<PAGE> 1
AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON NOVEMBER 18, 1996
REGISTRATION NOS. 333-06071
811-4235
FISCAL YEAR END DECEMBER 31
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
------------------------
FORM S-6
POST - EFFECTIVE AMENDMENT NO. 1
------------------------
FOR REGISTRATION UNDER THE SECURITIES ACT OF 1933 OF SECURITIES
OF UNIT INVESTMENT TRUSTS REGISTERED ON FORMS N-8B-2
MONY AMERICA VARIABLE ACCOUNT L
(EXACT NAME OF TRUST)
MONY LIFE INSURANCE COMPANY OF AMERICA
(NAME OF DEPOSITOR)
1740 BROADWAY
NEW YORK, NEW YORK 10019
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICE)
EDWARD P. BANK
VICE PRESIDENT AND DEPUTY GENERAL COUNSEL
THE MUTUAL LIFE INSURANCE COMPANY OF NEW YORK
1740 BROADWAY
NEW YORK, NEW YORK 10019
(NAME AND ADDRESS OF AGENT FOR SERVICE)
- ---------------
It is proposed that this filing will become effective on November 22, 1996
pursuant to Rule 485(a).
The Registrant has registered an indefinite amount of securities pursuant
to Rule 24f-2 under the Investment Company Act of 1940. The Rule 24f-2 Notice
was filed on February 29, 1996.
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE> 2
CROSS REFERENCE TO ITEMS REQUIRED BY FORM N-8B-2
<TABLE>
<CAPTION>
ITEM NO. OF
FORM N-8B-2 CAPTION IN PROSPECTUS
- ----------- --------------------------------------------------------------------------------
<S> <C>
1 Cover Page
2 Cover Page
3 Not Applicable
4 DISTRIBUTION OF THE POLICY
5 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT
6 MONY America Variable Account L
7 Not required
8 Not required
9 Legal Proceedings
10 THE POLICY; INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT; CHARGES AND
DEDUCTIONS; OTHER INFORMATION; VOTING RIGHTS; MORE ABOUT THE POLICY
11 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT; THE FUNDS; PURCHASE OF
PORTFOLIO SHARES BY THE VARIABLE ACCOUNT
12 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT; THE FUNDS; PURCHASE OF
PORTFOLIO SHARES BY THE VARIABLE ACCOUNT
13 THE POLICY; CHARGES AND DEDUCTIONS; THE FUNDS
14 THE POLICY
15 THE POLICY
16 THE FUNDS; THE POLICY; INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT
17 THE POLICY
18 THE FUNDS; THE POLICY; INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT
19 VOTING RIGHTS; MORE ABOUT THE POLICY
20 Not applicable
21 THE POLICY
22 Not applicable
23 Not applicable
24 DEFINITIONS; MORE ABOUT THE POLICY
25 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT
26 Not applicable
27 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT
28 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT
29 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT
30 Not applicable
31 Not applicable
32 Not applicable
33 Not applicable
34 Not applicable
</TABLE>
<PAGE> 3
<TABLE>
<CAPTION>
ITEM NO. OF
FORM N-8B-2 CAPTION IN PROSPECTUS
- ----------- --------------------------------------------------------------------------------
<S> <C>
35 MORE ABOUT THE POLICY
36 Not applicable
37 Not applicable
38 INFORMATION ABOUT THE COMPANY AND THE ACCOUNT; MORE ABOUT THE POLICY
39 MORE ABOUT THE POLICY
40 Not applicable
41 MORE ABOUT THE POLICY
42 Not applicable
43 Not applicable
44 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT; THE POLICY; MORE ABOUT
THE POLICY
45 Not applicable
46 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT; THE POLICY; MORE ABOUT
THE POLICY
47 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT; THE POLICY; MORE ABOUT
THE POLICY
48 Not applicable
49 Not applicable
50 INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT
51 Cover Page; INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT; THE POLICY;
MORE ABOUT THE POLICY
52 OTHER INFORMATION
53 OTHER INFORMATION
54 Not applicable
55 Not applicable
56 Not required
57 Not required
58 Not required
59 FINANCIAL STATEMENTS
</TABLE>
<PAGE> 4
PART I
(INFORMATION REQUIRED IN A PROSPECTUS)
<PAGE> 5
PROSPECTUS
DATED NOVEMBER 22, 1996
FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY
ISSUED BY
MONY LIFE INSURANCE COMPANY OF AMERICA
MONY AMERICA VARIABLE ACCOUNT L
This prospectus describes a flexible premium variable life insurance policy
(individually, the "Policy," and collectively, the "Policies") offered by MONY
Life Insurance Company of America (the "Company"), a wholly-owned subsidiary of
The Mutual Life Insurance Company of New York ("Mutual of New York"). The Policy
is designed primarily for situations where one or more Policies are purchased
each insuring the life of an individual, who shares a common employment,
business or other relationship with other individuals also insured under a
Policy. The Policy may be owned individually, or by a corporation, trust,
association or similar organization. Each Policy must be a part of a Case, which
is a grouping of one or more Policies connected by a non-arbitrary factor, such
as a common employer of the Insureds, and the sum of the premiums to be received
by the Company in the first Policy year for the Policies representing the Case
must be at least $100,000. The Policy, for so long as it remains in force,
provides lifetime insurance protection on the Insured named in the Policy
through the Maturity Date. The Policy is designed to provide maximum flexibility
in connection with premium payments and death benefits by permitting, subject to
certain restrictions, the frequency and amount of premium payments to vary and
the death benefit payable under the Policy to increase or decrease. A Policy may
also be surrendered for its Surrender Value.
For so long as the Policy remains in force, the Company will, upon proof of
the death of an Insured, pay the death benefit proceeds to the named
Beneficiary. Death benefit proceeds will consist of the Base Death Benefit under
the Policy, plus any amount provided by the Term Insurance Rider, reduced by any
Outstanding Debt (and, if in the Grace Period, further reduced by any overdue
charges). The Policy will remain in force as long as the Account Value less
Outstanding Debt is sufficient to cover any Monthly Deductions. If the
Guaranteed Death Benefit Rider is purchased, the Specified Amount of the Policy
will remain in force if the required premiums (less Partial Surrenders taken and
their fees) have been paid and Account Value exceeds Outstanding Debt.
The Policy permits the choice of two death benefits: under Option I, the
Base Death Benefit remains fixed at the Specified Amount chosen; under Option
II, the Base Death Benefit equals the Specified Amount plus Account Value. Under
Option II, the Base Death Benefit will vary daily with the investment
performance of the Subaccounts for any Policy Owner who has allocated net
premiums to the Variable Account. Under either Option, for so long as the Policy
remains in force, the Base Death Benefit will always equal or exceed a multiple
of the Cash Value and will never be less than the current Specified Amount.
The Policy Owner may choose which of the two tests for compliance with the
Federal income tax law definition of life insurance will be applied to the
Policy. These tests are the Cash Value Accumulation Test and the Guideline
Premium/Cash Value Corridor Test. If the Guideline Premium/Cash Value Corridor
Test is chosen, premium payments may be limited.
The Policy also permits an owner of the Policy to obtain loans from the
Company in amounts up to 90% of the Account Value of the Policy (less any
Outstanding Debt), and it permits an Owner to surrender a part of the Policy and
receive a part of the Account Value of the Policy.
Net premiums may be allocated at the Policy Owner's discretion to one or
more of the available Subaccounts that comprise a separate account of the
Company called the MONY America Variable Account L (the "Variable Account"), or
to the Guaranteed Interest Account of the Company. Any portion of a net premium
allocated to one or more of the Subaccounts is invested in the corresponding
Portfolios of the MONY Series Fund, Inc. (the "MONY Series Fund"), the
Enterprise Accumulation Trust (the "Accumula-
<PAGE> 6
tion Trust"), The T. Rowe Price Equity Series, Inc. ("Price Series"), Dreyfus
Variable Insurance Fund ("Dreyfus Variable Fund"), Dreyfus Stock Index Fund
("Dreyfus Stock Fund"), and the Van Eck Worldwide Insurance Trust. Not all
portfolios of the Funds are available to the Subaccounts of the Variable Account
for purchase. Amounts set aside as collateral for any Outstanding Debt are held
in the Loan Account, which is part of the General Account of the Company.
To the extent that all or a portion of net premiums are allocated to the
Variable Account, the Account Value under the Policy will vary based upon the
investment performance of the Subaccounts to which the Account Value is
allocated. Net premiums allocated to the Guaranteed Interest Account are assets
of the General Account of the Company and will accrue interest at an interest
rate that is guaranteed by the Company. No minimum amount of Account Value is
guaranteed, except to the extent premiums are allocated to the Guaranteed
Interest Account.
A Policy may be returned during the Free Look Period (see "Right to Examine
a Policy -- Free Look Period," page 19), during which time net premium payments
allocated to the Variable Account will be invested in the Money Market
Subaccount.
It may not be advantageous to replace existing insurance with the Policy.
This prospectus generally describes only the portion of the Policy
involving the Variable Account. For a brief summary of the Guaranteed Interest
Account, see "The Guaranteed Interest Account," page 44.
In pursuing its investment objective, the High Yield Bond Subaccount
purchases shares of the High Yield Portfolio which may invest significantly in
lower rated bonds, commonly referred to as "Junk Bonds". Bonds of this type are
considered to be speculative with regard to the payment of interest and return
of principal. Investment in these types of securities have special risks and,
therefore, may not be suitable for all investors. Investors should carefully
assess the risks associated with allocating premium payments to this subaccount.
THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES
AND EXCHANGE COMMISSION NOR HAS THE COMMISSION PASSED UPON THE ACCURACY OR
ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL
OFFENSE. THIS PROSPECTUS IS ACCOMPANIED BY THE CURRENT PROSPECTUSES FOR THE MONY
SERIES FUND, INC., THE ENTERPRISE ACCUMULATION TRUST, THE T. ROWE PRICE EQUITY
SERIES, INC., THE DREYFUS VARIABLE INSURANCE FUND, THE DREYFUS STOCK INDEX FUND,
AND THE VAN ECK WORLDWIDE INSURANCE TRUST. THESE PROSPECTUSES SHOULD BE READ
CAREFULLY AND RETAINED FOR FUTURE REFERENCE.
MONY LIFE INSURANCE COMPANY OF AMERICA
1740 BROADWAY
NEW YORK, NEW YORK 10019
1-800-487-6669
<PAGE> 7
TABLE OF CONTENTS
<TABLE>
<S> <C>
IMPORTANT TERMS....................................................................... 1
SUMMARY OF THE POLICY................................................................. 4
Purpose of the Policy............................................................... 4
Explanation of a Case............................................................... 4
Policy Values....................................................................... 4
The Death Benefit................................................................... 5
Premium Features.................................................................... 5
Allocation Options.................................................................. 6
Transfer of Account Value........................................................... 7
Policy Owner Services............................................................... 7
Dollar Cost Averaging............................................................ 7
Automatic Rebalancing............................................................ 7
Right to Exchange Policy............................................................ 7
Policy Loans........................................................................ 8
Full Surrender...................................................................... 8
Partial Surrender................................................................... 8
Free Look Period.................................................................... 8
Grace Period and Lapse.............................................................. 8
Charges and Deductions.............................................................. 9
Deductions from Premiums......................................................... 9
Deductions from Account Value.................................................... 9
Transaction and Other Charges.................................................... 10
Tax Treatment of Increases in Account Value......................................... 10
Tax Treatment of Death Benefit...................................................... 10
The Guaranteed Interest Account..................................................... 10
Contacting the Company.............................................................. 10
INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT................................ 10
MONY Life Insurance Company of America.............................................. 10
MONY America Variable Account L..................................................... 11
The Funds........................................................................... 12
Purchase of Portfolio Shares by the Variable Account................................ 14
The Money Market Portfolio....................................................... 15
The Government Securities Portfolio.............................................. 15
The Intermediate Bond Portfolio.................................................. 15
The Long Term Bond Portfolio..................................................... 15
The World Wide Bond Fund......................................................... 15
The Stock Index Fund............................................................. 16
The Managed Portfolio............................................................ 16
The Equity Portfolio............................................................. 16
The New America Growth Portfolio................................................. 16
The Equity Income Portfolio...................................................... 16
The Capital Appreciation Portfolio............................................... 16
The Small Cap Portfolio.......................................................... 16
The Small Company Stock Portfolio................................................ 16
The International Growth Portfolio............................................... 16
The Worldwide Emerging Markets Fund.............................................. 17
The Gold and Natural Resources Fund.............................................. 17
The High Yield Bond Portfolio.................................................... 17
THE POLICY............................................................................ 17
Application for a Policy............................................................ 17
Temporary Insurance Coverage..................................................... 18
Initial Premium Payment.......................................................... 18
Policy Date...................................................................... 18
Risk Classification and Evidence of Insurability................................. 19
Right to Examine a Policy -- Free Look Period....................................... 19
Premiums............................................................................ 19
</TABLE>
i
<PAGE> 8
<TABLE>
<S> <C>
Case Premiums.................................................................... 19
Premium Flexibility.............................................................. 19
Scheduled Premiums............................................................... 19
Choice of Definition of Life Insurance Tests..................................... 20
Guaranteed Death Benefit Rider Premiums.......................................... 20
Modified Endowment Contracts..................................................... 20
Unscheduled Premium Payments..................................................... 21
Premium Payments Affect the Continuation of the Policy........................... 21
Allocation of Net Premiums.......................................................... 21
Death Benefits Under the Policy..................................................... 22
Death Benefit Options............................................................ 22
Option I......................................................................... 22
Option II........................................................................ 23
Changes in Death Benefit Option.................................................. 23
Changes in Death Benefit Amounts.................................................... 24
Scheduled Increases in Death Benefits............................................ 24
Unscheduled Increases in Death Benefit........................................... 24
Decreases in Death Benefits...................................................... 25
Guaranteed Death Benefit Rider...................................................... 25
Other Optional Insurance Benefits................................................... 26
Term Insurance Rider............................................................. 26
Benefits at Maturity................................................................ 27
Policy Values....................................................................... 27
Account Value.................................................................... 27
Surrender Value.................................................................. 27
Determination of Account Value...................................................... 28
Calculating Unit Values for Each Subaccount......................................... 28
Transfer of Account Value........................................................... 29
Policy Owner Services............................................................... 29
Dollar Cost Averaging............................................................ 29
Automatic Rebalancing............................................................ 30
Right to Exchange Policy............................................................ 30
Policy Loans........................................................................ 30
Full Surrender...................................................................... 32
Partial Surrender................................................................... 32
Grace Period and Lapse.............................................................. 33
If Guaranteed Death Benefit Rider Is Not in Effect............................... 33
If Guaranteed Death Benefit Rider Is in Effect................................... 33
Reinstatement....................................................................... 34
CHARGES AND DEDUCTIONS................................................................ 34
Deductions from Premiums............................................................ 34
Sales Charge..................................................................... 34
Tax Charges...................................................................... 35
Monthly Deductions from Account Value............................................... 35
Cost of Insurance................................................................ 35
Mortality and Expense Risk Charge................................................ 36
Administrative Charge............................................................ 36
Guaranteed Death Benefit Charge.................................................. 37
Other Optional Insurance Benefits Charges........................................ 37
Corporate Purchasers................................................................ 37
Transaction and Other Charges....................................................... 37
Guarantee of Certain Charges........................................................ 38
OTHER INFORMATION..................................................................... 38
Federal Income Tax Considerations................................................... 38
Definition of Life Insurance..................................................... 38
Diversification Requirements..................................................... 39
Tax Treatment of Policies........................................................ 39
</TABLE>
ii
<PAGE> 9
<TABLE>
<S> <C>
Conventional Life Insurance Policies............................................. 39
Modified Endowment Contracts..................................................... 40
Reasonableness Requirement for Charges........................................... 41
Pension and Profit-Sharing Plans................................................. 41
Other Employee Benefit Programs.................................................. 41
Other............................................................................ 42
Charge for Company Income Taxes..................................................... 42
Voting of Fund Shares............................................................... 42
Disregard of Voting Instructions.................................................... 43
Report to Policy Owners............................................................. 43
Substitution of Investments and Right to Change Operations.......................... 43
Changes to Comply with Law.......................................................... 44
PERFORMANCE INFORMATION............................................................... 44
THE GUARANTEED INTEREST ACCOUNT....................................................... 44
General Description................................................................. 45
Limitations on Amounts in the Guaranteed Interest Account........................... 45
Policy Charges...................................................................... 45
Transfers........................................................................... 46
Surrenders and Policy Loans......................................................... 46
MORE ABOUT THE POLICY................................................................. 46
Ownership........................................................................... 46
Joint Owners..................................................................... 46
Beneficiary......................................................................... 46
The Policy.......................................................................... 47
Notification and Claims Procedures.................................................. 47
Payments............................................................................ 47
Payment Plan/Settlement Provisions.................................................. 47
Payment in Case of Suicide.......................................................... 48
Assignment.......................................................................... 48
Errors on The Application........................................................... 48
Incontestability.................................................................... 48
Policy Illustrations................................................................ 48
Distribution of The Policy.......................................................... 48
MORE ABOUT THE COMPANY................................................................ 49
Management.......................................................................... 49
State Regulation.................................................................... 49
Records and Accounts................................................................ 50
Legal Proceedings................................................................... 50
Legal Matters....................................................................... 50
Experts............................................................................. 50
Registration Statement.............................................................. 50
Independent Accountants............................................................. 50
Financial Statements................................................................ 50
INDEX TO FINANCIAL STATEMENTS......................................................... F-1
APPENDIX A............................................................................ A-1
APPENDIX B............................................................................ B-1
APPENDIX C............................................................................ C-1
APPENDIX D............................................................................ D-1
APPENDIX E............................................................................ E-1
APPENDIX F............................................................................ F-1
APPENDIX G............................................................................ G-1
</TABLE>
iii
<PAGE> 10
IMPORTANT TERMS
ACCOUNT VALUE -- The Account Value is the sum of the amounts under the
Policy held in each Subaccount of the Variable Account and the Guaranteed
Interest Account, as well as any amount set aside in the Company's Loan Account.
AGE -- The Insured's age as of his or her nearest birthday on the Policy
Date, increased by the number of complete Policy Years elapsed.
AUTOMATIC REBALANCING -- The Policy feature which automatically
re-allocates each calendar quarter amounts in the Subaccounts of the Variable
Account to match the current Subaccount premium allocation percentages. This is
a service provided by the Company which may be discontinued at any time and is
not a benefit provided by the Policy.
BASE DEATH BENEFIT -- Initially this is the Specified Amount for Policies
under death benefit Option I, or the Specified Amount plus the Account Value for
Policies under death benefit Option II. The Base Death Benefit may subsequently
change depending on the death benefit Option and test for the Federal income tax
law definition of life insurance chosen.
BENEFICIARY -- The person or persons named by the Policy Owner in the
application or by proper later designation to receive the death benefit proceeds
upon the death of the Insured.
CASH VALUE -- The Cash Value of the Policy at any time is the Account
Value, plus any applicable refund of sales charge.
CASE -- A grouping of one or more Policies connected by a non-arbitrary
factor, presented to the Company as a group. (An example of such a factor is a
common employer for the Insureds under each Policy in the collection.) (See
"Explanation of a Case" on page 4.)
COMPANY, THE -- MONY Life Insurance Company of America.
CUSTOMER SERVICE CENTER -- The Company's administrative office located at
One MONY Plaza, Syracuse, New York 13202.
DEATH BENEFIT PERCENTAGE -- The factor used to calculate the applicable
increase in the Base Death Benefit under the Federal income tax law definition
of life insurance. The factor differs depending on whether the Cash Value
Accumulation Test or the Guideline Premium/Cash Value Corridor Test is chosen
for measuring compliance with the Federal income tax law definition of life
insurance. See "Choice of Definition of Life Insurance Tests", page and
"Federal Income Tax Considerations -- Definition of Life Insurance", page .
The Policy Owner may elect to have an alternative Death Benefit Percentage apply
to the Policy which may increase the Base Death Benefit above the amount
required by the Federal income tax law definition of life insurance.
DOLLAR COST AVERAGING -- The Policy feature which allows amounts to be
automatically transferred on a monthly or quarterly basis from the Money Market
Subaccount to the other Subaccounts of the Variable Account. This is a service
provided by the Company which may be discontinued at any time and is not a
benefit provided by the Policy.
FREE LOOK PERIOD -- The period which follows the application for the Policy
and its issuance to the Policy Owner. the Free Look Period, the Policy Owner may
cancel the Policy and receive a refund.
FUNDS -- The MONY Series Fund, Inc., the Enterprise Accumulation Trust, The
T. Rowe Price Equity Series Fund, Inc., the Dreyfus Variable Investment Fund,
the Dreyfus Stock Index Fund, and the Van Eck Worldwide Insurance Trust.
GENERAL ACCOUNT -- All assets of the Company other than those allocated to
the Variable Account or to any other segregated separate account of the Company.
1
<PAGE> 11
GUARANTEED INTEREST ACCOUNT -- An account that is part of Company's General
Account to which all or a portion of net premium payments may be allocated for
accumulation at a fixed rate of interest (which may not be less than 4.0%)
declared by Company.
HOME OFFICE -- The Company's administrative office at 1740 Broadway, New
York, New York, 10019. "Home Office" also includes the Company's Syracuse
Operations Center at 1 MONY Plaza, Syracuse, NY 13202.
INSURED -- The person upon whose life the Policy is issued and whose death
is the contingency upon which the death benefit proceeds are payable.
LOAN ACCOUNT -- An account to which amounts are transferred from the
Subaccounts and the Guaranteed Interest Account as collateral for any
Outstanding Debt. The Loan Account is part of the Company's General Account, and
it accumulates interest at a guaranteed rate of not less than 4.0%.
MATURITY DATE -- The Policy Anniversary on which the Insured is Age 95.
MINIMUM ANNUAL PREMIUM -- The annual premium amount determined by the
Company which is required to place the Policy in force. This Minimum Annual
Premium will be based upon the Policy's Specified Amount and the Age, smoking
status, gender (unless unisex cost of insurance rates apply, see "Cost of
Insurance," page 35), and underwriting class of the Insured, and any Riders
added to the Policy.
MONTHLY ANNIVERSARY DAY -- The day each month on which the monthly
deduction is due against the Account Value. The first Monthly Anniversary Day is
the Policy Date.
MONTHLY GUARANTEE PREMIUM -- The premium amount stated in the Policy as the
amount required to maintain the Guaranteed Minimum Death Benefit Rider.
NET AMOUNT AT RISK -- The difference between the current Base Death Benefit
and the Account Value on any Monthly Anniversary Day.
OUTSTANDING DEBT -- The unpaid loan balance including accrued loan interest
due and unpaid.
PARTIAL SURRENDER -- The surrender of a portion of the Policy. At least
$500 of Account Value less Outstanding Debt must remain after a Partial
Surrender, or a full surrender of the Policy will be required.
POLICY DATE -- The date set forth on page of the Policy that is used to
determine the Monthly Anniversary Day, Policy Months, and Policy Years. Policy
monthly, quarterly, semiannual and annual Anniversaries are measured from the
Policy Date. Each Policy Month starts on the same date in each calendar month as
that specified as the Policy Date. Where the Policy Date is the 29th, 30th, or
31st of a month, and there is no such date in a calendar month, the Policy Month
for such month will start on the last day of that calendar month.
POLICY OWNER -- The person, individual, corporation, trust, association,
partnership, or other similar organization who owns the Policy. The Policy Owner
will be the Insured unless otherwise stated in the application. If the Policy
has been absolutely assigned, the assignee becomes the Policy Owner. A
collateral assignee is not the Owner.
PORTFOLIO(S) -- The separate investment portfolios of the Funds.
RIDER -- The addendum to a Policy which adds an optional insurance benefit
to the Policy.
SALES CHARGE -- The charge deducted from premium payments to cover the
costs of distributing the Policy. The Sales Charge is equal to 9% of each
premium up to the Target Premium paid during the first ten Policy Years, or the
ten Policy Years following an Unscheduled Increase in the Specified Amount. The
Sales Charge does not apply to premium amounts in excess of the Target Premium
paid during the first ten Policy years, nor any premium paid after the tenth
Policy year.
SCHEDULED PREMIUMS -- The premium amount specified on the application as
the amount the Policy Owner intends to pay at fixed intervals over a specified
period of time. Within specified limits, premiums in
2
<PAGE> 12
excess of the Scheduled Premiums may be paid. Scheduled Premiums may be changed
at any time subject to our rules.
SPECIFIED AMOUNT -- The minimum death benefit for so long as the Policy
remains in force. The Specified Amount may be increased or decreased under
certain circumstances.
SUBACCOUNTS -- The subdivisions of the Variable Account. Each Subaccount
invests exclusively in the shares of a corresponding Portfolio of one of the
Funds.
SURRENDER VALUE -- The Surrender Value of the Policy is the Cash Value less
any Debt.
TARGET DEATH BENEFIT -- If a Term Insurance Rider is attached to the
Policy, the Target Death Benefit is the amount specified in the application for
the Policy, or as changed by the Policy Owner from time to time. The difference
between the Target Death Benefit and the Base Death Benefit is equal to the Term
Insurance Rider's benefit amount.
TARGET PREMIUM -- The maximum amount of premium paid in a Policy year
against which the Sales Charge may be applied.
TERM INSURANCE RIDER -- The Rider which adds term life insurance to the
Insured's Age 95 to the Policy. The Term Insurance Rider benefit is equal to the
difference, if any, between the Target Death Benefit and the Base Death Benefit.
The Rider adjusts over time for changes in the Base Death Benefit to keep the
Target Death Benefit at the desired amount. The Term Insurance Rider is not
guaranteed under the Guaranteed Death Benefit Rider.
TRANSACTION DATE -- The date the Company receives a premium or acceptable
written or telephone request at the Customer Service Center. If the premium or
request reaches the Customer Service Center on a day which is not a Valuation
Date or after the close of business on a Valuation Date (i.e., after 4:00 p.m.
Eastern Time), the Transaction Date will be the next Valuation Date.
UNIT -- The bookkeeping measure used to value the amounts allocated to the
Subaccounts of the Variable Account.
UNIT VALUE -- The value of the Units of each Subaccount of the Variable
Account. Unit Values are calculated for each Subaccount on each Valuation Date.
VALUATION DATE -- Each date on which the Variable Account is valued, which
currently includes each day that the New York Stock Exchange is open for trading
and on which there is sufficient trading in the securities of a Portfolio of the
Funds to affect materially the unit value of the corresponding Subaccount of the
Variable Account.
VALUATION PERIOD -- The period that starts at the close of a Valuation Date
and ends at the close of the next succeeding Valuation Date.
VARIABLE ACCOUNT -- The Company's Variable Account L, a separate investment
account established by the Company to receive and invest the net premiums paid
under the Policy.
3
<PAGE> 13
SUMMARY OF THE POLICY
This summary is intended to provide a brief overview of the more
significant aspects of the Policy. Further detail is provided in this prospectus
and in the Policy. Unless the context indicates otherwise, the discussion in
this summary and the remainder of the prospectus relates to the portion of the
Policy involving the Variable Account. The Guaranteed Interest Account is
briefly described under "The Guaranteed Interest Account," on page 44 and in the
Policy.
PURPOSE OF THE POLICY
The Policy offers a Policy Owner insurance protection on the life of the
Insured through the Maturity Date for so long as the Policy is in force. The
Policy is designed primarily for situations where one or more Policies are
purchased each insuring the life of an individual, who shares a common
employment, business or other relationship with other individuals also insured
under a Policy. The Policy may be owned individually, or by a corporation,
trust, association or similar organization. A maturity benefit will be paid in
lieu of a death benefit when the Policy reaches the Maturity Date during the
Insured's lifetime. Like traditional fixed life insurance, the Policy provides
for a death benefit, accumulation of cash value, and surrender and loan
privileges. Unlike traditional fixed life insurance, the Policy offers a Policy
Owner the opportunity to allocate premium payments and Account Values to
subaccounts of the Variable Account which offer a variety of investment
objectives and an opportunity for the Policy's Account Value and its death
benefit to grow based on investment results. The Policy also offers the Policy
Owner the opportunity to allocate premium payments and Account Values, subject
to certain restrictions, to the Guaranteed Interest Account which is part of the
Company's General Account. The Policy is a flexible premium Policy, so that,
unlike many other insurance policies, a Policy Owner may choose the amount and
frequency of premium payments, within certain limits.
EXPLANATION OF A CASE
Each Policy must be a part of a Case, which is a grouping of one or more
Policies connected by a non-arbitrary factor, such as a common employer of the
Insureds, and the sum of the premiums to be received by the Company in the first
Policy year for the Policies representing the Case must be at least $100,000.
The Company at its sole discretion will determine what constitutes a Case. A
Case may have one Policy Owner (e.g., a single entity that owns all the Policies
in the Case) or as many Policy Owners as there are Policies in the Case.
POLICY VALUES
A Policy Owner may allocate net premium payments among the various
Subaccounts that comprise the Variable Account and that invest in corresponding
Portfolios of the MONY Series Fund, Inc. ("MONY Series Fund), Enterprise
Accumulation Trust ("Accumulation Trust"), The T. Rowe Price Equity Series, Inc.
("Price Series"), Dreyfus Variable Insurance Fund ("Dreyfus Variable Fund"),
Dreyfus Stock Index Fund ("Dreyfus Stock Fund"), and the Van Eck Worldwide
Insurance Trust ("Van Eck Trust"). A Policy Owner may also allocate net premium
payments to the Guaranteed Interest Account. The Loan Account holds amounts set
aside in the General Account of the Company as collateral for Outstanding Debt.
The Cash Value of the Policy is the Account Value (which is the sum of
amounts allocated to the Subaccounts of the Variable Account, the Guaranteed
Interest Account and the Loan Account) plus any applicable refund of the Sales
Charge. The Surrender Value of the Policy is the Account Value less any
Outstanding Debt.
Depending on the investment experience of the selected Subaccounts, the
Account Value may increase or decrease on any day. The death benefit may or may
not increase or decrease depending upon several factors, but will never decrease
below the Specified Amount provided the Policy is in force. There is no
guarantee that the Policy's death benefit will increase or, unless the
Guaranteed Death Benefit Rider is purchased, that it will continue for any
period of time. There is also no guarantee of any Account Value, except to the
extent that net premium payments and cash values are allocated to the Guaranteed
Interest Account. Accordingly, the Policy
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<PAGE> 14
Owner bears the investment risk on that portion of the net premiums and Account
Value allocated to the Variable Account.
The Policy will remain in force until the earliest of the Maturity Date,
the death of the Insured, or a full surrender of the Policy, unless, before any
of these events, the Policy lapses and a Grace Period expires without sufficient
additional payment by the Policy Owner.
Generally, the Policy will remain in force only as long as the Account
Value less Outstanding Debt is sufficient to pay all the monthly deductions. If
the Guaranteed Death Benefit Rider is purchased, the Specified Amount of the
will remain in force if the required premiums (reduced by any Partial Surrenders
taken and any Partial Surrender fees) have been paid and Account Value exceeds
Outstanding Debt. The amount by which the Base Death Benefit may exceed the
Specified Amount, including any amount payable under the Term Insurance Rider,
is not guaranteed to remain in force under the Guaranteed Death Benefit Rider.
THE DEATH BENEFIT
The Target Death Benefit and the Specified Amount will be shown on the
specifications page of the Policy. The minimum Target Death Benefit is generally
$100,000. The minimum Specified Amount is $100,000, although the Specified
Amount may be reduced to $50,000 if at least $50,000 in face amount provided by
the Term Insurance Rider is added to the Policy.
A Policy Owner may elect one of two Options to calculate the amount of Base
Death Benefit payable under the Policy, which may increase the death benefit
payable. Under Option I, the Base Death Benefit will be equal to the Specified
Amount of the Policy on the date of death plus the increase in the Account Value
since the last Monthly Anniversary Day, or, if greater, the Cash Value
(determined as of the date of the Insured's death) multiplied by the Death
Benefit Percentage. Under Option II, the Base Death Benefit will be equal to the
Specified Amount of the Policy plus the Account Value on the date of the
Insured's death, or if greater, the Cash Value (determined as of the date of the
Insured's death) multiplied by the Death Benefit Percentage. The Death Benefit
Percentage is the factor defined by the applicable test for compliance with the
Federal tax law definition of life insurance. See "Choice of Definition of Life
Insurance Tests," page 20. Alternatively, the Policy Owner may elect to have an
alternative Death Benefit Percentage apply to the Policy which may increase the
Base Death Benefit above the amount required by the Federal income tax law
definition of life insurance. Policy Owners seeking to have favorable investment
performance reflected in increasing Account Value should choose Option I; Policy
Owners seeking to have favorable investment performance reflected in increasing
insurance coverage should choose Option II. A Policy Owner may change the death
benefit Option and increase or decrease the Specified Amount, subject to certain
conditions. See "Death Benefits Under the Policy," page 22.
The Policy Owner may, at time of application, choose to purchase the
Guaranteed Death Benefit Rider. This Rider provides a guarantee that the
Specified Amount will remain in force regardless of the amount of the Policy's
Account Value, provided that a cumulative minimum premium requirement is met. An
extra charge will also be deducted from the Account Value each month the Rider
is in effect. See "Guaranteed Death Benefit Rider," page 25.
The Policy owner may also choose to purchase one or more of the optional
insurance benefits other than the Guaranteed Death Benefit which are also added
to the Policy by Rider. See "Other Optional Insurance Benefits," page 26.
PREMIUM FEATURES
Each Policy is issued in conjunction with a Case. The sum of initial annual
Scheduled Premiums for each Case as well as the premiums to be received by the
Company in the first policy year must be at least $100,000.
The Company requires a Policy Owner to pay an initial premium for each
Policy equal to at least one fourth of the Minimum Annual Premium that is
defined by the Company. Thereafter, subject to certain limitations, a Policy
Owner may choose the amount and frequency of premium payments. The Policy,
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<PAGE> 15
therefore, provides the Policy Owner with the flexibility to vary premium
payments to reflect varying financial conditions.
When applying for a Policy, a Policy Owner will determine Scheduled
Premiums that provide for the payment of level premiums in regular intervals
over a specified period of time. Each Policy Owner will receive a premium
reminder notice for the Scheduled Premium on either an annual, semiannual,
quarterly, or monthly basis, at the option of the Policy Owner; however, the
Policy Owner may not be required to pay Scheduled Premiums.
When applying for a Policy, the Policy Owner will also choose which of the
two tests for compliance with the tax law definition of life insurance will be
applied to the Policy. These tests are the Cash Value Accumulation Test and the
Guideline Premium/Cash Value Corridor Test. The Guideline Premium/Cash Value
Corridor Test may limit the amount of premiums which may be paid. See "Choice of
Definition of Life Insurance Tests" page 20, and "Federal Income Tax
Considerations -- Definition of Life Insurance," page 38.
The amount, frequency, and period of time over which a Policy Owner pays
premiums may affect whether or not the Policy will be classified as a modified
endowment contract, which is a type of life insurance contract subject to
different tax treatment for certain pre-death distributions. For more
information on the tax treatment of life insurance contracts, including those
classified as modified endowment contracts. See "Federal Income Tax
Considerations -- Modified Endowment Contracts," page 40.
Payment of the Scheduled Premiums will not guarantee that a Policy will
remain in force. See "Grace Period and Lapse," page 33. The Company also may
reject or limit any premium payment that would result in an immediate increase
in the net amount at risk under the Policy, although such a premium may be
accepted with satisfactory evidence of insurability.
ALLOCATION OPTIONS
The Subaccounts invest in portfolios of five mutual funds which offer the
Policy Owner the opportunity to direct the Company to invest in diversified
portfolios of stocks, bonds, money market instruments, or a combination of these
securities. Each of the Subaccounts invests exclusively in shares of a
designated portfolio (a "Portfolio") of the MONY Series Fund, Inc. ("MONY Series
Fund"), the Enterprise Accumulation Trust ("Accumulation Trust"), The T. Rowe
Price Equity Series, Inc. ("Price Series"), Dreyfus Variable Insurance Fund
("Dreyfus Variable Fund"), Dreyfus Stock Index Fund ("Dreyfus Stock Fund"), and
the Van Eck Worldwide Insurance Trust ("Van Eck Trust")(collectively the
"Funds"). The available Portfolios of the Funds, each of which has a different
investment objective, are the Money Market Portfolio, the Government Securities
Portfolio, the Intermediate Term Bond Portfolio, the Long Term Bond Portfolio,
the Worldwide Bond Fund, the Equity Portfolio, the Equity Income Portfolio, the
Capital Appreciation Portfolio, the Stock Index Fund, the Managed Portfolio, the
New America Growth Portfolio, the Small Cap Portfolio, the Small Company Stock
Portfolio, the International Growth Portfolio, the Worldwide Emerging Markets
Fund, the Gold and Natural Resources Fund, and the High Yield Bond Portfolio.
See "The Funds," page .
The Company is the investment adviser of the MONY Series Fund. Enterprise
Capital Management, Inc., a subsidiary of The Mutual Life Insurance Company of
New York, is the investment adviser of the Accumulation Trust. OpCap Advisors, a
subsidiary of Oppenheimer Capital, is the sub-investment adviser, of the Equity
and Managed Portfolios; GAMCO Investors, Inc. is the sub-investment adviser of
the Small Cap Portfolio; Brinson Partners, Inc. is the sub-investment adviser of
the International Growth Portfolio; and Caywood-Scholl Capital Corporation is
the sub-investment adviser of the High Yield Bond Portfolio. Van Eck Associates
Corporation is the investment adviser of the Worldwide Bond Fund, the Worldwide
Emerging Markets Fund, and the Gold and Natural Resources Fund. T. Rowe Price
Associates, Inc. is the investment adviser of the Equity Income Portfolio and
the New American Growth Portfolio. The Dreyfus Corporation is the investment
adviser of the Capital Appreciation Portfolio, the Small Company Stock
Portfolio, and the Stock Index Fund.
The Policy Owner may choose to allocate net premium payments to any or all
of the available Subaccounts constituting the Variable Account, and to the
Guaranteed Interest Account.
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<PAGE> 16
TRANSFER OF ACCOUNT VALUE
The Policy Owner may transfer Account Value among the Subaccounts, and,
subject to certain other limitations, between the Subaccounts and the Guaranteed
Interest Account. See "Transfer of Account Value," page 29.
POLICY OWNER SERVICES
The Company currently offers Policy Owners two services: Dollar Cost
Averaging and Automatic Rebalancing. These services may be terminated at any
time. Owners of Policies in force at the time of termination utilizing these
services, will receive 30 days prior notice. There currently are no charges for
these services and any transfers as a result of operation of these services are
not counted toward the limit of 12 transfers per Policy year without transfer
charge. If the Company elects to impose a charge for these services, Owners of
Policies in force at that time utilizing these services will receive 30 days
prior notice. These services involve the sale of Units in one or more
Subaccounts and the purchase of Units in one or more other Subaccounts. This may
result in the loss of Account Value.
DOLLAR COST AVERAGING
Dollar Cost Averaging may be elected at any time by the Policy Owner by
completing the form required. Dollar Cost Averaging is available for any Policy
with at least $5,000 in the Money Market Subacccount. Under Dollar Cost
Averaging, a designated dollar amount of the amount in the Money Market
Subaccount will be transferred automatically to one or more other Subaccounts.
The monthly or quarterly transfer may be no less than $250 per transfer. The
transfer will be made on the tenth day of the month or the 10 day of the last
month of each calendar quarter, or the next succeeding Valuation Date if the
10th is not a Valuation Date, as the case may be.
If both Dollar Cost Averaging and Automatic Rebalancing are elected, Dollar
Cost Averaging will occur first. Automatic Rebalancing will begin only after
Dollar Cost Averaging has been completed. See "Dollar Cost Averaging," page 29.
AUTOMATIC REBALANCING
Automatic Rebalancing may also be elected at any time by the Policy Owner.
Automatic Rebalancing matches Subaccount Account Value allocations over time to
the Subaccount allocation percentages for new premiums. On the 10th day of the
last month of each calendar quarter (or the next succeeding Valuation Date, if
the 10th is not a Valuation Date), the Company will automatically re-allocate
the amounts in each of the Subaccounts into which premiums are allocated to
match the current Subaccount premium allocation percentages. This will rebalance
Subaccount Account Values that may be out of line with the allocation
percentages indicated, which may result, for example, from Subaccounts which
underperform other Subaccounts in certain quarters. Allocations to the
Guaranteed Interest Account will not be rebalanced.
Automatic Rebalancing provides a method for maintaining a balanced approach
to investing Account Values and simplifies the process of asset allocation over
time.
If both Dollar Cost Averaging and Automatic Rebalancing are elected, Dollar
Cost Averaging will occur first. Automatic Rebalancing will begin only after
Dollar Cost Averaging has been completed. See "Automatic Rebalancing," page 29.
RIGHT TO EXCHANGE POLICY
During the first 24 months following the Policy Date, the Policy Owner may
exercise the right to exchange the Policy from one in which the Account Value is
not guaranteed to a Policy the cash values and death benefits of which contain
minimum guarantees. A Policy Owner so electing will have all Account Values
transferred to the Guaranteed Interest Account.
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<PAGE> 17
POLICY LOANS
The Policy Owner may borrow from the Company an amount up to 90% of the
Policy's Account Value less any existing Outstanding Debt. The minimum loan is
$250. The Policy will be the only security required for a loan. See "Policy
Loans," page 30.
The amount of any Outstanding Debt is subtracted from the death benefit or
from the Cash Value upon surrender. See "Full Surrender," page 32. Outstanding
Debt may also impact the continuation of the Policy. See "Grace Period and
Lapse," page 33.
FULL SURRENDER
The Owner can surrender the Policy during the life of the Insured and
receive its Surrender Value. The value upon surrender is equal to the Account
Value plus any applicable refund of Sales Charges less any Outstanding Debt. See
"Full Surrender," page 32.
PARTIAL SURRENDER
Partial Surrenders are available under the Policy at any time so long as
the Account Value less Outstanding Debt remaining after the requested surrender
and any applicable fees exceeds any minimum requirements. If a Partial Surrender
is for an amount which exceeds the amount available, it will be rejected and the
request will be returned to the Policy Owner. Partial Surrenders generally
reduce the Target Death Benefit, if applicable. If the Owner has elected death
benefit Option I, a Partial Surrender will reduce the Base Death Benefit and may
decrease the Specified Amount of a Policy. Under death benefit Option II, it
will decrease the Base Death Benefit but the Specified Amount will not be
reduced. See "Partial Surrender," page 32.
Among other restrictions, Partial Surrenders must be for at least $500, and
the Policy's Account Value less Outstanding Debt after the surrender must be at
least $500. A Partial Surrender Fee of $25 or 2% of the amount surrendered,
whichever is less, will be assessed against the remaining Account Value.
FREE LOOK PERIOD
A Policy Owner may obtain a full refund of the premium paid if the Policy
is returned within 10 days (or longer in certain states) after the Owner
receives it, within 10 days after the Company mails or delivers the notice of
withdrawal right, or 45 days after Part 1 of the application for the Policy is
completed, whichever is later. During the Free Look Period, net premiums will be
allocated to the Money Market Subaccount, which invests in the Money Market
Portfolio of the MONY Series Fund. See "Right to Examine a Policy -- Free Look
Period", page 19.
GRACE PERIOD AND LAPSE
Payment of Scheduled Premiums will not guarantee that a Policy will remain
in force. Instead, unless the Guaranteed Death Benefit Rider has been elected
and all requirements have been met, the duration of the Policy depends upon the
Policy's Account Value less Outstanding Debt. Even if Scheduled Premium amounts
are paid, if the Guaranteed Death Benefit provision does not apply, the Policy
will lapse any time the Account Value less Outstanding Debt is insufficient to
pay the current monthly deduction and a Grace Period expires without sufficient
payment.
While the Guaranteed Death Benefit Rider is in force, if on any Monthly
Anniversary Day the Account Value less Outstanding Debt is insufficient to pay
the current monthly deduction and the total premiums received less any Partial
Surrenders and any related fees do not exceed the premiums required under the
Guaranteed Death Benefit Rider (See "Guaranteed Death Benefit Rider", page 25),
a notice will be sent which will give the Policy Owner 61 days from the date
thereof to make additional payments to the Policy. See "Grace Period and Lapse",
page 33.
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The Guaranteed Death Benefit Rider is not available on Policies offered or
issued for delivery to residents of the Commonwealth of Massachusetts or the
State of Texas, and, therefore, the Grace Period and Lapse will be determined as
if the Guaranteed Death Benefit Rider is not in effect.
CHARGES AND DEDUCTIONS
DEDUCTIONS FROM PREMIUMS
Certain charges are deducted from each premium payment under a Policy prior
to applying the net premium to the Account Value. These charges consist of the
following items:
SALES CHARGE -- A Sales Charge equal to 9% of each premium paid in each
Policy year up to the Target Premium paid during the first ten Policy Years, or
the ten Policy Years following an Unscheduled Increase in the Specified Amount.
The Sales Charge does not apply to premium amounts in excess of the Target
Premium paid during the first ten Policy years, nor any premium paid after the
tenth Policy year.
TAX CHARGES -- A state and local premium tax charge based on the actual tax
imposed by the state or local jurisdiction, currently equal to a percentage of
each premium, and a charge related to the Federal tax treatment of deferred
acquisition costs currently equal to 1.25% of each premium will be deducted from
each premium payment to compensate the Company for these taxes. Actual state and
local premium taxes vary, ranging from 0% to 4%. The Company does not expect to
make a profit from this charge. (See "Deductions from Premiums -- Tax Charges",
page 35.)
The Tax Charge may be increased or decreased to reflect any legislative
changes in the applicable tax based on premiums. In addition, if an insured
person changes his or her place of residence, the Company should be notified of
the change. Any change in the tax rate will be effective on the next policy
anniversary.
DEDUCTIONS FROM ACCOUNT VALUE
A charge called the Monthly Deduction is deducted from the Account Value on
each Monthly Anniversary Day. The monthly deduction consists of the following
items:
COST OF INSURANCE -- This monthly charge compensates the Company for
providing life insurance coverage for the Insured under the Base Death Benefit.
The amount of the charge is equal to a current cost of insurance rate multiplied
by the Net Amount at Risk under the Policy at the beginning of each Policy
Month.
MORTALITY AND EXPENSE RISK CHARGE -- A charge is deducted monthly for
mortality and expense risks assumed by the Company. For the first 10 Policy
years, this charge is equivalent to an annual rate of 0.60% of Subaccount value.
Each month the Policy remains in force after the tenth Policy Anniversary, it is
expected that this will be an amount equivalent to 0.30% of the Subaccount
value. The reduction of the Mortality and Expense Risk Charge below 0.45% on an
annualized basis after the tenth Policy Anniversary is not guaranteed.
ADMINISTRATIVE CHARGES -- An administrative charge of $7.50 is deducted
monthly from the Account Value in all Policy years. In addition, for Policies
subject to medical underwriting, an issue charge of $5.00 is deducted monthly
from the Account Value for the first three Policy years only. For Policies
underwritten on a guaranteed issue basis, the charge is charge is $3.00 per
month for the first three Policy years.
GUARANTEED DEATH BENEFIT CHARGE -- If the Guaranteed Death Benefit Rider
has been elected, a charge of $0.01 per thousand of Policy Specified Amount per
month will be charged while the Rider is in force. This rider is not available
on Policies offered or issued for delivery in the Commonwealth of Massachusetts
or the State of Texas.
OTHER OPTIONAL INSURANCE BENEFITS CHARGES -- The monthly deduction will
include charges for any other optional insurance benefits added to the Policy by
Rider, including the Term Insurance Rider.
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TRANSACTION AND OTHER CHARGES
A Partial Surrender Fee of the lesser of 2% of the amount surrendered and
$25 will be assessed against the remaining Account Value for any Partial
Surrender. In addition, the Company charges a fee of $25 on transfers which
exceed twelve in any Policy year.
The operating expenses of the Variable Account are paid by the Company and
certain charges, deductions, and fees, all of which are disclosed in the
Prospectus and in the Policy, are made or imposed to compensate the Company for
these expenses. For a more complete description of these charges, see "Charges
and Deductions", pages 34-37. Investment advisory fees and operating expenses of
each of the Funds are paid by the respective Fund. These fees and expenses vary
by portfolio and range from 0.39% to 1.55% of average daily net assets, and
reflect voluntary reimbursements of expenses or waiver of fees. For a more
complete description of these charges, see "The Funds", pages 12-14,
"Transaction and Other Charges," page 37 and the accompanying prospectuses for
each of the Funds.
TAX TREATMENT OF INCREASES IN ACCOUNT VALUE
The Account Value under the Policy is currently subject to the same Federal
income tax treatment as the cash value under fixed life insurance. Therefore,
generally the Policy Owner will not be deemed to be in constructive receipt of
the Account Value unless and until the Policy Owner is deemed to be in receipt
of a distribution from the Policy. For information on the tax treatment of the
Policy and on the tax treatment of a full surrender, a Partial Surrender, or a
Policy loan, see "Federal Income Tax Considerations," page 38.
TAX TREATMENT OF DEATH BENEFIT
The death benefit under the Policy is currently subject to federal income
tax treatment consistent with that of fixed life insurance. Therefore, generally
the death benefit will be fully excludable from the gross income of the
Beneficiary under the Internal Revenue Code. See "Federal Income Tax
Considerations," page 38.
THE GUARANTEED INTEREST ACCOUNT
The Policy Owner may allocate all or a portion of net premium payments and
transfer Account Value to the Guaranteed Interest Account, within specified
limits. Amounts allocated to the Guaranteed Interest Account are held in the
Company's General Account. The Company guarantees that the Account Value
allocated to the Guaranteed Interest Account will be credited interest daily at
a rate equivalent to an effective annual rate of 4%. In addition, the Company
may in its sole discretion pay interest in excess of the guaranteed amount.
After the tenth Policy anniversary, the annual interest rates that apply to the
Account Value in the Guaranteed Interest Account is expected to be 0.3% higher
than otherwise applicable. An increase to 0.15% is guaranteed. See "The
Guaranteed Interest Account," pages 44-46.
CONTACTING THE COMPANY
All written requests, notices, and forms required by the Policies, and any
questions or inquiries should be directed to the Company's Customer Service
Center at One MONY Plaza, Syracuse, New York 13202.
INFORMATION ABOUT THE COMPANY AND THE VARIABLE ACCOUNT
MONY LIFE INSURANCE COMPANY OF AMERICA
MONY Life Insurance Company of America (the "Company") is a stock life
insurance company organized in the State of Arizona. The Company is currently
licensed to sell life insurance and annuities in 49 states (not including New
York), the District of Columbia, the US Virgin Islands, and Puerto Rico. The
Company is the corporate successor of Vico Credit Life Insurance Company,
incorporated in Arizona on March 6, 1969.
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The Company is a wholly owned subsidiary of The Mutual Life Insurance
Company of New York ("Mutual of New York"), a mutual life insurance company
organized under the laws of the state of New York in 1842. The principal office
of Mutual of New York is located at 1740 Broadway, New York, New York 10019. It
is admitted to do business in all states, as well as the District of Columbia,
and Puerto Rico. As of the end of 1995, Mutual of New York had over $83.1
billion of life insurance in force and consolidated assets of approximately
$14.6 billion.
At December 31, 1995, Mutual of New York had approximately $115.6 million
invested in the Company to support its insurance operations. Mutual of New York
intends from time to time to make additional capital contributions to the
Company as needed to enable it to meet its reserve requirements and expenses in
connection with its business. Generally, Mutual of New York is under no
obligation to make such contributions, and its assets do not back the benefits
paid under the Policies.
At May 1, 1996, the rating assigned to the Company by A. M. Best Company,
Inc., an independent insurance company rating organization, was A- (Excellent)
based upon an analysis of financial condition and operating performance through
the end of 1995. At the same date, Mutual of New York was rated A-(Excellent) on
the same basis. The A. M. Best rating of the Company should be considered only
as bearing on the ability of the Company to meet its obligations under the
Policies.
The Company has a service agreement with Mutual of New York whereby Mutual
of New York provides the Company with such personnel, facilities, etc., as are
reasonably necessary for the conduct of the Company's business. These services
are provided on a cost reimbursement basis. The Company intends to administer
the Policies itself, utilizing the services provided by Mutual of New York and
Andesa TPA, Inc. to meet its obligations under the Policies.
MONY Securities Corp., a wholly owned subsidiary of Mutual of New York, is
the principal underwriter for the Policies.
MONY AMERICA VARIABLE ACCOUNT L
The MONY America Variable Account L (the "Variable Account") is a separate
investment account of the Company and at present is used only to support
flexible premium variable life insurance policies. The assets in the Variable
Account are kept separate from the General Account assets and other separate
accounts of the Company.
The Company owns the assets in the Variable Account and is required to
maintain sufficient assets in the Variable Account with a total market value
equal to the Policy liabilities funded by the Variable Account. The Variable
Account is divided into subdivisions called Subaccounts. The income, gains, or
losses, realized or unrealized, of the Variable Account are credited to or
charged against the assets held in the Variable Account without regard to the
other income, gains, or losses of the Company. Assets in the Variable Account
attributable to the reserves and other liabilities under the Policies are not
chargeable with liabilities arising from any other business that the Company
conducts. However, the Company may transfer to its General Account any assets
which exceed anticipated obligations of the Variable Account. All obligations
arising under the Policy are general corporate obligations of the Company. The
Company may accumulate in the Variable Account proceeds from various Policy
charges and investment results applicable to those assets.
The Variable Account was established on March 27, 1987 under Arizona law
under the authority of the Board of Directors of the Company. The Variable
Account is registered as a unit investment trust with the SEC. Such registration
does not involve any supervision by the SEC of the administration or investment
practices or policies of the Account.
There are currently seventeen Subaccounts within the Variable Account
available to the Policyholder. Each Subaccount invests exclusively in shares of
a designated Portfolio of the Funds. For example, the Long Term Bond Subaccount
invests solely in shares of the MONY Series Fund, Inc. Long Term Bond Portfolio.
These Portfolios are available to serve only as the underlying investment for
variable annuity and variable life insurance contracts issued through separate
accounts of the Company as well as other life insurance companies, and may be
available to certain pension accounts. They are not available directly to
individual investors. The Company may in the future establish additional
Subaccounts within the Variable Account,
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<PAGE> 21
which may invest in other Portfolios of the Funds or in other securities. Not
all Subaccounts are available to the Policy Owner.
THE FUNDS
Each Subaccount of the Variable Account currently invests only in shares of
a corresponding Portfolio of the MONY Series Fund, Inc. ("MONY Series Fund"),
the Enterprise Accumulation Trust ("Accumulation Trust"), T. Rowe Price Equity
Series, Inc. ("Price Series"), Dreyfus Variable Investment Fund ("Dreyfus
Variable Fund"), Dreyfus Stock Index Fund ("Dreyfus Index Fund"), and Van Eck
Worldwide Insurance Trust ("Van Eck Trust")(collectively the "Funds") The Funds,
except for the Dreyfus Stock Fund, are diversified, open-end management
investment companies of the series type. The Dreyfus Stock Fund is a
diversified, open-end management investment company. The Funds are registered
with the SEC under the Investment Company Act of 1940. Such registration does
not involve supervision by the SEC of the investments or investment policy of
the Funds.
Of the seven separate Portfolios of the MONY Series Fund, currently only
four portfolios ("Portfolios"), each of which pursues different investment
objectives and policies, are available for purchase by corresponding Subaccounts
of the Variable Account available to the Policy Owner. The Company acts as the
investment manager of the MONY Series Fund. The Company is a registered
investment adviser under the Investment Advisers Act of 1940. As investment
adviser to the MONY Series Fund, the Company receives a daily investment
advisory fee equivalent to an annual rate of 0.40 percent of the first $400
million, 0.35 percent of the next $400 million, and 0.30 percent for in excess
of $800 million of the aggregate average daily net assets of all Portfolios of
the MONY Series Fund, as described in the accompanying current prospectus for
the MONY Series Fund. The Company, as investment adviser, has agreed to bear all
expenses associated with organizing the Fund, the initial registration of its
securities, the calculation of the net asset value of the Portfolios, and the
compensation of the Fund's directors, officers and employees who are interested
persons of the Company. All other expenses will be borne by the Fund itself,
subject to certain limitations imposed by state law. The Company has entered
into a Services Agreement with Mutual of New York for the provision of
personnel, equipment, facilities and other services, in order to carry out its
duties as investment adviser to the Fund. The portfolios of the MONY Series Fund
bear the operating expenses of the portfolios, including, for example,
securities transactions expenses and custodial expenses and the investment
advisory fee, which for the year ended December 31, 1995 for the Intermediate
Term Bond Portfolio was .49 percent, for the Long Term Bond Portfolio was .48
percent, and for the Money Market Portfolio was .46 percent of the average daily
net assets of the respective portfolio. There were no expense reimbursements.
Of the five separate portfolios of the Accumulation Trust, currently all
five separate portfolios, each of which pursues different investment objectives
and policies, are available for purchase by corresponding Subaccounts of the
Variable Account. Enterprise Capital Management, Inc., a wholly owned subsidiary
of Mutual of New York, acts as the investment manager of the Accumulation Trust.
Enterprise Capital, as investment adviser to the Accumulation Trust, will
receive from the Accumulation Trust monthly compensation with respect to the
Equity, Small Cap and Managed Portfolios that it advises at an annual rate of
0.80 percent of the average daily net assets of each of those portfolios up to
$400 million of each Portfolio, 0.75 percent of the average daily net assets of
each of those portfolios from $400 million to $800 million of each Portfolio,
and 0.70 percent of the average daily net assets of each of those portfolios in
excess of $800 million of each Portfolio. OpCap Advisors, a subsidiary of
Oppenheimer Capital, as sub-investment adviser to the Equity and Managed
Portfolios of the Enterprise Accumulation Trust, will receive from Enterprise
Capital and not the Accumulation Trust 0.30 percent of the aggregate average
daily net assets of the Equity and Managed Portfolios. GAMCO Investors, Inc., as
sub-investment adviser to the Small Cap portfolio of the Accumulation Trust,
will receive from Enterprise Capital and not the Accumulation Trust, 0.30
percent of the average daily net assets of the Small Cap Portfolio. Enterprise
Capital, as investment adviser to the Accumulation Trust, will receive from the
Accumulation Trust with respect to the International Growth Portfolio monthly
compensation at an annual rate of 0.85 percent of the average daily net assets
of the International Growth Portfolio, and Brinson Partners, as sub-investment
adviser to the International Growth Portfolio, will receive from Enterprise
Capital and not the Accumulation Trust, .4495 percent (53 percent of
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the fee received by Enterprise Capital; the fee paid to Brinson Partners
declines as assets exceed $100 million) of the aggregate average daily net
assets of the International Growth Portfolio. Enterprise Capital, as investment
adviser to the Accumulation Trust, will receive with respect to the High Yield
Bond Portfolio monthly compensation at an annual rate of 0.60 percent of the
average daily net assets of the High Yield Bond Portfolio, and Caywood Scholl
Capital Corporation, as sub-investment adviser to the High Yield Bond Portfolio,
will receive from Enterprise Capital and not from the Accumulation Trust, 0.30
percent of the average daily net assets (.252 percent for assets in excess of
$100 million) of the High Yield Bond Portfolio. The investment advisers will
reimburse the Funds for the amount, if any, by which the aggregate ordinary
operating expenses of any of these Portfolios incurred by the Funds in any
calendar year in which the shares are being offered exceed the most restrictive
expense limitations then in effect under any state securities law or regulation.
Currently, the most restrictive expense limitation in effect limits the expenses
of each Fund Portfolio to an amount equal to 2.5 percent of the first $30
million of average daily net assets of the Portfolio, 2.0 percent of the next
$70 million of average daily net assets of the Portfolio, and 1.5 percent of the
average daily net assets of the Portfolio in excess of $100 million. The
portfolios of the Accumulation Trust bear the operating expenses of the
portfolios, including, for example, securities transactions expenses and
custodial expenses after expense reimbursements, for the year ended December 31,
1995 together with the investment advisory fee in effect on and after May 1,
1996 for the Equity Portfolio is .89 percent, for the Small Cap Portfolio is .89
percent, for the Managed Portfolio is .83 percent, for the International Growth
Portfolio is 1.55%, and for the High Yield Bond Portfolio is .85% of average
daily net assets of the respective portfolio. Absent these expense
reimbursements, the expenses would have been as follows: for the Equity
Portfolio .92 percent, for Small Cap Portfolio .92 percent, for the Managed
Portfolio .83 percent, for the International Growth Portfolio 2.21%, and for the
High Yield Bond Portfolio 1.59% of average daily net assets of the respective
portfolio.
Of the five separate portfolios of the Van Eck Trust, currently only three
separate portfolios, each of which pursues different investment objectives and
policies, are available for purchase by corresponding Subaccounts of the
Variable Account. Van Eck Associates Corporation acts as the investment manager
of the Van Eck Trust. Van Eck Associates, as investment adviser to the Van Eck
Trust, will receive from the Van Eck Trust monthly compensation with respect to
the Worldwide Bond Fund and the Gold and Natural Resources Fund that it advises
at an annual rate of 1.00 percent of the first $500 million of the average daily
net assets of each of those portfolios, .90 percent of the next $250 million of
the average daily net assets of each of those portfolios, and .70 percent of the
average daily net assets in excess of $750 million. The Worldwide Emerging
Assets Fund will pay Van Eck Associates monthly compensation at the annual rate
of 1.00 percent of its average daily net assets. Peregrine Asset Management
(Hong Kong) Limited acts as investment subadviser to the Worldwide Emerging
Assets Fund and will receive from Van Eck Associates and not the Van Eck Trust
monthly compensation at an annual rate of .50 percent of the average daily net
assets of the World Wide Emerging Assets Fund. The portfolios of the Van Eck
Trust bear the operating expenses of the portfolios, including, for example,
securities transactions expenses and custodian expenses and the investment
advisory fee, which, after expense reimbursements, for the year ended April 30,
1996 for the Worldwide Bond Fund was 1.08 percent and for the Gold and Natural
Resources Fund is 1.08 percent, and for the period from December 21, 1995
(commencement of operations to April 30, 1996) for Worldwide Emerging Markets
Fund was .00 percent. Absent these expense reimbursements, the expenses would
have been as follows: for the Worldwide Bond Fund 1.10 percent and for the
Worldwide Emerging Markets Fund 2.06 percent.
Of the eleven separate portfolios of the Dreyfus Variable Fund, currently
only two separate portfolios, each of which pursues different investment
objectives and policies, are available for purchase by corresponding Subaccounts
of the Variable Account. The Dreyfus Corporation acts as the investment manager
of the Dreyfus Variable Fund. The Dreyfus Corporation, as investment adviser to
the Dreyfus Variable Fund, will receive from the Dreyfus Variable Fund monthly
compensation with respect to Capital Appreciation Portfolio that it advises at
an annual rate of 0.55 percent of the first $150 million of average daily net
assets of that Portfolio. 0.50 percent of the next $150 million of average daily
net assets, and 0.375 percent of average daily net assets of $300 million or
more. The Dreyfus Corporation, as investment adviser of the Small Company Stock
Portfolio will receive from the Dreyfus Variable Fund monthly compensation with
respect to the Small
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<PAGE> 23
Company Stock Portfolio that it advises at an annual rate of 0.75 percent of
average daily net assets. Laurel Capital Advisors, an affiliate of The Dreyfus
Corporation, acts as sub-investment adviser to the Small Company Stock Portfolio
and will receive from The Dreyfus Corporation and not the Dreyfus Variable Fund,
.25% of the first $100 million of average daily net assets, .20% of the net $900
million of average daily net assets, .15% of the next $500 million of average
daily net assets, and .10% of the average daily net assets $1.5 billion or more.
The portfolios of the Dreyfus Variable Fund bear the operating expenses of the
portfolios, including, for example, securities transactions expenses and
custodian expenses and the investment advisory fee, which, after expense
reimbursements, for the year ended December 31, 1995 for the Capital
Appreciation Portfolio was .85 percent of average daily net assets of the
respective portfolios. The Small Company Stock Portfolio had not commenced
operations at December 31, 1995. Absent this expense reimbursement, the expenses
for the Capital Appreciation Portfolio would have been .87 percent of the
average daily net assets of the portfolio.
The Dreyfus Corporation also acts as investment adviser to the Dreyfus
Stock Index Fund. Dreyfus Corporation, as investment adviser to the Dreyfus
Stock Index Fund, will receive from the Dreyfus Stock Index Fund monthly
compensation at an annual rate of 0.245 percent of the average daily net assets.
Mellon Equity, an affiliate of The Dreyfus Corporation also acts as investment
adviser to the Dreyfus Stock Index Fund under the supervision of The Dreyfus
Corporation. Mellon Equity receives from Dreyfus Corporation and not the Dreyfus
Stock Index Fund, 0.095 percent of the average daily net assets. The Dreyfus
Stock Index Fund bears the operating expenses of the Fund, including, for
example, securities transactions expenses and custodian expenses and the
investment advisory fee, which, after expense reimbursements, for the year ended
December 31, 1995 was .39 percent of the average daily net assets of the fund.
Absent these expense reimbursements, the expenses would have been .41 percent.
Of the three separate portfolios of the Price Series, currently only two
separate portfolios, each of which pursues different investment objectives and
policies, are available for purchase by corresponding Subaccounts of the
Variable Account. T. Rowe Price Associates, Inc. acts as the investment manager
of the Price Series. Price Associates, as investment adviser to the Price
Series, will receive from the Price Series monthly compensation with respect to
the Equity Income Portfolio and the New America Growth portfolio that it advises
at an annual rate of 0.85 percent of the average daily net assets of each of
those portfolios. The portfolios of the Price Series bear the operating expenses
of the portfolios, including, for example, securities transactions expenses and
custodian expenses and the investment advisory fee, which for the year ended
December 31, 1995 for the Equity Income Portfolio is .85 percent and for New
America Growth Portfolio was .85 percent of the average daily net assets of the
respective portfolio. There were no expense reimbursements.
The fees and expenses set forth above are in addition to the fees and
charges imposed by the Policy. These fees and expenses of the Policy are
detailed beginning at page 34. None of the Funds imposes a 12b-1 fee.
The investment objectives of each Portfolio are fundamental and may not be
changed without the approval of the holders of a majority of the outstanding
shares of the Portfolio affected (which, for each of the Funds, means the lesser
of (1) 67 percent of the Portfolio shares represented at a meeting at which more
than 50 percent of the outstanding Portfolio shares are represented or (2) more
than 50 percent of the outstanding Portfolio shares).
PURCHASE OF PORTFOLIO SHARES BY THE VARIABLE ACCOUNT
The shares of each Portfolio are purchased by the Company for the
corresponding Subaccount at net asset value, i.e., without sales load. All
dividends and capital gains distributions received from a Portfolio are
automatically reinvested in such Portfolio at net asset value, unless the
Company, on behalf of the Variable Account, elects otherwise. Fund shares will
be redeemed by the Company at their net asset value to the extent necessary to
make payments under the Policies.
Shares of the Funds are offered only for purchase by separate accounts of
insurance companies, which may or may not be affiliated with the Company, or
with each other. This is called "shared funding." They may also sell shares to
separate accounts to serve as an investment medium for variable life insurance
policies and
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<PAGE> 24
for variable annuity contracts. Thus, the Funds serve as an investment medium
for both variable life insurance policies and variable annuity contracts. This
is called "mixed funding." The Company currently does not foresee any
disadvantages to Policy Owners arising from either mixed or shared funding;
however, due to differences in tax treatment or other considerations, it is
theoretically possible that the interests of owners of various contracts for
which the Funds serve as an investment medium might at some time be in conflict.
However, the Board of Directors of the Company, the MONY Series Fund, the Price
Series, and the Dreyfus Stock Fund, and the Board of Trustees of the
Accumulation Trust, the Dreyfus Variable Fund, and the Van Eck Trust and the
Boards of Directors or Trustees of any other insurance companies that
participate in the Funds are required to monitor events in order to identify any
material conflicts that arise from the use of the Funds for mixed and/or shared
funding. The Funds' Boards are required to determine what action, if any, should
be taken in the event of such a conflict. If such a conflict were to occur, the
Company might be required to withdraw the investment of one or more of its
separate accounts from the Funds. This might force the Funds to sell securities
at disadvantageous prices.
A summary of the investment objective of each of the Portfolios of the
Funds is described below. There can be no assurance that any Portfolio will
achieve its objective. More detailed information is contained in the
accompanying prospectus of each Fund, including information on the risks
associated with the investment and investment techniques of each of the
Portfolios.
THE FUNDS' PROSPECTUS ACCOMPANY THIS PROSPECTUS AND SHOULD BE
READ CAREFULLY BEFORE INVESTING.
THE MONEY MARKET PORTFOLIO
The investment objective of the Money Market Portfolio is to seek maximum
current income consistent with preservation of capital and maintenance of
liquidity. The Money Market Portfolio attempts to achieve this objective by
investing in money market instruments. MONY Series Fund offers this portfolio.
THE GOVERNMENT SECURITIES PORTFOLIO
The investment objective of the Government Securities Portfolio is the
maximum current income over the intermediate term consistent with the
preservation of capital, through investment in highly-rated debt securities, US
Government obligations, and money market instruments, with a dollar weighted
average life of up to ten years at the time of purchase. MONY Series Fund offers
this portfolio.
THE INTERMEDIATE BOND PORTFOLIO
The investment objective of the Intermediate Bond Portfolio is to maximize
income over the intermediate term consistent with the preservation of capital.
The Portfolio seeks to achieve this objective by investing in highly rated debt
securities, US Government obligations, and money market instruments, together
having a dollar-weighted average life of between 4 and 8 years. MONY Series Fund
offers this portfolio.
THE LONG TERM BOND PORTFOLIO
The investment objective of the Long Term Bond Portfolio is to maximize
income over the longer term consistent with preservation of capital. The
Portfolio seeks to achieve its objective by investing in highly-rated debt
securities, US Government obligations, and money market instruments, together
having a dollar-weighted average life of more than 8 years. MONY Series Fund
offers this portfolio.
THE WORLDWIDE BOND FUND
The investment objective of the Worldwide Bond Fund is to seek high total
return through a flexible policy of investing globally, primarily in debt
securities. The Van Eck Trust offers this fund.
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<PAGE> 25
THE STOCK INDEX FUND
The investment objective of the Stock Index Fund is to provide investment
results that correspond to the price and yield performance of publicly traded
stocks in the aggregate, as represented by the Standard & Poors's 500 Composite
Stock Price Index. The Dreyfus Stock Fund offers this fund.
THE MANAGED PORTFOLIO
The investment objective of the Managed Portfolio is to provide growth of
capital over time. The Portfolio seeks to achieve this investment objective by
investing in a portfolio consisting of common stocks, bonds and cash
equivalents, the percentage of which will vary over time based on the investment
manager's assessment of the relative investment values. The Accumulation Trust
offers this portfolio.
THE EQUITY INCOME PORTFOLIO
The investment objective of the Equity Income Portfolio is to provide
substantial dividend income and also longterm capital appreciation. The Price
Series offers this portfolio.
THE EQUITY PORTFOLIO
The investment objective of the Equity Portfolio is long-term capital
appreciation. The Portfolio seeks to achieve this investment objective by
investing in a diversified portfolio of primarily equity securities selected on
the basis of a value-oriented approach to investing. The Accumulation Trust
offers this portfolio.
THE CAPITAL APPRECIATION PORTFOLIO
The investment objective of the Capital Appreciation Portfolio is to
provide long-term capital growth consistent with the preservation of capital;
current income is a secondary goal. The Dreyfus Variable Fund offers this
portfolio.
THE NEW AMERICA GROWTH PORTFOLIO
The investment objective of the New America Growth Portfolio is to provide
long-term capital growth by investing primarily in common stocks of U. S. growth
companies operating in service industries. The Price Series offers this
portfolio.
THE SMALL CAP PORTFOLIO
The Small Cap Portfolio seeks capital appreciation. The Portfolio pursues
its investment objective by investing in a diversified portfolio of primarily
equity securities of companies with market capitalization of under $1 billion.
The Accumulation Trust offers this portfolio.
THE SMALL COMPANY STOCK PORTFOLIO
The investment objective of the Small Company Stock Portfolio is to provide
investment results that are greater than the total return performance of
publicly-traded common stocks in the aggregate, as represented by the Russell
2500(TM) Index. This Portfolio invests primarily in a portfolio of equity
securities of small- to medium-sized domestic issuers, while attempting to
maintain volatility and diversification similar to the Russell 2500(TM) Index.
The Dreyfus Variable Fund offers this portfolio.
THE INTERNATIONAL GROWTH PORTFOLIO
The investment objective of the International Growth Portfolio is to
provide capital appreciation, primarily through a diversified portfolio of
non-United States equity securities. The Accumulation Trust offers this
portfolio.
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THE WORLDWIDE EMERGING MARKETS FUND
The investment objective of the Worldwide Emerging Markets Fund is to seek
long-term capital appreciation by investing primarily in equity securities in
emerging markets around the world, The Van Eck Trust offers this fund.
THE GOLD AND NATURAL RESOURCES FUND
The investment objective of the Gold and Natural Resources Fund is to seek
long-term capital appreciation by investing in equity and debt securities of
companies engaged in the exploration, development, production, and distribution
of gold and other natural resources, such as strategic and other metals,
minerals, forest products, oil, natural gas, and coal. Current income is not an
investment objective. The Van Eck Trust offers this fund.
THE HIGH YIELD BOND PORTFOLIO
The investment objective of the High Yield Bond Portfolio is to provide
maximum current income, primarily from debt securities that are rated Ba or
lower by Moody's Investors Service, Inc. or BB or lower by Standard & Poor's
Corporation. The Accumulation Trust offers this portfolio.
The trademarked terms "Standard & Poor's 500" and "S&P 500" are trademarks of
The McGraw Hill Companies, Inc The trademarked term "Russell 2500(TM) Index" is
a trademark of Frank Russell Company. Neither the Dreyfus Stock Fund nor the
Dreyfus Variable Fund are sponsored, endorsed, sold, or promoted by The McGraw
Hill Companies, Inc. or Frank Russell Company.
THE POLICY
The variable life insurance benefits of the Policies are funded through the
Policy Owner's Account Value in the Variable Account and the Guaranteed Interest
Account. The information included below describes the benefits, features,
charges, and other major provisions of the Policies.
APPLICATION FOR A POLICY
The Policy is a flexible premium variable life insurance contract that
provides insurance on the life of an Insured. A Policy may be sold together with
other related Policies forming a Case. A Policy may be owned individually, or by
a corporation, trust, association, partnership or similar organization. As such
it is designed to meet the needs of individuals and for corporations that wish
to purchase life insurance benefits on the lives of key employees. Each
applicant wishing to purchase the Policy must complete an application and
personally deliver it to a licensed agent of the Company, who is also a
registered representative of MONY Securities Corp. ("MSC"). The licensed agent
will then submit the completed application to the Company. The Policy may also
be sold through other broker-dealers authorized by MSC and applicable law to do
so. A Policy can be issued on the life of an Insured not less than Age 18 up to
and including Age 80 with evidence of insurability satisfactory to the Company.
The Insured's Age is calculated as of the Insured's birthday nearest the Policy
Date. Acceptance is subject to the Company's underwriting rules, and the Company
reserves the right to request additional information and to reject an
application.
The minimum Target Death Benefit is generally $100,000. The minimum
Specified Amount is $100,000, although the Specified Amount may be reduced to
$50,000 if at least $50,000 face amount of Term Insurance Rider is added to the
Policy. However, the Company also reserves the right to revise its rules from
time to time to specify a different minimum Specified Amount and Target Death
Benefit at issue for subsequent issued Policies.
Each Policy is issued with a Policy Date, which is the date used to
determine the Monthly Anniversary Day, Policy Months, Policy Years, and Policy
monthly, quarterly, semiannual and annual Anniversaries. The Policy Date will be
stated on Page 1 of the Policy. The Policy Date will normally be the later of
the date that delivery of the Policy is authorized by the Company (the "Policy
Release Date") or the Policy Date requested
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<PAGE> 27
in the application. Except as provided under the temporary insurance procedures
defined below, no premiums may be paid with the application.
TEMPORARY INSURANCE COVERAGE
If a specified amount of premium is paid with the application for a Policy,
temporary term coverage may be available prior to the time that coverage under
the Policy takes effect. Temporary term coverage is subject to the terms and
conditions described in the application for the Policy.
During the period of temporary term coverage, premiums paid with the
application will be held in the Company's General Account. Except as provided
below, interest will be credited on the premium (less any deductions from
premiums) held in the Company's General Account. The interest rate will be set
by the Company, but will not be less than 2.75 percent per year (or such higher
rate as may be required by the state in which the Policy is issued.) If the
Policy is issued and accepted, these amounts will be applied to the Policy.
Premiums will be returned with interest to the applicant within 5 days after the
date the Company sends notice to the applicant declining to issue any Policy on
the Insured. Premiums will be returned without interest to the applicant in
certain instances where the applicant refuses the Policy prior to completion of
the underwriting process or if the Company declines to issue any Policy on the
Insured where any required medical exams are not completed on a timely basis.
See the Policy for details.
INITIAL PREMIUM PAYMENT
If the application is approved and the Policy is subsequently issued, the
balance due (if any) of the first Scheduled Premium, as specified in the Policy,
is payable upon delivery of the Policy. The Policy will take effect on the date
the Policy is accepted by the applicant and the initial Scheduled Premium has
been paid, or the Policy Date requested in the application, if later. If a
specific Policy Date has not been requested or if the Policy Date requested is
prior to the Policy Release Date, upon receipt of the balance due (if any), the
amount attributable to the Policy (including any premiums held in the General
Account under the Temporary Insurance Agreement plus any interest credited in
the General Account, less deductions from premiums) will be transferred to the
Money Market Subaccount of the Variable Account on the Policy Release Date
pending expiration of the applicable Free Look Period. After such transfer, the
monthly deduction due prior to or on the Policy Release Date will be made. Upon
expiration of the Free Look Period, amounts to be allocated to the Subaccounts
of the Variable Account will be allocated to those Subaccounts and amounts to be
allocated to the Guaranteed Interest Account will be allocated to that Account.
(See "Right to Examine A Policy -- Free Look Period," page 19.)
POLICY DATE
If a specific Policy Date for the Policies forming a Case has been
requested which is later than the Policy Release Date, the amount attributable
to any such Policy will be initially held in the General Account until the
Policy Date. On the Policy Date, the amount attributable to a Policy less any
deductions from premiums for the period commencing with the Policy Date will be
transferred to the Money Market Subaccount pending expiration of the applicable
Free Look Period. Upon the expiration of the applicable Free Look Period,
amounts allocated to the Subaccounts will be allocated to those Subaccounts and
amounts allocated to the Guaranteed Interest Account will be allocated to that
Account. See "Right to Examine A Policy -- Free Look Period," page 19.
Subject to the Company's approval, a Policy may be backdated, but the
Policy Date may not be more than six months (a shorter period is required in
certain states) prior to the date of the application. Backdating can be
advantageous if the Insured's lower issue Age results in lower cost of insurance
rates. If the Policy is backdated, the initial Scheduled Premium will include
sufficient premium to cover additional charges incurred for the backdating
period, since monthly deductions are made for the period the Policy Date is
backdated.
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RISK CLASSIFICATION AND EVIDENCE OF INSURABILITY
Insureds are assigned to underwriting (risk) classes which are used in
calculating the cost of insurance and certain Rider charges. In assigning
Insureds to underwriting classes, the Company will use the medical or
paramedical underwriting method, which may require a medical examination of a
proposed Insured, for any contract that does not meet the Company's guaranteed
issue standards. Guaranteed issue underwriting may be used when deemed
appropriate by the Company. See "Charges and Deductions -- Cost of Insurance,"
page 35 .
RIGHT TO EXAMINE A POLICY -- FREE LOOK PERIOD
The Free Look Period follows the application for a Policy and its issuance
to the Policy Owner. The period runs to the latest of the date which is (a) 45
days after Part I of the application is signed, (b) 10 days (or longer in
certain states) after the Policy Owner receives the Policy or (c) 10 days after
the Company mails or personally delivers a notice of withdrawal right to the
Policy Owner. During the Free Look Period, the Policy Owner may cancel the
Policy and receive a refund of the full amount of the premium paid. During the
Free Look Period, net premiums will be allocated to the Money Market Subaccount,
which invests in the Money Market Portfolio of the MONY Series Fund. See
"Allocation of Net Premiums," page 21.
PREMIUMS
The Policy is a flexible premium Policy, which allows the Policy Owner to
determine, subject to the limitations described below, the amount and frequency
of premium payments.
CASE PREMIUMS
Generally, the Company will not issue a Policy unless the sum of the
premiums to be received by the Company in the first Policy year for the Policy
and any other Policies representing a Case equal or exceed $100,000. The Company
may, in its sole discretion, allow a reduced minimum Case premium in Cases which
meet our rules for exceptions.
PREMIUM FLEXIBILITY
The Company requires a Policy Owner to pay an amount equal to at least one
fourth the Minimum Annual Premium to place a Policy in force. If the premiums
are to be paid less often than annually, the premium required to place the
Policy in force is equal to the lesser of the Minimum Annual Premium divided by
the frequency of Scheduled Premiums, or 25% of the Minimum Annual Premium. This
Minimum Annual Premium will be based upon the Policy's Specified Amount and the
Age, smoking status, gender (unless unisex cost of insurance rates apply, see
"Cost of Insurance," page 35), and underwriting class of the Insured, and any
Riders added to the Policy. Thereafter, subject to the limitations described
below, a Policy Owner may choose the amount and frequency of premium payments.
The Policy, therefore, provides the Policy Owner with the flexibility to vary
premium payments to reflect varying financial conditions.
SCHEDULED PREMIUMS
When applying for a Policy, a Policy Owner will determine a Scheduled
Premium that provides for the payment of level premiums at fixed intervals over
a specified period of time. Each Policy Owner will receive a premium reminder
notice for the Scheduled Premium amount on either an annual, semiannual,
quarterly or monthly basis, at the option of the Policy Owner. After the Minimum
Annual Premium has been paid, the minimum Scheduled Premium for any Policy is
equal to $100. Although reminder notices will be sent, the Policy Owner may not
be required to pay Scheduled Premiums.
Payment of the Scheduled Premiums will not guarantee that a Policy will
remain in force. Instead, unless the Guaranteed Death Benefit Rider has been
elected and all requirements have been met, the duration of the Policy depends
upon the Policy's Account Value less Outstanding Debt. Even if the Scheduled
Premiums are paid, if the Guaranteed Death Benefit provision does not apply, the
Policy will lapse any time the Account
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<PAGE> 29
Value less Outstanding Debt is insufficient to pay the current monthly deduction
and a Grace Period expires without sufficient payment.
CHOICE OF DEFINITION OF LIFE INSURANCE TESTS
When applying for the Policy, the Policy Owner will choose which of the two
tests for compliance with the Federal tax law definition of life insurance will
apply to the Policy. These tests are the Cash Value Accumulation Test and the
Guideline Premium/Cash Value Corridor Test. See "Federal Income Tax
Considerations -- Definition of Life Insurance," page . The Death Benefit
Percentage applied to the Policy varies according to the definition of life
insurance chosen. If the Guideline Premium/Cash Value Corridor Test is chosen,
the Death Benefit Percentage varies according to the attained Age of the
Insured. See Appendices A and B. If the Cash Value Accumulation Test is chosen,
the Death Benefit Percentage varies according to the attained Age, gender
(unless unisex cost of insurance rates apply) and smoking status of the Insured.
See Appendices C, D, E, and F.
If the Guideline Premium/Cash Value Corridor Test is chosen, premium
payments that may be made for the death benefit of the Policy may be limited. On
the other hand, if the Cash Value Accumulation Test is chosen, premiums are not
limited for the death benefit of the Policy. Generally speaking, however, the
Cash Value Accumulation Test may require higher amounts of death benefit in the
future compared to the Guideline Premium/Cash Value Corridor Test, since the
Death Benefit Percentage related to the Cash Value Accumulation Test is greater
than that of the Guideline Premium/Cash Value Corridor Test. This may ultimately
translate into higher cost of insurance charges in the future which may reduce
the long-term performance of the Policy.
GUARANTEED DEATH BENEFIT RIDER PREMIUMS
When application for the Policy is made, the applicant will also have the
opportunity to elect the Guaranteed Death Benefit Rider, which may extend the
period that the Specified Amount of the Policy will remain in effect. An extra
charge will be deducted from the Account Value each month and premiums at least
equal to the cumulative Monthly Guarantee Premium must have been paid. See
"Guaranteed Death Benefit," page .
If on each Monthly Anniversary Day the Account Value exceeds Outstanding
Debt, the Guaranteed Death Benefit Rider will keep the Policy in force to the
Maturity Date provided that the cumulative Monthly Guarantee Premium due to date
has been paid. The Monthly Guarantee Premium depends on the Specified Amount of
the Policy, the Insured's age, gender, smoking status and underwriting class,
and any additional insurance benefits added by Rider (including the cost of Term
Insurance Rider, if any). For Policies with no Rider coverage other than the
Guaranteed Death Benefit Rider, the Monthly Guarantee Premium times 12 will be
equal to the guideline annual premium for Death Benefit Option I determined in
accordance with the Federal income tax law definition of life insurance. See
"Federal Income Tax Considerations -- Definition of Life Insurance," page .
Adding other optional insurance benefits by Rider to the Policy will increase
the Monthly Guarantee Premium above those indicated.
It is important to consider the Guaranteed Death Benefit Rider premium
requirements when setting the amount of the Scheduled Premium for the Policy.
The Guaranteed Death Benefit Rider is not available on Policies offered or
issued for delivery to residents of the Commonwealth of Massachusetts or the
State of Texas.
MODIFIED ENDOWMENT CONTRACTS
The amount, frequency and period of time over which a Policy Owner pays
premiums may affect whether the Policy will be classified as a modified
endowment contract, which is a type of life insurance contract subject to
different tax treatment for certain pre-death distributions than conventional
life insurance contracts. See "Federal Income Tax Considerations -- Modified
Endowment Contracts," page .
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UNSCHEDULED PREMIUM PAYMENTS
Generally, the Policy Owner can make unscheduled premium payments at any
time and in any amount as long as each payment is at least $250. The Company may
reject or limit any unscheduled premium payment that would result in an
immediate increase in the death benefit payable, although such a premium may be
accepted with satisfactory evidence of insurability. A premium payment would
result in an immediate increase if the death benefit under a Policy is, or upon
acceptance of the premium would be, equal to a Policy Owner's Cash Value
multiplied by a Death Benefit Percentage as a result of the Federal income tax
law definition of life insurance. See "Death Benefits under the Policy," page 22
and "Federal Income Tax Considerations -- Definition of Life Insurance," page
38. If satisfactory evidence of insurability is not received, the payment, or a
portion thereof may be returned. In addition, all or a portion of a premium
payment will be rejected and returned to the Policy Owner if it would exceed the
maximum premium limitations prescribed by the Guideline Premium/Cash Value
Corridor Test under Federal income tax law definition of life insurance, if
applicable.
Unscheduled premium payments will be treated as premium payments and not as
a repayment of Outstanding Debt unless a Policy Owner requests otherwise. If the
Policy Owner does request that the payment be treated as a repayment of
Outstanding Debt, any portion of a payment that exceeds the amount of
Outstanding Debt will be applied to the Account Value as a Scheduled Premium
Payment. Applicable taxes and sales charges are not deducted from payments used
as a repayment of Outstanding Debt, but are deducted from any payment which
constitutes a premium payment.
PREMIUM PAYMENTS AFFECT THE CONTINUATION OF THE POLICY
If premium payments are stopped, temporarily or permanently, the Policy
will continue in effect until the Account Value less any Outstanding Debt can no
longer cover the monthly deductions from the Account Value for the Policy and
any optional insurance benefits added by Rider. At that point, the Policy will
lapse. See "Grace Period and Lapse," page 33. If the Guaranteed Death Benefit
Rider is in effect, the Specified Amount of the Policy will remain in force
until the Maturity Date if premium payments required by the Rider have been made
and Account Value exceeds Outstanding Debt. See "Guaranteed Death Benefit
Rider," page 25.
Certain charges will be deducted from each premium payment. See "Charges
and Deductions," page 34. The remainder of the premium, referred to as the "net
premium", will be allocated as described below under "Allocation of Net
Premiums."
ALLOCATION OF NET PREMIUMS
In the application for the Policy, the Policy Owner selects the Subaccounts
of the Variable Account or the Guaranteed Interest Account to which net premium
payments will be allocated. During the Free Look Period, net premiums will be
allocated to the Money Market Subaccount, which invests in the Money Market
Portfolio of the MONY Series Fund. The Account Value related to the net premiums
will be automatically allocated according to the Policy Owner's instructions
contained in the application at the end of the Free Look Period. Net premiums
received after the Free Look Period will be allocated upon receipt among the
Subaccounts of the Variable Account and the Guaranteed Interest Account
according to the Policy Owner's most recent instructions. If instructions for
allocation of premiums are not included in the application or are incomplete,
all allocations will be made to the Money Market Subaccount until a subsequent
notification of allocation percentages is received.
Net premiums may be allocated in whole percentages to any number of
Subaccounts and to the Guaranteed Interest Account, provided that no allocation
may be for less than 10% of a net premium. Allocation percentages must sum to
100%. Available allocation alternatives include the nine Subaccounts and the
Guaranteed Interest Account.
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<PAGE> 31
A Policy Owner may change the allocation of net premiums at any time by
submitting a proper written request to the Customer Service Center. The revised
allocation percentages will be applied within seven days from receipt of
notification.
Unscheduled premium payments may be allocated by percentage or by dollar
amount. If the allocation is expressed in dollar amounts, the 10% limit on
allocation percentages does not apply.
DEATH BENEFITS UNDER THE POLICY
When the Policy is issued, the Company will determine the initial amount of
insurance based on the instructions provided in the application. The death
benefit consists of a "Specified Amount" of insurance coverage and, if desired,
an additional amount of insurance coverage which is added by Term Insurance
Rider. The amount of the Term Insurance Rider is defined by the Target Death
Benefit. The Specified Amount is level until the Maturity Date unless changed by
the Policy Owner. The Target Death Benefit can be scheduled at issue in level,
increasing or decreasing amounts over the lifetime of the Insured. The minimum
Target Death Benefit is generally $100,000. The minimum Specified Amount is
$100,000, although the Specified Amount may be reduced to $50,000 if at least
$50,000 of Term Insurance Rider is added to the Policy. The Target Death Benefit
and the Specified Amount will be shown on the specifications page of the Policy.
As described below, over time the Base Death Benefit may vary from the
Specified Amount. This may result from the operation of a death benefit Option,
increases to comply with the Federal income tax law definition of life
insurance, changes in the death benefit Option or increases or decreases
requested by the Policy Owner.
The Term Insurance Rider provides term insurance coverage which adjusts
automatically to equal the difference between the Target Death Benefit and the
Base Death Benefit. The Term Insurance Rider does not have a separate premium;
the cost is included in the monthly deductions discussed below. See "Term
Insurance Rider," page 26.
For so long as the Policy remains in force, the Company will, upon proof of
the death of an Insured, pay the death benefit proceeds to the named
Beneficiary. Death benefit proceeds will consist of the Base Death Benefit under
the Policy, plus any amount provided by the Term Insurance Rider, reduced by any
Outstanding Debt (and, if in the Grace Period, further reduced by any overdue
charges). Death benefit proceeds may be paid to a Beneficiary in a lump sum or
under a payment plan offered under the Policy. The Policy should be consulted
for details.
DEATH BENEFIT OPTIONS
Each Policy Owner may select one of two death benefit Options: Option I, or
Option II. Generally the applicant designates the death benefit Option in the
application. Subject to certain restrictions, the Policy Owner can change the
death benefit Option selected. So long as the Policy remains in force, the Base
Death Benefit under any Option will never be less than the Specified Amount of
the Policy, as adjusted from time to time.
OPTION I
Under Option I, the Base Death Benefit will be equal to the Specified
Amount of the Policy on the date of death plus the increase, if any, in the
Account Value since the last Monthly Anniversary Day, or, if greater, the Cash
Value on the date of death multiplied by a Death Benefit Percentage. The Death
Benefit Percentages vary according to the Age of the Insured (and, if the Cash
Value Accumulation Test is chosen, the smoking status and gender (except for
unisex Policies) of the Insured) and the choice of definition of life insurance
test chosen by the Policy Owner at the time of application for the Policy, and
will be at least equal to the percentage defined in the Internal Revenue Code,
which addresses the definition of a life insurance policy for tax purposes. See
"Federal Income Tax Considerations -- Definition of Life Insurance," page 38.
Policy Owners who are seeking to have favorable investment performance reflected
in increasing Account Value, and not in increasing insurance coverage should
choose Option I.
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<PAGE> 32
OPTION II
Under Option II, the Base Death Benefit will be equal to the Specified
Amount of the Policy plus the Account Value on the date of death, or, if
greater, the Cash Value on the date of death multiplied by a Death Benefit
Percentage. The Death Benefit Percentage is the same as that used in connection
with Option I. The death benefit under Option II will vary as Account Value
varies. Therefore, Policy Owners who seek to have favorable investment
performance reflected in increased insurance coverage should choose Option II.
Federal income tax law requires the Base Death Benefit to be at least as
great as the Cash Value times a Death Benefit Percentage which is defined in the
law. These percentages are determined based upon the Insured's Age and premium
class at any point in time as well as the test for compliance selected in the
original application for this Policy. See "Federal Income Tax
Considerations -- Definition of Life Insurance," page . We will adjust the
Base Death Benefit if necessary to qualify the death benefit of the policy as
life insurance under the applicable provisions of the Federal income tax laws in
existence at the time the Policy is issued.
In addition, the Policy Owner has the option at issue to select an
alternate Death Benefit Percentage that may produce a higher Base Death Benefit
amount beginning the later of the Insured's age 55 or 10 years following Policy
issue. This alternate Death Benefit Percentage grades back to the Federal income
tax law Death Benefit Percentage at the Maturity Date. Use of the alternate
Death Benefit Percentage results in a higher ratio of Base Death Benefit to
Account Value than that resulting from the use of the IRS' Death Benefit
Percentage beginning the later of the Insured's age 55 or 10 years following
Policy issue. This higher percentage then gradually reduces until, by the
Maturity Date, it is equal to the ratio produced by the use of the IRS' Death
Benefit Percentage. Although use of the alternate Death Benefit Percentage
results in a higher Base Death Benefit than the IRS' Death Benefit Percentage,
this higher Base Death Benefit results in higher cost of insurance charges which
has the effect of reducing the Account Value and consequently future Base Death
Benefits. The election of the alternate Death Benefit Percentage may be
eliminated at any time; once eliminated, it cannot be reinstated.
CHANGES IN DEATH BENEFIT OPTION
A Policy Owner may request that the death benefit under the Policy be
changed from Option I to Option II, or from Option II to Option I. Changes in
the death benefit Option may be made on any Monthly Anniversary Day and should
be made in writing to the Customer Service Center. A change from Option II to
Option I may be made without evidence of insurability; a change from Option I to
Option II will require evidence of insurability satisfactory to the Company. The
effective date of any such change requested between Monthly anniversaries will
be the next Monthly Anniversary Day after the change is accepted.
A change in the death benefit Option from Option I to Option II is
accomplished by reducing the Specified Amount of the Policy by the amount of the
Policy's Account Value at the date of the change. This maintains the Base Death
Benefit payable under Option II at the amount that would have been payable under
Option I immediately prior to the change. Although there is no immediate change
in the Base Death Benefit, the change to Option II will affect the determination
of the Base Death Benefit from that point on since the Account Value will then
be added to the new Specified Amount, and the Base Death Benefit will then vary
with Account Value. This change will not be permitted if it would result in a
new Specified Amount of less than the minimum the Company requires to issue the
Policy at the time of the change.
A change in the death benefit Option from Option II to Option I is
accomplished by increasing the Specified Amount of the Policy. The new Specified
Amount will be an amount equal to the Specified Amount before the change plus
the Account Value on the date of the change. From that point on, the Base Death
Benefit will be based on the new Specified Amount. Although the Base Death
Benefit at the time of the Option change remains the same, the change from
Option II to Option I will generally reduce the Base Death Benefit in the future
below the amount that would have been payable under Option II.
Although these increases and decreases in the Specified Amount are made so
that the Base Death Benefit remains the same on the date of the change, the
change in Option may affect the monthly cost of insurance
23
<PAGE> 33
charge in the future since this charge varies with the Net Amount at Risk, which
generally is the amount by which the Base Death Benefit exceeds Account Value.
See "Cost of Insurance," page . Assuming that the Policy's Base Death Benefit
is not based on the Death Benefit Percentage under either Option, changing from
Option II to Option I will generally decrease the future Net Amount at Risk, and
therefore decrease the prospective cost of insurance charges. Changing from
Option I to Option II will generally result in a Net Amount at Risk that remains
level in the future. Such a change, however, will result in an increase in the
cost of insurance charges over time, since the cost of insurance rates increase
with the Insured's Age. (See Appendix B for alternate death benefit
percentages.)
CHANGES IN DEATH BENEFIT AMOUNTS
The Target Death Benefit and Specified Amount of a Policy may be increased
or decreased after issue, subject to the rules defined below. Increases and
decreases may be scheduled at issue ("scheduled increases" or "scheduled
decreases", respectively) or may be requested after issue by the Policy Owner
("unscheduled increases" or "unscheduled decreases", respectively). Scheduled
increases or decreases will be effective on the requested date. Any request for
an unscheduled increase or decrease in death benefits must be made by written
application to the Customer Service Center. Unscheduled increases or decreases
will become effective on the Monthly Anniversary Day which follows the Company's
approval of the requested change. A change in death benefit amounts may be made
at any time, provided that increases in death benefits are not permitted on or
after the Insured's Age 81. Any change in death benefits may not be for an
amount less than $10,000.
SCHEDULED INCREASES IN DEATH BENEFITS
Increases in the Target Death Benefit may be scheduled at the time of
application for the Policy. Scheduled increases in the Specified Amount are not
allowed, therefore the entire increase in the Target Death Benefit will be
reflected as an increase in the amount of Term Insurance Rider. Since these
increases are scheduled (and therefore underwritten) at issue, evidence of
insurability will not be required at the time of the increase. Scheduled
increases do not create new coverage segments. See "Unscheduled Increases in
Death Benefits," below.
UNSCHEDULED INCREASES IN DEATH BENEFIT
A Policy Owner may request an unscheduled increase in the Target Death
Benefit or Specified Amount of a Policy at any time prior to the Insured's Age
81 (at any time prior to the Insured's Age 65 for Policies which have been
issued on a guaranteed issue basis) subject to approval from the Company.
Additional evidence of insurability satisfactory to the Company will be required
for an increase. An unscheduled increase will not be given for increments of
less than $10,000.
An unscheduled increase in the Specified Amount will increase the Target
Death Benefit by an equal amount so the Term Insurance Rider amount will remain
unchanged after the increase. An unscheduled increase in the Target Death
Benefit may consist of any combination of increases in Specified Amount and/or
Term Insurance Rider. Unless otherwise indicated, any request for an unscheduled
increase to the Target Death Benefit will be assumed to also be a request for an
increase to the Specified Amount so that the amount of Term Insurance Rider, if
included on the Policy at the time of the increase, will not change.
An unscheduled increase in the death benefits will create a new "coverage
segment" for which cost of insurance and other charges will be computed
separately. See "Charges and Deductions," page 34. In addition, if the Specified
Amount is increased, additional Sales Charges associated with the Policy will be
incurred. The Sales Charge for the increase in Specified Amount is calculated in
a similar manner as for the original Specified Amount. The Target Premiums, and
the required premiums under the Guaranteed Death Benefit Rider, if applicable,
will also be adjusted prospectively to reflect the increase in death benefits.
If the death benefits are increased at the same time that a premium payment is
received, the increase will be processed before the premium payment is
processed.
If an unscheduled increase creates a new coverage segment of Specified
Amount, premiums paid after the increase will be allocated to the original and
the new coverage segments in the same proportion that the
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<PAGE> 34
guideline annual premiums defined by the Federal income tax laws for each
segment bear to the sum of the guideline annual premiums for all segments.
Increases in Specified Amount resulting from a change in death benefit
Option do not create new coverage segments, rather, they increase the size of
the oldest coverage segments of Specified Amount. Therefore, cost of insurance
and other charges are not computed separately for increases resulting from a
death benefit Option change.
Increasing the Specified Amount will generally increase the Base Death
Benefit of the Policy. The amount of change in the Base Death Benefit will
depend, among other things, upon the death benefit Option chosen by the Policy
Owner and whether the Base Death Benefit under the Policy is being calculated
using a Death Benefit Percentage at the time of the change. Changing the
Specified Amount could affect the subsequent level of the Base Death Benefit
while the Policy is in force and the subsequent level of Policy values. For
example, an increase in Specified Amount may increase the Net Amount at Risk
under a Policy, which will increase a Policy Owner's cost of insurance charges
over time.
DECREASES IN DEATH BENEFITS
Any decrease in death benefits (whether scheduled or unscheduled) will
reduce the Target Death Benefit of the Policy and may reduce the Specified
Amount. Decreases due to a death benefit Option change will not reduce the
Target Death Benefit but may reduce the Specified Amount. Any decrease, not
associated with an Option change, will first be applied to reduce the coverage
segments of Term Insurance Rider associated with the most recent increases, then
the next most recent increases successively, and finally to the original
coverage segment of Term Insurance Rider. After all coverage segments of Term
Insurance Rider have been entirely eliminated, then coverage segments of the
Specified Amount will be reduced in a similar order. Any decrease associated
with an Option change will maintain the net amount at risk for each coverage
layer at the time of the change. A decrease other than one related to a Partial
Surrender or death benefit Option change will not be permitted if less than
$10,000. In addition, no transaction will be permitted if the Specified Amount
would fall below the minimum we require to issue the Policy at the time of the
reduction.
The required premiums under the Guaranteed Death Benefit Rider, if
applicable, will be adjusted for the decrease in death benefits. If the Target
or Specified Amount is decreased, Target premiums will also be adjusted for the
decrease. If the death benefits are decreased at the same time that a premium
payment is received, the decrease will be processed before the premium payment
is processed.
The Company reserves the right to disallow a requested decrease, and will
not permit a requested decrease, among other reasons, (i) if compliance with the
guideline premium limitations under Federal tax law resulting from the requested
decrease would result in immediate termination of the Policy, or (ii) if, to
effect the requested decrease, payments to the Policy Owner would have to be
made from Account Value for compliance with the guideline premium limitations,
and the amount of such payments would exceed the Account Value under the Policy.
If we do not approve a change you have requested, we will send you a written
notice of our decision about making the change. See "Federal Income Tax
Considerations -- Definition of Life Insurance," page 38.
Decreasing the Specified Amount will generally decrease the Base Death
Benefit. The amount of change in the Base Death Benefit will depend, among other
things, upon the death benefit Option chosen by the Policy Owner and whether the
Base Death Benefit under the Policy is being calculated using a Death Benefit
Percentage at the time of the change. Changing the Specified Amount could affect
the subsequent level of the Base Death Benefit while the Policy is in force and
the subsequent level of Policy values. For example, a decrease in Specified
Amount may decrease the Net Amount at Risk, which will decrease a Policy Owner's
cost of insurance charges over time.
GUARANTEED DEATH BENEFIT RIDER
Generally, the length of time the Policy remains in force depends on the
Account Value less Outstanding Debt. Because the charges that maintain the
Policy are deducted monthly from the Account Value, coverage
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<PAGE> 35
will last as long as the Account Value less Outstanding Debt is sufficient to
pay these charges. See "Grace Period and Lapse," page 33. The investment
experience of any amounts in the Subaccounts of the Variable Account and the
interest earned in the Guaranteed Interest Account will affect the amount of the
Account Value and, as a result, the length of time the Policy remains in force
without the payment of additional premiums.
When application for a Policy is made, the Policy Owner will have the
opportunity to elect the Guaranteed Death Benefit Rider, which may extend to the
Maturity Date the period that the Specified Amount of the Policy will remain in
effect if the Subaccounts suffer adverse investment experience. Premiums
required by the Rider vary depending on the Specified Amount as well as other
factors. See "Guaranteed Death Benefit Rider Premiums," page 20.
Determination as to whether the Guaranteed Death Benefit Rider will remain
in effect is made as follows: On each Monthly Anniversary Day, two tests will be
performed: under the first test Account Value must exceed Outstanding Debt; and
under the second test (i) the actual premiums paid, less the amount of any
Partial Surrenders (and any fees imposed as a result of the Partial Surrender)
must equal or exceed (ii) the Monthly Guarantee Premium for the Rider times the
number of complete months since the Policy Date. If the Policy fails to meet
either test on any Monthly Anniversary Day, the Guaranteed Death Benefit Rider
will enter a grace period, and unless sufficient payment is received by the
Company, the Rider will lapse. See "Grace Period and Lapse--If Guaranteed Death
Benefit Rider Is in Effect", page 33. Once it has lapsed, the Guaranteed Death
Benefit Rider can not be reinstated. Thereafter the normal test for lapse will
apply.
Coverage provided by the Term Insurance Rider and any amount by which the
Base Death Benefit exceeds the Specified Amount are not protected by the
Guaranteed Death Benefit Rider.
There is a charge for the Guaranteed Death Benefit Rider. See "Guaranteed
Death Benefit Charge," page 37. This charge will end if at any time the Policy
fails the monthly tests.
Please refer to the Policy for additional information on the Guaranteed
Death Benefit Rider.
The Guaranteed Death Benefit Rider is not available on Policies offered or
issued for delivery to residents of the Commonwealth of Massachusetts or the
State of Texas.
OTHER OPTIONAL INSURANCE BENEFITS
Subject to certain requirements, a Policy Owner may elect to add one or
more of the optional insurance benefits described below to the Policy at the
time of application for a Policy. These other optional insurance benefits are
added to the Policy by Rider. Certain restrictions may apply and are described
in the applicable Rider. In addition, adding or canceling these benefits may
have an effect on the Policy's status as a modified endowment contract. See
"Federal Income Tax Considerations -- Modified Endowment Contracts," page 40. An
insurance agent authorized to sell the Policy can describe these extra benefits
further. Samples of the provisions are available from the Company upon written
request.
From time to time we may make available Riders other than that listed
below. Contact an insurance agent authorized to sell the Policy for a complete
list of the Riders available.
TERM INSURANCE RIDER
The Policy can be issued with a Term Insurance Rider as a portion of the
total death benefit. This Rider provides term life insurance on the life of the
Insured, which is annually renewable to attained Age 95. As described below, the
amount of the coverage provided under the Rider varies over time.
At issue, a schedule of death benefit amount called the "Target Death
Benefit" is established. The Target Death Benefit may be varied as often as each
Policy year, and, subject to the Company's rules, may be changed after issue.
See "Death Benefits Under the Policy", page 22.
The amount of Term Insurance Rider in force at any time is equal to the
difference between the scheduled Target Death Benefit and the Base Death Benefit
in effect. The Rider is dynamic in that it adjusts
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<PAGE> 36
for variations in the Base Death Benefit under the Policy (e.g., changes
resulting from the Federal income tax law definition of life insurance). The
Company generally restricts the amount of the Target Death Benefit at issue to
an amount not more than 900% of the Specified Amount. For example, if the
Specified Amount is $100,000 then the maximum amount of Target Death Benefit
allowed is $900,000.
For example, assume the Base Death Benefit varies according to the
following schedule. The Term Insurance Rider will adjust to provide death
proceeds equal to the Target Death Benefit each year:
<TABLE>
<CAPTION>
BASE DEATH BENEFIT TARGET DEATH BENEFIT TERM INSURANCE RIDER AMOUNT
- ------------------ -------------------- ---------------------------
<S> <C> <C>
$500,000 $550,000 $50,000
$501,500 $550,000 $48,500
$501,250 $550,000 $48,750
</TABLE>
Since the Term Insurance Rider is dynamic, it is possible that the Rider
may be eliminated entirely as a result of increases in the Base Death Benefit.
Using the above example, if the Base Death Benefit grew to $550,000, the Term
Insurance Rider would be reduced to zero. (It can never be reduced below zero.)
Even though the Rider amount is reduced to zero, the Rider will remain in effect
until it is removed from the Policy. Therefore, if the Base Death Benefit is
subsequently reduced below the Target Death Benefit, a Rider amount will
reappear as needed to maintain the Target Death Benefit at the requested level.
There is no defined premium for the Term Insurance Rider, instead, the cost
of the Rider is added to the monthly deductions, and is based on the Insured's
attained Age and premium class. The Company may adjust the rate charged for the
Rider from time to time, but the rate will never exceed the guaranteed cost of
insurance rates for the Rider for that Policy Year. The cost for the Rider is
added to the Company's calculation of the Monthly Guarantee Premium and to the
calculation of the Minimum Annual Premium.
BENEFITS AT MATURITY
If the Insured is living on the Maturity Date, the Company will pay to the
Policy Owner, as an endowment benefit, the Account Value of the Policy less
Outstanding Debt. Payment ordinarily will be made within seven days of the
Policy Anniversary, although payments may be postponed in certain circumstances.
See "Payments," page 47.
POLICY VALUES
ACCOUNT VALUE
The Account Value is the sum of the amounts under the Policy held in each
Subaccount of the Variable Account and any Guaranteed Interest Account, as well
as the amount set aside in the Company's Loan Account, and any interest thereon,
to secure Outstanding Debt.
On each Valuation Date, the portion of the Account Value allocated to any
particular Subaccount will be adjusted to reflect the investment experience of
that Subaccount. On each Monthly Anniversary Day, the portion of the Account
Value allocated to a particular Subaccount also will be adjusted to reflect the
assessment of the monthly deduction. See "Determination of Account Value," page
28. No minimum amount of Account Value is guaranteed. A Policy Owner bears the
risk for the investment experience of Account Value allocated to the
Subaccounts.
SURRENDER VALUE
The Owner can surrender a Policy at any time while the Insured is living
and receive its Cash Value less any Outstanding Debt. The Cash Value of the
Policy equals the Account Value plus any applicable refund of Sales Charges.
Thus, the Cash Value will exceed the Policy's Account Value by the refund amount
in the three years following Policy issuance. Once the refund of Sales Charges
has expired, the Surrender Value will equal the Account Value (less any
Outstanding Debt). See "Full Surrender," page 8.
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<PAGE> 37
DETERMINATION OF ACCOUNT VALUE
Although the death benefit under a Policy can never be less than the
Policy's Specified Amount, the Account Value will vary depending upon several
factors, including the investment performance of the Subaccounts to which
Account Value has been allocated, payment of premiums, the amount of any
Outstanding Debt, Partial Surrenders, and the charges assessed in connection
with the Policy.
The amounts allocated to the Subaccounts will be invested in shares of the
corresponding Portfolios of the Funds. The value of the Subaccounts will reflect
the investment experience of the corresponding Portfolio. The investment
experience reflects the investment income, realized and unrealized capital gains
and losses and expenses of the Portfolio and any dividends or distributions
declared by a Portfolio. Any dividends or distributions from any Portfolio of
the Funds will be automatically reinvested in shares of the same Portfolio,
unless the Company, on behalf of the Variable Account, elects otherwise.
Amounts allocated to the Subaccounts are measured in terms of Units, which
are a measure of value used for bookkeeping purposes. The value of amounts
invested in each Subaccount is represented by the value of the Units credited to
the Policy for that Subaccount. On any given day, the amount in a Subaccount of
the Variable Account is equal to the Unit value times the number of Units
credited to the Policy in that Subaccount. The Units of each Subaccount will
have different Unit values.
Units of a Subaccount are purchased (credited) whenever premiums or
transfer amounts (including transfers from the Loan Account) are allocated to
that Subaccount. Units are redeemed (debited) to make Partial Surrenders, to
transfer amounts from a Subaccount (including transfers to the Loan Account),
upon a full surrender, and to pay the death benefit when the Insured dies. Units
are also redeemed to pay monthly deductions from the Policy's Account Value and
for Policy transaction charges. The number of Units purchased or redeemed in
connection with any such transaction is determined by dividing the dollar amount
of such transaction by the Unit Value of the affected Subaccount, calculated
after the close of business that day. The number of Units changes only as a
result of Policy transactions or charges; the number of Units credited will not
change because of subsequent changes in Unit Value.
Transactions are processed as of the Transaction Date. The Transaction Date
is the date a premium or an acceptable written request is received at the
Customer Service Center. If the premium or request reaches the Customer Service
Center on a day which is not a Valuation Date, or after the close of business on
a Valuation Date (that is, after 4:00 p.m. Eastern Time), the Transaction Date
will be the next succeeding Valuation Date. All Policy transactions are
performed as of a Valuation Date. If a Transaction Date or Monthly Anniversary
Day occurs on a day other than a Valuation Date (e.g., on a Saturday), the
calculation will take place on the next Valuation Date (e.g., on the following
Monday).
CALCULATING UNIT VALUES FOR EACH SUBACCOUNT
The Unit Value of a Subaccount on any Valuation Date is calculated by the
Company on every Valuation Date as follows:
1. Calculate the value of the shares of the Portfolio belonging to the
Subaccount as of the close of business that Valuation Date (before giving
effect to any Policy transactions for that day, such as premium payments or
surrenders). For this purpose, the Net Asset Value per share reported to
the Company by the managers of the Portfolio is used.
2. Add the value of any dividends or capital gains distributions
declared and reinvested by the Portfolio during the Valuation Period.
Subtract from this amount a charge for taxes, if any.
3. Divide the resulting amount by the number of Units held in the
Subaccount on the Valuation Date before the purchase or redemption of any
Units on that Date.
The Unit Value of each Subaccount on its first Valuation Date was set at
$10.00.
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<PAGE> 38
TRANSFER OF ACCOUNT VALUE
Account Value may be transferred after the Free Look Period among the
Subaccounts by the Policy Owner upon proper written request to the Customer
Service Center. Currently, there are no limitations on the number of transfers
between Subaccounts, no minimum amount required for a transfer, nor any minimum
amount required to remain in a given Subaccount after a transfer. Further, no
transfer may be made if a Policy is in the Grace Period and a payment required
to avoid lapse is not paid. See "Grace Period and Lapse," page 33. A charge of
$50 is imposed on Policy transfers in excess of twelve in any Policy year.
Account Value may also be transferred after the Free Look Period and within
specified limits from the Subaccounts to the Guaranteed Interest Account;
however, such a transfer will only be permitted in the Policy month following a
Policy Anniversary and the total amount allocated or transferred to the
Guaranteed Interest Account cannot exceed $250,000. Transfers from the
Guaranteed Interest Account to the Subaccounts are also restricted as described
in "The Guaranteed Interest Account," page 44.
POLICY OWNER SERVICES
The Company currently offers Policy Owners two services: Dollar Cost
Averaging and Automatic Rebalancing. These services may be terminated at any
time; Owners of Policies in force at the time of termination utilizing these
services will receive 30 days prior notice. There currently are no charges for
these services and any transfers as a result of the operation of these services
are not counted toward the limit of 12 transfers per Policy Year without a
transfer charge. If the Company elects to impose a charge for these services,
Owners of Policies in force at that time utilizing these services will receive
30 days prior notice. These services involve the sale of Units in one or more
Subaccounts and the purchase of Units in one or more other Subaccounts. This may
result in a loss of Account Value.
DOLLAR COST AVERAGING
Dollar Cost Averaging is available to Owners of Policies with at least
$5,000 of Account Value allocated to the Money Market Subaccount. The main
objective of Dollar Cost Averaging is to protect the Account Value from
short-term price fluctuations. Since under Dollar Cost Averaging the same dollar
amount is transferred to other Subaccounts each period, more units are purchased
in a Subaccount if the value per unit that period is low, and fewer units are
purchased if the value per unit that period is high. This plan of investing
keeps the Policy Owner from investing too much when the price of shares is high
and too little when the price of shares is low. There is no guarantee that this
service will generate a profit or avoid a loss.
If Dollar Cost Averaging is elected by completing and returning to the
Company at the Customer Service Center the form provided by the Company, a
designated dollar amount of Account Value will be transferred automatically from
the Money Market Subaccount to one or more other Subaccounts of the Variable
Account each period. Dollar Cost Averaging allocations may be made either
monthly or quarterly. (Dollar Cost Averaging transfers may not be made to the
Guaranteed Interest Account.) Percentage allocations of the transfer amount must
be designated as whole number percentages in 1% increments provided that no
allocation may be less than 10%; no specific dollar designation may be made to
the Subaccounts. Dollar Cost Averaging may be terminated at a designated date or
when the Money Market Subaccount reaches a pre-defined minimum balance.
Each transfer under Dollar Cost Averaging must be at least $250. Each
automatic monthly transfer will take place on the 10th day of each calendar
month; automatic quarterly transfers take place on the 10th day of the last
month of each calendar quarter. If Dollar Cost Averaging is elected at the time
of application, transfers will begin in the appropriate calendar month following
completion of the Free Look Period. If elected after issuance of the Policy,
transfers will begin in the appropriate calendar month which is at least 30 days
following our receipt of the request for Dollar Cost Averaging. If, at the time
of any transfer, the amount in the Money Market Subaccount is equal to or less
than the amount elected to be transferred, the entire remaining balance will be
transferred and Dollar Cost Averaging will end. The amount to be transferred or
the Subaccounts to which transfers are to be made may be changed once each
Policy year. Dollar Cost Averaging
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may be canceled at any time by sending notice to our Customer Service Center
which is received at the Center at least 10 days before the next transfer date.
If both Dollar Cost Averaging and Automatic Rebalancing are elected, Dollar
Cost Averaging will take place first. Automatic Rebalancing will begin only
after a monthly or quarterly Dollar Cost Averaging transfer has been completed.
AUTOMATIC REBALANCING
Automatic Rebalancing provides a method for maintaining a balanced approach
to allocating Account Values among Subaccounts and simplifies the process of
asset allocation over time.
Automatic Rebalancing may be elected when application for a Policy is made
or at any subsequent time by completing and returning to the Company at the
Customer Service Center the form provided by the Company. Automatic Rebalancing
matches Subaccount Account Value allocations over time to the most recently
filed allocation percentages for new premiums allocated to the Subaccounts. As
of the 10th day of the last month of each calendar quarter, the Company will
automatically re-allocate the amounts in each of the Subaccounts into which
premiums are allocated to match the premium allocation percentages. This will
rebalance Subaccount Account Values that may be out of line with the allocation
percentages indicated, which may result, for example, from Subaccounts which
underperform other Subaccounts in certain quarters. Allocations to the
Guaranteed Interest Account will not be rebalanced.
If Automatic Rebalancing is elected with the application, the first
transfer will occur on the 10th day of the last month of the calendar quarter
which begins after the end of the Free Look Period. If elected after Policy
issue, transfers will begin as of the 10th day of the last month of the calendar
quarter which follows the Company's receipt of notification at the Customer
Service Center.
The Automatic Rebalancing feature percentages may be adjusted by changing
the Policy's premium allocation percentages. The Company reserves the right to
charge a fee of $25 each time the premium allocation percentage is changed more
often than two times in any Policy year. If the Automatic Rebalancing feature is
active on a Policy and a premium allocation which does not meet the Company's
requirement is received, the Company will notify the Policy Owner that the
allocation must be changed; any such request will not be processed unless a
request for discontinuance of Automatic Rebalancing is received.
Automatic Rebalancing may be terminated at any time, so long as notice of
the termination is received at the Customer Service Center at least 10 days
prior to the next scheduled transfer.
If both Dollar Cost Averaging and Automatic Rebalancing are elected, Dollar
Cost Averaging will take place first. Automatic Rebalancing will begin only
after Dollar Cost Averaging has ended.
RIGHT TO EXCHANGE POLICY
During the first 24 months following the Policy Date, the Policy Owner may
exercise the right to exchange the Policy from one in which the investment
experience is not guaranteed into a guaranteed Policy. This is accomplished by
the transfer of the entire amount in the Subaccounts of the Variable Account to
the Guaranteed Interest Account, and the allocation of all future premium
payments to the Guaranteed Interest Account. This will, in effect, serve as an
exchange of the Policy for the equivalent of a flexible premium universal life
insurance policy. No charge will be imposed on the transfer in exercising this
exchange privilege. If the right to exchange is exercised, the restriction on
amounts which may be held in the Guaranteed Interest Account is waived, but the
limitations on transfers from the Guaranteed Interest Account to the Subaccounts
will continue. See "The Guaranteed Interest Account," page 44.
POLICY LOANS
The Policy Owner may borrow money from the Company at any time using the
Policy as the only security for the loan by submitting a proper written request
to the Customer Service Center. A loan may be taken any time a Policy is in
force. The minimum loan that can be taken is $250. The maximum amount that
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can be borrowed at any time is 90% of the Account Value of the Policy less any
Outstanding Debt. (If the loan is requested on a Monthly Anniversary Day, the
maximum loan amount is further reduced by the monthly deduction due on that
day.) The Outstanding Debt is the cumulative amount of outstanding loans and
accrued loan interest payable to the Company at any time.
Loan interest is payable at a guaranteed annual rate of 4.6%. Interest on a
Policy loan is accrued daily and is due for the Policy year on each Policy
Anniversary, until the Outstanding Debt is repaid. If interest is not paid when
due, it will be added to the principal amount of the Outstanding Debt.
The Owner may repay all or part of the Outstanding Debt at any time while
the Policy is in force. Only payments designated as loan or interest payments
will be treated as such. Loan repayments reduce the Outstanding Debt by the
amount of the payment. If a loan repayment is made which exceeds the Outstanding
Debt, the excess will be applied as a Scheduled Premium.
When a Policy Owner takes a loan, an amount equal to the loan is
transferred out of the Policy Owner's Account Value in the Subaccounts and the
Guaranteed Interest Account into the Loan Account to secure the loan. Loan
amounts will be deducted from the Subaccounts and the Guaranteed Interest
Account in the proportion that each bears to the Account Value less Outstanding
Debt. Each Policy Anniversary, an amount equal to the loan interest due and
unpaid for the Policy Year will be transferred to the Loan Account from the
Subaccounts and Guaranteed Interest Account on a proportional basis.
The Loan Account is a part of the Company's General Account. Amounts held
in the Loan Account are credited daily with a fixed rate of interest equal to an
annualized rate of 4.0%. After the tenth Policy anniversary, the annual interest
rate that applies to the Loan Account is expected be 0.3% higher than otherwise
applicable. An increase to 0.15% is guaranteed.
Loan repayments release funds from the Loan Account. Amounts released from
the Loan Account as a result of a loan repayment will be transferred into the
Subaccounts and Guaranteed Interest Account in accordance with the most recent
allocation instructions for Scheduled Premium Payments, subject to the
limitation of maintaining no more than $250,000 in the Guaranteed Interest
Account. In addition, any interest earned on the amount held in the Loan Account
will be transferred each Policy Anniversary to each of the Subaccounts and
Guaranteed Interest Account on the same basis.
While the amount to secure the Outstanding Debt is held in the Loan
Account, the Policy Owner forgoes the investment experience of the Subaccounts
and the current interest rate of the Guaranteed Interest Account on that amount.
Thus Outstanding Debt, whether or not repaid, will have a permanent effect on
the Policy's values and may have an effect on the amount and duration of the
death benefit. If not repaid, the Outstanding Debt will be deducted from the
amount of death benefit paid upon the death of the Insured, or the Cash Value
paid upon surrender or maturity.
Outstanding Debt may affect the length of time the Policy remains in force.
Unless the Guaranteed Death Benefit Rider is in force, the Policy will lapse
when Account Value minus Outstanding Debt is insufficient to cover the monthly
deduction against the Policy's Account Value on any Monthly Anniversary Day and
the minimum payment required is not made during the Grace Period. Moreover, the
Policy may enter the Grace Period more quickly when Outstanding Debt exists,
because the Outstanding Debt is not available to cover the monthly deduction. In
addition, the Guaranteed Death Benefit Rider may end if Outstanding Debt exceeds
the Account Value of the Policy. Additional payments or repayment of a portion
of Outstanding Debt may be required to keep the Policy or the Rider in force.
See "Grace Period and Lapse," page 33.
A loan will not be treated as a distribution from the Policy and will not
result in taxable income to the Policy Owner unless the Policy is a modified
endowment contract, in which case a loan will be treated as a distribution that
may give rise to taxable income. In the event that a Policy lapses or is
surrendered under circumstances where the Loan is effectively repaid from the
cash surrender value proceeds, such proceeds are includible in the amount
received by the Policy Owner for income tax purposes and may be partially or
fully taxable as ordinary income to the Policy Owner. For more information on
the tax treatment of loans, see "Federal Income Tax Considerations," page 38.
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FULL SURRENDER
A Policy Owner may fully surrender a Policy at any time during the life of
the Insured. The amount received in the event of a full surrender is the
Policy's Surrender Value on the date the surrender request is received, which is
equal to its Account Value plus any applicable refund of Sales Charge, reduced
by any Outstanding Debt.
A Policy Owner may surrender a Policy by sending a written request together
with the Policy to the Customer Service Center. The proceeds will be determined
as of the end of the Valuation Period during which the request for a surrender
is received. A Policy Owner may elect to have the proceeds paid in cash or
applied under a payment plan offered under the Policy. See "Payment
Plan/Settlement Provisions," page 47. For information on the tax effects of a
surrender of a Policy, see "Federal Income Tax Considerations," page 38.
PARTIAL SURRENDER
A Partial Surrender allows the Policy Owner to obtain a portion of the
Account Value of the Policy without having to surrender the Policy in full. A
Partial Surrender may be made after the first Policy anniversary. There is
currently no limit on the number of Partial Surrenders allowed in a Policy year,
but the Company reserves the right to limit the number of Partial Surrenders to
12 per year.
A Partial Surrender must be for at least $500 (plus the applicable fee),
and the Policy's Account Value less Outstanding Debt after the Partial Surrender
must be at least $500 of Account Value less Outstanding Debt. In addition, the
Partial Surrender must not reduce the Target Death Benefit or Specified Amount
at the time of the reduction below the minimum we require to issue the Policy.
The Policy Owner may make a Partial Surrender by submitting a proper
written request to the Customer Service Center. As of the effective date of any
Partial Surrender, the Policy Owner's Account Value and Surrender Value will be
reduced by the amount surrendered (plus the applicable fee). The amount of the
Partial Surrender (plus the applicable fee) will be deducted proportionately
from the Policy Owner's Account Value in the Subaccounts and the Guaranteed
Interest Account.
When a Partial Surrender is made on a Policy on which the Owner has
selected death benefit Option I, the Target Death Benefit and the Base Death
Benefit are generally reduced by the amount of the Partial Surrender (plus the
amount of the Partial Surrender fee). The Specified Amount under the Policy is
decreased by the lesser of (i) the amount of the Partial Surrender or (ii) if
the Base Death Benefit prior to the Partial Surrender is greater than the
Specified Amount, the amount, if any, by which the Specified Amount exceeds the
difference between the Base Death Benefit less the amount of the Partial
Surrender. The Target Death Benefit under the policy is reduced by the lesser of
(1) the amount of the Partial Surrender or (2) if the Base Death Benefit prior
to the Partial Surrender is greater than the Target Death Benefit, the amount,
if any, by which the Target Death Benefit exceeds the difference between the
Base Death Benefit and the amount of the Partial Surrender.
When a Partial Surrender is made on a Policy on which the Owner has
selected death benefit Option II, the Target Death Benefit is generally reduced
by the amount of the Partial Surrender (plus the amount of the Partial Surrender
fee). The Target Death Benefit under the policy is reduced by the lesser of (1)
the amount of the Partial Surrender or (2) if the Base Death Benefit prior to
the Partial Surrender is greater than the Target Death Benefit, the amount, if
any, by which the Target Death Benefit exceeds the difference between the Base
Death Benefit and the amount of the Partial Surrender. The Partial Surrender
will not change the Specified Amount of the Policy. However, assuming that the
Base Death Benefit under Option II is not equal to Surrender Value times the
applicable Death Benefit Percentage, the Partial Surrender will reduce the Base
Death Benefit by the amount of the Partial Surrender. If the Option II death
benefit is based upon the Surrender Value times the Death Benefit Percentage, a
Partial Surrender may cause the Base Death Benefit to decrease by an amount
greater than the amount of the Partial Surrender. See "Death Benefits under the
Policy," page .
A fee of $25 or 2% of the Partial Surrender amount, whichever is less, will
be assessed for each Partial Surrender. See "Charges and
Deductions -- Transaction and Other Charges", page 37.
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For information on the tax treatment of Partial Surrenders, see "Federal
Income Tax Considerations," page .
GRACE PERIOD AND LAPSE
In general, the Policy and all Riders attached to it will continue in force
as long as the Account Value less Outstanding Debt of the Policy is sufficient
to pay all the monthly deductions. The Policy will lapse only when the Account
Value less Outstanding Debt is insufficient to cover the current monthly
deduction against the Policy's Account Value on any Monthly Anniversary Day, and
a 61-day Grace Period expires without the Policy Owner making a sufficient
payment.
IF GUARANTEED DEATH BENEFIT RIDER IS NOT IN EFFECT
If an insufficiency occurs and a Guaranteed Death Benefit Rider is not in
effect, the Owner must pay during the Grace Period the amount required under the
Policy to avoid lapse. In addition, payment of any loan interest accrued for the
Policy year but unpaid as of the Monthly Anniversary Day when insufficiency
occurs is required to be paid prior to the end of the Grace Period.
The Company will not accept any payment if it would cause the Policy
Owner's total premium payments to exceed the maximum permissible premium for the
Policy's Specified Amount under the Internal Revenue Code. This may occur when
the Policy Owner has Outstanding Debt, in which case the Policy Owner could
repay a sufficient portion of the Outstanding Debt to avoid termination. In this
instance, the Policy Owner may wish to repay an additional portion of the
Outstanding Debt to avoid recurrence of the potential lapse. If premium payments
have not exceeded the maximum permissible premiums for the Policy's Specified
Amount, the Policy Owner may also wish to make larger or more frequent premium
payments to avoid recurrence of the potential lapse.
If the Account Value less Outstanding Debt is insufficient to cover the
entire monthly deduction on a Monthly Anniversary Day, the Company will deduct
the amount that is available. The Company will notify the Policy Owner (and any
assignee of record) of the payment required to keep the Policy in force. The
Policy Owner will then have a Grace Period of 61 days, measured from the date
the notice is sent, to make the required payment. The payment required is the
amount of the monthly deduction not paid plus not less than two succeeding
monthly deductions (or the number of monthly deductions remaining until the next
Scheduled Premium due date, if more than two), grossed up by the amount of the
deductions from premiums (see "Charges and Deductions -- Deductions from
Premiums", page 34). The Policy will remain in force through the Grace Period.
Failure to make the required payment within the Grace Period will result in
termination of coverage under the Policy, and the Policy will lapse. If the
required payment is made during the Grace Period, any premium paid will be
allocated among the Subaccounts of the Variable Account and the Guaranteed
Interest Account in accordance with the Policy Owner's current Scheduled Premium
allocation instructions. Any monthly deduction due will be charged to the
Subaccounts and the Guaranteed Interest Account on a proportionate basis. If the
Insured dies during the Grace Period, the death benefit proceeds will equal the
amount of the death benefit immediately prior to the commencement of the Grace
Period, reduced by any unpaid monthly deductions and any Outstanding Debt.
IF GUARANTEED DEATH BENEFIT RIDER IS IN EFFECT
If the Guaranteed Death Benefit Rider is in effect and the tests for
continuation of the Rider have been met, the Specified Amount of the Policy will
not lapse even if the Account Value less Outstanding Debt is not sufficient to
cover all the deductions from the Account Value on any Monthly Anniversary Day.
See "Guaranteed Death Benefit Rider", page 25.
While the Guaranteed Death Benefit Rider is in effect, the Account Value of
the Policy may be reduced by monthly deductions, but not below zero. Any monthly
deductions which would reduce the Account Value below zero will be waived.
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The Guaranteed Death Benefit Rider will be terminated if the Policy does
not meet the monthly tests, as explained in "Guaranteed Death Benefit Rider",
page 25, and the payment required under the Rider is not made within the Grace
Period. The payment required is the amount of the cumulative Monthly Guarantee
Premiums not paid plus not less than two additional Monthly Guarantee Premiums
(or the number of Monthly Guarantee Premiums remaining until the next Scheduled
Premium due date, if more than two). If the Guaranteed Death Benefit Rider is
terminated, the normal test for lapse will resume.
The Guaranteed Death Benefit Rider is not available on Policies offered or
issued for delivery to residents of the Commonwealth of Massachusetts and the
State of Texas, and, therefore, Grace Period and Lapse will be treated as
described in the immediately preceding section entitled "If the Guaranteed Death
Benefit Is Not In Effect".
REINSTATEMENT
The Company will reinstate a lapsed Policy (but not a Policy which has been
surrendered for its Surrender Value) at any time within five years after the
Monthly Anniversary Day immediately before the start of the Grace Period but
before the Maturity Date, provided the Company receives the following: (i) a
written application from the Policy Owner; (ii) evidence of insurability
satisfactory to the Company; (iii) payment of all monthly deductions that were
due and unpaid during the Grace Period; (iv) payment of an amount at least
sufficient to keep the Policy in force for three months after the date of
reinstatement; (v) payment of due and unpaid interest on Outstanding Debt to the
next succeeding Policy Anniversary Day, and (vi) the reinstatement fee.
When the Policy is reinstated, the Account Value will be equal to the
Account Value on the date of the lapse, subject to the following: (i) any
Outstanding Debt on the date of lapse must be paid or reinstated; and, (ii) no
interest on amounts held in the Company's Loan Account to secure Outstanding
Debt will be paid or credited between lapse and reinstatement. Reinstatement
will be effective as of the Monthly Anniversary Day on or preceding the date of
approval by the Company, and Account Value minus, if applicable, Outstanding
Debt will be allocated among the Subaccounts and the Guaranteed Interest Account
in accordance with the Policy Owner's most recent Scheduled Premium allocation
instructions.
The Company charges a fee of $150 to process a reinstatement.
CHARGES AND DEDUCTIONS
The Policy provides for the deduction of certain charges and expenses upon
the payment of premiums and from Account Values of the Policy. These charges and
expenses are in addition to the expenses borne by the Funds, which are explained
at page 12.
DEDUCTIONS FROM PREMIUMS
Certain charges are deducted from each premium payment under a Policy prior
to allocation of the net premium to the Policy Owner's Account Value. These
charges consists of the following items:
SALES CHARGE
The Company deducts a Sales Charge equal to 9% from each premium up to the
"Target Premium" paid in each year during the first ten Policy Years. The Sales
Charge does not apply to premium amounts in excess of the Target Premium paid
during the first ten Policy years, nor any premium paid after the tenth Policy
year. The Sales Charge is guaranteed not to exceed these amounts.
The Target Premium is an amount equal to the maximum amount of premium
which may be paid for a death benefit Option I Policy without violating the
limits imposed by the Federal income tax law definition of a modified endowment
contract. See "Modified Endowment Contracts," page 40. The Target Premium is not
based on the Scheduled Premium. The Target Premium for the Policy and Specified
Amount coverage segments added since the Policy Date will be stated in the
Policy.
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The Sales Charge is deducted to compensate the Company for the cost of
distributing the Policies. The amount derived by the Company from the Sales
Charge is not expected to be sufficient to cover the sales and distribution
expenses in connection with the Policies. To the extent that sales and
distribution expenses exceed Sales Charges, such expenses may be recovered from
other charges, including amounts derived indirectly from the charge for
mortality and expense risks and from mortality gains.
Upon a full surrender in the first three Policy years, if the Policy is not
in default, a portion of the Sales Charges previously deducted from premium
payments may be refunded. For Policies surrendered in the first Policy year, the
refund will be equal to the sum of all Sales Charge deductions in that Policy
year. For Policies surrendered in the second Policy year, the refund will be
equal to 66.67% of the Sales Charge deductions in the first Policy year. For
Policies surrendered in the third Policy year, the refund will be equal to
33.33% of the Sales Charges deductions in the first Policy year. No refund will
be paid if the Policy is in default.
TAX CHARGES
All states levy taxes on life insurance premium payments. The amount of
these taxes vary from state to state, and may vary from jurisdiction to
jurisdiction within a state. The Company currently deducts an amount equal to
the actual premium tax imposed in the applicable jurisdiction to pay these
premium taxes. Currently, these taxes range from 0% to 4%. The Company does not
expect to make a profit from this charge.
A charge currently equal to 1.25% of each premium payment is deducted from
each premium to cover the estimated cost for the Federal income tax treatment of
deferred acquisition costs determined solely by the amount of life insurance
premiums received. The Company believes this charge for deferred acquisitions
costs is reasonable in relation to the Company's increased federal tax burden
under IRC Section 848 resulting from the receipt of premium payments. No charge
will be deducted where premiums received from a Policy Owner are not subject to
this tax. The Company does not expect to make a profit from this charge.
The Company reserves the right to increase or decrease the charge for taxes
due to any change in tax law or due to any change in the cost to the Company or
to reflect any legislative changes in the applicable tax based on premiums. In
addition, if an insured person changes his or her place of residence, the
Company should be notified of the change. Any change in the tax rate will be
effective on the next policy anniversary.
MONTHLY DEDUCTIONS FROM ACCOUNT VALUE
A charge called the monthly deduction is deducted from a Policy's Account
Value in the Subaccounts and Guaranteed Interest Account beginning on the Policy
Date and on each Monthly Anniversary Day thereafter. The monthly deduction
consists of the following items:
COST OF INSURANCE
This monthly charge compensates the Company for the anticipated cost of
paying death benefits in excess of Account Value to Beneficiaries of Insureds
who die. The amount of the charge is equal to a current cost of insurance rate
multiplied by the Net Amount at Risk under a Policy at the beginning of the
Policy Month. The Net Amount at Risk for these purposes is equal to the amount
of Base Death Benefit payable at the beginning of the Policy Month less the
Account Value at the beginning of the Policy Month.
The Policy contains guaranteed cost of insurance rates that may not be
increased. The guaranteed rates are based on the 1980 Commissioners Standard
Ordinary Smoker and Nonsmoker Mortality Tables. These rates are based on the
Age, sex, duration and underwriting class of the Insured. They are also based on
the gender of the Insured, except that unisex rates are used where appropriate
under applicable law, including in the states of Montana and Massachusetts and
in Policies purchased by employers and employee organizations in connection with
certain employment related insurance or benefit programs.
As of the date of this prospectus, the Company charges "current rates" that
are lower (i.e., less expensive) than the guaranteed rates, and the Company may
also change current rates in the future. Like the guaranteed rates, the current
rates also vary with the age, gender, smoking status, and underwriting class of
the
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Insured. In addition, they also vary with the Policy duration. The cost of
insurance rate generally increases with the Age of the Insured.
Lower cost of insurance rates are offered at most ages for insured who
qualify for the standard underwriting class and whose applications are fully
underwritten, i.e., subject to evidence of insurability on the part of the
Insured. On the other hand, current insurance rates are generally higher if the
Policies are issued on a guaranteed issue basis, where evidence of insurability
is not required. Policies issued to employers, trustees and similar entities are
often issued on a guaranteed issue basis. Because only limited underwriting
information is obtained in this alternative underwriting procedure, Policies in
this underwriting class may present an additional mortality expense to the
Company relative to Policies which are fully underwritten. The additional risk
is generally reflected in higher current insurance rates, which are nevertheless
guaranteed not to exceed the 1980 Commissioners' Standard Ordinary Mortality
Tables.
The Company may offer insurance coverage up to $2.5 million on a guaranteed
issue or simplified issue basis under Policies in a single Case that meet our
requirements at the time of Policy issue.
If there have been increases in the Specified Amount, then for purposes of
calculating the cost of insurance charge, the Account Value will first be
applied to the initial Specified Amount. If the Account Value exceeds the
initial Specified Amount, the excess will then be applied to any increase in
Specified Amount in the order of the increases. If the Base Death Benefit equals
the Surrender Value multiplied by the applicable Death Benefit Percentage, any
increase in Account Value will cause an automatic increase in the Base Death
Benefit. The underwriting class and duration for such increase will be the same
as that used for the most recent increase in Specified Amount (that has not been
eliminated through a subsequent decrease in Specified Amount).
MORTALITY AND EXPENSE RISK CHARGE
Each month a charge is deducted for mortality and expense risks assumed by
the Company. During the first 10 Policy years, this charge is equal to 0.05% per
month of the amount in the Subaccounts of the Variable Account, which is
equivalent to an annual rate of 0.60% of the portion of the Policy Account Value
allocated to the Variable Account. Each month the Policy remains in force after
the tenth Policy Anniversary, the Mortality and Expense Risk Charge is expected
to be reduced to an amount equal to 0.025% per month of the Subaccount amount.
This is equivalent to 0.30% on an annualized basis. A reduction of the Mortality
and Expense Risk Charge to at least 0.45% on an annualized basis after the tenth
Policy Anniversary is guaranteed.
The mortality and expense risk charge is assessed to compensate the Company
for assuming mortality and expense risks under the Policies. The mortality risk
assumed is that Insureds, as a group, may live for a shorter period of time than
estimated and, therefore, the cost of insurance charges specified in the Policy
will be insufficient to meet the Company's actual claims. The expense risk the
Company assumes is that other expenses incurred in issuing and administering the
Policies and operating the Variable Account will be greater than the amount
estimated when setting the charges for these expenses. The Company will realize
a profit from this fee to the extent it is not needed to provide benefits and
pay expenses under the Policies. The Company may use this profit for other
purposes, including any distribution expenses not covered by the Sales Charge.
This charge is not assessed against the amount of the Account Value which
is allocated to the Guaranteed Interest Account, nor to amounts in the Loan
Account.
ADMINISTRATIVE CHARGE
An administrative charge of $7.50 is deducted monthly from the Account
Value. The administrative charge is assessed to reimburse the Company for the
expenses associated with administration and maintenance of the Policies. In
addition, a charge of $5.00 is deducted monthly from the Account Value for the
first three Policy years for Policies subject to medical underwriting. This
charge is $3.00 per month for the first three Policy years for Policies
underwritten on a guaranteed issue basis. This charge is assessed to reimburse
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the Company for the expenses associated with the underwriting of the Policy.
This charge is guaranteed never to exceed these amounts. The Company does not
expect to profit from this charge.
GUARANTEED DEATH BENEFIT CHARGE
If the Guaranteed Death Benefit Rider has been elected, a charge of $0.01
per thousand dollars of Policy Specified Amount is deducted each month the Rider
is in effect. This charge is guaranteed never to exceed this amount.
The Guaranteed Death Benefit Rider is not available on Polices offered or
issued for delivery to residents of the Commonwealth of Massachusetts or the
State of Texas.
OTHER OPTIONAL INSURANCE BENEFITS CHARGES
The monthly deduction will include charges for any other optional insurance
benefits added to the Policy by Rider, including the Term Insurance Rider. See
"Other Optional Insurance Benefits," page 26.
As with the Base Death Benefit, the Term Insurance Rider contains
guaranteed cost of insurance rates that may not be increased, and current rates
which are lower than the guaranteed rates. These rates also vary based on the
underwriting class.
CORPORATE PURCHASERS
The Policy is available for purchase by individuals and by corporations and
other institutions. For corporate or other group or sponsored arrangements
purchasing one or more Policies constituting a Case, the Company may reduce the
amount of the Sales Charge, mortality and expense risk charge, underwriting
charge or issue charge where the expenses associated with the sale of the Policy
or Policies or the underwriting or other administrative costs associated with
the Policy or Policies are reduced. Sales, underwriting or other administrative
expenses may be reduced for reasons such as expected economies resulting from a
corporate purchase or a group or sponsored arrangement, from the amount of the
initial premium payment or projected premium payments. In addition, the Company
may reduce the minimum Specified Amount, Target Death Benefit, or Minimum Annual
Premium for the Policies representing the Case. Any reduction will be reasonable
and will apply uniformly to all prospective Policy purchasers in the class and
will not be unfairly discriminatory to the interests of any Policy Owner.
TRANSACTION AND OTHER CHARGES
A Partial Surrender fee will be deducted from the Account Value for each
Partial Surrender Transaction. The fee will equal the lesser of $25 and 2% of
the Partial Surrender amount. This charge is guaranteed not to exceed these
amounts.
The Company assesses a $50 charge on transfers of Account Value between the
Subaccounts which exceed twelve in any Policy year. The Company assesses a $150
charge on reinstatement of a lapsed Policy. The Company also assesses a fee of
$25 for more than two changes in the premium allocation percentages in any
Policy year. These charges are guaranteed not to exceed this amount.
The Company may charge the Subaccounts for federal income taxes incurred by
the Company that are attributable to the Variable Account and its Subaccounts.
No such charge is currently assessed. See "Charge for Company Income Taxes,"
page 42.
The Company will bear the direct operating expenses of the Variable
Account. The Subaccounts purchase shares of the corresponding Portfolio of the
underlying Fund. The Fund and each of its Portfolios incur certain charges
including the investment advisory fee and certain operating expenses. These fees
and expenses vary by Portfolio and range from 0.39% to 1.55% of average daily
net assets and reflect voluntary reimbursements of expenses or waiver of fees.
The Funds are governed by their Boards. The Fund's expenses are not fixed or
specified under the terms of the Policy. The advisory fees and other expenses
are summarized at pages 12-14 of this Prospectus and are more fully described in
the prospectuses of the Funds.
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GUARANTEE OF CERTAIN CHARGES
The Company guarantees that certain charges will not increase. This
includes the sales charge, the guaranteed cost of insurance rates, the mortality
and expense risk charge, the administrative charge, the Guaranteed Death Benefit
charge, and certain transaction charges. Any changes in the current cost of
insurance charge related to the Base Death Benefit or the monthly charge for the
Term Insurance Rider will be made by class of Insured and will be based on
changes in future expectations with respect to investment earnings, mortality,
length of time policies will remain in effect, expenses, and taxes. In no event
will they exceed the guaranteed rates defined in the Policy.
OTHER INFORMATION
FEDERAL INCOME TAX CONSIDERATIONS
The following discussion provides a general description of the federal
income tax considerations relating to the Policy. This discussion is based upon
the Company's understanding of the present federal income tax laws as they are
currently interpreted by the Internal Revenue Service ("IRS"). This discussion
is not intended as tax advice. Because of the inherent complexity of such laws
and the fact that tax results will vary according to the particular
circumstances of the individual involved, tax advice may be needed by a person
contemplating the purchase of the Policy. It should, therefore, be understood
that these comments concerning federal income tax consequences are not an
exhaustive discussion of all tax questions that might arise under the Policy and
that special rules which are not discussed herein may apply in certain
situations. Moreover, no representation is made as to the likelihood of
continuation of federal income tax or estate or gift tax laws or of the current
interpretations by the IRS or the courts. Future legislation may adversely
affect the tax treatment of life insurance policies or other tax rules described
in this discussion or that relate directly or indirectly to life insurance
policies. Finally, these comments do not take into account any state or local
income tax considerations which may be involved in the purchase of the Policy.
DEFINITION OF LIFE INSURANCE
Section 7702 of the Internal Revenue Code (the "Code") provides that if one
of two alternate tests are met, a policy will be treated as a life insurance
policy for federal tax purposes. These tests are referred to as the "Guideline
Premium/Cash Value Corridor Test" and the "Cash Value Accumulation Test".
The Guideline Premium/Cash Value Corridor Test provides for, among other
things, (i) a maximum allowable premium per thousand dollars of death benefit,
known as the "guideline annual premium", and (ii) a minimum ongoing "corridor"
of death benefit in relation to the Cash Value of the Policy, known as the
"Guideline Premium/Cash Value Corridor Test Death Benefit Percentage." In most
situations, the death benefit that results from the Guideline Premium/Cash Value
Corridor Test will ultimately be less than the amount required under the Cash
Value Accumulation Test. See Appendices A and B for a table of the Guideline
Premium/Cash Value Corridor Test factors.
Under the Cash Value Accumulation Test, there is no limit to the amount
that may be paid in premiums as long as there is enough death benefit in
relation to the Policy Cash Value at all times. The death benefit at all times
must be at least equal to an actuarially determined factor, referred to as the
"Cash Value Accumulation Test Death Benefit Percentage", which depends on the
Insured's Age, sex and underwriting class at any point in time. See Appendices
C, D, E, and F, for the tables of the Cash Value Accumulation Test factors.
The policy allows the Policy Owner to choose, at issue, which definition of
life insurance test will apply to the Policy. Regardless of which test is
chosen, the Company will at all times assure the Policy meets the statutory
definition which qualifies the Policy as life insurance for Federal income tax
purposes. Therefore, the Company believes that the Policy meets this statutory
definition of life insurance and hence will receive federal income tax treatment
consistent with that of fixed life insurance. Thus, the death benefit should be
excludable from the gross income of the Beneficiary (whether the Beneficiary is
a corporation, individual or
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other entity) under Section 101(a)(1) of the Code for purposes of the regular
federal income tax and the Policy Owner generally should not be deemed to be in
constructive receipt of the cash values under the Policy until a full surrender
thereof, maturity of the Policy, or Partial Surrender. In addition, certain
Policy loans may be taxable in the case of Policies that are modified endowment
contracts. Prospective Policy Owners that intend to use Policies to fund
deferred compensation arrangements for their employees are urged to consult
their tax advisors with respect to the tax consequences of such arrangements.
Prospective corporate Owners should consult their tax advisors about the
treatment of life insurance in their particular circumstances for purposes of
the alternative minimum tax applicable to corporations.
The favorable tax treatment of Section 101(a)(1) will not apply to benefits
paid at the maturity of the Policy (age 95). See "Benefits at Maturity," page
27. Also, any interest payment accrued on death proceeds paid either as a lump
sum or other than in one lump sum may be subject to tax. See "Payment
Plan/Settlement Provisions," page 47.
DIVERSIFICATION REQUIREMENTS
To comply with regulations under Section 817(h) of the Code, each Portfolio
is required to diversify its investments. Generally, a Portfolio is required to
diversify its investments so that on the last day of each quarter of a calendar
year, no more than 55% of the value of its assets is represented by any one
investment, no more than 70% is represented by any two investments, no more than
80% is represented by any three investments, and no more than 90% is represented
by any four investments. Securities of a single issuer generally are treated for
purposes of Section 817(h) as a single investment. However, for this purpose,
each US Government agency or instrumentality is treated as a separate issuer,
and any security issued, guaranteed, or insured (to the extent so guaranteed or
insured) by the US or by an agency or instrumentality of the US is treated as a
security issued by the US Government or its agency or instrumentality, whichever
is applicable.
While there should be no question that, for federal income tax purposes,
the Portfolio shares underlying the Policies are owned by the Company and not by
a Policy Owner or any Beneficiary, no representation is or can be made regarding
the likelihood of the continuation of current interpretations by the IRS.
TAX TREATMENT OF POLICIES
The Technical and Miscellaneous Revenue Act of 1988 established a new class
of life insurance contracts referred to as modified endowment contracts. With
the enactment of this legislation, the Policies will be treated for tax purposes
in one of two ways. Policies that are not classified as modified endowment
contracts will be taxed as conventional life insurance contracts, as described
below. Taxation of pre-death distributions from Policies that are classified as
modified endowment contracts is somewhat different, as described below.
A life insurance contract becomes a "modified endowment contract" if, at
any time during the first seven contract years, the sum of actual premiums paid
exceeds the sum of the "seven-pay premium." Generally, the "seven-pay premium"
is the level annual premium, such that if paid for each of the first seven
years, will fully pay for all future death and endowment benefits under a
contract. For example, if the "seven-pay premiums" were $1,000, the maximum
premiums that could be paid during the first seven years to avoid "modified
endowment" treatment would be $1,000 in the first year; $2,000 through the first
two years and $3,000 through the first three years, etc. Under this test, a
Policy may or may not be a modified endowment contract, depending on the amount
of premiums paid during each of the Policy's first seven contract years. Changes
in benefits may require retesting to determine if the Policy is to be classified
as a modified endowment contract.
CONVENTIONAL LIFE INSURANCE POLICIES
If a Policy is not a modified endowment contract, upon full surrender or
maturity of a Policy for its Surrender Value, the excess, if any, of the
Surrender Value plus any Outstanding Debt over the cost basis under a Policy
will be treated as ordinary income for federal income tax purposes. A Policy's
cost basis will usually equal the premiums paid less any premiums previously
recovered through Partial Surrenders. Under Section 7702 of the Code, special
rules apply to determine whether part or all of the cash received through
Partial Surrenders in the first 15 Policy years is paid out of the income of the
Policy and therefore subject to
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income tax. Cash distributed to a Policy Owner on Partial Surrenders occurring
more than 15 years after the Policy Date will be taxable as ordinary income to
the Policy Owner to the extent that it exceeds the cost basis under a Policy.
The Company also believes that loans received under Policies that are not
modified endowment contracts will be treated as indebtedness of the Owner, and
that no part of any loan under the Policy will constitute income to the Owner
unless the Policy is surrendered or upon maturity of the Policy. Under current
law, Interest paid (or accrued by an accrual basis taxpayer) on a loan under a
Policy that is not a modified endowment contract may be deductible, subject to
several limitations, depending on the use to which the proceeds are put and the
tax rules applicable to the Policy Owner. If, for example, the loan proceeds are
used by an individual for business or investment purposes, all or part of the
interest expense may be deductible. Generally, if the Policy Loan is used for
personal purposes by an individual, the interest expense is not deductible. The
deductibility of loan interest (whether incurred under a Policy Loan or on other
indebtedness) also may be subject to other limitations. For example, where the
interest is paid (or accrued by an accrued basis taxpayer) on a loan under a
Policy covering the life of an officer, employee, or person financially
interested in the trade or business of the Policy Owners, the interest may be
deductible to the extent that the interest is attributable to the first $50,000
of the Outstanding Debt. Other tax law provisions may limit the deduction of
interest payable on loan proceeds that are used to purchase or carry certain
life insurance policies. Pending legislation may further reduce the
deductibility of loan interest on Policy loans.
MODIFIED ENDOWMENT CONTRACTS
Pre-death distributions from modified endowment contracts may give rise to
taxable income. Upon full surrender or maturity of the Policy, the Policy Owner
would recognize ordinary income for federal income tax purposes equal to the
amount by which the Cash Value plus Outstanding Debt exceeds the investment in
the Policy (usually the premiums paid plus certain pre-death distributions that
were taxable less any premiums previously recovered that were excludable from
gross income). Upon taking a Partial Surrender or Policy loan, the Policy Owner
would recognize ordinary income to the extent allocable to income (which
includes all previously non-taxed gains) on the Policy. The amount allocated to
income is the amount by which the Cash Value of the Policy exceeds investment in
the Policy immediately before the distribution. Under a tax law provision, if
two or more policies which are classified as modified endowment contracts are
purchased from any one insurance company, including the Company, during any
calendar year, all such policies will be aggregated for purposes of determining
the portion of the pre-death distributions allocable to income on the policies
and the portion allocable to investment in the policies.
Amounts received under a modified endowment contract that are included in
gross income are subject to an additional tax equal to 10% of the amount
included in gross income, unless an exception applies. The 10% additional tax
does not apply to any amount received: (i) when the taxpayer is at least 59 1/2
years old; (ii) which is attributable to the taxpayer becoming disabled; or
(iii) which is part of a series of substantially equal periodic payments (not
less frequently than annually) made for the life (or life expectancy) of the
taxpayer or the joint lives (or joint life expectancies) of the taxpayer and his
or her beneficiary.
If a Policy was not originally a modified endowment contract but becomes
one, under Treasury Department regulations which are yet to be prescribed,
pre-death distributions received in anticipation of a failure of a Policy to
meet the seven-pay premium test are to be treated as pre-death distributions
from a modified endowment contract (and, therefore, are to be taxable as
described above) even though, at the time of the distribution(s), the Policy was
not yet a modified endowment contract. For this purpose, pursuant to the Code,
any distribution made within two years before the Policy is classified as a
modified endowment contract shall be treated as being made in anticipation of
the Policy's failing to meet the seven-pay premium test.
It is unclear whether interest paid (or accrued by an accrual basis
taxpayer) on Outstanding Debt with respect to a modified endowment contract
constitutes interest for federal income tax purposes. If it does constitute
interest, it may be deductible, subject to several limitations, depending on the
use to which the proceeds are put and the tax rules applicable to the Policy
Owner. If, for example, the loan proceeds are used by an individual for business
or investment purposes, all or part of the interest expense may be deductible.
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Generally, if the Policy loan is used for personal purposes by an individual,
the interest expense is not deductible. The deductibility of loan interest
(whether incurred under a Policy Loan or on other indebtedness) also may be
subject to other limitations. For example, where the interest is paid (or
accrued by an accrual basis taxpayer) on a loan under a Policy covering the life
of an officer, employee, or person financially interested in the trade or
business of the Policy Owners, the interest may be deductible to the extent that
the interest is attributable to the first $50,000 of the Outstanding Debt. Other
tax law provisions may limit the deduction of interest payable on loan proceeds
that are used to purchase or carry certain life insurance policies. Pending
legislation may further reduce the deductibility of loan interest on Policy
loans.
REASONABLENESS REQUIREMENT FOR CHARGES
Another provision of the tax law deals with allowable charges for mortality
costs and other expenses that are used in making calculations to determine
whether a contract qualifies as life insurance for federal income tax purposes.
For life insurance policies entered into on or after October 21, 1988, these
calculations must be based upon reasonable mortality charges and other charges
reasonably expected to be actually paid. The Treasury Department is expected to
promulgate regulations governing reasonableness standards for mortality charges.
The Company believes that the mortality costs and other expenses used in making
calculations to determine whether the Policy qualifies as life insurance meet
the current requirements. It is possible that future regulations will contain
standards that would require the Company to modify its mortality charges used
for the purposes of the calculations in order to retain qualification of the
Policy as life insurance for federal income tax purposes, and the Company
reserves the right to make any such modifications.
PENSION AND PROFIT-SHARING PLANS
If the Policies described in this Prospectus are purchased by a fund which
forms part of a pension or profit-sharing plan qualified under Sections 401(a)
or 403 of the Code for the benefit of participants covered under the plan, the
federal income tax treatment of such policies will be somewhat different from
that described above.
If purchased as part of a pension or profit sharing plan, the current cost
of insurance for the net amount at risk is treated as a "current fringe benefit"
and is required to be included annually in the plan participant's gross income.
This cost (generally referred to as the "P.S. 58" cost) is reported to the
participant annually. If the plan participant dies while covered by the plan and
the policy proceeds are paid to the participant's beneficiary, then the excess
of the death benefit over the Policy Surrender Value will not be subject to
Federal income tax. However, the Policy Surrender Value will generally be
taxable to the extent it exceeds the sum of $5,000 plus the participant's cost
basis in the Policy. The participant's cost basis will generally include the
costs of insurance previously reported as income to the participant. Special
rules may apply if the participant had borrowed from his Policy or was an
owner-employee under the plan.
There are limits on the amounts of life insurance that may be purchased on
behalf of a participant in a pension or profit sharing plan. Complex rules, in
addition to those discussed above, apply whenever life insurance is purchased by
a tax qualified plan.
OTHER EMPLOYEE BENEFIT PROGRAMS
Complex rules may apply when a Policy is held by an employer or a trust, or
acquired by an employee, in connection with the provision of employee benefits.
These Policy Owners also must consider whether the Policy was applied for by or
issued to a person having an insurable interest under applicable state law, as
the lack of insurable interest may, among other things, affect the qualification
of the Policy as life insurance for federal income tax purposes and the right of
the beneficiary to death benefits. Employers and employer-created trusts may be
subject to reporting, disclosure, and fiduciary obligations under the Employee
Retirement Income Security Act of 1974 (ERISA). The Policy Owners legal advisor
should be consulted to address these issues.
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OTHER
Federal estate and gift and state and local estate, inheritance, and other
tax consequences of ownership or receipt of Policy proceeds depend on the
jurisdiction and the circumstances of each Owner or Beneficiary.
For complete information on federal, state, local and other tax
considerations, a qualified tax advisor should be consulted.
THE COMPANY DOES NOT MAKE ANY GUARANTEE REGARDING
THE TAX STATUS OF ANY POLICY.
CHARGE FOR COMPANY INCOME TAXES
For federal income tax purposes, variable life insurance generally is
treated in a manner consistent with fixed life insurance. The Company will
review the question of a charge to the Variable Account for the Company's
federal income taxes periodically. A charge may be made for any federal income
taxes incurred by the Company that are attributable to the Variable Account.
This might become necessary if the tax treatment of the Company is ultimately
determined to be other than what the Company currently believes it to be, if
there are changes made in the federal income tax treatment of variable life
insurance at the insurance company level, or if there is a change in the
Company's tax status.
Under current laws, the Company may incur state and local taxes (in
addition to premium taxes imposed by the states) in several states. At present,
these taxes are not significant. If there is a material change in applicable
state or local tax laws or in the cost to the Company, the Company reserves the
right to charge the Account for such taxes, if any, attributable to the Account.
VOTING OF FUND SHARES
In accordance with its view of present applicable law, the Company will
exercise voting rights attributable to the shares of each portfolio of the Funds
held in the Subaccounts at any regular and special meetings of the shareholders
of the Funds on matters requiring shareholder voting under the Investment
Company Act of 1940. The Company will exercise these voting rights based on
instructions received from persons having the voting interest in corresponding
Subaccounts of the Variable Account. However, if the Investment Company Act of
1940 or any regulations thereunder should be amended, or if the present
interpretation thereof should change, and as a result the Company determines
that it is permitted to vote the shares of the Funds in its own right, it may
elect to do so.
The person having the voting interest under a Policy is the Policy Owner.
Unless otherwise required by applicable law, the number of votes as to which a
Policy Owner will have the right to instruct for any Portfolio will be
determined by dividing a Policy Owner's Account Value in the Subaccount which
corresponds to the Portfolio by $100. Fractional votes will be counted. The
number of votes as to which a Policy Owner will have the right to instruct will
be determined as of the date determined by the Company, but in no event shall
such date be more than 90 days prior to the date established by the respective
Fund for determining shareholders eligible to vote at the meeting of the
respective Fund. If required by the Securities and Exchange Commission, the
Company reserves the right to determine in a different fashion the voting rights
attributable to the shares of the respective Fund based upon the instructions
received from Policy Owners. Voting instructions may be cast in person or by
proxy.
Voting rights attributable to the Policy Owner's Account Value held in each
Subaccount for which no timely voting instructions are received will be voted by
the Company in the same proportion as the voting instructions which are received
in a timely manner for all Policies participating in that Subaccount. The
Company will also exercise the voting rights from assets in each Subaccount
which are not otherwise attributable to Policy Owners, if any, in the same
proportion as the voting instructions which are received in a timely manner for
all Policies participating in that Subaccount and generally will exercise voting
rights attributable to shares of Portfolios of the Funds held in its General
Account, if any, in the same proportion as
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<PAGE> 52
votes cast with respect to shares of Portfolios of the Funds held by the
Variable Account and other separate accounts of the Company, in the aggregate.
DISREGARD OF VOTING INSTRUCTIONS
The Company may, when required by state insurance regulatory authorities,
disregard voting instructions if the instructions require that voting rights be
exercised so as to cause a change in the subclassification or investment
objective of a Portfolio or to approve or disapprove an investment advisory
contract. In addition, the Company itself may disregard voting instructions of
changes initiated by Policy Owners in the investment policy or the investment
adviser (or portfolio manager) of a Portfolio, provided that the Company's
disapproval of the change is reasonable and is based on a good faith
determination that the change would be contrary to state law or otherwise
inappropriate, considering the Portfolio's objectives and purpose, and
considering the effect the change would have on the Company. In the event the
Company does disregard voting instructions, a summary of that action and the
reasons for such action will be included in the next report to Policy Owners.
REPORT TO POLICY OWNERS
A statement will be sent at least annually to each Policy Owner setting
forth a summary of the transactions which occurred since the last statement and
indicating the Target Death Benefit, Base Death Benefit, Specified Amount,
Account Value, Surrender Value, and any Outstanding Debt. In addition, the
statement will indicate the allocation of Account Value among the Guaranteed
Interest Account, the Loan Account and the Subaccounts and any other information
required by law. Confirmations will be sent out upon premium payments,
transfers, loans, loan repayments, and Partial and full surrenders.
Each Policy Owner will also receive an annual and a semiannual report
containing financial statements for the Variable Account and the Funds, the
latter of which will include a list of the portfolio securities of the Funds, as
required by the Investment Company Act of 1940, and/or such other reports as may
be required by federal securities laws.
SUBSTITUTION OF INVESTMENTS AND RIGHT TO CHANGE OPERATIONS
The Company reserves the right, subject to compliance with the law as then
in effect, to make additions to, deletions from, or substitutions for the
securities that are held by the Variable Account or any of its other separate
accounts or that the Variable Account or any of its other separate accounts may
purchase. If shares of any or all of the Portfolios of the Funds should no
longer be available for investment, or if, in the judgment of the Company's
management, further investment in shares of any or all Portfolios of the Funds
should become inappropriate in view of the purposes of the Policies, the Company
may substitute shares of another Portfolio of the Funds or of a different fund
for shares already purchased, or to be purchased in the future under the
Policies.
Where required, the Company will not substitute any shares attributable to
a Policy Owner's interest in a Variable Account without notice, Policy Owner
approval, or prior approval of the Securities and Exchange Commission and
without following the filing or other procedures established by applicable state
insurance regulators.
The Company also reserves the right to establish additional Subaccounts of
the Variable Account, each of which would invest in a new portfolio of the
Funds, or in shares of another investment company, a portfolio thereof, or
another suitable investment vehicle, with a specified investment objective. New
Subaccounts may be established when, in the sole discretion of the Company,
marketing needs or investment conditions warrant, and any new Subaccounts will
be made available to existing Policy Owners on a basis to be determined by the
Company. The Company may also eliminate one or more Subaccounts if, in its sole
discretion, marketing, tax, or investment conditions so warrant.
In the event of any such substitution or change, the Company may, by
appropriate endorsement, make such changes in this and other policies as may be
necessary or appropriate to reflect such substitution or
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change. If deemed by the Company to be in the best interests of persons having
voting rights under the Policies, the Variable Account may be operated as a
management investment company under the Investment Company Act of 1940 or any
other form permitted by law, it may be deregistered under that Act in the event
such registration is no longer required, or it may be combined with other
separate accounts of the Company or an affiliate thereof. Subject to compliance
with applicable law, the Company also may combine one or more Subaccounts and
may establish a committee, board, or other group to manage one or more aspects
of the operation of the Variable Account.
CHANGES TO COMPLY WITH LAW
The Company reserves the right to make any change without consent of Policy
Owners to the provisions of the Policy to comply with, or give Policy Owners the
benefit of, any Federal or State statute, rule, or regulation, including but not
limited to requirements for life insurance contracts under the Internal Revenue
Code, under regulations of the United States Treasury Department or any state.
PERFORMANCE INFORMATION
Performance information for the Subaccounts of the Variable Account may
appear in advertisements, sales literature, or reports to Policy Owners or
prospective purchasers. Performance information in advertisements or sales
literature may be expressed in any fashion permitted under applicable law, which
may include presentation of a change in a Policy Owner's Account Value
attributable to the performance of one or more Subaccounts, or as a change in
Policy Owner's death benefit. Performance quotations may be expressed as a
change in a Policy Owner's Account Value over time or in terms of the average
annual compounded rate of return on the Policy Owner's Account Value, based upon
a hypothetical Policy in which premiums have been allocated to a particular
Variable Account over certain periods of time that will include one, five and
ten years, or from the commencement of operations of the Variable Account if
less than one, five, or ten years. Any such quotation may reflect the deduction
of all applicable charges to the Policy including premium load, the cost of
insurance, the administrative charge, and the mortality and expense risk charge.
The quotation may also reflect the refund of the Sales Charge, if applicable, by
assuming a surrender at the end of the particular period, although other
quotations may simultaneously be given that do not assume a surrender and do not
take into account refund of the Sales Charge.
Performance information for the Variable Account may be compared, in
advertisements, sales literature, and reports to Policy Owners to: (i) other
variable life separate accounts or investment products tracked by research
firms, ratings services, companies, publications, or persons who rank separate
accounts or investment products on overall performance or other criteria; and
(ii) the Consumer Price Index (measure for inflation) to assess the real rate of
return from the purchase of a Policy. Reports and promotional literature may
also contain the Company's rating or a rating of the Company's claim paying
ability as determined by firms that analyze and rate insurance companies and by
nationally recognized statistical rating organizations.
Performance information for any Subaccount of the Variable Account reflects
only the performance of a hypothetical Policy whose Account Value is allocated
to the Variable Account during a particular time period on which the
calculations are based. Performance information should be considered in light of
the investment objectives and policies, characteristics and quality of the
Portfolios of the Funds in which the Variable Account invests, and the market
conditions during the given period of time, and should not be considered as a
representation of what may be achieved in the future.
THE GUARANTEED INTEREST ACCOUNT
Policy Owners may allocate all or a portion of their net premiums and
transfer Account Value to the Guaranteed Interest Account of the Company.
Amounts allocated to the Guaranteed Interest Account become part of the "General
Account" of the Company, which supports insurance and annuity obligations.
Descriptions of the Guaranteed Interest Account are included in this Prospectus
for the convenience of the Purchaser. The Guaranteed Interest Account and the
General Account of the Company have not been
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registered under the Securities Act of 1933 and the Investment Company Act of
1940. Accordingly, neither the Guaranteed Interest Account nor any interest
therein is generally subject to the provisions of these Acts and, as a result,
the staff of the Securities and Exchange Commission has not reviewed the
disclosure in this prospectus relating to the Guaranteed Interest Account.
Disclosures regarding the Guaranteed Interest Account may, however, be subject
to certain generally applicable provisions of the federal securities laws
relating to the accuracy and completeness of statements made in the prospectus.
For more details regarding the Guaranteed Interest Account, see the Policy.
GENERAL DESCRIPTION
Amounts allocated to the Guaranteed Interest Account become part of the
General Account of Company which consists of all assets owned by the Company
other than those in the Variable Account and other separate accounts of the
Company. Subject to applicable law, the Company has sole discretion over the
investment of the assets of its General Account.
The Policy Owner may elect to allocate net premiums to the Guaranteed
Interest Account, the Variable Account, or both. The Policy Owner may also
transfer Account Value from the Subaccounts of the Variable Account to the
Guaranteed Interest Account, or from the Guaranteed Interest Account to the
Subaccounts, subject to the limitations described below. The Company guarantees
that the Account Value in the Guaranteed Interest Account will be credited with
a minimum interest rate of 0.010746% daily, compounded daily, for a minimum
effective annual rate of 4.0%. Such interest will be paid regardless of the
actual investment experience of the Guaranteed Interest Account. In addition,
Company may in its sole discretion declare current interest in excess of the
4.0% annual rate. After the tenth Policy anniversary, it is expected the annual
interest rates that apply to the Account Value in the Guaranteed Interest
Account will be 0.3% higher than otherwise applicable.
The Company bears the full investment risk for the Account Value allocated
to the Guaranteed Interest Account.
LIMITATIONS ON AMOUNTS IN THE GUARANTEED INTEREST ACCOUNT
No net premium or transfer to the Guaranteed Interest Account will be
accepted which would cause the Guaranteed Interest Account to exceed $250,000 on
the date of payment or transfer. The Company reserves the right to increase or
decrease this limit in the future. For payments which exceed the limit, the
Company will accept the portion of the payment up to $250,000 and will return
the excess payment to the Policy Owner. For transfers which exceed the limit,
the Company will accept the portion of the transfer up to the $250,000. The
amount of the requested transfer which would otherwise cause the Guaranteed
Interest Account to exceed $250,000 will be retained in the Subaccounts in the
same proportion that the amount actually transferred bears to the total
requested transfer amount. These limits are waived in the event the Policy Owner
elects the Right to Exchange Policy. See "Right to Exchange Policy", page 30.
POLICY CHARGES
Deductions from premium and all monthly deductions from the Account Value,
other than the mortality and expense risk fee, will be the same for Policy
Owners who allocate net premiums or transfer Account Value to the Guaranteed
Interest Account as for Policy Owners who allocate net premiums to the
Subaccounts. These charges include the sales and tax charges and the charges for
the cost of insurance, administrative charge, issue charge and the charge for
the Term Insurance Rider. Fees for Partial Surrenders and transfer charges will
also be deducted from the Guaranteed Interest Account. The mortality and expense
risk fee will not be charged against the Account Value allocated to the
Guaranteed Interest Account.
Charges applicable to the Portfolios, including the operating expenses of
the Portfolios, as well as the investment advisory fee charged by the Portfolio
managers, will not be paid directly or indirectly by Policy Owners to the extent
the Account Value is allocated to the Guaranteed Interest Account. Any amounts
that the Company pays for income taxes allocable to the Subaccounts will not be
charged against the Guaranteed Interest Account. However, it is important to
remember that Policy Owners will not participate in the
45
<PAGE> 55
investment experience of the Subaccounts to the extent that Account Values are
allocated to the Guaranteed Interest Account.
TRANSFERS
Amounts may be transferred after the Free Look Period from the Subaccounts
to the Guaranteed Interest Account and from the Guaranteed Interest Account to
the Subaccounts, subject to the following limitations.
Transfers to the Guaranteed Interest Account may be made at any time and in
any amount, subject to the $250,000 limit on total amounts allocated to the
Guaranteed Interest Account referenced above. These limits are waived in the
event the Policy Owner elects the Right to Exchange the Policy. See "Right to
Exchange Policy", page 30.
Transfers from the Guaranteed Interest Account to the Subaccounts are
limited to one in any Policy year. Further, transfers from the Guaranteed
Interest Account are limited to the greater of $5,000 and 25% of the Account
Value allocated to the Guaranteed Interest Account on the date of the transfer.
Transfers from the Guaranteed Interest Account may only be made during the time
period which begins on the Policy Anniversary and which ends 30 days after the
Policy Anniversary. If the transfer request is received on the Policy
Anniversary, it will be processed as of the Policy Anniversary; if it is
received within 30 days after the Policy Anniversary, the transfer will be
effective as of the Valuation Date when it is received. Any request received
within 10 days before the Policy Anniversary will be deemed received on the
Policy Anniversary. Any transfer requests received at other times will not be
honored, and will be returned to the Policy Owner.
The Company assesses a $50 charge on transfers of Account Value between the
Subaccounts or between the Guaranteed Interest Account and the Subaccounts which
exceed twelve in any Policy year. In addition, the Company reserves the right to
impose other limitations on the number of transfers, the amount of transfers,
and the amount remaining in the Guaranteed Interest Account or Subaccounts after
a transfer.
SURRENDERS AND POLICY LOANS
The Policy Owner may also make full surrenders and Partial Surrenders from
the Guaranteed Interest Account to the same extent as a Policy Owner who has
invested in the Subaccounts. See "Full Surrender," page 32, and "Partial
Surrenders", page 32. Transfers and surrenders payable from the Guaranteed
Interest Account, and the payment of Policy loans allocated to the Guaranteed
Interest Account, may be delayed for up to six months.
MORE ABOUT THE POLICY
OWNERSHIP
The Policy Owner is the individual named as such in the application or in
any later change shown in the Company's records. While the Insured is living,
the Policy Owner alone has the right to receive all benefits and exercise all
rights that the Policy grants or the Company allows.
JOINT OWNERS
If more than one person is named as Policy Owner, they are joint owners.
Any Policy transaction requires the signature of all persons named jointly.
Unless otherwise provided, if a joint owner dies, ownership passes to the
surviving joint owner(s). When the last joint owner dies, ownership passes
through that person's estate, unless otherwise provided.
BENEFICIARY
The Beneficiary is the individual named as such in the application or any
later change shown in the Company's records. The Policy Owner may change the
Beneficiary at any time during the life of the Insured by written request on
forms provided by the Company, which must be received by the Company at the
46
<PAGE> 56
Customer Service Center. The change will be effective as of the date this form
is signed. Contingent and/or concurrent Beneficiaries may be designated. The
Policy Owner may designate a permanent Beneficiary, whose rights under the
Policy cannot be changed without his or her consent. Unless otherwise provided,
if no designated Beneficiary is living upon the death of the Insured, the Policy
Owner or the Policy Owner's estate is the Beneficiary.
The Company will pay the death benefit proceeds to the Beneficiary. Unless
otherwise provided, in order to receive proceeds at the Insured's death, the
Beneficiary must be living at the time of the Insured's death.
THE POLICY
This Policy is a contract between the Policy Owner and the Company. The
entire contract consists of the Policy, a copy of the initial application, all
subsequent applications to change the Policy, any endorsements, all Riders, and
all additional Policy information sections (specification pages) added to the
Policy.
NOTIFICATION AND CLAIMS PROCEDURES
Any election, designation, change, assignment, or request made by the
Policy Owner must be in writing on a form acceptable to the Company. The Company
is not liable for any action taken before such written notice is received and
recorded. The Company may require that the Policy be returned for any Policy
change or upon its surrender.
In the event of an Insured's death while the Policy is in force notice
should be given to the Company at the Customer Service Center as soon as
possible. Claim procedure instructions will be sent immediately. As due proof of
death, the Company may require proof of Age and a certified copy of a death
certificate. The Company may also require the Beneficiary and the Insured's next
of kin to sign authorizations as part of this process. These authorization forms
allow the Company to obtain information about the Insured, including but not
limited to medical records of physicians and hospitals used by the Insured.
PAYMENTS
The Company will pay death benefit proceeds, the Surrender Value on
surrender, Partial Surrenders, and loan proceeds based on allocations made to
the Subaccounts, and will effect a transfer between Subaccounts or from the
Variable Account to the Guaranteed Interest Account within seven days after the
Company receives all the information needed to process a payment.
However, the Company can postpone the calculation or payment of such a
payment or transfer of amounts based on investment performance of the
Subaccounts if:
- - The New York Stock Exchange is closed on other than customary weekend and
holiday closing or trading on the New York Stock Exchange is restricted as
determined by the SEC; or
- - An emergency exists, as determined by the SEC, as a result of which disposal
of securities is not reasonably practicable or it is not reasonably
practicable to determine the value of the Account's net assets; or
- - The SEC by order permits postponement for the protection of Policy Owners.
PAYMENT PLAN/SETTLEMENT PROVISIONS
Maturity or surrender benefits may be used to purchase a payment plan
providing monthly income for the lifetime of the Insured, and death benefit
proceeds may be used to purchase a payment plan providing monthly income for the
lifetime of the Beneficiary. The monthly payments consisting of proceeds plus
interest will be paid in equal installments for at least ten years. The purchase
rates for the payment plan are guaranteed not to exceed those shown in the
Policy, but current rates that are lower (i.e., providing greater income) may be
established by the Company from time to time. This benefit is not available if
the income would be less than $25 a month. Maturity or surrender benefits or
death benefit proceeds may be used to purchase any other payment plan that the
Company makes available at that time.
47
<PAGE> 57
PAYMENT IN CASE OF SUICIDE
If the Insured dies by suicide, while sane or insane, within two years from
the Policy Date or Reinstatement Date, the Company will limit the death benefit
proceeds to the premium payments less any Partial Surrender amounts (and their
fees) and less any Outstanding Debt. If an Insured dies by suicide, while sane
or insane, within two years of the effective date of any increase in the
Specified Amount, the Company will refund the cost of insurance charges made
with respect to such increase.
ASSIGNMENT
The Policy Owner may assign a Policy as collateral security for a loan or
other obligation. No assignment will bind the Company unless the original, or a
copy, is received at the Customer Service Center and it will be effective only
when recorded by the Company. An assignment does not change the ownership of the
Policy. However, after an assignment, the rights of any Policy Owner or
Beneficiary will be subject to the assignment. The entire Policy, including any
attached payment option or Rider, will be subject to the assignment. The Company
will rely solely on the assignee's statement as to the amount of the assignee's
interest. The Company will not be responsible for the validity of any
assignment. Unless otherwise provided, the assignee may exercise all rights this
Policy grants except (a) the right to change the Policy Owner or Beneficiary;
and (b) the right to elect a payment option. Assignment of a Policy that is a
modified endowment contract may generate taxable income. (See "Federal Income
Tax Considerations", page 38.)
ERRORS ON THE APPLICATION
If the Age or gender of the Insured has been misstated, the death benefit
under this Policy will be the greater of that which would be purchased by the
most recent cost of insurance charge at the correct Age and gender, or the death
benefit derived by multiplying the Account Value by the applicable Death Benefit
Percentage for the correct Age and gender. If unisex cost of insurance rates
apply, no adjustment will be made for a misstatement of sex. See "Cost of
Insurance", page 35.
INCONTESTABILITY
The Company may contest the validity of this Policy if any material
misstatements are made in the application. However, the Policy will be
incontestable as follows: the initial Specified Amount cannot be contested after
the Policy has been in force during the Insured's lifetime for two years from
the Policy Date; and an increase in the Specified Amount or any reinstatement
cannot be contested after the increase or the reinstated policy has been in
force during an Insured's lifetime for two years from its effective date.
POLICY ILLUSTRATIONS
Upon request, the Company will send the Policy Owner an illustration of
future benefits under the Policy based on both guaranteed and current cost
assumptions.
DISTRIBUTION OF THE POLICY
MONY Securities Corp. ("MSC"), a wholly owned subsidiary of the Company, is
principal underwriter (distributor) of the Policies. MSC is registered as a
broker-dealer under the Securities Exchange Act of 1934 and is a member of the
National Association of Securities Dealers. The Policies are sold by individuals
who are registered representatives of MSC and who are also licensed as life
insurance agents for the Company. The Policies may also be sold through other
broker/dealers authorized by MSC and applicable law to do so.
Except where MSC has authorized other broker/dealers to sell the Policies
(as described in the preceding paragraph), compensation payable for the sale of
the Policies will be based upon the following schedule. After issue of the
Contract, commissions will equal at most 15 percent of Target Premiums paid in
Policy years 1 and 2, 12% of Target Premiums paid in Policy years 3 through 5,
and 10% of Target Premiums paid in Policy years 6 through 10. For premiums paid
in Policy years 1 through 10 in excess of the Target Premiums, and for all
premium amounts paid after the tenth Policy anniversary, commissions will equal
at
48
<PAGE> 58
most three percent (3%) of any premiums. In addition, for so long as the Policy
shall remain in force, a commission of up to .20 percent of the Account Value
allocated to the Subaccounts may be paid. Upon any subsequent unscheduled
increase in Specified Amount, the same commission rates will apply to the
premium amounts allocated to the new coverage segment. Further, registered
representatives may be eligible to receive certain bonuses and other benefits
based on the amount of earned commissions.
Commissions may be required to be repaid to the Company if Sales Charges
are refunded upon a Full Surrender or Partial Surrender of the Policy or upon
exercise of the exchange privileges during the first 24 months after the Policy
Date.
In addition, registered representatives who meet specified production
levels may qualify, under sales incentive programs adopted by the Company, to
receive noncash compensation such as expense-paid trips, expense-paid
educational seminars and merchandise. The Company makes no separate deductions,
other than previously described, from premiums to pay sales commissions or sales
expenses.
MORE ABOUT THE COMPANY
MANAGEMENT
The directors and officers of the Company are listed below. The business
address for all directors and officers of MONY Life Insurance Company of America
is 1740 Broadway, New York, New York 10019.
Current Officers and Directors of MONY America are:
<TABLE>
<CAPTION>
NAME POSITION AND OFFICES WITH DEPOSITOR
--------------------------------------- ------------------------------------------------
<S> <C>
Michael I. Roth........................ Director, Chairman and Chief Executive Officer
Samuel J. Foti......................... Director, President and Chief Operating Officer
Richard E. Connors..................... Director
Richard Daddario....................... Director, Vice President, and Controller
Kenneth M. Levine...................... Director and Executive Vice president
Theodore J. Shalack.................... Director and Vice President
Stephen J. Hall........................ Director
Charles D. Wyckoff..................... Director
Phillip A. Eisenberg................... Vice President and Actuary
Sam Chiodo............................. Vice President
Thomas M. Donohue...................... Vice President
Margaret G. Gale....................... Vice President
Michael Slipowitz...................... Vice President
Edward E. Hill......................... Vice President--Chief Compliance Officer
Evelyn L. Peos......................... Vice President
David S. Waldman....................... Secretary
David V. Weigel........................ Treasurer
</TABLE>
No officer or director listed above receives any compensation from the
Variable Account. No separately allocable compensation has been paid by the
Company or any of its affiliates to any person listed for services rendered to
the Account.
STATE REGULATION
The Company is subject to the laws of the state of Arizona governing
insurance companies and to regulation by the Commissioner of Insurance of
Arizona. In addition, it is subject to the insurance laws and regulations of the
other states and jurisdictions in which it is licensed or may become licensed to
operate. An annual statement in a prescribed form must be filed with the
Commissioner of Insurance of Arizona and with regulatory authorities of other
states on or before March 1st in each year. This statement covers the operations
of the Company for the preceding year and its financial condition as of December
31st of that year. The
49
<PAGE> 59
Company's affairs are subject to review and examination at any time by the
Commissioner of Insurance or his agents, and subject to full examination of
Company's operations at periodic intervals.
RECORDS AND ACCOUNTS
Andesa, TPA, Inc., Suite 502, 1605 N. Cedar Crest Boulevard, Allentown,
Pennsylvania, 18104, will act as transfer agent on behalf of the Company as it
relates to the policies described in this Prospectus. In the role of transfer
agent, Andesa will perform administrative functions, such as decreases,
increases, surrenders, and partial surrenders, fund allocation changes and
transfers on behalf of the Company.
All records and accounts relating to the Separate Account and the Funds
will be maintained by the Company. All financial transactions will be handled by
the Company. All reports required to be made and information required to be
given will be provided by Andesa on behalf of the Company.
LEGAL PROCEEDINGS
There are no legal proceedings pending to which the Variable Account is a
party, or which would materially affect the Variable Account.
LEGAL MATTERS
Legal matters in connection with the issue and sale of the Policies
described in this Prospectus and the organization of the Company, its authority
to issue the Policies under Arizona law, and the validity of the forms of the
Policies under Arizona law have been passed on by the Vice President and Deputy
General Counsel of the Mutual of New York.
Legal matters relating to the federal securities and federal income tax
laws have been passed upon by Edward P. Bank, Vice President and Deputy General
Counsel of Mutual of New York.
EXPERTS
Actuarial matters included in this Prospectus have been examined by Evelyn
L. Peos, FSA, Vice President of MONY America, whose opinion is filed as an
exhibit to the Registration Statement.
REGISTRATION STATEMENT
A Registration Statement under the Securities Act of 1933 has been filed
with the SEC relating to the offering described in this Prospectus. This
Prospectus does not include all of the information set forth in the Registration
Statement, as portions have been omitted pursuant to the rules and regulations
of the SEC. The omitted information may be obtained at the SEC's principal
office in Washington, DC, upon payment of the SEC's prescribed fees.
INDEPENDENT ACCOUNTANTS
The audited financial statements for the Variable Account and for Company
included in this Prospectus and in the Registration Statement have been audited
by Coopers & Lybrand L.L.P., independent accountants, as indicated in their
reports thereon, and are included in reliance upon the authority of said firm as
experts in accounting and auditing. Coopers & Lybrand's office is located at
1301 Avenue of the Americas, New York, New York, 10019.
FINANCIAL STATEMENTS
The audited financial statements for the Variable Account as of December
31, 1995 and for the period then ended are set forth herein, starting on page
F-2. The audited financial statements of the Company as of and for the years
ended December 31, 1995 and December 31, 1994 are set forth herein starting on
page F-21.
The financial statements of the Variable Account as of December 31, 1995
and for the period then ended and of the Company as of and for the years ended
December 31, 1995 and December 31, 1994 have been audited by Coopers & Lybrand
L.L.P. The financial statements of the Company should be distinguished from the
financial statements of the Variable Account and should be considered only as
bearing upon the ability of the Company to meet its obligations under the
Policies.
50
<PAGE> 60
FINANCIAL STATEMENTS AND NOTES TO FINANCIAL STATEMENTS
INDEX TO FINANCIAL STATEMENTS
<TABLE>
<CAPTION>
PAGE
----
<S> <C>
With respect to MONY America Variable Account L:
Report of Independent Accountants................................................... F-2
Statements of assets and liabilities as of December 31, 1995........................ F-3
Statements of operations for the year ended December 31, 1995....................... F-5
Statements of changes in net assets for the years ended December 31, 1995 and
1994............................................................................. F-7
Notes to financial statements....................................................... F-9
Statements of assets and liabilities as of June 30, 1996 (unaudited)................ F-12
Statements of operations for the six months ended June 30, 1996 (unaudited)......... F-14
Statements of changes in net assets for the six months ended June 30, 1996
(unaudited) and for the year ended December 31, 1995............................. F-16
Notes to financial statements....................................................... F-19
With respect to MONY Life Insurance Company of America:
Report of Independent Accountants................................................... F-21
Balance sheets as of December 31, 1995 and 1994..................................... F-22
Statements of operations for the years ended December 31, 1995 and 1994............. F-23
Statements of capital and surplus for the years ended December 31, 1995 and 1994.... F-24
Statements of cash flows for the years ended December 31, 1995 and 1994............. F-25
Notes to financial statements....................................................... F-26
</TABLE>
F-1
<PAGE> 61
MONY SERIES FUND, INC.
REPORT OF INDEPENDENT ACCOUNTANTS
To the Board of Directors of
MONY Life Insurance Company of America and the
Contractholders of MONY America Variable Account L:
We have audited the accompanying statements of assets and liabilities of
MONY America Variable Account L (comprising, respectively, the Variable Life's
Equity Growth, Equity Income, Intermediate Term Bond, Long Term Bond,
Diversified and Money Market Subaccounts and the Variable Universal Life's
Intermediate Term Bond, Long Term Bond, Government Securities, Money Market,
Equity, Small Cap, Managed, International Growth and High Yield Bond Subaccounts
as of December 31, 1995, for the Variable Life's Subaccount the related
statements of operations for the year then ended and the statements of changes
in net assets for each of the two years in the period then ended, and for the
Variable Universal Life's Subaccounts the statements of operations and
statements of changes in net assets for the Intermediate Term Bond Subaccount
for which the period is from April 20, 1995 (commencement of operations) to
December 31, 1995, the Long Term Bond Subaccount for which the period is from
March 31, 1995 (commencement of operations) to December 31, 1995, the Government
Securities and High Yield Subaccounts for which the period is March 20, 1995
(commencement of operations) to December 31, 1995, the Money Market Subaccount
for which the period is from February 17, 1995 (commencement of operations) to
December 31, 1995, the Equity, Managed and International Subaccounts for which
the period is from March 8, 1995 (commencement of operations) to December 31,
1995, and the Small Cap Subaccounts for which the period is from March 9, 1995
(commencement of operations) to December 31, 1995. These financial statements
are the responsibility of MONY America's management. Our responsibility is to
express an opinion on these financial statements based on our audits.
We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. Our procedures included
confirmation of securities owned as of December 31, 1995, by correspondence with
the custodian. An audit also includes assessing the accounting principles used
and significant estimates made by management, as well as evaluating the overall
financial statement presentation. We believe that our audits provide a
reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly,
in all material respects, the financial position of each of the respective
subaccounts constituting MONY America Variable Account L as of December 31,
1995, the results of their operations, and the changes in their net assets for
each of the periods referred to above, in conformity with generally accepted
accounting principles.
COOPERS & LYBRAND L.L.P.
New York, New York
February 19, 1996
F-2
<PAGE> 62
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF ASSETS AND LIABILITIES
DECEMBER 31, 1995
<TABLE>
<CAPTION>
VARIABLE LIFE
---------------------------------------------------------------------------
EQUITY EQUITY INTERMEDIATE LONG TERM MONEY
GROWTH INCOME TERM BOND BOND DIVERSIFIED MARKET
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
---------- ---------- ---------- ---------- ---------- ----------
<S> <C> <C> <C> <C> <C> <C>
ASSETS
Investments at cost (Note 4).... $ 493,463 $ 499,432 $ 180,391 $ 95,586 $ 854,895 $ 90,294
========= ========= ========= ========= ========= =========
Investments in MONY Series Fund,
Inc. at net asset value (Note
2)............................ $ 551,041 $ 605,183 $ 182,778 $ 106,118 $ 989,489 $ 90,294
Amount due from MONY America.... 0 9 0 0 65 6
Amount due from MONY Series
Fund, Inc. ................... 239 338 91 1 357 4
---------- ---------- ---------- ---------- ---------- ----------
Total assets.......... 551,280 605,530 182,869 106,119 989,911 90,304
---------- ---------- ---------- ---------- ---------- ----------
LIABILITIES
Amount due to MONY America...... 239 338 91 1 357 4
Amount due to MONY Series
Fund, Inc. ................... 0 9 0 0 65 6
---------- ---------- ---------- ---------- ---------- ----------
Total liabilities..... 239 347 91 1 422 10
---------- ---------- ---------- ---------- ---------- ----------
Net assets...................... $ 551,041 $ 605,183 $ 182,778 $ 106,118 $ 989,489 $ 90,294
========= ========= ========= ========= ========= =========
Net assets consist of:
Contractholders' net
payments................. $ 531,034 $ 578,333 $ 207,122 $ 124,860 $1,050,514 $ 192,695
Cost of insurance
withdrawals (Note 3)..... (323,941) (413,683) (173,922) (129,844) (784,109) (172,053)
Undistributed net
investment income........ 118,647 253,780 155,523 95,530 461,971 69,652
Accumulated net realized
gains (loss) on
investments.............. 167,723 81,002 (8,332) 5,040 126,519 0
Unrealized appreciation of
investments.............. 57,578 105,751 2,387 10,532 134,594 0
---------- ---------- ---------- ---------- ---------- ----------
Net assets...................... $ 551,041 $ 605,183 $ 182,778 $ 106,118 $ 989,489 $ 90,294
========= ========= ========= ========= ========= =========
Number of units outstanding*.... 15,643 16,377 8,556 3,869 35,607 5,499
---------- ---------- ---------- ---------- ---------- ----------
Net asset value per unit
outstanding................... $ 35.23 $ 36.95 $ 21.36 $ 27.43 $ 27.79 $ 16.42
========= ========= ========= ========= ========= =========
</TABLE>
- ---------------
* Units outstanding have been rounded for presentation purposes.
See notes to financial statements.
F-3
<PAGE> 63
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF ASSETS AND LIABILITIES (CONTINUED)
DECEMBER 31, 1995
<TABLE>
<CAPTION>
VARIABLE UNIVERSAL LIFE
-----------------------------------------------------------------------------
INTERMEDIATE LONG TERM GOVERNMENT MONEY
TERM BOND BOND SECURITIES MARKET EQUITY SMALL CAP
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
------------ ---------- ---------- ---------- ---------- ----------
<S> <C> <C> <C> <C> <C> <C>
ASSETS
Investments at cost (Note 4)...................... $ 27,635 $261,535 $172,086 $1,700,817 $1,021,263 $604,890
=========== ========== ========== ========== ========== ==========
Investments in Enterprise Accumulation Trust at
net asset value (Note 2)........................ $ 0 $ 0 $ 0 $ 0 $1,044,476 $600,827
Investments in MONY Series Fund, Inc. at net asset
value (Note 2).................................. 26,720 269,812 171,378 1,700,817 0 0
Amount due from Enterprise Accumulation Trust..... 0 0 0 0 364 306
Amount due from MONY America...................... 0 22 0 29,305 375 483
Amount due from MONY Series Fund, Inc............. 13 6 23 7 0 0
------------ ---------- ---------- ---------- ---------- ----------
Total assets.............................. 26,733 269,840 171,401 1,730,129 1,045,215 601,616
------------ ---------- ---------- ---------- ---------- ----------
LIABILITIES
Amount due to Enterprise Accumulation Trust....... 0 0 0 0 375 483
Amount due to MONY America........................ 13 6 23 7 364 306
Amount due to MONY Series Fund, Inc............... 0 22 0 29,305 0 0
------------ ---------- ---------- ---------- ---------- ----------
Total liabilities......................... 13 28 23 29,312 739 789
------------ ---------- ---------- ---------- ---------- ----------
Net assets........................................ $ 26,720 $269,812 $171,378 $1,700,817 $1,044,476 $600,827
=========== ========== ========== ========== ========== ==========
Net assets consist of:
Contractholders' net payments................. $ 27,817 $254,451 $171,675 $1,710,823 $1,065,456 $644,769
Cost of insurance withdrawals (Note 3)........ (1,970) (8,040) (4,816) (30,382 ) (92,752 ) (66,072)
Undistributed net investment income........... 1,414 13,958 5,094 20,376 25,168 16,433
Accumulated net realized gains on
investments................................. 374 1,166 133 0 23,391 9,760
Unrealized appreciation (depreciation) of
investments................................. (915) 8,277 (708) 0 23,213 (4,063)
------------ ---------- ---------- ---------- ---------- ----------
Net assets........................................ $ 26,720 $269,812 $171,378 $1,700,817 $1,044,476 $600,827
=========== ========== ========== ========== ========== ==========
Number of units outstanding*...................... 2,464 22,127 15,959 163,465 80,766 52,194
------------ ---------- ---------- ---------- ---------- ----------
Net asset value per unit outstanding.............. $ 10.84 $ 12.19 $ 10.74 $ 10.40 $ 12.93 $ 11.51
=========== ========== ========== ========== ========== ==========
<CAPTION>
INTERNATIONAL HIGH YIELD
MANAGED GROWTH BOND
SUBACCOUNT SUBACCOUNT SUBACCOUNT
---------- ------------- ----------
<S> <C> <C> <C>
ASSETS
Investments at cost (Note 4)...................... $6,147,845 $ 379,526 $352,348
========== =========== ==========
Investments in Enterprise Accumulation Trust at
net asset value (Note 2)........................ $6,239,963 $ 379,417 $352,709
Investments in MONY Series Fund, Inc. at net asset
value (Note 2).................................. 0 0 0
Amount due from Enterprise Accumulation Trust..... 15,893 202 61
Amount due from MONY America...................... 1,689 376 173
Amount due from MONY Series Fund, Inc............. 0 0 0
---------- ------------- ----------
Total assets.............................. 6,257,545 379,995 352,943
---------- ------------- ----------
LIABILITIES
Amount due to Enterprise Accumulation Trust....... 1,689 376 173
Amount due to MONY America........................ 15,893 202 61
Amount due to MONY Series Fund, Inc............... 0 0 0
---------- ------------- ----------
Total liabilities......................... 17,582 578 234
---------- ------------- ----------
Net assets........................................ $6,239,963 $ 379,417 $352,709
========== =========== ==========
Net assets consist of:
Contractholders' net payments................. $6,329,873 $ 389,734 $362,971
Cost of insurance withdrawals (Note 3)........ (489,373 ) (34,312) (18,214)
Undistributed net investment income........... 184,073 17,938 7,401
Accumulated net realized gains on
investments................................. 123,272 6,166 190
Unrealized appreciation (depreciation) of
investments................................. 92,118 (109) 361
---------- ------------- ----------
Net assets........................................ $6,239,963 $ 379,417 $352,709
========== =========== ==========
Number of units outstanding*...................... 465,095 31,566 31,730
---------- ------------- ----------
Net asset value per unit outstanding.............. $ 13.42 $ 12.02 $ 11.12
========== =========== ==========
</TABLE>
- ---------------
* Units outstanding have been rounded for presentation purposes.
See notes to financial statements.
F-4
<PAGE> 64
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF OPERATIONS
FOR THE YEAR ENDED DECEMBER 31, 1995
<TABLE>
<CAPTION>
VARIABLE LIFE
-----------------------------------------------------------------------------
EQUITY EQUITY INTERMEDIATE LONG TERM MONEY
GROWTH INCOME TERM BOND BOND DIVERSIFIED MARKET
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
---------- ---------- ------------ ---------- ---------- ----------
<S> <C> <C> <C> <C> <C> <C>
Dividend income..................... $ 36,269 $ 31,156 $ 10,214 $ 5,730 $ 52,334 $ 6,355
Mortality and expense risk charges
(Note 3).......................... 2,810 3,334 1,049 629 5,530 693
-------- -------- ------- ------- -------- ------
Net investment income............... 33,459 27,822 9,165 5,101 46,804 5,662
-------- -------- ------- ------- -------- ------
Realized and unrealized gain on
investments (Note 2):
Proceeds from sales............... 201,342 154,706 30,377 41,657 185,053 264,962
Cost of shares sold............... 171,034 115,616 28,318 36,449 149,611 264,962
-------- -------- ------- ------- -------- ------
Net realized gains on investments... 30,308 39,090 2,059 5,208 35,442 0
Net increase in unrealized
appreciation of investments....... 57,362 88,922 11,732 16,634 125,651 0
-------- -------- ------- ------- -------- ------
Net realized and unrealized gains on
investments....................... 87,670 128,012 13,791 21,842 161,093 0
-------- -------- ------- ------- -------- ------
Net increase in net assets resulting
from operations................... $121,129 $155,834 $ 22,956 $ 26,943 $207,897 $ 5,662
======== ======== ======= ======= ======== ======
</TABLE>
See notes to financial statements.
F-5
<PAGE> 65
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF OPERATIONS (CONTINUED)
<TABLE>
<CAPTION>
VARIABLE UNIVERSAL LIFE
------------------------------------------------------------------------------------------
INTERMEDIATE LONG TERM GOVERNMENT MONEY
TERM BOND BOND SECURITIES MARKET EQUITY
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
--------------- --------------- --------------- ------------------ ---------------
FOR THE PERIOD FOR THE PERIOD FOR THE PERIOD FOR THE PERIOD FOR THE PERIOD
APRIL 20, MARCH 31, MARCH 20, FEBRUARY 17, MARCH 8,
1995* 1995* 1995* 1995* 1995*
THROUGH THROUGH THROUGH THROUGH THROUGH
DECEMBER 31, DECEMBER 31, DECEMBER 31, DECEMBER 31, DECEMBER 31,
1995 1995 1995 1995 1995
--------------- --------------- --------------- ------------------ ---------------
<S> <C> <C> <C> <C> <C>
Dividend income.................. $ 1,489 $14,565 $ 5,452 $ 23,644 $ 27,509
Mortality and expense risk
charges (Note 3)............... 75 607 358 3,268 2,341
------- ------- ------- ---------- --------
Net investment income............ 1,414 13,958 5,094 20,376 25,168
------- ------- ------- ---------- --------
Realized and unrealized gains on
investments (Note 2):
Proceeds from sales............ 14,675 23,454 20,277 8,312,134 187,733
Cost of shares sold............ 14,301 22,288 20,144 8,312,134 164,342
------- ------- ------- ---------- --------
Net realized gains on
investments.................... 374 1,166 133 0 23,391
Net increase (decrease) in
unrealized appreciation of
investments.................... (915) 8,277 (708) 0 23,213
------- ------- ------- ---------- --------
Net realized and unrealized gains
(losses) on investments........ (541) 9,443 (575) 0 46,604
------- ------- ------- ---------- --------
Net increase in net assets
resulting from operations...... $ 873 $23,401 $ 4,519 $ 20,376 $ 71,772
======= ======= ======= ========== ========
<CAPTION>
INTERNATIONAL HIGH YIELD
SMALL CAP MANAGED GROWTH BOND
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
--------------- --------------- --------------- ---------------
FOR THE PERIOD FOR THE PERIOD FOR THE PERIOD FOR THE PERIOD
MARCH 9, MARCH 8, MARCH 8, MARCH 20,
1995* 1995* 1995* 1995*
THROUGH THROUGH THROUGH THROUGH
DECEMBER 31, DECEMBER 31, DECEMBER 31, DECEMBER 31,
1995 1995 1995 1995
--------------- --------------- --------------- ---------------
<S> <C> <C> <C> <C>
Dividend income.................. $17,779 $ 197,666 $18,775 $ 8,030
Mortality and expense risk
charges (Note 3)............... 1,346 13,593 837 629
-------- ---------- ------- --------
Net investment income............ 16,433 184,073 17,938 7,401
-------- ---------- ------- --------
Realized and unrealized gains on
investments (Note 2):
Proceeds from sales............ 156,201 1,299,150 85,432 112,342
Cost of shares sold............ 146,441 1,175,878 79,266 112,152
-------- ---------- ------- --------
Net realized gains on
investments.................... 9,760 123,272 6,166 190
Net increase (decrease) in
unrealized appreciation of
investments.................... (4,063) 92,118 (109) 361
-------- ---------- ------- --------
Net realized and unrealized gains
(losses) on investments........ 5,697 215,390 6,057 551
-------- ---------- ------- --------
Net increase in net assets
resulting from operations...... $22,130 $ 399,463 $23,995 $ 7,952
======== ========== ======= ========
</TABLE>
- ---------------
* Commencement of operations.
See notes to financial statements.
F-6
<PAGE> 66
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF CHANGES IN NET ASSETS
FOR THE YEARS ENDED DECEMBER 31,
<TABLE>
<CAPTION>
VARIABLE LIFE
-------------------------------------------------------------------------------------
EQUITY GROWTH EQUITY INCOME INTERMEDIATE TERM LONG TERM
SUBACCOUNT SUBACCOUNT BOND SUBACCOUNT BOND SUBACCOUNT
------------------- ------------------- ------------------- -------------------
1995 1994 1995 1994 1995 1994 1995 1994
-------- -------- -------- -------- -------- -------- -------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
From operations:
Net investment income...................... $ 33,459 $ 6,953 $ 27,822 $ 29,418 $ 9,165 $ 8,849 $ 5,101 $ 6,859
Net realized gains on investments.......... 30,308 9,428 39,090 11,825 2,059 765 5,208 1,489
Net increase (decrease) in unrealized
appreciation of investments.............. 57,362 (10,655) 88,922 (40,147) 11,732 (13,415) 16,634 (16,392)
-------- -------- -------- -------- -------- -------- -------- --------
Net increase (decrease) in net assets
resulting from operations.................. 121,129 5,726 155,834 1,096 22,956 (3,801) 26,943 (8,044)
-------- -------- -------- -------- -------- -------- -------- --------
From unit transactions:
Net proceeds from the issuance of units.... 246,538 40,449 56,024 49,919 13,113 12,962 7,195 6,144
Net asset value of units redeemed or used
to meet contract obligations............. 164,237 118,555 132,231 79,426 23,804 21,236 29,360 18,657
-------- -------- -------- -------- -------- -------- -------- --------
Net increase (decrease) from unit
transactions............................... 82,301 (78,106) (76,207) (29,507) (10,691) (8,274) (22,165) (12,513)
-------- -------- -------- -------- -------- -------- -------- --------
Net increase (decrease) in net assets........ 203,430 (72,380) 79,627 (28,411) 12,265 (12,075) 4,778 (20,557)
Net assets beginning of year................. 347,611 419,991 525,556 553,967 170,513 182,588 101,340 121,897
-------- -------- -------- -------- -------- -------- -------- --------
Net assets end of year*...................... $551,041 $347,611 $605,183 $525,556 $182,778 $170,513 $106,118 $101,340
======== ======== ======== ======== ======== ======== ======== ========
Units outstanding beginning of year.......... 12,809 15,712 18,826 19,878 9,112 9,552 4,777 5,361
Units issued during the year................. 8,221 1,506 1,763 1,767 652 692 296 290
Units redeemed during the year............... 5,387 4,409 4,212 2,819 1,208 1,132 1,204 874
-------- -------- -------- -------- -------- -------- -------- --------
Units outstanding end of year................ 15,643 12,809 16,377 18,826 8,556 9,112 3,869 4,777
======== ======== ======== ======== ======== ======== ======== ========
- ---------------
*Includes undistributed net investment income
of: $118,647 $ 85,188 $253,780 $225,958 $155,523 $146,358 $ 95,530 $ 90,429
<CAPTION>
DIVERSIFIED MONEY MARKET
SUBACCOUNT SUBACCOUNT
------------------- -------------------
1995 1994 1995 1994
-------- -------- -------- --------
<S> <C> <C> <C> <C>
From operations:
Net investment income...................... $ 46,804 $ 23,875 $ 5,662 $ 5,483
Net realized gains on investments.......... 35,442 17,533 0 0
Net increase (decrease) in unrealized
appreciation of investments.............. 125,651 (38,475) 0 0
-------- -------- -------- --------
Net increase (decrease) in net assets
resulting from operations.................. 207,897 2,933 5,662 5,483
-------- -------- -------- --------
From unit transactions:
Net proceeds from the issuance of units.... 90,610 95,640 137,395 93,348
Net asset value of units redeemed or used
to meet contract obligations............. 145,580 148,999 235,050 18,485
-------- -------- -------- --------
Net increase (decrease) from unit
transactions............................... (54,970) (53,359) (97,655) 74,863
-------- -------- -------- --------
Net increase (decrease) in net assets........ 152,927 (50,426) (91,993) 80,346
Net assets beginning of year................. 836,562 886,988 182,287 101,941
-------- -------- -------- --------
Net assets end of year*...................... $989,489 $836,562 $ 90,294 $182,287
======== ======== ======== ========
Units outstanding beginning of year.......... 37,807 40,254 11,659 6,734
Units issued during the year................. 3,647 4,346 8,586 6,128
Units redeemed during the year............... 5,847 6,793 14,746 1,203
-------- -------- -------- --------
Units outstanding end of year................ 35,607 37,807 5,499 11,659
======== ======== ======== ========
- ---------------
*Includes undistributed net investment income
of: $461,971 $415,167 $ 69,652 $ 63,990
</TABLE>
See notes to financial statements.
F-7
<PAGE> 67
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF CHANGES IN NET ASSETS (CONTINUED)
<TABLE>
<CAPTION>
VARIABLE UNIVERSAL LIFE
------------------------------------------------------------------------------------------
INTERMEDIATE LONG TERM GOVERNMENT MONEY
TERM BOND BOND SECURITIES MARKET EQUITY
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
---------------- ---------------- ---------------- ------------------- ---------------
FOR THE PERIOD FOR THE PERIOD FOR THE PERIOD FOR THE PERIOD FOR THE PERIOD
APRIL 20, 1995** MARCH 31, 1995** MARCH 20, 1995** FEBRUARY 17, 1995** MARCH 8, 1995**
THROUGH THROUGH THROUGH THROUGH THROUGH
DECEMBER 31, DECEMBER 31, DECEMBER 31, DECEMBER 31, DECEMBER 31,
1995 1995 1995 1995 1995
---------------- ---------------- ---------------- ------------------- ---------------
<S> <C> <C> <C> <C> <C>
From operations:
Net investment income........... $ 1,414 $ 13,958 $ 5,094 $ 20,376 $ 25,168
Net realized gains on
investments................... 374 1,166 133 0 23,391
Net increase (decrease) in
unrealized appreciation of
investments................... (915) 8,277 (708) 0 23,213
------- -------- -------- ---------- ----------
Net increase in net assets
resulting from operations....... 873 23,401 4,519 20,376 71,772
------- -------- -------- ---------- ----------
From unit transactions:
Net proceeds from the issuance
of units...................... 29,827 254,605 171,901 8,289,772 1,073,215
Net asset value of units
redeemed or used to meet
contract obligations.......... 3,980 8,194 5,042 6,609,331 100,511
------- -------- -------- ---------- ----------
Net increase from unit
transactions.................... 25,847 246,411 166,859 1,680,441 972,704
------- -------- -------- ---------- ----------
Net increase in net assets........ 26,720 269,812 171,378 1,700,817 1,044,476
Net assets beginning of year...... 0 0 0 0 0
------- -------- -------- ---------- ----------
Net assets end of year*........... $ 26,720 $269,812 $171,378 $ 1,700,817 $ 1,044,476
======= ======== ======== ========== ==========
Units outstanding beginning of
year............................ 0 0 0 0 0
Units issued during the year...... 2,838 22,925 16,439 807,565 88,980
Units redeemed during the year.... 374 798 480 644,100 8,214
------- -------- -------- ---------- ----------
Units outstanding end of year..... 2,464 22,127 15,959 163,465 80,766
======= ======== ======== ========== ==========
- ---------------
* Includes undistributed net
investment income of: $ 1,414 $ 13,958 $ 5,094 $ 20,376 $ 25,168
** Commencement of operations.
<CAPTION>
INTERNATIONAL HIGH YIELD
SMALL CAP MANAGED GROWTH BOND
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
--------------- --------------- --------------- ----------------
FOR THE PERIOD FOR THE PERIOD FOR THE PERIOD FOR THE PERIOD
MARCH 9, 1995** MARCH 8, 1995** MARCH 8, 1995** MARCH 20, 1995**
THROUGH THROUGH THROUGH THROUGH
DECEMBER 31, DECEMBER 31, DECEMBER 31, DECEMBER 31,
1995 1995 1995 1995
--------------- --------------- --------------- ----------------
<S> <C> <C> <C> <C>
From operations:
Net investment income........... $ 16,433 $ 184,073 $ 17,938 $ 7,401
Net realized gains on
investments................... 9,760 123,272 6,166 190
Net increase (decrease) in
unrealized appreciation of
investments................... (4,063) 92,118 (109) 361
------- ---------- ------- -------
Net increase in net assets
resulting from operations....... 22,130 399,463 23,995 7,952
------- ---------- ------- -------
From unit transactions:
Net proceeds from the issuance
of units...................... 662,265 6,530,478 394,240 367,392
Net asset value of units
redeemed or used to meet
contract obligations.......... 83,568 689,978 38,818 22,635
------- ---------- ------- -------
Net increase from unit
transactions.................... 578,697 5,840,500 355,422 344,757
------- ---------- ------- -------
Net increase in net assets........ 600,827 6,239,963 379,417 352,709
Net assets beginning of year...... 0 0 0 0
------- ---------- ------- -------
Net assets end of year*........... $ 600,827 $ 6,239,963 $ 379,417 $352,709
======= ========== ======= =======
Units outstanding beginning of
year............................ 0 0 0 0
Units issued during the year...... 59,708 519,384 34,979 33,810
Units redeemed during the year.... 7,514 54,289 3,413 2,080
------- ---------- ------- -------
Units outstanding end of year..... 52,194 465,095 31,566 31,730
======= ========== ======= =======
- ---------------
* Includes undistributed net
investment income of: $ 16,433 $ 184,073 $ 17,938 $ 7,401
** Commencement of operations.
</TABLE>
See notes to financial statements.
F-8
<PAGE> 68
MONY AMERICA
VARIABLE ACCOUNT L
NOTES TO FINANCIAL STATEMENTS
1. ORGANIZATION AND BUSINESS
MONY America Variable Account L (the "Variable Account") is a separate
investment account established on February 19, 1985 by MONY Life Insurance
Company of America ("MONY America"), under the laws of the State of Arizona.
The Variable Account operates as a unit investment trust under the
Investment Company Act of 1940 (the "1940 Act"). The Variable Account holds
assets that are segregated from all of MONY America's other assets and, at
present, is used to support Variable Life Insurance and Variable Universal Life
Insurance Policies. These policies are issued by MONY America, which is a
wholly-owned subsidiary of The Mutual Life Insurance Company of New York
("MONY"). MONY America is currently taxed as a life insurance company and will
include the Variable Account's operations in its tax return. MONY America does
not expect, based on current tax law, to incur any income tax burden upon the
earnings or realized capital gains attributable to the Variable Account. Based
on this expectation, no charges are currently being deducted from the Variable
Account for federal income tax purposes.
There are currently fifteen subaccounts within the Variable Account, each
invests only in a corresponding portfolio of the MONY Series Fund, Inc. (the
"Fund") or the Enterprise Accumulation Trust ("Enterprise") (collectively, the
"Funds"). The subaccounts of the Variable Universal Life commenced operations
during 1995. The Funds are registered under the 1940 Act as an open end,
diversified, management investment companies.
2. SIGNIFICANT ACCOUNTING POLICIES
Investment:
The investment in shares of each of the respective portfolios is stated at
value which is the net asset values of the Fund. Except for the Money Market
Portfolio, net asset values are based upon market quotations of the securities
held in each of the corresponding portfolios of the Funds. For the Money Market
Portfolio, the net asset values are based on amortized cost of the securities
held which approximates value.
3. RELATED PARTY TRANSACTIONS
MONY America is the legal holder of the assets held by the Variable
Account.
Policy premiums received from MONY America by the Variable Account
represent gross policy premiums recorded by MONY America less deductions
retained as compensation for certain sales distribution expenses and premium
taxes.
The cost of insurance, administration charges, and, if applicable, the cost
of any optional benefits added by riders are deducted on each monthly date from
the cash value of the contract to compensate MONY America. These deductions are
treated as contractholder redemptions by the Variable Account. The amount
deducted for all subaccounts for 1995 aggregated $917,026.
MONY America receives from the Variable Account the amounts deducted for
mortality and expense risks at an annual rate of .60 percent (for the Variable
Life Subaccounts) and .75 percent (for the Variable Universal Life Subaccounts)
of aggregate average daily net assets. As investment adviser to the Fund, it
receives amounts paid by the Fund for those services.
F-9
<PAGE> 69
MONY AMERICA
VARIABLE ACCOUNT L
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
3. RELATED PARTY TRANSACTIONS (CONTINUED)
Enterprise Capital Management, Inc., a wholly-owned subsidiary of MONY,
acts as investment adviser to Enterprise, and it receives amounts paid by
Enterprise for those services.
4. INVESTMENTS
Investments in Variable Life at cost, at December 31, 1995 consist of the
following:
<TABLE>
<CAPTION>
LONG
EQUITY EQUITY INTERMEDIATE TERM MONEY
GROWTH INCOME TERM BOND BOND DIVERSIFIED MARKET
PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO
-------- -------- ------------ -------- -------- --------
<S> <C> <C> <C> <C> <C> <C>
Shares beginning of year:
Shares.......................... 16,883 33,841 17,489 9,679 63,665 182,287
Amount.......................... $347,395 $508,727 $179,858 $107,442 $827,619 $182,287
-------- -------- -------- -------- -------- --------
Shares acquired:
Shares.......................... 12,139 4,146 1,752 1,501 8,255 166,614
Amount.......................... $280,833 $ 75,165 $ 18,637 $ 18,863 $124,553 $166,614
Shares received for reinvestment
of dividends:
Shares.......................... 1,444 1,589 966 445 3,329 6,355
Amount.......................... $ 36,269 $ 31,156 $ 10,214 $ 5,730 $ 52,334 $ 6,355
Shares redeemed:
Shares.......................... 8,521 8,715 2,914 3,386 12,305 264,962
Amount.......................... $171,034 $115,616 $ 28,318 $ 36,449 $149,611 $264,962
-------- -------- -------- -------- -------- --------
Net change:
Shares.......................... 5,062 (2,980) (196) (1,440) (721) (91,993)
Amount.......................... $146,068 ($ 9,295) $ 533 ($11,856) $ 27,276 ($91,993)
-------- -------- -------- -------- -------- --------
Shares end of year:
Shares.......................... 21,945 30,861 17,293 8,239 62,944 90,294
Amount.......................... $493,463 $499,432 $180,391 $ 95,586 $854,895 $ 90,294
======== ======== ======== ======== ======== ========
</TABLE>
F-10
<PAGE> 70
MONY AMERICA
VARIABLE ACCOUNT L
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
4. INVESTMENTS (CONTINUED)
Investments in Variable Universal Life at cost, at December 31, 1995
consist of the following:
<TABLE>
<CAPTION>
INTERMEDIATE LONG TERM GOVERNMENT MONEY SMALL INTERNATIONAL HIGH YIELD
TERM BOND BOND SECURITIES MARKET EQUITY CAP MANAGED GROWTH BOND
PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO
------------ --------- ---------- ---------- ---------- -------- ---------- ------------- ----------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Shares
beginning
of year:
Shares.... 0 0 0 0 0 0 0 0 0
Amount.... $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0
----------- ---------- ---------- ----------- ----------- ---------- ----------- ------------ ----------
Shares
acquired:
Shares.... 3,719 21,651 18,234 9,989,307 51,815 40,031 262,958 82,905 86,158
Amount.... $ 40,447 $ 269,258 $186,778 $9,989,307 $1,158,096 $733,552 $7,126,057 $ 440,017 $456,470
Shares
received
for
reinvestment
of
dividends:
Shares.... 141 1,131 534 23,644 1,178 962 7,044 3,464 1,515
Amount.... $ 1,489 $ 14,565 $ 5,452 $ 23,644 $ 27,509 $ 17,779 $ 197,666 $ 18,775 $ 8,030
Shares
redeemed:
Shares.... 1,332 1,834 1,982 8,312,134 8,262 8,481 47,622 15,976 21,249
Amount.... $ 14,301 $ 22,288 $ 20,144 $8,312,134 $ 164,342 $146,441 $1,175,878 $ 79,266 $112,152
----------- ---------- ---------- ----------- ----------- ---------- ----------- ------------ ----------
Net change:
Shares.... 2,528 20,948 16,786 1,700,817 44,731 32,512 222,380 70,393 66,424
Amount.... $ 27,635 $ 261,535 $172,086 $1,700,817 $1,021,263 $604,890 $6,147,845 $ 379,526 $352,348
----------- ---------- ---------- ----------- ----------- ---------- ----------- ------------ ----------
Shares end
of year:
Shares.... 2,528 20,948 16,786 1,700,817 44,731 32,512 222,380 70,393 66,424
Amount.... $ 27,635 $ 261,535 $172,086 $1,700,817 $1,021,263 $604,890 $6,147,845 $ 379,526 $352,348
=========== =========== =========== =========== =========== =========== =========== =========== ===========
</TABLE>
F-11
<PAGE> 71
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF ASSETS AND LIABILITIES
JUNE 30, 1996 (UNAUDITED)
<TABLE>
<CAPTION>
VARIABLE LIFE
---------------------------------------------------------------------------
EQUITY EQUITY INTERMEDIATE LONG TERM MONEY
GROWTH INCOME TERM BOND BOND DIVERSIFIED MARKET
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
---------- ---------- ---------- ---------- ---------- ----------
<S> <C> <C> <C> <C> <C> <C>
ASSETS
Investments at cost (Note 4)..... $ 506,836 $ 500,123 $ 173,633 $ 91,440 $ 847,591 $ 86,609
========= ========= ========= ========= ========= =========
Investments in MONY Series Fund,
Inc. at net asset value (Note
2)............................. $ 621,248 $ 639,735 $ 174,855 $ 94,804 $1,029,584 $ 86,609
Amount due from MONY America..... 27 10 0 0 123 0
Amount due from MONY Series Fund,
Inc. .......................... 186 171 29 0 212 34
---------- ---------- ---------- ---------- ---------- ----------
Total assets........... 621,461 639,916 174,884 94,804 1,029,919 86,643
---------- ---------- ---------- ---------- ---------- ----------
LIABILITIES
Amount due to MONY America....... 186 171 29 0 212 34
Amount due to MONY Series Fund,
Inc. .......................... 27 10 0 0 123 0
---------- ---------- ---------- ---------- ---------- ----------
Total liabilities...... 213 181 29 0 335 34
---------- ---------- ---------- ---------- ---------- ----------
Net assets....................... $ 621,248 $ 639,735 $ 174,855 $ 94,804 $1,029,584 $ 86,609
========= ========= ========= ========= ========= =========
Net assets consist of:
Contractholders' net
payments.................. $ 554,308 $ 588,671 $ 207,469 $ 126,299 $1,066,375 $ 194,033
Cost of insurance
withdrawals (Note 3)...... (338,252) (432,436) (181,115) (135,858) (817,921) (178,996)
Undistributed net investment
income.................... 116,878 253,103 154,994 95,237 458,930 71,572
Accumulated net realized
gains (losses) on
investments............... 173,902 90,785 (7,715) 5,762 140,207 0
Unrealized appreciation of
investments............... 114,412 139,612 1,222 3,364 181,993 0
---------- ---------- ---------- ---------- ---------- ----------
Net assets....................... $ 621,248 $ 639,735 $ 174,855 $ 94,804 $1,029,584 $ 86,609
========= ========= ========= ========= ========= =========
Number of units outstanding*..... 15,874 16,162 8,234 3,693 34,978 5,161
---------- ---------- ---------- ---------- ---------- ----------
Net asset value per unit
outstanding.................... $ 39.14 $ 39.58 $ 21.24 $ 25.67 $ 29.44 $ 16.78
========= ========= ========= ========= ========= =========
</TABLE>
- ---------------
* Units outstanding have been rounded for presentation purposes.
See notes to financial statements.
F-12
<PAGE> 72
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF ASSETS AND LIABILITIES (CONTINUED)
JUNE 30, 1996 (UNAUDITED)
<TABLE>
<CAPTION>
VARIABLE UNIVERSAL LIFE
-----------------------------------------------------------------------------
INTERMEDIATE LONG TERM GOVERNMENT MONEY
TERM BOND BOND SECURITIES MARKET EQUITY SMALL CAP
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
------------ ---------- ---------- ---------- ---------- ----------
<S> <C> <C> <C> <C> <C> <C>
ASSETS
Investments at cost (Note 4)...................... $ 49,845 $401,424 $206,166 $2,144,796 $2,309,014 $1,243,633
=========== ========== ========== ========== ========== ==========
Investments in Enterprise Accumulation Trust at
net asset value (Note 2)........................ $ 0 $ 0 $ 0 $ 0 $2,439,274 $1,316,197
Investments in MONY Series Fund, Inc. at net asset
value (Note 2).................................. 49,244 392,533 206,106 2,144,796 0 0
Amount due from Enterprise Accumulation Trust..... 0 0 0 0 1,330 660
Amount due from MONY America...................... 31 228 9 79,254 2,777 1,860
Amount due from MONY Series Fund, Inc. ........... 31 256 11 5,072 0 0
------------ ---------- ---------- ---------- ---------- ----------
Total assets.............................. 49,306 393,017 206,126 2,229,122 2,443,381 1,318,717
------------ ---------- ---------- ---------- ---------- ----------
LIABILITIES
Amount due to Enterprise Accumulation Trust....... 0 0 0 0 2,777 1,860
Amount due to MONY America........................ 31 256 11 5,072 1,330 660
Amount due to MONY Series Fund, Inc. ............. 31 228 9 79,254 0 0
------------ ---------- ---------- ---------- ---------- ----------
Total liabilities......................... 62 484 20 84,326 4,107 2,520
------------ ---------- ---------- ---------- ---------- ----------
Net assets........................................ $ 49,244 $392,533 $206,106 $2,144,796 $2,439,274 $1,316,197
=========== ========== ========== ========== ========== ==========
Net assets consist of:
Contractholders' net payments................. $ 56,851 $424,767 $219,478 $2,206,724 $2,580,999 $1,429,353
Cost of insurance withdrawals (Note 3)........ (8,263) (36,909) (17,894) (112,163 ) (366,977 ) (218,185)
Undistributed net investment income........... 1,261 12,742 4,394 50,235 18,853 12,986
Accumulated net realized gains (losses) on
investments................................. (4) 824 188 0 76,139 19,479
Unrealized appreciation (depreciation) of
investments................................. (601) (8,891) (60) 0 130,260 72,564
------------ ---------- ---------- ---------- ---------- ----------
Net assets........................................ $ 49,244 $392,533 $206,106 $2,144,796 $2,439,274 $1,316,197
=========== ========== ========== ========== ========== ==========
Number of units outstanding*...................... 4,571 34,408 19,209 201,826 169,708 104,458
------------ ---------- ---------- ---------- ---------- ----------
Net asset value per unit outstanding.............. $ 10.77 $ 11.41 $ 10.73 $ 10.63 $ 14.37 $ 12.60
=========== ========== ========== ========== ========== ==========
<CAPTION>
INTERNATIONAL HIGH YIELD
MANAGED GROWTH BOND
SUBACCOUNT SUBACCOUNT SUBACCOUNT
----------- ------------- ----------
<S> <C> <C> <C>
ASSETS
Investments at cost (Note 4)...................... $12,978,806 $ 898,309 $501,841
========== =========== ==========
Investments in Enterprise Accumulation Trust at
net asset value (Note 2)........................ $13,638,428 $ 931,921 $497,847
Investments in MONY Series Fund, Inc. at net asset
value (Note 2).................................. 0 0 0
Amount due from Enterprise Accumulation Trust..... 6,281 377 323
Amount due from MONY America...................... 42,891 285 26
Amount due from MONY Series Fund, Inc. ........... 0 0 0
----------- ------------- ----------
Total assets.............................. 13,687,600 932,583 498,196
----------- ------------- ----------
LIABILITIES
Amount due to Enterprise Accumulation Trust....... 42,891 285 26
Amount due to MONY America........................ 6,281 377 323
Amount due to MONY Series Fund, Inc. ............. 0 0 0
----------- ------------- ----------
Total liabilities......................... 49,172 662 349
----------- ------------- ----------
Net assets........................................ $13,638,428 $ 931,921 $497,847
========== =========== ==========
Net assets consist of:
Contractholders' net payments................. $14,281,900 $ 989,902 $541,387
Cost of insurance withdrawals (Note 3)........ (1,802,532) (122,027) (61,940)
Undistributed net investment income........... 146,770 15,608 23,057
Accumulated net realized gains (losses) on
investments................................. 352,668 14,826 (663)
Unrealized appreciation (depreciation) of
investments................................. 659,622 33,612 (3,994)
----------- ------------- ----------
Net assets........................................ $13,638,428 $ 931,921 $497,847
========== =========== ==========
Number of units outstanding*...................... 930,732 72,693 43,702
----------- ------------- ----------
Net asset value per unit outstanding.............. $ 14.65 $ 12.82 $ 11.39
========== =========== ==========
</TABLE>
- ---------------
* Units outstanding have been rounded for presentation purposes.
See notes to financial statements.
F-13
<PAGE> 73
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF OPERATIONS
FOR THE SIX MONTHS ENDED JUNE 30, 1996 (UNAUDITED)
<TABLE>
<CAPTION>
VARIABLE LIFE
-----------------------------------------------------------------------------
EQUITY EQUITY INTERMEDIATE LONG TERM MONEY
GROWTH INCOME TERM BOND BOND DIVERSIFIED MARKET
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
---------- ---------- ------------ ---------- ---------- ----------
<S> <C> <C> <C> <C> <C> <C>
Dividend income..................... $ 0 $ 1,204 $ 0 $ 0 $ 0 $ 2,183
Mortality and expense risk charges
(Note 3).......................... 1,769 1,881 529 293 3,041 263
---------- ---------- ------------ ---------- ---------- ----------
Net investment income (loss)........ (1,769) (677) (529) (293) (3,041) 1,920
---------- ---------- ------------ ---------- ---------- ----------
Realized and unrealized gain on
investments (Note 2):
Proceeds from sales............... 32,311 30,642 17,757 7,017 69,365 14,325
Cost of shares sold............... 26,132 20,859 17,140 6,295 55,677 14,325
---------- ---------- ------------ ---------- ---------- ----------
Net realized gains on investments... 6,179 9,783 617 722 13,688 0
Net increase (decrease) in
unrealized appreciation of
investments....................... 56,834 33,861 (1,165) (7,168) 47,399 0
---------- ---------- ------------ ---------- ---------- ----------
Net realized and unrealized gains
(losses) on investments........... 63,013 43,644 (548) (6,446) 61,087 0
---------- ---------- ------------ ---------- ---------- ----------
Net increase (decrease) in net
assets resulting from
operations........................ $ 61,244 $ 42,967 $ (1,077) $ (6,739) $ 58,046 $ 1,920
======== ======== ========= ======== ======== ========
</TABLE>
See notes to financial statements.
F-14
<PAGE> 74
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF OPERATIONS (CONTINUED)
FOR THE SIX MONTHS ENDED JUNE 30, 1996 (UNAUDITED)
<TABLE>
<CAPTION>
VARIABLE UNIVERSAL LIFE
------------------------------------------------------------------------------------------------
INTERMEDIATE LONG TERM GOVERNMENT MONEY
TERM BOND BOND SECURITIES MARKET EQUITY SMALL CAP MANAGED
SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT SUBACCOUNT
------------ ---------- ---------- ---------- ---------- ---------- ----------
<S> <C> <C> <C> <C> <C> <C> <C>
Dividend income.................. $ 0 $ 0 $ 0 $ 35,174 $ 0 $ 0 $ 0
Mortality and expense risk
charges (Note 3)............... 153 1,216 700 5,315 6,315 3,447 37,303
------------ ---------- ---------- ---------- ---------- ---------- ----------
Net investment income (loss)..... (153) (1,216) (700) 29,859 (6,315) (3,447) (37,303)
------------ ---------- ---------- ---------- ---------- ---------- ----------
Realized and unrealized gains
(losses) on investments (Note
2):
Proceeds from sales............ 11,518 79,992 19,826 6,698,642 440,848 270,884 2,173,723
Cost of shares sold............ 11,896 80,334 19,771 6,698,642 388,100 261,165 1,944,327
------------ ---------- ---------- ---------- ---------- ---------- ----------
Net realized gains (losses) on
investments.................... (378) (342) 55 0 52,748 9,719 229,396
Net increase (decrease) in
unrealized appreciation of
investments.................... 314 (17,168) 648 0 107,047 76,627 567,504
------------ ---------- ---------- ---------- ---------- ---------- ----------
Net realized and unrealized gains
(losses) on investments........ (64) (17,510) 703 0 159,795 86,346 796,900
------------ ---------- ---------- ---------- ---------- ---------- ----------
Net increase (decrease) in net
assets resulting from
operations..................... $ (217) $(18,726) $ 3 $ 29,859 $153,480 $ 82,899 $ 759,597
========= ======== ======== ========= ======== ======== =========
<CAPTION>
INTERNATIONAL HIGH YIELD
GROWTH BOND
SUBACCOUNT SUBACCOUNT
------------- ----------
<S> <C> <C>
Dividend income.................. $ 0 $ 17,283
Mortality and expense risk
charges (Note 3)............... 2,330 1,627
------------- ----------
Net investment income (loss)..... (2,330) 15,656
------------- ----------
Realized and unrealized gains
(losses) on investments (Note
2):
Proceeds from sales............ 178,820 246,993
Cost of shares sold............ 170,160 247,846
------------- ----------
Net realized gains (losses) on
investments.................... 8,660 (853)
Net increase (decrease) in
unrealized appreciation of
investments.................... 33,721 (4,355)
------------- ----------
Net realized and unrealized gains
(losses) on investments........ 42,381 (5,208)
------------- ----------
Net increase (decrease) in net
assets resulting from
operations..................... $ 40,051 $ 10,448
========= ========
</TABLE>
See notes to financial statements.
F-15
<PAGE> 75
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF CHANGES IN NET ASSETS
<TABLE>
<CAPTION>
VARIABLE LIFE
-----------------------------------------------------------------------------------------
EQUITY GROWTH EQUITY INCOME INTERMEDIATE TERM
SUBACCOUNT SUBACCOUNT BOND SUBACCOUNT
--------------------------- --------------------------- ---------------------------
FOR THE SIX FOR THE SIX FOR THE SIX
MONTHS FOR THE MONTHS FOR THE MONTHS FOR THE
ENDED YEAR ENDED ENDED YEAR ENDED ENDED YEAR ENDED
JUNE 30, DECEMBER 31, JUNE 30, DECEMBER 31, JUNE 30, DECEMBER 31,
1996 1995 1996 1995 1996 1995
----------- ------------ ----------- ------------ ----------- ------------
(UNAUDITED) (UNAUDITED) (UNAUDITED)
<S> <C> <C> <C> <C> <C> <C>
From operations:
Net investment income
(loss)...................... $ (1,769) $ 33,459 $ (677) $ 27,822 $ (529) $ 9,165
Net realized gains on
investments................. 6,179 30,308 9,783 39,090 617 2,059
Net increase (decrease) in
unrealized appreciation of
investments................. 56,834 57,362 33,861 88,922 (1,165) 11,732
-------- -------- -------- -------- -------- --------
Net increase (decrease) in net
assets resulting from
operations.................... 61,244 121,129 42,967 155,834 (1,077) 22,956
-------- -------- -------- -------- -------- --------
From unit transactions:
Net proceeds from the issuance
of units.................... 29,725 246,538 19,347 56,024 6,263 13,113
Net asset value of units
redeemed or used to meet
contract obligations........ 20,762 164,237 27,762 132,231 13,109 23,804
-------- -------- -------- -------- -------- --------
Net increase (decrease) from
unit transactions............. 8,963 82,301 (8,415) (76,207) (6,846) (10,691)
-------- -------- -------- -------- -------- --------
Net increase (decrease) in net
assets........................ 70,207 203,430 34,552 79,627 (7,923) 12,265
Net assets beginning of
period........................ 551,041 347,611 605,183 525,556 182,778 170,513
-------- -------- -------- -------- -------- --------
Net assets end of period*...... $ 621,248 $551,041 $ 639,735 $605,183 $ 174,855 $182,778
======== ======== ======== ======== ======== ========
Units outstanding beginning of
period........................ 15,643 12,809 16,377 18,826 8,556 9,112
Units issued during the
period........................ 790 8,221 510 1,763 295 652
Units redeemed during the
period........................ 559 5,387 725 4,212 617 1,208
-------- -------- -------- -------- -------- --------
Units outstanding end of
period........................ 15,874 15,643 16,162 16,377 8,234 8,556
======== ======== ======== ======== ======== ========
- ---------------
*Includes undistributed net
investment income of: $ 116,878 $118,647 $ 253,103 $253,780 $ 154,994 $155,523
<CAPTION>
LONG TERM DIVERSIFIED MONEY MARKET
BOND SUBACCOUNT SUBACCOUNT SUBACCOUNT
--------------------------- --------------------------- ---------------------------
FOR THE SIX FOR THE SIX FOR THE SIX
MONTHS FOR THE MONTHS FOR THE MONTHS FOR THE
ENDED YEAR ENDED ENDED YEAR ENDED ENDED YEAR ENDED
JUNE 30, DECEMBER 31, JUNE 30, DECEMBER 31, JUNE 30, DECEMBER 31,
1996 1995 1996 1995 1996 1995
----------- ------------ ----------- ------------ ----------- ------------
(UNAUDITED) (UNAUDITED) (UNAUDITED)
<S> <C> <C> <C> <C> <C> <C>
From operations:
Net investment income
(loss)...................... $ (293) $ 5,101 $ (3,041 ) $ 46,804 $ 1,920 $ 5,662
Net realized gains on
investments................. 722 5,208 13,688 35,442 0 0
Net increase (decrease) in
unrealized appreciation of
investments................. (7,168) 16,634 47,399 125,651 0 0
-------- -------- -------- -------- -------- --------
Net increase (decrease) in net
assets resulting from
operations.................... (6,739) 26,943 58,046 207,897 1,920 5,662
-------- -------- -------- -------- -------- --------
From unit transactions:
Net proceeds from the issuance
of units.................... 2,027 7,195 43,802 90,610 4,823 137,395
Net asset value of units
redeemed or used to meet
contract obligations........ 6,602 29,360 61,753 145,580 10,428 235,050
-------- -------- -------- -------- -------- --------
Net increase (decrease) from
unit transactions............. (4,575) (22,165) (17,951 ) (54,970) (5,605) (97,655)
-------- -------- -------- -------- -------- --------
Net increase (decrease) in net
assets........................ (11,314) 4,778 40,095 152,927 (3,685) (91,993)
Net assets beginning of
period........................ 106,118 101,340 989,489 836,562 90,294 182,287
-------- -------- -------- -------- -------- --------
Net assets end of period*...... $ 94,804 $106,118 $1,029,584 $989,489 $86,609 $ 90,294
======== ======== ======== ======== ======== ========
Units outstanding beginning of
period........................ 3,869 4,777 35,607 37,807 5,499 11,659
Units issued during the
period........................ 78 296 1,533 3,647 291 8,586
Units redeemed during the
period........................ 254 1,204 2,162 5,847 629 14,746
-------- -------- -------- -------- -------- --------
Units outstanding end of
period........................ 3,693 3,869 34,978 35,607 5,161 5,499
======== ======== ======== ======== ======== ========
- ---------------
*Includes undistributed net
investment income of: $ 95,237 $ 95,530 $ 458,930 $461,971 $71,572 $ 69,652
</TABLE>
See notes to financial statements.
F-16
<PAGE> 76
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF CHANGES IN NET ASSETS (CONTINUED)
<TABLE>
<CAPTION>
VARIABLE UNIVERSAL LIFE
-------------------------------------------------------------------------------------------
INTERMEDIATE TERM LONG TERM GOVERNMENT
BOND BOND SECURITIES
SUBACCOUNT SUBACCOUNT SUBACCOUNT
----------------------------- ----------------------------- -----------------------------
FOR THE SIX FOR THE PERIOD FOR THE SIX FOR THE PERIOD FOR THE SIX FOR THE PERIOD
MONTHS APRIL 20, 1995** MONTHS MARCH 31, 1995** MONTHS MARCH 20, 1995**
ENDED THROUGH ENDED THROUGH ENDED THROUGH
JUNE 30, DECEMBER 31, JUNE 30, DECEMBER 31, JUNE 30, DECEMBER 31,
1996 1995 1996 1995 1996 1995
----------- ---------------- ----------- ---------------- ----------- ----------------
(UNAUDITED) (UNAUDITED) (UNAUDITED)
<S> <C> <C> <C> <C> <C> <C>
From operations:
Net investment income (loss).......... $ (153) $ 1,414 $ (1,216) $ 13,958 $ (700) $ 5,094
Net realized gains (losses) on
investments......................... (378) 374 (342) 1,166 55 133
Net increase (decrease) in unrealized
appreciation of
investments......................... 314 (915) (17,168) 8,277 648 (708)
------- ------- -------- -------- -------- --------
Net increase (decrease) in net assets
resulting from operations............. (217) 873 (18,726) 23,401 3 4,519
------- ------- -------- -------- -------- --------
From unit transactions:
Net proceeds from the issuance of
units............................... 31,158 29,827 180,168 254,605 48,889 171,901
Net asset value of units redeemed or
used to meet contract obligations... 8,417 3,980 38,721 8,194 14,164 5,042
------- ------- -------- -------- -------- --------
Net increase from unit transactions..... 22,741 25,847 141,447 246,411 34,725 166,859
------- ------- -------- -------- -------- --------
Net increase in net assets.............. 22,524 26,720 122,721 269,812 34,728 171,378
Net assets beginning of period.......... 26,720 0 269,812 0 171,378 0
------- ------- -------- -------- -------- --------
Net assets end of period*............... $49,244 $ 26,720 $ 392,533 $269,812 $ 206,106 $171,378
======= ======= ======== ======== ======== ========
Units outstanding beginning of period... 2,464 0 22,127 0 15,959 0
Units issued during the period.......... 2,882 2,838 15,670 22,925 4,576 16,439
Units redeemed during the period........ 775 374 3,389 798 1,326 480
------- ------- -------- -------- -------- --------
Units outstanding end of period......... 4,571 2,464 34,408 22,127 19,209 15,959
======= ======= ======== ======== ======== ========
- ---------------
*Includes undistributed net investment
income of: $ 1,261 $ 1,414 $ 12,742 $ 13,958 $ 4,394 $ 5,094
**Commencement of operations.
<CAPTION>
--------------------------------
MONEY
MARKET
SUBACCOUNT
--------------------------------
FOR THE SIX FOR THE PERIOD
MONTHS FEBRUARY 17, 1995**
ENDED THROUGH
JUNE 30, DECEMBER 31,
1996 1995
----------- -------------------
(UNAUDITED)
<S> <C> <C>
From operations:
Net investment income (loss).......... $ 29,859 $ 20,376
Net realized gains (losses) on
investments......................... 0 0
Net increase (decrease) in unrealized
appreciation of
investments......................... 0 0
---------- ----------
Net increase (decrease) in net assets
resulting from operations............. 29,859 20,376
---------- ----------
From unit transactions:
Net proceeds from the issuance of
units............................... 5,908,695 8,289,772
Net asset value of units redeemed or
used to meet contract obligations... 5,494,575 6,609,331
---------- ----------
Net increase from unit transactions..... 414,120 1,680,441
---------- ----------
Net increase in net assets.............. 443,979 1,700,817
Net assets beginning of period.......... 1,700,817 0
---------- ----------
Net assets end of period*............... $2,144,796 $ 1,700,817
========== ==========
Units outstanding beginning of period... 163,465 0
Units issued during the period.......... 561,132 807,565
Units redeemed during the period........ 522,771 644,100
---------- ----------
Units outstanding end of period......... 201,826 163,465
========== ==========
- ---------------
*Includes undistributed net investment
income of: $ 50,235 $ 20,376
**Commencement of operations.
</TABLE>
See notes to financial statements.
F-17
<PAGE> 77
MONY AMERICA
VARIABLE ACCOUNT L
STATEMENTS OF CHANGES IN NET ASSETS (CONTINUED)
<TABLE>
<CAPTION>
VARIABLE UNIVERSAL LIFE (CONTINUED)
-----------------------------------------------------------------------
EQUITY SMALL CAP MANAGED
SUBACCOUNT SUBACCOUNT SUBACCOUNT
---------------------------- ---------------------------- -----------
FOR THE SIX FOR THE PERIOD FOR THE SIX FOR THE PERIOD FOR THE SIX
MONTHS MARCH 8, 1995** MONTHS MARCH 9, 1995** MONTHS
ENDED THROUGH ENDED THROUGH ENDED
JUNE 30, DECEMBER 31, JUNE 30, DECEMBER 31, JUNE 30,
1996 1995 1996 1995 1996
----------- --------------- ----------- --------------- -----------
(UNAUDITED) (UNAUDITED) (UNAUDITED)
<S> <C> <C> <C> <C> <C>
From operations:
Net investment income (loss).................... $ (6,315 ) $ 25,168 $ (3,447 ) $ 16,433 $ (37,303)
Net realized gains (losses) on investments...... 52,748 23,391 9,719 9,760 229,396
Net increase (decrease) in unrealized
appreciation of investments................... 107,047 23,213 76,627 (4,063) 567,504
---------- ---------- ---------- -------- -----------
Net increase in net assets resulting from
operations...................................... 153,480 71,772 82,899 22,130 759,597
---------- ---------- ---------- -------- -----------
From unit transactions:
Net proceeds from the issuance of units......... 1,546,273 1,073,215 806,053 662,265 8,170,530
Net asset value of units redeemed or used to
meet contract obligations..................... 304,955 100,511 173,582 83,568 1,531,662
---------- ---------- ---------- -------- -----------
Net increase from unit transactions.............. 1,241,318 972,704 632,471 578,697 6,638,868
---------- ---------- ---------- -------- -----------
Net increase in net assets....................... 1,394,798 1,044,476 715,370 600,827 7,398,465
Net assets beginning of period................... 1,044,476 0 600,827 0 6,239,963
---------- ---------- ---------- -------- -----------
Net assets end of period*........................ $2,439,274 $ 1,044,476 $1,316,197 $ 600,827 $13,638,428
========== ========== ========== ======== ===========
Units outstanding beginning of period............ 80,766 0 52,194 0 465,095
Units issued during the period................... 110,811 88,980 66,667 59,708 572,680
Units redeemed during the period................. 21,869 8,214 14,403 7,514 107,043
---------- ---------- ---------- -------- -----------
Units outstanding end of period.................. 169,708 80,766 104,458 52,194 930,732
========== ========== ========== ======== ===========
- ---------------
*Includes undistributed net investment income
of: $ 18,853 $ 25,168 $ 12,986 $ 16,433 $ 146,770
**Commencement of operations.
<CAPTION>
---------------------------- -----------------------------
INTERNATIONAL HIGH YIELD
GROWTH BOND
SUBACCOUNT SUBACCOUNT
---------------------------- -----------------------------
FOR THE PERIOD FOR THE SIX FOR THE PERIOD FOR THE SIX FOR THE PERIOD
MARCH 8, 1995** MONTHS MARCH 8, 1995** MONTHS MARCH 20, 1995**
THROUGH ENDED THROUGH ENDED THROUGH
DECEMBER 31, JUNE 30, DECEMBER 31, JUNE 30, DECEMBER 31,
1995 1996 1995 1996 1995
--------------- ----------- --------------- ----------- ----------------
(UNAUDITED) (UNAUDITED)
<S> <C> <C> <C> <C> <C>
From operations:
Net investment income (loss).................... $ 184,073 $ (2,330) $ 17,938 $ 15,656 $ 7,401
Net realized gains (losses) on investments...... 123,272 8,660 6,166 (853) 190
Net increase (decrease) in unrealized
appreciation of investments................... 92,118 33,721 (109) (4,355) 361
---------- -------- -------- -------- --------
Net increase in net assets resulting from
operations...................................... 399,463 40,051 23,995 10,448 7,952
---------- -------- -------- -------- --------
From unit transactions:
Net proceeds from the issuance of units......... 6,530,478 611,434 394,240 184,298 367,392
Net asset value of units redeemed or used to
meet contract obligations..................... 689,978 98,981 38,818 49,608 22,635
---------- -------- -------- -------- --------
Net increase from unit transactions.............. 5,840,500 512,453 355,422 134,690 344,757
---------- -------- -------- -------- --------
Net increase in net assets....................... 6,239,963 552,504 379,417 145,138 352,709
Net assets beginning of period................... 0 379,417 0 352,709 0
---------- -------- -------- -------- --------
Net assets end of period*........................ $ 6,239,963 $ 931,921 $ 379,417 $ 497,847 $352,709
========== ======== ======== ======== ========
Units outstanding beginning of period............ 0 31,566 0 31,730 0
Units issued during the period................... 519,384 49,086 34,979 16,368 33,810
Units redeemed during the period................. 54,289 7,959 3,413 4,396 2,080
---------- -------- -------- -------- --------
Units outstanding end of period.................. 465,095 72,693 31,566 43,702 31,730
========== ======== ======== ======== ========
- ---------------
*Includes undistributed net investment income
of: $ 184,073 $ 15,608 $ 17,938 $ 23,057 $ 7,401
**Commencement of operations.
</TABLE>
See notes to financial statements.
F-18
<PAGE> 78
MONY AMERICA
VARIABLE ACCOUNT L
NOTES TO FINANCIAL STATEMENTS
1. ORGANIZATION AND BUSINESS
MONY America Variable Account L (the "Variable Account") is a separate
investment account established on February 19, 1985 by MONY Life Insurance
Company of America ("MONY America"), under the laws of the State of Arizona.
The Variable Account operates as a unit investment trust under the
Investment Company Act of 1940 (the "1940 Act"). The Variable Account holds
assets that are segregated from all of MONY America's other assets and, at
present, is used to support Variable Life Insurance and Variable Universal Life
Insurance Policies. These policies are issued by MONY America, which is a
wholly-owned subsidiary of The Mutual Life Insurance Company of New York
("MONY"). MONY America is currently taxed as a life insurance company and will
include the Variable Account's operations in its tax return. MONY America does
not expect, based on current tax law, to incur any income tax burden upon the
earnings or realized capital gains attributable to the Variable Account. Based
on this expectation, no charges are currently being deducted from the Variable
Account for federal income tax purposes.
There are currently fifteen subaccounts within the Variable Account, each
invests only in a corresponding portfolio of the MONY Series Fund, Inc. (the
"Fund") or the Enterprise Accumulation Trust ("Enterprise") (collectively, the
"Funds"). The subaccounts of the Variable Universal Life commenced operations
during 1995. The Funds are registered under the 1940 Act as an open end,
diversified, management investment companies.
2. SIGNIFICANT ACCOUNTING POLICIES
Investment:
The investment in shares of each of the respective portfolios is stated at
value which is the net asset values of the Fund. Except for the Money Market
Portfolio, net asset values are based upon market quotations of the securities
held in each of the corresponding portfolios of the Funds. For the Money Market
Portfolio, the net asset values are based on amortized cost of the securities
held which approximates value.
3. RELATED PARTY TRANSACTIONS
MONY America is the legal holder of the assets held by the Variable
Account.
Policy premiums received from MONY America by the Variable Account
represent gross policy premiums recorded by MONY America less deductions
retained as compensation for certain sales distribution expenses and premium
taxes.
The cost of insurance, administration charges, and, if applicable, the cost
of any optional benefits added by riders are deducted on each monthly date from
the cash value of the contract to compensate MONY America. These deductions are
treated as contractholder redemptions by the Variable Account. The amount
deducted for all subaccounts for 1996 aggregated $1,654,190.
MONY America receives from the Variable Account the amounts deducted for
mortality and expense risks at an annual rate of .60 percent (for the Variable
Life Subaccounts) and .75 percent (for the Variable Universal Life Subaccounts)
of aggregate average daily net assets. As investment adviser to the Fund, it
receives amounts paid by the Fund for those services.
Enterprise Capital Management, Inc., a wholly-owned subsidiary of MONY,
acts as investment adviser to Enterprise, and it receives amounts paid by
Enterprise for those services.
F-19
<PAGE> 79
MONY AMERICA
VARIABLE ACCOUNT L
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
4. INVESTMENTS
Investments in Variable Life at cost, at June 30, 1996 (unaudited) consist
of the following:
<TABLE>
<CAPTION>
EQUITY EQUITY INTERMEDIATE LONG TERM MONEY
GROWTH INCOME TERM BOND BOND DIVERSIFIED MARKET
PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO
-------- -------- ------------ --------- ----------- -----------
<S> <C> <C> <C> <C> <C> <C>
Shares beginning of period:
Shares.......................... 21,945 30,861 17,293 8,239 62,944 90,294
Amount.......................... $493,463 $499,432 $180,391 $95,586 $ 854,895 $ 90,294
-------- -------- -------- ------- -------- -------
Shares acquired:
Shares.......................... 1,479 993 988 176 2,973 8,457
Amount.......................... $ 39,505 $ 20,346 $ 10,382 $ 2,149 $ 48,373 $ 8,457
Shares received for reinvestment
of dividends:
Shares.......................... 0 58 0 0 0 2,183
Amount.......................... $ 0 $ 1,204 $ 0 $ 0 $ 0 $ 2,183
Shares redeemed:
Shares.......................... 1,221 1,492 1,691 573 4,265 14,325
Amount.......................... $ 26,132 $ 20,859 $ 17,140 $ 6,295 $ 55,677 $ 14,325
-------- -------- -------- ------- -------- -------
Net change:
Shares.......................... 258 (441) (703) (397) (1,292) (3,685)
Amount.......................... $ 13,373 $ 691 $ (6,758) $(4,146) $ (7,304) $ (3,685)
-------- -------- -------- ------- -------- -------
Shares end of period:
Shares.......................... 22,203 30,420 16,590 7,842 61,652 86,609
Amount.......................... $506,836 $500,123 $173,633 $91,440 $ 847,591 $ 86,609
======== ======== ======== ======= ======== =======
</TABLE>
Investments in Variable Universal Life at cost, at June 30, 1996
(unaudited) consist of the following:
<TABLE>
<CAPTION>
HIGH
INTERMEDIATE LONG TERM GOVERNMENT MONEY INTERNATIONAL YIELD
TERM BOND BOND SECURITIES MARKET EQUITY SMALL CAP MANAGED GROWTH BOND
PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO PORTFOLIO
------------ --------- ---------- ---------- ---------- ---------- ----------- ------------- ---------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Shares beginning
of period:
Shares......... 2,528 20,948 16,786 1,700,817 44,731 32,512 222,380 70,393 66,424
Amount......... $ 27,635 $ 261,535 $172,086 $1,700,817 $1,021,263 $ 604,890 $ 6,147,845 $ 379,526 $ 352,348
------- -------- -------- ---------- ---------- ---------- ----------- -------- --------
Shares acquired:
Shares......... 3,242 18,127 5,291 7,107,447 66,388 46,311 293,558 123,134 71,885
Amount......... $ 34,106 $ 220,223 $ 53,851 $7,107,447 $1,675,851 $ 899,908 $ 8,775,288 $ 688,943 $ 380,056
Shares received
for
reinvestment of
dividends:
Shares......... 0 0 0 35,174 0 0 0 0 3,265
Amount......... $ 0 $ 0 $ 0 $ 35,174 $ 0 $ 0 $ 0 $ 0 $ 17,283
Shares redeemed:
Shares......... 1,098 6,608 1,949 6,698,642 17,445 13,986 72,411 32,015 46,746
Amount......... $ 11,896 $ 80,334 $ 19,771 $6,698,642 $ 388,100 $ 261,165 $ 1,944,327 $ 170,160 $ 247,846
------- -------- -------- ---------- ---------- ---------- ----------- -------- --------
Net change:
Shares......... 2,144 11,519 3,342 443,979 48,943 32,325 221,147 91,119 28,404
Amount......... $ 22,210 $ 139,889 $ 34,080 $ 443,979 $1,287,751 $ 638,743 $ 6,830,961 $ 518,783 $ 149,493
------- -------- -------- ---------- ---------- ---------- ----------- -------- --------
Shares end of
period:
Shares......... 4,672 32,467 20,128 2,144,796 93,674 64,837 443,527 161,512 94,828
Amount......... $ 49,845 $ 401,424 $206,166 $2,144,796 $2,309,014 $1,243,633 $12,978,806 $ 898,309 $ 501,841
======= ======== ======== ========== ========== ========== =========== ======== ========
</TABLE>
F-20
<PAGE> 80
REPORT OF INDEPENDENT ACCOUNTANTS
To the Board of Directors of
MONY Life Insurance Company of America:
We have audited the accompanying balance sheets of MONY Life Insurance
Company of America as of December 31, 1995 and 1994, and the related statements
of operations, capital and surplus, and cash flows for the years then ended.
These financial statements are the responsibility of the Company's management.
Our responsibility is to express an opinion on these financial statements based
on our audits.
We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audits to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly,
in all material respects, the financial position of MONY Life Insurance Company
of America as of December 31, 1995 and 1994, and the results of its operations
and its cash flows for the years then ended in conformity with accounting
practices prescribed or permitted by the Insurance Department of the State of
Arizona, which are considered generally accepted accounting principles for stock
life insurance subsidiaries of mutual life insurance companies.
Our audits were conducted for the purpose of expressing an opinion on the
financial statements taken as a whole. The Supplemental Schedule of Selected
Financial Data is presented to comply with the NAIC's Annual Statement
Instructions and is not a required part of the basic financial statements. The
Supplemental Schedule of Selected Financial Data has been subjected to the
auditing procedures applied in the audits of the basic financial statements and,
in our opinion, is fairly stated, in all material respects, in relation to the
basic financial statements taken as a whole.
New York, New York
February 21, 1996
F-21
<PAGE> 81
MONY LIFE INSURANCE COMPANY OF AMERICA
BALANCE SHEETS
<TABLE>
<CAPTION>
DECEMBER 31,
-----------------------
1995 1994
---------- ----------
(IN THOUSANDS)
<S> <C> <C>
ASSETS
Cash.................................................................. $ 3,663 $ 10,394
Investments:
Short-term investments.............................................. 121,499 68,268
Bonds............................................................... 1,017,646 992,054
Common stocks....................................................... 690 300
Mortgage loans...................................................... 173,154 175,708
Real estate......................................................... 58,375 69,893
Policy loans........................................................ 38,124 32,364
Other invested assets............................................... 7,953 7,293
Investment income due and accrued..................................... 21,383 21,898
Other assets.......................................................... 9,777 16,997
Separate account assets............................................... 1,685,770 998,100
--------- ---------
Total assets................................................ $3,138,034 $2,393,269
========= =========
POLICY RESERVES, LIABILITIES, CAPITAL AND SURPLUS
Policy reserves:
Life insurance and annuity reserves................................. $1,319,777 $1,289,343
Deposits left with the Company...................................... 23,287 15,088
Liabilities:
Policy claims in process of settlement.............................. 6,531 3,255
Taxes accrued....................................................... 16,965 7,548
Other liabilities................................................... 13,979 2,557
Transfers from separate accounts.................................... (65,082) (48,616)
Separate account liabilities........................................ 1,685,770 998,100
Interest maintenance reserve........................................ 3,138 3,179
Investment reserves................................................. 4,000 4,000
Asset valuation reserve............................................. 14,039 13,900
--------- ---------
Total policy reserves and liabilities....................... 3,022,404 2,288,354
Capital and surplus:
Capital stock, $1.00 par value; authorized, 5,000,000 shares issued
and outstanding 2,500,000 shares................................. 2,500 2,500
Additional paid-in capital.......................................... 133,500 123,500
Unassigned funds.................................................... (20,370) (21,085)
--------- ---------
Total capital and surplus................................... 115,630 104,915
--------- ---------
Total policy reserves, liabilities, capital and surplus..... $3,138,034 $2,393,269
========= =========
</TABLE>
The accompanying notes are an integral part of these financial statements.
F-22
<PAGE> 82
MONY LIFE INSURANCE COMPANY OF AMERICA
STATEMENTS OF OPERATIONS
<TABLE>
<CAPTION>
FOR THE YEARS ENDED
DECEMBER 31,
---------------------
1995 1994
-------- --------
(IN THOUSANDS)
<S> <C> <C>
Premiums, annuity considerations and fund deposits.............................. $607,099 $500,329
Net investment income........................................................... 104,923 96,287
Other income (net).............................................................. 2,557 23
-------- --------
714,579 596,639
Policyholder benefits........................................................... 309,335 246,105
Change in policy and contract reserves.......................................... 38,633 42,117
Commissions..................................................................... 32,257 24,682
Operating expenses.............................................................. 44,713 34,451
Transfer to separate accounts................................................... 275,600 237,588
-------- --------
700,538 584,943
Net gain from operations before federal income taxes............................ 14,041 11,696
Federal income taxes............................................................ 7,984 3,241
-------- --------
Net gain from operations........................................................ 6,057 8,455
Net realized capital losses (See Note 4)...................................... (1,410) (2,344)
-------- --------
Net Income...................................................................... $ 4,647 $ 6,111
======== ========
</TABLE>
The accompanying notes are an integral part of these financial statements.
F-23
<PAGE> 83
MONY LIFE INSURANCE COMPANY OF AMERICA
STATEMENTS OF CAPITAL AND SURPLUS
<TABLE>
<CAPTION>
FOR THE YEARS ENDED
DECEMBER 31,
-----------------------
1995 1994
-------- --------
(IN THOUSANDS)
<S> <C> <C>
Capital and Surplus, beginning of year............................... $104,915 $102,233
-------- --------
Net income........................................................... 4,647 6,111
Change in net unrealized capital losses.............................. (3,846) (13,043)
Change in non-admitted assets........................................ 53 311
Change in asset valuation reserve.................................... (139) (697)
Change in investment reserves........................................ -- 10,000
Increase in paid-in capital.......................................... 10,000 --
-------- --------
Net change in capital and surplus for the year....................... 10,715 2,682
-------- --------
Capital and Surplus, end of year..................................... $115,630 $104,915
======== ========
</TABLE>
The accompanying notes are an integral part of these financial statements.
F-24
<PAGE> 84
MONY LIFE INSURANCE COMPANY OF AMERICA
STATEMENTS OF CASH FLOWS
<TABLE>
<CAPTION>
FOR THE YEARS ENDED
DECEMBER 31,
-------------------------
1995 1994
--------- ---------
(IN THOUSANDS)
<S> <C> <C>
CASH FLOW PROVIDED FROM OPERATIONS:
Premiums, annuity considerations and fund deposits............... $ 607,410 $ 500,312
Investment income net of investment expenses..................... 107,636 100,491
Other income..................................................... 2,555 --
Net change in policy loans....................................... (5,761) (1,829)
Policy benefits paid............................................. (307,107) (241,776)
Transfers to separate accounts................................... (292,066) (250,360)
Commissions, other expenses and taxes paid....................... (76,337) (57,174)
--------- ---------
Net cash from operations................................. 36,330 49,664
--------- ---------
PROCEEDS FROM INVESTMENTS SOLD, MATURED OR REPAID:
Bonds............................................................ 148,517 317,540
Stocks........................................................... 5 2,524
Mortgage loans................................................... 20,465 47,899
Real estate...................................................... 19,751 6,826
Other invested assets............................................ 162 382
--------- ---------
Total investment proceeds................................ 188,900 375,171
--------- ---------
OTHER CASH PROVIDED:
Increase in paid in capital...................................... 10,000 --
Other sources.................................................... 18,693 303
--------- ---------
Total cash provided...................................... 253,923 425,138
--------- ---------
CASH APPLIED:
Cost of investments acquired:
Bonds......................................................... 177,057 328,444
Stocks........................................................ 400 442
Mortgage loans................................................ 23,813 24,689
Real estate................................................... 5,530 5,276
Other invested assets......................................... 354 393
--------- ---------
Total investments acquired............................... 207,154 359,244
--------- ---------
Other cash applied............................................... 269 24,121
--------- ---------
Total cash applied....................................... 207,423 383,365
--------- ---------
Net change in cash and short-term investments.................... 46,500 41,773
Cash and short-term investments, beginning of year................. 78,662 36,889
--------- ---------
Cash and short-term investments, end of year....................... $ 125,162 $ 78,662
========= =========
</TABLE>
The accompanying notes are an integral part of these financial statements.
F-25
<PAGE> 85
MONY LIFE INSURANCE COMPANY OF AMERICA
NOTES TO FINANCIAL STATEMENTS
1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Nature of Operations
MONY Life Insurance Company of America (the "Company"), an Arizona
corporation, is a wholly owned subsidiary of The Mutual Life Insurance Company
of New York ("MONY"), a mutual life insurance company. The Company's primary
business is to provide interest-sensitive life insurance and asset accumulation
products to business owners, growing families, and pre-retirees. The Company's
insurance and financial products are marketed and distributed directly to
individuals primarily through MONY's career agency sales force. These products
are sold throughout the United States (except New York) and Puerto Rico.
Basis of Presentation
The Company's financial statements have been prepared on the basis of
accounting practices and procedures prescribed or permitted by the Insurance
Department of the State of Arizona, which are currently considered to be
generally accepted accounting principals ("GAAP") for stock life insurance
subsidiaries (domiciled in Arizona) of mutual life insurance companies (see Note
13). The preparation of financial statements in conformity with generally
accepted accounting principles requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities at the
date of the financial statements and the reported amounts of revenues and
expenses during the reporting period. Actual results could differ from those
estimates.
The following is a description of the principal accounting practices and
procedures:
a. Premiums are included in revenue over the premium payment periods
of the related policies. Annuity considerations and fund deposits are
included in revenue as received.
Commissions and other costs related to issuance, maintenance and
settlement of policies are charged to operations in the year incurred.
b. Short-term investments are carried at cost and consist of
securities with maturities of three months or less. Bonds not backed by
other loans, which are eligible for amortization under rules promulgated by
the National Association of Insurance Commissioners ("NAIC"), are carried
at amortized cost, while all other bonds are carried at values adopted by
the NAIC, which approximate fair market value. Loan backed bonds and
structured securities are valued at amortized cost using the effective
interest method considering anticipated prepayments at the date of
purchase; significant changes in the estimated cash flows from the original
purchase assumptions are accounted for using the retrospective method.
Common stocks are carried at market value. Preferred stocks are carried at
cost. Policy loans are carried at their unpaid balances.
Mortgage loans other than those in process of foreclosure are carried
at their unpaid balances adjusted for unamortized discount. Real estate
owned for investment is carried at depreciated cost, less encumbrances.
There were no encumbrances in 1995 or in 1994. Joint venture partnerships
in real estate are included in other invested assets and are carried
principally at their equity value. Other investments are generally carried
at cost.
Real estate acquired through foreclosure is carried at the lower of
cost or the estimated fair value at the time of foreclosure, less
cumulative depreciation and encumbrances. Mortgage loans in process of
foreclosure are also carried at the lower of cost or the estimated fair
value. Fair value is determined by using the estimated discounted cash
flows expected from the underlying real estate properties. These projected
cash flows are based on estimates regarding future operating expenses,
lease rates, occupancy levels and investors' targeted yields.
The Company provides, through a direct charge to surplus, an
investment valuation reserve for permanent impairment of real estate
investments, joint venture partnerships in real estate, mortgage loans
F-26
<PAGE> 86
MONY LIFE INSURANCE COMPANY OF AMERICA
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
delinquent for more than 60 days and restructured mortgage loans. This
reserve reflects, in part, the excess of the carrying value of such assets
over the estimated undiscounted cash flows expected from the underlying
real estate properties. These projected cash flows are based on estimates
similar to those described in the preceding paragraph. As of December 31,
1995 and 1994, the Company's investment reserve for its mortgage loan and
real estate investments was $4 million.
c. Realized investment gains and losses (net of tax) for bonds and
mortgage loans resulting from changes in interest rates are deferred and
credited or charged to the Interest Maintenance Reserve ("IMR"). These
amounts are amortized into net income over the remaining years to expected
maturity of the assets sold. Unrealized investment gains and losses are
recorded directly to surplus.
The Asset Valuation Reserve ("AVR") is based upon a formula prescribed
by the NAIC and functions as a reserve for potential non-interest-related
investment losses. In addition, realized investment gains and losses (not
subject to the IMR) and unrealized gains and losses result in offsetting
increases and decreases in the AVR. These changes to AVR are recorded
directly to surplus.
d. Policy reserves for deferred annuity contracts are computed by the
net level premium method and the Commissioners' Annuity Reserve Valuation
Method by using the 1971 IAM Table for contracts issued before 1984 and the
1983 Table A for contracts issued since 1983 and permitted statutory
interest rates. Policy reserves for universal life and single premium whole
life contracts are computed by using the Commissioners' Reserve Valuation
Method and by using the 1958 and 1980 CSO Tables, and permitted statutory
interest rates.
e. Certain assets designated as "non-admitted" assets (principally
miscellaneous receivables) are excluded from the balance sheets.
f. Separate account assets and liabilities represent segregated funds
administered and invested by the Company for the benefit of certain
contractholders. Assets consist of securities reported at market value.
Premiums, benefits and expenses of the separate accounts are included in
the Company's statements of operations.
g. No deferred taxes are recognized for differences that exist between
financial reporting and taxable income.
h. The Company uses the constant-yield method of depreciation for
substantially all investment real estate and real estate joint venture
partnerships acquired prior to January 1, 1991. Acquisitions subsequent to
January 1, 1991 and foreclosed real estate are depreciated on the straight
line method. Real estate assets and improvements are generally depreciated
over ten to forty year periods and leasehold improvements over the lives of
the leases. Depreciation expense related to investments in real estate was
$1.7 million and $1.4 million in 1995 and 1994, respectively; accumulated
depreciation was $4.6 million and $4.0 at December 31, 1995 and 1994,
respectively.
i. Certain amounts for 1994 have been reclassified to conform to the
1995 presentation.
2. CAPITAL AND SURPLUS
MONY guaranteed to the states who requested it, pursuant to conditions
imposed by such states as a prerequisite for the licensing of new subsidiaries,
that the Company's capital and surplus would be maintained at a level at least
equivalent to the minimum capital and surplus required for admission to conduct
business in those states. As of December 31, 1995 and 1994, this guarantee was
outstanding in the state of New Jersey.
F-27
<PAGE> 87
MONY LIFE INSURANCE COMPANY OF AMERICA
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
3. FEDERAL INCOME TAXES
The Company is included in the consolidated federal income tax return with
its parent, The Mutual Life Insurance Company of New York, and the parent's
non-life affiliates. The allocation of federal income taxes is based upon
separate return calculations with current credit for net losses. The Company's
federal income tax returns for years through 1989 have been examined with no
proposed material adjustments. In the opinion of management, adequate provision
has been made for any additional taxes which may become due with respect to open
years.
Pre-tax operating gains and pre-tax realized gains, as reported in the
accompanying statements of operations, differ from taxable income reported for
tax purposes. Significant differences include the deferral and amortization of
policy acquisition costs for tax purposes, the difference between statutory and
tax reserves, the taxable portion of the Company's depreciation expense and
related recapture, utilization of capital loss carryovers, capital gains
deferred to the IMR, alternative minimum tax preference items and equity in
partnerships and joint ventures.
4. CAPITAL GAINS/(LOSSES)
The Company realized net capital losses (after-tax and IMR) of $1.4 million
in 1995 and $2.3 million in 1994 as follows:
<TABLE>
<CAPTION>
REALIZED CAPITAL GAINS/(LOSSES) 1995 1994
------------------------------------------------------------- ----- -----
(IN MILLIONS)
<S> <C> <C>
Bonds and stocks............................................. $ 0.2 $(4.3)
Real estate and mortgage loans............................... (0.4) (0.8)
----- -----
(0.2) (5.1)
Taxes........................................................ (0.7) 0.0
Transferred to IMR, net of taxes............................. (0.5) 2.8
----- -----
Net realized capital losses.................................. $(1.4) $(2.3)
===== =====
</TABLE>
During 1995 and 1994, realized capital gains/(losses) resulting from
changes in interest rates on fixed income securities of $0.5 million (net of
$0.2 million tax) and ($2.8) million (net of ($1.5) million tax), respectively,
were transferred to the Company's IMR for future amortization into net income.
The Company incurred net unrealized capital losses of $3.8 million in 1995
and $13.0 million in 1994. The 1995 and 1994 unrealized losses include
writedowns of approximately $1.2 million and $13.8 million, respectively, on
real estate acquired through foreclosure and mortgage loans in process of
foreclosure. These losses are detailed by asset type in the table below.
<TABLE>
<CAPTION>
UNREALIZED CAPITAL GAINS/(LOSSES) 1995 1994
---------------------------------------------------------- ----- ------
(IN MILLIONS)
<S> <C> <C>
Bonds and stocks.......................................... $(2.6) $ 0.6
Real estate and mortgage loans............................ (1.2) (13.8)
Other investments......................................... 0.0 0.2
----- ------
Total unrealized capital losses........................... $(3.8) $(13.0)
===== ======
</TABLE>
F-28
<PAGE> 88
MONY LIFE INSURANCE COMPANY OF AMERICA
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
5. FIXED INCOME SECURITIES
FIXED INCOME SECURITIES BY INVESTMENT TYPE
The amortized cost and estimated fair value (see note 8) of investments in
fixed income securities which include short-term investments, bonds and
preferred stocks as of December 31, 1995 and December 31, 1994 are as follows:
<TABLE>
<CAPTION>
GROSS GROSS ESTIMATED
AMORTIZED UNREALIZED UNREALIZED FAIR
COST GAINS LOSSES VALUE
------------------- ------------ ------------ -------------------
1995 1994 1995 1994 1995 1994 1995 1994
-------- -------- ----- ---- ---- ----- -------- --------
(DOLLARS IN MILLIONS)
<S> <C> <C> <C> <C> <C> <C> <C> <C>
U.S. Treasury & Other
Agencies...................... $ 21.0 $ 21.0 $ 0.1 $0.0 $0.1 $ 1.0 $ 21.0 $ 20.0
Collateralized Mortgage
Obligations:
Government Agency Backed...... 128.8 111.8 2.9 0.0 0.2 10.8 131.5 101.0
Non-Agency Backed............. 36.9 22.7 2.5 0.0 0.0 1.6 39.4 21.1
Other asset backed securities:
Government Agency Backed...... 0.3 0.4 0.0 0.0 0.0 0.0 0.3 0.4
Non-Agency Backed............. 78.5 60.1 2.5 0.7 0.6 2.1 80.4 58.7
Foreign governments............. 0.0 5.0 0.0 0.0 0.0 0.5 0.0 4.5
Utilities....................... 127.1 135.5 4.9 1.1 0.2 7.6 131.8 129.0
Corporate bonds................. 625.0 635.5 25.7 3.4 3.2 35.6 647.5 603.3
-------- -------- ----- ---- ---- ----- -------- --------
Total bonds........... 1,017.6 992.0 38.6 5.2 4.3 59.2 1,051.9 938.0
Commercial paper................ 121.5 68.3 0.0 0.0 0.0 0.0 121.5 68.3
-------- -------- ----- ---- ---- ----- -------- --------
Total................. $1,139.1 $1,060.3 $38.6 $5.2 $4.3 $59.2 $1,173.4 $1,006.3
======== ======== ===== ==== ==== ===== ======== ========
</TABLE>
Amortized cost represents the principal amount of the fixed income
securities adjusted by unamortized premium or discount and reduced by writedowns
of $4.4 million and $1.8 million at December 31, 1995 and 1994, respectively, as
required by the NAIC for securities which are in or near default.
At December 31, 1995, 78% of the Company's Collateralized Mortgage
Obligation (CMO) portfolio was held in U.S. government and government
agency-backed securities. The remainder of the CMO portfolio consisted of NAIC
category 1 investment grade securities.
MATURITIES OF FIXED INCOME SECURITIES
The amortized cost and estimated fair value of fixed income securities by
maturity date (excluding scheduled sinking funds) as of December 31, 1995 are as
follows:
<TABLE>
<CAPTION>
ESTIMATED
AMORTIZED FAIR
COST VALUE
--------- ---------
(IN MILLIONS)
<S> <C> <C>
Due in one year or less........................................... $ 170.4 $ 171.6
Due after one year through five years............................. 358.8 367.0
Due after five years through ten years............................ 380.9 397.9
Due after ten years............................................... 229.0 236.9
--------- ---------
$1,139.1 $ 1,173.4
========= =========
</TABLE>
F-29
<PAGE> 89
MONY LIFE INSURANCE COMPANY OF AMERICA
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
5. FIXED INCOME SECURITIES (CONTINUED)
Expected maturities may differ from contractual maturities because
borrowers may have the right to call or prepay obligations with or without call
or prepayment penalties.
Proceeds from sales of investments in debt securities during 1995 and 1994
were $40 million and $241 million, respectively. Gross gains of $0.6 million in
1995 and $0 million in 1994, and gross losses of $1.4 million in 1995 and $5.5
million in 1994 were realized on these sales.
6. CONCENTRATION OF CREDIT RISK
As of December 31, 1995 and 1994, the Company had no single investment
(excluding U.S. Treasury securities) exceeding 1.3% and 1.1%, respectively, of
total general account assets.
The bond portfolio is diversified by industry type. The industries
comprising more than 10% of the carrying value of the bond portfolio at December
31, 1995 are Government and Agencies of $150 million (14.8%), Public Utilities
of $127 million (12.5%), Non-Government -- Asset/Mortgage Backed of $116 million
(11.4%), Financial Services of $108 million (10.6%), Consumer Goods and Services
of $105 million (10.3%) and Other Manufacturing of $102 million (10.0%). At
December 31, 1994, the industries comprising more than 10% of the carrying value
of the bond portfolio were Government and Agencies of $138 million (13.9%),
Public Utilities of $135 million (13.6%), Other Manufacturing of $110 million
(11.1%) and Consumer Goods and Services of $104 million (10.5%).
The Company holds below investment grade bonds of $84 million at December
31, 1995. Below investment grade bonds are defined as those securities rated in
categories 3 through 6 by the NAIC, which are approximately equivalent to bonds
rated below BBB by rating agencies. These bonds consist mostly of privately
issued bonds, which are monitored by the Company through extensive internal
analysis of the financial condition of the borrowers, and which include
protective debt covenants. Of these bonds, $60 million are in category 3, which
is considered to be medium quality by the NAIC. At December 31, 1994, the
Company's investments in below investment grade bonds were $70 million.
The Company has investments in commercial and agricultural mortgage loans
and real estate (including joint venture partnerships). Approximately 48.5% of
the Company's real estate and mortgage portfolio is invested in agricultural
properties. The locations of property collateralizing mortgage loans and real
estate investment carrying values (in millions) at December 31, 1995 and 1994
are as follows:
<TABLE>
<CAPTION>
1955 1994
----------- -----------
GEOGRAPHIC REGION $ % $ %
------------------------------------------------------------- --- ----- --- -----
<S> <C> <C> <C> <C>
West......................................................... 73 30.5 71 28.1
Mountain..................................................... 52 21.7 53 20.9
Southeast.................................................... 31 13.1 41 16.2
Midwest...................................................... 30 12.7 34 13.6
Northeast.................................................... 30 12.6 37 14.5
Southwest.................................................... 23 9.4 17 6.7
--- ----- --- -----
Total.............................................. 239 100.0 253 100.0
=== ===== === =====
</TABLE>
The states with the largest concentrations of mortgage loans and real
estate investments at December 31, 1995 are: California, $44 million (18.4%);
Texas, $23 million (9.4%); Arizona, $19 million (8.1%); New York, $19 million
(8.0%); Washington, $14 million (5.9%); Illinois, $13 million (5.5%); Florida,
$12 million (5.0%); Idaho, $12 million (5.0%); and Oregon, $12 million (4.9%).
F-30
<PAGE> 90
MONY LIFE INSURANCE COMPANY OF AMERICA
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
7. MORTGAGE LOANS AND REAL ESTATE
The Company invests in mortgage loans collateralized by commercial and
agricultural real estate. Such mortgage loans consist primarily of first
mortgage liens on completed income producing properties or agricultural
properties. As of December 31, 1995, $60.7 million of mortgage loans have terms
that require amortization, and $112.4 million of loans require partial
amortization or are non-amortizing. Mortgage loans delinquent over 90 days or in
process of foreclosure were $0 million at December 31, 1995 and $2.3 million at
December 31, 1994. Properties acquired through foreclosure during the year
amounted to $4.8 million and $18.8 million in 1995 and 1994, respectively.
The Company has performing restructured mortgage loans of $15.1 million as
of December 31, 1995 and $10.9 million as of December 31, 1994. The new terms
typically defer a portion of contract interest payments to future periods.
Interest is recognized in income based on the modified rate of the loan.
Deferred interest, which is the difference between the original contractual rate
and the modified rate, is excluded from income. Gross interest income on
restructured loans that would have been recorded in accordance with the loans'
original terms was $1.5 million in 1995 and $1.1 million in 1994. Gross interest
income recognized in net income for the period from these loans was $1.0 million
in 1995 and $0.6 million in 1994. There are no commitments to lend additional
funds to any debtor involved in a restructuring.
Other invested assets of $8.0 and $7.3 million at December 31, 1995 and
1994, respectively, include, primarily, investments in real estate partnerships.
8. ESTIMATED FAIR VALUE OF FINANCIAL INSTRUMENTS
The following table presents the carrying amounts and respective estimated
fair values of the Company's financial instruments at December 31, 1995. The
calculations of estimated fair values involve considerable judgement.
Accordingly, these estimates of fair value are not necessarily indicative of the
values that could be negotiated in an actual sale.
<TABLE>
<CAPTION>
ESTIMATED
CARRYING FAIR
AMOUNT VALUE
-------- ----------
(IN MILLIONS)
<S> <C> <C>
ASSETS
Fixed Income Securities...................................... 1,017.6 1,051.9
Separate Account Assets...................................... 1,685.8 1,685.8
LIABILITIES
Investment-type contracts.................................... 847.5 859.7
Separate Account Liabilities................................. 1,685.8 1,685.8
</TABLE>
The estimated fair values of cash, short term investments, equity
securities and mortgage loans approximate their carrying amounts.
The methods and assumptions utilized in estimating these fair values of
financial instruments are summarized as follows:
FIXED INCOME SECURITIES (SEE NOTE 5)
The estimated fair values of fixed income securities are based upon quoted
market prices, where available. The fair values of fixed income securities not
actively traded and other non-publicly traded securities are estimated using
values obtained from independent pricing services or, in the case of private
placements, by discounting expected future cash flows using a current market
interest rate commensurate with the credit quality and term of the investments.
F-31
<PAGE> 91
MONY LIFE INSURANCE COMPANY OF AMERICA
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
8. ESTIMATED FAIR VALUE OF FINANCIAL INSTRUMENTS (CONTINUED)
MORTGAGE LOANS
The fair value of mortgage loans is estimated by discounting expected
future cash flows, using current interest rates for similar loans to borrowers
with similar credit risk. Loans with similar characteristics are aggregated for
purposes of the calculations.
POLICY LOANS
Policy loans are an integral component of insurance contracts and have no
maturity dates. Management has determined that it is not practicable to estimate
the fair value of policy loans.
SEPARATE ACCOUNT
The estimated fair value of separate account assets and liabilities
approximates their respective carrying amounts.
INVESTMENT-TYPE CONTRACT LIABILITIES
The fair values of the Company's liabilities under investment-type
contracts are estimated by discounting expected cash outflows using interest
rates currently offered for similar contracts with maturities consistent with
those remaining for the contracts being valued, where appropriate. The fair
values of other investment-type contracts are based on estimates of the value of
payments available upon full surrender.
9. RESERVES
The withdrawal characteristics of the Company's annuity actuarial reserves
and deposit liabilities as of December 31, 1995 were as follows:
<TABLE>
<CAPTION>
RESERVES
-------------
(IN MILLIONS)
<S> <C>
Not subject to discretionary withdrawal provision...................... $ 76
Subject to discretionary withdrawal -- with adjustment:
- at book value less surrender charges............................... 240
- at market value.................................................... 1,609
------
Subtotal..................................................... 1,849
Subject to discretionary withdrawal -- without adjustment:
- at book value (minimal or no charge or adjustment)................. 554
------
Total annuity actuarial reserves and deposit liabilities
(gross).................................................... $ 2,479
======
</TABLE>
The amounts above are included in the Company's balance sheet as life
insurance and annuity reserves ($869) million and separate account liabilities
($1,610) million.
10. REINSURANCE
Life insurance business is ceded on a yearly renewable term basis to MONY
and other insurance companies under various reinsurance contracts. The Company's
practice is to retain no more than $0.5 million of risk on any one person. The
total amount of reinsured life insurance in force on this basis was $2.2 billion
and $2.3 billion at December 31, 1995 and 1994, respectively. Premiums ceded
under these contracts were $12.3 million and $11.7 million; benefit payments
recovered were $23.3 million and $12.3 million; policy
F-32
<PAGE> 92
MONY LIFE INSURANCE COMPANY OF AMERICA
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
10. REINSURANCE (CONTINUED)
reserve credits recorded were $9.7 million and $9.2 million; and recoverable
amounts on paid and unpaid losses were $5.1 million and $1.6 million in 1995 and
1994, respectively.
The Company is contingently liable with respect to ceded insurance should
any reinsurer be unable to meet its obligations under these agreements.
11. COMMITMENTS AND CONTINGENCIES
The Company is a defendant in various legal actions arising primarily from
its investment and insurance operations. In addition, insurance companies are
subject to assessments, up to statutory limits, by state guaranty funds for
losses of policyholders of insolvent insurance companies. In the opinion of
management, the outcome of the legal proceedings and assessments will not have a
material adverse effect on the financial position and the results of operations
of the Company.
12. RELATED PARTY TRANSACTIONS
At December 31, 1995 and 1994, approximately 30% and 35%, respectively, of
the Company's investments in mortgages were held through joint participation
with MONY. In addition, approximately 82% and 81% of the Company's real estate
and joint venture investments were held through joint participation with MONY at
December 31, 1995 and 1994, respectively.
During 1994, the Company sold commercial mortgages with a book value of
approximately $5 million to MONY for consideration of approximately $4 million
based on the estimated fair value of the assets. The Company received capital
contributions of $10 million from MONY in 1995.
The Company and MONY are parties to an agreement dated February 28, 1995
whereby MONY agrees to reimburse the Company to the extent that the Company's
recognized loss as a result of mortgage loan default or foreclosure or
subsequent sale of the underlying collateral exceeds the 75% loan to value ratio
for each such mortgage loan at origination. Pursuant to the agreement, the
Company received payments from MONY totaling $2.1 million in 1995.
13. ACCOUNTING DEVELOPMENTS
During 1993, the Financial Accounting Standards Board ("FASB") issued
Interpretation No. 40, "Applicability of Generally Accepted Accounting
Principles to Mutual Life Insurance and Other Enterprises." The Interpretation
requires mutual life insurance companies which issue financial statements
described as prepared "in conformity with generally accepted accounting
principles" to apply all applicable authoritative accounting pronouncements in
preparing those statements. The provisions of this Interpretation are effective
for fiscal years beginning after December 15, 1995. The Interpretation indicates
that financial statements of mutual life insurance companies which are prepared
on the basis of statutory accounting practices may no longer receive an
unqualified audit opinion stating that the financial statements have been
prepared in accordance with GAAP.
In January 1995, the FASB issued Statement of Financial Accounting
Standards No. 120, "Accounting and Reporting by Mutual Life Insurance
Enterprises and by Insurance Enterprises for Certain Long-Duration Participating
Contracts." This Statement extends the requirements of FASB Statements No. 60,
"Accounting and Reporting by Insurance Enterprises", No. 97, "Accounting and
Reporting by Insurance Enterprises for Certain Long-Duration Contracts and for
Realized Gains and Losses from the Sale of Investments", and No. 113,
"Accounting and Reporting for Reinsurance of Short-Duration and Long-Duration
Contracts", to mutual life insurance enterprises. In 1995, the AICPA established
accounting for certain participating life insurance contracts of mutual life
insurance enterprises in its Statement of Position 95-1, "Accounting for
F-33
<PAGE> 93
MONY LIFE INSURANCE COMPANY OF AMERICA
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
13. ACCOUNTING DEVELOPMENTS (CONTINUED)
Certain Insurance Activities of Mutual Life Insurance Enterprises." FASB
Statement No. 120 and the AICPA Statement of Position are effective for fiscal
years beginning after December 15, 1995. The Company is currently evaluating the
impact of these accounting developments on its financial statements.
F-34
<PAGE> 94
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL SCHEDULE OF SELECTED FINANCIAL DATA
FOR THE YEAR ENDED DECEMBER 31, 1995
(AMOUNTS IN $ THOUSANDS)
The following is a summary of certain financial data from the Company's
Annual Statement included in other exhibits and schedules subjected to audit
procedures by independent accountants and utilized by the Company's actuaries in
the determination of reserves.
<TABLE>
<S> <C>
INVESTMENT INCOME EARNED
Government Bonds.............................................. 1,169
Other bonds (unaffiliated).................................... 76,939
Bonds of affiliates........................................... 0
Preferred stocks (unaffiliated)............................... 0
Preferred stocks of affiliates................................ 0
Common stocks (unaffiliated).................................. 0
Common stocks of affiliates................................... 0
Mortgage loans................................................ 14,867
Real estate................................................... 15,991
Premium notes, policy loans and liens......................... 2,847
Collateral loans.............................................. 0
Cash on hand and on deposit................................... 6
Short-term investments........................................ 6,637
Other Invested Assets......................................... 331
Derivative Instruments........................................ 0
Aggregate write-ins for investment income..................... 1,119
---------
Gross investment income.................................... 119,906
=========
REAL ESTATE OWNED -- BOOK VALUE LESS ENCUMBRANCES............... 58,375
MORTGAGE LOANS -- BOOK VALUE:
Farm mortgages................................................ 116,212
Residential mortgages......................................... 0
Commercial mortgages.......................................... 56,942
---------
Total mortgage loans....................................... 173,154
=========
MORTGAGE LOANS BY STANDING -- BOOK VALUE:
Good standing................................................. 158,052
Good standing with restructured terms......................... 15,102
Interest overdue more than three months, not in foreclosure... 0
Foreclosure in process........................................ 0
OTHER LONG TERM ASSETS -- STATEMENT VALUE....................... 45,555
COLLATERAL LOANS................................................ 0
BONDS AND STOCKS OF PARENTS, SUBSIDIARIES AND AFFILIATES -- BOOK
VALUE
Bonds......................................................... 0
Preferred Stocks.............................................. 0
Common Stocks................................................. 0
</TABLE>
F-35
<PAGE> 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL SCHEDULE OF SELECTED FINANCIAL DATA -- (CONTINUED)
<TABLE>
<S> <C>
BONDS AND SHORT-TERM INVESTMENTS BY CLASS AND
MATURITY:
BONDS BY MATURITY -- STATEMENT VALUE
Due within one year or less...................... 202,895
Over 1 year through 5 years...................... 467,791
Over 5 years through 10 years.................... 405,896
Over 10 years through 20 years................... 35,127
Over 20 years.................................... 27,436
---------
Total by Maturity.............................. 1,139,145
=========
BONDS BY CLASS -- STATEMENT VALUE
Class 1.......................................... 654,088
Class 2.......................................... 401,003
Class 3.......................................... 60,371
Class 4.......................................... 12,242
Class 5.......................................... 1,779
Class 6.......................................... 9,662
---------
Total by Class................................. 1,139,145
=========
TOTAL BONDS PUBLICLY TRADED........................... 652,479
TOTAL BONDS PRIVATELY PLACED.......................... 486,666
PREFERRED STOCKS -- STATEMENT VALUE................... 0
COMMON STOCKS -- MARKET VALUE......................... 690
SHORT TERM INVESTMENTS -- BOOK VALUE.................. 121,499
FINANCIAL OPTIONS OWNED -- STATEMENT VALUE............ 0
FINANCIAL OPTIONS WRITTEN AND IN FORCE -- STATEMENT
VALUE............................................... 0
FINANCIAL FUTURES CONTRACTS OPEN -- CURRENT PRICE..... 0
CASH ON HAND & ON DEPOSIT............................. 3,663
LIFE INSURANCE IN FORCE:
Industrial.......................................... 0
Ordinary............................................ 8,602,040
Credit Life......................................... 0
Group Life.......................................... 1,567,629
AMOUNT OF ACCIDENTAL DEATH INSURANCE IN FORCE UNDER
ORDINARY POLICIES................................... 138,196
LIFE INSURANCE POLICIES WITH DISABILITY PROVISIONS IN
FORCE:
Industrial.......................................... 0
Ordinary............................................ 2,927,376
Credit Life......................................... 0
Group Life.......................................... 212,113
</TABLE>
F-36
<PAGE> 96
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL SCHEDULE OF SELECTED FINANCIAL DATA -- (CONTINUED)
<TABLE>
<S> <C>
SUPPLEMENTARY CONTRACTS IN FORCE:
Ordinary -- Not Involving Life Contingencies
Amount on Deposit................................ 21,022
Income Payable................................... 939
Ordinary -- Involving Life Contingencies
Income Payable................................... 2,472
Group -- Not Involving Life Contingencies
Amount on Deposit................................ 0
Income Payable................................... 0
Group -- Involving Life Contingencies
Income Payable................................... 4
ANNUITIES:
Ordinary
Immediate -- Amount of Income Payable............ 0
Deferred -- Fully Paid Account Balance........... 0
Deferred -- Not Fully Paid -- Account Balance.... 0
Group
Amount of Income Payable......................... 0
Fully Paid Account Balance....................... 76,681
Not Fully Paid -- Account Balance................ 0
ACCIDENT AND HEALTH INSURANCE -- PREMIUMS IN FORCE:
Ordinary............................................ 0
Group............................................... 0
Credit.............................................. 0
DEPOSIT FUNDS AND DIVIDEND ACCUMULATIONS:
Deposit Funds -- Account Balance.................... 764,066
Dividend Accumulations -- Account Balance........... 0
CLAIM PAYMENTS 1995:
Group Accident and Health Year -- Ended December 31,
1995............................................. 0
1994............................................. 0
1993............................................. 0
Other Accident & Health
1995............................................. 0
1994............................................. 0
1993............................................. 0
Other Coverages that use developmental methods to
calculate claim reserves
1995............................................. 0
1994............................................. 0
1993............................................. 0
</TABLE>
F-37
<PAGE> 97
APPENDIX A
DEATH BENEFIT PERCENTAGE FOR
GUIDELINE PREMIUM/CASH VALUE CORRIDOR TEST
<TABLE>
<CAPTION>
ATTAINED AGE DEATH BENEFIT
-------------------------------------------------------- -------------
<S> <C>
40 and Under............................................ 250%
41...................................................... 243
42...................................................... 236
43...................................................... 229
44...................................................... 222
45...................................................... 215
46...................................................... 209
47...................................................... 203
48...................................................... 197
49...................................................... 191
50...................................................... 185
51...................................................... 178
52...................................................... 171
53...................................................... 164
54...................................................... 157
55...................................................... 150
56...................................................... 146
57...................................................... 142
58...................................................... 138
59...................................................... 134
60...................................................... 130
61...................................................... 128
62...................................................... 126
63...................................................... 124
64...................................................... 122
65...................................................... 120
66...................................................... 119
67...................................................... 118
68...................................................... 117
69...................................................... 116
70...................................................... 115
71...................................................... 113
72...................................................... 111
73...................................................... 109
74...................................................... 107
75-90................................................... 105
91...................................................... 104
92...................................................... 103
93...................................................... 102
94...................................................... 101
95...................................................... 100
</TABLE>
A-1
<PAGE> 98
APPENDIX B
ALTERNATE DEATH BENEFIT PERCENTAGE FOR
GUIDELINE PREMIUM/CASH VALUE CORRIDOR TEST
<TABLE>
<CAPTION>
ATTAINED AGE APPLICABLE PERCENTAGE
------------------------------------------------ ---------------------
<S> <C>
40 and Under.................................... 250%
41.............................................. 243
42.............................................. 236
43.............................................. 229
44.............................................. 222
45.............................................. 215
46.............................................. 209
47.............................................. 203
48.............................................. 197
49.............................................. 191
50.............................................. 185
51.............................................. 178
52.............................................. 211
53.............................................. 210
54.............................................. 208
55.............................................. 206
56.............................................. 204
57.............................................. 203
58.............................................. 202
59.............................................. 203
60.............................................. 204
61.............................................. 205
62.............................................. 206
63.............................................. 207
64.............................................. 208
65.............................................. 209
66.............................................. 210
67.............................................. 211
68.............................................. 212
69.............................................. 213
70.............................................. 214
71.............................................. 215
72.............................................. 216
73.............................................. 217
74.............................................. 218
75.............................................. 214
76.............................................. 207
77.............................................. 199
78.............................................. 192
79.............................................. 186
80.............................................. 180
81.............................................. 174
82.............................................. 169
</TABLE>
B-1
<PAGE> 99
<TABLE>
<CAPTION>
ATTAINED AGE APPLICABLE PERCENTAGE
------------------------------------------------ ---------------------
<S> <C>
83.............................................. 164
84.............................................. 159
85.............................................. 145
86.............................................. 133
87.............................................. 120
88.............................................. 105
89.............................................. 105
90.............................................. 105
91.............................................. 104
92.............................................. 103
93.............................................. 102
94.............................................. 101
95.............................................. 100
</TABLE>
B-2
<PAGE> 100
APPENDIX C
DEATH BENEFIT PERCENTAGE FOR
CASH VALUE ACCUMULATION TEST
MALE
<TABLE>
<CAPTION>
APPLICABLE PERCENTAGE APPLICABLE PERCENTAGE
ATTAINED AGE NON-SMOKER SMOKER
--------------------------- --------------------- ---------------------
<S> <C> <C>
18......................... 7.2868 5.9577
19......................... 7.0762 5.7417
20......................... 6.8737 5.5829
21......................... 6.6746 5.4222
22......................... 6.4792 5.2663
23......................... 6.2874 5.1131
24......................... 6.0954 4.9626
25......................... 5.9076 4.8126
26......................... 5.7238 4.6656
27......................... 5.5410 4.5196
28......................... 5.3627 4.3770
29......................... 5.1888 4.2375
30......................... 5.0192 4.1014
31......................... 4.8540 3.9700
32......................... 4.6931 3.8418
33......................... 4.5385 3.7179
34......................... 4.3880 3.5981
35......................... 4.2414 3.4823
36......................... 4.1004 3.3703
37......................... 3.9646 3.2618
38......................... 3.8338 3.1576
38......................... 3.7076 3.0581
40......................... 3.5857 2.9622
41......................... 3.4681 2.8704
42......................... 3.3554 2.7822
43......................... 3.2463 2.6981
44......................... 3.1416 2.6175
45......................... 3.0409 2.5403
46......................... 2.9439 2.4661
47......................... 2.8504 2.3950
48......................... 2.7602 2.3268
49......................... 2.6736 2.2615
50......................... 2.5904 2.1990
51......................... 2.5102 2.1388
52......................... 2.4333 2.0811
53......................... 2.3594 2.0260
54......................... 2.2886 1.9734
55......................... 2.2206 1.9233
56......................... 2.1556 1.8755
57......................... 2.0933 1.8299
58......................... 2.0337 1.7861
</TABLE>
C-1
<PAGE> 101
<TABLE>
<CAPTION>
APPLICABLE PERCENTAGE APPLICABLE PERCENTAGE
ATTAINED AGE NON-SMOKER SMOKER
--------------------------- --------------------- ---------------------
<S> <C> <C>
59......................... 1.9766 1.7446
60......................... 1.9220 1.7045
61......................... 1.8698 1.6661
62......................... 1.8199 1.6294
63......................... 1.7722 1.5945
64......................... 1.7268 1.5613
65......................... 1.6835 1.5299
66......................... 1.6424 1.5002
67......................... 1.6033 1.4720
68......................... 1.5660 1.4452
69......................... 1.5306 1.4195
70......................... 1.4967 1.3949
71......................... 1.4645 1.3714
72......................... 1.4343 1.3490
73......................... 1.4055 1.3278
74......................... 1.3783 1.3079
75......................... 1.3530 1.2892
76......................... 1.3292 1.2718
77......................... 1.3069 1.2556
78......................... 1.2859 1.2403
79......................... 1.2659 1.2259
80......................... 1.2470 1.2120
81......................... 1.2289 1.1986
82......................... 1.2117 1.1859
83......................... 1.1955 1.1737
84......................... 1.1803 1.1623
85......................... 1.1660 1.1514
86......................... 1.1526 1.1411
87......................... 1.1397 1.1309
88......................... 1.1272 1.1295
89......................... 1.1147 1.1100
90......................... 1.1017 1.0986
91......................... 1.0876 1.0859
92......................... 1.0718 1.0709
93......................... 1.0531 1.0527
94......................... 1.0300 1.0299
95......................... 1.0000 1.0000
</TABLE>
C-2
<PAGE> 102
APPENDIX D
DEATH BENEFIT PERCENTAGE FOR
CASH VALUE ACCUMULATION TEST
FEMALE
<TABLE>
<CAPTION>
APPLICABLE PERCENTAGE APPLICABLE PERCENTAGE
ATTAINED AGE NON-SMOKER SMOKER
--------------------------- --------------------- ---------------------
<S> <C> <C>
18......................... 8.3433 7.3422
19......................... 8.0796 7.1084
20......................... 7.8215 6.8801
21......................... 7.5699 6.6621
22......................... 7.3303 6.4498
23......................... 7.0965 6.2417
24......................... 6.8684 6.0393
25......................... 6.6460 5.8456
26......................... 6.4293 5.6567
27......................... 6.2182 5.4724
28......................... 6.0164 5.2958
29......................... 5.8197 5.1235
30......................... 5.6281 4.9556
31......................... 5.4416 4.7944
32......................... 5.2629 4.6372
33......................... 5.0889 4.4860
34......................... 4.9195 4.3404
35......................... 4.7569 4.2002
36......................... 4.5986 4.0634
37......................... 4.4465 3.9315
38......................... 4.3001 3.8055
38......................... 4.1592 3.6849
40......................... 4.0234 3.5694
41......................... 3.8925 3.4585
42......................... 3.7674 3.3530
43......................... 3.6465 3.2513
44......................... 3.5307 3.1541
45......................... 3.4185 3.0619
46......................... 3.3109 2.9710
47......................... 3.2073 2.8844
48......................... 3.1068 2.8011
49......................... 3.0099 2.7207
50......................... 2.9171 2.6437
51......................... 2.8275 2.5696
52......................... 2.7414 2.4983
53......................... 2.6585 2.4295
54......................... 2.5786 2.3634
55......................... 2.5015 2.2997
56......................... 2.4274 2.2586
57......................... 2.3560 2.1795
58......................... 2.2871 2.1221
</TABLE>
D-1
<PAGE> 103
<TABLE>
<CAPTION>
APPLICABLE PERCENTAGE APPLICABLE PERCENTAGE
ATTAINED AGE NON-SMOKER SMOKER
--------------------------- --------------------- ---------------------
<S> <C> <C>
59......................... 2.2205 2.0664
60......................... 2.1561 2.0122
61......................... 2.0936 1.9596
62......................... 2.0334 1.9086
63......................... 1.9756 1.8595
64......................... 1.9200 1.8125
65......................... 1.8670 1.7677
66......................... 1.8165 1.7248
67......................... 1.7683 1.6837
68......................... 1.7220 1.6442
69......................... 1.6773 1.6060
70......................... 1.6341 1.5689
71......................... 1.5925 1.5330
72......................... 1.5727 1.4984
73......................... 1.5147 1.4654
74......................... 1.4787 1.4342
75......................... 1.4448 1.4048
76......................... 1.4128 1.3772
77......................... 1.3827 1.3512
78......................... 1.3543 1.3269
79......................... 1.3274 1.3032
80......................... 1.3018 1.2809
81......................... 1.2775 1.2596
82......................... 1.2546 1.2393
83......................... 1.2330 1.2201
84......................... 1.2127 1.2020
85......................... 1.1937 1.1950
86......................... 1.1758 1.1689
87......................... 1.1588 1.1536
88......................... 1.1425 1.1387
89......................... 1.1264 1.1239
90......................... 1.1103 1.1085
91......................... 1.0935 1.0925
92......................... 1.0754 1.0749
93......................... 1.0549 1.0547
94......................... 1.0305 1.0305
95......................... 1.0000 1.0000
</TABLE>
D-2
<PAGE> 104
APPENDIX E
ALTERNATE DEATH BENEFIT PERCENTAGE FOR
CASH VALUE ACCUMULATION TEST
MALE
<TABLE>
<CAPTION>
APPLICABLE PERCENTAGE APPLICABLE PERCENTAGE
ATTAINED NON-SMOKER SMOKER
- -------- --------------------- ---------------------
<S> <C> <C>
18 7.2868 6.9835
19 7.0762 6.6419
20 6.6737 5.9087
21 6.6746
22 6.4792 5.4222
23 6.2874 5.1181
24 6.0954 4.9626
25 6.9076 4.8126
26 5.7238 4.6656
27 5.5410 4.5196
28 5.1627 4.3290
29 5.1888 4.2175
30 5.0192 4.1014
31 4.8540 3.9700
32 4.6933 3.8418
33 4.5385 3.7179
34 4.3880 3.5901
35 4.2414 3.4823
36 4.1004 3.3703
37 3.9646 3.2618
38 3.8338 3.1576
39 3.7076 3.0581
40 3.5857 3.9622
41 3.4681 2.8704
42 3.3554 2.7822
43 3.2463 2.6981
44 3.1416 2.6175
45 3.0409 2.5403
46 2.9439 2.4661
47 2.8504 2.3950
48 2.7602 2.3260
49 2.6736 2.2616
50 2.5904 2.1990
51 2.5102 2.1388
52 2.4700 2.1125
53 2.4400 2.0953
54 2.4100 2.0781
55 2.3800 2.0614
56 2.3500 2.0447
57 2.3200 2.0280
58 2.3000 2.0203
</TABLE>
E-1
<PAGE> 105
<TABLE>
<CAPTION>
APPLICABLE PERCENTAGE APPLICABLE PERCENTAGE
ATTAINED NON-SMOKER SMOKER
------ ------
<S> <C> <C>
59 2.3000 2.0300
60 2.3000 2.0398
61 2.3000 2.0495
62 2.3000 2.0593
63 2.3000 2.0695
64 2.3000 2.0796
65 2.3000 2.0901
66 2.3000 2.1008
67 2.3000 2.1117
68 2.3000 2.1225
69 2.3000 2.1331
70 2.3000 2.1436
71 2.3000 2.1538
72 2.3000 2,1632
73 2.3000 2.1729
74 2.3000 2.1824
75 2.2189 2.1143
76 2.1400 2.0476
77 2.0518 1.9713
78 1.9674 1.9977
79 1.8989 1.8388
80 1.8331 1.7816
81 1.7696 1.7261
82 1.7085 1.6721
83 1.6498 1.6198
84 1.5934 1.5691
85 1.4575 1.4393
86 1.3255 1.3122
87 1.1967 1.1874
88 1.1272 1.1205
89 1.1147 1.1106
90 1.1017 1.0886
91 1.0876 1.0853
92 1.0718 1.0709
93 1.0531 1.0627
94 1.0300 1.0299
95 1.0000 1.0000
</TABLE>
E-2
<PAGE> 106
APPENDIX F
ALTERNATE DEATH BENEFIT PERCENTAGE FOR
CASH VALUE ACCUMULATION TEST
FEMALE
<TABLE>
<CAPTION>
ATTAINED APPLICABLE PERCENTAGE APPLICABLE PERCENTAGE
AGE NON-SMOKER SMOKER
- -------- --------------------- ---------------------
<S> <C> <C>
18 8.3433 7,1421
19 8.0796 7.2999
20 7.8223 4.9001
21 7.5699 4.4442
22 7.3303 4.0091
23 7.0965 4.2017
24 6.8684 5,0193
25 6.6460 5.5456
26 6.4293 5.5567
27 6.2182 5.4724
28 6.0164 5.2958
29 5.8197 5.1235
30 5.6281 4.9556
31 5.4416 4.7944
32 5.2629 4.6372
33 5.0809 4.4860
34 4.9195 4.3404
35 4.7569 4.3002
36 4.5986 4.0624
37 4.4465 3.9315
38 4.3001 3.8055
39 4.1592 3.6849
40 4.0234 3.5694
41 3.8925 3.4545
42 3.7674 3.3530
43 3.6465 3.2513
44 3.5307 3.1541
45 3.4185 3.0610
46 3.3109 2.9710
47 3.2073 2.9844
48 3.1068 2.8011
49 3.0099 2.7207
50 2.9171 2.6437
51 2.8275 2.5696
52 2.7827 2.5360
53 2.7493 2.5125
54 2.7154 2.4887
55 2.6810 2.4647
56 2.6463 2.4405
57 2.6111 2.4154
58 2.5866 2.4000
59 2.5829 2.4005
</TABLE>
F-1
<PAGE> 107
<TABLE>
<CAPTION>
ATTAINED APPLICABLE PERCENTAGE APPLICABLE PERCENTAGE
AGE NON-SMOKER SMOKER
- -------- --------------------- ---------------------
<S> <C> <C>
60 2.5802 2.4080
61 2.5753 2.4105
62 2.5699 2.4122
63 2.5640 2.4134
64 2.5574 2.4141
65 2.5507 2.4150
66 2.5438 2.4153
67 2.5367 2.4182
68 2.5290 2.4148
69 2.5206 2.4132
70 2.5112 2.4110
71 2.5012 2.4076
72 2.4899 2.4027
73 2.4788 2.3982
74 2.4675 2.3832
75 2.3694 2.3039
76 2.2746 2.2172
77 2.1708 2.1215
78 2.0721 2.0296
79 1.9911 1.9547
80 1.9137 1.9829
81 1.8397 1.8138
82 1.7590 1.7474
83 1.7015 1.5837
84 1.6372 1.6226
85 1.4921 1.4883
86 1.3522 1.3443
87 1.2168 1.2113
88 1.1425 1.2387
89 1.1264 1.1239
90 1.1105 1.1086
91 1.0935 1.0925
92 1.0754 1.0745
93 1.0549 1.0547
94 1.0305 1.0325
95 1.0000 1.0000
</TABLE>
F-2
<PAGE> 108
APPENDIX G
ILLUSTRATIONS OF DEATH BENEFITS, ACCOUNT VALUES AND
SURRENDER VALUES, AND ACCUMULATED PREMIUMS
The following tables illustrate how the key financial elements of the
Policy work, specifically, how the death benefits, Account Values and Surrender
Values could vary over an extended period of time. In addition, each table
compares these values with premiums paid accumulated with interest.
The Policies illustrated include the following:
<TABLE>
<CAPTION>
DEF. OF DEATH TARGET
LIFE INS. BENEFIT SPECIFIED DEATH SEE
SEX AGE UNDERWRITING METHOD SMOKER TEST OPTION AMOUNT BENEFIT PAGES
- ----- --- -------------------- ----------------------- --------- ------- --------- -------- -----------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
Male 45 Guaranteed Issue Non-smoker CVAT 1 $ 500,000 $500,000 G-5, G-11
Male 45 Guaranteed Issue Non-smoker CVAT 1 $ 250,000 $500,000 G-17, G-23
Male 45 Medical Issue Preferred Non-smoker CVAT 1 $ 500,000 $500,000 G-29, G-35
Male 45 Medical Issue Standard Smoker CVAT 1 $ 500,000 $500,000 G-41, G-47
Male 45 Guaranteed Issue Non-smoker CVAT 1 $ 500,000 $500,000 G-53, G-59
Male 45 Guaranteed Issue Non-smoker GPT 1 $ 500,000 $500,000 G-65, G-71
Male 45 Guaranteed Issue Non-smoker CVAT 1 $ 500,000 $500,000 G-77, G-83
</TABLE>
The tables show how death benefits, Account Values and Surrender Values of
a hypothetical Policy could vary over an extended period of time if the
Subaccounts of the Variable Account had constant hypothetical gross annual
investment returns of 0%, 6% or 12% over the periods indicated in each table.
The values will differ from those shown in the tables if the annual investment
returns are not absolutely constant. That is, the Death Benefits, Account Values
and Surrender Values will be different if the returns averaged 0%, 6% or 12%
over a period of years but went above or below those figures in individual
Policy years. These illustrations assume that no Policy Loan has been taken. The
amounts shown would differ if unisex rates were used.
The fourth column of each table shows what would happen if an amount equal to
the premiums (shown in the third column) were invested to earn interest, after
taxes, of 5% compounded annually. All premium payments are illustrated as if
they were made a the beginning of the year.
The amounts shown for death benefits, Account Values, and Surrender Values
sections reflect the fact that the net investment return on the Policy is lower
than the gross investment return on the Subaccounts of the Variable Account.
This results from the charges levied, including the premium loads,
administrative charges, mortality and expense risk charges, and Sales Charges.
The difference between the Account Value and the Surrender Value in the first
three years is the refund of Sales Charges.
The tables illustrate cost of insurance and expense charges at both current
rates (which are described under Cost of Insurance, page 35) and at the maximum
rates guaranteed in the Policies. The amounts shown at the end of each Policy
year reflect a daily charge against the Funds. These charges include the charge
against the Subaccounts for mortality and expense risks and the effect on each
Subaccount's investment experience of the charge to Portfolio assets for
investment management and direct expenses. The mortality and expense risk charge
is .60% annually on a guaranteed basis; illustrations showing current rates
reflect a reduction of .50% of the Account Value beginning after the tenth
Policy Anniversary.
The tables also reflect a deduction for a daily investment advisory fee and for
other expenses of the Portfolio at a rate equivalent to 0.70% of the aggregate
average daily net assets of the Portfolio. This hypothetical rate is
representative of the average maximum investment advisory fee and other expenses
of the Portfolios applicable to the Subaccounts of the Variable Account. Actual
fees and other expenses vary by Portfolio and may be subject to agreements by
the sponsor to waive or otherwise reimburse each Portfolio for operating
expenses which exceed certain limits. There can be no assurance that the expense
reimbursement arrangements will continue in the future, and any unreimbursed
expenses would be reflected in the values included in the tables.
G-1
<PAGE> 109
The effect of these investment management and direct expenses on a 0% gross rate
of return would result in a net rate of return of -0.70%, on 6% it would be
5.30%, and on 12% it would be 11.30%.
The tables assume the deduction of charges including administrative and sales
charges. For each age, there are tables using current and guaranteed policy cost
factors. The tables reflect the fact that the Company does not currently make
any charge against the Variable Account for state or federal taxes. If such a
charge is made in the future, it will take a higher rate of return to produce
after-tax returns of 0%, 6%, and 12%.
The Company will furnish, upon request, a comparable illustration based on the
age and sex of the proposed insured, underwriting and premium class assumptions
and an initial Specified Amount, Target Death Benefit, and Scheduled Premium
Payments of the applicant's choice. In addition, the individual chosen
Definition of Life Insurance Test will be illustrated. If a Policy is purchased,
an individualized illustration will be delivered reflecting the Scheduled
Premium Payment chosen and the Insured's actual risk class. After issuance, the
Company will provide, upon request, an illustration of future Policy benefits
based on both guaranteed and current cost factor assumptions and actual Account
Value.
The following is the Disclosure and Notes to Illustration which precede each of
the flexible premium variable life to age 95 standard ledger statements which
follow and which begin on pages G-5
THESE ILLUSTRATIONS ARE NOT VALID IN FLORIDA
G-2
<PAGE> 110
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
DISCLOSURE
BRIEF DESCRIPTION
The Death Benefit, Account Value and Surrender Value of Flexible Premium
Variable Life Insurance may vary up and down to reflect the investment
experience of the subaccounts of the Separate Account and are based on
hypothetical investment return assumptions. Each illustration assumes that the
combination of the amounts allocated by a policyowner to the subaccounts
experienced hypothetical gross rate of investment return equivalent to 0% and
any other rate specified to a maximum of 12%.
These illustrations of Death Benefit, Account Value and Surrender Value are
designed to show the way in which Flexible Premium Variable Life Insurance
operates and help make it possible to compare it with other variable life
insurance illustrations. The hypothetical returns are not intended as estimates
of the future performance of any subaccounts. MONY Life Insurance Company of
America is not able to predict the future performance of the subaccounts.
Illustrations based on assumed constant rates of return do not show
fluctuation in the Death Benefit, Account Value and Surrender Value that can
occur with an actual policy. Since the values of the subaccounts vary up and
down, variable life insurance benefits will also vary. Depending on investment
allocations made to the subaccounts, benefits may vary up and down, unless the
actual rates of return are identical for all subaccounts.
If the illustration reflects loan or partial surrenders the amounts there
of will be shown in columns headed "ANNUAL LOAN" and "PARTIAL SURRENDERS fr
INSUR POLICY".
The policy is a Flexible Premium Variable Life Insurance policy. The
initial premium is due on or before delivery of the policy. You can choose the
amount and frequency of premium payments within certain limits.
The maximum loan value is equal to 90% of the Account Value.
DISTRIBUTED BY: MONY SECURITIES CORPORATION, MEMBER NASD, SIPC
1740 BROADWAY
NEW YORK, NEW YORK 10019
1-800-736-0166
ILLUSTRATIONS MUST BE ACCOMPANIED OR PRECEDED BY A CURRENT PROSPECTUS. READ THE
PROSPECTUS CAREFULLY BEFORE INVESTING.
NOTES TO ILLUSTRATION
The Death Benefit, Account Value and Surrender Value under the policy are
discussed in the prospectus and in your policy. The amounts shown for the Death
Benefit, Account Value and Surrender Value are as of the end of the policy year
and take into consideration the operating charges and expense charges of the
underlying funds including the investment advisory services.
The daily charge for investment advisory services varies by subaccount and
ranges form 0.39% to 1.52% on an annualized basis. Since a specific allocation
amongst subaccounts is not assumed in the illustration an average charge for
investment advisory services is used. The average charge assumed is equivalent
to an annual rate of 0.70%.
The charges assumed for investment advisory services and expenses is
effectively subtracted from the hypothetical gross investment rate of return.
The resulting net investment rate of return is shown in parenthesis next to the
hypothetical gross rate.
1. In Compliance Report 1 the "ASSUME USE OF GUARANTEED MORTALITY" columns,
guaranteed cost of insurance rates are charged.
G-3
<PAGE> 111
2. In Compliance Report 2 the "ASSUME USE OF CURRENT MORTALITY" columns, current
cost of insurance rates are charged.
3. In Compliance Reports 1 and 2, column (2) shows the amount to which the
premium paid for the policy to the end of a policy year would accumulate if
an amount equal to such premiums were invested to earn interest, after taxes
at 5% compounded annually.
4. In Compliance Reports 1 and 2, column (3) reflects any loans that have been
requested.
5. In Compliance Reports 1 and 2, column (4) reflects any partial surrender that
have been requested. A partial surrender could reduce the Death Benefit, and
will reduce the Account Value and Surrender Value by the amount surrendered
plus a transaction fee which is the lesser of $25 or 2% of the amount
surrendered.
6. The term "COST OF MONEY %" is the opportunity cost. The hypothetical rate
assumes the return of earned interest for other possible investments.
G-4
<PAGE> 112
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26,225 27,536 0 0 23,697 21,336 500,000 25,026 22,666
2 47 26,225 56,449 0 0 43,590 42,016 500,000 47,579 46,005
3 48 26,225 86,808 0 0 63,184 62,397 500,000 71,203 70,416
4 49 26,225 118,684 0 0 82,479 82,479 500,000 95,953 95,953
5 50 26,225 152,155 0 0 102,243 102,243 500,000 122,654 122,654
6 51 26,225 187,298 0 0 121,705 121,705 500,000 150,599 150,599
7 52 26,225 224,200 0 0 140,839 140,839 500,000 179,834 179,834
8 53 0 235,410 0 0 136,818 136,818 500,000 186,226 186,226
9 54 0 247,180 0 0 132,607 132,607 500,000 192,764 192,764
10 55 0 259,539 0 0 128,202 128,202 500,000 199,464 199,464
11 56 0 272,516 0 0 123,744 123,744 500,000 206,619 206,619
12 57 0 286,142 0 0 118,986 118,986 500,000 213,927 213,927
13 58 0 300,449 0 0 113,919 113,919 500,000 221,410 221,410
14 59 0 315,471 0 0 108,491 108,491 500,000 229,056 229,056
15 60 0 331,245 0 0 102,643 102,643 500,000 236,857 236,857
16 61 0 347,807 0 0 96,315 96,315 500,000 244,808 244,808
17 62 0 365,197 0 0 89,443 89,443 500,000 252,907 252,907
18 63 0 383,457 0 0 81,957 81,957 500,000 261,154 261,154
19 64 0 402,630 0 0 73,681 73,681 500,000 269,497 269,497
20 65 0 422,762 0 0 64,581 64,581 500,000 277,972 277,972
21 66 0 443,900 0 0 54,458 54,458 500,000 286,539 286,539
22 67 0 466,095 0 0 43,206 43,206 500,000 295,216 295,216
23 68 0 489,399 0 0 30,646 30,646 500,000 304,003 304,003
24 69 0 513,869 0 0 16,582 16,582 500,000 312,907 312,907
25 70 0 539,563 0 0 851 851 500,000 321,963 321,963
26 71 0 566,541 0 0 0 0 0 331,153 331,153
27 72 0 594,868 0 0 0 0 0 340,366 340,366
28 73 0 624,611 0 0 0 0 0 349,786 349,786
29 74 0 655,842 0 0 0 0 0 359,295 359,295
30 75 0 688,634 0 0 0 0 0 368,842 368,842
31 76 0 723,066 0 0 0 0 0 378,407 378,407
32 77 0 759,219 0 0 0 0 0 387,941 387,941
33 78 0 797,180 0 0 0 0 0 397,446 397,446
34 79 0 837,039 0 0 0 0 0 406,965 406,965
35 80 0 878,891 0 0 0 0 0 416,528 416,528
36 81 0 922,836 0 0 0 0 0 426,136 426,136
37 82 0 968,977 0 0 0 0 0 435,769 435,769
38 83 0 1,017,426 0 0 0 0 0 445,390 445,390
39 84 0 1,068,298 0 0 0 0 0 454,987 454,987
40 85 0 1,121,712 0 0 0 0 0 464,542 464,542
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR (GROSS)
- ---- --------
<S> <C>
1 500,000
2 500,000
3 500,000
4 500,000
5 500,000
6 500,000
7 500,000
8 500,000
9 500,000
10 500,000
11 500,000
12 500,000
13 500,000
14 500,000
15 500,000
16 500,000
17 500,000
18 500,000
19 500,000
20 500,000
21 500,000
22 500,000
23 500,000
24 500,000
25 500,000
26 500,000
27 500,000
28 501,697
29 504,989
30 508,375
31 511,984
32 515,651
33 519,422
34 523,317
35 527,282
36 531,392
37 535,516
38 539,679
39 543,937
40 548,298
</TABLE>
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY THE DISCLOSURE
PAGE, CONTINUATION OF COMPLIANCE REPORT 1, AND SUPPLEMENTAL FOOTNOTE PAGE.
G-5
<PAGE> 113
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1 ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR @ 0% @ 0% @ 0% @ 6% @ 6%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1,177,798 0 0 0 0 0 474,100 474,100
42 87 0 1,236,688 0 0 0 0 0 483,725 483,725
43 88 0 1,298,522 0 0 0 0 0 493,524 493,524
44 89 0 1,363,449 0 0 0 0 0 503,651 503,651
45 90 0 1,431,621 0 0 0 0 0 514,293 514,293
46 91 0 1,503,202 0 0 0 0 0 525,731 525,731
47 92 0 1,578,362 0 0 0 0 0 538,350 538,350
48 93 0 1,657,280 0 0 0 0 0 552,729 552,729
49 94 0 1,740,144 0 0 0 0 0 569,799 569,799
50 95 0 1,827,151 0 0 0 0 0 591,072 591,072
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR (GROSS)
- ---- --------
<S> <C>
41 552,801
42 557,514
43 562,469
44 567,715
45 573,282
46 579,198
47 585,510
48 592,415
49 600,056
50 608,804
</TABLE>
Illustration Received _________________________________________________
(Signature of Applicant/Policyholder(s)
and Date)
Illustration Delivered _______________________________________________
(Signature of Representative and Date)
ASSUME GUARANTEED CHARGES AND A GROSS INVESTMENT RETURN OF 0.00%. CONTRACT
LAPSES AFTER AGE 70. ASSUMING GUARANTEED CHARGES AND A GROSS INVESTMENT RETURN
OF 6.00%, THIS CONTRACT MATURES AT ANNIVERSARY AT AGE 95. THIS IS AN
ILLUSTRATION, NOT A CONTRACT. FOR
PRESENTATION IN ARIZONA THE HYPOTHETICAL INVESTMENT RESULTS ARE ILLUSTRATIVE
ONLY, AND SHOULD NOT BE DEEMED A REPRESENTATION OF PAST OR FUTURE INVESTMENT
RESULTS. ACTUAL INVESTMENT RESULTS MAY BE MORE OR LESS THAN THOSE SHOWN, AND
WILL DEPEND ON A NUMBER OF FACTORS, INCLUDING THE INVESTMENT ALLOCATIONS BY A
POLICYHOLDER, AND THE DIFFERENT INVESTMENT RATES OF RETURN ACHIEVED BY THE SUB
ACCOUNT CHOSEN BY THE POLICYHOLDER. THE SURRENDER VALUE, ACCOUNT VALUE AND
BENEFIT PAYABLE AT DEATH FOR A CONTRACT WOULD BE DIFFERENT FROM THOSE SHOWN IF
THE ACTUAL RATES OF INVESTMENT RETURN APPLICABLE TO THE CONTRACT AVERAGED 0.00%
OR 6.00% OVER A PERIOD OF YEARS, BUT ALSO FLUCTUATED ABOVE OR BELOW THOSE
AVERAGES FOR INDIVIDUAL CONTRACT YEARS. NO REPRESENTATIONS CAN BE MADE THAT
THESE HYPOTHETICAL RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR, OR
SUSTAINED OVER ANY PERIOD OF TIME.
PREPARED BY: AGENT DATE PREPARED:
11/6/1996
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY DISCLOSURE PAGE
AND SUPPLEMENTAL FOOTNOTE PAGE.
G-6
<PAGE> 114
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26,225 27,536 0 0 23,697 21,336 500,000 25,026 22,666
2 47 26,225 56,449 0 0 43,862 42,289 500,000 47,858 46,285
3 48 26,225 86,808 0 0 63,663 62,876 500,000 71,709 70,922
4 49 26,225 118,684 0 0 83,152 83,152 500,000 96,684 96,684
5 50 26,225 152,155 0 0 103,052 103,052 500,000 123,563 123,563
6 51 26,225 187,298 0 0 122,731 122,731 500,000 151,772 151,772
7 52 26,225 224,200 0 0 142,198 142,198 500,000 181,387 181,387
8 53 0 235,410 0 0 138,640 138,640 500,000 188,289 189,289
9 54 0 247,180 0 0 135,068 135,068 500,000 195,509 195,509
10 55 0 259,539 0 0 131,482 131,482 500,000 203,064 203,064
11 56 0 272,516 0 0 128,270 128,270 500,000 211,612 211,612
12 57 0 286,142 0 0 124,985 124,985 500,000 220,560 220,560
13 58 0 300,449 0 0 121,490 121,490 500,000 229,833 229,833
14 59 0 315,471 0 0 117,783 117,783 500,000 239,460 239,460
15 60 0 331,245 0 0 113,813 113,813 500,000 249,441 249,441
16 61 0 347,807 0 0 109,483 109,483 500,000 259,751 259,751
17 62 0 365,197 0 0 104,833 104,833 500,000 270,453 270,453
18 63 0 383,457 0 0 99,806 99,806 500,000 281,540 281,540
19 64 0 402,630 0 0 94,394 94,394 500,000 293,024 293,024
20 65 0 422,762 0 0 88,635 88,635 500,000 304,946 304,946
21 66 0 443,900 0 0 82,420 82,420 500,000 317,282 317,282
22 67 0 466,095 0 0 75,783 75,783 500,000 330,089 330,089
23 68 0 489,399 0 0 68,609 68,609 500,000 343,353 343,353
24 69 0 513,869 0 0 60,720 60,720 500,000 357,035 357,035
25 70 0 539,563 0 0 51,874 51,874 500,000 371,081 371,081
26 71 0 566,541 0 0 42,081 42,081 500,000 385,556 385,556
27 72 0 594,868 0 0 31,070 31,070 500,000 400,417 400,417
28 73 0 624,611 0 0 18,831 18,831 500,000 415,728 415,728
29 74 0 655,842 0 0 4,993 4,993 500,000 431,435 431,435
30 75 0 688,634 0 0 0 0 0 447,531 447,531
31 76 0 723,066 0 0 0 0 0 464,067 464,067
32 77 0 759,219 0 0 0 0 0 480,983 480,983
33 78 0 797,180 0 0 0 0 0 498,249 498,249
34 79 0 837,039 0 0 0 0 0 515,239 515,239
35 80 0 878,891 0 0 0 0 0 532,399 532,399
36 81 0 922,836 0 0 0 0 0 549,833 549,833
37 82 0 968,977 0 0 0 0 0 567,457 567,457
38 83 0 1,017,426 0 0 0 0 0 586,066 586,066
39 84 0 1,068,298 0 0 0 0 0 605,173 605,173
40 85 0 1,121,712 0 0 0 0 0 624,661 624,661
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR (GROSS)
- ---- --------
<S> <C>
1 500,000
2 500,000
3 500,000
4 500,000
5 500,000
6 500,000
7 500,000
8 500,000
9 500,000
10 500,000
11 500,000
12 500,000
13 500,000
14 500,000
15 500,000
16 500,000
17 505,693
18 512,374
19 519,298
20 526,581
21 534,144
22 542,139
23 550,497
24 559,117
25 567,976
26 557,062
27 586,410
28 596,278
29 606,382
30 616,832
31 627,882
32 639,323
33 651,161
34 662,546
35 673,963
36 685,642
37 697,347
38 710,136
39 723,484
40 737,287
</TABLE>
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY COMPLIANCE
REPORT 1, THE DISCLOSURE PAGE, THE CONTINUATION OF COMPLIANCE REPORT 2, AND THE
SUPPLEMENTAL FOOTNOTE PAGE.
G-7
<PAGE> 115
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2 ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR @ 0% @ 0% @ 0% @ 6% @ 6%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1,177,798 0 0 0 0 0 644,675 644,675
42 87 0 1,236,688 0 0 0 0 0 665,098 665,098
43 88 0 1,298,522 0 0 0 0 0 686,116 686,116
44 89 0 1,363,449 0 0 0 0 0 707,822 707,822
45 90 0 1,431,621 0 0 0 0 0 730,387 730,387
46 91 0 1,503,202 0 0 0 0 0 753,952 753,952
47 92 0 1,578,362 0 0 0 0 0 779,116 779,116
48 93 0 1,657,280 0 0 0 0 0 806,529 806,529
49 94 0 1,740,144 0 0 0 0 0 837,245 837,245
50 95 0 1,827,151 0 0 0 0 0 872,930 872,930
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR (GROSS)
- ---- --------
<S> <C>
41 751,691
42 766,592
43 781,966
44 797,857
45 814,163
46 830,629
47 847,366
48 864,438
49 881,703
50 899,118
</TABLE>
ASSUME CURRENT CHARGES AND A GROSS INVESTMENT RETURN OF 0.00%, CONTRACT LAPSES
AFTER AGE 74. ASSUMING CURRENT CHARGES AND A GROSS INVESTMENT RETURN OF 6.00%,
THIS CONTRACT MATURES AT ANNIVERSARY AT AGE 95. THIS IS AN ILLUSTRATION, NOT A
CONTRACT. FOR PRESENTATION IN ARIZONA THE
HYPOTHETICAL INVESTMENT RESULTS ARE ILLUSTRATIVE ONLY, AND SHOULD NOT BE DEEMED
A REPRESENTATION OF PAST OR FUTURE INVESTMENT RESULTS. ACTUAL INVESTMENT RESULTS
MAY BE MORE OR LESS THAN THOSE SHOWN, AND WILL DEPEND ON A NUMBER OF FACTORS,
INCLUDING THE INVESTMENT ALLOCATIONS BY A POLICYHOLDER, AND THE DIFFERENT
INVESTMENT RATES OF RETURN ACHIEVED BY THE SUB ACCOUNT CHOSEN BY THE
POLICYHOLDER. THE SURRENDER VALUE, ACCOUNT VALUE AND BENEFIT PAYABLE AT DEATH
FOR A CONTRACT WOULD BE DIFFERENT FROM THOSE SHOWN IF THE ACTUAL RATES OF
INVESTMENT RETURN APPLICABLE TO THE CONTRACT AVERAGED 0.00% OR 6.00% OVER A
PERIOD OF YEARS, BUT ALSO FLUCTUATED ABOVE OR BELOW THOSE AVERAGES FOR
INDIVIDUAL CONTRACT YEARS. NO REPRESENTATIONS CAN BE MADE THAT THESE
HYPOTHETICAL RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR, OR SUSTAINED OVER
ANY PERIOD OF TIME.
PREPARED BY: AGENT DATE PREPARED:
11/6/96
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY COMPLIANCE
REPORT 1, DISCLOSURE PAGE, AND SUPPLEMENTAL FOOTNOTE PAGE.
G-8
<PAGE> 116
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------
NONE
------------------------------------------------
From Year 0 to Year 0
THIS POLICY HAS BEEN TESTED FOR THE POSSIBILITY OF CLASSIFICATION AS A MODIFIED
ENDOWMENT. THIS TEST IS NOT A GUARANTEE THAT A POLICY WILL NOT BE CLASSIFIED AS
A MODIFIED ENDOWMENT.
THIS ILLUSTRATION HAS BEEN CHECKED AGAINST FEDERAL TAX LAW RELATING TO THE
DEFINITION OF LIFE INSURANCE AND IS IN COMPLIANCE BASED ON PROPOSED PREMIUM
PAYMENTS AND COVERAGES. ANY DECREASE IN SPECIFIED AMOUNT AND/OR TARGET DEATH
BENEFIT AND/OR A CHANGE IN DEATH BENEFIT AND/OR SURRENDERS OCCURRING IN THE
FIRST 15 YEARS MAY CAUSE A TAXABLE EVENT. IN ADDITION, IF THE POLICY IS DEFINED
AS A MODIFIED ENDOWMENT CONTRACT, A LOAN, SURRENDER, OR ASSIGNMENT OR PLEDGE
(UNLESS SUCH ASSIGNMENT OR PLEDGE IS FOR BURIAL EXPENSES AND THE MAXIMUM DEATH
BENEFIT IS NOT IN EXCESS OF $25,000) MAY BE CONSIDERED A TAXABLE DISTRIBUTION
AND A TEN PERCENT PENALTY MAY BE ADDED TO ANY TAX ON THE DISTRIBUTION. PLEASE
CONSULT YOUR TAX ADVISOR FOR ADVICE.
VALUES SHOWN ON THIS ILLUSTRATION ARE BASED ON A POLICY OWNER TAX BRACKET OF
0.00%.
PREMIUMS ARE ASSUMED TO BE PAID AT THE BEGINNING OF THE PAYMENT PERIOD. POLICY
VALUES AND AGES ARE SHOWN AS OF THE END OF THE POLICY YEAR AND REFLECT THE
EFFECT OF ALL LOANS AND SURRENDERS. THE DEATH BENEFIT , ACCOUNT VALUE AND
SURRENDER VALUE WILL DIFFER IF PREMIUMS ARE PAID IN DIFFERENT AMOUNTS,
FREQUENCIES, OR NOT ON THE DUE DATE.
THE POLICY'S SURRENDER VALUE INCLUDES ANY SALES CHARGE REFUND ON FULL SURRENDER.
THE SALES CHARGE REFUND EQUALS THE SALES CHARGE COLLECTED IN THE FIRST POLICY
YEAR OR THE FIRST POLICY YEAR OF AN INCREASE ADJUSTED BY THE FOLLOWING SCHEDULE:
YEAR 1-100%
YEAR 2-66.67%
YEAR 3-33.33%
PREMIUMS LESS THE FOLLOWING DEDUCTIONS ARE ADDED TO THE ACCOUNT VALUE. (1) A
PREMIUM TAX CHARGE OF 2.00% OF GROSS PREMIUMS IN ALL YEARS. (2) A SALES CHARGE
ON THE GROSS PREMIUM EQUALS TO 9% UP TO THE TARGET PREMIUM IN YEAR 1-10, 0% IN
POLICY YEARS 11 AND AFTER AND 0% OF PREMIUM IN EXCESS OF THE TARGET PREMIUM IN
ALL YEARS. (3) A DAC TAX CHARGE OF 1.25% OF GROSS PREMIUMS IN ALL YEARS.
REFER TO PROSPECTUS
G-9
<PAGE> 117
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
THOSE COLUMNS ASSUMING GUARANTEED CHARGES USE THE CURRENT MONTHLY MORTALITY
CHARGES AND CURRENT CHARGES FOR RIDER BENEFITS IF ANY, FOR THE FIRST YEAR AS
WELL AS THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT RETURN INDICATED.
THEREAFTER THESE COLUMNS USE GUARANTEED CHARGES FOR MONTHLY MORTALITY CHARGES,
RIDER BENEFITS IF ANY, AND THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT
RETURN INDICATED. THOSE COLUMNS ASSUMING CURRENT CHARGES ARE BASED UPON "CURRENT
CHARGES" AND THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT RETURN INDICATED.
THE CURRENT CHARGES ARE DECLARED BY MONY LIFE INSURANCE COMPANY OF AMERICA, ARE
GUARANTEED FOR THE FIRST POLICY YEAR, AND APPLY TO POLICIES ISSUED AS OF THE
PREPARATION DATE SHOWN. AFTER THE FIRST POLICY YEAR, CURRENT CHARGES ARE NOT
GUARANTEED, AND MAY BE CHANGED AT THE DISCRETION OF MONY LIFE INSURANCE COMPANY
OF AMERICA.
THE DIFFERENCE BETWEEN THE ACCOUNT VALUE AND THE VALUE UPON SURRENDER IS ANY
OUTSTANDING DEBT PLUS ANY APPLICABLE SALES CHARGE REFUND. A PARTIAL SURRENDER
AMOUNT AND THE PARTIAL SURRENDER FEE ($25.00 OR 2% OF THE AMOUNT SURRENDERED, IF
LESS) COULD BE DEDUCTED FROM THE BENEFIT PAYABLE AT DEATH, AND WILL BE DEDUCTED
FROM THE ACCOUNT VALUE AND THE VALUE UPON SURRENDER.
A POLICY LOAN WILL HAVE A PERMANENT EFFECT ON BENEFITS UNDER THE POLICY. LOAN
INTEREST AT AN ANNUAL RATE OF 4.6% WILL BE CHARGED IN ARREARS. AMOUNTS BORROWED
WILL EARN INTEREST AT AN ANNUAL RATE OF 4%. AFTER THE 10TH POLICY ANNIVERSARY
THE ANNUAL INTEREST RATE APPLICABLE TO THE LOAN ACCOUNT WILL BE 0.15% HIGHER
THAN THE RATE APPLICABLE TO POLICIES OF THE SAME TYPE WHICH HAVE NOT REACHED
THEIR 10TH POLICY ANNIVERSARY. IT IS ANTICIPATED BUT NOT GUARANTEED THAT AFTER
THE 10TH POLICY ANNIVERSARY THIS 0.15% WILL BE INCREASED BY AN ADDITIONAL 0.15%.
THIS ADDITIONAL INCREASE IS BASED ON CURRENT EXPECTATIONS AS TO MORTALITY,
INVESTMENT EARNINGS, PERSISTENCY AND EXPENSES AND IS NOT GUARANTEED. ADVERSE TAX
CONSEQUENCES COULD OCCUR IF A POLICY SUBJECT TO LOANS IS SURRENDERED OR
PERMITTED TO LAPSE. IN ADDITION, LOAN INTEREST MAY NOT BE DEDUCTIBLE. PLEASE
CONSULT YOUR TAX ADVISOR FOR ADVICE SURROUNDING THE DEDUCTIBILITY OF LOAN
INTEREST AND OTHER TAX CONSEQUENCES.
AN ADMINISTRATIVE CHARGE IS DEDUCTED EACH MONTH. DURING THE FIRST 36 POLICY
MONTHS THE CHARGE IS $12.50 PER MONTH, THEREAFTER, THE CHARGE IS $7.50 PER
MONTH.
REFER TO PROSPECTUS
G-10
<PAGE> 118
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANUAL FR INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26,225 27,536 0 0 23,697 21,336 500,000 26,356 23,996
2 47 26,225 56,449 0 0 43,590 42,016 500,000 51,729 50,155
3 48 26,225 86,808 0 0 63,184 62,397 500,000 79,880 79,093
4 49 26,225 118,684 0 0 82,479 82,479 500,000 111,118 111,118
5 50 26,225 152,155 0 0 102,243 102,243 500,000 146,561 146,561
6 51 26,225 187,298 0 0 121,705 121,705 500,000 185,829 185,829
7 52 26,225 224,200 0 0 140,839 140,839 500,000 229,078 229,078
8 53 0 235,410 0 0 136,818 136,818 500,000 251,216 251,216
9 54 0 247,180 0 0 132,607 132,607 500,000 275,397 275,397
10 55 0 259,539 0 0 128,202 128,202 500,000 301,820 301,820
11 56 0 272,516 0 0 123,744 123,744 500,000 331,153 331,153
12 57 0 286,142 0 0 118,986 118,986 500,000 363,176 363,176
13 58 0 300,449 0 0 113,919 113,919 500,000 398,155 398,155
14 59 0 315,471 0 0 108,491 108,491 500,000 436,324 436,324
15 60 0 331,245 0 0 102,643 102,643 500,000 477,942 477,942
16 61 0 347,807 0 0 96,315 96,315 500,000 523,289 523,289
17 62 0 365,197 0 0 89,443 89,443 500,000 572,669 572,669
18 63 0 383,457 0 0 81,957 81,957 500,000 626,418 626,418
19 64 0 402,630 0 0 73,681 73,681 500,000 684,772 684,772
20 65 0 422,762 0 0 64,581 64,581 500,000 748,180 748,180
21 66 0 443,900 0 0 54,458 54,458 500,000 816,935 816,935
22 67 0 466,095 0 0 43,206 43,206 500,000 891,489 891,489
23 68 0 489,399 0 0 30,646 30,646 500,000 972,270 972,270
24 69 0 513,869 0 0 16,582 16,582 500,000 1,059,753 1,059,750
25 70 0 539,563 0 0 851 851 500,000 1,154,528 1,154,528
26 71 0 566,541 0 0 0 0 0 1,257,037 1,257,037
27 72 0 594,868 0 0 0 0 0 1,367,377 1,367,377
28 73 0 624,611 0 0 0 0 0 1,486,703 1,486,703
29 74 0 655,842 0 0 0 0 0 1,615,161 1,615,161
30 75 0 688,634 0 0 0 0 0 1,753,209 1,753,209
31 76 0 723,066 0 0 0 0 0 1,901,557 1,901,557
32 77 0 759,219 0 0 0 0 0 2,060,939 2,060,939
33 78 0 797,180 0 0 0 0 0 2,232,162 2,232,162
34 79 0 837,039 0 0 0 0 0 2,416,308 2,416,308
35 80 0 878,891 0 0 0 0 0 2,614,477 2,614,477
36 81 0 922,836 0 0 0 0 0 2,827,711 2,827,711
37 82 0 968,977 0 0 0 0 0 3,056,937 3,056,937
38 83 0 1,017,426 0 0 0 0 0 3,303,040 3,303,040
39 84 0 1,068,298 0 0 0 0 0 3,567,100 3,567,100
40 85 0 1,121,712 0 0 0 0 0 3,850,188 3,850,188
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR (GROSS)
- ---- --------
<S> <C>
1 500,000
2 500,000
3 500,000
4 500,000
5 500,000
6 500,000
7 575,032
8 611,284
9 649,772
10 690,746
11 735,358
12 782,863
13 833,457
14 887,352
15 944,701
16 1,005,761
17 1,070,777
18 1,140,017
19 1,213,554
20 1,291,957
21 1,375,310
22 1,464,181
23 1,558,841
24 1,659,573
25 1,767,120
26 1,881,408
27 2,002,524
28 2,132,378
29 2,270,109
30 2,416,448
31 2,572,807
32 2,739,401
33 2,917,212
34 3,107,131
35 3,309,666
36 3,526,155
37 3,756,670
38 4,002,293
39 4,264,468
40 4,544,377
</TABLE>
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY THE DISCLOSURE
PAGE, CONTINUATION OF COMPLIANCE REPORT 1, AND SUPPLEMENTAL FOOTNOTE PAGE.
G-11
<PAGE> 119
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1 ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR @ 0% @ 0% @ 0% @ 12% @ 12%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- ---------- ---------- -------- -------- ---------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1,177,798 0 0 0 0 0 4,154,013 4,154,013
42 87 0 1,236,688 0 0 0 0 0 4,480,591 4,480,591
43 88 0 1,298,522 0 0 0 0 0 4,832,631 4,832,631
44 89 0 1,363,449 0 0 0 0 0 5,213,656 5,213,656
45 90 0 1,431,621 0 0 0 0 0 5,628,072 5,628,072
46 91 0 1,503,202 0 0 0 0 0 6,082,031 6,082,031
47 92 0 1,578,362 0 0 0 0 0 6,583,909 6,583,909
48 93 0 1,657,280 0 0 0 0 0 7,146,017 7,146,017
49 94 0 1,740,144 0 0 0 0 0 7,787,620 7,787,620
50 95 0 1,827,151 0 0 0 0 0 8,539,903 8,539,903
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR (GROSS)
- ---- --------
<S> <C>
41 4,843,579
42 5,164,330
43 5,507,750
44 5,876,833
45 6,273,611
46 6,700,574
47 7,160,659
48 7,659,101
49 8,201,143
50 8,796,100
</TABLE>
Illustration Received _________________________________________________
(Signature of Applicant/Policyholder(s)
and Date)
Illustration Delivered _______________________________________________
(Signature of Representative and Date)
ASSUME GUARANTEED CHARGES AND A GROSS INVESTMENT RETURN OF 0.00%, CONTRACT
LAPSES AFTER AGE 70. ASSUMING GUARANTEED CHARGES AND A GROSS INVESTMENT RETURN
OF 12.00%, THIS CONTRACT MATURES AT ANNIVERSARY AT AGE 95. THIS IS AN
ILLUSTRATION, NOT A CONTRACT. FOR
PRESENTATION IN ARIZONA THE HYPOTHETICAL INVESTMENT RESULTS ARE ILLUSTRATIVE
ONLY, AND SHOULD NOT BE DEEMED A REPRESENTATION OF PAST OR FUTURE INVESTMENT
RESULTS. ACTUAL INVESTMENT RESULTS MAY BE MORE OR LESS THAN THOSE SHOWN, AND
WILL DEPEND ON A NUMBER OF FACTORS, INCLUDING THE INVESTMENT ALLOCATIONS BY A
POLICYHOLDER, AND THE DIFFERENT INVESTMENT RATES OF RETURN ACHIEVED BY THE SUB
ACCOUNT CHOSEN BY THE POLICYHOLDER. THE SURRENDER VALUE, ACCOUNT VALUE AND
BENEFIT PAYABLE AT DEATH FOR A CONTRACT WOULD BE DIFFERENT FROM THOSE SHOWN IF
THE ACTUAL RATES OF INVESTMENT RETURN APPLICABLE TO THE CONTRACT AVERAGED 0.00%
OR 12.00% OVER A PERIOD OF YEARS, BUT ALSO FLUCTUATED ABOVE OR BELOW THOSE
AVERAGES FOR INDIVIDUAL CONTRACT YEARS. NO REPRESENTATIONS CAN BE MADE THAT
THESE HYPOTHETICAL RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR, OR
SUSTAINED OVER ANY PERIOD OF TIME.
PREPARED BY: AGENT DATE PREPARED:
11/6/1996
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY DISCLOSURE PAGE
AND SUPPLEMENTAL FOOTNOTE PAGE.
G-12
<PAGE> 120
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION I DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26,225 27,536 0 0 23,697 21,336 500,000 26,356 23,996
2 47 26,225 56,449 0 0 43,862 42,289 500,000 52,016 50,442
3 48 26,225 86,808 0 0 63,663 62,876 500,000 80,414 79,627
4 49 26,225 118,684 0 0 83,152 83,152 500,000 111,912 111,912
5 50 26,225 152,155 0 0 103,052 103,052 500,000 147,580 147,580
6 51 26,225 187,298 0 0 122,731 122,731 500,000 187,167 187,167
7 52 26,225 224,200 0 0 142,198 142,198 500,000 230,881 230,881
8 53 0 235,410 0 0 138,640 138,640 500,000 253,673 253,673
9 54 0 247,180 0 0 135,068 135,068 500,000 278,774 278,774
10 55 0 259,539 0 0 131,482 131,482 500,000 306,422 306,422
11 56 0 272,516 0 0 128,270 128,270 500,000 337,895 337,895
12 57 0 286,142 0 0 124,985 124,985 500,000 372,625 372,625
13 58 0 300,449 0 0 121,490 121,490 500,000 410,798 410,798
14 59 0 315,471 0 0 117,783 117,783 500,000 452,766 452,766
15 60 0 331,245 0 0 113,813 113,813 500,000 498,861 498,861
16 61 0 347,807 0 0 109,483 109,483 500,000 549,348 549,348
17 62 0 365,197 0 0 104,833 104,833 500,000 604,846 604,846
18 63 0 383,457 0 0 99,806 99,806 500,000 665,687 665,687
19 64 0 402,630 0 0 94,394 94,394 500,000 732,458 732,458
20 65 0 422,762 0 0 88,635 88,635 500,000 805,839 805,839
21 66 0 443,900 0 0 82,420 82,420 500,000 886,374 886,374
22 67 0 466,095 0 0 75,783 75,783 500,000 974,874 974,874
23 68 0 489,399 0 0 68,609 68,609 500,000 1,072,010 1,072,010
24 69 0 513,869 0 0 60,720 60,720 500,000 1,178,465 1,178,465
25 70 0 539,563 0 0 51,874 51,874 500,000 1,294,842 1,294,842
26 71 0 566,541 0 0 42,081 42,081 500,000 1,422,255 1,422,255
27 72 0 594,868 0 0 31,070 31,070 500,000 1,561,500 1,561,500
28 73 0 624,611 0 0 18,831 18,831 500,000 1,713,868 1,713,868
29 74 0 655,842 0 0 4,993 4,993 500,000 1,880,275 1,880,275
30 75 0 688,634 0 0 0 0 0 2,061,888 2,061,888
31 76 0 723,066 0 0 0 0 0 2,260,250 2,260,250
32 77 0 759,219 0 0 0 0 0 2,476,505 2,476,505
33 78 0 797,180 0 0 0 0 0 2,711,983 2,711,983
34 79 0 837,039 0 0 0 0 0 2,964,694 2,964,694
35 80 0 878,891 0 0 0 0 0 3,238,449 3,238,449
36 81 0 922,836 0 0 0 0 0 3,535,563 3,535,563
37 82 0 968,977 0 0 0 0 0 3,857,323 3,857,323
38 83 0 1,017,426 0 0 0 0 0 4,211,388 4,211,388
39 84 0 1,068,298 0 0 0 0 0 4,597,077 4,597,077
40 85 0 1,121,712 0 0 0 0 0 5,016,132 5,016,132
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR (GROSS)
- ---- --------
<S> <C>
1 500,000
2 500,000
3 500,000
4 500,000
5 500,000
6 500,000
7 579,557
8 617,263
9 657,739
10 701,277
11 750,329
12 803,213
13 859,924
14 920,790
15 986,048
16 1,055,916
17 1,130,941
18 1,211,483
19 1,298,062
20 1,391,523
21 1,492,210
22 1,601,134
23 1,718,967
24 1,845,476
25 1,981,885
26 2,128,690
27 2,286,816
28 2,458,201
29 2,642,727
30 2,841,901
31 3,058,119
32 3,291,770
33 3,544,291
34 3,812,300
35 4,099,552
36 4,408,847
37 4,740,270
38 5,102,938
39 5,495,808
40 5,920,541
</TABLE>
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY COMPLIANCE
REPORT 1, THE DISCLOSURE PAGE, THE CONTINUATION OF COMPLIANCE REPORT 2, AND THE
SUPPLEMENTAL FOOTNOTE PAGE.
G-13
<PAGE> 121
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2 ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR @ 0% @ 0% @ 0% @ 12% @ 12%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1,177,798 0 0 0 0 0 5,472,507 5,472,507
42 87 0 1,236,688 0 0 0 0 0 5,968,301 5,968,301
43 88 0 1,298,522 0 0 0 0 0 6,508,504 6,508,504
44 89 0 1,363,449 0 0 0 0 0 7,097,817 7,097,817
45 90 0 1,431,621 0 0 0 0 0 7,742,303 7,742,303
46 91 0 1,503,202 0 0 0 0 0 8,448,415 8,448,415
47 92 0 1,578,362 0 0 0 0 0 9,228,838 9,228,838
48 93 0 1,657,280 0 0 0 0 0 10,098,973 10,098,973
49 94 0 1,740,144 0 0 0 0 0 11,082,061 11,082,061
50 95 0 1,827,151 0 0 0 0 0 12,213,964 12,213,964
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR (GROSS)
- ---- --------
<S> <C>
41 6,380,943
42 6,879,064
43 7,417,742
44 8,000,660
45 8,630,345
46 9,307,619
47 10,037,285
48 10,824,079
49 11,670,519
50 12,580,383
</TABLE>
ASSUME CURRENT CHARGES AND A GROSS INVESTMENT RETURN OF 0.00%. CONTRACT LAPSES
AFTER AGE 74. ASSUMING CURRENT CHARGES AND A GROSS INVESTMENT RETURN OF 12.00%
THIS CONTRACT MATURES AT ANNIVERSARY AT AGE 95. THIS IS AN ILLUSTRATION, NOT A
CONTRACT. FOR PRESENTATION IN ARIZONA THE
HYPOTHETICAL INVESTMENT RESULTS ARE ILLUSTRATIVE ONLY, AND SHOULD NOT BE DEEMED
A REPRESENTATION OF PAST OR FUTURE INVESTMENT RESULTS. ACTUAL INVESTMENT RESULTS
MAY BE MORE OR LESS THAN THOSE SHOWN, AND WILL DEPEND ON A NUMBER OF FACTORS,
INCLUDING THE INVESTMENT ALLOCATIONS BY A POLICYHOLDER, AND THE DIFFERENT
INVESTMENT RATES OF RETURN ACHIEVED BY THE SUB ACCOUNT CHOSEN BY THE
POLICYHOLDER. THE SURRENDER VALUE, ACCOUNT VALUE AND BENEFIT PAYABLE AT DEATH
FOR A CONTRACT WOULD BE DIFFERENT FROM THOSE SHOWN IF THE ACTUAL RATES OF
INVESTMENT RETURN APPLICABLE TO THE CONTRACT AVERAGED 0.00% OR 12.00% OVER A
PERIOD OF YEARS, BUT ALSO FLUCTUATED ABOVE OR BELOW THOSE AVERAGES FOR
INDIVIDUAL CONTRACT YEARS. NO REPRESENTATIONS CAN BE MADE FLUCTUATED ABOVE OR
BELOW THOSE AVERAGES FOR INDIVIDUAL CONTRACT YEARS. NO REPRESENTATIONS CAN BE
MADE THAT THESE HYPOTHETICAL RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR,
OR SUSTAINED OVER ANY PERIOD OF TIME.
PREPARED BY: AGENT DATE PREPARED:
11/6/1996
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY COMPLIANCE
REPORT 1, DISCLOSURE PAGE, AND SUPPLEMENTAL FOOTNOTE PAGE.
G-14
<PAGE> 122
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------
NONE
------------------------------------------------
From Year 0 to Year 0
THIS POLICY HAS BEEN TESTED FOR THE POSSIBILITY OF CLASSIFICATION AS A MODIFIED
ENDOWMENT. THIS TEST IS NOT A GUARANTEE THAT A POLICY WILL NOT BE CLASSIFIED AS
A MODIFIED ENDOWMENT.
THIS ILLUSTRATION HAS BEEN CHECKED AGAINST FEDERAL TAX LAW RELATING TO THE
DEFINITION OF LIFE INSURANCE AND IS IN COMPLIANCE BASED ON PROPOSED PREMIUM
PAYMENTS AND COVERAGES. ANY DECREASE IN SPECIFIED AMOUNT AND/OR TARGET DEATH
BENEFIT AND/OR A CHANGE IN DEATH BENEFIT AND/OR SURRENDERS OCCURRING IN THE
FIRST 15 YEARS MAY CAUSE A TAXABLE EVENT. IN ADDITION, IF THE POLICY IS DEFINED
AS A MODIFIED ENDOWMENT CONTRACT, A LOAN, SURRENDER OR ASSIGNMENT OR PLEDGE
(UNLESS SUCH ASSIGNMENT OR PLEDGE IS FOR BURIAL EXPENSES AND THE MAXIMUM DEATH
BENEFIT IS NOT IN EXCESS OF $25,000) MAY BE CONSIDERED A TAXABLE DISTRIBUTION
AND A TEN PERCENT PENALTY MAY BE ADDED TO ANY TAX ON THE DISTRIBUTION. PLEASE
CONSULT YOUR TAX ADVISOR FOR ADVICE.
VALUES SHOWN ON THIS ILLUSTRATION ARE BASED ON A POLICY OWNER TAX BRACKET OF
0.00%.
PREMIUMS ARE ASSUMED TO BE PAID AT THE BEGINNING OF THE PAYMENT PERIOD. POLICY
VALUES AND AGES ARE SHOWN AS OF THE END OF THE POLICY YEAR AND REFLECT THE
EFFECT OF ALL LOANS AND SURRENDERS. THE DEATH BENEFIT, ACCOUNT VALUE AND
SURRENDER VALUE WILL DIFFER IF PREMIUMS ARE PAID IN DIFFERENT AMOUNTS,
FREQUENCIES, OR NOT ON THE DUE DATE.
THE POLICY'S SURRENDER VALUE INCLUDES ANY SALES CHARGE REFUND ON FULL SURRENDER.
THE SALES CHARGE REFUND EQUALS THE SALES CHARGE COLLECTED IN THE FIRST POLICY
YEAR OR THE FIRST POLICY YEAR OF AN INCREASE ADJUSTED BY THE FOLLOWING SCHEDULE:
YEAR 1 - 100%
YEAR 2 - 66.67%
YEAR 3 - 33.33%
PREMIUMS LESS THE FOLLOWING DEDUCTIONS ARE ADDED TO THE ACCOUNT VALUE. (1) A
PREMIUM TAX CHARGE OF 2.00% OF GROSS PREMIUMS IN ALL YEARS. (2) A SALES CHARGE
ON THE GROSS PREMIUM EQUALS TO 9% UP TO THE TARGET PREMIUM IN YEARS 1-10, 0% IN
POLICY YEARS 11 AND AFTER, AND 0% OF PREMIUM IN EXCESS OF THE TARGET PREMIUM IN
ALL YEARS. (3) A DAC TAX CHARGE OF 1.25% OF GROSS PREMIUMS IN ALL YEARS.
REFER TO PROSPECTUS
G-15
<PAGE> 123
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTON: OPTION I DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
THOSE COLUMNS ASSUMING GUARANTEED CHARGES USE THE CURRENT MONTHLY MORTALITY
CHARGES AND CURRENT CHARGES FOR RIDER BENEFITS IF ANY, FOR THE FIRST YEAR AS
WELL AS THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT RETURN INDICATED.
THEREAFTER THESE COLUMNS USE GUARANTEED CHARGES FOR MONTHLY MORTALITY CHARGES,
RIDER BENEFITS IF ANY, AND THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT
RETURN INDICATED. THOSE COLUMNS ASSUMING CURRENT CHARGES ARE BASED UPON "CURRENT
CHARGES" AND THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT RETURN INDICATED.
THE CURRENT CHARGES ARE DECLARED BY MONY LIFE INSURANCE COMPANY OF AMERICA, ARE
GUARANTEED FOR THE FIRST POLICY YEAR, AND APPLY TO POLICIES ISSUED AS OF THE
PREPARATION DATE SHOWN. AFTER THE FIRST POLICY YEAR CURRENT CHARGES ARE NOT
GUARANTEED, AND MAY BE CHANGED AT THE DISCRETION OF MONY LIFE INSURANCE COMPANY
OF AMERICA.
THE DIFFERENCE BETWEEN THE ACCOUNT VALUE AND THE VALUE UPON SURRENDER IS ANY
OUTSTANDING DEBT PLUS ANY APPLICABLE SALES CHARGE REFUND. A PARTIAL SURRENDER,
THE SURRENDER AMOUNT AND THE PARTIAL SURRENDER FEE ($25.00 OR 2% OF THE AMOUNT
SURRENDERED, IF LESS) COULD BE DEDUCTED FROM THE BENEFIT PAYABLE AT DEATH, AND
WILL BE DEDUCTED FROM THE ACCOUNT VALUE AND THE VALUE UPON SURRENDER.
A POLICY LOAN WILL HAVE A PERMANENT EFFECT ON BENEFITS UNDER THIS POLICY. LOAN
INTEREST AT AN ANNUAL RATE OF 4.6% WILL BE CHARGED IN ARREARS. AMOUNTS BORROWED
WILL EARN INTEREST AT AN ANNUAL RATE OF 4%. AFTER THE 10TH POLICY ANNIVERSARY
THE ANNUAL INTEREST RATE APPLICABLE TO THE LOAN ACCOUNT WILL BE 0.15% HIGHER
THAN THE RATE APPLICABLE TO POLICIES OF THE SAME TYPE WHICH HAVE NOT REACHED
THEIR 10TH POLICY ANNIVERSARY. IT IS ANTICIPATED BUT NOT GUARANTEED THAT AFTER
THE 10TH POLICY ANNIVERSARY THIS 0.15% WILL BE INCREASED BY AN ADDITIONAL 0.15%.
THIS ADDITIONAL INCREASE IS BASED ON CURRENT EXPECTATIONS AS TO MORTALITY,
INVESTMENT EARNINGS, PERSISTENCY AND EXPENSES AND IS NOT GUARANTEED. ADVERSE TAX
CONSEQUENCES COULD OCCUR IF A POLICY SUBJECT TO LOANS IS SURRENDERED OR
PERMITTED TO LAPSE. IN ADDITION, THE LOAN INTEREST MAY NOT BE DEDUCTIBLE. PLEASE
CONSULT YOUR TAX ADVISOR FOR ADVICE SURROUNDING THE DEDUCTIBILITY OF LOAN
INTEREST AND OTHER TAX CONSEQUENCES.
AN ADMINISTRATIVE CHARGE IS DEDUCTED EACH MONTH. DURING THE FIRST 36 POLICY
MONTHS THE CHARGE IS 12.50 PER MONTH, THEREAFTER, THE CHARGE IS $7.50 PER MONTH.
REFER TO PROSPECTUS
G-16
<PAGE> 124
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR @ 0% @ 0% @ 0% @ 6% @ 6%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- ---------- ---------- -------- -------- ---------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26,225 27,536 0 0 23,863 22,680 500,000 25,269 24,086
2 47 26,225 56,449 0 0 45,302 44,513 500,000 49,521 48,733
3 48 26,225 86,808 0 0 66,432 66,037 500,000 74,913 74,518
4 49 26,225 118,684 0 0 87,253 87,253 500,000 101,502 101,502
5 50 26,225 152,155 0 0 108,144 108,144 500,000 129,727 129,727
6 51 26,225 187,298 0 0 128,726 128,726 500,000 159,277 159,277
7 52 26,225 224,200 0 0 148,975 148,975 500,000 190,205 190,205
8 53 0 235,410 0 0 144,896 144,896 500,000 197,145 197,145
9 54 0 247,180 0 0 140,634 140,634 500,000 204,268 204,268
10 55 0 259,539 0 0 136,182 113,182 500,000 211,590 211,590
11 56 0 272,516 0 0 131,696 131,696 500,000 219,431 219,431
12 57 0 286,142 0 0 126,916 126,916 500,000 227,474 227,474
13 58 0 300,449 0 0 121,836 121,836 500,000 235,746 235,746
14 59 0 315,471 0 0 116,396 116,396 500,000 244,242 244,242
15 60 0 331,245 0 0 110,546 110,546 500,000 252,961 252,961
16 61 0 347,807 0 0 104,224 104,224 500,000 261,903 261,903
17 62 0 365,197 0 0 97,367 97,367 500,000 271,066 271,066
18 63 0 383,457 0 0 89,907 89,907 500,000 280,446 280,446
19 64 0 402,630 0 0 81,671 81,671 500,000 289,985 289,985
20 65 0 422,762 0 0 72,624 72,624 500,000 299,702 299,702
21 66 0 443,900 0 0 62,570 62,570 500,000 309,547 309,547
22 67 0 466,095 0 0 51,404 51,404 500,000 319,529 319,529
23 68 0 489,399 0 0 38,950 38,950 500,000 329,637 329,637
24 69 0 513,869 0 0 25,013 25,013 500,000 339,867 339,867
25 70 0 539,563 0 0 9,431 9,431 500,000 350,238 350,238
26 71 0 566,541 0 0 0 0 0 360,714 360,714
27 72 0 594,868 0 0 0 0 0 371,158 371,158
28 73 0 624,611 0 0 0 0 0 381,726 381,726
29 74 0 655,842 0 0 0 0 0 392,284 392,284
30 75 0 688,634 0 0 0 0 0 402,788 402,788
31 76 0 723,066 0 0 0 0 0 413,248 413,248
32 77 0 759,219 0 0 0 0 0 423,669 423,669
33 78 0 797,180 0 0 0 0 0 434,057 434,057
34 79 0 837,039 0 0 0 0 0 444,462 444,462
35 80 0 878,891 0 0 0 0 0 454,914 454,914
36 81 0 922,836 0 0 0 0 0 465,417 465,417
37 82 0 968,977 0 0 0 0 0 475,945 475,945
38 83 0 1,017,426 0 0 0 0 0 486,462 486,462
39 84 0 1,068,298 0 0 0 0 0 496,953 496,953
40 85 0 1,121,712 0 0 0 0 0 507,397 507,397
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR (GROSS)
- ---- --------
<S> <C>
1 500,000
2 500,000
3 500,000
4 500,000
5 500,000
6 500,000
7 500,000
8 500,000
9 500,000
10 500,000
11 500,000
12 500,000
13 500,000
14 500,000
15 500,002
16 503,378
17 506,839
18 510,384
19 513,911
20 517,526
21 521,123
22 524,794
23 528,507
24 532,231
25 536,074
26 539,880
27 543,561
28 547,510
29 551,355
30 555,163
31 559,125
32 563,141
33 567,270
34 571,534
35 575,875
36 580,375
37 584,889
38 589,445
39 594,107
40 598,880
</TABLE>
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY THE DISCLOSURE
PAGE, CONTINUATION OF COMPLIANCE REPORT 1, AND SUPPLEMENTAL FOOTNOTE PAGE.
G-17
<PAGE> 125
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1 ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1,177,798 0 0 0 0 0 517,845 517,845
42 87 0 1,236,688 0 0 0 0 0 528,366 528,366
43 88 0 1,298,522 0 0 0 0 0 539,078 539,078
44 89 0 1,363,449 0 0 0 0 0 550,148 550,148
45 90 0 1,431,621 0 0 0 0 0 561,781 561,781
46 91 0 1,503,202 0 0 0 0 0 574,285 574,285
47 92 0 1,578,362 0 0 0 0 0 588,077 588,077
48 93 0 1,657,280 0 0 0 0 0 603,793 603,793
49 94 0 1,740,144 0 0 0 0 0 622,448 622,448
50 95 0 1,827,151 0 0 0 0 0 645,695 645,696
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR (GROSS)
- ---- --------
<S> <C>
41 603,808
42 608,995
43 614,387
44 620,127
45 626,217
46 632,689
47 639,593
48 647,145
49 655,500
50 665,066
</TABLE>
Illustration Received _________________________________________________
(Signature of Applicant/Policyholder(s)
and Date)
Illustration Delivered _______________________________________________
(Signature of Representative and Date)
ASSUME GUARANTEED CHARGES AND A GROSS INVESTMENT RETURN OF 0.00%. CONTRACT
LAPSES AFTER AGE 70. ASSUMING GUARANTEED CHARGES AND A GROSS INVESTMENT RETURN
OF 6.00%, THIS CONTRACT MATURES AT ANNIVERSARY AT AGE 95. THIS IS AN
ILLUSTRATION, NOT A CONTRACT. FOR
PRESENTATION IN ARIZONA THE HYPOTHETICAL INVESTMENT RESULTS ARE ILLUSTRATIVE
ONLY, AND SHOULD NOT BE DEEMED A REPRESENTATION OF PAST OR FUTURE INVESTMENT
RESULTS, ACTUAL INVESTMENT RESULTS MAY BE MORE OR LESS THAN THOSE SHOWN, AND
WILL DEPEND ON A NUMBER OF FACTORS, INCLUDING THE INVESTMENT ALLOCATIONS BY A
POLICYHOLDER, AND THE DIFFERENT INVESTMENT RATES OF RETURN ACHIEVED BY THE SUB
ACCOUNT CHOSEN BY THE POLICYHOLDER. THE SURRENDER VALUE, ACCOUNT VALUE AND
BENEFIT PAYABLE AT DEATH FOR A CONTRACT WOULD BE DIFFERENT FROM THOSE SHOWN IF
THE ACTUAL RATES OF INVESTMENT RETURN APPLICABLE TO THE CONTRACT AVERAGED 0.00%
OR 6.00% OVER A PERIOD OF YEARS, BUT ALSO FLUCTUATED ABOVE OR BELOW THOSE
AVERAGES FOR INDIVIDUAL CONTRACT YEARS. NO REPRESENTATIONS CAN BE MADE THAT
THESE HYPOTHETICAL RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR, OR
SUSTAINED OVER ANY PERIOD OF TIME.
PREPARED BY: AGENT DATE PREPARED:
11/6/1996
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY DISCLOSURE PAGE
AND SUPPLEMENTAL FOOTNOTE PAGE.
G-18
<PAGE> 126
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26,225 27,536 0 0 23,863 22,680 500,000 25,269 24,086
2 47 26,225 56,449 0 0 45,722 44,933 500,000 49,954 49,165
3 48 26,225 86,808 0 0 67,204 66,809 500,000 75,731 75,337
4 49 26,225 118,684 0 0 88,364 88,364 500,000 102,696 102,696
5 50 26,225 152,155 0 0 109,506 109,506 500,000 131,215 131,215
6 51 26,225 187,298 0 0 130,391 130,391 500,000 161,110 161,110
7 52 26,225 224,200 0 0 151,043 151,043 500,000 192,461 192,461
8 53 0 235,410 0 0 147,524 147,524 500,000 199,954 199,954
9 54 0 247,180 0 0 144,009 144,009 500,000 207,793 207,793
10 55 0 259,539 0 0 140,434 140,434 500,000 215,992 215,992
11 56 0 272,516 0 0 137,223 137,223 500,000 225,254 225,254
12 57 0 286,142 0 0 133,895 133,895 500,000 234,953 234,953
13 58 0 300,449 0 0 130,363 130,363 500,000 245,011 245,011
14 59 0 315,471 0 0 126,624 126,624 500,000 255,445 255,445
15 60 0 331,245 0 0 122,627 122,627 500,000 266,237 266,237
16 61 0 347,807 0 0 118,278 118,278 500,000 277,350 277,350
17 62 0 365,197 0 0 113,616 113,616 500,000 288,842 288,842
18 63 0 383,457 0 0 108,586 108,586 500,000 300,710 300,710
19 64 0 402,630 0 0 103,178 103,178 500,000 312,984 312,984
20 65 0 422,762 0 0 97,431 97,431 500,000 325,724 325,724
21 66 0 443,900 0 0 91,235 91,235 500,000 338,907 338,907
22 67 0 466,095 0 0 84,627 84,627 500,000 352,593 352,593
23 68 0 489,399 0 0 77,491 77,491 500,000 366,767 366,767
24 69 0 513,869 0 0 69,654 69,654 500,000 381,389 381,389
25 70 0 539,563 0 0 60,876 60,876 500,000 396,399 396,399
26 71 0 566,541 0 0 51,168 51,168 500,000 411,869 411,869
27 72 0 594,868 0 0 40,263 40,263 500,000 427,749 427,749
28 73 0 624,611 0 0 28,150 28,150 500,000 444,112 444,112
29 74 0 655,842 0 0 14,464 14,464 500,000 460,898 460,898
30 75 0 688,634 0 0 0 0 0 478,099 478,099
31 76 0 723,066 0 0 0 0 0 495,770 495,770
32 77 0 759,219 0 0 0 0 0 513,849 513,849
33 78 0 797,180 0 0 0 0 0 532,300 532,300
34 79 0 837,039 0 0 0 0 0 550,458 550,458
35 80 0 878,891 0 0 0 0 0 568,797 568,797
36 81 0 922,836 0 0 0 0 0 587,430 587,430
37 82 0 968,977 0 0 0 0 0 606,265 606,265
38 83 0 1,017,426 0 0 0 0 0 626,153 626,153
39 84 0 1,068,298 0 0 0 0 0 646,573 646,573
40 85 0 1,121,712 0 0 0 0 0 667,401 667,401
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR (GROSS)
- ---- --------
<S> <C>
1 500,000
2 500,000
3 500,000
4 500,000
5 500,000
6 500,000
7 500,000
8 500,000
9 500,000
10 500,000
11 500,200
12 506,464
13 512,882
14 519,498
15 526,244
16 533,068
17 540,077
18 547,262
19 554,671
20 562,460
21 570,549
22 579,099
23 588,038
24 597,255
25 606,729
26 616,444
27 626,439
28 636,989
29 647,792
30 658,964
31 670,777
32 683,008
33 695,663
34 707,834
35 720,040
36 732,525
37 745,039
38 758,709
39 772,978
40 787,733
</TABLE>
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY COMPLIANCE
REPORT 1. THE DISCLOSURE PAGE, THE CONTINUATION OF COMPLIANCE REPORT 2, AND
SUPPLEMENTAL FOOTNOTE PAGE.
G-19
<PAGE> 127
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2 ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR @ 0% @ 0% @ 0% @ 6% @ 6%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- ---------- ---------- -------- -------- ---------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1,177,798 0 0 0 0 0 688,790 688,790
42 87 0 1,236,688 0 0 0 0 0 710,617 710,617
43 88 0 1,298,522 0 0 0 0 0 733,080 733,080
44 89 0 1,363,449 0 0 0 0 0 756,278 756,278
45 90 0 1,431,621 0 0 0 0 0 780,394 780,394
46 91 0 1,503,202 0 0 0 0 0 805,579 805,579
47 92 0 1,578,362 0 0 0 0 0 832,472 832,472
48 93 0 1,657,280 0 0 0 0 0 861,769 861,769
49 94 0 1,740,144 0 0 0 0 0 894,595 894,595
50 95 0 1,827,151 0 0 0 0 0 932,731 932,731
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR (GROSS)
- ---- --------
<S> <C>
41 803,129
42 819,057
43 835,491
44 852,476
45 869,906
46 887,506
47 905,396
48 923,644
49 942,098
50 960,713
</TABLE>
ASSUME CURRENT CHARGES AND A GROSS INVESTMENT RETURN OF 0.00%, CONTRACT LAPSES
AFTER AGE 74. ASSUMING CURRENT CHARGES AND A GROSS INVESTMENT RETURN OF 6.00%
THIS CONTRACT MATURES AT ANNIVERSARY AT AGE 95. THIS IS AN ILLUSTRATION, NOT A
CONTRACT. FOR PRESENTATION IN ARIZONA THE
HYPOTHETICAL INVESTMENT RESULTS ARE ILLUSTRATIVE ONLY, AND SHOULD NOT BE DEEMED
A REPRESENTATION OF PAST OR FUTURE INVESTMENT RESULTS. ACTUAL INVESTMENT RESULTS
MAY BE MORE OR LESS THAN THOSE SHOWN, AND WILL DEPEND ON A NUMBER OF FACTORS,
INCLUDING THE INVESTMENT ALLOCATIONS BY A POLICYHOLDER AND THE DIFFERENT
INVESTMENT RATES OF RETURN ACHIEVED BY THE SUB ACCOUNT CHOSEN BY THE
POLICYHOLDER. THE SURRENDER VALUE, ACCOUNT VALUE AND BENEFIT PAYABLE AT DEATH
FOR A CONTRACT WOULD BE DIFFERENT FROM THOSE SHOWN IF THE ACTUAL RATES OF
INVESTMENT RETURN APPLICABLE TO THE CONTRACT AVERAGED 0.00% OR 6.00% OVER A
PERIOD OF YEARS, BUT ALSO FLUCTUATED ABOVE OR BELOW THOSE AVERAGES FOR
INDIVIDUAL CONTRACT YEARS. NO REPRESENTATIONS CAN BE MADE THAT THESE
HYPOTHETICAL RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR, OR SUSTAINED OVER
ANY PERIOD OF TIME.
PREPARED BY: AGENT DATE PREPARED:
11/6/1996
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY COMPLIANCE
REPORT 1, DISCLOSURE PAGE, AND SUPPLEMENTAL FOOTNOTE PAGE.
G-20
<PAGE> 128
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------
NONE
------------------------------------------------
From Year 0 to Year 0
THIS POLICY HAS BEEN TESTED FOR THE POSSIBILITY OF CLASSIFICATION AS A MODIFIED
ENDOWMENT. THIS TEST IS NOT A GUARANTEE THAT A POLICY WILL NOT BE CLASSIFIED AS
A MODIFIED ENDOWMENT.
THIS ILLUSTRATION HAS BEEN CHECKED AGAINST FEDERAL TAX LAW RELATING TO THE
DEFINITION OF LIFE INSURANCE AND IS IN COMPLIANCE BASED ON PROPOSED PREMIUM
PAYMENTS AND COVERAGES. ANY DECREASE IN SPECIFIED AMOUNT AND/OR TARGET DEATH
BENEFIT AND/OR A CHANGE IN DEATH BENEFIT AND/OR SURRENDERS OCCURRING IN THE
FIRST 15 YEARS MAY CAUSE A TAXABLE EVENT. IN ADDITION, IF THE POLICY IS DEFINED
AS A MODIFIED ENDOWMENT CONTRACT, A LOAN, SURRENDER, OR ASSIGNMENT OR PLEDGE
(UNLESS SUCH ASSIGNMENT OR PLEDGE IS OF FOR BURIAL EXPENSES AND THE MAXIMUM
DEATH BENEFIT IS NOT IN EXCESS OF $25.000) MAY BE CONSIDERED A TAXABLE
DISTRIBUTION AND A TEN PERCENT PENALTY MAY BE ADDED TO ANY TAX ON THE
DISTRIBUTION. PLEASE CONSULT YOUR TAX ADVISOR FOR ADVICE.
VALUES SHOWN ON THIS ILLUSTRATION ARE BASED ON A POLICY OWNER TAX BRACKET OF
0.00%.
PREMIUMS ARE ASSUMED TO BE PAID AT THE BEGINNING OF THE PAYMENT PERIOD. POLICY
VALUES AND AGES ARE SHOWN AS OF THE END OF THE POLICY YEAR AND REFLECT THE
EFFECT OF ALL LOANS AND SURRENDERS. THE DEATH BENEFIT, ACCOUNT VALUE AND
SURRENDER VALUE WILL DIFFER IF PREMIUMS ARE PAID IN DIFFERENT AMOUNTS,
FREQUENCIES, OR NOT ON THE DUE DATE.
THE POLICY'S SURRENDER VALUE INCLUDES ANY SALES CHARGE REFUND ON FULL SURRENDER.
THE SALES CHARGE REFUND EQUALS THE SALES CHARGE COLLECTED IN THE FIRST POLICY
YEAR OR THE FIRST POLICY YEAR OF AN INCREASE ADJUSTED BY THE FOLLOWING SCHEDULE:
YEAR 1-100%
YEAR 2-66.67%
YEAR 3-33.33%
PREMIUMS LESS THE FOLLOWING DEDUCTIONS ARE ADDED TO THE ACCOUNT VALUE. (1) A
PREMIUM TAX CHARGE OF 2.00% OF GROSS PREMIUMS IN ALL YEARS (2) A SALES CHARGE ON
THE GROSS PREMIUM EQUALS TO 9% UP TO THE TARGET PREMIUM IN YEARS 1-10, 0% IN
POLICY YEARS 11 AND AFTER, AND 0% OF PREMIUM IN EXCESS OF THE TARGET PREMIUM IN
ALL YEARS. (3) A DAC TAX CHARGE OF 1.25% OF GROSS PREMIUMS IN ALL YEARS.
REFER TO PROSPECTUS
G-21
<PAGE> 129
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
THOSE COLUMNS ASSUMING GUARANTEED CHARGES USE THE CURRENT MONTHLY MORTALITY
CHARGES AND CURRENT CHARGES FOR RIDER BENEFITS IF ANY, FOR THE FIRST YEAR AS
WELL AS THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT RETURN INDICATED.
THEREAFTER THESE COLUMNS USE GUARANTEED CHARGES FOR MONTHLY MORTALITY CHARGES,
RIDER BENEFITS IF ANY, AND THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT
RETURN INDICATED. THOSE COLUMNS ASSUMING CURRENT CHARGES ARE BASED UPON "CURRENT
CHARGES" AND THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT RETURN INDICATED.
THE CURRENT CHARGES ARE DECLARED BY MONY LIFE INSURANCE COMPANY OF AMERICA, ARE
GUARANTEED FOR THE FIRST POLICY YEAR, AND APPLY TO POLICIES ISSUED AS OF THE
PREPARATION DATE SHOWN. AFTER THE FIRST POLICY YEAR, CURRENT CHARGES ARE NOT
GUARANTEED, AND MAY BE CHANGED AT THE DISCRETION OF MONY LIFE INSURANCE COMPANY
OF AMERICA.
THE DIFFERENCE BETWEEN THE ACCOUNT VALUE AND THE VALUE UPON SURRENDER IS ANY
OUTSTANDING DEBT PLUS ANY APPLICABLE SALES CHARGE REFUND. A PARTIAL SURRENDER,
THE SURRENDER AMOUNT AND THE PARTIAL SURRENDER FEE ($25.00 OR 2% OF THE AMOUNT
SURRENDERED, IF LESS) COULD BE DEDUCTED FROM THE BENEFIT PAYABLE AT DEATH, AND
WILL BE DEDUCTED FROM THE ACCOUNT VALUE AND THE VALUE UPON SURRENDER.
A POLICY LOAN WILL HAVE A PERMANENT EFFECT ON BENEFITS UNDER THIS POLICY. LOAN
INTEREST AT AN ANNUAL RATE OF 4.6% WILL BE CHARGED IN ARREARS. AMOUNTS BORROWED
WILL EARN INTEREST AT AN ANNUAL RATE OF 4%. AFTER THE 10TH POLICY ANNIVERSARY
THE ANNUAL INTEREST RATE APPLICABLE TO THE LOAN ACCOUNT WILL BE 0.15% HIGHER
THAN THE RATE APPLICABLE TO POLICIES OF THE SAME TYPE WHICH HAVE NOT REACHED
THEIR 10TH POLICY ANNIVERSARY. IT IS ANTICIPATED BUT NOT GUARANTEED THAT AFTER
THE 10TH POLICY ANNIVERSARY, THIS 0.15% WILL BE INCREASED BY AN ADDITIONAL
0.15%. THIS ADDITIONAL INCREASE IS BASED ON CURRENT EXPECTATIONS AS TO
MORTALITY, INVESTMENT EARNINGS, PERSISTENCY AND EXPENSES AND IS NOT GUARANTEED.
ADVERSE TAX CONSEQUENCES COULD OCCUR IF A POLICY SUBJECT TO LOANS IS SURRENDERED
OR PERMITTED TO LAPSE. IN ADDITION, LOAN INTEREST MAY NOT BE DEDUCTIBLE. PLEASE
CONSULT YOUR TAX ADVISOR FOR ADVICE SURROUNDING THE DEDUCTIBILITY OF LOAN
INTEREST AND OTHER TAX CONSEQUENCES.
AN ADMINISTRATIVE CHARGE IS DEDUCTED EACH MONTH. DURING THE FIRST 36 POLICY
MONTHS THE CHARGE IS $12.50 PER MONTH. THEREAFTER, THE CHARGE IS $7.50 PER
MONTH.
REFER TO PROSPECTUS
G-22
<PAGE> 130
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANUAL FR INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26,225 27,536 0 0 23,863 22,680 500,000 26,675 25,492
2 47 26,225 56,449 0 0 45,302 44,513 500,000 53,912 53,123
3 48 26,225 86,808 0 0 66,432 66,037 500,000 84,089 83,695
4 49 26,225 118,684 0 0 87,253 87,253 500,000 117,540 117,540
5 50 26,225 152,155 0 0 108,144 108,144 500,000 155,006 155,006
6 51 26,225 187,298 0 0 128,726 128,726 500,000 196,524 196,524
7 52 26,225 224,200 0 0 148,975 148,975 500,000 242,105 242,105
8 53 0 235,410 0 0 144,896 144,896 500,000 265,508 265,508
9 54 0 247,180 0 0 140,634 140,634 500,000 291,070 291,070
10 55 0 259,539 0 0 136,182 113,182 500,000 319,002 319,002
11 56 0 272,516 0 0 131,696 131,696 500,000 350,010 350,010
12 57 0 286,142 0 0 126,916 126,916 500,000 383,863 383,863
13 58 0 300,449 0 0 121,836 121,836 500,000 420,838 420,838
14 59 0 315,471 0 0 116,396 116,396 500,000 461,188 461,188
15 60 0 331,245 0 0 110,546 110,546 500,000 505,183 505,183
16 61 0 347,807 0 0 104,224 104,224 500,000 553,120 553,120
17 62 0 365,197 0 0 97,367 97,367 500,000 605,321 605,321
18 63 0 383,457 0 0 89,907 89,907 500,000 662,139 662,139
19 64 0 402,630 0 0 81,671 81,671 500,000 723,826 723,826
20 65 0 422,762 0 0 72,624 72,624 500,000 790,855 790,855
21 66 0 443,900 0 0 62,570 62,570 500,000 863,538 863,538
22 67 0 466,095 0 0 51,404 51,404 500,000 942,350 942,350
23 68 0 489,399 0 0 38,950 38,950 500,000 1,027,746 1,027,746
24 69 0 513,869 0 0 25,013 25,013 500,000 1,120,225 1,120,225
25 70 0 539,563 0 0 9,431 9,431 500,000 1,220,414 1,220,414
26 71 0 566,541 0 0 0 0 0 1,328,778 1,328,778
27 72 0 594,868 0 0 0 0 0 1,445,421 1,445,421
28 73 0 624,611 0 0 0 0 0 1,571,562 1,571,562
29 74 0 655,842 0 0 0 0 0 1,707,358 1,707,358
30 75 0 688,634 0 0 0 0 0 1,853,292 1,853,292
31 76 0 723,066 0 0 0 0 0 2,010,114 2,010,114
32 77 0 759,219 0 0 0 0 0 2,178,600 2,178,600
33 78 0 797,180 0 0 0 0 0 2,359,603 2,359,603
34 79 0 837,039 0 0 0 0 0 2,554,269 2,554,269
35 80 0 878,891 0 0 0 0 0 2,763,757 2,763,757
36 81 0 922,836 0 0 0 0 0 2,989,172 2,989,172
37 82 0 968,977 0 0 0 0 0 3,231,492 3,231,492
38 83 0 1,017,426 0 0 0 0 0 3,491,653 3,491,653
39 84 0 1,068,298 0 0 0 0 0 3,770,797 3,770,797
40 85 0 1,121,712 0 0 0 0 0 4,070,056 4,070,056
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR (GROSS)
- ---- --------
<S> <C>
1 500,000
2 500,000
3 500,000
4 500,000
5 500,000
6 509,076
7 607,773
8 646,060
9 686,751
10 730,069
11 777,232
12 827,454
13 880,941
14 937,918
15 998,545
16 1,063,096
17 1,131,828
18 1,205,026
19 1,282,765
20 1,365,649
21 1,453,766
22 1,547,716
23 1,647,785
24 1,754,273
25 1,867,965
26 1,988,783
27 2,116,819
28 2,254,092
29 2,399,692
30 2,554,393
31 2,719,684
32 2,895,796
33 3,083,766
34 3,284,534
35 3,498,640
36 3,727,497
37 3,971,180
38 4,230,836
39 4,507,988
40 4,803,887
</TABLE>
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY THE DISCLOSURE
PAGE, CONTINUATION OF COMPLIANCE REPORT 1, AND SUPPLEMENTAL FOOTNOTE PAGE.
G-23
<PAGE> 131
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1 ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANUAL FR INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1,177,798 0 0 0 0 0 4,391,237 4,391,237
42 87 0 1,236,688 0 0 0 0 0 4,736,470 4,736,470
43 88 0 1,298,522 0 0 0 0 0 5,108,620 5,108,620
44 89 0 1,363,449 0 0 0 0 0 5,511,410 5,511,410
45 90 0 1,431,621 0 0 0 0 0 5,949,498 5,949,498
46 91 0 1,503,202 0 0 0 0 0 6,429,390 6,429,390
47 92 0 1,578,362 0 0 0 0 0 6,959,936 6,959,936
48 93 0 1,657,280 0 0 0 0 0 7,554,153 7,554,153
49 94 0 1,740,144 0 0 0 0 0 8,232,407 8,232,407
50 95 0 1,827,151 0 0 0 0 0 9,027,661 9,027,661
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR (GROSS)
- ---- --------
<S> <C>
41 5,120,182
42 5,459,256
43 5,822,294
44 6,212,461
45 6,631,906
46 7,083,259
47 7,569,627
48 8,096,541
49 8,669,547
50 9,298,491
</TABLE>
Illustration Received _________________________________________________
(Signature of Applicant/Policyholder(s)
and Date)
Illustration Delivered _______________________________________________
(Signature of Representative and Date)
ASSUME GUARANTEED CHARGES AND A GROSS INVESTMENT RETURN OF 0.00%. CONTRACT
LAPSES AFTER AGE 70. ASSUMING GUARANTEED CHARGES AND A GROSS INVESTMENT RETURN
OF 12.00%, THIS CONTRACT MATURES AT ANNIVERSARY AT AGE 95. THIS IS AN
ILLUSTRATION, NOT A CONTRACT. FOR
PRESENTATION IN ARIZONA THE HYPOTHETICAL INVESTMENT RESULTS ARE ILLUSTRATIVE
ONLY, AND SHOULD NOT BE DEEMED A REPRESENTATION OF PAST OR FUTURE INVESTMENT
RESULTS. ACTUAL INVESTMENT RESULTS MAY BE MORE OR LESS THAN THOSE SHOWN, AND
WILL DEPEND ON A NUMBER OF FACTORS, INCLUDING THE INVESTMENT ALLOCATIONS BY A
POLICYHOLDER, AND THE DIFFERENT INVESTMENT RATES OF RETURN ACHIEVED BY THE SUB
ACCOUNT CHOSEN BY THE POLICYHOLDER. THE SURRENDER VALUE, ACCOUNT VALUE AND
BENEFIT PAYABLE AT DEATH FOR A CONTRACT WOULD BE DIFFERENT FROM THOSE SHOWN IF
THE ACTUAL RATES OF INVESTMENT RETURN APPLICABLE TO THE CONTRACT AVERAGED 0.00%
OR 12.00% OVER A PERIOD OF YEARS, BUT ALSO FLUCTUATED ABOVE OR BELOW THOSE
AVERAGES FOR INDIVIDUAL CONTRACT YEARS. NO REPRESENTATIONS CAN BE MADE THAT
THESE HYPOTHETICAL RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR, OR
SUSTAINED OVER ANY PERIOD OF TIME.
PREPARED BY: AGENT DATE PREPARED:
11/6/1996
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY DISCLOSURE PAGE
AND SUPPLEMENTAL FOOTNOTE PAGE.
G-24
<PAGE> 132
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR @ 0% @ 0% @ 0% @ 12% @ 12%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26,225 27,536 0 0 23,863 22,680 500,000 26,675 25,492
2 47 26,225 56,449 0 0 45,722 44,933 500,000 54,356 54,356
3 48 26,225 86,808 0 0 67,204 66,809 500,000 84,955 84,560
4 49 26,225 118,684 0 0 88,364 88,364 500,000 118817 118817
5 50 26,225 152,155 0 0 109,506 109,506 500,000 156,624 156,624
6 51 26,225 187,298 0 0 130,391 130,391 500,000 198,525 198,525
7 52 26,225 224,200 0 0 151,043 151,043 500,000 244,656 244,656
8 53 0 235,410 0 0 147,524 147,524 500,000 268,814 268,814
9 54 0 247,180 0 0 144,009 144,009 500,000 295,419 295,419
10 55 0 259,539 0 0 140,434 140,434 500,000 324,723 324,723
11 56 0 272,516 0 0 137,223 137,223 500,000 358,081 358,081
12 57 0 286,142 0 0 133,895 133,895 500,000 394,892 394,892
13 58 0 300,449 0 0 130,363 130,363 500,000 435,352 435,352
14 59 0 315,471 0 0 126,624 126,624 500,000 479,834 479,834
15 60 0 331,245 0 0 122,627 122,627 500,000 528,690 528,690
16 61 0 347,807 0 0 118,278 118,278 500,000 582,240 582,240
17 62 0 365,197 0 0 113,616 113,616 500,000 641,025 641,025
18 63 0 383,457 0 0 108,586 108,586 500,000 705,510 705,510
19 64 0 402,630 0 0 103,178 103,178 500,000 776,282 776,282
20 65 0 422,762 0 0 97,431 97,431 500,000 854,059 854,059
21 66 0 443,900 0 0 91,235 91,235 500,000 939,418 939,418
22 67 0 466,095 0 0 84,627 74,627 500,000 1,033,221 1,033,221
23 68 0 489,399 0 0 77,491 77,491 500,000 1,136,185 1,136,185
24 69 0 513,869 0 0 69,654 69,654 500,000 1,249,009 1,249,009
25 70 0 539,563 0 0 60,876 60,876 500,000 1,372,358 1,372,358
26 71 0 566,541 0 0 51,168 51,168 500,000 1,507,404 1,507,404
27 72 0 594,868 0 0 40,263 40,263 500,000 1,654,991 1,654,991
28 73 0 624,611 0 0 28,150 28,150 500,000 1,816,488 1,816,488
29 74 0 655,842 0 0 14,464 14,464 500,000 1,992,864 1,992,864
30 75 0 688,634 0 0 0 0 0 2,185,357 2,185,357
31 76 0 723,066 0 0 0 0 0 2,395,603 2,295,603
32 77 0 759,219 0 0 0 0 0 2,624,814 2,624,814
33 78 0 797,180 0 0 0 0 0 2,874,400 2,874,400
34 79 0 837,039 0 0 0 0 0 3,142,251 3,142,251
35 80 0 878,891 0 0 0 0 0 3,432,406 3,432,406
36 81 0 922,836 0 0 0 0 0 3,747,321 3,747,321
37 82 0 968,977 0 0 0 0 0 4,088,363 4,088,363
38 83 0 1,017,426 0 0 0 0 0 4,463,635 4,463,635
39 84 0 1,068,298 0 0 0 0 0 4,872,431 4,872,431
40 85 0 1,121,712 0 0 0 0 0 5,316,593 5,316,593
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR (GROSS)
- ---- --------
<S> <C>
1 500,000
2 500,000
3 500,000
4 500,000
5 500,000
6 514,260
7 614,136
8 654,106
9 697,011
10 743,161
11 795,155
12 851,230
13 911,323
14 975,838
15 1,045,009
16 1,119,066
17 1,198,588
18 1,283,958
19 1,375,726
20 1,474,789
21 1,581,511
22 1,696,962
23 1,821,645
24 1,955,947
25 2,100,531
26 2,256,132
27 2,423,734
28 2,605,388
29 2,800,970
30 3,012,078
31 3,241,251
32 3,488,902
33 3,756,553
34 4,040,620
35 4,345,083
36 4,672,910
37 5,024,189
38 5,408,587
39 5,824,992
40 6,275,175
</TABLE>
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY COMPLIANCE
REPORT 1, THE DISCLOSURE PAGE, THE CONTINUATION OF COMPLIANCE REPORT 2, AND THE
SUPPLEMENTAL FOOTNOTE PAGE.
G-25
<PAGE> 133
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1 ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- --------- --------- -------- -------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1,177,798 0 0 0 0 0 5,800,309 5,800,309
42 87 0 1,236,688 0 0 0 0 0 6,325,808 6,325,808
43 88 0 1,298,522 0 0 0 0 0 6,898,375 6,898,375
44 89 0 1,363,449 0 0 0 0 0 7,522,995 7,522,995
45 90 0 1,431,621 0 0 0 0 0 8,206,092 8,206,092
46 91 0 1,503,202 0 0 0 0 0 8,954,509 8,954,509
47 92 0 1,578,362 0 0 0 0 0 9,781,688 9,78,1688
48 93 0 1,657,280 0 0 0 0 0 10,703,953 10,703,953
49 94 0 1,740,144 0 0 0 0 0 11,745,939 11,745,939
50 95 0 1,827,151 0 0 0 0 0 12,945,655 12,945,655
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR (GROSS)
- ---- --------
<S> <C>
41 6,763,161
42 7,291,126
43 7,862,078
44 8,479,920
45 9,147,331
46 9,865,182
47 10,638,564
48 11,472,497
49 12,369,649
50 13,334,025
</TABLE>
ASSUME CURRENT CHARGES AND A GROSS INVESTMENT RETURN OF 0.00%, CONTRACT LAPSES
AFTER AGE 74. ASSUMING CURRENT CHARGES AND A GROSS INVESTMENT RETURN OF 12.00%
THIS CONTRACT MATURES AT ANNIVERSARY AT AGE 95. THIS IS AN ILLUSTRATION, NOT A
CONTRACT. FOR PRESENTATION IN ARIZONA THE
HYPOTHETICAL INVESTMENT RESULTS ARE ILLUSTRATIVE ONLY, AND SHOULD NOT BE DEEMED
A REPRESENTATION OF PAST OR FUTURE INVESTMENT RESULTS. ACTUAL INVESTMENT RESULTS
MAY BE MORE OR LESS THAN THOSE SHOWN, AND WILL DEPEND ON A NUMBER OF FACTORS,
INCLUDING THE INVESTMENT ALLOCATIONS BY A POLICYHOLDER, AND THE DIFFERENT
INVESTMENT RATES OF RETURN ACHIEVED BY THE SUB ACCOUNT CHOSEN BY THE
POLICYHOLDER. THE SURRENDER VALUE, ACCOUNT VALUE AND BENEFIT PAYABLE AT DEATH
FOR A CONTRACT WOULD BE DIFFERENT FROM THOSE SHOWN IF THE ACTUAL RATES OF
INVESTMENT RETURN APPLICABLE TO THE CONTRACT AVERAGED 0.00% OR 12.00% OVER A
PERIOD OF YEARS, BUT ALSO FLUCTUATED ABOVE OR BELOW THOSE AVERAGES FOR
INDIVIDUAL CONTRACT YEARS. NO REPRESENTATIONS CAN BE MADE THAT THESE
HYPOTHETICAL RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR, OR SUSTAINED OVER
ANY PERIOD OF TIME.
PREPARED BY: AGENT DATE PREPARED:
11/6/96
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY COMPLIANCE
REPORT 1, DISCLOSURE PAGE, AND SUPPLEMENTAL FOOTNOTE PAGE.
G-26
<PAGE> 134
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------
NONE
------------------------------------------------
From Year 0 to Year 0
THIS POLICY HAS BEEN TESTED FOR THE POSSIBILITY OF CLASSIFICATION AS A MODIFIED
ENDOWMENT. THIS TEST IS NOT A GUARANTEE THAT A POLICY WILL NOT BE CLASSIFIED AS
A MODIFIED ENDOWMENT.
THIS ILLUSTRATION HAS BEEN CHECKED AGAINST FEDERAL TAX LAW RELATING TO THE
DEFINITION OF LIFE INSURANCE AND IS IN COMPLIANCE BASED ON PROPOSED PREMIUM
PAYMENTS AND COVERAGES. ANY DECREASE IN SPECIFIED AMOUNT AND/OR TARGET DEATH
BENEFIT AND/OR A CHANGE IN DEATH BENEFIT AND/OR SURRENDERS OCCURRING IN THE
FIRST 15 YEARS MAY CAUSE A TAXABLE EVENT. IN ADDITION, IF THE POLICY IS DEFINED
AS A MODIFIED ENDOWMENT CONTRACT, A LOAN, SURRENDER, OR ASSIGNMENT OR PLEDGE
(UNLESS SUCH ASSIGNMENT OR PLEDGE IS FOR BURIAL EXPENSES AND THE MAXIMUM DEATH
BENEFIT IS NOT IN EXCESS OF $25,000) MAY BE CONSIDERED A TAXABLE DISTRIBUTION
AND A TEN PERCENT PENALTY MAY BE ADDED TO ANY TAX ON THE DISTRIBUTION. PLEASE
CONSULT YOUR TAX ADVISOR FOR ADVICE.
VALUES SHOWN ON THIS ILLUSTRATION ARE BASED ON A POLICY OWNER TAX BRACKET OF
0.00%.
PREMIUMS ARE ASSUMED TO BE PAID AT THE BEGINNING OF THE PAYMENT PERIOD. POLICY
VALUES AND AGES ARE SHOWN AS OF THE END OF THE POLICY YEAR AND REFLECT THE
EFFECT OF ALL LOANS AND SURRENDERS. THE DEATH BENEFIT, ACCOUNT VALUE AND
SURRENDER VALUE WILL DIFFER IF PREMIUMS ARE PAID IN DIFFERENT AMOUNTS,
FREQUENCIES, OR NOT ON THE DUE DATE.
THE POLICY'S SURRENDER VALUE INCLUDES ANY SALES CHARGE REFUND ON FULL
SURRENDERS. THE SALES CHARGE REFUND EQUALS THE SALES CHARGE COLLECTED IN THE
FIRST POLICY YEAR OR THE FIRST POLICY YEAR OF AN INCREASE ADJUSTED BY THE
FOLLOWING SCHEDULE:
YEAR 1-100%
YEAR 2-66.67%
YEAR 3-33.33%
PREMIUMS LESS THE FOLLOWING DEDUCTIONS ARE ADDED TO THE ACCOUNT VALUE. (1) A
PREMIUM TAX CHARGE OF 2.00% OF GROSS PREMIUMS IN ALL YEARS. (2) A SALES CHARGE
ON THE GROSS PREMIUM EQUALS TO 9% UP TO THE TARGET PREMIUM IN YEARS 1-10, 0% IN
POLICY YEARS 11 AND AFTER, AND 0% OF PREMIUM IN EXCESS OF THE TARGET PREMIUM IN
ALL YEARS. (3) A DAC TAX CHARGE OF 1.25% OF GROSS PREMIUMS IN ALL YEARS.
REFER TO PROSPECTUS
G-27
<PAGE> 135
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $250,000 GROSS RATE BASIS %: 12.0% (11.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: GUARANTEED ISSUE
</TABLE>
THOSE COLUMNS ASSUMING GUARANTEED CHARGES USE THE CURRENT MONTHLY MORTALITY
CHARGES AND CURRENT CHARGES FOR RIDER BENEFITS IF ANY, FOR THE FIRST YEAR AS
WELL AS THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT RETURN INDICATED.
THEREAFTER THESE COLUMNS USE GUARANTEED CHARGES FOR MONTHLY MORTALITY CHARGES,
RIDER BENEFITS IF ANY, AND THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT
RETURN INDICATED. THOSE COLUMNS ASSUMING CURRENT CHARGES ARE BASED UPON "CURRENT
CHARGES" AND THE ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT RETURN INDICATED.
THE CURRENT CHARGES ARE DECLARED BY MONY LIFE INSURANCE COMPANY OF AMERICA, ARE
GUARANTEED FOR THE FIRST POLICY YEAR, AND APPLY TO POLICIES ISSUED AS OF THE
PREPARATION DATE SHOWN. AFTER THE FIRST POLICY YEAR, CURRENT CHARGES ARE NOT
GUARANTEED, AND MAY BE CHANGED AT THE DISCRETION OF MONY LIFE INSURANCE COMPANY
OF AMERICA
THE DIFFERENCE BETWEEN THE ACCOUNT VALUE AND THE VALUE UPON SURRENDER IS ANY
OUTSTANDING DEBT PLUS ANY APPLICABLE SALES CHARGE REFUND. A PARTIAL SURRENDER,
THE SURRENDER AMOUNT AND THE PARTIAL SURRENDER FEE ($25.00 OR 2% OF THE AMOUNT
SURRENDERED, IF LESS) COULD BE DEDUCTED FROM THE BENEFIT PAYABLE AT DEATH, AND
WILL BE DEDUCTED FROM THE ACCOUNT VALUE AND THE VALUE UPON SURRENDER.
A POLICY LOAN WILL HAVE A PERMANENT EFFECT ON BENEFITS UNDER THIS POLICY. LOAN
INTEREST AT AN ANNUAL RATE OF 4.6% WILL BE CHARGED IN ARREARS. AMOUNTS BORROWED
WILL EARN INTEREST AT AN ANNUAL RATE OF 4%. AFTER THE 10TH POLICY ANNIVERSARY
THE ANNUAL INTEREST RATE APPLICABLE TO THE LOAN ACCOUNT WILL BE 0.15% HIGHER
THAN THE RATE APPLICABLE TO POLICIES OF THE SAME TYPE WHICH HAVE NOT REACHED
THEIR 10TH POLICY ANNIVERSARY. IT IS ANTICIPATED BUT NOT GUARANTEED THAT AFTER
THE 10TH POLICY ANNIVERSARY THIS 0.15% WILL BE INCREASED BY AN ADDITIONAL 0.15%.
THIS ADDITIONAL INCREASE IS BASED ON CURRENT EXPECTATIONS AS TO MORTALITY,
INVESTMENT EARNINGS, PERSISTENCY AND EXPENSES AND IS NOT GUARANTEED. ADVERSE TAX
CONSEQUENCES COULD OCCUR IF A POLICY SUBJECT TO LOANS IS SURRENDERED OR
PERMITTED TO LAPSE. IN ADDITION, THE LOAN INTEREST MAY NOT BE DEDUCTIBLE. PLEASE
CONSULT YOUR TAX ADVISOR FOR ADVICE SURROUNDING THE DEDUCTIBILITY OF LOAN
INTEREST AND OTHER TAX CONSEQUENCES.
AN ADMINISTRATIVE CHARGE IS DEDUCTED EACH MONTH. DURING THE FIRST 36 POLICY
MONTHS THE CHARGE IS $12.50 PER MONTHS, THEREAFTER THE CHARGE IS $7.50 PER
MONTH.
REFER TO PROSPECTUS
G-28
<PAGE> 136
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 TAX BRACKET %: 0.00% (ee)/0.00% (er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: FULLY UNDERWRITTEN
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR @ 0% @ 0% @ 0% @ 6% @ 6%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- ---------- ---------- -------- -------- ---------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26,225 27,526 0 0 24,125 21,760 500,000 25,472 23,111
2 47 26,225 56,449 0 0 43,994 42,420 500,000 48,022 46,445
3 48 26,225 96,808 0 0 53,581 52,774 500,000 71,544 70,858
4 49 26,225 118,684 0 0 82,853 82,853 500,000 96,416 96,416
5 50 26,225 152,155 0 0 102,613 102,613 500,000 123,141 123,141
6 51 26,225 167,398 0 0 122,072 122,072 500,000 151,212 151,212
7 52 26,225 224,200 0 0 141,203 141,203 500,000 180,374 180,374
8 53 0 235,410 0 0 137,179 137,179 500,000 186,794 186,794
9 54 0 247,100 0 0 132,966 132,966 500,000 193,363 193,363
10 55 0 259,539 0 0 128,559 128,559 500,000 200,095 200,095
11 56 0 273,516 0 0 124,100 124,100 500,000 207,286 207,286
12 57 0 286,142 0 0 119,341 119,341 500,000 214,632 214,632
13 58 0 300,449 0 0 114,274 114,274 500,000 222,156 222,156
14 59 0 315,472 0 0 108,845 108,845 500,000 229,846 229,846
15 60 0 331,246 0 0 102,997 102,997 500,000 237,695 237,695
16 61 0 347,807 0 0 96,670 96,670 500,000 245,698 245,698
17 62 0 365,197 0 0 89,796 89,796 500,000 253,853 253,853
18 63 0 383,457 0 0 82,313 82,313 500,000 262,161 262,161
19 64 0 402,530 0 0 74,039 74,039 500,000 270,571 270,571
20 65 0 422,762 0 0 64,942 64,942 500,000 279,119 279,119
21 66 0 443,900 0 0 54,823 54,823 500,000 287,767 287,767
22 67 0 466,098 0 0 43,575 43,575 500,000 296,535 296,535
23 68 0 488,399 0 0 31,021 31,021 500,000 305,422 305,422
24 69 0 513,869 0 0 16,964 16,964 500,000 314,427 314,427
25 70 0 539,863 0 0 1,240 1,240 500,000 323,619 323,619
26 71 0 566,541 0 0 0 0 0 332,951 332,951
27 72 0 594,868 0 0 0 0 0 342,326 342,326
28 73 0 624,611 0 0 0 0 0 351,909 351,909
29 74 0 655,842 0 0 0 0 0 361,565 361,565
30 75 0 688,534 0 0 0 0 0 371,227 371,227
31 76 0 723,066 0 0 0 0 0 380,861 380,861
32 77 0 759,229 0 0 0 0 0 390,457 390,457
33 78 0 797,180 0 0 0 0 0 400,024 400,024
34 79 0 837,039 0 0 0 0 0 409,606 409,606
35 80 0 878,891 0 0 0 0 0 419,221 419,221
36 81 0 322,036 0 0 0 0 0 428,903 428,903
37 82 0 968,977 0 0 0 0 0 428,598 428,598
38 83 0 1,017,426 0 0 0 0 0 448,282 448,282
39 84 0 1,068,298 0 0 0 0 0 457,943 457,943
40 85 0 1,122,712 0 0 0 0 0 467,560 467,560
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR (GROSS)
- ---- --------
<S> <C>
1 500,000
2 500,000
3 500,000
4 500,000
5 500,000
6 500,000
7 500,000
8 500,000
9 500,000
10 500,000
11 500,000
12 500,000
13 500,000
14 500,000
15 500,000
16 500,000
17 500,000
18 500,000
19 500,000
20 500,000
21 500,000
22 500,000
23 500,000
24 500,000
25 500,000
26 500,000
27 502,336
28 504,742
29 506,179
30 511,662
31 515,204
32 518,996
33 522,792
34 526,712
35 530,704
36 534,842
37 538,993
38 543,183
39 547,470
40 551,861
</TABLE>
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY THE DISCLOSURE
PAGE, CONTINUATION OF COMPLIANCE REPORT 1, AND SUPPLEMENTAL FOOTNOTE PAGE.
G-29
<PAGE> 137
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1 ...continuation
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 TAX BRACKET %: 0.00%(ee)/0.00%(er)
INITIAL TARGET DEATH BENEFIT: $500,000 LOAN INTEREST %: 4.6 in arrears
INITIAL SPECIFIED AMOUNT: $500,000 GROSS RATE BASIS %: 6.0% (5.3% Initial NET)
ANNUAL PREMIUM: $26,224.90 COST OF MONEY %: 0.00%
INITIAL DEATH BENEFIT OPTION: OPTION 1 DEFINITION OF LIFE INSURANCE: CVAT
UNDERWRITING CLASS: FULLY UNDERWRITTEN
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL SURRENDR ACCOUNT DEATH SURRENDR ACCOUNT
TOTAL PREMIUM SURRENDR VALUE VALUE BENEFIT VALUE VALUE
POL AGE POLICY ACCUM. ANNUAL FR INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- ---- -------- -------- ------- ---------- ---------- -------- -------- ---------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1,177,798 0 0 0 0 0 477,181 477,181
42 87 0 1,236,688 0 0 0 0 0 486,868 486,868
43 88 0 1,298,522 0 0 0 0 0 496,732 496,732
44 89 0 1,363,449 0 0 0 0 0 506,925 506,925
45 90 0 1,431,622 0 0 0 0 0 527,627 527,627
46 91 0 1,503,202 0 0 0 0 0 529,151 529,151
47 92 0 1,578,362 0 0 0 0 0 541,852 541,852
48 93 0 1,657,280 0 0 0 0 0 556,325 556,325
49 94 0 1,740,144 0 0 0 0 0 572,807 572,807
50 95 0 1,827,151 0 0 0 0 0 594,919 594,919
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR (GROSS)
- ---- --------
<S> <C>
41 556,292
42 561,168
43 566,125
44 572,406
45 577,010
46 542,965
47 589,318
48 596,269
49 603,360
50 612,767
</TABLE>
Illustration Received _________________________________________________
(Signature of Applicant/Policyholder(s)
and Date)
Illustration Delivered _______________________________________________
(Signature of Representative and Date)
ASSUME GUARANTEED CHARGES AND A GROSS INVESTMENT RETURN OF 0.00%. CONTRACT
LAPSES AFTER AGE 70. ASSUMING GUARANTEED CHARGES AND A GROSS INVESTMENT RETURN
OF 6.00%, THIS CONTRACT MATURES AT ANNIVERSARY AT AGE 95. THIS IS AN
ILLUSTRATION, NOT A CONTRACT. FOR
PRESENTATION IN ARIZONA THE HYPOTHETICAL INVESTMENT RESULTS ARE ILLUSTRATIVE
ONLY, AND SHOULD NOT BE DEEMED A REPRESENTATION OF PAST OR FUTURE INVESTMENT
RESULTS. ACTUAL INVESTMENT RESULTS MAY BE MORE OR LESS THAN THOSE SHOWN, AND
WILL DEPEND ON A NUMBER OF FACTORS, INCLUDING THE INVESTMENT ALLOCATIONS BY A
POLICYHOLDER, AND THE DIFFERENT INVESTMENT RATES OF RETURN ACHIEVED BY THE SUB
ACCOUNT CHOSEN BY THE POLICYHOLDER. THE SURRENDER VALUE, ACCOUNT VALUE AND
BENEFIT PAYABLE AT DEATH FOR A CONTRACT WOULD BE DIFFERENT FROM THOSE SHOWN IF
THE ACTUAL RATES OF INVESTMENT RETURN APPLICABLE TO THE CONTRACT AVERAGED 0.00%
OR 6.00% OVER A PERIOD OF YEARS, BUT ALSO FLUCTUATED ABOVE OR BELOW THOSE
AVERAGES FOR INDIVIDUAL CONTRACT YEARS. NO REPRESENTATIONS CAN BE MADE THAT
THESE HYPOTHETICAL RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR, OR
SUSTAINED OVER ANY PERIOD OF TIME.
PREPARED BY: AGENT DATE PREPARED:
11/6/1996
NOT VALID WITHOUT CURRENT PROSPECTUS AND MUST BE ACCOMPANIED BY DISCLOSURE PAGE
AND SUPPLEMENTAL FOOTNOTE PAGE.
G-30
<PAGE> 138
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26225 27536 0 0 24129 21768 500000 25472 23111
2 47 26225 56449 0 0 44702 43128 500000 48749 47175
3 48 26225 86808 0 0 64834 54047 500000 72930 72203
4 49 26225 118684 0 0 84668 64658 500000 98378 98378
5 50 26225 152155 0 0 104921 104921 500000 125715 125715
6 51 26225 187298 0 0 124986 124986 500000 154421 154421
7 52 26225 224200 0 0 144856 144856 500000 184566 184566
8 53 0 235410 0 0 141743 141743 500000 192055 192055
9 54 0 247180 0 0 138662 138662 500000 199920 199920
10 55 0 259539 0 0 135610 135610 500000 208179 208179
11 56 0 272516 0 0 132946 132946 500000 217470 217470
12 57 0 286142 0 0 130211 130211 500000 227189 227189
13 58 0 300449 0 0 127405 127405 500000 237363 237363
14 59 0 315471 0 0 124303 124303 500000 247861 247861
15 60 0 331245 0 0 120856 120856 500000 258677 258677
16 61 0 347807 0 0 116969 116969 500000 269768 269768
17 62 0 365197 0 0 112633 112633 500000 281149 281149
18 63 0 383457 0 0 107745 107745 500000 292785 292785
19 64 0 402630 0 0 102481 102481 500000 304818 304818
20 65 0 422762 0 0 96831 96831 500000 317278 317278
21 66 0 443900 0 0 90784 90784 500000 330198 330198
22 67 0 466095 0 0 84327 84327 500000 343610 343610
23 68 0 489399 0 0 77345 77345 500000 357498 357498
24 69 0 513869 0 0 69666 69666 500000 371824 371824
25 70 0 539563 0 0 61105 61105 500000 386554 386554
26 71 0 566541 0 0 51621 51621 500000 401733 401733
27 72 0 594868 0 0 41006 41006 500000 417336 417336
28 73 0 624611 0 0 29198 29198 500000 433411 433411
29 74 0 655842 0 0 15893 15893 500000 449922 449922
30 75 0 688634 0 0 815 815 500000 466861 466861
31 76 0 723066 0 0 0 0 0 484278 484278
32 77 0 759219 0 0 0 0 0 502114 502114
33 78 0 797180 0 0 0 0 0 520334 520334
34 79 0 837039 0 0 0 0 0 538285 538285
35 80 0 878891 0 0 0 0 0 556465 556465
36 81 0 922836 0 0 0 0 0 574948 574948
37 82 0 968977 0 0 0 0 0 593642 593642
38 83 0 1017426 0 0 0 0 0 613379 613379
39 84 0 1068298 0 0 0 0 0 633664 633664
40 85 0 1121712 0 0 0 0 0 654386 654386
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 6%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 504075
15 511300
16 518495
17 525692
18 532839
19 540198
20 547876
21 555888
22 564345
23 573176
24 582276
25 591659
26 601273
27 611189
28 621642
29 632366
30 643474
31 655228
32 667410
33 680025
34 692181
35 704429
36 716960
37 729627
38 743232
39 757545
40 772371
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, the continuation of Compliance Report 2, and the
Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-31
<PAGE> 139
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1177798 0 0 0 0 0 675666 675666
42 87 0 1236688 0 0 0 0 0 697407 697407
43 88 0 1298522 0 0 0 0 0 719802 719802
44 89 0 1363449 0 0 0 0 0 742941 742941
45 90 0 1431621 0 0 0 0 0 767001 767001
46 91 0 1503202 0 0 0 0 0 792129 792129
47 92 0 1578362 0 0 0 0 0 818933 818933
48 93 0 1657280 0 0 0 0 0 848096 848096
49 94 0 1740144 0 0 0 0 0 880686 880686
50 95 0 1827151 0 0 0 0 0 918410 918410
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR. (GROSS)
- --- -------
<S> <C>
41 787827
42 803832
43 820358
44 837443
45 854976
46 872680
47 890672
48 908989
49 927451
50 945962
</TABLE>
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 75. Assuming current charges and a gross investment return of 6.00%.
This contract matures at anniversary at age 95. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 6.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Compliance
Report 1, Disclosure page, and Supplemental Footnote page.
Page 6 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-32
<PAGE> 140
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,00 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option 1 Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------------
NONE
------------------------------------------------------
From Year 0 to Year 0
This policy has been tested for the possibility of classification as a
modified endowment. This test is not a guarantee that a policy will not be
classified as a modified endowment.
This illustration has been checked against federal tax law relating to the
definition of life insurance and is in compliance based on proposed premium
payments and coverages. Any decrease in specified amount and/or target death
benefit and/or a change in death benefit and/or surrenders occurring in the
first 15 years may cause a taxable event. In addition, if the policy is defined
as a modified endowment contract, a loan, surrender, or assignment or pledge
(unless such assignment or pledge is for burial expenses and the maximum death
benefit is not in excess of $25,000) may be considered a taxable distribution
and a ten percent penalty may be added to any tax on the distribution. Please
consult your tax advisor for advice.
Values shown on this illustration are based on a policy owner tax bracket of
0.00%.
Premiums are assumed to be paid at the beginning of the payment period.
Policy values and ages are shown as of the end of the policy year and reflect
the effect of all loans and surrenders. The death benefit, account value and
surrender value will differ if premiums are paid in different amounts,
frequencies, or not on the due date.
The policy's surrender value includes any sales charge refund on full
surrender. The sales charge refund equals the sales charge collected in the
first policy year or the first policy year of an increase adjusted by the
following schedule:
Year 1-100%
Year 2-66.67%
Year 3-33.33%
Premiums less the following deductions are added to the account value. (1) A
premium tax charge of 2.00% of gross premiums in all years. (2) A sales charge
on the gross premium equals to 9% up to the target premium in Years 1-10.0% in
policy years 11 and after, and 0% of premium in excess of the target premium in
all years. (3) A DAC tax charge of 1.25% of gross premiums in all years.
Refer to Prospectus
Page 7 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-33
<PAGE> 141
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,00 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option 1 Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Those columns assuming guaranteed charges use the current monthly mortality
charges and current charges for rider benefits if any, for the first year as
well as the assumed hypothetical gross annual investment return indicated.
Thereafter these columns use guaranteed charges for monthly mortality charges,
rider benefits if any, and the assumed hypothetical gross annual investment
return indicated. Those columns assuming current charges are based upon "current
charges" and the assumed hypothetical gross annual investment return indicated.
The current charges are declared by MONY Life Insurance Company of America,
are guaranteed for the first policy year, and apply to policies issued as of the
preparation date shown. After the first policy year, current charges are not
guaranteed, and may be changed at the discretion of MONY Life Insurance Company
of America.
The difference between the account value and the value upon surrender is any
outstanding debt plus any applicable sales charge refund. A partial surrender,
the surrender amount and the partial surrender fee ($25.00 or 2% of the amount
surrendered, if less) could be deducted from the benefit payable at death, and
will be deducted from the account value and the value upon surrender.
A policy loan will have a permanent effect on benefits under this policy.
Loan interest at an annual rate of 4.6% will be charged in arrears. Amounts
borrowed will earn interest at an annual rate of 4%. After the 10th policy
anniversary the annual interest rate applicable to the loan account will be
0.15% higher than the rate applicable to policies of the same type which have
not reached their 10th policy anniversary. It is anticipated but not guaranteed
that after the 10th policy anniversary this 0.15% will be increased by an
additional 0.15%. This additional increase is based on current expectations as
to mortality, investment earnings, persistency and expenses and is not
guaranteed. Adverse tax consequences could occur if a policy subject to loans is
surrendered or permitted to lapse. In addition, the loan interest may not be
deductible. Please consult your tax advisor for advice surrounding the
deductibility of loan interest and other tax consequences.
An administrative charge is deducted each month. During the first 36 policy
months the charge is $12.50 per month, thereafter, the charge is $7.50 per
month.
Refer to Prospectus
Page 8 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-34
<PAGE> 142
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26225 27536 0 0 24129 21768 500000 26815 24455
2 47 26225 56449 0 0 43994 42420 500000 52213 50639
3 48 26225 86808 0 0 63561 62774 500000 80391 79605
4 49 26225 118684 0 0 82853 82853 500000 111687 111687
5 50 26225 152155 0 0 102613 102613 500000 147194 147194
6 51 26225 187298 0 0 122072 122072 500000 186532 186532
7 52 26225 224200 0 0 141203 141203 500000 229849 229849
8 53 0 235410 0 0 137179 137179 500000 252062 252062
9 54 0 247180 0 0 132966 132966 500000 276325 276325
10 55 0 259539 0 0 128559 128559 500000 302838 302838
11 56 0 272516 0 0 124100 124100 500000 332269 332269
12 57 0 286142 0 0 119341 119341 500000 364401 364401
13 58 0 300449 0 0 114274 114274 500000 399498 399498
14 59 0 315471 0 0 108845 108845 500000 437796 437796
15 60 0 331245 0 0 102997 102997 500000 479555 479555
16 61 0 347807 0 0 96670 96670 500000 525055 525055
17 62 0 365197 0 0 89798 89798 500000 574603 574603
18 63 0 383457 0 0 82313 82313 500000 628532 628532
19 64 0 402630 0 0 74039 74039 500000 687085 687085
20 65 0 422762 0 0 64942 64942 500000 750706 750706
21 66 0 443900 0 0 54823 54823 500000 819694 819694
22 67 0 466095 0 0 43575 43575 500000 894500 894500
23 68 0 489399 0 0 31021 31021 500000 975555 975555
24 69 0 513869 0 0 16964 16964 500000 1063333 1063333
25 70 0 539563 0 0 1240 1240 500000 1158428 1158428
26 71 0 566541 0 0 0 0 0 1261285 1261285
27 72 0 594868 0 0 0 0 0 1371998 1371998
28 73 0 624611 0 0 0 0 0 1491727 1491727
29 74 0 655842 0 0 0 0 0 1620619 1620619
30 75 0 688634 0 0 0 0 0 1759135 1759135
31 76 0 723066 0 0 0 0 0 1907984 1907984
32 77 0 759219 0 0 0 0 0 2067905 2067905
33 78 0 797180 0 0 0 0 0 2239707 2239707
34 79 0 837039 0 0 0 0 0 2424476 2424476
35 80 0 878891 0 0 0 0 0 2623315 2623315
36 81 0 922836 0 0 0 0 0 2837270 2837270
37 82 0 968977 0 0 0 0 0 3067271 3067271
38 83 0 1017426 0 0 0 0 0 3314207 3314207
39 84 0 1068298 0 0 0 0 0 3579160 3579160
40 85 0 1121712 0 0 0 0 0 3863205 3863205
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 12%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 576968
8 613343
9 651962
10 693074
11 737837
12 785503
13 836268
14 890346
15 947888
16 1009156
17 1074392
18 1143866
19 1217651
20 1296320
21 1379955
22 1469127
23 1564107
24 1665180
25 1773091
26 1887765
27 2009291
28 2139584
29 2277781
30 2424615
31 2581503
32 2748660
33 2927073
34 3117634
35 3320654
36 3534076
37 3769370
38 4015824
39 4278886
40 4559741
</TABLE>
Not valid without current prospectus and must be accompanied by the Disclosure
page, continuation of Compliance Report 1, and Supplemental Footnote page.
Page 3 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-35
<PAGE> 143
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1177798 0 0 0 0 0 4168058 4168058
42 87 0 1236688 0 0 0 0 0 4495741 4495741
43 88 0 1298522 0 0 0 0 0 4848971 4848971
44 89 0 1363449 0 0 0 0 0 5231284 5231284
45 90 0 1431621 0 0 0 0 0 5647102 5647102
46 91 0 1503202 0 0 0 0 0 6102596 6102596
47 92 0 1578362 0 0 0 0 0 6606172 6606172
48 93 0 1657280 0 0 0 0 0 7170181 7170181
49 94 0 1740144 0 0 0 0 0 7813954 7813954
50 95 0 1827151 0 0 0 0 0 8558781 8558781
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR. (GROSS)
- --- -------
<S> <C>
41 4859958
42 5181791
43 5526372
44 5896704
45 6294024
46 6723231
47 7104872
48 7685000
49 8228875
50 8825844
</TABLE>
Illustration Received _________________________________________________
(Signature of Applicant/Policyholder(s)
and Date)
Illustration Delivered _______________________________________________
(Signature of Representative and Date)
Assume guaranteed charges and a gross investment return of 0.00%, contract
lapses after age 70. Assuming guaranteed charges and a gross investment return
of 12.00%, this contract matures at anniversary at age 95. This is an
illustration, not a contract. For presentation in Arizona, the hypothetical
investment results are illustrative only, and should not be deemed a
representation of past or future investment results. Actual investment results
may be more or less than those shown, and will depend on a number of factors,
including the investment allocations by a Policyholder, and the different
investment rates of return achieved by the sub account chosen by the
Policyholder. The Surrender Value, Account Value and Benefit Payable at Death
for a contract would be different from those shown if the actual rates of
investment return applicable to the contract averaged 0.00% or 12.00% over a
period of years, but also fluctuated above or below those averages for
individual contract years. No representations can be made that these
hypothetical rates of return can be achieved for any one year, or sustained over
any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Disclosure page
and Supplemental Footnote page.
Page 4 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-36
<PAGE> 144
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26225 27536 0 0 24129 21768 500000 26815 24455
2 47 26225 56449 0 0 44702 43128 500000 52958 51384
3 48 26225 86808 0 0 64834 64047 500000 81810 81023
4 49 26225 118684 0 0 84659 84659 500000 113811 113811
5 50 26225 152165 0 0 104921 104921 500000 150053 150053
6 51 26225 187298 0 0 124986 124986 500000 190280 190280
7 52 26225 224200 0 0 144856 144856 500000 234727 234727
8 53 0 235410 0 0 141743 141743 500000 258390 258390
9 54 0 247180 0 0 138662 138662 500000 284516 284516
10 55 0 259539 0 0 135610 135610 500000 313365 313365
11 56 0 272516 0 0 132946 132946 500000 346212 346212
12 57 0 286142 0 0 130211 130211 500000 382489 382489
13 58 0 300449 0 0 127405 127405 500000 422561 422561
14 59 0 315471 0 0 124303 124303 500000 466543 466543
15 60 0 331245 0 0 120856 120856 500000 514768 514768
16 61 0 347807 0 0 116969 116969 500000 567533 567533
17 62 0 365197 0 0 112633 112633 500000 625287 625287
18 63 0 383457 0 0 107745 107745 500000 680391 680391
19 64 0 402630 0 0 102481 102481 500000 757653 757653
20 65 0 422762 0 0 96831 96831 500000 833707 833707
21 66 0 443900 0 0 90784 90784 500000 917256 917256
22 67 0 466095 0 0 84327 84327 500000 1009077 1009077
23 68 0 489399 0 0 77345 77345 500000 1109874 1109874
24 69 0 513869 0 0 69666 69666 500000 1220332 1220332
25 70 0 539563 0 0 61105 61105 500000 1341189 1341189
26 71 0 566541 0 0 51621 51621 500000 1473517 1473517
27 72 0 594868 0 0 41006 41006 500000 1618235 1618235
28 73 0 624611 0 0 29198 29198 500000 1776607 1776607
29 74 0 655842 0 0 15893 15893 500000 1949678 1949678
30 75 0 688634 0 0 815 815 500000 2138679 2138679
31 76 0 723066 0 0 0 0 0 2345227 2345227
32 77 0 759219 0 0 0 0 0 2570530 2570530
33 78 0 797180 0 0 0 0 0 2815991 2815991
34 79 0 837039 0 0 0 0 0 3079560 3079560
35 80 0 878891 0 0 0 0 0 3365430 3365430
36 81 0 922836 0 0 0 0 0 3675834 3675834
37 82 0 968977 0 0 0 0 0 4012134 4012134
38 83 0 1017426 0 0 0 0 0 4382302 4382302
39 84 0 1068298 0 0 0 0 0 4785783 4785783
40 85 0 1121712 0 0 0 0 0 5224534 5224534
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 12%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 509213
8 628741
9 671287
10 717167
11 768798
12 824493
13 804548
14 948809
15 1017490
16 1090799
17 1169162
18 1252803
19 1342713
20 1439646
21 1544201
22 1657309
23 1779461
24 1911040
25 2052823
26 2205413
27 2369905
28 2548187
29 2740273
30 2947741
31 3173092
32 3416748
33 3680218
34 3960006
35 4260297
36 4503765
37 4930511
38 5310035
39 5721402
40 6166517
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, the continuation of Compliance Report 2, and
Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-37
<PAGE> 145
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1177798 0 0 0 0 0 5702488 5702488
42 87 0 1236688 0 0 0 0 0 6222049 6222049
43 88 0 1298522 0 0 0 0 0 6788871 6788871
44 89 0 1363449 0 0 0 0 0 7406869 7406869
45 90 0 1431621 0 0 0 0 0 8083319 8083319
46 91 0 1503202 0 0 0 0 0 8824742 8824742
47 92 0 1578362 0 0 0 0 0 9644195 9644195
48 93 0 1657280 0 0 0 0 0 10557775 10557775
49 94 0 1740144 0 0 0 0 0 11589299 11589299
50 95 0 1827151 0 0 0 0 0 12775545 12775545
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR. (GROSS)
- --- --------
<S> <C>
41 6649101
42 7171579
43 7736934
44 8249022
45 9010476
46 9722218
47 10489027
48 11315823
49 12204591
50 13168812
</TABLE>
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 75. Assuming current charges and a gross investment return of 12.00%.
This contract matures at anniversary at age 95. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 12.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Compliance
Report 1, Disclosure page, and Supplemental Footnote page.
Page 6 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-38
<PAGE> 146
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option 1 Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------------
NONE
------------------------------------------------------
From Year 0 to Year 0
This policy has been tested for the possibility of classification as a
modified endowment. This test is not a guarantee that a policy will not be
classified as a modified endowment.
This illustration has been checked against federal tax law relating to the
definition of life insurance and is in compliance based on proposed premium
payments and coverages. Any decrease in specified amount and/or target death
benefit and/or a change in death benefit and/or surrenders occurring in the
first 15 years may cause a taxable event. In addition, if the policy is defined
as a modified endowment contract, a loan, surrender, or assignment or pledge
(unless such assignment or pledge is for burial expenses and the maximum death
benefit is not in excess of $25,000) may be considered a taxable distribution
and a ten percent penalty may be added to any tax on the distribution. Please
consult your tax advisor for advice.
Values shown on this illustration are based on a policy owner tax bracket of
0.00%.
Premiums are assumed to be paid at the beginning of the payment period.
Policy values and ages are shown as of the end of the policy year and reflect
the effect of all loans and surrenders. The death benefit, account value and
surrender value will differ if premiums are paid in different amounts,
frequencies, or not on the due date.
The policy's surrender value includes any sales charge refund on full
surrender. The sales charge refund equals the sales charge collected in the
first policy year or the first policy year of an increase adjusted by the
following schedule:
Year 1-100%
Year 2-66.67%
Year 3-33.33%
Premiums less the following deductions are added to the account value. (1) A
premium tax charge of 2.00% of gross premiums in all years. (2) A sales charge
on the gross premium equals to 9% up to the target premium in Years 1-10.0% in
policy years 11 and after, and 0% of premium in excess of the target premium in
all years. (3) A DAC tax charge of 1.25% of gross premiums in all years.
Refer to Prospectus
Page 7 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-39
<PAGE> 147
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option 1 Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Those columns assuming guaranteed charges use the current monthly mortality
charges and current charges for rider benefits if any, for the first year as
well as the assumed hypothetical gross annual investment return indicated.
Thereafter these columns use guaranteed charges for monthly mortality charges,
rider benefits if any, and the assumed hypothetical gross annual investment
return indicated. Those columns assuming current charges are based upon "current
charges" and the assumed hypothetical gross annual investment return indicated.
The current charges are declared by MONY Life Insurance Company of America,
are guaranteed for the first policy year, and apply to policies issued as of the
preparation date shown. After the first policy year, current charges are not
guaranteed, and may be changed at the discretion of MONY Life Insurance Company
of America.
The difference between the account value and the value upon surrender is any
outstanding debt plus any applicable sales charge refund. A partial surrender,
the surrender amount and the partial surrender fee ($25.00 or 2% of the amount
surrendered, if less) could be deducted from the benefit payable at death, and
will be deducted from the account value and the value upon surrender.
A policy loan will have a permanent effect on benefits under this policy.
Loan interest at an annual rate of 4.6% will be charged in arrears. Amounts
borrowed will earn interest at an annual rate of 4%. After the 10th policy
anniversary the annual interest rate applicable to the loan account will be
0.15% higher than the rate applicable to policies of the same type which have
not reached their 10th policy anniversary. It is anticipated but not guaranteed
that after the 10th policy anniversary this 0.15% will be increased by an
additional 0.15%. This additional increase is based on current expectations as
to mortality, investment earnings, persistency and expenses and is not
guaranteed. Adverse tax consequences could occur if a policy subject to loans is
surrendered or permitted to lapse. In addition, the loan interest may not be
deductible. Please consult your tax advisor for advice surrounding the
deductibility of loan interest and other tax consequences.
An administrative charge is deducted each month. During the first 36 policy
months the charge is $12.50 per month, thereafter, the charge is $7.50 per
month.
Refer to Prospectus
Page 8 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-40
<PAGE> 148
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26225 27536 0 0 23330 20970 500000 24649 22288
2 47 26225 56449 0 0 41727 40153 500000 45642 44068
3 48 26225 86808 0 0 59743 58956 500000 67541 66755
4 49 26225 118684 0 0 77412 77412 500000 90436 90436
5 50 26225 152155 0 0 95490 95490 500000 115139 115139
6 51 26225 187298 0 0 113217 113217 500000 140960 140960
7 52 26225 224200 0 0 130575 130575 500000 167958 167958
8 53 0 235410 0 0 124536 124536 500000 171805 171805
9 54 0 247180 0 0 118097 118097 500000 175515 175515
10 55 0 259539 0 0 111153 111153 500000 179008 179008
11 56 0 272516 0 0 103847 103847 500000 182559 182559
12 57 0 286142 0 0 95937 95937 500000 185869 185869
13 58 0 300449 0 0 87349 87349 500000 188892 188892
14 59 0 315471 0 0 78051 78051 500000 191619 191619
15 60 0 331245 0 0 67958 67958 500000 194000 194000
16 61 0 347807 0 0 56973 56973 500000 195980 195980
17 62 0 365197 0 0 44885 44885 500000 197424 197424
18 63 0 383457 0 0 31515 31515 500000 198224 198224
19 64 0 402630 0 0 16662 16662 500000 198258 198258
20 65 0 422762 0 0 41 41 500000 197350 197350
21 66 0 443900 0 0 0 0 0 195303 195303
22 67 0 466095 0 0 0 0 0 192003 192003
23 68 0 489399 0 0 0 0 0 187234 187234
24 69 0 513869 0 0 0 0 0 180821 180821
25 70 0 539563 0 0 0 0 0 172431 172431
26 71 0 566541 0 0 0 0 0 161664 161664
27 72 0 594868 0 0 0 0 0 147991 147991
28 73 0 624611 0 0 0 0 0 130626 130626
29 74 0 655842 0 0 0 0 0 108679 108679
30 75 0 688634 0 0 0 0 0 81022 81022
31 76 0 723066 0 0 0 0 0 46097 46097
32 77 0 759219 0 0 0 0 0 2173 2173
33 78 0 0 0 0 0 0 0 0 0
34 79 0 0 0 0 0 0 0 0 0
35 80 0 0 0 0 0 0 0 0 0
36 81 0 0 0 0 0 0 0 0 0
37 82 0 0 0 0 0 0 0 0 0
38 83 0 0 0 0 0 0 0 0 0
39 84 0 0 0 0 0 0 0 0 0
40 85 0 0 0 0 0 0 0 0 0
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 6%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 500000
20 500000
21 500000
22 500000
23 500000
24 500000
25 500000
26 500000
27 500000
28 500000
29 500000
30 500000
31 500000
32 500000
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
</TABLE>
Not valid without current prospectus and must be accompanied by the Disclosure
page, continuation of Compliance Report 1, and Supplemental Footnote page.
Page 3 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-41
<PAGE> 149
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 0 0 0 0 0 0 0 0
42 87 0 0 0 0 0 0 0 0 0
43 88 0 0 0 0 0 0 0 0 0
44 89 0 0 0 0 0 0 0 0 0
45 90 0 0 0 0 0 0 0 0 0
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR. (GROSS)
- --- -------
<S> <C>
41 0
42 0
43 0
44 0
45 0
</TABLE>
Illustration Received
-------------------------------------------------
(Signature of Applicant/Policyholder(s) and Date)
Illustration Delivered
-------------------------------------------------
(Signature of Representative and Date)
Assume guaranteed charges and a gross investment return of 0.00%, contract
lapses after age 65. Assuming guaranteed charges and a gross investment return
of 6.00%, this contract lapses after age 77. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 6.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Disclosure page
and Supplemental Footnote page.
Page 4 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-42
<PAGE> 150
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26225 27536 0 0 23330 20970 500000 24649 22288
2 47 26225 56449 0 0 42766 41193 500000 46709 45135
3 48 26225 86808 0 0 61661 60774 500000 69466 68679
4 49 26225 118684 0 0 80071 80071 500000 93323 93323
5 50 26225 152155 0 0 99188 99188 500000 119228 119228
6 51 26225 187298 0 0 118176 118176 500000 146513 146513
7 52 26225 224200 0 0 136992 136992 500000 175210 175210
8 53 0 235410 0 0 132780 132780 500000 181159 181159
9 54 0 247180 0 0 126595 128595 500000 187425 187425
10 55 0 259539 0 0 124304 124304 500000 193913 193913
11 56 0 272516 0 0 119998 119998 500000 201022 201022
12 57 0 286142 0 0 115244 115244 500000 208178 208178
13 58 0 300449 0 0 109937 109937 500000 215332 215332
14 59 0 315471 0 0 103920 103920 500000 222399 222399
15 60 0 331245 0 0 97170 97170 500000 229399 229399
16 61 0 347807 0 0 89514 89514 500000 236256 236256
17 62 0 365197 0 0 80912 80912 500000 242990 242990
18 63 0 383457 0 0 71319 71319 500000 249623 249623
19 64 0 402630 0 0 60788 60788 500000 256239 256239
20 65 0 422762 0 0 49320 49320 500000 262893 262893
21 66 0 443900 0 0 36861 36861 500000 269613 269613
22 67 0 466095 0 0 23406 23406 500000 276458 276458
23 68 0 489399 0 0 8657 8657 500000 283351 283351
24 69 0 513869 0 0 0 0 0 290166 290166
25 70 0 539563 0 0 0 0 0 296809 296809
26 71 0 566541 0 0 0 0 0 303313 303313
27 72 0 594868 0 0 0 0 0 309565 309565
28 73 0 624611 0 0 0 0 0 315668 315668
29 74 0 655842 0 0 0 0 0 321449 321449
30 75 0 688634 0 0 0 0 0 326867 326867
31 76 0 723066 0 0 0 0 0 331964 331964
32 77 0 759219 0 0 0 0 0 336525 336525
33 78 0 797180 0 0 0 0 0 340400 340400
34 79 0 837039 0 0 0 0 0 342114 342114
35 80 0 878891 0 0 0 0 0 342279 342279
36 81 0 922836 0 0 0 0 0 340688 340688
37 82 0 968977 0 0 0 0 0 336576 336576
38 83 0 1017426 0 0 0 0 0 331202 331202
39 84 0 1068298 0 0 0 0 0 322819 322819
40 85 0 1121712 0 0 0 0 0 310014 310014
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 6%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 500000
20 500000
21 500000
22 500000
23 500000
24 500000
25 500000
26 500000
27 500000
28 500000
29 500000
30 500000
31 500000
32 500000
33 500000
34 500000
35 500000
36 500000
37 500000
38 500000
39 500000
40 500000
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, the continuation of Compliance Report 2, and the
Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-43
<PAGE> 151
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1177798 0 0 0 0 0 291581 291581
42 87 0 1236688 0 0 0 0 0 264866 264866
43 88 0 1298522 0 0 0 0 0 227055 227055
44 89 0 1363449 0 0 0 0 0 173444 173444
45 90 0 1431621 0 0 0 0 0 97094 97094
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 6%
YR. (GROSS)
- ---- -------
<S> <C>
41 500000
42 500000
43 500000
44 500000
45 500000
</TABLE>
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 68. Assuming current charges and a gross investment return of 6.00%.
This contract matures at anniversary at age 95. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 6.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Compliance
Report 1, Disclosure page, and Supplemental Footnote page.
Page 6 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-44
<PAGE> 152
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,00 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option 1 Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------------
NONE
------------------------------------------------------
From Year 0 to Year 0
This policy has been tested for the possibility of classification as a
modified endowment. This test is not a guarantee that a policy will not be
classified as a modified endowment.
This illustration has been checked against federal tax law relating to the
definition of life insurance and is in compliance based on proposed premium
payments and coverages. Any decrease in specified amount and/or target death
benefit and/or a change in death benefit and/or surrenders occurring in the
first 15 years may cause a taxable event. In addition, if the policy is defined
as a modified endowment contract, a loan, surrender, or assignment or pledge
(unless such assignment or pledge is for burial expenses and the maximum death
benefit is not in excess of $25,000) may be considered a taxable distribution
and a ten percent penalty may be added to any tax on the distribution. Please
consult your tax advisor for advice.
Values shown on this illustration are based on a policy owner tax bracket of
0.00%.
Premiums are assumed to be paid at the beginning of the payment period.
Policy values and ages are shown as of the end of the policy year and reflect
the effect of all loans and surrenders. The death benefit, account value and
surrender value will differ if premiums are paid in different amounts,
frequencies, or not on the due date.
The policy's surrender value includes any sales charge refund on full
surrender. The sales charge refund equals the sales charge collected in the
first policy year or the first policy year of an increase adjusted by the
following schedule:
Year 1-100%
Year 2-66.67%
Year 3-33.33%
Premiums less the following deductions are added to the account value. (1) A
premium tax charge of 2.00% of gross premiums in all years. (2) A sales charge
on the gross premium equals to 9% up to the target premium in Years 1-10.0% in
policy years 11 and after, and 0% of premium in excess of the target premium in
all years. (3) A DAC tax charge of 1.25% of gross premiums in all years.
Refer to Prospectus
Page 7 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-45
<PAGE> 153
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,00 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option 1 Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Those columns assuming guaranteed charges use the current monthly mortality
charges and current charges for rider benefits if any, for the first year as
well as the assumed hypothetical gross annual investment return indicated.
Thereafter these columns use guaranteed charges for monthly mortality charges,
rider benefits if any, and the assumed hypothetical gross annual investment
return indicated. Those columns assuming current charges are based upon "current
charges" and the assumed hypothetical gross annual investment return indicated.
The current charges are declared by MONY Life Insurance Company of America,
are guaranteed for the first policy year, and apply to policies issued as of the
preparation date shown. After the first policy year, current charges are not
guaranteed, and may be changed at the discretion of MONY Life Insurance Company
of America.
The difference between the account value and the value upon surrender is any
outstanding debt plus any applicable sales charge refund. A partial surrender,
the surrender amount and the partial surrender fee ($25.00 or 2% of the amount
surrendered, if less) could be deducted from the benefit payable at death, and
will be deducted from the account value and the value upon surrender.
A policy loan will have a permanent effect on benefits under this policy.
Loan interest at an annual rate of 4.6% will be charged in arrears. Amounts
borrowed will earn interest at an annual rate of 4%. After the 10th policy
anniversary the annual interest rate applicable to the loan account will be
0.15% higher than the rate applicable to policies of the same type which have
not reached their 10th policy anniversary. It is anticipated but not guaranteed
that after the 10th policy anniversary this 0.15% will be increased by an
additional 0.15%. This additional increase is based on current expectations as
to mortality, investment earnings, persistency and expenses and is not
guaranteed. Adverse tax consequences could occur if a policy subject to loans is
surrendered or permitted to lapse. In addition, the loan interest may not be
deductible. Please consult your tax advisor for advice surrounding the
deductibility of loan interest and other tax consequences.
An administrative charge is deducted each month. During the first 36 policy
months the charge is $12.50 per month, thereafter, the charge is $7.50 per
month.
Refer to Prospectus
Page 8 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-46
<PAGE> 154
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26225 27536 0 0 23330 20970 500000 25968 23607
2 47 26225 56449 0 0 41727 40153 500000 49718 48145
3 48 26225 86808 0 0 59743 58956 500000 75993 75206
4 49 26225 118684 0 0 77412 77412 500000 105127 105127
5 50 26225 152155 0 0 95490 95490 500000 138221 138221
6 51 26225 187298 0 0 113217 113217 500000 174906 174906
7 52 26225 224200 0 0 130576 130576 500000 215620 215620
8 53 0 235410 0 0 124536 124536 500000 235094 235094
9 54 0 247180 0 0 118097 118097 500000 256550 256550
10 55 0 259539 0 0 111153 111153 500000 279915 279915
11 56 0 272516 0 0 103847 103847 500000 305716 305716
12 57 0 286142 0 0 95937 95937 500000 333726 333726
13 58 0 300449 0 0 87349 87349 500000 364116 364116
14 59 0 315471 0 0 76051 76051 500000 397110 397110
15 60 0 331245 0 0 67958 67958 500000 432918 432918
16 61 0 347807 0 0 56973 56973 500000 471772 471772
17 62 0 365197 0 0 44885 44885 500000 513840 513840
18 63 0 383457 0 0 31515 31515 500000 559345 559345
19 64 0 402630 0 0 16662 16662 500000 608524 608524
20 65 0 422762 0 0 41 41 500000 661590 661590
21 66 0 443900 0 0 0 0 0 718766 718766
22 67 0 466095 0 0 0 0 0 780432 780432
23 68 0 489399 0 0 0 0 0 846918 846918
24 69 0 513869 0 0 0 0 0 918680 918680
25 70 0 539563 0 0 0 0 0 996090 996090
26 71 0 566541 0 0 0 0 0 1079551 1079551
27 72 0 594868 0 0 0 0 0 1169457 1169457
28 73 0 624611 0 0 0 0 0 1266080 1266080
29 74 0 655842 0 0 0 0 0 1369810 1369810
30 75 0 688634 0 0 0 0 0 1481057 1481057
31 76 0 723066 0 0 0 0 0 1600160 1600160
32 77 0 759219 0 0 0 0 0 1727739 1727739
33 78 0 797180 0 0 0 0 0 1864468 1864468
34 79 0 837039 0 0 0 0 0 2011248 2011248
35 80 0 878891 0 0 0 0 0 2168944 2168944
36 81 0 922836 0 0 0 0 0 2338434 2338434
37 82 0 968977 0 0 0 0 0 2520529 2520529
38 83 0 1017426 0 0 0 0 0 2715951 2715951
39 84 0 1068298 0 0 0 0 0 2925528 2925528
40 85 0 1121712 0 0 0 0 0 3150294 3150294
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 12%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 519770
10 562385
11 587984
12 625903
13 666296
14 709358
15 755270
16 804135
17 854110
18 911397
19 970292
20 1032940
21 1099639
22 1170804
23 1246663
24 1327677
25 1413949
26 1505865
27 1603793
28 1707942
29 1818833
30 1937075
31 2062527
32 2197338
33 2341026
34 2494551
35 2658909
36 2834182
37 3021106
38 3220846
39 3433692
40 3661586
</TABLE>
Not valid without current prospectus and must be accompanied by the Disclosure
page, continuation of Compliance Report 1, and Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-47
<PAGE> 155
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1177798 0 0 0 0 0 3391733 3391733
42 87 0 1236688 0 0 0 0 0 3651691 3651691
43 88 0 1298522 0 0 0 0 0 3932686 3932686
44 89 0 1363449 0 0 0 0 0 4237083 4237083
45 90 0 1431621 0 0 0 0 0 4568643 4568643
46 91 0 1503202 0 0 0 0 0 4932525 4932525
47 92 0 1578362 0 0 0 0 0 5335931 5335931
48 93 0 1657280 0 0 0 0 0 5789419 5789419
49 94 0 1740144 0 0 0 0 0 6307913 6307913
50 95 0 1827151 0 0 0 0 0 6916756 6916756
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR. (GROSS)
- --- -------
<S> <C>
41 3905242
42 4166945
43 4447474
44 4747651
45 5071194
46 5418871
47 5794288
48 6199889
49 6640340
50 7123567
</TABLE>
Illustration Received
-------------------------------------------------
(Signature of Applicant/Policyholder(s) and Date)
Illustration Delivered
-------------------------------------------------
(Signature of Representative and Date)
Assume guaranteed charges and a gross investment return of 0.00%, contract
lapses after age 65. Assuming guaranteed charges and a gross investment return
of 12.00%, this contract matures at anniversary at age 95. This is an
illustration, not a contract. For presentation in Arizona, the hypothetical
investment results are illustrative only, and should not be deemed a
representation of past or future investment results. Actual investment results
may be more or less than those shown, and will depend on a number of factors,
including the investment allocations by a Policyholder, and the different
investment rates of return achieved by the sub account chosen by the
Policyholder. The Surrender Value, Account Value and Benefit Payable at Death
for a contract would be different from those shown if the actual rates of
investment return applicable to the contract averaged 0.00% or 12.00% over a
period of years, but also fluctuated above or below those averages for
individual contract years. No representations can be made that these
hypothetical rates of return can be achieved for any one year, or sustained over
any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Disclosure page
and Supplemental Footnote page.
Page 4 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-48
<PAGE> 156
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 26225 27536 0 0 23330 20970 500000 25968 23607
2 47 26225 56449 0 0 42766 41193 500000 50812 49236
3 48 26225 86808 0 0 61561 60774 500000 78024 77236
4 49 26225 118684 0 0 80071 80071 500000 108252 108252
5 50 26225 152155 0 0 99188 99188 500000 142728 142728
6 51 26225 187298 0 0 118176 118176 500000 181109 181109
7 52 26225 224200 0 0 136992 136992 500000 223800 223800
8 53 0 235410 0 0 132780 132780 500000 245672 245672
9 54 0 247180 0 0 128595 128595 500000 269899 269899
10 55 0 259539 0 0 124304 124304 500000 296523 296523
11 56 0 272516 0 0 119998 119998 500000 326549 326549
12 57 0 286142 0 0 115244 115244 500000 359382 359382
13 58 0 300449 0 0 109937 109937 500000 395218 395218
14 59 0 315471 0 0 103920 103920 500000 434222 434222
15 60 0 331245 0 0 97170 97170 500000 476691 476691
16 61 0 347807 0 0 89514 89514 500000 522823 522823
17 62 0 365197 0 0 80912 80912 500000 572962 572962
18 63 0 383457 0 0 71319 71319 500000 627492 627492
19 64 0 402630 0 0 60788 60788 500000 686930 686930
20 65 0 422762 0 0 49320 49320 500000 751810 751810
21 66 0 443900 0 0 36861 36861 500000 822672 822672
22 67 0 466095 0 0 23406 23406 500000 900164 900164
23 68 0 489399 0 0 8657 8657 500000 984734 984734
24 69 0 513869 0 0 0 0 0 1076743 1076743
25 70 0 539563 0 0 0 0 0 1176632 1176632
26 71 0 566541 0 0 0 0 0 1285179 1285179
27 72 0 594868 0 0 0 0 0 1402873 1402873
28 73 0 624611 0 0 0 0 0 1530810 1530810
29 74 0 655842 0 0 0 0 0 1669425 1669425
30 75 0 688634 0 0 0 0 0 1819551 1819551
31 76 0 723066 0 0 0 0 0 1982380 1982380
32 77 0 759219 0 0 0 0 0 2158369 2158359
33 78 0 797180 0 0 0 0 0 2348223 2348223
34 79 0 837039 0 0 0 0 0 2548082 2548082
35 80 0 878891 0 0 0 0 0 2761982 2761982
36 81 0 922836 0 0 0 0 0 2991526 2991526
37 82 0 968977 0 0 0 0 0 3236836 3236836
38 83 0 1017426 0 0 0 0 0 3506203 3506203
39 84 0 1068298 0 0 0 0 0 3797105 3797105
40 85 0 1121712 0 0 0 0 0 4109735 4109735
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 12%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 511267
9 546815
10 585159
11 628051
12 674021
13 723210
14 775661
15 831635
16 891151
17 954613
18 1022435
19 1095309
20 1173801
21 1258606
22 1350427
23 1449529
24 1556108
25 1670229
26 1792696
27 1923899
28 2068063
29 2216662
30 2379791
31 2555684
32 2745001
33 2948429
34 3160386
35 3385914
36 3625729
37 3879671
38 4158006
39 4456662
40 4776745
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, the continuation of Compliance Report 2, and the
Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-49
<PAGE> 157
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 1177798 0 0 0 0 0 4446980 4446980
42 87 0 1236688 0 0 0 0 0 4809297 4809297
43 88 0 1298522 0 0 0 0 0 5200586 5200586
44 89 0 1363449 0 0 0 0 0 5624347 5624347
45 90 0 1431621 0 0 0 0 0 6085021 6085021
46 91 0 1503202 0 0 0 0 0 6587459 6587459
47 92 0 1578362 0 0 0 0 0 7143215 7143215
48 93 0 1657280 0 0 0 0 0 7767064 7767064
49 94 0 1740144 0 0 0 0 0 8481320 8481320
50 95 0 1827151 0 0 0 0 0 9320631 9320631
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR. (GROSS)
- --- -------
<S> <C>
41 5120252
42 5487889
43 5881343
44 6302081
45 6754373
46 7236982
47 7756817
48 8317749
49 8928286
50 9599318
</TABLE>
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 68. Assuming current charges and a gross investment return of 12.00%.
This contract matures at anniversary at age 95. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 12.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Compliance
Report 1, Disclosure page, and Supplemental Footnote page.
Page 6 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-50
<PAGE> 158
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------------
NONE
------------------------------------------------------
From Year 0 to Year 0
This policy has been tested for the possibility of classification as a
modified endowment. This test is not a guarantee that a policy will not be
classified as a modified endowment.
This illustration has been checked against federal tax law relating to the
definition of life insurance and is in compliance based on proposed premium
payments and coverages. Any decrease in specified amount and/or target death
benefit and/or a change in death benefit and/or surrenders occurring in the
first 15 years may cause a taxable event. In addition, if the policy is defined
as a modified endowment contract, a loan, surrender, or assignment or pledge
(unless such assignment or pledge is for burial expenses and the maximum death
benefit is not in excess of $25,000) may be considered a taxable distribution
and a ten percent penalty may be added to any tax on the distribution. Please
consult your tax advisor for advice.
Values shown on this illustration are based on a policy owner tax bracket of
0.00%.
Premiums are assumed to be paid at the beginning of the payment period.
Policy values and ages are shown as of the end of the policy year and reflect
the effect of all loans and surrenders. The death benefit, account value and
surrender value will differ if premiums are paid in different amounts,
frequencies, or not on the due date.
The policy's surrender value includes any sales charge refund on full
surrender. The sales charge refund equals the sales charge collected in the
first policy year or the first policy year of an increase adjusted by the
following schedule:
Year 1-100%
Year 2-66.67%
Year 3-33.33%
Premiums less the following deductions are added to the account value. (1) A
premium tax charge of 2.00% of gross premiums in all years. (2) A sales charge
on the gross premium equals to 9% up to the target premium in Years 1-10.0% in
policy years 11 and after, and 0% of premium in excess of the target premium in
all years. (3) A DAC tax charge of 1.25% of gross premiums in all years.
Refer to Prospectus
Page 7 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-51
<PAGE> 159
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $26,224.90 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Those columns assuming guaranteed charges use the current monthly mortality
charges and current charges for rider benefits if any, for the first year as
well as the assumed hypothetical gross annual investment return indicated.
Thereafter these columns use guaranteed charges for monthly mortality charges,
rider benefits if any, and the assumed hypothetical gross annual investment
return indicated. Those columns assuming current charges are based upon "current
charges" and the assumed hypothetical gross annual investment return indicated.
The current charges are declared by MONY Life Insurance Company of America,
are guaranteed for the first policy year, and apply to policies issued as of the
preparation date shown. After the first policy year, current charges are not
guaranteed, and may be changed at the discretion of MONY Life Insurance Company
of America.
The difference between the account value and the value upon surrender is any
outstanding debt plus any applicable sales charge refund. A partial surrender,
the surrender amount and the partial surrender fee ($25.00 or 2% of the amount
surrendered, if less) could be deducted from the benefit payable at death, and
will be deducted from the account value and the value upon surrender.
A policy loan will have a permanent effect on benefits under this policy.
Loan interest at an annual rate of 4.6% will be charged in arrears. Amounts
borrowed will earn interest at an annual rate of 4%. After the 10th policy
anniversary the annual interest rate applicable to the loan account will be
0.15% higher than the rate applicable to policies of the same type which have
not reached their 10th policy anniversary. It is anticipated but not guaranteed
that after the 10th policy anniversary this 0.15% will be increased by an
additional 0.15%. This additional increase is based on current expectations as
to mortality, investment earnings, persistency and expenses and is not
guaranteed. Adverse tax consequences could occur if a policy subject to loans is
surrendered or permitted to lapse. In addition, the loan interest may not be
deductible. Please consult your tax advisor for advice surrounding the
deductibility of loan interest and other tax consequences.
An administrative charge is deducted each month. During the first 36 policy
months the charge is $12.50 per month, thereafter, the charge is $7.50 per
month.
Refer to Prospectus
Page 8 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-52
<PAGE> 160
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guarantee Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 10005 10605 0 0 8151 7250 500000 8629 7729
2 47 10005 21536 0 0 14563 13963 500000 15963 15363
3 48 10005 33118 0 0 20758 20498 500000 23565 23265
4 49 10005 45279 0 0 26840 26840 500000 31431 31431
5 50 10005 58048 0 0 32960 32960 500000 39845 39845
6 51 10005 71456 0 0 38864 38864 500000 48525 48525
7 52 10005 85534 0 0 44502 44502 500000 57437 57437
8 53 10005 100316 0 0 49884 49884 500000 66601 66601
9 54 10005 115836 0 0 54962 54962 500000 75988 75988
10 55 10005 132135 0 0 59746 59746 500000 85621 85621
11 56 10005 149247 0 0 65187 65187 500000 96573 96573
12 57 10005 167214 0 0 70249 70249 500000 107803 107803
13 58 10005 186080 0 0 74942 74942 500000 119348 119348
14 59 10005 205890 0 0 79226 79226 500000 131199 131199
15 60 10005 226690 0 0 83058 83058 500000 143353 143353
16 61 10005 248529 0 0 86399 86399 500000 155813 155813
17 62 10005 271461 0 0 89205 89205 500000 168588 168588
18 63 10005 295540 0 0 91437 91437 500000 181693 181693
19 64 10005 320822 0 0 92951 92951 500000 195073 195073
20 65 10005 347368 0 0 93749 93749 500000 208796 208796
21 66 10005 375242 0 0 93686 93686 500000 222833 222833
22 67 10005 404509 0 0 92702 92702 500000 237236 237236
23 68 10005 435240 0 0 90686 90686 500000 252038 252038
24 69 10005 467507 0 0 87514 87514 500000 267286 267286
25 70 10005 501388 0 0 83100 83100 500000 283077 283077
26 71 10005 536963 0 0 77192 77192 500000 299446 299446
27 72 10005 574316 0 0 69255 69255 500000 316347 316347
28 73 10005 613537 0 0 59421 59421 500000 334092 334092
29 74 10005 654720 0 0 47018 47018 500000 352711 352711
30 75 10005 697961 0 0 31488 31488 500000 372084 372084
31 76 10005 743364 0 0 12341 12341 500000 391674 391674
32 77 10005 791038 0 0 0 0 0 411471 411471
33 78 10005 841095 0 0 0 0 0 431477 431477
34 79 10005 893655 0 0 0 0 0 451734 451734
35 80 10005 948843 0 0 0 0 0 472267 472267
36 81 10005 1006791 0 0 0 0 0 493080 493080
37 82 10005 1067635 0 0 0 0 0 514140 514140
38 83 10005 1131522 0 0 0 0 0 535403 535403
39 84 10005 1198604 0 0 0 0 0 556850 556850
40 85 10005 1269039 0 0 0 0 0 578446 578446
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 6%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 500000
20 500000
21 500000
22 500000
23 500000
24 500000
25 500000
26 500000
27 500000
28 500000
29 500000
30 512844
31 529934
32 546928
33 563898
34 580885
35 597843
36 614870
37 631827
38 648748
39 665714
40 682743
</TABLE>
Not valid without current prospectus and must be accompanied by the Disclosure
page, Continuation of Compliance Report 1, and Supplemental Footnote page.
Page 3 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-53
<PAGE> 161
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 10005 1342997 0 0 0 0 0 600254 600254
42 87 10005 1420652 0 0 0 0 0 622342 622342
43 88 10005 1502190 0 0 0 0 0 644853 644853
44 89 10005 1587805 0 0 0 0 0 667993 667993
45 90 10005 1677700 0 0 0 0 0 692024 692024
46 91 10005 1772090 0 0 0 0 0 717344 717344
47 92 10005 1871200 0 0 0 0 0 744509 744509
48 93 10005 1975266 0 0 0 0 0 774370 774370
49 94 10005 2084534 0 0 0 0 0 808302 808302
50 95 10005 2199266 0 0 0 0 0 848560 848560
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR. (GROSS)
- --- -------
<S> <C>
41 699896
42 717312
43 734939
44 762962
45 771399
46 790298
47 809728
48 829969
49 851222
50 874017
</TABLE>
Illustration Received
-------------------------------------------------
(Signature of Applicant/Policyholder(s) and Date)
Illustration Delivered
-------------------------------------------------
(Signature of Representative and Date)
Assume guaranteed charges and a gross investment return of 0.00%, contract
lapses after age 76. Assuming guaranteed charges and a gross investment return
of 6.00%, this contract matures at anniversary at age 95. This is an
illustration, not a contract. For presentation in Arizona, the hypothetical
investment results are illustrative only, and should not be deemed a
representation of past or future investment results. Actual investment results
may be more or less than those shown, and will depend on a number of factors,
including the investment allocations by a Policyholder, and the different
investment rates of return achieved by the sub account chosen by the
Policyholder. The Surrender Value, Account Value and Benefit Payable at Death
for a contract would be different from those shown if the actual rates of
investment return applicable to the contract averaged 0.00% or 6.00% over a
period of years, but also fluctuated above or below those averages for
individual contract years. No representations can be made that these
hypothetical rates of return can be achieved for any one year, or sustained over
any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Disclosure page
and Supplemental Footnote page.
Page 4 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-54
<PAGE> 162
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (eve)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005,06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 10005 10505 500000 8151 7250 500000 8629 7729
2 47 10005 21536 500000 14853 14252 500000 16262 15661
3 48 10005 33118 500000 21313 21013 500000 24113 23813
4 49 10005 45279 500000 27576 27576 500000 32238 32238
5 50 10005 58048 500000 33856 33856 500000 40863 40863
6 51 10005 71456 500000 40026 40026 500000 49874 49874
7 52 10005 85534 500000 46089 46089 500000 59291 59291
8 53 10005 100316 500000 52046 52046 500000 69139 69139
9 54 10005 115838 500000 57901 57901 500000 79442 79442
10 55 10005 132135 500000 63655 63655 500000 90226 90266
11 56 10005 149247 500000 70419 70419 500000 102778 102778
12 57 10005 167214 500000 77047 77047 500000 115926 115926
13 58 10005 186080 500000 83395 83395 500000 129569 129569
14 59 10005 205890 500000 89472 89472 500000 143754 143754
15 60 10005 226690 500000 95237 95237 500000 158486 158486
16 61 10005 248529 500000 100605 100605 500000 173736 173736
17 62 10005 271461 500000 105633 105633 500000 189603 189603
18 63 10005 295540 500000 110285 110285 500000 206115 206115
19 64 10005 320822 500000 114568 114568 500000 223344 223344
20 65 10005 347368 500000 118537 118537 500000 241399 241399
21 66 10005 375242 500000 122108 122108 500000 260303 260303
22 67 10005 404509 500000 125332 125332 500000 280179 280179
23 68 10005 435240 500000 128125 128125 500000 301079 301079
24 69 10005 467507 500000 130361 130361 500000 323042 323042
25 70 10005 501388 500000 131867 131867 500000 345805 345805
26 71 10005 536963 500000 132687 132687 500000 369349 369349
27 72 10005 574316 500000 132644 132644 500000 393635 393635
28 73 10005 613537 500000 131768 131768 500000 418738 418738
29 74 10005 654720 500000 129825 129825 500000 444608 444608
30 75 10005 697961 500000 126651 126651 500000 471241 471241
31 76 10005 743364 500000 122199 122199 500000 498697 498697
32 77 10005 791038 0 116135 116135 500000 526917 526917
33 78 10005 841095 0 108131 108131 500000 555869 555869
34 79 10005 893655 0 96186 96186 500000 584847 584847
35 80 10005 948843 0 80902 80902 500000 614341 614341
36 81 10005 1006791 0 61951 61951 500000 644472 644472
37 82 10005 1067835 0 38208 38208 500000 675136 675136
38 83 10005 1131522 0 11632 11632 500000 707293 707293
39 84 10005 1198604 0 0 0 500000 740368 740368
40 85 10005 1269039 0 0 0 500000 774224 774224
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 6%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 500000
20 500000
21 500000
22 500000
23 500000
24 505884
25 529290
26 552804
27 576479
28 600596
29 624896
30 649511
31 674737
32 700378
33 726466
34 752955
35 777695
36 803657
37 829675
38 857027
39 885110
40 913816
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, the continuation of Compliance Report 2, and the
Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-55
<PAGE> 163
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 10005 1342997 0 0 0 0 0 809043 809043
42 87 10005 1420652 0 0 0 0 0 844694 844684
43 88 10005 1502190 0 0 0 0 0 881389 881389
44 89 10005 1587805 0 0 0 0 0 919286 919286
45 90 10005 1677700 0 0 0 0 0 958610 958610
46 91 10005 1772090 0 0 0 0 0 999560 999560
47 92 10005 1871200 0 0 0 0 0 1042956 1042956
48 93 10005 1975246 0 0 0 0 0 1089705 1089705
49 94 10005 2084534 0 0 0 0 0 1141287 1141287
50 95 10005 2199256 0 0 0 0 0 1200058 1200058
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR. (GROSS)
- --- -------
<S> <C>
41 943344
42 973583
43 1004519
44 1036219
45 1068563
46 1101216
47 1134318
48 1167946
49 1201890
50 1236060
</TABLE>
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 83. Assuming current charges and a gross investment return of 6.00%.
This contract matures at anniversary at age 95. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 6.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Compliance
Report 1, Disclosure page, and Supplemental Footnote page.
Page 6 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-56
<PAGE> 164
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,00 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option 1 Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------------
NONE
------------------------------------------------------
From Year 0 to Year 0
This policy has been tested for the possibility of classification as a
modified endowment. This test is not a guarantee that a policy will not be
classified as a modified endowment.
This illustration has been checked against federal tax law relating to the
definition of life insurance and is in compliance based on proposed premium
payments and coverages. Any decrease in specified amount and/or target death
benefit and/or a change in death benefit and/or surrenders occurring in the
first 15 years may cause a taxable event. In addition, if the policy is defined
as a modified endowment contract, a loan, surrender, or assignment or pledge
(unless such assignment or pledge is for burial expenses and the maximum death
benefit is not in excess of $25,000) may be considered a taxable distribution
and a ten percent penalty may be added to any tax on the distribution. Please
consult your tax advisor for advice.
Values shown on this illustration are based on a policy owner tax bracket of
0.00%.
Premiums are assumed to be paid at the beginning of the payment period.
Policy values and ages are shown as of the end of the policy year and reflect
the effect of all loans and surrenders. The death benefit, account value and
surrender value will differ if premiums are paid in different amounts,
frequencies, or not on the due date.
The policy's surrender value includes any sales charge refund on full
surrender. The sales charge refund equals the sales charge collected in the
first policy year or the first policy year of an increase adjusted by the
following schedule:
Year 1-100%
Year 2-66.67%
Year 3-33.33%
Premiums less the following deductions are added to the account value. (1) A
premium tax charge of 2.00% of gross premiums in all years. (2) A sales charge
on the gross premium equals to 9% up to the target premium in Years 1-10.0% in
policy years 11 and after, and 0% of premium in excess of the target premium in
all years. (3) A DAC tax charge of 1.25% of gross premiums in all years.
Refer to Prospectus
Page 7 of 8 Page Illustration. This illustration is not valid without all 8
pages.
G-57
<PAGE> 165
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Those columns assuming guaranteed charges use the current monthly mortality
charges and current charges for rider benefits if any, for the first year as
well as the assumed hypothetical gross annual investment return indicated.
Thereafter these columns use guaranteed charges for monthly mortality charges,
rider benefits if any, and the assumed hypothetical gross annual investment
return indicated. Those columns assuming current charges are based upon "current
charges" and the assumed hypothetical gross annual investment return indicated.
The current charges are declared by MONY Life Insurance Company of America,
are guaranteed for the first policy year, and apply to policies issued as of the
preparation date shown. After the first policy year, current charges are not
guaranteed, and may be changed at the discretion of MONY Life Insurance Company
of America.
The difference between the account value and the value upon surrender is any
outstanding debt plus any applicable sales charge refund. A partial surrender,
the surrender amount and the partial surrender fee ($25.00 or 2% of the amount
surrendered, if less) could be deducted from the benefit payable at death, and
will be deducted from the account value and the value upon surrender.
A policy loan will have a permanent effect on benefits under this policy.
Loan interest at an annual rate of 4.6% will be charged in arrears. Amounts
borrowed will earn interest at an annual rate of 4%. After the 10th policy
anniversary the annual interest rate applicable to the loan account will be
0.15% higher than the rate applicable to policies of the same type which have
not reached their 10th policy anniversary. It is anticipated but not guaranteed
that after the 10th policy anniversary this 0.15% will be increased by an
additional 0.15%. This additional increase is based on current expectations as
to mortality, investment earnings, persistency and expenses and is not
guaranteed. Adverse tax consequences could occur if a policy subject to loans is
surrendered or permitted to lapse. In addition, the loan interest may not be
deductible. Please consult your tax advisor for advice surrounding the
deductibility of loan interest and other tax consequences.
An administrative charge is deducted each month. During the first 36 policy
months the charge is $12.50 per month, thereafter, the charge is $7.50 per
month.
Refer to Prospectus
Page 8 of 8 Page Illustration. This illustration is not valid without all 8
pages.
G-58
<PAGE> 166
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 10005 10505 0 0 8151 7250 500000 9109 8208
2 47 10005 21536 0 0 14563 13963 500000 17422 16822
3 48 10005 33118 0 0 20798 20498 500000 26566 26266
4 49 10005 45279 0 0 26840 26840 500000 36615 36615
5 50 10005 58048 0 0 32960 32960 500000 47941 47941
6 51 10005 71456 0 0 38864 38864 500000 60359 60359
7 52 10005 85534 0 0 44502 44502 500000 73948 73948
8 53 10005 100316 0 0 49884 49884 500000 88852 88852
9 54 10005 115838 0 0 54962 54962 500000 105184 105184
10 55 10005 132135 0 0 59746 59746 500000 123127 123127
11 56 10005 149247 0 0 65187 65187 500000 144066 144066
12 57 10005 167214 0 0 70249 70249 500000 167144 167144
13 58 10005 186080 0 0 74942 74942 500000 192654 192654
14 59 10005 205890 0 0 79226 79226 500000 220892 220892
15 60 10005 226690 0 0 83058 83058 500000 252210 252210
16 61 10005 248529 0 0 86399 86399 500000 286695 286695
17 62 10005 271461 0 0 89205 89205 500000 324302 324302
18 63 10005 295540 0 0 91437 91437 500000 365288 365288
19 64 10005 320822 0 0 32951 92951 500000 409861 409861
20 65 10005 347368 0 0 93749 93749 500000 458352 458352
21 66 10005 375242 0 0 93686 93686 500000 511007 511007
22 67 10005 404509 0 0 92702 92702 500000 568171 568171
23 68 10005 435240 0 0 90686 90686 500000 630180 630180
24 69 10005 467507 0 0 87514 87514 500000 697400 697400
25 70 10005 501388 0 0 83100 83100 500000 770284 770284
26 71 10005 536963 0 0 77192 77192 500000 849185 849185
27 72 10005 574316 0 0 69255 69255 500000 934224 934224
28 73 10005 613537 0 0 59421 59421 500000 1026246 1026246
29 74 10005 654720 0 0 47018 47018 500000 1125406 1125406
30 75 10005 697961 0 0 31488 31488 500000 1232074 1232074
31 76 10005 743364 0 0 12341 12341 500000 1346798 1346798
32 77 10005 791038 0 0 0 0 0 1470146 1470146
33 78 10005 841095 0 0 0 0 0 1602743 1602743
34 79 10005 893655 0 0 0 0 0 1745417 1745417
35 80 10005 948843 0 0 0 0 0 1899012 1899012
36 81 10005 1006791 0 0 0 0 0 2064337 2064337
37 82 10005 1067635 0 0 0 0 0 2242121 2242121
38 83 10005 1131522 0 0 0 0 0 2433060 2433060
39 84 10005 1198604 0 0 0 0 0 2638000 2638000
40 85 10005 1269039 0 0 0 0 0 2857777 2857777
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 12%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 551028
17 606380
18 664788
19 726356
20 791483
21 860281
22 933165
23 1010367
24 1092129
25 1178996
26 1270975
27 1368172
28 1471944
29 1581758
30 1698168
31 1822218
32 1954118
33 2094625
34 2244432
35 2403959
36 2574229
37 2755342
38 2948139
39 3153729
40 3373035
</TABLE>
Not valid without current prospectus and must be accompanied by the Disclosure
page, continuation of Compliance Report 1, and Supplemental Footnote page.
Page 3 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-59
<PAGE> 167
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 10005 1342997 0 0 0 0 0 3093709 3093709
42 87 10005 1420652 0 0 0 0 0 3347346 3347346
43 88 10005 1502190 0 0 0 0 0 3620764 3620764
44 89 10005 1587805 0 0 0 0 0 3916660 3916660
45 90 10005 1677700 0 0 0 0 0 4238408 4238408
46 91 10005 1772090 0 0 0 0 0 4590715 4590715
47 92 10005 1871200 0 0 0 0 0 4979988 4979988
48 93 10005 1975266 0 0 0 0 0 5415643 5415643
49 94 10005 2084534 0 0 0 0 0 5912412 5912412
50 95 10005 2199266 0 0 0 0 0 6494142 6494142
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR. (GROSS)
- --- -------
<S> <C>
41 3607265
42 3858151
43 4126585
44 4414859
45 4724553
46 5057591
47 5416235
48 5804486
49 6226361
50 6688966
</TABLE>
Illustration Received
-------------------------------------------------
(Signature of Applicant/Policyholder(s) and Date)
Illustration Delivered
-------------------------------------------------
(Signature of Representative and Date)
Assume guaranteed charges and a gross investment return of 0.00%, contract
lapses after age 76. Assuming guaranteed charges and a gross investment return
of 12.00%. This contract matures at anniversary at age 95. This is an
illustration, not a contract. For presentation in Arizona, the hypothetical
investment results are illustrative only, and should not be deemed a
representation of past or future investment results. Actual investment results
may be more or less than those shown, and will depend on a number of factors,
including the investment allocations by a Policyholder, and the different
investment rates of return achieved by the sub account chosen by the
Policyholder. The Surrender Value, Account Value and Benefit Payable at Death
for a contract would be different from those shown if the actual rates of
investment return applicable to the contract averaged 0.00% or 12.00% over a
period of years, but also fluctuated above or below those averages for
individual contract years. No representations can be made that these
hypothetical rates of return can be achieved for any one year, or sustained over
any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Disclosure page
and Supplemental Footnote page.
Page 4 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-60
<PAGE> 168
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 10005 10505 0 0 8151 7250 500000 9109 9208
2 47 10005 21536 0 0 14863 14252 500000 17729 17129
3 48 10005 33118 0 0 21313 21013 500000 27148 26848
4 49 10005 45279 0 0 27576 27576 500000 37497 37497
5 50 10005 58048 0 0 33856 33856 500000 49094 49094
6 51 10005 71456 0 0 40026 40026 500000 61921 61921
7 52 10005 85534 0 0 46089 46089 500000 76119 76119
8 53 10005 100316 0 0 52046 52046 500000 91845 91845
9 54 10005 115838 0 0 57901 57901 500000 109272 109272
10 55 10005 132135 0 0 63655 63655 500000 128595 128595
11 56 10005 149247 0 0 70419 70419 500000 151490 151490
12 57 10005 167214 0 0 77047 77047 500000 176936 176936
13 58 10005 186080 0 0 83395 83395 500000 205124 205124
14 59 10005 205890 0 0 89472 89472 500000 236409 236409
15 60 10005 226690 0 0 95237 95237 500000 271079 271079
16 61 10005 248529 0 0 100605 100605 500000 309152 309152
17 62 10005 271461 0 0 105633 105633 500000 350979 350979
18 63 10005 295540 0 0 110285 110285 500000 396899 396899
19 64 10005 320822 0 0 114568 114568 500000 447323 447323
20 65 10005 347368 0 0 118537 118537 500000 502752 502752
21 66 10005 375242 0 0 122108 122108 500000 563609 563609
22 67 10005 404509 0 0 125332 125332 500000 630496 630496
23 68 10005 435240 0 0 128125 128125 500000 703936 703936
24 69 10005 467507 0 0 130361 130361 500000 784443 784443
25 70 10005 501388 0 0 131867 131867 500000 872614 872514
26 71 10005 536963 0 0 132687 132687 500000 968972 968972
27 72 10005 574316 0 0 132644 132644 500000 1074436 1074436
28 73 10005 613537 0 0 131768 131768 500000 1189874 1189874
29 74 10005 654720 0 0 129825 129825 500000 1315995 1315995
30 75 10005 697961 0 0 126651 126651 500000 1453692 1453692
31 76 10005 743364 0 0 122199 122199 500000 1604127 1604127
32 77 10005 791038 0 0 116136 116136 500000 1768184 1768184
33 78 10005 841095 0 0 108131 108131 500000 1946885 1946885
34 79 10005 893655 0 0 96186 96186 500000 2138858 2138858
35 80 10005 948843 0 0 80902 80902 500000 2346904 2346904
36 81 10005 1006791 0 0 61951 61951 500000 2572765 2572765
37 82 10005 1067635 0 0 38208 38208 500000 2817442 2817442
38 83 10005 1131522 0 0 11632 11632 500000 3086596 3086596
39 84 10005 1198604 0 0 0 0 0 3379815 3379815
40 85 10005 1269039 0 0 0 0 0 3698446 3698446
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 12%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 535814
16 594190
17 656260
18 722316
19 792746
20 868152
21 948836
22 1035527
23 1128620
24 1228430
25 1335470
26 1450261
27 1573512
28 1706636
29 1849631
30 2003623
31 2170383
32 2350270
33 2544385
34 2750357
35 2970945
36 3208238
37 3462355
38 3740028
39 4040569
40 4365276
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, the Continuation of Compliance Report 2, and the
Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-61
<PAGE> 169
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 10005 1342997 0 0 0 0 0 4045471 4045471
42 87 10005 1420652 0 0 0 0 0 4422513 4422513
43 88 10005 1502190 0 0 0 0 0 4833335 4833335
44 89 10005 1587805 0 0 0 0 0 5281502 5281502
45 90 10005 1677700 0 0 0 0 0 5771600 5771600
46 91 10005 1772090 0 0 0 0 0 6308520 6309520
47 92 10005 1871200 0 0 0 0 0 6901820 6901820
48 93 10005 1975266 0 0 0 0 0 7563122 7563122
49 94 10005 2084534 0 0 0 0 0 8309956 8309956
50 95 10005 2199266 0 0 0 0 0 9169365 9169365
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR. (GROSS)
- --- -------
<S> <C>
41 4717020
42 5027308
43 5608552
44 5952309
45 6433603
46 6950096
47 7506419
48 8106154
49 8751214
50 9444446
</TABLE>
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 83. Assuming current charges and a gross investment return of 12.00%.
This contract matures at anniversary at age 95. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 12.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Compliance
Report 1, Disclosure page, and Supplemental Footnote page.
Page 6 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-62
<PAGE> 170
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------------
NONE
------------------------------------------------------
From Year 0 to Year 0
This policy has been tested for the possibility of classification as a
modified endowment. This test is not a guarantee that a policy will not be
classified as a modified endowment.
This illustration has been checked against federal tax law relating to the
definition of life insurance and is in compliance based on proposed premium
payments and coverages. Any decrease in specified amount and/or target death
benefit and/or a change in death benefit and/or surrenders occurring in the
first 15 years may cause a taxable event. In addition, if the policy is defined
as a modified endowment contract, a loan, surrender, or assignment or pledge
(unless such assignment or pledge is for burial expenses and the maximum death
benefit is not in excess of $25,000) may be considered a taxable distribution
and a ten percent penalty may be added to any tax on the distribution. Please
consult your tax advisor for advice.
Values shown on this illustration are based on a policy owner tax bracket of
0.00%.
Premiums are assumed to be paid at the beginning of the payment period.
Policy values and ages are shown as of the end of the policy year and reflect
the effect of all loans and surrenders. The death benefit, account value and
surrender value will differ if premiums are paid in different amounts,
frequencies, or not on the due date.
The policy's surrender value includes any sales charge refund on full
surrender. The sales charge refund equals the sales charge collected in the
first policy year or the first policy year of an increase adjusted by the
following schedule:
Year 1-100%
Year 2-66.67%
Year 3-33.33%
Premiums less the following deductions are added to the account value. (1) A
premium tax charge of 2.00% of gross premiums in all years. (2) A sales charge
on the gross premium equals to 9% up to the target premium in Years 1-10.0% in
policy years 11 and after, and 0% of premium in excess of the target premium in
all years. (3) A DAC tax charge of 1.25% of gross premiums in all years.
Refer to Prospectus
Page 7 of 8 Page Illustration. This illustration is not valid without all 8
pages.
G-63
<PAGE> 171
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Those columns assuming guaranteed charges use the current monthly mortality
charges and current charges for rider benefits if any, for the first year as
well as the assumed hypothetical gross annual investment return indicated.
Thereafter these columns use guaranteed charges for monthly mortality charges,
rider benefits if any, and the assumed hypothetical gross annual investment
return indicated. Those columns assuming current charges are based upon "current
charges" and the assumed hypothetical gross annual investment return indicated.
The current charges are declared by MONY Life Insurance Company of America,
are guaranteed for the first policy year, and apply to policies issued as of the
preparation date shown. After the first policy year, current charges are not
guaranteed, and may be changed at the discretion of MONY Life Insurance Company
of America.
The difference between the account value and the value upon surrender is any
outstanding debt plus any applicable sales charge refund. A partial surrender,
the surrender amount and the partial surrender fee ($25.00 or 2% of the amount
surrendered, if less) could be deducted from the benefit payable at death, and
will be deducted from the account value and the value upon surrender.
A policy loan will have a permanent effect on benefits under this policy.
Loan interest at an annual rate of 4.6% will be charged in arrears. Amounts
borrowed will earn interest at an annual rate of 4%. After the 10th policy
anniversary the annual interest rate applicable to the loan account will be
0.15% higher than the rate applicable to policies in the same type which have
not reached their 10th policy anniversary. It is anticipated but not guaranteed
that after the 10th policy anniversary this 0.15% will be increased by an
additional 0.15%. This additional increase is based on current expectations as
to mortality, investment earnings, persistency and expenses and is not
guaranteed. Adverse tax consequences could occur if a policy subject to loans is
surrendered or permitted to lapse. In addition, the loan interest may not be
deductible. Please consult your tax advisor for advice surrounding the
deductibility of loan interest and other tax consequences.
An administrative charge is deducted each month. During the first 36 policy
months the charge is $12.50 per month, thereafter, the charge is $7.50 per
month.
Refer to Prospectus
Page 8 of 8 Page Illustration. This illustration is not valid without all 8
pages.
G-64
<PAGE> 172
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker Preferred, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Fully Underwritten
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 10005 10505 0 0 8151 7250 500000 8629 7729
2 47 10005 21536 0 0 14562 13963 500000 15963 15363
3 48 10005 33118 0 0 20798 20498 500000 23565 23265
4 49 10005 45279 0 0 26840 26840 500000 31431 31431
5 50 10005 58048 0 0 32960 32960 500000 39845 39845
6 51 10005 71456 0 0 38864 38864 500000 48525 48525
7 52 10005 85534 0 0 44502 44502 500000 57437 57437
8 53 10005 100316 0 0 49884 49884 500000 66601 66601
9 54 10005 115838 0 0 54962 54962 500000 75988 75988
10 55 10005 132135 0 0 59746 59746 500000 85621 85621
11 56 10005 149247 0 0 65187 65187 500000 96573 96573
12 57 10005 167214 0 0 70249 70249 500000 107803 107803
13 58 10005 186080 0 0 74942 74942 500000 119348 119348
14 59 10005 205890 0 0 79226 79226 500000 131199 131199
15 60 10005 226690 0 0 83058 83058 500000 143353 143353
16 61 10005 248529 0 0 86399 86399 500000 155813 155813
17 62 10005 271461 0 0 89205 89205 500000 168588 168588
18 63 10005 295540 0 0 91437 91437 500000 181693 181693
19 64 10005 320822 0 0 92951 92951 500000 195073 195073
20 65 10005 347368 0 0 93749 93749 500000 208796 208796
21 66 10005 375242 0 0 93686 93686 500000 222833 222833
22 67 10005 404509 0 0 92702 92702 500000 237236 237236
23 68 10005 435240 0 0 90686 90686 500000 252038 252038
24 69 10005 467507 0 0 87514 87514 500000 267286 267286
25 70 10005 501388 0 0 83100 83100 500000 283077 283077
26 71 10005 536963 0 0 77192 77192 500000 299446 299446
27 72 10005 574316 0 0 69255 69255 500000 316347 316347
28 73 10005 613537 0 0 59421 59421 500000 334092 334092
29 74 10005 654720 0 0 47018 47018 500000 352711 352711
30 75 10005 697961 0 0 31488 31488 500000 372388 372388
31 76 10005 743364 0 0 12341 12341 500000 393430 393430
32 77 10005 791038 0 0 0 0 0 416219 416219
33 78 10005 841095 0 0 0 0 0 441248 441248
34 79 10005 893655 0 0 0 0 0 469171 469171
35 80 10005 948843 0 0 0 0 0 499643 499643
36 81 10005 1006791 0 0 0 0 0 531218 531218
37 82 10005 1067535 0 0 0 0 0 563882 563882
38 83 10005 1131522 0 0 0 0 0 597605 597605
39 84 10005 1198604 0 0 0 0 0 632353 632353
40 85 10005 1269039 0 0 0 0 0 668070 668070
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 6%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 500000
20 500000
21 500000
22 500000
23 500000
24 500000
25 500000
26 500000
27 500000
28 500000
29 500000
30 500000
31 500000
32 500000
33 500000
34 500000
35 524625
36 557779
37 592076
38 627485
39 663970
40 701474
</TABLE>
Not valid without current prospectus and must be accompanied by the Disclosure
page, continuation of Compliance Report 1, and Supplemental Footnote page.
Page 3 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-65
<PAGE> 173
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: GPT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 10005 1342997 0 0 0 0 0 704713 704713
42 87 10005 1420652 0 0 0 0 0 742229 742229
43 88 10005 1502190 0 0 0 0 0 780565 780565
44 89 10005 1587805 0 0 0 0 0 819673 819673
45 90 10005 1677700 0 0 0 0 0 859482 859482
46 91 10005 1772090 0 0 0 0 0 899914 899914
47 92 10005 1871200 0 0 0 0 0 943344 943344
48 93 10005 1975266 0 0 0 0 0 990370 990370
49 94 10005 2084534 0 0 0 0 0 1041714 1041714
50 95 10005 2199266 0 0 0 0 0 1098265 1098265
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR. (GROSS)
- --- -------
<S> <C>
41 739940
42 779341
43 819594
44 860656
45 902456
46 944910
47 981077
48 1020081
49 1062548
50 1109248
</TABLE>
Illustration Received __________________________________________
(Signature of Applicant/Policyholder(s) and Date)
Illustration Delivered _________________________________________
(Signature of Representative and Date)
Assume guaranteed charges and a gross investment return of 0.00%, contract
lapses after age 76. Assuming guaranteed charges and a gross investment return
of 6.00%. This contract matures at anniversary at age 95. This is an
illustration, not a contract. For presentation in Arizona, the hypothetical
investment results are illustrative only, and should not be deemed a
representation of past or future investment results. Actual investment results
may be more or less than those shown, and will depend on a number of factors,
including the investment allocations by a Policyholder, and the different
investment rates of return achieved by the sub account chosen by the
Policyholder. The Surrender Value, Account Value and Benefit Payable at Death
for a contract would be different from those shown if the actual rates of
investment return applicable to the contract averaged 0.00% or 6.00% over a
period of years, but also fluctuated above or below those averages for
individual contract years. No representations can be made that these
hypothetical rates of return can be achieved for any one year, or sustained over
any period of time.
<TABLE>
<S> <C>
Initial Guideline Single: $108,829.00 Initial Guideline Annual: $10,005.00
Prepared by: Agent Date prepared: 11/6/96
</TABLE>
Not valid without current prospectus and must be accompanied by Disclosure page
and Supplemental Footnote page.
Page 4 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-66
<PAGE> 174
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: GPT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 10005 10505 0 0 8151 7250 500000 8629 7729
2 47 10005 21536 0 0 14853 14252 500000 16262 15661
3 48 10005 33118 0 0 21313 21013 500000 24113 23813
4 49 10005 45279 0 0 27576 27576 500000 32238 32238
5 50 10005 58048 0 0 33856 33856 500000 40863 40863
6 51 10005 71456 0 0 40026 40026 500000 49874 49874
7 52 10005 85534 0 0 46089 46089 500000 59291 59291
8 53 10005 100316 0 0 52046 52046 500000 69139 69139
9 54 10005 115838 0 0 57901 57901 500000 79442 79442
10 55 10005 132135 0 0 63655 63655 500000 90226 90226
11 56 10005 149247 0 0 70419 70419 500000 102778 102778
12 57 10005 167214 0 0 77047 77047 500000 115926 115926
13 58 10005 186080 0 0 83395 83395 500000 129569 129569
14 59 10005 205890 0 0 89472 89472 500000 143754 143754
15 60 10005 226690 0 0 95237 95237 500000 158486 158486
16 61 10005 248529 0 0 100605 100605 500000 173736 173736
17 62 10005 271461 0 0 105633 105633 500000 189603 189603
18 63 10005 295540 0 0 110285 110285 500000 206115 206115
19 64 10005 320822 0 0 114568 114568 500000 223344 223344
20 65 10005 347368 0 0 118537 118537 500000 241399 241399
21 66 10005 375242 0 0 122108 122108 500000 260303 260303
22 67 10005 404509 0 0 125332 125332 500000 280179 280179
23 68 10005 435240 0 0 128125 128125 500000 301079 301079
24 69 10005 467507 0 0 130361 130361 500000 323053 323053
25 70 10005 501388 0 0 131867 131867 500000 346163 346163
26 71 10005 536963 0 0 132687 132687 500000 370604 370604
27 72 10005 574316 0 0 132644 132644 500000 396512 396512
28 73 10005 613627 0 0 131768 131768 500000 424134 424134
29 74 10005 654720 0 0 129825 129825 500000 453697 453697
30 75 10005 697961 0 0 126651 126651 500000 485300 485300
31 76 10005 743364 0 0 122199 122199 500000 518666 518666
32 77 10005 791038 0 0 116135 116125 500000 553525 553525
33 78 10005 841095 0 0 108131 108131 500000 589917 589917
34 79 10005 893655 0 0 96186 96186 500000 627751 627751
35 80 10005 948843 0 0 80902 80902 500000 667139 667139
36 81 10005 1006791 0 0 61951 61951 500000 708130 708130
37 82 10005 1067635 0 0 38208 38208 500000 750716 750716
38 83 10005 1131522 0 0 11632 11632 500000 795156 795156
39 84 10005 1198604 0 0 0 0 0 841324 841324
40 85 10005 1269039 0 0 0 0 0 889179 889179
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 6%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 500000
20 500000
21 500000
22 500000
23 500000
24 500000
25 500000
26 500000
27 500000
28 500000
29 500000
30 519271
31 544599
32 581201
33 619413
34 659138
35 700496
36 743536
37 788252
38 834914
39 883390
40 933638
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, the continuation of Compliance Report 2, and the
Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-67
<PAGE> 175
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 10005 1342997 0 0 0 0 0 938764 938764
42 87 10005 1420652 0 0 0 0 0 989996 989996
43 88 10005 1502190 0 0 0 0 0 1042901 1042901
44 89 10005 1587805 0 0 0 0 0 1097440 1097440
45 90 10005 1677700 0 0 0 0 0 1153567 1153567
46 91 10005 1772090 0 0 0 0 0 1211115 1211115
47 92 10005 1871200 0 0 0 0 0 1272405 1272405
48 93 10005 1975266 0 0 0 0 0 1338080 1338080
49 94 10005 2084534 0 0 0 0 0 1408916 1408916
50 95 10005 2199266 0 0 0 0 0 1485843 1485843
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR. (GROSS)
- --- -------
<S> <C>
41 985702
42 1039496
43 1095047
44 1152313
45 1211246
46 1271671
47 1323302
48 1378222
49 1437094
50 1500701
</TABLE>
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 83. Assuming current charges and a gross investment return of 6.00%.
This contract matures at anniversary at age 95. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 6.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
<TABLE>
<S> <C>
Initial Guideline Single: $108,829.00 Initial Guideline Annual: $10,005.00
Prepared by: Agent Date prepared: 11/6/96
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, and Supplemental Footnote page.
Page 6 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-68
<PAGE> 176
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------------
NONE
------------------------------------------------------
From Year 0 to Year 0
This policy has been tested for the possibility of classification as a
modified endowment. This test is not a guarantee that a policy will not be
classified as a modified endowment.
This illustration has been checked against federal tax law relating to the
definition of life insurance and is in compliance based on proposed premium
payments and coverages. Any decrease in specified amount and/or target death
benefit and/or a change in death benefit and/or surrenders occurring in the
first 15 years may cause a taxable event. In addition, if the policy is defined
as a modified endowment contract, a loan, surrender, or assignment or pledge
(unless such assignment or pledge is for burial expenses and the maximum death
benefit is not in excess of $25,000) may be considered a taxable distribution
and a ten percent penalty may be added to any tax on the distribution. Please
consult your tax advisor for advice.
Values shown on this illustration are based on a policy owner tax bracket of
0.00%.
Premiums are assumed to be paid at the beginning of the payment period.
Policy values and ages are shown as of the end of the policy year and reflect
the effect of all loans and surrenders. The death benefit, account value and
surrender value will differ if premiums are paid in different amounts,
frequencies, or not on the due date.
The policy's surrender value includes any sales charge refund on full
surrender. The sales charge refund equals the sales charge collected in the
first policy year or the first policy year of an increase adjusted by the
following schedule:
Year 1-100%
Year 2-66.67%
Year 3-33.33%
Premiums less the following deductions are added to the account value. (1) A
premium tax charge of 2.00% of gross premiums in all years. (2) A sales charge
on the gross premium equals to 9% up to the target premium in Years 1-10.0% in
policy years 11 and after, and 0% of premium in excess of the target premium in
all years. (3) A DAC tax charge of 1.25% of gross premiums in all years.
Refer to Prospectus
Page 7 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-69
<PAGE> 177
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $10,005.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: GPT
Underwriting Class: Guaranteed Issue
</TABLE>
Those columns assuming guaranteed charges use the current monthly mortality
charges and current charges for rider benefits if any, for the first year as
well as the assumed hypothetical gross annual investment return indicated.
Thereafter these columns use guaranteed charges for monthly mortality charges,
rider benefits if any, and the assumed hypothetical gross annual investment
return indicated. Those columns assuming current charges are based upon "current
charges" and the assumed hypothetical gross annual investment return indicated.
The current charges are declared by MONY Life Insurance Company of America,
are guaranteed for the first policy year, and apply to policies issued as of the
preparation date shown. After the first policy year, current charges are not
guaranteed, and may be changed at the discretion of MONY Life Insurance Company
of America.
The difference between the account value and the value upon surrender is any
outstanding debt plus any applicable sales charge refund. A partial surrender,
the surrender amount and the partial surrender fee ($25.00 or 2% of the amount
surrendered, if less) could be deducted from the benefit payable at death, and
will be deducted from the account value and the value upon surrender.
A policy loan will have a permanent effect on benefits under this policy.
Loan interest at an annual rate of 4.6% will be charged in arrears. Amounts
borrowed will earn interest at an annual rate of 4%. After the 10th policy
anniversary the annual interest rate applicable to the loan account will be
0.15% higher than the rate applicable to policies in the same type which have
not reached their 10th policy anniversary. It is anticipated but not guaranteed
that after the 10th policy anniversary this 0.15% will be increased by an
additional 0.15%. This additional increase is based on current expectations as
to mortality, investment earnings, persistency and expenses and is not
guaranteed. Adverse tax consequences could occur if a policy subject to loans is
surrendered or permitted to lapse. In addition, the loan interest may not be
deductible. Please consult your tax advisor for advice surrounding the
deductibility of loan interest and other tax consequences.
An administrative charge is deducted each month. During the first 36 policy
months the charge is $12.50 per month, thereafter, the charge is $7.50 per
month.
Refer to Prospectus
Page 8 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-70
<PAGE> 178
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: GPT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 10005 10505 0 0 8151 7250 500000 9109 8206
2 47 10005 21536 0 0 14563 13963 500000 17422 16822
3 48 10005 33118 0 0 20798 20498 500000 26566 26266
4 49 10005 45279 0 0 26840 26840 500000 36615 36615
5 50 10005 58048 0 0 32960 32960 500000 47941 47941
6 51 10005 71456 0 0 38864 38864 500000 60359 60359
7 52 10005 85534 0 0 44502 44502 500000 73948 73948
8 53 10005 100316 0 0 49884 49884 500000 88852 88852
9 54 10005 115838 0 0 54962 54962 500000 105184 105184
10 55 10005 132135 0 0 59746 59746 500000 123127 123127
11 56 10005 149247 0 0 65187 65187 500000 144066 144066
12 57 10005 167214 0 0 70249 70249 500000 167144 167144
13 58 10005 186080 0 0 74942 74942 500000 192654 192654
14 59 10005 205890 0 0 79226 79226 500000 220892 220892
15 60 10005 226690 0 0 83058 83058 500000 252210 252210
16 61 10005 248529 0 0 86399 86399 500000 287023 287023
17 62 10005 271461 0 0 89205 89205 500000 325821 325821
18 63 10005 295540 0 0 91437 91437 500000 369186 369186
19 64 10005 320622 0 0 92951 92951 500000 417742 417742
20 65 10005 347368 0 0 93749 93749 500000 471505 471505
21 66 10005 375242 0 0 93686 93686 500000 530799 530799
22 67 10005 404509 0 0 92702 92702 500000 596086 596086
23 68 10005 435240 0 0 90686 90686 500000 667955 667955
24 69 10005 467507 0 0 87514 87514 500000 747058 747058
25 70 10005 501388 0 0 83100 83100 500000 834132 834132
26 71 10005 536963 0 0 77192 77192 500000 929948 929948
27 72 10005 574316 0 0 69255 69255 500000 1035684 1035684
28 73 10005 613637 0 0 59421 59421 500000 1152662 1152662
29 74 10005 654720 0 0 47018 47018 500000 1282188 1282188
30 75 10005 697961 0 0 31488 31488 500000 1425884 1425884
31 76 10005 743264 0 0 12341 12341 500000 1585728 1585728
32 77 10005 791038 0 0 0 0 0 1761721 1761721
33 78 10005 841098 0 0 0 0 0 1955379 1955379
34 79 10005 893655 0 0 0 0 0 2168366 2168366
35 80 10005 948842 0 0 0 0 0 2402462 2402462
36 81 10005 1006791 0 0 0 0 0 2659554 2659554
37 82 10005 1067638 0 0 0 0 0 2941596 2941596
38 83 10005 1131522 0 0 0 0 0 3250612 3250612
39 84 10005 1198604 0 0 0 0 0 3588738 3588738
40 85 10005 1269039 0 0 0 0 0 3958157 3958157
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 12%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 518000
20 575236
21 636958
22 709342
23 788187
24 874058
25 967593
26 1069440
27 1170323
28 1279455
29 1397585
30 1525696
31 1665015
32 1849807
33 2053148
34 2276784
35 2522585
36 2792632
37 3088676
38 3413143
39 3768175
40 4156065
</TABLE>
Not valid without current prospectus and must be accompanied by the Disclosure
page, continuation of Compliance Report 1, and Supplemental Footnote page.
Page 3 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-71
<PAGE> 179
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: GPT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 10005 1342997 0 0 0 0 0 4361242 4361242
42 87 10005 1420662 0 0 0 0 0 4800496 4800496
43 88 10005 1502190 0 0 0 0 0 5278553 5278553
44 89 10005 1587805 0 0 0 0 0 5798258 5798258
45 90 10005 1677700 0 0 0 0 0 6362476 6362476
46 91 10005 1772090 0 0 0 0 0 6974163 6974163
47 92 10005 1871200 0 0 0 0 0 7656328 7656328
48 93 10005 1975266 0 0 0 0 0 8421031 8421031
49 94 10005 2084534 0 0 0 0 0 9283069 9283069
50 95 10005 2199266 0 0 0 0 0 10260896 10260896
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR. (GROSS)
- --- --------
<S> <C>
41 4579304
42 5040521
43 5542401
44 6089171
45 6680600
46 7322871
47 7962581
48 8673662
49 9468731
50 10363505
</TABLE>
Illustration Received ____________________________________________
(Signature of Applicant/Policyholder(s) and Date)
Illustration Delivered ___________________________________________
(Signature of Representative and Date)
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 76. Assuming current charges and a gross investment return of 12.00%.
This contract matures at anniversary at age 95. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 12.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
<TABLE>
<S> <C>
Initial Guideline Single: $108,829.00 Initial Guideline Annual: $10,005.00
Prepared by: Agent Date prepared: 11/6/96
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, and Supplemental Footnote page.
Page 4 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-72
<PAGE> 180
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.06 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: GPT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 10005 10505 0 0 8151 7250 500000 9109 8208
2 47 10005 21536 0 0 14853 14252 500000 17729 17129
3 48 10005 33118 0 0 21313 21013 500000 27148 26848
4 49 10005 45279 0 0 27576 27576 500000 37497 37497
5 50 10005 58048 0 0 33856 33856 500000 49094 49094
6 51 10005 71456 0 0 40026 40026 500000 61921 61921
7 52 10005 85534 0 0 46089 46089 500000 76119 76119
8 53 10005 100316 0 0 52046 52046 500000 91845 91845
9 54 10005 115838 0 0 57901 57901 500000 109272 109272
10 55 10005 132135 0 0 63655 63655 500000 128595 128595
11 56 10005 149247 0 0 70419 70419 500000 151490 151490
12 57 10005 167216 0 0 77047 77047 500000 176936 176936
13 58 10005 186080 0 0 83395 83395 500000 205124 205124
14 59 10005 205890 0 0 89472 89472 500000 236409 236409
15 60 10005 226690 0 0 95237 95237 500000 271160 271160
16 61 10005 248529 0 0 100605 100605 500000 309785 309785
17 62 10005 271461 0 0 105633 105633 500000 352844 352844
18 63 10005 295540 0 0 110285 110285 500000 400928 400928
19 64 10005 320822 0 0 114568 114568 500000 454362 454362
20 65 10005 347368 0 0 118537 118537 500000 513519 513519
21 66 10005 375242 0 0 122108 122108 500000 579006 579006
22 67 10005 404509 0 0 125332 125332 500000 651453 651453
23 68 10005 435240 0 0 128125 128125 500000 731579 731579
24 69 10005 467507 0 0 130361 130361 500000 820158 820158
25 70 10005 501388 0 0 131867 131867 500000 918029 918029
26 71 10005 536963 0 0 132687 132687 500000 1026206 1026206
27 72 10005 574316 0 0 132644 132644 500000 1145989 1145989
28 73 10005 613537 0 0 131768 131768 500000 1278778 1278778
29 74 10005 654720 0 0 129825 129825 500000 1426068 1426068
30 75 10005 697961 0 0 126651 126651 500000 1589629 1589629
31 76 10005 743364 0 0 122199 122199 500000 1771549 1771549
32 77 10005 791038 0 0 116135 116135 500000 1972682 1972682
33 78 10005 841095 0 0 108131 108131 500000 2194943 2194943
34 79 10005 893655 0 0 96186 96186 500000 2439921 2439921
35 80 10005 948843 0 0 80902 80902 500000 2710130 2710130
36 81 10005 1006791 0 0 61951 61951 500000 3008076 3008076
37 82 10005 1067635 0 0 38208 38208 500000 3336249 3336249
38 83 10005 1131522 0 0 11632 11632 500000 3698579 3698579
39 84 10005 1198604 0 0 0 0 0 4097607 4097607
40 85 10005 1269039 0 0 0 0 0 4536444 4536444
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 12%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 505169
19 563409
20 626494
21 694807
22 775229
23 863263
24 959585
25 1064914
26 1180137
27 1294968
28 1419443
29 1554414
30 1700903
31 1860127
32 2071316
33 2304690
34 2561918
35 2845636
36 3158479
37 3503061
38 3883508
39 4302487
40 4763267
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, the continuation of Compliance Report 2, and the
Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-73
<PAGE> 181
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: GPT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 10005 1342997 0 0 0 0 0 5018885 5018885
42 87 10005 1420652 0 0 0 0 0 5548374 5548374
43 88 10005 1502190 0 0 0 0 0 6129220 6129220
44 89 10005 1587805 0 0 0 0 0 6765704 6765704
45 90 10005 1677700 0 0 0 0 0 7462390 7462390
46 91 10005 1772090 0 0 0 0 0 8223356 8223356
47 92 10005 1871200 0 0 0 0 0 9070608 9070608
48 93 10005 1975266 0 0 0 0 0 10017453 10017453
49 94 10005 2084534 0 0 0 0 0 11080027 11080027
50 95 10005 2199266 0 0 0 0 0 12277920 12277920
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR. (GROSS)
- --- --------
<S> <C>
41 5269829
42 5825792
43 6436681
44 7103989
45 7835509
46 8634524
47 9433432
48 10317977
49 11301628
50 12400699
</TABLE>
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 83. Assuming current charges and a gross investment return of 12.00%.
This contract matures at anniversary at age 95. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 12.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
<TABLE>
<S> <C>
Initial Guideline Single: $108,829.00 Initial Guideline Annual: $10,005.00
Prepared by: Agent Date prepared: 11/6/96
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, Disclosure page, and Supplemental Footnote page.
Page 6 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-74
<PAGE> 182
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: GPT
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------------
NONE
------------------------------------------------------
From Year 0 to Year 0
This policy has been tested for the possibility of classification as a
modified endowment. This test is not a guarantee that a policy will not be
classified as a modified endowment.
This illustration has been checked against federal tax law relating to the
definition of life insurance and is in compliance based on proposed premium
payments and coverages. Any decrease in specified amount and/or target death
benefit and/or a change in death benefit and/or surrenders occurring in the
first 15 years may cause a taxable event. In addition, if the policy is defined
as a modified endowment contract, a loan, surrender, or assignment or pledge
(unless such assignment or pledge is for burial expenses and the maximum death
benefit is not in excess of $25,000) may be considered a taxable distribution
and a ten percent penalty may be added to any tax on the distribution. Please
consult your tax advisor for advice.
Values shown on this illustration are based on a policy owner tax bracket of
0.00%.
Premiums are assumed to be paid at the beginning of the payment period.
Policy values and ages are shown as of the end of the policy year and reflect
the effect of all loans and surrenders. The death benefit, account value and
surrender value will differ if premiums are paid in different amounts,
frequencies, or not on the due date.
The policy's surrender value includes any sales charge refund on full
surrender. The sales charge refund equals the sales charge collected in the
first policy year or the first policy year of an increase adjusted by the
following schedule:
Year 1-100%
Year 2-66.67%
Year 3-33.33%
Premiums less the following deductions are added to the account value. (1) A
premium tax charge of 2.00% of gross premiums in all years. (2) A sales charge
on the gross premium equals to 9% up to the target premium in Years 1-10.0% in
policy years 11 and after, and 0% of premium in excess of the target premium in
all years. (3) A DAC tax charge of 1.25% of gross premiums in all years.
Refer to Prospectus
Page 7 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-75
<PAGE> 183
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $10,005.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: GPT
Underwriting Class: Guaranteed Issue
</TABLE>
Those columns assuming guaranteed charges use the current monthly mortality
charges and current charges for rider benefits if any, for the first year as
well as the assumed hypothetical gross annual investment return indicated.
Thereafter these columns use guaranteed charges for monthly mortality charges,
rider benefits if any, and the assumed hypothetical gross annual investment
return indicated. Those columns assuming current charges are based upon "current
charges" and the assumed hypothetical gross annual investment return indicated.
The current charges are declared by MONY Life Insurance Company of America,
are guaranteed for the first policy year, and apply to policies issued as of the
preparation date shown. After the first policy year, current charges are not
guaranteed, and may be changed at the discretion of MONY Life Insurance Company
of America.
The difference between the account value and the value upon surrender is any
outstanding debt plus any applicable sales charge refund. A partial surrender,
the surrender amount and the partial surrender fee ($25.00 or 2% of the amount
surrendered, if less) could be deducted from the benefit payable at death, and
will be deducted from the account value and the value upon surrender.
A policy loan will have a permanent effect on benefits under this policy.
Loan interest at an annual rate of 4.6% will be charged in arrears. Amounts
borrowed will earn interest at an annual rate of 4%. After the 10th policy
anniversary the annual interest rate applicable to the loan account will be
0.15% higher than the rate applicable to policies in the same type which have
not reached their 10th policy anniversary. It is anticipated but not guaranteed
that after the 10th policy anniversary this 0.15% will be increased by an
additional 0.15%. This additional increase is based on current expectations as
to mortality, investment earnings, persistency and expenses and is not
guaranteed. Adverse tax consequences could occur if a policy subject to loans is
surrendered or permitted to lapse. In addition, the loan interest may not be
deductible. Please consult your tax advisor for advice surrounding the
deductibility of loan interest and other tax consequences.
An administrative charge is deducted each month. During the first 36 policy
months the charge is $12.50 per month, thereafter, the charge is $7.50 per
month.
Refer to Prospectus
Page 8 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-76
<PAGE> 184
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 5000 5250 0 0 3354 2904 500000 3570 3120
2 47 5000 10763 0 0 5606 5306 500000 6207 5907
3 48 5000 16551 0 0 7719 7569 500000 8865 8715
4 49 5000 22628 0 0 9672 9672 500000 11522 11522
5 50 5000 29010 0 0 11581 11581 500000 14292 14292
6 51 5000 35710 0 0 13301 13301 500000 17027 17027
7 52 5000 42746 0 0 14775 14775 500000 19668 19668
8 53 5000 50133 0 0 16008 16008 500000 22211 22211
9 54 5000 57889 0 0 16944 16944 500000 24596 24596
10 55 5000 66034 0 0 17587 17587 500000 26817 26817
11 56 5000 74586 0 0 18360 18360 500000 29332 29332
12 57 5000 83565 0 0 18729 18729 500000 31585 31585
13 58 5000 92993 0 0 18696 18696 500000 33566 33566
14 59 5000 102893 0 0 18203 18203 500000 35203 35203
15 60 5000 113287 0 0 17194 17194 500000 36423 36423
16 61 5000 124202 0 0 15608 15608 500000 37147 37147
17 62 5000 135662 0 0 13383 13383 500000 37288 37288
18 63 5000 147695 0 0 10453 10453 500000 36753 36753
19 64 5000 160330 0 0 6630 6630 500000 35325 35325
20 65 5000 173596 0 0 1897 1897 500000 32941 32941
21 66 5000 187526 0 0 0 0 0 29350 29350
22 67 5000 202152 0 0 0 0 0 24395 24395
23 68 5000 217510 0 0 0 0 0 17832 17832
24 69 5000 233635 0 0 0 0 0 9386 9386
25 70 0 0 0 0 0 0 0 0 0
26 71 0 0 0 0 0 0 0 0 0
27 72 0 0 0 0 0 0 0 0 0
28 73 0 0 0 0 0 0 0 0 0
29 74 0 0 0 0 0 0 0 0 0
30 75 0 0 0 0 0 0 0 0 0
31 76 0 0 0 0 0 0 0 0 0
32 77 0 0 0 0 0 0 0 0 0
33 78 0 0 0 0 0 0 0 0 0
34 79 0 0 0 0 0 0 0 0 0
35 80 0 0 0 0 0 0 0 0 0
36 81 0 0 0 0 0 0 0 0 0
37 82 0 0 0 0 0 0 0 0 0
38 83 0 0 0 0 0 0 0 0 0
39 84 0 0 0 0 0 0 0 0 0
40 85 0 0 0 0 0 0 0 0 0
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 6%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 500000
20 500000
21 500000
22 500000
23 500000
24 500000
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
</TABLE>
Not valid without current prospectus and must be accompanied by the Disclosure
page, continuation of Compliance Report 1, and Supplemental Footnote page.
Page 3 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-77
<PAGE> 185
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 0 0 0 0 0 0 0 0
42 87 0 0 0 0 0 0 0 0 0
43 88 0 0 0 0 0 0 0 0 0
44 89 0 0 0 0 0 0 0 0 0
45 90 0 0 0 0 0 0 0 0 0
46 91 0 0 0 0 0 0 0 0 0
47 92 0 0 0 0 0 0 0 0 0
48 93 0 0 0 0 0 0 0 0 0
49 94 0 0 0 0 0 0 0 0 0
50 95 0 0 0 0 0 0 0 0 0
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR. (GROSS)
- --- -------
<S> <C>
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
</TABLE>
Illustration Received _____________________________________________
(Signature of Applicant/Policyholder(s) and Date)
Illustration Delivered ____________________________________________
(Signature of Representative and Date)
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 65. Assuming current charges and a gross investment return of 6.00%.
This contract lapses after age 69. This is an illustration, not a contract. For
presentation in Arizona, the hypothetical investment results are illustrative
only, and should not be deemed a representation of past or future investment
results. Actual investment results may be more or less than those shown, and
will depend on a number of factors, including the investment allocations by a
Policyholder, and the different investment rates of return achieved by the sub
account chosen by the Policyholder. The Surrender Value, Account Value and
Benefit Payable at Death for a contract would be different from those shown if
the actual rates of investment return applicable to the contract averaged 0.00%
or 6.00% over a period of years, but also fluctuated above or below those
averages for individual contract years. No representations can be made that
these hypothetical rates of return can be achieved for any one year, or
sustained over any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Disclosure page
and Supplemental Footnote page.
Page 4 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-78
<PAGE> 186
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 5000 5250 0 0 3354 2904 500000 3570 3120
2 47 5000 10763 0 0 5901 5601 500000 6611 6211
3 48 5000 16551 0 0 8246 8096 500000 9426 9276
4 49 5000 22628 0 0 10427 10427 500000 12352 12352
5 50 5000 29010 0 0 12504 12504 500000 15344 15344
6 51 5000 35710 0 0 14506 14506 500000 18430 18430
7 52 5000 42746 0 0 16432 16432 500000 21615 21615
8 53 5000 50133 0 0 18285 18285 500000 24906 24906
9 54 5000 57889 0 0 20064 20064 500000 28307 28307
10 55 5000 66034 0 0 21772 21772 500000 31827 31827
11 56 5000 74586 0 0 23932 23932 500000 36507 36507
12 57 5000 83565 0 0 25967 25967 500000 40406 40406
13 58 5000 92993 0 0 27711 27711 500000 44714 44714
14 59 5000 102893 0 0 29167 29167 500000 48985 48985
15 60 5000 113287 0 0 30281 30281 500000 53166 53166
16 61 5000 124202 0 0 30945 30945 500000 57149 57149
17 62 5000 135662 0 0 31216 31216 500000 60985 60985
18 63 5000 147695 0 0 31040 31040 500000 64618 64618
19 64 5000 160330 0 0 30417 30417 500000 68042 68042
20 65 5000 173596 0 0 29400 29400 500000 71304 71304
21 66 5000 187526 0 0 27875 27875 500000 74296 74296
22 67 5000 202152 0 0 25895 25895 500000 77059 77059
23 68 5000 217510 0 0 23339 23339 500000 79480 79480
24 69 5000 233635 0 0 20028 20028 500000 81386 81386
25 70 5000 250567 0 0 15716 15716 500000 82544 82544
26 71 5000 268346 0 0 10434 10434 500000 82957 82957
27 72 5000 287013 0 0 3917 3917 500000 82368 82368
28 73 5000 306614 0 0 0 0 0 80752 80752
29 74 5000 327194 0 0 0 0 0 77761 77761
30 75 5000 348604 0 0 0 0 0 73111 73111
31 76 5000 371494 0 0 0 0 0 66633 66633
32 77 5000 398319 0 0 0 0 0 57798 57798
33 78 5000 420335 0 0 0 0 0 46039 46039
34 79 5000 446602 0 0 0 0 0 28711 28711
35 80 5000 474182 0 0 0 0 0 6101 6101
36 81 0 0 0 0 0 0 0 0 0
37 82 0 0 0 0 0 0 0 0 0
38 83 0 0 0 0 0 0 0 0 0
39 84 0 0 0 0 0 0 0 0 0
40 85 0 0 0 0 0 0 0 0 0
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 6%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 500000
20 500000
21 500000
22 500000
23 500000
24 500000
25 500000
26 500000
27 500000
28 500000
29 500000
30 500000
31 500000
32 500000
33 500000
34 500000
35 500000
36 0
37 0
38 0
39 0
40 0
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, the continuation of Compliance Report 2, and the
Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-79
<PAGE> 187
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 6% @ 6%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 0 0 0 0 0 0 0 0 0
42 87 0 0 0 0 0 0 0 0 0
43 88 0 0 0 0 0 0 0 0 0
44 89 0 0 0 0 0 0 0 0 0
45 90 0 0 0 0 0 0 0 0 0
46 91 0 0 0 0 0 0 0 0 0
47 92 0 0 0 0 0 0 0 0 0
48 93 0 0 0 0 0 0 0 0 0
49 94 0 0 0 0 0 0 0 0 0
50 95 0 0 0 0 0 0 0 0 0
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 6%
YR. (GROSS)
- --- -------
<S> <C>
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
</TABLE>
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 72. Assuming current charges and a gross investment return of 6.00%.
This contract lapses after age 95. This is an illustration, not a contract. For
presentation in Arizona, the hypothetical investment results are illustrative
only, and should not be deemed a representation of past or future investment
results. Actual investment results may be more or less than those shown, and
will depend on a number of factors, including the investment allocations by a
Policyholder, and the different investment rates of return achieved by the sub
account chosen by the Policyholder. The Surrender Value, Account Value and
Benefit Payable at Death for a contract would be different from those shown if
the actual rates of investment return applicable to the contract averaged 0.00%
or 6.00% over a period of years, but also fluctuated above or below those
averages for individual contract years. No representations can be made that
these hypothetical rates of return can be achieved for any one year, or
sustained over any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Compliance
Report 1, Disclosure page, and Supplemental Footnote page.
Page 6 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-80
<PAGE> 188
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------------
NONE
------------------------------------------------------
From Year 0 to Year 0
This policy has been tested for the possibility of classification as a
modified endowment. This test is not a guarantee that a policy will not be
classified as a modified endowment.
This illustration has been checked against federal tax law relating to the
definition of life insurance and is in compliance based on proposed premium
payments and coverages. Any decrease in specified amount and/or target death
benefit and/or a change in death benefit and/or surrenders occurring in the
first 15 years may cause a taxable event. In addition, if the policy is defined
as a modified endowment contract, a loan, surrender, or assignment or pledge
(unless such assignment or pledge is for burial expenses and the maximum death
benefit is not in excess of $25,000) may be considered a taxable distribution
and a ten percent penalty may be added to any tax on the distribution. Please
consult your tax advisor for advice.
Values shown on this illustration are based on a policy owner tax bracket of
0.00%.
Premiums are assumed to be paid at the beginning of the payment period.
Policy values and ages are shown as of the end of the policy year and reflect
the effect of all loans and surrenders. The death benefit, account value and
surrender value will differ if premiums are paid in different amounts,
frequencies, or not on the due date.
The policy's surrender value includes any sales charge refund on full
surrender. The sales charge refund equals the sales charge collected in the
first policy year or the first policy year of an increase adjusted by the
following schedule:
Year 1-100%
Year 2-66.67%
Year 3-33.33%
Premiums less the following deductions are added to the account value. (1) A
premium tax charge of 2.00% of gross premiums in all years. (2) A sales charge
on the gross premium equals to 9% up to the target premium in Years 1-10.0% in
policy years 11 and after, and 0% of premium in excess of the target premium in
all years. (3) A DAC tax charge of 1.25% of gross premiums in all years.
Refer to Prospectus
Page 7 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-81
<PAGE> 189
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 6.0% (5.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Those columns assuming guaranteed charges use the current monthly mortality
charges and current charges for rider benefits if any, for the first year as
well as the assumed hypothetical gross annual investment return indicated.
Thereafter these columns use guaranteed charges for monthly mortality charges,
rider benefits if any, and the assumed hypothetical gross annual investment
return indicated. Those columns assuming current charges are based upon "current
charges" and the assumed hypothetical gross annual investment return indicated.
The current charges are declared by MONY Life Insurance Company of America,
are guaranteed for the first policy year, and apply to policies issued as of the
preparation date shown. After the first policy year, current charges are not
guaranteed, and may be changed at the discretion of MONY Life Insurance Company
of America.
The difference between the account value and the value upon surrender is any
outstanding debt plus any applicable sales charge refund. A partial surrender,
the surrender amount and the partial surrender fee ($25.00 or 2% of the amount
surrendered, if less) could be deducted from the benefit payable at death, and
will be deducted from the account value and the value upon surrender.
A policy loan will have a permanent effect on benefits under this policy.
Loan interest at an annual rate of 4.6% will be charged in arrears. Amounts
borrowed will earn interest at an annual rate of 4%. After the 10th policy
anniversary the annual interest rate applicable to the loan account will be
0.15% higher than the rate applicable to policies in the same type which have
not reached their 10th policy anniversary. It is anticipated but not guaranteed
that after the 10th policy anniversary this 0.15% will be increased by an
additional 0.15%. This additional increase is based on current expectations as
to mortality, investment earnings, persistency and expenses and is not
guaranteed. Adverse tax consequences could occur if a policy subject to loans is
surrendered or permitted to lapse. In addition, the loan interest may not be
deductible. Please consult your tax advisor for advice surrounding the
deductibility of loan interest and other tax consequences.
An administrative charge is deducted each month. During the first 36 policy
months the charge is $12.50 per month, thereafter, the charge is $7.50 per
month.
Refer to Prospectus
Page 8 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-82
<PAGE> 190
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 5000 5250 0 0 3354 2904 500000 3786 3336
2 47 5000 10763 0 0 5506 5306 500000 6836 6536
3 48 5000 16551 0 0 7719 7569 500000 10115 9965
4 49 5000 22628 0 0 9672 9672 500000 13626 13626
5 50 5000 29010 0 0 11581 11581 500000 17509 17509
6 51 5000 35710 0 0 13301 13301 500000 21642 21642
7 52 5000 42746 0 0 14775 14775 500000 25996 25996
8 53 5000 50133 0 0 16008 16008 500000 30601 30601
9 54 5000 57889 0 0 16944 16944 500000 35429 35429
10 55 5000 66034 0 0 17587 17587 500000 40513 40513
11 56 5000 74586 0 0 18360 18360 500000 46405 46405
12 57 5000 83565 0 0 18729 18729 500000 52585 52585
13 58 5000 92993 0 0 18696 18696 500000 59097 59097
14 59 5000 102893 0 0 18203 18203 500000 65937 65937
15 60 5000 113287 0 0 17194 17194 500000 73104 73104
16 61 5000 124202 0 0 15608 15608 500000 80600 80600
17 62 5000 135662 0 0 13383 13383 500000 88431 88431
18 63 5000 147695 0 0 10453 10453 500000 96608 96608
19 64 5000 160330 0 0 6630 6630 500000 105049 105049
20 65 5000 173596 0 0 1897 1897 500000 113818 113818
21 66 5000 187526 0 0 0 0 0 122846 122846
22 67 5000 202152 0 0 0 0 0 132161 132161
23 68 5000 217510 0 0 0 0 0 141755 141755
24 69 5000 233635 0 0 0 0 0 151627 151627
25 70 5000 250567 0 0 0 0 0 161830 161830
26 71 5000 268346 0 0 0 0 0 172304 172304
27 72 5000 287013 0 0 0 0 0 182793 182793
28 73 5000 306614 0 0 0 0 0 193599 193599
29 74 5000 327194 0 0 0 0 0 204475 204475
30 75 5000 348804 0 0 0 0 0 215325 215325
31 76 5000 371494 0 0 0 0 0 226171 226171
32 77 5000 395319 0 0 0 0 0 237020 237020
33 78 5000 420335 0 0 0 0 0 247893 247893
34 79 5000 446602 0 0 0 0 0 258899 258899
35 80 5000 474182 0 0 0 0 0 270119 270119
36 81 5000 503141 0 0 0 0 0 281616 281616
37 82 5000 533548 0 0 0 0 0 293385 293385
38 83 5000 565475 0 0 0 0 0 305426 305426
39 84 5000 598999 0 0 0 0 0 317831 317831
40 85 5000 614199 0 0 0 0 0 330738 330738
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 12%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 500000
20 500000
21 500000
22 500000
23 500000
24 500000
25 500000
26 500000
27 500000
28 500000
29 500000
30 500000
31 500000
32 500000
33 500000
34 500000
35 500000
36 500000
37 500000
38 500000
39 500000
40 500000
</TABLE>
Not valid without current prospectus and must be accompanied by the Disclosure
page, continuation of Compliance Report 1, and Supplemental Footnote page.
Page 3 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-83
<PAGE> 191
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 1
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Guaranteed Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 5000 671159 0 0 0 0 0 344522 344522
42 87 5000 709967 0 0 0 0 0 359779 359779
43 88 5000 750715 0 0 0 0 0 377429 377429
44 89 5000 793501 0 0 0 0 0 398920 398920
45 90 5000 838426 0 0 0 0 0 426426 426426
46 91 5000 885597 0 0 0 0 0 463154 463154
47 92 5000 935127 0 0 0 0 0 506522 506522
48 93 5000 987133 0 0 0 0 0 554931 554931
49 94 5000 1041740 0 0 0 0 0 609940 609940
50 95 5000 1099077 0 0 0 0 0 674078 674078
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR. (GROSS)
- --- -------
<S> <C>
41 500000
42 500000
43 500000
44 500000
45 500000
46 510257
47 550894
48 594775
49 642328
50 694300
</TABLE>
Illustration Received
-------------------------------------------------
(Signature of Applicant/Policyholder(s) and Date)
Illustration Delivered
-------------------------------------------------
(Signature of Representative and Date)
Assume guaranteed charges and a gross investment return of 0.00%, contract
lapses after age 65. Assuming guaranteed charges and a gross investment return
of 12.00%. This contract matures at anniversary at age 95. This is an
illustration, not a contract. For presentation in Arizona, the hypothetical
investment results are illustrative only, and should not be deemed a
representation of past or future investment results. Actual investment results
may be more or less than those shown, and will depend on a number of factors,
including the investment allocations by a Policyholder, and the different
investment rates of return achieved by the sub account chosen by the
Policyholder. The Surrender Value, Account Value and Benefit Payable at Death
for a contract would be different from those shown if the actual rates of
investment return applicable to the contract averaged 0.00% or 12.00% over a
period of years, but also fluctuated above or below those averages for
individual contract years. No representations can be made that these
hypothetical rates of return can be achieved for any one year, or sustained over
any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Disclosure page
and Supplemental Footnote page.
Page 4 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-84
<PAGE> 192
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- ---- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1 46 5000 5250 0 0 3354 2904 500000 3786 3336
2 47 5000 10763 0 0 5901 5601 500000 7149 6849
3 48 5000 16551 0 0 8246 8096 500000 10711 10561
4 49 5000 22628 0 0 10427 10427 500000 14535 14535
5 50 5000 29010 0 0 12504 12504 500000 18703 18703
6 51 5000 35710 0 0 14506 14506 500000 23273 23273
7 52 5000 42746 0 0 16432 16432 500000 28290 28290
8 53 5000 50133 0 0 18285 18285 500000 33807 33807
9 54 5000 57889 0 0 20064 20064 500000 39880 39880
10 55 5000 66034 0 0 21772 21772 500000 46572 46572
11 56 5000 74586 0 0 23932 23932 500000 54623 54623
12 57 5000 83565 0 0 25967 25967 500000 63488 63488
13 58 5000 92993 0 0 27711 27711 500000 73104 73104
14 59 5000 102893 0 0 29167 29167 500000 83568 83568
15 60 5000 113287 0 0 30281 30281 500000 94942 94942
16 61 5000 124202 0 0 30945 30945 500000 107247 107247
17 62 5000 135662 0 0 31216 31216 500000 120670 120670
18 63 5000 147695 0 0 31040 31040 500000 135319 135319
19 64 5000 160330 0 0 30417 30417 500000 151373 151373
20 65 5000 173596 0 0 29400 29400 500000 169078 169078
21 66 5000 187526 0 0 27875 27875 500000 188588 188588
22 67 5000 202152 0 0 25895 25895 500000 210208 210208
23 68 5000 217510 0 0 23339 23339 500000 234176 234176
24 69 5000 233635 0 0 20028 20028 500000 260753 260753
25 70 5000 250567 0 0 15716 15716 500000 290245 290245
26 71 5000 268346 0 0 10434 10434 500000 323187 323187
27 72 5000 287013 0 0 3917 3917 500000 359938 359938
28 73 5000 306614 0 0 0 0 0 400297 400297
29 74 5000 327194 0 0 0 0 0 444399 444399
30 75 5000 348804 0 0 0 0 0 492555 492555
31 76 5000 371494 0 0 0 0 0 545172 545172
32 77 5000 395319 0 0 0 0 0 602561 602561
33 78 5000 420335 0 0 0 0 0 665082 665082
34 79 5000 445602 0 0 0 0 0 732274 732274
35 80 5000 474182 0 0 0 0 0 805104 805104
36 81 5000 503141 0 0 0 0 0 884179 884179
37 82 5000 533548 0 0 0 0 0 969854 969854
38 83 5000 565475 0 0 0 0 0 1064086 1064086
39 84 5000 598999 0 0 0 0 0 1166748 1166748
40 85 5000 634199 0 0 0 0 0 1278313 1278313
<CAPTION>
(10)
DEATH
BENEFIT
POL. @ 12%
YR. (GROSS)
- ---- -------
<S> <C>
1 500000
2 500000
3 500000
4 500000
5 500000
6 500000
7 500000
8 500000
9 500000
10 500000
11 500000
12 500000
13 500000
14 500000
15 500000
16 500000
17 500000
18 500000
19 500000
20 500000
21 500000
22 500000
23 500000
24 500000
25 500000
26 500000
27 527129
28 574146
29 624602
30 678889
31 737618
32 800925
33 869196
34 941630
35 1019181
36 1102571
37 1191853
38 1289353
39 1394847
40 1508793
</TABLE>
Not valid without current prospectus and must be accompanied by Compliance
Report 1, the Disclosure page, the continuation of Compliance Report 2, and the
Supplemental Footnote page.
Page 5 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-85
<PAGE> 193
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
COMPLIANCE REPORT 2
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Values Assume Use of Current Mortality with Assumed Interest Rates
<TABLE>
<CAPTION>
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PARTIAL
SURRENDER SURRENDER ACCOUNT DEATH SURRENDER ACCOUNT
TOTAL PREMIUM FR. VALUE VALUE BENEFIT VALUE VALUE
POL. AGE POLICY ACCUM. ANNUAL INSUR. @ 0% @ 0% @ 0% @ 12% @ 12%
YR. EOY PREMIUM @ 5% LOAN CONTRACT (GROSS) (GROSS) (GROSS) (GROSS) (GROSS)
- --- --- ------- ------- ------ --------- --------- ------- ------- --------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
41 86 5000 671159 0 0 0 0 0 1399823 1399823
42 87 5000 709967 0 0 0 0 0 1531849 1531849
43 88 5000 750715 0 0 0 0 0 1675705 1675705
44 89 5000 793501 0 0 0 0 0 1832638 1832638
45 90 5000 838426 0 0 0 0 0 2004249 2004249
46 91 5000 885597 0 0 0 0 0 2192249 2192249
47 92 5000 935127 0 0 0 0 0 2399973 2399973
48 93 5000 987133 0 0 0 0 0 2631476 2631476
49 94 5000 1041740 0 0 0 0 0 2892877 2892877
50 95 5000 1099077 0 0 0 0 0 3193612 3193612
<CAPTION>
(10)
DEATH
BENEFIT
POL @ 12%
YR. (GROSS)
- --- -------
<S> <C>
41 1632194
42 1765689
43 1909801
44 2065749
45 2234136
46 2415201
47 1610210
48 2820416
49 3046488
50 2289420
</TABLE>
Assume current charges and a gross investment return of 0.00%, contract lapses
after age 72. Assuming current charges and a gross investment return of 12.00%.
This contract matures at anniversary at age 95. This is an illustration, not a
contract. For presentation in Arizona, the hypothetical investment results are
illustrative only, and should not be deemed a representation of past or future
investment results. Actual investment results may be more or less than those
shown, and will depend on a number of factors, including the investment
allocations by a Policyholder, and the different investment rates of return
achieved by the sub account chosen by the Policyholder. The Surrender Value,
Account Value and Benefit Payable at Death for a contract would be different
from those shown if the actual rates of investment return applicable to the
contract averaged 0.00% or 12.00% over a period of years, but also fluctuated
above or below those averages for individual contract years. No representations
can be made that these hypothetical rates of return can be achieved for any one
year, or sustained over any period of time.
Prepared by: Agent Date prepared: 11/6/96
Not valid without current prospectus and must be accompanied by Compliance
Report 1, Disclosure page, and Supplemental Footnote page.
Page 6 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-86
<PAGE> 194
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
</TABLE>
Additional Riders and Benefits Included in This Proposal
------------------------------------------------------
NONE
------------------------------------------------------
From Year 0 to Year 0
This policy has been tested for the possibility of classification as a
modified endowment. This test is not a guarantee that a policy will not be
classified as a modified endowment.
This illustration has been checked against federal tax law relating to the
definition of life insurance and is in compliance based on proposed premium
payments and coverages. Any decrease in specified amount and/or target death
benefit and/or a change in death benefit and/or surrenders occurring in the
first 15 years may cause a taxable event. In addition, if the policy is defined
as a modified endowment contract, a loan, surrender, or assignment or pledge
(unless such assignment or pledge is for burial expenses and the maximum death
benefit is not in excess of $25,000) may be considered a taxable distribution
and a ten percent penalty may be added to any tax on the distribution. Please
consult your tax advisor for advice.
Values shown on this illustration are based on a policy owner tax bracket of
0.00%.
Premiums are assumed to be paid at the beginning of the payment period.
Policy values and ages are shown as of the end of the policy year and reflect
the effect of all loans and surrenders. The death benefit, account value and
surrender value will differ if premiums are paid in different amounts,
frequencies, or not on the due date.
The policy's surrender value includes any sales charge refund on full
surrender. The sales charge refund equals the sales charge collected in the
first policy year or the first policy year of an increase adjusted by the
following schedule:
Year 1-100%
Year 2-66.67%
Year 3-33.33%
Premiums less the following deductions are added to the account value. (1) A
premium tax charge of 2.00% of gross premiums in all years. (2) A sales charge
on the gross premium equals to 9% up to the target premium in Years 1-10.0% in
policy years 11 and after, and 0% of premium in excess of the target premium in
all years. (3) A DAC tax charge of 1.25% of gross premiums in all years.
Refer to Prospectus
Page 7 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-87
<PAGE> 195
FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95
MONY LIFE INSURANCE COMPANY OF AMERICA
SUPPLEMENTAL FOOTNOTE
...CONTINUATION
<TABLE>
<S> <C>
Insured Name, Male, Non-Smoker, Age 45 Tax Bracket %: 0.00% (ee)/0.00% (er)
Initial Target Death Benefit: $500,000 Loan Interest %: 4.6 in arrears
Initial Specified Amount: $500,000 Gross Rate Basis %: 12.0% (11.3% Initial NET)
Annual Premium: $5,000.00 Cost of Money %: 0.00%
Initial Death Benefit Option: Option I Definition of Life Insurance: CVAT
Underwriting Class: Guaranteed Issue
</TABLE>
Those columns assuming guaranteed charges use the current monthly mortality
charges and current charges for rider benefits if any, for the first year as
well as the assumed hypothetical gross annual investment return indicated.
Thereafter these columns use guaranteed charges for monthly mortality charges,
rider benefits if any, and the assumed hypothetical gross annual investment
return indicated. Those columns assuming current charges are based upon "current
charges" and the assumed hypothetical gross annual investment return indicated.
The current charges are declared by MONY Life Insurance Company of America,
are guaranteed for the first policy year, and apply to policies issued as of the
preparation date shown. After the first policy year, current charges are not
guaranteed, and may be changed at the discretion of MONY Life Insurance Company
of America.
The difference between the account value and the value upon surrender is any
outstanding debt plus any applicable sales charge refund. A partial surrender,
the surrender amount and the partial surrender fee ($25.00 or 2% of the amount
surrendered, if less) could be deducted from the benefit payable at death, and
will be deducted from the account value and the value upon surrender.
A policy loan will have a permanent effect on benefits under this policy.
Loan interest at an annual rate of 4.6% will be charged in arrears. Amounts
borrowed will earn interest at an annual rate of 4%. After the 10th policy
anniversary the annual interest rate applicable to the loan account will be
0.15% higher than the rate applicable to policies in the same type which have
not reached their 10th policy anniversary. It is anticipated but not guaranteed
that after the 10th policy anniversary this 0.15% will be increased by an
additional 0.15%. This additional increase is based on current expectations as
to mortality, investment earnings, persistency and expenses and is not
guaranteed. Adverse tax consequences could occur if a policy subject to loans is
surrendered or permitted to lapse. In addition, the loan interest may not be
deductible. Please consult your tax advisor for advice surrounding the
deductibility of loan interest and other tax consequences.
An administrative charge is deducted each month. During the first 36 policy
months the charge is $12.50 per month, thereafter, the charge is $7.50 per
month.
Refer to Prospectus
Page 8 of 8 Page Illustration. This Illustration is not valid without all 8
pages.
G-88
<PAGE> 196
PART II
(INFORMATION NOT REQUIRED IN PROSPECTUS)
<PAGE> 197
PART II
UNDERTAKING TO FILE REPORTS
Subject to the terms and conditions of Section 15(d) of the Securities
Exchange Act of 1934, the 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.
RULE 484 UNDERTAKING
The By-Laws of MONY Life Insurance Company of America ("MONY America")
provide, in Article VI as follows:
SECTION 1. The Corporation shall indemnify any existing or former
director, officer, employee or agent of the Corporation against all
expenses incurred by them and each of them which may arise or be incurred,
rendered or levied in any legal action brought or threatened against any of
them for or on account of any action or omission alleged to have been
committed while acting within the scope of employment as director, officer,
employee or agent of the Corporation, whether or not any action is or has
been filed against them and whether or not any settlement or compromise is
approved by a court, all subject and pursuant to the provisions of the
Articles of Incorporation of this Corporation.
SECTION 2. The indemnification provided in this By-Law shall not be
deemed exclusive of any other rights to which those seeking indemnification
may be entitled under By-Law, agreement, vote of stockholders or
disinterested directors or otherwise, both as to action in his official
capacity and as to action in another capacity while holding office, and
shall continue as to a person who has ceased to be a director, officer,
employee or agent and shall inure to the benefit of the heirs, executors
and administrators of such a person.
Insofar as indemnification for liability arising under the Securities Act
of 1933 may be permitted to directors, officers and controlling persons of the
Registrant pursuant to the foregoing provisions, or otherwise, the Registrant
has been advised that in the opinion of the Securities and Exchange Commission
such indemnification is against public policy as expressed in the Act and is,
therefore, unenforceable. In the event that a claim for indemnification for such
liabilities (other than the payment by the Registrant of expense 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.
REPRESENTATIONS RELATING TO RULE 6E-3(T)
To the extent that Rule 6e-3(T) may be deemed not to have implicitly been
amended as a result of the amendment of Sections 26 and 27 of the Investment
Company Act of 1940 by Section 205 of the National Securities Markets
Improvement Act of 1996, the Registrant represents:
1. This filing is made pursuant to Rules 6c-3 and 6e-3(T) under the
Investment Company Act of 1940.
2. The Registrant elects to be governed by Rule 6e-3(T)(b)(13)(iii)(F)
under the Investment Company Act of 1940.
3. Section 6e-3(T)(b)(13)(iii)(F) is being relied upon.
4. The level of the mortality and expense risk charge is within the range
of industry practice for comparable flexible contracts.
5. The proceeds from explicit sales loads will cover the expected costs of
distributing the Policies.
II-1
<PAGE> 198
The methodology used to support the representation made in paragraph 4
above is based on an analysis of flexible premium variable life policies
submitted to the Commission and currently available for sale which contain
similar guarantees and are sold in similar markets. Registrant undertakes to
keep and make available to the Commission on request the documents used to
support the representation in paragraph 4 above.
REPRESENTATIONS RELATING TO SECTION 26
OF THE INVESTMENT COMPANY ACT OF 1940
Registrant represents that the fees and charges deducted under the
contract, in the aggregate, are reasonable in relation to the services rendered,
the expenses expected to be incurred, and the risks assumed by MONY Life
Insurance Company of America.
II-2
<PAGE> 199
CONTENTS OF REGISTRATION STATEMENT
This Registration Statement comprises the following papers and documents:
The Facing Sheet.
Cross-Reference to items required by Form N-8B-2.
Prospectus consisting of pages.
The Undertaking to file reports.
The signatures.
Written consents of the following persons:
a. Edward P. Bank, Vice President and Deputy General Counsel, The Mutual
Life Insurance Company of New York
b. Evelyn Peos, FSA
c. Coopers & Lybrand L.L.P. Independent Accountants
The following exhibits:
1. The following exhibits correspond to those required by paragraph A of
the instructions as exhibits to Form N-8B-2:
(1) Resolution of the Board of Directors of MONY America authorizing
establishment of MONY Variable Account L, filed as Exhibit 1 to
Registration Statement on Form S-6, dated February 21, 1985
(Registration Nos. 2-95900 and 811-4235), is incorporated herein
by reference.
(2) Not applicable.
(3)(a) Underwriting Agreement between MONY Life Insurance Company of
America, MONY Series Fund, Inc., and MONY Securities Corp.,
filed as Exhibit 3(a) to Pre-Effective Amendment No. 1 to
Registration Statement on Form S-6, dated January 6, 1995
(Registration Nos. 33-82570 and 811-4235), is incorporated by
referenced herein.
(b) Proposed specimen agreement between MONY Securities Corp. and
registered representatives, filed as Exhibit 3(b) of
Pre-Effective Amendment No. 1, dated December 17, 1990, to
Registration Statement on Form N-4 (Registration Nos. 33-37722
and 811-6126) is incorporated herein by reference.
(c) Commission schedule (with Commission Contract).
(4) Not applicable.
(5) Form of policy.
(6) Articles of Incorporation and By-Laws of MONY America filed as
Exhibits 6(a) and 6(b), respectively, to Registration Statement
(Registration No. 33-13183) dated April 6, 1987, is incorporated
herein by reference.
(7) Not applicable.
(8)(a) Form of agreement to purchase shares. [See Exhibit 1(3)(a)].
(b) Investment Advisory Agreement between MONY Life Insurance
Company of America and MONY Series Fund, Inc. filed as Exhibit
5(i) to Pre-Effective Amendment No. 2 to Registration Statement
(Registration Nos. 2-95501 and 811-4209) dated July 19, 1985,
is incorporated herein by reference.
II-3
<PAGE> 200
Investment Advisory Agreement between Enterprise Capital
Management, Inc., ("Enterprise Capital") and The Enterprise
Accumulation Trust ("Trust"), and Enterprise Capital, the
Trust, and OpCap Advisors, as sub-advisor, filed as Exhibit 5
to Post-Effective Amendment No. 11, dated June 12, 1996, to
Registration Statement on Form N-1A (Registration No.
33-21534), is incorporated herein by reference.
(c) Services Agreement between The Mutual Life Insurance Company
of New York and MONY Life Insurance Company of America filed
as Exhibit 5(ii) to Pre-Effective Amendment to Registration
Statement (Registration Nos. 2-95501 and 811-4209) dated July
19, 1985, is incorporated herein by reference.
(9) Not applicable.
(10) Application Form for Flexible Premium Variable Universal Life
Insurance Policy.
2. Opinion and consent of Edward P. Bank, Vice President and Deputy General
Counsel, The Mutual Life Insurance Company of New York, as to legality
of the securities being registered.
3. Not applicable.
4. Not applicable.
5. Not applicable.
6. Opinion and consent of Evelyn L. Peos, FSA, as to actuarial matters.
7. Consent of Coopers & Lybrand L.L.P. as to financial statements of MONY
America Variable Account L. Consent of Coopers & Lybrand L.L.P. as to
financial statements of MONY Life Insurance Company of America.
II-4
<PAGE> 201
SIGNATURES
PURSUANT TO THE REQUIREMENTS OF THE SECURITIES ACT OF 1933, THE REGISTRANT,
MONY LIFE INSURANCE COMPANY OF AMERICA, HAS DULY CAUSED THIS POST-EFFECTIVE
AMENDMENT NO. 1 TO THE REGISTRATION STATEMENT TO BE SIGNED ON ITS BEHALF BY THE
UNDERSIGNED, THEREUNTO DULY AUTHORIZED, IN THE CITY OF NEW YORK AND THE STATE OF
NEW YORK, ON THIS 15TH DAY OF NOVEMBER, 1996.
MONY LIFE INSURANCE COMPANY OF AMERICA
By: /s/ MICHAEL I. ROTH
------------------------------------
MICHAEL I. ROTH, DIRECTOR, CHAIRMAN
OF
THE BOARD AND CHIEF EXECUTIVE
OFFICER
PURSUANT TO THE REQUIREMENTS OF THE SECURITIES ACT OF 1933, THIS
POST-EFFECTIVE AMENDMENT NO. 1 TO THE REGISTRATION STATEMENT HAS BEEN DULY
SIGNED BELOW BY THE FOLLOWING PERSONS IN THE CAPACITIES AND ON THE DATE
INDICATED.
<TABLE>
<CAPTION>
SIGNATURE DATE
- ---------------------------------------- ------------------
<S> <C> <C>
/s/ MICHAEL I. ROTH Director, Chairman of the Board
- ---------------------------------------- and Chief Executive Officer
MICHAEL I. ROTH
/s/ SAMUEL J. FOTI Director, President and
- ---------------------------------------- Chief Operating Officer
SAMUEL J. FOTI
/s/ RICHARD DADDARIO Director, Vice President
- ---------------------------------------- and Controller
RICHARD DADDARIO (Principal Financial and
Accounting Officer)
/s/ KENNETH M. LEVINE Director and November 15, 1996
- ---------------------------------------- Executive Vice President
KENNETH M. LEVINE
/s/ RICHARD E. CONNORS Director
- ----------------------------------------
RICHARD E. CONNORS
/s/ STEPHEN J. HALL Director
- ----------------------------------------
STEPHEN J. HALL
</TABLE>
II-5
<PAGE> 202
EXHIBIT INDEX
<TABLE>
<S> <C>
1.(3)(c) Commission schedule (with Commission Contract).
1.(5) Form of policy, (including Application Form for Flexible Premium Variable Universal
Life Insurance Policy).
2. Opinion and consent of Edward P. Bank, Vice President and Deputy General Counsel,
The Mutual Life Insurance Company of New York, as to legality of the securities
being registered.
6. Opinion and consent of Evelyn L. Peos, FSA, as to actuarial matters.
7. Consent of Coopers & Lybrand L.L.P. as to financial statements of MONY America
Variable Account L. Consent of Coopers & Lybrand L.L.P. as to financial statements
of MONY Life Insurance Company of America.
</TABLE>
<PAGE> 1
Exhibit 1.(3)(C)
1. APPOINTMENT
You are appointed a General Agent for the Company. The scope and limitations
of your authority are defined in the following paragraphs as are other terms
used in this contract. As a General Agent, you have only such authority as is
specifically given to you by this Contract or by the Company.
2. AUTHORITY
(a) Under this appointment, subject to the rules and regulations of the
Company as now in force or as may hereafter be adopted for the government of its
agencies and representatives, you shall be in charge of the contracting of
Field Underwriters and procurement of underwriting risks for the Company in the
Agency designated on the face page of this contract.
While this contract is subject to such rules and regulations as the Company may
deem appropriate and establish from time to time, it is the intent of this
contract that you be an independent contractor, with full freedom to determine
the time, place and method of your performance. Accordingly, nothing in this
contract, or any rule or regulation established by the Company shall create, or
be interpreted to create, the relationship of employee and employer between you
and the company.
(b) This contract is personal to you and is, therefore, not transferable.
Moreover, no compensation of any kind earned, or to be earned, under this
contract may be assigned or pledged without the consent of the Company.
3. COMPENSATION
(a) The Company will pay you compensation for business produced by Field
Underwriters whose contracts are assigned to the Agency of which you are the
General Agent on the applicable premium mode in accordance with the Schedule in
force when the business is produced and in the manner provided for in this
contract. The phrase "business produced" is defined. Payment of compensation
will be made at such times and in such manner during each year as the Company
may deem appropriate for the efficient administration of this contract.
(b) If the Company has paid any compensation to you in advance, you are
indebted to the Company if the premium on which the compensation is based is
not paid within the time provided by the policy, or allowed by the Company, or
if the premium is paid. If you would not have been entitled to the compensation
when the premium is paid. The Company will determine whether or not you would
have been entitled to the compensation when the premium is paid.
(c) Upon the Company's demand, you must return to the Company any compensation
paid to you on a premium which the Company has deemed necessary to refund; and
you are indebted to the Company until you do so. The Company will determine
whether a premium must be refunded.
(d) Any compensation which would be due you under this contract shall not
become due if you are indebted to the Company or to MONY. In case you are
indebted to the Company or MONY, such compensation will be applied by the
Company to reduce your indebtedness to the Company or MONY, instead, regardless
of any claim or lien by you or by someone other than the Company or MONY. The
Company's claims shall be repaid before MONY's. Upon termination of this
contract you shall immediately pay to the Company or MONY, as the case may be,
any and all amounts which are owned. This debt shall survive termination of
this contract.
(e) To the extent permitted by law, the Company may discharge its obligation
under this contract to pay compensation due after its termination, or after
your death by payment of the commuted value of such compensation at any time
after the termination of the contract or after your death. The Commuted value
will be equivalent to the sum of the compensation due, or which would be due,
calculated by the Company on the basis of mortality, lapse, and interest rates
deemed appropriate by the Company.
(f) The Company reserves the right to pay less commissions, or none, on any
policy issued which has the effect of replacing another policy previously
issued. The Company has reserved the right define "replacing" from time to time
in such manner as it deems necessary for the efficient administration of its
business. Furthermore state law may require other commissions restrictions.
4. AMENDMENTS
The Company reserves the right to charge this contract and any Schedule
subject hereto from time to time. The Company will attempt to give you 30 days
notice before a change takes effect, but the Company will not make any change
which will reduce your compensation on business already produced unless you
agree to the change in writing.
<PAGE> 2
5. GENERAL PROVISIONS
(a) At all times while this contract is in force you must have a general
agent's license, or the appropriate equivalent, in good standing from the
state, District of Columbia, Territory of Guam, or Commonwealth of Puerto Rico,
in which the Agency of which you are the General Agent is located.
In the event that the agency has offices, or routinely does business, in more
than one state, District of Columbia, Territory of Guam, or Commonwealth of
Puerto Rico, you must be so licensed in each such place.
(b) No one, except with the written consent of an Executive Officer of the
Company, has any authority to interpret or change the printed terms of this
contract or to add anything to it.
(c) You are responsible in a fiduciary capacity - that is, as a trustee - for
all Company monies coming into your possession, including all monies intended
to be Company monies, or into your control and you must deliver any such monies
to the Company immediately. Furthermore, at the Company's request you must
furnish a bond in an amount, form and surety acceptable to the Company.
6. DEFINITIONS
For the purpose of this contract, unless the context in which it is used
indicates that another meaning is appropriate, the following terms mean:
(a) "Business Produced" includes only policies or contracts actually issued by
the Company and placed in full force and effect as a result of the efforts of a
Field Underwriter whose contract is of record at the Agency shown on the face
of this contract at the time in which such Field Underwriter produced such
business as "business produced" is defined in such Field Underwriter's
commission contract.
(b) "Company" means MONY Life Insurance Company of America.
(c) "Compensation" means commissions, whether called commissions, services
fees, or any other name, of any kind payable under this Contract.
(d) "Contract Years" when used with respect to insurance policies or annuity
contracts are measured as of the policy date of the policy or annuity to one
year after that date. When used with respect to this contract, they are
measured from its effective date in the same manner. Subsequent years will
commence as of the same date in succeeding years.
(e) "Field Underwriter" when used also means Agent.
(f) "Insurance" includes fixed dollar and variable annuity contracts.
(g) "Months" when used with respect to this Contract are measured from the
effective date of this Contract to the same date in each succeeding calendar
month. When used with respect to insurance policies or annuity contracts they
are measured from the policy or contract date of such policy or contract to
the same date in each succeeding calendar month.
(h) "MONY" means The Mutual Life Insurance Company of New York or any of its
direct or indirect subsidiaries other than MONY Life Insurance Company of
America.
(i) "Non-Vested Compensation" means compensation other than Vested Compensation.
(j) "Notice" means notice in writing delivered in person or mailed to the party
entitled to notice at his last known address of record, and any period for
notice will begin on the date of delivery of that notice in person or on the
date the notice is mailed to the last known address of record, whichever is
earlier.
(k) "Policy" includes annuity contract.
(l) "Premium" includes deposits.
(m) "Schedule" means the Schedule currently in effect relating to the Company's
products which forms a part of this contract.
7. TERMINATION
The laws applicable to an agency relationship provide that the agency may
continue only so long as both of us desire to maintain it. Therefore, this
contract may be terminated by you or by the Company at any time by notice
to the other party. In case you violate any law, or violate any provisions of
this contract, termination will take effect immediately upon notice from the
Company. In all other cases - that is where this contract is being terminated
without cause - 30 days notice (except where termination, by mutual agreement,
is to take effect in a lesser time) is required. After termination of this
contract, except to the extent it specifically provides for the payment of
compensation after its termination, no further compensation shall be due you
and the Company's obligation shall cease and the Company shall be released from
all further claims or demands of any kind as a result of having entered into
this contract or as a result of its termination.
<PAGE> 3
_________________________________ _________________________________
General Agent ___________________ This contract will take effect on
the Effective Date indicated in its
Street Address __________________ caption, after it has been signed
by you and the Company and a copy
City ____________________________ so signed has been delivered to you.
It terminates all prior General
County __________________________ Agents contracts between you and
the Company except for your right to
State _________ Zip Code ________ compensation continuing to become
payable under the terms of any such
Code Number _____________________ prior contract.
Agency __________________________ I have carefully read the foregoing
and hereby accept this contract.
Effective Date __________________
_________________________________ Signed on ___________________ 19 _____
General Agent ________________________
MONY LIFE INSURANCE COMPANY OF AMERICA
by ___________________________________
______________________________________
<PAGE> 1
EXHIBIT 1.5
MONY Life Insurance Company of America will pay the benefits provided in this
Policy, subject to all the policy provisions.
INSURED: JOHN DOE
POLICY NUMBER: B 0000-00-00
POLICY DATE: 01-01-1995
INITIAL SPECIFIED AMOUNT: $100,000
ISSUE AGE: 35
DATE OF ISSUE: 01-01-1995
CLASS: Standard Class
_____________________________________________________________________________
Brief Description
THIS IS A FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95 POLICY. Specified Amount may
be increased or decreased. Net premiums may be allocated to one or more
sub-accounts of the Variable Account or to the Guaranteed Interest Account
(GIA). If the values have been sufficient to continue the Policy in force:
death proceeds are payable in event of death before Age 95; surrender value is
payable if Insured is living at Age 95. Some benefits reflect investment
results. Flexible premiums until Age 95. Nonparticipating (no dividends
payable).
______________________________________________________________________________
IMPORTANT NOTICE(S)
This Policy is a legal contract between the rightsholder and MONY Life Insurance
Company of America. READ YOUR POLICY CAREFULLY.
THE AMOUNT OR THE DURATION OF THE DEATH BENEFIT (OR BOTH) MAY INCREASE OR
DECREASE DEPENDING ON INVESTMENT RESULTS. BUT THE DEATH BENEFIT WILL NEVER BE
LESS THAN THE SPECIFIED AMOUNT IN FORCE LESS ANY DEBT. SEE DEATH PROCEEDS
- - DEATH BENEFIT OPTIONS SECTION TO DETERMINE DEATH PROCEEDS.
THE ACCOUNT VALUE IN THE VARIABLE ACCOUNT INCREASES OR DECREASES DEPENDING ON
INVESTMENT RESULTS. THERE IS NO GUARANTEED MINIMUM ACCOUNT VALUE, CASH VALUE OR
SURRENDER VALUE. SEE ACCOUNT VALUE, CASH VALUE, SURRENDER AND SUB-ACCOUNT UNIT
VALUE SECTIONS.
RIGHT TO RETURN POLICY - THIS POLICY MAY BE RETURNED TO US DURING A
PERIOD THAT STARTS WITH ITS DELIVERY AND ENDS ON THE LATEST OF: (A) 10 DAYS
AFTER ITS DELIVERY TO THE RIGHTSHOLDER; (B) 45 DAYS AFTER PART 1 OF THE
APPLICATION IS SIGNED; AND (C) 10 DAYS AFTER WE MAIL OR DELIVER A NOTICE OF
WITHDRAWAL RIGHT. THE POLICY MAY BE RETURNED BY DELIVERY OR MAIL, ALONG WITH A
WRITTEN NOTICE TO CANCEL IT, TO OUR HOME OFFICE, A LOCAL OFFICE OF OURS, OR TO
THE REGISTERED REPRESENTATIVE WHO SOLD IT. WE WILL THEN PROMPTLY REFUND ANY
PREMIUMS PAID. NOTICE GIVEN BY MAIL ARE EFFECTIVE ON BEING POSTMARKED, PROPERLY
ADDRESSED AND POSTAGE PREPAID. THE POLICY WILL BE CONSIDERED NEVER TO HAVE
BEEN ISSUED.
B1-96 Page 1
<PAGE> 2
TABLE OF CONTENTS
SECTION
1 Schedule of Benefits, Premiums and Charges
2 Guaranteed Monthly Insurance Rates
3 Variable Account, the Funds and Sub-Accounts
4 Will Pay
5 Definitions
6 Dates and Policy Periods
7 Definition of Life Insurance Test
8 Death Proceeds - Death Benefit Options
9 Premiums
10 Grace Period
11 Reinstatement
12 Beneficiary
13 Rights
14 Optional Policy Changes
15 Transfers
16 The Variable Account
17 The GIA
18 Cash Value
19 Account Value
20 Sub-Account Unit Value
21 Monthly Deduction
22 Cost of Insurance
23 Insurance Rate
24 Continuation of Insurance
25 Basis of Calculation
26 Surrender
27 Partial Surrender
28 Loans
29 Loan Account
30 General Provisions
31 Settlement Options
* Endorsements, if any
* Riders, if any
* Application
_________________________________________________________________________
MONY LIFE INSURANCE COMPANY OF AMERICA
OPERATIONS CENTER:
ONE MONY PLAZA
P.O. BOX 4830
SYRACUSE, NY 13221
1-800-487-6669
Page 2
<PAGE> 3
1. SCHEDULE OF BENEFITS, PREMIUMS AND CHARGES
FLEXIBLE PREMIUM VARIABLE LIFE POLICY
DEATH BENEFIT OPTION 1 IN EFFECT
SPECIFIED AMOUNT IN FORCE - $100,000 - INITIAL SPECIFIED AMOUNT
MONTHLY INSURANCE RATES FOR INITIAL SPECIFIED AMOUNT - SEE SECTION 2
TARGET DEATH BENEFIT IN FORCE $100,000 - INITIAL TARGET DEATH BENEFIT
SCHEDULE OF TARGET DEATH BENEFIT - SEE SECTION 1
DEFINITION OF LIFE INSURANCE - GUIDELINE PREMIUM TEST
DEATH BENEFIT PERCENTAGE - SEE TABLE OF DEATH BENEFIT PERCENTAGES
FIRST PREMIUM $915.00
SCHEDULED PREMIUMS - $915.00 AT 12 POLICY MONTH INTERVALS MEASURED
FROM 1-01-1995.
GUIDELINE PREMIUM LIMITATION AS OF POLICY DATE $15,356.19
GUARANTEED INTEREST ACCOUNT LIMITATION - (SEE PREMIUM SECTION) $250,000
MAXIMUM ISSUE AGE - 80
NUMBER OF GUARANTEED FREE TRANSFERS DURING A POLICY YEAR - 12
CHARGE ON EXCESS TRANSFERS: CURRENT - $25 (SUBJECT TO CHANGE;
SEE TRANSFER SECTION)
GUARANTEED MAXIMUM - $25
MONTHLY MORTALITY AND EXPENSE RISK CHARGE POLICY YRS 1-10 .5% (.60% ANNUALLY)
POLICY YRS 11+ .025% (.30% ANNUALLY)
SALES CHARGE - 9% OF PREMIUMS RECEIVED EACH YEAR UP TO THE TARGET PREMIUM
DURING YEARS 1 THROUGH 10
0% OF PREMIUMS RECEIVED DURING YEARS 11 THROUGH 20
TARGET PREMIUM $XX.XX
SALES CHARGE REFUND - SALES CHARGE COLLECTED DURING THE FIRST POLICY YEAR FOR
FIRST YEAR OF AN INCREASE IN SPECIFIED AMOUNT WILL BE REFUNDED UPON A FULL
SURRENDER IN POLICY YEARS 1 THROUGH 3 ACCORDING TO THE FOLLOWING SCHEDULE:
YEAR 1 - 100%
YEAR 2 - 66.67%
YEAR 3 - 33.33%
PREMIUM TAX CHARGE - 2% OF EACH PREMIUM RECEIVED SUBJECT TO CHANGE BASED UPON
CHANGES IN APPLICABLE STATE TAX LAWS OR COST TO THE COMPANY.
FEDERAL TAX CHARGE - 1.25% OF EACH PREMIUM RECEIVED SUBJECT TO CHANGE BASED
UPON CHANGES IN APPLICABLE FEDERAL TAX LAWS OR COST TO THE COMPANY.
ADMINISTRATIVE CHARGE - $12.50 PER MONTH DURING THE FIRST THREE POLICY YEARS -
$7.50 PER MONTH ON AND AFTER THE THIRD POLICY ANNIVERSARY - BOTH AMOUNTS ARE
INCLUDED AS APPLICABLE IN THE MONTHLY DEDUCTION ON A MONTHLY ANNIVERSARY DAY.
UNDER THE TERMS OF THE POLICY, THE SCHEDULED PREMIUM SHOWN ABOVE MAY NOT
CONTINUE THE POLICY INFORCE TO AGE 95 EVEN IF THIS AMOUNT IS PAID AS SCHEDULED.
THE PERIOD FOR WHICH THE POLICY WILL CONTINUE WILL DEPEND ON: THE AMOUNT OF
PREMIUMS PAID; CHANGES IN SPECIFIED AMOUNT AND DEATH BENEFIT OPTIONS; CHANGES
IN INTEREST CREDITED, EXPENSES, FUND PERFORMANCE AND MORTALITY DEDUCTIONS;
DEDUCTIONS FOR RIDERS AND ANY BENEFITS AND PARTIAL SURRENDERS AND POLICY LOANS.
ELECTION OF THE GUARANTEED DEATH BENEFIT RIDER CAN PROVIDE FOR GUARANTEED
CONTINUATION OF THE POLICY IF CERTAIN REQUIREMENTS ARE MET.
B 0000-00-00 PAGE 3
<PAGE> 4
SECTION 1. CONTINUED
TABLE OF DEATH BENEFIT PERCENTAGES:
GUIDELINE PREMIUM/CASH VALUE CORRIDOR TEST
- ------------------------------------------
<TABLE>
<CAPTION>
APPLICABLE DEATH
ATTAINED AGE BENEFIT PERCENTAGE
-------------- ------------------
<S> <C>
40 and under 250%
41 243%
42 236%
43 229%
44 222%
45 215%
46 209%
47 203%
48 197%
49 191%
50 185%
51 178%
52 171%
53 164%
54 157%
55 150%
56 146%
57 142%
58 138%
59 134%
60 130%
61 128%
62 126%
63 124%
64 122%
65 120%
66 119%
67 118%
68 117%
69 116%
70 115%
71 113%
72 111%
73 109%
74 107%
75-90 105%
91 104%
92 103%
93 102%
94 101%
95 100%
</TABLE>
Page 3A
<PAGE> 5
SUPPLEMENT TO RIDER
TARGET DEATH BENEFIT SCHEDULE - TABLE OF TARGET DEATH BENEFITS
<TABLE>
<CAPTION>
POLICY TARGET DEATH POLICY TARGET DEATH
YEAR BENEFIT YEAR BENEFIT
<S> <C> <C> <C>
1 $250,000 26 $250,000
2 $250,000 27 $250,000
3 $250,000 28 $250,000
4 $250,000 29 $250,000
5 $250,000 30 $250,000
6 $250,000 31 $250,000
7 $250,000 32 $250,000
8 $250,000 33 $250,000
9 $250,000 34 $250,000
10 $250,000 35 $250,000
11 $250,000 36 $250,000
12 $250,000 37 $250,000
13 $250,000 38 $250,000
14 $250,000 39 $250,000
15 $250,000 40 $250,000
16 $250,000 41 $250,000
17 $250,000 42 $250,000
18 $250,000 43 $250,000
19 $250,000 44 $250,000
20 $250,000 45 $250,000
21 $250,000 46 $250,000
22 $250,000 47 $250,000
23 $250,000 48 $250,000
24 $250,000 49 $250,000
25 $250,000 50 $250,000
</TABLE>
<PAGE> 6
2. GUARANTEED MONTHLY INSURANCE RATES FOR INITIAL SPECIFIED AMOUNT. RATES ARE
PER $1,000 OF AMOUNT AT RISK - SEE COST OF INSURANCE SECTION. (RATES
INCLUDE ADJUSTABLE TERM RIDER)
______________________________________________________________________________
<TABLE>
<CAPTION>
INSURED'S INSURED'S
ATTAINED ATTAINED
AGE RATE AGE RATE
_________ ______ _________ ______
<S> <C> <C> <C>
35 0.14 65 1.77
36 0.15 66 1.96
37 0.16 67 2.17
38 0.17 68 2.40
39 0.18 69 2.64
40 0.19 70 2.92
41 0.21 71 3.29
42 0.22 72 3.61
43 0.24 73 4.03
44 0.26 74 4.51
45 0.28 75 5.02
46 0.30 76 5.57
47 0.32 77 6.16
48 0.35 78 6.77
49 0.38 79 7.42
50 0.41 80 8.13
51 0.45 81 8.94
52 0.49 82 9.87
53 0.54 83 10.91
54 0.59 84 12.08
55 0.65 85 13.33
56 0.72 86 14.65
57 0.79 87 16.03
58 0.87 88 17.44
59 0.96 89 18.91
60 1.06 90 20.44
61 1.17 91 22.10
62 1.29 92 23.91
63 1.44 93 25.98
64 1.59 94 28.69
</TABLE>
B 0000-00-00 Page 4
<PAGE> 7
3. VARIABLE ACCOUNT, FUNDS AND SUB-ACCOUNTS
(SEE VARIABLE ACCOUNT SECTION FOR FURTHER INFORMATION)
The Variable Account is MONY America Variable Account L and includes the
sub-accounts listed below.
The sub-accounts available for investment purposes, and the corresponding
portfolios of the applicable funds are:
<TABLE>
<CAPTION>
SUB-ACCOUNT APPLICABLE FUND
----------- ---------------
<S> <C>
Intermediate Term Bond MONY Series Fund, Inc.
Long Term Bond MONY Series Fund, Inc.
Money Market MONY Series Fund, Inc.
Government Securities MONY Series Fund, Inc.
High Yield Bond Enterprise Accumulation Trust
International Growth Enterprise Accumulation Trust
Equity Enterprise Accumulation Trust
Small Cap Enterprise Accumulation Trust
Managed Enterprise Accumulation Trust
</TABLE>
The MONY Series Fund, Inc. is organized under the laws of Maryland. The
Enterprise Accumulation Trust is organized under the laws of Massachusetts.
Each fund is registered with the Securities and Exchange Commission (SEC)
as an open end, diversified management investment company under the
Investment Company Act of 1940.
Page 5
<PAGE> 8
_____________________________________________________________________________
4. WILL PAY
We will pay the death proceeds to the Beneficiary upon receipt of due proof of
the Insured's death before Age 95 and while this Policy is in force. We will
pay any surrender value to the Insured if living at Age 95. Payment in any case
will be subject to all the provisions of this Policy.
_____________________________________________________________________________
5. DEFINITIONS
"WE", "US" AND "OUR" refer to MONY Life Insurance Company of America.
"HOME OFFICE" means our administrative office at 1740 Broadway, New York, N.Y.
10019. "HOME OFFICE" also includes our Operations Center at One MONY Plaza,
Syracuse, New York 13202.
"SPECIFIED AMOUNT IN FORCE" is the Initial Specified Amount, adjusted for any
increases or decreases in Specified Amount.
"TARGET DEATH BENEFIT IN FORCE" is the Initial Target Death Benefit shown in
Section 1 adjusted for any increases or decreases.
"GIA" is the Guaranteed Interest Account (see the GIA section for additional
information).
"MONTHLY ANNIVERSARY DAY" means the first day of each policy month. But, if
that day is not a Valuation Date for all sub-accounts, the Monthly Anniversary
Day will be deemed to be the next following Valuation Date.
"UNIT" is the measure by which the value of this Policy's interest in a
sub-account is determined.
"VALUATION DATE" is each day that the New York Stock Exchange is open for
trading or any other day on which there is sufficient trading in the securities
of a portfolio of a account (see Section 3) to affect materially the Unit value
of that sub-account of the Variable Account.
"ATTAINED AGE" during the first policy year means age at nearest birthday on
the Policy Date. During each succeeding policy year, "attained age" means age
at nearest birthday on the policy anniversary on which that policy year
commenced.
"AGE 95" means the policy anniversary nearest the Insured's 95th birthday.
_____________________________________________________________________________
6. DATES AND POLICY PERIODS
Where dates are shown, the numbers stand for month, day and year, in that
order. Months, years and anniversaries are measured from the Policy Date, if no
other method is stated. The Policy Date is shown on Page 1. Each policy month
starts on the same date in each calendar month as that specified in the Policy
Date. If the Policy Date is the 29th, 30th or 31st of a month, there will be
some calendar months when there is no same date. For those months the policy
month will start on the last day of the calendar month.
_____________________________________________________________________________
7. DEFINITION OF LIFE INSURANCE TEST
In order for the policy to be deemed "life insurance" according to the Internal
Revenue Code of 1986 as now or later amended, one of the following tests must
be met. The rightsholder elects which test will apply to the policy in the
application. Once elected it may not be changed for the duration of the
contract. The rightsholder must choose one of the following:
1. Cash Value Accumulation Test - The Death Benefit must be greater than or
equal to the account value multiplied by the Cash Value Accumulation Test
Death Benefit Percentage.
2. Guideline Premium/Cash Value Corridor Test - The death benefit must be
greater than or equal to the cash value Corridor Test Death Benefit
Percentage. In addition, premium payments may not exceed the Guideline
Premium Limitation. (See Section 9. Premiums)
_____________________________________________________________________________
8. DEATH PROCEEDS-DEATH BENEFIT OPTIONS
DEATH PROCEEDS - The proceeds payable to the beneficiary upon our receipt of
due proof of the death of the Insured while this Policy is in force will be the
greater of the Target Death Benefit and Base Death Benefit;
LESS:
- - any debt due us on this Policy; and
- - if death occurs during any period for which a monthly deduction has not
been made, any monthly deduction that may apply to that period, including
the deduction for the month of death.
Interest will be paid on death proceeds paid in one sum. We will determine the
interest rate for each year, and this rate will not be less than 2 3/4%
annually. Interest will be paid from the date of the Insured's death to the
date of payment.
DEATH BENEFIT - The Death benefit will be determined as described under one of
the options below. The death benefit option is elected by the rightsholder in
the application.
If Death Benefit Option 1 is in effect on the date of death, the Base Death
Benefit is the greater of:
a) the Specified Amount in force on the date of death, plus the increase,
if any, in the account value since the last Monthly Anniversary Day; and
b) the cash value on the date of death, multiplied by the applicable Death
Benefit percentage shown in Section 1.
Page 6
<PAGE> 9
If Death Benefit Option 2 is in effect on the date of death, the Base Death
Benefit is the greater of:
(a) the Specified Amount in force on the date of death, plus the account value
on the date of death; and
(b) the cash value on the date of death, multiplied by the applicable Death
Benefit percentage shown in Section 1.
A rightsholder who elected an Alternate Death Benefit Percentage at issue may
irrevocably revoke that election at nay time while the Insured is living.
______________________________________________________________________________
9. PREMIUMS
PAYMENT OF PREMIUMS - Premiums after the first are payable to us at our Home
Office or at any local office to a person authorized by us to accept them, but
only in exchange for a receipt signed by our Treasurer and by the person
receiving the payment. We shall accept premiums after the first (shown in
Section 1) subject to limitations as described below. But we shall not accept
any part of a payment as a premium if that part would result in the sum of
cumulative premiums paid, less any partial surrenders and their fees, if
applicable, being in excess of the guideline premium limitation that then
applies to the Policy.
We reserve the right to reject all or a portion of any scheduled or unscheduled
premium payment if part (b) of either Death Benefit Option 1 or Death Benefit
Option 2 is in effect or would be in effect if such a payment had been accepted
by us.
GUIDELINE PREMIUM LIMITATION - This section applies only to policies where the
Guideline premium/Cash Value Corrider Test has been selected as the Definition
of Life Insurance. The guideline premium limitation that applies to the Policy
at any time will never be more than as determined in accordance with Section
7702 of the Internal Revenue Code of 1986 as now or later amended or any
further amendment of such Code superseding or modifying that section. The
guideline premium limitation that applies to the Policy on the Policy Date is
shown in Section 1. Changes in the Specified Amount in force, the Target Death
Benefit, the Death Benefit Option in effect or an additional benefit provided
by rider will change the guideline premium limitation. In the event of any such
change we reserve the right to reduce the Policy's surrender value so that the
guideline premium limitation that applies to the Policy is not violated. The
amount by which the surrender value is so reduced will be refunded in cash. The
endorsement issued to reflect any such change will include the revised
guideline premium limitation that then applies to the Policy.
LIMIT ON PREMIUM PAYMENTS ALLOCATED TO THE GIA - We shall return to the
rightsholder any part of a premium payment requested for allocation to the GIA
if: (a) the account value in the GIA equals or exceeds the GIA Limitation shown
in Section 1; or (b) acceptance of that part payment would cause the account
value in the GIA to exceed such Limitation.
NET PREMIUM - A net premium is the premium paid, less the sales charge, premium
tax charge and federal tax charge shown in Section 1.
PREMIUMS RECEIVED BEFORE OR AT DELIVERY OF THE POLICY - The first full net
premium must be paid before or at delivery of the Policy and will be allocated
to the Money Market sub-account on the later of the Policy Date and the
Valuation Date that coincides with or next follows the Date the premium is
received at our Operations Center. If the Policy is not accepted at delivery,
any premium paid will be returned without interest.
ALLOCATION OF NET PREMIUMS RECEIVED AFTER DELIVERY OF THE POLICY - Any net
premium received after delivery of the Policy and before the end of the "Right
to Return Policy" period (see page 1) will be allocated to the Money Market
sub-account.
If the Policy has not been returned at the end of the Right to Return period,
the account value in the Money Market sub-account will then be transferred to
the sub-account or sub-accounts of the Variable Account and/or the GIA in
accordance with the most recent scheduled premium allocation election on
record. If there is no allocation on record the account value will remain in
the Money Market sub-account.
After the "Right to Return Policy" period ends, any net premiums received
will be allocated either: (a) to one or more sub-accounts of the Variable
Account and/or the GIA in accordance with the scheduled premium allocation then
in effect for the Policy; or (b) if there is no such allocation in effect, to
the Money Market sub-account.
An unscheduled premium may be otherwise allocated, if a specific request is so
made for that premium (see Unscheduled Premiums below).
Net premiums are allocated on the Valuation Date that coincides with, or next
follows, the date the premium is received at our Operations Center. Allocations
must be made in whole percentages. If the GIA or a sub-account is to receive
any allocation, the allocation must be at least 10% of the net premium. The
allocation election on record may be changed by written notice to us at our
Operations Center. A change will take effect within 7 days after we receive
that notice.
Page 7
<PAGE> 10
SCHEDULED PREMIUMS - We shall send reminder notices for the payment of the
scheduled premiums shown in Section 1. The amount and interval of payment of
scheduled premiums may be changed upon written request. The new payment
interval must satisfy our rules in use at the time of the change.
UNSCHEDULED PREMIUMS - Additional premium payments of at least $250 may be made
at any time. We reserve the right to limit the total amount of unscheduled
premiums paid during any 12 consecutive calendar months to an amount that
assures that the sum of cumulative premiums paid, less any partial surrenders
and their fees, is not in excess of the guideline premium limitation, if
applicable, that applies to the Policy. An unscheduled premium may be allocated
by amount as well as by percentage. If a specific allocation is not requested
or is requested incorrectly, the net premium will be allocated to the Money
Market sub-account. A specific allocation for an unscheduled premium will not
change the allocation on record for scheduled premiums.
______________________________________________________________________________
10. GRACE PERIOD
If the account value, less any debt, on the Monthly Anniversary Day is not
enough to cover the monthly deduction (see Monthly Deduction section) for the
following month, we shall send notice of insufficient value. A grace period of
61 days from the date of that notice will be allowed for payment of: (a) any
balance needed for the monthly deduction; plus (b) any accrued loan interest
due during the grace period; plus (c) an amount equal to 2 monthly deductions
or, if greater, the number of monthly deductions until the next scheduled
premium due date.
If payment is not received within the grace period, the Policy will end at the
end of the grace period and any remaining surrender value will be refunded.
______________________________________________________________________________
11. REINSTATEMENT
If the Policy ends at the end of the grace period, the Policy may be reinstated.
But this may only be done within 5 years after the Monthly Anniversary Day
immediately before the start of the grace period. We shall need:
(a) evidence satisfactory to us that the Insured is insurable.
(b) payment of a premium large enough to cover:
(i) the balance needed as described in the Grace Period (see Section 10
above); and
(ii) an amount sufficient to keep the Policy in force for at least 3 months
from the reinstatement date.
(c) payment or reinstatement of any debt due us on the Policy, plus payment of
interest on any reinstated debt from the date of reinstatement to the next
policy anniversary at the rate which applies to policy loans on the date of
reinstatement.
(d) payment of a $150 reinstatement fee.
The reinstatement date will be the Monthly Anniversary Day that coincides with,
or immediately precedes, the date the application for reinstatement is approved
by us.
______________________________________________________________________________
12. BENEFICIARY
DETERMINATION OF BENEFICIARY - The beneficiary is as set forth in the
application for this Policy unless otherwise provided by endorsement. Any
reference in any beneficiary designation to a beneficiary living or surviving
will, unless otherwise provided, mean living on the earlier of: (a) the day due
proof of the Insured's death is received by us at our Operations Center; and (b)
the 14th day after the Insured's death. The share of the death proceeds of any
beneficiary who is not living on that earlier day will be payable to the
remaining beneficiaries. Payment will be made in the manner provided for in
that designation. If no beneficiary is then living and unless otherwise
provided, the death proceeds will be payable to the Insured's executors
or administrators.
CHANGE OF BENEFICIARY - Beneficiary changes may be made during the Insured's
lifetime by written notice to us at our Operations Center. A change will take
effect as of the date the notice was signed. But we must first accept and
record this change at our Operations Center. This change will be subject to any
payment made by us or action taken by us before receipt of the notice at our
Operations Center. The Policy need not be returned for us to endorse the change
unless we ask for it.
______________________________________________________________________________
13. RIGHTS
During the Insured's lifetime, all rights under this Policy belong exclusively
as set forth in the application for this Policy unless otherwise provided by
endorsement, these rights include the right to change the beneficiary and to
assign. Also included are all other rights, benefits, options, and privileges
which are given by this Policy or allowed by us.
Page 8
<PAGE> 11
_______________________________________________________________________________
14. OPTIONAL POLICY CHANGES
INCREASE OR DECREASE IN SPECIFIED AMOUNT AND TARGET DEATH BENEFIT
UNSCHEDULED INCREASES -- Increases may be made at any time prior to the policy
anniversary nearest the maximum issue age shown in Section 1.
If an Adjustable Term Insurance rider is attached to this Policy, any
unscheduled increase may be specified by the rightsholder as an increase in
Specified Amount, an increase in Term insurance provided by such rider or any
combination of Specified Amount and term insurance rider.
To increase the Target Death Benefit or Specified Amount in force, a
supplemental application must be submitted, subject to evidence satisfactory to
us that the Insured is insurable. Any increase must be at least $10,000. The
increase will take effect on the Monthly Anniversary Day that coincides with,
or next follows, the date on which we approve it.
DECREASES -- Decreases may be made at any time. Any decrease in the Specified
Amount in force must be at least $10,000. The decrease will take effect on the
Monthly Anniversary Date that coincides with, or next follows, the date on
which we approve it. The decrease will be applied as follows:
(a) first, to reduce the amount provided by the most recent increase in
Specified Amount;
(b) next, to reduce the next most recent increases, successively;
(c) finally, to reduce the Initial Specified Amount.
We will reject any requested decrease if that decrease would result in a
Specified Amount or Target Death Benefit which is less than the minimum
Specified Amount or Target Death Benefit we then allow.
If an Adjustable Term Insurance rider is attached to this Policy, any decrease
will be applied first against any term insurance provided by such rider, as
specified in such rider, and then to the Specified Amount as shown above.
CHANGING THE DEATH BENEFIT OPTION -- Any change in Death Benefit Option will
take effect on the Monthly Anniversary Date that coincides with, or next
follows, the date on which we approve the request to change the Option. If the
change is made from Option 2 to Option 1, the Specified Amount in force will be
increased by the account value on the monthly anniversary day on which the
change takes effect. If the change is from Option 1 to Option 2, the Specified
Amount in force will be decreased by the amount of the account value on the
Monthly Anniversary Day on which the change takes effect. The Specified Amount
in force after the decrease cannot be less than the minimum Specified Amount we
then allow.
We reserve the right to request evidence of insurability for a change from
Option 1 to Option 2. Any change in Death Benefit Option will not affect the
Target Death Benefit.
_______________________________________________________________________________
15. TRANSFERS
TRANSFERS AMONG THE SUB-ACCOUNTS AND THE GIA -- After the "Right to Return
Policy" period has expired, account value may be transferred among the
sub-accounts and/or from the GIA upon request.
TRANSFERS TO THE GIA -- We will reject any part of a transfer to the GIA if
the account value in the GIA equals or exceeds the GIA Limitation shown in
Section 1 or, if that part of the requested transfer would cause the account
value in the GIA to exceed such Limitation. Any portion of a requested transfer
which is rejected will be retained in the sub-accounts in the same proportion
as the transfer amount allocated against each sub-account bears to the total
transfer amount.
TRANSFERS FROM THE GIA -- A transfer of account value from the GIA to any of
the sub-accounts may be made once each policy year. A request for such transfer
must be received by us at our Operations Center on or within 30 days after a
policy anniversary. We will reject any part of a requested transfer from the
GIA if that part would exceed the greater of: (a) 25% of the account value held
in the GIA on the Date the transfer would take effect; or (b) $5,0000.
A transfer transaction which does not move account value from the GIA will take
effect on the Valuation Date that coincides with, or next follows the date the
request is received at our Operations Center. A transfer transaction which
moves account value from the GIA will take effect on: (a) the policy
anniversary; or (b) if later (subject to above provisions), the Valuation Date
that coincides with or next follows the date the request is received at our
Operations Center.
TRANSFER CHARGE -- All transfers included in a request are considered one
transaction. The number of guaranteed free transfers which may be made during a
policy year and the charge for transfers in excess of that number during that
year are shown in Section 1. We reserve the right to increase or decrease the
charge but it will never be more than the guaranteed maximum shown in Section 1.
Any applicable transfer charges are allocated against the GIA and/or the
sub-accounts from which the account values are being transferred. The charge
allocated against the GIA or any sub-account will be in the same proportion
that the amount being transferred from the GIA or any sub-account will be in
the same proportion that the amount being transferred from the GIA or any
sub-account bears to the total amount being transferred. But, if there is
Page 9
<PAGE> 12
insufficient account value in the GIA or any sub-account to provide for its
proportionate share of the charge, then the entire charge will be allocated
against the GIA and each sub-account in the same proportion that the account
value held in the GIA and each sub-account bears to the account value in the
GIA and all sub-accounts.
EXCHANGE TRANSFER TO THE GIA -- At any time during the first 24 months after
the date of issue of the Policy, the entire amount of account value in the
sub-accounts may be transferred to the GIA. Election of this exchange transfer
will change this Policy to a policy which is not dependent upon the investment
results of a separate account. There will be no transfer charge for an exchange
transfer and the GIA limitation will be waived. On the date an exchange transfer
takes effect, the premium allocation will be changed to the GIA only.
_______________________________________________________________________________
16. THE VARIABLE ACCOUNT
The variable benefits under this Policy are provided through investments we
make in the Variable Account. This is an investment account established and
maintained by us, separate from our general account or other separate accounts.
It is used for our flexible premium variable life policies and, if permitted by
law, may be used for other policies or contracts.
We own the assets in the Variable Account Assets equal to the reserves and
other liabilities of the Variable Account will not be charged with liabilities
that arise from any other business we conduct. We may from time to time
transfer to our general account assets which exceed the reserves and other
liabilities of the Variable Account.
The Variable Account is registered with the Securities and Exchange Commission
(SEC) as a unit investment trust under the Investment Company Act of 1940. It
is also governed by the laws of the state of Arizona. We may, to the extent
permitted by applicable laws and regulations, make these changes: (a) the
Variable Account may be operated as a management company under the Investment
Company Act of 1940; or (b) the Variable Account may be deregistered under that
Act if registration is no longer required; or (c) the Variable Account may be
combined with any of our other separate accounts.
SUB-ACCOUNTS -- We use the assets of each separate sub-account to buy shares in
a corresponding portfolio of the applicable account. (See Section 3).
We reserve the right to establish new sub-accounts or eliminate one or more
sub-accounts if marketing needs, tax considerations or investment conditions
warrant. Any new sub-accounts may be made available to existing contracts on a
basis to be determined by us. If any of these changes are made, we may by
appropriate endorsement change the Contract to reflect the change.
Income and realized and unrealized gains or losses from assets of each
sub-account are credited to or charged against that sub-account without regard
to income, gains or losses in the other sub-accounts, our general account or
any other separate accounts. We reserve the right to credit or charge a
sub-account in a different manner if required, or appropriate, by reason of a
change in the law.
We will value the assets of each sub-account on each Valuation Date after the
assets in its corresponding account portfolio have been valued on that Date.
PORTFOLIO CHANGES -- If, in our judgment, a portfolio no longer suits the
purposes of the Policy due to a change in its investment objectives or
restrictions, we may substitute shares of another portfolio of that account or
shares of another investment account. But, we will notify the rightsholder
before doing so and, to the extent required by law, we will get prior approval
from the SEC and the Arizona Insurance Department. Such approval process is on
file with the Arizona Insurance Department. We also will get any other required
approvals.
______________________________________________________________________________
17. THE GIA
The GIA is part of our general account. The general account consists of all of
our assets except those held by the Variable Account and other separate
accounts maintained by us. The guaranteed annual interest rate that applies in
the calculation of the account value in the GIA is 4% (0.010746%, compounded
daily). Interest in excess of the guaranteed rate may be applied in the
calculation of that account value in a manner determined by us. We may use
different rates of interest for different portions of the account value in
the GIA.
After the 10th policy anniversary the annual interest rates that apply in the
calculation of the account value in the GIA on a given date will be .15% higher
than the rates applicable to policies of the same type which have not yet
reached their 10th policy anniversary. It is anticipated but not guaranteed
that this .15% increase in annual interest will be increased by an additional
.15%. This additional increase is based on current expectations as to
mortality, investment earnings, persistency and expenses and is not guaranteed.
Page 10
<PAGE> 13
18. CASH VALUE
The cash value of this Policy at any time is the account value, plus any
applicable refund of sales charge.
________________________________________________________________________
19. ACCOUNT VALUE
1. The account value of this Policy on the Policy Date is:
(a) the net premiums received by us on or before the Policy Date; less
(b) the monthly deduction due on the Policy Date.
Thereafter, account value calculations are made on Valuation Dates. If an
account value calculation has to be made for a day that is not a Valuation
Date, then we shall use the Valuation Date that next follows that day.
2. The account value of this Policy on a Valuation Date is determined
as follows:
(a) Determine the Policy's account value in each sub-account on that
Valuation Date by multiplying the number of Units credited to the
sub-account for the Policy before the purchase or redemption of any
Units on that Date by its Unit value on that Date.
(b) Total the account value in each sub-account on that Valuation Date.
(c) Add the account value in the GIA on that Valuation Date; this is the
accumulated value with interest of net premiums allocated, and amounts
transferred, to the GIA before that Date, decreased by any allocations
against the GIA before that Date for: (i) any amounts transferred to
Loan Account; (ii) any amounts transferred to the sub-accounts and
applicable transfer charge; (iii) any partial surrender and its fee;
and (iv) any monthly deductions.
(d) Add any mounts in Loan Account on that Date.
(e) Add interest credited on that Date on the amounts in (d) above.
(f) Add any premiums received on that Valuation Date.
(g) Deduct any partial surrender, and its fee, made on that Valuation
Date.
(h) Deduct any monthly deduction to be made on that Valuation Date.
3. The account value of this Policy on a Monthly Anniversary Day for the
purpose of determining the cost of insurance on that Day is determined as
follows:
(a) Determine the Policy's account value on that Day as described in items
(a) through (g) in subsection 2 of this section.
(b) Deduct the monthly deduction (excluding the cost of insurance).
________________________________________________________________________________
20. SUB-ACCOUNT UNIT VALUE
The unit value of each sub-account on its first Valuation Date was set at $10.
The unit value of each sub-account on any subsequent Valuation Date is obtained
by dividing (a) by (b) where:
(a) is the per share net asset value on the Valuation Date of the
applicable account portfolio in which the sub-account invests times
the number of such shares held in the sub-account before the purchase
or redemption of any shares on that Date.
(b) is the total number of Units held in the sub-account on the Valuation
Date before the purchase or redemption of any Units on that Date.
________________________________________________________________________________
21. MONTHLY DEDUCTION
The monthly deduction on a Monthly Anniversary Day for the following policy
month is (a), plus (b), plus (c), plus (d) where:
(a) is the cost of insurance (see Cost of Insurance section below).
(b) is the cost of any additional benefits provided by rider.
(c) is the administrative charge (as shown in Section 1).
(d) is the mortality and expense risk charge (as shown in Section 1).
Any monthly deduction to be made before the end of the "Right to Return Policy"
period (see page 1) will be allocated against the Money Market sub-account.
Monthly deductions made after the end of the "Right to Return Policy" period
will be allocated against the GIA and/or each sub-account in the same
proportion that the Policy's account value held in the GIA and/or each
sub-account bears to the Policy's account value in the GIA and all sub-accounts
on that Day.
MONTHLY MORTALITY AND EXPENSE RISK CHARGE. The Monthly Mortality and Expense
Risk Charge is determined on a monthly basis on a Monthly Anniversary Day. The
amount of the charge is deducted from the account value is equal to the monthly
mortality and expense risk factor multiplied by the sum of the account value of
all sub-accounts of the Separate account. The Monthly Mortality and Expense
Risk factors are shown in Section 1.
Page 11
<PAGE> 14
______________________________________________________________________________
22. Cost of Insurance
The cost of insurance is determined on a monthly basis on a Monthly Anniversary
Day. It is determined separately for each of the following, in the order shown:
(a) the Initial Specified Amount; and
(b) each increase in Specified Amount, successively, in the order in which it
took effect; and
(c) either (i) or (ii) below, depending upon the Death Benefit Option in effect
on the Monthly Anniversary Day:
(i) if Death Benefit Option 1 is in effect and if the Base Death Benefit
that would have been payable in the event of the Insured's death on
that Day is greater than the Specified Amount then in force, the
difference between that Base Death Benefit and that Specified Amount;
(ii) if Death Benefit Option 2 is in effect and if the Base Death Benefit
that would have been payable in the event of the Insured's death on
that Day is the cash value multiplied by the applicable death benefit
percentage, the difference between that Base Death Benefit less the
cash value on that Day and the Specified Amount then in force. (The
applicable death benefit percentage is shown in Section 1.)
The cost of insurance on a Monthly Anniversary Day for each of (a), (b), (c)(i)
and (c)(ii) above is calculated by multiplying its insurance rate (see
Insurance Rate section below) by its Amount At Risk (defined below). The
insurance rate that applies to (c)(i) and (c)(ii) is the same as the rate that
applies to the most recent increase in Specified Amount. (If there has been no
increase, the rate for the Initial Specified Amount applies.)
The "Amount At Risk" on the Monthly Anniversary Day is the difference between
(1) and (2), where: (1) is the Death Benefit that would have been payable in
the event of the Insured's death on that Day; and (2) is the account value on
that Day determined as described in subsection 3 of the Account Value section.
The Policy's account value on the Monthly Anniversary Day is applied in the
order shown to (a), (b) and, if applicable, (c)(i) or (c)(ii) above, to
determine the Amount At Risk for each. If the account value when so applied
equals or exceeds the Initial Specified Amount, there is no Amount At Risk for
that Initial Specified Amount and no cost of insurance for it. If the account
value when so applied equals or exceeds the Initial Specified Amount plus any
increase in Specified Amount, there is no Amount At Risk for that increase and
no cost of insurance for it.
______________________________________________________________________________
23. Insurance Rate
The insurance rate is based on the Insured's sex, age on the Policy Date,
number of years since the Policy Date, and class of risk. "Class of risk" for
the Initial Specified Amount is the class of risk to which the Insured belonged
on the Policy Date and is shown on Page 1.
The insurance rate for any unscheduled increase in Specified Amount will be
based on the Insured's sex, age on the effective date of the increase, number
of years since that date and "Class of Risk" on that date.
Each year we shall review the monthly insurance rates to determine if any
change should be made. Monthly insurance rates will be based on our
expectations as to future: (a) mortality; (b) investment earnings; (c)
expenses, and (d) persistency. But, we guarantee that the insurance rates for
the Initial Specified Amount will never be more than the rates shown in the
Guaranteed Monthly Insurance Rates for Initial Specified Amount table in
Section 2. And, insurance rates for any unscheduled increase in Specified
Amount will never be more than the guaranteed rates provided by us at issue for
the Insured's class of risk at the time the increase takes effect.
All guaranteed rates are based on the 1980 Commissioners Standard Ordinary
Smoker or Nonsmoker Mortality Tables as applicable, with interest at the rate
of 4% a year (0.01074670%, compounded daily) with appropriate increase for
rated risk. Any change in insurance rates will be on a uniform basis for
insureds of the same class. Changes in rates and the way in which they are
determined will be filed with the insurance supervisory official of the state
in which the Policy is delivered.
______________________________________________________________________________
24. Continuation of Insurance
The policy will be continued only as long as the account value less any debt is
sufficient to cover any monthly deductions. (See Section 10. Grace Period.)
This Continuation of Insurance provisions will not continue the Policy beyond
Age 95. Nor will it continue any additional benefit rider beyond its date
for termination.
______________________________________________________________________________
25. Basis of Calculation
Minimum cash values are based on the 1980 Commissioners' Standard Ordinary
Mortality Table.
Page 12
<PAGE> 15
The method of determining cash values and sales charge has been filed with the
insurance supervisory official of the state in which this Policy is delivered.
Cash values are not less than the minimum values required by the law of the
state in which the Policy is delivered.
_____________________________________________________________________________
26. SURRENDER
The Policy may be surrendered at any time during the Insured's lifetime for its
surrender value, which is its cash value less any debt.
_____________________________________________________________________________
27. PARTIAL SURRENDER
A partial surrender of this Policy may be made after the first policy
anniversary for any amount of at least $500 which, with its fee (see below), is
less than the Policy's account value on the date of the partial surrender. A
partial surrender may not result in a Specified Amount or Target Death Benefit
in force less than the minimum we then allow. Nor may it result in a remaining
account value of less than $500. We reserve the right to limit the number of
partial surrenders to 12 during a policy year.
A partial surrender fee equal to the lesser of: (a) $25; and (b) 2% of the
amount of the partial surrender will apply to each partial surrender. The fee
will be retained by us.
ALLOCATION OF PARTIAL SURRENDERS - Any partial surrenders (and their fees) will
be allocated against the GIA and each sub-account in the same proportion that
the account value held in the GIA and each sub-account bears to the account
value in the GIA and all sub-accounts.
Allocations will take effect on the Valuation Date that coincides with, or next
follows, the date the request is received at our Operations Center.
If Death Benefit Option 1 is in effect on the day on which a partial surrender
is made, we shall then reduce the amount of the Base Death Benefit and Target
Death Benefit payable on that day by the amount of the partial surrender, plus
its applicable fee. If the amount of that reduced Base Death Benefit is less
than the Specified Amount in force on that day will be decreased as of that day
to equal the amount of that reduced Base Death Benefit. But the amount of
partial surrender cannot result in a Specified Amount or Target Death Benefit
in force less than the minimum Specified Amount or Target Death Benefit we
then allow.
_____________________________________________________________________________
28. LOANS
Loans for not less than the minimum amount of $250 may be obtained at any time
while this Policy has a loan value. A proper assignment of this Policy to us
will be needed. The loan value is up to 90% of the account value less any debt
on the date of the loan.
LOAN INTEREST - Loan interest at an annual rate of 4.6% will be
charged in arrears on new or outstanding loans, including a loan continued
after any re-instatement of the Policy. Loan interest will accrue daily between
policy anniversaries and will be payable in arrears on each policy anniversary.
Any interest not paid when due will be added to the loan and bear interest at
the 4.6% annual rate.
MISCELLANEOUS PROVISIONS - The Policy will be the sole security for any policy
loan. But it need not be given to us for endorsement unless we ask for it.
Any reference to debt means total loan principal under this Policy plus any
accrued and unpaid loan interest.
If ever the debt exceeds the account value, this Policy will end. But we must
first give at least 61 days notice of insufficient value.
Any debt may be repaid in whole or part before the Insured's death.
Any notice referred to in this "Loans" section will be mailed to the last known
address of the rightsholder and any assignee of record.
Allocations will take effect on the Valuation Date that coincides with, or next
follows, the date the request for the loan is received at our Operations Center.
The entire amount of the loan will be allocated against the GIA and each
sub-account in the same proportion that the account value held in the GIA and
each sub-account bears to the account value in the GIA and all sub-accounts.
Any debt repayment will be allocated to the GIA and/or the sub-accounts in
accordance with the scheduled premium allocation then in effect (see
Premiums section).
_____________________________________________________________________________
29. LOAN ACCOUNT
The loan account is a portion of the Policy's account value which was
transferred from the GIA or the sub-accounts to secure any outstanding debt. On
each Monthly Anniversary Day we credit interest on the loan account. The loan
account will earn interest at a rate not less than 4% per year. The loan
account is part of our general account.
Page 13
<PAGE> 16
After the 10th policy anniversary the annual interest rate applicable to the
loan account will be .15% higher than the rate applicable to policies of the
same type which have not yet reached their 10th anniversary. It is anticipated
but not guaranteed that after the 10th policy anniversary this .15% increase in
annual interest will be increased by additional .15%. This additional increase
is based on current expectations as to mortality, investment earnings,
persistency and expenses and is not guaranteed.
If the entire debt is repaid on a date which is not a Monthly Anniversary Day,
we determine the interest earned on the loan account from the preceding Monthly
Anniversary Day to the date that payment was received by us at our Operations
Center. This interest will be allocated on the date of repayment among the GIA
and/or the sub-accounts in accordance with the most recent scheduled premium
allocation on record (see Premiums section).
________________________________________________________________________________
30. GENERAL PROVISIONS
THE CONTRACT - This Policy has been issued in consideration of the application
and of the payment of the first premium shown in Section 1. The application
(copy attached) is a part of the Policy. The Policy and the application (and
any supplemental applications for optional increases in Specified Amount) are
the entire contract.
STATEMENTS IN APPLICATION - All statements made in the application will be
considered to be representations. They are not warranties. No statement may be
used to make this Policy invalid or to deny a claim under it, unless the
statement is contained in the written application, a copy of which is attached
at issue.
INCONTESTABILITY - This Policy will be incontestable after it has been in force
during the lifetime of the Insured for 2 years from its date of issue. Any
unscheduled increase in Specified Amount or Target Death Benefit or any
reinstatement will be incontestable only after the increase or reinstatement
has been in force during the lifetime of the Insured for 2 years from the
date it took effect.
MISSTATEMENT OF AGE OR SEX - If the Insured's age or sex has been misstated,
the amount of any Death Benefit will be the sum of (a) and (b), where:
(a) is the account value on the date of death;
(b) is the Amount At Risk (as determined in accordance with Section 22) on the
last Monthly Anniversary Day, multiplied by the ratio of the insurance rate
on the last Monthly Anniversary Day based on the incorrect age or sex to
the insurance rate that would have applied on that Day based on the correct
age or sex.
SUICIDE EXCLUSION - In case of the suicide of the Insured, sane or insane,
within 2 years of the date of issue of the Policy, or within 2 years of the
date of any reinstatement, the amount payable by us will be limited to the
amount of the premiums paid less: (a) any debt; and (b) any partial surrenders
and their fees.
But, in case of the suicide of the Insured, sane or insane, within 2 years of
the date any unscheduled increase in Specified Amount or Target Death Benefit
took effect the amount payable by us with respect to that increase will be
limited to its cost.
ASSIGNMENT - We shall not be charged with notice of assignment of any interest
in this Policy until the assignment (or a copy) is received at our Home Office.
We are not responsible as to the validity or effect of any assignment. We may
rely solely on the statement of the assignment as to the amount of his or her
interest. All assignments will be subject to any debt on this Policy. The
interest of any beneficiary or other person will be subordinate to any
assignment, whenever made. The assignee will receive any sum payable to the
extent of his or her interest.
POLICY PAYMENT - In any settlement of this Policy, by reason of death,
surrender, or otherwise, we may require the return of the Policy. Also, any
debt on this Policy will be deducted when we determine the proceeds.
Due proof of death disability must be submitted to us at our Operations Center
on forms furnished by us. These forms can be obtained from any local office of
ours, or from our Operations Center.
RELATIONSHIPS - Relationships used in any beneficiary or other designation will
refer to the Insured unless otherwise specified.
AUTHORITY - No change in this Policy will be valid until it is approved by one
of our executive officers. This approval must be endorsed on or attached to
this Policy. No agent or other person has authority to accept representations
or information not in the written application. Nor may that person change this
Policy or waive any of its provisions.
POSTPONEMENT OF CERTAIN PAYMENTS OR TRANSFERS - We will usually pay any amount
payable on surrender, partial surrender or loan within 7 days after we receive
written request for the payment at our Operations Center. We will usually pay
any death proceeds within 7 days after we receive due proof of death. But, any
payment involving a determination of account value may be postponed in any case
whenever:
(a) the New York Stock Exchange is closed (except for customary weekend and
holiday closings), or trading on the New York Stock Exchange is restricted
as determined by the Securities and
Page 14
<PAGE> 17
Exchange Commission (SEC);
(b) the SEC by order permits postponement for the protection of policyholders;
or
(c) the SEC determines that a state of emergency exists, so that valuation of
the assets of the Variable Account or disposal of securities is not
reasonably practicable.
Transfers among sub-accounts, and allocations to and against sub-accounts also
may be postponed under the circumstances described in (a), (b) and (c) above.
REPORTS -- We will send a report at least annually to the rightsholder showing
the then current status of the Policy. It will show since the last report:
premiums received; expense charges (including any transfer charges); cost of
insurance and any riders; interest on account value in Loan Account; interest
on account value in GIA; and any partial surrenders (and fees).
It will also show as of the current and prior report dates: Death Benefit;
Specified Amount; surrender value; account value; sub-account Unit values;
account value in the GIA; any debt; interest accrued on Loan Account; and any
other information required by state law or regulation.
We will also send to the rightsholder any reports required by the Investment
Company Act of 1940.
PROJECTION OF BENEFITS AND VALUES -- We shall provide a projection of
illustrative future benefits and values at any time after the first policy
anniversary upon; (a) written request; and (b) payment of a service fee. The
fee will be the one then in effect for this service. The illustration will be
based on: (a) requested assumptions as to Specified Amount, Death Benefit
Option and scheduled premiums; and (b) any other assumptions that are needed
and that we agree to.
NONPARTICIPATION -- We pay no dividends on this Policy.
____________________________________________________________________________
31. SETTLEMENT OPTIONS
Instead of being paid in one sum, any death or surrender proceeds payable under
this Policy to a natural person in his or her own right may be settled under
one of the options below. The payments under the option chosen must be made to
that person (the payee). The amount of death or surrender proceeds must be at
least $1,000.
OPTIONS AVAILABLE --
1. Interest Income -- Interest on the proceeds held by us at the rate set
by us for each year. This rate will not be less than 2 3/4% a year.
2. Income for Specified Period -- Income for the number of years chosen,
based on the table below. This table shows the monthly income for each
$1,000 of proceeds. Payments may be increased by additional interest as we
may determine for each year.
OPTION 2 TABLE
<TABLE>
<CAPTION>
_____________________________________________________________________________
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Years 1 2 3 4 5 6 7 8 9 10
_____________________________________________________________________________
Amount $84.37 42.76 28.89 21.96 17.80 15.03 13.06 11.58 10.42 9.50
_____________________________________________________________________________
Years 11 12 13 14 15 16 17 18 19 20
_____________________________________________________________________________
Amount $ 8.75 8.13 7.60 7.15 6.75 6.41 6.11 5.85 5.61 5.39
_____________________________________________________________________________
</TABLE>
3. Single Life Income -- Income for a period certain and during the balance of
the payee's lifetime. The period certain chosen may be: (a) 0, 10 or 20 years;
or (b) the period required for the total income payments to equal the proceeds
(reaccount period certain). The amount of income will be figured by us on the
date the proceeds become payable. This amount will be at least as much as the
applicable amount based on the Option 3 table at the end of the Settlement
Options section. The minimum income amount shown in that table are based on the
1983 Table a (discrete functions, without projections for future mortality)
with 3 1/2% interest.
If the income based on the period certain elected is the same as the income
provided by another available longer period or periods certain, we will deem an
election to have been made of the longest period certain.
3A. Joint Life Income -- Income during the joint lifetime of the payee and
another person. Income will continue during the balance of the survivor's
lifetime. The type of income chosen may give a survivor's income equal to: (a)
the income amount payable during the joint lifetime; or (b) two-thirds of that
income amount.
The amount of income payable during the joint lifetime will be figured by us on
the date the proceeds become payable. This amount will be at least as much as
the applicable amount based on the Option 3A table at the end of the Settlement
Options section. The minimum income amounts shown in that table are based on
the 1983 Table a (discrete functions, without projections for future mortality)
with 3 1/2% interest. If a person for whom option 3A is chosen dies before the
first income amount is payable, the survivor will receive settlement instead
under Option 3 with 10 years certain.
4. Income of Specified Amount -- Income, of the amount chosen, for as long as
the proceeds and interest last. But, the amount chosen may not be less each
year than 10% of the proceeds. Interest will be credited annually on the
balance of the proceeds at the rate for each year set by us. This rate will not
be less than 2 3/4% a year.
OTHER SETTLEMENT OPTIONS -- The proceeds may be settle under any other option
agreed to by us.
Page 15
<PAGE> 18
CHOICE OF SETTLEMENT - During the Insured's lifetime, one of the above options
may be chosen for proceeds payable by reason of his or her death. Or, a prior
choice may be changed. The choice or change will be subject to the same
conditions and will take effect in the same way as a change of beneficiary.
The payee of any proceeds payable in one sum but not yet paid may instead
choose one of the options. This must be done by written notice to us at our
Operations Center not more than 1 month after the proceeds become payable.
PAYMENT PROVISIONS - A supplementary contract will be issued when the proceeds
are settled under one of these options. The contract will set forth the terms
of the settlement. The contract date will be the date of the Insured's death
if: (a) the proceeds settled are death proceeds; and (b) the settlement was
chosen during the Insured's lifetime. In all other cases the contract will bear
the date the proceeds become payable.
Payment will be made monthly unless quarterly, semi-annual or annual payments
are asked for when the option is chosen. But, if payments of the chosen
frequency would be less than $25 each, we may use a less frequent payment basis.
<TABLE>
<CAPTION>
____________________________________________________________________________
To obtain the amount of other than
monthly payments, multiply the Semi-
monthly payment by the appropriate factor. Ann. Ann. Quarterly
____________________________________________________________________________
<S> <C> <C> <C>
OPTION 2 11.85 5.97 2.99
____________________________________________________________________________
OPTION 3 - 0 Years Certain 11.68 5.90 2.97
____________________________________________________________________________
OPTION 3 - 20 Years Certain,
or Reaccount Period Certain 11.80 5.95 2.99
____________________________________________________________________________
OPTION 3 - 10 Years Certain, or OPTION 3A 11.74 5.92 2.97
____________________________________________________________________________
</TABLE>
The first payment under Option 2, 3, 3A, or 4 will be due as of the contract
date. The first payment under Option 1 will be due 1, 3, 6, or 12 months after
that date, depending on the frequency of payment.
Before we pay under Option 3 or 3A, we shall need proof of age which satisfies
us. After the contract date, unless otherwise provided in the settlement
approved by us at the time it was chosen, any settlement under Option 1, 2, 3,
or 4 will end at the payee's death. The amount stated below for that option
will then be paid in one sum to the payee's executors or administrators.
Option 1 or 4 - Any unpaid proceeds and interest to the date of death.
Option 2 or 3 - The amount which, with compound annual interest, would have
provided any future income payments for: (a) the specified period (Option 2);
or (b) the specified period certain (Option 3). This interest will be at the
rate or rates we assumed in computing the amount of income.
Page 16
<PAGE> 19
_______________________________________________________________________________
SETTLEMENT OPTIONS (CONTINUED)
OPTION 3 -- MINIMUM MONTHLY INCOME PER $1,000 OF PROCEEDS
The life income shown is based on the payee's age at nearest birthday on the
due date of the first income payment.
_______________________________________________________________________________
<TABLE>
<CAPTION>
10 Years 20 Years 10 Years 20 Years 10 Years 20 Years 0 Years
Certain Certain Certain Certain Certain Certain Certain
- ------------- ------------- ------------- ------------- ------------- ------------- -----------------
Male Female AGE Male Female Male Female AGE Male Female Male Female AGE Male Female Male AGE Female
- ----- ------ --- ----- ------ ----- ------ --- ----- ------ ----- ------ --- ----- ------ ----- --- ------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
$3.21 $3.14 10* $3.20 $3.13 $3.74 $3.56 35 $3.71 $3.55 $5.42 $4.93 60 $4.97 $4.71 $3.46 25 $3.34
3.22 3.15 11 3.21 3.14 3.78 3.59 36 3.75 3.58 5.54 5.04 61 5.04 4.77 3.59 30 3.44
3.23 3.16 12 3.23 3.15 3.82 3.62 37 3.78 3.61 5.67 5.14 62 5.10 4.84 3.75 35 3.57
3.24 3.17 13 3.24 3.17 3.86 3.65 38 3.82 3.64 5.80 5.25 63 5.16 4.91 3.96 40 3.73
3.26 3.18 14 3.25 3.18 3.90 3.69 39 3.85 3.67 5.94 5.37 64 5.22 4.98 4.22 45 3.93
3.27 3.19 15 3.27 3.19 3.94 3.72 40 3.89 3.70 6.08 5.50 65 5.28 5.05 4.56 50 4.20
3.29 3.20 16 3.28 3.20 3.99 3.76 41 3.93 3.73 6.23 5.63 66 5.33 5.12 4.99 55 4.54
3.30 3.22 17 3.30 3.21 4.04 3.80 42 3.98 3.77 6.38 5.77 67 5.38 5.19 5.57 60 5.00
3.32 3.23 18 3.31 3.23 4.09 3.84 43 4.02 3.81 6.54 5.92 68 5.43 5.25 6.39 65 5.64
3.34 3.24 19 3.33 3.24 4.14 3.88 44 4.06 3.84 6.71 6.07 69 5.48 5.32 7.53 70 6.53
3.36 3.26 20 3.35 3.25 4.20 3.92 45 4.11 3.88 6.88 6.23 70 5.52 5.38
3.37 3.27 21 3.37 3.27 4.25 3.97 46 4.16 3.93 7.05 6.40 71 5.55 5.43 Refund Period
3.39 3.29 22 3.38 3.28 4.31 4.02 47 4.21 3.97 7.22 6.58 72 5.59 5.48 Certain
3.41 3.30 23 3.40 3.30 4.38 4.07 48 4.26 4.01 7.40 6.76 73 5.62 5.53 -----------------
3.43 3.32 24 3.42 3.32 4.44 4.12 49 4.31 4.06 7.57 6.95 74 5.64 5.57 Male AGE Female
----- --- ------
3.46 3.34 25 3.45 3.33 4.51 4.18 50 4.37 4.11 7.75 7.15 75 5.66 5.60 $3.44 25 $3.33
3.48 3.36 26 3.47 3.35 4.58 4.24 51 4.42 4.16 7.92 7.34 76 5.68 5.63 3.56 30 3.42
3.50 3.38 27 3.49 3.37 4.66 4.30 52 4.48 4.21 8.09 7.54 77 5.70 5.66 3.70 35 3.54
3.53 3.40 28 3.52 3.39 4.74 4.36 53 4.54 4.27 8.26 7.74 78 5.71 5.68 3.88 40 3.69
3.56 3.42 29 3.54 3.41 4.82 4.43 54 4.60 4.32 8.42 7.94 79 5.72 5.70 4.11 45 3.87
3.58 3.44 30 3.57 3.43 4.91 4.51 55 4.66 4.38 8.57 8.14 80+ 5.73 5.71 4.38 50 4.11
3.61 3.46 31 3.59 3.45 5.00 4.58 56 4.72 4.44 4.73 55 4.40
3.64 3.49 32 3.62 3.48 5.10 4.66 57 4.78 4.51 5.18 60 4.78
3.67 3.51 33 3.65 3.50 5.20 4.75 58 4.85 4.57 5.76 65 5.28
3.71 3.54 34 3.68 3.52 5.31 4.84 59 4.91 4.64 6.52 70 5.94
<FN>
* and under
+ and over
<FN>
The minimum income for any age now shown in the 0 Years Certain and Reaccount
Period Certain columns is calculated on the same mortality and interest
assumptions as the minimum income for the ages shown and will be quoted on
request.
_______________________________________________________________________________
</TABLE>
OPTION 3A -- MINIMUM MONTHLY INCOME PER $1,000 OF PROCEEDS
The income shown is based on the ages (at nearest birthday on the due date of
the first income payment) of the 2 persons during whose joint lifetime payments
are to be made.
_______________________________________________________________________________
<TABLE>
<CAPTION>
Same Income Continued to Survivor Two-Thirds of Income Continued to Survivor
- -------------------------------------------------------- ---------------------------------------------------------
AGE AGE OF MALE AGE AGE OF MALE
OF --------------------------------------------- OF -----------------------------------------------
FEMALE 50 55 60 65 70 FEMALE 50 55 60 65 70
- ------ ----- ----- ----- ----- ----- ------ ----- ----- ----- ----- -----
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $3.89 $3.98 $4.04 $4.09 $4.13 50 $4.20 $4.35 $4.51 $4.69 $4.89
55 4.03 4.16 4.27 4.36 4.42 55 4.36 4.54 4.73 4.95 5.18
60 4.16 4.34 4.51 4.66 4.78 60 4.55 4.76 4.99 5.25 5.53
65 4.27 4.51 4.76 4.99 5.20 65 4.76 5.01 5.29 5.62 5.97
70 4.37 4.66 4.99 5.34 5.67 70 4.99 5.28 5.63 6.04 6.49
<FN>
The minimum income for any other combination of ages or for 2 persons of the
same sex are calculated on the same mortality and interest assumptions as the
minimum income for the combinations of ages shown and will be quoted on request.
_______________________________________________________________________________
</TABLE>
Page 17
<PAGE> 20
_____________________________________________________________________________
RIDER ATTACHED TO AND FORMING A PART OF POLICY
ISSUED BY MONY LIFE INSURANCE COMPANY OF AMERICA
_____________________________________________________________________________
ENDORSEMENTS
(Endorsements may be made only by the Company, and any on this page were made
when this Policy was issued, unless otherwise stated.)
ADJUSTABLE TERM INSURANCE
Providing adjustable term insurance on the Insured's life, as described below.
This rider has no surrender value or loan provisions.
We shall pay to the beneficiary the Amount of Term Insurance In Force at the
death of the Insured. Payment will be made upon receipt by us at our Home
Office of due proof that the Insured's death occurred: (a) on or before the
first policy anniversary or during any renewal term; (b) while this rider was
in force; and (c) while no monthly deduction for the Policy was in default
beyond its grace period. Payment will be made subject to all provisions of the
Policy to which this rider is attached.
DEFINITIONS
"Insured" means the insured named in the Policy to which this rider is
attached. -
AMOUNT OF TERM INSURANCE IN FORCE - The Amount of Term Insurance In Force at
any time is equal to the difference between the Target Death Benefit and the
Base Death Benefit. The amount of term insurance automatically adjusts for
increases and decreases in Base Death Benefit and/or Target Death Benefit, but
will never be less than zero. At issue, the maximum amount of term insurance
allowed is equal to eight times the Initial Specified Amount.
TARGET DEATH BENEFIT - The Target Death Benefit in force on the date of issue
of this rider is shown in Section 1 of the Policy. The Target Death Benefit may
be changed in accordance with the terms of this rider.
AUTOMATIC RENEWAL DATES AND TERM - This rider will be automatically renewed
each policy anniversary on or before the Insured's age 95. The term of the
renewal will be for a period of one year.
RIDER COST - The monthly cost of this rider is deducted from the account value
on a Monthly Anniversary Day. The insurance rate as to the initial amount of
term insurance and any scheduled increase in term insurance is based on the
Insured's sex, if applicable, age on the Policy Date, number of years since the
Policy Date, and class of risk. "Class of Risk" for the initial amount of
term insurance is the class of risk to which the Insured belonged on the Policy
Date and is shown on Page 1 of the Policy. The insurance rate for any
unscheduled increase in the amount of term insurance will be based on the
Insured's sex, if applicable, age on the effective date of the increase, number
of years since that date and class of risk on that date. The cost of insurance
for this rider is calculated as its monthly cost of insurance rate multiplied
by the amount of term insurance, per $1,000 of this rider. The monthly cost of
insurance rates are shown in Section 2 of the Policy.
Each year we shall review the monthly term insurance rates to determine if any
change should be made. Monthly insurance rates will be based on our
expectations as to future: (a) mortality; (b) investment earnings; (c)
expenses, and (d) persistency. We guarantee that the insurance rates for the
initial amount of term insurance will never be more than the rates shown in the
Guaranteed Monthly Insurance Rates for Initial Specified Amount table in
Section 2. Insurance rates for any increase in term insurance will never be
more than the guaranteed rates provided by us at the time the increase takes
effect.
No monthly deduction will be made for this rider after it ends.
CHANGES IN AMOUNT OF COVERAGE
SCHEDULED INCREASE IN TARGET DEATH BENEFIT - Scheduled increases in the Target
Death Benefit are allowed only if specified at the time of application for the
Policy. A scheduled increase is reflected in the amount of term insurance only.
The Base Death Benefit of the Policy remains level. Evidence of insurability is
not required.
UNSCHEDULED INCREASE IN TARGET DEATH BENEFIT - Unscheduled increases in the
Target Benefit may be made at any time prior to the policy anniversary nearest
the maximum issue age shown in Section 1 of the Policy.
To increase the Target Death Benefit in force, a supplemental application must
be submitted, subject to evidence satisfactory to us that the Insured is
insurable. Any increase must be at least $10,000. The increase will take effect
on the Monthly Anniversary Day that coincides with, or next follows, the date
on which we approve it.
An unscheduled increase may be specified by the rightsholder as an increase in
the amount of term insurance only, an increase in Specified Amount only or any
combination of term insurance and Specified Amount.
96100
<PAGE> 21
DECREASE IN TARGET DEATH BENEFIT - Decreases may be made at any time. The
decrease will take effect on the Monthly Anniversary Day that coincides with,
or next follows, the date on which we approve it. The decrease will be applied
first against the term insurance provided by this rider, and then to the
Specified Amount of the Policy as follows:
Amount of the Policy as follows:
(a) first, to reduce the term insurance provided by the most recent increase in
term insurance;
(b) next, to reduce the next most recent term insurance increases successively;
(c) next, to reduce the initial term insurance;
(d) next, to reduce the amount provided by the most recent increase in Specified
Amount;
(e) next, to reduce the next most recent increases, successively;
(f) finally, to reduce the Initial Specified Amount.
We will reject any requested decrease if that decrease would result in a
Specified Amount or Target Death Benefit which is less than the minimum
Specified Amount or Target Death Benefit we then allow.
PARTIAL SURRENDER - If a partial surrender reduces the Specified Amount of the
Policy, the Target Death Benefit will be reduced by an amount equal to the
reduction in the Specified Amount.
RIDER EFFECTIVE DATE - The effective date of this rider is the date of issue of
the Policy.
GENERAL - Any provision of this rider inconsistent with any other provision of
the Policy controls this rider.
REINSTATEMENT - Any reinstatement of this Policy will include reinstatement of
any insurance in force under this rider.
NON-PARTICIPATING - This rider does not participate in our surplus earnings.
TERMINATION OF RIDER - This rider will end; (a) by written request; (b) when
the Policy goes out of force; (c) on the policy anniversary nearest the
Insured's 95th birthday; or (d) upon the death of the Insured.
DAVID S. WALDMAN, Secretary
96100
<PAGE> 22
______________________________________________________________________________
RIDER ATTACHED TO AND FORMING A PART POLICY
ISSUED BY MONY LIFE INSURANCE COMPANY OF AMERICA
______________________________________________________________________________
ENDORSEMENTS
(Endorsements may be made only by the Company, and any on this page were made
when this Policy was issued, unless otherwise stated.)
GUARANTEED DEATH BENEFIT RIDER
THE BENEFIT -- While this rider is in force, if on any Monthly Anniversary Day
the Policy would otherwise lapse in accordance with the provisions of its Grace
Period (see Grace Period section), the Policy will nonetheless continue in
force during that policy month. We will deduct the monthly deduction to the
extent possible and we will waive any excess not deducted as applicable. This
rider does not guarantee the continuation of any Adjustable Term Insurance
Rider under the policy.
GUARANTEE PERIOD -- The guarantee period for this rider is to the Insured's
age 95.
RIDER COST -- The monthly cost of this rider is included in the monthly
deduction for the Policy. After the date this rider ends there will be no
monthly deduction for it.
MONTHLY GUARANTEE PREMIUM -- The monthly guarantee premium for this rider at
issue is shown in Section 1 and is based on the Insured's age, sex, if
applicable, class of risk, the Specified Amount and any other riders.
A new monthly guarantee premium will be determined for any change in the Target
Death Benefit or death benefit option, based on the Insured's age and class of
risk on the effective date of the increase. A new monthly guarantee premium
will also be determined when any other riders are terminated.
The cumulative monthly guarantee premium is the sum of each monthly guarantee
premium times the number of inforce policy months during which that premium was
applicable. Unless otherwise terminated (see Termination of Rider below) this
rider will continue in force during its Guarantee Period if on each Monthly
Anniversary Day: (a) the total premiums received (less any partial surrenders
and their fees) exceed the cumulative monthly guarantee premium; and (b) the
account value of the Policy exceeds debt under the Policy.
RIDER GRACE PERIOD
A. If on any Monthly Anniversary Day the total premiums received less any
partial surrenders and their fees do not exceed the cumulative monthly
guarantee premium, we will send a notice of insufficient premium. A grace
period of 61 days from the date of that notice will be allowed for payment
of: (a) the difference between total premium less any partial surrenders
and their fees and the cumulative monthly guarantee premium; plus (b) an
amount equal to the greater of (i) two monthly guarantee premiums; or (ii)
the number of monthly guarantee premiums until the next scheduled premium
due date.
B. If ever the debt under the Policy exceeds its account value we will a
notice of insufficient value. A grace period of 61 days from the date of
that notice will be allowed for payment of: (a) the difference between the
debt and the account value; plus (b) the amount described in A(b) above.
If, on a Monthly Anniversary Day, the condition of insufficient premium
described in A above and insufficient value described in B above both occur
simultaneously, the greater of the amount described in A or B will be payable
within 61 days from the date of notice.
If the payment described above is not received within the grace period, this
rider will end and the provisions of the Grace Period of the Policy will again
apply (see Grace Period of Policy). The notice will be mailed to the last known
address of the Insured and of any assignee of record.
TERMINATION OF RIDER -- This rider will end on the earliest of: (a) the end of
the 61 day rider grace period if payment of the amount required under that
provision is not received; (b) the death of the Insured; (c) the last day of
its Guarantee Period; (d) the date the Policy goes out of force: or (e) the
Monthly Anniversary Day that coincides with, or next follows the date on which
we receive written request to end the rider.
On and after its end, this rider will have no force.
Effective on the date of issue of the Policy.
DAVID S. WALDMAN, Secretary
96102
<PAGE> 23
________________________________________________________________________________
RIDER ATTACHED TO AND FORMING A PART OF POLICY
ISSUED BY MONY LIFE INSURANCE COMPANY OF AMERICA
Insured: John Doe
Date of Issue of this Rider: 7-1-96
Amount of Term Insurance at issue: $50,000
Class of Risk: Standard
_______________________________________________________________________________
ENDORSEMENTS
(Endorsements may be made only by the Company, and any on this page were made
when this Policy was issued, unless otherwise stated.)
ADJUSTABLE TERM INSURANCE
Providing adjustable term insurance on the Insured's life, as described below.
This rider has no surrender value or loan provisions.
We shall pay to the beneficiary the Amount of Term Insurance In force at the
death of the Insured. Payment will be made upon receipt by us at our Home
Office of due proof that the Insured's death occurred: (a) on or before the
first policy anniversary or during any renewal term; (b) while this rider was
in force; and (c) while no monthly deduction for the Policy was in default
beyond its grace period. Payment will be made subject to all provisions of the
Policy to which this rider is attached.
DEFINITIONS
"Insured" means the insured named in the Policy to which this rider is attached.
AMOUNT OF TERM INSURANCE IN FORCE -- The Amount of Term Insurance In Force at
any time is equal to the difference between the Target Death Benefit and the
Base Death Benefit. The amount of term insurance automatically adjusts for
increases and decreases in Base Death Benefit and/or Target Death Benefit, but
will never be less than zero. At issue, the maximum amount of term insurance
allowed is equal to eight times the Initial Specified Amount.
TARGET DEATH BENEFIT -- The Target Death Benefit in force on the date of issue
of this rider is shown in the Supplement to Rider. The Target Death Benefit may
be changed in accordance with the terms of this rider.
AUTOMATIC RENEWAL DATES AND TERM -- This rider will be automatically renewed
each policy anniversary on or before the Insured's age 95. The term of the
renewal will be for a period of one year.
RIDER COST -- The monthly cost of this rider is deducted from the account value
on a Monthly Anniversary Day. The insurance rate as to the initial amount of
term insurance is based on the Insured's sex, if applicable, age on the Policy
Date, number of years since the Policy Date, and class of risk. "Class of Risk"
for the initial amount of term insurance is the class of risk to which the
Insured belonged on the Policy Date and is shown above. The insurance rate for
any unscheduled increase in the amount of term insurance will be based on the
Insured's sex, if applicable, age on the effective date of the increase, number
of years since that date and class of risk on that date. The cost of insurance
for this rider is calculated as its monthly cost of insurance rate multiplied
by the amount of term insurance, per $1,000 of this rider. The monthly cost of
insurance rates are shown in Section 2 of the Policy.
Each year we shall review the monthly term insurance rates to determine if any
change should be made. Monthly insurance rates will be based on our
expectations as to future: (a) mortality; (b) investment earnings; (c)
expenses, and (d) persistency. We guarantee that the insurance rates for the
initial amount of term insurance will never be more than the rates shown in the
Guaranteed Monthly Insurance Rates for Initial Specified Amount shown in
Section 2 of the Policy. Insurance rates for any increase in term insurance
will never be more than the guaranteed rates provided by us at the time the
increase takes effect.
No monthly deduction will be made for this rider after it ends.
CHANGES IN AMOUNT OF COVERAGE
UNSCHEDULED INCREASE IN TARGET DEATH BENEFIT -- Unscheduled increases in the
Target Death Benefit may be made at any time prior to the policy anniversary
nearest the maximum issue age shown in Section 1 of the Policy.
To increase the Target Death Benefit in force, a supplemental application must
be submitted, subject to evidence satisfactory to us that the Insured is
insurable. Any increase must be at least $10,000. The increase will take effect
on the Monthly Anniversary Day that coincides with, or next follows, the date on
which we approve it.
An unscheduled increase may be specified by the rightsholder as an increase in
the amount of term insurance only, an increase in Specified Amount only or any
combination of term insurance and Specified Amount.
96101
<PAGE> 24
DECREASE IN TARGET DEATH BENEFIT - Decreases may be made at any time. The
decrease will take effect on the Monthly Anniversary Day that coincides with,
or next follows, the date on which we approve it. The decrease will be applied
first against the term insurance provided by this rider, and then to the
Specified Amount of the Policy as follows:
(a) first, to reduce the term insurance provided by the most recent increase in
term insurance,
(b) next, to reduce the next most recent term insurance increases successively;
(c) next, to reduce the initial term insurance.
(d) next, to reduce the amount provided by the most recent increase in
Specified Amount;
(e) next, to reduce the next most recent increases, successively;
(f) finally, to reduce the Initial Specified Amount.
We will reject any requested decrease if that decrease would result in a
Specified Amount or Target Death Benefit which is less than the minimum
Specified Amount or Target Death Benefit we then allow.
PARTIAL SURRENDER - If a partial surrender reduces the Specified Amount of the
Policy, the Target Death Benefit will be reduced by an amount equal to the
reduction in the Specified Amount.
RIDER EFFECTIVE DATE - The effective date of this rider is the Monthly
Anniversary Day on or following the date the application for it is approved.
GENERAL - Any provision of this rider inconsistent with any other provision of
the Policy controls this rider. This rider has been issued in consideration of
the application for it, a copy of which is attached.
INCONTESTABILITY - This rider will be incontestable after it has been in force
during the lifetime of the Insured for 2 years from its date of issue. Any
unscheduled increase in term insurance or any re-instatement will be
incontestable only after such increase or reinstatement has been in force
during the lifetime of the Insured for 2 years from its effective date.
MISSTATEMENT OF AGE OR SEX - If the Insured's age or sex has been misstated,
any amount payable under this rider will be that which the monthly cost of this
rider deducted from the Policy's account value would have purchased for the
Insured's correct age or sex.
SUICIDE EXCLUSION - In case of the suicide of the Insured, sane or insane,
within 2 years of the date of issue of this rider, the amount payable by us
will be limited to the cost of the rider. In the case of suicide of the
Insured, sane or insane, within 2 years of the effective date of any
unscheduled increase in the amount of insurance under this rider, the amount
payable by us will be limited to the cost of that increase.
REINSTATEMENT - Any reinstatement of this Policy will include reinstatement of
any insurance in force under this rider.
NON-PARTICIPATING - This rider does not participate in our surplus earnings.
TERMINATION OF RIDER - This rider will end: (a) by written request; (b) when
the Policy goes out of force; (c) on the policy anniversary nearest the
Insured's 95th birthday; or (d) upon the death of the Insured.
DAVID S. WALDMAN, Secretary
96 101
<PAGE> 25
SUPPLEMENT TO RIDER
TARGET DEATH BENEFIT SCHEDULE - TABLE OF TARGET DEATH BENEFITS
<TABLE>
<CAPTION>
POLICY TARGET DEATH POLICY TARGET DEATH
YEAR BENEFIT YEAR BENEFIT
- ----------- ------------ ------ ------------
<S> <C> <C> <C>
1 $250,000 26 $250,000
2 $250,000 27 $250,000
3 $250,000 28 $250,000
4 $250,000 29 $250,000
5 $250,000 30 $250,000
6 $250,000 31 $250,000
7 $250,000 32 $250,000
8 $250,000 33 $250,000
9 $250,000 34 $250,000
10 $250,000 35 $250,000
11 $250,000 36 $250,000
12 $250,000 37 $250,000
13 $250,000 38 $250,000
14 $250,000 39 $250,000
15 $250,000 40 $250,000
16 $250,000 41 $250,000
17 $250,000 42 $250,000
18 $250,000 43 $250,000
19 $250,000 44 $250,000
20 $250,000 45 $250,000
21 $250,000 46 $250,000
22 $250,000 47 $250,000
23 $250,000 48 $250,000
24 $250,000 49 $250,000
25 $250,000 50 $250,000
</TABLE>
<PAGE> 26
________________________________________________________________________________
RIDER ATTACHED TO AND FORMING A PART OF POLICY
ISSUED BY THE MONY LIFE INSURANCE COMPANY OF AMERICA
________________________________________________________________________________
ENDORSEMENTS
(Endorsements may be made only by the Company, and any on this rider were made
when this Policy was issued, unless otherwise stated.)
CHANGES IN POLICY PROVISIONS
This Policy is changed as shown below:
1. CHANGES IN THE CONTRACT'S SETTLEMENT OPTION 3 AND 3A TABLES
A. The minimum monthly income amounts shown for males in the Option 3 table
are deleted. The minimum monthly income amounts shown for females in that
table will apply for males also.
B. The following replaces the Option 3A table in the Contract:
OPTION 3A - MINIMUM MONTHLY INCOME PER $1,000 OF PROCEEDS
The income shown is based on the ages (at nearest birthday on the due date of
the first income payment) of the 2 persons during whose joint lifetime payments
are to be made.
<TABLE>
<CAPTION>
_______________________________________________________________________________
Same Income Continued to Survivor Two-Thirds of Income Continued to Survivor
___________________________________ __________________________________________
AGE OF AGE OF
ONE AGE OF OTHER PERSON ONE AGE OF OTHER PERSON
PERSON PERSON
50 55 60 65 70 50 55 60 65 70
___________________________________ __________________________________________
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $3.89 $3.98 $4.04 $4.09 $4.13 50 $4.20 $4.35 $4.51 $4.69 $4.89
55 4.16 4.27 4.36 4.42 55 4.54 4.73 4.95 5.18
60 4.51 4.66 4.78 60 4.99 5.25 5.53
65 4.99 5.20 65 5.62 5.97
70 5.67 70 6.49
</TABLE>
The minimum income for any other combination of ages is calculated on the same
mortality and interest assumptions as the minimum income for the combinations
of ages shown and will be quoted on request.
2. The title of the "Misstatement of Age or Sex" provision is changed to
"Misstatement of Age" and the words "or sex" are deleted from the content
of that provision.
3. The "Insurance Rate" provision is revised to delete reference to the word
"sex" throughout the provision.
4. This endorsement was developed to assist employers in complying with the
United States Supreme Court decision in ARIZONA VS. NORRIS. The endorsement
is subject to change if required by the law and regulations of the state in
which the Policy is delivered.
Secretary
96202
<PAGE> 27
Part 1 Application to: MONY Life Insurance Company of America
(An Arizona Stock Company)
P.O. Box 4830, Syracuse, NY 13221
________________________________________________________________________________
CORPORATE OWNED FLEXIBLE PREMIUM VARIABLE LIFE APPLICATION
________________________________________________________________________________
Case Name/Number: VL 0005
--------------
________________________________________________________________________________
SECTION A - Proposed Insured Information
________________________________________________________________________________
1. Name (first, middle, last) (print name as it is to appear on policy)
John Doe
---------------------------------------------------------------------
2. Sex (M/F) M 3. Insurance Age 35
-------------- --------------
4. Birthdate (mo/day/yr) 07-01-61 5. Birthplace (state/country) NY, NY
--------- -------
6. Social Security Number 123-45-6789
-----------------------------
7. Marital Status (check one)
single X married wldowed divorced separated
--- --- --- --- ---
8. Driver's License Number D0000-0000-0000 9. License State NY
------------------ -------
10. Telephone Number Home: 212-555-1000 Business: 212-555-0001
---------------- ----------------
Preferred Calling Time _____ AM/PM Preferred Calling Time:_____ AM/PM
11. Home Address (street, apt. no.) 1 Main Street
------------------------------------------
(city) Blank (state) Blank (zip code) 00001 (county) Blank
------ ------ ------ -------
12. Employer Name Ajax Inc.
-----------------------------------------
13. Employer Address (street) 1 Main Street
-------------------------------------------------
(city) Blank (state) Blank (zip code) 00001
--------- ------- -------
14. Occupation Office Manager Describe Exact Duties
-------------------
and Number of Years 10 years
---------------------
15. Currently or during the past 12 months, has the Proposed Insured:
a) smoked one or more cigarettes? yes X no
--- ---
b) used another form of nicotine? yes X no
--- ---
If "yes", specify type:
__ pipe __ chewing tobacco __ nicotine gum __ cigar __ other _________
16. Does the proposed insured have an injury or sickness that restricts in any
manner the ability to engage in an occupation on a full time basis?
yes X no
--- ---
17. Has the Proposed insured been hospitalized or treated by a physician in the
last three months?
yes X no
--- ---
18. During the past 10 years has the Proposed Insured been diagnosed with or
treated for AIDS (Acquired Immune Deficiency Syndrome) or HIV (Human
Immunodeficiency Virus) infection by a member of the medical profession?
yes X no
--- ---
________________________________________________________________________________
IF "YES" TO QUESTION A16, A17, OR A18, EXPLAIN IN SECTION H "REMARKS" AND ANSWER
HEALTH QUESTIONS IN SECTION G.
19. Will coverage applied for replace or change any life insurance or
annuities? yes X no
--- ---
If "yes", complete:
Amount Company Issue Year Policy Number Life, Group or Annuity
________________________________________________________________________________
$
________________________________________________________________________________
$
________________________________________________________________________________
$
________________________________________________________________________________
$
________________________________________________________________________________
(Submit replacement form if required.)
96-400
<PAGE> 28
________________________________________________________________________________
SECTION B -- Owner/Rightsholder (if other than Proposed Insured)
________________________________________________________________________________
1. Owner Name _______________________________________________________
2. Owner Address (street) ____________________________________________________
(city) ___________ (state) ___________ (zip code) __________
3. Relationship to Proposed Insured __________________________________
4. Social Security Number or Taxpayer Identification Number __________________
________________________________________________________________________________
SECTION C -- Beneficiary
________________________________________________________________________________
1. Primary Beneficiary(ies) (print full names, relationship to proposed
insured, and birthdate)
_______________________________________________________________________________
Mary Doe, Wife
- -------------------------------------------------------------------------------
2. Contingent Beneficiary(ies) (print full names, relationship to proposed
insured, and birthdate)
_______________________________________________________________________________
James Doe, Child
- -------------------------------------------------------------------------------
________________________________________________________________________________
SECTION D -- Coverage Information
________________________________________________________________________________
1. Plan: Variable Life 2. Initial Specified Amount: $100,000
------------------- -------------------
3. Scheduled Periodic Premium: $915.00
----------------------------
4. Unscheduled First Year Premium: $915.00
----------------------------
5. Premium Mode: X Annual Semi-Annual Quarterly Monthly
--- --- --- ---
6. Billing Method: Direct Bill List Bill Single Premium
--- --- ---
7. Has the Policyowner received a copy of the Temporary
Insurance Agreement? yes X no
--- ---
Amount Paid $__________________________
8. Death Benefit Option
X Option 1 (Specified Amount Option 1 is automatic unless
---
Option 2 is checked.)
Option 2 (Specified Amount plus Account Value)
---
Alternate Death Benefit Percentage
---
9. Optional Benefits:
X Term Insurance Rider
---
Initial Target Death Benefit: $100,000 (please attach target death
--------
benefit schedule)
Guaranteed Death Benefit Rider
---
Other
--- -----------------------------------------
10. Definition of Life Insurance Test: X Guideline Premium/Cash Value Corridor
--- Test
Cash Value Accumulation Test
---
96-400
<PAGE> 29
________________________________________________________________________________
SECTION E - Policy Dating (complete if specific policy date is requested)
________________________________________________________________________________
1. Specified Date: _________ OR Date to save Insured's age: ___ yes ___ no
________________________________________________________________________________
SECTION F - Financial Information
________________________________________________________________________________
1. Total Individual Life Insurance in force $_______________
2. What is the purpose of the insurance applied for? __________________________
a) If the insurance applied for is personal, what is the proposed insured's:
Total Annual Income before Taxes $____________
Total Assets $____________
Total Liabilities $____________
Net Worth $____________
b) If business insurance:
Annual net profit before taxes $_____________
Business reason for insurance (furnish details)
_______________________________________________
_______________________________________________
Proposed Insured's Annual Income $____________
_______________________________________________________________________________
SECTION G - Medical Information (COMPLETE FOR FULLY UNDERWRITTEN AND GUARANTEED
ISSUE WHERE EXCESS AMOUNTS ARE INVOLVED)
_______________________________________________________________________________
1. Height : 6'0'' Weight: 180 lbs
______ _______
2. a) Within the past 2 years has the proposed insured:
(i) been convicted of two or more moving violations or driving under
the influence of alcohol or drugs; or had a driver's license
suspended or revoked? ___ yes _x__ no
(ii) flown as a pilot or crewmember, or engaged in parachuting, hang
gliding, ballooning, motorized-racing or underwater diving below
60 feet? ___ yes _x__ no
(iii) operated a motorcycle? ___ yes _x__ no
b) Does the proposed insured presently intend to engage in any activity in
2a(ii) in the future? ___ yes _x__ no
(if "yes" to any of 2a(i), a(ii), or b, complete Section 1)
3. Has the proposed insured:
a) ever been medically diagnosed, medically treated for, or had symptoms
of heart trouble, heart murmur, chest pain, stroke, high blood
pressure, diabetes, cancer or tumor? ___ yes _x__ no
b) ever used cocaine, heroin, LSD, marijuana, or any other narcotic drug
or controlled substance except as prescribed by a physician?
___ yes _x__ no
c) during the past 2 years had a physical exam? ___ yes _x__ no
prompted by symptoms? ___ yes ___ no
findings normal? ___ yes ___ no
d) during the past 5 years had any illness, surgery, or injury requiring
treatment by a physician, hospital, or other medical facility?
___ yes _x__ no
e) during the past 5 years been treated or counseled for mental or
emotional trouble, neurological disorder or the use of alcohol or drugs
by a physician, counselor, psychologist, hospital or clinic?
___ yes _x__ no
(IF "YES" TO ANY PART OF THIS QUESTION, INCLUDE DETAILS IN QUESTION 4.)
96-400
<PAGE> 30
4. Details of all "yes" answers for Question 3. For any checkup or routine
examination, indicate what symptoms, if any, prompted it and include test
results of the examination and any special tests. Include clinic
identification number if applicable.
_______________________________________________________________________________
Person, Illness,
Treatment and
Number of Attacks Onset/ Doctor, Clinic or
Question (including specific Recovery If disabled, Hospital Complete
Number diagnosis and Date how long? address, and
(3a,b,c,d,e) medication) (mo/day/year) (in months) phone number
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
5. Personal Physician Information
Name Charles Coe, MD
-----------------------------
Address 2 Medical Plaza
-----------------------------
Blank, Blank 00001
-----------------------------
Phone No. (212) 555-0000
-----------------------------
Date last seen (mo/day/yr) 05/01/90
--------
_______________________________________________________________________________
SECTION H -- Remarks
_______________________________________________________________________________
_______________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
SECTION I -- Automobile/Aviation/Avocation Information
(Complete only if any of question G2 is answered yes.)
________________________________________________________________________________
1. Automobile Driving Record
a) Have you ever been convicted of driving while under the influence of
alcohol or drugs? __ yes __ no
How many times? __________ Conviction Dates: (mo./yr.) _______________
b) Number of moving violations you have been convicted of in the
past 2 years __________________
How many speeding violations? __________ When? (mo./yr.) _____________
Speed Limit ___________ Speed Attained ___________
c) Have you ever had your driver's license suspended
or revoked? __ yes __ no
If yes: Date Suspended/Revoked (mo./yr.) _______ For how long? _______
Date Restored _____________
2. Aviation
a) Have you flown an aircraft within the past 2 years as a pilot or crew
member, or do you intend to do so in the future? __ yes __ no
b) Date of last flight as pilot? (mo./yr.) _____________
c) Type of aviation license or certificate now held?
__ Student __ Private __ Commercial
__ Military __ Instructor __ Other
Date of issue: (mo./yr.) _____ Do you intend to renew? __ yes __ no
d) Total hours flown as pilot? ___________
e) Have you ever done any test flying, or do you intend to do so?
(If "yes," explain in "Remarks") __ yes __ no
<PAGE> 31
f) Do you have an Instrument Flight Rating (IFR)? __ yes __ no
<TABLE>
<CAPTION>
________________________________________________________________________________
<S> <C> <C>
Type of Flying Hours Flown Past Probable Flying Hours Next
12 Months 12 months
________________________________________________________________________________
Scheduled Airlines
________________________________________________________________________________
Employer Owned Plane
(for business transportation)
________________________________________________________________________________
Private Plane
(for pleasure or business)
________________________________________________________________________________
Nonscheduled Airlines
(explain in "Remarks")
________________________________________________________________________________
Charter
________________________________________________________________________________
Flight instruction as
instructor
________________________________________________________________________________
Military (include duties and
type of aircraft in "Remarks")
________________________________________________________________________________
Other flying
(explain in "Remarks")
________________________________________________________________________________
</TABLE>
g) If either is necessary under Company rules, which of the following to you
prefer? __ Full aviation coverage at an extra premium
__ Restricted aviation coverage without extra premium
3. Avocations
a) Motor Vehicle Racing
1. Racing Status: __ Professional __Amateur
2. Type of vehicle you race: __ Stock Car __Dragster __ Boat __ Sports Car
__ Midget Car __ Motorcycle __ Other
3. Exact description of vehicle (Formula 1, Thunderboat, etc.) __________
4. Type of track: __Paved __ Dirt __Other
5. Type of Race: __ Speed __ Hill Climbing __Rally __Dragstrip __ Other
6. Number of Races in last 12 months: ________Maximum Speed: _________mph
Date of last race: (mo./yr.) _____________
b) Underwater Diving
1. Do you dive for: __ Pleasure only __Pleasure and employment
2. Number of dives in last 12 months to:
__ 60 ft __ 61-75 ft __ 76-100 ft __ 101-150 ft __ over 151 ft
3. Date of last dive below 60 ft: (mo./yr.) __________
4. Do you dive alone? __ yes __ no
c) Parachute Jumping
1. Are you a member of a Parachute Club which adheres to PCA safety
rules and regulations? __ yes __ no
2. Total number of jumps made: __________
3. Date of last jump: (mo./yr.) __________
d) Gliding
1. Glide Status: ___ Professional ___ Amateur
2. Type of aircraft used: __ Hang glider
__ Sailplane (if Sailplane complete question 3) __ Other
3. Are you affiliated with a hang glider club? __ yes __ no
4. Maximum altitude achieved: __ to 50 ft __ over 50 ft
5. Total number of flights made: ________________
6. Number of flights in last 12 months: __________
7. Date of last flight: (mo./yr.) ____________
e) Ballooning
1. Do you fly over: __ land only __ land and water
2. Type of balloon: __ Hot Air __ Gas
Do you anticipate future participation in any of the above avocations?
__ yes __ no
Do you anticipate future participation in any other advocation? (If "yes,"
please give details in "Remarks.") __ yes __ no
________________________________________________________________________________
Remarks:
________________________________________________________________________________
FOR HOME OFFICE USE ONLY: Any Home Office corrections and amendments made after
the application was signed are shown either in this space or on a separate form
requiring signed ratification. (Not applicable in WV)
________________________________________________________________________________
96-400
<PAGE> 32
I represent the statements and answers in this application to be true and
complete to the best of my knowledge and belief. I offer them to the Company to
induce it to issue the policy or policies and to accept the payment of premiums
thereunder.
I AGREE THAT: (1) Payment of the first premium, if after the application date
below, will mean that I represent that such statements and answers would be the
same if made at the time of such payment; (2) no one but an Executive Officer
of the Company may change any contract or waive any of its provisions; (3) when
coverage takes effect: if a policy is issued exactly as applied for and
required cost has been received, the policy will take effect on the date we
authorize its delivery or on any later requested Policy Date. If a policy is
issued either (a) other than as applied for, or (b) exactly as applied for but
any required cost remains unpaid, the policy will take effect on the date it is
delivered, provided its delivery and payment of any required cost are made
while each person to be insured is living. (4) Acceptance of any policy issued
will ratify any correction in or amendment to the application noted by the
Company in the space provided "FOR HOME OFFICE USE ONLY", in Section H of the
application. A Copy of the application attached to the policy will be
sufficient notice of the change made. If the laws where the application is made
so require any change of amount, class or risk, age at issue, plan of
insurance or benefits must be ratified in writing.
UNDER THE PENALTIES OF PERJURY, I CERTIFY THAT:
- - The social security/tax identification number(s) is shown and is the correct
taxpayer identification number of the rightsholder (or the rightsholder is
waiting for a number to be issued).
- - I am not subject to backup withholding because: (a) I am exempt from backup
withholding, or (b) I have not been notified by the Internal Revenue Service
(IRS) that I am subject to backup withholding as a result of a failure to
report all interest or dividends, or (c) the IRS has notified me that I am no
longer subject to backup withholding (does not apply to real estate
transactions, mortgage interest paid, the acquisition or abandonment of secured
property, contribution to an individual retirement arrangement (IRA), and
payments other than interest and dividends.)
FOR UNDERWRITING AND CLAIM PURPOSES, I PERMIT:
- - Any physician or other medical practitioner, hospital, clinic, other medically
related facility, consumer reporting agency, or the Medical Information Bureau
(MIB) to give medical record information regarding me to the Company or any of
its reinsurers. The data includes findings on medical care; psychiatric or
psychological care or examinations; or surgery. Also, any insurer or reinsurer
may give the company medical data described above and data about current or
pending insurance I may have.
- - The Company to get consumer reports; and motor vehicle reports about me.
- - Any employer, business associate, financial institution, insurer, government
unit or MIB, Inc. to give the Company any data that they may have about my
occupation, avocations, driving record, finances, insurance coverage, general
reputation and aviation activities (i.e.: "personal information").
I UNDERSTAND THAT:
- - A photocopy or facsimile transmission copy of this form will be as valid as
the original. My consent to get medical record information and personal
information about me will end two years from the date shown below. I may at
anytime, however, revoke my permission to get any data protected by 42 CFR Part
2 or any other Federal or State law or regulation which provides for such
revocation. Any action taken before revocation, however, will be valid.
- - I have been given a copy of "MONY's Information Practices and The
Underwriting Process," including notices regarding consumer reports, and MIB,
Inc. I know that I have a right to get a copy of this form.
- - My records are protected under federal and state law and cannot be disclosed
without my written consent unless otherwise provided by law. I further
understand that the specific types of information to be disclosed may, if
applicable, include: diagnosis, prognosis and treatment for physical and/or
emotional illness, including treatment of alcohol or substance abuse for any
admissions; diagnosis, prognosis and treatment of HIV infection including HIV
test results; and diagnosis, prognosis and treatment for any communicable
disease or serious communicable disease or infection, including sexually
transmitted diseases.
- - All or part of the data which the Company gets may be sent to MIB. It may
also be disclosed to and used by any Company reinsurer, employee or contractor
who performs any business service on any insurance I may have applied for or
have with the Company. The applicant realizes that any person who, with intent
to defraud or knowing that he/she is facilitating a fraud against an insurer,
submits an application or files a claim containing a false or deceptive
statement is guilty of insurance fraud, which may result in loss of coverage
under this policy.
Signed at (City and State) Blank, Blank on 7-1-96
______________________ _______________
X John Doe
__________________________________________________________
(Signature of Insured)
Signature of Owner (Rightsholder) (if other than proposed Insured), who agrees
to be bound by the representations and agreements in this and in any other part
of this application.
x
__________________________________________________________
(Signature)
x Richard Doe
__________________________________________________________
(Signature of Registered Representative/Licensed Agent)
96-400
<PAGE> 33
THIS IS A FLEXIBLE PREMIUM VARIABLE LIFE TO AGE 95 POLICY. Specified Amount may
be increased or decreased. Net premiums may be allocated to one or more
sub-accounts of the Variable Account or to the Guaranteed Interest Account
(GIA). If the values have been sufficient to continue the Policy in force:
death proceeds are payable in event of death before Age 95; surrender value is
payable if Insured is living at Age 95. Some benefits reflect investment
results. Flexible premiums until Age 95. Nonparticipating (no dividends
payable).
Page 18
<PAGE> 1
Exhibit 2
November 11, 1996
MONY Life Insurance Company of America
1740 Broadway
New York, New York 10019
Gentlemen:
In my capacity as Vice President and Deputy General Counsel of The Mutual Life
Insurance Company of New York, I have supervised the preparation and review of
the Registration Statement of Form S-6 (Registration No. 333-06071) filed by
MONY Life Insurance Company of America ("MONY America") with the Securities
and Exchange Commission under the Securities Act of 1933 for the registration
of flexible premium variable life insurance policies ("Policies") to be
issued by MONY America, the premium payments for which may be allocated by
purchasers of the Policies to MONY America Variable Account L ("Account"). I
am familiar with the establishment of the Account by the Board of Directors of
MONY America on February 19, 1985 as a separate account under the lows of the
State of Arizona.
My opinion is as follows:
1. MONY America has been duly organized under the laws of the State of Arizona,
is a validly existing corporation, and has been duly authorized to issue the
Policies.
2. The Account has been duly created and is validly existing as a separate
account pursuant to the aforesaid provisions of Arizona law.
3. The portion of the assets to be held in the Account equal to the reserve and
other liabilities for variable benefits under the Policies is not chargeable
with liabilities arising out of any other business MONY America may conduct.
4. The Policies, when issued as contemplated by the Registration Statement, will
be legal, validly issued, and binding obligations of MONY America in
accordance with their terms.
In arriving at the foregoing opinion, I have made such examination of law and
examined such records and other documents as I judged to be necessary or
appropriate.
I hereby consent to the filing of this opinion as an exhibit to the
Registration Statement and to the reference to it under the caption "Legal
Matters" in the Prospectus contained in the Registration Statement.
Very truly yours,
Edward P. Bank
Vice President and Deputy General Counsel
<PAGE> 1
Exhibit 6
November 11, 1996
MONY life Insurance Company of America
1740 Broadway
New York, NY 10019
Gentlemen:
In my capacity as Vice President of MONY Life Insurance Company of America, I
have provided actuarial advice concerning:
<Bullet> The preparation of the registration statement on Form S-6 (Registration
Numbers 333-06071 and 811-4235) filed by MONY Life Insurance Company of
America with the Securities and Exchange Commission ("SEC") under the
Securities Act of 1933 with respect to the variable universal life
insurance policy (the "Registration Statement"); and
<Bullet> The preparation of the policy forms for the variable universal life
insurance policy described in the registration statement (the
"Policy").
It is my professional opinion that:
1. The total dollar amount of sales load under the policy is no higher than
would be permitted by Rule 6e-3(T)(b)(13)(i)(A) under the Investment Company
Act of 1940.
2. The total sales load applicable to the original Death Benefit and the total
sales load applicable to any coverage increases in the Death Benefit on
premiums received within two years of issue or increases will never exceed
the sum of the following:
a. 30% of the first guideline annual premium as defined in Rule 6e-3(T)
paragraph (a)(8)(1)
b. 10% of the second guideline annual premiums
c. 8% of any premium in excess of the first two guideline annual premiums.
Therefore, a refund of excess sales load will never be necessary.
3. The illustrations of death benefits, fund value, cash surrender value and
total premiums paid plus interest at 5% shown in Appendix G of the
prospectus, based on the assumptions stated in the illustration, are
consistent with the provisions of the Policy. The rate structure of the
Policy has not been designed so as to make the relationship
<PAGE> 2
between premiums and benefits, as shown in the illustrations included appear
to be correspondingly more favorable to prospective buyers at other
combinations of ages, sex of the insured, underwriting method, death
benefit option and amount, definition of life insurance test, risk class
and premium amounts. Insureds in other premium classes may have
higher cost of insurance charges.
I hereby consent to the filing of this opinion as an Exhibit to the
Registration Statement and the use of my name under the heading "Experts" in
the Prospectus.
Sincerely,
Evelyn Peos, FSA
Vice President
FCT:arm
<PAGE> 1
CONSENT OF INDEPENDENT ACCOUNTANTS
We consent to the inclusion in Post-Effective Amendment No. 1 to the
Registration Statement of MONY America Variable Account L on Form S-6 (File No.
333-06071) of our reports dated February 19, 1996 and February 21, 1996 on our
audits of the financial statements of MONY America Variable Account L and MONY
Life Insurance Company of America, respectively.
We also consent to the reference to our Firm under the captions "Independent
Accountants" and "Financial Statements" in the Prospectus.
Coopers & Lybrand L.L.P.
New York, New York
November 15, 1996
