|
|
|
|
Document Preview Single Premium Immediate Fixed and Variable Annuity |
||||
|
|
||||
|
Click "Add to Cart" button to purchase document. |
||||
|
|
||||
|
Title: |
Single Premium Immediate Fixed and Variable Annuity |
|||
|
Entities: |
||||
|
Date: |
2001 |
|||
|
Size: |
Preview shows 8KB of 96KB total |
|||
|
Price: |
$41 |
|||
|
ID: |
#2517566 |
|||
|
|
||||
|
||||
|
|
||||
|
Start of Preview |
||||
EXECUTIVE OFFICES: STATUTORY HOME OFFICE:
ONE AMERICAN ROW 10 KREY BOULEVARD
[logo] PHOENIX HARTFORD, CT 06102 EAST GREENBUSH, NY 12144
---------------------------------------------- ---------------------------------
Annuitant: Jane Doe 35 Female: Age and Sex
Contract Number: 13000000 January 1, 2001: Contract Date
Initial Premium: $35,000.00
Dear Contract Owner:
Thank You for purchasing this annuity contract from Phoenix Home Life Mutual
Insurance Company. We agree to pay the benefits of this contract in accordance
with its provisions.
IT IS IMPORTANT TO US THAT YOU ARE SATISFIED WITH YOUR CONTRACT AND THAT IT
MEETS YOUR FINANCIAL GOALS. IF FOR ANY REASON YOU ARE NOT SATISFIED WITH THIS
CONTRACT, YOU MAY RETURN IT WITHIN 20 DAYS AFTER WE DELIVER IT TO YOU FOR A
REFUND OF THE CONTRACT VALUE. YOU MAY RETURN IT TO EITHER THE AGENT THROUGH WHOM
IT WAS PURCHASED OR TO US AT THE FOLLOWING ADDRESS:
Phoenix Home Life Mutual Insurance Company
Variable Annuity Operations
P.O. Box 8027
Boston, MA 02266-8027
Telephone (800) 447-4312
This contract provides for a series of Annuity Payments. We will pay the first
Annuity Payment on the Annuity Date. The period and dollar amount of any
subsequent payments are determined in accordance with the terms and conditions
of this Contract.
Signed for Phoenix Home Life Mutual Insurance Company at its Statutory Home
Office, 10 Krey Boulevard, East Greenbush, New York 12144.
Sincerely yours,
PHOENIX HOME LIFE MUTUAL INSURANCE COMPANY
/s/ John H. Beers /s/ Robert W. Fiondella
Secretary Chief Executive Officer
Registrar
SINGLE PREMIUM IMMEDIATE FIXED AND VARIABLE ANNUITY
ALL VALUES AND BENEFITS BASED ON THE INVESTMENT EXPERIENCE OF THE SUBACCOUNTS OF
THE SEPARATE ACCOUNT MAY INCREASE OR DECREASE AND ARE VARIABLE AND NOT
GUARANTEED AS TO DOLLAR AMOUNT.
NOT ELIGIBLE FOR ANNUAL DIVIDENDS
I602
{PAGE}
SCHEDULE PAGE
{TABLE}
{CAPTION}
{S} {C}{C} {C} {C} {C} {C} {C} {C} {C} {C}
[John Doe] Payment Option: [A]
Owner[s]: [Mary Doe]
[13000000] [Certain Period: [10 years] ]
Contract Number:
Contract Date: [Survivor Percent: [100%] ]
[January 1, 2001]
Annuity Date:
[February 1, 2001]
Annuitant: [Jane Doe] Annuitant's Sex: [Female]
Annuitant's Date of Birth: [January 1,1925]
Annuitant's Age at Issue: [76 years]
Joint Annuitant: [James Doe] Annuitant's Sex: [Male]
Annuitant's Date of Birth: [January 1,1920]
Annuitant's Age at Issue: [81 years]
Premium: [$35,000]
Net Premium: [$24,125]
Assumed Interest Rate (AIR): [3.0%]
{/TABLE}
SUBACCOUNT FEES
{TABLE}
{CAPTION}
{S} {C} {C}
Risk and Administrative Fee:
Base Contract: [.003424% (Based on an annual rate of 1.25%)]
Guaranteed Minimum Payment Rider: [.002740% (Based on an annual rate of 1.00%)]
Total Fee: [.006164% (Based on an annual rate of 2.25%)]
{/TABLE}
CONTRACT FEES AND CHARGES
{TABLE}
{CAPTION}
{S} {C} {C}
Tax: [.000% of premium paid]
Payment Charge: $24 per year taken proportionally from each Annuity Payment
($24 for annual, $6 for quarterly, $2 for monthly)
Transfer Charge: [Currently, there is no charge for transfers. The Owner is
permitted at least one free transfer each month. We reserve the right to impose
a Transfer Charge after the first free transfer made in each month, upon prior
Written Notice to the Owner. In no event, however, will such Transfer Charge
exceed $20 per transaction.]
Surrender Charge: See Page 6 for a Description of How this Charge Is Determined.
{/TABLE}
PREMIUM ALLOCATION SCHEDULE
[Money Market #122 100.00%]
I602
{PAGE}
CONTRACT SUMMARY
ABOUT THIS SUMMARY This summary briefly highlights some of the major
contract provisions. Since this is only a summary,
the detailed provisions of the contract will
control. See those provisions for full information
and any limits or restrictions that apply. A Table
of Contents is provided to help You find specific
provisions. Your contract is a legal contract
between You and Us. You should, therefore, READ
YOUR CONTRACT CAREFULLY.
Check the Schedule Page of this contract to make
sure it reflects the premium allocation requested.
Please call Your agent or Us any time You have
questions about Your contract.
THE TYPE OF CONTRACT This contract provides for payment of an immediate
annuity. The amount of the first Annuity Payment
will be based on the payment option chosen, the
Premium, the allocation of Premium among the
Subaccounts and the Fixed Income Allocation and the
Assumed Interest Rate (AIR) chosen at issue. If
Variable Annuity Payments are elected, subsequent
Annuity Payments will vary based on the investment
experience of the Subaccounts during the Annuity
Payment period.
THE SEPARATE ACCOUNT The Phoenix Home Life Mutual Insurance Company's
Variable Accumulation Separate Account (VA Account)
is a Separate Account established by Our company
under Connecticut Law and is registered as a unit
investment trust under the Investment Company Act
|
End of Preview |
Home Intelligence Services Subscriptions News About Us