3.92%
|
| | |
—
|
| | |
2
|
| |
| |
Taxable Bond
|
| | | Columbia VP Limited Duration Credit 2(1) | | | |
0.73%
|
| | |
-0.84%
|
| | |
2.75%
|
| | |
2.38%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | | Columbia VP Select Mid Cap Value 2(1) | | | |
1.08%
|
| | |
31.97%
|
| | |
12.72%
|
| | |
13.63%
|
| | |
4
|
| |
| |
Taxable Bond
|
| | | Columbia VP Strategic Income 2(1) | | | |
0.93%
|
| | |
1.63%
|
| | |
4.67%
|
| | |
4.53%
|
| | |
2
|
| |
| |
Asset
Allocation Type |
| | |
Portfolio Company - Investment Adviser; Sub-
Adviser(s), as applicable |
| | |
Current
Expenses |
| | |
Average Annual Total Returns
(as of 12/31/2021) |
| | |
SecurePay Income
Rider Allocation Investment Category(2) |
| | ||||||||
|
1 Year
|
| | |
5 Year
|
| | |
10 Year
|
| | | | | | |||||||||||||
| |
Allocation
|
| | |
Fidelity® VIP Asset Manager Growth Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.93%
|
| | |
13.69%
|
| | |
12.19%
|
| | |
10.39%
|
| | |
2
|
| |
| |
Allocation
|
| | |
Fidelity® VIP Asset Manager Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.84%
|
| | |
9.68%
|
| | |
9.74%
|
| | |
8.37%
|
| | |
2
|
| |
| |
Allocation
|
| | |
Fidelity® VIP Balanced Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.71%
|
| | |
17.99%
|
| | |
14.69%
|
| | |
12.37%
|
| | |
2
|
| |
| |
Taxable Bond
|
| | |
Fidelity® VIP Bond Index Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.39%
|
| | |
-2.24%
|
| | |
—
|
| | |
—
|
| | |
1
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Contrafund Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.85%
|
| | |
27.51%
|
| | |
19.87%
|
| | |
16.35%
|
| | |
3
|
| |
| |
Sector Equity
|
| | |
Fidelity® VIP Energy Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.90%
|
| | |
54.83%
|
| | |
-3.55%
|
| | |
0.02%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Extended Market Index Service 2 - Geode Capital Management, LLC
|
| | |
0.38%
|
| | |
20.93%
|
| | |
—
|
| | |
—
|
| | |
4
|
| |
| |
Allocation
|
| | | Fidelity® VIP FundsManager 60% Service 2(1) | | | |
0.75%
|
| | |
12.21%
|
| | |
11.10%
|
| | |
9.44%
|
| | |
2
|
| |
| |
Allocation
|
| | | Fidelity® VIP FundsManager 85% Service 2(1) | | | |
1.05%
|
| | |
17.64%
|
| | |
14.22%
|
| | |
12.14%
|
| | |
3
|
| |
| |
Sector Equity
|
| | |
Fidelity® VIP Health Care Portfolio Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.88%
|
| | |
11.45%
|
| | |
—
|
| | |
—
|
| | |
3
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Index 500 Service 2 - Geode Capital Management, LLC
|
| | |
0.35%
|
| | |
28.26%
|
| | |
18.05%
|
| | |
16.15%
|
| | |
3
|
| |
| |
International
Equity |
| | |
Fidelity® VIP International Index Service 2 - Geode Capital Management, LLC
|
| | |
0.42%
|
| | |
7.48%
|
| | |
—
|
| | |
—
|
| | |
3
|
| |
| |
Taxable Bond
|
| | |
Fidelity® VIP Investment Grade Bond Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.64%
|
| | |
-0.90%
|
| | |
4.08%
|
| | |
3.29%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Mid Cap Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.86%
|
| | |
25.31%
|
| | |
13.32%
|
| | |
13.00%
|
| | |
4
|
| |
| |
Sector Equity
|
| | |
Fidelity® VIP Technology Initial - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.62%
|
| | |
28.16%
|
| | |
34.83%
|
| | |
24.38%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Total Market Index Service 2 - Geode Capital Management, LLC
|
| | |
0.37%
|
| | |
25.38%
|
| | |
—
|
| | |
—
|
| | |
3
|
| |
| |
Sector Equity
|
| | |
Fidelity® VIP Utilities Initial - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.65%
|
| | |
17.43%
|
| | |
13.13%
|
| | |
11.57%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Value Strategies Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.88%
|
| | |
33.34%
|
| | |
13.67%
|
| | |
13.47%
|
| | |
4
|
| |
| |
Asset
Allocation Type |
| | |
Portfolio Company - Investment Adviser; Sub-
Adviser(s), as applicable |
| | |
Current
Expenses |
| | |
Average Annual Total Returns
(as of 12/31/2021) |
| | |
SecurePay Income
Rider Allocation Investment Category(2) |
| | ||||||||
|
1 Year
|
| | |
5 Year
|
| | |
10 Year
|
| | | | | | |||||||||||||
| |
U.S. Equity
|
| | | Franklin DynaTech VIP Fund - Class 2 | | | |
0.92%
|
| | |
16.14%
|
| | |
23.64%
|
| | |
16.66%
|
| | |
4
|
| |
| |
Allocation
|
| | | Franklin Income VIP 2 | | | |
0.72%
|
| | |
16.75%
|
| | |
7.45%
|
| | |
7.38%
|
| | |
2
|
| |
| |
U.S. Equity
|
| | | Franklin Rising Dividends VIP 2 | | | |
0.88%
|
| | |
26.79%
|
| | |
16.81%
|
| | |
14.40%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | Franklin Small Cap Value VIP 2 | | | |
0.91%
|
| | |
25.37%
|
| | |
9.94%
|
| | |
12.13%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | | Franklin Small Mid Cap Growth VIP 2 | | | |
1.08%
|
| | |
10.01%
|
| | |
20.84%
|
| | |
15.70%
|
| | |
4
|
| |
| |
Taxable Bond
|
| | | Goldman Sachs VIT Core Fixed Income Service(1) | | | |
0.67%
|
| | |
-2.23%
|
| | |
3.58%
|
| | |
3.16%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | |
Goldman Sachs VIT Mid Cap Growth Service (formerly, Goldman Sachs VIT Growth Opportunities Fund)(1)
|
| | |
0.99%
|
| | |
11.48%
|
| | |
21.22%
|
| | |
16.00%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | Goldman Sachs VIT Strategic Growth Service(1) | | | |
0.99%
|
| | |
21.56%
|
| | |
24.26%
|
| | |
18.71%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | Invesco V.I. Discovery Mid Cap Growth II | | | |
1.08%
|
| | |
18.79%
|
| | |
22.75%
|
| | |
17.53%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | | Invesco V.I. Main Street Small Cap II | | | |
1.18%
|
| | |
22.26%
|
| | |
13.46%
|
| | |
14.40%
|
| | |
4
|
| |
| |
Allocation
|
| | | Invesco VI Conservative Balanced II(1) | | | |
0.92%
|
| | |
9.48%
|
| | |
8.00%
|
| | |
7.40%
|
| | |
2
|
| |
| |
U.S. Equity
|
| | | Invesco VI Comstock II | | | |
0.99%
|
| | |
33.04%
|
| | |
11.12%
|
| | |
12.59%
|
| | |
4
|
| |
| |
Allocation
|
| | | Invesco VI Equity and Income II | | | |
0.80%
|
| | |
18.35%
|
| | |
9.27%
|
| | |
10.28%
|
| | |
3
|
| |
| |
International
Equity |
| | | Invesco VI Global II | | | |
1.03%
|
| | |
15.17%
|
| | |
17.88%
|
| | |
13.96%
|
| | |
4
|
| |
| |
Sector Equity
|
| | |
Invesco VI Global Real Estate II - Invesco Asset Management Ltd
|
| | |
1.22%
|
| | |
25.44%
|
| | |
7.27%
|
| | |
7.84%
|
| | |
4
|
| |
| |
Taxable Bond
|
| | | Invesco VI Government Securities II | | | |
0.93%
|
| | |
-2.43%
|
| | |
2.21%
|
| | |
1.52%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | | Invesco VI Growth and Income II | | | |
0.80%
|
| | |
18.35%
|
| | |
9.27%
|
| | |
10.28%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | | Invesco VI Small Cap Equity II | | | |
1.20%
|
| | |
20.09%
|
| | |
13.15%
|
| | |
12.01%
|
| | |
4
|
| |
| |
Money Market
|
| | | Invesco VI US Government Money Portfolio I | | | |
0.52%
|
| | |
0.01%
|
| | |
0.73%
|
| | |
0.37%
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | Lord Abbett Series Bond-Debenture VC | | | |
0.89%
|
| | |
3.28%
|
| | |
5.66%
|
| | |
6.33%
|
| | |
2
|
| |
| |
U.S. Equity
|
| | | Lord Abbett Series Dividend Growth VC(1) | | | |
0.99%
|
| | |
25.62%
|
| | |
15.79%
|
| | |
14.17%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | Lord Abbett Series Growth Opportunities VC | | | |
1.26%
|
| | |
6.46%
|
| | |
19.29%
|
| | |
15.34%
|
| | |
4
|
| |
| |
Taxable Bond
|
| | | Lord Abbett Series Short Duration Income VC | | | |
0.83%
|
| | |
0.63%
|
| | |
2.42%
|
| | |
—
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | PIMCO VIT Low Duration Advisor | | | |
0.75%
|
| | |
-1.03%
|
| | |
1.44%
|
| | |
1.49%
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | PIMCO VIT Real Return Advisor | | | |
0.77%
|
| | |
5.48%
|
| | |
5.23%
|
| | |
3.05%
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | PIMCO VIT Short-Term Advisor | | | |
0.70%
|
| | |
-0.16%
|
| | |
1.68%
|
| | |
1.53%
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | PIMCO VIT Total Return Advisor | | | |
0.75%
|
| | |
-1.36%
|
| | |
3.83%
|
| | |
3.33%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | | T. Rowe Price All-Cap Opportunities Portfolio(1) | | | |
0.80%
|
| | |
20.80%
|
| | |
26.19%
|
| | |
19.64%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | | T. Rowe Price Blue Chip Growth Portfolio II(1) | | | |
1.00%
|
| | |
17.33%
|
| | |
22.96%
|
| | |
18.93%
|
| | |
3
|
| |
| |
Sector Equity
|
| | | T. Rowe Price Health Sciences Portfolio II(1) | | | |
1.19%
|
| | |
12.83%
|
| | |
19.22%
|
| | |
20.13%
|
| | |
4
|
| |
| |
Allocation
|
| | | T. Rowe Price Moderate Allocation(1) | | | |
0.71%
|
| | |
10.06%
|
| | |
10.98%
|
| | |
9.85%
|
| | |
2
|
| |
| |
International
Equity |
| | |
Templeton Developing Markets VIP 2 - Franklin Templeton Investment Management Ltd
|
| | |
1.44%
|
| | |
-5.74%
|
| | |
10.60%
|
| | |
4.84%
|
| | |
4
|
| |
|
Investment Category
|
| |
Minimum Allocation
|
| |
Maximum Allocation
|
| |||||||||
| | | 1 | | | | | | 10% | | | | | | 100% | | |
| | | 2 | | | | | | 0% | | | | | | 90% | | |
| | | 3 | | | | | | 0% | | | | | | 40% | | |
| | | 4 | | | |
Not Permitted
|
| |
Not Permitted
|
|
|
Transaction
Date |
| |
Transaction
Type |
| |
Hypothetical
Contract Value Before Transaction |
| |
Purchase
Payments |
| |
Net
Withdrawals |
| |
Hypothetical
Contract Value |
| |
Benefit
Base |
| |
Adjusted
Withdrawal Amount |
| |
Return of
Contract Value Death Benefit |
| |||||||||||||||||||||
|
1/1/25
|
| |
Contract Issue
|
| | | | N/A | | | | | | 100,000 (A) | | | | | | N/A | | | | | | 100,000 | | | | | | 100,000 | | | | | | — | | | | | | 100,000 | | |
|
1/1/26
|
| |
Anniversary
|
| | | | 120,000 (B) | | | | | | — | | | | | | — | | | | | | 120,000 | | | | | | 120,000 | | | | | | — | | | | | | 120,000 | | |
|
5/15/26
|
| |
Purchase
Payment |
| | | | 130,000 | | | | | | 80,000 (C) | | | | | | — | | | | | | 210,000 (D) | | | | | | 210,000 | | | | | | — | | | | | | 210,000 | | |
|
1/1/27
|
| |
Anniversary
|
| | | | 202,000 | | | | | | — | | | | | | — | | | | | | 202,000 | | | | | | 221,550 | | | | | | — | | | | | | 202,000 | | |
|
4/1/27
|
| |
Withdrawal
|
| | | | 208,000 | | | | | | — | | | | | | 25,000 (E) | | | | | | 183,000 (F) | | | | | | 205,642 | | | | | | 25,000 (G) | | | | | | 183,000 (H) | | |
|
1/1/28
|
| |
Anniversary
|
| | | | 190,000 | | | | | | — | | | | | | — | | | | | | 190,000 | | | | | | 216,952 | | | | | | — | | | | | | 190,000 | | |
|
7/1/28
|
| |
Quarterly
Anniversary |
| | | | 195,000 | | | | | | — | | | | | | — | | | | | | 195,000 | | | | | | 216,952 | | | | | | — | | | | | | 195,000 | | |
|
1/1/29
|
| |
Anniversary
|
| | | | 180,000 | | | | | | — | | | | | | — | | | | | | 180,000 | | | | | | 228,885 | | | | | | — | | | | | | 180,000 | | |
|
11/30/29
|
| |
SecurePay WD
|
| | | | 175,000 | | | | | | — | | | | | | 9,155 (I) | | | | | | 165,845 | | | | | | 228,885 | | | | | | 9,155 (J) | | | | | | 165,845 | | |
|
1/1/30
|
| |
SecurePay WD
|
| | | | 165,000 | | | | | | — | | | | | | 9,155 (K) | | | | | | 155,845 | | | | | | 228,885 | | | | | | 9,155 | | | | | | 155,845 | | |
|
3/31/30
|
| |
Excess
Withdrawal |
| | | | 158,000 | | | | | | — | | | | | | 16,000 (L) | | | | | | 142,000 | | | | | | 218,969 | | | | | | 16,000 (L) | | | | | | 142,000 | | |
|
7/1/30
|
| |
Owner Death
|
| | | | 125,000 (M) | | | | | | — | | | | | | — | | | | | | 125,000 | | | | | | 218,969 | | | | | | — | | | | | | 125,000 (N) | | |
|
Transaction
Date |
| |
Transaction
Type |
| |
Hypothetical
Contract Value Before Transaction |
| |
Purchase
Payments |
| |
Net
Withdrawals |
| |
Hypothetical
Contract Value |
| |
Benefit
Base |
| |
Adjusted
Withdrawal Amount |
| |
Return of
Purchase Payments Death Benefit |
| |||||||||||||||||||||
|
1/1/25
|
| |
Contract Issue
|
| | | | N/A | | | | | | 100,000 (A) | | | | | | N/A | | | | | | 100,000 | | | | | | 100,000 | | | | | | — | | | | | | 100,000 | | |
|
1/1/26
|
| |
Anniversary
|
| | | | 120,000 (B) | | | | | | — | | | | | | — | | | | | | 120,000 | | | | | | 120,000 | | | | | | — | | | | | | 120,000 | | |
|
5/15/26
|
| |
Purchase
Payment |
| | | | 130,000 | | | | | | 80,000 (C) | | | | | | — | | | | | | 210,000 (D) | | | | | | 210,000 | | | | | | — | | | | | | 210,000 | | |
|
1/1/27
|
| |
Anniversary
|
| | | | 202,000 | | | | | | — | | | | | | — | | | | | | 202,000 | | | | | | 221,550 | | | | | | — | | | | | | 202,000 | | |
|
4/1/27
|
| |
Withdrawal
|
| | | | 208,000 | | | | | | — | | | | | | 25,000 (E) | | | | | | 183,000 (F) | | | | | | 205,642 | | | | | | 21,635 (G) | | | | | | 183,000 (H) | | |
|
1/1/28
|
| |
Anniversary
|
| | | | 190,000 | | | | | | — | | | | | | — | | | | | | 190,000 | | | | | | 216,952 | | | | | | — | | | | | | 190,000 | | |
|
7/1/28
|
| |
Quarterly
Anniversary |
| | | | 195,000 | | | | | | — | | | | | | — | | | | | | 195,000 | | | | | | 216,952 | | | | | | — | | | | | | 195,000 | | |
|
1/1/29
|
| |
Anniversary
|
| | | | 180,000 | | | | | | — | | | | | | — | | | | | | 180,000 | | | | | | 228,885 | | | | | | — | | | | | | 180,000 | | |
|
11/30/29
|
| |
SecurePay WD
|
| | | | 175,000 | | | | | | — | | | | | | 11,788 (I) | | | | | | 163,212 | | | | | | 228,885 | | | | | | 11,788 (J) | | | | | | 163,212 (K) | | |
|
1/1/30
|
| |
SecurePay WD
|
| | | | 165,000 | | | | | | — | | | | | | 11,788 (L) | | | | | | 153,212 | | | | | | 228,885 | | | | | | 11,788 | | | | | | 153,212 | | |
|
3/31/30
|
| |
Excess
Withdrawal |
| | | | 158,000 | | | | | | — | | | | | | 16,000 (M) | | | | | | 142,000 | | | | | | 222,782 | | | | | | 14,843 (N) | | | | | | 142,000 (O) | | |
|
7/1/30
|
| |
Owner Death
|
| | | | 125,000 (P) | | | | | | — | | | | | | — | | | | | | 125,000 | | | | | | 222,782 | | | | | | — | | | | | | 125,000 (Q) | | |
|
Transaction
Date |
| |
Transaction
Type |
| |
Hypothetical
Contract Value Before Transaction |
| |
Purchase
Payments |
| |
Net
Withdrawals |
| |
Hypothetical
Contract Value |
| |
Benefit
Base |
| |
Adjusted
Withdrawal Amount |
| |
Anniversary
Value (A) |
| |
Maximum
Anniversary Value Death Benefit |
| ||||||||||||||||||||||||
|
1/1/25
|
| |
Contract Issue
|
| | | | N/A | | | | | | 100,000 (B) | | | | | | N/A | | | | | | 100,000 | | | | | | 100,000 | | | | | | — | | | | | | 100,000 | | | | | | — | | |
|
1/1/26
|
| |
Anniversary
|
| | | | 120,000 (C) | | | | | | — | | | | | | — | | | | | | 120,000 | | | | | | 120,000 | | | | | | — | | | | | | 133,825 | | | | | | — | | |
|
5/15/26
|
| |
Purchase
Payment |
| | | | 130,000 | | | | | | 80,000 (D) | | | | | | — | | | | | | 210,000 (E) | | | | | | 210,000 | | | | | | — | | | | | | — | | | | | | — | | |
|
1/1/27
|
| |
Anniversary
|
| | | | 202,000 | | | | | | — | | | | | | — | | | | | | 202,000 | | | | | | 221,550 | | | | | | — | | | | | | 135,825 | | | | | | — | | |
|
4/1/27
|
| |
Withdrawal
|
| | | | 208,000 | | | | | | — | | | | | | 25,000 (F) | | | | | | 183,000 (G) | | | | | | 205,642 | | | | | | 25,240 (H) | | | | | | — | | | | | | — | | |
|
1/1/28
|
| |
Anniversary
|
| | | | 190,000 | | | | | | — | | | | | | — | | | | | | 190,000 | | | | | | 216,952 | | | | | | — | | | | | | 149,065 (I) | | | | | | — | | |
|
7/1/28
|
| |
Quarterly
Anniversary |
| | | | 195,000 | | | | | | — | | | | | | — | | | | | | 195,000 | | | | | | 216,952 | | | | | | — | | | | | | — | | | | | | — | | |
|
1/1/29
|
| |
Anniversary
|
| | | | 180,000 | | | | | | — | | | | | | — | | | | | | 180,000 | | | | | | 228,885 | | | | | | — | | | | | | 139,065 | | | | | | — | | |
|
11/30/29
|
| |
SecurePay WD
|
| | | | 175,000 | | | | | | — | | | | | | 11,788 (J) | | | | | | 163,212 | | | | | | 228,885 | | | | | | 11,788 (K) | | | | | | 134,065 (L) | | | | | | — | | |
|
1/1/30
|
| |
SecurePay WD
|
| | | | 165,000 | | | | | | — | | | | | | 11,788 (M) | | | | | | 153,212 | | | | | | 228,885 | | | | | | 11,788 | | | | | | 135,853 | | | | | | — | | |
|
3/31/30
|
| |
Excess
Withdrawal |
| | | | 158,000 | | | | | | — | | | | | | 16,000 (N) | | | | | | 142,000 | | | | | | 222,782 | | | | | | 17,359 (O) | | | | | | — | | | | | | — | | |
|
7/1/30
|
| |
Owner Death
|
| | | | 125,000 (P) | | | | | | — | | | | | | — | | | | | | 125,000 | | | | | | 222,782 | | | | | | — | | | | | | — | | | | | | 149,065 (Q) | | |
|
Transaction
Date |
| |
Transaction
Type |
| |
Hypothetical
Contract Value Before Transaction |
| |
Purchase
Payments |
| |
Net
Withdrawals |
| |
Hypothetical
Contract Value |
| |
Benefit
Base |
| |
Adjusted
Withdrawal Amount |
| |
Quarterly
Anniversary Value (A) |
| |
Maximum
Quarterly Value Death Benefit |
| ||||||||||||||||||||||||
|
1/1/25
|
| |
Contract Issue
|
| | | | N/A | | | | | | 100,000 (B) | | | | | | N/A | | | | | | 100,000 | | | | | | 100,000 | | | | | | — | | | | | | 100,000 | | | | | | — | | |
|
1/1/26
|
| |
Anniversary
|
| | | | 120,000 (C) | | | | | | — | | | | | | — | | | | | | 120,000 | | | | | | 120,000 | | | | | | — | | | | | | 133,825 | | | | | | — | | |
|
5/15/26
|
| |
Purchase
Payment |
| | | | 130,000 | | | | | | 80,000 (D) | | | | | | — | | | | | | 210,000 (E) | | | | | | 210,000 | | | | | | — | | | | | | — | | | | | | — | | |
|
1/1/27
|
| |
Anniversary
|
| | | | 202,000 | | | | | | — | | | | | | — | | | | | | 202,000 | | | | | | 221,550 | | | | | | — | | | | | | 135,825 | | | | | | — | | |
|
4/1/27
|
| |
Withdrawal
|
| | | | 208,000 | | | | | | — | | | | | | 25,000 (F) | | | | | | 183,000 (G) | | | | | | 205,642 | | | | | | 25,240 (H) | | | | | | 141,825 | | | | | | — | | |
|
1/1/28
|
| |
Anniversary
|
| | | | 190,000 | | | | | | — | | | | | | — | | | | | | 190,000 | | | | | | 216,952 | | | | | | — | | | | | | 149,065 | | | | | | — | | |
|
7/1/28
|
| |
Quarterly
Anniversary |
| | | | 195,000 | | | | | | — | | | | | | — | | | | | | 195,000 | | | | | | 216,952 | | | | | | — | | | | | | 154,065 (I) | | | | | | — | | |
|
1/1/29
|
| |
Anniversary
|
| | | | 180,000 | | | | | | — | | | | | | — | | | | | | 180,000 | | | | | | 228,885 | | | | | | — | | | | | | 139,065 | | | | | | — | | |
|
11/30/29
|
| |
SecurePay WD
|
| | | | 175,000 | | | | | | — | | | | | | 11,788 (J) | | | | | | 163,212 | | | | | | 228,885 | | | | | | 11,788 (K) | | | | | | 134,065 (L) | | | | | | — | | |
|
1/1/30
|
| |
SecurePay WD
|
| | | | 165,000 | | | | | | — | | | | | | 11,788 (M) | | | | | | 153,212 | | | | | | 228,885 | | | | | | 11,788 | | | | | | 135,853 | | | | | | — | | |
|
3/31/30
|
| |
Excess
Withdrawal |
| | | | 158,000 | | | | | | — | | | | | | 16,000 (N) | | | | | | 142,000 | | | | | | 222,782 | | | | | | 17,359 (O) | | | | | | — | | | | | | — | | |
|
7/1/30
|
| |
Owner Death
|
| | | | 125,000 (P) | | | | | | — | | | | | | — | | | | | | 125,000 | | | | | | 222,782 | | | | | | — | | | | | | — | | | | | | 154,065 (Q) | | |
|
Transaction
Date |
| |
Transaction
Type |
| |
Hypothetical
Contract Value Before Transaction |
| |
Purchase
Payments |
| |
Net
Withdrawals |
| |
Hypothetical
Contract Value |
| |
Adjusted
Withdrawal Amount |
| |
Return of
Contract Value Death Benefit |
| ||||||||||||||||||
|
1/1/25
|
| |
Contract Issue
|
| | | | N/A | | | | | | 100,000 (A) | | | | | | N/A | | | | | | 100,000 | | | | | | — | | | | | | 100,000 | | |
|
1/1/26
|
| |
Anniversary
|
| | | | 120,000 (B) | | | | | | — | | | | | | — | | | | | | 120,000 | | | | | | — | | | | | | 120,000 | | |
|
1/1/27
|
| |
Anniversary
|
| | | | 130,000 | | | | | | — | | | | | | — | | | | | | 130,000 | | | | | | — | | | | | | 130,000 | | |
|
4/1/27
|
| |
Withdrawal
|
| | | | 125,000 | | | | | | — | | | | | | 25,000 (C) | | | | | | 100,000 (D) | | | | | | 25,000 (E) | | | | | | 100,000 (F) | | |
|
7/1/28
|
| |
Quarterly
Anniversary |
| | | | 105,000 | | | | | | — | | | | | | — | | | | | | 105,000 | | | | | | — | | | | | | 105,000 | | |
|
1/1/29
|
| |
Anniversary
|
| | | | 103,000 | | | | | | — | | | | | | — | | | | | | 103,000 | | | | | | — | | | | | | 103,000 | | |
|
10/1/29
|
| |
Purchase
Payment |
| | | | 85,000 | | | | | | 80,000 (G) | | | | | | — | | | | | | 165,000 | | | | | | — | | | | | | 165,000 | | |
|
11/30/29
|
| |
Withdrawal
|
| | | | 155,000 | | | | | | — | | | | | | 5,500 (H) | | | | | | 149,500 | | | | | | 5,500 (I) | | | | | | 149,500 | | |
|
1/1/30
|
| |
Anniversary
|
| | | | 152,000 | | | | | | — | | | | | | — | | | | | | 152,000 | | | | | | — | | | | | | 152,000 | | |
|
3/31/30
|
| |
Withdrawal
|
| | | | 160,000 | | | | | | — | | | | | | 16,000 (J) | | | | | | 144,000 | | | | | | 16,000 (J) | | | | | | 144,000 | | |
|
7/1/30
|
| |
Owner Death
|
| | | | 135,000 (K) | | | | | | — | | | | | | — | | | | | | 135,000 | | | | | | — | | | | | | 135,000 (K) | | |
|
Transaction
Date |
| |
Transaction
Type |
| |
Hypothetical
Contract Value Before Transaction |
| |
Purchase
Payments |
| |
Net
Withdrawals |
| |
Hypothetical
Contract Value |
| |
Adjusted
Withdrawal Amount |
| |
Return of
Purchase Payments Death Benefit |
| ||||||||||||||||||
|
1/1/25
|
| |
Contract Issue
|
| | | | N/A | | | | | | 100,000 (A) | | | | | | N/A | | | | | | 100,000 | | | | | | — | | | | | | 100,000 | | |
|
1/1/26
|
| |
Anniversary
|
| | | | 120,000 (B) | | | | | | — | | | | | | — | | | | | | 120,000 | | | | | | — | | | | | | 120,000 | | |
|
1/1/27
|
| |
Anniversary
|
| | | | 130,000 | | | | | | — | | | | | | — | | | | | | 130,000 | | | | | | — | | | | | | 130,000 | | |
|
4/1/27
|
| |
Withdrawal
|
| | | | 125,000 | | | | | | — | | | | | | 25,000 (C) | | | | | | 100,000 (D) | | | | | | 26,000 (E) | | | | | | 100,000 (F) | | |
|
7/1/28
|
| |
Quarterly
Anniversary |
| | | | 105,000 | | | | | | — | | | | | | — | | | | | | 105,000 | | | | | | — | | | | | | 105,000 | | |
|
1/1/29
|
| |
Anniversary
|
| | | | 103,000 | | | | | | — | | | | | | — | | | | | | 103,000 | | | | | | — | | | | | | 103,000 | | |
|
10/1/29
|
| |
Purchase
Payment |
| | | | 85,000 | | | | | | 80,000 (G) | | | | | | — | | | | | | 165,000 | | | | | | — | | | | | | 165,000 | | |
|
11/30/29
|
| |
Withdrawal
|
| | | | 155,000 | | | | | | — | | | | | | 5,500 (H) | | | | | | 149,500 | | | | | | 5,465 (I) | | | | | | 149,500 (J) | | |
|
1/1/30
|
| |
Anniversary
|
| | | | 152,000 | | | | | | — | | | | | | — | | | | | | 152,000 | | | | | | — | | | | | | 152,000 | | |
|
3/31/30
|
| |
Withdrawal
|
| | | | 160,000 | | | | | | — | | | | | | 16,000 (K) | | | | | | 144,000 | | | | | | 14,854 | | | | | | 144,000 | | |
|
7/1/30
|
| |
Owner Death
|
| | | | 135,000 (L) | | | | | | — | | | | | | — | | | | | | 135,000 | | | | | | — | | | | | | 135,000 (M) | | |
|
Current Purchase
Payment Plus All Prior Purchase Payments Applied to the Contract |
| |
Number of Complete Years Elapsed
Between the Date the Purchase Payment was Applied to the Contract and the Withdrawal or Surrender Date |
| |||||||||||||||||||||||||||||||||||||||||||||
|
0
|
| |
1
|
| |
2
|
| |
3
|
| |
4
|
| |
5
|
| |
6
|
| |
7+
|
| |||||||||||||||||||||||||||
|
Less than $50,000
|
| | | | 7.0% | | | | | | 6.0% | | | | | | 6.0% | | | | | | 5.0% | | | | | | 4.0% | | | | | | 3.0% | | | | | | 2.0% | | | | | | 0% | | |
|
At least $50,000 but
less than $100,000 |
| | | | 6.0% | | | | | | 5.0% | | | | | | 5.0% | | | | | | 4.0% | | | | | | 3.0% | | | | | | 2.0% | | | | | | 1.0% | | | | | | 0% | | |
|
At least $100,000 but less than $250,000
|
| | | | 5.0% | | | | | | 4.0% | | | | | | 4.0% | | | | | | 3.0% | | | | | | 2.0% | | | | | | 2.0% | | | | | | 1.0% | | | | | | 0% | | |
|
At least $250,000 but less than $500,000
|
| | | | 4.0% | | | | | | 3.0% | | | | | | 3.0% | | | | | | 2.0% | | | | | | 2.0% | | | | | | 1.0% | | | | | | 1.0% | | | | | | 0% | | |
|
At least $500,000 but less than $1,000,000
|
| | | | 3.0% | | | | | | 2.0% | | | | | | 2.0% | | | | | | 2.0% | | | | | | 1.0% | | | | | | 1.0% | | | | | | 0.5% | | | | | | 0% | | |
|
$1,000,000 or more
|
| | | | 2.0% | | | | | | 1.0% | | | | | | 1.0% | | | | | | 1.0% | | | | | | 1.0% | | | | | | 0.5% | | | | | | 0.5% | | | | | | 0% | | |
| |
Step
|
| | | $50,000 Withdrawal during the 5th Contract Year |
| | | $305,400 Full Surrender on 6th Contract Anniversary |
| |
| |
(1)
Determination of free withdrawal amount – greatest of:
(A)
Earnings in your Contract as of the prior Contract Anniversary
(B)
10% of your cumulative Purchase Payments as of the prior Contract Anniversary
(C)
10% of the Contract Value as of the prior Contract Anniversary.
|
| | |
Greatest of:
(A)
Earnings = Contract Value – total net Purchase Payments
Earnings = $270,000 – $250,000 = $20,000
(B)
10% x $250,000 = $25,000
(C)
10% x $270,000 = $27,000
Greatest value is (C), or $27,000
|
| | |
Greatest of:
(A)
Earnings = Contract Value – total net Purchase Payments Earnings = $260,000 – $227,000 = $33,000
(B)
10% x $250,000 = $25,000
(C)
10% x $260,000 = $26,000
Greatest value is (A), or $33,000
|
| |
| |
(2)
Amount subject to surrender charge: Requested amount less amount from step (1)
|
| | | $50,000 – $27,000 = $23,000 | | | | $305,400 – $33,000 = $272,400 | | |
| |
Step
|
| | | $50,000 Withdrawal during the 5th Contract Year |
| | | $305,400 Full Surrender on 6th Contract Anniversary |
| |
| |
(3)
Applicable surrender charge percentage based on the aggregate Purchase Payments and the number of full years that have passed:
NOTE: Withdrawals come from earliest Purchase Payment first (FIFO)
NOTE: We will add together all Purchase Payments received within 90 days of the Issue Date for the purpose of determining the surrender charge tier assigned to each of them.
|
| | |
•
$23,000 withdrawal comes from $95,000 Purchase Payment
•
4 full years have elapsed since Purchase Payment
•
$175,000 of Purchase Payments were made in the first 90 days
Surrender charge percentage = 2%
|
| | |
•
Since $23,000 was withdrawn from the first Purchase Payment of $95,000, $72,000 ($95,000 – $23,000)is allocated to the initial Purchase Payment
•
6 full years have elapsed since the first Purchase Payment
•
$175,000 of Purchase Payments were made in the first 90 days
Surrender charge percentage = 1%
•
Since the second Purchase Payment was $80,000, the entire $80,000 is allocated to the second Purchase Payment
•
5 full years have elapsed since the second Purchase Payment
•
$175,000 of Purchase Payments were made in the first 90 days
Surrender charge percentage = 2%
•
Since the third Purchase Payment was $75,000, the entire $75,000 is allocated to the third Purchase Payment
•
3 full years have elapsed since the third Purchase Payment
•
At the time the third Purchase Payment was made, cumulative Purchase Payments made = $250,000 so this band is used for determination of the surrender charge
Surrender charge percentage = 2%
•
Allocating the surrender amount to the three Purchase Payments covers only $227,000 of the eligible $272,400. So the remaining $45,400 must be allocated on a pro-rata basis to the remaining Purchase Payments:
•
$45,400 x ($72,000 / $227,000) = $14,400 (The first Purchase Payment has $86,400 ($72,000 + $14,400) allocated to it)
•
$45,400 x ($80,000 / $227,000) = $16,000 (The second Purchase Payment has $96,000 ($80,000 + $16,000) allocated to it)
•
$45,400 x ($75,000 / $227,000) = $15,000 (The third Purchase Payment has $90,000 ($75,000 + $15,000) allocated to it)
|
| |
| |
(4)
Surrender charge: Step (2) multiplied by step (3)
|
| | | $23,000 x 2% = $460 | | | | $86,400 x 1% = $864 $96,000 x 2% = $1,920 $90,000 x 2% = $1,800 $864 + $1,920 + $1,800 = $4,584 |
| |
Date
|
| |
Ivestment
Return During Year at 5% |
| |
Annuity
Value Before Payment |
| |
Payment
Made |
| |
Annuity
Value After Payment |
| ||||||||||||
Annuity Date
|
| | | | | | | | | $ | 100,000.00 | | | | | $ | 0.00 | | | | | $ | 100,000.00 | | |
End of 1st year
|
| | | $ | 5,000.00 | | | | | $ | 105,000.00 | | | | | $ | 23,097.48 | | | | | $ | 81,902.52 | | |
End of 2nd year
|
| | | $ | 4,095.13 | | | | | $ | 85,997.65 | | | | | $ | 23,097.48 | | | | | $ | 62,900.17 | | |
End of 3rd year
|
| | | $ | 3,145.01 | | | | | $ | 66,045.17 | | | | | $ | 23,097.48 | | | | | $ | 42,947.69 | | |
End of 4th year
|
| | | $ | 2,147.38 | | | | | $ | 45,095.08 | | | | | $ | 23,097.48 | | | | | $ | 21,997.60 | | |
End of 5th year
|
| | | $ | 1,099.88 | | | | | $ | 23,097.48 | | | | | $ | 23,097.48 | | | | | $ | 0.00 | | |
|
Contract
Year |
| |
End of
Year Attained Age |
| |
Roll Up
Percentage |
| |
Maximum
Allowed Withdrawal Percentage |
| |
Purchase
Payments |
| |
Actual
Withdrawals |
| |
Annual
Withdrawal Amount |
| |
Annual
Withdrawal Amount Balance |
| |
Excess
Withdrawal |
| |
Hypothetical
Contract Value |
| |
Highest
Quarterly Value |
| |
SecurePay
Roll-Up Value |
| |
End of
Year Benefit Base |
| ||||||||||||||||||||||||||||||||||||
|
At issue
|
| | | | 60 | | | | | | | | | | | | | | | | | | 100,000 | | | | | | N/A | | | | | | — | | | | | | — | | | | | | — | | | | | | 100,000 | | | | | | — | | | | | | 100,000 (A) | | | | | | 100,000 (A) | | |
|
1
|
| | | | 61 | | | | | | 5.5% | | | | | | 4.00% | | | | | | 50,000 (B) | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 153,975 | | | | | | 153,975 | | | | | | 155,500 (C) | | | | | | 155,500 (D) | | |
|
2
|
| | | | 62 | | | | | | 5.5% | | | | | | 4.00% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 161,676 | | | | | | 161,676 | | | | | | 164,053 (E) | | | | | | 164,053 (F) | | |
|
3
|
| | | | 63 | | | | | | 5.5% | | | | | | 4.00% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 173,698 | | | | | | 173,698 | | | | | | 173,075 (G) | | | | | | 173,698 (H) | | |
|
4
|
| | | | 64 | | | | | | 5.5% | | | | | | 4.00% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 176,543 | | | | | | 176,543 | | | | | | 183,251 | | | | | | 183,251 (I) | | |
|
5
|
| | | | 65 | | | | | | 5.5% | | | | | | 4.00% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 185,796 | | | | | | 185,796 | | | | | | 193,330 | | | | | | 193,330 (J) | | |
|
6
|
| | | | 66 | | | | | | 5.5% | | | | | | 5.15% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 192,345 | | | | | | 192,345 | | | | | | 203,963 | | | | | | 203,963 (K) | | |
|
7Q1
|
| | | | 67 | | | | | | 5.5% | | | | | | 5.15% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 228,976 | | | | | | — | | | | | | 203,963 | | | | | | 203,963 | | |
|
7Q2
|
| | | | 67 | | | | | | 5.5% | | | | | | 5.15% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 230,065 | | | | | | — | | | | | | 203,963 | | | | | | 203,963 | | |
|
7Q3
|
| | | | 67 | | | | | | 5.5% | | | | | | 5.15% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 235,765 | | | | | | — | | | | | | 203,963 | | | | | | 203,963 | | |
|
7Q4
|
| | | | 67 | | | | | | 5.5% | | | | | | 5.15% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 232,976 | | | | | | 235,765 (L) | | | | | | 215,181 | | | | | | 235,765 (M) | | |
|
8
|
| | | | 68 | | | | | | 5.5% | | | | | | 5.15% | | | | | | — | | | | | | 10,000 (N) | | | | | | — | | | | | | — | | | | | | — | | | | | | 228,630 | | | | | | 228,630 | | | | | | 238,309 (O) | | | | | | 238,309 (P) | | |
|
9
|
| | | | 69 | | | | | | 5.5% | | | | | | 5.15% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 249,675 | | | | | | 249,675 | | | | | | 251,416 | | | | | | 251,416 | | |
|
10
|
| | | | 70 | | | | | | 5.5% | | | | | | 5.15% | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 265,498 | | | | | | 265,498 | | | | | | 265,244 | | | | | | 265,498 (Q) | | |
|
11
|
| | | | 71 | | | | | | 0% (R) | | | | | | 5.40% | | | | | | — | | | | | | 14,337 | | | | | | 14,337 (S) | | | | | | — | | | | | | — | | | | | | 256,438 | | | | | | 256,438 | | | | | | 265,244 | | | | | | 265,498 | | |
|
12
|
| | | | 72 | | | | | | 0% | | | | | | 5.40% | | | | | | — | | | | | | 14,337 | | | | | | 14,337 (S) | | | | | | — | | | | | | — | | | | | | 245,854 | | | | | | 245,854 | | | | | | 265,244 | | | | | | 265,498 | | |
|
13
|
| | | | 73 | | | | | | 0% | | | | | | 5.40% | | | | | | — | | | | | | 14,337 | | | | | | 14,337 (S) | | | | | | — | | | | | | — | | | | | | 243,965 | | | | | | 243,965 | | | | | | 265,244 | | | | | | 265,498 | | |
|
14
|
| | | | 74 | | | | | | 0% | | | | | | 5.40% | | | | | | — | | | | | | 5,000 | | | | | | 14,337 (T) | | | | | | 9,337 (T) | | | | | | — | | | | | | 240,951 | | | | | | 240,951 | | | | | | 265,244 | | | | | | 265,498 | | |
|
15
|
| | | | 75 | | | | | | 0% | | | | | | 5.40% | | | | | | — | | | | | | 14,337 | | | | | | 14,337 (U) | | | | | | — | | | | | | — | | | | | | 236,710 | | | | | | 236,710 | | | | | | 265,244 | | | | | | 265,498 | | |
|
16
|
| | | | 76 | | | | | | 0% | | | | | | 5.40% | | | | | | — | | | | | | 14,337 | | | | | | 14,337 (U) | | | | | | — | | | | | | — | | | | | | 227,843 | | | | | | 227,843 | | | | | | 265,244 | | | | | | 265,498 | | |
|
17
|
| | | | 77 | | | | | | 0% | | | | | | 5.40% | | | | | | — | | | | | | 14,337 | | | | | | 14,337 (U) | | | | | | — | | | | | | — | | | | | | 201,496 | | | | | | 201,496 | | | | | | 265,244 | | | | | | 265,498 | | |
|
18
|
| | | | 78 | | | | | | 0% | | | | | | 5.40% | | | | | | — | | | | | | 50,000 | | | | | | 14,337 (V) | | | | | | — | | | | | | 35,663 (V) | | | | | | 161,985 | | | | | | 161,985 | | | | | | 214,702 | | | | | | 214,907 (W) | | |
Current Purchase Payment Plus All Prior Purchase Payments Applied to the Contract
|
| |
Quarterly
Premium-Based Charge Percentage |
| |
Annual
Equivalent |
| ||||||
Less than $50,000
|
| | | | 0.1750% | | | | | | 0.70% | | |
At least $50,000 but less than $100,000
|
| | | | 0.1600% | | | | | | 0.64% | | |
At least $100,000 but less than $250,000
|
| | | | 0.1250% | | | | | | 0.50% | | |
At least $250,000 but less than $500,000
|
| | | | 0.0875% | | | | | | 0.35% | | |
At least $500,000 but less than $1,000,000
|
| | | | 0.0625% | | | | | | 0.25% | | |
At least $1,000,000
|
| | | | 0.0375% | | | | | | 0.15% | | |
| |
STATE
|
| | |
Deadline for New Contract Purchase
|
| | |
Deadline Replacement Contract Purchase
|
| |
| | AL | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | AK | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | AZ | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | AZ – Senior (A) | | | | within thirty (30) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | AR | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | CA | | | | within twenty (20) days for greater of return of Purchase Payments & Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | CA – Senior (B) | | | | within thirty (30) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | CO | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | CT (C) | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | DE | | | | within ten (10) days for a return of Contract Value | | | | within twenty (20) days for a return of Contract Value | | |
| | DC | | | | within ten (10) days for a return of Contract Value | | | | within ten (10) days for a return of Contract Value | | |
| | FL | | | | within thirty (30) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | GA | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | HI | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | ID | | | | within twenty (20) days for greater of return of Purchase Payments & Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | IL | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | IN | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | IA | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | KS | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | KY | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | LA | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| |
STATE
|
| | |
Deadline for New Contract Purchase
|
| | |
Deadline Replacement Contract Purchase
|
| |
| | ME | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | MD | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | MA | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | MI | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | MN | | | | within twenty (20) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | MS | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | MO | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | MT | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | NE | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | NV | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | NH | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | NJ | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | NM | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | NY | | | | within ten (10) days for a return of Contract Value | | | | within sixty (60) days for a return of Contract Value | | |
| | NC | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | ND | | | | within twenty (20) days for a return of Contract Value | | | | within twenty (20) days for a return of Contract Value | | |
| | OH | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | OK | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | OR | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | PA | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | RI | | | | within twenty (20) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| |
STATE
|
| | |
Deadline for New Contract Purchase
|
| | |
Deadline Replacement Contract Purchase
|
| |
| | SC | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | SD | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | TN | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | TX | | | | within twenty (20) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | UT | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | VT | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | VA | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | WA | | | | within ten (10) days for greater of Return of Purchase Payments & Contract Value | | | | within thirty (30) days for greater of Return of Purchase Payments & Contract Value | | |
| | WV | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | WI | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
| | WY | | | | within ten (10) days for a return of Contract Value | | | | within thirty (30) days for a return of Contract Value | | |
PROTECTIVE LIFE INSURANCE COMPANY
P.O. Box 10648
Birmingham, Alabama 35202-0648
Telephone: 1-800-456-6330
STATEMENT OF ADDITIONAL INFORMATION
PROTECTIVE VARIABLE ANNUITY SEPARATE ACCOUNT
A FLEXIBLE PREMIUM
DEFERRED VARIABLE AND FIXED ANNUITY CONTRACT
This Statement of Additional Information ("SAI") contains information in addition to the information described in the Prospectus for the individual flexible premium deferred variable and fixed annuity contract (the "Contract") offered by Protective Life Insurance Company. This Statement of Additional Information is not a Prospectus. It should be read only in conjunction with the Prospectus for the Contract and the prospectuses for the Funds. That Prospectus provides detailed information concerning the Contracts and the variable investment options that fund the Contracts. Each variable investment option is a subaccount of the Company's Protective Variable Annuity Separate Account. Definitions of special terms used in the SAI are found in the Prospectus. The Prospectus for the Contract is dated December 21, 2022. You may obtain a copy of the Prospectus by writing us at P.O. Box 10648, Birmingham, Alabama 35202-0648 or calling us toll free at 1-800-456-6330.
THE DATE OF THIS STATEMENT OF ADDITIONAL INFORMATION IS DECEMBER 21, 2022.
STATEMENT OF ADDITIONAL INFORMATION
TABLE OF CONTENTS
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THE COMPANY | 1 | ||||||
SAFEKEEPING OF ACCOUNT ASSETS |
1 |
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RECORDS AND REPORTS |
1 |
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LEGAL MATTERS |
1 |
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EXPERTS |
1 |
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FINANCIAL STATEMENTS |
2 |
THE COMPANY
We are Protective Life Insurance Company (the "Company", "we," "our," "us" and "Protective Life"), a Tennessee corporation. Protective Life is the principal operating subsidiary of Protective Life Corporation ("PLC"), a U.S. insurance holding company and a wholly-owned subsidiary of Dai-ichi Life Holdings, Inc. ("Dai-ichi"). Dai-ichi's stock is traded on the Tokyo Stock Exchange. No other company has any legal responsibility to pay amounts that the Company owes under the Contracts. The Company is solely responsible for paying all amounts owed to you under the Contract.
SAFEKEEPING OF ACCOUNT ASSETS
Title to the assets of the Variable Account is held by Protective Life. The assets are kept physically segregated and held separate and apart from the Company's General Account assets and from the assets in any other separate account.
Records are maintained of all purchases and redemptions of Fund shares held by each of the Sub-Accounts.
The officers and employees of Protective Life are covered by an insurance company blanket bond issued in the amount of $50 million dollars. The bond insures against dishonest and fraudulent acts of officers and employees.
RECORDS AND REPORTS
Protective Life will maintain all records and accounts relating to the Variable Account. As presently required by the 1940 Act and regulations promulgated thereunder, reports containing such information as may be required under the Act or by any other applicable law or regulation will be sent to Owner(s) periodically at the last known address.
LEGAL MATTERS
Eversheds Sutherland (US) LLP of Washington, D. C. has provided advice on certain matters relating to the federal securities laws.
EXPERTS
The financial statements of the subaccounts, which comprise Protective Variable Annuity Separate Account as of December 31, 2021, and for each of the years or periods presented, have been incorporated by reference in this Statement of Additional Information in reliance upon the report of KPMG LLP, independent registered public accounting firm, incorporated by reference herein, and upon the authority of said firm as experts in accounting and auditing.
The consolidated financial statements and financial statement schedules of Protective Life Insurance Company and subsidiaries as of December 31, 2021 and 2020, and for each of the years in the three-year period ended December 31, 2021, have been incorporated by reference in this Statement of Additional Information in reliance upon the report of KPMG LLP, independent registered public accounting firm, incorporated by reference herein, and upon the authority of said firm as experts in accounting and auditing. The audit report covering the December 31, 2021 financial statements refers to a change in accounting principle due to the adoption of Accounting Standards Codification (ASC) Topic 326, Financial Instruments - Credit Losses as of January 1, 2020.
The business address for KPMG LLP is 420 20th Street North, Suite 1800, Birmingham, Alabama 35203.
FINANCIAL STATEMENTS
The audited statements of assets and liabilities of the subaccounts of Protective Variable Annuity Separate Account as of December 31, 2021, and the related statements of operations and of changes in net assets for each of the years or periods presented as well as the Report of Independent Registered Public Accounting Firm are incorporated by reference to the Variable Account's Form N-VPFS, File No. 811-8108 filed with the SEC on April 20, 2022.
The audited consolidated balance sheets for Protective Life Insurance Company and subsidiaries as of December 31, 2021 and 2020, and the related consolidated statements of income, comprehensive income (loss), shareowner's equity and cash flows for each of the years in the three-year period ended December 31, 2021 as well as the Report of Independent Registered Public Accounting Firm are incorporated by reference to the Variable Account's Form N-VPFS, File No. 811-8108 filed with the SEC on April 20, 2022.
Protective Life's consolidated financial statements should be considered only as bearing on its ability to meet its obligations under the Contracts. They should not be considered as bearing on the investment performance of the assets held in Protective Variable Annuity Separate Account.
PART C
OTHER INFORMATION
Item 27. Exhibits
(a) Board of Directors Resolutions
(a) (1) Resolution of the Board of Directors of Protective Life Insurance Company authorizing establishment of the Protective Variable Annuity Separate Account is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-233415), filed with the Commission on August 22, 2019.
(b) Custodial Agreements - Not Applicable
(c) Underwriting Contracts
(c) (1) Distribution Agreement among Protective Life Insurance Company, Investment Distributors, Inc. and the Protective Variable Annuity Separate Account is incorporated herein by reference to the Form N-4 Registration Statement, (File No. 333-233415), filed with the Commission on August 22, 2019.
(c) (2) Distribution Agreement between Investment Distributors, Inc. and broker-dealers is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-233415), filed with the Commission on August 22, 2019.
(c) (3) Distribution Agreement between IDI and PLICO is incorporated herein by reference to Post-Effective Amendment No. 8 to the Form N-4 Registration Statement (File No. 333-153041), filed with the Commission on September 16, 2011.
(c) (3) (i) Second Amended Distribution Agreement dated October 24, 2013 (PLICO-IDI) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-190294), filed with the Commission on April 25, 2014.
(c) (3) (ii) Revised Second Amended Distribution Agreement dated June 1, 2018 (PLICO-IDI) is incorporated herein by reference to Post-Effective Amendment No. 26 to the Form N-4 Registration Statement (File No. 333-112892), filed with the Commission on July 20, 2018.
(c) (3) (iii) Amendment No. 1 to the Second Amended Distribution Agreement (PLICO-IDI) is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-240102), filed with the Commission on July 27, 2020.
(c) (3) (iv) Revised Schedule to Second Amended Distribution Agreement between IDI and PLICO is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240102), filed with the Commission on November 25, 2020.
(d) Contracts (including Riders and Endorsements)
(d) (1) Dimensions V Contract is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(d) (2) Dimensions V Contract Schedule
- Filed herein.
(d) (3) Guaranteed Account Endorsement is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(d) (4) Waiver or Surrender Charge for Terminal Condition or Nursing Facility Confinement is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(d) (5) Return of Purchase Payments Death Benefit Rider is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(d) (6) Maximum Anniversary Value Death Benefit Rider is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(d) (7) Maximum Quarterly Value Death Benefit Rider is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(d) (8) SecurePay Income Rider
- Filed herein.
(d) (9) SecurePay Income Spousal Continuation Rider
- Filed herein.
(d) (10) Investment Options Table for the SecurePay Income Rider
- Filed herein.
(d) (11) Enhanced Death Benefit Rider for the SecurePay Income Rider
- Filed herein.
(d) (12) Nursing Home Endorsement is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(d) (13) Qualified Plan Endorsement is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(d) (14) Traditional IRA Endorsement is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(d) (15) Roth IRA Endorsement is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(e) Applications
(e) (1) Dimensions V Application
- Filed herein.
(f) Depositor's Certificate of Incorporation and By-Laws
(f) (1) 2020 Amended and Restated Charter of Protective Life Insurance Company is incorporated herein by reference to Post-Effective Amendment No. 9 to the Form N-4 Registration Statement (File No. 333-201919), filed with the Commission on February 11, 2021.
(f) (2) 2020 Amended and Restated By-laws of Protective Life Insurance Company is incorporated herein by reference to Post-Effective Amendment No. 9 to the Form N-4 Registration Statement (File No. 333-201919), filed with the Commission on February 11, 2021.
(g) Reinsurance Contracts - Not Applicable
(h) Participation Agreements
(h) (1) Participation Agreement dated April 30, 2002 (Lord Abbett Series Fund) is incorporated herein by reference to Post-Effective Amendment No. 3 to the Form N-4 Registration Statement (File No. 333-94047), filed with the Commission on April 25, 2002.
(h) (1) (i) Rule 22c-2 Shareholder Information Agreement (Lord Abbett Series Fund) is incorporated herein by reference to Post-Effective Amendment No.17 to the Form N-4 Registration Statement (File No. 33-70984), filed with the Commission on April 27, 2007.
(h) (1) (ii) Amendment dated April 28, 2022 (Lord Abbett Series Fund) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the N-4 Registration Statement (File No. 333-261426), filed July 5, 2022.
(h) (2) Participation Agreement dated December 19, 2003 (Goldman Sachs Variable Insurance Trust) is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-112892), filed with the Commission on February 17, 2004.
(h) (2) (i) Rule 22c-2 Shareholder Information Agreement dated April 11, 2007 (Goldman Sachs Variable Insurance Trust) is incorporated herein by reference to Post-Effective Amendment No.17 to the Form N-4 Registration Statement (File No. 33-70984), filed with the Commission on April 27, 2007.
(h) (2) (ii) Amendment dated April 12, 2011 to Participation Agreement re Summary Prospectus (Goldman Sachs Variable Insurance Trust) is incorporated herein by reference to Post-Effective Amendment No. 19 to the Form N-4 Registration Statement (File No. 333-113070), filed with the Commission on April 25, 2011.
(h) (2) (iii) Amendment dated December 22, 2020 to Participation Agreement (Goldman Sachs Variable Insurance Trust) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (2) (iv) Amendment dated April 12, 2021 to Participation Agreement (Goldman Sachs Variable Insurance Trust) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (2) (v) Amendment dated March 24, 2022 to Participation Agreement (Goldman Sachs Variable Insurance Trust) is incorporated herein by reference to Post-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240102), filed with the Commission on April 15, 2022.
(h) (3) Participation Agreement dated April 11, 2007 (Fidelity Variable Insurance Products) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on November 25, 2020.
(h) (3) (i) Rule 22c-2 Shareholder Information Agreement (Fidelity Variable Insurance Products) is incorporated herein by reference to Post-Effective Amendment No.17 to the Form N-4 Registration Statement (File No. 33-70984), filed with the Commission on April 27, 2007.
(h) (3) (ii) Amendment dated October 15, 2020 to Participation Agreement (Fidelity Variable Insurance Products) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on November 25, 2020.
(h) (3) (iii) Amendment dated October 11, 2021 to Participation Agreement (Fidelity Variable Insurance Products) is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-261426), filed with the Commission on November 30, 2021.
(h) (3) (iv) Amendment dated March 10, 2022 to Participation Agreement (Fidelity Variable Insurance Products) is incorporated herein by reference to Post-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240102), filed with the Commission on April 15, 2022.
(h) (4) Participation Agreement dated February 1, 2015 (Franklin Templeton Variable Insurance Products Trust) is incorporated herein by reference to Post-Effective Amendment No. 12 to the Form N-4 Registration Statement (File No. 333-190294), as filed with the Commission on April 28, 2021.
(h) (4) (i) Rule 22c-2 Shareholder Information Agreement (Franklin Templeton Variable Insurance Products Trust) is incorporated herein by reference to Post-Effective Amendment No.17 to the Form N-4 Registration Statement (File No. 33-70984), filed with the Commission on April 27, 2007.
(h) (4) (ii) Participation Agreement dated November 30, 2020 (Franklin Templeton Variable Insurance Products Trust) is incorporated herein by reference to Post-Effective Amendment No. 9 to the Form N-4 Registration Statement (File No. 333-201919), filed with the Commission on February 11, 2021.
(h) (4) (iii) Addendum dated November 30, 2020 to Participation Agreement (Franklin Templeton Variable Insurance Products Trust) is incorporated herein by reference to Post-Effective Amendment No. 9 to the Form N-4 Registration Statement (File No. 333-201919), filed with the Commission on February 11, 2021.
(h) (4) (iv) Amendment dated March 31, 2021 to Participation Agreement (Franklin Templeton Variable Insurance Products Trust) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (4) (v) Amendment dated April 1, 2022 to Participation Agreement (Franklin Templeton Variable Insurance Products Trust) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the N-4 Registration Statement (File No. 333-261426), filed July 5, 2022.
(h) (5) Participation Agreement dated June 18, 2015 (American Funds) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on November 25, 2020.
(h) (5) (i) Rule 22c-2 Shareholder Information Agreement (American Funds) is incorporated herein by reference to Post-Effective Amendment No. 11 to the Form N-4 Registration Statement (File No. 333-113070), filed with the Commission on April 30, 2008.
(h) (5) (ii) Amendment dated October 1, 2019 to Participation Agreement (American Funds) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on November 25, 2020.
(h) (5) (iii) Amendment dated November 25, 2020 to Participation Agreement (American Funds) is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-6 Registration Statement (File No. 333-248236), filed with the Commission on December 16, 2020.
(h) (5) (iv) Amendment dated March 22, 2021 to Participation Agreement (American Funds) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File 333-240192), filed with the Commission on April 16, 2021.
(h) (5) (v) Amendment dated April 29, 2022 to Participation Agreement (American Funds) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the N-4 Registration Statement (File No. 333-261426), filed July 5, 2022.
(h) (5) (vi) Amendment dated August 1, 2022 to Participation Agreement (American Funds) is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(h) (6) Participation Agreement dated November 1, 2009 (Legg Mason) is incorporated herein by reference to Post-Effective Amendment No. 15 to the Form N-4 Registration Statement (File No. 333-113070), filed with the Commission on October 28, 2009.
(h) (6) (i) Amendment dated April 11, 2014 to Participation Agreement (Legg Mason) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on November 25, 2020.
(h) (6) (ii) Amendment dated September 10, 2019 to Participation Agreement (Legg Mason) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on November 25, 2020.
(h) (6) (iii) Amendment dated August 11, 2020 to Participation Agreement (Legg Mason) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on November 25, 2020.
(h) (6) (iv) Amendment dated November 30, 2020 to Participation Agreement (Legg Mason) is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-6 Registration Statement (File No. 333-248236), filed with the Commission on December 16, 2020.
(h) (6) (v) Amendment dated April 7, 2021 to Participation Agreement (Legg Mason) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (6) (vi) Amendment dated October 26, 2022 to Participation Agreement (Legg Mason)
- Filed herein.
(h) (7) Participation Agreement dated November 1, 2009 (PIMCO Variable Insurance Trust) is incorporated herein by reference to Post-Effective Amendment No. 15 to the Form N-4 Registration Statement (File No. 333-113070), filed with the Commission on October 28, 2009.
(h) (7) (i) Novation of and Amendment dated April 25, 2011 to Participation Agreement (PIMCO Variable Insurance Trust) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on November 25, 2020.
(h) (7) (ii) Amendment dated April 25, 2011 to Participation Agreement re Summary Prospectuses (PIMCO Variable Insurance Trust) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on November 25, 2020.
(h) (7) (iii) Amendment dated September 1, 2020 to Participation Agreement (PIMCO Variable Insurance Trust) is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-6 Registration Statement (File No. 333-248236), filed with the Commission on December 16, 2020.
(h) (7) (iv) Amendment dated April 2, 2021 to Participation Agreement (PIMCO Variable Insurance Trust) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (7) (v) Amendment dated August 9, 2022 to Participation Agreement (PIMCO Variable Insurance Trust) is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-267354), filed with the Commission on September 9, 2022.
(h) (8) Participation Agreement dated February 1, 2015 (AIM-Invesco Variable Insurance Funds) is incorporated herein by reference to Pre-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on November 25, 2020.
(h) (8) (i) Rule 22c-2 Agreement (AIM-Invesco Variable Insurance Funds) is incorporated herein by reference to Post-Effective Amendment No. 12 to the Form N-4 Registration Statement (File No. 333-179649), as filed with the Commission on August 24, 2016.
(h) (8) (ii) Amendment dated July 1, 2022 to Participation Agreement (AIM-Invesco Variable Insurance Funds)
- Filed herein.
(h) (9) Participation Agreement dated December 8, 2020 (T. Rowe Price) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (9) (i) Rule 22c-2 Agreement dated December 8, 2020 (T. Rowe Price) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (9) (ii) Amendment dated May 3, 2021 to Participation Agreement (T. Rowe Price) is incorporated herein by reference to Post-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-237747), filed with the Commission on October 18, 2021.
(h) (10) Participation Agreement dated April 12, 2021 (Columbia Funds Variable Insurance Trust) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (10) (i) Participation Agreement dated April 12, 2021 (Columbia Funds Variable Insurance Trust II) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (10) (ii) Amendment dated November 23, 2021 (Columbia Funds Variable Insurance Trust II) is incorporated herein by reference to Post-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240102), filed with the Commission on April 15, 2022.
(h) (10) (iii) Amendment dated March 22, 2022 (Columbia Funds Variable Insurance Trust) is incorporated herein by reference to Post-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-240102), filed with the Commission on April 15, 2022.
(h) (11) Participation Agreement dated December 1, 2020 (BlackRock) is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-6 Registration Statement (File No. 333-248236), filed with the Commission on December 16, 2020.
(h) (11) (i) Amendment dated May 1, 2021 to Participation Agreement (BlackRock) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (12) Participation Agreement dated December 16, 2020 (Alliance Bernstein) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(h) (12) (i) Amendment dated March 15, 2021 to Participation Agreement (Alliance Bernstein) is incorporated herein by reference to Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240192), filed with the Commission on April 16, 2021.
(i) Administrative Contracts - Not Applicable
(j) Other Material Contracts - Not Applicable
(k) Legal Opinion
(k) (1) Opinion and Consent of Bradford Rodgers, Esq.
- Filed herein.
(l) Other Opinions
(l) (1) Consent of Eversheds Sutherland (US) LLP
- Filed herein.
(l) (2) Consents of KPMG LLP
- Filed herein.
(l) (3) Powers of Attorney
- Filed herein.
(m) Omitted Financial Statements - Not Applicable
(n) Initial Capital Agreements - Not Applicable
(o) Form of Initial Summary Prospectus
- Filed herein.
Item 28. Directors and Officers of Depositor
Name and Principal Business Address* | Position and Offices with Depositor | |
Adams, D. Scott | Executive Vice President, Corporate Responsibility, Strategy & Innovation | |
Banerjee Choudhury, Shiladitya (Deep) | Senior Vice President, and Treasurer | |
Bartlett, Malcolm Lee | Senior Vice President, Corporate Tax | |
Bielen, Richard J. | Chairman of the Board, Chief Executive Officer, President, and Director | |
Black, Lance P. | Executive Vice President, Acquisitions and Corporate Development | |
Cox, Kathryn S. | Senior Vice President, and President, Protection Division | |
Cramer, Steve | Senior Vice President, and Chief Product Officer | |
Creutzmann, Scott E. | Senior Vice President, and Chief Compliance Officer | |
Drew, Mark L. | Executive Vice President, and Chief Legal Officer | |
Evesque, Wendy L. | Executive Vice President, and Chief Human Resources Officer | |
Harrison, Wade V. | Executive Vice President, and Chief Retail Officer | |
Herring, Derry W | Senior Vice President, and Chief Auditor | |
Karchunas, M. Scott | Senior Vice President, and President, Asset Protection Division | |
Kohler, Matthew | Senior Vice President, and Chief Information Officer | |
Kurtz, Richard J. | Senior Vice President, and Chief Distribution Officer | |
Laeyendecker, Ronald | Senior Vice President, Executive Benefit Markets | |
Lawrence, Mary Pat | Senior Vice President, Government Affairs | |
Lee, Felicia M. | Secretary, and Senior Counsel | |
McDonald, Laura Y. | Senior Vice President, and Chief Mortgage and Real Estate Officer | |
Passafiume, Philip E. | Executive Vice President, and Chief Investment Officer | |
Peeler, Rachelle R. | Senior Vice President, and Senior Human Resources Partner | |
Pugh, Barbara N. | Senior Vice President, and Chief Accounting Officer | |
Radnoti, Francis L. | Senior Vice President, Chief Product Officer, and Designated Illustration Actuary | |
Rahman, Pooja T. | Senior Vice President, and Chief Risk Officer | |
Ray, Webster M. | Senior Vice President, Investments | |
Riebel, Matthew A. | Senior Vice President, and Chief Distribution Officer | |
Seurkamp, Aaron C. | Senior Vice President, and President, Retirement Division | |
Wagner, James | Senior Vice President, and Chief Distribution Officer | |
Wahlheim, Cary T. | Senior Vice President, and Senior Counsel | |
Walker, Steven G. | Vice Chairman, Finance and Risk, and Director | |
Wells, Paul R. | Executive Vice President, Chief Financial Officer, and Director | |
Whitcomb, John | Senior Vice President, Distribution Operations | |
Williams, Doyle J. | Senior Vice President | |
Williams, Lucinda S. | Executive Vice President, and Chief Operating Officer |
* Unless otherwise indicated, principal business address is 2801 Highway 280 South, Birmingham, Alabama 35223
Item 29. Persons Controlled by or Under Common Control With the Depositor or the Registrant
Item 30. Indemnification
Article XI of the By-laws of Protective Life provides, in substance, that any of Protective Life’s directors and officers, who is a party or is threatened to be made a party to any action, suit or proceeding, other than an action by or in the right of Protective Life, by reason of the fact that he is or was an officer or director, shall be indemnified by Protective Life against expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with such claim, action, suit or proceeding if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of Protective Life and, with respect to any criminal action or proceeding, had no reasonable cause to believe his conduct was unlawful. If the claim, action or suit is or was by or in the right of Protective Life to procure a judgment in its favor, such person shall be indemnified by Protective Life against expenses (including attorneys’ fees) actually and reasonably incurred by him in connection with the defense or settlement of such action or suit if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of Protective Life, except that no indemnification shall be made in respect of any claim, issue or matter as to which such person shall have been adjudged to be liable for negligence or misconduct in the performance of his duty to Protective Life unless and only to the extent that the court in which such action or suit was brought shall determine upon application that, despite the adjudication of liability but in view of all circumstances of the case, such person is fairly and reasonably entitled to indemnity for such expenses which such court shall deem proper. To the extent that a director or officer has been successful on the merits or otherwise in defense of any such action, suit or proceeding, or in defense of any claim, issue or matter therein, he shall be indemnified by Protective Life against expenses (including attorneys’ fees) actually and reasonably incurred by him in connection therewith, not withstanding that he has not been successful on any other claim issue or matter in any such action, suit or proceeding. Unless ordered by a court, indemnification shall be made by Protective Life only as authorized in the specific case upon a determination that indemnification of the officer or director is proper in the circumstances because he has met the applicable standard of conduct. Such determination shall be made (a) by the Board of Directors by a majority vote of a quorum consisting of directors who were not parties to, or who have been successful on the merits or otherwise with respect to, such claim action, suit or proceeding, or (b) if such a quorum is not obtainable, or, even if obtainable a quorum of disinterested directors so directs, by independent legal counsel in a written opinion or (c) by the shareholders.
In addition, the executive officers and directors are insured by PLC’s Directors’ and Officers’ Liability Insurance Policy including Company Reimbursement and are indemnified by a written contract with PLC which supplements such coverage.
Insofar as indemnification for liability arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the Registrant pursuant to the foregoing provisions, or otherwise, the Registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the Registrant of expenses incurred or paid by a director, officer or controlling person of the Registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the Registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue.
Item 31. Principal Underwriters
(a) Investment Distributors, Inc. (“IDI”) is the principal underwriter of the Contracts as defined in the Investment Company Act of 1940. IDI is also principal underwriter for the Protective Variable Life Separate Account, Variable Annuity Account A of Protective Life, PLICO Variable Annuity Account S, PLAIC Variable Annuity Account S, Protective COLI VUL, Protective NY COLI VUL and Protective Acquired Variable Annuity Separate Account.
(b) The following information is furnished with respect to the officers and directors of Investment Distributors, Inc.
Name and Principal Business Address* | Position and Offices | Position and Offices with Registrant | ||
Coffman, Benjamin P. | Assistant Financial Officer | Senior Director Financial Reporting | ||
Creutzmann, Scott E. | Chief Compliance Officer, and Director | Senior Vice President and Chief Compliance Officer | ||
Gilmer, Joseph F. | Assistant Financial Officer | Senior Analyst Financial Reporting | ||
Guerrera, Darren C. | Chief Financial Officer | Vice President | ||
Hicks, Victoria Ann | Senior Supervisory Principal | Senior Supervisory Principal | ||
Johnson, Julena G. | Assistant Compliance Officer | Director Regulatory | ||
Lee, Felicia M. | Secretary | Secretary, Vice President, and Senior Counsel | ||
Lippeatt, Jason H. | Supervisory Principal | Supervisory Principal | ||
Morsch, Letitia A. | Assistant Secretary, and Director | Vice President, Head of New Business Operations | ||
Reed, Alisha D. | Director | Vice President, Head of Marketing Strategy | ||
Richards, Megan P. | Assistant Secretary | Assistant Secretary | ||
Tennent, Rayburn | Assistant Financial Officer | Senior Analyst Financial Reporting | ||
Wagner, James | President | Senior Vice President and Chief Distribution Officer |
* Unless otherwise indicated, principal business address is 2801 Highway 280 South, Birmingham, Alabama, 35223.
(c) The following commissions were received by each principal underwriter, directly or indirectly, from the Registrant during the Registrant’s last fiscal year:
(1) Name of Principal |
|
(2) Net Underwriting |
|
(3) Compensation on |
|
(4) Brokerage |
|
(5) Other |
Investment Distributors, Inc. |
|
N/A |
|
None |
|
N/A |
|
N/A |
Item 32. Location of Accounts and Records.
All accounts and records required to be maintained by Section 31(a) of the Investment Company Act of 1940 and the rules thereunder are maintained by Protective Life Insurance Company at 2801 Highway 280 South, Birmingham, Alabama 35223.
Item 33. Management Services.
All management contracts are discussed in the Prospectus or Statement of Additional Information.
Item 34. Fee Representation
Protective Life Insurance Company 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 Protective Life Insurance Company.
SIGNATURES
PROTECTIVE VARIABLE ANNUITY SEPARATE ACCOUNT |
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By: |
* |
| |
Richard J. Bielen, President |
| ||
Protective Life Insurance Company |
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PROTECTIVE LIFE INSURANCE COMPANY |
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By: |
* |
| |
Richard J. Bielen, President |
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Protective Life Insurance Company |
| ||
As required by the Securities Act of 1933, this Pre-Effective Amendment to the Registration Statement on Form N-4 has been signed by the following persons in the capacities and on the dates indicated:
Signature | Title | Date | |||
* | Chairman of the Board, President, | ||||
Richard J. Bielen | Chief Executive Officer, and Director | December 15, 2022 | |||
(Principal Executive Officer) | |||||
* | Vice Chairman, Finance & Risk, | December 15, 2022 | |||
Steven G. Walker | and Director | ||||
* | Executive Vice President, Chief Financial | December 15, 2022 | |||
Paul R. Wells | Officer, and Director (Principal Accounting and Financial Officer) | ||||
*BY: | /S/ BRADFORD RODGERS | December 15, 2022 | |||
Bradford Rodgers | |||||
Attorney-in-Fact | |||||
EXHIBIT INDEX
(d) (2) Dimensions V Contract Schedule
(d) (8) SecurePay Income Rider
(d) (9) SecurePay Income Spousal Continuation Rider
(d) (10) Investment Options Table for the SecurePay Income Rider
(d) (11) Enhanced Death Benefit Rider for the SecurePay Income Rider
(e) (1) Dimensions V Application
(h) (6) (vi) Amendment dated October 26, 2022 to Participation Agreement (Legg Mason)
(h) (8) (ii) Amendment dated July 1, 2022 to Participation Agreement (AIM-Invesco Variable Insurance Funds)
(k) (1) Opinion and Consent of Bradford Rodgers, Esq.
(l) (1) Consent of Eversheds Sutherland (US) LLP
(l) (2) Consents of KPMG LLP
(l) (3) Powers of Attorney
(o) Form of Initial Summary Prospectus
INVESTMENT OPTIONS AVAILABLE ON THE ISSUE DATE
|
|
|
|
Protective Life Guaranteed Account
|
|
|
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Fixed Account
|
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DCA Account 1
|
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DCA Account 2
|
|
|
|
|
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Sub-Accounts of the Protective Variable Annuity Separate Account
|
|
|
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AllianceBernstein
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Fidelity (continued)
|
Growth and Income Class B
|
Total Market Index Service Class 2
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Large Cap Growth Class B
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Utilities Initial Class
|
Small Cap Growth Class B
|
Value Strategies Service Class 2
|
Small/Mid Cap Value Class B
|
Franklin Templeton
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American Funds® IS
|
ClearBridge Mid Cap Class II
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American High-Income Class 2
|
ClearBridge Small Cap Growth Class II
|
Asset Allocation Class 2
|
Franklin DynaTech Class 2
|
Capital Income Builder Class 2
|
Franklin Income Class 2
|
Capital World Bond Class 2
|
Franklin Rising Dividends Class 2
|
Capital World Growth & Income Class 2
|
Franklin Small Cap Value Class 2
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Global Growth Class 2
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Franklin Small-Mid Cap Growth Class 2
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Global Small Capitalization Class 2
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Templeton Developing Markets Class 2
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Growth Class 2
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Goldman Sachs
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Growth-Income Class 2
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Core Fixed Income Service Shares
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International Class 2
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Mid Cap Growth Service Shares
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International Growth and Income Class 2
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Strategic Growth Service Shares
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New World Class 2
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Invesco Advisers
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The Bond Fund of America Class 2
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Comstock Series II
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U. S. Government Securities Class 2
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Conservative Balanced Series II
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Washington Mutual Investors Class 2
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Discovery Mid Cap Growth Series II
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BlackRock
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Equity and Income Series II
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60/40 Target Allocation Class III
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Global Series II
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Global Allocation Class III
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Global Real Estate Series II
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International Class I
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Government Securities Series II
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Columbia Threadneedle
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Growth and Income Series II
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Balanced Class 2
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Main Street® Small Cap Series II
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Emerging Markets Bond Class 2
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Small Cap Equity Series II
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Limited Duration Credit Class 2
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U.S. Government Money Series I
|
Select Mid Cap Value Class 2
|
Lord Abbett
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Strategic Income Class 2
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Bond Debenture Value Class
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Fidelity
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Dividend Growth Value Class
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Asset Manager Service Class 2
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Growth Opportunities Value Class
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Asset Manager Growth Service Class 2
|
Short Duration Income Value Class
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Balanced Service Class 2
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PIMCO
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Bond Index Service Class 2
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Low Duration Advisor Class
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Contrafund Service Class 2
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Real Return Advisor Class
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Energy Service Class 2
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Short-Term Advisor Class
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Extended Market Index Service Class 2
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Total Return Advisor Class
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FundsManager 60% Service Class 2
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T. Rowe Price
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FundsManager 85% Service Class 2
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All-Cap Opportunities Class I
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Health Care Service Class 2
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Blue Chip Growth Class II
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Index 500 Service Class 2
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Health Sciences Class II
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International Index Service Class 2
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Moderate Allocation Class I
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Investment Grade Bond Service Class 2
|
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Mid Cap Service Class 2
|
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Technology Initial Class
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Contract #
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VA10000001
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Owner 1 Name:
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John Doe
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Rider Effective Date
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Month Day, Year
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Rider Purchase Age Limits:
|
We will not issue a Rider with the Benefit described herein if any Owner or Annuitant is younger than Age 55 or older than Age 80 .
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Annual Benefit Cost on the Rider Effective Date:
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1.50% (Guaranteed for the first fee calculation date after the Rider Effective Date. May be changed as described in the Rider's “Benefit Cost” provision, subject to the Maximum Annual Benefit Cost shown below.)
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Maximum Annual Benefit Cost:
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2.20%
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Initial Benefit Base:
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$100,000.00
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Maximum Benefit Base:
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$5,000,000.00 (5 million dollars)
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Limitations on Additional Purchase Payments:
|
In addition to the specific Purchase Payment limitations shown on the Contract's Schedule, while this Rider remains in effect we will not accept any Purchase Payment we receive on or after the earlier of:
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Contract Allocation Restrictions on the Rider Effective Date:
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Roll-Up Percentage:
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7.00% (FOR CALCULATION OF ROLL-UP VALUES DURING ROLL-UP PERIODS PRIOR TO THE BENEFIT ELECTION DATE)
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RIDER SCHEDULE (continued)
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Review Date:
|
The Review Date is based on the Rider Effective Date and is the same day of the month in three month intervals.
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Portfolio Rebalancing:
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We rebalance the Variable Account Value to the current Contract allocation semi-annually based on the Rider Effective Date, unless you instruct us to rebalance quarterly or annually.
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Withdrawal Percentages
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(FOR CALCULATION OF ANNUAL WITHDRAWAL AMOUNTS ON AND AFTER THE BENEFIT ELECTION DATE)
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Age of Covered Person
on the Benefit Election Date |
Withdrawal
Percentage |
Age of Covered Person
on the Benefit Election Date |
Withdrawal
Percentage |
59 1/2
|
4.60%
|
78
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6.10%
|
60
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4.60%
|
79
|
6.15%
|
61
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4.65%
|
80
|
6.20%
|
62
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4.75%
|
81
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6.25%
|
63
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5.10%
|
82
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6.30%
|
64
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5.35%
|
83
|
6.35%
|
65
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5.45%
|
84
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6.40%
|
66
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5.50%
|
85
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6.45%
|
67
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5.55%
|
86
|
6.50%
|
68
|
5.60%
|
87
|
6.55%
|
69
|
5.65%
|
88
|
6.60%
|
70
|
5.70%
|
89
|
6.65%
|
71
|
5.75%
|
90
|
6.70%
|
72
|
5.80%
|
91
|
6.70%
|
73
|
5.85%
|
92
|
6.70%
|
74
|
5.90%
|
93
|
6.70%
|
75
|
5.95%
|
94
|
6.70%
|
76
|
6.00%
|
95
|
6.70%
|
77
|
6.05%
|
|
|
Permissible Investment Options On and After the Benefit Election Date | |
(See Page 1 for Permissible Investment Options Before the Benefit Election Date) | |
Protective Life Guaranteed Account | |
DCA Accounts 1 and 2 are available for Purchase Payments designated for dollar cost averaging. The Rider’s Contract allocation restrictions then in effect apply upon transfer of such funds from a DCA Account to the Variable Account. The Fixed Account is not available for allocation. | |
Protective Life Pre-Selected Allocation Options | |
Balanced Growth & Income – Domestic Focus | |
Balanced Growth & Income – Global Focus | |
Permissible allocation percentages and other Contract allocation restrictions are shown in the Rider Schedule at the beginning of this Rider.
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|
PROTECTIVE LIFE INSURANCE COMPANY | P. O. BOX 1928 | BIRMINGHAM, ALABAMA 35282-8238 |
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Category 2 – Moderate (continued)
|
Purchase Payment
|
DCA
Allocation
|
Investment Option
|
%
|
%
|
Fidelity® Variable Insurance Products Asset Manager Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products Asset Manager Growth Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products Balanced Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products FundsManager 60% Portfolio Service Class 2
|
%
|
%
|
Franklin Income VIP Fund Class 2
|
%
|
%
|
Invesco V.I. Conservative Balanced Fund Series II
|
%
|
%
|
Lord Abbett Series Fund Bond-Debenture Portfolio VC Shares
|
%
|
%
|
T. Rowe Price Moderate Allocation Portfolio Class I
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|
|
Category 3 – Aggressive
|
Purchase Payment
|
DCA
Allocation
|
Investment Option
|
%
|
%
|
AB Variable Products Series Growth and Income Portfolio Class B
|
%
|
%
|
AB Variable Products Series Large Cap Growth Portfolio Class B
|
%
|
%
|
American Funds® IS Capital World Growth & Income Fund Class 2
|
%
|
%
|
American Funds® IS Global Growth Fund Class 2
|
%
|
%
|
American Funds® IS Global Small Cap Fund Class 2
|
%
|
%
|
American Funds® IS Growth Fund Class 2
|
%
|
%
|
American Funds® IS Growth-Income Fund Class 2
|
%
|
%
|
American Funds® IS International Fund Class 2
|
%
|
%
|
American Funds® IS International Growth and Income Fund Class 2
|
%
|
%
|
American Funds® IS Washington Mutual Investors Fund Class 2
|
%
|
%
|
BlackRock International V.I. Fund Class I
|
%
|
%
|
Fidelity® Variable Insurance Products Contrafund Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products FundsManager 85% Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products Health Care Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products Index 500 Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products International Index Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products Total Market Index Portfolio Service Class 2
|
%
|
%
|
Franklin Rising Dividends VIP Fund Class 2
|
%
|
%
|
Goldman Sachs Variable Insurance Trust Mid Cap Growth Fund Service Shares
|
%
|
%
|
Goldman Sachs Variable Insurance Strategic Growth Fund Service Shares
|
%
|
%
|
Invesco V.I. Equity and Income Fund Series II
|
%
|
%
|
Lord Abbett Series Fund Dividend Growth Portfolio VC Shares
|
%
|
%
|
T. Rowe Price Blue Chip Growth Portfolio Class II
|
|
|
Category 4 – Not available if you purchase SecurePay Income
|
Purchase Payment
|
DCA
Allocation
|
Investment Option
|
%
|
%
|
AB Variable Products Series Small Cap Growth Portfolio Class B
|
%
|
%
|
AB Variable Products Series Small/Mid Cap Value Portfolio Class B
|
%
|
%
|
American Funds® IS New World Fund Class 2
|
%
|
%
|
ClearBridge Variable Mid Cap Portfolio Class II
|
%
|
%
|
ClearBridge Variable Small Cap Growth Portfolio Class II
|
%
|
%
|
Columbia Variable Portfolio – Select Mid Cap Value Fund Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products Energy Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products Extended Market Index Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products Mid Cap Portfolio Service Class 2
|
%
|
%
|
Fidelity® Variable Insurance Products Technology Portfolio Initial Class
|
%
|
%
|
Fidelity® Variable Insurance Products Utilities Portfolio Initial Class
|
%
|
%
|
Fidelity® Variable Insurance Products Value Strategies Portfolio Service Class 2
|
%
|
%
|
Franklin DynaTech VIP Fund Class 2
|
%
|
%
|
Franklin Small Cap Value VIP Fund Class 2
|
%
|
%
|
Franklin Small-Mid Cap Growth VIP Fund Class 2
|
%
|
%
|
Invesco V.I. Comstock Fund Series II
|
%
|
%
|
Invesco V.I. Discovery Mid Cap Growth Fund Series II
|
%
|
%
|
Invesco V.I. Global Fund Series II
|
%
|
%
|
Invesco VI.I Global Real Estate Fund Series II
|
%
|
%
|
Invesco V.I. Growth and Income Fund Series II
|
%
|
%
|
Invesco V.I. Main Street Small Cap Fund Series II
|
%
|
%
|
Invesco V.I. Small Cap Equity Fund Series II
|
%
|
%
|
Lord Abbett Series Fund Growth Opportunities Portfolio VC Shares
|
%
|
%
|
T. Rowe Price All-Cap Opportunities Portfolio Class I
|
%
|
%
|
T. Rowe Price Health Sciences Portfolio Class II
|
%
|
%
|
Templeton Developing Markets VIP Fund Class 2
|
OPTIONAL BENEFITS AND FEATURES
Select the options to be included in your contract, and complete any additional required forms.
|
|
Optional Management Tools Available Without Charges or Fees
|
|
____
|
Automatic Purchase Plan – Complete form LAD-1128. Not available if Partial Automatic Withdrawals are selected.
|
____
|
Partial Automatic Withdrawals – Complete forms LAD-1147 and LAD-1133. Not available if Automatic Purchase Plan is selected.
|
____
|
Portfolio Rebalancing – Required, if SecurePay Income is selected.
Rebalance to my current Variable Account allocation quarterly semi-annually annually on the day
(1st – 28th) of the month.
|
Optional Benefits Offered with a Separate, Additional Charge or Fee
Enhanced Death Benefits – Do not select more than one enhanced death benefit.
|
|
____
|
Return of Purchase Payments Death Benefit
|
____
|
Maximum Anniversary Value Death Benefit - Not available if any Owner or Annuitant is age 78 or older.
|
____
|
Maximum Quarterly Value Death Benefit - Not available if any Owner or Annuitant is age 78 or older.
|
Protected Lifetime Income Benefit
|
|
____
|
SecurePay Income - Not available if any Owner or Annuitant is younger than age 55 or older than age 80.
|
Separate Account
|
Product
|
Protective Variable Annuity Separate Account
|
Protective Variable Annuity
Protective Variable Annuity II
ProtectiveValues
ProtectiveValues Advantage
ProtectiveValues Access
Protective Rewards B2A
Rewards II
Rewards Elite
Protective Access XL
Protective Dimensions
Protective Variable Annuity, Series B, C and L
Protective Investors Series
Protective Dimensions II
Protective Variable Annuity II B Series
Protective Investors Series- ADV
Protective Dimensions III
Protective Dimensions IV
Protective Investors Benefit Advisory Variable Annuity
Protective Aspirations
Protective Dimensions V
|
Protective Variable Life Separate Account
|
Premiere II
Premiere II 2003
Single Premium Plus
Preserver
Preserver II
Premiere III
Investors Choice
Protective Strategic Objectives VUL
Protective Strategic Objectives II VUL
Protective Investors Benefit Advisory VUL
|
Protective COLI VUL Separate Account
|
Protective Executive Benefits Registered VUL
|
Protective COLI PPVUL Separate Account
|
Protective Executive Benefits Private Placement VUL
|
PLICO Variable Annuity Account S
|
Schwab Genesis Variable Annuity
Schwab Genesis Advisory Variable Annuity
|
Protective BOLI PPVUL Separate Account
|
Protective Executive Benefits Private Placement VUL
|
Very truly yours,
|
|
|
|
Eversheds Sutherland (US) LLP
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By:
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/s/ Thomas E. Bisset
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Thomas E. Bisset
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Protective Dimensions V Variable Annuity | File No. 333-267354 | |
/s/ Paul R. Wells | /s/ Richard J. Bielen | |
Paul R. Wells | Richard J. Bielen | |
/s/ Steven G. Walker | ||
Steven G. Walker |
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Protective Dimensions V Variable Annuity
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Protective Life Insurance Company
Protective Variable Annuity Separate Account P.O. Box 10648 Birmingham, Alabama 35202‑0648 Telephone: 1‑800‑456‑6330 Fax: 205‑268‑6479 www.protective.com |
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FEES AND EXPENSES
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Charges for Early Withdrawals
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If you surrender or make a withdrawal from your Contract within seven (7) years following your last Purchase Payment and before the Annuity Date, you will be assessed a surrender charge of up to 7% on the amount of the withdrawal minus the annual free withdrawal amount. The surrender charge percentage is based on the cumulative Purchase Payments as of the date each Purchase Payment is made, and declines to 0% over seven (7) years.
For example, assume you purchased a Contract with a single Purchase Payment of $100,000 and surrender the Contract during the first Contract Year. Your free withdrawal amount is $10,000 (10% x $100,000) and is not subject to a surrender charge. If you were subject to the highest surrender charge percentage, you could be assessed a withdrawal charge of up to $6,300 (7% x $90,000) on the remaining amount of your surrender request. However, because the actual surrender charge percentage will be based on your cumulative Purchase Payments, a lower surrender charge percentage would apply and a lower surrender charge assessed.
For additional information about charges for surrenders and early withdrawals, see “CHARGES AND DEDUCTIONS – Surrender Charge (Contingent Deferred Sales Charge)” in the Prospectus.
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Transaction Charges
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In addition to surrender charges, you may also be assessed a fee for each transfer after the first 12 transfers in a Contract Year.
For additional information about transaction charges, see “FEE TABLE – Transaction Expenses” and “CHARGES AND DEDUCTIONS” in the Prospectus.
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Ongoing Fees and Expenses (annual charges)
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| | 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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Annual Fee
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Minimum
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Maximum
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| Base contract (1) | | |
1.18%
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1.18%
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| Investment options (Fund fees and expenses) (2) | | |
0.35%
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1.44%
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| Optional benefits available for an additional charge (for a single optional benefit, if elected) | | |
See Rate
Sheet Prospectus Supplement (3) |
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See Rate
Sheet Prospectus Supplement (4) |
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Lowest Annual Cost:
$1,207 |
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Highest Annual Cost:
$4,706 |
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| Assumes: | | | Assumes: | |
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Investment of $100,000
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5% annual appreciation
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Least expensive combination of Base Contract fee and Fund fees and expenses
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No optional benefits
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No additional Purchase Payments, transfers or withdrawals
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No sales charges
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Investment of $100,000
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5% annual appreciation
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Most expensive combination of Base Contract fee, optional benefits and Fund fees and expenses
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No additional Purchase Payments, transfers, or withdrawals
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No sales charges
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RISKS
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Risk of Loss
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You can lose money by investing in this Contract, including loss of principal.
For additional information about the risk of loss, see “PRINCIPAL RISKS OF INVESTING IN THE CONTRACT” in the Prospectus.
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Not a Short-Term Investment
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This Contract is not a short-term investment and is not appropriate for an investor who needs ready access to cash. Although you are permitted to take withdrawals or surrender the Contract, surrender charges and federal and state income taxes may apply.
Surrender charges may apply for up to seven (7) years following your last Purchase Payment. Withdrawals will reduce your Contract Value and death benefit.
The benefits of tax deferral and living benefit protections also mean the Contract is less beneficial to investors with a short time horizon.
For additional information about the investment profile of the Contract, see “PRINCIPAL RISKS OF INVESTING IN THE CONTRACT,” “CHARGES AND DEDUCTIONS,” ”FEDERAL TAX MATTERS,” and “TAXATION OF ANNUITIES IN GENERAL” in the Prospectus.
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Risks Associated with 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 available under the Contract.
Each Investment Option (including the Guaranteed Account) has its own unique risks.
You should review the prospectuses for the available Funds and consult with your financial professional before making an investment decision.
For additional information about the risks associated with Investment Options, see “PRINCIPAL RISKS OF INVESTING IN THE CONTRACT” in the Prospectus.
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Insurance Company Risks
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An investment in the Contract is subject to the risks related to the Company. Any obligations (including under the Guaranteed Account), guarantees, or benefits under the Contract are subject to the claims-paying ability of the Company. More information about the Company, including its financial strength ratings, is available upon request at no charge by calling us at 1-800-456-6330 or writing us at the address shown on the cover page.
For additional information about Company risks, see “PRINCIPAL RISKS OF INVESTING IN THE CONTRACT,” and “THE COMPANY, VARIABLE ACCOUNT AND FUNDS” in the Prospectus.
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RESTRICTIONS
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Investments
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Currently, there is no charge when you transfer Contract Value among Investment Options. However, we reserve the right to charge $25 for each transfer after the first 12 transfers in any Contract Year in the future.
We reserve the right to remove or substitute Funds as Investment Options that are available under the Contract. We also reserve the right to restrict the allocation of additional Purchase Payments and/or transfers of Contract Value to a Fund if we determine the Fund no longer meets one or more of our Fund selection criteria and/or if a Fund has not attracted significant contract owner assets.
For additional information about Investment Options, see “CHARGES AND DEDUCTIONS – Transfer Fee” and “THE COMPANY, VARIABLE ACCOUNT AND FUNDS – Selection of Funds – Addition, Deletion or Substitutions of Investments” in the Prospectus.
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Optional Benefits
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If you select a Protected Lifetime Income Benefit rider:
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The Investment Options available to you under the Contract will be limited.
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You may not make additional Purchase Payments two years or more after the Rider Issue Date or on or after the Benefit Election Date, whichever comes first.
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Withdrawals from Contract Value that exceed the Annual Withdrawal Amount under the rider may significantly reduce or eliminate the rider benefits.
We may stop offering an optional benefit rider at any time.
If you purchase an optional death benefit, withdrawals may reduce the benefit by an amount greater than the value withdrawn.
For additional information about the optional benefits, see “PROTECTED LIFETIME INCOME BENEFIT (“SECUREPAY INCOME”)” and “DEATH BENEFIT - Selecting a Death Benefit” in the Prospectus.
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TAXES
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Tax Implications
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You should consult with a qualified tax advisor regarding the federal tax implications of an investment in, payments received under, and other transactions in connection with this Contract.
If you purchase the Contract through a tax-qualified plan or individual retirement arrangement (IRA), you do not get any additional tax deferral. Generally, all earnings on the investments underlying the Contract are tax-deferred until distributed or deemed distributed. A distribution from a non-Qualified Contract, which includes a surrender, withdrawal, payment of a death benefit, or annuity income payments, will generally result in taxable income if there has been an increase in the Contract Value. In the case of a Qualified Contract, a distribution generally will result in taxable income even if there has not been an increase in the Contract Value. In certain circumstances, a 10% additional tax may also apply if the Owner takes a withdrawal before age 59½. All amounts includable in income with respect to the Contract are taxed as ordinary income; no amounts are taxed at the special lower rates applicable to long term capital gains and corporate dividends.
For additional information about tax implications, see “FEDERAL TAX MATTERS” and “TAXATION OF ANNUITIES IN GENERAL” in the Prospectus.
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CONFLICTS OF INTEREST
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Investment Professional Compensation
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We pay compensation, in the form of commissions, non-cash compensation, and asset-based compensation, to broker-dealers in connection with the promotion and sale of the Contracts. A portion of any payments made to the broker-dealers may be passed on to their registered representatives in accordance with their internal compensation programs. The prospect of receiving, or the receipt of, asset-based compensation may provide broker-dealers and/or their registered representatives with an incentive to recommend initial or continued investment in the Contracts over other variable insurance products (or other investments). You may wish to take such compensation arrangements into account when considering and evaluating any recommendation relating to the Contracts.
For additional information about compensation, see “DISTRIBUTION OF THE CONTRACTS” in the Prospectus.
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Exchanges
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Some investment professionals may have a financial incentive to offer you a new contract in place of the contract you already own. You should only exchange your current contract if you determine, after comparing the features, fees, and risks of both contracts, that it is better for you to purchase the new contract rather than continue to own your existing contract.
For additional information about exchanges, see “TAXATION OF ANNUITIES IN GENERAL – Exchanges of Annuity Contracts” in the Prospectus.
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Name of Benefit
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Purpose
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Is Benefit
Standard or Optional? |
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Maximum Fee
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Brief Description of
Restrictions/Limitations |
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Contract Value Death Benefit
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| | Guarantees beneficiaries will receive a benefit at least equal to your Contract Value. | | | Standard | | | No charge | | | None. | |
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Return of Purchase Payments Death Benefit
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Equal to the greater of:
1. the Contract Value or
2. the aggregate Purchase Payments less an adjustment for each withdrawal.
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| | Optional | | | 1.00% (as an annualized percentage of the death benefit value on each Monthly Anniversary Date) | | |
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Death Benefit will never be more than the Contract Value plus $1,000,000.
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Withdrawals can reduce the value of the Death Benefit by more than the amount withdrawn.
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Available only at purchase.
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It is possible this Death Benefit will be no greater than the Contract Value Death Benefit, for which we do not assess a fee.
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Name of Benefit
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Purpose
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Is Benefit
Standard or Optional? |
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Maximum Fee
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Brief Description of
Restrictions/Limitations |
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Maximum Anniversary Value Death Benefit
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Equal to the greatest of:
1. the Contract Value,
2. the aggregate Purchase Payments less an adjustment for each withdrawal ,or
3. the greatest anniversary value attained prior to the older Owner’s 83rd birthday.
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| | Optional | | | 1.00% (as an annualized percentage of the death benefit value on each Monthly Anniversary Date) | | |
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Available only at purchase.
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Death Benefit will never be more than the Contract Value plus $1,000,000.
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It is possible that this Death Benefit will be no greater than the Contract Value Death Benefit, for which we do not assess a fee.
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Cannot be elected if the oldest Owner is 78 or older.
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Withdrawals can reduce the value of the Death Benefit by more than the amount withdrawn.
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Maximum Quarterly Value Death Benefit
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Equal to the greatest of:
1. the Contract Value,
2. the aggregate Purchase Payments less an adjustment for each withdrawal, or
3. the greatest Quaterly Anniversary value attained prior to the older Owner’s 83rd birthday.
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| | Optional | | | 1.00% (as an annualized percentage of the death benefit value on each Monthly Anniversary Date) | | |
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Available only at purchase.
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Death Benefit will never be more than the Contract Value plus $1,000,000.
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It is possible that this Death Benefit will be no greater than the Contract Value Death Benefit, for which we do not assess a fee.
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Cannot be elected if the oldest Owner is 78 or older.
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Withdrawals can reduce the value of the Death Benefit by more than the amount withdrawn.
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Name of Benefit
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Purpose
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Maximum Fee
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Current Fee
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Brief Description of
Restrictions/Limitations |
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SecurePay Income rider
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| | Provides an Annual Withdrawal Amount that is guaranteed for life, even if Contract Value is reduced to zero. This rider also includes a “roll-up” feature that may increase your Annual Withdrawal Amount. | | |
2.20% (if selected at Contract purchase) (1)
2.20% (if under RightTime) (1)
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| | See Rate Sheet Prospectus Supplement | | |
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Allocation of Purchase Payments or Contract Value to the Fixed Account is not permitted.
Benefit limits available Investment Options during accumulation phase and withdrawal phase.
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No Purchase Payments two years or more after Rider Issue Date or on or after Benefit Election Date, whichever comes first.
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Excess Withdrawals may significantly reduce or eliminate value of benefit.
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Available to Contract Owners age 55 to 80.
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Name of Benefit
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Purpose
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Maximum Fee
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Brief Description of
Restrictions/Limitations |
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Portfolio Rebalancing
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| | Automatically rebalances the Sub-Accounts you select (either quarterly, semi-annually or annually) to maintain your chosen percentage allocation of Variable Account value among the Sub-Accounts. | | |
None
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If you purchase the SecurePay Income rider, your allocations must comply with our Allocation Guidelines and Restrictions.
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Dollar Cost Averaging
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| | Automatically transfers a specific amount of money from the DCA Account or the Fixed Account to the Sub-Accounts you select, on a monthly basis over a specific period of time. | | |
None
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If you purchase the SecurePay Income rider, your allocations must comply with our Allocation Guidelines and Restrictions.
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Automatic Withdrawal Plan (“AWP”)
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| | Automatically withdraws a level dollar amount from the Contract on a monthly or quarterly basis before the Annuity Date. | | |
None
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If, during a Contract Year, the amount of withdrawals exceed the annual free withdrawal amount, we will deduct a surrender charge.
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If you select the SecurePay Income rider, the AWP will reduce Benefit Base and available SecurePay withdrawals.
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Income taxes, including an additional tax if you are younger than age 591/2, may apply.
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With the SecurePay Income rider (1)
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Without the SecurePay Income rider
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Minimum Initial Purchase Payment
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| | $10,000 | | | $10,000 | |
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Minimum Subsequent Purchase Payment
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| | $100 ($50 if made by electronic funds transfer) |
| | $100 ($50 if made by electronic funds transfer) |
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Maximum Aggregate Purchase Payment (2)
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| | $1,000,000 | | | $1,000,000 | |
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Limitations on withdrawal amounts
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At any time before the Annuity Date, you may withdraw the Contract Value provided the Contract Value remaining after the withdrawal is at least $5,000.If you request a withdrawal that would reduce your Contract Value below $5,000, we will (1) confirm the request for partial withdrawal with the Contract Owner, and, (2) if the request is confirmed, will treat the request for partial withdrawal as a request to fully surrender the Contract.
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If you select SecurePay Income rider, special withdrawal rules apply.
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Surrender charges and taxes
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Surrender charges and federal and state income taxes may apply, as well as a 10% federal additional tax if the withdrawal occurs before the Owner reaches age 59½.
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Negative impact of withdrawal on other benefits and guarantees of your Contract
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Withdrawals reduce your Contract Value and death benefit, and may reduce the value of the SecurePay Income rider.
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Maximum Surrender Charge (as a % of amount surrendered) (1)
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7%
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Transfer Fee (2)
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$25
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Administrative Expenses(1)
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$50
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Base Contract Expenses (as a percentage of average Variable Account value)(2)
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0.65%
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Maximum Premium Based Charge (as an annualized percentage of each Purchase Payment, deducted quarterly)(3)
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0.70%
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Maximum
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Current
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Purchase of SecurePay Income rider at Contract Purchase
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| | | | 2.20% | | | |
See Rate Sheet
Prospectus Supplement |
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Purchase of SecurePay Income rider under RightTime
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| | | | 2.20% | | | |
See Rate Sheet
Prospectus Supplement |
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Minimum
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Maximum
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Annual Fund Expenses before any waivers or expense reimbursements (expenses that are deducted from Fund assets, including management fees, distribution and/or service (12b-1) fees, and other expenses)
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| | | | 0.35% | | | | | | 1.44% | | |
Annual Fund Expenses after any waivers or expense reimbursements (1)
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| | | | 0.35% | | | | | | 1.44% | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 12,238 | | | | | $ | 23,610 | | | | | $ | 34,743 | | | | | $ | 64,844 | | |
Minimum Fund Expense
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| | | $ | 11,266 | | | | | $ | 20,746 | | | | | $ | 30,014 | | | | | $ | 55,815 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 11,018 | | | | | $ | 19,864 | | | | | $ | 28,267 | | | | | $ | 50,613 | | |
Minimum Fund Expense
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| | | $ | 10,040 | | | | | $ | 16,952 | | | | | $ | 23,401 | | | | | $ | 40,943 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 6,010 | | | | | $ | 18,427 | | | | | $ | 31,423 | | | | | $ | 64,844 | | |
Minimum Fund Expense
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| | | $ | 4,791 | | | | | $ | 15,386 | | | | | $ | 26,493 | | | | | $ | 55,815 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 4,706 | | | | | $ | 14,450 | | | | | $ | 24,673 | | | | | $ | 50,613 | | |
Minimum Fund Expense
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| | | $ | 3,661 | | | | | $ | 11,358 | | | | | $ | 19,601 | | | | | $ | 40,943 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 10,184 | | | | | $ | 17,128 | | | | | $ | 23,224 | | | | | $ | 37,737 | | |
Minimum Fund Expense
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| | | $ | 9,206 | | | | | $ | 14,202 | | | | | $ | 18,312 | | | | | $ | 27,789 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 9,621 | | | | | $ | 15,451 | | | | | $ | 20,422 | | | | | $ | 32,137 | | |
Minimum Fund Expense
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| | | $ | 8,636 | | | | | $ | 12,470 | | | | | $ | 15,352 | | | | | $ | 21,504 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 3,814 | | | | | $ | 11,546 | | | | | $ | 19,417 | | | | | $ | 37,737 | | |
Minimum Fund Expense
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| | | $ | 2,769 | | | | | $ | 8,440 | | | | | $ | 14,297 | | | | | $ | 27,789 | | |
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1 year
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3 years
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5 years
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10 years
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Maximum Fund Expense
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| | | $ | 3,212 | | | | | $ | 9,765 | | | | | $ | 16,497 | | | | | $ | 32,137 | | |
Minimum Fund Expense
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| | | $ | 2,160 | | | | | $ | 6,601 | | | | | $ | 11,212 | | | | | $ | 21,504 | | |
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Asset
Allocation Type |
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Portfolio Company - Investment Adviser; Sub-
Adviser(s), as applicable |
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Current
Expenses |
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Average Annual Total Returns
(as of 12/31/2021) |
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SecurePay Income
Rider Allocation Investment Category(2) |
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1 Year
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5 Year
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10 Year
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U.S. Equity
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| | | AB VPS Growth and Income B(1) | | | |
0.84%
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27.84%
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12.58%
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13.39%
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3
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U.S. Equity
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| | | AB VPS Large Cap Growth B | | | |
0.90%
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28.65%
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25.78%
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20.52%
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3
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U.S. Equity
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| | | AB VPS Small Cap Growth B(1) | | | |
1.15%
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9.20%
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24.72%
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17.82%
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4
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U.S. Equity
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| | | AB VPS Small/Mid Cap Value B | | | |
1.05%
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35.60%
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9.88%
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12.85%
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4
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Taxable Bond
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American Funds® IS American High-Income Trust 2(1)
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0.55%
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8.42%
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6.58%
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6.23%
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2
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Allocation
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| | | American Funds® IS Asset Allocation 2 | | | |
0.55%
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15.10%
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11.71%
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11.33%
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2
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Allocation
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| | | American Funds® IS Capital Income Builder® 2(1) | | | |
0.52%
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14.94%
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8.26%
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—
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2
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Taxable Bond
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| | | American Funds® IS Capital World Bond 2 | | | |
0.75%
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-4.92%
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3.49%
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2.07%
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1
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International
Equity |
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American Funds® IS Capital World Growth & Income 2(1)
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0.67%
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14.78%
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13.27%
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11.63%
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3
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International
Equity |
| | | American Funds® IS Global Growth 2(1) | | | |
0.67%
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16.42%
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19.70%
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15.66%
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3
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International
Equity |
| | | American Funds® IS Global Small Cap 2(1) | | | |
0.90%
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6.74%
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15.45%
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12.51%
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3
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U.S. Equity
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| | | American Funds® IS Growth 2 | | | |
0.60%
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21.97%
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25.43%
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19.71%
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3
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U.S. Equity
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| | | American Funds® IS Growth-Income 2 | | | |
0.54%
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24.10%
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16.39%
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15.42%
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3
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International
Equity |
| | | American Funds® IS International 2 | | | |
0.79%
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| | |
-1.49%
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| | |
9.63%
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| | |
8.13%
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| | |
3
|
| |
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International
Equity |
| | |
American Funds® IS International Growth and Income 2(1)
|
| | |
0.78%
|
| | |
5.37%
|
| | |
8.76%
|
| | |
6.95%
|
| | |
3
|
| |
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International
Equity |
| | | American Funds® IS New World 2(1) | | | |
0.82%
|
| | |
4.92%
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| | |
13.25%
|
| | |
8.67%
|
| | |
4
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| |
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Taxable Bond
|
| | | American Funds® IS The Bond Fund of America 2(1) | | | |
0.45%
|
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-0.31%
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4.25%
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| | |
3.27%
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | American Funds® IS US Government Securities 2(1) | | | |
0.47%
|
| | |
-0.62%
|
| | |
3.30%
|
| | |
2.29%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | |
American Funds® IS Washington Mutual Investor 2(1)
|
| | |
0.52%
|
| | |
27.78%
|
| | |
12.50%
|
| | |
13.75%
|
| | |
3
|
| |
| |
Allocation
|
| | | BlackRock 60/40 Target Allocation ETF VI III(1) | | | |
0.63%
|
| | |
11.70%
|
| | |
10.99%
|
| | |
—
|
| | |
2
|
| |
| |
Allocation
|
| | |
BlackRock Global Allocation V.I. III - BlackRock (Singapore) Limited(1)
|
| | |
1.00%
|
| | |
6.42%
|
| | |
9.71%
|
| | |
7.68%
|
| | |
2
|
| |
| |
International
Equity |
| | |
BlackRock International V.I. I - BlackRock International Limited(1)
|
| | |
0.93%
|
| | |
11.30%
|
| | |
9.61%
|
| | |
7.80%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | |
ClearBridge Variable Mid Cap II - ClearBridge Investments, LLC
|
| | |
1.10%
|
| | |
28.38%
|
| | |
13.98%
|
| | |
14.04%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | |
ClearBridge Variable Small Cap Growth II - ClearBridge Investments, LLC
|
| | |
1.06%
|
| | |
12.31%
|
| | |
21.04%
|
| | |
16.82%
|
| | |
4
|
| |
| |
Allocation
|
| | | Columbia VP Balanced 2 | | | |
1.01%
|
| | |
14.62%
|
| | |
12.18%
|
| | |
11.31%
|
| | |
2
|
| |
| |
Taxable Bond
|
| | | Columbia VP Emerging Markets Bond 2 | | | |
1.01%
|
| | |
-2.45%
|
| | |
3.92%
|
| | |
—
|
| | |
2
|
| |
| |
Taxable Bond
|
| | | Columbia VP Limited Duration Credit 2(1) | | | |
0.73%
|
| | |
-0.84%
|
| | |
2.75%
|
| | |
2.38%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | | Columbia VP Select Mid Cap Value 2(1) | | | |
1.08%
|
| | |
31.97%
|
| | |
12.72%
|
| | |
13.63%
|
| | |
4
|
| |
| |
Taxable Bond
|
| | | Columbia VP Strategic Income 2(1) | | | |
0.93%
|
| | |
1.63%
|
| | |
4.67%
|
| | |
4.53%
|
| | |
2
|
| |
| |
Asset
Allocation Type |
| | |
Portfolio Company - Investment Adviser; Sub-
Adviser(s), as applicable |
| | |
Current
Expenses |
| | |
Average Annual Total Returns
(as of 12/31/2021) |
| | |
SecurePay Income
Rider Allocation Investment Category(2) |
| | ||||||||
|
1 Year
|
| | |
5 Year
|
| | |
10 Year
|
| | | | | | |||||||||||||
| |
Allocation
|
| | |
Fidelity® VIP Asset Manager Growth Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.93%
|
| | |
13.69%
|
| | |
12.19%
|
| | |
10.39%
|
| | |
2
|
| |
| |
Allocation
|
| | |
Fidelity® VIP Asset Manager Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.84%
|
| | |
9.68%
|
| | |
9.74%
|
| | |
8.37%
|
| | |
2
|
| |
| |
Allocation
|
| | |
Fidelity® VIP Balanced Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.71%
|
| | |
17.99%
|
| | |
14.69%
|
| | |
12.37%
|
| | |
2
|
| |
| |
Taxable Bond
|
| | |
Fidelity® VIP Bond Index Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.39%
|
| | |
-2.24%
|
| | |
—
|
| | |
—
|
| | |
1
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Contrafund Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.85%
|
| | |
27.51%
|
| | |
19.87%
|
| | |
16.35%
|
| | |
3
|
| |
| |
Sector Equity
|
| | |
Fidelity® VIP Energy Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.90%
|
| | |
54.83%
|
| | |
-3.55%
|
| | |
0.02%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Extended Market Index Service 2 - Geode Capital Management, LLC
|
| | |
0.38%
|
| | |
20.93%
|
| | |
—
|
| | |
—
|
| | |
4
|
| |
| |
Allocation
|
| | | Fidelity® VIP FundsManager 60% Service 2(1) | | | |
0.75%
|
| | |
12.21%
|
| | |
11.10%
|
| | |
9.44%
|
| | |
2
|
| |
| |
Allocation
|
| | | Fidelity® VIP FundsManager 85% Service 2(1) | | | |
1.05%
|
| | |
17.64%
|
| | |
14.22%
|
| | |
12.14%
|
| | |
3
|
| |
| |
Sector Equity
|
| | |
Fidelity® VIP Health Care Portfolio Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.88%
|
| | |
11.45%
|
| | |
—
|
| | |
—
|
| | |
3
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Index 500 Service 2 - Geode Capital Management, LLC
|
| | |
0.35%
|
| | |
28.26%
|
| | |
18.05%
|
| | |
16.15%
|
| | |
3
|
| |
| |
International
Equity |
| | |
Fidelity® VIP International Index Service 2 - Geode Capital Management, LLC
|
| | |
0.42%
|
| | |
7.48%
|
| | |
—
|
| | |
—
|
| | |
3
|
| |
| |
Taxable Bond
|
| | |
Fidelity® VIP Investment Grade Bond Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.64%
|
| | |
-0.90%
|
| | |
4.08%
|
| | |
3.29%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Mid Cap Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.86%
|
| | |
25.31%
|
| | |
13.32%
|
| | |
13.00%
|
| | |
4
|
| |
| |
Sector Equity
|
| | |
Fidelity® VIP Technology Initial - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.62%
|
| | |
28.16%
|
| | |
34.83%
|
| | |
24.38%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Total Market Index Service 2 - Geode Capital Management, LLC
|
| | |
0.37%
|
| | |
25.38%
|
| | |
—
|
| | |
—
|
| | |
3
|
| |
| |
Sector Equity
|
| | |
Fidelity® VIP Utilities Initial - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.65%
|
| | |
17.43%
|
| | |
13.13%
|
| | |
11.57%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | |
Fidelity® VIP Value Strategies Service 2 - FMR Investment Management (U.K.) Limited; Fidelity Management & Research (Japan) Limited; Fidelity Management & Research (HK) Ltd
|
| | |
0.88%
|
| | |
33.34%
|
| | |
13.67%
|
| | |
13.47%
|
| | |
4
|
| |
| |
Asset
Allocation Type |
| | |
Portfolio Company - Investment Adviser; Sub-
Adviser(s), as applicable |
| | |
Current
Expenses |
| | |
Average Annual Total Returns
(as of 12/31/2021) |
| | |
SecurePay Income
Rider Allocation Investment Category(2) |
| | ||||||||
|
1 Year
|
| | |
5 Year
|
| | |
10 Year
|
| | | | | | |||||||||||||
| |
U.S. Equity
|
| | | Franklin DynaTech VIP Fund - Class 2 | | | |
0.92%
|
| | |
16.14%
|
| | |
23.64%
|
| | |
16.66%
|
| | |
4
|
| |
| |
Allocation
|
| | | Franklin Income VIP 2 | | | |
0.72%
|
| | |
16.75%
|
| | |
7.45%
|
| | |
7.38%
|
| | |
2
|
| |
| |
U.S. Equity
|
| | | Franklin Rising Dividends VIP 2 | | | |
0.88%
|
| | |
26.79%
|
| | |
16.81%
|
| | |
14.40%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | Franklin Small Cap Value VIP 2 | | | |
0.91%
|
| | |
25.37%
|
| | |
9.94%
|
| | |
12.13%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | | Franklin Small Mid Cap Growth VIP 2 | | | |
1.08%
|
| | |
10.01%
|
| | |
20.84%
|
| | |
15.70%
|
| | |
4
|
| |
| |
Taxable Bond
|
| | | Goldman Sachs VIT Core Fixed Income Service(1) | | | |
0.67%
|
| | |
-2.23%
|
| | |
3.58%
|
| | |
3.16%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | |
Goldman Sachs VIT Mid Cap Growth Service (formerly, Goldman Sachs VIT Growth Opportunities Fund)(1)
|
| | |
0.99%
|
| | |
11.48%
|
| | |
21.22%
|
| | |
16.00%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | Goldman Sachs VIT Strategic Growth Service(1) | | | |
0.99%
|
| | |
21.56%
|
| | |
24.26%
|
| | |
18.71%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | Invesco V.I. Discovery Mid Cap Growth II | | | |
1.08%
|
| | |
18.79%
|
| | |
22.75%
|
| | |
17.53%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | | Invesco V.I. Main Street Small Cap II | | | |
1.18%
|
| | |
22.26%
|
| | |
13.46%
|
| | |
14.40%
|
| | |
4
|
| |
| |
Allocation
|
| | | Invesco VI Conservative Balanced II(1) | | | |
0.92%
|
| | |
9.48%
|
| | |
8.00%
|
| | |
7.40%
|
| | |
2
|
| |
| |
U.S. Equity
|
| | | Invesco VI Comstock II | | | |
0.99%
|
| | |
33.04%
|
| | |
11.12%
|
| | |
12.59%
|
| | |
4
|
| |
| |
Allocation
|
| | | Invesco VI Equity and Income II | | | |
0.80%
|
| | |
18.35%
|
| | |
9.27%
|
| | |
10.28%
|
| | |
3
|
| |
| |
International
Equity |
| | | Invesco VI Global II | | | |
1.03%
|
| | |
15.17%
|
| | |
17.88%
|
| | |
13.96%
|
| | |
4
|
| |
| |
Sector Equity
|
| | |
Invesco VI Global Real Estate II - Invesco Asset Management Ltd
|
| | |
1.22%
|
| | |
25.44%
|
| | |
7.27%
|
| | |
7.84%
|
| | |
4
|
| |
| |
Taxable Bond
|
| | | Invesco VI Government Securities II | | | |
0.93%
|
| | |
-2.43%
|
| | |
2.21%
|
| | |
1.52%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | | Invesco VI Growth and Income II | | | |
0.80%
|
| | |
18.35%
|
| | |
9.27%
|
| | |
10.28%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | | Invesco VI Small Cap Equity II | | | |
1.20%
|
| | |
20.09%
|
| | |
13.15%
|
| | |
12.01%
|
| | |
4
|
| |
| |
Money Market
|
| | | Invesco VI US Government Money Portfolio I | | | |
0.52%
|
| | |
0.01%
|
| | |
0.73%
|
| | |
0.37%
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | Lord Abbett Series Bond-Debenture VC | | | |
0.89%
|
| | |
3.28%
|
| | |
5.66%
|
| | |
6.33%
|
| | |
2
|
| |
| |
U.S. Equity
|
| | | Lord Abbett Series Dividend Growth VC(1) | | | |
0.99%
|
| | |
25.62%
|
| | |
15.79%
|
| | |
14.17%
|
| | |
3
|
| |
| |
U.S. Equity
|
| | | Lord Abbett Series Growth Opportunities VC | | | |
1.26%
|
| | |
6.46%
|
| | |
19.29%
|
| | |
15.34%
|
| | |
4
|
| |
| |
Taxable Bond
|
| | | Lord Abbett Series Short Duration Income VC | | | |
0.83%
|
| | |
0.63%
|
| | |
2.42%
|
| | |
—
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | PIMCO VIT Low Duration Advisor | | | |
0.75%
|
| | |
-1.03%
|
| | |
1.44%
|
| | |
1.49%
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | PIMCO VIT Real Return Advisor | | | |
0.77%
|
| | |
5.48%
|
| | |
5.23%
|
| | |
3.05%
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | PIMCO VIT Short-Term Advisor | | | |
0.70%
|
| | |
-0.16%
|
| | |
1.68%
|
| | |
1.53%
|
| | |
1
|
| |
| |
Taxable Bond
|
| | | PIMCO VIT Total Return Advisor | | | |
0.75%
|
| | |
-1.36%
|
| | |
3.83%
|
| | |
3.33%
|
| | |
1
|
| |
| |
U.S. Equity
|
| | | T. Rowe Price All-Cap Opportunities Portfolio(1) | | | |
0.80%
|
| | |
20.80%
|
| | |
26.19%
|
| | |
19.64%
|
| | |
4
|
| |
| |
U.S. Equity
|
| | | T. Rowe Price Blue Chip Growth Portfolio II(1) | | | |
1.00%
|
| | |
17.33%
|
| | |
22.96%
|
| | |
18.93%
|
| | |
3
|
| |
| |
Sector Equity
|
| | | T. Rowe Price Health Sciences Portfolio II(1) | | | |
1.19%
|
| | |
12.83%
|
| | |
19.22%
|
| | |
20.13%
|
| | |
4
|
| |
| |
Allocation
|
| | | T. Rowe Price Moderate Allocation(1) | | | |
0.71%
|
| | |
10.06%
|
| | |
10.98%
|
| | |
9.85%
|
| | |
2
|
| |
| |
International
Equity |
| | |
Templeton Developing Markets VIP 2 - Franklin Templeton Investment Management Ltd
|
| | |
1.44%
|
| | |
-5.74%
|
| | |
10.60%
|
| | |
4.84%
|
| | |
4
|
| |
|
Investment Category
|
| |
Minimum Allocation
|
| |
Maximum Allocation
|
| |||||||||
| | | 1 | | | | | | 10% | | | | | | 100% | | |
| | | 2 | | | | | | 0% | | | | | | 90% | | |
| | | 3 | | | | | | 0% | | | | | | 40% | | |
| | | 4 | | | |
Not Permitted
|
| |
Not Permitted
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1 Organizational Chart of Dai-ichi Life Holdings, Inc., as of September 30, 2022 Corporation3 7 Ltd. Superannuation 2 (Australia) (Singapore) Solutions 1 2 3 4 DAI-ICHI SEIMEI CARD SERVICE Co., LTD. 9.58% 5 Dai-ichi Life Holdings, Inc. as follows: Management 6 (Vietnam) 7 The voting rights pertaining to O.M. Building Management Inc. are split among the other affiliates of Dai-ichi Life Holdings, Inc. as follows: The Dai-ichi Life Insurance Company, Limited 10%. As such, the Dai-ichi group owns 50% of the voting rights pertaining to O.M. Building Management Inc. Effissimo Capital Management Pte Ltd. (Effissimo) and Effissimos controlling persons Takashi Kousaka, Hisaaki Sato, and Yoichiro Imai are considered by the New York State Department of Financial Services, for New York insurance regulatory purposes only, to be controlling persons of MONY Life Insurance Company and Protective Life and Annuity Insurance Company. Based on the Statement of Changes to Large-Volume Holdings available on the Electronic Disclosure for Investors Network (EDINET) as of October 6, 2022, Effissimo, a non-affiliated asset management company, may be deemed the beneficial owner of 8.99% of the common stock of Dai-ichi Life Holdings, Inc. 1 * Dai-ichi Life Holdings, Inc.* (Japan) (Ultimate Controlling Person) 99.998% 70% 85.5% Dai-ichi Life International Holdings LLC (Japan) Dai-ichi Life Realty Asset Management 5 Co, Ltd. (Japan) SOHGO HOUSING CO., Ltd. 6 (Japan) Dai-ichi Life Insurance 2 (Cambodia) PLC. (Cambodia) QOLead, Ltd. (Japan) Dai-ichi Life International Limited (Japan) DLI North America Inc. (USA) The Dai-ichi Life Insurance 2 Company, Limited (Japan) THE DAI-ICHI BUILDING CO., LTD. (Japan) Protective Life (USA) 40% 36.84% 24% 45.94% 10.45% Vertex Investment Solutions, Inc. (Japan) O.M. Building Management Inc. (Japan) PT Panin Internasional (Indonesia) OCEAN LIFE INSURANCE PUBLIC COMPANY 2 (Thailand) TAL Dai-ichi Life Australia Pty Limited (Australia) Star Union Dai-ichi Life Insurance Company Limited 2 (India) YuLife Holdings (United Kingdom) Dai-ichi Life International (Europe) Limited (UK) The Neo First Life Insurance Company, Limited 2 (Japan) TAL Dai-ichi Life Group Pty Limited (Australia) TAL Services Limited (Australia) Affinia Financial Advisers Limited (Australia) TAL Australia Distribution Limited (Australia) National Financial Solutions Pty Limited (Australia) Lifebroker Pty Limited (Australia) TAL Life Limited (Australia) Asteron Life & Limited2 TAL Distribution Holdings Limited (Australia) TAL Life Insurance Services Limited (Australia) 51.25% The Dai-ichi Life Research Institute Inc.4 (Japan) DLI Asia Pacific Pte. Ltd. Lifebroker NZ Limited (New Zealand) TAL Superannuation Limited (Australia) InsuranceLine Limited (New Zealand) International Life Proprietary Limited (South Africa) 49% Dai-ichi Life Reinsurance Bermuda Ltd. (Bermuda) The Dai-ichi Frontier Life 2 Insurance Co., Ltd. (Japan) Asset Management (Japan) One Co., Ltd. Except as otherwise indicated, chart does not reflect less than 50% ownership interests Insurance company Pages 3-6 contain a list of Protective Life Corporations subsidiaries The voting rights pertaining to The Dai-ichi Life Research Institute Inc. are split among other affiliates of Dai-ichi Life Holdings, Inc. as follows: THE DAI-ICHI BUILDING CO., LTD. 26.25% Dai-ichi Life Insurance Company of Vietnam, Limited 2 (Vietnam) NIHON BUSSAN CO., LTD. 8.75% The Dai-ichi Life Information Systems Co., Ltd. 4.17% As such, the Dai-ichi group owns 100% of the voting rights pertaining to The Dai-ichi Life Research Institute Inc. The voting rights pertaining to Dai-ichi Life Realty Asset Management Co., Ltd. are split among other affiliates of SOHGO HOUSING CO., Ltd. 30%. As such, the Dai-ichi group owns 100% of the voting rights pertaining to Dai-ichi Life Realty Asset Management Co., Ltd. The voting rights pertaining to SOHGO HOUSING CO., Ltd. are split among the other affiliates of Dai-ichi Life Holdings, Inc. as follows: The Dai-ichi Building Co., Ltd. 14.5%. As such, the Dai-ichi group owns 100% of the voting rights pertaining to SOGHO HOUSING CO., Ltd. Dai-ichi Life Vietnam Fund Company Limited TAL Direct Pty Ltd. (Australia)
Organizational Chart of Dai-ichi Life Holdings, Inc., as of September 30, 2022 68% (Japan) 32 (Myanmar) 1 The voting rights pertaining to DAI-ICHI SEIMEI CARD SERVICE Co., LTD. are split among the other affiliates of Dai-ichi Life Holdings, Inc. as follows: THE DAI-ICHI BUILDING CO., LTD. 11.57% NIHON BUSSAN CO., LTD. 20% SOHGO HOUSING CO., Ltd. 10% The Dai-ichi Life Information Systems Co., Ltd. 3.33% As such, the Dai-ichi group owns 95% of the voting rights pertaining to DAI-ICHI SEIMEI CARD SERVICE Co., LTD. 2 The voting rights pertaining to Corporate-pension Business Service Co., Ltd. are split among the other affiliates of Dai-ichi Life Holdings, Inc. as follows: The Dai-ichi Life Information Systems Co., Ltd. 1% As such, the Dai-ichi group owns 50% of the voting rights pertaining to Corporate-pension Business Service Co., Ltd. 2 Dai-ichi Life Holdings, Inc. (Japan) (Ultimate Controlling Person) The Dai-ichi Life Insurance Company, Limited (Japan) 100% 100% 100% 100% 100% Asset Guardian Company, Limited (Japan) A.F. BUILDING MANAGEMENT CO., LTD. (Japan) Dai-ichi Life Business Service Co., Ltd. (Japan) The Dai-ichi Life Information Systems Co., Ltd. (Japan) Alpha Consulting Co., Ltd. 100% 50.1% 49% 100% Dai-ichi Life Challenged Co., Ltd. (Japan) 1 DAI-ICHI SEIMEI CARD SERVICE Co., LTD. (Japan) Dai-ichi Smart Small-amount and Short-term Insurance Company, Limited (Japan) Corporate-pension Business Service Co., Ltd. (Japan) Dai-ichi Life Insurance Myanmar Ltd.
Organizational Chart of Dai-ichi Life Holdings, Inc., as of September 30, 2022 Protective Life and Annuity Insurance Company (AL) PLC owns 100% of non-voting preferred stock TIN 63-0761690 PLICO owns 100% of stock NAIC 60234 1 insurance company 2 captive insurance company 3 Dai-ichi Life Holdings, Inc. (Japan) (Ultimate Controlling Person) Protective Life Corporation (DE) TIN 95-2492236 Protective Life Insurance Company1 (TN) PLC owns 100% of stock TIN 63-0169720 NAIC 68136 West Coast Life Insurance Company1 (NE) PLICO owns 100% of stock TIN 94-0971150 NAIC 70335 MONY Life Insurance Company1 (NY) PLICO owns 100% of stock TIN 13-1632487 NAIC 66370 1 (commercially domiciled NY) PLICO owns 100% of voting stock NAIC 88536 Protective Finance Corporation (DE) PLICO owns 100% of stock TIN 51-0372969 Protective Finance Corporation II (DE) PLICO owns 100% of stock TIN 63-1187532 Protective Finance Corporation IV (DE) PLICO owns 100% of stock TIN 30-0559075 Golden Gate Captive Insurance Company2 (VT) TIN 63-1191165
Organizational Chart of Dai-ichi Life Holdings, Inc., as of September 30, 2022 Concourse Financial Group Securities, Inc. (AL) PLC owns 100% of stock (Bermuda) TIN 98-1512479 PLC owns 100% of stock Warranty Topco, Inc. owns 100% of stock (Turks & Caicos) TIN 98-0159153 1 2 registered investment adviser Florida specialty insurer 4 Dai-ichi Life Holdings, Inc. (Japan) (Ultimate Controlling Person) Protective Life Corporation (DE) TIN 95-2492236 Investment Distributors, Inc. (TN) PLC owns 100% of stock TIN 63-1100710 1 (formerly ProEquities, Inc.) TIN 63-0879387 Protective Real Estate Holdings, Inc. (DE) PLC owns 100% of stock TIN 52-1985171 Protective Life Reinsurance Bermuda Ltd. PLC owns 100% of stock Concourse Financial Group Agency, Inc. (AL) (formerly First Protective Insurance Group, Inc.) PLC owns 100% of stock TIN 63-0846761 Warranty Topco, Inc. (DE) TIN 26-3854933 Empower Financial Resources, Inc. (DE) (formerly Financial Leadership Alliance, Inc.) PLC owns 100% of stock TIN 46-5331907 Interstate National Corporation (DE) TIN 20-4197367 D.R.G., Inc. d/b/a Payment Insured Plan (OR) Interstate National Corporation owns 100% of stock TIN 93-1160837 National Warranty Corp. (OR) Interstate National Corporation owns 100% of stock TIN 93-1198148 Interstate National Dealer Services, Inc. (DE) Interstate National Corporation owns 100% of stock TIN 11-3078398 PIPCO Reinsurance Company, Ltd. Interstate National Corporation owns 100% of stock Interstate Administrative Services, Inc. (DE) INDS owns 100% of stock TIN 20-1549705 Interstate National Dealer Services of Florida, Inc.2 (FL) INDS owns 100% of stock TIN 11-3284019 LASAS Technologies, Inc. d/b/a RPM One (FL) INDS owns 100% of stock TIN 65-0868022 Warranty Direct, Inc. (DE) INDS owns 100% of stock TIN 11-3272124
Organizational Chart of Dai-ichi Life Holdings, Inc., as of September 30, 2022 Corporation (MN) TIN 41-1368934 New World Warranty Corp. (FL) TIN 20-8639268 Services De Gestion Lyndon-DFS, Inc. (CANADA) of Florida2 (FL) 5 Dai-ichi Life Holdings, Inc. (Japan) (Ultimate Controlling Person) Protective Life Corporation (DE) TIN 95-2492236 Protective Life Insurance Company1 (TN) PLC owns 100% of stock TIN 63-0169720 NAIC 68136 Chesterfield International Reinsurance Limited (Nevis) PLC owns 100% of stock TIN 98-0458684 Dealer Services Reinsurance, Ltd. (Bermuda) PLC owns 100% of stock TIN 98-0199455 First Protection PLC owns 100% of stock USWC Holding Company (USWC) (FL) PLICO owns 100% of stock TIN 20-8645816 Protective Property & Casualty Insurance Company 1 (MO) PLICO owns 100% of stock TIN 43-1139865 NAIC 35769 Western Diversified Services, Inc. (IL) PLICO owns 100% of stock TIN 36-2600350 2 The Advantage Warranty Corporation (FL) WDS owns 100% of stock TIN 36-3445516 Asset Protection Financial, Inc. (MO) (formerly Lyndon Financial Corporation) PPCIC owns 100% of stock TIN 43-1819865 2 United States Warranty Corp. (FL) USWC owns 100% of stock TIN 59-1651866 2 USWC owns 100% of stock Protective Asset Protection, Inc. (MO) (formerly Lyndon Insurance Group, Inc.) PLICO owns 100% of stock TIN 43-1802403 USWC Installment Program, Inc. (FL) USWC owns 100% of stock TIN 20-8646196 New World Re3 (NV) USWC owns 100% of stock TIN 20-1654390 Warranty Business Services Corporation (MO) PAP owns 100% of stock TIN 43-1142677 Western General Dealer Services, Inc. (CA) PAP owns 100% of stock TIN 47-0939814 Protective Administrative Services, Inc. (MO) PAP owns 100% of stock TIN 43-1724227 Western General Warranty Corporation2 (FL) PAP owns 100% of stock TIN 59-3126230 First Protection Company (MN) PAP owns 100% of stock TIN 41-1703034 Lyndon-DFS Administrative Services, Inc./ PAP owns 100% of common stock 1 insurance company 2 specialty insurer 3 captive insurance company First Protection Corporation FPC owns 100% of stock TIN 41-1637611
Organizational Chart of Dai-ichi Life Holdings, Inc., as of September 30, 2022 PLICO owns 100% of stock 1 insurance company 6 Dai-ichi Life Holdings, Inc. (Japan) (Ultimate Controlling Person) Protective Life Corporation (DE) TIN 95-2492236 Protective Life Insurance Company1 (TN) PLC owns 100% of stock TIN 63-0169720 NAIC 68136 Atlas Peak Insurance Company, Ltd. (Turks & Caicos) PLICO owns 100% of stock TIN 98-0137725 A.U.L. Corp. (NV) TIN 68-0300949 Wisconsin A.U.L., Inc. (CA) A.U.L. Corp. owns 100% of stock TIN 68-0440623 AUL Insurance Agency, Inc. (CA) A.U.L. Corp. owns 100% of stock TIN 68-0406407