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As filed with the Securities and Exchange Commission on AUGUST 31, 1999.
Registration File Nos. ________/811-9115
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM S-6
FOR REGISTRATION UNDER THE SECURITIES ACT
OF 1933 OF SECURITIES OF UNIT INVESTMENT TRUSTS
REGISTERED ON FORM N-8B-2
LEGACY BUILDER VARIABLE LIFE SEPARATE ACCOUNT
(Exact Name of Trust)
PFL LIFE INSURANCE COMPANY
(Name of Depositor)
4333 Edgewood Road, NE
Cedar Rapids, Iowa 52499
(Complete Address of Depositor's Principal Executive Offices)
Frank A. Camp, Esq.
Vice President and Division General Counsel
PFL Life Insurance Company
4333 Edgewood Road, NE
Cedar Rapids, Iowa 52499
(Name and Complete Address of Agent for Service)
Copies to:
Frederick R. Bellamy, Esq.
Sutherland Asbill & Brennan LLP
1275 Pennsylvania Avenue, N.W.
Washington, D.C. 20004-2404
Approximate Date of Proposed Public Offering: As soon as practicable after the
effective date of the Registration Statement.
Title of securities being registered: Legacy Builder Plus flexible premium
variable life insurance policy.
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.
<PAGE>
PROSPECTUS
____________, 1999
Legacy Builder Plus
Flexible Premium Variable Life Insurance Policy
issued by
Legacy Builder Variable Life Separate Account
and
PFL Life Insurance Company
4333 Edgewood Road NE
Cedar Rapids, Iowa 52499
(800) 732-7754
PFL Life Insurance Company is offering Legacy Builder Plus (the "Policy"), the
flexible premium variable life insurance policy described in this prospectus.
This prospectus provides information that a prospective owner should know before
investing in the Policy. You should consider the Policy in conjunction with
other insurance you own.
You can allocate your Cash Value to:
. the Legacy Builder Variable Life Separate Account (the "variable account"),
which invests in the portfolios listed on this page; or
. a fixed account, which credits a specified rate of interest.
A prospectus for each of the portfolios available through the variable account
must accompany this prospectus. Please read these documents before investing and
save them for future reference.
Please note that the Policies and the portfolios:
. are not bank deposits
. are not endorsed by any bank or government agency
. are not guaranteed to achieve their goals
. are subject to risks, including loss of the amount invested.
The Policy generally will be a "modified endowment contract" for Federal income
tax purposes. This means all loans, surrenders and partial surrenders are
treated first as distributions of taxable income, and then as a return of basis.
Prior to your age 59 1/2, all these distributions generally are subject to a 10%
penalty tax.
The available portfolios are:
[_] AIM Variable Insurance Funds, Inc.
AIM V.I. Capital Appreciation Fund
AIM V.I. Government Securities Fund
AIM V.I. Growth & Income Fund
AIM V.I. Value Fund
[_] Dreyfus Stock Index Fund
[_] Dreyfus Variable Investment Fund
Dreyfus Money Market Portfolio
Dreyfus Small Company Stock Portfolio
[_] MFS Variable Insurance Trust
MFS Emerging Growth Series
MFS Research Series
MFS Total Return Series
MFS Utilities Series
[_] Oppenheimer Variable Account Funds
Oppenheimer Global Securities Fund/VA
Oppenheimer Growth Fund/VA
Oppenheimer Main Street Growth & Income Fund/VA
Oppenheimer High Income Fund/VA
Oppenheimer Strategic Bond Fund/VA
[_] WRL Series Fund, Inc.
WRL VKAM Emerging Growth Portfolio
WRL Janus Global Portfolio
WRL Janus Growth Portfolio
The Securities and Exchange Commission has not approved or disapproved this
Policy or determined that this prospectus is accurate or complete. Any
representation to the contrary is a criminal offense.
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Table of Contents
==============================================================
Glossary.................................................. 1
Policy Summary............................................ 3
Risk Summary.............................................. 8
Portfolio Expense Table................................... 10
The Company and the Fixed Account......................... 11
PFL Life Insurance Company............................. 11
The Fixed Account...................................... 11
The Variable Account and the Portfolios................... 12
The Variable Account................................... 12
The Portfolios......................................... 13
Your Right to Vote Portfolio Shares.................... 15
The Policy................................................ 16
Purchasing a Policy.................................... 16
When Insurance Coverage Takes Effect................... 16
Extending the Maturity Date............................ 16
Ownership Rights....................................... 17
Changing the Owner.................................. 17
Selecting and Changing the Beneficiary.............. 17
Assigning the Policy................................... 17
Canceling a Policy..................................... 18
Premiums.................................................. 18
Premium Payments....................................... 18
Allocating Premiums.................................... 18
Policy Values............................................. 19
Cash Value............................................. 19
Growth Accelerator..................................... 19
Cash Surrender Value................................... 20
Subaccount Value....................................... 20
Unit Value............................................. 20
Fixed Account Value.................................... 21
Charges and Deductions.................................... 21
Premium Expense Charge................................. 21
Monthly Deduction...................................... 22
Cost of Insurance................................... 22
Monthly Policy Charge............................... 22
Daily Charge........................................... 23
Surrender Charge....................................... 23
Partial Surrender Charge............................... 23
Transfer Charge........................................ 23
Portfolio Expenses..................................... 24
Death Benefit............................................. 24
Death Benefit.......................................... 24
Payment Options........................................ 25
Full and Partial Surrenders............................... 25
Full Surrenders........................................ 25
Partial Surrenders..................................... 25
Transfers................................................. 26
Dollar Cost Averaging.................................. 27
Asset Rebalancing Program.............................. 28
Loans..................................................... 29
Loan conditions........................................ 29
Effect of Policy Loans................................. 30
Policy Lapse and Reinstatement............................ 30
Lapse.................................................. 30
Reinstatement.......................................... 30
Federal Tax Considerations................................ 31
Other Policy Information.................................. 33
Our Right to Contest the Policy........................ 33
Suicide Exclusion...................................... 33
Misstatement of Age or Sex............................. 34
Modifying the Policy................................... 34
Payments We Make....................................... 34
Reports to Owners...................................... 35
Records................................................ 35
Policy Termination..................................... 35
Performance Data.......................................... 35
Additional Information.................................... 44
Sale of the Policies................................... 44
Legal Matters.......................................... 44
Legal Proceedings...................................... 44
Year 2000 Matters...................................... 44
Financial Statements................................... 45
Additional Information about PFL Life
Insurance Company................................. 45
PFL's Executive Officers and Directors................. 45
Illustrations............................................. 46
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Glossary
===============================================================================
Age
The insured's age on the Policy Date plus the number of completed Policy years
since the Policy Date.
Beneficiary
The person(s) you select to receive the death benefit from this Policy.
Cash Value
The sum of your Policy's value in the subaccounts and the fixed account
(including amounts held in the fixed account to secure any loans).
Cash Surrender Value
The amount we pay when you surrender your Policy. It is equal to: (1) the Cash
Value as of the date of surrender; minus (2) any surrender charge; minus (3) any
outstanding Policy loan; minus (4) any loan interest you owe.
Company (we, us, our, PFL)
PFL Life Insurance Company
Death benefit proceeds
The amount we will pay to the beneficiary when we receive proof of the insured's
death. We will reduce the proceeds by the amount of any outstanding loans
(including any interest you owe), and any due and unpaid monthly deductions.
Free look period
The period when you may return the Policy and receive a refund. The length of
the free look period varies by state. Your Policy's schedule page shows the
applicable free look period.
Initial premium
The amount you must pay before insurance coverage begins under this Policy. Your
Policy's schedule page shows the initial premium. It must be at least $10,000.
Insured
The person whose life is insured by this Policy.
Lapse
If the Policy has an outstanding loan and you do not have enough Cash Value to
pay the monthly deduction, the surrender charge and any outstanding loan amount
(including any interest you owe on the loan(s)), the Policy will enter a 61-day
grace period. The Policy will lapse (terminate without value) if you do not make
a sufficient payment by the end of a grace period.
Loan Amount
The total amount of all outstanding Policy loans, including both principal and
interest due.
Maturity Date
The Policy anniversary when the insured reaches age 100 and life insurance
coverage under this Policy ends. You may elect to continue the Policy beyond
insured's age 100 under the extended maturity provision. However, the extended
maturity provision may not be available in all states.
Monthly Date
This is the same day of each month as the Policy Date. If there is no Valuation
Date in a calendar month that coincides with the Policy Date, the Monthly Date
is the next Valuation Date. On each Monthly Date, we determine Policy charges
and deduct them from the Cash Value.
Monthly Deduction
The amount we deduct from the Cash Value each month. The monthly deduction
includes the cost of insurance charge, and any monthly administration charge.
Net Premium
The amount we receive as premium, less the premium expense charge.
Office
Our administrative and service office is Financial Markets Division, P.O. Box
3183, Cedar Rapids, Iowa 52406-3183; or 4333 Edgewood Road NE, Cedar Rapids,
Iowa 52499-0001. The telephone number is 1-800-732-7754.
1
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Owner (you, your)
The person entitled to exercise all rights as owner under the Policy.
Policy Date
The date when we complete our underwriting process, full life insurance coverage
goes into effect, we issue the Policy, and we begin to deduct the Monthly
Deductions. Your Policy's schedule page shows the Policy Date. The free look
period begins on the Policy Date. We measure Policy months, years, and
anniversaries from the Policy Date.
Premiums
All payments you make under the Policy other than loan repayments.
Reallocation Date
The date shown on the Policy schedule page when we reallocate any premium (plus
interest) held in the fixed account to the subaccounts and fixed account as you
directed in your application. The Reallocation Date varies by state according to
a state's free look requirement. In states that require a full refund of premium
upon exercise of the free look right, the Reallocation Date is 5 days after the
end of the free look period. In other states, the Reallocation Date is the
Policy Date.
Subaccount
A subdivision of the Legacy Builder Variable Life Separate Account. We invest
each subaccount's assets exclusively in shares of one investment portfolio.
Surrender
To cancel the Policy by signed request from the owner.
Valuation Date
Each day that both the New York Stock Exchange and PFL Life Insurance Company
are open for business, except for any days when a subaccount's corresponding
investment portfolio does not value its shares. As of the date of this
prospectus, there are no days when both the New York Stock Exchange and PFL are
open for business and an investment portfolio does not value its shares.
Valuation Period
The period beginning at the close of business of the New York Stock Exchange on
one Valuation Date and continuing to the close of business on the next Valuation
Date.
Variable account
Legacy Builder Variable Life Separate Account. It is a separate investment
account that is divided into subaccounts, each of which invests in a
corresponding portfolio of a designated mutual fund.
Variable account value
The total value of your Policy allocated to the subaccounts of the variable
account.
Written notice
The written notice you must sign and send us to request or exercise your rights
as owner under the Policy. To be complete, it must: (1) be in a form we accept,
(2) contain the information and documentation that we determine in our sole
discretion is necessary for us to take the action you request or for you to
exercise the right specified, and (3) be received at our Office.
You (your, owner)
The person entitled to exercise all rights as owner under the Policy.
2
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Policy Summary
===============================================================================
This summary describes important features of the Policy and corresponds to
sections in this prospectus which discuss the topics in more detail. All
capitalized words and phrases, and a number of others, are defined or explained
in the Glossary.
Premiums
. You can select a premium payment plan but you are not required to pay premiums
according to the plan. You can vary the frequency and amount, and can skip
premium payments. We will not accept any premiums after the insured reaches
age 100.
. In general, the minimum initial premium is $10,000, and the minimum additional
premium is $5,000.
. If the insured qualifies for simplified underwriting:
. Conditional life insurance coverage begins as soon as you complete an
application and pay an initial premium.
. The maximum initial premium you may pay is $1,500 multiplied by the
insured's age at issue. (For example, if the insured is age 50 at issue,
the maximum initial premium for simplified underwriting is $75,000.)
. You may pay the maximum initial premium at issue or at any time during the
first 2 Policy years; however, premiums paid in the second Policy year may
not exceed premiums paid in the first Policy year.
. In the second and subsequent Policy years, you have different premium
payment options depending on what premiums you paid in the previous Policy
year. See "Premiums" for further information.
. If the insured undergoes full underwriting:
. You designate the total premium for which we will underwrite the insured
(the "underwriting premium").
. At issue, you must pay an amount equal to the greater of: (1) 50% of the
underwriting premium; or (2) the underwriting premium minus $100,000.
. In the second and subsequent Policy years, you have different premium
payment options depending on what premiums you paid in the previous Policy
year. See "Premiums" for further information.
. If you have no outstanding loans (or if you fully repay a loan), then we
guarantee that your Policy will never lapse.
. If you have an outstanding loan, your Policy will enter a 61-day grace period
whenever the loan amount exceeds the Cash Value minus any surrender charge.
Your Policy will terminate without value unless you make a sufficient payment
during the grace period. See "Risk of Lapse," and "Policy Lapse and
Reinstatement."
. Once we issue your Policy, the free look period begins. You may return the
Policy during this period and receive a refund. See "Canceling a Policy."
. We put all premiums (minus any premium expense charge) in the fixed account
until the Reallocation Date.
3
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Investment options
You may allocate your money among the variable account investment options, and
the fixed account options.
Variable Account:
. You may allocate the money in your Policy to any of the subaccounts of the
variable account. We do not guarantee any money you place in the subaccounts.
The value of each subaccount will increase or decrease, depending on the
investment performance of the corresponding portfolio. You could lose some or
all of your money.
. Each subaccount invests exclusively in one of the following investment
portfolios:
[_] AIM Variable Insurance Funds, Inc.
AIM V.I. Capital Appreciation Fund
AIM V.I. Government Securities Fund
AIM V.I. Growth & Income Fund
AIM V.I. Value Fund
[_] Dreyfus Stock Index Fund
[_] Dreyfus Variable Investment Fund
Dreyfus Money Market Portfolio
Dreyfus Small Company Stock Portfolio
[_] MFS Variable Insurance Trust
MFS Emerging Growth Series
MFS Research Series
MFS Total Return Series
MFS Utilities Series
[_] Oppenheimer Variable Account Funds
Oppenheimer Global Securities Fund/VA
Oppenheimer Growth Fund/VA
Oppenheimer Main Street Growth & Income Fund/VA
Oppenheimer High Income Fund/VA
Oppenheimer Strategic Bond Fund/VA
[_] WRL Series Fund, Inc.
WRL VKAM Emerging Growth Portfolio
WRL Janus Global Portfolio
WRL Janus Growth Portfolio
Fixed Account:
. You may also place money in the basic fixed account where it earns interest
at an annual rate of at least 3%. We may declare a higher rate of interest,
but we are not obligated to do so.
. At the time of purchase, you may place some or all of your initial net
premium in the Dollar Cost Averaging Fixed Account ("DCA Fixed Account").
Money you place in the DCA Fixed Account will earn interest at an annual
rate of at least 3.0%. We will transfer money out of the DCA Fixed Account
in equal installments over a period of 6 months (or other periods available
at the time of issue) and place it in the variable subaccounts according to
your instructions.
4
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Cash Value
. Cash Value is the sum of your amounts in the subaccounts and the fixed
account. If you have any loans outstanding, Cash Value also includes amounts
we hold in our fixed account to secure any loans.
. Cash Value varies from day to day, depending on the investment experience of
the subaccounts you choose, the interest we credit to the fixed account, the
charges we deduct, and any other transactions (transfers, partial surrenders,
and loans.)
. Cash Value is the starting point for calculating important values under the
Policy, such as the Cash Surrender Value and the death benefit.
. Your Policy may lapse if you do not have sufficient Cash Surrender Value to
pay the monthly deductions.
. Growth Accelerator: At the end of each month in any Policy year, we will
credit your Cash Value with additional interest at an annual rate of 0.50% if
your Policy satisfies the following requirements at the beginning of the
Policy year:
. Cash Value is greater than 200% of the total premiums paid; and
. Cash Value exceeds $50,000.
. We do not guarantee a minimum Cash Value. Cash Value can go down -- all the
way to zero.
Charges and Deductions
$ Premium expense charge: We deduct a premium expense charge equal to the
----------------------
actual premium tax imposed by the state where we issue your Policy. Premium
taxes currently range from 0.50% to 3.50% of each premium payment. We credit
the remaining net premium to your Cash Value.
$ Monthly Deduction. On the Policy Date and on each Monthly Date, we deduct the
-----------------
following charges on a pro-rata basis from each subaccount and the fixed
account:
. a cost of insurance charge for the Policy
. a monthly Policy charge including two components:
(1) a monthly administrative charge of $2.50 if the Cash Value at the
beginning of a Policy year is less than $50,000; and
(2) a monthly asset based charge equal to 0.55% annually of the assets in
the variable account. We deduct this charge from the assets in the
variable account during the first 10 Policy years.
$ Surrender charge: During the first 6 Policy years after a premium payment, we
----------------
deduct a 7% surrender charge on any surrender attributable to the premium. A
separate surrender charge applies to each premium payment.
We deduct a 7% surrender charge on the entire amount of any full or partial
surrender during the first Policy year. After the first Policy year, you may
partially surrender amounts up to your Policy's gain (Cash Value minus
premiums) free of charge; however, the 7% surrender charge will apply to the
portion of any partial surrender that exceeds the gain and is attributable to
a premium paid within the 6 Policy years prior to the partial surrender.
$ Daily Charge: We deduct a daily charge equal (on an annual basis) to 0.75% of
------------
the average daily net assets of the variable account.
$ Transfer charge: We currently assess no charge for transfers. We reserve the
---------------
right to charge $10 for the 13th and each additional transfer in a Policy
year.
$ Portfolio Expenses: The portfolios deduct investment advisory (management)
------------------
fees and other expenses from their assets. These charges vary by portfolio
and in 1998 the total annual amount of these charges ranged from 0.26% to
1.01% of average portfolio assets.
5
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Surrenders
. Full surrender: At any time while the Policy is in force, you may make a
written request to surrender your Policy and receive the Cash Surrender Value
(that is, the Cash Value minus any surrender charge, and minus any
outstanding loan amount including any accrued interest).
. Partial surrenders: You may make a written request to withdraw part of the
Cash Value, subject to the following rules:
. You must request at least $500;
. At least $5,000 of Cash Surrender Value must remain in the Policy after the
partial surrender;
. During the first Policy year, any amount you surrender is subject to a
surrender charge; and
. After the first Policy year, you may surrender amounts up to your Policy's
gain (Cash Value minus premiums paid) free of charge.
. A partial surrender automatically causes a pro-rata reduction in the death
benefit.
. Full and partial surrenders may be taxable and, prior to your age 592, may be
subject to a 10% tax penalty.
. When assessing the 7% surrender charge, we deem premiums to be withdrawn on a
"first-in-first-out" (FIFO) basis.
Death Benefit
. While the Policy is in force, the death benefit is the greater of: (1) the
Basic Death Benefit; or (2) the Guaranteed Minimum Death Benefit ("GMDB").
. Basic Death Benefit: The Basic Death Benefit is equal to the Cash Value
divided by the net single premium. The net single premium is calculated using
guaranteed cost of insurance charges with a 4.5% interest rate. The Basic
Death Benefit will change monthly due to changes in the Cash Value. The net
single premium will change annually.
. Guaranteed Minimum Death Benefit: The GMDB is the greater of premiums paid or
highest Cash Value on a Policy anniversary prior to the insured's age 75 (both
adjusted for partial surrenders). At the insured's age 75, the GMDB remains
fixed for the remainder of the Policy. For Policies issued after age 74, the
GMDB will be the premiums paid less partial surrenders.
. We deduct any unpaid loans from the proceeds payable on the insured's death.
6
<PAGE>
Transfers
. Each year, you may make an unlimited number of transfers of Cash Value from
the subaccounts and the fixed account.
. Transfers from subaccounts must be at least $500, or, if less, the total
value in the subaccount.
. Transfers from the fixed account each Policy year may not exceed the greater
of:
. 25% of the amount in the fixed account; or
. $1,000.
If the balance after the transfer is less than $1,000, we will transfer the
entire amount in the fixed account.
. We may charge $10 for the 13th and each additional transfer during a Policy
year.
. We do not impose transfer charges for Dollar Cost Averaging or Asset
Rebalancing.
Loans
. You may take a loan against the Policy for any amount from $500 up to 90% of
the Cash Value net of surrender charge, minus any outstanding loans and
interest you owe.
. To secure the loan, we transfer an amount equal to the loan from the
variable account and fixed account to the loan account (part of our general
account).
. Amounts in the loan account earn interest at the guaranteed minimum rate of
3% per year.
. We currently charge you an interest rate of 4.5% per year on your loan. We
guarantee that this interest rate will not exceed 6% per year. Interest is
due and payable at the end of each calendar quarter. Unpaid interest becomes
part of the outstanding loan.
. Loan interest generally is not tax deductible (consult your tax advisor for
possible exceptions).
. You may repay all or part of your outstanding loans at any time. Loan
repayments must be at least $500, and must be clearly marked as "loan
repayments" or they will be credited as premiums if they equal or exceed
minimum premium amounts.
. We deduct any unpaid loans from the proceeds payable on the insured's death.
. Loans taken from, or secured by, this Policy generally will be taxed as
distributions and, prior to age 592, a tax penalty may apply.
. The "no-lapse guarantee" does not apply if there is an outstanding loan.
7
<PAGE>
Risk Summary
================================================================================
Investment If you invest your Cash Value in one or more subaccounts, then
Risk you will be subject to the risk that investment performance
will be unfavorable and that the Cash Value will decrease. You
could lose everything you invest. If you select the fixed
account, then we credit your Cash Value with a declared rate of
interest, but you assume the risk that the rate may decrease,
although it will never be lower than a guaranteed minimum
annual effective rate of 3%.
Because we deduct charges from Cash Value every month, if
investment results are negative or not sufficiently favorable,
then your Cash Surrender Value may fall to zero. If your Cash
Surrender Value is zero and you have an outstanding loan, then
your Policy will enter a 61-day grace period. Unless you make a
sufficient payment during the grace period, the Policy will
lapse without value and insurance coverage will no longer be in
effect. However, if investment experience is sufficiently
favorable and you have kept the Policy in force for a
substantial time, then you may be able to draw upon Cash Value,
through partial surrenders and loans.
- --------------------------------------------------------------------------------
Risk of If you do not have an outstanding loan, we guarantee that your
Lapse Policy will never lapse (terminate without value), regardless
of investment performance.
If you have an outstanding loan and your Cash Surrender Value
becomes zero, then the Policy will enter a 61-day grace period.
Whenever your Policy enters the grace period, if you do not
make a sufficient payment before the grace period ends, your
Policy will lapse, insurance coverage will no longer be in
effect, and you will receive no benefits. The payment must be
sufficient enough to cause the Cash Surrender Value to exceed
zero, after deducting all due and unpaid monthly deductions and
outstanding loans. You might not be able to reinstate a policy
that has lapsed (depending on applicable state law).
- --------------------------------------------------------------------------------
Tax Risks We anticipate that the Policy should be deemed a life insurance
contract under Federal tax law. However, there is some
uncertainty in this regard. The Policy generally will be
treated as a modified endowment contract ("MEC") under Federal
tax laws (except, in some cases for a Policy issued in exchange
for another life issuance policy that was not a MEC). If a
Policy is treated as a MEC, then surrenders, partial
surrenders, and loans under a Policy will be taxable as
ordinary income to the extent there are earnings in the Policy.
In addition, a 10% penalty tax may be imposed on surrenders,
partial surrenders, and loans taken before you reach age 592.
You should consult a qualified tax advisor for assistance in
all tax matters involving your Policy.
- --------------------------------------------------------------------------------
Surrender The 7% surrender charge under this Policy applies for 6 Policy
Charge years after each premium payment. You should purchase this
Policy only if you have the financial ability to keep it in
force for a substantial period of time.
Even if you do not ask to surrender your Policy, surrender
charges may play a role in determining whether your Policy will
---
lapse. Cash Surrender Value (that is, Cash Value minus any
surrender charges and outstanding loans) is one measure we use
to determine whether your Policy will enter a grace period, and
possibly lapse.
- --------------------------------------------------------------------------------
8
<PAGE>
Partial You may request partial surrenders of a portion of the Cash
Surrender Surrender Value. After the first Policy year, you may request
Limits partial surrenders of amounts up to your Policy's gain free of
charge. The amount partially surrendered must be at least $500
and must not cause the Cash Surrender Value after the partial
surrender to be less than $5,000. We impose a 7% surrender
charge on the portion of any surrender that exceeds the gain in
the Policy and is attributable to a premium paid within the 6
Policy years prior to the surrender.
A partial surrender reduces the Cash Surrender Value, so it
will increase the risk that the Policy will lapse. A partial
surrender will reduce the death benefit and also may have tax
consequences.
- --------------------------------------------------------------------------------
Loan Risks A Policy loan, whether or not repaid, will affect Cash Value
over time because we subtract the amount of the loan from the
subaccounts and fixed account as collateral. We then credit a
fixed interest rate of 3.0% to the collateral in the loan
account. As a result, the loan collateral does not participate
in the investment results of the subaccounts nor does it
receive any higher current interest rate credited to the fixed
account. The longer the loan is outstanding, the greater the
effect is likely to be. Depending on the investment results of
the subaccounts and the interest rate credited to the fixed
account, the effect could be favorable or unfavorable.
A Policy loan affects the death benefit because a loan reduces
the death benefit proceeds and Cash Surrender Value by the
amount of the outstanding loan, plus any interest you owe on
Policy loans.
While a loan is outstanding, the "no-lapse guarantee" does not
--------
apply. See Policy Lapse and Reinstatement.
-----
A Policy loan could make it more likely that a Policy would
terminate. There is a risk that if the loan reduces your Cash
Surrender Value to too low an amount and investment results are
unfavorable, then the Policy will lapse, resulting in loss of
insurance and possibly adverse tax consequences. A loan will
likely be taxed as a partial surrender and a 10% penalty tax
may apply.
- --------------------------------------------------------------------------------
Comparison Like fixed benefit life insurance, the Policy offers a death
with Other benefit and provides a Cash Value, loan privileges and a value
Insurance on surrender. However, the Policy differs from a fixed benefit
Policies policy because it allows you to place your premiums in
investment subaccounts. The amount and duration of life
insurance protection will vary with the investment performance
of the amounts you place in the subaccounts. In addition, the
Cash Surrender Value will always vary with the investment
results of your selected subaccounts.
As you consider purchasing this Policy, keep in mind that it
may not be to your advantage to replace existing insurance with
the Policy.
- --------------------------------------------------------------------------------
Illustrations The hypothetical illustrations in this prospectus or used in
connection with the purchase of a Policy are based on
hypothetical rates of return. These rates are not guaranteed,
and are provided only to illustrate how the Policy charges and
hypothetical rates of return affect death benefit levels, Cash
Value and Cash Surrender Value of the Policy. We may also
illustrate Policy values based on the adjusted historical
performance of the portfolios since the portfolios' inception,
reduced by Policy and subaccount charges. The hypothetical and
adjusted historic portfolio rates illustrated should not be
considered to represent past or future performance. Actual
rates of return undoubtedly will be higher or lower than those
illustrated, so the values under your Policy will be different
from those illustrated.
- --------------------------------------------------------------------------------
9
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Portfolio Expense Table
================================================================================
The following table shows the fees and expenses charged by the portfolios. The
purpose of the table is to assist you in understanding the various costs and
expenses that you will bear directly and indirectly. The table reflects charges
and expenses of the portfolios for the fiscal year ended December 31, 1998.
Expenses of the portfolios may be higher or lower in the future. For more
information on the fees and expenses described in this table, see the
portfolios' prospectuses which accompany this prospectus.
Annual Portfolio Operating Expenses (as a percentage of average portfolio
assets)
<TABLE>
<CAPTION>
Portfolio Management Total Annual
Fees Other Expenses Expenses
<S> <C> <C> <C>
AIM V.I. Capital Appreciation 0.62% 0.05% 0.67%
AIM V.I. Government Securities 0.50% 0.26% 0.76%
AIM V.I. Growth & Income 0.61% 0.04% 0.65%
AIM V.I. Value 0.61% 0.05% 0.66%
Dreyfus Money Market 0.50% 0.06% 0.56%
Dreyfus Small Company Stock 0.75% 0.23% 0.98%
Dreyfus Stock Index 0.25% 0.01% 0.26%
MFS Emerging Growth (1)(2) 0.75% 0.10% 0.85%
MFS Research (1)(2) 0.75% 0.11% 0.86%
MFS Total Return (1)(2) 0.75% 0.16% 0.91%
MFS Utilities (1)(2) 0.75% 0.26% 1.01%
Oppenheimer Global Securities 0.68% 0.06% 0.74%
Oppenheimer Growth 0.73% 0.02% 0.75%
Oppenheimer Main Street Growth & Income 0.74% 0.05% 0.79%
Oppenheimer High Income 0.74% 0.04% 0.78%
Oppenheimer Strategic Bond 0.74% 0.06% 0.80%
WRL VKAM Emerging Growth (3) 0.80% 0.09% 0.89%
WRL Janus Global (3)(4) 0.80% 0.15% 0.95%
WRL Janus Growth (3)(5) 0.78% 0.05% 0.83%
</TABLE>
(1) These portfolios have an expense offset arrangement which reduces their
custodian fee based upon the amount of cash maintained by the portfolio
with its custodian and dividend disbursing agent. Each portfolio may enter
into other such arrangements and directed brokerage arrangements, which
would also have the effect of reducing the portfolio's expenses. Expenses
stated in this table do not take into account these expense reductions, and
are therefore higher than the actual expenses of the portfolios.
(2) MFS has agreed to bear expenses for these portfolios, subject to
reimbursement by these portfolios, such that each such portfolio's "Other
Expenses" shall not exceed 0.25% of the average daily net assets of the
portfolio during the current fiscal year. The payments made by MFS on
behalf of each portfolio under this arrangement are subject to
reimbursement by the portfolio to MFS, which will be accomplished by the
payment of an expense reimbursement fee by the portfolio to MFS computed
and paid monthly at a percentage of the portfolio's average daily net
assets for its then current fiscal year with a limitation that immediately
after such payment the portfolio's "Other Expenses" will not exceed the
percentage set forth above for that portfolio. The obligation of MFS to
bear a portfolio's "Other Expenses" pursuant to this arrangement and the
portfolio's obligation to pay the reimbursement fee to MFS, terminates on
the earlier of the date on which payments made by the portfolio equal the
prior payment of such reimbursable expenses by MFS, or December 31, 2004.
MFS may, in its discretion, terminate this arrangement at an earlier date,
provided that the arrangement will continue for each portfolio until at
least May 1, 2000, unless terminated with the consent of the board of
trustees which oversees the portfolio.
(3) Effective January 1, 1997, the Board of the WRL Series Fund, Inc.
authorized the fund to charge each portfolio of the fund, including WRL
VKAM Emerging Growth, WRL Janus Global, and WRL Janus Growth, an annual
Rule 12b-1 fee of up to 0.15% of each portfolio's average daily net assets.
However, the fund will not deduct the fee from any portfolio before April
30, 2000. The fund will provide advance written notice if a Rule 12b-1 fee
is deducted. See the WRL Series Fund, Inc.'s prospectus for more details.
10
<PAGE>
(4) WRL Investment Management, Inc. ("WRL Management") currently waives 0.025%
of its advisory fee for this portfolio's average daily net assets above $2
billion (net fee -- 0.775%). This waiver is voluntary and may be terminated
at any time upon 90 days' notice to the fund.
(5) WRL Management currently waives 0.025% of its advisory fee for the first $3
billion of this portfolio's average daily net assets (net fee -- 0.775%);
and 0.05% for the portfolio's assets above $3 billion (net fee -- 0.75%).
This waiver is voluntary and may be terminated at any time upon 90 days'
notice to the fund.
The Company and the Fixed Account
================================================================================
PFL Life Insurance Company
PFL Life Insurance Company is the insurance company issuing the Policy. PFL was
incorporated under Iowa law on April 19, 1961. PFL established the separate
account to support the investment options under this Policy and under other
variable life insurance policies we may issue. Our general account supports the
fixed account options under the Policy.
IMSA. PFL is a member of the Insurance Marketplace Standards Association
("IMSA"). IMSA members subscribe to a set of ethical standards involving the
sales and service of individually sold life insurance and annuities. As a
member of IMSA, PFL may use the IMSA logo and language in advertisements.
The Fixed Account
The basic fixed account is part of PFL's general account. We use general
account assets to support our insurance and annuity obligations other than those
funded by separate accounts. Subject to applicable law, PFL has sole discretion
over investment of the fixed account's assets. PFL bears the full investment
risk for all amounts contributed to the fixed account. PFL guarantees that the
amounts allocated to the fixed account will be credited interest daily at a net
effective interest rate of at least 3%. We will determine any interest rate
credited in excess of the guaranteed rate at our sole discretion.
The Dollar Cost Averaging Fixed Account. At the time you purchase a Policy, you
may place your entire initial premium in the Dollar Cost Averaging Fixed Account
("DCA Fixed Account"). Money you place in the DCA Fixed Account will earn
interest at an annual rate of at least 3%. We may declare a higher rate of
interest at our sole discretion. We will transfer money out of the DCA Fixed
Account in equal installments over a period of 6 months and place it in the
subaccounts and basic fixed account according to your instructions. The first
such transfer occurs on the Monthly Date after the Reallocation Date. In the
last month of the DCA Fixed Account term, we will transfer interest accrued on
the premium.
There is no charge for participating in the DCA Fixed Account, and transfers
under this program do not count in determining any transfer charge.
We reserve the right to stop offering the DCA Fixed Account at any time for any
reason.
The fixed account is not registered with the Securities and Exchange Commission
and the staff of the Securities and Exchange Commission has not reviewed the
disclosure in this prospectus relating to the fixed account.
11
<PAGE>
The Variable Account and the Portfolios
================================================================================
The Variable Account
PFL established the variable account as a separate investment account under Iowa
law on November 20, 1998. PFL owns the assets in the variable account and is
obligated to pay all benefits under the Policies. PFL may use the variable
account to support other variable life insurance policies PFL issues. The
variable account is registered with the Securities and Exchange Commission as an
unit investment trust under the Investment Company Act of 1940 and qualifies as
a "separate account" within the meaning of the Federal securities laws.
The variable account is divided into subaccounts, each of which invests in
shares of a specific portfolio of one of the following mutual funds:
[_] AIM Variable Insurance Funds, Inc. [_] MFS Variable Insurance Trust
(managed by AIM Advisors, Inc.) (managed by Massachusetts
Financial Services Company)
[_] Dreyfus Variable Investment Fund [_] Oppenheimer Variable Account
(managed by The Dreyfus Corporation) Funds (managed by Oppenheimer
Funds, Inc.)
[_] Dreyfus Stock Index Fund (managed [_] WRL Series Fund, Inc.
by The Dreyfus Corporation) (managed by WRL Investment
Management, Inc.)
The subaccounts buy and sell portfolio shares at net asset value. Any dividends
and distributions from a portfolio are reinvested at net asset value in shares
of that portfolio.
Income, gains, and losses credited to, or charged against, a subaccount of the
variable account reflect the subaccount's own investment experience and not the
investment experience of our other assets. The variable account's assets may
not be used to pay any of PFL's liabilities other than those arising from the
Policies. If the variable account's assets exceed the required reserves and
other liabilities, we may transfer the excess to our general account.
The variable account may include other subaccounts that are not available under
the Policies and are not discussed in this prospectus. Where permitted by
applicable law, PFL reserves the right to:
1. Create new separate accounts;
2. Combine separate accounts, including the variable account;
3. Remove, combine or add subaccounts and make the new subaccounts
available to you at our discretion;
4. Make new portfolios available under the variable account or remove
existing portfolios;
5. Substitute new portfolios for any existing portfolios if shares of the
portfolio are no longer available for investment or if we determine
that investment in a portfolio is no longer appropriate in light of
the variable account's purposes;
6. Deregister the variable account under the Investment Company Act of
1940 if such registration is no longer required;
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<PAGE>
7. Operate the variable account as a management investment company under
the Investment Company Act of 1940 or as any other form permitted by
law; and
8. Make any changes required by the Investment Company Act of 1940 or any
other law.
We will not make any such changes without receiving any necessary approval of
the Securities and Exchange Commission and applicable state insurance
departments. We will notify you of any changes.
The Portfolios
The variable account invests in shares of certain portfolios of the Funds. Each
of the Funds is registered with the Securities and Exchange Commission as an
open-end management investment company. Such registration does not involve
supervision of the management or investment practices or policies of the Funds
by the Securities and Exchange Commission.
Each portfolio's assets are held separate from the assets of the other
portfolios, and each portfolio has investment objectives and policies that are
different from those of the other portfolios. Thus, each portfolio operates as
a separate investment fund, and the income or losses of one portfolio generally
have no effect on the investment performance of any other portfolio. Pending
any prior approval by a state insurance regulatory authority, certain
subaccounts and corresponding portfolios may not be available to residents of
some states.
The following table summarizes each portfolio's investment objective(s) and
policies. There is no assurance that any of the portfolios will achieve its
stated objective(s). You can find more detailed information about the
portfolios, including a description of risks, in the prospectuses for the Funds.
You should read the Funds' prospectuses carefully.
Portfolio Investment Objective
- --------- --------------------
AIM V.I. Capital . Seeks capital appreciation through investments in
Appreciation common stocks, with emphasis on medium-sized and
smaller emerging growth companies.
Aim V.I. . Seeks to achieve a high level of current income
Government consistent with reasonable concern for safety of
Securities principal by investing in debt securities issued,
guaranteed or otherwise backed by the United States
Government.
AIM V.I. . Seeks growth of capital, with current income as a
Growth & secondary objective.
Income
AIM V.I. Value . Seeks to achieve long-term growth of capital by
investing primarily in equity securities judged by
the investment adviser to be undervalued relative to
the current or projected earnings of the companies
issuing the securities, or relative to current market
values of assets owned by the companies issuing the
securities or relative to the equity markets
generally. Income is a secondary objective.
Dreyfus Money . Seeks to provide as high a level of current income
Market as is consistent with the preservation of capital
and the maintenance of liquidity.
Dreyfus Small . Seeks to provide investment results that are greater
Company Stock than the total return performance of publicly-traded
common stocks in the aggregate, as represented by the
Russell 2500(R) Index.
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<PAGE>
Portfolio Investment Objective
- --------- --------------------
Dreyfus Stock . Seeks to provide investment results that correspond to
the price and yield performance INDEX of publicly traded
common stocks in the aggregate, as represented by the
Standard & Poor's 500(R) Composite Stock Price Index.
MFS Emerging . Seeks to provide long-term growth of capital.
Growth
MFS Research . Seeks to provide long-term growth of capital and future
income.
MFS Total . Seeks to provide above-average income (compared to a
Return portfolio invested entirely in equity securities)
consistent with the prudent employment of capital, and
secondarily to provide a reasonable opportunity for
growth of capital and income.
MFS Utilities . Seeks capital growth and current income (income above
that available from a portfolio invested entirely in
equity securities).
Oppenheimer . Seeks long-term capital appreciation by investing a
Global substantial portion of its assets in securities of
Securities foreign issuers, "growth-type" companies, cyclical
industries and specialsituations which are considered to
have appreciation possibilities, but which may be
considered to be speculative.
Oppenheimer . Seeks to achieve capital appreciation by investing in
Growth securities of well-known established companies.
Oppenheimer . Seeks a high total return (which includes growth in the
Main Street value of its shares as well as current income) from
Growth & equity and debt securities.
Income
Oppenheimer . Seeks a high level of current income from investment in
High Income high yield fixed-income securities. High Income's
investments include unrated securities or high risk
securities in the lower rating categories, commonly known
as "junk bonds," which are subject to a greater risk of
loss of principal and nonpayment of interest than higher-
rated securities.
Oppenheimer . Seeks a high level of current income principally derived
Strategic Bond from interest on debt securities and seeks to enhance
such income by writing covered call options on debt
securities.
WRL VKAM . Seeks capital appreciation by investing primarily in
Emerging common stocks of small and medium sized companies.
Growth
WRL Janus . Seeks long-term growth of capital in a manner
Global consistent with preservation of capital, tocks of foreign
and domestic issuers.
WRL Janus . Seeks growth of capital by investing primarily in
Growth common stocks listed on a national securities exchange or
traded on NASDAQ.
In addition to the variable account, the portfolios may sell shares to other
separate investment accounts established by other insurance companies to support
variable annuity contracts and variable life insurance policies or qualified
retirement plans. It is possible that, in the future, it may become
disadvantageous for variable life insurance separate accounts and variable
annuity separate accounts to invest in the portfolios simultaneously. Although
neither PFL nor the portfolios currently foresee any such disadvantages, either
to variable life insurance policy owners or to variable annuity contract owners,
each fund's Board of Directors (Trustees) will monitor events in order to
identify any material conflicts between the interests of such variable life
insurance policy owners and variable annuity contract owners,
14
<PAGE>
and will determine what action, if any, it should take. Such action could
include the sale of fund shares by one or more of the separate accounts, which
could have adverse consequences. Material conflicts could result from, for
example, (1) changes in state insurance laws, (2) changes in Federal income tax
laws, or (3) differences in voting instructions between those given by variable
life insurance policy owners and those given by variable annuity contract
owners.
If a fund's Board of Directors (Trustees) were to conclude that separate funds
should be established for variable life insurance and variable annuity separate
accounts, then variable life insurance policy owners and variable annuity
contract owners would no longer have the economies of scale resulting from a
larger combined fund.
These portfolios are not available for purchase directly by the general public,
and are not the same as other portfolios with very similar or nearly identical
names that are sold directly to the public. However, the investment objectives
and policies of certain portfolios available under the Policy are very similar
to the investment objectives and policies of other portfolios that are or may be
managed by the same investment adviser or manager. Nevertheless, the investment
performance and results of the portfolios available under the Policy may be
lower or higher than the investment results of such other (publicly available)
portfolios. There can be no assurance, and we make no representation, that the
investment results of any of the portfolios available under the Policy will be
comparable to the investment results of any other portfolio, even if the other
portfolio has the same investment adviser or manager, the same investment
objectives and policies, and a very similar name.
Please read the attached portfolio prospectuses to obtain more complete
information regarding the portfolios. Keep these prospectuses for future
reference.
Your Right to Vote Portfolio Shares
Even though we are the legal owner of the portfolio shares held in the
subaccounts, and have the right to vote on all matters submitted to shareholders
of the portfolios, we will vote our shares only as Policy owners instruct, so
long as such action is required by law.
Before a vote of a portfolio's shareholders occurs, you will receive voting
materials. We will ask you to instruct us on how to vote and to return your
proxy to us in a timely manner. You will have the right to instruct us on the
number of portfolio shares that corresponds to the amount of Cash Value you have
in that portfolio (as of a date set by the portfolio).
If we do not receive voting instructions on time from some owners, we will vote
those shares in the same proportion as the timely voting instructions we
receive. Should Federal securities laws, regulations and interpretations change,
we may elect to vote portfolio shares in our own right. If required by state
insurance officials, or if permitted under Federal regulation, we may disregard
certain owner voting instructions. If we ever disregard voting instructions, we
will send you a summary in the next annual report to Policy owners advising you
of the action and the reasons we took such action.
15
<PAGE>
The Policy
================================================================================
Purchasing a Policy
To purchase a Policy, you must submit a completed application and an initial
premium to us at our Office. You may also send the application and initial
premium to us through any licensed life insurance agent who is also a registered
representative of a broker-dealer having a selling agreement with AFSG
Securities Corporation, the principal underwriter for the Policy.
We determine the basic death benefit for a Policy based on the age of the
insured when we issue the Policy, the initial premium paid, and other
characteristics of the proposed insured(s) such as age, gender and risk class.
Generally, the Policy is available for insureds between issue ages 30-80 for
standard risk classes, and between issue ages 30-70 for non-standard risk
classes. We use different underwriting standards (simplified underwriting, or
full underwriting) in relation to the Policy. We can provide you with details as
to these underwriting standards when you apply for a Policy. We must receive
evidence of insurability that satisfies our underwriting standards before we
will issue a Policy. We reserve the right: (1) to modify our underwriting
requirements at any time; or (2) to reject an application for any reason
permitted by law. There is no insurance coverage until we complete our
underwriting process and accept the application.
When Insurance Coverage Takes Effect
Once we determine that the insured meets our underwriting requirements,
insurance coverage begins, we issue the Policy, and we begin to deduct monthly
charges from your premium. This date is the Policy Date. On the Policy Date, we
will allocate your premium (less charges) to the fixed account. On the
Reallocation Date, we will transfer your Cash Value from the fixed account to
the subaccounts or maintain your Cash Value in the fixed account as you directed
on your application. The Reallocation Date varies by state according to a
state's free look requirement. In states that require a full refund of premium
upon exercise of the free look right, the Reallocation Date is 5 days after the
end of the free look period. In other states, the Reallocation Date is the
Policy Date.
Full insurance coverage under the Policy will take effect only if the proposed
insured is alive and in the same condition of health as described in the
application when we deliver the Policy to you, and if the initial premium is
paid.
Extending the Maturity Date
You may request to extend the Maturity Date for your Policy. You must make your
request in writing and we must receive it at least 90 days, but no more than 180
days, prior to the scheduled Maturity Date. After you extend the Maturity Date,
we will automatically extend your Maturity Date every year unless you direct us
in writing to do otherwise. Interest on any outstanding Policy loan will
continue to accrue during the period for which the Maturity Date is extended.
The Cash Value at the Maturity Date will be equal to the death benefit, less any
indebtedness. If you choose to extend the Maturity Date, the Cash Value will
continue to earn interest and no monthly deductions will be deducted from the
Cash Value.
16
<PAGE>
Ownership Rights
The Policy belongs to the owner named in the application. The owner may exercise
all of the rights and options described in the Policy. The owner is the insured
unless the application specifies a different person as the insured. If the owner
dies before the insured and no contingent owner is named, then ownership of the
Policy will pass to the owner's estate. The owner may exercise certain rights
described below.
Changing the Owner
. You may change the owner by providing a written request to us at any
time while the insured is alive.
. The change takes effect on the date that the written request is signed.
. We are not liable for any actions we take before we receive the written
request.
. Changing the owner does not automatically change the beneficiary or the
insured.
. Changing the owner may have tax consequences.
Selecting and Changing the Beneficiary
. You designate the beneficiary (the person to receive the death benefit
when the insured dies) in the application.
. If you designate more than one beneficiary, then each beneficiary shares
equally in any death benefit proceeds unless the beneficiary designation
states otherwise.
. If the beneficiary dies before the insured, then any contingent
beneficiary becomes the beneficiary.
. If both the beneficiary and contingent beneficiary die before the
insured, then we will pay the death benefit to the owner or the owner's
estate once the insured dies.
. You can change the beneficiary by providing us with a written request
while the insured is living.
. The change in beneficiary is effective as of the date you sign the
written request.
. We are not liable for any actions we take before we receive the written
request.
Assigning the Policy
. You may assign Policy rights while the insured is alive.
. The owner retains any ownership rights that are not assigned.
. Assignee may not change the owner or the beneficiary, and may not elect
or change an optional method of payment. We will pay any amount payable
to the assignee in a lump sum.
. Claims under any assignment are subject to proof of interest and the
extent of the assignment.
. If you assign your Policy as collateral for a loan, you should consider
that loans secured by this Policy are treated as distributions and could
be subject to income tax and a 10% penalty if you are under age 59 1/2.
. We are not:
. bound by any assignment unless we receive a written notice of the
assignment;
. responsible for the validity of any assignment; or
. liable for any actions we take before we receive written notice of
the assignment.
. Assigning the Policy may have tax consequences.
17
<PAGE>
Canceling a Policy
You may cancel a Policy during the free-look period by returning it to PFL at
4333 Edgewood Road, N.E., Cedar Rapids, Iowa 52499, or to the agent who sold it.
The free-look period generally expires 10 days after you receive the Policy, but
this period will be longer if required by state law. If you decide to cancel the
Policy during the free-look period, we will treat the Policy as if we never
issued it. Within seven calendar days after we receive the returned Policy, we
will refund either (a) an amount equal to the Cash Value plus any charges we
deducted, or (b) where required by state law, we will refund all premiums paid
for the Policy.
Premiums
================================================================================
Premium Payments
Before we issue a Policy, you must pay an initial premium equal to at least
$10,000. Thereafter, you may pay premiums at any time and in any amount of
$5,000 or more. However, because most additional premium payments will increase
the death benefit, we will require additional underwriting for most additional
premium payments. We reserve the right to limit the number and amount of any
premium payments. You make all premium payments to our Office or to one of our
authorized agents.
We have the right to limit or refund any premium, if the premium would
disqualify the Policy as a life insurance contract under the Internal Revenue
Code. Your Policy's schedule page will show the maximum additional premium you
can pay during the first two Policy Years without additional underwriting. If we
return a portion of your premium based on the maximum premium amount, we will
not allow you to make additional premium payments until they are allowed by the
maximum premium limitations. We reserve the right to modify our premium
limitations at any time.
You can stop paying premiums at any time and your Policy will continue in force
until the earlier of the maturity date (when the insured reaches age 100), or
the date when either (1) the insured dies, or (2) the grace period ends without
a sufficient payment, or (3) we receive your signed request to surrender the
Policy.
Tax-Free Exchanges (1035 Exchanges). We may accept as part of your initial
premium money from one contract that qualified for a tax-free exchange under
Section 1035 of the Internal Revenue Code, contingent upon receipt of the cash
from that contract. We will accept a Section 1035 exchange of a contract with an
outstanding loan; however, we will not preserve the loan (i.e., you will pay off
the loan and transfer the net policy value). If you contemplate a tax-free
exchange, you should consult a competent tax advisor to discuss the potential
tax effects of such a transaction.
Allocating Premiums
When you apply for a Policy, you must instruct us to allocate your net premium
to one or more subaccounts of the variable account and to the fixed account
according to the following rules:
. You must put at least 1% of each net premium in any subaccount or the
fixed account you select (you can, of course, put nothing in some
subaccounts or the fixed account).
. Allocation percentages must be in whole numbers and the sum of the
percentages must equal 100.
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<PAGE>
. You can change the allocation instructions for additional premiums
without charge at any time by providing us with written notification (or
any other notification we deem satisfactory).
. Any allocation change will be effective on the date we record the
change.
. We reserve the right to limit the number of premium allocation changes;
and to limit the number of subaccount allocations in effect at any one
time.
We will credit interest on your initial net premium from the date we receive
payment and the necessary documents to the Reallocation Date. Interest will be
credited at the current fixed account rate. Interest is guaranteed to equal at
least 3% annually.
Investment returns from amounts allocated to the subaccounts will vary with the
investment experience of these subaccounts and will be reduced by Policy
charges. You bear the entire investment risk for amounts you allocate to the
subaccounts.
On the Policy Date, we will allocate your Cash Value to the fixed account. We
also allocate any net premiums we receive from the Policy Date to the
Reallocation Date to the fixed account. On the Reallocation Date, we will
reallocate the Cash Value in the fixed account to the subaccounts or retain it
in the fixed account in accordance with the allocation percentages provided in
the application. We invest all net premiums paid after the Reallocation Date on
the Valuation Date we receive them. We credit these net premiums to the
subaccounts (as appropriate) at the unit value next determined after we receive
your payment. (Please refer to the Glossary for an explanation of the
Reallocation Date.)
Policy Values
================================================================================
Cash . serves as the starting point for calculating values under a
Value Policy;
. equals the sum of all values in the fixed account and in each
subaccount of the variable account;
. is determined on the Policy Date and on each Valuation Date;
and
. has no guaranteed minimum amount and may be more or less than
premiums paid (except for amounts allocated to the fixed
account).
Growth Accelerator
At the end of each month in any Policy year, we will credit your Cash Value with
additional interest at an annual rate of 0.50% if your Policy satisfies the
following requirements at the beginning of the Policy year:
. Cash Value is greater than 200% of the total premiums paid; and
. Cash Value exceeds $50,000.
We will allocate the additional interest to the variable account and the fixed
account on a pro-rata basis. We guarantee to credit the monthly interest
(0.04167% multiplied by the Cash Value at the end of each month); however, the
Policy needs to be requalified to meet the specified requirements on a year-to-
year basis. There is no charge for this benefit.
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<PAGE>
Cash Surrender Value
The Cash Surrender Value is the amount we pay to you when you surrender your
Policy. We determine the Cash Surrender Value at the end of the Valuation Period
when we receive your written surrender request.
Cash Surrender . the Cash Value as of such date; minus
Value on any . any surrender charge as of such date; minus
Valuation Date . any outstanding Policy loans; minus
equals: . any interest you owe on the Policy loans.
Subaccount Value
Each subaccount's value is the Cash Value in that subaccount. At the end of any
Valuation Period, the subaccount's value is equal to the number of units that
the Policy has in the subaccount, multiplied by the unit value of that
subaccount.
The number of . the initial units purchased at the unit value on the
units in any Policy Date; plus
subaccount on . units purchased with additional net premiums; plus
any Valuation . units purchased via transfers from another subaccount
Date equals: or the fixed account; plus
. units purchased via growth accelerator, if any; minus
. units redeemed to pay for monthly deductions; minus
. units redeemed to pay for partial surrenders; minus
. units redeemed as part of a transfer to another
subaccount or the fixed account.
Every time you allocate or transfer money to or from a subaccount, we convert
that dollar amount into units. We determine the number of units we credit to, or
subtract from, your Policy by dividing the dollar amount by the unit value for
that subaccount at the end of the Valuation Period.
Unit Value
We determine a unit value for each subaccount to reflect how investment results
affect the Policy values. Unit values will vary among subaccounts. The unit
value of each subaccount was originally established at $10 per unit. The unit
value may increase or decrease from one Valuation Period to the next.
The unit value of . the total value of the assets held in the subaccount,
any subaccount at determined by multiplying the number of shares of the
the end of a designated portfolio owned by the subaccount times the
Valuation Period portfolio's net asset value per share; minus
is calculated as: . a deduction for the mortality and expense risk charge;
minus
. the accrued amount of reserve for any taxes or other
economic burden resulting from applying tax laws that
we determine to be properly attributable to the
subaccount; and the result divided by
. the number of outstanding units in the subaccount.
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<PAGE>
Fixed Account Value
On the Policy Date, the fixed account value is equal to the net premiums
allocated to the fixed account, less the portion of the first monthly deduction
taken from the fixed account.
The fixed account . the net premium(s) allocated to the fixed account;
value at the end of plus
any Valuation Period . any amounts transferred to the fixed account; plus
is equal to: . interest credited to the fixed account; plus
. amount credited via growth accelerator, if any; minus
. amounts charged to pay for monthly deductions; minus
. amounts withdrawn from the fixed account; minus
. amounts transferred from the fixed account to a
subaccount.
Charges and Deductions
================================================================================
This section describes the charges and deductions that we make under the Policy
to compensate for: (1) the services and benefits we provide; (2) the costs and
expenses we incur; and (3) the risks we assume.
Services and . the death benefit, cash and loan benefits under the
benefits we Policy
provide: . investment options, including premium allocations
. administration of elective options and the
distribution of reports to owners
--------------------------------------------------------
Costs and . costs associated with processing and underwriting
expenses we incur: applications, issuing and administering the Policy
. overhead and other expenses for providing services
and benefits
. sales and marketing expenses
. other costs of doing business, such as collecting
premiums, maintaining records, processing claims,
effecting transactions, and paying Federal, state and
local premium and other taxes and fees
--------------------------------------------------------
Risks we assume: . that the cost of insurance charges we may deduct are
insufficient to meet our actual claims because
insureds die sooner than we estimate
. that the costs of providing the services and benefits
under the Policies exceed the charges we deduct
--------------------------------------------------------
Premium Expense Charge
When you make a premium payment, we deduct a premium expense charge equal to the
premium tax imposed by the state where we issue your Policy. State premium taxes
currently range from 0.50% to 3.50% of each premium payment. After we deduct any
premium expense charge, we apply the remaining amount (the net premium) to the
subaccounts and the fixed account according to your allocation instructions. The
premium expense charge compensates us for state premium taxes.
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<PAGE>
Monthly Deduction
We deduct a monthly deduction from the Cash Value on the Policy Date and on each
Monthly Date. We will make deductions from each subaccount and the fixed account
on a pro rata basis (i.e., in the same proportion that the value in each
subaccount and the fixed account bears to the total Cash Value on the Monthly
Date). If the value of any subaccount or the fixed account is insufficient to
pay that subaccount or fixed account's portion of the monthly deduction, we will
take the monthly deduction on a pro-rata basis from all accounts. Because
portions of the monthly deduction (such as the cost of insurance) can vary from
month-to-month, the monthly deduction will also vary.
The monthly deduction has two components:
1. The cost of insurance charge for the Policy; plus
2. The monthly Policy charge, if applicable.
Cost of Insurance. We assess a monthly cost of insurance charge to compensate us
for underwriting the death benefit (i.e., the anticipated cost of paying the
amount of the death benefit that exceeds your Cash Surrender Value upon the
insured's death). The charge depends on a number of variables (age, gender, risk
class) that would cause it to vary from Policy to Policy and from Monthly Date
to Monthly Date.
Cost of The cost of insurance charge is equal to:
Insurance
Charge . the cost of insurance rates; multiplied by
. the net amount at risk for your Policy on the Monthly Date.
The net amount at risk is equal to:
. the death benefit at the beginning of the month; divided by
. a "risk rate divisor" (a factor that reduces the net amount
at risk, for purposes of computing the cost of insurance, by
taking into account assumed monthly earnings at an annual
rate of 3%); minus
. the Cash Value at the beginning of the month.
We base the cost of insurance rates on the insured's age, gender, and risk
class. The actual monthly cost of insurance rates are based on our expectations
as to future mortality experience. The rates will never be greater than the
guaranteed amount stated in your Policy. These guaranteed rates are based on the
1980 Commissioner's Standard Ordinary (C.S.O.) Mortality Tables (smoker/non-
smoker) and the insured's age and rate class. For standard rate classes, these
guaranteed rates will never be greater than the rates in the C.S.O. tables. When
required, we use a unisex table.
Monthly Policy Charge. We assess a monthly Policy charge to compensate us for
administrative expenses such as record keeping, processing death benefit claims
and Policy changes, and overhead costs. The monthly Policy charge includes two
components:
(1) a monthly administrative charge of $2.50 if the Cash Value at the
beginning of a Policy year is less than $50,000; and
(2) a monthly asset based charge equal to an annual rate of 0.55% of the
assets in the variable account. We deduct this charge from the assets
in the variable account during the first 10 Policy years.
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<PAGE>
Daily Charge
We deduct a daily charge from each subaccount to compensate us for certain
mortality and expense risks we assume. The mortality risk is that an insured
will live for a shorter time than we project. The expense risk is that the
expenses that we incur will exceed the administrative charge limits we set in
the Policy. The daily charge is equal to:
. the assets in each subaccount, multiplied by
. the daily pro rata portion of the annual charge rate of 0.75%.
If this charge does not cover our actual costs, we absorb the loss. Conversely,
if the charge more than covers actual costs, the excess is added to our surplus.
We expect to profit from this charge. We may use any profits for any lawful
purpose including covering distribution costs.
Surrender Charge
If you fully surrender your Policy during the first 6 Policy years following any
premium payment, we deduct a surrender charge from your Cash Value and pay the
remaining amount (less any outstanding loan amount) to you. The payment you
receive is called the Cash Surrender Value. The surrender charge is equal to 7%
of the premium(s) that was paid within 6 years of the surrender.
The surrender charge may be significant. You should carefully calculate this
charge before you request a surrender. Under some circumstances the level of
surrender charges might result in no Cash Surrender Value available if you
surrender your Policy in the first few years after paying a premium.
Partial Surrender Charge
You may request partial surrenders of a portion of the Cash Surrender Value;
however, the entire amount surrendered in the first Policy year is subject to a
surrender charge. After the first Policy year, you may partially surrender
amounts up to your Policy's gain (Cash Value minus premium) free of charge. We
deduct a 7% surrender charge on the portion of any partial surrender that
exceeds the gain and is attributable to a premium paid within 6 Policy years
prior to the partial surrender. For this purpose, we deem any gain to be
withdrawn first, and then the oldest premiums in the order they were paid (i.e.,
first-in-first-out, or "FIFO").
Transfer Charge
. We guarantee that you can make 12 transfers each year free from
charge. We currently allow an unlimited number of free transfers.
. We reserve the right to charge $10 for each transfer in excess of 12
during a Policy Year. We will not increase this charge.
. For purposes of assessing the transfer charge, each written or
telephone request is considered to be one transfer, regardless of the
number of subaccounts (or fixed account) affected by the transfer.
. We deduct the transfer charge from the amount being transferred.
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<PAGE>
. Transfers we effect on the Reallocation Date, and transfers due to
dollar cost averaging, asset rebalancing, and loans, do not count as
transfers for the purpose of assessing this charge.
Portfolio Expenses
The value of the net assets of each subaccount reflects the investment advisory
fees and other expenses incurred by the corresponding portfolio in which the
subaccount invests. See the Portfolio Annual Expenses Table in this prospectus,
and the portfolios' prospectuses for further information on these fees and
expenses.
Death Benefit
==============================================================================
Death Benefit
While the Policy is in force, the death benefit is the greater of:
(1) the Basic Death Benefit; or
(2) the Guaranteed Minimum Death Benefit ("GMDB").
. Basic Death Benefit: The Basic Death Benefit is the minimum amount that
must be payable at the insured's death, before reduction for any
outstanding loans, for the Policy to be treated as life insurance under the
Internal Revenue Code. We determine the Basic Death Benefit by dividing the
Cash Value by the net single premium. The net single premium is calculated
using guaranteed cost of insurance charges with a 4.5% interest rate. The
Basic Death Benefit will change monthly due to changes in the Cash Value.
The net single premium will change annually.
. Guaranteed Minimum Death Benefit: Until the insured's age 75, the GMDB is
the greater of premiums paid (less partial surrenders) or the highest Cash
Value on a Policy anniversary (adjusted for subsequent partial surrenders).
At age 75, the GMDB remains fixed for the remainder of the Policy. For
Policies issued after age 74, the GMDB will be the premiums paid less
partial surrenders. If you take a partial surrender, the GMDB is reduced on
a "dollar for dollar" basis.
As long as the Policy is in force, we will pay the death benefit proceeds on an
individual Policy once we receive satisfactory proof of the insured's death. We
may require return of the Policy. We will pay the death benefit proceeds to the
primary beneficiary or a contingent beneficiary. If the beneficiary dies before
the insured and there is no contingent beneficiary, we will pay the death
benefit proceeds to the Owner or the Owner's estate. We will pay the death
benefit proceeds in a lump sum or under a payment option. See Payment Options.
Death benefit . the death benefit (described above); minus
proceeds equal: . any past due monthly deductions; minus
. any outstanding Policy loan on the date of death; minus
. any interest you owe on the Policy loan(s).
If all or part of the death benefit proceeds are paid in one sum, we will pay
interest on this sum only if required by applicable state law, from the date we
receive due proof of the insured's death to the date we make payment.
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<PAGE>
We may further adjust the amount of the death benefit proceeds under certain
circumstances. See Our Right to Contest the Policy; and Misstatement of Age or
Sex.
Payment Options
There are several ways of receiving proceeds under the death benefit and
surrender provisions of the Policy, other than in a lump sum. Information
concerning these settlement options is available on request.
Full and Partial Surrenders
================================================================================
Full Surrenders
You may make a written request to surrender your Policy for its Cash Surrender
Value as calculated at the end of the Valuation Date when we receive your
request.
Full surrender . The insured must be alive and the Policy must be in force
conditions: when you make your written request. A surrender is effective
as of the date when we receive your written request. We may
require that you return the Policy.
. You will incur a surrender charge of 7% of any premium
payments made within 6 years before the surrender. See
Charges and Deductions -- Surrender Charge.
. Once you surrender your Policy, all coverage and other
benefits under it cease.
. We will pay you the Cash Surrender Value in a lump sum
within seven days unless you request other arrangements.
Surrendering the Policy may have adverse tax consequences. See Federal Tax
Considerations - Tax Treatment of Policy Benefits.
Partial Surrenders
You may request a partial surrender of a portion of your Cash Value subject to
certain conditions.
. You must make your partial surrender request to us in writing.
. You must request at least $500.
. You may withdraw up to the Policy's gain (Cash Value minus premiums)
free of charge after the first Policy year.
. At least $5,000 of Cash Surrender Value must remain in the Policy
after the partial surrender.
. We assess a surrender charge equal to 7% of the whole amount
surrendered in the first Policy year.
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<PAGE>
. We assess a surrender charge equal to 7% of the portion of any partial
surrender after the first Policy year that exceeds the gain and is
attributable to a premium payment made within 6 years before the
partial surrender. See Charges and Deductions -- Partial Surrenders.
. We deduct the surrender charge from the remaining Cash Value.
. You can specify the subaccount(s) and fixed account from which to make
the partial surrender; otherwise we will deduct the amount (including
any partial surrender charge) from the subaccounts and the fixed
account on a pro-rata basis (that is, according to the percentage of
Cash Value contained in each subaccount and the fixed account).
. We will process the partial surrender at the unit values next
determined after we receive your request.
. We generally will pay a partial surrender request within seven days
after the Valuation Date when we receive the request.
Partial surrenders may have adverse tax consequences. See Federal Tax
Considerations - Tax Treatment of Policy Benefits.
Transfers
================================================================================
You may make transfers from (i.e., out of) the subaccounts or from the fixed
account. We determine the amount you have available for transfers at the end of
the Valuation Period when we receive your transfer request. We may modify or
revoke the transfer privilege at any time. The following features apply to
transfers under the Policy:
. You may make an unlimited number of transfers in a Policy Year.
. You may request transfers in writing (in a form we accept), or by
telephone.
. For transfers out of the variable subaccounts, you must transfer at
least $500, or, if less, the total value in the subaccount.
. For transfers out of the fixed account, you may not transfer more than
25% of the value in the fixed account (not including amounts securing
Policy loans), or $1,000 (whichever is greater). If the balance after
the transfer is less than $1,000, we will transfer the entire amount
in the fixed account. We allow one transfer out of the fixed account
every 12 months.
. We may deduct a $10 charge from the amount transferred for the 13th
and each additional transfer in a Policy Year. Transfers we effect on
the Reallocation Date, and transfers resulting from loans, dollar cost
averaging and asset rebalancing are not treated as transfers for the
purpose of the transfer charge.
. We consider each written or telephone request to be a single transfer,
regardless of the number of subaccounts (or fixed account) involved.
. We process transfers based on unit values determined at the end of the
Valuation Date when we receive your transfer request.
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<PAGE>
Your Policy, as applied for and issued, will automatically receive telephone
transfer privileges unless you provide other instructions. The telephone
transfer privileges allow you to give authority to the registered representative
or agent of record for your Policy to make telephone transfers and to change the
allocation of future payments among the subaccounts and the fixed account on
your behalf according to your instructions. To make a telephone transfer, you
may call 1-800-732-7754.
Please note the following regarding telephone transfers:
. We are not liable for any loss, damage, cost or expense from complying
with telephone instructions we reasonably believe to be authentic. You
bear the risk of any such loss.
. We will employ reasonable procedures to confirm that telephone
instructions are genuine.
. Such procedures may include requiring forms of personal identification
prior to acting upon telephone instructions, providing written
confirmation of transactions to you, and/or tape recording telephone
instructions received from you.
. If we do not employ reasonable confirmation procedures, we may be liable
for losses due to unauthorized or fraudulent instructions.
The corresponding portfolio of any subaccount determines its net asset value per
each share once daily, as of the close of the regular business session of the
New York Stock Exchange ("NYSE") (usually 4:00 p.m. Eastern time), which
coincides with the end of each Valuation Period. Therefore, we will process any
transfer request we receive after the close of the regular business session of
the NYSE, using the net asset value for each share of the applicable portfolio
determined as of the close of the next regular business session of the NYSE.
Dollar Cost Averaging
When purchasing a Policy, you may place some or all of your initial net premium
in the Dollar Cost Averaging Fixed Account ("DCA Fixed Account"). Dollar cost
averaging is an investment strategy designed to reduce the investment risks
associated with market fluctuations. The strategy spreads the allocation of
your premium into the subaccounts over a period of time. This allows you to
potentially reduce the risk of investing most of your premium into the
subaccounts at a time when prices are high. The success of this strategy is not
assured and depends on market trends. You should carefully consider your
financial ability to continue the program over a long enough period of time to
purchase units when their value is low as well as when it is high.
Money you place in the DCA Fixed Account will earn interest at an annual rate of
at least 3%. We will transfer money out of the DCA Fixed Account in equal
installments over a specified period of 6 months (or other periods available at
issue) and place it in the subaccounts and fixed account according to your
instructions.
We may credit different interest rates for dollar cost averaging programs of
varying time periods. If you discontinue the dollar cost averaging program
before its completion, then the interest credited on amounts in the DCA Fixed
Account may be adjusted downward, but not below the minimum guaranteed effective
annual interest rate of 3%.
There is no charge for dollar cost averaging. A transfer under this program is
not considered a transfer for purposes of assessing the transfer fee.
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<PAGE>
Dollar cost . we receive your request to cancel your participation;
averaging will . the value in the DCA Fixed Account is depleted;
terminate if: . you elect to participate in the asset rebalancing program;
or
. you elect to participate in any asset allocation services
provided by a third party.
We may modify, suspend, or discontinue the dollar cost averaging program at any
time.
Asset Rebalancing Program
We also offer an asset rebalancing program under which we will automatically
transfer amounts periodically to maintain a particular percentage allocation
among the subaccounts. Cash Value allocated to each subaccount will grow or
decline in value at different rates. The asset rebalancing program
automatically reallocates the Cash Value in the subaccounts at the end of each
period to match your Policy's currently effective premium allocation schedule.
The asset rebalancing program will transfer Cash Value from those subaccounts
that have increased in value to those subaccounts that have declined in value
(or not increased as much). Over time, this method of investing may help you
buy low and sell high. The asset rebalancing program does not guarantee gains,
nor does it assure that any subaccount will not have losses. Cash Value in the
fixed account and the DCA Fixed Account are not available for this program.
To participate in the . you must complete an asset rebalancing request form and
asset rebalancing submit it to us before the maturity date
program: . you must have a minimum Cash Value of $10,000.
You may elect for asset rebalancing to occur on each quarterly, semi-annual or
annual anniversary of the Policy Date. You may modify your allocations
quarterly. Once we receive the asset rebalancing request form, we will effect
the initial rebalancing of Cash Value on the next such anniversary, in
accordance with the Policy's current premium allocation schedule. We will
credit the amounts transferred at the unit value next determined on the dates
the transfers are made. If a day on which rebalancing would ordinarily occur
falls on a day on which the New York Stock Exchange ("NYSE") is closed,
rebalancing will occur on the next day the NYSE is open. There is no charge for
the asset rebalancing program. Any reallocation which occurs under the asset
rebalancing program will not be counted towards the 12 free transfers allowed
during each Policy Year. You can begin or end this program only once each
Policy year. We may modify, suspend, or discontinue the asset rebalancing
program at any time.
Asset rebalancing . you elect to participate in the DCA Fixed Account;
will cease if: . we receive your request to discontinue participation;
. you make a transfer to or from any subaccount other than
under a scheduled rebalancing; or
. you elect to participate in any asset allocation services
provided by a third party
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<PAGE>
Loans
===============================================================================
While the Policy is in force, you may borrow money from us using the Policy as
the only security for the loan. A loan that is taken from, or secured by, a
Policy may have tax consequences.
Loan conditions:
. You may take a loan against the Policy for amounts from $500 up to 90% of
the Cash Value net of any surrender charge, minus outstanding loans and
any interest you owe.
. To secure the loan, we transfer an amount equal to the loan from the
variable account and fixed account to the loan account, which is a part
of the fixed account. If your loan application does not specify any
allocation instructions, we will transfer the loan from the subaccounts
and the fixed account on a pro-rata basis (that is, according to the
percentage of Cash Value contained in each subaccount and the fixed
account).
. Amounts in the loan account earn interest at the guaranteed minimum rate
of 3% per year, compounded annually. We may credit the loan account with
an interest rate different than the fixed account.
. We normally pay the amount of the loan within seven days after we receive
a proper loan request. We may postpone payment of loans under certain
conditions. See Payments We Make.
. We currently charge you an interest rate of 4.50% (the guaranteed maximum
is 6%) per year on your loan. Interest is due and payable at the end of
each calendar quarter, or, if earlier, on the date of any loan increase
or repayment. Unpaid interest becomes part of the outstanding loan and
accrues interest accordingly.
. You may repay all or part of your outstanding loans at any time. Loan
repayments must be at least $500, and must be clearly marked as "loan
repayments" or they will be credited as premiums if they meet minimum
premium requirements.
. Upon each loan repayment, we will transfer an amount equal to the loan
repayment from the loan account to the fixed and/or variable account
according to your current premium allocation schedule.
. We deduct any unpaid loans from the Cash Surrender Value and death
benefit proceeds payable on the insured's death.
. If any unpaid loan, including interest you owe, equals or exceeds the
Cash Value, causing the Cash Surrender Value to become zero, then your
Policy will enter a 61-day grace period. See Policy Lapse and
Reinstatement, below.
Effect of Policy Loans
A Policy loan affects the Policy, because we reduce the death benefit proceeds
and Cash Surrender Value under the Policy by the amount of any outstanding loan
plus interest you owe on the loans. Repaying the loan causes the death benefit
proceeds and Cash Surrender Value to increase by the amount of the repayment. As
long as a loan is outstanding, we hold an amount equal to the loan in the loan
account. This amount is not affected by the variable account's investment
performance and may not be credited with the interest rates accruing on the
fixed account. Amounts transferred from the variable account to
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<PAGE>
the loan account will affect the Cash Value, even if the loan is repaid, because
we credit such amounts with an interest rate we declare rather than a rate of
return reflecting the investment results of the variable account.
There are risks involved in taking a Policy loan, including the potential for a
Policy to lapse if projected earnings, taking into account outstanding loans,
are not achieved. If the Policy is a "modified endowment contract" (see Federal
Tax Considerations, below), then a loan will be treated as a partial surrender
for Federal income tax purposes. A Policy loan may also have possible adverse
tax consequences that could occur if a Policy lapses with loans outstanding.
See Loan Risks.
We will notify you (and any assignee of record) if the sum of your loans plus
any interest you owe on the loans is more than the Cash Surrender Value. If you
do not submit a sufficient payment within 61 days from the date of the notice,
your Policy may lapse.
Policy Lapse and Reinstatement
===============================================================================
Lapse
If you have no outstanding Policy loans, then we guarantee that your Policy will
not lapse, regardless of investment performance. If you do have an outstanding
loan, then certain circumstances will cause your Policy to enter a grace period
during which you must make a sufficient payment to keep your Policy in force:
. If you have an outstanding Policy loan and your Policy's Cash Surrender
Value becomes zero (or negative), then the Policy will enter a 61-day
grace period.
If your Policy enters into a grace period, we will mail a notice to your last
known address and to any assignee of record. The 61-day grace period begins on
the date of the notice. The notice will specify the minimum payment required
and the final date by which we must receive the payment to keep the Policy from
lapsing. If we do not receive the specified minimum payment by the end of the
grace period, all coverage under the Policy will terminate and you will receive
no benefits. The payment must be sufficient enough to cause the Cash Surrender
Value to exceed zero, after deducting all due and unpaid monthly deductions and
outstanding loans.
Reinstatement
You may not reinstate your Policy if it lapses unless we issued your Policy in a
state which requires that the Policy include a reinstatement provision. If your
Policy was issued in a state which requires that the Policy include a
reinstatement provision, then you may request a reinstatement of a lapsed Policy
within five years of the date of lapse (and prior to the Maturity Date). To
reinstate a Policy, you must:
. submit a written application for reinstatement;
. provide evidence of insurability satisfactory to us; and
. make a premium payment that is large enough to cover the sum of:
. the monthly deductions not previously paid during the grace period,
plus
. $10,000.
We will not reinstate any outstanding loans (including interest you owe). The
amount in the loan account on the reinstatement date will be zero. Your Cash
Surrender Value on the reinstatement date will equal the premium you pay at
reinstatement minus the sum of:
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<PAGE>
(1) monthly deductions to cover the grace period;
(2) one additional monthly deduction; and
(3) any surrender charge.
The reinstatement date for your Policy will be the monthly date on or following
the day we approve your application for reinstatement. We may decline a request
for reinstatement.
Federal Tax Considerations
===============================================================================
The following summarizes some of the basic Federal income tax considerations
associated with a Policy and does not purport to be complete or to cover all
situations. This discussion is not intended as tax advice. Please consult
counsel or other qualified tax advisors for more complete information. We base
this discussion on our understanding of the present Federal income tax laws as
they are currently interpreted by the Internal Revenue Service (the "IRS").
Federal income tax laws and the current interpretations by the IRS may change.
Tax Status of the Policy. A Policy must satisfy certain requirements set forth
in the Internal Revenue Code ("Code") in order to qualify as a life insurance
contract for Federal income tax purposes and to receive the tax treatment
normally accorded life insurance contracts. The guidance as to how these
requirements are to be generally applied is limited and the manner in which such
requirements should be applied to certain features of the Policy is not directly
addressed by the available legal authorities. Nevertheless, we believe that a
Policy should satisfy the applicable Code requirements. Because of the absence
of pertinent interpretations of the Code requirements, there is, however, some
uncertainty about the application of such requirements to the Policy. If it is
subsequently determined that a Policy does not satisfy the applicable
requirements, we may take appropriate steps to bring the Policy into compliance
with such requirements and we reserve the right to restrict Policy transactions
in order to do so.
In certain circumstances, owners of variable life insurance contracts have been
considered for Federal income tax purposes to be the owners of the assets of the
separate account supporting their contracts due to their ability to exercise
investment control over those assets. Where this is the case, the contract
owners have been currently taxed on income and gains attributable to the
separate account assets. There is little guidance in this area, and some
features of the Policies, such as the flexibility to allocate premiums and Cash
Values, have not been explicitly addressed in published rulings. While we
believe that the Policy does not give you investment control over variable
account assets, we reserve the right to modify the Policy as necessary to
prevent you from being treated as the owner of the variable account assets
supporting the Policy.
In addition, the Code requires that the investments of the variable account be
"adequately diversified" in order to treat the Policy as a life insurance
contract for Federal income tax purposes. We intend that the variable account,
through the portfolios, will satisfy these diversification requirements.
The following discussion assumes that the Policy will qualify as a life
insurance contract for Federal income tax purposes.
Tax Treatment of Policy Benefits
In General. We believe that the death benefit under a Policy generally should
be excludible from the beneficiary's gross income. Federal, state and local
transfer, and other tax consequences of ownership or receipt of Policy proceeds
depend on your circumstances and the beneficiary's circumstances. You should
consult a tax advisor on these consequences.
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<PAGE>
Generally, you will not be deemed to be in constructive receipt of the Cash
Value until there is a distribution. When distributions from a Policy occur, or
when loans are taken out from or secured by a Policy (e.g., by assignment), then
the tax consequences depend on whether the Policy is classified as a "Modified
Endowment Contract."
Modified Endowment Contracts. Under the Code, certain life insurance contracts
are classified as "Modified Endowment Contracts" ("MECs") and receive less
favorable tax treatment than other life insurance contracts. The Policy will
generally be classified as a MEC, although some policies issued in exchange for
life insurance contracts that are not classified as MECs may not be classified
as a MEC. You should consult a tax advisor to determine the circumstances, if
any, under which your Policy would not be classified as a MEC.
Distributions from Modified Endowment Contracts. Policies classified as MECs
are subject to the following tax rules:
. All distributions other than death benefits from a MEC, including
distributions upon surrender and partial surrenders, will be treated
first as distributions of gain taxable as ordinary income and as tax-free
recovery of the owner's investment in the Policy only after all gain has
been distributed.
. Loans taken from such a Policy (or secured by such a Policy, e.g., by
assignment) are treated as distributions and taxed accordingly.
. A 10% additional income tax penalty is imposed on the amount included in
income except where the distribution or loan is made when you have
attained age 591/2 or are disabled, or where the distribution is part of
a series of substantially equal periodic payments for your life (or life
expectancy) or the joint lives (or joint life expectancies) of you the
beneficiary.
Distributions from Policies that are not Modified Endowment Contracts.
Distributions (other than death benefits) from a Policy that is not a MEC are
generally treated first as a recovery of your investment in the Policy, and as
taxable income after the recovery of all investment in the Policy. However,
certain distributions which must be made in order to enable the Policy to
continue to qualify as a life insurance contract for Federal income tax purposes
if Policy benefits are reduced during the first 15 Policy Years may be treated
in whole or in part as ordinary income subject to tax.
Loans from or secured by a Policy that is not a MEC are generally not treated as
distributions. However, if the difference between the interest rate credited on
an amount in the loan account and the interest rate changed on the policy loan
is negligible, the tax consequences are uncertain. In these circumstances, you
should consult a tax adviser as to such consequences.
Finally, neither distributions from nor loans from (or secured by) a Policy that
is not a MEC are subject to the 10% additional tax.
Investment in the Policy. Your investment in the Policy is generally your
aggregate premium payments. When a distribution is taken from the Policy, your
investment in the Policy is reduced by the amount of the distribution that is
tax-free.
Deductibility of Policy Loan Interest. In general, interest you pay on a loan
from a Policy will not be deductible. Before taking out a Policy loan, you
should consult a tax advisor as to the tax consequences.
Multiple Policies. All MECs that we issue (or that our affiliates issue) to the
same owner during any calendar year are treated as one MEC for purposes of
determining the amount includible in the owner's income when a taxable
distribution occurs.
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Continuing the Policy Beyond Age 100. The tax consequences of continuing the
Policy beyond the 100th birthday of the insured are uncertain. You should
consult a tax advisor as to these consequences.
Business Uses of the Policy. The Policy may be used in various arrangements,
including nonqualified deferred compensation or salary continuance plans, split
dollar insurance plans, executive bonus plans, retiree medical benefit plans and
others. The tax consequences of such plans and business uses of the Policy may
vary depending on the particular facts and circumstances of each individual
arrangement and business uses of the Policy. Therefore, if you are
contemplating using the Policy in any arrangement the value of which depends in
part on its tax consequences, you should be sure to consult a tax advisor as to
tax attributes of the arrangement. In recent years, Congress has adopted new
rules relating to life insurance owned by businesses. Any business
contemplating the purchase of a new Policy or a change in an existing Policy
should consult a tax adviser.
Possible Tax Law Changes. While the likelihood of legislative or other changes
is uncertain, there is always a possibility that the tax treatment of the Policy
could change by legislation or otherwise. It is even possible that any
legislative change could be retroactive (effective prior to the date of the
change). Consult a tax advisor with respect to legislative developments and
their effect on the Policy.
Other Policy Information
===============================================================================
Our Right to Contest the Policy
In issuing this Policy, we rely on all statements made by or for you and/or the
insured in the application or in a supplemental application. Therefore, if you
make any material misrepresentation of a fact in the application (or any
supplemental application), then we may contest the Policy's validity or may
resist a claim under the Policy.
In the absence of fraud, we cannot bring any legal action to contest the
validity of the Policy after the Policy has been in force during the insured's
lifetime for two years from the Policy Date, or if reinstated, for two years
from the date of reinstatement.
Suicide Exclusion
If the insured commits suicide, while sane or insane, within two years of the
Policy Date, the Policy will terminate and our liability is limited to an amount
equal to the premiums paid, less any loans, and less any partial surrenders
previously paid.
Misstatement of Age or Sex
If the insured's age or sex was stated incorrectly in the application or any
supplemental application, we will adjust the death benefit to the amount that
would have been payable at the correct age and sex based on the most recent
deduction for cost of insurance. If the insured's age has been overstated or
understated, we will calculate future monthly deductions using the cost of
insurance based on the insured's correct age and sex.
33
<PAGE>
Modifying the Policy
Only one of our officers may modify this Policy or waive any of our rights or
requirements under this Policy. Any modification or waiver must be in writing.
No agent may bind us by making any promise not contained in this Policy.
Upon notice to you, we may modify the Policy:
. to conform the Policy, our operations, or the variable account's
operations to the requirements of any law (or regulation issued by a
government agency) to which the Policy, our company or the variable
account is subject; or
. to assure continued qualification of the Policy as a life insurance
contract under the Federal tax laws; or
. to reflect a change in the variable account's operation.
If we modify the Policy, we will make appropriate endorsements to the Policy.
If any provision of the Policy conflicts with the laws of a jurisdiction that
govern the Policy, we reserve the right to amend the provision to conform with
such laws.
Payments We Make
We usually pay the amounts of any surrender, partial surrender, death benefit
proceeds, or settlement options within seven business days after we receive all
applicable written notices and/or due proofs of death. However, we can postpone
such payments if:
. the NYSE is closed, other than customary weekend and holiday closing, or
trading on the NYSE is restricted as determined by the Securities and
Exchange Commission (SEC); or
. the SEC permits, by an order or less formal interpretation (e.g.,
no-action letter), the postponement of any payment for the protection of
Owners; or
. the SEC determines that an emergency exists that would make the disposal
of securities held in the variable account or the determination of their
value not reasonably practicable.
If you have submitted a recent check or draft, we have the right to defer
payment of surrenders, partial surrenders, death benefit proceeds, or payments
under a payment option until such check or draft has been honored.
Reports to Owners
Once each calendar quarter, we plan to mail to Owners at their last known
address a report showing the following information as of the end of the report
period:
. the current Cash Value
. the current Cash Surrender Value
. the current death benefit
. any activity (e.g., premiums paid, partial surrenders, deductions, loans
or loan repayments, other transactions) since the last report
. any other information required by law
34
<PAGE>
We may amend these reporting procedures at any time, and/or provide less
frequent reports.
Records
We will maintain all records relating to the variable account and the fixed
account.
Policy Termination
Your Policy will terminate on the earliest of:
. the maturity date (insured's age . the end of the grace period without a
100) sufficient payment
. the date the insured dies . the date you surrender the Policy
Performance Data
================================================================================
Hypothetical illustrations based on adjusted historic portfolio performance
In order to demonstrate how the actual investment experience of the portfolios
could have affected the death benefit, Cash Value and Cash Surrender Value of
the Policy, we may provide hypothetical illustrations using the actual
investment experience of each portfolio since its inception. These hypothetical
illustrations are designed to show the performance that could have resulted if
the Policy had been in existence during the period illustrated.
The values we illustrate for death benefit, Cash Value and Cash Surrender Value
take into account any charges and deductions from the Policy, the variable
account and the portfolios. We have not deducted any charges for premium taxes.
These charges could be substantial and would lower the performance figures
significantly if reflected.
Each of the following hypothetical illustrations is based on the historical
investment performance of the portfolios. Each illustration assumes that the
entire premium of $50,000 is allocated to the particular subaccount, and that
there are no transfers, no loans, and no partial surrenders. The values would
be different for an insured of a different sex, age, or risk class. The annual
total return figures are the total returns of the portfolio for each year, less
the 0.75% daily charge deducted from the variable account.
35
<PAGE>
AIM V.I. CAPITAL APPRECIATION FUND
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
-------------------------- -------------------------- ---------------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
--------- ------------ --------- ------------ --------- ------------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
5/31/93 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/93 125,555 125,391 55,966 55,882 52,466 52,382 N/A
12/31/94 122,359 121,905 56,159 55,939 52,659 52,439 1.73%
12/31/95 157,966 156,948 74,618 74,120 71,118 70,620 34.70%
12/31/96 176,759 175,081 85,897 85,059 82,397 81,559 16.71%
12/31/97 190,994 188,531 95,442 94,183 91,942 90,683 12.66%
12/31/98 217,298 213,675 111,658 109,760 108,158 106,260 18.26%
</TABLE>
* Assuming the policy was purchased on 5/31/1993
AIM V.I. GOVERNMENT SECURITIES FUND
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
-------------------------- -------------------------- ---------------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
--------- ------------ --------- ------------ --------- ------------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
5/31/93 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/93 112,393 112,246 50,099 50,024 46,599 46,524 N/A
12/31/94 102,829 102,447 47,193 47,008 43,693 43,508 -4.46%
12/31/95 113,025 112,297 53,390 53,033 49,890 49,533 14.71%
12/31/96 110,016 108,972 53,463 52,941 49,963 49,441 1.53%
12/31/97 113,272 111,811 56,603 55,856 53,103 52,356 7.35%
12/31/98 116,063 114,128 59,612 58,598 56,112 55,098 6.80%
</TABLE>
* Assuming the policy was purchased on 5/31/1993
<PAGE>
AIM V.I. GROWTH & INCOME
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
-------------------------- -------------------------- ---------------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
--------- ------------ ---------- ----------- ---------- ---------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
5/31/94 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/94 110,404 110,260 49,212 49,139 45,712 45,639 N/A
12/31/95 140,537 140,015 64,503 64,249 61,003 60,749 32.88%
12/31/96 160,371 159,338 75,754 75,248 72,254 71,748 19.06%
12/31/97 191,882 190,060 93,246 92,336 89,746 88,836 24.80%
12/31/98 233,574 229,929 116,773 114,863 113,273 111,363 26.57%
</TABLE>
* Assuming the policy was purchased on 5/31/1994
AIM V.I. VALUE FUND
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
-------------------------- -------------------------- ---------------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
--------- ---------- ----------- ---------- ----------- ----------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
5/31/93 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/93 122,602 122,442 54,649 54,568 51,149 51,068 N/A
12/31/94 121,579 121,127 55,801 55,582 52,301 52,082 3.52%
12/31/95 157,994 156,976 74,631 74,133 71,131 70,633 35.58%
12/31/96 173,373 171,727 84,251 83,429 80,751 79,929 14.45%
12/31/97 204,673 202,034 102,277 100,928 98,777 97,428 23.09%
12/31/98 258,910 254,593 133,041 130,779 129,541 127,279 31.49%
</TABLE>
* Assuming the policy was purchased on 5/31/1993
<PAGE>
DREYFUS STOCK INDEX FUND
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
-------------------------- -------------------------- ---------------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
--------- ---------- ----------- ---------- ----------- ----------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
9/30/89 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/89 111,568 111,505 49,731 49,694 46,231 46,194 N/A
12/31/90 102,340 102,046 46,968 46,824 43,468 43,324 -4.21%
12/31/91 126,382 125,688 59,699 59,357 56,199 55,857 28.90%
12/31/92 128,820 127,734 62,601 62,056 59,101 58,556 6.31%
12/31/93 131,436 129,896 65,680 64,891 62,180 61,391 6.38%
12/31/94 128,806 126,827 66,157 65,119 62,657 61,619 2.14%
12/31/95 167,988 164,789 88,556 86,838 88,556 86,838 35.78%
12/31/96 197,903 194,135 106,527 104,460 106,527 104,460 21.63%
12/31/97 253,495 248,668 139,243 136,540 139,243 136,540 31.99%
12/31/98 314,203 308,221 176,003 172,587 176,003 172,587 27.10%
</TABLE>
* Assuming the policy was purchased on 9/30/1989
DREYFUS MONEY MARKET PORTFOLIO
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
-------------------------- -------------------------- ---------------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
--------- ----------- --------- ------------- -------- ------------ -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
8/31/90 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/90 111,685 111,601 49,783 49,737 46,283 46,237 N/A
12/31/91 112,530 112,183 51,648 51,478 48,148 47,978 5.19%
12/31/92 111,488 110,850 52,663 52,349 49,163 48,849 3.37%
12/31/93 109,585 108,632 53,253 52,776 49,753 49,276 2.52%
12/31/94 108,883 107,576 54,410 53,741 50,910 50,241 3.60%
12/31/95 109,558 107,839 56,271 55,369 52,771 51,869 4.87%
12/31/96 109,693 107,525 57,674 56,451 57,674 56,451 4.32%
12/31/97 109,973 107,305 58,524 56,749 58,524 56,749 4.41%
12/31/98 110,067 106,851 59,230 56,831 59,230 56,831 4.18%
</TABLE>
* Assuming the policy was purchased on 8/31/1990
<PAGE>
DREYFUS SMALL COMPANY STOCK PORTFOLIO
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
-------------------------- -------------------------- ---------------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
--------- ------------ --------- ------------ --------- ------------ --------------------
<S> <C> <C> <C> <C> <C> <C> <C>
5/31/96 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/96 113,442 113,295 50,566 50,491 47,066 46,991 N/A
12/31/97 131,350 130,862 60,286 60,049 56,786 56,549 20.87%
12/31/98 117,329 116,573 55,422 55,052 51,922 51,552 -6.80%
</TABLE>
* Assuming the policy was purchased on 5/31/1996
MFS EMERGING GROWTH SERIES
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
-------------------------- -------------------------- ---------------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
--------- ----------- ---------- ----------- ---------- ------------ -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
7/31/95 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/95 126,885 126,767 56,559 56,496 53,059 52,996 N/A
12/31/96 141,184 140,719 64,800 64,573 61,300 61,073 16.16%
12/31/97 163,747 162,770 77,349 76,869 73,849 73,369 21.01%
12/31/98 208,795 206,924 101,465 100,529 97,965 97,029 32.99%
</TABLE>
* Assuming the policy was purchased on 7/31/1995
<PAGE>
MFS FOREIGN & COLONIAL EMERGING MARKETS EQUITY SERIES
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
---------------------- ---------------------- ----------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
10/31/97 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/97 116,256 116,212 51,821 51,792 48,321 48,292 N/A
12/31/98 73,502 73,307 33,733 33,636 30,233 30,136 -33.97%
</TABLE>
* Assuming the policy was purchased on 10/31/1997
MFS RESEARCH SERIES
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
---------------------- ---------------------- ---------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
7/31/95 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/95 120,385 120,272 53,661 53,601 50,161 50,101 N/A
12/31/96 140,029 139,568 64,269 64,044 60,769 60,544 21.43%
12/31/97 160,215 159,259 75,680 75,211 72,180 71,711 19.37%
12/31/98 187,878 186,194 91,300 90,458 87,800 86,958 22.31%
</TABLE>
* Assuming the policy was purchased on 7/31/1995
<PAGE>
MFS TOTAL RETURN
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
---------------------- ---------------------- --------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
1/31/95 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/95 136,430 136,150 60,814 60,678 57,314 57,178 N/A
12/31/96 148,389 147,712 68,106 67,781 64,606 64,281 13.52%
12/31/97 171,240 169,974 80,888 80,271 77,388 76,771 20.41%
12/31/98 182,819 180,889 88,842 87,880 85,342 84,380 11.36%
</TABLE>
* Assuming the policy was purchased on 1/31/1995
MFS UTILITIES SERIES
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
------------- ---------- --------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
1/31/95 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/95 140,841 140,552 62,780 62,639 59,280 59,139 N/A
12/31/96 158,735 158,010 72,855 72,507 69,355 69,007 17.64%
12/31/97 198,895 197,424 93,952 93,235 90,452 89,735 30.74%
12/31/98 223,173 220,817 108,452 107,278 104,952 103,778 17.04%
</TABLE>
* Assuming the policy was purchased on 1/31/1995
<PAGE>
OPPENHEIMER CAPITAL APPRECIATION FUND/VA
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurances Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
-------------------------- -------------------------- ---------------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
4/30/85 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/85 119,475 119,297 53,256 53,166 49,756 49,666 N/A
12/31/86 133,785 133,259 61,403 61,149 57,903 57,649 16.89%
12/31/87 131,483 130,604 62,108 61,679 58,608 58,179 2.54%
12/31/88 152,775 151,284 74,241 73,497 70,741 69,997 21.19%
12/31/89 179,747 177,376 89,822 88,610 86,322 85,110 22.68%
12/31/90 157,095 154,424 80,686 79,288 77,186 75,788 -8.90%
12/31/91 187,894 183,909 99,258 97,153 99,258 97,153 24.62%
12/31/92 205,094 199,791 111,245 108,369 111,245 108,369 13.68%
12/31/93 210,505 203,984 117,168 113,538 117,168 113,538 6.45%
12/31/94 203,866 196,405 116,368 112,109 116,368 112,109 0.21%
12/31/95 268,439 256,964 157,035 150,323 157,035 150,323 35.66%
12/31/96 324,585 308,541 194,476 184,863 194,476 184,863 24.28%
12/31/97 397,355 374,843 243,688 229,882 243,688 229,882 25.75%
12/31/98 434,535 406,542 272,611 255,049 272,611 255,049 12.27%
</TABLE>
* Assuming the policy was purchased on 4/30/1985
OPPENHEIMER GLOBAL SECURITIES FUND/VA
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
------------------------- -------------------------- ---------------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- -------------------
<S> <C> <C> <C> <C> <C> <C> <C>
11/30/90 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/90 110,261 110,240 49,148 49,130 45,648 45,630 N/A
12/31/91 108,352 108,087 49,728 49,596 46,228 46,096 2.62%
12/31/92 95,689 95,209 45,198 44,960 41,698 41,460 -7.81%
12/31/93 155,068 153,843 75,356 74,741 71,856 71,241 69.11%
12/31/94 139,165 137,617 69,542 68,748 66,042 65,248 -6.43%
12/31/95 135,496 133,503 69,593 68,546 66,093 65,046 1.48%
12/31/96 152,071 149,230 80,239 78,711 80,239 78,711 16.93%
12/31/97 170,917 167,662 87,503 85,803 87,503 85,803 21.52%
12/31/98 178,292 174,897 88,213 86,497 88,213 86,497 13.11%
</TABLE>
* Assuming the policy was purchased on 11/30/1990
<PAGE>
OPPENHEIMER HIGH INCOME FUND/VA
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
------------- ---------- --------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- --------------------
<S> <C> <C> <C> <C> <C> <C> <C>
1/31/88 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/88 122,164 121,913 54,454 54,332 50,954 50,832 N/A
12/31/89 121,798 121,242 55,902 55,635 52,402 52,135 4.06%
12/31/90 121,251 120,354 57,275 56,838 53,775 53,338 3.87%
12/31/91 154,532 152,901 75,096 74,283 71,596 70,783 32.94%
12/31/92 173,468 171,026 86,684 85,438 83,184 81,938 17.05%
12/31/93 208,710 204,956 107,196 105,234 103,696 101,734 25.41%
12/31/94 193,372 189,060 102,743 100,415 102,743 100,415 -3.90%
12/31/95 223,076 217,041 123,792 120,394 123,792 120,394 19.48%
12/31/96 246,511 238,550 138,622 134,084 138,622 134,084 14.40%
12/31/97 265,352 255,256 153,620 147,702 153,620 147,702 11.38%
12/31/98 256,395 245,031 152,653 145,806 152,653 145,806 -0.57%
</TABLE>
* Assuming the policy was purchased on 1/31/1988
OPPENHEIMER MAIN STREET GROWTH & INCOME FUND/VA
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
------------- ---------- --------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- --------------------
<S> <C> <C> <C> <C> <C> <C> <C>
7/31/95 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/95 131,703 131,580 58,706 58,641 55,206 55,141 N/A
12/31/96 165,952 165,406 76,167 75,900 72,667 72,400 31.54%
12/31/97 209,181 207,934 98,811 98,198 95,311 94,698 31.51%
12/31/98 208,517 206,649 101,376 100,441 97,876 96,941 3.78%
</TABLE>
* Assuming the policy was purchased on 7/31/1995
<PAGE>
OPPENHEIMER STRATEGIC BOND FUND/VA
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
------------- ---------- --------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- --------------------
<S> <C> <C> <C> <C> <C> <C> <C>
5/31/93 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/93 113,723 113,575 50,692 50,616 47,192 47,116 N/A
12/31/94 104,000 103,614 47,731 47,543 44,231 44,043 -4.50%
12/31/95 114,081 113,346 53,888 53,528 50,388 50,028 14.48%
12/31/96 121,671 120,515 59,126 58,549 55,626 55,049 11.24%
12/31/97 125,908 124,284 62,918 62,087 59,418 58,587 7.90%
12/31/98 123,216 121,161 63,285 62,209 59,785 58,709 2.00%
</TABLE>
* Assuming the policy was purchased on 5/31/1993
WRL VKAM EMERGING GROWTH PORTFOLIO
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
------------- ---------- --------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- --------------------
<S> <C> <C> <C> <C> <C> <C> <C>
3/31/93 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/93 127,872 127,658 56,999 56,893 53,499 53,393 N/A
12/31/94 112,638 112,172 51,698 51,473 48,198 47,973 -8.05%
12/31/95 157,326 156,238 74,316 73,784 70,816 70,284 45.73%
12/31/96 177,988 176,204 86,494 85,604 82,994 82,104 18.00%
12/31/97 205,796 203,021 102,839 101,421 99,339 97,921 20.56%
12/31/98 269,780 265,105 138,627 136,179 135,127 132,679 36.14%
</TABLE>
* Assuming the policy was purchased on 3/31/1993
<PAGE>
WRL JANUS GLOBAL
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
------------- ---------- --------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- --------------------
<S> <C> <C> <C> <C> <C> <C> <C>
12/31/92 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/93 140,980 140,665 64,706 64,548 61,206 61,048 34.07%
12/31/94 134,463 133,821 63,516 63,198 60,016 59,698 -0.49%
12/31/95 157,491 156,289 76,533 75,929 73,033 72,429 22.16%
12/31/96 191,535 189,462 95,712 94,648 92,212 91,148 26.80%
12/31/97 216,624 213,511 111,262 109,626 107,762 106,126 17.88%
12/31/98 269,342 264,410 142,182 139,527 142,182 139,527 28.89%
</TABLE>
* Assuming the policy was purchased on 12/31/1992
WRL JANUS GROWTH PORTFOLIO
Male, Issue Age 55, Non-Tobacco Use, Approved Preferred Class
($109,800 Specified Amount, Initial Premium $50,000)
Both Current and Guaranteed Cost of Insurance Rates
<TABLE>
<CAPTION>
Death Benefit Cash Value Cash Surrender Value Adjusted Historical
------------- ---------- --------------------
Current Guaranteed Current Guaranteed Current Guaranteed Annual Total Return
------- ---------- ------- ---------- ------- ---------- --------------------
<S> <C> <C> <C> <C> <C> <C> <C>
10/31/86 109,800 109,800 48,943 48,934 45,443 45,434 N/A
12/31/87 114,233 113,929 52,430 52,279 48,930 48,779 N/A
12/31/88 128,922 128,245 60,899 60,564 57,399 57,064 17.75%
12/31/89 180,435 178,962 87,683 86,944 84,183 83,444 45.97%
12/31/90 171,386 169,430 85,644 84,640 82,144 81,140 -0.97%
12/31/91 260,992 257,069 134,111 132,051 130,611 128,551 58.64%
12/31/92 255,862 250,990 135,004 132,385 135,004 132,385 1.58%
12/31/93 257,190 252,294 138,568 135,880 138,568 135,880 3.21%
12/31/94 228,065 223,723 125,391 122,958 125,391 122,958 -9.00%
12/31/95 324,862 318,677 182,144 178,609 182,144 178,609 46.05%
12/31/96 371,515 364,442 212,580 208,454 212,580 208,454 17.09%
12/31/97 425,596 417,493 249,418 244,577 249,418 244,577 16.68%
12/31/98 681,912 668,929 409,050 401,111 409,050 401,111 63.06%
</TABLE>
* Assuming the policy was purchased on 10/31/1986
<PAGE>
Additional Information
===============================================================================
Sale of the Policies
The Policy will be sold by individuals who are licensed as our life insurance
agents and who are also registered representatives of broker-dealers having
written sales agreements for the Policy with AFSG Securities Corporation (AFSG),
the principal underwriter of the Policy. AFSG is located at 4425 North River
Blvd. NE, Cedar Rapids, Iowa 52402, is registered with the SEC under the
Securities Exchange Act of 1934 as a broker-dealer, and is a member of the
National Association of Securities Dealers, Inc. The maximum sales commission
payable to PFL agents or other registered representatives will be approximately
7% of the initial premium. In addition, certain production, persistency and
managerial bonuses may be paid.
Legal Matters
Sutherland Asbill & Brennan LLP of Washington, D.C. has provided advice on
certain legal matters relating to the Policy under the Federal securities laws.
Frank A. Camp, Vice President and Division General Counsel, PFL Life Insurance
Company, has passed upon all matters of Iowa law pertaining to the Policy.
Legal Proceedings
Like other life insurance companies, we are involved in lawsuits. We are not
aware of any class action lawsuits naming us as a defendant or involving the
variable account. In some lawsuits involving other insurers, substantial
damages have been sought and/or material settlement payments have been made. We
believe that there are no pending or threatened lawsuits that will adversely
impact us or the variable account.
Year 2000 Matters
We have in place a Year 2000 Project Plan (the "Plan") to review and analyze
existing hardware and software systems, as well as voice and data communications
systems, to determine if they are Year 2000 compliant. As of the date of this
prospectus, all of our mission-critical systems are Year 2000 compliant and
ready. The Plan is continuing as scheduled, as we continue with the validation
of our mission-critical and non-mission-critical systems, including revalidation
testing in 1999. In addition, PFL has undertaken aggressive initiatives to test
all systems that interface with any third parties and other business partners.
All of these steps are aimed at allowing current operations to remain unaffected
by the Year 2000 date change.
As of the date of this prospectus, we have identified and made available what we
believe are the appropriate resources of hardware, people, and dollars,
including the engagement of outside third parties, to ensure that the Plan will
be completed.
Our actions under the Plan are intended to significantly reduce PFL's risk of a
material business interruption based on the Year 2000 issues. Resolving the
Year 2000 computer problem is complex and multifaceted. We cannot know
conclusively whether a response plan is successful until the Year 2000 arrives
(or an earlier date if the systems or equipment address Year 2000 data prior to
the Year 2000). In spite of its efforts or results, PFL's ability to function
unaffected to and through the Year 2000 may be adversely affected by actions, or
failure to act, of third parties beyond our knowledge or control. See the
portfolios' prospectuses for information on their preparation for Year 2000.
<PAGE>
This statement is a Year 2000 Readiness Disclosure pursuant to Section 3(9) of
the Year 2000 Information and Readiness Disclosure Act, 15 U.S.C. Section 1
(1998).
Financial Statements
This prospectus does not include financial statements of the variable account
because, as of the date of this prospectus, the variable account had not yet
commenced operations, had no assets, and had incurred no liabilities. PFL's
financial statements appear in Appendix ___. PFL's financial statements should
be distinguished from the variable account's financial statements and you should
consider our financial statements only as bearing upon our ability to meet our
obligations under the Policies.
Additional Information about PFL Life Insurance Company
PFL is a stock life insurance company that is a wholly owned indirect subsidiary
of AEGON USA, Inc. AEGON USA, Inc. is a wholly owned indirect subsidiary of
AEGON nv, a Netherlands corporation that is a publicly traded international
insurance group. PFL's home office is located at 4333 Edgewood Road NE, Cedar
Rapids, Iowa 52499.
PFL was incorporated in 1961 under Iowa law and is subject to regulation by the
Iowa Commissioner of Insurance. PFL is engaged in the business of issuing life
insurance policies and annuity contracts, and is licensed to do business in the
District of Columbia, Guam and all states except New York. PFL submits annual
statements on its operations and finances to insurance officials in all states
and jurisdictions in which it does business. PFL has filed the Policy described
in this prospectus with insurance officials in those jurisdictions in which the
Policy is sold.
PFL intends to reinsure a portion of the risks assumed under the Policies.
PFL's Executive Officers and Directors
PFL is governed by a board of directors. The following table sets forth the
name and principal occupation during the past five years of each of PFL's
directors and senior officers. Each person is located at PFL Life Insurance
Company, 4333 Edgewood Road, NE, Cedar Rapids, IA 52449.
<TABLE>
<CAPTION>
Board of Directors and Senior Officers
- ------------------------------------------------------------------------------------------------------------------------
Name Position with PFL Principal Occupation During Past 5 Years
- ------------------------------------------------------------------------------------------------------------------------
<S> <C> <C>
William L. Busler Director, Chairman of the Director, Chairman of the Board, and President
Board, and President
- ------------------------------------------------------------------------------------------------------------------------
Larry N. Norman Director, Executive Vice Director, Executive Vice President
President
- ------------------------------------------------------------------------------------------------------------------------
Patrick S. Baird Director, Senior Vice Executive Vice President (1995-present), Chief
President, and Chief Operating Officer (1996-present), Chief Financial
Operating Officer Officer (1992-1995), Vice President and Chief Tax
Officer (1984-1995), of AEGON USA.
- ------------------------------------------------------------------------------------------------------------------------
Douglas C. Kolsrud Director, Senior Vice Director, Senior Vice President, Chief Investment
President, Chief Investment Officer and Corporate Actuary
Officer and Corporate Actuary
- ------------------------------------------------------------------------------------------------------------------------
Craig D. Vermie Director, Vice President, Director, Vice President, Secretary and General Counsel
Secretary and General
Counsel
- ------------------------------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
- ------------------------------------------------------------------------------------------------------------------------
Name Position with PFL Principal Occupation During Past 5 Years
- ------------------------------------------------------------------------------------------------------------------------
<S> <C> <C>
Robert J. Kontz Vice President and Vice President and Corporate Controller
Corporate Controller
- ------------------------------------------------------------------------------------------------------------------------
Brenda K. Clancy Vice President, Treasurer Vice President, Treasurer and Chief Financial Officer
and Chief Financial Officer
- ------------------------------------------------------------------------------------------------------------------------
</TABLE>
PFL holds the assets of the variable account physically segregated and apart
from the general account. PFL maintains records of all purchases and sale of
portfolio shares by each of the subaccounts. A blanket bond in the amount of
$10 million (subject to a $1 million deductible), covering directors, officers
and all employees of AEGON USA, Inc. and its affiliates has been issued to PFL
and its affiliates. A Stockbrokers Blanket Bond, issued to AEGON USA providing
fidelity coverage, covers the activities of registered representatives of AFSG
to a limit of $10 million (subject to a $50,000 deductible).
Illustrations
===============================================================================
The following illustrations show how certain values under a sample Policy would
change with different rates of fictional investment performance over an extended
period of time. In particular, the illustrations show how the death benefit,
Cash Value, and Cash Surrender Value under a Policy covering a male insured of
age 55 on the Policy Date, would change over time if the planned premiums were
paid and the return on the assets in the subaccounts were a uniform gross annual
rate (before any expenses) of 0%, 6% or 12%. The tables also show how the
Policy would operate if premiums accumulated at 5% interest. The tables
illustrate Policy values that would result based on assumptions that you pay the
premiums indicated, you do not increase your principal sum, and you do not make
any partial surrenders or Policy loans. The values under the Policy will be
different from those shown even if the returns averaged 0%, 6% or 12%, but
fluctuated over and under those averages throughout the years shown.
The hypothetical investment returns are provided only to illustrate the
mechanics of a hypothetical Policy and do not represent past or future
investment rates of return. Actual rates of return for a particular Policy may
be more or less than the hypothetical investment rates of return. The actual
return on your Cash Value will depend on factors such as the amounts you
allocate to particular portfolios, the amounts deducted for the Policy's monthly
charges, the portfolios' expense ratios, your Policy loan and partial surrender
history, and rates of inflation.
The illustrations assume that the assets in the portfolios are subject to an
annual expense ratio of 0.81% of the average daily net assets. This annual
expense ratio is based on the average of the expense ratios of each of the
portfolios for the last fiscal year and takes into account current expense
reimbursement arrangements. For information on portfolio expenses, see the
Portfolio Expense Table in this prospectus, and see the portfolios'
prospectuses.
Separate illustrations on each of the following pages reflect our current cost
of insurance charges and the higher guaranteed maximum cost of insurance that we
have has the contractual right to charge. The illustrations assume no charges
for Federal or state taxes or charges for supplemental benefits. However, these
illustrations assume a premium tax charge of 2%; actual premium tax charges
could be higher or lower, depending on the state of issue.
After deducting portfolio expenses, the illustrated gross annual investment
rates of return of 0%, 6% and 12% would correspond to approximate net annual
rates for the variable account of -1.56%, 4.44%, and 10.44%, respectively.
<PAGE>
The illustrations are based on PFL's sex distinct rates for non-tobacco users.
Upon request, we will furnish a comparable illustration based upon the proposed
insured's individual circumstances. Such illustrations may assume different
hypothetical rates of return than those illustrated in the following
illustrations.
<PAGE>
PFL FLEXIBLE PREMIUM VARIABLE UNIVERSAL LIFE INSURANCE
HYPOTHETICAL ILLUSTRATIONS
MALE ISSUE AGE 55
<TABLE>
<CAPTION>
SPECIFIED AMOUNT: $109,800 INITIAL PREMIUM:
USING CURRENT PRACTICE CHARGES FOR NON-TOBACCO USERS, APPROVED PREFERRED CLASS
End of Premiums
Policy Accumulated DEATH BENEFIT CASH VALUE CASH SURRENDER VALUE
Year at 5% ----------------------------------------------------------------------------------------------------
Assuming Hypothetical Gross and Net Annual Investment Return of
Gross 0% 6% 12% 0% 6% 12% 0% 6% 12%
Net -1.56% 4.44% 10.44% -1.56% 4.44% 10.44% -1.56% 4.44% 10.44%
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 52,500 107,647 113,600 119,523 47,953 50,853 53,752 44,453 47,353 50,252
2 55,125 102,302 114,550 127,395 46,922 52,799 58,993 43,422 49,299 55,493
3 57,881 97,248 115,550 135,833 45,906 54,815 64,736 42,406 51,315 61,236
4 60,775 92,475 116,595 144,878 44,908 56,902 71,033 41,408 53,402 67,533
5 63,814 87,960 117,689 154,576 43,925 59,062 77,932 40,425 55,562 74,432
6 67,005 83,699 118,837 164,980 42,960 61,297 85,493 39,460 57,797 81,993
7 70,355 79,670 120,041 176,154 42,008 63,610 93,776 42,008 63,610 93,776
8 73,873 75,868 121,309 188,161 41,075 66,002 102,849 41,075 66,002 102,849
9 77,566 72,277 122,645 201,077 40,153 68,474 112,830 40,153 68,474 112,830
10 81,445 68,891 124,058 214,987 39,248 71,030 123,713 39,248 71,030 123,713
11 85,517 66,030 126,194 231,152 38,571 74,082 136,383 38,571 74,082 136,383
12 89,793 63,352 128,497 248,790 37,902 77,259 150,341 37,902 77,259 150,341
13 94,282 60,820 130,920 267,931 37,245 80,571 165,724 37,245 80,571 165,724
14 98,997 58,419 133,469 288,716 36,596 84,026 182,682 36,596 84,026 182,682
15 103,946 56,151 136,149 311,304 35,962 87,632 201,381 35,962 87,632 201,381
16 109,144 53,964 138,875 335,638 35,310 91,324 221,829 35,310 91,324 221,829
17 114,601 51,856 141,637 361,829 34,643 95,094 244,156 34,643 95,094 244,156
18 120,331 50,000 144,434 390,008 33,956 98,931 268,487 33,956 98,931 268,487
19 126,348 50,000 147,267 420,327 33,200 102,821 294,953 33,200 102,821 294,953
20 132,665 50,000 150,133 452,937 32,353 106,798 323,690 32,353 106,798 323,690
21 139,298 50,000 153,029 487,992 31,394 110,765 354,854 31,394 110,765 354,854
22 146,263 50,000 155,944 525,639 30,304 114,760 388,611 30,304 114,760 388,611
23 153,576 50,000 158,871 566,029 29,055 118,778 425,144 29,055 118,778 425,144
24 161,255 50,000 161,795 609,309 27,614 122,813 464,650 27,614 122,813 464,650
25 169,318 50,000 164,703 655,619 25,941 126,859 507,315 25,941 126,859 507,315
26 177,784 50,000 167,624 705,284 23,998 130,935 553,466 23,998 130,935 553,466
27 186,673 50,000 170,555 758,529 21,719 135,028 603,307 21,719 135,028 603,307
28 196,006 50,000 173,492 815,577 19,009 139,119 657,024 19,009 139,119 657,024
29 205,807 50,000 176,432 876,682 15,749 143,191 714,808 15,749 143,191 714,808
30 216,097 50,000 179,375 942,116 11,787 147,233 776,881 11,787 147,233 776,881
</TABLE>
Note:
The hypothetical investment rates of return shown above and elsewhere in this
prospectus are illustrative only and should not be deemed a representation of
past or future investment rates of return.
Actual investment rates of return may be more or less than those shown and will
depend on a number of factors, including the investment allocations by an owner
and the different investment rates of return for the fund. The death benefit,
cash values and cash surrender value for a policy would be different from those
shown if the actual investment rates of return averaged 0%, 6% and 12% over a
period years, but fluctuated above or below that average for individual policy
years. No presentation can be made by PFL or the fund that these hypothetical
investment rates of return can be achieved for any one year or sustained over
any period of time. This illustration must be preceded or accompanied by a
current prospectus.
<PAGE>
PFL FLEXIBLE PREMIUM VARIABLE UNIVERSAL LIFE INSURANCE
HYPOTHETICAL ILLUSTRATIONS
MALE ISSUE AGE 55
<TABLE>
<CAPTION>
SPECIFIED AMOUNT: $109,800 INITIAL PREMIUM: $50,000
USING GUARANTEED CHARGES FOR NON-TOBACCO USERS, APPROVED PREFERRED CLASS
End of Premiums
Policy Accumulated DEATH BENEFIT CASH VALUE CASH SURRENDER VALUE
Year at 5% ----------------------------------------------------------------------------------------------------------
Assuming Hypothetical Gross and Net Annual Investment Return of
Gross 0% 6% 12% 0% 6% 12% 0% 6% 12%
Net -1.56% 4.44% 10.44% -1.56% 4.44% 10.44% -1.56% 4.44% 10.44%
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 52,500 107,427 113,367 119,278 47,846 50,739 53,632 44,346 47,239 50,132
2 55,125 101,835 114,027 126,814 46,697 52,547 58,711 43,197 49,047 55,211
3 57,881 96,529 114,696 134,829 45,555 54,397 64,242 42,055 50,897 60,742
4 60,775 91,498 115,364 143,349 44,421 56,286 70,264 40,921 52,786 66,764
5 63,814 86,720 116,033 152,399 43,292 58,213 76,812 39,792 54,713 73,312
6 67,005 82,191 116,700 162,013 42,171 60,175 83,927 38,671 56,675 80,427
7 70,355 77,890 117,365 172,226 41,054 62,169 91,651 41,054 62,169 91,651
8 73,873 73,811 118,027 183,070 39,944 64,190 100,025 39,944 64,190 100,025
9 77,566 69,936 118,684 194,583 38,835 66,232 109,137 38,835 66,232 109,137
10 81,445 66,262 119,338 206,808 37,732 68,293 118,947 37,732 68,293 118,947
11 85,517 63,094 120,600 220,907 36,836 70,759 130,266 36,836 70,759 130,266
12 89,793 60,101 121,926 236,067 35,935 73,264 142,567 35,935 73,264 142,567
13 94,282 57,248 123,261 252,257 35,034 75,808 155,927 35,034 75,808 155,927
14 98,997 54,524 124,606 269,545 34,132 78,391 170,431 34,132 78,391 170,431
15 103,946 51,929 125,956 287,997 33,232 81,009 186,161 33,232 81,009 186,161
16 109,144 50,000 127,308 307,683 32,326 83,653 203,198 32,326 83,653 203,198
17 114,601 50,000 128,660 328,677 31,330 86,315 221,617 31,330 86,315 221,617
18 120,331 50,000 130,008 351,053 30,212 88,982 241,486 30,212 88,982 241,486
19 126,348 50,000 131,352 374,905 28,945 91,640 262,878 28,945 91,640 262,878
20 132,665 50,000 132,695 400,329 27,499 94,282 285,877 27,499 94,282 285,877
21 139,298 50,000 134,040 427,439 25,837 96,907 310,589 25,837 96,907 310,589
22 146,263 50,000 135,387 456,347 23,921 99,517 337,134 23,921 99,517 337,134
23 153,576 50,000 136,739 487,176 21,700 102,114 365,654 21,700 102,114 365,654
24 161,255 50,000 138,092 520,046 19,111 104,748 396,303 19,111 104,748 396,303
25 169,318 50,000 139,443 555,071 16,073 107,331 429,223 16,073 107,331 429,223
26 177,784 50,000 140,786 592,364 12,469 109,898 464,543 12,469 109,898 464,543
27 186,673 50,000 142,115 632,045 8,141 112,437 502,373 8,141 112,437 502,373
28 196,006 50,000 143,425 674,234 2,875 114,934 542,802 2,875 114,934 542,802
29 205,807 50,000 144,714 719,080 * 117,373 585,923 * 117,373 585,923
30 216,097 50,000 145,986 766,751 * 119,749 631,863 * 119,749 631,863
</TABLE>
Note:
The hypothetical investment rates of return shown above and elsewhere in this
prospectus are illustrative only and should not be deemed a representation of
past or future investment rates of return.
Actual investment rates of return may be more or less than those shown and will
depend on a number of factors, including the investment allocations by an owner
and the different investment rates of return for the fund. The death benefit,
cash values and cash surrender value for a policy would be different from those
shown if the actual investment rates of return averaged 0%, 6% and 12% over a
period years, but fluctuated above or below that average for individual policy
years. No presentation can be made by PFL or the fund that these hypothetical
investment rates of return can be achieved for any one year or sustained over
any period of time. This illustration must be preceded or accompanied by a
current prospectus.
* The policy has no cash value, however, the policy will stay in force with a
death benefit if the policy does not have policy loan outstanding.
<PAGE>
PART II.
OTHER INFORMATION
UNDERTAKING TO FILE REPORTS
Subject to the terms and conditions of Section 15(d) of the Securities
Exchange Act of 1934, the undersigned registrant hereby undertakes to file with
the Securities and Exchange Commission such supplementary and periodic
information, documents, and reports as may be prescribed by any rule or
regulation of the Commission heretofore or hereafter duly adopted pursuant to
authority conferred in that Section.
REPRESENTATION PURSUANT TO SECTION 26(E) (2) (A)
PFL Life Insurance Company ("PFL Life") hereby represents that the fees and
charges deducted under the Contracts, in the aggregate, are reasonable in
relation to the services rendered, the expenses expected to be incurred, and the
risks assumed by PFL Life.
RULE 484 UNDERTAKING
Insofar as indemnification for liability arising under the Securities Act
of 1933 (the "Act") 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.
CONTENTS OF REGISTRATION STATEMENT
This registration statement comprises the following papers and documents:
The facing sheet
The Prospectus, consisting of 51 pages
The undertaking to file reports
Representation Pursuant to Section 26(e) (2) (A)
The statement with respect to indemnification
The Rule 484 undertaking
The signatures
Written consent of the following persons:
(a) Richard R. Greer, Actuary
(b) Frank A. Camp, Esq.
(c) Sutherland Asbill & Brennan LLP
(d) Ernst & Young LLP
<PAGE>
The following exhibits:
1. The following exhibits correspond to those required by paragraph A to the
instructions as to exhibits in Form N-8B-2:
A. (1) Resolutions of the Board of Directors of PFL Life establishing
the Separate Account (6)
(2) Not Applicable
(3) Distribution of Policies:
(a) Form of Principal Underwriting Agreement (4)
(b) Form of Broker-Dealer Supervision and Sales Agreement by and
between AFSG Securities Corporation and the Broker-Dealer
(4)
(4) Not Applicable
(5) Specimen Flexible Premium Variable Life Insurance Policy (10)
(6) (a) Certificate of Incorporation of PFL Life (2)
(b) By-Laws of PFL Life (2)
(7) Not Applicable
(8) Participation Agreements:
(a) Among MFS Variable Insurance Trust and PFL Life and
Massachusetts Financial Services Company (6)
(b) Among AIM Variable Insurance Funds, Inc., PFL Life and AFSG
Securities Corporation (4)
(c) Among PFL Life and Dreyfus Variable Investment Fund (7)
(D) Amendment to Participation Agreement Among PFL Life and
Dreyfus Variable Investment Fund (6)
(e) Amendment to Participation Agreement Among Oppenheimer
Variable Account Funds, OppenheimerFunds, Inc. and PFL Life
(6)
(f) Among Oppenheimer Variable Account Funds, OppenheimerFunds,
Inc. and PFL Life (4)
(g) Among WRL Series Fund, Inc. and PFL Life and AUSA Life
Insurance Company, Inc. and amendments thereto (3)
(h) Among Variable Insurance Product Funds and Variable
Insurance Products Fund II, Fidelity Distributors
Corporation, and PFL Life, and amendments thereto (5)
(i) Amendments dated November 27, 1998 to Participation
Agreements:
(i) Among MFS Variable Insurance Trust, Massachusetts
Financial Services Company and PFL Life (8)
(ii) Among PFL Life and Dreyfus Variable Investment Fund
(8)
(iii) Among Oppenheimer Variable Account Funds,
OppenheimerFunds, Inc. and PFL Life (8)
(iv) Among AIM Variable Insurance Funds, Inc., AIM
Distributors, Inc., PFL Life and AFSG Securities
Corporation (8)
(v) Among WRL Series Fund, Inc., PFL Life and AUSA Life
Insurance Company, Inc. (8)
(9) Not Applicable
(10) Application for Flexible Premium Variable Life Insurance Policy
(10)
(11) Memorandum describing issuance, transfer and redemption
procedures (9)
2. See Exhibit 1.A.
3. Opinion of Counsel as to the legality of the securities being registered
(9)
<PAGE>
4. No financial statement will be omitted from the Prospectus pursuant to
Instruction 1(b) or (c) of Part I (9)
5. Not Applicable
6. Opinion and consent of Richard R. Greer as to actuarial matters pertaining
to the securities being registered (9)
7. Consent of Frank A. Camp, Esq. (9)
8. Consent of Sutherland Asbill & Brennan LLP (9)
9. Consent of Ernst & Young LLP (9)
10. Powers of Attorney (10)
__________________
(1) This exhibit was previously filed on Pre-Effective Amendment No. 1 to the
Registration Statement on Form S-6 (File No. 33-92226) filed on July 10,
1998 and hereby is incorporated by reference.
(2) This exhibit was previously filed on Pre-Effective Amendment No. 2 to the
Registration Statement on Form N-3 (File No. 333-36297) filed on February
27, 1998 and is hereby incorporated by reference.
(3) This exhibit was previously filed on Post-Effective Amendment No. 1 to the
Registration Statement on Form N-4 (File No. 333-26209) filed on April 29,
1998 and is hereby incorporated by reference.
(4) This exhibit was previously filed on Post-Effective Amendment No. 4 to the
Registration Statement on Form N-4 (File 333-07509) filed on April 30, 1998
and is hereby incorporated by reference.
(5) This exhibit was previously filed on Pre-Effective Amendment No. 1 to the
Registration Statement on Form N-4 (File 333-07509) filed on December 6,
1996 and is hereby incorporated by reference.
(6) This exhibit was previously filed on the Initial Registration Statement on
Form S-6 (File 333-68087) filed on November 30, 1998 and is hereby
incorporated by reference.
(7) This exhibit was previously filed on the Initial Registration Statement on
form N-4 (File 333-26209) filed on April 30, 1997 and is hereby
incorporated by reference.
(8) This exhibit was previously filed on Pre-Effective Amendment No. 1 to the
Registration Statement on Form S-6 (File 333-68087) filed June 8, 1999 and
is incorporated by reference.
(9) To be filed by amendment.
(10) Filed herewith.
<PAGE>
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the registrant,
Legacy Builder Variable Life Separate Account, has duly caused this Registration
Statement to be signed on its behalf by the undersigned thereunto duly
authorized, and its seal to be hereunto affixed and attested, all in Cedar
Rapids, Iowa on the 27th day of August, 1999.
(Seal) LEGACY BUILDER VARIABLE LIFE
SEPARATE ACCOUNT
PFL LIFE INSURANCE COMPANY
Depositor
/s/ WILLIAM L. BUSLER
-----------------------------
William L. Busler, President
As required by the Securities Act of 1933, this Registration Statement has
been signed by the following persons in the capacities and on the dates
indicated.
TITLE DATE
----- ----
/s/ PATRICK S. BAIRD Director August 27, 1999
- ------------------------
Patrick S. Baird
/s/ CRAIG D. VERMIE Director August 27, 1999
- ------------------------
Craig D. Vermie
/s/ WILLIAM L. BUSLER Director August 27, 1999
- ------------------------
William L. Busler (Principal Executive
Officer)
/s/ LARRY N. NORMAN Director August 27, 1999
- ------------------------
Larry N. Norman
/s/ DOUGLAS C. KOLSRUD Director August 27, 1999
- ------------------------
Douglas C. Kolsrud
/s/ ROBERT J. KONTZ Corporate Controller August 27, 1999
- ------------------------
Robert J. Kontz*
/s/ BRENDA K. CLANCY Treasurer August 27, 1999
- ------------------------
Brenda K. Clancy
* Principal Accounting Officer
<PAGE>
EXHIBIT INDEX
EXHIBIT NO. DESCRIPTION OF EXHIBIT
- ----------- ----------------------
1.A.(5) Specimen Flexible Variable Life Insurance Policy
1.A.(10) Application for Flexible Premium Variable Life Insurance Policy
10 Powers of Attorney
<PAGE>
EXHIBIT 1.A.(5)
SPECIMEN FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY
<PAGE>
PFL PFL Life Insurance Company
LIFE A Stock Company
Home Office located at 4333 Edgewood Road N.E., Cedar Rapids,
Iowa 52499
(Heearafter called the Company,we, our or us) (319) 398-8511
IN THIS POLICY the Insured is named on the Policy Schedule page. PFL Life
Insurance Company will be referred to as We, Our, Us or the Company.
IF THE INSURED DIES before the Maturity Date and while this policy is In Force,
WE WILL PAY the Death Benefit Proceeds to the Beneficiary upon receipt of due
proof, satisfactory to Us, of the Insured's death. THE PORTION OF THE DEATH
BENEFIT PROCEEDS ATTRIBUTABLE TO ASSETS MAINTAINED IN THE SEPARATE ACCOUNT WILL
INCREASE OR DECREASE IN ACCORDANCE WITH THE INVESTMENT PERFORMANCE OF EACH
SUBACCOUNT OF THE SEPARATE ACCOUNT.
IF THE INSURED IS ALIVE on the Maturity Date and this policy is In Force, WE
WILL PAY the death benefit as of the Maturity Date. THE VALUE OF EACH SUBACCOUNT
OF THE SEPARATE ACCOUNT WILL INCREASE OR DECREASE IN ACCORDANCE WITH THE
INVESTMENT PERFORMANCE OF EACH SUCH SUBACCOUNT AND ARE NOT GUARANTEED AS TO
DOLLAR AMOUNT.
THE PROVISIONS on the following pages are part of this policy.
FREE LOOK PERIOD
You may cancel this policy by returning it to Us at 4333 Edgewood Road, N.E.,
Cedar Rapids, Iowa 52499 or to the representative / agent through whom it was
purchased within 10 days after receipt. If the policy is returned within this
period, it will be void from the beginning and a refund will be made to You. The
refund will equal the sum of:
1) The difference between the Initial Premium paid and the amount
allocated to any Accounts under the policy; plus
2) The total amount of monthly deductions made and any other charges
imposed on amounts allocated to the Accounts; plus
3) The value of amounts allocated to the Accounts on the date We or
Our agent receive the returned policy.
Signed for Us at our Home Office.
/S/ [SIGNATURE ILLEGIBLE] /S/ [SIGNATURE ILLEGIBLE]
- ----------------------------------- -------------------------------
SECRETARY PRESIDENT
This policy is a legal contract between the policy owner and the company.
READ YOUR POLICY CAREFULLY
COMPLAINT NOTICE
To obtain information or to make further inquiries regarding this policy, you
may call our toll-free num 1-800-732-7754. You may also write to us at our
Home Office.
FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY
DEATH BENEFIT PROCEEDS PAYABLE AT DEATH OF INSURED PRIOR TO MATURITY DATE
CASH SURRENDER VALUE PAYABLE AT MATURITY DATE
NON-PARTICIPATING - NO DIVIDENDS
SOME BENEFITS REFLECT INVESTMENT RESULTS
WL851136 58 699
<PAGE>
TABLE OF CONTENTS
<TABLE>
<S> <C>
Policy Schedule............................................. 3
Definitions................................................. 4
Accounts.............................................. 4
Attained Age.......................................... 4
Beneficiary........................................... 4
Cash Surrender Value.................................. 4
Death Benefit Proceeds................................ 4
Fixed Account......................................... 4
In Force.............................................. 4
Initial Premium....................................... 4
Issue Age............................................. 4
Loan Reserve.......................................... 4
Maturity Date......................................... 4
Monthly Date.......................................... 4
Net Premium........................................... 4
Office................................................ 4
Payee................................................. 4
Payment Commencement Date............................. 4
Policy Date........................................... 4
Portfolios............................................ 4
Premium............................................... 5
SEC................................................... 5
Separate Account...................................... 5
Subaccount............................................ 5
Termination........................................... 5
Valuation Date........................................ 5
Valuation Period...................................... 5
Written Notice........................................ 5
You, Your............................................. 5
Guaranteed Monthly Cost of
Insurance Rates............................................. 6
Net Single Premium.......................................... 7
General Provisions.......................................... 8
Entire Contract....................................... 8
Ownership............................................. 8
Beneficiary........................................... 8
Assignment............................................ 8
Incontestability...................................... 8
Suicide............................................... 8
Misstatement of Age and Sex........................... 8
Periodic Report ...................................... 8
Termination........................................... 8
Delay of Payments and Transfers....................... 9
Protection of Proceeds................................ 9
Premium Provisions.......................................... 9
Initial Premium....................................... 9
Additional Premiums................................... 9
Additional Premiums - No Underwriting................. 9
Allocation of Net Premiums............................ 9
Grace Period.......................................... 10
Death Benefit Provisions.................................... 10
Death Benefit......................................... 10
Basic Death Benefit................................... 10
Guaranteed Minimum Death Benefit...................... 10
Death Benefit Proceeds................................ 10
Policy Value Provisions..................................... 11
Fixed Account Value................................... 11
Guaranteed Interest Rate in Fixed Account............. 11
Subaccount Value...................................... 11
Cash Value............................................ 11
Cash Surrender Value.................................. 11
Growth Accelerator Benefit............................ 11
Surrender Provisions........................................ 12
Surrender............................................. 12
Partial Surrenders.................................... 12
Surrender Charge...................................... 12
Policy Deductions and
Charges Provisions.......................................... 12
Premium Expense Charge................................ 12
Monthly Deductions.................................... 12
Monthly Cost of Insurance............................. 12
Monthly Policy Charge................................. 13
Daily Charge.......................................... 13
Policy Loans Provision...................................... 13
Policy Loans.......................................... 13
Continuation of Insurance Provisions........................ 14
Continuation of Insurance............................. 14
No Lapse.............................................. 14
Extended Maturity..................................... 14
Basis of Computations................................. 14
Separate Account Provisions................................. 14
The Separate Account.................................. 14
Subaccounts........................................... 15
Addition, Deletion or Substitution of
Investments........................................... 15
Change of Investment Objective........................ 15
Subaccount Units...................................... 16
Transfer Provisions......................................... 16
Transfers............................................. 16
Transfer Limitations.................................. 16
Transfer Allocation................................... 16
Dollar Cost Averaging................................. 17
Asset Rebalancing..................................... 17
Payment of Proceeds Provimions.............................. 18
Election by Owner..................................... 18
Payment of Proceeds................................... 18
Optional Methods of Settlement........................ 18
Fixed Payment Option.................................. 18
Rate of Interest...................................... 18
Variable Payment Option............................... 18
Determination of the First Variable Payment........... 19
Determination of Subsequent
Variable Payments..................................... 20
Other Settlement Options.............................. 20
Conditions............................................ 20
Proceeds Exempt From Claim of Creditors............... 20
Table of Guaranteed Fixed
Payment Options............................................. 21
Table of Variable Payment Options........................... 21
</TABLE>
2
<PAGE>
Policy Schedule
- -------------------------------------------------------------------------------
Insured: (John Doe) Owner: (John Doe)
Issue Age and Sex: (35 - Male) Policy Number: (01-12345678)
Specified Amount: ($204,416) Policy Date: (December 01, 1998)
Initial Premium: ($20,000) Maturity Date: (December 01, 2063)
Rate Class: (Standard (Preferred))
Additional Premium Allowance: ($20,000)
Separate Account: (Legacy Builder Variable Life Separate Account)
Premium Expense Charge: (2)% of each Premium received.
Monthly Policy Charge:
Monthly Administrative Charge: $2.50
Monthly Asset Based Charge: 0.55% (expressed as an annual percentage and
applied to the Separate Account only) for the
first ten (10) policy years.
Daily Charge: 0.75% for all durations (expressed as an annual
percentage and applied to Separate Account
only)
Deferred Surrender Charges: Surrender Charges of 7% are applied to each
premium for the first six years following the
payment of each premium.
AT SOME FUTURE TIME, THE CASH SURRENDER VALUE MAY NOT COVER THE NEXT MONTHLY
DEDUCTION. IN SUCH A SITUATION, EXCEPT AS OTHERWISE PROVIDED IN THE POLICY, THE
POLICY WILL ENTER THE GRACE PERIOD AND WILL TERMINATE AT THE END OF THAT PERIOD
IF SUFFICIENT PREMIUM TO COVER THE MONTHLY DEDUCTION IS NOT PAID.
3
<PAGE>
DEFINITIONS
Accounts
The Fixed Account and the Subaccounts of the Separate Account.
Attained Age
Attained Age refers to the Issue Age plus the number of completed policy years.
Beneficiary
The person or persons specified by the Owner to receive the Death Benefit
Proceeds.
Cash Surrender Value
The amount payable upon surrender of this policy in accordance with the Policy
Value Provisions.
Death Benefit Proceeds
The amount payable upon the death of the Surviving Insured in accordance with
the Death Benefit Provisions.
Fixed Account
Allocation option(s) other than the Separate Account.
In Force
Condition under which the coverage is active and the Surviving Insured's life
remains insured.
Initial Premium
The amount which must be paid before coverage begins. The amount is shown on the
Policy Schedule page.
Issue Age
Issue Age refers to the age on the Insured's last birthday prior to the Policy
Date.
Loan Reserve
A portion of the Fixed Account used as collateral for any policy loan.
Maturity Date
The date when coverage under the policy will terminate if the Insured is living
and the policy is In Force. The Maturity Date is shown on the Policy Schedule
page.
Monthly Date
The same day of each month as the Policy Date. If there is no day in a calendar
month which coincides with the Policy Date, the Monthly Date will be the next
Valuation Date.
Net Premium
A Net Premium is the amount received by Us as premium less the Premium Expense
Charge shown on the Policy Schedule page.
Office
Refers to Our Home Office at 4333 Edgewood Road, N.E., Cedar Rapids, Iowa 52499.
Payee
The person or persons specified by the Owner to receive the payment upon
Termination of this policy.
Payment Commencement Date
If You choose to receive the proceeds through a Settlement Option (as described
in the Payment of Proceeds Provisions), the Payment Commencement Date is the
date we begin to make the payment.
Policy Date
The date coverage is effective and monthly deductions commence under the policy.
Policy years, policy anniversaries, and Monthly Dates are measured from the
Policy Date, as shown on the Policy Schedule page.
Portfolios
Designated mutual fund(s) from which each Subaccount of the Separate Account
will buy shares.
4
<PAGE>
DEFINITIONS - CONTINUED
Premium
An amount paid to Us as consideration for the benefits provided by this policy.
SEC
The United States Securities and Exchange Commission.
Separate Account
A separate investment account established and maintained by Us for the
investment of a portion of Our assets pursuant to Section 508A.1 of the Iowa
Insurance Code. The Separate Account contains several Subaccounts to which
premiums, or portions thereof, may be allocated.
Subaccount
A sub-division of the Separate Account investing solely in shares of a specified
Portfolio. The investment performance of each Subaccount is linked directly to
the investment performance of the Portfolio.
Termination
Condition under which the insurance coverage under this policy is no longer In
Force.
Valuation Date
Each day that both the New York Stock Exchange and PFL Life Insurance Company
are open for business, except for any days when a Subaccount's corresponding
investment portfolio does not value its shares.
Valuation Period
The period beginning at the close of business of the New York Stock Exchange on
one Valuation Date and continuing to the close of business on next Valuation
Date.
Written Notice
Written Notice means a notice by the Owner to Us requesting a right of the Owner
as provided in the General Provisions. In order for a notice to be considered a
Written Notice, it must be in writing, signed by the Owner; be in a form
acceptable to Us; and contain the information and documentation, as determined
in Our sole discretion, necessary for Us to take the action requested, or for
the Owner to exercise the right specified. A Written Notice will not be
considered complete until all necessary supporting documentation required or
requested by Us has been received at Our Office.
You, Your
The Owner of this policy.
5
<PAGE>
GUARANTEED MONTHLY COST OF INSURANCE RATES PER $1,000
<TABLE>
<CAPTION>
Attained Non-Tobacco Use Tobacco Use Attained Non-Tobacco Use Tobacco Use
Age Male Female Male Female Age Male Female Male Female
--- ---- ------ ---- ------ --- ---- ------ ---- ------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
30 0.1208 0.1042 0.1775 0.1317 65 1.8542 1.1883 3.1583 1.6600
31 0.1233 0.1075 0.1833 0.1367 66 2.0517 1.3067 3.4383 1.8067
32 0.1267 0.1108 0.1908 0.1425 67 2.2633 1.4275 3.7283 1.9483
33 0.1317 0.1150 0.2008 0.1500 68 2.4933 1.5525 4.0325 2.0917
34 0.1375 0.1200 0.2125 0.1583 69 2.7483 1.6917 4.3625 2.2475
35 0.1442 0.1258 0.2267 0.1675 70 3.0367 1.8550 4.7267 2.4317
36 0.1517 0.1342 0.2433 0.1817 71 3.3658 2.0542 5.1358 2.6650
37 0.1617 0.1442 0.2642 0.1983 72 3.7458 2.2983 5.5983 2.9508
38 0.1725 0.1550 0.2875 0.2175 73 4.1758 2.5908 6.1108 3.2908
39 0.1842 0.1667 0.3142 0.2383 74 4.6483 2.9275 6.6725 3.6783
40 0.1983 0.1808 0.3450 0.2633 75 5.1533 3.3033 7.2725 4.1017
41 0.2133 0.1958 0.3783 0.2900 76 5.6867 3.7100 7.8858 4.5517
42 0.2292 0.2108 0.4150 0.3167 77 6.2442 4.1458 8.5017 5.0217
43 0.2467 0.2258 0.4550 0.3433 78 6.8292 4.6175 9.1242 5.5183
44 0.2658 0.2408 0.4992 0.3700 79 7.4600 5.1400 9.7750 6.0592
45 0.2875 0.2575 0.5458 0.3983 80 8.1567 5.7342 10.4758 6.6650
46 0.3108 0.2750 0.5942 0.4275 81 8.9375 6.4175 11.2467 7.3525
47 0.3358 0.2942 0.6467 0.4575 82 9.8183 7.2050 12.1008 8.1342
48 0.3633 0.3142 0.7033 0.4900 83 10.7950 8.0933 13.0242 9.0367
49 0.3933 0.3367 0.7650 0.5258 84 11.8483 9.0725 13.9858 10.0150
50 0.4275 0.3617 0.8333 0.5642 85 12.9542 10.1317 14.9533 11.0542
51 0.4667 0.3892 0.9108 0.6050 86 14.0983 11.2633 15.9033 12.1458
52 0.5117 0.4208 0.9983 0.6517 87 15.2633 12.4658 16.8783 13.2792
53 0.5633 0.4558 1.0975 0.7033 88 16.4442 13.7400 17.8942 14.4600
54 0.6208 0.4917 1.2058 0.7558 89 17.6575 15.0958 18.9042 15.6875
55 0.6850 0.5300 1.3217 0.8100 90 18.9208 16.5442 19.9233 17.0483
56 0.7550 0.5683 1.4442 0.8633 91 20.2633 18.1183 20.9833 18.5133
57 0.8292 0.6058 1.5733 0.9133 92 21.7350 19.8775 22.2125 20.1383
58 0.9117 0.6433 1.7092 0.9625 93 23.4792 21.9458 23.7892 22.0467
59 1.0042 0.6858 1.8550 1.0150 94 25.8192 24.6025 25.9392 24.6025
60 1.1075 0.7358 2.0175 1.0775 95 29.3217 28.4183 29.3217 28.4183
61 1.2225 0.7975 2.2008 1.1558 96 35.0825 34.4900 35.0825 34.4900
62 1.3550 0.8742 2.4075 1.2567 97 45.0833 44.7700 45.0833 44.7700
63 1.5050 0.9683 2.6383 1.3792 98 62.0958 61.9967 62.0958 61.9967
64 1.6717 1.0742 2.8908 1.5158 99 83.3333 83.3333 83.3333 83.3333
</TABLE>
The guaranteed monthly cost of insurance rates shown above are for standard risk
only and are based on the Commissioners 1980 Standard Ordinary Tobacco User and
Non Tobacco User Mortality Table. When any insurance is not sold on the standard
risk, the guaranteed cost of insurance rates are increased by 30%, 100% and 220%
for rating classes Approved, Approved Rated and Approved Rated-II respectively.
C800 6
<PAGE>
NET SINGLE PREMIUM PER $1,000
<TABLE>
<CAPTION>
Attained Non-Tobacco Use Tobacco Use Attained Non-Tobacco Use Tobacco Use
Age Male Female Male Female Age Male Female Male Female
--- ---- ------ ---- ------ --- ---- ------ ---- ------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
30 198.30 176.99 242.61 201.25 65 585.00 529.43 640.57 559.30
31 205.07 183.03 250.70 208.02 66 599.15 543.87 652.75 572.89
32 212.09 189.29 259.06 215.02 67 613.28 558.46 664.77 586.57
33 219.36 195.77 267.71 222.26 68 627.36 573.25 676.66 600.41
34 226.89 202.48 276.63 229.73 69 641.40 588.26 688.43 614.46
35 234.67 209.41 285.82 237.44 70 655.34 603.47 700.06 628.71
36 242.72 216.57 295.27 245.38 71 669.13 618.81 711.49 643.09
37 251.03 223.95 304.98 253.51 72 682.70 634.18 722.66 657.47
38 259.59 231.54 314.93 261.84 73 695.96 649.48 733.50 671.72
39 268.41 239.34 325.10 270.35 74 708.84 664.61 743.93 685.73
40 277.50 247.36 335.50 279.04 75 721.32 679.50 753.93 699.43
41 286.84 255.58 346.10 287.87 76 733.43 694.12 763.49 712.80
42 296.46 264.02 356.91 296.87 77 745.19 708.48 772.68 725.87
43 306.35 272.69 367.91 306.03 78 756.64 722.60 781.58 738.69
44 316.51 281.59 379.10 315.37 79 767.83 736.50 790.24 751.30
45 326.95 290.75 390.47 324.90 80 778.74 750.14 798.69 763.68
46 337.66 300.15 402.03 334.62 81 789.34 763.46 806.90 775.81
47 348.65 309.82 413.79 344.55 82 799.56 776.37 814.81 787.60
48 359.93 319.74 425.72 354.69 83 809.31 788.80 822.36 798.98
49 371.49 329.93 437.84 365.04 84 818.57 800.68 829.53 809.85
50 383.33 340.38 450.13 375.59 85 827.33 812.03 836.35 820.20
51 395.44 351.09 462.56 386.35 86 835.65 822.86 842.93 830.10
52 407.81 362.06 475.11 397.30 87 843.62 833.24 849.38 839.61
53 420.41 373.27 487.75 408.43 88 851.35 843.26 855.77 848.84
54 433.24 384.73 500.43 419.72 89 859.00 853.02 862.22 857.93
55 446.27 396.44 513.15 431.21 90 866.72 862.67 868.93 867.04
56 459.49 408.43 525.91 442.89 91 874.71 872.36 876.12 876.26
57 472.91 420.70 538.70 454.81 92 883.18 882.27 884.05 885.79
58 486.52 433.30 551.53 467.01 93 892.38 892.63 892.89 895.86
59 500.29 446.24 564.40 479.52 94 902.52 903.63 902.82 906.72
60 514.22 459.51 577.29 492.34 95 913.69 915.40 913.92 918.42
61 528.27 473.08 590.17 505.45 96 925.81 927.91 926.04 930.86
62 542.41 486.92 602.99 518.78 97 938.68 940.98 938.90 943.87
63 556.60 500.95 615.69 532.24 98 952.41 954.67 952.63 957.35
64 570.81 515.13 628.22 545.76 99 970.22 971.51 970.35 973.03
</TABLE>
The net single premiums shown above are for standard risk only and are based on
the guaranteed cost of insurance rates shown on page 6. When any policy is not
sold through a standard risk, its net single premium will be calculated by using
its specific guaranteed cost of insurance rates.
CB800 7
<PAGE>
GENERAL PROVISIONS
Entire Contract
This policy is issued in consideration of the attached application and payment
of the Initial Premium. This policy, including the attached application and any
attached riders and endorsements, constitute the entire contract. All statements
made in an application, in the absence of fraud, will be deemed representations
and not warranties. No statement can be used to void this policy or be used in
defense of a claim unless it is contained in the written application. No policy
provision can be waived or changed except by endorsement. Such endorsement must
be signed by Our President or Secretary.
Ownership
The Insured is the Owner of this policy unless otherwise stated on the
application or later changed. The Owner may exercise all rights under this
policy during the Insured's lifetime including the right to transfer ownership.
If the Owner should die during the Insured's lifetime, ownership of this policy
will pass to the Owner's estate if no contingent owner is named.
We will not be bound by any change in the ownership designation unless it is
made by Written Notice. The change will be effective on the date the Written
Notice is accepted by Us. If We request, this policy must be returned to Our
Office for endorsement.
Beneficiary
The Beneficiary, as named in the application or subsequently changed, will
receive the benefits payable upon the Insured's death. If the Beneficiary dies
before the Insured, the Contingent Beneficiary, if named, becomes the
Beneficiary. If no Beneficiary or Contingent Beneficiary survives the Insured,
the benefits payable upon the Insured's death will be paid to the Owner or the
Owner's estate.
We will not be bound by any change in the Beneficiary designation unless it is
made by Written Notice. The change will be effective on the date the Written
Notice was signed; however, no change will apply to any payment We made before
the Written Notice is received. If We request, this policy must be returned to
Our Office for endorsement.
Assignment
This policy may be assigned. We will not be bound by any assignment unless made
by Written Notice. The assignment will be effective on the date the Written
Notice is received at Our Office and accepted by Us. We assume no responsibility
for the validity of any assignment.
The rights of the Beneficiary and Owner are subject to the rights of the
assignee, unless the Beneficiary was effectively designated as an irrevocable
beneficiary prior to the assignment.
Incontestability
This policy shall be incontestable after it has been In Force, while the Insured
is still alive, for two years from the Policy Date.
Suicide
If the Insured dies by suicide, while sane or insane, within two years from the
Policy Date, this policy shall terminate and Our total liability, including all
riders attached to this policy, will be limited to the total premiums paid, less
any loans and prior partial surrenders, during such period.
Misstatement of Age and Sex
If the Insured's age and/or sex is not correctly stated, the death benefit will
be adjusted based on what the premiums would have purchased based on the
Insured's correct age and/or sex.
Periodic Report
We will send a periodic report to You at least once each policy year. The
periodic report will show:
1. The current Cash Value;
2. The current Cash Surrender Value;
3. The current death benefit;
4. Any current policy loans;
5. Activity since last report.
Additional activity within each Subaccount showing investment experience will
also be provided.
Termination
This policy will terminate on the earliest of:
1. The Maturity Date;
2. The date of the Insured's death;
3. The end of the grace period;
4. The date of surrender.
H751 8
<PAGE>
Delay of Payments and Transfers
All payments and transfers from the Subaccounts will be processed as provided in
this policy unless one of the following situations exists:
1. The New York Stock Exchange is closed; or
2. The SEC requires that trading be restricted or declares an emergency; or
3. The SEC allows Us to defer payments to protect Our policyowners.
We reserve the right to defer the payment of any Fixed Account values for the
period permitted by law, but not for more than six months.
Protection of Proceeds
Unless You direct by filing Written Notice, no Beneficiary may assign any
payments under this policy before the same are due. To the extent permitted by
law, no payments under this policy will be subject to the claims of creditors of
any Beneficiary.
PREMIUM PROVISIONS
Initial Premium
The Initial Premium shown on the Policy Schedule page must be paid on or before
the Policy Date. The minimum Initial Premium is $10,000. The policy will not be
in effect and there will be no death benefit before the Initial Premium is paid.
Additional Premiums
While this policy is In Force, additional premiums may be paid at any time prior
to the Maturity Date. The minimum additional premium is $5,000. Unless the
premium is paid in accordance with the "Additional Premiums - No Underwriting"
provision below, We reserve the right to require underwriting satisfactory to Us
as a condition for accepting additional premium.
We also reserve the right to reject an additional premium if that additional
premium would disqualify this policy as a life insurance contract as defined by
the United States Internal Revenue Code and applicable regulations.
Additional Premiums - No Underwriting
During each of the first two policy years, additional premiums up to the limits
defined in this provision may be paid without any underwriting requirement. In
the first policy year, the limit on premiums acceptable to Us without
underwriting is equal to the additional premium allowance shown on the Policy
Schedule page. In the second policy year, the limit on premiums acceptable to Us
without additional underwriting is the lesser of: (1) the additional premium
allowance shown on the Policy Schedule page less any additional premiums paid in
the first policy year, or (2) total premiums paid in the first policy year. If
You surrender a portion of the policy in accordance with the Partial Surrender
provision, we reserve the right to require underwriting on all subsequent
premium payments.
Allocation of Net Premiums
Net premiums may be allocated to the Fixed Account or to one or more Subaccounts
of the Separate Account, as directed by You.
Any net premium, or portion thereof, allocated to the Fixed Account, will be
credited immediately upon receipt of the premium by Us at Our Office.
Any net premium, or portion thereof, allocated to one or more Subaccounts, will
be credited to that Subaccount on the first Valuation Date on or following the
date the premium is received.
Any net premium, or portion thereof, designated to a Subaccount, will be
allocated to one or more Subaccounts of the Separate Account in accordance with
Your current premium allocation instructions.
We limit any allocation to any Account to no less than 1%. No fractional
percentages may be permitted. The allocation may be changed by You. The request
for change of allocations must be in a form satisfactory to Us. The allocation
change will be effective on the date the request for change is recorded by Us.
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Grace Period
If the Cash Surrender Value on any Monthly Date is not sufficient to cover the
monthly deductions on such day, We will mail a notice to the last known address
of the Owner and any assignee of record. A grace period of 61 days after the
mailing date of the notice will be allowed for the payment. The notice will
specify the minimum payment and the final date on which such payment must be
received by Us to keep the policy In Force. The policy will remain In Force
during the grace period. If the amount due is not received by Us within the
grace period, all coverage under the policy will terminate without value at the
end of the grace period.
DEATH BENEFIT PROVISIONS
Death Benefit
The death benefit is the greater of:
1. The Basic Death Benefit amount; or
2. The Guaranteed Minimum Death Benefit.
Basic Death Benefit
The Basic Death Benefit is the minimum amount that must be payable at the
Insured's death, before reduction for any outstanding loan, for the policy to be
treated as a life insurance policy. We determine the Basic Death Benefit by
dividing the Cash Value by the Net Single Premium. The Net Single Premium is
calculated using guaranteed cost of insurance rates with 4.5% interest. The
Basic Death Benefit will change monthly due to the changes in the Cash Value.
The Net Single Premium will change annually.
The Specified Amount shown on the Policy Schedule page is the Basic Death
Benefit on the Policy Date.
Guaranteed Minimum Death Benefit
The calculation of the Guaranteed Minimum Death Benefit is based on the age of
the Insured on the Policy Date. If the Insured's age is less than 75 on the
Policy Date, the Guaranteed Minimum Death Benefit is equal to the greater of
premium(s) paid or highest Cash Value on any policy anniversary (adjusted for
partial surrenders). When the Insured reaches age 75 on a policy anniversary,
the Guaranteed Minimum Death Benefit will be calculated for the last time. The
Guaranteed Minimum Death Benefit calculated then will be the Guaranteed Minimum
Death Benefit for the remainder of the policy.
If the Insured's age is equal to or greater than 75 on the Policy Date, the
Guaranteed Minimum Death Benefit will be equal to the premium(s) paid (adjusted
for partial surrenders).
If the policy has an outstanding loan, the Guaranteed Minimum Death Benefit will
not apply. The death benefit will equal the Required Death Benefit. However, the
Guaranteed Minimum Death Benefit will be reinstated if the policy loan is fully
repaid.
Death Benefit Proceeds
The Death Benefit Proceeds is the amount payable by Us under this policy upon
the death of the Insured, provided this policy has not terminated prior to the
Insured's death. Except as provided in the Suicide provision, the Death Benefit
Proceeds will be equal to:
1. The death benefit; minus
2. Any monthly deductions due during the grace period; minus
3. Any outstanding policy loan; minus
4. Any accrued policy loan interest.
As long as the policy is In Force, we will pay the Death Benefit Proceeds to the
Beneficiary once we receive due proof of the Insured's death.
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POLICY VALUE PROVISIONS
Fixed Account Value
The Fixed Account Value on the Policy Date is the net premiums, or portions
thereof, received to date.
The Fixed Account Value on a Monthly Date will be equal to:
1. The Fixed Account Value on the last Monthly Date; plus
2. Net premiums, or portions thereof, allocated to the Fixed Account since the
last Monthly Date; plus
3. Amounts transferred from one or more Subaccounts to the Fixed Account since
the last Monthly Date; plus
4. Growth Accelerator Benefit (as described below) credited to the Fixed
Account since the last Monthly Date; plus
5. Interest credited to the Fixed Account; minus
6. Amounts charged to pay for monthly deductions for the last Monthly Date;
minus
7. Amounts withdrawn to pay for partial surrenders, or transfers from the
Fixed Account, including transfers to the Loan Reserve since the last
Monthly Date; minus
8. Amounts transferred from the Fixed Account to one or more Subaccounts.
On any day other than a Monthly Date, the Fixed Account Value will be equal to
(1) plus (2) plus (3) plus (4) plus, (5) minus (7), minus (8) using the
definitions above.
Guaranteed Interest Rate in Fixed Account
Interest on the Fixed Account will be compounded daily at a minimum guaranteed
effective annual interest rate of 3% per year. We may use current interest rates
greater than the guaranteed interest rate to calculate the value in the Fixed
Account. These interest rates will be declared by Us. We may also apply a rate
of interest less than the current rate to separate portions of the value in the
Fixed Account including the amount equal to any outstanding loan(s). However,
each rate cannot be less than the guaranteed interest rate.
Subaccount Value
At the end of any Valuation Period, the value of each Subaccount is equal to the
number of units multiplied by the unit value of that Subaccount on the Valuation
Date.
The number of units in each Subaccount is equal to:
1. The initial units purchased on the Policy Date; plus
2. Units purchased as a result of any additional net premiums; plus
3. Units purchased through transfers from another Account; plus
4. Units purchased as a result of Growth Accelerator Benefit (as described
below), minus
5. Units redeemed to pay for monthly deductions as they are due; minus
6. Units redeemed to pay for partial surrenders; minus
7. Units redeemed as part of a transfer to another Account.
Cash Value
The Cash Value on any date is equal to the sum of the Fixed Account Value and
the value of each Subaccount of the Separate Account.
Cash Surrender Value
The Cash Surrender Value is the amount payable upon surrender of this policy.
The Cash Surrender Value as of any date is equal to:
1. the Cash Value as of such date; minus
2. any Surrender Charge as of such date; minus
3. any outstanding policy loan(s); minus
4. any accrued loan interest.
Growth Accelerator Benefit
If the Cash Value on any policy anniversary exceeds $50,000 and is also greater
than 200% of the total premiums paid, the Cash Value will be credited with
additional interest. The additional interest will be allocated to the Separate
Account and Fixed Account on a pro rata basis at the end of each month for the
following year. This interest is 0.04167% multiplied by the Cash Value at the
end of each month. This benefit is guaranteed; however, the policy needs to meet
the requirements stated in the first sentence of this provision each year.
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SURRENDER PROVISIONS
Surrender
While this policy is In Force, You may surrender this policy for its Cash
Surrender Value.
Partial Surrenders
You may request the surrender of a portion of the Cash Surrender Value. The
amount surrendered must be at least $500 and must not cause the Cash Surrender
Value after the partial surrender to be less than $5,000.
After the first policy year, an amount up to the earnings of the policy may be
surrendered free of any Surrender Charges. Amounts surrendered in excess of
earnings will be subject to Surrender Charges.
Partial surrenders will reduce the Cash Value and the Guaranteed Minimum Death
Benefit by the amount withdrawn plus surrender charge, if applicable.
We may defer payment of any partial surrender of values in the Fixed Account by
not more than six months.
For the purposes of determining Surrender Charges, the amount of partial
surrender is considered to be deducted from the oldest premium first. If the
amount withdrawn exceeds the oldest premium, the next oldest premium is
considered to be deducted next, and so until the last premium is deducted. (this
is a "First-In, First-Out" or FIFO procedure).
The Accounts from which the partial surrender will be made may be specified in
the Written Notice. If no Account is specified, the withdrawal amount will be
made from each subaccount of the Separate Account and Fixed Account on a pro
rata basis.
Surrender Charge
If You surrender the policy, You will incur a Surrender Charge if any premium
payments are made within 6 years before the surrender. This charge will be based
upon the Deferred Surrender Charges shown on the Policy Schedule page.
POLICY DEDUCTIONS AND CHARGES PROVISIONS
Premium Expense Charge
The Premium Expense Charge for the policy is shown on the Policy Schedule page
and represents a percentage of each premium paid. The Premium Expense Charge is
deducted from each premium received by Us before such premium is allocated to
the various Accounts.
Monthly Deductions
On the Policy Date and on each Monthly Date thereafter, a monthly deduction will
be made from the Cash Value in an amount equal to the sum of the following:
1. The Monthly Cost of Insurance, if any; plus
2. The Monthly Policy Charge, if any; plus
Unless specified otherwise, deductions will be withdrawn from each Subaccount of
the Separate Account and Fixed Account on a pro rata basis.
If the policy remains In Force after the Maturity Date, no Monthly Deductions
will be deducted.
Monthly Cost of Insurance
The Monthly Cost of Insurance is determined by multiplying the difference
between the Death Benefit divided by 1.00247 and the Cash Value on the Monthly
Date by the monthly per dollar cost of insurance rate.
The guaranteed cost of insurance per $1,000 is based on the Insured's:
- Sex, unless prohibited by law
- Attained age; and
- Rate Class shown on the Policy Schedule page.
We may use cost of insurance rates lower than the guaranteed rates but will
never charge rates in excess of the guaranteed cost of insurance rates.
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Monthly Policy Charge
The Monthly Policy Charge consists of the following two components:
1. Monthly Administrative Charge - A Monthly Administrative Charge shown on
the Policy Schedule page will be deducted from each subaccount of the
Separate Account and the Fixed Account on a pro-rata basis. The Monthly
Administrative Charge will be waived for the following year if the Cash
Value on the Policy Date of any policy anniversary is equal to or greater
than $50,000.
2. Monthly Asset Based Charge - A Monthly Asset Based Charge shown on the
Policy Schedule page is applied to the Separate Account for the first 10
policy years. The Monthly Asset Based Charge will be deducted from each
subaccount of the Separate Account on a pro rata basis.
The Monthly Asset Based Charge will be calculated as (1) multiplied by (2),
where:
1 is the Monthly Asset Based Charge shown on the Policy Schedule page divided
by 12; and
2 is the sum of the values of each Subaccount on the Valuation Date of each
monthly deduction.
Daily Charge
Each Valuation Date, We deduct a Daily Charge which is equivalent to the annual
rate shown on the Policy Schedule page. We will deduct this charge from the
assets in each Subaccount as part of the calculation of the Subaccount Units for
that Subaccount. The Daily Charge will not exceed the equivalent of the annual
rate shown on the Policy Schedule page.
POLICY LOANS PROVISION
Policy Loans
While this Policy is In Force, You can borrow against this Policy an amount
which is not greater than 90% of the Cash Value net of Surrender Charge, minus:
1. any outstanding policy loan; minus
2. any accrued policy loan interest.
The amount of any policy loan may be limited to no less than $500, except as
noted below.
When a loan is made, an amount equal to the loan will be withdrawn from the
Accounts and transferred to the Loan Reserve. The Loan Reserve is a portion of
the Fixed Account used as collateral for any policy loan. You may specify the
Account or Accounts from which the policy loan will be made. If no Account is
specified, the policy loan will be made from each Subaccount of the Separate
Account and Fixed Account on a pro rata basis.
The loan date is the date We process a loan request. This policy will be the
sole security for the loan.
Any loan may be repaid while this policy is In Force. The existence of an
outstanding policy loan will terminate the application of the Guaranteed Minimum
Death Benefit (as described in the Minimum Death Benefit provision). However,
the Guaranteed Minimum Death Benefit will be reinstated if the loan is repaid.
Interest on any loan will be at the maximum policy loan rate of 6% payable in
arrears. We reserve the right to charge a lower loan rate on all or a portion of
any loan. Interest is due at each calendar quarter. Interest not paid when due
will be added to the loan on each calendar quarter.
At each calendar quarter, We will compare the amount of the outstanding loan to
the amount in the Loan Reserve. We will also make this comparison any time You
repay all or part of the loan. At each such time, if the amount of the
outstanding loan exceeds the amount in the Loan Reserve, We will withdraw the
difference from the Accounts and transfer it to the Loan Reserve, in the same
fashion as when a loan is made. If the amount in the Loan Reserve exceeds the
amount of the outstanding loan, We will withdraw the difference from the Loan
Reserve and transfer it to the Separate Account and Fixed Account on a pro rata
basis. However, We reserve the right to require the transfer to the Fixed
Account if such loans were originally transferred from the Fixed Account.
We may defer making a loan from values in the Fixed Account for not more than
six (6) months after application for the loan is made unless the loan is to pay
premiums on policies with Us.
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CONTINUATION OF INSURANCE PROVISIONS
Continuation of Insurance
Insurance coverage under this policy will be continued In Force until the Cash
Surrender Value is insufficient to cover the monthly deductions. If the Cash
Surrender Value on any Monthly Date is not sufficient to cover the monthly
deductions then due, this policy shall terminate subject to the Grace Period
provision. However, if there are no outstanding policy loans, we will guarantee
the policy will never lapse subject to the No Lapse provision. This provision
shall not continue this policy beyond the Maturity Date.
No Lapse
If there are no outstanding policy loans, we will guarantee the policy will
never lapse. The death benefit will be paid upon the death of the Insured
regardless of policy performance. A partial surrender will reduce the death
benefit guaranteed under this provision. If the policy has a loan, and the loan
amount exceeds the available Cash Value, less any Surrender Charges, the policy
would be subject to lapse.
Extended Maturity
You may request that the Maturity Date be extended. The request must be in
writing and received by Us at least 90 days, but no more than 180 days, prior to
the scheduled Maturity Date. After you extend the Maturity Date, we will
automatically extend your Maturity Date every year unless you direct us to do
otherwise. Any riders In Force on the scheduled Maturity Date will terminate on
that date and will not be extended. Interest on any outstanding policy loan will
continue to accrue during the period for which the Maturity Date is extended.
The Cash Value at the Maturity Date will be equal to the Death Benefit, less any
indebtedness. If You choose to extend the Maturity Date, the Cash Value will
continue to earn interest and no monthly deductions will be deducted from the
Cash Value.
Basis of Computations
Policy values and reserves are at least equal to those required by law. A
detailed statement of the method of computation of values and reserves has been
filed with the insurance supervisory official of the state in which this policy
is delivered.
SEPARATE ACCOUNT PROVISIONS
The Separate Account
The Separate Account is a separate investment account established and maintained
by Us for the investment of a portion of Our assets pursuant to Section 508A. 1
of the Iowa Insurance Code. We will use the assets of the Separate Account to
buy shares in the various Portfolios. Net premiums, or portions thereof
allocated to one or more Subaccounts of the Separate Account will become a part
of the Separate Account.
We are not, and do not claim to be, a trustee with respect to the Separate
Account, the assets of which are owned absolutely and exclusively by Us. The
assets in the Separate Account shall not be chargeable with liabilities arising
out of any other business of the Company, except to the extent that they exceed
the reserves and other liabilities of the Separate Account. The assets of the
Separate Account maintained under this policy and under all other policies of
this type will be kept separate from the assets held in our general account and
are not subject to the claims of the general creditors of the Company.
Income, gains and losses, whether or not realized, from assets in the Separate
Account are credited to, or charged against, the Separate Account without regard
to other income, gains or losses of the Company.
We will hold assets in the Separate Account with a value at least equal to the
total liability for the Separate Account under this and all other policies of
this type. To the extent those assets do not exceed this total, We will use them
to support only those policies and will not use those assets to support any
other business. We may use any excess over this amount at Our sole discretion.
For all purposes under this policy, we will determine the value of assets in the
Separate Account at the end of each Valuation Date. To determine the value of an
asset on a day that is not a Valuation Date, we will use the value of that asset
as of the end of the next Valuation Date.
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Subaccounts
The Separate Account contains several Subaccounts, each of which invests solely
in shares of a corresponding Portfolio Income, gains and losses, whether or not
realized, from assets in the Subaccounts are credited to, or charged against,
the Subaccounts without regard to other income, gains or losses of the Company.
Any amount charged against the investment base for federal or state income taxes
will be deducted from that Subaccount.
Addition, Deletion or Substitution of Investments
We cannot and do not guarantee that any of the Subaccounts of the Separate
Account will always be available for investment. We reserve the right, subject
to compliance with applicable federal or state law, rules or regulations, and
further subject to the prior approval of any insurance supervisory official, to
make additions to, deletions from, or substitutions for, the Subaccounts, or the
portfolio shares held by a Subaccount of the Separate Account if such portfolio
shares are no longer available for investment, or if We determine that continued
investment in such portfolio would be inappropriate or inconsistent with the
purposes of the Separate Account. We will not substitute any shares attributable
to the Owner's interest in a Subaccount without advance written notice to the
Owner and prior approval of the Securities and Exchange Commission, to the
extent required by the Investment Company Act of 1940.
We reserve the right to establish additional Subaccounts, each of which would
invest solely in shares of other portfolios. If We decide to make those
Subaccounts available under this policy, We will send written notification to
the Owner. The Owner may instruct Us to allocate future net premiums, or
portions thereof, to those Subaccounts, or transfer all or a portion of each
Subaccount Value to those Subaccounts, subject to the terms and conditions
described under the Transfer Provisions and by the portfolio.
In the event of any addition, deletion or substitution of any Subaccount of the
Separate Account, We may, by appropriate endorsement, make such changes to the
policy as may be necessary to reflect such addition, deletion or substitution.
We reserve the right, if federal securities law changes and when permitted by
law, to:
1. Deregister the Separate Account under the Investment Company Act of 1940;
2. Manage the Separate Account under the direction of a committee at any time;
3. Restrict or eliminate any voting privileges of You or other persons who
have voting privileges as to the Separate Account; 4. Combine the Separate
Account or any Subaccount(s) with one or more other Separate Accounts or
Subaccounts;
5. Operate the Separate Account as a management investment company;
6. Establish additional Subaccounts to invest in either a new shares of the
Portfolio, or in shares of another diversified, open-end registered
investment company; and
7. Fund additional classes of variable life insurance contracts through the
Separate Account.
Change of Investment Objective
We reserve the right to change the investment objective of a Subaccount. If
required by law or regulation, an investment objective of the Separate Account,
or of a Portfolio designated for a Subaccount, will not be materially changed
unless a statement of the change is filed with and approved by the appropriate
insurance supervisory official of the state of Our domicile or deemed approved
in accordance with such law or regulation. If required, approval of or change of
any investment objective will be filed with the insurance supervisory official
of the state where this Policy is delivered.
VB1081 15
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Subaccount Units
Net premiums, or portions thereof, and transfers allocated to a Subaccount are
used to purchase units in that Subaccount. The number of units to be credited to
each Subaccount will be determined by dividing the portion of each net premium,
or portion thereof or transfer allocated to the Subaccount by that Subaccounts
unit value for the Valuation Date on which the premium was received by Us at Our
Office or for the Valuation Date on which the transfer was made.
The unit value of each Subaccount was originally established at $10 per unit.
The unit value may increase or decrease from one Valuation Period to the next.
Unit values will also vary between Subaccounts. The unit value of any Subaccount
at the end of a Valuation Period is the result of:
1. The total value of the assets held in the Subaccount. This value is
determined by multiplying the number of shares of the designated Portfolio
owned by the Subaccount times the net asset value per share; minus
2. A charge equal to the daily net assets of the Sub-Account multiplied by the
daily equivalent of the Daily Charge is shown on the Policy Schedule page;
minus
3. The accrued amount of reserve for any taxes or other economic burden
resulting from the application of tax laws that are determined by Us to be
properly attributable to the Subaccount; and the result divided by
4. The number of outstanding units in the Subaccount.
TRANSFER PROVISIONS
Transfers
You may transfer a portion of the Fixed Account Value to one or more Subaccounts
of the Separate Account, or all or any portion of the value of one or more
Subaccounts to the Fixed Account or to any other Subaccount. The amount allowed
for transfer will be subject to the Transfer Limitations provision.
Transfer Limitations
On transfers from the Fixed Account to one or more Subaccounts, We reserve the
right to impose the following limitations:
1. If a transfer is made, twelve (12) months need to pass before the next
transfer is available.
2. The maximum amount that may be transferred is the greater of: (a) 25% of
the Fixed Account Value; or (b) $1,000.
3. If a transfer amount reduces the value of the Fixed Account to less than
$1,000, We will transfer the remaining value of the Fixed Account.
We reserve the right to impose a transfer charge of $10 for each transfer in
excess of twelve (12) made during a single policy year (including transfers
within Separate Account and transfers between Separate Account and Fixed
Account). If imposed, the transfer charge will be deducted from the amount
transferred.
Transfer Allocation
Transfers will generally take effect on the first Valuation Date on or following
the date the request for the transfer, in a form satisfactory Us, is received at
Our Office. The transfer request must specify: (a) the Account(s) from which the
transfer is to be made; (b) the amount of the transfer, subject to the maximum
transfer amount described in the Transfer Limitations provision; and (c) the
Account(s) to receive the transferred amount.
Transfers from the Fixed Account to one or more Subaccounts or transfers among
the Subaccounts, will result in the purchase and/or cancellation of Subaccount
Units having a total value equal to the dollar amount being transferred to or
from a particular Subaccount. The purchase and/or cancellation of such units
generally shall be made using the unit value of the applicable Subaccount on the
Valuation Date on which the transfer is effective.
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Dollar Cost Averaging
We will automatically transfer pre-determined amounts from the designated
Account to any other Subaccount in accordance with Your current allocation
instructions. The transfers will be made on a monthly basis after We receive
proper written election of this option on a form provided by Us;
The first transfer must occur within thirty (30) after the Policy Date. You can
select the date to begin the transfer. However, if You do not select a date, the
first transfer will occur on the Monthly Date following the Policy Date. Each
transfer which occurs under the Dollar Cost Averaging option will be without
charge and will not be counted toward the number of transfers allowed without
charge under the Policy.
Dollar Cost Averaging will terminate if We receive:
1. Written instruction from You for cancellation;
2. Election to participate in any Asset Rebalancing Program; or
3. Notification of election to participate in any asset allocation service
provided by a third party.
We reserve the right to discontinue, modify or suspend Dollar Cost Averaging at
any time following prior written notification to all policyowners.
Asset Rebalancing
You may instruct Us to automatically transfer Cash Values among the Subaccounts
for purposes of maintaining a particular percentage allocation among the
Subaccounts.
The Cash Value allocated to each Subaccount will grow or decline in value at
different rates. The Asset Rebalancing Program automatically reallocates the
Cash Value in the Subaccounts at the end of each period to pro-rata match Your
current Subaccount allocation schedule.
1. We must receive written election of this option on a form provided by Us;
2. Asset Rebalancing is only available prior to the Maturity Date;
3. Cash Values in the Fixed Account are not eligible for Asset Rebalancing.
You may elect for rebalancing to occur on each quarter, semi-annual or annual
Anniversary. You may select a date to begin Asset Rebalancing. However, if You
do not select a date, the Asset Rebalancing will occur on the Monthiversary
following the Policy Date.
Asset Rebalancing is not available and will terminate if:
1. Dollar Cost Averaging is elected;
2. You participate in any asset allocation service provided by a third party;
3. We receive a request to discontinue participation; or
4. A transfer is made to, or from, any Subaccount other than under a scheduled
rebalancing.
Each reallocation which occurs under Asset Rebalancing will not be counted
towards the number of transfers allowed without charge.
We reserve the right to limit re-entry into the Asset Rebalancing Program
following termination to once per Policy Year.
We reserve the right to discontinue, modify or suspend the Asset Rebalancing
Program at any time, following proper written notification to all policyholders.
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PAYMENT OF PROCEEDS PROVISIONS
Election by Owner
During the lifetime of the Insured, You may elect to have the proceeds paid
either in one sum or under the settlement options described in this section.
Payment of Proceeds
All proceeds to be paid upon Termination will be paid in one sum unless an
optional method of settlement is elected. Instead of a one sum payment, the
payee may elect to receive the proceeds as described under the Optional Methods
of Settlement provision.
Optional Methods of Settlement
At the time that any proceeds are payable in single sum, if requested in
writing, We will inform the payee of all other forms of settlement including
annuities, with or without life contingencies. Interest will be at an annual
rate that We declare, but not less than the rate required by law.
Payments under a combination of options, or payment to joint or successive
payees, or payment to a Beneficiary that is not a natural person may be elected
only with Our consent. Any election must be made in a Written Notice to Us. We
may require the policy for endorsement.
Fixed Payment Option
The fixed payment option provides for payment that will remain constant in
accordance with the terms of the settlement option chosen. Such payments will
not be affected by the investment performance of any Subaccount of the Separate
Account. The settlement options available under the fixed payment option are
described below.
Option 1 - Interest Payments - (Payment of interest on the proceeds at such
times and for a period that is agreeable to You and Us.) Withdrawal of proceeds
may be made in amounts of at least $100. At the end of the period, any remaining
proceeds will be paid in either a single sum or under any other method we
approve.
Option 2 - Payments for a Specified Period - (Payments for a specified number of
years.) The amount of each monthly payment for each $1,000 of proceeds applied
under this option is shown in Option 2 Table. The monthly payments for any
period not shown will be furnished upon request.
Option 3 - Life Income - (Monthly payments for the life of the person who is to
receive the income.) We will require satisfactory proof of the person's age and
sex, (unless required by law to use unisex rates). Payments can be guaranteed
for 10 or 20 years or as "Guaranteed Return of Policy Proceeds". The amount of
each monthly payment for each $1,000 of proceeds applied under this option is
shown in Option 3 Table. The monthly payments for any ages not shown will be
furnished upon request
Option 4 - Payments of a Specified Amount - (Monthly payments of a specified
amount until the proceeds and interest are fully paid.)
Option 5 - Joint and Survivor Life Income - (Monthly payments during the joint
lifetime of two persons and continued during the lifetime of the survivor.) We
will pay the amount retained, with interest, in equal monthly payments. See
Option 5 Table for example. We will furnish the income for other combinations of
age or sex, (unless required by law to use unisex rates), if requested.
Rate of Interest
Settlement options 1 through 5 under the Fixed Payment Option are based on a
guaranteed interest rate of 3.0% using the "1983 Table a" (male, female, and
unisex if required by law) Mortality Table improved to the year 2000 with
projection scale G. The amounts shown in the tables under the Guaranteed Fixed
Payment Options are the guaranteed amounts for each $1,000 of policy proceeds.
Higher current amounts may be available at the time of payment.
Variable Payment Option
The variable payment option provides for payments that will vary based on the
investment performance of the Subaccount(s) from which such payments are made.
Therefore, the dollar amount of each payment payable under the variable payment
option may increase, decrease or remain the same. The settlement options
available under the variable payment option are described below.
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Option 3V - Life Income An election may be made between:
1. "No Period Certain" - Payments will be made during the lifetime of the
payee
2. "10 Years Certain" - Payments will be made for the longer of the payee's
lifetime or 10 years.
The amount of each monthly payment for each $1,000 or proceeds applied under
this option is shown in Option 3V Table.
Option 5V - Joint and Survivor Life Income - Payments are made as long as either
the payee or the joint payee is living. See Option 5V Table for example. We will
furnish the income for other combinations of age or sex, (unless required by law
to use unisex rates), if requested.
The policy proceeds applied to a settlement option under the variable payment
option will be used to purchase units in the chosen Subaccounts. The dollar
value of units in the chosen Subaccounts will increase or decrease reflecting
the investment experience of that Subaccount. The unit value in a particular
Subaccount on any Valuation Day is equal to (a) multiplied by (b) multiplied by
(c), where:
(a) is the unit value for that Subaccount on the immediately preceding
Valuation Day;
(b) is the net investment factor for that Subaccount for the Valuation Period;
and
(c) is the Assumed Investment Return adjustment factor for the Valuation
Period.
The Assumed Investment Return adjustment factor for the valuation period is the
product of discount factors of .99988634 per day to recognize the 5.0% effective
annual Assumed Investment Return.
The net investment factor used to calculate the unit value in each Subaccount
for the Valuation Period is determined by dividing (a) by (b) and subtracting
(c) from the result, where:
(a) is the net result of:
(1) the net asset value of a Portfolio's shares held in that Subaccount
determined as of the end of the current Valuation Period; plus
(2) the per share amount of any dividend or capital gain distributions
made by the Portfolio for shares held in that Subaccount if the ex-
dividend date occurs during the Valuation Period; plus or minus
(3) a per share credit or charge for any taxes reserved for, which We
determine to have resulted from the investment operations of the
Subaccount
(b) is the net asset value of a portfolio share held in that Subaccount
determined as of the end of immediately preceding Valuation Period.
(c) is a factor representing the Daily Charge. This factor is less than or
equal to, on an annual basis, the percentage of Daily Charge shown on the
Policy Schedule page of the daily net asset value of a Portfolio share held
in the Separate Account for that Subaccount
Determination of the First Variable Payment
The amount of the first variable payment is determined by multiplying each
$1,000 of policy proceeds allocated to a variable payment option by the amounts
shown in the tables under the Variable Payment Options. The tables are based on
a 5% effective annual Assumed Investment Return and the "1983 Table a" (male and
female) mortality table improved to the year 2000 with projection scale G. The
"1983 Table a" mortality rates are adjusted based on improvements in mortality
since 1983 to more appropriately reflect increased longevity. This is
accomplished using a set of improvement factors referred to as projection scale
G.)
The amount of the first payment depends upon the adjusted age of the payee. The
adjusted age is the payee's actual age on the payee's nearest birthday, at the
Payment Commencement Date, adjusted as follows:
Payment
Commencement Date Adjusted Age
- ----------------- ------------
Before 2001 Actual Age
2001 - 2010 Actual Age minus 1
2011 - 2020 Actual Age minus 2
2021 - 2030 Actual Age minus 3
2031 - 2040 Actual Age minus 4
After 2040 as determined by us.
SB980 19
<PAGE>
Determination of Subsequent Variable Payments
The amount of each variable payment after the first will increase or decrease
according to the unit value which reflects the investment experience of the
selected Subaccounts. Each variable payment after the first will be equal to the
number of units in the selected Subaccounts multiplied by the unit value on the
date the payment is made. The number of units in each selected Subaccount is
determined by dividing the first variable payment allocated to the Subaccount by
the unit value of that Subaccount on the Payment Commencement Date.
Other Settlement Options
Proceeds can be paid under any other settlement option not described in this
section, subject to Our agreement.
Conditions
1. Proceeds of less than $1,000 may not be applied under any settlement
option. We may change the payment frequency if payments under an option
become less than $20.
2. A corporation may receive payments under a life income option only if the
payments are based on the life of the Insured, or a surviving spouse or
dependent of the Insured.
If a settlement option is requested, We will prepare an agreement to be signed
which will state the terms and conditions under which the payments will be made.
This agreement will include a statement regarding the withdrawal value, if any,
and to whom any remaining proceeds will be paid following the death of the payee
receiving the payments.
A Beneficiary may select a settlement option only after the Insured's death.
However, You may provide that the Beneficiary will not be permitted to change
the settlement option You have selected.
Proceeds Exempt From Claim of Creditors
To the extent permitted by law, no payment of proceeds or interest We make will
be subject to the claims of any creditors.
Also, if You provide that the settlement option selected cannot be changed after
the Insured's death, the payments will not be subject to the debts or contracts
of the payee receiving the payments. If garnishment or any other attachment of
the payments is attempted, We will make those payments to a trustee We name. The
trustee will apply those payments for the maintenance and support of the payee
You named to receive the payments.
L920 20
<PAGE>
Guaranteed Fixed Payment Options
<TABLE>
<CAPTION>
Option 2 Table
- --------------------------------------------------
PAYMENTS FOR A SPECIFIED PERIOD
- --------------------------------------------------
Number of Amount of Monthly
Years Payable Payments
- --------------------------------------------------
<S> <C>
5 $17.91
10 9.61
15 6.87
20 5.51
25 4.71
30 4.18
- --------------------------------------------------
</TABLE>
<TABLE>
<CAPTION>
Option 3 Table
- --------------------------------------------------
LIFE INCOME
- --------------------------------------------------
MONTHLY INCOME PAYMENTS
- --------------------------------------------------
Guaranteed For Life Guaranteed For
10 Years
- --------------------------------------------------
M Age F M Age F
- --------------------------------------------------
<S> <C> <C> <C> <C> <C>
$3.87 50 $3.55 $3.84 50 $2.54
4.23 55 3.83 4.19 55 3.82
4.72 60 4.21 4.63 60 4.18
5.40 65 4.73 5.22 65 4.66
5.34 70 5.45 5.95 70 5.30
- --------------------------------------------------
Guaranteed Return of Guaranteed For
Policy Proceeds 20 Years
- --------------------------------------------------
M Age F M Age F
- --------------------------------------------------
$3.73 50 $3.49 $3.76 50 $3.51
4.03 55 3.73 4.05 55 3.75
4.40 60 4.04 4.37 60 4.06
4.88 65 4.45 4.72 65 4.41
5.51 70 4.99 5.04 70 4.80
- --------------------------------------------------
</TABLE>
<TABLE>
<CAPTION>
Option 5 Table
- --------------------------------------------------
JOINT AND SURVIVOR LIFE INCOME
- --------------------------------------------------
MONTHLY PAYMENT FOR EACH
$1,000 OF AMOUNT RETAINED
- --------------------------------------------------
Age Age of Other Payee
Of (Female)*
----------------------------------------
One 15 10 5
Payee Years Years Years
(Male) Less Less Less Same
than than than As
Male Male Male Male
Payee's Payee's Payee's Payee's
- --------------------------------------------------
<S> <C> <C> <C> <C>
50 $2.99 $3.09 $3.20 $3.32
55 3.11 3.24 3.38 3.53
60 3.27 3.43 3.62 3.82
65 3.47 3.69 3.94 4.22
70 3.74 4.04 4.38 4.77
- --------------------------------------------------
* Age nearest birthday
- --------------------------------------------------
</TABLE>
Variable Payment Options
Based on Assumed Investment Return
<TABLE>
<CAPTION>
Option 3V Table
- --------------------------------------------------
LIFE INCOME
- --------------------------------------------------
MONTHLY INCOME PAYMENTS
- --------------------------------------------------
Guaranteed For Life Guaranteed For
10 Years
- --------------------------------------------------
M Age F M Age F
- --------------------------------------------------
<S> <C> <C> <C> <C> <C>
$5.11 50 $4.81 $5.07 50 $4.79
5.46 55 5.06 5.39 55 5.04
5.93 60 5.42 5.81 60 5.37
6.60 65 5.91 6.37 65 5.82
7.55 70 6.63 7.07 70 6.43
- --------------------------------------------------
</TABLE>
<TABLE>
<CAPTION>
Option 5V Table
- --------------------------------------------------
JOINT AND SURVIVOR LIFE INCOME
- --------------------------------------------------
MONTHLY PAYMENT FOR EACH
$1,000 OF AMOUNT RETAINED
- --------------------------------------------------
Age Age of Other Payee
Of (Female)*
----------------------------------------
One 15 10 5
Payee Years Years Years
(Male) Less Less Less Same
than than than As
Male Male Male Male
Payee's Payee's Payee's Payee's
- --------------------------------------------------
<S> <C> <C> <C> <C>
50 $4.32 $4.39 $4.48 $4.57
55 4.42 4.51 4.62 4.75
60 4.54 4.67 4.83 5.01
65 4.71 4.90 5.12 5.37
70 4.95 5.21 5.52 5.89
- --------------------------------------------------
* Age nearest birthday
- --------------------------------------------------
</TABLE>
21
<PAGE>
PFL PFL Life Insurance Company
LIFE A Stock Company
Home Office located at 4333 Edgewood Road N.E., Cedar Rapids,
Iowa 52499
(Heearafter called the Company,we, our or us) (319) 398-8511
FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY
DEATH BENEFIT PROCEEDS PAYABLE AT DEATH OF INSURED PRIOR TO MATURITY DATE
CASH SURRENDER VALUE PAYABLE AT MATURITY DATE
NON-PARTICIPATING - NO DIVIDENDS
SOME BENEFITS REFLECT INVESTMENT RESULTS
<PAGE>
EXHIBIT 1.A.(10)
APPLICATION FOR FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY
<PAGE>
- --------------------------------------------------------------------------------
Legacy Builder Plus
- --------------------------------------------------------------------------------
PFL Life
Insurance Company
- --------------------------------------------------------------------------------
Application for
Life Insurance
PFL LIFE INSURANCE COMPANY
Cedar Rapids, Iowa
<PAGE>
NOTICE TO PROPOSED INSURED
- --------------------------------------------------------------------------------
Thank you for your application. We appreciate your efforts in completing each
part of the application truthfully, accurately, and completely.
Once we receive your application, we will begin an evaluation process called
underwriting to determine whether you are eligible for insurance and, if so, the
rate you should pay for that insurance. We may find that we are unable to give
you the insurance you have applied for or that we are able to give it to you
only on a modified basis or at a rate greater than our lowest rate. For example,
if you have ever used any kind of tobacco or any other nicotine product, you may
not be eligible for our lowest rate. Your application will be our primary source
of information; therefore, it must be true, complete, and accurate. You must
inform us of a change to any part of your application before accepting delivery
of a policy, in fact, you agree to do so when you sign your application. We may
seek information from other sources to help us evaluate the information you give
us on your application.
- --------------------------------------------------------------------------------
CONTESTABILITY
- --------------------------------------------------------------------------------
We strongly urge you to review the completed application closely for accuracy.
During the first two policy years, a claim may be denied or your coverage may be
rescinded or contested by a lawsuit if the application is incomplete or if it
contains false statements, misrepresentations, acts, omissions, or is procured
by fraud. If the policy is rescinded or the lawsuit is successful, the policy
will be void and coverage will be lost. Any policy that is delivered to you will
indicate when and under what circumstances it may be contested. The policy can
only be contested for non-payment of premium after the policy is in force for
two (2) years during the lifetime of the insured. Please be aware that if the
application contains false or deceptive statements and you submitted it with the
intent to defraud or to facilitate fraud against us, you may also be guilty of
insurance fraud.
- --------------------------------------------------------------------------------
REPLACEMENT OF EXISTING COVERAGE
- --------------------------------------------------------------------------------
If you intend to replace existing coverage, tell the agent of your intention and
answer "yes" to the replacement question in the application; state law may
require the agent to give you information that will help you compare the policy
you are applying for with the policy you intend to replace. If you are undecided
about keeping existing coverage, indicating an intention to replace existing
coverage may help you get the information you need to make a decision. If you do
replace existing coverage, the new policy may contain new suicide and
contestable periods. The following would be considered replacement: you stop
paying premiums for the insurance for which you are applying. State laws define
replacement to include other situations. Please ask your agent if you are
unsure.
- --------------------------------------------------------------------------------
INSURANCE INFORMATION PRACTICES
- --------------------------------------------------------------------------------
We will rely primarily on information provided by you. We may supplement that
information with information from other sources such as medical professionals
who have treated you. In some cases, we may ask a consumer-reporting agency to
collect information and submit an investigative consumer report to us as
explained in this Notice under Federal Fair Credit Reporting Act. You may
request to be interviewed in connection with the preparation of this report. You
have the right to be told about and to see the copy if you wish, items of
personal information about you that appear in our files, including information
contained in investigated consumer reports. You also have the right to seek
correction of information you believe to be inaccurate. We will send you a more
detailed explanation of our information practices if you send us a written
request. You may send your request to the Director of Underwriting, P.O. Box
3183, Cedar Rapids, Iowa 52406-3183.
- --------------------------------------------------------------------------------
FAIR CREDIT REPORTING PRE-NOTICE
- --------------------------------------------------------------------------------
A routine investigative consumer report may possibly be made regarding your
general reputation, character, mode of living, and personal characteristics.
This information may be obtained through personal interviews with your friends,
neighbors, and associates. Should you desire additional information on the
nature and scope of such a report, you may write the Underwriting Department,
P.O. Box 3183, Cedar Rapids, Iowa 52406-3183. You have the right to request
additional information concerning the nature and scope of the investigation to
be performed. A summary of your rights is set forth on the attached signature
page of the application. To make this request, you must write the Underwriting
Department, P.O. Box 3183, Cedar Rapids, Iowa 52406-3183.
- --------------------------------------------------------------------------------
MIB DISCLOSURE NOTICE
- --------------------------------------------------------------------------------
Information regarding your insurability will be treated as confidential. The
Company or its reinsures may, however, make a brief report to the Medical
Information Bureau, a non-profit membership organization of life insurance
companies, which operates on information exchange on behalf of its members. If
you apply to another Bureau member for life or health insurance coverage, or a
claim for benefits is submitted to such a Company, the Bureau, upon request,
will supply such company with the information in its file.
Upon receipt of a request from you, the bureau will arrange disclosure of any
information it may have in your file. If you question the accuracy of the
information in the Bureau's file, you may contact the Bureau and seek a
correction in accordance with the procedures set forth in the Federal Fair
Credit Reporting Act. The address of the Bureau's information office is Post
Office Box 105, Essex Station, Boston, Massachusetts 02122, telephone number
(617) 426-3660.
The Company or its reinsures may also release information in this file to other
life insurance companies to whom you may apply for life or health insurance or
to whom a claim for benefits may be submitted.
- --------------------------------------------------------------------------------
6001 V799 Page 2
<PAGE>
PFL Life Insurance Company
- --------------------------------------------------------------------------------
Section 1. PLAN OF INSURANCE
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
Plan of Insurance: Premium Amount: $
- --------------------------------------------------------------------------------
Section 2. INSURED INFORMATION
- --------------------------------------------------------------------------------
Name: Social Security Number: Sex: [_] Male [_] Female
- --------------------------------------------------------------------------------
Street Address: Date of Birth: Age:
- --------------------------------------------------------------------------------
City: Place of Birth:(State or Country):
- --------------------------------------------------------------------------------
State: Zip Code: Occupation:
- --------------------------------------------------------------------------------
Beneficiary: Relationship to Insured: Soc. Sec. Number:
- --------------------------------------------------------------------------------
Contingent Beneficiary: Relationship to Insured: Soc. Sec. Number:
- --------------------------------------------------------------------------------
Will this policy replace or change any existing life
insurance or annuity policy(ies)? [_] Yes [_] No
- --------------------------------------------------------------------------------
If yes, indicate policy number(s) and Company name(s)?
- --------------------------------------------------------------------------------
Is this intended to be a
1035 Exchange? [_] Yes [_] No Indicate Exchange amount:
- --------------------------------------------------------------------------------
If this policy will replace an existing policy, complete required replacement
forms.
- --------------------------------------------------------------------------------
Section 3. CONTACT INFORMATION
- --------------------------------------------------------------------------------
Insured's Home Telephone: Business Telephone: Fax:
- --------------------------------------------------------------------------------
Preferred Place to call: [_] Home [_] Business
Best Time to call: [_] A.M. [_] P.M.
- --------------------------------------------------------------------------------
E-mail Address: Special Comments:
- --------------------------------------------------------------------------------
Secondary Addressee:
- --------------------------------------------------------------------------------
Street Address:
- --------------------------------------------------------------------------------
City: State: Zip Code:
- --------------------------------------------------------------------------------
Section 4. OWNER INFORMATION: (if other than proposed insured)
- --------------------------------------------------------------------------------
Name:
- --------------------------------------------------------------------------------
Street Address: Date of Birth:
- --------------------------------------------------------------------------------
City: State: Zip Code:
- --------------------------------------------------------------------------------
Relationship To Insured: Social Security Or Tax ID Number:
- --------------------------------------------------------------------------------
Section 5. BASIC HEALTH QUESTIONS
- --------------------------------------------------------------------------------
A. Insured: Height: Weight:
- --------------------------------------------------------------------------------
B. Within the last 5 years, have you been treated for or been told by a member
of the medical profession that you had heart disease or circulatory
problems, stroke, cancer, diabetes, kidney or liver disorder, lung or
respiratory disorder, Alzheimer's Disease, mental or psychiatric disorder,
alcohol or drug abuse? If yes, please circle the applicable ailment(s).
[_] Yes [_] No
- --------------------------------------------------------------------------------
C. Within the last 10 years, have you been diagnosed by a member of the
medical profession as having AIDS (Acquired Immune Deficiency Syndrome), or
have you tested positive for exposure to the HIV (Human Immunodeficiency
Virus)? [_] Yes [_] No
Information concerning diagnostic testing and blood studies may be limited
to those blood tests licensed by the United States Food and Drug
Administration. The Applicant need not reveal the results of any test
performed at an anonymous counseling and testing site.
- --------------------------------------------------------------------------------
D. Within the past 12 months, have you smoked cigarettes, cigars, pipes or
used chewing tobacco? [_] Yes [_] No
- --------------------------------------------------------------------------------
E. Within the past 12 months, have you been admitted to a hospital
or nursing home? [_] Yes [_] No
- --------------------------------------------------------------------------------
F. Have you ever been declined, rated or postponed for insurance or
reinstatement of life, accident or sickness insurance or has a policy ever
been canceled or renewal refused? [_] Yes [_] No
- --------------------------------------------------------------------------------
Section 6.SPECIAL REQUEST
- --------------------------------------------------------------------------------
If this life insurance cannot be issued, do you want to apply for an annuity
policy? [_] Yes [_] No
- --------------------------------------------------------------------------------
6001V799 Page 3
<PAGE>
- --------------------------------------------------------------------------------
Section 7. PERSONAL FINANCIAL STATEMENT
- --------------------------------------------------------------------------------
A) Gross Income Current Yr $_____________________
B) Gross Income Previous Yr $_____________________
C) Net Worth $_____________________
For over $1 million applied coverage complete a separate financial questionnaire
- --------------------------------------------------------------------------------
Section 8. ADDITIONAL BENEFITS - PRIMARY INSURED ONLY
- --------------------------------------------------------------------------------
[_] Asset Rebalancing
[_] Dollar Cost Averaging (Refer to Section 12)
- --------------------------------------------------------------------------------
Section 9. SUITABILITY FOR VARIABLE LIFE INSURANCE POLICY - Complete for all
variable plans
- --------------------------------------------------------------------------------
A) Have you, the Proposed Insured, and Purchaser, if other
than the Proposed Insured, received the current Prospectus
for the policy? [_] Yes [_] No
- --------------------------------------------------------------------------------
B) DO YOU UNDERSTAND THAT UNDER THE POLICY APPLIED FOR
(EXCLUSIVE OF ANY OPTIONAL BENEFITS), THE AMOUNT OF DEATH
BENEFIT AND THE ENTIRE AMOUNT OF THE POLICY CASH VALUE MAY
INCREASE OR DECREASE DEPENDING UPON THE INVESTMENT
EXPERIENCE? [_] Yes [_] No
- --------------------------------------------------------------------------------
C) With this in mind, is the policy in accord with your insurance
objectives and your anticipated financial needs? [_] Yes [_] No
- --------------------------------------------------------------------------------
Section 10. TO BE COMPLETED BY APPLICANT/OWNER
- --------------------------------------------------------------------------------
Telephone Transfer Authorization: (See Prospectus for telephone transfer
procedures.) The following individual(s) is/are authorized to make telephone
transfer requests (check one only)
[_] Owner(s) only, or
[_] Owner(s) and Owner's Registered Representative
(Print Representative's Name) ___________________________________________
[_] I do not want telephone transfer privileges
- --------------------------------------------------------------------------------
Section 11. ACCOUNT ALLOCATIONS - (For Variable Plans Only) Must equal a whole
number and total 100%
- --------------------------------------------------------------------------------
VARIABLE OPTIONS
AIM V.I. Capital Appreciation Fund ___%
AIM V.I. Growth & Income Fund ___%
AIM V.I. Value Fund ___%
AIM V.I. Government Securities Fund ___%
Dreyfus Small Company Stock Portfolio ___%
Dreyfus Stock Index Fund ___%
Dreyfus Money Market Portfolio ___%
MFS Emerging Growth Series ___%
MFS Research Series ___%
MFS Total Return Series ___%
MFS Utilities Series ___%
Oppenheimer Capital Appreciation Fund/VA ___%
Oppenheimer Growth & Income Fund ___%
Oppenheimer Global Securities Fund/VA ___%
Oppenheimer Strategic Bond Fund/VA ___%
Oppenheimer High Income Fund/VA ___%
WRL Janus Growth ___%
WRL VKAM Emerging Growth ___%
WRL Janus Global ___%
DCA Dreyfus Money Market Portfolio ___%
FIXED OPTIONS
Fixed Fund ___%
DCA Fixed Fund One (Six Months), OR ___%
DCA Fixed Fund Two _____________________________ ___%
Total Variable & Fixed 100%
====
- --------------------------------------------------------------------------------
Section 12. DOLLAR COST AVERAGING - (Authorized by Owner in Section 8.)
- --------------------------------------------------------------------------------
A percentage can be systematically transferred from the DCA account and
transferred to one or more of the investments options listed below. Please refer
to the prospectus for more information on the Dollar Cost Averaging option.
Transfers will be made on a monthly basis.
DCA Transfer Options: Transfer to (investment option and percentage):
______________ ________.0% ______________ ________.0%
______________ ________.0% ______________ ________.0%
______________ ________.0% ______________ ________.0%
______________ ________.0% ______________ ________.0%
______________ ________.0% ______________ ________.0%
Total: 100.0%
6001 V799 Page 4
<PAGE>
- --------------------------------------------------------------------------------
TAXPAYER IDENTIFICATION NUMBER STATEMENT
- --------------------------------------------------------------------------------
Taxpayer Identification Number (of) policyowner: _____________________________
Social Security Number
- --------------------------------------------------------------------------------
Check the box if you ARE NOT subject backup withholding Under the provisions of
section 3406(a)(1)(C) of the Internal Revenue Code....................[_]
Check the box if you ARE subject to backup withholding under The provisions of
section 3406(a)(1)(C) of the Internal Revenue Code....................[_]
- --------------------------------------------------------------------------------
The Internal Revenue Service does not require your consent to any provision of
this document other than the following certification required to avoid backup
withholding.
- --------------------------------------------------------------------------------
Under penalties of perjury, I hereby certify (1) that the Social Security or
Taxpayer I.D. number listed above is correct and (2) that my current status
regarding backup withholding is correct.
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
I agree that: (1) If the receipt is issued in return for the full first premium,
the Company's liability will be as set forth in such receipt. If the receipt has
not been issued, the Company shall incur liability under this application only
when a policy has been delivered and the full first premium specified in the
policy has been paid during the lifetime and continued insurability of the
Persons to be Insured, as determined by the Company from this application. (2)
No modification may be made to the policy or no right of the Company waived
unless agreed to in writing and signed by: (A) The President; (B) The Vice
President; or (C) The Secretary of the Company.
The Proposed Insured acknowledges receipt of the MIB Disclosure Notice and Fair
Credit Reporting Pre-Notice.
I represent that all the statements and answers in this application are complete
and true to the best of my knowledge and belief. I agree that the statements and
answers given in this application, and any amendments or application supplements
to it will be the basis of any insurance issued.
Unless we have been notified of a community or marital property interest in this
policy, we will rely on our good faith belief that no such interest exists and
will assume no responsibility for inquiry.
AUTHORIZATION: I hereby authorize any licensed physician, medical practitioner,
hospital, clinic or medically related facility, insurance company, the Medical
Information Bureau, consumer reporting agency, or other organization, employer,
institution or person that has any records or knowledge of me or my health (or
of additional insured(s), if included in the coverage applied for), to give to
the Company, or its reinsurers, any such information. This includes information
about drugs and alcohol and about diagnosis, treatment and prognosis of any
physical or mental condition, as well as any other non-medical information. A
photographic copy of this authorization shall be as valid as the original. The
authorization shall be valid from the date signed below for a period of two and
one half years.
I also hereby authorize PFL Life Insurance Company to provide its affiliated
companies any and all information provided herein and obtained hereafter on me.
I have reviewed my existing coverage and find this policy suitable for my needs.
I know that I have a right to receive a copy of this authorization upon request.
- --------------------------------------------------------------------------------
Signed at: (City and State) Date:
- --------------------------------------------------------------------------------
Signature of Proposed Insured:
- --------------------------------------------------------------------------------
Signature of Owner: (if other than Proposed Insured)
- --------------------------------------------------------------------------------
TO BE COMPLETED BY AGENT
- --------------------------------------------------------------------------------
Do you have reason to believe the policy applied for is to replace or change any
existing annuity or insurance owned by the applicant?
[_] Yes [_] No (If Yes, include state replacement forms if applicable)
- --------------------------------------------------------------------------------
If yes, indicate policy number(s) and Company name(s):
- --------------------------------------------------------------------------------
Did you give the "MIB Disclosure Notice" to the Proposed Insured?
[_] Yes [_] No
- --------------------------------------------------------------------------------
Did you comply with all requirements relative to obtaining Informed Consent for
HIV and AIDS testing? [_] Not required [_] Yes [_] No
- --------------------------------------------------------------------------------
I have reviewed the applicant's existing coverage and find this policy is
suitable for his/her needs.
- --------------------------------------------------------------------------------
Signature of Agent: Agent's State License Number:
- --------------------------------------------------------------------------------
Agent's Social Security Number:
- --------------------------------------------------------------------------------
Print Agent's Name: Telephone Number:
- --------------------------------------------------------------------------------
6001 V799 Page 5
<PAGE>
FRAUD WARNING
- --------------------------------------------------------------------------------
The following states require that insurance applicants (owners) acknowledge a
fraud warning statement. If you reside in one of the states listed below, please
refer to the applicable fraud warning.
- --------------------------------------------------------------------------------
For applicants (owners) in ARKANSAS, NEW MEXICO AND PENNSYLVANIA
- --------------------------------------------------------------------------------
Any person who knowingly and with intent to defraud any insurance company or
other person files an application for insurance or statement of claim containing
any materially false information or conceals for the purpose of misleading
information concerning any fact material thereto commits a fraudulent insurance
act, which is a crime and subjects such person to criminal and civil penalties.
Applicant's Signature Date
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
For applicants (owners) in COLORADO
- --------------------------------------------------------------------------------
It is unlawful to knowingly provide false, incomplete, or misleading facts or
information to an insurance company for the purpose of defrauding or attempting
to defraud the company. Penalties may include imprisonment, fines, and denial
of insurance, and civil damages. Any insurance company or agent or an insurance
company who knowingly provides false, incomplete, or misleading facts or
information to the policyholder or claimant for the purpose of defrauding or
attempting to defraud the policyholder or claimant with regard to a settlement
or award payable from insurance proceeds shall be reported to the Colorado
Division of Insurance within the Department of Regulatory Agencies.
Applicant's Signature Date
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
For applicants (owners) in DISTRICT OF COLUMBIA
- --------------------------------------------------------------------------------
It is a crime to provide false or misleading information to an insurer for the
purpose of defrauding the insurer or any other person. Penalties include
imprisonment and/or fines. In addition, an insurer may deny insurance benefits
if false information materially related to a claim was provided by the
applicant
Applicant's Signature Date
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
For applicants (owners) in FLORIDA
- --------------------------------------------------------------------------------
Any person who knowingly and with intent to injure, defraud, or deceive any
insurer files a statement of claim or an application containing any false,
incomplete, or misleading information is guilty of a felony in the third
degree.
Applicant's Signature Date
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
For applicants (owners) in KENTUCKY, OHIO and OKLAHOMA
- --------------------------------------------------------------------------------
Any person who knowingly and with intent to defraud any insurance company or
other person files an application for insurance containing any materially false
information or conceals, for the purpose of misleading, information concerning
any fact material thereto commits a fraudulent insurance act, which is a crime.
Applicant's Signature Date
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
For applicants (owners) in NEW JERSEY
- --------------------------------------------------------------------------------
Any person who includes any false or misleading information on an application
for an insurance policy is subject to criminal and civil penalties.
Applicant's Signature Date
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
For applicants (owners) in MAINE and VIRGINIA
- --------------------------------------------------------------------------------
Any person who, with the intent to defraud or knowing that he is facilitating a
fraud against an insurer, submits an application or files a claim containing a
false or deceptive statement may have violated state law.
Applicant's Signature Date
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
6001 V799 Page 6
<PAGE>
CONDITIONAL RECEIPT (DO NOT COMPLETE AND GIVE TO APPLICANT UNLESS PAYMENT IS
MADE)
- --------------------------------------------------------------------------------
CONDITIONS UNDER WHICH THIS PAYMENT SHALL CAUSE CONDITIONAL COVERAGE TO TAKE
EFFECT
- --------------------------------------------------------------------------------
(1) Each and every person proposed for insurance must be insurable and
acceptable to the Company under its underwriting rules for the amount, plan and
risk classification applied for on the later of: (A) the date of application, or
(B) the date of completion of all medical tests and examinations required by the
Company. (2) Any check given for payment must be honored on first presentation.
(This receipt and all coverages applied for on the application are void if
check or draft received for payment of the initial premium is not honored for
payment on its first presentation.)
- --------------------------------------------------------------------------------
AMOUNT OF CONDITIONAL LIFE INSURANCE COVERAGE
- --------------------------------------------------------------------------------
If conditional coverage becomes effective under the terms of this receipt, then
the amount of conditional life insurance coverage on any person proposed for
insurance is the lesser of: (1) the amount of life insurance applied for on such
person, or (2) $300,000 reduced by the amounts payable under all other life
insurance or accidental death benefits then in force or pending with the
Company.
- --------------------------------------------------------------------------------
WHEN CONDITIONAL COVERAGE BEGINS
- --------------------------------------------------------------------------------
If the conditions listed above are fulfilled, then the amount of conditional
coverage specified above shall take effect on the later of (1) the date of the
application, or (2) the date of the completion of all medical tests and
examinations required by the Company. All conditional coverages for each and
every person proposed for insurance will be deemed void if the application
contains material misrepresentations or is fraudulently completed. Benefits
under this conditional receipt coverage will be denied if any person proposed
for insurance commits suicide.
- --------------------------------------------------------------------------------
WHEN CONDITIONAL COVERAGE ENDS
- --------------------------------------------------------------------------------
Conditional coverage shall terminate automatically, without notice, on the
earliest of the following dates: (1) the date the Company approves the policy as
applied for; (2) 10 days following any counter offer by the Company to offer
insurance to any person proposed for insurance under a different plan or at an
increased premium or on a different rate class; (3) at the end of the fraction
of a year which the payment bears to the premium required to provide one month
of insurance coverage in the amount as described above; or (4) at the beginning
of the 60th day following the date of this receipt.
- --------------------------------------------------------------------------------
CONDITIONAL RECEIPT
- --------------------------------------------------------------------------------
PFL Life Insurance Company has received from ___________________________________
this_____________ day of________________, ______________ a premium deposit of
$ ____________ in connection with an application for life insurance. Unless the
conditions stated above this receipt are fulfilled, no conditional coverage
shall take effect and this payment will be refunded. All premium checks must be
made payable to the Insurance Company indicated above. Do not make checks
payable to the agent or leave payee blank.
Date__________________________ Signature of Owner ______________________________
Date__________________________ Signature of Agent ______________________________
NOTE: If you do not receive a policy or refund of the amount you paid within 60
days from the date of this receipt please notify:
PFL LIFE INSURANCE COMPANY
Cedar Rapids, Iowa
P.O. Box 3183, Cedar Rapids 52406-3183
Page 7
6001 V799
<PAGE>
PFL Life Insurance Company
Cedar Rapids, Iowa
P.O. Box 3183, Cedar Rapids 52406-3183
<PAGE>
EXHIBIT 10
POWERS OF ATTORNEY
<PAGE>
POWER OF ATTORNEY
WITH RESPECT TO
LEGACY BUILDER PLUS
Know all men by these presents that PATRICK S. BAIRD, whose signature appears
below, constitutes and appoints Brenda K. Clancy and Craig D. Vermie, and each
of them, his attorneys-in-fact, each with the power of substitution, for him in
any and all capacities, to sign any registration statements and amendments
thereto for the Legacy Builder Plus, and to file the same, with exhibits thereto
and other documents in connection therewith, with the Securities and Exchange
Commission, hereby ratifying and confirming all that each of said attorneys-in-
fact, or his substitute, may do or cause to be done by virtue hereof.
/s/ PATRICK S. BAIRD
------------------------------
Patrick S. Baird
Senior Vice President
PFL Life Insurance Company
July 21, 1999
Date
<PAGE>
POWER OF ATTORNEY
WITH RESPECT TO
LEGACY BUILDER PLUS
Know all men by these presents that CRAIG D. VERMIE, whose signature appears
below, constitutes and appoints Brenda K. Clancy and Craig D. Vermie, and each
of them, his attorneys-in-fact, each with the power of substitution, for him in
any and all capacities, to sign any registration statements and amendments
thereto for the Legacy Builder Plus, and to file the same, with exhibits thereto
and other documents in connection therewith, with the Securities and Exchange
Commission, hereby ratifying and confirming all that each of said attorneys-in-
fact, or his substitute, may do or cause to be done by virtue hereof.
/s/ CRAIG D. VERMIE
-------------------------------
Craig D. Vermie
Vice President
PFL Life Insurance Company
July 21, 1999
Date
<PAGE>
POWER OF ATTORNEY
WITH RESPECT TO
LEGACY BUILDER PLUS
Know all men by these presents that WILLIAM L. BUSLER, whose signature appears
below, constitutes and appoints Brenda K. Clancy and Craig D. Vermie, and each
of them, his attorneys-in-fact, each with the power of substitution, for him in
any and all capacities, to sign any registration statements and amendments
thereto for the Legacy Builder Plus, and to file the same, with exhibits thereto
and other documents in connection therewith, with the Securities and Exchange
Commission, hereby ratifying and confirming all that each of said attorneys-in-
fact, or his substitute, may do or cause to be done by virtue hereof.
/s/ WILLIAM L. BUSLER
---------------------------------
William L. Busler
President
PFL Life Insurance Company
July 21, 1999
Date
<PAGE>
POWER OF ATTORNEY
WITH RESPECT TO
LEGACY BUILDER PLUS
Know all men by these presents that LARRY N. NORMAN, whose signature appears
below, constitutes and appoints Brenda K. Clancy and Craig D. Vermie, and each
of them, his attorneys-in-fact, each with the power of substitution, for him in
any and all capacities, to sign any registration statements and amendments
thereto for the Legacy Builder Plus, and to file the same, with exhibits thereto
and other documents in connection therewith, with the Securities and Exchange
Commission, hereby ratifying and confirming all that each of said attorneys-in-
fact, or his substitute, may do or cause to be done by virtue hereof.
/s/ LARRY N. NORMAN
------------------------------
Larry N. Norman
Executive Vice President
PFL Life Insurance Company
July 21, 1999
Date
<PAGE>
POWER OF ATTORNEY
WITH RESPECT TO
LEGACY BUILDER PLUS
Know all men by these presents that DOUGLAS C. KOLSRUD, whose signature appears
below, constitutes and appoints Brenda K. Clancy and Craig D. Vermie, and each
of them, his attorneys-in-fact, each with the power of substitution, for him in
any and all capacities, to sign any registration statements and amendments
thereto for the Legacy Builder Plus, and to file the same, with exhibits thereto
and other documents in connection therewith, with the Securities and Exchange
Commission, hereby ratifying and confirming all that each of said attorneys-in-
fact, or his substitute, may do or cause to be done by virtue hereof.
/s/ DOUGLAS C. KOLSRUD
------------------------------
Douglas C. Kolsrud
Senior Vice President
PFL Life Insurance Company
July 21, 1999
Date
<PAGE>
POWER OF ATTORNEY
WITH RESPECT TO
LEGACY BUILDER PLUS
Know all men by these presents that ROBERT J. KONTZ, whose signature appears
below, constitutes and appoints Brenda K. Clancy and Craig D. Vermie, and each
of them, his attorneys-in-fact, each with the power of substitution, for him in
any and all capacities, to sign any registration statements and amendments
thereto for the Legacy Builder Plus, and to file the same, with exhibits thereto
and other documents in connection therewith, with the Securities and Exchange
Commission, hereby ratifying and confirming all that each of said attorneys-in-
fact, or his substitute, may do or cause to be done by virtue hereof.
/s/ ROBERT J. KONTZ
-----------------------------
Robert J. Kontz
Vice President
PFL Life Insurance Company
July 21, 1999
Date
<PAGE>
POWER OF ATTORNEY
WITH RESPECT TO
LEGACY BUILDER PLUS
Know all men by these presents that BRENDA K. CLANCY, whose signature appears
below, constitutes and appoints Brenda K. Clancy and Craig D. Vermie, and each
of them, her attorneys-in-fact, each with the power of substitution, for her in
any and all capacities, to sign any registration statements and amendments
thereto for the Legacy Builder Plus, and to file the same, with exhibits thereto
and other documents in connection therewith, with the Securities and Exchange
Commission, hereby ratifying and confirming all that each of said attorneys-in-
fact, or her substitute, may do or cause to be done by virtue hereof.
/s/ BRENDA K. CLANCY
-----------------------------
Brenda K. Clancy
Vice President
PFL Life Insurance Company
July 21, 1999
Date
