As filed with the Securities and Exchange Commission on October 1, 1997
Registration No.
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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM S-1
AMENDMENT NO. ____ to
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
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FIRST GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY
(Exact name of Registrant)
NEW YORK 63 93-1225432
(State of Incorporation) (Primary Standard (I.R.S. Employer
Industrial Classification Identification No.)
Code Number)
125 Wolf Road, Suite 110
Albany, New York 12205
(800)
(Address, including zip code, and
telephone number,
including area code, or
registrant's principal
executive officer)
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William T. McCallum
President and Chief Executive Officer
First Great-West Life & Annuity Insurance Company
125 Wolf Road, Suite 110
Albany, New York 12205
(Name and Address of Agent for Service)
copy to:
James F. Jorden, Esq.
Jorden Burt Berenson & Johnson LLP
1025 Thomas Jefferson Street, N.W., Suite 400 East
Washington, D.C. 20007-0805
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Approximate Date of Proposed Public Offering: Upon the effective date of this
Registration Statement
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: X
If this Form is filed to register additional securities for an offering pursuant
to Rule 462(b) under the Securities Act, check the following box and list the
Securities Act registration statement number of the earlier effective
registration statement for the same offering: ______
If this Form is a post-effective amendment filed pursuant to Rule 462(c) under
the Securities Act, check the following box and list the Securities Act
registration statement for the same offering: ______
If delivery of the prospectus is expected to be made pursuant to Rule 434, check
the following box: ______
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
CALCULATION OF REGISTRATION FEE
TITLE OF EACH CLASS OF AMOUNT TO PROPOSED MAXIMUM
SECURITIES TO BE REGISTERED BE REGISTERED OFFERING PRICE PER UNIT
Interests in the Guaranteed Period Fund -
a guaranteed interest option under flexible * *
premium deferred fixed annuity contract
PROPOSED MAXIMUM
TITLE OF EACH CLASS OF AGGREGATE OFFERING AMOUNT OF
SECURITIES TO BE REGISTERED PRICE REGISTRATION FEE
Interests in the Guaranteed Period Fund -
a guaranteed interest option under flexible $ __________ $_________
premium deferred fixed annuity contract
</TABLE>
* The maximum aggregate offering price is estimated solely for the purpose of
determining the registration fee. The amount being registered and the proposed
maximum offering price per unit are not applicable in that these securities are
not issued in predetermined amounts of 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.
INFORMATION CONTAINED HEREIN IS SUBJECT TO COMPLETION OR AMENDMENT. A
REGISTRATION STATEMENT RELATING TO THESE SECURITIES HAS BEEN FILED WITH THE
SECURITIES AND EXCHANGE COMMISSION. THESE SECURITIES MAY NOT BE SOLD NOR MAY
OFFERS TO BUY BE ACCEPTED PRIOR TO THE TIME THE REGISTRATION STATEMENT BECOMES
EFFECTIVE. THIS PROSPECTUS SHALL NOT CONSTITUTE AN OFFER TO SELL OR THE
SOLICITATION OF AN OFFER TO BUY NOR SHALL THERE BE ANY SALE OF THESE SECURITIES
IN ANY STATE IN WHICH SUCH OFFER, SOLICITATION OR SALE WOULD BE UNLAWFUL PRIOR
TO REGISTRATION OR QUALIFICATION UNDER THE SECURITIES LAWS OF ANY SUCH STATE.
THE SCHWAB FIXED ANNUITYtm
A FLEXIBLE PREMIUM DEFERRED FIXED ANNUITY
Distributed by
CHARLES SCHWAB & CO., INC.
---------------------------------------------
Issued by
FIRST GREAT-WEST LIFE & ANNUITY
INSURANCE COMPANY
This prospectus describes interests under a flexible premium deferred annuity
contract, The Schwab Fixed Annuity (the "Contract"). The Contract is issued
either on a group basis or as individual contracts by First Great-West Life &
Annuity Insurance Company (the "Company"). Participation in a group contract
will be accounted for by the issuance of a certificate showing an interest under
the group contract. The certificate and the individual contract are hereafter
both referred to as the "Contract."
Your investment in the Contract may be allocated to the available Guarantee
Periods. You are allowed to select one or more Guarantee Periods, each of which
offers you a specified interest rate for a specified period. There may be a
Market Value Adjustment on the amounts withdrawn from the Guarantee Period Fund
prior to maturity. The Contract described by this prospectus is available only
in New York.
The minimum initial investment is $5,000 ($2,000 if an IRA) or $1,000 if made
under an Automatic Contribution Plan ("ACP"). The minimum subsequent
Contribution is $500 (or $100 per month if made under an ACP).
A maximum Surrender Charge of three percent may be applicable for amounts
withdrawn in the first three years. The Contract provides a Free Look Period of
10 days from your receipt of the Contract, during which time you may cancel your
investment in the Contract. Contributions will be allocated directly into the
specified Guarantee Period(s).
Amounts allocated to a Guarantee Period may be subject to a Market Value
Adjustment which could result in receipt of more or less than your Contributions
if you surrender, Transfer, make a partial withdrawal, apply amounts to purchase
an annuity before a Guarantee Period Maturity Date. Whether such a result
actually occurs depends on the timing of the transaction, the amount of the
Market Value Adjustment and the interest rate credited. The interest rate in
subsequent Guarantee Periods may be more or less than the rate of a previous
Guarantee Period.
THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND
EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION NOR HAS THE SECURITIES
AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION PASSED UPON THE
ACCURACY OR ADEQUACY OF THE PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A
CRIMINAL OFFENSE. NO PERSON IS AUTHORIZED BY THE COMPANY TO GIVE INFORMATION OR
TO MAKE ANY REPRESENTATION, OTHER THAN THOSE CONTAINED IN THIS PROSPECTUS, IN
CONNECTION WITH THE OFFERS CONTAINED IN THIS PROSPECTUS. THIS PROSPECTUS DOES
NOT CONSTITUTE AN OFFERING IN ANY JURISDICTION IN WHICH SUCH OFFERING MAY NOT
LAWFULLY BE MADE. PLEASE READ THIS PROSPECTUS AND KEEP IT FOR FUTURE REFERENCE.
Prospectus Dated October 1, 1997
The Contracts are not deposits of, or guaranteed or endorsed by any bank, nor
are the Contracts federally insured by the Federal Deposit Insurance
Corporation, the Federal Reserve Board or any other government agency. The
Contracts involve certain investment risks, including possible loss of
principal.
To Place Orders and for Annuity Account Information: Contact the Schwab Annuity
Service Center at 800-838-0649 or P.O. Box 7806, San Francisco, California
94120-7806.
About This Prospectus: This prospectus concisely presents important information
you should have before investing in the Contract. Please read it carefully and
retain it for future reference.
ii
TABLE OF CONTENTS
Page
DEFINITIONS................................................................iv
KEY FEATURES OF THE ANNUITY........................................ 1
FEE TABLE...................................................................2
FIRSTGREAT-WEST LIFE & ANNUITY INSURANCE COMPANY ...........................3
THE GUARANTEE PERIOD FUND...................................................3
THE MARKET VALUE ADJUSTMENT...............................................5
APPLICATION AND CONTRIBUTIONS............................................6
TRANSFERS.................................................................7
CASH WITHDRAWALS.........................................................8
TELEPHONE TRANSACTIONS................................................9
DEATH BENEFIT.........................................................9
CHARGES AND DEDUCTIONS................................................11
PAYMENT OPTIONS.......................................................12
FEDERAL TAX MATTERS ..................................................15
ASSIGNMENTS OR PLEDGES................................................19
DISTRIBUTION OF THE CONTRACTS.......................................19
SELECTED FINANCIAL DATA...............................................20
RIGHTS RESERVED BY THE COMPANY.......................................25
LEGAL PROCEEDINGS .................................................25
LEGAL MATTERS..........................................................25
EXPERTS ..............................................................25
AVAILABLE INFORMATION................................................25
APPENDIX A..............................................................26
FINANCIAL STATEMENTS...................................................F-1
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THIS PROSPECTUS DOES NOT CONSTITUTE AN OFFERING IN ANY JURISDICTION IN WHICH
SUCH OFFERING MAY NOT LAWFULLY BE MADE. NO DEALER, SALESPERSON, OR OTHER
PERSON IS AUTHORIZED TO GIVE ANY INFORMATION OR MAKE ANY REPRESENTATIONS IN
CONNECTION WITH THIS OFFERING OTHER THAN THOSE CONTAINED IN THIS PROSPECTUS,
AND, IF GIVEN OR MADE, SUCH OTHER INFORMATION OR REPRESENTATIONS MUST NOT BE
RELIED ON.
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The Contract described in this prospectus is available
only in New York.
iii
DEFINITIONS
Accumulation Period - The period between the Effective Date and the Payment
Commencement Date.
Annuitant - The person named in the application upon whose life the payment of
an annuity is based and who will receive annuity payments. If a Contingent
Annuitant is named, then the Annuitant will be considered the Primary Annuitant.
While the Annuitant is living and at least 30 days prior to the annuity
commencement date, the Owner may, by Request, change the Annuitant.
Annuity Account - An account established by the Company in the name of the Owner
that reflects all account activity under this Contract.
Annuity Account Value - The sum of the value of all Guarantee Periods credited
to the Owner under the Annuity Account; less Transfers, partial withdrawals,
amounts applied to an annuity option, periodic withdrawals, charges deducted
under the Contract and, less Premium Tax, if any.
Annuity Payment Period - The period beginning on the annuity commencement date
and continuing until all annuity payments have been made under the Contract.
Automatic Contribution Plan ("ACP") - A plan which allows for automatic periodic
Contributions. The Contribution amount will be withdrawn from a designated
pre-authorized account and automatically credited to the Annuity Account.
Beneficiary - The person(s) designated by the Owner, in the application, or as
subsequently changed by the Owner by Request, to receive any death benefit which
may become payable under the terms of the Contract. If the surviving spouse of
an Owner is the surviving Joint Owner, the surviving spouse will become the
Beneficiary upon such Owner's death and may elect to take the death benefit, if
any, or elect to continue the Contract in force.
Company - First Great-West Life & Annuity Insurance Company, the issuer of this
annuity, located at 125 Wolf Road, Suite 110, Albany, New York 12205.
Contingent Annuitant - The person named in the application, unless later changed
by the Owner by Request while the Annuitant is alive and before annuity payments
have commenced, who becomes the Annuitant when the Primary Annuitant dies. No
new Contingent Annuitant may be designated after the death of the Primary
Annuitant.
Contractual Guarantee of a Minimum Rate of Interest - The minimum interest rate
applicable to each Guarantee Period equal to an annual effective rate in effect
at the time the Contribution is made and as reflected in written confirmation of
the Contribution. This is the minimum rate allowed by law and is subject to
change in accordance with changes in applicable law. Under current law the
minimum rate is 3%.
Contributions - Purchase amounts received under the Contract prior to any
Premium Tax or other deductions.
Effective Date - The date on which the first Contribution is credited to the
Annuity Account.
Guarantee Period - One of the time intervals available in the Guarantee Period
Fund during which the Company will credit a stated rate of interest. The Company
may stop offering any time interval at any time for new Contributions. Amounts
allocated to one or more Guaranteed Periods may be subject to a Market Value
Adjustment.
Guarantee Period Fund - A fixed interest investment option in which amounts
allocated will be credited a stated rate of interest for the applicable
Guarantee Period(s).
Guarantee Period Maturity Date - The last day of any Guarantee Period.
Individual Retirement Annuity (IRA) - An annuity contract used in a retirement
savings program that is intended to satisfy the requirements of Section 408 of
the Internal Revenue Code of 1986, as amended.
Market Value Adjustment - An adjustment which may be made to amounts paid out
before the Guarantee Period
iv
Maturity Date due to surrenders, partial withdrawals, Transfers, amounts applied
to the periodic withdrawal option or to purchase an annuity, as applicable.
Market Value Adjustments may increase or decrease the amount payable on one of
the above-described distributions. A negative adjustment may result in an
effective interest rate lower than the applicable Contractual Guarantee of a
Minimum Rate of Interest, and the value of the Contribution(s) allocated to the
Guarantee Period being less than the Contribution(s) made. The Market Value
Adjustment is detailed on page 5.
Non-Qualified Annuity Contract - An annuity contract which is not intended to be
part of a qualified retirement plan and is not intended to satisfy the
requirements of Section 408 of the Internal Revenue Code of 1986, as amended.
Owner (Joint Owner) or You - The person(s), while the Annuitant is living, named
in the Contract Data Page who is entitled to exercise all rights and privileges
under the Contract. Joint Owners must be husband and wife as of the date the
Contract is issued. The Annuitant will be the Owner unless otherwise indicated
in the application. If a Contract is purchased as an IRA, the Owner and the
Annuitant must be the same individual and no Joint Owner may be named. Any
reference to Owner in the singular tense shall include the plural, and vice
versa, as applicable.
Payment Commencement Date - The date on which annuity payments or periodic
withdrawals commence under a payment option. The Payment Commencement Date must
be at least one year after the Effective Date of the Contract. If a Payment
Commencement Date is not shown on the Contract Data Page, annuity payments will
commence on the first day of the month of the Annuitant's 90th birthday. The
Payment Commencement Date may be changed by the Owner within 60 days prior to
commencement of annuity payments or it may be changed by the Beneficiary upon
the death of the Owner. If this is an IRA, payments which satisfy the minimum
distribution requirements of the Internal Revenue Code of 1986, as amended, must
begin no later than the Owner's attainment of age 70 1/2.
Premium Tax - The amount of tax, if any, charged by a state or other
governmental authority.
Request - Any written, telephoned, or computerized instruction in a form
satisfactory to the Company and received at the Schwab Annuity Service Center
(or other annuity service center subsequently named) from the Owner or the
Owner's designee (as specified in a form acceptable to the Company) or the
Beneficiary (as applicable) as required by any provision of the Contract or as
required by the Company. All Requests are subject to any action taken or payment
made by the Company before it was processed.
Schwab Annuity Service Center - P.O. Box 7806, San Francisco, California 94120-
7806, telephone 800-838-0649.
Simplified Employee Pension - An individual retirement annuity (IRA) which may
accept contributions from one or more employers under a retirement savings
program intended to satisfy the requirements of Section 408(k) of the Internal
Revenue Code of 1986, as amended.
Surrender Charge - a maximum charge of three percent will be assessed if funds
are withdrawn in the first three Contract years.
Surrender Value - The Annuity Account Value with a Market Value Adjustment, if
applicable, and/or less any Surrender Charge, if applicable, on the effective
date of the surrender, less Premium Tax, if any.
Transaction Date - The date on which any Contribution or Request from the Owner
will be processed by the Company at the Schwab Annuity Service Center.
Contributions and Requests received after 4:00 p.m. EST/EDT will be deemed to
have been received on the next business day. Requests will be processed each day
that the New York Stock Exchange is open for trading.
Transfer - To move money among the Guaranteed Periods.
We, our, us, or First GWL&A: First Great-West Life & Annuity Insurance Company.
v
KEY FEATURES OF THE ANNUITY
The Contract currently allows Owners to invest in the Guarantee Period Fund
which is comprised of Guarantee Periods, each of which has its own stated rate
of interest and its own maturity date. The stated rate of interest for the
Guarantee Period will depend on the date the Guarantee Period is established and
the duration of the Guarantee Period you select from among those available. The
rates declared are subject to a minimum (Contractual Guarantee of a Minimum Rate
of Interest), but the Company may declare higher rates (the stated rate of
interest). The Contractual Guarantee of a Minimum Rate of Interest will be
disclosed in the written confirmation. The stated rate of interest will not be
less than the Contractual Guarantee of a Minimum Rate of Interest and will also
be disclosed in the written confirmation. Amounts withdrawn or transferred from
a Guarantee Period prior to the Guarantee Period Maturity Date may be subject to
a Market Value Adjustment. (See "Market Value Adjustment", p. 5.)
Who should invest. The Contract is designed for investors who are seeking
long-term tax deferred asset accumulation on a fixed interest rate basis. The
Contract can be used for retirement or other long-term investment purposes. The
deferral of income taxes is particularly attractive to investors in high federal
and state tax brackets who have already fully taken advantage of their ability
to make IRA contributions or "pre-tax" contributions to their employer sponsored
retirement or savings plans.
How to Invest. You must complete a Contract application form, in order to invest
in the Contract, and pay by check or instruct us to transfer funds from your
Schwab account. The minimum initial investment is $5,000 (or $2,000 if in an
IRA). Subsequent investments must be at least $500. The minimum initial
investment may be reduced to $1,000 should the Owner agree to make additional
$100 per month minimum recurring deposits through an ACP.
Free Look Period. The Contract provides for a Free Look Period which allows you
to cancel your investment generally within 10 days of your receipt of the
Contract. You can cancel the Contract during the Free Look Period by delivering
or mailing the Contract to the Schwab Annuity Service Center. The cancellation
is not effective unless we receive a notice which is postmarked before the end
of the Free Look Period. If the Contract is returned, the contract will be void
from the start and the greater of: (a) Contributions received less surrenders,
withdrawals and distributions or (b) the Annuity Account Value less surrenders,
withdrawals and distributions, will be refunded. These procedures may vary where
required by state law. (See "Application and Contributions," p. 6.)
Allocation of the Initial Investment. Your initial investment in the Guarantee
Period Fund will be directly allocated to the Guarantee Period(s) specified in
the application.
Charges and Deductions Under the Contract. The Contract is a "low load" annuity
and, as such, imposes no sales charge when Contributions are made, and only a
maximum Surrender Charge of three percent if funds are withdrawn in the first
three Contract years.
No Contract Maintenance Charge will be deducted from your Annuity Account Value.
There will be a transfer fee of $10 for each Transfer in excess of twelve
Transfers per calendar year. (See "Charges and Deductions," p. 11.)
Depending on your state of residence, we may deduct a charge for Premium Tax
from purchase payments or amounts withdrawn or at the Payment Commencement Date.
(See "Charges and Deductions," p. 11.)
The Market Value Adjustment may increase or decrease the amount Transferred or
withdrawn from the value of a Guarantee Period if the Guarantee Period is broken
prior to the Guarantee Period Maturity Date. A negative adjustment may result in
an effective interest rate lower than the stated rate of interest for the
applicable Guarantee Period and the Contractual Guarantee of a Minimum Rate of
Interest and the value of the Contribution(s) allocated to the Guarantee Period
being less than the Contribution(s) made. (See "Market Value Adjustment," p. 5.)
Switching Investments. You may switch Contributions among the Guarantee Periods
as often as you like with no immediate tax consequences. You may make a
Transfer Request to the Schwab Annuity Service Center. A transfer fee may
apply. (See "Charges and Deductions," p. 11.) Amounts Transferred out of a
Guarantee Period prior to the Guarantee Period Maturity Date may be subject to
a Market Value Adjustment. (See "Market Value Adjustment," p. 5.)
Full and Partial Withdrawals. You may withdraw all or part of your Annuity
Account Value before the earlier of the annuity commencement date you selected
or the Annuitant's or Owner's death. Withdrawals may be taxable and
1
if made prior to age 59 1/2 may be subject to a 10% penalty tax. Withdrawals
from a Guarantee Period prior to the Guarantee Period Maturity Date may be
subject to Market Value Adjustment. (See "Market Value Adjustment," p.5.)
Amounts withdrawn also may be subject to a Surrender Charge. (See "Charges and
Deductions," p. 11.) The minimum partial withdrawal prior to the Market Value
Adjustment is $500. There is no limit on the number of withdrawals made. The
Company may delay payment of withdrawals from the Guarantee Period Fund by up to
6 months. (See "Cash Withdrawals," p. 8.)
Annuity Options. Beginning on the first day of the month immediately following
the annuity commencement date you select, you may receive annuity payments on a
fixed basis. (The default date is the first day of the month that the Annuitant
attains age 90.) A wide range of annuity options are available to provide
flexibility in choosing an annuity payment schedule that meets your particular
needs. These annuity options include payment options designed to provide
payments for life (for either a single or joint life), with or without a
guaranteed minimum number of payments. (See "Payment Options," p. 12.)
Death Benefit. The amount of the death benefit, if payable before annuity
payments commence, will be the greater of (a) the Annuity Account Value with a
Market Value Adjustment, if applicable, as of the date a Request for payment is
received, less Premium Tax, if any; or (b) the sum of Contributions paid, less
partial withdrawals and Periodic Withdrawals, less charges deducted under the
Contract, if any, less Premium Tax, if any. (See "Death Benefit," p. 9.)
Customer Service. Schwab's professional representatives are available toll-free
to assist you. If you have any questions about your Contract, please telephone
the Schwab Annuity Service Center (800-838-0649) or write to the Schwab Annuity
Service Center at P.O. Box 7806, San Francisco, California 94120-7806. All
inquiries should include the Contract number and the Owner's name. As a Contract
Owner you will receive periodic statements confirming any transactions relating
to your Contract, as well as a quarterly statement and an annual report.
FEE TABLE
The purpose of this table is to assist you in understanding the various
costs and expenses that you will bear directly or indirectly when investing in
the Contract. The information set forth should be considered together with the
narrative provided under the heading "Charges and Deductions." In addition to
the expenses listed below, a Premium Tax may be applicable.
Contract Owner Transaction Expenses
Sales Load None
Surrender Fee Maximum 3%
Transfer Fee (First 12 Per Year)1 None
Contract Maintenance Charge None
- --------
1 There is a $10 fee for each Transfer in excess of twelve in any contract year.
2
FIRST GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY
The Company is a stock life insurance company organized under the laws
of the state of New York. First GWL&A was incorporated on April 9, 1996 and is a
wholly owned subsidiary of Great-West Life & Annuity Insurance Company
("Great-West"). First GWL&A commenced operations upon receipt of its certificate
of authority from the Superintendent of Insurance of New York on May 28, 1997.
First GWL&A is principally engaged in the sale of life insurance,
accident and health insurance and annuities. It is admitted to do business in
the states of New York and Iowa.
Great-West is a wholly-owned subsidiary of The Great-West Life
Assurance Company ("GWL"). GWL is a subsidiary of Great-West Lifeco Inc., a
holding company. Great-West Lifeco Inc. is in turn a subsidiary of Power
Financial Corporation, a financial services company. Power Corporation of
Canada, a holding and management company, has voting control of Power Financial
Corporation. Mr. Paul Desmarais, through a group of private holding companies,
which he controls, has voting control of Power Corporation of Canada.
THE GUARANTEE PERIOD FUND
Guarantee Period Fund
Contributions under the Contract will be deposited to, and accounted
for, in a non-unitized market value separate account established by the Company
under Section 4240 of the New York Insurance Code and in accordance with New
York Regulation 128. A non-unitized separate account is a separate account in
which the Owner does not participate in the performance of the assets through
unit values. Therefore, Owner's do not receive a unit ownership of assets
accounted for in this separate account. The assets accrue solely to the benefit
of the Company and any gain or loss in the separate account is borne entirely by
the Company. For amounts contributed, Owners will receive the Contract
guarantees made by the Company.
Contributions will be allocated to one or more Guarantee Periods of a
duration selected by the Owner from those currently being offered by the
Company. Every Guarantee Period offered by the Company will have a duration of
at least one year. Contributions will be credited on the Transaction Date.
Each Guarantee Period will have its own stated rate of interest and
Guarantee Period Maturity Date. The stated rate of interest applicable to a
Guarantee Period will depend on the date the Guarantee Period is established and
the duration chosen by the Owner.
As of the date of this prospectus, Guarantee Periods with time
intervals of 1 to 10 years are offered. The Guarantee Periods may be changed in
the future; however, any such modification will not have an impact on any
Guarantee Period then in effect.
The value of amounts in each Guarantee Period is the Owner's
Contributions, less Premium Tax, if any, in that Guarantee Period, plus interest
earned, less amounts distributed, withdrawn (in whole or in part), Transferred
or applied to an annuity option, periodic withdrawals, and charges deducted
under the Contract. If a Guarantee Period is broken, a Market Value Adjustment
may be assessed. Any such amount withdrawn or Transferred from a Guarantee
Period will be paid in accordance with the MVA formula. (See "Market Value
Adjustment," p. 5.)
Investments
The Company intends to invest in assets which, in the aggregate, have
characteristics, especially cash flow patterns, reasonably related to the
characteristics of its liabilities. Various techniques will be used to achieve
the objective of close aggregate matching of assets and liabilities. The Company
will primarily invest in investment-grade fixed income securities including:
Securities issued by the U.S. Government or its agencies or instrumentalities,
which issues may or may not be guaranteed by the U.S. Government.
3
Debt securities which have an investment grade, at the time of
purchase, within the four highest grades assigned by Moody's Investment
Services, Inc. (Aaa, Aa, A or Baa), Standard & Poor's Corporation (AAA,
AA, A or BBB) or any other nationally recognized rating service.
Other debt instruments, including, but not limited to, issues
of banks or bank holding companies and of corporations, which
obligations, although not rated by Moody's, Standard & Poor's, or other
nationally recognized rating firms, are deemed by the Company's
management to have an investment quality comparable to securities which
may be purchased as stated above.
Commercial paper, cash or cash equivalents, and other
short-term investments having a maturity of less than one year which
are considered by the Company's management to have investment quality
comparable to securities which may be purchased as stated above.
In addition, the Company may invest in futures and options. Financial
futures and related options thereon and options on securities are purchased
solely for non-speculative hedging purposes. The Company may sell a futures
contract or purchase a put option on futures or securities to protect the value
of securities held in or to be sold for the general account or the non-unitized
separate account in the event the securities prices are anticipated to decline.
Similarly, if securities prices are expected to rise, the Company may purchase a
futures contract or a call option thereon against anticipated positive cash flow
or may purchase options on securities.
WHILE THE FOREGOING GENERALLY DESCRIBES THE INVESTMENT STRATEGY FOR THE
GUARANTEE PERIOD FUND, THE COMPANY IS NOT OBLIGATED TO INVEST THE ASSETS
ATTRIBUTABLE TO THE GUARANTEE PERIOD FUND ACCORDING TO ANY PARTICULAR STRATEGY,
EXCEPT AS MAY BE REQUIRED BY NEW YORK AND OTHER STATE INSURANCE LAWS, NOR WILL
THE STATED RATE OF INTEREST THAT THE COMPANY ESTABLISHES NECESSARILY RELATE TO
THE PERFORMANCE OF THE NON-UNITIZED SEPARATE ACCOUNT.
Subsequent Guarantee Periods
Prior to the date annuity payments commence, you may invest the value
of amounts held in a maturing Guarantee Period in any Guarantee Period that we
offer at that time. On the quarterly statement issued prior to the end of any
Guarantee Period, we will notify you of the upcoming maturity of a Guarantee
Period. THE GUARANTEE PERIOD AVAILABLE FOR NEW CONTRIBUTIONS MAY BE CHANGED AT
ANY TIME, INCLUDING BETWEEN THE DATE OF NOTIFICATION OF A MATURING GUARANTEE
PERIOD AND THE DATE A SUBSEQUENT GUARANTEE PERIOD BEGINS. Information regarding
the current Guarantee Periods then available and their stated rate of interest
may be obtained by calling the Schwab Annuity Service Center at:
1-800-838-0649.
If the Company receives no direction from the Contract Owner by the
Guarantee Period Maturity Date, the Company will automatically allocate the
amount from the maturing Guarantee Period to a Guarantee Period equal in
duration to the one just ended. If at that time, the duration previously chosen
is no longer available, the amount will be allocated to the next shortest
available Guarantee Period duration. In any event, a Guarantee Period will not
renew for a term equal in duration to the one just ended if the Guarantee Period
will mature after the Payment Commencement Date. No Guarantee Period may mature
later than six months after a Payment Commencement Date. For example, if a
3-year Guarantee Period matures and the Payment Commencement Date begins 1 3/4
years from the Guarantee Period Maturity Date, the matured value will be
transferred to a 2-year Guarantee Period.
Breaking A Guarantee Period
Any Transfer, withdrawal or the selection of an annuity option prior to
the Guarantee Period Maturity Date will be known as breaking a Guarantee Period.
When a Request to break a Guarantee Period is received, the Guarantee Period
that is closest to the Guarantee Period Maturity Date will be broken first. If a
Guarantee Period is broken, a Market Value Adjustment may be assessed. The
Market Value Adjustment may increase or decrease the value of the amount
Transferred or withdrawn from the Guarantee Period Fund. The Market Value
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Adjustment may reduce the value of amounts held in a Guarantee Period below the
amount of your Contribution(s) allocated to that Guarantee Period. (See "Market
Value Adjustment," p. 5.)
Interest Rates
Declared rates are effective annual rates of interest. The rate is
guaranteed throughout the Guarantee Period. FOR GUARANTEE PERIODS NOT YET IN
EFFECT, FIRST GWL&A MAY DECLARE INTEREST RATES DIFFERENT THAN THOSE CURRENTLY IN
EFFECT. When a subsequent Guarantee Period begins, the rate applied will not be
less than the rate then applicable to new Contracts of the same type with the
same Guarantee Period.
The stated rate of interest must be at least equal to the Contractual
Guarantee of a Minimum Rate of Interest. The Company may declare higher rates.
The Contractual Guarantee of a Minimum Rate of Interest is based on the
applicable state standard non-forfeiture law which is currently 3% for the
Contract.
The determination of the stated rate of interest is influenced by, but
does not necessarily correspond to, interest rates available on fixed income
investments which the Company may acquire using funds deposited into the
Guarantee Period Fund. In addition, the Company will consider other items in
determining the stated rate of interest including regulatory and tax
requirements, sales commissions and administrative expenses borne by the
Company, general economic trends, and competitive factors.
Market Value Adjustment
Distributions from the amounts allocated to a Guarantee Period due to a
full surrender or partial withdrawal, Transfer, application of amounts to the
periodic withdrawal option or to purchase an annuity, prior to a Guarantee
Period Maturity Date will be subject to a Market Value Adjustment ("MVA"). A MVA
may increase or decrease the amount payable on one of the above described
distributions. Amounts available for a full surrender or partial withdrawal is
the amount requested plus the MVA less any applicable Surrender Charge. The
amount available for a Transfer is the amount requested plus the MVA. The MVA is
calculated by multiplying the amount Requested by the Market Value Adjustment
Factor ("MVAF").
The MVA reflects the relationship as of the time of its calculation
between (a) the U.S. Treasury Strip ask side yield as published in the Wall
Street Journal on the last business day of the week prior to the date the stated
rate of interest was established for the Guarantee Period; and (b) the U.S.
Treasury Strip ask side yield as published in the Wall Street Journal on the
last business day of the week prior to the week the Guarantee Period is broken.
There would be a downward adjustment if Treasury rates at the time the Guarantee
Period is broken exceed Treasury rates when the Guarantee Period was created.
There would be an upward adjustment if Treasury rates at the time the Guarantee
Period is broken, are lower than when the Guarantee Period was created. The MVA
factor is the same for all Contracts.
1. The formula used to determine the MVA is:
MVA = (amount applied) X (MVAF)
The Market Value Adjustment Factor (MVAF) is:
MVAF = {[(1 + i)/(1 + j)] N/12} - 1
where:
a) i is the U.S. Treasury Strip ask side yield as published in
the Wall Street Journal on the last business day of the week
prior to the date the stated rate of interest was established
for the Guarantee Period. The term of i is measured in years
and equals the term of the Guarantee Period;
5
b) j is the U.S. Treasury Strip ask side yield as published in
the Wall Street Journal on the last business day of the week
prior to the week the Guarantee Period is broken. The term of
j equals the remaining term to maturity of the Guarantee
Period, rounded up to the higher number of years; and
c) N is the number of complete months remaining until
maturity.
If N is less than 6, the MVA will equal 0.
2. The Market Value Adjustment will apply to any Guarantee Period six or more
months prior to the Guarantee Period Maturity Date in each of the following
situations:
a) Transfer to another Guarantee Period offered under this Contract; or
b) Surrenders, partial withdrawals, annuitization or Periodic Withdrawals; or
3. The Market Value Adjustment will not apply to any Guarantee Period having
fewer than six months prior to the Guarantee Period Maturity Date in each of the
following situations:
a) Transfer to another Guarantee Period offered under this Contract; or
b) Surrenders, partial withdrawals, annuitization or Periodic Withdrawals; or
c) A single sum payment upon death of the Owner or Annuitant.
See Appendix A for Illustrations of the MVA.
APPLICATION AND CONTRIBUTIONS
Contributions
All Contributions may be paid at the Schwab Annuity Service Center by a
check payable to the Company or by transfer to the Company of available funds
from your Schwab account.
The initial Contribution for the Contract must be at least $5,000 (or
$2,000 if for an IRA). Subsequent Contributions must be at least $500. This
minimum initial investment may be reduced to $1,000, but only if you participate
in an Automatic Contribution Plan and contribute at least $100 per month through
a recurring deposit.
A confirmation will be issued to you upon the acceptance of each Contribution.
Your Contract will be issued and your Contribution generally will be
accepted and credited within two business days after receipt of an acceptable
application and receipt of the initial Contribution at the Schwab Annuity
Service Center. All Contributions can be paid to the Schwab Annuity Service
Center by check (payable to First GWL&A) or by instructing Schwab to transfer to
First GWL&A available funds or amounts from your account with Schwab. Acceptance
is subject to there being sufficient information in a form acceptable to us and
we reserve the right to reject any application or Contribution.
The Schwab Annuity Service Center will process your application and
Contributions. If your application is complete and your initial Contribution is
being transferred from funds available in your Schwab account, then the
Contribution will generally be credited within two business days following
receipt of the application. If your application is incomplete, the Schwab
Annuity Service Center will either complete the application from information
Schwab has on file, or contact you for the additional information. No transfer
of funds will be made from your Schwab account until your application is
complete. The funds will be credited as Contributions to the Contract when they
are transferred.
If your Contribution is by check, and the application is complete,
Schwab will use its best efforts to credit the Contribution on the day of
receipt, but in all such cases it will be credited to your Contract within two
business days of receipt. If your application is incomplete, the Schwab Annuity
Service Center will complete the
6
application from information Schwab has on file or contact you by telephone to
obtain the required information. If your application remains incomplete for five
business days, we will return to you both the check and the application unless
you consent to our retaining the initial Contribution and crediting it as soon
as the requirements are fulfilled.
A Contract may be returned within ten days after receipt ("Free Look
Period"). During the Free Look Period, all contributions will be processed as
follows:
(1) Contributions allocated to one or more of the then available
Guarantee Periods will be allocated as directed, effective
upon the Transaction Date at the stated rate and Guarantee
Period Maturity Date then effective.
(2) If the Contract is returned, the contract will be void from
the start and the greater of: (a) Contributions received less
surrenders, withdrawals and distributions or (b) the Annuity
Account Value less surrenders, withdrawals and distributions,
will be refunded. Exercising the return privilege requires the
return of the Contract to the Company or to the Schwab Annuity
Service Center.
Additional Contributions may be made at any time prior to the Payment
Commencement Date, as long as the Annuitant is living. Additional Contributions
must be at least $500 or $100 per month if under an ACP. Additional
Contributions will be credited within two days following receipt.
Total Contributions may exceed $1,000,000 with our prior approval.
The Company reserves the right to modify the limitations set forth in
this section.
TRANSFERS
In General
Prior to the Payment Commencement Date you may Transfer all or part of
your Annuity Account Value among the available Guarantee Periods by telephone or
by sending a Request to the Schwab Annuity Service Center. The Request must
specify the amounts being Transferred, the Guarantee Period(s) from which the
Transfer is to be made, and the Guarantee Period(s) that will receive the
Transfer.
Currently, there is no limit on the number of Transfers you can make
during any Contract Year. There is no charge for the first twelve Transfers each
Contract Year, but there will be a charge of $10 for each additional Transfer in
each Contract Year. We reserve the right to limit the number of Transfers you
make. The charge will be deducted from the amount transferred. All Transfers
made on a single Transaction Date will be aggregated to count as only one
Transfer toward the twelve free Transfers.
A Transfer generally will be effective on the date the Request for
Transfer is received by the Schwab Annuity Service Center if received before
4:00 p.m. Eastern Time. Under current law, there will not be any tax liability
to you if you make a Transfer.
When a Transfer is made before the Guarantee Period Maturity Date, the
amount Transferred may be subject to a Market Value Adjustment. (See "Market
Value Adjustment," p. 5.) A Request for Transfer from amounts in a Guarantee
Period made prior to the Guarantee Period Maturity Date for Transfers on the
Guarantee Period Maturity Date will not be counted for the purpose of
determining any Transfer Fee on Transfers in excess of the twelve Transfers per
year if these Transfers are to take place on the Guarantee Period Maturity Date.
Possible Restrictions
We reserve the right without prior notice to modify, restrict, suspend
or eliminate the Transfer privileges (including telephone Transfers) at any
time. We reserve the right to require that all Transfer Requests be made by the
Owner and not by an Owner's designee and to require that each Transfer Request
be made by a separate
7
communication to us. We also reserve the right to request that each Transfer
Request be submitted in writing and be manually signed by the Owner; facsimile
Transfer Requests may not be allowed.
CASH WITHDRAWALS
Withdrawals
You (the Owner) may withdraw from the Contract all or part of your
Annuity Account Value at any time during the life of the Annuitant and prior to
the date annuity payments commence by Request at the Schwab Annuity Service
Center subject to the rules below. Federal or state laws, rules or regulations
may apply. The amount payable to you if you surrender your Contract is your
Annuity Account Value, with a Market Value Adjustment, if any, and a Surrender
Charge, if applicable, on the effective date of the surrender, and less any
applicable Premium Tax. No withdrawals may be made after the date annuity
payments commence.
A Request for a partial withdrawal will result in a reduction in your
Annuity Account Value equal to the sum of the dollar amount withdrawn. A Market
Value Adjustment may apply. (See "Market Value Adjustment," p. 5.) In addition,
the partial withdrawal may be subject to a Surrender Charge. The partial
withdrawal proceeds may be greater or less than the amount requested, depending
on the effect of the Market Value Adjustment, and the Surrender Charge.
The minimum partial withdrawal before application of the MVA is $500.
Partial withdrawals are unlimited; however, you must specify the Guarantee
Period(s) from which the withdrawal is to be made. After any partial withdrawal,
if the remaining Annuity Account Value is less than $2,000, then a full
surrender may be required.
The following terms apply:
(a) No partial withdrawals are permitted after the date annuity
payments commence.
(b) A partial withdrawal will be effective upon the Transaction Date.
(c) A partial withdrawal may be subject to the Market Value
Adjustment provisions, the Guarantee Period Fund provisions of
the Contract and the terms of the attached Guarantee Period
Fund Rider(s), if any.
(d) A partial withdrawal may be subject to a Surrender Charge.
Withdrawals may be taxable (this includes Periodic Withdrawals,
discussed below). Moreover, the Internal Revenue Code (the "Code") provides that
a 10% penalty tax may be imposed on the taxable portions of certain early
withdrawals. The Code generally requires us to withhold federal income tax from
withdrawals. However, generally you will be entitled to elect, in writing, not
to have tax withholding apply unless withholding is mandatory for your Contract.
Withholding applies to the portion of the withdrawal which is included in your
income and subject to federal income tax. The tax withholding rate is 10% of the
taxable amount of the withdrawal. Withholding applies only if the taxable amount
of the withdrawal is at least $200. Some states also require withholding for
state income taxes. (See "Federal Tax Matters," p. 15.)
Withdrawal Requests must be in writing to ensure that your instructions
regarding withholding are followed. In the absence of an adequate election, the
Request will not be processed.
After a withdrawal of all of your total Annuity Account Value, or at
any time that your Annuity Account Value is zero, all your rights under the
Contract will terminate.
Since IRAs are offered by this prospectus, reference should be made to
the applicable provisions of the Code for any additional limitations or
restrictions on cash withdrawals.
8
TELEPHONE TRANSACTIONS
We will employ reasonable procedures to confirm that instructions
communicated by telephone are genuine and if we follow such procedures we will
not be liable for any losses due to unauthorized or fraudulent instructions.
However, we may be liable for such losses if we do not follow those reasonable
procedures. The procedures we will follow for telephone transactions may include
requiring some form of personal identification prior to acting on instructions
received by telephone, providing written confirmation of the transaction, and/or
tape recording the instructions given by telephone.
We reserve the right to suspend telephone transaction privileges at any
time, for some or all Contracts, and for any reason. Withdrawals are not
permitted by telephone.
DEATH BENEFIT
Payment of Death Benefit
Before the date annuity payments commence, the death benefit, if any,
will be equal to the greater of: (a) the Annuity Account Value with an MVA, if
applicable, as of the date the Request for payment is received, less Premium
Tax, if any, or (b) the sum of Contributions paid, less partial withdrawals
and/or Periodic Withdrawals, less Premium Tax, if any. The death benefit will
become payable following the Company's receipt of a Request from the
Beneficiary. When an Owner or the Annuitant dies before the annuity commencement
date and a death benefit is payable to a Beneficiary, the death benefit proceeds
will remain invested in accordance with the allocation instructions given by the
Owner(s) until new allocation instructions are Requested by the Beneficiary or
until the death benefit is actually paid to the Beneficiary. The death benefit
will be determined as of the date payments commence. Subject to the distribution
rules set forth below, payment of the death benefit may be Requested to be made
as follows:
A. Proceeds from the Guarantee Period(s)
1. payment in a single sum; or
2. payment under any of the annuity options provided under this Contract
In any event, no payment of benefits provided under the Contract will
be allowed that does not satisfy the requirements of Section 72(s) of the Code
and any other applicable federal or state laws, rules or regulations.
DISTRIBUTION RULES
1. Death of Annuitant
Upon the death of the Annuitant while the Owner is living, and before
the annuity commencement date, the Company will pay the death benefit to the
Beneficiary unless there is a Contingent Annuitant.
If a Contingent Annuitant was named by the Owner(s) prior to the
Annuitant's death, and the Annuitant dies before the annuity commencement date
while the Owner and Contingent Annuitant are living, no death benefit will be
payable by reason of the Annuitant's death and the Contingent Annuitant will
become the Annuitant.
If the Annuitant dies after the date annuity payments commence and
before the entire interest has been distributed, any benefit payable must be
distributed to the Beneficiary in accordance with and at least as rapidly as
under the payment option applicable to the Annuitant on the Annuitant's date of
death.
If a corporation or other non-individual is an Owner, or if the
deceased Annuitant is an Owner, the death of the Annuitant will be treated as
the death of an Owner and the Contract will be subject to the "Death of Owner"
provisions described below.
9
2. Death of Owner
If the Owner is not the Annuitant:
(1) If there is a Joint Owner who is the surviving spouse of the
deceased Owner, the Joint Owner will become the Owner and Beneficiary
and may elect to take the death benefit or elect to continue the
Contract in force.
(2) In all other cases, the Company will pay the death benefit to the
Beneficiary even if a Joint Owner (who was not the Owner's spouse on
the date of the Owner's death), the Annuitant and/or the Contingent
Annuitant are alive at the time of the Owner's death, unless the sole
Beneficiary is the deceased Owner's surviving spouse and the
Beneficiary elects to become the Owner and Annuitant and to continue
the Contract in force.
If the Owner is not the Annuitant, and the Owner dies after annuity
payments commence and before the entire interest has been distributed while the
Annuitant is living, any benefit payable will continue to be distributed to the
Annuitant at least as rapidly as under the payment option applicable on the
Owner's death. All rights granted the Owner under the Contract will pass to any
surviving Joint Owner and, if none, to the Annuitant.
If the Owner is the Annuitant (Owner/Annuitant):
(1) If there is a Joint Owner who is the surviving spouse of the
deceased Owner and a Contingent Annuitant, the Joint Owner will become
the Owner and the Beneficiary, the Contingent Annuitant will become the
Annuitant, and the Contract will continue in force.
(2) If there is a Joint Owner who is the surviving spouse of the
deceased Owner but no Contingent Annuitant, the Joint Owner will become
the Owner, Annuitant and Beneficiary and may elect to take the death
benefit or continue the Contract in force.
(3) In all other cases, the Company will pay the death benefit to the
Beneficiary, even if a Joint Owner (who was not the Owner's spouse on
the date of the Owner's death), Annuitant and/or Contingent Annuitant
are alive at the time of the Owner's death, unless the sole Beneficiary
is the deceased Owner's surviving spouse and the Beneficiary Requests
to become the Owner and Annuitant and to continue the Contract in
force.
Any death benefit payable to the Beneficiary upon an Owner's death will
be distributed as follows:
(1) If the Owner's surviving spouse is the person entitled to receive
benefits upon the Owner's death, the surviving spouse will be treated
as the Owner and will be allowed to take the death benefit or continue
the Contract in force; or
(2) If the Beneficiary is a non-spouse individual, she/he may elect,
not later than one year after the Owner's date of death, to receive the
death benefit in either a single sum or payment under any of the fixed
annuity options available under the Contract, provided that (a) such
annuity is distributed in substantially equal installments over the
life or life expectancy of the Beneficiary or over a period not
extending beyond the life expectancy of the Beneficiary; and (b) such
distributions begin not later than one year after the Owner's date of
death. If no election is received by the Company from a non-spouse
Beneficiary such that substantially equal installments have begun not
later than one year after the Owner's date of death, then the entire
amount must be distributed within five years of the Owner's date of
death. The death benefit will be determined as of the date the payments
commence; or
(3) If a corporation or other non-individual entity is entitled to
receive benefits upon the Owner's death, the death benefit must be
completely distributed within five years of the Owner's date of death.
10
Beneficiary
You may select one or more Beneficiaries. If more than one Beneficiary
is selected, unless you indicate otherwise, they will share equally in any death
benefit payable. You may change the Beneficiary any time before the Annuitant's
death.
You may, while the Annuitant is living, change the Beneficiary by
Request. A change of Beneficiary will take effect as of the date the Request is
processed by the Schwab Annuity Service Center, unless a certain date is
specified by the Owner. If the Owner dies before the Request was processed, the
change will take effect as of the date the Request was made, unless the Company
has already made a payment or otherwise taken action on a designation or change
before receipt or processing of such Request. A beneficiary designated
irrevocably may not be changed without the written consent of that Beneficiary,
except as allowed by law.
The interest of any Beneficiary who dies before the Owner or the
Annuitant will terminate at the death of the Beneficiary. The interest of any
Beneficiary who dies at the time of, or within 30 days after, the death of an
Owner or the Annuitant will also terminate if no benefits have been paid to such
Beneficiary, unless the Owner otherwise indicates by Request. The benefits will
then be paid as though the Beneficiary had died before the deceased Owner or
Annuitant. If no Beneficiary survives the Owner or Annuitant, as applicable, the
Company will pay the death benefit proceeds to the Owner's estate.
If the surviving spouse of an Owner is the surviving Joint Owner, the
surviving spouse will become the Beneficiary upon such Owner's death and may
elect to take the death benefit or may elect to continue the Contract in force.
If there is no surviving Joint Owner, and no named Beneficiary is alive at the
time at the time of an Owner's death, any benefits payable will be paid to the
Owner's estate.
Contingent Annuitant
While the Annuitant is living, the Owner(s) may, by Request, designate
or change a Contingent Annuitant from time to time. A change of Contingent
Annuitant will take effect as of the date the Request is processed at the Schwab
Annuity Service Center, unless a certain date is specified by the Owner(s).
CHARGES AND DEDUCTIONS
No deductions are made from Contributions except for any applicable
Premium Tax. Therefore, the full amount of the Contributions (less any
applicable Premium Tax) are invested in the Contract.
As more fully described below, charges under the Contract are assessed
only as deductions for Premium Tax, if applicable, for certain Transfers, and as
a Surrender Charge, if applicable. In addition, a Market Value Adjustment may
apply to withdrawals and surrenders, Transfers, amounts applied to purchase an
annuity, if the amounts held in a Guarantee Period are paid out prior to the
Guarantee Period Maturity Date.
Surrender Charge
A maximum Surrender Charge of three percent (3%) will be applied to
amounts withdrawn/distributed within the first three Contact years. The
Surrender Charge applies to the amounts withdrawn/distributed after they have
been adjusted by any MVA. The applicable Surrender Charge will decrease over
time as indicated in the table below.
Years Completed Percentage of Distribution
1 3%
2 2%
3 1%
4+ 0%
The Contract describes specific situations in which there is no
Surrender Charge, such as death, annuitization, other than in a single sum, and
Periodic Withdrawals of at least 36 months.
11
Premium Tax
We may be required to pay state premium taxes or retaliatory taxes
currently ranging from 0% to 3.5% in connection with Contributions or values
under the Contracts. Currently, the premium tax rate in New York for annuities
is 0%. Depending upon applicable state law, we will deduct charges for the
premium taxes we incur with respect to a particular Contract from the
Contributions, from amounts withdrawn, or from amounts applied on the Payment
Commencement Date. In some states, charges for both direct premium taxes and
retaliatory premium taxes may be imposed at the same or different times with
respect to the same Contribution, depending on applicable state law.
Transfer Fee
There will be a $10 charge for each Transfer in excess of twelve
Transfers in any calendar year. We do not expect a profit from the transfer fee
for excess Transfers.
Other Taxes
Under present laws, we will incur state or local taxes (in addition to
the Premium Tax described above) in New York. No charges are currently made for
taxes other than Premium Tax. However, we reserve the right to deduct charges in
the future for federal, state, and local taxes or the economic burden resulting
from the application of any tax laws that we determine to be attributable to the
Contracts.
PAYMENT OPTIONS
Periodic Withdrawal Option
The Owner may Request that all or part of the Annuity Account Value be
applied to a Periodic Withdrawal Option. The amount applied to a Periodic
Withdrawal is the Annuity Account Value with an MVA, if applicable, less Premium
Tax or Surrender Charges, if any.
In Requesting Periodic Withdrawals, the Owner must elect:
- The withdrawal frequency of either 12, 6, 3, or 1 month intervals;
- A withdrawal amount; a minimum of $100 is required;
- The calendar day of the month on which withdrawals will be made;
- One withdrawal option; and
- The allocation of withdrawals from the Owner's Guarantee Period(s)
as follows:
1) Prorate the amount to be paid across all Guarantee Periods in proportion to
the assets in each sub-account; or
2) Select the Guarantee Period(s) from which withdrawals
will be made. Once the Guarantee Periods have been
depleted, the Company will automatically prorate the
remaining withdrawals against all remaining available
Guarantee Periods unless the Owner Requests the
selection of another Guarantee Period.
The Owner may elect to change the withdrawal option and/or the
frequency once each calendar year.
While Periodic Withdrawals are being received:
1. the Owner may continue to exercise all contractual rights that
are available prior to electing an
annuity option, except that no Contributions may be made;
2. for Periodic Withdrawals from Guarantee Periods six or more
months prior to its Guarantee Period Maturity Date, a Market
Value Adjustment, if applicable, will be assessed;
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3. the Owner may keep the same Guarantee Periods as were in force
before periodic withdrawals began;
4. charges and fees under the Contract continue to apply; and
5. maturing Guarantee Periods renew into the shortest Guarantee Period
then available.
Periodic Withdrawals will cease on the earlier of the date:
1. the amount elected to be paid under the option selected has
been reduced to zero;
2. the Annuity Account Value is zero; or
3. the Owner Requests that withdrawals stop;
4. an Owner or the Annuitant dies.
The Owner must elect one of the following five (5) withdrawal options:
1. Income for a Specified Period for at least thirty-six (36) months -
The Owner elects the duration over which withdrawals will be made. The
amount paid will vary based on the duration.
2. Income of a Specified Amount for at least thirty-six (36) months -
The Owner elects the dollar amount of the withdrawals. Based on the
amount elected, the duration may vary; or
3. Interest Only - The withdrawals will be based on the amount of
interest credited to the Guarantee Period Fund between each withdrawal;
or
4. Minimum Distribution - If this is an IRA contract, the Owner may
Request minimum distributions as specified under Code Section
401(a)(9); or
5. Any Other Form for a period of at least thirty-six (36) months - Any
other form of Periodic Withdrawal which is acceptable to the Company.
If Periodic Withdrawals cease, the Owner may resume making
Contributions. The Owner may elect to restart a Periodic Withdrawal program;
however, the Company may limit the number of times the Owner may restart a
Periodic Withdrawal program.
Periodic Withdrawals may be taxable, subject to withholding and subject
to the 10% penalty tax. IRAs are subject to complex rules with respect to
restrictions on and taxation of distributions, including the applicability of
penalty taxes. A competent tax adviser should be consulted before a Periodic
Withdrawal Option is requested.
(See "Federal Tax Matters," p. 15.)
Annuity Date
The date annuity payments commence may be chosen when the Contract is
purchased or at a later date. This date must be at least one year after the
initial Contribution. In the absence of an earlier election, the annuity date is
the first day of the month of the Annuitant's 90th birthday.
If an option has not been elected within 30 days of the annuity
commencement date, the Annuity Account Value will be applied under Annuity
Payment Option 3, discussed below, to provide payments for life with a
guaranteed period of 20 years.
Under section 401(a)(9) of the Code, a Contract which is purchased and
used in connection with an Individual Retirement Account or with certain other
plans qualifying for special federal income tax treatment is subject to complex
"minimum distribution" requirements, which require that distributions under such
a plan must begin by a specific date, and also that the entire interest of the
plan participant must be distributed within certain specified periods under
formulas that specify minimum annual distributions. The application of the
minimum distribution requirements to each person will vary according to the
person's age and other circumstances. A prospective purchaser may wish to
consult a competent tax adviser regarding the application of the minimum
distribution requirements. (See "Federal Tax Matters," p. 15.)
13
Annuity Options
An annuity option may be selected by the Owner when the Contract is
purchased, or at a later date. This selection may be changed, by Request, at any
time up to 30 days before the annuity date. In the absence of an election,
payments will automatically commence on the annuity date as described above. The
amount to be applied is the Annuity Account Value on the annuity date. The
minimum amount that may be withdrawn from the Annuity Account Value to purchase
an annuity payment option is $2,000 with an MVA, if applicable. If the amount is
less than $2,000, the Company may pay the amount in a single sum subject to the
Contract provisions applicable to a partial withdrawal. Payments may be elected
to be received monthly, quarterly, semi-annually or annually. Payments to be
made under the annuity payment option selected must be at least $50. The Company
reserves the right to make payments using the most frequent payment interval
which produces a payment of not less than $50. The maximum amount that may be
applied under any payment option is $1,000,000, unless prior approval is
obtained from the Company.
A single sum payment may be elected. If it is, then the amount to be
paid is the Surrender Value. If an owner elects an annuity option, then the
amount to be applied is the Annuity Account Value, as of the annuity
commencement date with an MVA, if applicable, less any applicable Premium Tax.
Annuity Payment Options
Option 1: Income of Specified Amount
The amount applied under this option may be paid in equal annual,
semiannual, quarterly or monthly installments of the dollar amount elected for
not more than 240 months. Upon death of the Annuitant, the Beneficiary will
begin to receive the remaining payments at the same interval that was elected by
the Owner.
Option 2: Income for a Specified Period
Payments are paid annually, semiannually, quarterly or monthly, as
elected, for a selected number of years not to exceed 240 months. Upon death of
the Annuitant, the Beneficiary will begin to receive the remaining payments at
the same interval that was elected by the Owner.
Option 3: Fixed Life Annuity with Guaranteed Period
This option provides for monthly payments during a designated period
and thereafter throughout the lifetime of the Annuitant. The designated period
may be 5, 10, 15 or 20 years. Upon death of the Annuitant, for each remaining
designated period, the amounts payable under this payment option will be paid to
the Beneficiary.
Option 4: Fixed Life Annuity
This annuity is payable monthly during the lifetime of the Annuitant,
terminating with the last payment due prior to the death of the Annuitant. Since
no minimum number of payments is guaranteed, this option may offer the maximum
level of monthly payments of the annuity options. It is possible that only one
payment may be made if the Annuitant died before the date on which the second
payment was due. No other payments nor death benefits would be payable.
Option 5: Any Other Form
This option allows an Owner the ability to choose any other form of
annuity which is acceptable to the Company.
***
14
For annuity options involving life income, the actual age and/or sex of
the Annuitant will affect the amount of each payment. We reserve the right to
ask for satisfactory proof of the Annuitant's age. We may delay annuity payments
until satisfactory proof is received. Since payments to older Annuitants are
expected to be fewer in number, the amount of each annuity payment under a
selected annuity form will be greater for older Annuitants than for younger
Annuitants.
If the age of the Annuitant has been misstated, the payments
established will be made on the basis of the correct age. If payments were too
large because of misstatement, the difference with interest may be deducted by
the Company from the next payment or payments. If payments were too small, the
difference with interest may be added by the Company to the next payment. This
interest is at an annual effective rate which will not be less than the
Contractual Guarantee of a Minimum Rate of Interest.
The Payment Commencement Date and annuity options available for IRAs
may also be controlled by endorsements, the plan documents, or applicable law.
Once payments start under the annuity form selected by the Owner: (a)
no changes can be made in the annuity form, (b) no additional Contributions will
be accepted under the Contract, and (c) no further withdrawals, other than
withdrawals made to provide annuity benefits, will be allowed.
***
A portion or the entire amount of the annuity payments may be taxable
as ordinary income. If, at the time the annuity payments begin, we have not
received a proper written election not to have federal income taxes withheld, we
must by law withhold such taxes from the taxable portion of such annuity
payments and remit that amount to the federal government (an election not to
have taxes withheld is not permitted for certain Qualified Contracts). State
income tax withholding may also apply. (See "Federal Tax-Matters," below.)
FEDERAL TAX MATTERS
Introduction
The following discussion is a general description of federal income tax
considerations relating to the Contracts and is not intended as tax advice.
Further, this discussion is based on the assumption that the Contract qualifies
as an annuity contract for federal income tax purposes. This discussion is not
intended to address the tax consequences resulting from all of the situations in
which a person may be entitled to or may receive a distribution under the
Contract. Any person concerned about these tax implications should consult a
competent tax adviser before initiating any transaction. This discussion is
based upon our understanding of the present federal income tax laws as they are
currently interpreted by the Internal Revenue Service. No representation is made
as to the likelihood of the continuation of the present federal income tax laws
or of the current interpretation by the Internal Revenue Service. Moreover, no
attempt has been made to consider any applicable state or other tax laws.
The Contract may be purchased on a non-tax qualified basis
("Non-Qualified Contract") or purchased and used in connection with IRAs. The
ultimate effect of federal income taxes on the amounts held under a Contract, on
annuity payments, and on the economic benefit to you, the Annuitant, or the
Beneficiary may depend on the type of Contract, and on the tax status of the
individual concerned. In addition, certain requirements must be satisfied in
purchasing an IRA and receiving distributions from an IRA in order to continue
receiving favorable tax treatment. Therefore, purchasers of IRAs should seek
competent legal and tax advice regarding the suitability of the Contract for
their situation, the applicable requirements, and the tax treatment of the
rights and benefits of the Contract. The following discussion assumes that an
IRA is purchased with proceeds from and/or Contributions that qualify for the
intended special federal income tax treatment.
Tax Status
The Company is taxed as a life insurance company under Part I of
Subchapter L of the Code.
15
Taxation of Annuities
In General
Section 72 of the Code governs taxation of annuities in general. An
Owner who is a natural person generally is not taxed on increases (if any) in
the value of an Annuity Account Value until distribution occurs by withdrawing
all or part of the Annuity Account Value (e.g., withdrawals or annuity payments
under the annuity form elected). However, under certain circumstances, the Owner
may be subject to taxation currently. In addition, an assignment, pledge, or
agreement to assign or pledge any portion of the Annuity Account Value generally
will be treated as a distribution. The taxable portion of a distribution (in the
form of a single sum payment or an annuity) is taxable as ordinary income. An
IRA Contract may not be assigned as collateral.
The Owner of any annuity contract who is not a natural person (e.g. a
corporation) generally must include in income any increase in the excess of the
Annuity Account Value over the "investment in the contract" (discussed below)
during each taxable year. The rule does not apply where the non-natural person
is the nominal owner of a Contract and the beneficial owner is a natural person.
The rule also does not apply in the following circumstances: (1) where the
annuity Contract is acquired by the estate of a decedent, (2) where the Contract
is held under an IRA, (3) where the Contract is a qualified funding asset for a
structured settlement, and (4) where the Contract is purchased on behalf of an
employee upon termination of a qualified plan. A prospective Owner that is not a
natural person may wish to discuss these matters with a competent tax adviser.
The following discussion generally applies to a Contract owned by a
natural person.
Withdrawals
In the case of a withdrawal under an IRA, including withdrawals under
the Periodic Withdrawal Option, a ratable portion of the amount received may be
non-taxable. The amount of the non-taxable portion is generally determined by
the ratio of the "investment in the contract" to the individual's total accrued
benefit under the retirement plan. The "investment in the contract" generally
equals the amount of any nondeductible Contributions paid by or on behalf of any
individual. Special tax rules may be available for certain distributions from an
IRA.
With respect to Non-Qualified Contracts, partial withdrawals, including
Periodic Withdrawals, are generally treated as taxable income to the extent that
the Annuity Account Value immediately before the withdrawal exceeds the
"investment in the contract" at that time. If a partial withdrawal is made from
a Guarantee Period which is subject to a Market Value Adjustment, then the
Annuity Account Value immediately before the withdrawal will not be altered to
take into account the Market Value Adjustment. As a result, for purposes of
determining the taxable portion of the partial withdrawal, the Annuity Account
Value will not reflect the amount, if any, deducted from or added to the
Guarantee Period due to the Market Value Adjustment. Full surrenders are treated
as taxable income to the extent that the amount received exceeds the "investment
in the contract." The taxable portion of any annuity payment is taxed at
ordinary income tax rates.
Annuity Payments
Although the tax consequences may vary depending on the annuity form
elected under the Contract, in general, only the portion of the annuity payment
that represents the amount by which the Annuity Account Value exceeds the
"investment in the contract" will be taxed; after the investment in the contract
is recovered, the full amount of any additional annuity payments is taxable. For
fixed annuity payments, in general there is no tax on the portion of each
payment which represents the same ratio that the "investment in the contract"
bears to the total expected value of the annuity payments for the term of the
payments; however, the remainder of each annuity payment is taxable. Once the
investment in the Contract has been fully recovered, the full amount of any
additional annuity payments is taxable. If the annuity payments cease as a
result of an Annuitant's death before full recovery of the "investment in the
contract," you should consult a competent tax adviser regarding the
deductibility of the unrecovered amount.
16
Penalty Tax
In the case of a distribution pursuant to a Non-Qualified Contract,
there may be imposed a federal income tax penalty equal to 10% of the amount
treated as taxable income. In general, however, there is no penalty tax on
distributions: (1) made on or after the date on which the Owner attains age 59
1/2; (2) made as a result of death or disability of the Owner; or (3) received
in substantially equal periodic payments as a life annuity or a joint and
survivor annuity for the lives or life expectancies of the Owner and a
"designated beneficiary." Other exemptions or tax penalties may apply to certain
distributions pursuant to an IRA. For more details regarding these exemptions or
penalties consult a competent tax adviser.
Taxation of Death Benefit Proceeds
Amounts may be distributed from the Contract because of the death of an
Owner or the Annuitant. Generally such amounts are includible in the income of
the recipient 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 form, they are taxed in the same manner as annuity payments, as
described above.
Distribution-at-Death Rules
In order to be treated as an annuity contract, the terms of the
Contract must provide the following two distribution rules: (A) if any Contract
Owner dies on or after the date annuity payments commence, and before the entire
interest in the Contract has been distributed, the remainder of his/her interest
will not be distributed under a slower distribution schedule than that provided
for in the method in effect on the Contract Owner's death; and (B) if any
Contract Owner dies before the date annuity payments commence, his/her entire
interest must generally be distributed within five years after the date of death
provided that if such interest is payable to a designated Beneficiary, then such
interest may be made over the life of that designated Beneficiary or over a
period not extending beyond the life expectancy of that Beneficiary, so long as
payments commence within one year after the Contract Owner's death. If the sole
designated Beneficiary is the spouse of the Contract Owner, the Contract may be
continued in the name of the spouse as Contract Owner. The designated
Beneficiary is the natural person designated by the terms of the Contract or by
the Contract Owner as the individual to whom ownership of the contract passes by
reason of the Contract Owner's death. If the Contract Owner is not an
individual, then for purposes of the distribution at death rules, the Primary
Annuitant is considered the Contract Owner. In addition, when the Contract Owner
is not an individual, a change in the Primary Annuitant is treated as the death
of the Contract Owner.
Transfers, Assignments, or Exchanges
A Transfer of ownership of a Contract, the designation of an Annuitant,
Payee or other Beneficiary who is not also the Owner, or the exchange of a
Contract may result in adverse tax consequences to the Owner that are not
discussed herein. An Owner contemplating any such designation, transfer,
assignment, or exchange of a Contract should contact a competent tax adviser
with respect to the potential tax effects of such a transaction.
Multiple Contracts
All deferred, non-qualified annuity contracts that are issued by the
Company (or our affiliates) to the same Owner during any calendar year will be
treated as one annuity contract for purposes of determining the amount
includible in gross income under section 72(e) of the Code. Amounts received
under any such Contract may be taxable (and may be subject to the 10% Penalty
Tax) to the extent of the combined income in all such Contracts. In addition,
the Treasury Department has specific authority to issue regulations that prevent
the avoidance of section 72(e) through the serial purchase of annuity contracts
or otherwise. Congress has also indicated that the Treasury Department may have
authority to treat the combination purchase of an immediate annuity contract and
separate deferred annuity contracts as a single annuity contract under its
general authority to prescribe rules as may be necessary to enforce the income
tax laws.
17
Withholding
Annuity distributions generally are subject to withholding for the
recipient's federal income tax liability at rates that vary according to the
type of distribution and the recipient's tax status. Recipients, however,
generally are provided the opportunity to elect not to have tax withheld from
distributions. Certain distributions from IRAs are subject to mandatory federal
income tax withholding.
Possible Changes in Taxation
In past years, legislation has been proposed that would have adversely
modified the federal taxation of certain annuities. For example, one such
proposal would have changed the tax treatment of non-qualified annuities that
did not have "substantial life contingencies" by taxing income as it is credited
to the annuity. There is always the possibility that the tax treatment of
annuities could change by legislation or other means (such as IRS regulations,
revenue rulings, judicial decisions, etc.). Moreover, it is also possible that
any change could be retroactive (that is, effective prior to the date of the
change).
Section 1035 Exchanges
Code Section 1035 provides that no gain or loss shall be recognized on
the exchange of one annuity contract for another. A replacement contract
obtained in a tax-free exchange of contracts succeeds to the status of the
original contract. Special rules apply to Contracts issued prior to August 14,
1982. Prospective Owners wishing to take advantage of a Section 1035 exchange
should consult their tax adviser.
Individual Retirement Annuities
The Contract may be used with IRAs as described in Section 408 of the
Code which permits eligible individuals to contribute to an individual
retirement program known as an Individual Retirement Annuity. Also, certain
kinds of distributions from certain types of qualified and non-qualified
retirement plans may be "rolled over" following the rules set out in the Code to
maintain favorable tax treatment, to an Individual Retirement Annuity. The sale
of a Contract for use with an IRA may be subject to special disclosure
requirements of the Internal Revenue Service. Purchasers of the Contract for use
with IRA's will be provided with supplemental information required by the
Internal Revenue Service or other appropriate agency. Such purchasers will have
the right to revoke their purchase within seven days of purchase of the IRA
Contract.
Various tax penalties may apply to contributions in excess of specified
limits, aggregate distributions in excess of $150,000 annually, distributions
that do not satisfy specified requirements, and certain other transactions. The
Contract will be amended as necessary to conform to the requirements of the
Code. Purchasers should seek competent advice as to the suitability of the
Contract for use with IRA's.
If a Contract is issued in connection with an employer's Simplified
Employee Pension ("SEP") plan, Owners, Annuitants and Beneficiaries are
cautioned that the rights of any person to any of the benefits under the
Contract may be subject to the terms and conditions of the plan itself,
regardless of the terms and conditions of the Contract.
If a Contract is purchased to fund an IRA the Annuitant must also be
the Owner. In addition, if a Contract is purchased to fund an IRA, minimum
distributions must commence not later than April 1st of the calendar year
following the calendar year in which you attain age 70 1/2. You should consult
your tax adviser concerning these matters.
The Contract and prototype IRA endorsement have been submitted for IRS
approval and determination that they are acceptable under Section 408 of the
Code, so that each individual who purchases a Contract with an IRA endorsement
will be considered to have adopted a retirement savings program that satisfies
the requirements of Section 408 of the Code. The IRS approval is a determination
only as to the form of the Contract and does not represent a determination of
the merits of the Contract.
18
At the time the Initial Contribution is paid, a prospective purchaser
must specify whether he or she is purchasing a Non-Qualified Contract or an IRA.
If the initial Contribution is derived from an exchange or surrender of another
annuity contract, we may require that the prospective purchaser provide
information with regard to the federal income tax status of the previous annuity
contract. We will require that persons purchase separate Contracts if they
desire to invest monies qualifying for different annuity tax treatment under the
Code. Each such separate Contract would require the minimum initial Contribution
stated above. Additional Contributions under a Contract must qualify for the
same federal income tax treatment as the initial Contribution under the
Contract; we will not accept an additional Contribution under a Contract if the
federal income tax treatment of such Contribution would be different from that
of the initial Contribution.
Seek Tax Advice
The foregoing discussion of the federal income tax consequences is only
a brief summary and is not intended as tax advice. Further, the federal income
tax consequences discussed herein reflect our understanding of current law and
the law may change. Federal estate tax consequences and state and local estate,
inheritance, and other tax consequences of ownership or receipt of distributions
under a Contract depend on the individual circumstances of each Owner or
recipient of the distribution. A COMPETENT TAX ADVISER SHOULD BE CONSULTED FOR
FURTHER INFORMATION.
ASSIGNMENTS OR PLEDGES
Generally, rights in the Contract may be assigned or pledged for loans
at any time during the life of the Annuitant; however, if the Contract is an
IRA, the Owner may not assign the Contract as collateral.
If a non-IRA Contract is assigned, the interest of the assignee has
priority over the interest of the Owner and the interest of the Beneficiary. Any
amount payable to the assignee will be paid in a single sum.
A copy of any assignment must be submitted to the Company at the Schwab
Annuity Service Center. Any assignment is subject to any action taken or payment
made by the Company before the assignment was processed. The Company is not
responsible for the validity or sufficiency of any assignment.
If any portion of the Annuity Account Value is assigned or pledged for
a loan, it may be treated as a distribution. A competent tax adviser should be
consulted for further information.
DISTRIBUTION OF THE CONTRACTS
Charles Schwab & Co., Inc. ("Schwab") is the distributor of the
Contracts. Schwab is registered with the Securities and Exchange Commission as
a broker/dealer and is a member of the National Association of Securities
Dealers, Inc. ("NASD"). Its principal offices are located at 101 Montgomery,
San Francisco, California 94104,
telephone 800-838-0649.
Certain administrative services are provided by Schwab to assist the
Company in the processing of the Contracts, which services are described in
written agreements between Schwab and the Company.
The Company has agreed to indemnify Schwab (and its agents, employees,
and controlling persons) for certain damages arising out of the sale of the
Contracts, including those arising under the securities laws.
19
SELECTED FINANCIAL DATA
First GWL&A was incorporated on April 9, 1996 and had no operations
until receipt of its certificate of authority from the Superintendent of
Insurance of New York on May 28, 1997. Please see the financial statements of
First Great-West Life & Annuity Insurance Company included elsewhere in this
Prospectus for information related to its financial condition.
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS OF OPERATIONS
The Company
The Company commenced operations as a New York domiciled life insurer
as of May 28, 1997. Accordingly, as of the date of this Prospectus, the Company
has not had a significant operating history. The Company will operate in one
business segment as a provider of life, health and annuity products to groups of
individuals associated with employers or distributors; however, the business
operations of First GWL&A will be segregated into two major business units: the
Employee Benefits division, which distributes life, health, disability income
insurance and 401(k) products to employee groups, primarily to
small-to-mid-sized corporations; and the Financial Services Division, which
distributes accumulation and payout annuity products for both group and
individual clients, primarily in the public\non-profit sectors, as well as
insurance products for individual clients.
Liquidity and Capital Resources
The principal short- and long-term liquidity needs of the Company will
be closely managed to satisfy policyholder benefits. The liquidity needs of the
Company will be closely managed through cash flow matching of assets and
liabilities, and the forecasting of earned and required yields to ensure
consistency between policyholder requirements and the yield of assets.
Regulation and Reserves
The Company is subject to regulation and supervision by the insurance
departments of the state in which it is licensed. This regulation covers a
variety of areas, including policy reserve requirements, adequacy of company
capital and surplus, operational standards, and financial accounting policies
and procedures.
Pursuant to state insurance laws and regulations, the Company is
obligated to hold policy reserves to meet its obligations under all outstanding
insurance contracts. These reserves are based on a number of assumptions as to
future experience. Neither the reserve requirements nor the other aspects of
state insurance regulation provide absolute protection to holders of insurance
contracts if the Company were to experience unexpected losses (e.g., infectious
diseases or catastrophic investment losses).
Competition
The Company is engaged in a business that is highly competitive due to
the large number of insurance companies and other entities competing in
marketing, administering, and selling insurance products. There are
approximately 2,300 insurers in the life insurance business in the United
States.
Segment Information
The Company operates in one business segment as a provider of life,
health and annuity products to groups of individuals associated with employers
or distributors.
Employees and Facilities
The Company has an administrative services agreement with Great-West
Life & Annuity Insurance Company, to provide administrative support for all
aspects of the Company's business. Great-West Life & Annuity has approximately
4,300 employees in its U.S. operations. The Company's executive offices are
located at 125 Wolf Road, Suite 110, Albany, New York 12205.
20
State Regulation
As a life insurance company organized and operated under New York law,
First GWL&A is subject to provisions governing such companies and regulation by
the New York Superintendent of Insurance.
First GWL&A's books and accounts are subject to review and examination
by the New York Division of Insurance at any time, and a full examination of its
operations is conducted triennially.
In addition, First GWL&A is subject to comprehensive and detailed
regulation and supervision by the supervisory agencies in each jurisdiction in
which it conducts business. Each state's supervisory agency has broad
administrative authority which includes, but is not limited to, the power to
regulate licenses to transact business, trade practices, agent licensing, policy
forms, claims practices, underwriting practices, reserve requirements, fixing
maximum interest rates on life insurance policy loans and minimum rates for
accumulation of surrender values, the form and content of required financial
statements and the type and amounts of investments permitted. First GWL&A is
required to file detailed annual reports with supervisory agencies in each of
the jurisdictions in which it does business and its accounts are subject to
examination by such agencies at regular intervals. Under insurance guaranty fund
laws in most states, insurers can be assessed up to prescribed limits for
insurance contract losses incurred by insolvent companies.
In addition, most jurisdictions, including New York, regulate
affiliated groups of insurers such as First GWL&A and its affiliates under
insurance holding company legislation. Under such laws, intercorporate transfers
of assets and dividend payments from insurance subsidiaries may be subject to
prior notice or approval, depending on the size of such transfers and payments
in relation to the financial position of the company making the transfer.
Changes in control also are regulated under these laws.
Although the federal government generally does not directly regulate
the business of insurance, federal initiatives often have an impact on the
business in a variety of ways. Current and proposed federal measures which may
significantly affect First GWL&A's insurance business include employee benefits
regulation, controls on medical care costs, insurance reform, managed care
regulation, medical entitlement programs (e.g., Medicare), removal of barriers
preventing banks from engaging in the insurance and mutual fund businesses, the
taxation of insurance companies and the tax treatment of insurance products.
The Securities and Exchange Commission regulates certain separate
accounts of First GWL&A and the mutual funds used as funding vehicles for those
accounts.
Directors and Officers
Set forth below is information concerning the Company's directors and
executive officers, together with their principal occupation for the past five
years. Unless otherwise indicated, all of the directors and executive officers
have been engaged for not less than five years in their present principal
occupation or in another executive capacity with the companies or firms
identified.
Directors Principal Occupation Last 5 Years
Marcia D. Alazraki Partner, Simpson Thacher & Bartlett
James Balog Director of Great-West since March 1993; previously
Chairman, Lambert
Brussels Capital Corporation
James W. Burns, O.C. Chairman of the Boards of Lifeco1 and GWL; Deputy
Chairman, PCC2
21
Paul Desmarais, Jr.Chairman and Co-Chief Executive Officer, PCC; Chairman, PFC3
Robert Gratton
Chairman of the Board of Great-West; President and Chief Executive
Officer, PFC
N. Berne Hart
Director of Great-West since February 1992; previously Chairman, United
Banks of Colorado, Inc.
Stuart Z. Katz Partner, Fried, Frank, Harris, Shriver & Jacobson
William T. McCallum
President and Chief Executive Officer, Great-West; President and Chief
Executive Officer (U.S. Operations), GWL
Brian E. Walsh Partner, Trinity L.P. since January 1996; previously Managing
Director and Co-head, Global Investment Bank, Bankers Trust Company
1 Great-West Lifeco Inc.
2 Power Corporation of Canada
3 Power Financial Corporation
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
Executive Officers Principal Occupation Last 5 Years
- ------------------ ---------------------------------
William T. McCallum President and Chief Executive Officer of the Company and Great-West;
President and Chief Executive Officer (U.S. Operations), GWL
Dennis Low Executive Vice President, Financial Services of the Company, Great-West
and GWL
James D. Motz Executive Vice President, Employee Benefits of the Company, Great-West
and GWL
Robert D. Bond Senior Vice President, Financial Services of the Company, Great-
West and GWL; prior to May 1992, National Director, Public Marketing,
Aetna Life Insurance Company
John T. Hughes Senior Vice President, Chief Investment Officer of the Company,
Great-West and GWL
D. Craig Lennox Senior Vice President, General Counsel and Secretary of the
Company and Great-West; Senior Vice President and Chief U.S. Legal
Officer, GWL
Martin L. Rosenbaum Senior Vice President, Employee Benefits Operations of the Company,
Great-West and GWL
Douglas L. Wooden Senior Vice President, Financial Services of the Company, Great-West and
GWL
</TABLE>
22
Executive Compensation
Executive officers of the Company may also serve one or more affiliated
companies of First GWL&A. Allocations have been made as to each individual's
time devoted to his duties as an executive officer of the Company. The following
table shows the cash compensation paid, based on these allocations, to the Chief
Executive Officer and the other four most highly compensated executive officers
(collectively, the "Named Executive Officers") whose allocated compensation
exceeded $60,000, for services rendered in all capacities to the Company in
1996.
Compensation Table
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
=============================================================================================================================
Name and Year Annual Long-Term
Principal Position Compensation(1) Compensation Awards
Salary Bonus Securities Under
($) ($) Options Granted (2)
- -----------------------------------------------------------------------------------------------------------------------------
W.T. McCallum, 1996 0 0 None
President and
Chief Executive Officer
- -----------------------------------------------------------------------------------------------------------------------------
D. Low, Executive 1996 0 0 None
Vice President,
Financial Services
- -----------------------------------------------------------------------------------------------------------------------------
J.T. Hughes, Senior 1996 0 0 None
Vice President, Chief
Investment Officer
- -----------------------------------------------------------------------------------------------------------------------------
D.L. Wooden, Senior 1996 0 0 None
Vice President,
Financial Services
- -----------------------------------------------------------------------------------------------------------------------------
J.D. Motz, 1996 0 0 None
Executive Vice
President, Employee
Benefits
=============================================================================================================================
</TABLE>
(1) The aggregate of perquisites and other personal benefits, securities or
property provided to each Named Executive Officer in 1996 did not exceed the
lesser of $50,000 and 10% of the total of the individual's annual salary and
bonus.
(2) Options are for common shares of Lifeco ("Lifeco Options"). Lifeco options
are granted by Great-West Lifeco pursuant to the Great-West Lifeco Inc. Stock
Option Plan which was approved by Great-West Lifeco shareholders on April 24,
1996. Lifeco options become exercisable 20% per year commencing on the first
anniversary date of the grant and expire 10 years after the date of the grant.
23
Pension Plan Tables
The following table sets out the pension benefits payable to the Named
Executive Officers by Great-West Life or the Company, as of December 31, 1996.
Employees' Pension Plan
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
==================================================================================================
Remuneration Years of Service
($) ------------------------------------------------------
15 20 25 30
35
- --------------------------------------------------------------------------------------------------------------
400,000 120,000 160,000 200,000 240,000 240,000
- --------------------------------------------------------------------------------------------------------------
500,000 150,000 200,000 250,000 300,000 300,000
- --------------------------------------------------------------------------------------------------------------
600,000 180,000 240,000 300,000 360,000 360,000
- --------------------------------------------------------------------------------------------------------------
700,000 210,000 280,000 350,000 420,000 420,000
- --------------------------------------------------------------------------------------------------------------
800,000 240,000 320,000 400,000 480,000 480,000
- --------------------------------------------------------------------------------------------------------------
900,000 270,000 360,000 450,000 540,000 540,000
- --------------------------------------------------------------------------------------------------------------
1,000,000 300,000 400,000 500,000 600,000 600,000
==============================================================================================================
</TABLE>
The Named Executive Officers have the following years of service:
Name Years of Service
- ---- ----------------
W.T. McCallum 30
D. Low 31
J.T. Hughes 6
A.D. MacLennan 30
D.L. Wooden 5
For W.T. McCallum, the benefits shown are payable commencing December 31, 2000,
and remuneration is the average of the highest 36 consecutive months of
compensation during the last 86 months of employment. For D. Low, J.T. Hughes,
A.D. MacLennan and D.L. Wooden, the benefits shown are payable upon the
attainment of age 62, and remuneration is the average of the highest 60
consecutive months of compensation during the last 86 months of employment.
Compensation includes salary and bonuses prior to any deferrals. The normal form
of pension is a life only annuity. Other optional forms of pension payment are
available on an actuarially equivalent basis. The benefits listed in the table
are subject to deduction for social security and other retirement benefits.
Ownership of Securities
All of the Company's outstanding shares are owned by Great-West Life &
Annuity Insurance Company, 8515 East Orchard Road, Englewood, CO 80111.
Great-West is in turn owned 100% by the Great-West Life Assurance Company, 100
Osborne Street North, Winnipeg, Manitoba, Canada R3C 3A5. The Great-West Life
Assurance Company is owned 99.5% by Great-West Lifeco Inc., both of which share
the same address. Great-West Lifeco Inc. is owned 86.5% by Power Financial
Corporation, 751 Victoria Square, Montreal, Quebec, Canada H2Y 2J3. It is owned
68.3% by 171263 Canada Inc., which is owned 100% by Power Corporation of Canada,
both of which share the same address as Power Financial Corporation. Mr. Paul
Desmarais, 751 Victoria Square, Montreal, Quebec, Canada H2Y 2J3, through a
group of private holding companies, which he controls, has voting control of
Power Corporation of Canada.
24
RIGHTS RESERVED BY THE COMPANY
The Company reserves the right to make certain changes if, in its
judgment, they would best serve the interests of Owners and Annuitants or would
be appropriate in carrying out the purposes of the Contracts. Any changes will
be made only to the extent and in the manner permitted by applicable laws. Also,
when required by law, the Company will obtain your approval of the changes and
approval from any appropriate regulatory authority. Such approval may not be
required in all cases, however. Examples of the changes the Company may make
include:
- To make any changes required by the Internal Revenue Code or by any
other applicable law in order to continue treatment of the Contract as
an annuity.
- To make any other necessary technical changes in the Contract in
order to conform with any action the above provisions permit the
Company to take, including to change the way the Company assess
charges, but without increasing as to any then outstanding Contract the
aggregate amount of the types of charges which the Company has
guaranteed.
LEGAL PROCEEDINGS
The Company is currently not a party to, and its property is not
currently subject to, any material legal proceedings. The lawsuits to which the
Company may be a party are, in the opinion of management, in the ordinary course
of business, and are not expected to have a material adverse effect on the
financial results, conditions or prospects of the Company.
LEGAL MATTERS
Advice regarding certain legal matters concerning the federal
securities laws applicable to the issue and sale of the Contract has been
provided by Jorden Burt Berenson & Johnson LLP. The organization of the Company,
the Company's authority to issue the Contract, and the validity of the form of
the Contract have been passed upon by W.
Kay Adam, Vice President, Counsel and Associate Secretary of the Company.
EXPERTS
AVAILABLE INFORMATION
The Company has filed a registration statement ("Registration
Statement") with the Commission under the 1933 Act relating to the Contracts
offered by this prospectus. This prospectus has been filed as a part of the
Registration Statement and does not contain all of the information set forth in
the Registration Statement and exhibits thereto. Reference is hereby made to the
Registration Statement and exhibits for further information relating to us 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 as exhibits
to the Registration Statement. The Registration Statement and its exhibits may
be inspected and copied at the offices of the Commission located at 450 Fifth
Street, N.W., Washington, D.C.
The Company is subject to the informational requirements of the
Securities Exchange Act of 1934, as amended (the "1934 Act"), and in accordance
therewith it has filed file reports and other information with the Securities
and Exchange Commission (the "Commission"). Such reports and other information
can be inspected and copied at the public reference facilities on the Commission
at Room 1024, 450 Fifth Street, N.W., Washington D.C., and at the Commission's
Regional Offices located at 75 Park Place, New York, New York, and Northwestern
Atrium Center, 500 West Madison Street, Ste. 1400, Chicago, Illinois. Copies of
such materials also can be obtained from the Public Reference Section of the
Commission at 450 Fifth Street, N.W., Washington, D.C. 20549, at prescribed
rates. The commission maintains a Web Site that contains reports and information
statements and other information regarding the Company, which files such
documents electronically with the Commission, at the following address:
http://www.sec.gov.
25
Appendix A
On the following pages are four examples of Market Value Adjustments
illustrating (1) increasing interest rates, (2) decreasing interest rates, (3)
flat interest rates, and (4) less than 6 months to maturity.
Example #1 - Increasing Interest Rates
Deposit: $25,000 on November 1, 1996
Maturity Date: December 31, 2006
Interest Guarantee Period: 10 years
i: assumed to be 6.15%
Surrender Date: July 1, 2001
j: 7.00%
Amount Surrendered: $10,000
N: 65
MVAF = {[(1 + i)/(1 + j)]N/12} - 1
= {[1.0615/1.07]65/12} - 1
= .957718 - 1
= -.042282
MVA = (amount Transferred or surrendered) x MVAF
= $10,000 x - .042282
= - $422.82
Surrender Value=(amount Transferred or surrendered + MVA) x (1-Surrender Charge)
= ($10,000 + - $22.82) x (1 - 0)
= $9,577.18
Example #2 - Decreasing Interest Rates
Deposit: $25,000 on November 1, 1996
Maturity Date: December 31, 2006
Interest Guarantee Period: 10 years
i: assumed to be 6.15%
Surrender Date: July 1, 2001
j: 5.00%
Amount Surrendered: $10,000
N: 65
MVAF = {[(1 + i)/(1 + j)]N/12} - 1
= {[1.0615/1.05]65/12} - 1
= 1.060778-1
= .060778
MVAF = (amount Transferred or surrendered) x MVAF
= $10,000 x .060778
= $607.78
Surrender Value=(amount Transferred or surrendered + MVA) x (1-Surrender Charge)
= ($10,000 + $607.78) x (1 - 0)
= $10,607.78
26
Example #3 - Flat Interest Rates
Deposit: $25,000 on November 1, 1996
Maturity Date: December 31, 2006
Interest Guarantee Period: 10 years
i: assumed to be 6.15%
Surrender Date: July 1, 2001
j: 6.24%
Amount Surrendered: $10,000
N: 65
MVAF = {[(1 + i)/(1 + j)]N/12} - 1
= {[1.0615/1.0624]65/12} - 1
= .995420 - 1
= -.004580
MVAF = (amount Transferred or surrendered) x MVAF
= $10,000 x -.004589
= -$45.80
Surrender Value=(amount Transferred or surrendered + MVA) x (1-Surrender Charge)
= ($10,000 - $45.80) x (1 - 0)
= $9,954.20
Example #4 - N (less than 6 months to maturity)
Deposit: $25,000 on November 1, 1996
Maturity Date: December 31, 2006
Interest Guarantee Period: 10 years
i: assumed to be 6.15%
Surrender Date: July 1, 2006
j: 7.00%
Amount Surrendered: $10,000
N: 5
MVAF = {[(1 + i)/(1 + j)]N/12} - 1
= {[1.0615/1.07]5/12} - 1
= .99668 - 1
= -.00332
However, N less than 6, so MVAF = 0
MVAF = (amount Transferred or surrendered) x MVAF
= $10,000 x 0
= $0
Surrender Value=(amount Transferred or surrendered + MVA) x (1-Surrender Charge)
= ($10,000 + $0) x (1 - 0)
= $10,000
27
PART II
INFORMATION NOT REQUIRED IN PROSPECTUS
Item 13. OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION
The estimated expenses of the issuance and distribution of the
Contracts, other than commissions on sales of the Contracts are as follows:
Securities and Exchange Commission fee $ 9.09
Accounting fees and expenses $ 5,000.00
Legal fees and expenses $ 20,000.00
Item 14. INDEMNIFICATION OF DIRECTORS AND OFFICERS
Provisions exist under the laws of the state of New York and the Bylaws
of First GWL&A whereby First GWL&A may indemnify a director, officer, or
controlling person of First GWL&A against liabilities arising under the
Securities Act of 1933. The following excerpts contain the substance of these
provisions:
New York Corporate Code
Section 721. Nonexclusivity of statutory provisions for indemnification of
directors and officers.
The indemnification and advancement of expenses granted pursuant to, or provided
by, this article shall not be deemed exclusive of any other rights to which a
director or officer seeking indemnification or advancement of expenses may be
entitled, whether contained in the certificate of incorporation or the by-laws
or, when authorized by such certificate of incorporation or by-laws, (i) a
resolution of shareholders, (ii) a resolution of directors, or (iii) an
agreement providing for such indemnification, provided that no indemnification
may be made to or on behalf of any director or officer if a judgment or other
final adjudication adverse to the director or officer establishes that his acts
were committed in bad faith or were the result of active and deliberate
dishonesty and were material to the cause of action so adjudicated, or that he
personally gained in fact a financial profit or other advantage to which he was
not legally entitled. Nothing contained in this article shall affect any rights
to indemnification to which corporate personnel other than directors and
officers may be entitled by contract or otherwise under law.
Section 722. Authorization for indemnification of directors and officers.
(a) A corporation may indemnify any person made, or threatened to be made, a
party to an action or proceeding (other than one by or in the right of the
corporation to procure a judgment in its favor), whether civil or criminal,
including an action by or in the right of any other corporation of any type or
kind, domestic or foreign, or any partnership, joint venture, trust, employee
benefit plan or other enterprise, which any director or officer of the
corporation served in any capacity at the request of the corporation, by reason
of the fact that he, his testator or intestate, was a director or officer of the
corporation, or served such other corporation, partnership, joint venture,
trust, employee benefit plan or other enterprise in any capacity, against
judgments, fines, amounts paid in settlement and reasonable expenses, including
attorneys' fees actually and necessarily incurred as a result of such action or
proceeding, or any appeal therein, if such director or officer acted, in good
faith, for a purpose which he reasonably believed to be in, or, in the case of
service for any other corporation or any partnership, joint venture, trust,
employee benefit plan or other enterprise, not opposed to, the best interests of
the corporation and, in criminal actions or proceedings, in addition, had no
reasonable cause to believe that his conduct was unlawful.
II-1
(b) The termination of any such civil or criminal action or proceeding by
judgment, settlement, conviction or upon a plea of nolo contendere, or its
equivalent, shall not in itself create a presumption that any such director or
officer did not act, in good faith, for a purpose which he reasonably believed
to be in, or, in the case of service for any other corporation or any
partnership, joint venture, trust, employee benefit plan or other enterprise,
not opposed to, the best interests of the corporation or that he had reasonable
cause to believe that his conduct was unlawful.
(c) A corporation may indemnify any person made, or threatened to be made, a
party to an action by or in the right of the corporation to procure a judgment
in its favor by reason of the fact that he, his testator or intestate, is or was
a director or officer of the corporation, or is or was serving at the request of
the corporation as a director or officer of any other corporation of any type or
kind, domestic or foreign, of any partnership, joint venture, trust, employee
benefit plan or other enterprise, against amounts paid in settlement and
reasonable expenses, including attorneys' fees, actually and necessarily
incurred by him in connection with the defense or settlement of such action, or
in connection with an appeal therein, if such director or officer acted, in good
faith, for a purpose which he reasonably believed to be in, or, in the case of
service for any other corporation or any partnership, joint venture, trust,
employee benefit plan or other enterprise, not opposed to, the best interests of
the corporation, except that no indemnification under this paragraph shall be
made in respect of (1) a threatened action, or a pending action which is settled
or otherwise disposed of, or (2) any claim, issue or matter as to which such
person shall have been adjudged to be liable to the corporation, unless and only
to the extent that the court in which the action was brought, or, if no action
was brought, any court of competent jurisdiction, determines upon application
that, in view of all the circumstances of the case, the person is fairly and
reasonably entitled to indemnity for such portion of the settlement amount and
expenses as the court deems proper.
(d) For the purpose of this section, a corporation shall be deemed to have
requested a person to serve an employee benefit plan where the performance by
such person of his duties to the corporation also imposes duties on, or
otherwise involves services by, such person to the plan or participants or
beneficiaries of the plan; excise taxes assessed on a person with respect to an
employee benefit plan pursuant to applicable law shall be considered fines; and
action taken or omitted by a person with respect to an employee benefit plan in
the performance of such person's duties for a purpose reasonably believed by
such person to be in the interest of the participants and beneficiaries of the
plan shall be deemed to be for a purpose which is not opposed to the best
interests of the corporation.
Section 723. Payment of indemnification other than by court award.
(a) A person who has been successful, on the merits or otherwise, in the defense
of a civil or criminal action or proceeding of the character described in
section 722 shall be entitled to indemnification as authorized in such section.
(b) Except as provided in paragraph (a), any indemnification under section 722
or otherwise permitted by section 721, unless ordered by a court under section
724 (Indemnification of directors and officers by a court), shall be made by the
corporation, only if authorized in the specific case:
(1) By the board acting by a quorum consisting of directors who are not parties
to such action or proceeding upon a finding that the director or officer has met
the standard of conduct set forth in section 722 or established pursuant to
section 721, as the case may be, or,
(2) If a quorum under subparagraph (1) is not obtainable or, even if obtainable,
a quorum of disinterested directors so directs; (A) By the board upon the
opinion in writing of independent legal counsel that indemnification is proper
in the circumstances because the applicable standard of conduct set forth in
such sections has been met by such director or officer, or (B) By the
shareholders upon a finding that the director or officer has met the applicable
standard of conduct set forth in such sections.
II-2
(c) Expenses incurred in defending a civil or criminal action or proceeding may
be paid by the corporation in advance of the final disposition of such action or
proceeding upon receipt of an undertaking by or on behalf of such director or
officer to repay such amount as, and to the extent, required by paragraph (a) of
section 725.
Section 724. Indemnification of directors and officers by a court.
(a) Notwithstanding the failure of a corporation to provide indemnification, and
despite any contrary resolution of the board or of the shareholders in the
specific case under section 723 (Payment of indemnification other than by court
award), indemnification shall be awarded by a court to the extent authorized
under section 722 (Authorization for indemnification of directors and officers),
and paragraph (a) of section 723. Application therefor may be made, in every
case, either:
(1) In the civil action or proceeding in which the expenses were incurred or
other amounts were paid, or
(2) To the supreme court in a separate proceeding, in which case the application
shall set forth the disposition of any previous application made to any court
for the same or similar relief and also reasonable cause for the failure to make
application for such relief in the action or proceeding in which the expenses
were incurred or other amounts were paid.
(b) The application shall be made in such manner and form as may be required by
the applicable rules of court or, in the absence thereof, by direction of a
court to which it is made. Such application shall be upon notice to the
corporation. The court may also direct that notice be given at the expense of
the corporation to the shareholders and such other persons as it may designate
in such manner as it may require.
(c) Where indemnification is sought by judicial action, the court may allow a
person such reasonable expenses, including attorneys' fees, during the pendency
of the litigation as are necessary in connection with his defense therein, if
the court shall find that the defendant has by his pleadings or during the
course of the litigation raised genuine issues of fact or law.
Section 725. Other provisions affecting indemnification of directors and
officers.
(a) All expenses incurred in defending a civil or criminal action or proceeding
which are advanced by the corporation under paragraph (c) of section 723
(Payment of indemnification other than by court award) or allowed by a court
under paragraph (c) of section 724 (Indemnification of directors and officers by
a court) shall be repaid in case the person receiving such advancement or
allowance is ultimately found, under the procedure set forth in this article,
not to be entitled to indemnification or, where indemnification is granted, to
the extent the expenses so advanced by the corporation or allowed by the court
exceed the indemnification to which he is entitled.
(b) No indemnification, advancement or allowance shall be made under this
article in any circumstance where it appears:
(1) That the indemnification would be inconsistent with the law of the
jurisdiction of incorporation of a foreign corporation which prohibits or
otherwise limits such indemnification;
(2) That the indemnification would be inconsistent with a provision of the
certificate of incorporation, a by-law, a resolution of the board or of the
shareholders, an agreement or other proper corporate action, in effect at the
time of the accrual of the alleged cause of action asserted in the threatened or
pending action or proceeding in which the expenses were incurred or other
amounts were paid, which prohibits or otherwise limits indemnification; or
II-3
(3) If there has been a settlement approved by the court, that the
indemnification would be inconsistent with any condition with respect to
indemnification expressly imposed by the court in approving the settlement.
(c) If any expenses or other amounts are paid by way of indemnification,
otherwise than by court order or action by the shareholders, the corporation
shall, not later than the next annual meeting of shareholders unless such
meeting is held within three months from the date of such payment, and, in any
event, within fifteen months from the date of such payment, mail to its
shareholders of record at the time entitled to vote for the election of
directors a statement specifying the persons paid, the amounts paid, and the
nature and status at the time of such payment of the litigation or threatened
litigation.
(d) If any action with respect to indemnification of directors and officers is
taken by way of amendment of the by-laws, resolution of directors, or by
agreement, then the corporation shall, not later than the next annual meeting of
shareholders, unless such meeting is held within three months from the date of
such action, and, in any event, within fifteen months from the date of such
action, mail to its shareholders of record at the time entitled to vote for the
election of directors a statement specifying the action taken.
(e) Any notification required to be made pursuant to the foregoing paragraph (c)
or (d) of this section by any domestic mutual insurer shall be satisfied by
compliance with the corresponding provisions of section one thousand two hundred
sixteen of the insurance law.
(f) The provisions of this article relating to indemnification of directors and
officers and insurance therefor shall apply to domestic corporations and foreign
corporations doing business in this state, except as provided in section 1320
(Exemption from certain provisions).
Section 726. Insurance for indemnification of directors and officers.
(a) Subject to paragraph (b), a corporation shall have power to purchase and
maintain insurance:
(1) To indemnify the corporation for any obligation which it incurs as a result
of the indemnification of directors and officers under the provisions of this
article, and
(2) To indemnify directors and officers in instances in which they may be
indemnified by the corporation under the provisions of this article, and
(3) To indemnify directors and officers in instances in which they may not
otherwise be indemnified by the corporation under the provisions of this article
provided the contract of insurance covering such directors and officers
provides, in a manner acceptable to the superintendent of insurance, for a
retention amount and for co-insurance.
(b) No insurance under paragraph (a) may provide for any payment, other than
cost of defense, to or on behalf of any director or officer:
(1) if a judgment or other final adjudication adverse to the insured director or
officer establishes that his acts of active and deliberate dishonesty were
material to the cause of action so adjudicated, or that he personally gained in
fact a financial profit or other advantage to which he was not legally entitled,
or
(2) in relation to any risk the insurance of which is prohibited under the
insurance law of this state.
(c) Insurance under any or all subparagraphs of paragraph (a) may be included in
a single contract or supplement thereto. Retrospective rated contracts are
prohibited.
(d) The corporation shall, within the time and to the persons provided in
paragraph (c) of section 725 (Other
II-4
provisions affecting indemnification of directors or officers), mail a statement
in respect of any insurance it has purchased or renewed under this section,
specifying the insurance carrier, date of the contract, cost of the insurance,
corporate positions insured, and a statement explaining all sums, not previously
reported in a statement to shareholders, paid under any indemnification
insurance contract.
(e) This section is the public policy of this state to spread the risk of
corporate management, notwithstanding any other general or special law of this
state or of any other jurisdiction including the federal government.
Bylaws of First GWL&A
Article II, Section 11. Indemnification of Directors.
The corporation may, by resolution of the Board of Directors, indemnify and save
harmless out of the funds of the Company to the extent permitted by applicable
law, any Director, Officer, or employee of the corporation or any member or
officer of any Committee, and his or her heirs, executors and administrators,
from and against all claims, liabilities, costs, charges, and expenses
whatsoever that any such Director, Officer, employee or any such member or
officer sustains or incurs in or about any action, suit, or proceeding that is
brought, commenced, or prosecuted against him or her for or in respect of any
act, deed, matter or thing whatsoever made, done, or permitted by him or her in
or about the execution of the duties of his or her office or employment with the
corporation, or in or about the execution of his or her duties as a Director or
Officer of another company which he or she so serves at the request and on
behalf of the corporation, or in or about the execution of his or her duties as
a member or officer of any such Committee, and all other claims, liabilities,
costs, charges and expenses that he or she sustains or incurs, in or about or in
relation to any such duties or the affairs of the corporation, the affairs of
such other company which he or she so serves or the affairs of such Committee,
except such claims, liabilities, costs, charges or expenses as are occasioned by
acts of omissions which were in bad faith, involved intentional misconduct, a
violation of the New York Insurance Law or a knowing violation of any other law
or which resulted in such person gaining in fact a financial profit or other
advantage to which he or she was not entitled. The corporation may, by
resolution of the Board of Directors, indemnify and save harmless out of the
funds of the corporation to the extent permitted by applicable law, any
Director, Officer, or employee of any subsidiary corporation of the corporation
on the same basis, and within the same constraints as, described in the
preceding sentence. No payment of indemnification shall be made unless notice
has been filed with the Superintendent of Insurance pursuant to Section 1216 of
the New York Insurance Law.
Item 15.
RECENT SALES OF UNREGISTERED SECURITIES
Not applicable.
Item 16.
EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
1.Form of Principal Underwriter and Distribution Agreement is incorporated by
reference to Registrant's Registration Statement (File No. 333-25269) filed on
July 3, 1997 .
2. Not applicable.
3.(a) Articles of Incorporation of First Great-West Life & Annuity Insurance
Company is incorporated by reference to Registrant's Registration Statement
(File No. 333-25269) filed on July 3, 1997.
(b) Bylaws of First Great-West Life & Annuity Insurance Company is
incorporated by reference to Registrant's Registration Statement
(File No. 333-25269) filed on July 3, 1997.
4.(a) Form of Fixed Individual and Group Annuity Contract filed herewith as
Exhibit 4(a).
II-5
(b) Form of IRA Endorsement is filed
herewith as Exhibit 4(b).
5. Opinion and consent of W. Kay Adam as to the
legality of the securities being registered filed herewith as
Exhibit 5.
6. Not applicable.
7. Not applicable.
8. Not applicable.
9. Not applicable.
10. Administrative Services Agreement between First
Great-West Life & Annuity Insurance Company and Great-West
Life & Annuity Insurance Company incorporated by reference to
Registrant's Registration Statement (File No. 333-25269) filed
July 3, 1997.
11. Not applicable.
12. Not applicable.
13. Not applicable.
14. Not applicable.
15. Not applicable.
16. Not applicable.
17. Not applicable.
18. Not applicable.
19. Not applicable.
20. Not applicable.
21. Not applicable.
22. Not applicable.
23.(a) Consent of Jorden Burt Berenson & Johnson LLP, is filed herewith as
Exhibit 23(a).
(b) Consent of W. Kay Adam filed herewith as Exhibit 5.
24. Power of Attorney for Ms. Alazraki, Messrs. Balog, Burns, Desmarais, Jr.,
Gratton, Hart, Katz and Walsh are incorporated by reference to Registrant's
Registration Statement (File No. 333-25269) filed July 3, 1997.
25. Not applicable.
II-6
26. Not applicable.
27. Financial Data Schedule for First Great-West Life & Annuity Insurance
Company is filed herewith as Exhibit 27.
Item 17. UNDERTAKINGS
The 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;
(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, including
(but not limited to) any addition or deletion of a managing
underwriter.
(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) Insofar as indemnification for liability arising under the
Securities Act of 1933 may be permitted to directors, officers and
controlling persons of the registrant pursuant to the foregoing
provisions, or otherwise, the registrant has been advised that in the
opinion of the Securities and Exchange Commission such indemnification
is against public policy as expressed in the Act and is, therefore,
unenforceable. In the event that a claim for indemnification against
such liabilities (other than the payment by the registrant of expenses
incurred or paid by a director, officer or controlling person of the
registrant in the successful defense of any action, suit or proceeding)
is asserted by such director, officer or controlling person in
connection with the securities being registered, the registrant will,
unless in the opinion of its counsel the matter has been settled by
controlling precedent, submit to a court of appropriate jurisdiction
the question whether such indemnification by it is against public
policy as expressed in the Act and will be governed by the final
adjudication of such issue.
II-7
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, in the City of Englewood, State of Colorado, on this 19th day of
September, 1997.
FIRST GREAT-WEST LIFE & ANNUITY
INSURANCE COMPANY
(Depositor)
/s/ William T. McCallum
By: William T. McCallum
President and Chief Executive Officer
As required by the Securities Act of 1933, this Registration Statement
has been signed by the following persons in the capacities with First Great-West
Life & Annuity Insurance Company and on the dates indicated:
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
Signature and Title Date
/s/ Robert Gratton* 9/19, 1997
Director, Chairman of the Board
(Robert Gratton)
/s/ William T. McCallum 9/19, 1997
- -------------------------------------------- ----------
Director, President and Chief Executive
Officer (William T. McCallum)
/s/ G.R. Derback 9/19, 1997
Vice President and Treasurer
(Glen R. Derback)
Signature and Title Date
/s/ Marcia D. Alazraki* 9/19, 1997
Director (Marcia D. Alazraki)
/s/ James Balog* 9/19, 1997
Director (James Balog)
/s/ James W. Burns* 9/19, 1997
Director (James W. Burns)
/s/ Paul Desmarais, Jr.* 9/19, 1997
Director (Paul Desmarais, Jr.)
/s/ N. Berne Hart* 9/19, 1997
Director (N. Berne Hart)
/s/ Stuart Z. Katz* 9/19, 1997
Director (Stuart Z. Katz)
/s/ Brian E. Walsh* 9/19, 1997
Director (Brian E. Walsh)
*By: /s/ D.C. Lennox 9/19, 1997
----------------------------------- ----------
D. C. Lennox
Attorney-in-fact pursuant to Powers of Attorney filed with the Registration
Statement.
</TABLE>
EXHIBIT 4(a)
First Great-West Life & Annuity Insurance Company
A Stock Company
125 Wolf Road Albany, NY 12205
FLEXIBLE PREMIUM FIXED DEFERRED GROUP ANNUITY
MASTER CONTRACT
PLEASE READ THIS ANNUITY CONTRACT CAREFULLY.
PAYMENTS AND VALUES BASED ON THE ANNUITY ACCOUNT VALUE MAY BE SUBJECT TO A
MARKET VALUE ADJUSTMENT AND MAY RESULT IN POSITIVE OR NEGATIVE ADJUSTMENTS TO
AMOUNTS PAYABLE DUE TO SURRENDERS, TRANSFERS, AND AMOUNTS APPLIED TO PURCHASE AN
ANNUITY. THE MARKET VALUE ADJUSTMENT IS APPLIED TO THE AMOUNT OF TRANSFER OR
WITHDRAWAL REQUESTED AND A NEGATIVE ADJUSTMENT MAY CAUSE THE AMOUNT TRANSFERRED
OR WITHDRAWN TO BE LESS THAN THE AMOUNT REQUESTED. THE MARKET VALUE ADJUSTMENT
WILL NOT APPLY TO ANY GUARANTEE PERIOD HAVING FEWER THAN 6 MONTHS PRIOR TO THE
GUARANTEE PERIOD MATURITY DATE FOR: 1) TRANSFER TO ANOTHER GUARANTEE PERIOD OR
FIXED SUB-ACCOUNT OFFERED UNDER
THIS CONTRACT; OR
2) SURRENDERS, PARTIAL WITHDRAWALS, ANNUITIZATION OR PERIODIC WITHDRAWALS; OR
3) A SINGLE SUM PAYMENT UPON DEATH OF AN OWNER OR THE ANNUITANT.
A 10% FEDERAL TAX PENALTY MAY APPLY IF A SURRENDER, WITHDRAWAL, OR DISTRIBUTION
IS TAKEN PRIOR TO THE TAXPAYER'S ATTAINMENT OF AGE 59 1/2.
FREE LOOK PERIOD
10 DAY RIGHT TO EXAMINE CONTRACT. IF NOT SATISFIED WITH THE CONTRACT, RETURN IT
TO THE COMPANY WITHIN 10 DAYS OF RECEIVING IT. THE CONTRACT WILL BE VOID FROM
THE START, AND THE COMPANY WILL REFUND THE GREATER OF: 1) CONTRIBUTIONS
RECEIVED; OR 2)THE ANNUITY ACCOUNT VALUE LESS SURRENDERS, WITHDRAWALS, AND
DISTRIBUTIONS.
FLEXIBLE PREMIUM FIXED DEFERRED GROUP ANNUITY.
Contributions may be made until the Payment Commencement Date or until the death
benefit is payable to a Beneficiary. The Owner of each Certificate is as shown
on the Certificate Data Page unless changed as provided for in this Contract.
The Company will pay the Annuitant the first of a series of annuity payments on
the annuity commencement date by applying the Annuity Account Value with a
Market Value Adjustment, if applicable, of the Owner's Annuity Account according
to the Payment Options Provisions. Subsequent payments will be paid on the same
day of each frequency period according to the provisions of this Contract. Any
paid-up annuity, cash surrender value or death benefits that may be available
under this Contract will not be less than the minimum benefits required by any
statute of the state in which this Contract is delivered.
Non-Participating. Not eligible to share in the Company's divisible surplus.
Signed for First Great-West Life & Annuity Insurance Company on the issuance of
this Contract.
[GRAPHIC SIGNATURE OMITTED] [GRAPHIC SIGNATURE OMITTED]
/s/ D.C. Lennox /s/ W.T. McCallum
D.C. Lennox, W.T. McCallum,
Secretary President and Chief Executive Officer
CONTRACT DATA PAGE
POLICYHOLDER INFORMATION: Trustees of ABC Trust, Inc.
Master Contract Number: 1234567
Effective Date: March 1, 1996
Address:
Tax ID Number: ###-##-####
CONTRACT INFORMATION
o_CONTRACTUAL GUARANTEE OF A MINIMUM RATE OF INTEREST: 3%
o_CHARGES: Charges at the time we issued this Contract are shown below.
Surrender Charge
Years Completed Percentage of Distribution
1 3%
2 2%
3 1%
4+ 0%
o_PAYMENT COMMENCEMENT DATE: The date on which annuity payments or periodic
withdrawals will start.
CONTRACT DATA PAGE
POLICYHOLDER INFORMATION - Trustees of the First GWL&A Trust for the benefit
of eligible participants.
Master Contract Number: 1234567
Effective Date: September 17, 1996
Address: Boatmen's Bank Iowa
Trust Department
PO Box 1813
Des Moines, IA 50306-1813
Table of Contents
Use this Table of Contents to locate specific topics in this annuity Contract.
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
DEFINITIONS................................................................................................3
GENERAL PROVISIONS
Entire Contract........................................................................................5
Contract Modification..................................................................................5
Non-Participating......................................................................................5
Misstatement of Age or Sex.............................................................................5
Reports................................................................................................5
Notice and Proof.......................................................................................5
Tax Consequences of Payments...........................................................................6
Currency...............................................................................................6
OWNERSHIP PROVISIONS
Rights of Owner........................................................................................6
Beneficiary............................................................................................6
Designation of Beneficiary.............................................................................6
Change of Beneficiary..................................................................................6
Death of Beneficiary...................................................................................6
Successive Beneficiaries...............................................................................7
Annuitant..............................................................................................7
Contingent Annuitant...................................................................................7
Change of Ownership....................................................................................7
Collateral Assignment..................................................................................7
CONTRIBUTIONS PROVISIONS
Effective Date.........................................................................................7
Contributions..........................................................................................7
Allocation of Contributions............................................................................8
ANNUITY ACCOUNT VALUE AND MARKET VALUE ADJUSTMENT PROVISIONS
Guarantee Period Fund..................................................................................8
Value of Guarantee Period..............................................................................8
Allocation at Guarantee Period Maturity Date...........................................................8
Breaking a Guarantee Period............................................................................9
Market Value Adjustment................................................................................9
TRANSFER PROVISIONS
Transfers.............................................................................................10
DEATH BENEFIT PROVISIONS
Payment of Death Benefit..............................................................................10
Distribution Rules....................................................................................10
Compliance with Code Section 72(s)....................................................................11
Table of Contents (continued)
Use this Table of Contents to locate specific topics in this annuity Contract.
SURRENDERS AND PARTIAL WITHDRAWALS
Surrender Benefit.....................................................................................12
Surrender Value.......................................................................................12
Partial Withdrawals...................................................................................12
Postponement..........................................................................................12
SURRENDER CHARGE
Surrender Charge......................................................................................12
Surrender Charge Amount...............................................................................12
PAYMENT OPTIONS
How to Elect..........................................................................................13
Selection of Payment Options..........................................................................13
Fixed Annuity Payment Options.........................................................................13
Periodic Withdrawal Option............................................................................14
How to Elect Periodic Withdrawals.....................................................................14
Periodic Withdrawal Options Available.................................................................14
</TABLE>
Definitions
Accumulation Period - the period between the Effective Date and the Payment
Commencement Date.
Annuitant - the person named in the application and in the Contract Data Page
upon whose life the payment of an annuity is based and who will receive annuity
payments. If a Contingent Annuitant is named, then the Annuitant will be
considered the Primary Annuitant.
Annuity Account - an account that reflects the total value of the Owner's Fixed
Sub-Accounts.
Annuity Account Value - the sum of the values of the Fixed Sub-Accounts credited
to the Owner under the Annuity Account.
Annuity Payment Period - the period beginning on the Payment Commencement Date
and continuing until all annuity payments have been made under this Contract.
Automatic Contribution Plan - a plan provided to the Owner to allow for
automatic payment of Contributions. The Contribution amount will be withdrawn
from a pre-authorized account and automatically credited to the Annuity Account.
Beneficiary - the person(s) designated by the Owner to receive death proceeds
which may become payable upon the death of an Owner or the Annuitant. If the
surviving spouse of an Owner is the surviving Joint Owner, the surviving spouse
will be deemed to be the Beneficiary upon such Owner's death and may take the
death benefit or elect to continue this Contract in force. The Beneficiary is
shown on the Contract Data Page unless later changed by the Owner.
Certificate - the document issued to the Owner which specifies the rights and
obligations of the Owner.
Company - First Great-West Life & Annuity Insurance Company, the underwriter for
this annuity, located at 125 Wolf Road, Albany, New York 12205.
Contingent Annuitant - the person named in the application who will become the
Annuitant upon the death of the Primary Annuitant. The Contingent Annuitant is
the person named in the Contract Data Page, unless later changed by Request
while the Primary Annuitant is alive and before annuity payments have commenced.
Contract - the document issued to the Policyholder which specifies the rights
and obligations of the Policyholder.
Contractual Guarantee of a Minimum Rate of Interest - the minimum interest rate
applicable to each Fixed Sub-Account in effect at the time the Contribution is
made. The Contractual Guarantee of a Minimum Rate of Interest is 3%.
Contributions - purchase amounts received and allocated to the Fixed
Sub-Account(s) prior to any Premium Tax or other deductions.
Effective Date - the date on which the first Contribution is credited to the
Annuity Account.
Fixed Sub-Accounts - the sub-division(s) of the Annuity Account described in the
Contract and in the attached Fixed Sub-Account Riders, if any.
Guarantee Period - one of the time intervals of the Guarantee Period Fund
available under this Contract. The Company will specify the Guarantee Period
time intervals that are available and the predetermined rate of interest that
will apply to each of the Guarantee Period time intervals. This rate of interest
will be equal to the annual effective rate in effect at the time the
Contribution is made and as reflected in written confirmation of the
Contribution. The Company may stop offering any time interval at any time for
new Contributions. Amounts allocated to one or more Guarantee Periods may be
subject to a Market Value Adjustment.
Guarantee Period Fund - A type of Fixed Sub-Account.
Guarantee Period Maturity Date - the last day of any Guarantee Period.
Individual Retirement Annuity (IRA) - an annuity Contract used for a retirement
savings program that is intended to satisfy the requirements of Section 408 of
the Internal Revenue Code of 1986, as amended.
Market Value Adjustment - an adjustment which may be made to amounts paid out
before the Guarantee Period Maturity Date due to surrenders, partial
withdrawals, Transfers, amounts applied to a periodic withdrawal or to purchase
an annuity. The Market Value Adjustment may increase or decrease the amount
payable on one of the above described distributions. A negative adjustment may
result in an effective interest rate lower than the Contractual Guarantee of a
Minimum Rate of Interest applicable to your Contract and the value of the
Contribution(s) allocated to the Guarantee Period being less than the
contributions(s) made.
Definitions (continued)
Non-qualified Annuity Contract - an annuity Contract which is not intended to be
a part of a qualified retirement plan and is not intended to satisfy the
requirements of Section 408 of the Internal Revenue Code of 1986, as amended.
Owner (Joint Owners) - the person or persons, named in the Contract Data Page.
The Owner is entitled to exercise all rights and privileges under the Contract,
while the Annuitant is living. Joint Owners must be husband and wife as of the
Effective Date. The Annuitant will be the Owner unless otherwise indicated in
the application. If a Contract is purchased as an Individual Retirement Annuity
under Section 408 of the Code, the Annuitant must be the sole Owner; no Joint
Owner may be named.
Payment Commencement Date - the date on which annuity payments or periodic
withdrawals commence under a payment option. The Payment Commencement Date must
be at least one year after this Contract's Effective Date. If a Payment
Commencement Date is not shown on the Contract Data Page, annuity payments will
begin on the first day of the month of the Annuitant's 90th birthday. The
Payment Commencement Date may be changed by the Owner prior to commencement of
annuity payments or it may be changed by the Beneficiary upon the death of an
Owner. If this is an IRA Contract, payments which satisfy the minimum
distribution requirements of the Code must begin no later than the
Owner/Annuitant's attainment of age 70 1/2.
Premium Tax - the amount of tax, if any, charged by a state or other
governmental authority.
Request - any instruction in a form satisfactory to the Company and received at
the Schwab Annuity Service Center (or other annuity service center subsequently
named) from the Owner or the Owner's designee (as specified in a form acceptable
to the Company) or the Beneficiary, (as applicable) as required by any provision
of this Contract or as required by the Company. The Request is subject to any
action taken or payment made by the Company before it was processed.
Schwab Annuity Service Center - Post Office Box 7806, San Francisco, California
94120-7806. The toll-free telephone number is 1-800-838-0649.
Simplified Employee Pension (SEP) - an Individual Retirement Annuity (IRA) which
may accept Contributions from one or more employers under a retirement savings
program intended to satisfy the requirements of Section 408(k) of the Internal
Revenue Code of 1986, as amended.
Surrender Charge - will be equal to a percentage of the amount surrendered based
on the table shown in the Surrender Charge Amount provision.
Surrender Value - will be equal to:
(a) Annuity Account Value with a Market Value
Adjustment, if applicable, on the effective date
of the surrender; less
(b) a Surrender Charge, if applicable, less
(c) Premium Tax, if any.
Transaction Date - the date on which any Contribution or Request from the Owner
will be processed by the Company at the Schwab Annuity Service Center.
Contributions and Requests received after 4:00 p.m. EST/EDT will be deemed to
have been received on the next business day. Requests will be processed on each
date that the New York Stock Exchange is open for trading.
Transfer - the moving of money from one sub-account to one or more
sub-account(s).
General Provisions
What is your agreement with us?
ENTIRE CONTRACT
This Contract, Contract Data Page, riders and amendments, if any, form the
Entire Contract between the Owner and the Company. This Entire Contract
supersedes all prior representations, statements, warranties, promises and
agreements of any kind, whether oral or written, relating to the subject matter
of this Contract. All statements in the application made by an Owner or the
Annuitant will be considered representations and not warranties.
How can this Contract be modified?
CONTRACT MODIFICATION
This Contract may be modified only by written agreement between the Company and
the Owner, except that upon 30 days notice to the Owner, the Company may at any
time and without the consent of the Owner or any other person, modify this
Contract as needed to conform to changes in tax or other law. Such modifications
will become part of this Contract. Nothing in this Contract invalidates or
impairs any right granted to the Certificate Owner by New York Statutes
Insurance Law Section 3219 or the Certificate.
If this Contract is purchased as an IRA, the Company reserves the right to
modify this Contract to the extent necessary to qualify it as an Individual
Retirement Annuity as described in Section 408 of the Internal Revenue Code of
1986, as amended, and all related sections and regulations which are in effect
during the term of this Contract.
The Company may terminate certain Fixed Sub-Accounts. In that event, the Owner,
by Request, may change the allocation of the Contributions and maturing
Guarantee Periods. If no Request is made by the date the sub-account is
terminated, future Contributions and maturing Guarantee Periods will be
allocated to the closest shorter term. Any modification will not affect the
terms of any unmatured Guarantee Period or other Fixed Sub-Account, except as
may be described in the attached Fixed Sub-Account riders, if any.
The Company may cease offering existing fixed annuity payment options.
ONLY THE PRESIDENT, A VICE-PRESIDENT, OR THE SECRETARY OF THE COMPANY CAN MODIFY
OR WAIVE ANY PROVISION OF THIS CONTRACT.
NON-PARTICIPATING
This Contract is non-participating. It is not eligible to share in the Company's
divisible surplus.
What if the Annuitant's age or sex is
misstated?
MISSTATEMENT OF AGE OR SEX
If the age or sex of the Annuitant has been misstated, the annuity payments
established will be made on the basis of the correct age. If payments were too
large because of misstatement, the difference with interest may be deducted by
the Company from the next payment or payments. If payments were too small, the
difference with interest may be added by the Company to the next payment.
The interest rate will be 3%.
How will the Contract values be reported?
REPORTS
The Company will furnish the Owner, at least annually, a statement of the
Annuity Account Value and the Surrender Value. The Company will furnish the
Owner copies of any other notices, reports or documents required by law.
What are the notice and proof
requirements?
NOTICE AND PROOF
Any notice or demand by the Company to or upon the Owner, or any other person
may be given by mailing it to that person's last known address as stated in the
Company's file. In the event of the death of an Owner or the Annuitant, the
Company will require proof of death.
Any application, report, Request, election, direction, notice or demand by the
Owner, or any other person, must be made in a form satisfactory to the Company.
General Provisions (continued)
What are the tax consequences?
TAX CONSEQUENCES OF PAYMENTS
The Owner or Beneficiary, as the case may be, must determine the timing and
amount of any benefit payable. Payments elected by the Owner in the form of
periodic withdrawals, surrenders or partial withdrawals will be tax reported to
the Owner. Annuity payments are payable to the Annuitant and will be tax
reported to the Annuitant. Payments made to a Beneficiary will be tax reported
to the Beneficiary.
It is recommended that a competent tax adviser be consulted prior to obtaining
any distribution from, or changing the ownership of, this Contract. A 10%
federal tax penalty may apply if a surrender, withdrawal, or distribution is
taken prior to the taxpayer's attainment of age 59 1/2. Nothing contained herein
will be construed to be tax or legal advice. The Company assumes any
responsibility or liability for any damages or costs, including but not limited
to taxes, penalties, interest or attorney's fees incurred by the Owner, the
Annuitant, the Beneficiary, or any other person arising out of any such
determination.
CURRENCY
All Contributions and all transactions will be in the currency of the United
States of America.
Ownership Provisions
What are the Owner's rights?
RIGHTS OF OWNER
While the Annuitant is living, the Owner has the sole and absolute power to
exercise all rights and privileges in this Contract. Upon the death of an Owner
or the Annuitant, the Death Benefit Provisions section will
apply.
How is the Beneficiary determined?
BENEFICIARY
The Owner may, while the Annuitant is living, designate or change a Beneficiary
by Request from time to time as provided below. If an Owner dies and the
surviving Joint Owner is the surviving spouse of the deceased Owner, such
surviving spouse will become the Beneficiary and may take the death benefit or
elect to continue this Contract in force.
DESIGNATION OF BENEFICIARY
Unless changed as provided below, or as otherwise required by law, the
Beneficiary will be as shown on the Contract Data Page. Unless otherwise
indicated, if more than one Beneficiary is designated, then each such
Beneficiary so designated will share equally in any benefits and or rights
granted by the Contract to such Beneficiary or allowed by the Company. If the
Beneficiary is a partnership, any benefits will be paid to the partnership as it
existed at the time of an Owner's or the Annuitant's death. The Company may rely
on an affidavit by any responsible person to identify a Beneficiary or verify
the non-existence of a Beneficiary not identified by name. CHANGE OF BENEFICIARY
The Owner may, while the Annuitant is living, change the Beneficiary by Request.
The Company shall not be bound by any change of Beneficiary unless it is made in
writing and recorded at the Schwab Annuity Service Center. A change of
Beneficiary will take effect as of the date the Request is processed at the
Schwab Annuity Service Center, unless a certain date is specified by the Owner.
If an Owner dies before the date the Request was processed, the change will take
effect as of the date of the Request, unless the Company has already made a
payment or has otherwise taken action on a designation or change before receipt
or processing of such Request. A Beneficiary designated irrevocably may not be
changed without the written consent of that Beneficiary, except to the extent
required by law.
DEATH OF BENEFICIARY
The interest of any Beneficiary who dies before an Owner or the Annuitant will
terminate at the death of such Beneficiary. The interest of any Beneficiary who
dies at the time of, or within 30 days after, the death of an Owner or the
Annuitant will also terminate if no benefits have been paid to such Beneficiary,
unless the Owner has indicated otherwise by Request. The benefits will then be
paid as though the Beneficiary had died before the deceased Owner or Annuitant.
Ownership Provisions (continued)
SUCCESSIVE BENEFICIARIES
If an Owner dies, and the surviving Joint Owner is the surviving spouse of the
deceased Owner, the surviving spouse will become the Beneficiary and may take
the death benefit or elect to continue this Contract in force. If there is no
surviving Joint Owner, and no named Beneficiary is alive at the time of an
Owner's death, any benefits payable will be paid to the Owner's estate.
ANNUITANT
While the Annuitant is living and at least 30 days prior to the annuity
commencement date, the Owner may, by Request, change the Annuitant. A change of
Annuitant will take effect as of the date the Request is processed at the Schwab
Annuity Service Center.
How is the Contingent Annuitant determined?
CONTINGENT ANNUITANT
While the Annuitant is alive, the Owner may, by Request, designate or change a
Contingent Annuitant from time to time. A change of Contingent Annuitant will
take effect as of the date the Request is processed at the Schwab Annuity
Service Center, unless a certain date is specified by the Owner.
Can the ownership of this Contract be changed?
CHANGE OF OWNERSHIP
If this is an IRA Contract, the Owner's right to change the ownership is
restricted. An IRA Contract may not be sold, assigned, transferred, discounted
or pledged as collateral for a loan or as security for the performance of an
obligation or for any other purpose to any person other than as may be required
or permitted under Section 408 of the Internal Revenue Code of 1986, or under
any other applicable section of the Code, as amended. If this is a non-qualified
Contract, the Owner may change the ownership while the Annuitant is living. Any
change of ownership must be made by Request on a form satisfactory to the
Company. The change will take effect as of the date the Request is processed at
the Schwab Annuity Service Center, unless a certain date is specified by the
Owner, and is subject to any action taken or payment made by the Company before
it was processed.
Can this Contract be assigned?
COLLATERAL ASSIGNMENT
If this is an IRA Contract, the Owner may not assign this Contract as
collateral.
If this is a non-qualified Contract, the Owner can assign this Contract as
collateral while the Annuitant is living. The interest of the assignee has
priority over the interest of the Owner and the interest of any Beneficiary. Any
amounts payable to the assignee will be paid in a single sum.
A copy of any assignment must be submitted to the Company at the Schwab Annuity
Service Center. Any assignment is subject to any action taken or payment made by
the Company before the assignment was processed. The Company is not responsible
for the validity of any assignment. An assignment, pledge or agreement to assign
or pledge any portion of the Annuity Account Value generally will be treated as
a distribution. It is recommended that a competent tax adviser be consulted
prior to making such a change to this Contract.
Contributions Provisions
What is the Effective Date ?
The Effective Date, shown on the Contract Data Page, is the date the initial
Contribution is credited to the Annuity Account.
How may Contributions be made?
CONTRIBUTIONS
Contributions should be payable to First Great-West Life & Annuity Insurance
Company (the Company) at the Schwab Annuity Service Center at any time during
the Accumulation Period. All Contributions must be paid in a form acceptable to
the Company, during the
lifetime of the Annuitant and before the Payment
Commencement Date. Coverage will begin on the
Effective Date.
At any time after the Effective Date, the Owner may make additional
Contributions. The minimum amount accepted after the initial Contribution is
$500 except subsequent payments made via an Automatic Contribution Plan have a
minimum of $100 per month. Total Contributions while this Contract is in force
may exceed $1,000,000 with prior approval from the Company. The Company may
modify these limitations.
Contributions Provisions (continued)
How are Contributions allocated?
ALLOCATION OF CONTRIBUTIONS
During the Free Look Period, all Contributions will be allocated to one or more
of the Fixed Sub-Accounts as directed, effective upon the Transaction Date.
Allocation will not be delayed until the end of the Free Look Period. If the
Contract is returned during the Free Look Period, it will be void from the
start, and the Company will refund the greater of: 1) Contributions received; or
2) the Annuity Account Value less surrenders, withdrawals, and distributions.
After the Free Look Period, subsequent Contributions will be allocated in the
Annuity Account as Requested by the Owner. If there are no accompanying
instructions, then allocations will be made in accordance with standing
instructions. Allocations will be effective upon the Transaction Date.
Annuity Account Value and Market Value Adjustment
Provisions
ANNUITY ACCOUNT PROVISIONS
How is the Annuity Account Value determined?
GUARANTEE PERIOD FUND
The Guarantee Period Fund is a type of Fixed Sub-Account. The Owner, by Request,
may allocate all or a portion of a Contribution to any of the several Guarantee
Periods then offered by the Company. The sum of the values of the Owner's
Guarantee Periods is the value of the Owner's interest in the Guarantee Period
Fund.
What is the value of each Guarantee Period?
VALUE OF GUARANTEE PERIOD
All Contributions allocated to a Guarantee Period will earn an annual effective
rate of interest equal to the rate stated by the Company for the applicable
Guarantee Period from the Transaction Date to the end of the Guarantee Period.
The account will be credited daily with interest earned.
If the Owner does not break a Guarantee Period, the annual effective rate will
be at least the Contractual Guarantee of a Minimum Rate of Interest. If the
Owner breaks a Guarantee Period, a Market Value Adjustment may apply. The Market
Value Adjustment is applied to the amount of Transfer or withdrawal Requested
and a negative adjustment may cause the amount Transferred or withdrawn to be
less than the amount Requested.
Each Guarantee Period has its own value, which is calculated as follows:
the Owner's Contributions; less Premium Tax, if any,
in that Guarantee Period; plus
interest earned; less
amounts Transferred, distributed, surrendered (in
whole or in part), or applied to an annuitization
option; less
the Surrender Charge, if applicable; less
1 periodic withdrawals.
ALLOCATION AT GUARANTEE PERIOD
MATURITY DATE
At any time prior to the Guarantee Period Maturity Date, the Owner may Request
to allocate the maturity value of that Guarantee Period among any of the Fixed
Sub-Accounts then offered by the Company under this Contract. The election is
effective on its Guarantee Period Maturity Date.
If the election is not received at the Schwab Annuity Service Center prior to
the Guarantee Period Maturity Date, the value of the matured Guarantee Period
will be allocated to a new Guarantee Period with the same Guarantee Period as
the matured Guarantee Period.
If the new Guarantee Period would mature later than the Payment Commencement
Date, the value will be allocated to the Guarantee Period that matures closest
to the Payment Commencement Date.
If the Company is not then offering the same Guarantee Period under the
Contract, the value of the matured Guarantee Period will be allocated to a new
Guarantee Period with the closest shorter Guarantee Period then available.
If held to maturity, amounts from a matured Guarantee Period allocated to a new
Guarantee Period or other Fixed Sub-Account will earn the annual effective rate
applicable to that Guarantee Period or Fixed Sub-Account. This annual effective
rate may differ from the annual effective rate applicable to the matured
Guarantee Period.
Annuity Account Value and Market Value Adjustment
Provisions (continued)
What if the Guarantee Period is broken prior to
maturity?
BREAKING A GUARANTEE PERIOD
Any Transfer, surrender (in whole or in part), distribution due to death, or the
selection of an annuity option prior to the Guarantee Period Maturity Date will
be known as breaking a Guarantee Period. When a Request to break a Guarantee
Period is received, the Guarantee Period that is closest to the Guarantee Period
Maturity Date will be broken first.
If a Guarantee Period is broken, a Market Value Adjustment may be assessed. The
Market Value Adjustment may increase or decrease the value of the amount being
Transferred or withdrawn from the Guarantee Period. The Market Value Adjustment
is described below.
MARKET VALUE ADJUSTMENT
Distributions from the amounts allocated to a Guarantee Period due to a full
surrender or partial withdrawal, Transfer, application of amounts to the
Periodic Withdrawal Option or to purchase an annuity prior to a Guarantee Period
Maturity Date will be subject to a Market Value Adjustment ("MVA"). An MVA may
increase or decrease the amount payable on one of the above described
distributions.
The Amount Available for a full surrender or partial withdrawal is the Amount
Requested plus the MVA less any applicable Surrender Charge.
Amount Available = (Amount Requested + MVA) X
(1 - Surrender Charge Percentage of Distribution)
The Amount Available for a Transfer is the Amount Requested plus the MVA.
Amount Available = Amount Requested + MVA
The MVA is calculated by multiplying the amount Requested by the Market Value
Adjustment Factor ("MVAF"). The formula used to determine the MVA
is:
MVA = (Amount Requested) X (MVAF)
The Market Value Adjustment Factor (MVAF) is:
| 1+i | N/12
| _______________ | -1
| 1+j |
where: i is the U.S. Treasury Strip ask side yield as
published in The Wall Street Journal on the last
business day of the week prior to the date the stated
rate of interest was established for the Guarantee
Period. The term of i is measured in years and equals the term of the
Guarantee Period; andj is the U.S. Treasury Strip ask side yield as
published in The Wall Street Journal on the last business day of the week
prior to the week the Guarantee Period is broken. The term of j equals
the remaining term to maturity of the Guarantee Period, rounded up to the
higher number of years; and
N is the number of complete months remaining until maturity.
The Market Value Adjustment will equal 0 if N is less than 6.
If The Wall Street Journal ceases to publish the U.S. Treasury Strip ask side
yield, an alternate source for the same index will be used. If the Treasury
Strip ask side yield is not published anywhere, an appropriate substitute index
of publicly traded obligations will be chosen.
The Market Value Adjustment will apply to any Guarantee Period broken six or
more months prior to the Guarantee Period Maturity Date in each of the following
situations:
Transfers to another Guarantee Period or Fixed
Sub-Account offered under this Contract; or
Surrenders, partial withdrawals.
The Market Value Adjustment will not apply to any Guarantee Period having fewer
than 6 months prior to the Guarantee Period Maturity Date in each of the
following situations:
Transfer to another Guarantee Period or Fixed Sub-
Account offered under this Contract; or
Surrenders, partial withdrawals, annuitization or Periodic Withdrawals.
Transfer Provisions
Can Transfers be made between the Fixed Sub-
Accounts?
TRANSFERS
The Owner may make Transfers by Request. The
following provisions apply:
(a) At any time prior to the date annuity payments begin, the Owner, by
Request, may Transfer all or a portion of the Annuity Account Value among
the Fixed Sub-Accounts currently offered by the Company. No Transfers are
permitted after the election of a fixed annuity payment option.
(b) A Transfer will be effective upon the Transaction Date.
(c) A Transfer from Fixed Sub-Accounts will be
subject to the terms of the Annuity Account
Provisions and the attached Fixed Sub-Account
Rider(s), if any. The Annuity Account Value may
be Transferred prior to the Guarantee Period
Maturity Date. The Market Value Adjustment
will be assessed except in the situations described
in the Market Value Adjustment Provision.
(d) There is no administrative charge for the first twelve Transfers made in
a calendar year. There is a $10 administrative fee for each subsequent
Transfer. All Transfers made on a single Transaction Date will be
aggregated to count as only one Transfer toward the twelve free
Transfers.
Death Benefit Provisions
How is the death benefit paid?
PAYMENT OF DEATH BENEFIT
Upon the death of an Owner or the Annuitant, the death benefit will become
payable in accordance with these death benefit provisions following the
Company's receipt of a Request, while this Contract is in force.
The amount of the death benefit will be as follows:
If the Owner or Annuitant dies after the date annuity payments commence and
before the entire interest has been distributed, the remaining annuity payments,
if any, will be paid to the Beneficiary under the payment option applicable on
the date of death. The Beneficiary will not be allowed to change the method of
distribution in effect on the date of the Owner's or Annuitant's death or to
elect a new payment option; or
If the Owner or Annuitant dies before the date annuity payments commence, the
Company will pay proceeds to the Beneficiary the greater of:
o the Annuity Account Value as of the date Request
for payment is received, less Premium Tax, if any; or
o the sum of Contributions paid, less partial surrenders
and Periodic Withdrawals, less Premium Tax, if any.
When an Owner or the Annuitant dies before the annuity commencement date and a
death benefit is payable to a Beneficiary, the death benefit proceeds will
remain invested in accordance with the allocation instructions given by the
Owner until new allocation instructions are Requested by the Beneficiary or
until the death benefit is actually paid to the Beneficiary. The death benefit
will be determined as of the date payments commence. Distribution of the death
benefit may be Requested to be made as follows (subject to the distribution
rules set forth below): Proceeds from the Fixed Sub-Account(s)
o payment in a single sum; or
o payment under any of the annuity options provided
under this Contract.
DISTRIBUTION RULES
If Annuitant Dies Before Annuity Commencement Date
Upon the death of the Annuitant while the Owner is living, and before the
annuity commencement date, the death benefit provided under the Contract will be
paid to the Beneficiary unless there is a surviving Contingent Annuitant.
If a Contingent Annuitant was named by the Owner prior to the Annuitant's death,
and the Annuitant dies before the annuity commencement date, while the Owner and
Contingent Annuitant are living, no death benefit will be payable by reason of
the Annuitant's death and the Contingent Annuitant will become the Annuitant.
If a corporation or other non-individual is an Owner, or if the deceased
Annuitant is an Owner, the death of the Annuitant will be treated as the death
of an Owner and the Contract will be subject to the death of an Owner provisions
described below.
Death Benefit Provisions (continued)
If an Owner Dies Before Annuity Commencement Date If an Owner dies before the
annuity commencement date, and such Owner was the Annuitant, the following
provisions shall apply:
(1) If there is a Joint Owner (who is the surviving spouse of the deceased
Owner) and a Contingent Annuitant, the Joint Owner will become the Owner and
the Beneficiary, the Contingent Annuitant will become the Annuitant, and the
Contract will continue in force;
(2) If there is a Joint Owner who is the surviving spouse of the deceased
Owner but no Contingent Annuitant, the Joint Owner will become the Owner,
the Annuitant and the Beneficiary, and may take the death benefit or elect
to continue this Contract in force;
(3) In all other cases, the Company will pay the death benefit to the
Beneficiary even if a former spouse Joint Owner, the Annuitant and/or the
Contingent Annuitant are alive at the time of an Owner's death, unless the
sole Beneficiary is the deceased Owner's surviving spouse and the
Beneficiary Requests to become the Owner and the Annuitant, and to continue
the Contract in force.
If an Owner dies before the annuity commencement date, and such Owner was not
the Annuitant, the following provisions shall apply:
(1) If there is a Joint Owner who is the surviving spouse of the deceased
Owner, the Joint Owner will become the Owner and Beneficiary and may take
the death benefit or elect to continue this Contract in force.
(2) In all other cases, the Company will pay the death benefit to the
Beneficiary even if a former spouse Joint Owner, the Annuitant and/or the
Contingent Annuitant are alive at the time of the Owner's death, unless the
sole Beneficiary is the deceased Owner's surviving spouse and such
Beneficiary Requests to become the Owner and the Annuitant and to continue
the Contract in force.
To whom and when is the death benefit payable? Any death benefit payable to the
Beneficiary upon an Owner's death will be distributed as follows:
(1) If the Owner's surviving spouse is the person entitled to receive
benefits upon the Owner's death, the surviving spouse will be treated as the
Owner and will be allowed to take the death benefit or continue the Contract
in force.
(2) If a non-spouse individual is the person entitled to receive
benefits upon the Owner's death, such individual may elect, not later
than one year after the Owner's date of death, to receive the death
benefit in either a single sum or payment under any of the variable
or fixed annuity options available under the Contract, provided that:
(a) such annuity is distributed in substantially equal installments
over the life or life expectancy of such Beneficiary; and (b) such
distributions begin not later than one year after the Owner's date of
death. If no election is received by the Company from an individual
non-spouse Beneficiary such that substantially equal installments
have begun no later than one year after the Owner's date of death,
then the entire amount must be distributed within five years of the
Owner's date of death; or
(3) If a corporation or other non-individual entity is entitled to
receive benefits upon the Owner's death, the death benefit must be
completely distributed within five years of the Owner's date of death.
The death benefit will be determined as of the date the payments commence.
If Annuitant Dies After Annuity Commencement Date Upon the death of the
Annuitant (or any Owner/Annuitant) after the annuity commencement date, any
benefit payable must be distributed to the Beneficiary in accordance with and at
least as rapidly as under the annuity option then in effect.
If an Owner Dies After Annuity Commencement Date and While the Annuitant is
Living Upon the death of an Owner after the annuity commencement date and while
the Annuitant is living, any benefit payable will continue to be distributed to
the Annuitant at least as rapidly as under the annuity option then in effect.
All of the Owner's rights granted under the Contract or allowed by the Company
will pass to any surviving Joint Owner and, if none, to the Annuitant.
COMPLIANCE WITH CODE SECTION 72(s)
In any event, no payment of benefits provided under the Contract will be allowed
that does not satisfy the requirements of Code Section 72(s), as amended from
time to time, and any other applicable federal or state law, rules or
regulations. These death benefit provisions will be interpreted and administered
in accordance with such requirements.
Payment Options
How are annuity payment options and the Periodic
Withdrawal Option elected?
HOW TO ELECT
The Request of the Owner is required to elect, or change the election of, a
payment option and must be received by the Company at least 30 days prior to the
Payment Commencement Date.
At any time prior to the Payment Commencement Date, the Owner may Transfer
between Fixed Sub-Account options, subject to the Transfer provisions of this
Contract.
On the Payment Commencement Date the Annuity Account Value may be applied only
to any of the fixed annuity payment options available.
If an option has not been elected within 30 days of the Payment Commencement
Date, the Annuity Account Value will be applied under Fixed Annuity Payment
Option 3 to provide payments for life with a guaranteed
period of 20 years.
What guidelines apply to annuity payment options?
SELECTION OF PAYMENT OPTIONS
(a) A single sum payment may be elected. If so, the amount to be paid is the
Surrender Value.
(b) If a fixed annuity payment option is elected, the amount to be applied is
the Annuity Account Value, as of the Payment Commencement Date, plus a
Market Value Adjustment, if applicable, less
Premium Tax, if any.
(c) The minimum amount that may be withdrawn
from the Annuity Account Value to purchase an
annuity payment option is $2,000. If the amount is
less than $2,000, the Company may pay the
amount in a single sum subject to the Partial
Withdrawal provision. Payments may be elected to
be received on any of the following frequency
periods: monthly, quarterly, semi-annually, or
annually.
(d) Payments to be made under the annuity payment option selected must be at
least $50. The Company reserves the right to make the payments using the
most frequent payment interval which produces a payment of not less than
$50.
(e) The maximum amount that may be applied under any annuity payment option
is $1,000,000, unless prior approval is obtained from the Company.
(f) For information on electing periodic withdrawals, refer to the Periodic
Withdrawal Option section on the following page.
What fixed annuity payment options are available? FIXED ANNUITY PAYMENT OPTIONS
The guaranteed annuity table is based on mortality from the 1983 Table (a) for
Individual Annuity Valuation and a guaranteed interest rate of 2 1/2% per year.
The Company may offer a better rate than the guaranteed rate shown. The rate
offered will result in annuity benefits at the time of commencement that will
not be less than those available to new single premium annuity applicants of the
same class at the time.
The following fixed annuity payment options are
available:
(a) Option 1: Income of Specified Amount
An annuity payment at 12-, 6-, 3-, or 1-month
intervals, of an amount elected by the Owner for an Annuity Payment
Period of not more than 240 months. Upon death of the Annuitant, the
Beneficiary will begin to receive the remaining payments at the same
interval that was elected by the Owner. See Table B.
(b)Option 2: Income for a Specified Period An annuity payment at 12-, 6-, 3-,
or 1-month
intervals, for the number of months elected, for an Annuity Payment
Period of not more than 240 months. Upon death of the Annuitant, the
Beneficiary will begin to receive the remaining payments at the same
interval that was elected by the Owner. See Table B.
(c) Option 3: Fixed Life Annuity with Guaranteed
Period
Payments for the guaranteed Annuity Payment Period elected which may be 5,
10, 15, or 20 years or the lifetime of the Annuitant whichever is longer.
Upon death of the Annuitant, any amounts remaining payable under this
payment option will be paid to the Beneficiary. See Table A.
(d) Option 4: Fixed Life Annuity
Monthly payments for the Annuitant's lifetime,
without a guaranteed period. See Table A. Upon
death of the Annuitant, all payments cease and no
amounts are payable to the Beneficiary.
(e) Option 5: Any Other Form Any other form of annuity which is acceptable to
the Company.
Surrenders And Partial Withdrawals
Can withdrawals be made from this Contract?
SURRENDER BENEFIT
At any time prior to the date annuity payments commence and subject to the
provisions of this Contract, the Owner may surrender this Contract for the
Surrender Value which will be computed as of the Transaction Date. The Company
will make the distribution, paid in a single sum, as soon as practical after
receipt of the Request.
SURRENDER VALUE
The Surrender Value is:
(a) the Annuity Account Value as of the effective date of
the surrender; less
(b) a Market Value Adjustment, if applicable; less
(c) any Surrender Charge on this transaction.
PARTIAL WITHDRAWALS
The Owner may make a partial withdrawal from the Annuity Account Value at any
time, by Request, prior to the date annuity payments commence and subject to the
terms of this Contract. A Market Value Adjustment and a Surrender Charge may
apply. The minimum partial withdrawal amount is $500. After any partial
withdrawal, if the remaining Annuity Account Value is less than $2,000, then a
full surrender may be required.
By Request, the Owner must elect the Fixed Sub-Account(s), or a combination of
them, from which a partial withdrawal is to be made and the amount to be
withdrawn from each sub-account. The Annuity Account Value will be reduced by
the partial withdrawal amount and the Surrender Charge. The partial withdrawal
proceeds may be greater than or less than the amount requested, depending on the
effect of the Market Value Adjustment.
The following terms apply:
(a) No partial withdrawals are permitted after the date annuity payments
commence.
(b) If a partial withdrawal is made within 30 days of the date annuity
payments are scheduled to commence, the Company may delay the Payment
Commencement Date by 30 days.
(c) A partial withdrawal will be effective upon the Transaction Date.
(d) A partial withdrawal from a Fixed Sub-Account may be subject to the Market
Value Adjustment Provisions, the Annuity Account Provisions of this
Contract, and the terms of the attached Fixed Sub-
Account Rider(s), if any.
POSTPONEMENT
In accordance with state law, if the Company receives a Request for surrender or
partial withdrawal, the Company may postpone any cash payment for no more than 6
months (30 days in West Virginia).
During the postponement period, the Fixed Sub-Account(s) will continue to earn
interest at the annual effective rate applicable to the Guarantee Period (or at
the rate applicable to the attached Fixed Sub-Account Riders, if any) that was
in effect at the time the Request for surrender or partial withdrawal was made.
Surrender Charge
SURRENDER CHARGE
On any surrender, partial withdrawal, periodic withdrawal, or single sum payment
from the Annuity Account, the applicable Surrender Charge will be deducted,
except when the Owner elects:
an annuitization option other than single sum
payment; or
1 a Periodic Withdrawal Option lasting a minimum
of 36 months.
SURRENDER CHARGE AMOUNT
The Surrender Charge will be equal to a percentage of the amount distributed
based on the table shown below:
Years Completed Percentage of
Distribution
1 3%
2 2%
3 1%
4+ 0%
In addition to the Surrender Charge, a Market Value Adjustment, as described in
the Annuity Account Provisions, may be applicable to the certificates broken
prior to the Certificate Maturity Date. If a Market Value Adjustment is
applicable, it will be made prior to the Surrender Charge being deducted.
Payment Options (continued)
What guidelines apply to Periodic Withdrawals?
PERIODIC WITHDRAWAL OPTION
The Owner must Request that all or part of the Annuity Account Value be applied
to a Periodic Withdrawal Option. Premium Tax, if applicable, will be deducted
before applying the amount Requested. While Periodic Withdrawals are being
received:
a Market Value Adjustment applies to Periodic Withdrawals from Guarantee
Periods 6 or more months prior to maturity;
1 the Owner may keep the same Fixed Sub-Accounts as were in force before
Periodic Withdrawals began;
Charges and fees under this Contract continue to
apply;
o the Owner may continue to exercise all contractual rights that are
available prior to electing a payment option, except that no Contributions
may be made;
o if a partial withdrawal is made from a Fixed Sub-Account, the Market Value
Adjustment, if applicable, will be applied;
Guarantee Periods renew into the shortest Guarantee Period then available.
HOW TO ELECT PERIODIC
WITHDRAWALS
The Request of the Owner is required to elect, or change
the election of, the Periodic Withdrawal Option. The
Owner must Request:
o the withdrawal frequency of either 12-, 6-, 3-, or 1-
month intervals;
o a withdrawal amount; a minimum of $100 is
required;
o the calendar month, day, and year on which
withdrawals are to begin;
o one Periodic Withdrawal Option; and
o the allocation of withdrawals from the Fixed Sub-
Account(s) as follows:
1) Prorate the amount to be paid across all Fixed
Sub-Accounts in proportion to the assets in
each sub-account; or
2) Select the Fixed Sub-Account(s) from which withdrawals will be made.
The Owner may elect to change the withdrawal option and/or frequency once each
calendar year. Periodic Withdrawals will cease on the earlier of the date: the
amount elected to be paid under the option
selected has been reduced to zero; the Annuity Account Value is zero; 1
the Owner Requests that withdrawals stop; 1 the Owner purchases an annuity
option; or 1 of death of an Owner or the Annuitant.
PERIODIC WITHDRAWAL OPTIONS
AVAILABLE
The Owner must elect one of these 5 withdrawal options:
1) Income for a Specified Period for at least thirty-six
(36) months - The Owner elects the duration over which withdrawals will
be made. The amount paid will vary based on the duration; or
2) Income of a Specified Amount for at least thirty-six (36) months - The
Owner elects the dollar amount of the withdrawals. Based on the amount
elected, the duration may vary; or
3) Interest Only - The withdrawals will be based on the amount of interest
credited to the Fixed Sub-Account(s) between each withdrawal. Available
only if 100% of the account value is invested in the Fixed Sub-Account;
or
4) Minimum Distribution - If this is an IRA Contract, the Owner may Request
minimum distributions as specified under Internal Revenue Code 401(a)(9);
or
5) Any Other Form for a period of at least thirty-six (36) months - Any
other form of periodic withdrawal which is acceptable to the Company.
TABLE A - Life Annuity
FEMALE
Monthly Payment for Each $1,000
of Annuity Account Value
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
Without With Guaranteed Period
Age of Guaranteed 5 10 15 20
Annuitant Period Years Years Years Years
20 2.61 2.61 2.61 2.61 2.61
21 2.63 2.63 2.63 2.63 2.63
22 2.65 2.65 2.65 2.64 2.64
23 2.67 2.67 2.66 2.66 2.66
24 2.69 2.69 2.68 2.68 2.68
25 2.71 2.71 2.70 2.70 2.70
26 2.73 2.73 2.72 2.72 2.72
27 2.75 2.75 2.75 2.74 2.74
28 2.77 2.77 2.77 2.77 2.76
29 2.79 2.79 2.79 2.79 2.79
30 2.82 2.82 2.82 2.81 2.81
31 2.84 2.84 2.84 2.84 2.83
32 2.87 2.87 2.87 2.86 2.86
33 2.90 2.90 2.89 2.89 2.89
34 2.93 2.93 2.92 2.92 2.91
35 2.96 2.96 2.95 2.95 2.94
36 2.99 2.96 2.98 2.98 2.97
37 3.02 3.02 3.02 3.01 3.00
38 3.05 3.05 3.05 3.04 3.04
39 3.09 3.09 3.09 3.08 3.07
40 3.13 3.13 3.12 3.12 3.10
41 3.17 3.16 3.16 3.15 3.14
42 3.21 3.21 3.20 3.19 3.18
43 3.25 3.25 3.24 3.23 3.22
44 3.30 3.29 3.29 3.28 3.26
45 3.34 3.34 3.33 3.32 3.30
46 3.39 3.39 3.38 3.37 3.35
47 3.44 3.44 3.43 3.42 3.39
48 3.50 3.50 3.49 3.47 3.44
49 3.56 3.55 3.54 3.52 3.49
50 3.62 3.61 3.60 3.58 3.54
Without With Guaranteed Period
Age of Guaranteed 5 10 15 20
Annuitant Period Years Years Years Years
51 3.68 3.68 3.66 3.64 3.59
52 3.75 3.74 3.73 3.70 3.65
53 3.82 3.81 3.79 3.76 3.71
54 3.89 3.88 3.86 3.83 3.77
55 3.97 3.96 3.94 3.90 3.83
56 4.05 4.04 4.02 3.97 3.89
57 4.14 4.13 4.10 4.05 3.96
58 4.23 4.22 4.19 4.13 4.03
59 4.33 4.32 4.28 4.21 4.10
60 4.44 4.42 4.38 4.30 4.17
61 4.55 4.53 4.48 4.39 4.24
62 4.67 4.65 4.59 4.48 4.31
63 4.79 4.77 4.70 4.58 4.39
64 4.93 4.90 4.82 4.68 4.46
65 5.07 5.04 4.95 4.78 4.53
66 5.23 5.19 5.09 4.89 4.61
67 5.39 5.35 5.23 5.00 4.68
68 5.57 5.52 5.38 5.11 4.74
69 5.76 5.71 5.53 5.23 4.81
70 5.96 5.90 5.70 5.34 4.87
71 6.19 6.11 5.87 5.46 4.93
72 6.43 6.34 6.05 5.57 4.98
73 6.69 6.58 6.24 5.68 5.03
74 6.97 6.84 6.43 5.79 5.07
75 7.28 7.12 6.63 5.90 5.11
76 7.61 7.41 6.83 5.99 5.14
77 7.97 7.73 7.04 6.09 5.17
78 8.36 8.06 7.24 6.17 5.19
79 8.78 8.42 7.44 6.24 5.21
80 9.24 8.79 7.64 6.31 5.22
</TABLE>
If payments commence on any other date than the exact age of the Annuitant as
shown above, the amount of the monthly payment shall be determined by the
Company on the actuarial basis used in determining the above amounts.
- ------------------------------------------------------------------------------
J401 Page 16
TABLE A - Life Annuity
MALE
Monthly Payment for Each $1,000
of Annuity Account Value
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
Without With Guaranteed Period
Age of Guaranteed 5 10 15 20
Annuitant Period Years Years Years Years
20 2.72 2.72 2.72 2.72 2.71
21 2.74 2.74 2.74 2.74 2.73
22 2.76 2.76 2.76 2.76 2.75
23 2.79 2.78 2.78 2.78 2.78
24 2.81 2.81 2.81 2.80 2.80
25 2.83 2.83 2.83 2.83 2.82
26 2.86 2.86 2.86 2.85 2.85
27 2.89 2.88 2.88 2.88 2.87
28 2.91 2.91 2.91 2.91 2.90
29 2.94 2.94 2.94 2.93 2.93
30 2.97 2.97 2.97 2.96 2.95
31 3.00 3.00 3.00 2.99 2.98
32 3.04 3.03 3.03 3.03 3.01
33 3.07 3.07 3.07 3.06 3.05
34 3.11 3.10 3.10 3.09 3.08
35 3.14 3.14 3.14 3.13 3.11
36 3.18 3.18 3.18 3.17 3.15
37 3.22 3.22 3.22 3.21 3.19
38 3.27 3.28 3.26 3.25 3.23
39 3.31 3.31 3.30 3.29 3.27
40 3.36 3.36 3.35 3.33 3.31
41 3.41 3.41 3.40 3.38 3.35
42 3.46 3.46 3.45 3.43 3.39
43 3.52 3.51 3.50 3.48 3.44
44 3.57 3.57 3.56 3.53 3.49
45 3.63 3.63 3.61 3.58 3.54
46 3.70 3.69 3.67 3.64 3.59
47 3.76 3.75 3.73 3.69 3.64
48 3.83 3.82 3.80 3.76 3.69
49 3.90 3.89 3.87 3.82 3.75
50 3.98 3.97 3.94 3.88 3.81
Without With Guaranteed Period
Age of Guaranteed 5 10 15 20
Annuitant Period Years Years Years Years
51 4.05 4.04 4.01 3.95 3.86
52 4.14 4.12 4.09 4.02 3.93
53 4.22 4.21 4.17 4.10 3.99
54 4.32 4.30 4.25 4.17 4.05
55 4.41 4.39 4.34 4.25 4.11
56 4.51 4.50 4.44 4.33 4.18
57 4.62 4.60 4.54 4.42 4.25
58 4.74 4.72 4.64 4.51 4.31
59 4.86 4.84 4.75 4.60 4.38
60 5.00 4.96 4.87 4.69 4.45
61 5.14 5.10 4.99 4.79 4.51
62 5.29 5.25 5.12 4.89 4.58
63 5.45 5.40 5.25 4.99 4.65
64 5.62 5.57 5.39 5.09 4.71
65 5.81 5.74 5.54 5.20 4.77
66 6.00 5.93 5.69 5.30 4.83
67 6.21 6.12 5.85 5.41 4.88
68 6.44 6.33 6.01 5.51 4.93
69 6.68 6.55 6.18 5.61 4.98
70 6.94 6.79 6.35 5.71 5.02
71 7.21 7.03 6.52 5.80 5.06
72 7.51 7.29 6.70 5.90 5.09
73 7.82 7.57 6.88 5.98 5.12
74 8.16 7.86 7.06 6.08 5.15
75 8.52 8.16 7.24 6.14 5.17
76 8.90 8.48 7.42 6.21 5.19
77 9.32 8.81 7.59 6.27 5.21
78 9.77 9.16 7.76 6.33 5.22
79 10.24 9.52 7.93 6.38 5.24
80 10.75 9.90 8.09 6.43 5.24
</TABLE>
If payments commence on any other date than the exact age of the Annuitant as
shown above, the amount of the monthly payment shall be determined by the
Company on the actuarial basis used in determining the above amounts.
- --------------------------------------------------------------------------
J401 Page 17
TABLE B - Income of Specified Amount
- Income for a Specified Period
Payment for Each $1,000
of Annuity Account Value
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
Years Monthly Quarterly Semi-Annually Annually
1 84.28 252.32 503.09 1,000.00
2 42.66 127.72 254.65 506.17
3 28.79 86.19 171.85 341.60
4 21.86 65.44 130.47 259.33
5 17.70 52.99 105.65 210.00
6 14.93 44.69 89.11 177.12
7 12.95 38.77 77.30 153.65
8 11.47 34.33 68.45 136.07
9 10.32 30.88 61.58 122.40
10 9.39 28.13 56.08 111.47
11 8.64 25.87 51.59 102.54
12 8.02 24.00 47.85 95.11
13 7.49 22.41 44.69 88.83
14 7.03 21.06 41.98 83.45
15 6.64 19.88 39.64 78.80
16 6.30 18.86 37.60 74.73
17 6.00 17.95 35.79 71.15
18 5.73 17.15 34.20 67.97
19 5.49 16.43 32.77 65.13
20 5.27 15.79 31.48 62.58
</TABLE>
If payments are for an amount or duration different than that
outlined above, the Company will determine the proper amount or
duration using the actuarial basis used to determine the above
amounts.
THIS PAGE IS INTENTIONALLY LEFT BLANK
EXHIBIT 4(b)
INDIVIDUAL RETIREMENT ANNUITY ENDORSEMENT
ENDORSEMENT ISSUED BY FIRST GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY AS PART
OF THE CONTRACT TO WHICH IT IS ATTACHED.
To qualify as an Individual Retirement Annuity under section 408 of the Internal
Revenue Code of 1986, as amended, (Code) the contract is amended as follows:
(1) The Annuitant will at all times be the Owner of the contract.
(2) The entire interest of the Owner is nonforfeitable.
(3) The contract is established for the exclusive benefit of the Owner and the
Beneficiary.
(4) No joint owner may be named, and no one other than the Owner's spouse may be
named as the contingent owner. Any provision of the policy that would allow
joint ownership, or that would allow more than one person to share
distributions, is deleted.
(5)This contract is nontransferable. The Owner may not borrow any money under
the contract or pledge the account or any portion of it as security for a loan.
Additionally, the Owner may not sell, assign or Transfer this contract, except
that the contract may be transferred to a former spouse of the Owner under a
divorce decree or written instrument incident to such divorce. In the event of
such Transfer, the transferee shall for all purposes be treated as the Owner
under the contract.
(6)Except in the case of a "rollover contribution" as permitted by sections
402(c), 403(a)(4), 403(b)(8) or 408(d)(3) of the Code or a contribution made in
accordance with the terms of a Simplified Employee Pension (SEP), as described
inss.408(k), no contributions will be accepted unless they are in cash, and the
total of such contributions shall not exceed $2,000, or such other maximum as
the Code may allow, for any taxable year.
The Owner shall have the sole responsibility for determining whetherany premium
payment meets applicable income tax requirements.
This policy does not require fixed premium payments. Any refund of
premiums (other than those attributable to excess Contributions)
will be applied before the close of the calendar year following
the year of the refund toward the payment of additional premiums
or the purchase of additional benefits.
(7) Distributions Before Death
The Owner's entire interest in the policy must be distributed, or
begin to be distributed, by the Owner's required beginning date,
which is the April 1 following the calendar year in which the
Owner reaches age 70 1/2. For each succeeding year, a
distribution must be made on or before December 31. By the
required beginning date, the Owner may elect to have the balance
in the policy distributed in one of the following forms:
(a) a single sum payment;
(b) equal or substantially equal payments no less frequently than
annually over the life of the Owner;
(c) equal or substantially equal payments no less frequently than
annually over the lives of the Owner and his or her designated
beneficiary;
(d) equal or substantially equal payments no less frequently than
annually over a specified period that may not be longer than the
Owner's life expectancy;
(e) equal or substantially equal payments no less frequently than
annually over a specified period that may not be longer than the
joint life and last survivor expectancy of the Owner and his or
her designated beneficiary.
All distributions made hereunder shall be made in accordance with section
401(a)(9) of the Code, including the incidental death
benefit requirements of section 401(a)(9)(G) of the Code, and the regulations
thereunder, including the minimum distribution incidental benefit requirement of
section 1.401(a)(9)-2 of the Proposed Income Tax Regulations.
INDIVIDUAL RETIREMENT ANNUITY ENDORSEMENT
(continued)
If payment is not to be made in the form of annual level payments, the amount to
be distributed each year, beginning with the first calendar year for which
distributions are required and then for each succeeding calendar year, shall not
be less than the quotient obtained by dividing the individual's benefit by the
lesser of (1) the applicable life expectancy or (2) if the individual's spouse
is not the designated beneficiary, the applicable divisor determined from the
table set forth in Q&A-4 or Q&A-5 of section 1.401(a)(9)-2 of the Proposed
Income Tax Regulations. Distributions after the death of the individual shall be
distributed using the applicable life expectancy as the relevant divisor without
regard to proposed regulations section 1.401(a)(9)-2.
Life expectancy is computed by use of the expected return multiples in Tables V
and VI of section 1.72-9 of the Income Tax Regulations. Unless otherwise elected
by the Owner by the time distributions are required to begin, life expectancies
shall be recalculated annually. Such election shall be irrevocable by the
individual and shall apply to all subsequent years. The life expectancy of a
non-spouse beneficiary may not be recalculated. Instead, life expectancy will be
calculated using the attained age of such Beneficiary during the calendar year
in which the Beneficiary attains age 70 1/2, and payments for subsequent years
shall be calculated based on such life expectancy reduced by one for each
calendar year which has elapsed since the calendar year life expectancy was
first calculated.
(8) Distribution Upon Death
(a) Distributions beginning before death. If the Owner dies after
distribution of his or her interest has begun, the remaining
portion of such interest will continue to be distributed at
least as rapidly as under the method of distribution being
used prior to the individual's death.
(b) Distributions beginning after death. If the Owner dies before
distribution of his or her interest begins, distribution of
the individual's entire interest shall be completed by
December 31 of the calendar year containing the fifth
anniversary of the individual's death except to the extent
that an election is made to receive distribution in accordance
with (1) or (2) below:
(1) If the Owner's interest is payable to a designated
beneficiary, then the entire interest of the
individual may be distributed in equal or
substantially equal payments over the life or over a
period certain not greater than the life expectancy of
the designated beneficiary commencing on or before
December 31 of the calendar year immediately following
the calendar year in which the Owner died.
(2) If the Owner's spouse is not the named Beneficiary,
the method of distribution selected will assure that
at least 50% of the present value of the amount
available for distribution is paid within the Owner's
life expectancy and that such method of distribution
complies with the requirements of Code section
408(b)(3) and the regulations thereunder.
(3) If the designated beneficiary is the Owner's surviving
spouse, the date distributions are required to begin
in accordance with (1) above shall not be earlier than
the later of (A) December 31 of the calendar year
immediately following the calendar year in which the
individual died or (B) December 31 of the calendar
year in which the individual would have attained age
70 1/2.
(4) If the designated beneficiary is the Owner's surviving
spouse, the spouse may treat the contract as his or
her own IRA. This election will be deemed to have been
made if such surviving spouse makes a regular IRA
contribution to the contract, makes a rollover to or
from such contract, or fails to elect any of the above
provisions.
INDIVIDUAL RETIREMENT ANNUITY ENDORSEMENT
(continued)
(c) Life expectancy is computed by use of the expected return
multiples in Tables V and VI of section 1.72-9 of the Income Tax Regulations.
For purposes of distributions beginning after the Owner's death, unless
otherwise elected by the surviving spouse by the time distributions are required
to begin, life expectancies shall be recalculated annually. Such election shall
be irrevocable by the surviving spouse and shall apply to all subsequent years.
In the case of any other designated beneficiary, life expectancies shall be
calculated using the attained age of such Beneficiary during the calendar year
in which distributions are required to begin pursuant to this section, and
payments for any subsequent calendar year shall be calculated based on such life
expectancy reduced by one for each calendar year which has elapsed since the
calendar year life expectancy was first calculated.
(d) Distributions under this section are considered to have begun if
distributions are made on account of the Owner reaching his or
her required beginning date or if prior to the required
beginning date distributions irrevocably commence to an
individual over a period permitted and in an annuity form
acceptable under section 1.401(a)(9) of the Regulations.
(9) An individual may satisfy the minimum distribution requirements
under section 408(b)(3) of the Code by receiving a
distribution from one IRA that is equal to the amount required
to satisfy the minimum distribution requirements for two or more
IRAs. For this purpose, the Owner of two or more IRAs may use
the alternative method described in Notice 88-38, 1988-1 C.B.
524, to satisfy the minimum distribution requirements.
(10) The provisions of this endorsement will override any provisions
contained in or forming part of the contract which are
inconsistent with this endorsement. The Company reserves the
right to amend this endorsement to comply with future changes in
the Internal Revenue Code of 1986, as amended and to any
regulations or rulings issued under the provisions of the
Internal Revenue Code. The Company shall provide the Owner of
the contract with a copy of any such amendment.
Signed for First Great-West Life & Annuity Insurance Company on the issuance of
the contract (unless a different date is shown here).
/s/ W.T. McCallum
W.T. McCallum,
President and Chief Executive Officer
EXHIBIT 5
September 10, 1997
Securities and Exchange Commission
450 Fifth St., N.W.
Washington, D.C. 20549
Re: Opinion of Counsel
Gentlemen:
This letter is furnished as the requisite opinion of counsel described
in Form S-1, Part II, Item 16(5). Under said registration statement, First
Great-West Life & Annuity Insurance Company (the "Company") has registered $9.09
of securities under the Securities Act of 1933, as amended.
I am the Vice President, Counsel and Associate Secretary of the
Company. In so acting, I have made such examination of the law, records and
documents as in my judgment are necessary or appropriate to enable me to render
the opinion expressed below. For purposes of such examination, I have assumed
the genuineness of all signatures and the conformity to the original of all
copies.
I am a member of the Colorado Bar and do not purport to be an expert on
the laws of any other state. My opinion herein as to any other law is based upon
a limited inquiry thereof which I have deemed appropriate under the
circumstances.
My opinion herein assumes that the securities will be issued and sold
in accordance with the provisions of the Form S-1 registration statement with
which this opinion accompanies. Based on the foregoing, I am of the opinion that
these securities will be legally issued, and will represent binding obligations
of the Company.
I consent to the use of this opinion as an exhibit to the registration
statement and to the reference to my name under the description "Legal Matters"
in the prospectus.
Sincerely,
/s/ W. Kay Adam
W. Kay Adam
Vice President, Counsel
and Associate Secretary
EXHIBIT 23(a)
October 1, 1997
First Great-West Life & Annuity Insurance Company
125 Wolf Road
Suite 110
Albany, New York 12205
Ladies and Gentlemen:
We hereby consent to the use of our name under the caption "Legal
Matters" for First Great-West Life & Annuity Insurance Company in the Prospectus
contained in the Registration Statement on Form S-1 filed on the date hereof by
First Great-West Life & Annuity Insurance Company with the Securities and
Exchange
Commission under the Securities Act of 1933.
Very truly yours,
/s/ Jorden Burt Berenson & Johnson LLP
Jorden Burt Berenson & Johnson LLP
