As filed with the Securities and Exchange Commission on December 18, 2008

  Registration No. 333-

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM S-1

REGISTRATION STATEMENT
ON FORM S-1
UNDER
THE SECURITIES ACT OF 1933

PROTECTIVE LIFE INSURANCE COMPANY

(Exact name of registrant as specified in its charter)

Tennessee   63-0169720   6311  
(State or other jurisdiction of incorporation or organization)   (I.R.S. Employer Identification Number)   (Primary Standard Industrial Classification Code)  

 

2801 Highway 280 South
Birmingham, Alabama 35223
(205) 879-9230

(Address, including zip code, and telephone number, including area code
of registrant's principal executive offices)

Max Berueffy, Esq.
Protective Life Insurance Company
P.O. Box 2606
Birmingham, Alabama 35202
(205) 268-1000

(Name, address, including zip code, and telephone number, including area code, of agent for service)

Copy to:

Stephen E. Roth, Esq.
Sutherland, Asbill & Brennan LLP
1275 Pennsylvania Avenue, N.W.
Washington, D.C. 20004-2415

If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933 check the following box. x

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of "large accelerated filer," "accelerated filer," and "smaller reporting company" in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer o   Accelerated filer o   Non-accelerated filer x   Smaller reporting company o  
        (Do not check if a
smaller reporting company)
     

 

CALCULATION OF REGISTRATION FEE

Title of each of
securities to be registered
  Amount to
be registered
  Proposed maximum
offering price
per unit
  Proposed maximum
aggregate
offering price
 
Amount of
registration fee
 
Modified Guaranteed Annuity Contracts and Participating Interests Therein   *   *   $ 70,000,000     $ 2,751    

 

*  The maximum aggregate offering price is estimated solely for the purposes of determining the registration fee.

  The amount to be registered and the proposed maximum offering price per unit are not applicable since these securities are not issued in predetermined amounts or units.

The Registrant hereby amends this registration statement on such date or dates as may be necessary to delay its effective date until the registrant shall file a further amendment which specifically states that this registration statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933 or until the registration statement shall become effective on such date as the Commission, acting pursuant to said Section 8(a), may determine.




[insert new
logo here]

A Modified Guaranteed Annuity   Issued by
Protective Life Insurance Company
P.O. Box 10648
Birmingham, Alabama 35202-0648
Telephone: 1-800-456-6330
www.protective.com
Offered Through
Investment Distributors, Inc.
 

 

This Prospectus describes the [ ] Contract, a group and individual modified guaranteed annuity contract. This Contract is designed for investors who desire to accumulate capital on a tax deferred basis for retirement or other long term investment purposes. It may be purchased on a non-qualified basis or for use with certain qualified retirement plans.

An Annuity Deposit of at least $25,000 is required to purchase a Contract. Any subsequent Annuity Deposit you want to add to your Contract must be at least $10,000.

You may allocate each Annuity Deposit to one or more investment periods, called Guaranteed Periods, from those we offer at the time you make the deposit. Each allocation to a Guaranteed Period must be at least $10,000. The amounts you allocate will earn interest for the selected period at the interest rate we offer at the time of your deposit. Protective Life Insurance Company makes the final determination as to Guaranteed Interest Rates it declares. We cannot predict nor do we guarantee what future interest rates we will declare.

Purchasing this Contract involves certain risks. If you surrender your Contract, or any portion of it, before the end of a Guaranteed Period, we may assess a surrender charge on the amount you surrender. We will also apply a Market Value Adjustment to the amount you surrender, which could increase or decrease the value of your Contract. Under certain conditions, you may withdraw earned interest without a surrender charge or Market Value Adjustment. Surrenders and withdrawals of interest will be subject to income tax and may be subject to a 10% IRS penalty tax if taken before age 59 1 / 2 . Accordingly, you could lose a substantial portion of the Annuity Deposit you invest in the Contract. You should carefully consider your income needs before purchasing a Contract. Additional information about these risks appears on pages 12 through 14 under "Surrender Charges" and "The Market Value Adjustment" and on pages 21 through 29 under "Federal Tax Matters."

On the Annuity Commencement Date, we will apply your Net Account Value to the annuity option you have selected, or you may take that amount in one lump sum payment. The annuity payment options are (1) payments for a fixed period from five to thirty years, (2) life income with payments guaranteed for ten or twenty years, or (3) payments of a fixed amount until the amount we hold is exhausted.

Please read this prospectus carefully. Investors should keep a copy for future reference.

The [ ] Contract is not a deposit or obligation of, or guaranteed by, any bank or financial institution. It is not insured by the Federal Deposit Insurance Corporation or any other government agency, and it is subject to investment risk including the possible loss of investment principal.

Neither the Securities and Exchange Commission nor any state securities commission has approved or disapproved of these securities or passed upon the adequacy or accuracy of this prospectus. Any representation to the contrary is a criminal offense.

The date of this prospectus is March 1, 2009.



TABLE OF CONTENTS

    Page  
SUMMARY     3    
DESCRIPTION OF THE CONTRACT     6    
The Contract     6    
Parties to the Contract     6    
Issuing a Contract     7    
Right to Cancel     8    
Annuity Deposits     8    
Guaranteed Periods and Sub-Accounts     8    
Guaranteed Interest Rates     9    
Interest Withdrawals     11    
Account Values     11    
SURRENDERS     11    
Surrenders     11    
Surrender Value     12    
Surrender Charges     12    
The Market Value Adjustment     13    
Premium Tax     15    
DEATH BENEFIT     15    
Death of an Owner     15    
Determining the Death Benefit     15    
Paying the Death Benefit     15    
ANNUITY BENEFITS     16    
Annuity Commencement Date     16    
Annuity Options     16    
Annuity Payments     17    
Death of the Owner or Annuitant After
the Annuity Commencement Date
    17    
INVESTMENTS BY PROTECTIVE     17    

 

    Page  
OTHER CONTRACT PROVISIONS     18    
Non-Participating     18    
Notice     18    
Reports     18    
Transactions and Modifications of the
Contract
    19    
Assignment or Transfer of a Contract     19    
Facility of Payment     19    
Protection of Proceeds     19    
Error in Age or Gender     19    
Suspension of Contracts     19    
DISTRIBUTION OF THE CONTRACTS     20    
Distribution     20    
Selling Broker Dealers     20    
FEDERAL TAX MATTERS     21    
Introduction     21    
Protective's Tax Status     22    
Taxation of Annuities in General     22    
Qualified Retirement Plans     25    
Federal Income Tax Withholding     29    
LEGAL PROCEEDINGS     29    
EXPERTS     29    
LEGAL MATTERS     30    
REGISTRATION STATEMENT     30    
INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE     30    
REQUESTING DOCUMENTS     30    
PUBLIC INFORMATION     30    

 

No one is authorized to make any statement that contradicts this prospectus. You must not rely upon any such statement. This prospectus is not an offer to inquire about, or purchase the securities described in any jurisdiction where it is unlawful to do so.


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SUMMARY

What is the [ ] Contract?
  The [ ] Contract is a modified guaranteed annuity contract issued by Protective. (See "The Contract".)

How is a Contract Issued?
  We will issue the Contract when we receive and accept your complete application information and an initial Annuity Deposit. (See "Issuing a Contract".)

What is an Annuity Deposit?
  The Annuity Deposit is the premium payment you send us to purchase or add to a Contract. You may send us more than one Annuity Deposit. Your initial Annuity Deposit must be at least $25,000. Each additional Annuity Deposit must be at least $10,000. We may refuse to accept an Annuity Deposit and we may limit the total Annuity Deposits we will accept. (See "Annuity Deposits".)

Can I cancel my Contract?
  You may cancel your Contract by returning it to us with a written cancellation request within the number of days after receiving it that your Contract specifies. This period will never be less than 10 days. When we receive your cancellation request we will treat the Contract as if it had never been issued. Depending on the laws of the state in which the Contract is delivered, the amount we will return will generally equal either 1) your total Annuity Deposit(s), or 2) the Account Value, adjusted by the Market Value Adjustment formula, on the date we receive your cancellation request. (See "Right to Cancel".)

How do my Annuity Deposits earn interest?
  You allocate each Annuity Deposit (less applicable premium taxes) to one or more Guaranteed Periods. Each allocation to a Guaranteed Period must be at least $10,000. We establish a Sub- Account for each Guaranteed Period you select. The Sub-Account will earn interest at the Guaranteed Interest Rate for the entire Guaranteed Period. (See "Guaranteed Periods and Sub-Accounts".)

What happens at the end of a Guaranteed Period?
  At the end of a Guaranteed Period you may: 1) surrender all or a part of your ending Sub-Account Value without a surrender charge or Market Value Adjustment; 2) instruct us to apply the ending Sub-Account Value to one or more Guaranteed Periods that you may select from the Guaranteed Periods we are then offering; or 3) do nothing and a 1-year subsequent Guaranteed Period will automatically begin. (See "Guaranteed Periods and Sub-Accounts".)


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Can I take money out of the Contract before the end of a Guaranteed Period?
  You may take money out of your Contract before the end of a Guaranteed Period by surrendering all or part of the Contract, or by withdrawing the interest earned during the prior contract year.

Surrenders: If you surrender all or part of your Contract before the end of a Guaranteed Period, we may deduct a surrender charge and we will apply a Market Value Adjustment to the amount surrendered. We will not deduct a surrender charge after the first seven years of any Guaranteed Period. (See "Surrender Charges" and "The Market Value Adjustment".)

Interest withdrawals: Once each Contract year, you may withdraw some or all of the interest earned in your Contract in the prior Contract year. An automatic interest withdrawal program that allows monthly, quarterly, semi-annual or annual interest withdrawals may also be available. We will not deduct a surrender charge or apply a Market Value Adjustment to annual or automatic interest withdrawals. (See "Interest Withdrawals".)

Tax consequences and limitations: Surrenders and interest withdrawals may be subject to federal and state income taxes and, if taken prior to age 59 1 / 2 , may be subject to a 10% federal tax penalty. (See "Federal Tax Matters, Taxation of Interest Withdrawals and Partial and Full Surrenders," and "Penalty Tax on Premature Distributions".) Surrenders and interest withdrawals from Contracts issued as qualified contracts under the Internal Revenue Code may not be allowed in certain circumstances. (See "Federal Tax Matters, Qualified Retirement Plans".)

What is the surrender charge?
  The surrender charge is a percentage of the amount that you surrender before the end of a Guaranteed Period. The maximum surrender charge for any Guaranteed Period is 6% and it declines to 0% after seven years. We do not apply the surrender charge to amounts that may be withdrawn as annual or automatic interest withdrawals. (See "Surrender Charges".)

What is a Market Value Adjustment?
  The Market Value Adjustment is an amount we deduct from or add to amounts that you surrender before the end of a Guaranteed Period. The Market Value Adjustment formula is tied to market interest rates, as measured by the appropriate Treasury Rate. Generally, if the applicable Treasury Rate at the time of the surrender is more than 0.25% lower than the


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Treasury Rate associated with the Sub-Account, the Market Value Adjustment will increase the Surrender Value. Otherwise, the Market Value Adjustment will decrease the Surrender Value. Please see "The Market Value Adjustment," in this Prospectus for a more complete explanation and examples of the Market Value Adjustment formula.

Does the Contract provide a Death Benefit?
  If you die before the Annuity Commencement Date, we will pay a death benefit, less any applicable premium tax, to your beneficiary. Generally, the death benefit will be the greater of the Account Value or the Net Account Value as of the date we receive the paperwork necessary to process the death claim, but there are other requirements and conditions. (See "Death Benefit".)

What annuity benefit does the Contract provide?
  On the Annuity Commencement Date we will pay the Net Account Value in a lump sum or apply that amount to the annuity option you select. Annuity options can provide periodic payments that are based on the life of one or two Annuitants, that are guaranteed for a fixed amount of time, or both. As a general rule, the Annuity Commencement Date cannot be after an Annuitant's 95 th birthday. (See "Annuity Benefits".)

When is premium tax deducted?
  If your Contract is subject to a premium tax, we will deduct it, according to applicable law, from the Annuity Deposits when we receive them, upon a full or partial surrender, from the Net Account Value when we apply it to an annuity option, or from the Death Benefit before we pay it. (See "Premium Tax".)

Is the Contract available for Qualified retirement plans?
  The Contract may be issued for use with retirement plans receiving special federal income tax treatment under Sections 401, 408, or 408A of the Internal Revenue Code such as pension and profit sharing plans (including H.R. 10 plans), individual retirement accounts, and individual retirement annuities. Contracts issued for use with these qualified retirement plans are referred to as Qualified Contracts and these types of plans are referred to as Qualified Plans. (See "Federal Tax Matters".)


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PROTECTIVE LIFE INSURANCE COMPANY

Business

Protective Life Insurance Company ("Protective"), a stock life insurance company, was founded in 1907. Protective is a wholly owned subsidiary of Protective Life Corporation ("PLC"), an insurance holding company whose common stock is traded on the New York Stock Exchange (symbol: PL). Protective provides financial services through the production, distribution, and administration of insurance and investment products.

DESCRIPTION OF THE CONTRACT

The Contract

The [                      ] Contract is a modified guaranteed annuity contract issued by Protective. Generally, this prospectus describes certificates issued under an allocated group modified guaranteed annuity contract issued by Protective to the Protective Life MGA Trust. Bankers Trust Co., N.A. of Des Moines, Iowa is the Contract Holder, as the Trustee of the Protective Financial Insurance Trust. Eligible Owners include account holders of broker-dealers that have entered into a distribution agreement to offer the Contract. Eligible Owners also include employers and other entities and organized groups acceptable to us. The certificate we issue to an Owner summarizes the provisions of the group modified guaranteed annuity contract. The provisions of the group modified guaranteed annuity contract control whether or not they are included in the certificate. We will provide a copy of the group modified guaranteed annuity contract to an Owner upon request.

In states where we do not issue a group contract, we will issue an individual modified guaranteed annuity contract directly to the Owner. In this prospectus, we will refer to both the certificates under the group Contract and the individual Contracts as a "Contract," and we will use the term "Owner" to describe the owners of group Contract certificates as well as the owners of individual Contracts. (See "Parties to the Contract.")

Contracts are either Qualified or Non-Qualified. Qualified Contracts are used to fund pension and retirement programs that receive favorable tax treatment under Sections 401, 408 or 408A of the Internal Revenue Code. These include H.R. 10 (Keogh) Plans, individual retirement accounts or annuities (IRAs), or corporate pension and profit sharing plans. Non-Qualified Contracts may also enjoy tax favored status. (See "Federal Tax Matters".)

Parties to the Contract

Company: Protective Life Insurance Company, also referred to as "we," "us" and "our."

Owner: The person or persons who own a group Contract certificate (sometimes called "Participants" in our contract language and literature) or who own an individual Contract. An Owner is entitled to exercise all rights and privileges provided in the Contract, without the consent of a group Contract Holder. Individuals as well as non-natural persons, such as corporations or trusts, may own a Contract; two persons may own a Contract together. (See "Federal Tax Matters, Tax Deferral During Accumulation Period," for more information on non-natural Owners.) In this prospectus, we may refer to Owners as "you" or "your."

Generally, you may assign or transfer your Non-Qualified Contract to a new Owner by making a written request to our administrative office. An assignment or transfer of ownership, however, may result in tax liability to you. (See "Other Contract Provisions, Assignment or Transfer of a Contract" and "Federal Tax Matters, Taxation of Interest Withdrawals and Partial and Full Surrenders".)

Beneficiary: The person or persons who may receive the benefits of a Contract upon the death of an Owner. We will treat the surviving Owner of a jointly owned Contract as the primary Beneficiary. If there is no surviving Owner, the primary Beneficiary is the person or persons so designated by the Owner and


6



named in our records. The contingent Beneficiary is the person or persons designated by the Owner and named in our records to be Beneficiary if no primary Beneficiary is living. In the case of some Qualified Contracts, Treasury Department regulations may restrict who may be designated as a Beneficiary.

If no Beneficiary designation is in effect or if no Beneficiary is living at the time of an Owner's death, the Beneficiary will be the estate of the deceased Owner. If an Owner dies on or after the Annuity Commencement Date, the Beneficiary will become the new Owner.

Unless designated irrevocably, the Owner may change the Beneficiary by written notice prior to any Owner's death. If a Beneficiary is designated irrevocably, that Beneficiary's written consent is required before the Owner can change the Beneficiary designation or exercise certain other rights. Your request will be effective on the day you sign it. We will not be liable for any payments made to a former Beneficiary, however, unless we have first notified you that we have received your written request and all necessary written consents at our Administrative Office.

Annuitant: The person on whose life annuity income payments may be based. The Owner is the Annuitant unless the Owner designates another person as the Annuitant.

You may change the Annuitant by written notice prior to the Annuity Commencement Date. If changing Annuitants, you cannot select an Annuitant whose 95 th birthday comes before the end of any Guaranteed Period or the Annuity Commencement Date without our prior approval. If any Owner is not a natural person and changes the Annuitant, the change will be treated as the death of the Owner and the Death Benefit will be paid to the Beneficiary. (See "Death Benefit".)

If an Annuitant who is not an Owner dies before the Annuity Commencement Date, the first Owner named on the application will become the new Annuitant unless the Owner had designated otherwise.

Payee: The person or persons who, generally at the designation of the Owner, receive annuity income payments under the Contract.

Issuing a Contract

You purchase a Contract by completing an application and making an Annuity Deposit of at least $25,000. We will apply your initial Annuity Deposit to the appropriate Guaranteed Period and issue your Contract as soon as is practical after we receive your Annuity Deposit and all of the necessary application information at our Administrative Office. We do not always receive your Annuity Deposit on the day that you sign your application or give the Annuity Deposit to your sales representative. In some circumstances, such as when you purchase a Contract in exchange for an existing annuity contract from another company, we may not receive your Annuity Deposit for a substantial period of time after you sign your application.

If we do not receive all of the necessary application information at our Administrative Office when we receive your Annuity Deposit, we will hold your Annuity Deposit while we attempt to complete the application. If the necessary application information is not complete after a reasonable time, we will inform you of the reason for the delay and we will return your Annuity Deposit unless you specifically consent to our holding it until the application is complete. Once we have all of your necessary application information, we will apply your Annuity Deposit to the appropriate Guaranteed Periods and issue a Contract.

The date we apply your initial Annuity Deposit to the appropriate Guaranteed Periods is the Effective Date for the Contract. You will begin to earn interest under the Contract as of this date. The Contract Year is based on the anniversary of your Effective Date.

After we issue a Contract, you may make additional Annuity Deposits of at least $10,000 each. Regardless of how many Annuity Deposits you make, we will generally only issue one Contract. We have the right to decline any application or any Annuity Deposit. When we sell Contracts to retirement plans or in connection with retirement plans, those retirement plans may or may not qualify for special tax treatment under the Internal Revenue Code.


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Right to Cancel

You may cancel your Contract by returning it to us with a written cancellation request within the number of days after receiving it that your Contract specifies. Unless otherwise provided by law, this period will never be less than 10 days. You must return the Contract and cancellation request to our Administrative Office or to the sales representative who sold it to you. If you return the Contract by mail, the effective date of the return will be the postmark date on your properly addressed and postage paid envelope. In the State of Connecticut, non-written requests are also accepted.

Upon receiving your returned Contract and cancellation request, we will cancel the Contract and treat it as if it had never been issued. Your Contract will specify the amount we will return upon cancellation. Depending on the laws of the state in which the Contract is delivered, the amount we will return will generally equal either 1) your total Annuity Deposit(s), or 2) the Account Value, adjusted by the Market Value Adjustment formula, on the date we receive your cancellation request.

Annuity Deposits

The Annuity Deposit is the premium payment you send us to purchase or add to a Contract. Generally, we will accept an Annuity Deposit if the Guaranteed Period to which it is allocated ends before the Annuity Commencement Date and we have the right not to accept any Annuity Deposit if we so choose. We also have the right to limit the total Annuity Deposits we accept without prior approval. Currently, this amount is $2,000,000. You can make an Annuity Deposit in the form of a check made out to Protective Life Insurance Company or by any other method we deem acceptable.

You allocate Annuity Deposits, less any applicable premium tax, to one or more of the Guaranteed Periods available when you make the Annuity Deposit. You must allocate at least $10,000 to each Guaranteed Period you choose and you may not select a Guaranteed Period that extends beyond the Annuity Commencement Date.

Guaranteed Periods and Sub-Accounts

A Guaranteed Period is the period of years during which we will credit the Guaranteed Interest Rate to a Sub-Account. Currently, we offer a variety of Guaranteed Periods up to 15 years, though all Guaranteed Periods may not be available at all times or in all states. You may not select a Guaranteed Period that extends past the Annuity Commencement Date for your Contract.

Initial Guaranteed Period

We will establish a Sub-Account for each Guaranteed Period to which you allocate an Annuity Deposit. Each Sub-Account earns interest at the Guaranteed Interest Rate in effect for that Guaranteed Period from the date the Annuity Deposit is credited to the Sub-Account through the end of the Guaranteed Period or until the Sub-Account is surrendered, if earlier.

Subsequent Guaranteed Periods

At the end of a Guaranteed Period, you may select from the following options:

1.  Surrender all or part of your ending Sub-Account Value without a surrender charge or Market Value Adjustment;

2.  Instruct us to apply the ending Sub-Account Value to one or more subsequent Guaranteed Periods that you select from the Guaranteed Periods we are then offering; or

3.  Do nothing and allow a 1-year subsequent Guaranteed Period automatically to begin.

Surrenders at the end of a Guaranteed Period

To surrender your ending Sub-Account Value, you must request the surrender in writing no later than 10 days after the end of the expiring Guaranteed Period. If you surrender your ending Sub-Account Value, any surrendered amount may be subject to income taxes, and a 10% IRS penalty tax


8



may apply if you are not yet 59 1 / 2 years old. (See "Federal Tax Matters, Taxation of Interest Withdrawals and Partial and Full Surrenders" and "Penalty Tax on Premature Distributions".)

Selecting a subsequent Guaranteed Period

To apply the ending Sub-Account Value to one or more subsequent Guaranteed Periods, you must give us written instructions as to the Guaranteed Periods that you select no later than 10 days after the end of the expiring Guaranteed Period. You may select a subsequent Guaranteed Period only from the Guaranteed Periods we are offering at the time you make your selection. No subsequent Guaranteed Period may extend past the Annuity Commencement Date for your Contract. At least $10,000 must be allocated to any subsequent Guaranteed Period.

Automatic subsequent Guaranteed Periods

Unless you instruct otherwise, the Sub-Account Value at the end of an expiring Guaranteed Period will be automatically allocated to a Sub-Account with a 1-year Guaranteed Period. The subsequent Guaranteed Period, however, will not extend past the Annuity Commencement Date. The new Sub-Account will earn interest at the Guaranteed Interest Rate in effect for that 1-year subsequent Guaranteed Period when your Sub-Account Value is allocated to it, although this rate may be nominal. We will not assess a surrender charge or apply a Market Value Adjustment to surrenders from this 1-year Guaranteed Period.

Guaranteed Interest Rates in subsequent Guaranteed Periods

Your beginning Sub-Account Value for any subsequent Guaranteed Period earns interest at the rate that is in effect for that subsequent Guaranteed Period on the date the subsequent Guaranteed Period begins. Guaranteed Interest Rates for subsequent Guaranteed Periods may differ from Guaranteed Interest Rates for initial Guaranteed Periods of the same duration.

Guaranteed Interest Rates

From time to time and at our sole discretion we set Guaranteed Interest Rates for each available Guaranteed Period. A Guaranteed Interest Rate credited to a Sub-Account will not change during the Guaranteed Period. We may, at our discretion, offer higher interest rates on Annuity Deposits, renewals, or both if your aggregate Annuity Deposits or Account Value equals or exceeds certain breakpoints on the date a Sub-Account is established.

In determining Guaranteed Interest Rates, we consider the interest rates available on the types of instruments in which the Company intends to invest the proceeds attributable to the Contracts. (See "Investments by Protective"). In addition, we may also consider various other factors in determining Guaranteed Interest Rates, including but not limited to the following factors: regulatory and tax requirements; sales commissions and administrative expenses the Company incurs; general economic trends; and competitive factors. Protective Life Insurance Company makes the final determination as to Guaranteed Interest Rates it declares. We cannot predict nor do we guarantee what future interest rates we will declare.

Aggregation of Other [                             ] Contracts to Determine Interest Rate

If we are offering a higher interest rate on Annuity Deposits, renewals, or both for aggregate Annuity Deposits or Account Values when you purchase your [                           ] contract, we will aggregate the aggregate Annuity Deposits or Account Values of the [                        ] contracts that you own, or own as a joint owner, for the purpose of determining the interest rate to be credited to each Guaranteed Period in your new contract. We also will aggregate the aggregate Annuity Deposits or Account Values of the [                         ] contracts that you own, or own as a joint owner, when determining the credited interest rate for Guaranteed Periods in your contracts at the beginning of a subsequent Guaranteed Period in your contracts. In general, we will aggregate all Qualified Contracts of the same type such as all contracts held in individual retirement arrangements. We will also aggregate all


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contracts that are not issued for use with qualified retirement plans. We will not aggregate contracts across different types of qualified plans or across different employer-provided qualified retirement plans, nor will we aggregate Qualified Contracts with non-qualified. We may suspend, amend, or terminate the aggregation at any time without notice. The interest rate for a guaranteed period will remain fixed for the remainder of the guaranteed period, however, and will not be reduced if we terminate these aggregation policies or if you surrender one contract before the end of the guaranteed period in one or more other contracts which were aggregated. Furthermore, by stating that we may choose to aggregate certain contracts, we are not obligating ourselves to offer a higher interest rate on Annuity Deposits, renewals, or both.

Compounding of Interest

The Guaranteed Interest Rate we declare for each Sub-Account is the annual effective interest rate for the Sub-Account, which means the declared interest rate includes the effects of compounding. Interest compounds daily in the Sub-Account for the duration of the Guaranteed Period. Below is an illustration of how interest is credited during each year of a five-year Guaranteed Period. For the purposes of this example, we have made assumptions as indicated.

Please note that the following example assumes no surrenders or withdrawals of any amount and no premium tax due on issuance. A Market Value Adjustment and surrender charge may apply to any full or partial surrender you make prior to the end of a Guaranteed Period (See "Surrenders"). The hypothetical interest rates are for purposes of illustration only and we do not intend them as a prediction of any future interest rates we may declare under the Contract. The actual interest rates we declare for any Guaranteed Period may be more or less than what we have used in this illustration.

Example of Compounding at the Guaranteed Interest Rate

Deposit:   $ 100,000    
Guaranteed Period:     5 Years    
Guaranteed Interest Rate:     3.75 %  

 

    Year 1   Year 2   Year 3   Year 4   Year 5  
Beginning of Year 1 Account Value:   $ 100,000.00                              
x (1 + Guaranteed Interest Rate):     1.0375                              
= End or Year 1 Account Value:   $ 103,750.00                              
Beginning of Year 2 Account Value:         $ 103,750.00                        
x (1 + Guaranteed Interest Rate):           1.0375                      
= End of Year 2 Account Value:         $ 107,640.63                      
Beginning of Year 3 Account Value:               $ 107,640.63                
x (1 + Guaranteed Interest Rate):                 1.0375                
= End of Year 3 Account Value:               $ 111,677.15                
Beginning of Year 4 Account Value:                     $ 111,677.15          
x (1 + Guaranteed Interest Rate):                       1.0375          
= End of Year 4 Account Value:                     $ 115,865.04          
Beginning of Year 5 Account Value:                           $ 115,865.04    
x (1 + Guaranteed Interest Rate):                             1.0375    
= End of Year 5 Account Value:                           $ 120,209.98    

 

Total Interest Credited in Guaranteed Period: $120,209.98 – $100,000 = $20,209.98
Account Value at End of Guaranteed Period: $100,000 + $20,209.98 = $120,209.98


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Interest Withdrawals

Once each Contract year, you may instruct us to send you all or a portion of the interest credited to your Sub-Accounts during the prior Contract year. Your instructions must be in writing. Currently, for most Guaranteed Periods, you may establish automatic interest withdrawals that are paid to you monthly, quarterly, semi-annually or annually. We reserve the right to limit automatic interest withdrawals to one per Contract year upon notice to you.

Interest withdrawals remove money from your Sub-Account that would otherwise have been compounding interest on a daily basis. Because of this interruption of interest compounding, the more you withdraw, the less interest your Sub-Account will generate over time. Larger withdrawals reduce the compounding of interest more than smaller withdrawals; frequent withdrawals hinder the compounding process more than infrequent withdrawals; and earlier withdrawals reduce your interest more than later withdrawals would.

We will not impose a surrender charge or Market Value Adjustment on interest withdrawals but interest withdrawals may be subject to federal and state income tax and a 10% penalty tax. In addition, interest withdrawals from Contracts issued as Tax-Sheltered Annuities are prohibited in certain circumstances. (See "Federal Tax Matters".)

Account Values

The value of a Sub-Account at any time is equal to the amounts that were allocated to that Sub-Account, plus any interest credited to it, minus any interest withdrawals and surrenders (including any surrender charges, Market Value Adjustment and premium tax). The sum of the Sub-Account Values in your Contract is called the Account Value and represents the total value of your Contract.

The Net Sub-Account Value is equal to the Sub-Account Value modified by any Market Value Adjustment, minus surrender charges, and premium tax that would apply in the case of a full surrender of the Sub-Account. The Net Account Value, which is the sum of all the Net Sub-Account Values under your Contract, is the amount you would be entitled to receive if you made a full surrender of your Contract. For this reason, the Net Account Value is sometimes called the "Surrender Value" of a Contract.

SURRENDERS

Surrenders

Surrenders and Partial Surrenders

You may surrender your entire Contract at any time before Annuity payments begin. You may surrender part of the Contract before Annuity payments begin if the value of each remaining Sub-Account is at least $10,000 after the surrender.

Your surrender request must be in writing and, if you request a partial surrender, you must specify the Sub-Accounts from which the partial surrender will be taken. If you have more than one Sub-Account with the same Guaranteed Period, you must take the partial surrender from the Sub-Account with the shortest time remaining until maturity.

Partial and full surrenders from Contracts issued as Tax-Sheltered Annuities are prohibited in certain circumstances. (See "Federal Tax Matters".)

Taxes May Apply

Amounts surrendered may be subject to federal and state income taxes. The taxable amount of a surrender may, under certain circumstances, be subject to a 10% federal tax penalty. In the case of Qualified Contracts, federal tax law imposes restrictions on the form and manner in which benefits may be paid. For example, surrenders from Qualified Contracts may require your spouse's consent


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even if your spouse is not an Owner. (See "Federal Tax Matters".) Premium tax may also apply. (See "Premium Tax".) You should consult your tax advisor about the effect a surrender from the Contract may have on your taxes.

Delay of Payments

We may delay payment of a surrender for up to six months from the date we receive your written request, or for the period permitted by state insurance law, if shorter.

Surrender Value

The surrender value is the amount available to you upon a surrender or partial surrender. The surrender value is calculated as of the date we receive your surrender request using the following formula:

Surrender Value = A – S – M – P, where

A   =   the amount of account value you surrender;  
S   =   the amount of the surrender charge;  
M   =   the amount of the Market Value Adjustment;  
P   =   the amount of any applicable premium tax.  

 

Surrender Charges

Surrenders and partial surrenders may be subject to a surrender charge. Generally, we will assess a surrender charge if you take a surrender during the first seven years of any Guaranteed Period. The surrender charge applies to renewal Guaranteed Periods, as well as initial Guaranteed Periods. We calculate the surrender charge separately for each Sub-Account. We determine the amount of the surrender charge for a Sub-Account as follows: first, we subtract any amount available as an interest withdrawal from the surrender amount you request; then we multiply the result by the appropriate surrender charge percentage from the table below. The surrender charge percentage is determined based on the age of the Sub-Account from which the surrender is taken.

Number of Completed Years
In a Guaranteed Period
  Surrender Charge
Percentage
 
  0       6 %  
  1       6 %  
  2       5 %  
  3       4 %  
  4       3 %  
  5       2 %  
  6       1 %  
  7 or more     0 %  

 

We will include the surrender charge in the amount we deduct from the Sub-Account to satisfy your surrender request. The total surrender charge for your surrender is the sum of the surrender charges for the Sub-Accounts from which you make your surrender.

We do not apply the surrender charge after the first seven years of any Guaranteed Period or from any amount available as an interest withdrawal. Also, we do not apply a surrender charge to surrenders you request at the end of a Sub-Account's Guaranteed Period if we receive your written surrender request no later than 10 days after the end of the Guaranteed Period. No surrender charge will apply to surrenders from Sub-Accounts associated with a 1-year subsequent Guaranteed Period.


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The Market Value Adjustment

We will apply a Market Value Adjustment if you request a full or partial surrender before the end of a Sub-Account's Guaranteed Period. The Market Value Adjustment reflects the relationship between market interest rates available when a Sub-Account was established and the interest rates available at the time of the surrender from that Sub-Account, as measured by an independent index called the Treasury Rate. The Treasury Rate is the annual effective interest rate credited to certain United States Treasury instruments and it is published by Bloomberg L.P., a nationally recognized service. On the fifteenth day and the last day of each month we will identify a Treasury Rate for each Guaranteed Period. For the purpose of determining the Market Value Adjustment during the cancellation period, we will identify a Treasury Rate each day. We will be consistent in the method we use to identify the Treasury Rate and the determination is binding upon any Owner, Annuitant and Beneficiary.

The Market Value Adjustment formula contains a 0.25% set percentage factor that compensates us for certain expenses and losses that we may incur, either directly or indirectly, as a result of the surrender. Another factor in the formula decreases the effect of the Market Value Adjustment as the Sub-Account matures by taking into consideration the number of months remaining in the Guaranteed Period from which the surrender is taken.

Like the surrender charge, the Market Value Adjustment is calculated separately for each Sub-Account. We determine the amount of the Market Value Adjustment for each Sub-Account by subtracting any amount available as an interest withdrawal from the surrender amount requested, and then multiplying the result by the Market Value Adjustment percentage derived from the formula below:

Market Value Adjustment Percentage = (C – I + 0.25%) x (N/12), where

C   =   the current Treasury Rate established for the same term as the Guaranteed Period from which the surrender is taken;  
I   =   the initial Treasury Rate for the Guaranteed Period from which the surrender is taken;  
N   =   the number of months remaining in the Guaranteed Period from which the surrender is taken.  

 

The Market Value Adjustment may increase or decrease the surrender value. If the applicable Treasury Rate at the time of the surrender is more than 0.25% lower than the Treasury Rate associated with the Sub-Account, the Market Value Adjustment will increase the surrender value. Otherwise, the Market Value Adjustment will decrease the Surrender Value.

We will include the Market Value Adjustment in the amount we deduct from the Sub-Account to satisfy your surrender request. The total Market Value Adjustment for your surrender is the sum of the Market Value Adjustments to the Sub-Accounts from which the surrender is taken.

We do not apply the Market Value Adjustment to the withdrawal of interest credited to your Sub-Accounts during the prior Contract year. See "Description of the Contract, Interest Withdrawals." When calculating the Market Value Adjustment, we subtract any amount available as an interest withdrawal before we apply the Market Value Adjustment. If we receive your written surrender request no later than 10 days after the end of a Sub-Account's Guaranteed Period, we do not apply the Market Value Adjustment to surrenders from that Sub-Account. No market value adjustment will apply to surrenders from Sub-Accounts associated with a 1-year subsequent Guaranteed Period.

Please note that the following example assumes no interest withdrawals, no premium tax due on issuance, and no surrenders other than those shown in the example. The hypothetical interest rates are for purposes of illustration only and we do not intend them as a prediction of any future interest rates we may declare under the Contract. The actual interest rates we declare for any Guaranteed Period may be more or less than what we have used in this illustration.


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MARKET VALUE ADJUSTMENT AND SURRENDER CHARGE EXAMPLES FULL SURRENDER AFTER COMPLETION OF YEAR 3

Interest Guarantee Period (years):   3   5   7   Total  
Initially –  
Annuity Deposit:   $ 10,000     $ 10,000     $ 10,000     $ 30,000    
Guaranteed Interest Rate:     3.50 %     3.75 %     4.00 %        
Year 1 –  
Beginning of Year Account Value:   $ 10,000     $ 10,000     $ 10,000     $ 30,000    
x (1 + Guaranteed Interest Rate):     1.0350       1.0375       1.0400          
= End of Year Account Value:   $ 10,350.00     $ 10,375.00     $ 10,400.00     $ 31,125.00    
– Beginning of Year Account Value:   $ 10,000     $ 10,000     $ 10,000     $ 30,000    
= Interest Earned during Year:   $ 350.00     $ 375.00     $ 400.00     $ 1,125.00    
Year 2 –  
Beginning of Year Account Value:   $ 10,350.00     $ 10,375.00     $ 10,400.00     $ 31,125.00    
x (1 + Guaranteed Interest Rate):     1.0350       1.0375       1.0400          
= End of Year Account Value:   $ 10,712.25     $ 10,764.06     $ 10,816.00     $ 32,292.31    
– Beginning of Year Account Value:   $ 10,350.00     $ 10,375.00     $ 10,400.00     $ 31,125.00    
= Interest Earned during Year:   $ 362.25     $ 389.06     $ 416.00     $ 1,167.31    
Year 3 –  
Beginning of Year Account Value:   $ 10,712.25     $ 10,764.06     $ 10,816.00     $ 32,292.31    
x (1 + Guaranteed Interest Rate):     1.0350       1.0375       1.0400          
= End of Year Account Value:   $ 11,087.18     $ 11,167.71     $ 11,248.64     $ 33,503.53    
– Beginning of Year Account Value:   $ 10,712.25     $ 10,764.06     $ 10,816.00     $ 32,292.31    
= Interest Earned during Year:   $ 374.93     $ 403.65     $ 432.64     $ 1,211.22    
After Completion of Year 3 –  
Account Value:   $ 11,087.18     $ 11,167.71     $ 11,248.64     $ 33,503.53    
– Prior Year's Interest:   $ 374.93     $ 403.65     $ 432.64     $ 1,211.22    
= Amount Subject to Surrender Charge and
Market Value Adjustment:
  $ 10,712.25     $ 10,764.06     $ 10,816.00     $ 32,292.31    
Surrender Charge Percentage:     0 %     4 %     4 %        
x Subjected Amount:   $ 10,712.25     $ 10,764.06     $ 10,816.00     $ 32,292.31    
= Surrender Charge:   $ 0.00     $ 430.56     $ 432.64     $ 863.20    
Number of Months Remaining in the Guaranteed Period:           24       48          
Example #1 — Increasing Interest Rate Environment  
Current Treasury Rate:     4.50 %     5.00 %     5.50 %        
– Initial Treasury Rate:     3.75 %     4.25 %     4.75 %        
  + 0.25 %:     0.25 %     0.25 %     0.25 %        
x Number Months Remaining / 12:     0.00       2.00       4.00          
= Market Value Adjustment Percentage:     0.00 %     2.00 %     4.00 %        
x Subjected Amount:   $ 10,712.25     $ 10,764.06     $ 10,816.00     $ 32,292.31    
= Market Value Adjustment:   $ 0.00     $ 215.28     $ 432.64     $ 647.92    
Account Value:   $ 11,087.18     $ 11,167.71     $ 11,248.64     $ 33,503.53    
– Surrender Charge:   $ 0.00     $ 430.56     $ 432.64     $ 863.20    
– Market Value Adjustment:   $ 0.00     $ 215.28     $ 432.64     $ 647.92    
= Net Account Value:   $ 11,087.18     $ 10,521.87     $ 10,383.36     $ 31,992.41    
Example #2 — Decreasing Interest Rate Environment  
Current Treasury Rate:     3.00 %     3.50 %     4.00 %        
– Initial Treasury Rate:     3.75 %     4.25 %     4.75 %        
  + 0.25 %:     0.25 %     0.25 %     0.25 %        
x Number Months Remaining / 12:     0.00       2.00       4.00          
= Market Value Adjustment Percentage:     0.00 %     –1.00 %     –2.00 %        
x Subjected Amount:   $ 10,712.25     $ 10,764.06     $ 10,816.00     $ 32,292.31    
= Market Value Adjustment:   $ 0.00     $ (107.64 )   $ (216.32 )   $ (323.96 )  
Account Value:   $ 11,087.18     $ 11,167.71     $ 11,248.64     $ 33,503.53    
– Surrender Charge:   $ 0.00     $ 430.56     $ 432.64     $ 863.20    
– Market Value Adjustment:   $ 0.00     $ (107.64 )   $ (216.32 )   $ (323.96 )  
= Net Account Value:   $ 11,087.18     $ 10,844.79     $ 11,032.32     $ 32,964.29    

 


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Premium Tax

Premium tax (including related retaliatory taxes and fees, if any) will be deducted when applicable. If your Contract is subject to a premium tax, we will deduct it according to applicable law from either your Annuity Deposits when received, upon a full or partial surrender, from the amount applied to an annuity option, or from the Death Benefit. The current rate of premium tax ranges up to 3.50%.

DEATH BENEFIT

Death of an Owner

If any Owner dies prior to the Annuity Commencement Date while the Contract is in force, we will pay a death benefit to the Beneficiary. If there are joint Owners to a Contract and one dies prior to the Annuity Commencement Date, the surviving Owner will be the Beneficiary. If there is no Beneficiary living or named, we will pay the death benefit to the estate of the deceased Owner. If any Owner is not a natural person, the death of the Annuitant or a change in the Annuitant will be treated as the death of an Owner. We will not pay a death benefit if an Owner dies after the Annuity Commencement Date. (See "Death of the Owner or Annuitant After the Annuity Commencement Date," page 18.)

Determining the Death Benefit

We will determine the death benefit as of the date we receive due proof of an Owner's death. If we receive a claim for the death benefit in good order and within 12 months of the date of the Owner's death, the death benefit will be the greater of the Net Account Value or the Account Value less applicable premium tax. If we receive the claim more than 12 months after the date of death, the death benefit will be the Net Account Value. If a death benefit is payable because an Owner who is not a natural person changes the Annuitant, the death benefit will be the Net Account Value.

Paying the Death Benefit

Only one death benefit is payable under a Contract, even though the Contract may, under some circumstances, continue beyond the time of an Owner's death.

The death benefit may be taken in one lump sum immediately, in which event the Contract will terminate. If the death benefit is not taken immediately as a lump sum, the entire interest in the Contract must be distributed under one of the following options:

(1)  the entire interest must be distributed over the life of the Beneficiary, or over a period not extending beyond the life expectancy of the Beneficiary, with distributions beginning within one year of the Owner's death; or

(2)  the entire interest must be distributed within five years of the Owner's death.

If there is more than one Beneficiary, these provisions apply to each Beneficiary individually.

If the Beneficiary is the deceased Owner's spouse, the surviving spouse may choose, in lieu of taking the death benefit, to continue the Contract and become the new Owner. The surviving spouse may then select a new Beneficiary. Upon the surviving spouse's death, the death benefit will become payable to the new Beneficiary and must then be distributed to the new Beneficiary in one sum immediately or according to option 1 or 2, described above.

The death benefit provisions of your Contract will be interpreted to comply with the requirements of Section 72(s) of the Internal Revenue Code. We reserve the right to endorse your Contract, as necessary, to conform to regulatory requirements. We will send you a copy of any endorsement containing such Contract modifications.


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ANNUITY BENEFITS

Annuity Commencement Date

You may select an Annuity Commencement Date when you purchase a Contract. The Annuity Commencement Date may not be earlier than the end of any Guaranteed Period nor later than the Annuitant's 95 th birthday without our prior consent. If you do not select one, the Annuity Commencement Date will be the end of the Contract year immediately before the Annuitant's 95 th birthday.

You may change the Annuity Commencement Date, subject to some general restrictions:

•  You must request the change in writing.

•  We must receive the written request at least 30 days before the new Annuity Commencement Date you requested.

•  The new Annuity Commencement Date may not come before the end of any existing Guaranteed Period.

•  Unless we agree prior to the change, the new Annuity Commencement Date may not be later than the Annuitant's 95 th birthday.

Once our Administrative Office notifies you that we have received and approved your written request to change the Annuity Commencement Date, the change will be made effective as of the date you signed the request.

Annuity Commencement Dates that occur after the Annuitant's 85 th birthday may have adverse income tax consequences so you should consult your tax advisor before requesting an Annuity Commencement Date at these advanced ages (See "Federal Tax Matters, Tax Deferral During Accumulation Period".). You may be required to begin distributions from Qualified Contracts before the Annuity Commencement Date. (See "Federal Tax Matters, Qualified Retirement Plans".)

Annuity Options

On the Annuity Commencement Date we will apply part or all of the Net Account Value to the annuity option you have selected. If you have not selected an annuity option, we will apply your Net Account Value to Option 2 — Life Income with Payments for a 10-year fixed period. You may select from the following annuity options. For Qualified Contracts, additional annuity options may apply with certain restrictions.

•   Option 1 — Payments for a Fixed Period.

We will make equal monthly payments for any period not less than five years nor more than 30 years. The amount of each payment depends upon the total amount applied, the period selected and the interest rate we are using when the annuity payments are determined.

•   Option 2 — Life Income with Payments for a Fixed Period.

We will make equal monthly payments based on the life of 1 or 2 named Annuitants. Payments will continue for the lifetime of the Annuitant(s) with payments guaranteed for either 10 or 20 years. Payments stop at the end of the selected fixed period or when the last surviving named Annuitant dies, whichever is later.

•   Option 3 — Payments for a Fixed Amount.

We will make equal monthly payments for a fixed amount. The amount of each payment may not be less than $10 for each $1,000 of Net Account Value applied to the annuity option. Each month we will credit interest on the unpaid balance and add that interest to it. We will set the interest rate in our sole discretion, but it will not be less than an annual effective rate of 4%. Payments will continue until the amount we hold runs out. The last payment will be for the balance only.

Other annuity options may be available on your Annuity Commencement Date.


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Annuity Payments

We will use the Annuitant's age on the Annuity Commencement Date to determine the amount of the payments under the annuity option you select. We calculate the amount of each annuity payment using the Annuity Tables published in the Contract. Those tables are based on the 1983 Individual Annuitant Mortality Table A projected four years with interest credited at 4% per annum. One year will be deducted from the attained age of the Annuitant for every three completed years beyond the year 1987. If, at the time you select an annuity option, we offer more favorable options or rates, the higher benefits will apply.

Generally, we will make the first annuity payment one month after the Annuity Commencement Date. We will make subsequent payments according to the payment mode you select. We reserve the right to pay the Net Account Value in a lump sum if it is less than $5,000, and to change the frequency of your annuity payments if at any time the annuity payment is less than our current minimum payment amount.

As a condition for making the first annuity payment, we may require proof of the Annuitant's age and gender. As a condition for continuing to make annuity payments that are based on the life of an Annuitant, we may at any time require proof that the Annuitant is still living. You may not surrender this Contract after annuity payments begin.

Death of the Owner or Annuitant After the Annuity Commencement Date

If any Owner or Annuitant dies on or after the Annuity Commencement Date and before all the annuity payments have been made, we will distribute any remaining payments at least as rapidly as under the annuity option in effect on the date of death. After the death of an Annuitant, we will make any remaining payments to the Beneficiary unless you specified otherwise before the Annuitant died.

INVESTMENTS BY PROTECTIVE

Protective's investment philosophy is to maintain a portfolio that is matched to its liabilities with respect to yield, risk, and cash flow characteristics. The types of assets in which Protective may invest are governed by state laws that prescribe permissible investment assets. Within the parameters of these laws, Protective invests its assets giving consideration to such factors as liquidity needs, investment quality, investment return, matching of assets and liabilities, and the overall composition of the investment portfolio by asset type and credit exposure.

In establishing Guaranteed Interest Rates, Protective intends to take into account, among other things, the yields available on the instruments in which it intends to invest the proceeds from the Contracts. (See "Guaranteed Interest Rates".) Protective's investment strategy with respect to the proceeds attributable to the Contracts will be to primarily invest in investment-grade debt instruments having durations tending to match the applicable Guaranteed Periods. It is also anticipated that some portion of the portfolio will be invested in commercial mortgages. Protective may also invest in lower than investment-grade debt instruments.

Investment-grade debt instruments in which Protective intends to invest the proceeds from the Contracts include:

Securities issued by the United States Government or its agencies or instrumentalities, which issues may or may not be guaranteed by the United States Government.

Mortgage-backed and corporate debt securities that have an investment grade, at the time of purchase, within the four highest grades assigned by Moody's Investors Service, Inc. ("Moody's") (Aaa, Aa, A, Baa), Standard & Poor's Corporation ("S&P") (AAA, AA, A, or BBB) or any other nationally recognized rating service. Protective considers bonds rated Baa or higher by Moody's or BBB or higher by S&P to be investment grade. As of September 30, 2008, 94.7% of bonds in which Protective invests were considered investment grade; 30.3% of these bonds were rated Baa or BBB.


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Mortgage-backed securities are based upon residential mortgages which have been pooled into securities. Mortgage-backed securities may have greater cash flow volatility as a result of the pass-through of prepayments of principal on the underlying loans. Prepayments of principal on the underlying residential loans can be expected to accelerate with decreases in interest rates and diminish with increases in interest rates.

Debt obligations which have a Moody's or Standard & Poor's rating below investment grade may comprise a portion of the portfolio. Risks associated with investments in less than investment-grade debt obligations may be significantly higher than risks associated with investments in debt securities rated investment grade. Risk of loss upon default by the borrower is significantly greater with respect to such debt obligations than with other debt securities because these obligations may be unsecured or subordinated to other creditors. Additionally, there is often a thinly traded market for such securities and current market quotations are frequently not available for some of these securities. Issuers of less than investment grade debt obligations usually have higher levels of indebtedness and are more sensitive to adverse economic conditions, such as recession or increasing interest rates, than investment-grade issuers. Fixed maturity securities rated BBB may have speculative characteristics and changes in economic conditions or other circumstances are more likely to lead to a weakened capacity of the issuer to make principal and interest payments than is the case with higher rated fixed maturity securities.

Protective's primary mortgage lending emphasis has been on small commercial mortgage loans to finance shopping centers that provide for the necessities of life. Protective has been making this type of loan for many years with little principal loss over that time.

The federal government or its instrumentalities does not guarantee the Contracts. Protective backs the guarantees associated with the Contracts.

While the foregoing generally describes our investment strategy with respect to the proceeds attributable to the Contracts, we are not obligated to invest the proceeds attributable to the Contracts according to any particular strategy, except as may be required by the insurance laws of Tennessee and other states in which we operate. Contract owners do not participate in the investment performance of these assets. The risk of investment gain or loss is borne entirely by the Company.

OTHER CONTRACT PROVISIONS

Non-Participating

The Contract does not share in our surplus or profits and does not pay dividends.

Notice

All instructions and requests to change or assign a Contract must be in a written form acceptable to us and signed by the Owner. The instruction, change or assignment will relate back to and take effect on the date it was signed, but we will not be responsible for following any instruction or making any change or assignment before we receive it and acknowledge it through our Administrative Office. Send correspondence to: Investment Products Services, P. O. Box 10648, Birmingham, Alabama 35202-0648.

Reports

At least once each year, we will send you a report showing the current AccountValue, Sub-Account Values, interest credited and any other information required by law.


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Transactions and Modification of the Contract

Currently, you must make any request for a change or transaction under your Contract in writing and on a form acceptable to Protective. Changes and transactions under your Contract include actions such as: making additional Annuity Deposits; requesting surrenders or interest withdrawals; changing the Annuity Commencement Date, annuity option, or Annuitant; or making a death benefit claim.

No one is authorized to modify or waive any term or provision of the Contract unless we agree and unless it is signed by our President, Vice President or Secretary. We reserve the right to change or modify the provisions of the Contract to conform to any applicable laws, rules or regulations issued by a government agency, or to assure the Contract continues to qualify as an annuity under the Internal Revenue Code. We will send you a copy of any endorsement that modifies your Contract and will obtain all necessary approvals including, where required, that of the Owner.

Assignment or Transfer of a Contract

You have the right to assign or transfer a Contract if it is permitted by applicable law. Generally, you do not have the right to assign or transfer a Qualified Contract. We do not assume responsibility for any assignment or transfer. Any claim made under an assignment or transfer is subject to proof of the nature and extent of the assignee's or transferee's interest before we make a payment. Assignments and transfers have federal income tax consequences. An assignment or transfer may result in the Owner recognizing taxable income. (See, "Federal Tax Matters, Taxation of Interest Withdrawals and Partial and Full Surrenders".)

Facility of Payment

If the Annuitant or Beneficiary is incapable of giving a valid receipt for any payment, we may make payment to whomever has assumed his or her care and principal support. Any such payment shall fully discharge us to the extent of that payment.

Protection of Proceeds

To the extent permitted by law, no benefits payable under a Contract will be subject to the claims of creditors of any payee.

Error in Age or Gender

When a Contract benefit depends upon any person's age or gender, we may require proof of such. We may suspend the benefit until we receive that proof. When we receive satisfactory proof, we will make any payments that were due during the period of suspension. Where the use of unisex mortality rates is required, we will not determine or adjust benefits based on gender.

If, after we receive proof of age and gender (where applicable), we determine that the information you furnished to us was not correct, we will adjust the benefits under your Contract to that which would have been due based upon the correct information. If we underpaid a benefit because of the error, we will make up the underpayment in a lump sum. If the error resulted in an overpayment, we will deduct the amount of the overpayment from any current or future payment due under the Contract. We will deduct up to the full amount of any current or future payment until the overpayment has been fully repaid. Underpayments and overpayments will bear interest at an annual effective rate of 3%.

Suspension of Contracts

Under certain circumstances, we may be required by law to reject an Annuity Deposit, freeze a Contract, or both. Under these circumstances, we would refuse to honor any request for withdrawals, surrenders, or death benefits. Once frozen, we would hold any Account Value in an interest bearing account until we receive instructions from the appropriate regulatory or law enforcement authorities.


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DISTRIBUTION OF THE CONTRACTS

Distribution

We have entered into an agreement with Investment Distributors, Inc. ("IDI") under which IDI has agreed to distribute the Contracts on a "best efforts" basis. Under the agreement, IDI serves as principal underwriter (as defined under Federal securities laws and regulations) for the Contracts. IDI is a Tennessee corporation and was established in 1993. IDI, a wholly-owned subsidiary of PLC, is an affiliate of and shares the same address as Protective. IDI is registered with the SEC under the Securities Exchange Act of 1934 as a broker-dealer and is a member of the Financial Industry Regulatory Authority ("FINRA").

IDI, together with Protective, enters into distribution agreements with other broker-dealers, including ProEquities, Inc., an affiliate of Protective Life and IDI, (collectively, "Selling Broker- Dealers") for the sale of the Contracts. Registered representatives of the Selling Broker-Dealers sell the Contracts directly to individuals and groups who have established accounts with them. Registered representatives of the Selling Broker-Dealers must be licensed as insurance agents by applicable state insurance authorities and appointed as agents of Protective in order to sell the Contracts. IDI may also offer the Contracts directly to members of certain other eligible groups or other eligible individuals.

We pay commissions and additional asset-based compensation to Selling Broker-Dealers through IDI. IDI does not retain any commission payment or other amounts as principal underwriter for the Contracts. We may pay some or all of IDI's operating and other expenses, however.

We offer the Contract on a continuous basis. While we anticipate continuing to offer the Contracts, we reserve the right to discontinue the offering at any time.

Selling Broker-Dealers

We pay commissions and may provide some form of non-cash compensation to all Selling Broker- Dealers in connection with the promotion and sale of the Contracts. A portion of any payments made to Selling Broker-Dealers may be passed on to their registered representatives in accordance with their internal compensation programs. We may use any of our corporate assets to pay commissions and other costs of distributing the Contracts, including any profit from the fees and charges imposed under the Contracts. Commissions and other incentives or payments described below are not charged directly to Contract owners. We intend to recoup commissions and other sales expenses through fees and charges deducted under the Contracts or from our general account.

Compensation Paid to All Selling Broker-Dealers. We pay commissions as a percentage of each Annuity Deposit and on the Sub-Account Value transferred to a subsequent Guaranteed Period (other than the 1-year Guaranteed Period). While the amount and timing of commissions may vary depending on the distribution agreement, we do not expect them to exceed 4% of any Annuity Deposit or transfer of Sub-Account Value. In the normal course of business, we may also provide non-cash compensation in connection with the promotion of the Contracts, including conferences and seminars (including travel, lodging, and meals in connection therewith), and items of relatively small value, such as promotional gifts, meals, or tickets to sporting or entertainment events.

The registered representative who sells you the Contract typically receives a portion of the compensation we pay to his or her Selling Broker-Dealer, depending on the agreement between the Selling Broker-Dealer and your registered representative and the Selling Broker-Dealer's internal compensation program. These programs may include other types of cash and non-cash compensation and other benefits. If you would like information about what your registered representative and the Selling Broker-Dealer for whom he or she works may receive in connection with your purchase of a Contract, please ask your registered representative.

Additional Compensation Paid to Selected Selling Broker-Dealers. In addition to ordinary commissions and non-cash compensation, we may pay additional asset-based compensation to selected Selling Broker-Dealers. These payments may be (1) additional amounts as a percentage of Annuity


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Deposits we receive under the Contracts and other contracts we sell, such as our variable insurance products, (2) additional "trail" commissions, which are periodic payments as a percentage of the Account Values of the Contracts and of the contract and policy values or variable account values of our variable insurance products; and/or (3) marketing allowances as a percentage of fixed annuity assets under management relating to the Contracts. Some or all of these additional asset-based compensation payments may be conditioned upon the Selling Broker-Dealer producing a specified amount of new Annuity Deposits [(including purchase payments and/or premiums for our variable insurance products)] and/or maintaining a specified amount of Annuity Value (including contract and policy value for our variable insurance products) with us.

The Selling Broker-Dealers to whom we pay additional asset-based compensation may provide preferential treatment with respect to our products (including the Contracts) in their marketing programs. Preferential treatment of our products by a Selling Broker-Dealer may include any or all of the following: (1) enhanced marketing of our products over non-preferred products; (2) increased access to the Selling Broker-Dealer's registered representatives; and (3) payment of higher compensation to registered representatives for selling our products (including the Contracts) than for selling non-preferred products.

These additional asset-based compensation arrangements are not offered to all Selling Broker- Dealers. These arrangements are designed to specially encourage the sale of our products (and/or our affiliates' products) by such Selling Broker-Dealers. The prospect of receiving, or the receipt of, additional asset-based compensation may provide Selling Broker-Dealers and/or their registered representatives with an incentive to favor sales of our Contracts over other market value adjusted annuities or other investments (as well as favoring our variable insurance products over other variable insurance products) with respect to which a Selling Broker-Dealer does not receive additional compensation, or receives lower levels of additional compensation. You may wish to take such payment arrangements into account when considering and evaluating any recommendation relating to the Contracts. If you would like information about what your registered representative and the Selling Broker-Dealer for whom he or she works may receive in connection with your purchase of a Contract, please ask your registered representative.

We may also pay to selected Selling Broker-Dealers, including those listed above as well as others, additional compensation in the form of (1) payments for participation in meetings and conferences that include presentations about our products (including the Contracts), and (2) payments to help defray the costs of sales conferences and educational seminars for the Selling Broker-Dealers' registered representatives.

Arrangements with Affiliated Selling Broker-Dealer. In addition to the ordinary commissions and non-cash compensation that we pay to all Selling Broker-Dealers, including ProEquities, Inc., we or our parent company, PLC, pay some of the operating and other expenses of ProEquities, Inc., such as paid-in-capital and certain overhead expenses. Additionally, employees of ProEquities, Inc. may be eligible to participate in various employee benefit plans offered by PLC.

FEDERAL TAX MATTERS

Introduction

The following discussion of the federal income tax treatment of the Contracts is not exhaustive, does not purport to cover all situations, and is not intended as tax advice. The federal income tax treatment of the Contracts is unclear in certain circumstances, and a qualified tax adviser should always be consulted with regard to the application of law to individual circumstances. This discussion is based on the Internal Revenue Code of 1986, as amended (the "Code"), Treasury Department regulations, and interpretations existing on the date of this Prospectus. These authorities, however, are subject to change by Congress, the Treasury Department, and judicial decisions.


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This discussion does not address state or local tax consequences associated with the purchase of the Contracts. In addition, the Company makes no guarantee regarding any tax treatment — federal, state or local — of any Contract or of any transaction involving a Contract.

Protective's Tax Status

Protective is taxed as a life insurance company under the Code. The assets underlying the Contracts will be owned by Protective, and the income derived from such assets will be includible in Protective's income for federal income tax purposes.

Taxation of Annuities in General

Tax Deferral During Accumulation Period

Under existing provisions of the Code (and except as described below), the Contracts should be treated as annuities and any increase in an Owner's Account Value is generally not taxable to the Owner or Annuitant until received, either in the form of annuity payments as contemplated by the Contracts, or in some other form of distribution.

As a general rule, Contracts held by "non-natural persons" such as a corporation, trust or other similar entity, as opposed to a natural person, are not treated as annuity contracts for federal tax purposes. The income on such Contracts (as defined in the tax law) is taxed as ordinary income that is received or accrued by the Owner during the taxable year. There are several exceptions to this general rule for Contracts held by non-natural persons. First, Contracts will generally be treated as held by a natural person if the nominal owner is a trust or other entity which holds the Contract as an agent for a natural person. Thus, if a group Contract is held by a trust or other entity as an agent for Certificate owners who are individuals, those individuals should be treated as owning an annuity for federal income tax purposes. However, this special exception will not apply in the case of any employer who is the nominal owner of a Contract under a non-qualified deferred compensation arrangement for its employees.

In addition, exceptions to the general rule for non-natural Contract owners will apply with respect to (1) Contracts acquired by an estate of a decedent by reason of the death of the decedent, (2) Contracts issued in connection with certain Qualified Plans, (3) Contracts purchased by employers upon the termination of certain Qualified Plans, (4) certain Contracts used in connection with structured settlement agreements, and (5) Contracts purchased with a single premium when the annuity starting date is no later than a year from purchase of the Contract and substantially equal periodic payments are made, not less frequently than annually, during the annuity period.

If the Contract's Annuity Commencement Date occurs (or is scheduled to occur) at a time when the Annuitant has reached an advanced age, e.g. , past age 85, it is possible that the Contract would not be treated as an annuity for federal income tax purposes. In that event, any increases in the Account Value could be currently includable in the Owner's income.

The remainder of this discussion assumes that the Contract will constitute an annuity for federal tax purposes.

Taxation of Interest Withdrawals and Partial and Full Surrenders

In the case of an interest withdrawal or partial surrender, amounts received generally are includible in income to the extent the Owner's Account Value before the interest withdrawal or partial surrender exceeds his or her "investment in the contract." Amounts received under an automatic interest withdrawal program are treated as partial surrenders. In the case of a full surrender, amounts received are includible in income to the extent they exceed the investment in the contract. For these purposes the investment in the contract at any time equals the premiums paid under the Contract (to the extent such premium payments were neither deductible when made nor excludable from income as, for example, in


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the case of certain contributions to Qualified Contracts) less any amounts previously received from the Contract which were not includible in income.

Other than in the case of Qualified Contracts (which generally cannot be assigned or pledged), any assignment or pledge of (or agreement to assign or pledge) any portion of the Account Value is treated as a partial surrender of such amount or portion. The investment in the contract is increased by the amount includible as income with respect to such assignment or pledge, though it is not affected by any other aspect of the assignment or pledge (including its release). If an Owner transfers a Contract without adequate consideration to a person other than the Owner's spouse (or to a former spouse incident to divorce), the Owner will be taxed on the difference between the Account Value and the investment in the contract at the time of transfer. In such case, the transferee's investment in the contract will be increased to reflect the increase in the transferor's income.

There is some uncertainty regarding the treatment of the Market Value Adjustment for purposes of determining the amount includible in income as a result of any interest withdrawal, partial surrender, assignment or pledge or transfer without adequate consideration. Congress has given the Internal Revenue Service ("IRS") regulatory authority to address this uncertainty. However, as of the date of this Prospectus, the IRS has not issued any regulations addressing these determinations.

Taxation of Annuity Payments

Normally, the portion of each annuity payment taxable as ordinary income is equal to the excess of the payment over the excludable amount. The excludable amount is the amount determined by multiplying (1) the payment by (2) the ratio of the investment in the contract, adjusted for any period certain or refund feature, to the total expected value of annuity payments for the term of the Contract (determined under Treasury Department regulations).

Once the total amount of the investment in the contract is excluded using this ratio, annuity payments will be fully taxable. If annuity payments cease because of the death of the Annuitant and before the total amount of the investment in the contract is recovered, the unrecovered amount generally will be allowed as a deduction to the Annuitant in his last taxable year.

There may be special income tax issues present in situations where the Owner and the Annuitant are not the same person and are not married to one another. A tax advisor should be consulted in these situations.

Annuity payments may be subject to federal income tax withholding requirements. (See "Federal Income Tax Withholding.") In addition, in the case of annuity payments from certain Qualified Plans, mandatory withholding requirements may apply, unless a "direct rollover" of such annuity payments is made. (See "Direct Rollover Rules.")

Example of Determination of Excludable Amount

Assumptions:    
Investment in contract:   $70,000  
Annuity option selected:   10 year certain period  
Payment frequency:   monthly, with the initial payment made immediately upon annuitization  
Hypothetical payment:   $1,000  

 


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Calculations:    
Total payments =   Hypothetical payment multiplied by the number of payments to be made: $1,000 x 120 = $120,000  
Exclusion ratio =   Cost basis divided by the total payments: $70,000 ÷ $120,000 = 58.33%  
Excludable amount =   Exclusion ratio multiplied by the hypothetical payment: 58.33% x $1,000 = $583.30  

 

Taxation of Death Benefit Proceeds

Prior to the Annuity Commencement Date, amounts may be distributed from a Contract because of the death of an Owner or, in certain circumstances, the death of the Annuitant. Such Death Benefit proceeds are includible in income as follows: (1) if distributed in a lump sum, they are taxed in the same manner as a full surrender, as described above, or (2) if distributed under an Annuity option, they are taxed in the same manner as annuity payments, as described above. After the Annuity Commencement Date, if a guaranteed period exists under an Annuity option and the Annuitant dies before the end of that period, payments made to the Beneficiary for the remainder of that period are includible in income as follows: (1) if received in a lump sum, they are includible in income to the extent that they exceed the unrecovered investment in the contract at that time, or (2) if distributed in accordance with the existing Annuity option selected, they are fully excludable from income until the remaining investment in the contract is deemed to be recovered, and all annuity payments thereafter are fully includible in income.

Proceeds payable on death may be subject to federal income tax withholding requirements. (See "Federal Income Tax Withholding".) In addition, in the case of such proceeds from certain Qualified Contracts, mandatory withholding requirements may apply, unless a "direct rollover" of such proceeds is made. (See "Direct Rollover Rules".)

Penalty Tax on Premature Distributions

Where a Contract has not been issued in connection with a Qualified Plan, there generally is a 10% penalty tax on the taxable amount of any payment from the Contract unless the payment is: (a) received on or after the Owner reaches age 59 1 / 2 ; (b) attributable to the Owner becoming disabled (as defined in the tax law); (c) made on or after the death of the Owner or, if an Owner is not an individual, on or after the death of the primary annuitant (as defined in the tax law); (d) made as part of a series of substantially equal periodic payments (not less frequently than annually) for the life (or life expectancy) of the Owner or the joint lives (or joint life expectancies) of the Owner and a designated beneficiary (as defined in the tax law); or (e) made under a Contract purchased with a single premium when the Annuity Commencement Date is no later than a year from purchase of the Contract and substantially equal periodic payments are made, not less frequently than annually, during the annuity period. Certain other exceptions to the 10% penalty tax not described herein may also apply. (Similar rules, described below, generally apply in the case of Qualified Contracts.)

Aggregation of Contracts

In certain circumstances, the IRS may determine the amount of an annuity payment or an interest withdrawal or a partial surrender or a full surrender from a Contract that is includible in income by combining some or all of the annuity contracts owned by an individual which are not issued in connection with a Qualified Plan. For example, if a person purchases a Contract offered by this Prospectus and also purchases at approximately the same time an immediate annuity issued by


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Protective, the IRS may treat the two contracts as one contract. In addition, if a person purchases two or more deferred annuity contracts from the same insurance company (or its affiliates) during any calendar year, all such contracts will be treated as one contract for purposes of determining whether any payment not received as an annuity (including interest withdrawals and surrenders prior to the Annuity Commencement Date) is includible in income. The effects of such aggregation are not always clear; however, it could affect the time when income is taxable and the amount which might be subject to the 10% penalty tax described above.

Exchanges of Annuity Contracts

We may issue the Contract in exchange for all or part of another annuity contract that you own. Such an exchange will be tax free if certain requirements are satisfied. If the exchange is tax free, your investment in the contract immediately after the exchange will generally be the same as that of the annuity contract exchanged, increased by any additional purchase payment made as part of the exchange. Your Account Value immediately after the exchange may exceed your investment in the contract. That excess may be includable in income should amounts subsequently be withdrawn or distributed from the Contract ( e.g. , as a partial surrender, full surrender, annuity payment, or death benefit).

If you exchange part of an existing contract for the Contract, and within 12 months of the exchange you receive a payment ( e.g. , you make a withdrawal) from either contract, the exchange may not be treated as a tax free exchange. Rather, the exchange may be treated as if you had made a partial surrender from the existing contract and then purchased the Contract. In these circumstances, some or all of the amount exchanged into the Contract could be includible in your income and subject to a 10% penalty tax. There are various circumstances in which a partial exchange followed by receipt of a payment within 12 months of the exchange is unlikely to affect the tax free treatment of the exchange.

You should consult your tax advisor in connection with an exchange of all or part of an annuity contract for the Contract, especially if you may make a withdrawal from either contract within 12 months after the exchange.

Loss of Interest Deduction Where Contracts Are Held by or for the Benefit of Certain Non-natural Persons

In the case of Contracts issued after June 8, 1997 to a non-natural taxpayer (such as a corporation or a trust), or held for the benefit of such an entity, a portion of otherwise deductible interest may not be deductible by the entity, regardless of whether the interest relates to debt used to purchase or carry the Contract. However, this interest deduction disallowance does not affect Contracts where the income on such Contracts is treated as ordinary income that is received or accrued by the Owner during the taxable year. Entities that are considering purchasing the Contract, or entities that will be Beneficiaries under a Contract, should consult a tax advisor.

Qualified Retirement Plans

In General

The Contracts are also designed for use in connection with certain types of retirement plans which receive favorable treatment under the Code. Those who are considering the purchase of a Contract for use in connection with a Qualified Plan should consider, in evaluating the suitability of the Contract, that the Contract requires an initial Annuity Deposit of at least $25,000. Numerous special tax rules apply to participants in Qualified Plans and to Contracts used in connection with Qualified Plans. Therefore, no attempt is made in this prospectus to provide more than general information about the use of the Contracts with the various types of Qualified Plans. State income tax rules applicable to Qualified Plans and Qualified Contracts often differ from federal income rules, and this prospectus does not describe any of these differences. Those who intend to use the Contract in connection with Qualified Plans should seek competent advice.

The tax rules applicable to Qualified Plans vary according to the type of plan and the terms and conditions of the plan itself. For example, both the amount of the contribution that may be made, and


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the tax deduction or exclusion that the Owner may claim for such contribution, are limited under Qualified Plans and vary with the type of plan. Also, in the case of interest withdrawals, full and partial surrenders, and annuity payments under Qualified Contracts, there may be no "investment in the contract" and the total amount received may be taxable.

If a Contract is issued in connection with a Qualified Plan, the Owner and the Annuitant generally must be the same person and generally may not be changed. Additionally, for Contracts issued in connection with Qualified Plans subject to the Employee Retirement Income Security Act ("ERISA"), the spouse or ex-spouse of the Owner will have rights in the Contract. In such a case, the Owner may need the consent of the spouse or ex-spouse to change annuity options, elect an interest withdrawal, or make a partial or full surrender of the Contract.

In the case of Qualified Contracts, special rules apply to the time at which distributions must commence and the form in which the distributions must be paid. For example, the length of any fixed period may be limited in some circumstances to satisfy certain minimum distribution requirements under the Code. Due to the presence of a Market Value Adjustment there may be in some circumstances uncertainty as to the amount of required minimum distributions. Failure to comply with minimum distribution requirements applicable to Qualified Plans will result in the imposition of an excise tax. This excise tax generally equals 50% of the amount by which a minimum required distribution exceeds the actual distribution from the Qualified Plan. In the case of Individual Retirement Accounts or Annuities ("IRAs"), distributions of minimum amounts (as specified in the tax law) must generally commence by April 1 of the calendar year following the calendar year in which the Owner attains age 70 1 / 2 . In the case of certain other Qualified Plans, distributions of such minimum amounts generally must commence by the later of this date or April 1 of the calendar year following the calendar year in which the employee retires.

There is also a 10% penalty tax on the taxable amount of payments from Qualified Contracts. There are exceptions to this penalty tax which vary depending on the type of Qualified Plan. In the case of an IRA, exceptions provide that the penalty tax does not apply to a payment (a) received on or after the Owner reaches age 59 1 / 2 , (b) received on or after the Owner's death or because of the Owner's disability (as defined in the tax law), or (c) made as part of a series of substantially equal periodic payments (not less frequently than annually) for the life (or life expectancy) of the Owner or for the joint lives (or joint life expectancies) of the Owner and the Owner's designated Beneficiary (as defined in the tax law). These exceptions, as well as certain others not described herein, generally apply to taxable distributions from other Qualified Plans (although, in the case of plans qualified under sections 401 and 403, exception "c" above for substantially equal periodic payments applies only if the Owner has separated from service). In addition, the penalty tax does not apply to certain distributions from IRAs which are used for qualified first time home purchases or for higher education expenses. Special conditions must be met for these two exceptions to the penalty tax. Those wishing to take a distribution from an IRA for these purposes should consult their tax advisor.

When issued in connection with a Qualified Plan, a Contract will be amended as generally necessary to conform to the requirements of the plan. However, Owners, Annuitants, and Beneficiaries are cautioned that the rights of any person to any benefits under Qualified Plans may be subject to the terms and conditions of the plans themselves, regardless of the terms and conditions of the Contract. In addition, the Company shall not be bound by terms and conditions of Qualified Plans to the extent such terms and conditions contradict the Contract, unless the Company consents.

Following are brief descriptions of various types of Qualified Plans in connection with which Protective will generally issue a Contract.

Individual Retirement Accounts and Annuities. Section 408 of the Code permits eligible individuals to contribute to an individual retirement program known as an IRA. IRAs are subject to limits on the amounts that may be contributed and deducted, the persons who may be eligible and on the time when


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distributions may commence. Also, subject to the direct rollover and mandatory withholding requirements (discussed below), distributions from certain Qualified Plans may be "rolled over" on a tax-deferred basis into an IRA. The Contract may not, however, be used in connection with a "Coverdell Education Savings Account" (formerly known as an "Education IRA") under Section 530 of the Code, a "Simplified Employee Pension" under Section 408(k) of the Code, or as a "SIMPLE IRA" under Section 408(p) of the Code.

Roth IRAs. Section 408A of the Internal Revenue Code permits eligible individuals to contribute to a type of IRA known as a "Roth IRA." Roth IRAs are generally subject to the same rules as non-Roth IRAs, but differ in several respects. Among the differences is that, although contributions to a Roth IRA are not deductible, "qualified distributions" from a Roth IRA will be excludable from income.

A qualified distribution is a distribution that satisfies two requirements:

•  First, the distribution must be made in a taxable year that is at least five years after the first taxable year for which a contribution was made to any Roth IRA established for the Owner.

•  Second, the distribution must be either:

1)  made after the Owner reaches age 59 1 / 2 ;

2)  made after the Owner's death;

3)  attributable to the Owner being disabled; or

4)  a qualified first-time homebuyer distribution within the meaning of Section 72(t)(2)(F) of the Internal Revenue Code.

In addition, distributions from Roth IRAs need not commence when the Owner reaches age 70 1 / 2 . A Roth IRA may accept a "qualified rollover contribution" from a non-Roth IRA. A Roth IRA may accept a rollover contribution from a "designated Roth account" maintained under a Qualified Plan, and a Roth IRA also may accept a rollover contribution from a qualified pension plan under Section 401(a) of the Code, qualified annuity plan under Section 403(a) of the Code, Section 403(b) tax-sheltered annuity or custodial account, or governmental plan under Section 457(b) of the Code. Special rules apply to rollovers from Qualified Plans and designated Roth accounts under Qualified Plans. You should seek competent advice before making such a rollover.

Corporate and Self-Employed ("H.R. 10" and "Keogh") Pension and Profit-SharingPlans. Sections 401(a) and 403(a) of the Code permit corporate employers to establish various types of tax-favored retirement plans for employees. The Self-Employed Individuals' Tax Retirement Act of 1962, as amended, commonly referred to as "H.R. 10" or "Keogh," permits self-employed individuals also to establish such tax-favored retirement plans for themselves and their employees. Such retirement plans may permit the purchase of the Contract in order to provide benefits under the plans. Corporate and self-employed pension and profit sharing plans are also subject to nondiscrimination rules. The nondiscrimination rules generally require that benefits, rights or features of the plan not discriminate in favor of highly compensated employees. In evaluating whether the Contract is suitable for purchase in connection with such a plan, you should consider the effect of the $25,000 minimum Annuity Deposit requirement, and of the higher discretionary interest rate that may be credited to Annuity Deposits of $100,000 or more, on the plan's compliance with applicable nondiscrimination requirements. Violation of these rules can cause loss of the plan's tax favored status under the Code. Employers intending to use the Contract in connection with such plans should seek competent advice.

Section 403(b). Section 403(b) of the Code permits public school employees and employees of certain types of charitable, educational and scientific organizations specified in Section 501(c)(3) of the Code to have their employers purchase annuity contracts for them and, subject to certain limitations, to exclude the amount of purchase payments from gross income for tax purposes.


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Purchasers of the Contracts for use as a "Section 403(b) annuity contract" should seek competent advice as to eligibility, limitations on permissible amounts of purchase payments and other tax consequences associated with the Contracts. Section 403(b) annuity contracts contain restrictions on withdrawals of (i) contributions made pursuant to a salary reduction agreement in years beginning after December 31, 1988, (ii) earnings on those contributions, and (iii) earnings after December 31, 1988, on amounts attributable to salary reduction contributions held as of December 31, 1988. These amounts can be paid only if the employee has reached age 59 1 / 2 , had a severance from employment, died, become disabled, in the case of hardship, or if the amount is a "qualified reservist distribution" under Section 72(t)(2)(G) of the Code. Amounts permitted to be distributed in the event of hardship are limited to actual contributions; earnings thereon can not be distributed on account of hardship. In addition, in the case of contracts issued on or after January 1, 2009, a section 403(b) contract is permitted to distribute retirement benefits (other than those attributable to salary reduction contributions) to a participant no earlier than upon the earlier of the participant's severance from employment or upon the prior occurrence of some event, such as after a fixed number of years, the attainment of a stated age, or disability. (These limitations on withdrawals and distributions do not apply to the extent Protective is directed to transfer some or all of the Account Value to the issuer of another Section 403(b) annuity contract or into a Section 403(b)(7) custodial account.)

Section 403(b) plans are subject to nondiscrimination rules. The nondiscrimination rules generally require that benefits, rights or features of the plan not discriminate in favor of highly compensated employees. In evaluating whether the Contract is suitable for purchase in connection with a tax sheltered annuity plan, you should consider the effect of the $25,000 minimum Annuity Deposit requirement, and of the higher discretionary interest rate that may be credited to Annuity Deposits of $100,000 or more, on the plan's compliance with applicable nondiscrimination requirements. Violation of these rules can cause loss of the plan's tax favored status under the Internal Revenue Code. Employers intending to use the Contract in connection with such plans should seek competent advice.

New income tax regulations impose a written plan requirement and an information sharing requirement on Section 403(b) contracts (including Section 403(b) annuity contracts and Section 403(b)(7) custodial accounts). In particular, a rollover to a Section 403(b) contract from an eligible retirement plan, a transfer to a Section 403(b) plan from another Section 403(b) plan, and the exchange of a Section 403(b) contract for another Section 403(b) contract under the same Section 403(b) plan must be permitted under the Section 403(b) plan pursuant to which the contract is maintained. In addition, the issuer of the Section 403(b) contract and the employer maintaining the Section 403(b) plan must agree to provide each other, from time to time, with information necessary for the Section 403(b) contract, or any other contact to which contributions have been made by the employer, to satisfy Section 403(b) and other tax requirements.

These new requirements apply to a contract received in an exchange that occurs after September 24, 2007, although such a contract need not satisfy these requirements before January 1, 2009 (the general effective date of the new regulations). Hence, if a new rollover, transfer, or exchange into a Section 403(b) contract is made before January 1, 2009, and the written plan and information sharing requirements are not satisfied by that date, the contract will fail to qualify as a Section 403(b) contract as of January 1, 2009, absent eligibility for certain transitional relief. In that event, there may be adverse tax consequences to the contract owner, including current taxation of amounts that would otherwise be tax deferred.

In light of the limitations in the new income tax regulations, Protective generally will not accept rollovers, transfers, or exchanges into a Section 403(b) annuity contract after September 24, 2007, absent satisfaction of the written plan and information sharing requirements or eligibility for transitional relief. If you wish to make a rollover, transfer, or exchange from your Section 403(b) annuity contract with Protective to another Section 403(b) contract, you should consider that the recipient contract will fail to qualify as a Section 403(b) contract as of January 1, 2009, if the requirements applicable to Section 403(b) contracts, including the written plan and information sharing requirements, are not


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satisfied as of that date. Before making a rollover, transfer, or exchange to another Section 403(b) contract, you should consult your tax advisor about the tax consequences to you in the event that the written plan and information sharing requirements are not satisfied as of January 1, 2009.

Direct Rollover Rules

In the case of Contracts used in connection with a pension, profit-sharing, or annuity plan qualified under Sections 401(a) or 403(a) of the Code, or in the case of a Section 403(b) tax-sheltered annuity, any "eligible rollover distribution" from the Contract will be subject to direct rollover and mandatory withholding requirements. An eligible rollover distribution generally is any taxable distribution from a qualified pension plan under Section 401(a) of the Code, qualified annuity plan under Section 403(a) of the Code, or Section 403(b) tax-sheltered annuity or custodial account, excluding certain amounts (such as minimum distributions required under Section 401(a)(9) of the Code, distributions which are part of a "series of substantially equal periodic payments" made for life or a specified period of 10 years or more, or hardship distributions as defined in the tax law).

Under these requirements, withholding at a rate of 20% will be imposed on any eligible rollover distribution. In addition, the Owner in these qualified retirement plans cannot elect out of withholding with respect to an eligible rollover distribution. However, this 20% withholding will not apply if, instead of receiving the eligible rollover distribution, the Owner elects to have amounts directly transferred to certain Qualified Plans (such as to an IRA). Special rules apply to the rollover of any after-tax amounts. Prior to receiving an eligible rollover distribution, you will receive a notice (from the plan administrator or Protective) explaining generally the direct rollover and mandatory withholding requirements and how to avoid the 20% withholding by electing a direct transfer.

Federal Income Tax Withholding

Protective will withhold and remit to the U.S. government a part of the taxable portion of each distribution made under a Contract unless the distributee notifies Protective at or before the time of the distribution that he or she elects not to have any amounts withheld. In certain circumstances, Protective may be required to withhold tax. The withholding rates applicable to the taxable portion of periodic annuity payments (other than the eligible rollover distributions) are the same as the withholding rates generally applicable to payments of wages. The withholding rate applicable to the taxable portion of non-periodic payments (including withdrawals prior to the Annuity Commencement Date) and conversions of, or rollovers from, non-Roth IRAs and Qualified Plans to Roth IRAs is 10%. Regardless of whether you elect not to have federal income tax withheld, you are still liable for payment of federal income tax on the taxable portion of the payment. As described above, the withholding rate applicable to eligible rollover distributions is 20%.

LEGAL PROCEEDINGS

To the knowledge and in the opinion of management, there are no material pending legal proceedings, other than ordinary routine litigation incidental to the business of PLC and Protective, to which PLC or Protective or any of its subsidiaries is a party or of which any of PLC or Protective's properties is the subject. For additional information regarding legal proceedings see "Risk Factors and Cautionary Factors that may Affect Future Results" included in Protective's Annual Report on Form 10-K which is incorporated by reference herein. See "Requesting Documents."

EXPERTS

The financial statements incorporated in this Prospectus by reference to the Annual Report on Form 10-K for the year ended December 31, 2007 have been so incorporated in reliance on the report of PricewaterhouseCoopers LLP, an independent registered public accounting firm, given on the authority of said firm as experts in auditing and accounting.


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LEGAL MATTERS

Sutherland Asbill & Brennan LLP of Washington, D.C. has provided advice on certain matters relating to the applicability of federal securities laws to the Contracts.

REGISTRATION STATEMENT

A Registration Statement has been filed with the United States Securities and Exchange Commission (the "SEC") under the Securities Act of 1933 as amended with respect to the Contracts. This Prospectus does not contain all information set forth in the Registration Statement, its amendments and exhibits, to all of which reference is made for further information concerning Protective and the Contracts. Statements contained in this Prospectus as to the content of the Contracts and other legal instruments are summaries. For a complete statement of the terms thereof, reference is made to the instruments as filed in the Registration Statement.

INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE

We have incorporated by reference Protective's Annual Report on Form 10-K for the year ended December 31, 2007, the Quarterly Reports on Form 10-Q for the periods ended March 31, 2008 and June 30, 2008, and September 30, 2008 and the Current Reports on Form 8-K dated January 22, 2008, January 25, 2008, January 25, 2008, January 25, 2008, January 31, 2008, February 28, 2008, February 28, 2008, March 12, 2008, March 17, 2008, March 26, 2008, April 2, 2008, April 7, 2008, April 16, 2008, April 18, 2008, April 22, 2008, June 2, 2008, June 9, 2008, June 16, 2008, June 23, 2008, June 30, 2008, July 7, 2008, July 15, 2008, July 21, 2008, August 29, 2008, September 16, 2008, October 1, 2008, and November 7, 2008 as filed with the SEC in accordance with the Securities Exchange Act of 1934. The Annual Report contains additional information about Protective, including audited financial statements for the latest fiscal year. We were not required to file any other reports pursuant to Section 13(a) or 15(d) of the Securities and Exchange Act since the end of the fiscal year covered by the Annual Report.

REQUESTING DOCUMENTS

You may request a free copy of any or all of the information incorporated by reference into the Prospectus (other than exhibits not specifically incorporated by reference into the text of such documents) including Protective's Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, and Current Reports on Form 8-K. Please direct any oral or written requests for such documents to: Investor Relations, Protective Life Corporation, P.O. Box 2606, Birmingham, Alabama 35202, Telephone (205) 268-3573, Fax (205) 268-5547. You may also access a copy of Protective's Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, and Current Reports on Form 8-K or request a printed copy through the Internet at Protective's website (www.protective.com/default.asp?id=14#pub_req).

PUBLIC INFORMATION

We file our Exchange Act documents and reports, including our annual and quarterly reports on Form 10-K and Form 10-Q, electronically pursuant to EDGAR under CIK No. 0000310826. The SEC maintains a web site that contains reports, proxy and information statements, and other information regarding registrants that file electronically with the SEC. The address of the site is http://www.sec.gov.

You can also review and copy any materials filed with the SEC at its Public Reference Room at 100 F Street, NE., Washington D.C., 20549. You may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330.


30




PART II

INFORMATION NOT REQUIRED IN PROSPECTUS

Item 13.  Other Expenses of Issuance and Distribution.*

The expenses of the issuance and distribution of the Contracts, other than any underwriting discounts and commissions, are as follows:

Securities and Exchange Commission Registration Fees   $ 2,751    
Printing and engraving     12,500    
Accounting fees and expenses     15,000    
Legal fees and expenses     15,000    
Miscellaneous     0    
TOTAL EXPENSES   $ 45,251    

 

*  Estimated.

Item 14.  Indemnification of Directors and Officers.

Section 6.5 of Article VI of the Certificate of Incorporation of PLC provides, in substance, that any of PLC's directors and officers and certain directors and officers of Protective, 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 PLC, by reason of the fact that he is or was an officer or director, shall be indemnified by PLC against expenses (including attorneys' fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with such 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 PLC and, with respect to any criminal action or proceeding, had no reasonable cause to believe his conduct was unlawful. If the action or suit is or was by or in the right of PLC to procure a judgment in its favor, such person shall be indemnified by PLC against expenses (including attorneys' fees) actually and reasonably incurred by him in connection with the defense or settlement of such action or suit, 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 PLC 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 any officer or director has been successful on the merits or otherwise in defense of any such action, suit or proceeding, or in defense of any issue or matter therein, he shall be indemnified by PLC against expenses (including attorneys' fees) actually and reasonably incurred by him in connection therewith without the necessity of any action being taken by PLC other than the determination, in good faith, that such defense has been successful. In all other cases, unless ordered by a court, indemnification shall be made by PLC 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 such 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 holders of a majority of the shares of capital stock of PLC entitled to vote thereon. By means of a by-law, Protective offers its directors and certain executive officers similar indemnification.

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.


II-1



Item 15.  Recent Sales of Unregistered Securities

None.

Item 16. Exhibits.

Exhibit
Number
    Description  
  1 (a)         Underwriting Agreement (1)    
  1 (b)         Form of Distribution Agreement (2)    
  2           Not applicable.  
  3 (a)         2002 Amended and Restated Bylaws of Protective Life Insurance Company filed as Exhibit 3.b. to Protective's Annual Report on Form 10-K for the year ended December 31, 2007.†  
  3 (b)         2002 Amended and Restated Charter of Protective Life Insurance Company filed as Exhibit 3.a. to Protective's Annual Report on Form 10-K for the year ended December 31, 2007.†  
  4 (a)         Group Modified Guaranteed Annuity Contract  
  4 (b)         Individual Modified Guaranteed Annuity Contract  
  4 (c)         Group Certificate  
  4 (d)         Application for Modified Guaranteed Annuity (will be filed by pre-effective amendment to this registration statement).  
  4 (e)         Endorsement "Free Look"  
  4 (f)         Endorsement "Settlement Option"  
  4 (g)         Endorsement "Automatic Renewal"  
  4 (h)         Endorsement "Traditional IRA"  
  4 (i)         Endorsement "Roth IRA"  
  4 (j)         Endorsement "Qualified Retirement Plan"  
  4 (k)         Endorsement "Sec. 457 Deferred Comp."  
  5           Opinion re legality (will be filed by pre-effective amendment to this registration statement).  
  10 (a)         Stock and Asset Purchase Agreement By and Among Protective Life Corporation, Protective Life Insurance Company, Fortis, Inc. and Dental Care Holdings, Inc. dated July 9 incorporated by reference as Exhibit 10(c) to Protective's Annual Report on Form 10-K for the year ended December 31, 2001.†  
  10 (b)         Indemnity Reinsurance Agreement By and Between Protective Life Insurance Company and Fortis Benefits Insurance Company dated December 31, 2001 incorporated by reference as Exhibit 10(l) to Protective's Annual Report on Form 10-K for the year ended December 31, 2001.†  
  10 (c)         Credit Agreement among Protective Life Corporation, the several lenders from time to time party thereto, Suntrust Bank, as Syndication Agent and AmSouth Bank, as Administrative Agent, dated October 17, 2001 incorporated by reference as Exhibit 10(g) to Protective's Annual Report on Form 10-K for the year ended December 31, 2001.†  
  10 (c)(2)         Amended and Restated Credit Agreement among Protective Life Corporation, Protective Life Insurance Company, the several lenders from time to time party thereto, AmSouth Bank and Wachovia Capital Markets, LLC, dated as of July 30, 2004 filed as Exhibit 10(c) to the PLC Quarterly Report on Form 10-Q filed November 9, 2004 (No. 001-11339).†  

 


II-2



Exhibit
Number
    Description  
  10 (d)         Lease Agreement dated as of February 1, 2000, between Wachovia Capital Investments, Inc. and Protective, filed as Exhibit 10(l) to PLC's Annual Report on Form 10-K for the year ended December 31, 2002.†  
  10 (d)(1)         First Amendment to Lease Agreement dated as of October 31, 2001, between Wachovia Capital Investments, Inc. and Protective, filed as Exhibit 10(l)(1) to PLC's Annual Report on Form 10-K for the year ended December 31, 2002.†  
  10 (e)         Investment and Participation Agreement dated as of February 1, 2000, among Protective and Wachovia Capital Investments, Inc., filed as Exhibit 10(m) to PLC's Annual Report on Form 10-K for the year ended December 31, 2002.†  
  10 (e)(1)         First Amendment to Investment and Participation Agreement and Lease Agreement dated as of November 30, 2002, among Protective, Wachovia Capital Investments, Inc., and SunTrust Bank and LaSalle Bank National Association, filed as Exhibit 10(m)(1) to PLC's Annual Report on Form 10-K for the year ended December 31, 2002.†  
  10 (e)(2)         Second Amendment to Investment and Participation Agreement and Lease Agreement dated as of March 11, 2002 among Protective, Wachovia Capital Investments, Inc., and SunTrust Bank and LaSalle Bank National Association, filed as Exhibit 10(m)(2) to PLC's Annual Report on Form 10-K for the year ended December 31, 2002.†  
  10 (e)(3)         Third Amendment to Investment and Participation Agreement and Lease Agreement dated as of July 22, 2002 among Protective, Wachovia Capital Investments, Inc., and SunTrust Bank and LaSalle Bank National Association, filed as Exhibit 10(m)(3) to PLC's Annual Report on Form 10-K for the year ended December 31, 2002.†  
  10 (e)(4)         Amended and Restated Lease Agreement dated January 11, 2007 between Wachovia Development Corporation and Protective Life Insurance Company. (3)    
  10 (e)(5)         Amended and Restated Investment and Participation AGreement dated January 11, 2007 among Protective Life Insurance Company, Wachovia Development Corporation, Wachovia Bank, National Association, and Lease Participant Signitories. (3)    
  10 (f)         Stock Purchase Agreement By and Among Protective Life Insurance Company and Banc One Insurance Holdings, Inc., CBD Holdings Ltd., JPMorgan Chase & Co. dated February 7, 2006, filed as Exhibit 2.01 to Protective Life Insurance Company's 8-K on February 13, 2006.†  
  10 (g)         Amendment and Clarification of the Tax Allocation Agreement dated January 1, 1988 by and among Protective Life Corporation and its Subsidiaries. Filed as Exhibit 10(h) to the Protective Life Insurance Company's Annual Report on Form 10-K for the year ended December 31, 2006.†  
  23 (a)         Consent of PricewaterhouseCoopers LLP (will be filed by pre-effective amendment to this registration statement).  
  23 (b)         Consent of Sutherland, Asbill & Brennan, L.L.P. (will be filed by pre-effective amendment to this registration statement).  

 

(1)   Previously filed in Form S-1 Registration Statement, Registration No. 33-31940.

(2)   Previously filed in Amendment No. 3 to Form S-1 Registration Statement, Registration No. 33-57052.

(3)   Previously filed in Form S-1 Registration Statement, Registration No. 333-142293 as filed April 23, 2007.

†  Incorporated by reference.


II-3



Item 17.  Undertakings.

(A)  The undersigned Registrant hereby undertakes:

(1)  To file, during any period in which offers or sales are being made, a post-effective amendment to this registration statement:

(i)  To include any prospectus required by section 10(a)(3) of the Securities Act of 1933;

(ii)  To reflect in the prospectus any facts or events arising after the effective date of the registration statement (or the most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in the information set forth in the registration statement. Notwithstanding the foregoing, any increase or decrease in volume of securities offered (if the total dollar value of securities offered would not exceed that which was registered) and any deviation from the low or high end of the estimated maximum offering range may be reflected in the form of prospectus filed with the Commission pursuant to Rule 424(b) if, in the aggregate, the changes in volume and price represent no more than a 20% change in the maximum aggregate offering price set forth in the "Calculation of Registration Fee" table in the effective registration statement;

(iii)  To include any material information with respect to the plan of distribution not previously disclosed in the registration statement or any material change to such information in the registration statement.

(2)  That, for the purpose of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.

(3)  To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering.

(4)  That, for the purpose of determining liability under the Securities Act of 1933 to any purchaser, each prospectus filed pursuant to Rule 424(b) as part of a registration statement relating to an offering, other than registration statements relying on Rule 430B or other than prospectuses filed in reliance on Rule 430A, shall be deemed to be part of and included in the registration statement as of the date it is first used after effectiveness. Provided, however, that no statement made in a registration statement or prospectus that is part of the registration statement or made in a document incorporated or deemed incorporated by reference into the registration statement or prospectus that is part of the registration statement will, as to a purchaser with a time of contract of sale prior to such first use, supersede or modify any statement that was made in the registration statement or prospectus that was part of the registration statement or made in any such document immediately prior to such date of first use.

(5)  That, for the purpose of determining liability of the registrant under the Securities Act of 1933 to any purchaser in the initial distribution of the securities, the undersigned registrant undertakes that in a primary offering of securities of the undersigned registrant pursuant to this registration statement, regardless of the underwriting method used to sell the securities to the purchaser, if the securities are offered or sold to such purchaser by means of any of the following communications, the undersigned registrant will be a seller to the purchaser and will be considered to offer or sell such securities to such purchaser:

(i)  Any preliminary prospectus or prospectus of the undersigned registrant relating to the offering required to be filed pursuant to Rule 424;

(ii)  Any free writing prospectus relating to the offering prepared by or on behalf of the undersigned registrant or used or referred to by the undersigned registrant;


II-4



(iii)  The portion of any other free writing prospectus relating to the offering containing material information about the undersigned registrant or its securities provided by or on behalf of the undersigned registrant; and

(iv)  Any other communication that is an offer in the offering made by the undersigned registrant to the purchaser.

(B)  The undersigned Registrant hereby undertakes that, for purposes of determining any liability under the Securities Act of 1933, each filing of the registrant's annual report pursuant to section 13(a) or section 15(d) of the Securities Exchange Act of 1934 that is incorporated by reference in the registration statement shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.

(C)  Insofar as indemnification for liabilities 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, officers 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.


II-5



SIGNATURES

Pursuant to the requirements of the Securities Act of 1933, the Registrant has duly caused this Registration Statement on Form S-1 to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Birmingham, State of Alabama on December 18, 2008.

PROTECTIVE LIFE INSURANCE COMPANY

By:  /s/ JOHN D. JOHNS

  John D. Johns

  Chairman of the Board, Chief Executive Officer
  and President

Pursuant to the requirements of the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities and on the dates indicated:

Signature   Title   Date  
(i) Principal Executive Officer      
/s/ JOHN D. JOHNS
John D. Johns
  Chairman of the Board, Chief Executive Officer and President   December 18, 2008  
(ii) Principal Financial Officer      
/s/ RICHARD J. BIELEN
Richard J. Bielen
  Vice Chairman and Chief Financial Officer   December 18, 2008  
(iii) Principal Accounting Officer      
/s/ STEVEN G. WALKER
Steven G. Walker
  Senior Vice President, Controller, and Chief Accounting Officer   December 18, 2008  
(iv) Board of Directors:      
/s/ JOHN D. JOHNS
John D. Johns
  Director   December 18, 2008  
/s/ RICHARD J. BIELEN
Richard J. Bielen
  Director   December 18, 2008  
/s/ CAROLYN JOHNSON
Carolyn Johnson
  Director   December 18, 2008  

 


II-6



EXHIBIT INDEX

Number   Description  
  4 (a)   Group Modified Guaranteed Annuity Contract  
  4 (b)   Individual Modified Guaranteed Annuity Contract  
  4 (c)   Group Certificate  
  4 (e)   Endorsement "Free-Look"  
  4 (f)   Endorsement "Settlement Option"  
  4 (g)   Endorsement "Automatic Renewal"  
  4 (h)   Endorsement "Traditional IRA"  
  4 (i)   Endorsement "Roth IRA"  
  4 (j)   Endorsement "Qualified Retirement Plan"  
  4 (k)   Endorsement "Section 457 Deferred Comp"  

 



Exhibit 4(a)

Protective Life Insurance Company

 

PROTECTIVE LIFE INSURANCE COMPANY / P.O. BOX 2606 / BIRMINGHAM, ALABAMA 35202
A STOCK COMPANY

 

Master Contract Application
Group Flexible Premium Deferred Modified Guaranteed Annuity Contract

 

The Trustee of the Protective Life MGA Trust hereby applies to Protective Life Insurance Company for a Group Flexible Premium Deferred Modified Guaranteed Annuity master contract to be issued in Des Moines, Iowa.

 

 

Patty Ashbaugh, as Trustee, for Bankers Trust Company, N.A.

 

 

Name

 

 

 

 

 

Vice President

 

 

Title

 

 

 

 

 

/s/ Patty Ashbaugh

 

 

Signature

 

 

 

 

 

 

 

 

1/7/04

140321837

 

 

Date

Trust Number

 

 

 

 

 

 

 

 

Protective Life MGA Trust

 

 

Name of Trust

 

 

 

 

 

 

 

 

ProSaver Platinum MGA

 

 

Name of Product

 

 

 

 

 

 

 

 

IPD-2084

 

 

Policy Form #

 

 

 

GMA-2084

 

12/03

 



 

PROTECTIVE LIFE INSURANCE COMPANY
P. O. BOX 2606

BIRMINGHAM, ALABAMA 35202

 

ENDORSEMENT

 

The Contract or Certificate to which this Endorsement is attached is amended as of its effective date, as follows:

 

If you cancel this Contract during the first ten days after you first receive it according to the “Right to Return” provision of the face page of the Contract, the amount we return to you will equal the Account Value on the date we receive your written cancellation request, adjusted by the Market Value Adjustment.

 

For the purpose of determining the Market Value Adjustment during the ten day cancellation period, we will identify a Treasury Rate each day. The current Treasury Rate (“C” in the Market Value Adjustment formula on the Schedule of this Contract) will be the Treasury Rate identified on the date we receive your written cancellation request.

 

Signed for the Company as of the Effective Date.

 

 

 

PROTECTIVE LIFE INSURANCE COMPANY

 

 

 

/s/ Deborah J. Long

 

Deborah J. Long

 

Secretary

 

 

IPD-2092V

 

7/99

 



 

CERTIFICATE

 

Individual Certificate issued under the Group Modified Guaranteed Annuity Contract
Account Value is subject to a Market Value Adjustment
Non-Participating

 

This Certificate is a summary of your rights under the Group Modified Guaranteed Annuity Contract (“Contract”) identified on the Schedule. This Certificate is subject to all provisions of the Contract, whether or not summarized in this Certificate. The Contract alone governs the rights of the parties. A copy of the Contract will be furnished on request.

 

Protective Life Insurance Company certifies that the person named as Participant on the Schedule is a Participant under the Contract.

 

YOU HAVE THE RIGHT TO RETURN THIS CONTRACT. You may cancel this Contract within twenty days after you receive it by returning the Contract to our Home Office or to our Agent, with a written request for cancellation. The Contract will be as though it had never been issued. We will promptly return any Annuity Deposit made.

 

 

 

 

/s/ Deborah J. Long

 

/s/ John D. Johns

Deborah J. Long

 

John D. Johns

Secretary

 

President

 

 

PROTECTIVE LIFE INSURANCE COMPANY
P.O. Box 2606
Birmingham, Alabama 35202
(205) 879-9230
(A Stock Insurance Company)

 

Form No. IPD-2084

 

12/97

 



 

CONTRACT

 

Patty Ashbaugh, as Trustee for Bankers Trust Company, N. A.

 

Contract Holder

 

 

 

140321837

January 7, 2004

Trust Account #

Contract Effective Date

 

Separate Account

The assets supporting this Contract are held in a Separate Account. All values will be determined as provided in the Contract, without regard to the actual investment performance of the Separate Account.

 

Surrender Charge

The Surrender Charge is equal to the Surrender Charge Percentage indicated below, applied to the amount of each full or partial surrender requested less any amount available under the “Interest Withdrawal” provision of the Certificate at the time of the surrender.

 

Number of Completed Years
in a Guaranteed Period

 

Surrender Charge
Percentage

 

0

 

6

%

1

 

6

%

2

 

5

%

3

 

4

%

4

 

3

%

5

 

2

%

6

 

1

%

7+

 

0

%

 

Market Value Adjustment

The Market Value Adjustment is equal to the Market Value Adjustment Percentage indicated below, applied to the amount of each full or partial surrender requested less any amount available under the “Interest Withdrawal” provision of the Certificate at the time of the surrender.

 

Market Value Adjustment Percentage = (C - I + 0.25%) x (N/12), where:

 

C = the Treasury Rate currently established for the same term as the Guaranteed Period from which the surrender is being made;

 

I = the Treasury Rate initially established for the Guaranteed Period from which the surrender is being made;

 

N = The number of months remaining in the Guaranteed Period from which the surrender is being made.

 

The Treasury Rate is the annual effective interest rate credited to United States Treasury instruments, as published by a nationally recognized source. On the fifteenth day and the last day of each month, the Company will identify a Treasury Rate for each Guaranteed Period. The method used by the Company to determine the Treasury Rates under this Contract shall be consistent and is binding upon any Participant, Annuitant and Beneficiary.

 

2



 

INDEX

 

Schedule

2

Definitions

4

General Provisions

5

Control Provisions

7

Premium Taxes

8

Surrenders - Termination

8

Interest Credited and Guaranteed Periods

9

Annuity Options

9

Annuity Tables

10

 

3



 

DEFINITIONS

 

Account Value - The sum of all Sub-Account Values.

 

Annuitant - Annuity payments may depend upon the continuation of the life of a person. That person is called an Annuitant and is named on the Schedule.

 

Annuity - A series of predetermined periodic payments.

 

Annuity Commencement Date - The date on which annuity payments begin. This date is indicated on the Schedule.

 

Annuity Deposit(s) - Annuity Deposits (less Premium Taxes, if applicable) made and allocated to the Guaranteed Period(s) you select under this Certificate. Each Annuity Deposit and each allocation to a Guaranteed Period must be at least $10,000. We reserve the right to limit the amount of your Annuity Deposits. Only one Certificate will be issued regardless of the number of Annuity Deposits you make.

 

Beneficiary - The person entitled to receive the benefits under this Certificate, if any, upon the death of any Participant.

 

Primary - The person named to receive the death benefits upon any Participant’s death. Upon the death of any Participant, the surviving Participant, if any, will become the Primary Beneficiary.

 

Contingent - The person named to receive the death benefits if the Primary Beneficiary is not living at the time of a Participant’s death. If no Beneficiary designation is in effect or if no Beneficiary is living at the time of a Participant’s death, the Estate of the deceased Participant will be the Beneficiary.

 

Irrevocable - An irrevocable Beneficiary is one whose consent is needed to change the Beneficiary designation, or to exercise certain other rights.

 

Certificate - The individual Certificate issued by the Company to a Participant. Your Certificate summarizes the provisions of the Contract.

 

Certificate Date - The date shown on the Schedule and on which this Certificate takes effect. Certificate Years are measured from the Certificate Date.

 

Contract - The Group Modified Guaranteed Annuity Contract under which this Certificate has been issued.

 

Guaranteed Period - The period for which either an Initial or Subsequent Guaranteed Interest Rate will be credited to a Sub-Account under a Contract. Guaranteed Periods will be designated as being either “Initial” or “Subsequent”.

 

Home Office - 2801 Highway South, Birmingham, Alabama.

 

4



 

Initial Guaranteed Interest Rate - The effective rate of interest, calculated after daily compounding of interest has been taken into account, which is used in determining the interest credited to a Sub-Account under this Certificate during the Initial Guaranteed Period. This rate is specified on the Schedule.

 

Market Value Adjustment - The adjustment made to a Sub-Account Value when a full or partial surrender is requested prior to the end of an Initial or Subsequent Guaranteed Period. The Market Value Adjustment is explained on the Schedule.

 

Net Account Value - The sum of all Net Sub-Account Values.

 

Net Sub-Account Value - The Sub-Account Value after application of the Market Value Adjustment and deductions for any Surrender Charges and applicable Premium Taxes.

 

Participant - The person(s) named in the Schedule, herein referred to as “you” or “your”.

 

Sub-Account - Each Annuity Deposit will be allocated to one or more Sub-Accounts as directed by the Participant. Each Sub-Account will correspond to a specified Guaranteed Period and guaranteed interest rate selected by the Participant.

 

Sub-Account Value - The amount equal to that part of the Annuity Deposit allocated by a Participant to a Sub-Account or any amount transferred to a Sub-Account or Sub-Accounts at the end of a Guaranteed Period increased by all interest credited and decreased by amounts due to previous full or partial surrenders (including Surrender Charges, Market Value Adjustments, and Premium Taxes thereon) and previous interest withdrawals. The Sub-Account Value of each Sub-Account under this Certificate must be at least $10,000 at all times.

 

Subsequent Guaranteed Interest Rate - The effective rate of interest, calculated after daily compounding of interest has been taken into account, which is established by the Company for any applicable Subsequent Guaranteed Period.

 

Surrender Charge - A Surrender Charge, if applicable, is deducted from any Sub-Account Value from which a full or partial surrender is made prior to the end of an Initial or Subsequent Guaranteed Period. The Surrender Charge is explained on the Schedule.

 

Writing - A written form satisfactory to the Company and filed at the Home Office of the Company in Birmingham, Alabama. All correspondence should be sent to P.O. Box 2606, Birmingham, Alabama 35202.

 

GENERAL PROVISIONS

 

Entire Contract

The Contract, this Certificate and any endorsements attached hereto, and the Application, a copy of which is attached, constitute the entire contract. A Certificate is a summary of the Contract.

 

5



 

Modification

No change or waiver of the terms of this Contract is valid unless made by us, in Writing, and approved by our President, Vice President, or Secretary. We reserve the right to change the provisions of the Contract and this Certificate issued under the Contract to conform to any applicable laws, regulations or rulings issued by a governmental agency.

 

Error in Age or Sex

Questions in the Application concern the Annuitant’s date of birth and sex. If the date of birth or sex given is not correct, the benefits under this Contract shall be adjusted to the amount which would have been payable at the correct age and sex. If we made any underpayments on account of any misstatement, the amount of any underpayment shall be immediately paid in one sum. Any overpayments made shall be deducted from the current or succeeding payments due under the Contract.

 

Assignment

Upon notice to us, you may assign your rights under this Contract. The assignment must be in Writing and filed with us. We assume no responsibility for the validity of any assignment. Any claim under any assignment shall be subject to proof of interest and the extent of the assignment.

 

Settlement

Any payment by us under this Contract is payable at our Home Office. The Participant may elect to apply settlement proceeds, including any full or partial surrender proceeds or the death benefit, to any payout option offered by us for such payments at the time the election is made.

 

Facility of Payment

If the Annuitant or Beneficiary is incapable of giving a valid receipt for any payment, we may make such payment to whomever has assumed his or her care and principal support. Any such payment shall fully discharge us to the extent of that payment.

 

Proof of Age

Proof of age is required before the first payment under an Annuity Option involving lifetime payments.

 

Annual Reports

We will send you a report at least once per year showing your Account Value, Sub-Account Values and interest credited.

 

Annuity Commencement Date Changes

Upon thirty days notice in Writing, you may change the Annuity Commencement Date. The proposed Annuity Commencement Date you select cannot be before the end of any Guaranteed Period or later than the Certificate Year closest to the Annuitant’s 85th birthday.

 

6



 

Protection of Proceeds

To the extent permitted by law, no benefits payable under this Certificate will be subject to the claims of creditors of any payee.

 

CONTROL PROVISIONS

 

Annuitant

The Participant may change the Annuitant prior to the Annuity Commencement Date. The request must be in Writing. Once it is received and acknowledged at our Home Office, any change will relate back to and take effect on the date the request was signed. The Annuitant is the “Payee” for the purposes of the Annuity Table.

 

Beneficiary

The Beneficiary will be as shown in the Application. You may change the Beneficiary at any time. To make a change, we must receive a written request satisfactory to us at our Home Office. If the Beneficiary has been designated irrevocably, however, such designation cannot be changed or revoked without the Beneficiary’s written consent. Any such change will relate back to and take effect on the date the request was signed. We will not be liable for any payment we make before such request has been received and acknowledged at our Home Office. Any payment which has become due to an Annuitant and has not been paid prior to his or her death shall be paid to the Primary Beneficiary, if living; otherwise to the Contingent Beneficiary.

 

Death of the Annuitant or Participant

If an Annuitant is not a Participant and dies prior to the Annuity Commencement Date, the Participant first named on the Application will become the new Annuitant unless the Participant designates otherwise. If any Participant is not a natural person, the death or change of the Annuitant will be treated as the death of a Participant. If any Participant dies while this Certificate is in force prior to the Annuity Commencement Date, a Death Benefit will be payable to the Beneficiary.

 

Death Benefit

The Death Benefit will be determined as of the date due proof of death is received by the Company. If a claim for the Death Benefit is received at our Home Office within 6 months of the date of death, the Death Benefit will equal the greater of: (1) the Account Value, less applicable Premium Taxes; or (2) the Net Account Value. If a claim is received past 6 months after the date of death, the Death Benefit will equal the Net Account Value. If any Participant of this Certificate is not a natural person, upon the change of the Annuitant, the Death Benefit will equal the Net Account Value. Only one Death Benefit is payable under this Certificate, even though the Certificate may continue beyond a Participant’s death.

 

The Death Benefit may be taken in one sum immediately. In all events, the entire Death Benefit, including any interest accrued thereon, must be distributed within five years of the date of death unless:

 

7



 

(a)                                   it is payable over the life of the Beneficiary with distributions beginning within one year of the date of death; or

 

(b)                                  it is payable over a period not extending beyond the life expectancy of the Beneficiary with distributions beginning within one year of the date of death; or

 

(c)                                   the deceased Participant’s spouse is the Beneficiary and, in lieu of receiving the Death Benefit, continues the Certificate and becomes the new Participant.

 

If the deceased Participant’s spouse continues the Certificate and becomes the new Participant, upon such spouse’s death, a Death Benefit will become payable to the new Beneficiary (determined at the time of the spouse’s death). the Death Benefit, including any interest accrued thereon must be distributed within five years of the spouse’s death.

 

PREMIUM TAXES

 

Premium Taxes (including any related retaliatory taxes, if any) will be deducted, if applicable. Premium Taxes may be deducted, as provided under applicable law, from the Annuity Deposit when received, upon full or partial surrender, or from the amount applied to effect an Annuity at the time the annuity payments commence. Premium Taxes may also be deducted from the Death Benefit.

 

SURRENDERS - TERMINATION

 

Full surrenders may be made at any time. Partial surrenders may only be made if each remaining Sub-Account Value is at least $10,000. You must specify the Sub-Accounts from which the partial surrender is to be made. If the Sub-Account specified has the same Guaranteed Period as any other Sub-Account, the partial surrender must come from the Sub-Account with the shortest time remaining in the Guaranteed Period.

 

Surrender Charges and Market Value Adjustments will not apply to full or partial surrenders made at the end of an Initial or Subsequent Guaranteed Period. The Surrender Value will equal the Sub-Account Value on this date. A request for a surrender at the end of an Initial or Subsequent Guaranteed Period must be received in Writing within twenty days prior to the end of such an Initial and Subsequent Guaranteed Period.

 

The Surrender Value will be calculated by the Company using the following formula:

 

(A - S - M - P), where:

 

A = the amount of the full or partial surrender;

S = the amount of Surrender Charge;

M = the amount of the Market Value Adjustment;

P = the amount of unpaid Premium Taxes, if any.

 

The Company may defer payment of any partial or full surrender for the period permitted by law. In no event will this deferral of payment exceed 6 months from the date of receipt of the election to surrender partially or fully.

 

8



 

Interest Withdrawals

If you notify the Company in Writing at any time during the current Certificate Year, the Company will send you all or a portion of the interest credited during the prior Certificate Year. You may only make one withdrawal during a Certificate Year. No Surrender Charge or Market Value Adjustment will be imposed on such interest withdrawals.

 

INTEREST CREDITED AND GUARANTEED PERIODS

 

The portion of each Annuity Deposit allocated to a Sub-Account will earn interest at the Initial Guaranteed Interest Rate for each Certificate Year during the Initial Guaranteed Period selected for that Sub-Account. A Guaranteed Period is the period of years for which a rate of interest is guaranteed. You may select from any Guaranteed Period offered by the Company under the Contract at the time the Annuity Deposit or transfer is made. However, Guaranteed Periods cannot extend beyond the Annuity Commencement Date.

 

You may not transfer a Sub-Account Value to any existing or new Sub-Account(s) prior to the end of the Sub-Account’s Guaranteed Period. At the end of any Guaranteed Period a Subsequent Guaranteed Period will begin. Unless you elect a different duration from among those then offered by us within twenty days prior to the end of the previous Guaranteed Period, your Sub-Account Value will be automatically transferred to a Subsequent Guaranteed Period of either (1) the same duration as your previous Guaranteed Period if then offered by us; or (2) the shortest duration then offered by us which is closest to the same duration as your previous Guaranteed Period.

 

Your Sub-Account Value at the beginning of any Subsequent Guaranteed Period will be equal to your Sub-Account Value at the end of the Guaranteed Period just ending. The Sub-Account Value will earn interest at the Subsequent Guaranteed Interest Rate for each Certificate Year in the Subsequent Guaranteed Period. At your request within twenty days prior to the end of any Guaranteed Period, the Company will notify you of the then effective Subsequent Guaranteed Interest Rate. The actual Subsequent Guaranteed Interest Rate will be determined at the beginning of the Subsequent Guaranteed Period.

 

ANNUITY OPTIONS

 

Annuity Benefit

If the Annuitant is alive on the Annuity Commencement Date and unless directed otherwise, the Company will apply the Net Account Value according to the Annuity Option elected.

 

You may elect to have all or a part of the Net Account Value applied on the Annuity Commencement Date under any of the Annuity Options described below. In the absence of an election, the Net Account Value will be applied on the Annuity Commencement Date under Option 2 - Life Income with Payments for a 10 Year Guaranteed Period. Elections of any of these options must be made in Writing to the Company at least 30 days prior to the date such election is to become effective.

 

9



 

If the Annuitant or Participant dies on or after the Annuity Commencement Date, any remaining payments will be distributed at least as rapidly as under the method of distribution being used at the time of death.

 

Annuity Options

 

Option 1 - Payment For a Fixed Period. Equal monthly payments will be made for any period of not less than 5 nor more than 30 years. The amount or each payment depends on the total amount applied, the period selected and the monthly payment rates we are using when the first payment is due.

 

Option 2 - Life Income with Payments for a Guaranteed Period. Equal monthly payments are based on the life of the named Annuitant. Payments will continue for the lifetime of that person with payments guaranteed for 10 or 20 years. Payments stop at the end of the selected guaranteed period or when the named person dies, whichever is later.

 

Option 3 - Payments of a Fixed Amount. Equal monthly payments will be for an agreed fixed amount. The amount of each payment may not be less than $10 for each $1,000 applied. Interest will be credited each month on the unpaid balance and added to it. This interest will be at a rate set by us, but not less than an effective interest rate of 4% per year. Payments continue until the amount we hold runs out. The last payment will be for the balance only.

 

Minimum Amounts - We reserve the right to pay the total amount of this Certificate in one lump sum, if less than $5,000. If monthly payments are less than $100, we may make payments quarterly, semi-annually, or annually, at our option.

 

All elected Annuity Options must comply with current Federal and state statutes and Internal Revenue Service Regulations. If we have available, at the time an Annuity Option is elected, options or rates on a more favorable basis than those guaranteed, the higher benefits shall apply.

 

ANNUITY TABLES

 

The attached Annuity Tables show the dollar amount of the monthly payments for each $1,000 applied. The tables are based on the 1983 Individual Annuitant Mortality Table A projected 4 years with interest at 4% per annum. One year will be deducted from the attained age of the Annuitant for every three completed years beyond the year 1987.

 

Individual Certificate issued under the Group Modified Guaranteed Annuity Contract
Account Value is subject to a Market Value Adjustment
Non-Participating

 

IPD-2084

 

12/97

 

10



 

MINIMUM MONTHLY PAYMENT RATES FOR EACH $1,000 APPLIED

 

OPTION 1 TABLE

 

OPTION 2 TABLE

 

Payments for a

 

Life Income with Payments

 

Fixed Period

 

for a Guaranteed Period

 

Years

 

Monthly

 

Age of

 

10 Years

 

20 Years

 

Female

 

Payment

 

Payee

 

Male

 

Female

 

Male

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

18.32

 

59

 

5.29

 

4.83

 

4.98

 

4.68

 

6

 

15.56

 

60

 

5.40

 

4.92

 

5.04

 

4.74

 

7

 

13.59

 

61

 

5.51

 

5.01

 

5.10

 

4.81

 

8

 

12.12

 

62

 

5.63

 

5.10

 

5.17

 

4.88

 

9

 

10.97

 

63

 

5.75

 

5.21

 

5.24

 

4.95

 

10

 

10.06

 

64

 

5.88

 

5.32

 

5.30

 

5.02

 

11

 

9.31

 

65

 

6.02

 

5.43

 

5.37

 

5.09

 

12

 

8.69

 

66

 

6.16

 

5.55

 

5.43

 

5.17

 

13

 

8.17

 

67

 

6.31

 

5.68

 

5.49

 

5.24

 

14

 

7.72

 

68

 

6.47

 

5.82

 

5.55

 

5.31

 

15

 

7.34

 

69

 

6.63

 

5.97

 

5.60

 

5.38

 

16

 

7.00

 

70

 

6.79

 

6.12

 

5.65

 

5.45

 

17

 

6.71

 

71

 

6.96

 

6.28

 

5.70

 

5.51

 

18

 

6.64

 

72

 

7.13

 

6.45

 

5.74

 

5.58

 

19

 

6.21

 

73

 

7.31

 

6.63

 

5.78

 

5.64

 

20

 

6.00

 

74

 

7.48

 

6.81

 

5.82

 

5.69

 

21

 

5.81

 

75

 

7.66

 

7.00

 

5.85

 

5.74

 

22

 

5.64

 

76

 

7.84

 

7.20

 

5.88

 

5.78

 

23

 

5.49

 

77

 

8.02

 

7.40

 

5.90

 

5.82

 

24

 

5.35

 

78

 

8.20

 

7.60

 

5.92

 

5.85

 

25

 

5.22

 

79

 

8.37

 

7.81

 

5.94

 

5.88

 

26

 

5.10

 

80

 

8.54

 

8.10

 

5.96

 

5.91

 

27

 

5.00

 

81

 

8.70

 

8.21

 

5.97

 

5.93

 

28

 

4.90

 

82

 

8.85

 

8.41

 

5.98

 

5.95

 

29

 

4.80

 

83

 

8.99

 

8.59

 

5.98

 

5.96

 

30

 

4.72

 

84

 

9.12

 

8.77

 

5.99

 

5.97

 

 

 

 

 

& over

 

9.25

 

8.93

 

5.99

 

5.98

 

 

Rates for monthly payments for ages not shown in the above tables will be calculated on the same basis as those shown and may be obtained from us. The basis for these calculations is the 1983 Individual Annuitant Mortality Table A projected 4 years with interest at 4% per annum.

 

IPD-2084

12/97

 

11



 

Annuity Application

 

Protective Life Insurance Company

3-1 IPD P.O. Box 10648

Birmingham, Alabama 35202-0648

 

 

 

 

Owner/Participant Name, Street, City, State, Zip Code

 

 

Male
Female

 

 

Birthdate (Mo./Day/Yr.)
Tax ID/Social Security No.

 

Joint Owner/Participant (if any) Name, Street, City, State, Zip Code

 

 

Male
Female

 

 

Birthdate (Mo./Day/Yr.)
Tax ID/Social Security No.

 

 

 

 

 

Annuitant (if other than Owner/Participant) Name, Street, City, State, Zip Code

 

 

Male
Female

 

 

Birthdate (Mo./Day/Yr.)
Tax ID/Social Security No.

 

 

 

 

 

Primary Beneficiary Name, Address, Relationship & Percentage

 

Plan Type - Check Only One (See instructions on back.)

 

 

Tax ID/Social Security No.

Non-Qualified
CD Transfer
IRA Transfer
IRA
ROTH IRA

1035 Exchange
IRA Rollover
IRA Direct Rollover

TSA Direct Rollover

 

 

 

 

 

 

 

 

Contingent Beneficiary Name, Address, Relationship & Percentage

 

Replacement:
Do you have an existing annuity contract or life insurance policy?

                                                              Yes  o  No  o

 

Will this annuity change or replace any existing annuity contract or life insurance policy?

                                                              Yes  o  No  o

 

 

Tax ID/Social Security No.

 

(If yes, indicate company name and policy # in Special Remarks section on back.)

 

 

TOTAL ANNUITY DEPOSIT $ 

 

 

 

 

 

 

 

3-Yr. $ 

 

 

4 Yr. $ 

 

 

5-Yr. $ 

 

 

6-Yr.$

 

 

 

 

 

 

 

 

 

 

 

 

7-Yr. $ 

 

 

8 Yr. $ 

 

 

9-Yr. $ 

 

 

10-Yr. $

 

 

 

 

I (we) authorize Protective Life to automatically transfer each Guaranteed Period(s) at renewal to the       Guaranteed Period. If the Subsequent Guaranteed Period is not available due to my (our) age, I (we) elect to renew to the longest Guaranteed Period available. I (we) may change my (our) election at any time prior to the expiration of the current Guaranteed Period.

 

 

 

Rate Lock: Available for 1035 Exchanges, Direct Transfers and Direct Rollovers. See information on back.

Yes, please lock-in my rate for 60 days. The estimated amount of my exchange/transfer is $

 

.

No, please give me the rate in effect when my money is received at Protective Life.

 

 

 

Other Protective Life Annuities: Have you purchased other Protective Life Annuities this calendar year?     Yes   o   No  o

 

 

 

AUTHORIZATION AND ACKNOWLEDGMENT: I (We) declare to the best of my (our) knowledge and belief that all of the answers herein are complete and true. I (We) agree that this Application shall be part of my (our) Certificate/Contract issued by the Company. If this Application is declined, the Company will have no liability except to return the Annuity Deposit.

 

 

 

I (We) understand that this Contract/Certificate contains a Market Value Adjustment.

 

 

 

 

Signed At:

 

Date:

 

 

 

 

Signature of
Owner/Participant

 

 

Signature of
Joint Owner/Participant

 

 

 

 

Signature of
Annuitant:
(if other than Owner)

 

Witness:

 

 

An annuity contract is not a deposit or obligation of, or guaranteed by any bank or financial institution. It is not insured by the Federal Deposit Insurance Corporation or any other government agency and is subject to investment risk, including the possible loss of principal.

 

IPD-2081

 

5/03

 



 

Special Remarks:

 

AGENT REPORT

 

I certify that I have given a current Prospectus to the o wner(s) named on this application.                               o Yes   o No

 

To the best of my knowledge and belief, the annuity being applied for o does o does not replace or change any other annuity or insurance.

 

Agent’s
Signature:

 

 

Print
Agent Name:

 

 

 

 

Broker/Dealer Name (if applicable)

 

 

Protective Life
Agent Number:

 

 

 

 

 

Branch:

 

 

Phone No:

 

 

 

 

 

 

Client Account No.  (if applicable)

 

 

Agent Social Security No:.

 

 

IMPORTANT INFORMATION REGARDING RATE LOCK

 

If “yes” is selected, and the money is received within 60 days from the date the application is received, you will receive the rate in effect on that date, regardless of whether the rate goes up or down. If the money is received after the 90 day period, you will receive the rate in effect on the date the money is received by Protective Life.

 

EXPLANATION OF PLAN TYPES

 

Non-Qualified - Money which did not originate in an IRA, TSA, Pension, Profit Sharing, or 401K Plan.

 

1035 Exchange - The tax free exchange of a non-qualified annuity or life insurance contract for one issued by another insurance company.

 

CD Transfer - The direct transfer of non-qualified proceeds from a maturing certificate of deposit into an annuity.

 

IRA Rollover - The deposit of qualified funds originating from the distribution of proceeds from an IRA, IRA Rollover, TSA,

 

Pension, Profit Sharing, or 401K Plan. The rollover must be made within 60 days after the distribution. If taxes were withheld, out of pocket money may be added to make up the full distribution amount.

 

IRA Transfer - The direct transfer of IRA funds originating from the distribution of assets in an IRA. These distributions/deposits are not reported to the IRS.

 

Direct IRA Rollover - The direct rollover of qualified funds originating from the distributions of assets in a TSA, Pension, Profit Sharing, or 401K plan into an IRA Rollover. These distributions/deposits are reported to the IRS. This method avoids mandatory withholding taxes.

 

IRA (indicate contribution & tax year in SPECIAL REMARKS) - Use for annual IRA contributions.

 

TSA Direct Rollover - The direct rollover or transfer of assets distributed from a 403 (b) plan into another 403 (b) program. These distributions/deposits are reported to the IRS. This method avoids mandatory withholding taxes.

 

Send Application To:

 

Regular Mail:

Overnight Mail:

IPD Annuity Services 3-1 IPD

IPD Annuity Services 3-1 IPD

Protective Life Insurance Company

Protective Life Insurance Company

P.O. Box 10648

2801 Highway 280 South

Birmingham, AL 35202-0648

Birmingham, AL 35223

 

IPD-2081

 

5/03

 


Exhibit 4(b)

 

Individual Modified Guaranteed Annuity Contract

 

Account Value is subject to a Market Value Adjustment

Non-Participating
This is a legal Contract
Read Your Contract Carefully

 

The Company agrees with the Owner to provide the benefits as described in this Contract.

 

YOU HAVE THE RIGHT TO RETURN THIS CONTRACT.  You may cancel this Contract within twenty days after you receive it by returning the Contract to our Home Office or to our Agent, with a written request for cancellation. The Contract will be as though it had never been issued. We will promptly return any Annuity Deposit made.

 

 

/s/ John D. Johns

 

/s/ Deborah J. Long

President

 

Secretary

 

 

PROTECTIVE LIFE INSURANCE COMPANY

P. O. Box 2606

Birmingham, Alabama 35202

(205) 879-9230

(A Stock Insurance Company)

 

Form No. IPD-2083

12/97

 



 

SCHEDULE

 

John J. Doe

 

None

Owner

 

Joint Owner

 

 

 

John J. Doe

 

 February 14, 2000

Annuitant

 

Annuity Commencement Date

 

 

 

PX00000001

 

 February 12, 2000

Contract Number

 

Effective Date

 

 

 

Guaranteed

 

Guaranteed

 

Annuity

 

Treasury

 

Sub-Account #

 

Period

 

Interest Rate

 

Deposit

 

Rate

 

 

 

 

 

 

 

 

 

 

 

PX0000000001-AA

 

10 Years

 

6.00

%

$

700,000.00

 

5.88

%

 

 

 

 

 

 

 

 

 

 

Total Annuity Deposit

 

 

 

 

 

$

700.000.00

 

 

 

 

Separate Account

The assets supporting this Contract are held in a Separate Account. All values will be determined as provided in the Contract, without regard to the actual investment performance of the Separate Account.

 

Surrender Charge

The Surrender Charge is equal to the Surrender Charge Percentage indicated below, applied to the amount of each full or partial surrender requested less any amount available under the “Interest Withdrawal” provision of this Contract at the time of the surrender.

 

Number of Completed Years
in a Guaranteed Period

 

Surrender Charge
Percentage

 

0

 

6

%

1

 

6

%

2

 

5

%

3

 

4

%

4

 

3

%

5

 

2

%

6

 

1

%

7+

 

0

%

 

IPD-2083

10/99

 

2



 

Market Value Adjustment

The Market Value Adjustment is equal to the Market Value Adjustment Percentage indicated below, applied to the amount of each full or partial surrender requested less any amount available under the “Interest Withdrawal” provision of this Contract at the time of the surrender.

 

Market Value Adjustment Percentage = (C - I + 0.25%) x (N/12), where:

 

C = the Treasury Rate currently established for the same term as the Guaranteed Period from which the surrender is being made;

 

I = the Treasury Rate initially established for the Guaranteed Period from which the surrender is being made;

 

N = The number of months remaining in the Guaranteed Period from which the surrender is being made.

 

The Treasury Rate is the annual effective interest rate credited to United States Treasury instruments, as published by a nationally recognized source. On the fifteenth day and the last day of each month, the Company will identify a Treasury Rate for each Guaranteed Period. The method used by the Company to determine the Treasury Rates under this Contract shall be consistent and is binding upon any Owner, Annuitant and Beneficiary.

 

INDEX

 

Schedule

2

Definitions

4

General Provisions

6

Control Provisions

7

Interest Credited and Guaranteed Periods

9

Premium Taxes

8

Surrenders - Termination

8

Annuity Options

10

Annuity Tables

11

 

IPD-2083

10/99

 

3



 

DEFINITIONS

 

Account Value - The sum of all Sub-Account Values.

 

Annuitant - Annuity payments may depend upon the continuation of the life of a person. That person is called an Annuitant and is named on the Schedule.

 

Annuity - A series of predetermined periodic payments.

 

Annuity Commencement Date -The date on which annuity payments begin. It is shown on the Schedule.

 

Annuity Deposit(s)  - Annuity Deposits (less Premium Taxes, if applicable) made and allocated to the Guaranteed Period(s) you select under this Contract. Each Annuity Deposit and each allocation to a Guaranteed Period must be at least $10,000. We reserve the right to limit the amount of your Annuity Deposits. Only one Contract will be issued regardless of the number of Annuity Deposits you make.

 

Beneficiary - The person entitled to receive the benefits under this Contract, if any, upon the death of any Owner.

 

Primary - The person named to receive the death benefits upon any Owner’s death. Upon the death of any Owner, the surviving Owner, if any, will become the Primary Beneficiary.

 

Contingent - The person named to receive the death benefits if the Primary Beneficiary is not living at the time of an Owner’s death. If no Beneficiary designation is in effect or if no Beneficiary is living at the time of an Owner’s death, the Estate of the deceased Owner will be the Beneficiary.

 

Irrevocable - An irrevocable Beneficiary is one whose consent is needed to change the Beneficiary designation, or to exercise certain other rights.

 

Effective Date - The date shown on the Schedule and on which this Contract takes effect. Contract Years are measured from the Effective Date.

 

Company - Protective Life Insurance Company.

 

Guaranteed Period - The period for which either an Initial or Subsequent Guaranteed Interest Rate will be credited to a Sub-Account under this Contract. Guaranteed Periods will be designated as being either “Initial” or “Subsequent”.

 

Home Office - 2801 Highway 280 South, Birmingham, Alabama.

 

Initial Guaranteed Interest Rate - The effective rate of interest, calculated after daily compounding has been taken into account, which is used in determining the interest credited to a Sub-Account during the Initial Guaranteed Period. This rate is specified in the Schedule.

 

4



 

Market Value Adjustment - The adjustment made to a Sub-Account Value when a partial or full surrender is requested prior to the end of an Initial or Subsequent Guaranteed Period. The Market Value Adjustment is explained on the Schedule.

 

Net Account Value - The sum of all Net Sub-Account Values.

 

Net Sub-Account Value - The Sub-Account Value after application of the Market Value Adjustment and less any deductions for any Surrender Charges and applicable Premium Taxes.

 

Owner - The Owner(s) of the Contract. Herein referred to as “you” or “your”.

 

Sub-Account - Each Annuity Deposit will be allocated to one or more Sub-Accounts as directed by the Owner. Each Sub-Account will correspond to a specified Guaranteed Period and guaranteed interest rate you select.

 

Sub-Account Value -The amount equal to that part of the Annuity Deposit allocated by the Owner to a Sub-Account or any amount transferred to a Sub-Account or Sub-Accounts at the end of a Guaranteed Period increased by all interest credited and decreased by amounts due to previous full or partial surrenders (including Surrender Charges, Market Value Adjustments and Premium Taxes thereon) and previous interest withdrawals. The Sub-Account Value of each Sub-Account under this Contract must be at least $10,000 at all times.

 

Subsequent Guaranteed Interest Rate - The effective rate of interest, calculated after daily compounding has been taken into account, which is established by the Company for any applicable Subsequent Guaranteed Period.

 

Surrender Charge - A Surrender Charge, if applicable, is deducted from any Sub-Account Value from which a partial or full surrender is made prior to the end of an Initial or Subsequent Guaranteed Period. The Surrender Charge is explained on the Schedule.

 

Surrender Date - The date the Company receives a written request for a full or partial surrender.

 

Surrender Value - The amount available for a full or partial surrender.

 

We, Us, Our - Protective Life Insurance Company.

 

Writing - A written form satisfactory to the Company and filed at the Home Office of the Company in Birmingham, Alabama. All correspondence should be sent to P. O. Box 10648, Birmingham, Alabama 35202-0648.

 

5



 

GENERAL PROVISIONS

 

Entire Contract

This Contract, any endorsements attached hereto, and the Application, a copy of which is attached, constitute the entire contract. All statements in the application, shall be deemed representations and not warranties.

 

Modification of Contract

No change or waiver of the terms of this Contract is valid unless made by us, in Writing, and approved by our President, Vice President, or Secretary. We reserve the right to change the provisions of this Contract to conform to any applicable laws, regulations or rulings issued by a governmental agency.

 

Non-Participating

This Contract does not share in our surplus or profits and does not pay dividends.

 

Error In Age or Sex

Questions in the Application concern the Annuitant’s date of birth and sex. If the date of birth or sex given is not correct, the benefits under this Contract shall be adjusted to the amount which would have been payable at the correct age and sex. If we made any underpayments on account of any misstatement, the amount of any underpayment shall be immediately paid in one sum. Any overpayments made shall be deducted from the current or succeeding payments due under the Contract.

 

Assignment

Upon notice to us, the Owner may assign his or her rights under this Contract. The assignment must be in Writing. We assume no responsibility for the validity of any assignment. Any claim under any assignment shall be subject to proof of interest and the extent of the assignment.

 

Settlement

Any payment by us under this Contract is payable at our Home Office. The Owner may elect to apply settlement proceeds, including any full or partial surrender proceeds or the death benefit, to any payout option offered by us for such payments at the time the election is made.

 

Facility of Payment

If the Annuitant or Beneficiary is incapable of giving a valid receipt for any payment, we may make such payment to whoever has assumed his or her care and principal support. Any such payment shall fully discharge us to the extent of that payment.

 

Proof of Age

Proof of age is required before the first payment will be made under an Annuity Option involving lifetime payments.

 

6



 

Protection of Proceeds

To the extent permitted by law, no benefits payable under this Contract will be subject to the claims of creditors of any payee.

 

Annual Reports

At least once every year, we will send you a report showing the current Account Value, Sub-Account Values and interest credited.

 

Annuity Commencement Date Changes

Upon notification in Writing, you may change the Annuity Commencement Date. Notification must be received at least 30 days before the proposed Annuity Commencement Date. The proposed Annuity Commencement Date you select cannot be before the end of any Guaranteed Period or later than the Contract Year closest to the Annuitant’s 85th Birthday.

 

Minimum Value Statement

Any values available under the “Surrenders-Termination” provisions of this Contract equal or exceed those required by the state in which the Contract is delivered.

 

CONTROL PROVISIONS

 

Annuitant

The Owner may change the Annuitant prior to the Annuity Commencement Date. The request must be in Writing. Once it is received and acknowledged at our Home Office, any change will relate back to and take effect on the date the request was signed. The Annuitant is the “Payee” for the purposes of the Annuity Table.

 

Beneficiary

The Beneficiary will be as shown in the Application. You may change the Beneficiary at any time. To make a change, we must receive a written request satisfactory to us at our Home Office. If the Beneficiary has been designated irrevocably, however, such designation cannot be changed or revoked without that Beneficiary’s written consent. Any such change will relate back to and take effect on the date the request was signed. We will not be liable for any payment we make before such request has been received and acknowledged at our Home Office. Any payment that has become due under this Contract and has not been paid prior to an Owner’s death shall be paid to the Primary Beneficiary, if living; otherwise to the Contingent Beneficiary.

 

Control

You may, while the Annuitant is living, assign the Contract; surrender the Contract; amend or modify the Contract with our consent; exercise, receive and enjoy every other right and benefit contained in the Contract. The use of the rights may be subject to the consent of any assignee or irrevocable Beneficiary. Except with respect to termination, Joint Owners may provide that each Owner alone may exercise all rights, options and privileges.

 

7



 

Death of the Annuitant or Owner

If an Annuitant is not an Owner and dies prior to the Annuity Commencement Date, the Owner first named on the Application will become the new Annuitant unless the Owner designates otherwise. If any Owner is not a natural person, the death or change of the Annuitant will be treated as the death of an Owner. If any Owner dies while this Contract is in force prior to the Annuity Commencement Date, a Death Benefit will be payable to the Beneficiary.

 

Death Benefit

The Death Benefit will be determined as of the date due proof of death is received by the Company. If a claim for the Death Benefit is received at our Home Office within 6 months of the date of death, the Death Benefit will equal the greater of: (1) the Account Value, less applicable Premium Taxes; or (2) the Net Account Value. If a claim is received past 6 months after the date of death, the Death Benefit will equal the Net Account Value. If any Owner of this Contract is not a natural person, upon the change of the Annuitant, the Death Benefit will equal the Net Account Value. Only one Death Benefit is payable under this Contract, even though the Contract may continue beyond an Owner’s death.

 

The Death Benefit may be taken in one sum immediately. In all events the entire Death Benefit, including any interest accrued thereon, must be distributed within five years of the date of death unless:

 

(a)                                   it is payable over the life of the Beneficiary with distributions beginning within one year of the date of death; or

 

(b)                                  it is payable over a period not extending beyond the life expectancy of the Beneficiary with distributions beginning within one year of the date of death; or

 

(c)                                   the deceased Owners spouse is the Beneficiary and, in lieu of receiving the Death Benefit, continues the Contract and becomes the new Owner.

 

If the deceased Owner’s spouse continues the Contract and becomes the new Owner, upon such spouse’s death, a Death Benefit will become payable to the new Beneficiary (determined at the time of the spouse’s death). The Death Benefit, including any interest accrued thereon, must be distributed within five years of the spouse’s death.

 

PREMIUM TAXES

Premium Taxes (including any related retaliatory taxes, if any) will be deducted, if applicable. Premium Taxes may be deducted, as provided under applicable law, from the Annuity Deposit when received, upon full or partial surrender, or from the amount applied to effect an Annuity at the time the annuity payments commence. Premium Taxes may also be deducted from the Death Benefit.

 

SURRENDERS - TERMINATION

Full surrenders may be made at any time. Partial surrenders may only be made if each remaining Sub-Account Value is at least $10,000. You must specify the Sub-Accounts from

 

8



 

which the partial surrender is to be made. If a Sub-Account has the same Guaranteed Period as any other Sub-Account, the partial surrender must come from the Sub-Account with the shortest time remaining in the Guaranteed Period.

 

Surrender Charges and Market Value Adjustments will not apply to full or partial surrenders made at the end of an Initial or Subsequent Guaranteed Period. The Surrender Value will equal the Sub-Account Value on this date. A request for a surrender at the end of an Initial or Subsequent Guaranteed Period must be received in Writing within twenty days prior to the end of such Initial or Subsequent Guaranteed Period.

 

The Surrender Value will be calculated by the Company using the following formula:

 

(A - S - M - P), where:

 

A =

the amount of the full or partial surrender;

S =

the amount of Surrender Charge;

M =

the amount of the Market Value Adjustment;

P =

the amount of unpaid Premium Taxes, if any.

 

The Company may defer payment of any partial or full surrender for the period permitted by law. In no event will this deferral of payment exceed 6 months from the date of receipt of the election to surrender partially or fully.

 

Interest Withdrawals

If you notify the Company in Writing at any time during the current Contract Year, the Company will send you all or portion of the interest credited during the prior Contract Year. You may only make one withdrawal during a Contract Year. No Surrender Charge or Market Value Adjustment will be imposed on such Interest Withdrawals.

 

INTEREST CREDITED AND GUARANTEED PERIODS

 

The portion of each Annuity Deposit allocated to a Sub-Account will earn interest at the Initial Guaranteed Interest Rate for each Contract Year during the Initial Guaranteed Period selected for that Sub-Account. A Guaranteed Period is the period of years for which a rate of interest is guaranteed. You may select from any Guaranteed Period offered by the Company under the Contract at the time the Annuity Deposit or transfer is made. However, Guaranteed Periods cannot extend beyond the Annuity Commencement Date then in effect.

 

You may not transfer a Sub-Account Value to any other Sub-Account(s) prior to the end of the existing Sub-Account’s Guaranteed Period. At the end of any Guaranteed Period a Subsequent Guaranteed Period will begin. Unless you elect a different duration from among those then offered by us within twenty days prior to the end of the Guaranteed Period, your Sub-Account Value will be automatically transferred to a Subsequent Guaranteed Period of either (1) the same duration as your previous Guaranteed Period, if then offered by us; or (2)

 

9



 

the shortest duration then offered by us which is closest to the same duration as your previous Guaranteed Period.

 

Your Sub-Account Value at the beginning of any Subsequent Guaranteed Period will be equal to your Sub-Account Value at the end of the previous Guaranteed Period. The Sub-Account Value will earn interest at the Subsequent Guaranteed Interest Rate for each Contract Year in the Subsequent Guaranteed Period. At your request within twenty days prior to the end of any Guaranteed Period, the Company will notify you of the then effective Subsequent Guaranteed Interest Rate. The actual Subsequent Guaranteed Interest Rate will be determined at the beginning of the Subsequent Guaranteed Period.

 

ANNUITY OPTIONS

 

Annuity Benefit

If the Annuitant is alive on the Annuity Commencement Date and unless directed otherwise, the Company will apply the Net Account Value according to the Annuity Option elected.

 

You may elect to have all or a part of the Net Account Value applied on the Annuity Commencement Date under any of the Annuity Options described below. In the absence of an election, the Net Account Value will be applied on the Annuity Commencement Date under Option 2 - Life Income with Payments for a 10 Year Guaranteed Period.

 

Elections of any of these options must be made in Writing to the Company at least 30 days prior to the date such election is to become effective.

 

If an Annuitant or Owner dies on or after the Annuity Commencement Date any remaining payments will be distributed at least as rapidly as under the method of distribution being used on the date of death.

 

An Annuity affected under this Contract may not be surrendered after the commencement of annuity payments.

 

Annuity Options

 

Option 1 - Payment For a Fixed Period . Equal monthly payments will be made for any period of not less than 5 nor more than 30 years. The amount of each payment depends on the total amount applied, the period selected and the monthly payment rates we are using when the first payment is due.

 

Option 2 - Life Income with Payments for a Guaranteed Period . Equal monthly payments are based on the life of the named Annuitant. Payments will continue for the lifetime of that person with payments guaranteed for 10 or 20 years. Payments stop at the end of the selected guaranteed period or when the named person dies, whichever is later.

 

10



 

Option 3 - Payments of a Fixed Amount . Equal monthly payment will be made for an agreed fixed amount. The amount of each payment may not be less than $10 for each $1,000 applied. Interest will be credited each month on the unpaid balance and added to it. This interest will be at a rate set by us, but not less than an effective interest rate of 4% per year. Payments continue until the amount we hold runs out. The last payment will be for the balance only.

 

Minimum Amounts - We reserve the right to pay the full amount of this Contract in one lump sum, if less than $5,000. If monthly payments are less than $100 we may make payments quarterly, semi-annually, or annually, at our option.

 

All elected Annuity Options must comply with current Federal and state statutes and Internal Revenue Service Regulations. If we have available, at the time an Annuity Option is elected options or rates on a more favorable basis than those guaranteed, the higher benefits shall apply.

 

Annuity Tables

The attached Annuity Tables show the dollar amount of the monthly payments for each $1,000 applied. The tables are based on the 1983 Individual Annuitant Mortality Table A projected 4 years with interest at 4% per annum. One year will be deducted from the attained age of the Annuitant for every completed three years beyond the year 1987.

 

Individual Modified Guaranteed Annuity Contract

 

Account Value is subject to a Market Value Adjustment
Non-Participating
This is a legal Contract
Read Your Contract Carefully

 

IPD-2083

12/97

 

11



 

MINIMUM MONTHLY PAYMENT RATES FOR EACH $1,000 APPLIED

 

OPTION 1 TABLE
Payments for a
Fixed Period

 

 

 

OPTION 2 TABLE
Life Income with Payments
for a Guaranteed Period

 

 

 

Monthly

 

Age of

 

10 Years

 

20 Years

 

Years

 

Payment

 

Payee

 

Male

 

Female

 

Male

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

18.32

 

59

 

5.29

 

4.83

 

4.98

 

4.68

 

6

 

15.56

 

60

 

5.40

 

4.92

 

5.04

 

4.74

 

7

 

13.59

 

61

 

5.51

 

5.01

 

5.10

 

4.81

 

8

 

12.12

 

62

 

5.63

 

5.10

 

5.17

 

4.88

 

9

 

10.97

 

63

 

5.75

 

5.21

 

5.24

 

4.95

 

10

 

10.06

 

64

 

5.88

 

5.32

 

5.30

 

5.02

 

11

 

9.31

 

65

 

6.02

 

5.43

 

5.37

 

5.09

 

12

 

8.69

 

66

 

6.16

 

5.55

 

5.43

 

5.17

 

13

 

8.17

 

67

 

6.31

 

5.68

 

5.49

 

5.24

 

14

 

7.72

 

68

 

6.47

 

5.82

 

5.55

 

5.31

 

15

 

7.34

 

69

 

6.63

 

5.97

 

5.60

 

5.38

 

16

 

7.00

 

70

 

6.79

 

6.12

 

5.65

 

5.45

 

17

 

6.71

 

71

 

6.96

 

6.28

 

5.70

 

5.51

 

18

 

6.64

 

72

 

7.13

 

6.45

 

5.74

 

5.58

 

19

 

6.21

 

73

 

7.31

 

6.63

 

5.78

 

5.64

 

20

 

6.00

 

74

 

7.48

 

6.81

 

5.82

 

5.69

 

21

 

5.81

 

75

 

7.66

 

7.00

 

5.85

 

5.74

 

22

 

5.64

 

76

 

7.84

 

7.20

 

5.88

 

5.78

 

23

 

5.49

 

77

 

8.02

 

7.40

 

5.90

 

5.82

 

24

 

5.35

 

78

 

8.20

 

7.60

 

5.92

 

5.85

 

25

 

5.22

 

79

 

8.37

 

7.81

 

5.94

 

5.88

 

26

 

5.10

 

80

 

8.54

 

8.10

 

5.96

 

5.91

 

27

 

5.00

 

81

 

8.70

 

8.21

 

5.97

 

5.93

 

28

 

4.90

 

82

 

8.85

 

8.41

 

5.98

 

5.95

 

29

 

4.80

 

83

 

8.99

 

8.59

 

5.98

 

5.96

 

30

 

4.72

 

84

 

9.12

 

8.77

 

5.99

 

5.97

 

 

 

 

 

& over

 

9.25

 

8.93

 

5.99

 

5.98

 

 

Rates for monthly payments for ages not shown in the above tables will be calculated on the same basis as those shown and may be obtained from us. The basis for these calculations is the 1983 Individual Annuitant Mortality Table A projected 4 years with interest at 4% per annum.

 



 

PROTECTIVE LIFE INSURANCE COMPANY
P. O. BOX 2606

BIRMINGHAM, ALABAMA 35202

 

ENDORSEMENT

 

The Contract or Certificate to which this Endorsement is attached is amended as of its effective date, as follows:

 

If you cancel this Contract during the first ten days after you first receive it according to the “Right to Return” provision of the face page of the Contract, the amount we return to you will equal the Account Value on the date we receive your written cancellation request, adjusted by the Market Value Adjustment.

 

For the purpose of determining the Market Value Adjustment during the ten-day cancellation period, we will identify a Treasury Rate each day. The current Treasury Rate (“C” in the Market Value Adjustment formula on the Schedule of this Contract) will be the Treasury Rate identified on the date we receive your written cancellation request.

 

Signed for the Company as of the Effective Date.

 

 

 

PROTECTIVE LIFE INSURANCE COMPANY

 

 

 

 

 

/s/ Deborah J. Long

 

Deborah J. Long

 

Secretary

 

 

IPD-2092V

7/99

 


Exhibit 4(c)

 

CERTIFICATE

 

Individual Certificate issued under the Group Modified Guaranteed Annuity Contract
Account Value is subject to a Market Value Adjustment
Non-Participating

 

This Certificate is a summary of your rights under the Group Modified Guaranteed Annuity Contract (“Contract”) identified on the Schedule. This Certificate is subject to all provisions of the Contract, whether or not summarized in this Certificate. The Contract alone governs the rights of the parties. A copy of the Contract will be furnished on request.

 

Protective Life Insurance Company certifies that the person named as Participant on the Schedule is a Participant under the Contract.

 

YOU HAVE THE RIGHT TO RETURN THIS CONTRACT. You may cancel this Contract within twenty days after you receive it by returning the Contract to our Home Office or to our Agent, with a written request for cancellation. The Contract will be as though it had never been issued. We will promptly return any Annuity Deposit made.

 

/s/ John D. Johns

 

/s/ Deborah J. Long

President

 

Secretary

 

PROTECTIVE LIFE INSURANCE COMPANY

P. O. Box 2606

Birmingham, Alabama 35202

(205) 879-9230

(A Stock Insurance Company)

 

Form No. IPD-2084

 

12/97

 



 

SCHEDULE

 

 

 

 

Group Contract Holder

 

 

 

 

 

 

 

 

Participant

 

Joint Participant

 

 

 

 

 

 

Annuitant

 

Annuity Commencement Date

 

 

 

 

 

 

Certificate Number

 

Certificate Date

 

 

 

Guaranteed

 

Guaranteed

 

Annuity

 

Treasury

Sub-Account#

 

Period

 

Interest Rate

 

Deposit

 

Rate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Annuity Deposit

 

 

 

 

 

 

 

 

 

Separate Account

 

The assets supporting this Certificate are held in a Separate Account. All values will be determined as provided in the Contract, without regard to the actual investment performance of the Separate Account.

 

Surrender Charge

 

The Surrender Charge is equal to the Surrender Charge Percentage indicated below, applied to the amount of each full or partial surrender requested less any amount available under the “Interest Withdrawal” provision of this Certificate at the time of the surrender.

 

Number of Completed Years
in a Guaranteed Period

 

Surrender Charge
Percentage

 

0

 

6

%

1

 

6

%

2

 

5

%

3

 

4

%

4

 

3

%

5

 

2

%

6

 

1

%

7+

 

0

%

 

2



 

Market Value Adjustment

 

The Market Value Adjustment is equal to the Market Value Adjustment Percentage indicated below, applied to the amount of each full or partial surrender requested less any amount available under the “Interest Withdrawal” provision of this Certificate at the time of the surrender.

 

Market Value Adjustment Percentage = (C - I + 0.25%) x (N/12), where:

 

C = the Treasury Rate currently established for the same term as the Guaranteed Period from which the surrender is being made;

 

I = the Treasury Rate initially established for the Guaranteed Period from which the surrender is being made;

 

N = The number of months remaining in the Guaranteed Period from which the surrender is being made.

 

The Treasury Rate is the annual effective interest rate credited to United States Treasury instruments, as published by a nationally recognized source. On the fifteenth day and the last day of each month, the Company will identify a Treasury Rate for each Guaranteed Period. For the purpose of determining the Market Value Adjustment during the ten day cancellation period, we will identify a Treasury Rate each day. The current Treasury Rate (“C” in the Market Value Adjustment formula) will be the Treasury Rate identified on the date we receive your written cancellation request. The method used by the Company to determine the Treasury Rates under this Certificate shall be consistent and is binding upon any Participant, Annuitant and Beneficiary.

 

INDEX

 

Schedule

2

Definitions

4

General Provisions

6

Control Provisions

7

Premium Taxes

8

Surrenders - Termination

8

Interest Credited and Guaranteed Periods

9

Annuity Options

10

Annuity Tables

11

 

3



 

DEFINITIONS

 

Account Value - The sum of all Sub-Account Values.

 

Annuitant - Annuity payments may depend upon the continuation of the life of a person. That person is called an Annuitant and is named on the Schedule.

 

Annuity - A series of predetermined periodic payments.

 

Annuity Commencement Date - The date on which annuity payments begin. This date is indicated on the Schedule.

 

Annuity Deposit(s) - Annuity Deposits (less Premium Taxes, if applicable) made and allocated to the Guaranteed Period(s) you select under this Certificate. Each Annuity Deposit and each allocation to a Guaranteed Period must be at least $10,000. We reserve the right to limit the amount of your Annuity Deposits. Only one Certificate will be issued regardless of the number of Annuity Deposits you make.

 

Beneficiary - The person entitled to receive the benefits under this Certificate, if any, upon the death of any Participant.

 

Primary - The person named to receive the death benefits upon any Participant’s death. Upon the death of any Participant, the surviving Participant, if any, will become the Primary Beneficiary.

 

Contingent - The person named to receive the death benefits if the Primary Beneficiary is not living at the time of a Participant’s death. If no Beneficiary designation is in effect or if no Beneficiary is living at the time of a Participant’s death, the Estate of the deceased Participant will be the Beneficiary.

 

Irrevocable - An irrevocable Beneficiary is one whose consent is needed to change the Beneficiary designation, or to exercise certain other rights.

 

Certificate - The individual Certificate issued by the Company to a Participant. Your Certificate summarizes the provisions of the Contract.

 

Certificate Date - The date shown on the Schedule and on which this Certificate takes effect. Certificate Years are measured from the Certificate Date.

 

Contract - The Group Modified Guaranteed Annuity Contract under which this Certificate has been issued.

 

Guaranteed Period - The period for which either an Initial or Subsequent Guaranteed Interest Rate will be credited to a Sub-Account under a Contract. Guaranteed Periods will be designated as being either “Initial” or “Subsequent”.

 

4



 

Home Office - 2801 Highway South, Birmingham, Alabama.

 

Initial Guaranteed Interest Rate - The effective rate of interest, calculated after daily compounding of interest has been taken into account, which is used in determining the interest credited to a Sub-Account under this Certificate during the Initial Guaranteed Period. This rate is specified on the Schedule.

 

Market Value Adjustment - The adjustment made to a Sub-Account Value when a full or partial surrender is requested prior to the end of an Initial or Subsequent Guaranteed Period. The Market Value Adjustment is explained on the Schedule.

 

Net Account Value - The sum of all Net Sub-Account Values.

 

Net Sub-Account Value - The Sub-Account Value after application of the Market Value Adjustment and deductions for any Surrender Charges and applicable Premium Taxes.

 

Participant - The person(s) named in the Schedule, herein referred to as “you” or “your”.

 

Sub-Account - Each Annuity Deposit will be allocated to one or more Sub-Accounts as directed by the Participant. Each Sub-Account will correspond to a specified Guaranteed Period and guaranteed interest rate selected by the Participant.

 

Sub-Account Value - The amount equal to that part of the Annuity Deposit allocated by a Participant to a Sub-Account or any amount transferred to a Sub-Account or Sub-Accounts at the end of a Guaranteed Period increased by all interest credited and decreased by amounts due to previous full or partial surrenders (including Surrender Charges, Market Value Adjustments, and Premium Taxes thereon) and previous interest withdrawals. The Sub-Account Value of each Sub-Account under this Certificate must be at least $10,000 at all times.

 

Subsequent Guaranteed Interest Rate - The effective rate of interest, calculated after daily compounding of interest has been taken into account, which is established by the Company for any applicable Subsequent Guaranteed Period.

 

Surrender Charge - A Surrender Charge, if applicable, is deducted from any Sub-Account Value from which a full or partial surrender is made prior to the end of an Initial or Subsequent Guaranteed Period. The Surrender Charge is explained on the Schedule.

 

Writing - A written form satisfactory to the Company and filed at the Home Office of the Company in Birmingham, Alabama. All correspondence should be sent to P. O. Box 10648, Birmingham, Alabama 35202-0648.

 

5



 

GENERAL PROVISIONS

 

Entire Contract

The Contract, this Certificate and any endorsements attached hereto, and the Application, a copy of which is attached, constitute the entire contract. A Certificate is a summary of the Contract.

 

Modification

No change or waiver of the terms of this Contract is valid unless made by us, in Writing, and approved by our President, Vice President, or Secretary. We reserve the right to change the provisions of the Contract and this Certificate issued under the Contract to conform to any applicable laws, regulations or rulings issued by a governmental agency.

 

Error in Age or Sex

Questions in the Application concern the Annuitant’s date of birth and sex. If the date of birth or sex given is not correct, the benefits under this Contract shall be adjusted to the amount which would have been payable at the correct age and sex. If we made any underpayments on account of any misstatement, the amount of any underpayment shall be immediately paid in one sum. Any overpayments made shall be deducted from the current or succeeding payments due under the Contract.

 

Assignment

Upon notice to us, you may assign your rights under this Contract. The assignment must be in Writing and filed with us. We assume no responsibility for the validity of any assignment. Any claim under any assignment shall be subject to proof of interest and the extent of the assignment.

 

Settlement

Any payment by us under this Contract is payable at our Home Office. The Participant may elect to apply settlement proceeds, including any full or partial surrender proceeds or the death benefit, to any payout option offered by us for such payments at the time the election is made.

 

Facility of Payment

If the Annuitant or Beneficiary is incapable of giving a valid receipt for any payment, we may make such payment to whoever has assumed his or her care and principal support. Any such payment shall fully discharge us to the extent of that payment.

 

Proof of Age

Proof of age is required before the first payment under an Annuity Option involving lifetime payments.

 

6



 

Annual Reports

We will send you a report at least once per year showing your Account Value, Sub-Account Values and interest credited.

 

Annuity Commencement Date Changes

Upon thirty days notice in Writing, you may change the Annuity Commencement Date. The proposed Annuity Commencement Date you select cannot be before the end of any Guaranteed Period or later than the Certificate Year closest to the Annuitant’s 85th birthday.

 

Protection of Proceeds

To the extent permitted by law, no benefits payable under this Certificate will be subject to the claims of creditors of any payee.

 

CONTROL PROVISIONS

 

Annuitant

The Participant may change the Annuitant prior to the Annuity Commencement Date. The request must be in Writing. Once it is received and acknowledged at our Home Office, any change will relate back to and take effect on the date the request was signed. The Annuitant is the “Payee” for the purposes of the Annuity Table.

 

Beneficiary

The Beneficiary will be as shown in the Application. You may change the Beneficiary at any time. To make a change, we must receive a written request satisfactory to us at our Home Office. If the Beneficiary has been designated irrevocably, however, such designation cannot be changed or revoked without the Beneficiary’s written consent. Any such change will relate back to and take effect on the date the request was signed. We will not be liable for any payment we make before such request has been received and acknowledged at our Home Office. Any payment which has become due to an Annuitant and has not been paid prior to his or her death shall be paid to the Primary Beneficiary, if living; otherwise to the Contingent Beneficiary.

 

Death of the Annuitant or Participant

If an Annuitant is not a Participant and dies prior to the Annuity Commencement Date, the Participant first named on the Application will become the new Annuitant unless the Participant designates otherwise. If any Participant is not a natural person, the death or change of the Annuitant will be treated as the death of a Participant. If any Participant dies while this Certificate is in force prior to the Annuity Commencement Date, a Death Benefit will be payable to the Beneficiary.

 

7



 

Death Benefit

 

The Death Benefit will be determined as of the date due proof of death is received by the Company. If a claim for the Death Benefit is received at our Home Office within 6 months of the date of death, the Death Benefit will equal the greater of: (1) the Account Value, less applicable Premium Taxes; or (2) the Net Account Value. If a claim is received past 6 months after the date of death, the Death Benefit will equal the Net Account Value. If any Participant of this Certificate is not a natural person, upon the change of the Annuitant, the Death Benefit will equal the Net Account Value. Only one Death Benefit is payable under this Certificate, even though the Certificate may continue beyond a Participant’s death.

 

The Death Benefit may be taken in one sum immediately. In all events, the entire Death Benefit, including any interest accrued thereon, must be distributed within five years of the date of death unless:

 

(a)          it is payable over the life of the Beneficiary with distributions beginning within one year of the date of death; or

 

(b)          it is payable over a period not extending beyond the life expectancy of the Beneficiary with distributions beginning within one year of the date of death; or

 

(c)          the deceased Participant’s spouse is the Beneficiary and, in lieu of receiving the Death Benefit, continues the Certificate and becomes the new Participant.

 

If the deceased Participant’s spouse continues the Certificate and becomes the new Participant, upon such spouse’s death, a Death Benefit will become payable to the new Beneficiary (determined at the time of the spouse’s death). The Death Benefit, including any interest accrued thereon must be distributed within five years of the spouse’s death.

 

PREMIUM TAXES

 

Premium Taxes (including any related retaliatory taxes, if any) will be deducted, if applicable. Premium Taxes may be deducted, as provided under applicable law, from the Annuity Deposit when received, upon full or partial surrender, or from the amount applied to effect an Annuity at the time the annuity payments commence. Premium Taxes may also be deducted from the Death Benefit.

 

SURRENDERS - TERMINATION

 

Full surrenders may be made at any time. Partial surrenders may only be made if each remaining Sub-Account Value is at least $10,000. You must specify the Sub-Accounts from which the partial surrender is to be made. If the Sub-Account specified has the same Guaranteed Period as any other Sub-Account, the partial surrender must come from the Sub-Account with the shortest time remaining in the Guaranteed Period.

 

8



 

Surrender Charges and Market Value Adjustments will not apply to full or partial surrenders made at the end of an Initial or Subsequent Guaranteed Period. The Surrender Value will equal the Sub-Account Value on this date. A request for a surrender at the end of an Initial or Subsequent Guaranteed Period must be received in Writing within twenty days prior to the end of such an Initial and Subsequent Guaranteed Period.

 

The Surrender Value will be calculated by the Company using the following formula:

 

(A - S - M - P), where:

 

A = the amount of the full or partial surrender;

S = the amount of Surrender Charge;

M = the amount of the Market Value Adjustment;

P = the amount of unpaid Premium Taxes, if any.

 

The Company may defer payment of any partial or full surrender for the period permitted by law. In no event will this deferral of payment exceed 6 months from the date of receipt of the election to surrender partially or fully.

 

Interest Withdrawals

If you notify the Company in Writing at any time during the current Certificate Year, the Company will send you all or a portion of the interest credited during the prior Certificate Year. You may only make one withdrawal during a Certificate Year. No Surrender Charge or Market Value Adjustment will be imposed on such interest withdrawals.

 

INTEREST CREDITED AND GUARANTEED PERIODS

 

The portion of each Annuity Deposit allocated to a Sub-Account will earn interest at the Initial Guaranteed Interest Rate for each Certificate Year during the Initial Guaranteed Period selected for that Sub-Account. A Guaranteed Period is the period of years for which a rate of interest is guaranteed. You may select from any Guaranteed Period offered by the Company under the Contract at the time the Annuity Deposit or transfer is made. However, Guaranteed Periods cannot extend beyond the Annuity Commencement Date.

 

You may not transfer a Sub-Account Value to any existing or new Sub-Account(s) prior to the end of the Sub-Account’s Guaranteed Period. At the end of any Guaranteed Period a Subsequent Guaranteed Period will begin. Unless you elect a different duration from among those then offered by us within twenty days prior to the end of the previous Guaranteed Period, your Sub-Account Value will be automatically transferred to a Subsequent Guaranteed Period of either (1) the same duration as your previous Guaranteed Period if then offered by us; or (2) the shortest duration then offered by us which is closest to the same duration as your previous Guaranteed Period.

 

9



 

Your Sub-Account Value at the beginning of any Subsequent Guaranteed Period will be equal to your Sub-Account Value at the end of the Guaranteed Period just ending. The Sub-Account Value will earn interest at the Subsequent Guaranteed Interest Rate for each Certificate Year in the Subsequent Guaranteed Period. At your request within twenty days prior to the end of any Guaranteed Period, the Company will notify you of the then effective Subsequent Guaranteed Interest Rate. The actual Subsequent Guaranteed Interest Rate will be determined at the beginning of the Subsequent Guaranteed Period.

 

ANNUITY OPTIONS

 

Annuity Benefit

If the Annuitant is alive on the Annuity Commencement Date and unless directed otherwise, the Company will apply the Net Account Value according to the Annuity Option elected.

 

You may elect to have all or a part of the Net Account Value applied on the Annuity Commencement Date under any of the Annuity Options described below. In the absence of an election, the Net Account Value will be applied on the Annuity Commencement Date under Option 2 - Life Income with Payments for a 10 Year Guaranteed Period. Elections of any of these options must be made in writing to the Company at least 30 days prior to the date such election is to become effective.

 

If the Annuitant or Participant dies on or after the Annuity Commencement Date, any remaining payments will be distributed at least as rapidly as under the method of distribution being used at the time of death.

 

Annuity Options

Option 1- Payment for a Fixed Period. Equal monthly payments will be made for any period of not less than 5 nor more than 30 years. The amount or each payment depends on the total amount applied, the period selected and the monthly payment rates we are using when the first payment is due.

 

Option 2 - Life Income with Payments for a Guaranteed Period. Equal monthly payments are based on the life of the named Annuitant. Payments will continue for the lifetime of that person with payments guaranteed for 10 or 20 years. Payments stop at the end of the selected guaranteed period or when the named person dies, whichever is later.

 

Option 3 - Payments of a Fixed Amount. Equal monthly payments will be for an agreed fixed amount. The amount of each payment may not be less than $10 for each $1,000 applied. Interest will be credited each month on the unpaid balance and added to it. This interest will be at a rate set by us, but not less than an effective interest rate of 4% per year. Payments continue until the amount we hold runs out. The last payment will be for the balance only.

 

10



 

Minimum Amounts - We reserve the right to pay the total amount of this Certificate in one lump sum, if less than $5,000. If monthly payments are less than $100, we may make payments quarterly, semi-annually, or annually, at our option.

 

All elected Annuity Options must comply with current Federal and state statutes and Internal Revenue Service Regulations. If we have available, at the time an Annuity Option is elected, options or rates on a more favorable basis than those guaranteed, the higher benefits shall apply.

 

Annuity Tables

The attached Annuity Tables show the dollar amount of the monthly payments for each $1,000 applied. The tables are based on the 1983 Individual Annuitant Mortality Table A projected 4 years with interest at 4% per annum. One year will be deducted from the attained age of the Annuitant for every three completed years beyond the year 1987.

 

Individual Certificate issued under the Group Modified Guaranteed Annuity Contract
Account Value is subject to a Market Value Adjustment
Non-Participating

 

IPD-2084

12/97

 

11



 

MINIMUM MONTHLY PAYMENT RATES FOR EACH $1,000 APPLIED

 

OPTION 1 TABLE

 

OPTION 2 TABLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Payments for a
Fixed Period

 

 

 

Life Income with Payments
for a Guaranteed Period

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Monthly

 

Age of

 

10 Years

 

20 Years

 

Years

 

Payment

 

Payee

 

Male

 

Female

 

Male

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

18.32

 

59

 

5.29

 

4.83

 

4.98

 

4.68

 

6

 

15.56

 

60

 

5.40

 

4.92

 

5.04

 

4.74

 

7

 

13.59

 

61

 

5.51

 

5.01

 

5.10

 

4.81

 

8

 

12.12

 

62

 

5.63

 

5.10

 

5.17

 

4.88

 

9

 

10.97

 

63

 

5.75

 

5.21

 

5.24

 

4.95

 

10

 

10.06

 

64

 

5.88

 

5.32

 

5.30

 

5.02

 

11

 

9.31

 

65

 

6.02

 

5.43

 

5.37

 

5.09

 

12

 

8.69

 

66

 

6.16

 

5.55

 

5.43

 

5.17

 

13

 

8.17

 

67

 

6.31

 

5.68

 

5.49

 

5.24

 

14

 

7.72

 

68

 

6.47

 

5.82

 

5.55

 

5.31

 

15

 

7.34

 

69

 

6.63

 

5.97

 

5.60

 

5.38

 

16

 

7.00

 

70

 

6.79

 

6.12

 

5.65

 

5.45

 

17

 

6.71

 

71

 

6.96

 

6.28

 

5.70

 

5.51

 

18

 

6.64

 

72

 

7.13

 

6.45

 

5.74

 

5.58

 

19

 

6.21

 

73

 

7.31

 

6.63

 

5.78

 

5.64

 

20

 

6.00

 

74

 

7.48

 

6.81

 

5.82

 

5.69

 

21

 

5.81

 

75

 

7.66

 

7.00

 

5.85

 

5.74

 

22

 

5.64

 

76

 

7.84

 

7.20

 

5.88

 

5.78

 

23

 

5.49

 

77

 

8.02

 

7.40

 

5.90

 

5.82

 

24

 

5.35

 

78

 

8.20

 

7.60

 

5.92

 

5.85

 

25

 

5.22

 

79

 

8.37

 

7.81

 

5.94

 

5.88

 

26

 

5.10

 

80

 

8.54

 

8.10

 

5.96

 

5.91

 

27

 

5.00

 

81

 

8.70

 

8.21

 

5.97

 

5.93

 

28

 

4.90

 

82

 

8.85

 

8.41

 

5.98

 

5.95

 

29

 

4.80

 

83

 

8.99

 

8.59

 

5.98

 

5.96

 

30

 

4.72

 

84

 

9.12

 

8.77

 

5.99

 

5.97

 

 

 

 

 

& over

 

9.25

 

8.93

 

5.99

 

5.98

 

 

Rates for monthly payments for ages not shown in the above tables will be calculated on the same basis as those shown and may be obtained from us. The basis for these calculations is the 1983 Individual Annuitant Mortality Table A projected 4 years with interest at 4% per annum.

 


Exhibit 4(e)

 

PROTECTIVE LIFE INSURANCE COMPANY

P. O. BOX 2606

BIRMINGHAM, ALABAMA 35202

 

ENDORSEMENT

 

The Contract or Certificate to which this Endorsement is attached is amended as of its effective date, as follows:

 

If you cancel this Contract during the first ten days after you first receive it according to the “Right to Return” provision of the face page of the Contract, the amount we return to you will equal the Account Value on the date we receive your written cancellation request, adjusted by the Market Value Adjustment.

 

For the purpose of determining the Market Value Adjustment during the ten-day cancellation period, we will identify a Treasury Rate each day. The current Treasury Rate (“C” in the Market Value Adjustment formula on the Schedule of this Contract) will be the Treasury Rate identified on the date we receive your written cancellation request.

 

Signed for the Company as of the Effective Date.

 

PROTECTIVE LIFE INSURANCE COMPANY

 

 

/s/ Deborah J. Long

 

Deborah J. Long

 

Secretary

 

 

IPD-2092V

7/99

 


Exhibit 4(f)

 

PROTECTIVE LIFE INSURANCE COMPANY
P.O. BOX 2606
BIRMINGHAM, ALABAMA 35202

 

Endorsement

 

The Contract or Certificate to which this Endorsement is attached is amended as of its Effective Date.

 

The following sentence is added to the GENERAL PROVISION entitled Settlement :

 

The Owner/Participant may elect to apply settlement proceeds, including any full or partial surrender proceeds or the death benefit, to any payout option offered by us for such payments at the time the election is made.

 

Signed for the Company as of the Effective Date.

 

PROTECTIVE LIFE INSURANCE COMPANY

 

/s/ Deborah J. Long

 

Deborah J. Long

 

Secretary

 

 

IPD-2085

9/96

 


 

Exhibit 4(g)

 

Protective Life Insurance Company

P. O. Box 10648

Birmingham, Alabama 35202-0648

 

ENDORSEMENT TO ESTABLISH THE DEFAULT SUBSEQUENT

GUARANTEED INTEREST RATE PERIOD

 

The Contract or Certificate to which this Endorsement is attached is amended to change the default allocation if the Owner does not instruct us how to allocate the maturing Sub-Account Value at the end of its Guaranteed Period.

 

The last sentence of the second paragraph of the section entitled “INTEREST CREDITED AND GUARANTEED PERIODS” is deleted and replaced with the two new sentences below.

 

“Unless you instruct us otherwise in writing prior to the end of the existing Sub-Account’s guaranteed period, your ending Sub-Account Value will be automatically transferred to a new Sub-Account with a 1-year Interest Guaranteed Period. No Surrender Charge or Market Value Adjustment will apply to amounts transferred, withdrawn or surrendered from any 1-year Subsequent Guaranteed Period.”

 

Signed for the Company and made a part of the Contract or Certificate as of its Effective Date.

 

Protective Life Insurance Company

 

 

 

 

 

/s/ Deborah J. Long

 

Secretary

 

 

IPD-2095

3/09

 


Exhibit 4(h)

 

PROTECTIVE LIFE INSURANCE COMPANY P. O. BOX 10648 BIRMINGHAM, ALABAMA 35202-0648

 

INDIVIDUAL RETIREMENT ANNUITY (IRA) ENDORSEMENT
FOR DEFERRED ANNUITY CONTRACTS

 

The Contract to which this Individual Retirement Annuity Endorsement is attached is issued as an individual retirement annuity under Section 408(b) of the Internal Revenue Code of 1986, as amended (the “Code”). Accordingly, where the provisions of this Endorsement are inconsistent with the provisions of the Contract, including the provisions of any other endorsement or rider issued with the Contract, the provisions of this Endorsement will control.

 

The Contract is amended as follows:

 

1.                                       OWNER AND ANNUITANT

The Annuitant must be an individual who is the sole Owner, and all payments made from the Contract while the Annuitant is alive must be made to the Annuitant. Except as permitted under Section 8 of this Endorsement, and otherwise permitted under the Code and applicable regulations, neither the Owner nor the Annuitant can be changed.

 

2.                                       NONTRANSFERABLE AND NONFORFEITABLE

The Contract is established for the exclusive benefit of the Owner and his or her beneficiaries. The Owner’s interest under the Contract is nontransferable, and except as provided by law, is non-forfeitable. In particular, the Contract may not be sold, assigned, discounted or pledged as collateral for a loan or as security for the performance of any obligation or for any other purpose, to any person other than the Company (other than a transfer incident to a divorce or separation instrument in accordance with Code Section 408(d)(6)).

 

3.                                       UNISEX RATES

If the Contract is issued in connection with a Simplified Employee Pension, the method of calculating Purchase Payments and benefits under the Contract are to be based on unisex rates, and any references to sex (with regard to rates and benefits) in the Contract are deleted.

 

4.                                       PURCHASE PAYMENTS

Purchase Payments may not include any amounts other than a rollover contribution (as permitted by Code Sections 402(c), 402(e)(6), 403(a)(4), 403(b)(8), 403(b)(10), 408(d)(3) and 457(e)(16)), a nontaxable transfer from an Individual Retirement Account under Code Section 408(a) or another Individual Retirement Annuity under Code Section 408(b), a contribution made in accordance with the terms of a Simplified Employee Pension as described in Code Section 408(k), and a contribution in cash not to exceed the amount permitted under Code Sections 219(b) and 408(b), (or such other amount provided by applicable federal tax law). In particular, unless otherwise provided by applicable federal tax law:

 

A.            The total cash contributions shall not exceed $3,000 for any taxable year beginning in 2002 through 2004, $4,000 for any taxable year beginning in 2005 through 2007, and $5,000 for any taxable year beginning in 2008 and years thereafter. After 2008, the limit will be adjusted by the Secretary of the Treasury

 

IPV-2068

 

7/02

 

1



 

for cost-of-living increases under Code Section 219(b)(5)(C). Such adjustments will be in multiples of $500.

 

B.              In the case of an individual who is 50 or older, the annual cash contribution limit is increased by $500 for any taxable year beginning in 2002 through 2005, and $1,000 for any taxable year beginning in 2006 and years thereafter.

 

No Purchase Payment subsequent to the initial Purchase Payments will be accepted unless it is equal to at least $50.

 

No contribution will be accepted under a SIMPLE IRA plan established by any employer pursuant to Code Section 408(p). No transfer or rollover of funds attributable to contributions made by a particular employer under its SIMPLE IRA plan will be accepted from a SIMPLE IRA, that is, an Individual Retirement Account under Code Section 408(a) or an Individual Retirement Annuity under Code Section 408(b) used in conjunction with a SIMPLE IRA plan, prior to the expiration of the 2-year period beginning on the date the Owner first participated in that employer’s SIMPLE IRA plan.

 

5.                                       REQUIRED DISTRIBUTIONS GENERALLY

Notwithstanding any provision of the Contract to the contrary, the distribution of the Owner’s interest in the Contract shall be made in accordance with the requirements of Code Sections 401(a)(9) and 408(b)(3) and the regulations thereunder, the provisions of which are herein incorporated by reference. If distributions are not made in the form of an annuity on an irrevocable basis (except for acceleration), then distribution of the interest in the Contract (as determined under Section 8.C. of this Endorsement) must satisfy the requirements of Code Section 408(a)(6) and the regulations thereunder, rather than Sections 7 and 8 of this Endorsement.

 

6.                                       REQUIRED BEGINNING DATE

As used in this Endorsement, the term “Required Beginning Date” means April 1 of the calendar year following the calendar year in which the participant attains age 70½, or such later date as provided by law.

 

7.                                       DISTRIBUTIONS DURING OWNER’S LIFE

A.            Unless otherwise permitted under applicable law, the Owner’s entire interest in the Contract will commence to be distributed no later than the Required Beginning Date over:

 

(i)              the life of the Owner, or the lives of the Owner and his or her designated beneficiary (within the meaning of Code Section 401(a)(9)), or

 

(ii)           a period certain not extending beyond the life expectancy of the Owner, or the joint and last survivor expectancy of the Owner and his or her designated beneficiary.

 

2



 

Payments must be made in periodic payments at intervals of no longer than one year. Unless otherwise provided by applicable federal tax law, payments must be either non-increasing or they may increase only as provided in Q&As-1 and -4 of Section 1.401(a)(9)-6T of the Temporary Income Tax Regulations, and any distribution must satisfy the incidental benefit requirements specified in Q&A-2 of Section 1.401(a)(9)-6T of the Temporary Income Tax Regulations.

 

The distribution periods described in this subsection A cannot exceed the periods specified in Section 1.401(a)(9)-6T of the Temporary Income Tax Regulations (except as otherwise provided by applicable federal tax law).

 

B.              If the Owner’s interest is to be distributed over a period greater than one year, the amount to be distributed by December 31 of each year (including the year in which the Required Beginning Date occurs) will be made in accordance with the requirements of Code Section 401(a)(9) and the regulations thereunder. If annuity payments commence on or before the Required Beginning Date, the first required payment can be made as late as the Required Beginning Date and must be the payment that is required for one payment interval. The second payment need not be made until the end of the next payment interval.

 

8.                                       DISTRIBUTIONS AFTER DEATH OF THE OWNER

A.            If the Owner dies on or after required distributions commence, the remaining portion of his or her interest in the Contract, if any, will be distributed at least as rapidly as under the annuity option chosen.

 

B.              If the Owner dies before required distributions commence, his or her entire interest in the Contract will be distributed at least as rapidly as follows:

 

(i)              If the designated beneficiary is someone other than the Owner’s surviving spouse, the entire interest will be distributed, starting by the end of the calendar year following the calendar year of the Owner’s death, over the designated beneficiary’s life, or over the remaining life expectancy of the designated beneficiary, with such life expectancy determined using the age of the beneficiary as of his or her birthday in the year following the year of the individual’s death, or, if elected, in accordance with paragraph B(iii) below.

 

(ii)           If the Owner’s sole designated beneficiary is the Owner’s surviving spouse, the entire interest will be distributed, starting by the end of the calendar year following the calendar year of the Owner’s death (or by the end of the calendar year in which the Owner would have attained age 70½, if later), over the surviving spouse’s life, or, if elected, in accordance with paragraph B(iii) below. If the surviving spouse dies before required distributions commence to him or her, the remaining interest will be distributed, starting by the end of the calendar year following the calendar year of the spouse’s death, over the spouse’s designated beneficiary’s remaining life expectancy determined using such beneficiary’s age as of his or her birthday in the year

 

3



 

following the death of the spouse, or, if elected, will be distributed in accordance with paragraph B(iii) below. If the surviving spouse dies after required distributions commence to him or her, any remaining interest will be distributed at least as rapidly as under the annuity option chosen.

 

(iii)        If there is no designated beneficiary, or if applicable by operation of paragraph B(i) or B(ii) above, the entire interest will be distributed by the end of the calendar year containing the fifth anniversary of the individual’s death (or of the spouse’s death in the case of the surviving spouse’s death before distributions are required to begin under paragraph B(ii) above).

 

(iv)       Life expectancy is determined using the Single Life Table in Q&A-1 of Section 1.401(a)(9)-9 of the Income Tax Regulations. If distributions are being made to a surviving spouse as the sole designated beneficiary, such spouse’s remaining life expectancy for a year is the number in the Single Life Table corresponding to such spouse’s age in the year. In all other cases, remaining life expectancy for a year is the number in the Single Life Table corresponding to the beneficiary’s age in the year specified in paragraph B(i) or (ii) and reduced by 1 for each subsequent year.

 

C.              The “interest” in the Contract includes the amount of any outstanding rollover, transfer and recharacterization under Q&As-7 and -8 of Section 1.408-8 of the Income Tax Regulations. Also, prior to the date that annuity payments commence on an irrevocable basis (except for acceleration) the “interest” in the Contract includes the actuarial value of any other benefits provided under the Contract, such as guaranteed death benefits.

 

D.             For purposes of subsections A and B above, required distributions are considered to commence on the Required Beginning Date or, if applicable, on the date distributions are required to begin to the surviving spouse under paragraph B(ii) above. However, if distributions start prior to the applicable date in the preceding sentence on an irrevocable basis (except for acceleration) in accordance with the requirements of Section 1.401(a)(9)-6T of the Temporary Income Tax Regulations, then required distributions are considered to commence on the annuity starting date.

 

E.               If the sole designated beneficiary is the Owners surviving spouse, the surviving spouse may elect to treat the Contract as his or her own IRA. This election will be deemed to have been made if such surviving spouse makes a contribution to the Contract or fails to take required distributions as a beneficiary.

 

9.                                       ANNUITY OPTIONS

All annuity options under the Contract must meet the requirements of Code Sections 401(a)(9) and 408(b)(3). The provisions of this Endorsement reflecting the requirements of these Code Sections override any annuity option that is inconsistent with such requirements.

 

4



 

If guaranteed payments are to be made under the Contract, the period over which the guaranteed payments are to be made must not exceed the period permitted under Section 1.401(a)(9)-6T of the Temporary Income Tax Regulations (except as otherwise provided by applicable federal tax law).

 

10.                                ANNUAL REPORTS

The Company will furnish annual calendar year reports concerning the status of this Contract and such information concerning required minimum distributions as is prescribed by the Commissioner of the Internal Revenue Service.

 

11.                                CODE SECTION 72(s)

All references in the Contract to Code Section 72(s) are deleted.

 

12.                                AMENDMENT OF THIS ENDORSEMENT

The Company reserves the right, and the Owner agrees the Company shall have such right, to make any amendments to this Endorsement from time to time as may be necessary to comply with the Code, as amended, and the regulations thereunder. We will obtain all necessary approvals including, where required, that of the Owner and will send you a copy of the endorsement that modifies your Contract. We will not be responsible for any adverse tax consequences resulting from the rejection of such an amendment.

 

13.                                GROUP CONTRACT

If this Endorsement is used with a certificate issued under a group contract, the term “Owner” refers to the Participant/Annuitant and the term “Contract” refers to your Certificate.

 

Signed for the Company as of the Effective Date.

 

Protective Life Insurance Company

 

 

/s/ Deborah J. Long

 

Deborah J. Long

 

Secretary

 

 

 

5


Exhibit 4(i)

 

PROTECTIVE LIFE INSURANCE COMPANY { P. O. BOX 10648 BIRMINGHAM, ALABAMA 35202-0648 }

 

ROTH INDIVIDUAL RETIREMENT ANNUITY (IRA) ENDORSEMENT

FOR DEFERRED ANNUITY CONTRACTS

 

The Contract to which this Individual Retirement Annuity Endorsement is attached is issued as an individual retirement annuity under Section 408A of the Internal Revenue Code of 1986, as amended (the “Code”). Accordingly, the applicable provisions of the Contract are restricted or amended by this Endorsement as required by Code Section 408A.

 

The Contract is amended as follows:

 

1.                                            OWNER AND ANNUITANT

The Annuitant must be an individual who is the sole Owner, and all payments made from the Contract while the Annuitant is alive must be made to the Annuitant. Except as permitted under Section 8 of this Endorsement, and otherwise permitted under the Code and applicable regulations, neither the Owner nor the Annuitant can be changed.

 

2.                                            NONTRANSFERABLE AND NONFORFEITABLE

The Contract is established for the exclusive benefit of the Owner and his or her beneficiaries. The Owner’s interest under the Contract is nontransferable, and except as provided by law, is nonforfeitable. In particular, the Contract may not be sold, assigned, discounted or pledged as collateral for a loan or as security for the performance of any obligation or for any other purpose, to any person other than the Company (other than a transfer incident to a divorce or separation instrument in accordance with Code Section 408(d)(6)).

 

3.                                            PURCHASE PAYMENTS

Except in the case of a rollover contribution described in section 408A(e), a recharacterized contribution described in section 408A(d)(6), or an IRA Conversion Contribution, Purchase Payments may not exceed $3,000 for any taxable year beginning in 2002 through 2004, $4,000 for any taxable year beginning in 2005 through 2007, and $5,000 for any taxable year beginning in 2008 and years thereafter. After 2008, the limit will be adjusted by the Secretary of the Treasury for cost-of-living increases under Code Section 219(b)(5)(C). Such adjustments will be in multiples of $500. In the case of an individual who is 50 or older, the annual cash contribution limit is increased by $500 for any taxable year beginning in 2002 through 2005, and $1,000 for any taxable year beginning in 2006 and years thereafter.

 

The contribution limit described above is gradually reduced to $0 for higher income Annuitants. For a single Annuitant, the annual contribution is phased out between adjusted gross income (AGI) of $95,000 and $110,000; for a married Annuitant filing jointly, between AGI of $150,000 and $160,000; for a married Annuitant filing separately, between AGI of $0 and $10,000. In the case of a conversion, we will not accept IRA Conversion Contributions in a tax year if the Annuitant’s AGI for the tax year the funds were distributed from the other IRA exceeds $100,000 or if the Annuitant is married and files a separate return. Adjusted gross income is defined in section 408A(c)(3) and does not include IRA Conversion Contributions.

 

In the case of a joint return, the AGI limits described above apply to the combined AGI of the Annuitant and his or her spouse.

 

IP V -2069

 

7/08

 

1



 

4.                                       DISTRIBUTIONS AFTER DEATH OF THE OWNER

If the Annuitant dies before his or her entire interest in the Contract is distributed to him or her and the Annuitant’s surviving spouse is not the sole designated beneficiary, the remaining interest in the Contract must be distributed in accordance with (a) below or, if elected or there is no designated beneficiary, in accordance with (b) below.

 

(a)           The remaining interest in the Contract must be distributed, starting by the end of the calendar year following the year of the Annuitant’s death, over the designated beneficiary’s remaining life expectancy, or a period no longer than such remaining life expectancy, as determined in the year following the death of the Annuitant.

 

(b)          The remaining interest in the Contract must be distributed by the end of the calendar year containing the fifth anniversary of the Annuitant’s death.

 

If the Annuitant’s surviving spouse is the sole designated beneficiary, such spouse will then be treated as the Annuitant.

 

5.                                       ANNUAL REPORTS

The Company will furnish annual calendar year reports concerning the status of this Contract and such information concerning required minimum distributions as is prescribed by the Commissioner of the Internal Revenue Service.

 

6.                                       CODE SECTION 72(s)

All references in the Contract to Code Section 72(s) are deleted.

 

7.                                       AMENDMENT OF THIS ENDORSEMENT

The Company reserves the right, and the Owner agrees the Company shall have such right, to make any amendments to this Endorsement from time to time as may be necessary to comply with the Code, as amended, and the regulations thereunder. We will obtain all necessary approvals including, where required, that of the Owner and will send you a copy of the endorsement that modifies your Contract. We will not be responsible for any adverse tax consequences resulting from the rejection of such an amendment.

 

8.                                       GROUP CONTRACT

If this Endorsement is used with a certificate issued under a group contract, the term “Owner” refers to the Participant/Annuitant and the term “Contract” refers to your Certificate.

 

Signed for the Company as of the Effective Date.

 

Protective Life Insurance Company

 

/s/ Deborah J. Long

 

{ Deborah J. Long }

 

Secretary

 

 

2


Exhibit 4(j)

 

PROTECTIVE LIFE INSURANCE COMPANY P. O. BOX 10648 BIRMINGHAM, ALABAMA 35202-0648

 

QUALIFIED RETIREMENT PLAN ENDORSEMENT
FOR DEFERRED ANNUITY CONTRACTS

 

All provisions of the Contract to which this Qualified Retirement Plan Endorsement is attached shall be interpreted in accordance with the applicable requirements of section 401(a) of the Internal Revenue Code of 1986, as amended (the “Code”).

 

The Contract is amended as of the Effective Date as follows:

 

1.                                                 OWNER AND ANNUITANT

The Contract is issued to a trustee of a qualified retirement plan under Code section 401(a) (the “Plan”) maintained on behalf of the participants for whom the Contract is purchased. Such trustee is the Owner and the Beneficiary.

 

The term “participant” as used in this Endorsement shall mean the individual employee or former employee for whose benefit the Plan is maintained and on whose behalf the Contract is purchased. The Annuitant shall be the participant and, except as otherwise provided under the Code and applicable regulations, the Annuitant cannot be changed.

 

The trustee shall not distribute the Contract to the Annuitant until the occurrence of a distributable event under the Plan under which the Contract was purchased. If the Contract is distributed to the Annuitant: (A) the Annuitant becomes the Owner; (B) all payments made from the Contract while the Annuitant is alive must be made to the Annuitant; (C) the provisions below apply to the Annuitant; and (D) the Annuitant may designate a new Beneficiary. If the Annuitant does not designate a new Beneficiary, then the estate of the Annuitant shall be the Beneficiary.

 

2.                                                 NONTRANSFERABLE AND NONFORFEITABLE

The Owner’s interest under the Contract is nontransferable (within the meaning of Code section 401(g)) and is nonforfeitable. In particular, except as permitted by federal tax law, the Contract may not be sold, assigned, discounted or pledged as collateral for a loan or as security for the performance of any obligation or for any other purpose, to any person other than the Company.

 

3.                                            PLAN ADMINISTRATOR

The Plan Administrator is: (a) your employer; or (b) the person(s) designated by your employer under the terms of the Plan. Protective Life Insurance Company (the “Company”) is not the Plan Administrator or a plan fiduciary.

 

IPV-2079

 

1/02

 

1



 

4.                                            PLAN PROVISIONS

The terms of the Contract and this Endorsement are subject to the provisions of the Plan under which the Contract is issued. The Owner’s ability to exercise any rights under this Contract is subject to the terms of the Plan in connection with which this Contract was issued. The Owner and Plan Administrator are responsible for ensuring that any elections made under the Contract are made in accordance with the terms of the Plan. Therefore, you should contact your Plan Administrator before exercising any rights you may have under this Contract to ensure that your actions are in accordance with the terms of the Plan. The Company assumes that the exercise of all rights by the Owner of the Contract, and the distribution of the Contract to a participant, are in accordance with the terms of the Plan in connection with which this Contract was issued.

 

5.                                            LUMP SUM PAYMENTS

No amount may be paid from the Contract in a lump sum unless such payment is allowed under both the Plan for which the Contract is purchased and the Code, including the regulations thereunder. We will not pay the Contract Value in one lump sum in lieu of any annuity income payments if the Contract Value is greater than $5,000, as determined on the first day of the month preceding the Annuity Commencement Date, in accordance with the requirements of Code sections 411(a)(11) and 417, including the regulations thereunder.

 

6.                                            PURCHASE PAYMENTS

All Purchase Payments may be paid only under the Plan by the Owner who is a trustee of the Plan, and if the Participant becomes the Owner of the Contact as a result of the Contract being distributed to the participant, premiums may not be paid after the Contract is distributed. Premium payments are subject to the terms of the Plan, including the maximum limitations on contributions. The Company will not accept a Purchase Payment that includes after-tax contributions.

 

7.                                            REQUIRED DISTRIBUTIONS GENERALLY

The entire interest in the Contract shall be distributed as required under Code sections 401(a)(9) and applicable federal income tax regulations. The provisions of this Endorsement reflecting these requirements override any provision of the Contract that is inconsistent with such requirements.

 

8.                                            REQUIRED BEGINNING DATE

As used in this Endorsement, the term “Required Beginning Date” means April 1 of the calendar year following the calendar year following the later of (1) the calendar year in which the participant attains age 70½;or (2) the calendar year in which the participant retires, or such later date as provided by law. However, unless the participant’s interest in the Contract is on account of his or her participation in a governmental plan (as defined in Code section 414(d)) or church plan (as defined in Code section 401(a)(9)(C)), if the participant is a 5-percent owner (as defined in IRC section 416) with respect to the plan year ending in the calendar year in which the participant attains age 70½ ,the Required Beginning Date is April 1 of the calendar year following the calendar year in which the participant attains age 70½.

 

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9.                                       DISTRIBUTIONS DURING ANNUITANT’S LIFE

A.                                    Unless otherwise permitted under applicable law, the Annuitant’s entire interest in the Contract shall be distributed, or commence to be distributed, no later than the Required Beginning Date over:

 

(i)                                      the life of the Annuitant, or the lives of the Annuitant and his or her designated beneficiary (within the meaning of Code section 401(a)(9)), or

 

(ii)                                   a period not extending beyond the life expectancy of the Annuitant, or the joint and last survivor expectancy of the Annuitant and his or her designated beneficiary.

 

Payments must be made in periodic intervals of no longer than one year. In addition, payments must be either nonincreasing or they may increase only as provided by applicable federal tax law.

 

B.                                      If the Annuitant’s interest is to be distributed over a period greater than one year, the amount to be distributed by December 31 of each year (including the year in which the Required Beginning Date occurs) will be made in accordance with the requirements of Code section 401(a)(9) and the regulations thereunder, including the incidental death benefit requirements of Code section 401(a)(9)(G) and the regulations thereunder, including the minimum distribution incidental benefit requirement under such regulations.

 

10.                             DISTRIBUTIONS AFTER DEATH OF THE ANNUITANT

A.                                    Unless otherwise permitted under applicable federal tax law, if the Annuitant dies before distribution of his or her interest in the Contract has begun, distribution of the Annuitant’s entire interest will be distributed in accordance with one of the following three provisions:

 

(i)                                      The entire interest will be distributed by December 31 of the calendar year containing the fifth anniversary of the Annuitant’s death.

 

(ii)                                   If the interest is payable to an individual who is the Annuitant’s designated beneficiary, except as provided in paragraph (iii) below, the entire interest will be distributed beginning on or before December 31 of the calendar year immediately following the calendar year in which the Annuitant died and will be made over the life of the designated beneficiary or over a period not extending beyond the life expectancy of the designated beneficiary. The irrevocable election of this method of distribution must be made by the designated beneficiary no later than December 31 of the calendar year immediately following the calendar year in which the Annuitant died.

 

(iii)                                If the designated beneficiary is the Annuitant’s surviving spouse, the spouse may

 

3



 

irrevocably elect to receive payments over the life of the surviving spouse or over a period not extending beyond the life expectancy of the surviving spouse, commencing at any date prior to the later of: (a) December 31 of the calendar year immediately following the calendar year in which the Annuitant died; and (b) December 31 of the calendar year in which the Annuitant would have attained age 701/2. Such election by the surviving spouse must be made no later than the earlier of December 31 of the calendar year containing the fifth anniversary of the Annuitant’s death or the date distributions are required to begin pursuant to the preceding sentence.

 

If the surviving spouse dies before distributions begin, the limitations of this section 10.A (without regard to this paragraph iii) shall be applied as if the surviving spouse were the Annuitant.

 

B.                                      Unless otherwise permitted under applicable federal tax law, if the Annuitant dies after distribution of his or her interest in the Contract has begun, the remaining portion of such interest, if any, will continue to be distributed at least as rapidly as under the method of distribution being used at the time of the Annuitant’s death.

 

C.                                      Distributions under this section are considered to have begun if distributions are made on account of the Annuitant reaching his or her Required Beginning Date or if prior to the Required Beginning Date distributions irrevocably (except for acceleration) commence to the Annuitant over a period permitted and in an annuity form acceptable under applicable federal tax law.

 

11.                                     LIFE EXPECTANCY CALCULATIONS

Unless otherwise provided by applicable federal tax law, life expectancy is computed using the expected return multiples in Tables V and VI of Section 1.72-9 of the Federal income tax regulations in accordance with Code sections 401(a)(9) and the regulations thereunder. Life expectancy will not be recalculated with respect to payments under an annuity option under the Contract. In other situations, life expectancy will not be recalculated unless otherwise permitted under Code section 401(a)(9) and the regulations thereunder.

 

12.                                     ANNUITY OPTIONS AND WITHDRAWALS

All annuity options under the Contract must meet the requirements of Code sections 401(a), including sections 401(a)(9) and 401(a)(11), as applicable. The provisions of this Endorsement reflecting the requirements of these Code sections override any annuity option that is inconsistent with such requirements.

 

An Annuitant who is married must have the consent of his spouse in order to: (i) withdraw all or part

 

4



 

of the Contract Value; or, (ii) choose an annuity option other than a qualified joint and survivor annuity within the meaning of Code section 417. If no annuity option is chosen, a qualified joint and survivor annuity will be automatic for a married Annuitant. An unmarried Annuitant will be deemed to have elected a life annuity unless a different election is made in the manner required under Code section 417. Also, if a married Annuitant dies before the annuity starting date (within the meaning of Code section 401(a)(11)(A)(ii)), the death benefit will be paid as a qualified pre-retirement survivor annuity within the meaning of Code section 417, unless the surviving spouse consents otherwise.

 

If guaranteed payments are to be made under an annuity option, the period over which the guaranteed payments are to be made must not exceed the period permitted under Q&A-3 of Section 1.401(a)(9)-6 of the Proposed Income Tax Regulations (except as otherwise provided by applicable federal tax law).

 

13.                                     NOTICES, ELECTIONS, AND CONSENTS

We must receive written notice, in a form and manner acceptable to us, of any request to take a partial or total surrender, elect a payment option, or exercise any other right under this Contract. Elections and consents made pursuant to this Contract and this Endorsement may be made and revoked only in the form, time, and manner prescribed in Code section 417 (and applicable regulations).

 

14.                                     DIRECT ROLLOVERS

A distributee may elect, at the time and in the manner prescribed by us, to have any portion of an eligible rollover distribution paid directly to an eligible retirement plan specified by the distributee in a direct rollover.

 

A.                                    A distributee includes an Annuitant. In addition, the Annuitant’s surviving spouse and the Annuitant’s spouse or former spouse who is the alternative payee under a qualified domestic relations order, as defined in Code section 414(p), are distributees with regard to the interest of the spouse or former spouse.

 

B.                                      An eligible rollover distribution is any distribution of all or any portion of the balance to the credit of the distributee, except that an eligible rollover distribution does not include (i) any distribution that is one of a series of substantially equal periodic payments (not less frequently than annually) made for the life (or life expectancy) of the distributee or the joint lives (or joint and last survivor expectancies) of the distributee and the distributee’s designated beneficiary, or for a specified period of ten years or more; (ii) any distribution to the extent such distribution is required under Code section 401(a)(9); (iii) the portion of any distribution that is not includible in gross income (determined without regard to the exclusion for net unrealized appreciation with respect to employer securities); (iv) any hardship distribution described in Code section 401(k)(2)(B)(i)(IV) made to your after 1998; and (v) any other amounts designated in published federal income tax guidance.

 

C.                                      An eligible retirement plan is an individual retirement account described in Code section

 

5



 

408(a), an individual retirement annuity described in Code section 408(b), an annuity plan described in Code section 403(a), or a qualified trust described in Code section 401(a), that accepts the distributee’s eligible rollover distribution. However, in the case of an eligible rollover distribution to the surviving spouse, an eligible retirement plan is an individual retirement account or individual retirement annuity.

 

D.                                     A direct rollover is a payment by us to the eligible retirement plan specified by the distributee.

 

E.                                       Except as otherwise provided under applicable federal tax law, the following provisions shall apply with respect to distributions after December 31, 2001, for purposes of this section 14.

 

(i)                                      An eligible retirement plan shall also mean an annuity contract described in Code section 403(b) and an eligible plan under Code section 457(b) which is maintained by a state, political subdivision of a state, or any agency or instrumentality of a state or political subdivision of a state and which agrees to separately account for amounts transferred into such plan from the Plan. The definition of eligible retirement plan shall also apply in the case of a distribution to a surviving spouse, or to a spouse or former spouse who is the alternate payee under a qualified domestic relation order, as defined in Code section 414(p).

 

(ii)                                   Any amount that is distributed on account of hardship shall not be an eligible rollover distribution and the distributee may not elect to have any portion of such a distribution paid directly to an eligible retirement plan.

 

(iii)                                To the extent permitted by federal tax law, a portion of a distribution shall not fail to be an eligible rollover distribution merely because the portion consists of after-tax employee contributions that are not includible in gross income. However, such portion may be transferred only to an individual retirement account or annuity described in Code section 408(a) or (b), or to a qualified defined contribution plan described in Code section 401(a) or 403(a) that agrees to separately account for amounts so transferred, including separately accounting for the portion of such distribution which is includible in gross income and the portion of such distribution which is not so includible.

 

15.                                CODE SECTION 72(s)

All references in the Contract to Code section 72(s) are deleted.

 

6



 

16.                                AMENDMENT OF THIS ENDORSEMENT

The Company reserves the right, and the Owner agrees the Company shall have such right, to make any amendments to this Endorsement from time to time as may be necessary to comply with the Code, as amended, and the regulations thereunder. We will obtain all necessary approvals including, where required, that of the Owner and will send you a copy of the endorsement that modifies your Contract. We will not be responsible for any adverse tax consequences resulting from the rejection of such an amendment.

 

17.                                GROUP CONTRACT

If this Endorsement is used with a certificate issued under a group contract, the term “Owner” refers to the Participant/Annuitant and the term “Contract” refers to your Certificate.

 

Signed for the Company as of the Effective Date.

 

Protective Life Insurance Company

 

/s/ Deborah J. Long

 

Deborah J. Long

 

Secretary

 

 

7


Exhibit 4(k)

 

PROTECTIVE LIFE INSURANCE COMPANY

P.O. BOX 2606

BIRMINGHAM, ALABAMA 35202

 

Section 457 Deferred Compensation Plan

Endorsement

 

The Contract to which this Endorsement is attached is modified as of the Effective Date as follows:

 

1.                                        This Contract was issued to an eligible employer as defined in Code Section 457. Such employer is the Owner and Beneficiary. The Annuitant has no vested rights in the Contract. This Contract is subject to the rights of the general creditors of the Owner. All payments under the Contract will be made to the Owner.

 

2.                                        The Owner agrees that amounts payable from the Contract will not be made available to the Annuitant any earlier than when the Annuitant (1) attains age 70 ½ , (2) separates from service with his employer under this Endorsement, or (3) is faced with an unforeseeable emergency, as defined by Federal tax laws and regulations.

 

3.                                        Protective Life Insurance Company has the limited right to amend this Contract at any time without the Owner’s consent to conform the Contract to changes in the Internal Revenue Code or in regulations or rulings of the Internal Revenue Service relating to Section 457 Deferred Compensation Plans, subject to the approval of the insurance regulator of the state in which this Contract was issued. We will promptly provide the Owner with a copy of any such amendment.

 

4.                                        The terms of this Endorsement control over any contrary provision of the Contract. Use of the masculine pronoun herein shall be deemed to refer, as applicable, to the feminine and neuter genders.

 

Signed for the Company as of the Effective Date.

 

PROTECTIVE LIFE INSURANCE COMPANY

 

/s/ Deborah J. Long

 

Deborah J. Long

 

Secretary

 

 

IPV-2012

 

1994