Filed on April 26, 2024
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485BPOS
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File Nos. 333-182990
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Allianz Vision New York (ALIP)
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811-05716
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Class I.D. C000119019
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UNITED STATES
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SECURITIES AND EXCHANGE COMMISSION
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WASHINGTON, D.C. 20549
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FORM N-4
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REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
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Pre-Effective Amendment No.
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Post-Effective Amendment No.
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25
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X
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and/or
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REGISTRATION STATEMENT UNDER THE INVESTMENT COMPANY ACT OF 1940
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Amendment No.
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289
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X
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(Check appropriate box or boxes.)
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ALLIANZ LIFE OF NY VARIABLE ACCOUNT C
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(Exact Name of Registrant)
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ALLIANZ LIFE INSURANCE COMPANY OF NEW YORK
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(Name of Depositor)
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1633 Broadway, 42nd Floor, New York, NY 10019
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(Address of Depositor's Principal Executive Offices) (Zip Code)
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(763) 582-6089
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(Depositor's Telephone Number, including Area Code)
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Allianz Life Insurance Company of New York
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1633 Broadway, 42nd Floor
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New York, New York 10019
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(Name and Address of Agent for Service)
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Copies to:
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Doug B. Hodgson, Senior Counsel, Associate General Counsel
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Allianz Life Insurance Company of North America
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5701 Golden Hills Drive
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Minneapolis, MN 55416-1297
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(763) 765-7494
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It is proposed that this filing will become effective (check the appropriate box):
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immediately upon filing pursuant to paragraph (b) of Rule 485
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x
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on May 1, 2024 pursuant to paragraph (b) of Rule 485
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60 days after filing pursuant to paragraph (a)(1) of Rule 485
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on (date) pursuant to paragraph (a)(1) of Rule 485
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If appropriate, check the following:
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this post-effective amendment designates a new effective date for a previously filed post-effective amendment.
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Approximate Date of the Proposed Public Offering: May 1, 2024
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Titles of Securities Being Registered: Individual Flexible Purchase Payment Variable Deferred Annuity Contracts
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THE CONTRACT IS NO LONGER OFFERED FOR
SALE TO NEW INVESTORS.
We continue to administer the in force Contracts.
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FEES AND
EXPENSES
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Prospectus
Location
|
||
Charges for
Early
Withdrawals
|
Your Contract is subject to withdrawal charges that differ depending
on the Contract class
you have (Base Option or Bonus Option).
• Base Option. If you withdraw money from the Contract within 7 years of your
last
Purchase Payment, you will be assessed a withdrawal charge of up to
8.5% of the
Purchase Payment withdrawn, declining to 0% over that time period.
• Bonus Option. If you withdraw money from the Contract within 9 years of
your last
Purchase Payment, you will be assessed a withdrawal charge of up to
8.5% of the
Purchase Payment withdrawn, declining to 0% over that time period.
For example, if you invest $100,000 in the Contract and make an
early withdrawal, you
could pay a withdrawal charge of up to $8,500 if you have a Base Option or Bonus
Option.
|
3. Fee Tables
11. Expenses –
Withdrawal
Charge
|
||
Transaction
Charges
|
In addition to withdrawal charges you may also be charged for other
Contract transactions.
We will charge you a fee of $25 per transfer after you exceed 12
transfers between
Investment Options (the variable investments available to you) in a
Contract Year.
|
3. Fee Tables
11. Expenses –
Transfer Fee
|
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Ongoing Fees
and Expenses
(annual
charges)
|
The table below describes the fees and expenses that you may pay each year, depending
on the options you choose. Please refer to your Contract
specifications page for information
about the specific fees you will pay each year based on the options you
have elected.
These ongoing fees and expenses do not reflect any adviser fees paid
to an investment
adviser from your Contract Value or other assets of the Owner. If
such charges were
reflected, these ongoing fees and expenses would be higher.
|
3. Fee Tables
11. Expenses
Appendix A –
Investment
Options Available
Under the
Contract
|
||
Annual Fee
|
Minimum
|
Maximum
|
||
Base Contract(1)
(varies by Contract class)
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1.42%
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1.92%
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Investment Options(2)
(Investment Option fees and expenses)
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0.48%
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2.01%
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Optional Benefits Available for an Additional
Charge
(for a single optional benefit, if elected)
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0.30%(3)
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2.75%(4)
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(1)
As a percentage of each Investment Option’s average net assets, plus
an amount attributable to the contract
maintenance charge.
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||
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(2)
As a percentage of an Investment Option’s average daily net assets.
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(3)
As a percentage of each Investment Option’s average net assets. This
is the lowest current charge for an
optional benefit (the Maximum Anniversary Death Benefit).
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(4)
As a percentage of the Benefit Base. This is the highest current
charge for an optional benefit (Income
Protector – joint payments).
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FEES AND
EXPENSES
|
Prospectus
Location
|
||
|
Because your Contract is customizable, the choices you make affect
how much you will
pay. To help you understand the cost of owning your Contract, the
following table shows the
lowest and highest cost you could pay each year, based on current
charges. This estimate
assumes that you do not take withdrawals from the Contract, which could add withdrawal
charges that substantially increase costs.
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Lowest Annual Cost
$1,731
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Highest Annual Cost
$6,262
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Assumes:
•Investment of $100,000
•5% annual appreciation
•Least expensive combination of Contract
classes and Investment Option fees and
expenses
•No optional benefits
•No bonuses
•No additional Purchase Payments,
transfers, or withdrawals
•No adviser fees
|
Assumes:
•Investment of $100,000
•5% annual appreciation
•Most expensive combination of Contract
classes, optional benefits, and
Investment Option fees and expenses
•No bonuses
•No additional Purchase Payments,
transfers, or withdrawals
•No adviser fees
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RISKS
|
|
||
Risk of Loss
|
You can lose money by investing in the Contract, including loss of
principal.
|
4. Principal Risks
|
||
Not a
Short-Term
Investment
|
• This Contract is not a short-term investment and is not
appropriate if you need ready
access to cash.
• If you take a full or partial withdrawal within seven years after
we receive a Purchase
Payment if you have the Base Option Contract, or within nine years
for a Bonus Option
Contract, withdrawal charges will apply. A withdrawal charge will
reduce your Contract
Value or the amount of money that you actually receive. Withdrawals
under any Contract
may reduce or end Contract guarantees.
• Withdrawals are subject to income taxes, and may also be subject
to a 10% additional
federal tax for amounts withdrawn before age 59 1∕2.
• Considering the benefits of tax deferral, long-term income, and
living benefit guarantees
the Contract is generally more beneficial to investors with a long
investment time horizon.
|
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Risks
Associated
with
Investment
Options
|
• An investment in the Contract is subject to the risk of poor
investment performance and
can vary depending on the performance of the Investment Options
available under the
Contract.
• Each Investment Option has its own unique risks.
• You should review the Investment Options prospectus and
disclosures, including risk
factors, before making an investment decision.
|
|
||
Insurance
Company
Risks
|
An investment in the Contract is subject to the risks related to us.
All obligations,
guarantees or benefits of the Contract are the obligations of
Allianz Life of New York and
are subject to our claims-paying ability and financial strength.
More information about
Allianz Life of New York, including our financial strength ratings,
is available upon request
by visiting www.allianzlife.com/new-york/about/why-allianz, or
contacting us at (800)
624-0197.
|
|
|
RESTRICTIONS
|
Prospectus
Location
|
||
Investments
|
• Certain Investment Options may not be available under your
Contract.
• We currently allow you to invest in no more than 15 Investment
Options at any one time.
We may change this maximum in the future, but it will not be less
than 5 Investment
Options.
• The first 12 transfers between Investment Options every Contract
Year are free. After
that, we deduct a $25 transfer fee for each additional transfer.
Your transfers between the
Investment Options are also subject to policies designed to deter
excessively frequent
transfers and market timing. These transfer restrictions do not
apply to the Contract's
automatic transfer programs.
• We reserve the right to remove or substitute Investment Options.
|
9. Investment
Options
Appendix A –
Investment
Options Available
Under the
Contract
|
||
Optional
Benefits
|
• Optional benefits may further limit or restrict the Investment
Options that you may select
under the Contract. We may change these restrictions in the future.
• Optional benefits may be modified or terminated under certain
circumstances.
• Withdrawals that exceed limits specified by the terms of an
optional benefit may affect the
availability of the benefit by reducing the benefit by an amount
greater than the value
withdrawn and could end the benefit. Withdrawals that reduce both
the Contract Value
and the guaranteed value (either the Traditional Death Benefit
Value if you have the
Traditional Death Benefit, or the Maximum Anniversary Value if you
have the Maximum
Anniversary Death Benefit) to zero will end your selected death
benefit.
• For Bonus Option Contracts bonuses are included in Contract Value
and in the calculation
of death and living benefits, except that bonus amounts are not
considered part of
Purchase Payments when calculating benefits.
• If a Contract Owner elects to pay adviser fees from Contract
Value, such deductions may
reduce the selected death benefit (either the standard Traditional
Death Benefit, or
optional Maximum Anniversary Death Benefit), or other guaranteed
benefits, as
applicable, are subject to income taxes, and may also be subject to
a 10% additional
federal tax for amounts withdrawn before age 59 1∕2.
|
14. Benefits
Available Under
the Contract
Appendix B –
Investment
Restrictions for
Optional Benefits
|
||
|
TAXES
|
|
||
Tax
Implications
|
• Consult with a tax professional to determine the tax implications
of an investment in and
withdrawals from or payments received under the Contract.
• If you purchased the Contract through a tax-qualified plan or
individual retirement account
(IRA), you do not get any additional tax benefit under the
Contract.
• Generally, earnings under a Non-Qualified Contract are taxed at
ordinary income rates
when withdrawn, and may also be subject to a 10% additional federal
tax for amounts
withdrawn before age 59 1∕2.
• Generally, distributions from Qualified Contracts are taxed at
ordinary income tax rates
when withdrawn, and may also be subject to a 10% additional federal
tax for amounts
withdrawn before age 59 1∕2.
|
18. Taxes
|
||
|
CONFLICTS OF
INTEREST
|
|
||
Investment
Professional
Compensation
|
Your Financial Professional may receive compensation for selling
this Contract to you, in
the form of commissions, additional cash benefits (e.g., cash
bonuses), and non-cash
compensation. We and/or our wholly owned subsidiary distributor may
also make marketing
support payments to certain selling firms for marketing services and
costs associated with
Contract sales. This conflict of interest may influence your
Financial Professional to
recommend this Contract over another investment for which the
Financial Professional is
not compensated or compensated less.
|
19. Other
Information –
Distribution
|
||
Exchanges
|
Some Financial Professionals may have a financial incentive to offer
you a new contract in
place of the one you already own. You should only exchange your
Contract if you
determine, after comparing the features, fees and risks of both
contracts, that it is better for
you to purchase the new contract rather than continue to own your
existing Contract.
|
|
Number of Complete
Years Since
Purchase Payment
|
Withdrawal Charge Amount
|
|
Base Option
|
Bonus Option
|
|
0
|
8.5%
|
8.5%
|
1
|
8.5%
|
8.5%
|
2
|
7.5%
|
8.5%
|
3
|
6.5%
|
8%
|
4
|
5%
|
7%
|
5
|
4%
|
6%
|
6
|
3%
|
5%
|
7
|
0%
|
4%
|
8
|
0%
|
3%
|
9 years or more
|
0%
|
0%
|
Exchange Fee (or transfer fee)
|
$25
|
(for each transfer after twelve in a Contract Year)
|
|
Administrative Expenses (or contract maintenance charge)(1)
(per year)
|
$50
|
Base Contract Expenses (or M&E charge)
(as a percentage of each Investment Option’s average net assets)(2)
|
|
Base Option
|
1.40%
|
Bonus Option
|
1.90%
|
Optional Benefit Expenses
|
|
Optional Death Benefit
|
|
Maximum Anniversary Death Benefit
(as a percentage of each Investment Option’s average net assets)(2)
|
0.30%
|
Optional Living Benefits
|
|
Income Protector(3)
(as a percentage of the Benefit Base)
|
single payments – 2.50%
joint payments – 2.75%
|
Income Focus(3)
(as a percentage of the Total Income Value)
|
single payments – 2.75%
joint payments – 2.95%
|
Investment Protector(3)
(as a percentage of the Target Value)
|
2.50%
|
|
Minimum
|
Maximum
|
(expenses that are deducted from Investment Option assets, including management fees,
distribution and/or
service (12b-1) fees, and other expenses)
|
0.48%
|
2.01%
|
Base Option
|
1 Year
|
3 Years
|
5 Years
|
10 Years
|
Maximum Investment Option expense
|
$14,118
|
$26,633
|
$38,503
|
$71,246
|
Minimum Investment Option expense
|
$12,483
|
$21,945
|
$30,007
|
$51,298
|
Bonus Option
|
1 Year
|
3 Years
|
5 Years
|
10 Years
|
Maximum Investment Option expense
|
$14,838
|
$29,973
|
$44,259
|
$78,413
|
Minimum Investment Option expense
|
$13,246
|
$24,735
|
$34,846
|
$56,993
|
Base Option
|
1 Year
|
3 Years
|
5 Years
|
10 Years
|
Maximum Investment Option expense
|
N/A*
|
$19,983
|
$34,053
|
$71,196
|
Minimum Investment Option expense
|
N/A*
|
$15,345
|
$25,557
|
$51,248
|
Bonus Option
|
1 Year
|
3 Years
|
5 Years
|
10 Years
|
Maximum Investment Option expense
|
N/A*
|
$22,493
|
$38,049
|
$78,363
|
Minimum Investment Option expense
|
N/A*
|
$17,255
|
$28,686
|
$56,993
|
Base Option
|
1 Year
|
3 Years
|
5 Years
|
10 Years
|
Maximum Investment Option expense
|
$6,638
|
$20,033
|
$34,103
|
$71,246
|
Minimum Investment Option expense
|
$5,003
|
$15,345
|
$25,607
|
$51,298
|
Bonus Option
|
1 Year
|
3 Years
|
5 Years
|
10 Years
|
Maximum Investment Option expense
|
$7,358
|
$22,493
|
$38,099
|
$78,413
|
Minimum Investment Option expense
|
$5,766
|
$17,255
|
$28,686
|
$56,993
|
The Contract is no longer offered for sale, but we
continue to accept additional Purchase Payments subject to the
limitations described in this prospectus.
|
Optional Benefit
|
Benefit Version Identifier
|
Available From
|
Available Through
|
Maximum Anniversary Death Benefit:
|
N/A
|
April 29, 2013
|
February 28, 2021
|
Income Protector:
|
|
|
|
|
(10.12)
|
April 29, 2013
|
April 24, 2015
|
|
(04.15, 04.16)
|
April 27, 2015
|
May 2, 2016
|
|
(05.16, 06.16)
|
May 3, 2016
|
July 4, 2016
|
|
(07.16, 08.16)
|
July 5, 2016
|
September 5, 2016
|
|
(09.16, 10.16, 11.16)
|
September 6, 2016
|
December 5, 2016
|
|
(12.16)
|
December 6, 2017
|
January 2, 2017
|
|
(01.17, 02.17)
|
January 3, 2017
|
March 6, 2017
|
|
(03.17, 04.17, 05.17, 06.17, 07.17, 08.17, 09.17, 10.17,
11.17)
|
March 7, 2017
|
December 4, 2017
|
|
(12.17, 01.18, 02.18)
|
December 5, 2017
|
March 5, 2018
|
|
(03.18, 04.18, 05.18, 06.18, 07.18)
|
March 6, 2018
|
August 6, 2018
|
|
(08.18, 09.18, 10.18)
|
August 7, 2018
|
November 5, 2018
|
|
(11.18, 12.18, 01.19, 02.19, 03.19, 04.19v1, 04.19v2)
|
November 6, 2018
|
May 6, 2019
|
|
(05.19, 06.19)
|
May 7, 2019
|
July 1, 2019
|
|
(07.19, 08.19)
|
July 2, 2019
|
September 3, 2019
|
|
(09.19, 10.19, 11.19, 12.19, 01.20, 02.20, 03.20)
|
September 4, 2019
|
April 6, 2020
|
|
(04.20v1, 04.20v2, 05.20, 06.20, 07.20, 08.20v1, 08.20v2)
|
April 7, 2020
|
September 7, 2020
|
|
(09.20, 10.20, 11.20, 12.20, 01.21, 02.21)
|
September 8, 2020
|
February 28, 2021
|
Income Focus
|
N/A
|
April 29, 2013
|
April 24, 2015
|
Investment Protector:
|
|
|
|
|
(07.13, 04.15, 04.16, 05.16, 06.16, 07.16, 08.16, 09.16,
10.16)
|
July 22, 2013
|
October 16, 2016
|
|
(07.12)
|
April 29, 2013
|
July 19, 2013
|
UPON THE DEATH OF A SOLE OWNER
|
|
Action if the Contract is in the Accumulation Phase
|
Action if the Contract is in the Annuity Phase
|
• We pay a death benefit to the Beneficiary unless the
Beneficiary is the surviving spouse and continues the Contract.
If you selected Investment Protector, this benefit ends unless
the Contract is continued by a surviving spouse. If you selected
Income Protector or Income Focus, this benefit and any
guaranteed lifetime payments end unless the Contract is
continued by a surviving spouse who is also both a Beneficiary
and Covered Person.
• The death benefit is the greater of the Contract Value or the
guaranteed death benefit value. The guaranteed death benefit
value is the Traditional Death Benefit Value under the
Traditional Death Benefit, or the Maximum Anniversary Value
under the Maximum Anniversary Death Benefit.
• If the deceased Owner was a Determining Life and the
surviving spouse Beneficiary continues the Contract:
– we increase the Contract Value to equal the guaranteed
death benefit value if greater and available, and the death
benefit ends,
– the surviving spouse becomes the new Owner,
– the Accumulation Phase continues, and
– upon the surviving spouse’s death, his or her
Beneficiary(s) receives the Contract Value.
• If the deceased Owner was not the Determining Life the
Traditional Death Benefit or Maximum Anniversary Death
Benefit are not available.
|
• The Beneficiary becomes the Payee. If we are still required to
make Annuity Payments under the selected Annuity Option, the
Beneficiary also becomes the new Owner.
• If the deceased was not an Annuitant, Annuity Payments to the
Payee continue. No death benefit is payable.
• If the deceased was the only surviving Annuitant, Annuity
Payments end or continue as follows.
– Annuity Option 1 or 3, payments end.
– Annuity Option 2 or 4, payments end when the
guaranteed period ends.
– Annuity Option 5, payments end and the Payee may
receive a lump sum refund.
• If the deceased was an Annuitant and there is a surviving joint
Annuitant, Annuity Payments to the Payee continue during the
lifetime of the surviving joint Annuitant. No death benefit is
payable.
• For a Qualified Contract, the Annuity Payments must end ten
years after the Owner’s death.
|
FOR JOINTLY OWNED CONTRACTS: The sole primary Beneficiary is the surviving Joint Owner regardless of any
other named primary Beneficiaries. If both Joint Owners die
simultaneously as defined by applicable state law or
regulation, we pay the death benefit to the named surviving primary
Beneficiaries. If there are no named surviving
primary Beneficiaries, we pay the death benefit to the named surviving
contingent Beneficiaries, or to the estate of the
Joint Owner who died last if there are no named surviving contingent
Beneficiaries.
|
|
• For Joint Owners that selected single lifetime payments: If you are no
longer spouses on the date of an Owner’s
death and the Contract Value is positive, we pay any applicable death
benefit to the Beneficiary(s) and the benefit and
any lifetime payments end. This means Lifetime Plus Payments or Income Focus Payments are no longer available
even if a Covered Person is still
alive.
|
• We cannot restrict assignments and an assignment does not change the Determining Life (Lives). The
Traditional Death Benefit and Maximum Anniversary Death Benefit are only
available on the death of a Determining
Life. If you assign the Contract and the Determining Life (Lives) are no
longer an Owner (or Annuitant if the Owner
is a non-individual) the Traditional Death Benefit or Maximum
Anniversary Death Benefit may not be available and
your Beneficiary(s) will only receive the Contract Value.
|
• We cannot restrict assignments and an assignment does not change the Covered Person(s) for Contracts with
Income Protector or Income Focus. Following an assignment or change of ownership/Annuitant/Beneficiary, if a
Covered Person who was previously an Owner or Annuitant no longer has
that position, the benefit and any lifetime
payments end based on the earlier of the date of death of an individual
Owner (or Annuitant if the Owner is a
non-individual) or last surviving Covered Person. However, if the
deceased’s spouse continues the Contract, the
benefit and lifetime payments continue until the earlier of the date of
death of the surviving spouse or last surviving
Covered Person. This means that Lifetime Plus Payments or Income Focus Payments may end even if the Covered
Person is still alive.
|
The Contract is no longer offered for sale, but we
continue to accept additional Purchase Payments subject to the
limitations described in this prospectus.
|
AIP is not available if you have a Qualified Contract
that is funding a plan that is tax qualified under Section 401
of the Internal Revenue Code.
|
• For Contracts with Income Protector or Investment Protector, quarterly rebalancing transfers under these
benefits do not move Contract Value allocated to the DCA program into or
out of the AZL Government Money
Market Fund.
|
• This program is not available if you have Income Focus.
|
This Contract is not designed for professional market timing
organizations, or other persons using programmed, large, or
frequent transfers, and we may restrict excessive or inappropriate
transfer activity.
|
This program is not available if you have Income Protector, Income
Focus, or Investment Protector.
|
|
Mortality and Expense Risk (M&E) Charge
(as a percentage of each
Investment Option’s average net assets)
|
Base Option
|
1.40
%
|
Bonus Option
|
1.90
%
|
Income Protector
(Version Identifier)
|
Available Dates
|
Rider Charge ( as
a percentage of the Benefit Base)
|
||||
Minimum
|
Maximum
|
Current(1)
|
||||
Single
and Joint
Payment
|
Single
Payment
|
Joint
Payment
|
Single
Payment
|
Joint
Payment
|
||
(01.17 through 02.21)
|
1/3/2017 – 2/28/2021
|
0.50%
|
2.50%
|
2.75%
|
1.40%
|
1.40%
|
(04.15 through 12.16)
|
4/27/2015 – 1/2/2017
|
0.50%
|
2.50%
|
2.75%
|
1.30%
|
1.30%
|
(10.12)
|
4/29/2013 – 4/24/2015
|
0.50%
|
2.50%
|
2.75%
|
1.10%
|
1.10%
|
Income Focus
|
Available Dates
|
Rider Charge (as a
percentage of the Total Income Value)
|
||||
Minimum
|
Maximum
|
Current(1)
|
||||
Single
and Joint
Payment
|
Single
Payment
|
Joint
Payment
|
Single
Payment
|
Joint
Payment
|
||
|
4/29/2013 – 4/24/2015
|
0.50%
|
2.75%
|
2.95%
|
1.30%
|
1.30%
|
Investment Protector (Version Identifier)
|
Available Dates
|
|
Rider Charge
(as a percentage of the Target Value)
|
||
Maximum
|
Minimum
|
Current(1)
|
|||
(07.13 through 10.16)
|
7/22/2013 – 10/16/2016
|
|
2.50%
|
0.35%
|
1.30%
|
(07.12)
|
4/29/2013 – 7/19/2013
|
|
2.50%
|
0.35%
|
1.20%
|
If Income Protector ends before the Benefit Date due to the death of a
Covered Person or Owner (or Annuitant if the
Owner is a non-individual), we refund any rider charges accrued and
deducted after the date of death. If Income Protector
ends after the Benefit Date due to the death of a Covered Person or
Owner (or Annuitant if the Owner is a non-individual),
we will not refund rider charges accrued and deducted after the date of
death.
|
Number of Complete
Years Since
Purchase Payment
|
Withdrawal Charge Amount
|
|
Base Contract
|
Bonus Option
|
|
0
|
8.5%
|
8.5%
|
1
|
8.5%
|
8.5%
|
2
|
7.5%
|
8.5%
|
3
|
6.5%
|
8%
|
4
|
5%
|
7%
|
5
|
4%
|
6%
|
6
|
3%
|
5%
|
7
|
0%
|
4%
|
8
|
0%
|
3%
|
9 years or more
|
0%
|
0%
|
|
• We do not reduce the Withdrawal Charge Basis for the deduction of Contract fees and expenses other than the
withdrawal charge. This means that upon a full
withdrawal, if your Contract Value is less than your
remaining Purchase Payments that are still subject to a
withdrawal charge we will assess a withdrawal charge
on more than the amount withdrawn. This can occur
because your Contract Value was reduced for:
|
– deductions of Contract fees and expenses other than the withdrawal charge, and/or
|
– poor performance.
|
This also means that upon a full
withdrawal you may not receive any money.
|
• Withdrawals are subject to ordinary income taxes, and may also be subject to a 10% additional federal tax for
amounts withdrawn before age 59 1∕2. For tax purposes, and in most instances, withdrawals from Non-
Qualified Contracts are considered to come from the
earnings first, not Purchase Payments.
|
• Withdrawals are subject to a withdrawal charge, income taxes, and may also be subject to a 10% additional
federal tax for amounts withdrawn before age 59 1∕2. Certain restrictions may apply to any withdrawal you
take.
|
• Joint Owners: We send one check payable to both Joint Owners and we tax
report to each Joint Owner individually.
Tax reporting each Joint Owner
individually can create a discrepancy in taxation if only one Joint Owner is under
age 59 1∕2 because that Joint Owner may be subject to the 10% additional federal tax.
|
• We may be required to provide information about you or your Contract to government regulators. We may also be
required to stop Contract disbursements and thereby refuse any transfer
requests, and refuse to pay any withdrawals,
surrenders, or death benefits until we receive instructions from the
appropriate regulator. If, pursuant to SEC rules,
the AZL Government Money Market Fund suspends payment of redemption
proceeds in connection with a fund
liquidation, we will delay payment of any transfer, partial withdrawal,
surrender, or death benefit from the AZL
Government Money Market Fund subaccount until the fund is liquidated.
|
• For Contracts with Investment Protector: The Target Value is only guaranteed to be available on each Target
Value Date. Beginning on the next Business Day, your
Contract Value fluctuates based on your selected
Investment Options’ performance, and this is the value
available to you upon withdrawal. We notify you in
writing at least 30 days in advance of your initial
Target Value Date to allow you to decide if you want to take
a withdrawal and/or continue your Contract until the
next Target Value Date.
|
The free withdrawal privilege is not available upon a
full withdrawal, or while you are receiving Lifetime Plus
Payments or Income Focus Payments.
|
• During the withdrawal charge period, systematic withdrawals in excess of the free withdrawal privilege are
subject to a withdrawal charge, ordinary income taxes,
and may also be subject to a 10% additional federal
tax for amounts withdrawn before age 59 1∕2.
|
• The systematic withdrawal program is not available while you are receiving required minimum distribution
payments , Lifetime Plus Payments, or Income Focus
Payments.
|
The minimum distribution program is not available
while you are receiving systematic withdrawals, or if you
have a Qualified Contract purchased through a
qualified plan.
|
• If you do not choose an Annuity Option before the Annuity Date, we make Annuity Payments to the Payee
under Annuity Option 2 with ten years of guaranteed
monthly payments.
|
• For Owners younger than age 59 1∕2, Annuity
Payments may be subject to a 10% additional federal tax.
|
• For a Qualified Contract, the Annuity Payments must end ten years after the Owner’s death.
|
• If on the Annuity Date your Contract Value is greater than zero, you must annuitize the Contract. We notify
you of your available options in writing 60 days in advance, including
the option to extend your Annuity Date if
available. If on your Annuity Date you have not selected an Annuity Option, we make payments under Annuity
Option 2 with ten years of guaranteed
monthly payments. Upon annuitization you no longer have Contract Value or
a death benefit, and you cannot receive any other periodic withdrawals
or payments other than Annuity Payments.
|
• For Contracts with Income Protector or Income Focus: If on the Annuity
Date your Contract Value is greater than
zero, you are receiving Lifetime Plus Payments or Income Focus Payments,
and we require you to annuitize the
Contract, we make the following guarantee if you take Annuity Payments
under Annuity Option 1 or 3.
|
For single Lifetime Plus Payments or Income Focus Payments, if you
choose Annuity Option 1 (Life Annuity) where
the sole Annuitant is the sole Covered Person, then your Annuity
Payments equals the greater of:
|
– annual Annuity Payments under Annuity Option 1 based on the Contract Value; or
|
– the current annual maximum Lifetime Plus Payment or Income Focus Payment available to you.
|
For joint Lifetime Plus Payments or Income Focus Payments, if you
choose Annuity Option 3 (Joint and Last Survivor
Annuity) with Annuity Payments to continue at a level of 100% to the
surviving joint Annuitant, and both joint
Annuitants are the joint Covered Persons, then your Annuity Payments
equals the greater of:
|
– annual Annuity Payments under Annuity Option 3 based on the Contract Value; or
|
– the current annual maximum Lifetime Plus Payment or Income Focus Payment available to you.
|
However, if you select any other Annuity Option, this guarantee does not
apply.
|
If you have a Non-Qualified Contract, these Annuity Payments will
receive the benefit of the exclusion ratio, which
causes a portion of each Annuity Payment to be non-taxable as described
in section 18, Taxes – Taxation of Annuity
Contracts.
|
Standard Benefits (No Additional Charge)
|
||
Name of Benefit
|
Purpose
|
Brief Description of
Restrictions/Limitations
|
Free Withdrawal
Privilege
|
Allows you to withdraw up to 12% of your total
Purchase Payments each Contract Year without
incurring a withdrawal charge.
|
• Only available during the Accumulation Phase.
• Not available upon full withdrawal.
• Not available while you are receiving Lifetime Plus
Payments or Income Focus Payments.
• Unused free withdrawal amounts not available in
future years.
• Program withdrawals are subject to income taxes,
and may also be subject to a 10% additional
federal tax for amounts withdrawn before age
59 1∕2.
|
Automatic
Investment Plan
(AIP)
|
Allows you to make automatic Purchase Payments
by electronic money transfer from your savings,
checking, or brokerage account.
|
• Only available during the Accumulation Phase.
• Not available to certain Qualified Contracts.
• Payments must be on a monthly or quarterly basis.
• Subject to applicable Purchase Payment
restrictions.
• We reserve the right to discontinue or modify.
|
Dollar Cost
Averaging (DCA)
Program
|
Allows you to make automatic transfers from the
money market Investment Option to your selected
Investment Options over a 6- or 12-month term.
|
• Only available during the Accumulation Phase.
• Not available if you are receiving Lifetime Plus
Payments.
• Not available to Contracts with Income Focus.
• Must allocate at least $1,500 to the AZL
Government Money Market Fund to enroll.
• Program transfers only on a monthly basis.
• Program transfers do not count against transfer
limitations.
• We reserve the right to discontinue or modify.
|
Flexible
Rebalancing
Program
|
Provides for automatic, periodic transfers among the
Investment Options to help you maintain your
selected allocation percentages among the
Investment Options.
|
• Only available during the Accumulation Phase.
• Not available to Contracts with Income Protector,
Income Focus, or Investment Protector.
• Rebalancing may be on a quarterly, semi-annual,
or annual basis only.
• Program transfers do not count against transfer
limitations.
• We reserve the right to discontinue or modify.
|
Systematic
Withdrawal
Program
|
Allows you to take automatic withdrawals from your
Contract.
|
• Only available during the Accumulation Phase.
• Not available if you are participating in minimum
distribution program or receiving Lifetime Plus
Payments or Income Focus Payments.
• Minimum $100 withdrawal required.
• Program withdrawals may be monthly, quarterly,
semi-annual or annual, unless you have less than
$25,000 in Contract Value, in which case only
annual withdrawals are available.
• Program withdrawals count against free withdrawal
privilege.
• Program withdrawals are subject to withdrawal
charges, income taxes, and may also be subject to
a 10% additional federal tax for amounts
withdrawn before age 59 1∕2.
• We reserve the right to discontinue or modify.
|
Standard Benefits (No Additional Charge)
|
||
Name of Benefit
|
Purpose
|
Brief Description of
Restrictions/Limitations
|
Minimum
Distribution
Program
|
Allows you to automatically take withdrawals to
satisfy the minimum distribution requirements
imposed by the Internal Revenue Code for a
Qualified Contract.
|
• Only available during the Accumulation Phase.
• Only available to IRA or SEP IRA Contracts.
• Not available if you are participating in systematic
withdrawal program.
• Program withdrawals may be monthly, quarterly,
semi-annual or annual, unless you have less than
$25,000 in Contract Value, in which case only
annual withdrawals are available.
• Program withdrawals count against free withdrawal
privilege.
• Program withdrawals are not subject to withdrawal
charges, but are subject to income taxes.
• We reserve the right to discontinue or modify
subject to the requirements of law.
|
Financial Adviser
Fees
|
If you have a financial adviser and want to pay their
financial adviser fees from this Contract, you can
instruct us to withdraw the fee from your Contract
and pay it to your Financial Professional or Financial
Professional’s firm as instructed.
|
• Only available during the Accumulation Phase.
• Financial adviser fees are in addition to the
Contract’s fees and expenses.
• Deductions for financial adviser fees are treated as
withdrawals under the Contract.
• Program withdrawals count against free withdrawal
privilege.
• Program withdrawals are subject to withdrawal
charges, income taxes, and may also be subject to
a 10% additional federal tax for amounts
withdrawn before age 59 1∕2.
• We reserve the right to discontinue or modify.
|
Waiver of
Withdrawal Charge
Benefit
|
Waives withdrawal charges if you become confined
to a skilled nursing facility or hospital.
|
• Only available during the Accumulation Phase.
• Confinement must begin after the first Contract
Year, be for at least 90 consecutive days, and
requires proof of stay.
• Requires physician certification.
• Not available if any Owner was confined to a
skilled nursing facility or hospital on the Issue
Date.
• Program withdrawals count against free withdrawal
privilege.
• Program withdrawals are not subject to withdrawal
charges, but are subject to income taxes, and may
also be subject to a 10% additional federal tax for
amounts withdrawn before age 59 1∕2.
• State variations apply.
|
Traditional Death
Benefit
|
Provides a death benefit equal to the greater of
Contract Value or Traditional Death Benefit Value.
|
• Only available during the Accumulation Phase.
• Withdrawals may significantly reduce or end the
benefit as indicated in Appendix C.
• Restrictions on Purchase Payments may limit the
benefit.
• This is a first-to-die death benefit that may not be
available if you change the Owner.
• Annuitizing the Contract will end the benefit.
• For Bonus Option Contracts, no bonuses are
included as part of Purchase Payments.
|
Optional Benefits (No Longer Available For
Election)
|
|||
Name of
Benefit
|
Purpose
|
Maximum
Fee
|
Brief Description of
Restrictions/Limitations
|
Maximum
Anniversary
Death
Benefit
|
Provides a death benefit equal to the greater of
Contract Value or the Maximum Anniversary
Value. The benefit is designed to potentially
lock-in quarterly investment gains during the
Accumulation Phase.
See Appendix C for an example of how we
calculate the Maximum Anniversary Value.
|
0.30%
(as a
percentage of
each
Investment
Option’s
average net
assets)
|
• Replaces the Traditional Death Benefit if
elected.
• Only available during the Accumulation Phase.
• Withdrawals may significantly reduce or end
the benefit as indicated in Appendix C.
• Withdrawals reduce the likelihood of lock-ins.
• Required the election of an Additional
Required Benefit. Removing the Additional
Required Benefit may reduce the Quarterly
Value Death Benefit.
• This is a first-to-die death benefit that may not
be available if you change the Owner.
• Cannot be removed from the Contract.
• Annuitization of the Contract will end the
benefit.
• For Bonus Option Contracts, bonus amounts
are not included in benefit values based on
Purchase Payments.
|
Optional Benefits (No Longer Available For
Election)
|
|||
Name of
Benefit
|
Purpose
|
Maximum
Fee
|
Brief Description of
Restrictions/Limitations
|
Income
Protector
|
Guaranteed minimum lifetime withdrawal benefit
providing for guaranteed yearly withdrawals /
payments until the death of the Covered
Person(s) if conditions are satisfied. Also
includes:
• A quarterly lock-in feature (Quarterly
Anniversary Value) and a quarterly simple
interest reset feature (Annual Increase) that
may increase the Benefit Base before the
Benefit Date.
• An automatic annual Lifetime Plus Payment
increase feature that may increase payments
after the Benefit Date.
See Appendix C for an example of how we
calculate the Benefit Base.
|
2.50% for
single
payments
2.75% for
joint
payments
(as a
percentage of
the Benefit
Base)
|
• Only available during the Accumulation Phase.
• Additional Purchase Payments are subject to
further restrictions.
• Investment restrictions limit available
Investment Options.
• Investments will be automatically rebalanced
quarterly.
• Early and Excess Withdrawals may
significantly reduce or end the benefit as
indicated in Appendix C.
• Lifetime Plus Payments are subject to income
taxes, and may also be subject to a 10%
additional federal tax for amounts withdrawn
before age 59 1∕2.
• Lifetime Plus Payments may not begin until
after the relevant Covered Person reaches age
60 and must begin before age 91.
• Availability of joint Income Payments subject to
age restrictions.
• Quarterly Anniversary Value and Annual
Increase features are subject to limitations and
are unavailable after the Benefit Date.
• If you take less than your annual maximum
Lifetime Plus Payment in a Benefit Year, you
are ineligible for potential automatic annual
Lifetime Plus Payment increases. A Benefit
Year is a period of twelve months beginning on
the Benefit Date or any subsequent Benefit
Anniversary.
• After the Benefit Date: no additional Purchase
Payments; no AIP, systematic withdrawal, or
DCA programs; and no free withdrawal
privilege (Lifetime Plus Payments are not
subject to withdrawal charges).
• Annuitization of the Contract will end the
benefit, but you may be able to annuitize your
annual maximum Lifetime Plus Payment.
• For Bonus Option Contracts, bonus amounts
are not included in benefit values based on
Purchase Payments.
|
Optional Benefits (No Longer Available For
Election)
|
|||
Name of
Benefit
|
Purpose
|
Maximum
Fee
|
Brief Description of
Restrictions/Limitations
|
Income
Focus
|
Guaranteed minimum lifetime withdrawal benefit
providing for guaranteed yearly withdrawals /
payments until the death of the Covered
Person(s) if conditions are satisfied.
Also includes a Performance Increase feature
that may increase the benefit before or after the
Benefit Date.
See Appendix C for an example of how we
calculate the Total Income Value.
|
2.75% for
single
payments
2.95% for
joint
payments
(as a
percentage of
the Total
Income Value)
|
• Only available during the Accumulation Phase.
• Additional Purchase Payments are subject to
further restrictions.
• Investment restrictions limit available
Investment Options.
• Investments will be automatically rebalanced
quarterly.
• Early and Excess Withdrawals may
significantly reduce or end the benefit as
indicated in Appendix C.
• Income Focus Payments are subject to income
taxes, and may also be subject to a 10%
additional federal tax for amounts withdrawn
before age 59 1∕2.
• Income Focus Payments may not begin until
the relevant Covered Person reaches age 60
and must begin before age 91.
• Performance Increase feature is subject to
limitations.
• If you take less than your annual maximum
Income Focus Payment in a Benefit Year, you
are ineligible for potential Performance
Increase.
• After the Benefit Date: no additional Purchase
Payments; no AIP or systematic withdrawal
programs; and no free withdrawal privilege
(Income Focus Payments are not subject to
withdrawal charges).
• Annuitization of the Contract will end the
benefit, but you may be able to annuitize your
annual maximum Income Focus Payment.
• For Bonus Option Contracts, bonus amounts
are not included in benefit values based on
Purchase Payments.
|
Optional Benefits (No Longer Available For
Election)
|
|||
Name of
Benefit
|
Purpose
|
Maximum
Fee
|
Brief Description of
Restrictions/Limitations
|
Investment
Protector
|
Guaranteed accumulation benefit providing a
level of protection for your principal and a
percentage of any annual investment gains.
Target Value Dates occur every 5 years after a
10 year waiting period. Includes an initial Target
Value Date reset feature.
See Appendix C for examples of how we
calculate the Rider Anniversary Value we use to
determine the Target Value. See Appendix E for
an example of the application of the Target
Value.
|
2.50%
(as a
percentage of
the Target
Value)
|
• Only available during the Accumulation Phase.
• Additional Purchase Payments are subject to
further restrictions.
• Investment restrictions limit available
Investment Options.
• Investments will be automatically rebalanced
quarterly.
• Withdrawals may significantly reduce or end
the benefit as indicated in Appendix C.
• No guaranteed minimum Contract Value before
the first Target Value Date, or between Target
Value Dates.
• Target Value Dates occur every 5th Rider
Anniversary after the first Target Value Date.
• No benefit on a Target Value Date if Contract
Value is greater than Target Value.
• Initial Target Value Date resets are subject to
limitations and restart the 10-year waiting
period before the first Target Value Date.
• If we increase your current rider charge, you
cannot reject the increase without ending the
benefit.
• Annuitization of the Contract will end the
benefit.
• For Bonus Option Contracts, bonus amounts
are not included in benefit values based on
Purchase Payments.
|
Bonuses on
Purchase
Payments
|
Provides a 6% bonus on Purchase Payments for
Bonus Option Contracts.
|
0.30%
higher M&E
charge
compared to
Base Option
Contract
(as a
percentage
of each
Investment
Option’s
average net
assets)
|
• Only available on the Bonus Option Contract
class.
• Bonuses only available during the
Accumulation Phase.
• Purchase Payment must be received before
age 81.
• Bonuses not considered part of Purchase
Payments for purposes of Contract guarantees
(including, but not limited to, the Traditional
Death Benefit).
• Additional charge for bonus feature built into
higher M&E charge and higher and longer
withdrawal charge schedule compared to Base
Option Contract.
• Higher charges associated with Bonus Option
Contracts may be greater than any benefit
from bonuses.
• Bonus feature cannot be removed from the
Contract.
|
|
• The Traditional Death Benefit is a first-to-die benefit based on the Determining Life (Lives). This means that
upon the death of an Owner (or Annuitant if the Owner is a
non-individual), if a surviving spouse continues the
Contract the Traditional Death Benefit is no longer available. Also, if
you and the Determining Life (Lives) are
different individuals and you die first, the Traditional Death Benefit
is not available to your Beneficiary(s).
|
• For Bonus Option Contracts: Bonus amounts are included in the parts of
the Traditional Death Benefit based on
Contract Value, but do not in the parts of the Traditional Death Benefit
based on Purchase Payments.
|
• For Contracts with Income Focus, Investment Protector, or Income Protector: We restrict additional Purchase
Payments, which limits the Traditional Death Benefit Value. In addition,
each lifetime payment, and Excess
Withdrawal reduces the Traditional Death Benefit Value by the percentage
of Contract Value withdrawn (including
any withdrawal charge). Taking lifetime payments, and Excess Withdrawals may cause the Traditional Benefit
to end.
|
|
• The Maximum Anniversary Death Benefit is a first-to-die benefit based on the Determining Life (Lives). This
means that upon the death of an Owner (or Annuitant if the Owner is a
non-individual), if a surviving spouse
continues the Contract the Maximum Anniversary Death Benefit is no
longer available and we no longer assess the
additional 0.30% M&E charge for this benefit. Also, if you and the
Determining Life (Lives) are different individuals
and you die first, the Maximum Anniversary Death Benefit is not
available to your Beneficiary(s).
|
• For Bonus Option Contracts: The bonus is not included in the parts of the
Maximum Anniversary Death Benefit
based on Purchase Payments.
|
• If you have Income Protector or Income Focus your Contract Value decreases with each lifetime payment, Excess
Withdrawal, and benefit charge deduction. This reduces the likelihood of
locking in investment gains and directly
reduces the Maximum Anniversary Value. Taking lifetime payments, and Excess Withdrawals may cause the
Maximum Anniversary Death Benefit to end.
|
Income Protector
(Version Identifier)
|
Annual Increase
Percentage
used to
calculate the
Annual Increase
|
Number of
Guarantee
Years used to
calculate the
Annual Increase
|
Payment Percentages used to calculate
annual maximum Lifetime Plus Payments
|
|||
(09.20 through 02.21)
available from September
8, 2020 through February
28, 2021
|
4%,
which is 1.00%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
3.50%
4.00%
5.00%
|
60 – 64
65 – 79
80+
|
3.00%
3.50%
4.50%
|
|||
(04.20v1 through 08.20v2)
available from April 7, 2020
through September 7, 2020
|
5%,
which is 1.25%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
3.50%
4.00%
5.00%
|
60 – 64
65 – 79
80+
|
3.00%
3.50%
4.50%
|
|||
(09.19 through 03.20)
available from September
4, 2019 through April 6,
2020
|
6%,
which is 1.50%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.00%
4.50%
5.50%
|
60 – 64
65 – 79
80+
|
3.50%
4.00%
5.00%
|
|||
(07.19 through 08.19)
available from July 2, 2019
through September 3, 2019
|
6%,
which is 1.50%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.50%
5.00%
6.00%
|
60 – 64
65 – 79
80+
|
4.00%
4.50%
5.50%
|
|||
(05.19 through 06.19)
available from May 7, 2019
through July 1, 2019
|
7%,
which is 1.75%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.50%
5.00%
6.00%
|
60 – 64
65 – 79
80+
|
4.00%
4.50%
5.50%
|
|||
(11.18 through 04.19v2)
available from November 6,
2018 through May 6, 2019
|
8%,
which is 2.00%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.50%
5.00%
6.00%
|
60 – 64
65 – 79
80+
|
4.00
4.50%
5.50%
|
Income Protector
(Version Identifier)
|
Annual Increase
Percentage
used to
calculate the
Annual Increase
|
Number of
Guarantee
Years used to
calculate the
Annual Increase
|
Payment Percentages used to calculate
annual maximum Lifetime Plus Payments
|
|||
(08.18 through 10.18)
available from August 7,
2018 through November 5,
2018
|
8%,
which is 2.00%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.25%
4.75%
5.75%
|
60 – 64
65 – 79
80+
|
3.75%
4.25%
5.25%
|
|||
(03.18 through 07.18)
available from March 6,
2018 through August 6,
2018
|
8%,
which is 2.00%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.00%
4.50%
5.50%
|
60 – 64
65 – 79
80+
|
3.50%
4.00%
5.00%
|
|||
(12.17 through 02.18)
available from December 5,
2017 through March 5,
2018
|
7%,
which is 1.75%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.00%
4.50%
5.50%
|
60 – 64
65 – 79
80+
|
3.50%
4.00%
5.00%
|
|||
(03.17 through 11.17)
available from March 7,
2017 through December 4,
2017
|
6%,
which is 1.50%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.00%
4.50%
5.50%
|
60 – 64
65 – 79
80+
|
3.50%
4.00%
5.00%
|
|||
(01.17, 02.17)
available from January 3,
2017 through March 6,
2017
|
5%,
which is 1.25%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.00%
4.50%
5.50%
|
60 – 64
65 – 79
80+
|
3.50%
4.00%
5.00%
|
|||
(12.16)
available from December 6,
2016 through January 2,
2017
|
4%,
which is 1.00%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.00%
4.50%
5.50%
|
60 – 64
65 – 79
80+
|
3.50%
4.00%
5.00%
|
|||
(09.16 through 11.16)
available from September
6, 2016 through December
5, 2016
|
4%,
which is 1.00%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
3.75%
4.25%
5.25%
|
60 – 64
65 – 79
80+
|
3.25%
3.75%
4.75%
|
|||
(07.16, 08.16)
available from July 5, 2016
through September 5, 2016
|
4%,
which is 1.00%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.0%
4.5%
5.5%
|
60 – 64
65 – 79
80+
|
3.5%
4.0%
5.0%
|
|||
(05.16, 06.16)
available from May 3, 2016
through July 4, 2016
|
5%,
which is 1.25%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.0%
4.5%
5.5%
|
60 – 64
65 – 79
80+
|
3.5%
4.0%
5.0%
|
|||
(04.15, 04.16)
available from April 27,
2015 through May 2, 2016
|
6%,
which is 1.5%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.0%
4.5%
5.5%
|
60 – 64
65 – 79
80+
|
3.5%
4.0%
5.0%
|
Income Protector
(Version Identifier)
|
Annual Increase
Percentage
used to
calculate the
Annual Increase
|
Number of
Guarantee
Years used to
calculate the
Annual Increase
|
Payment Percentages used to calculate
annual maximum Lifetime Plus Payments
|
|||
(10.12)
available from April 29,
2013 through April 24, 2015
|
6%,
which is 1.5%
applied quarterly
|
30
|
Covered Person’s age for single
Lifetime Plus Payments
|
Younger Covered Person’s age for
joint Lifetime Plus Payments
|
||
60 – 64
65 – 79
80+
|
4.0%
4.5%
5.5%
|
60 – 64
65 – 79
80+
|
3.5%
4.0%
5.0%
|
• The minimum exercise age that Lifetime Plus Payments can begin is age 60.
|
• On the Rider Effective Date we established your Contract’s Annual Increase Percentage, Guarantee Years, and
Payment Percentages and we cannot change these values while your benefit
is in effect.
|
a
|
=
|
The Annual Increase.
|
b
|
=
|
The Annual Increase Percentage we set on the Rider Effective Date (which is included in
the Lifetime Plus Payment
Overview earlier in this section) divided by four.
|
c
|
=
|
The Increase Base.
|
d
|
=
|
Purchase Payments* received on or after the prior Quarterly Anniversary. If you selected
this benefit at issue, we
exclude from “d” any Purchase Payments received before the first Quarterly Anniversary.
|
FOR BONUS OPTION CONTRACTS: The bonus is not included in the parts of the Quarterly Anniversary Value,
Annual Increase or Increase Base based on Purchase Payments.
|
• For Qualified Contracts, if we calculate a required minimum distribution
(RMD) based on this Contract, after
making all Lifetime Plus Payments for the calendar year, we determine
whether this calendar year’s total RMD has
been satisfied by these payments and any Excess Withdrawals. If the RMD
amount for this Contract has not been
satisfied, we send you this remaining amount as one RMD payment by the
end of the calendar year. We consider this
payment to be a withdrawal, but it is not an Excess Withdrawal and it is
not subject to a withdrawal charge.
|
• For required annuitization, if on the Annuity Date you are receiving
Lifetime Plus Payments, we guarantee to pay
you the greater of your maximum Lifetime Plus Payment or Annuity
Payments based on the Contract Value under
Annuity Option 1 or Annuity Option 3. If you select any other Annuity
Option, this guarantee does not apply. For
more information, see section 13, The Annuity Phase.
|
• Automatic annual Lifetime Plus Payment increases are not available once the older Covered Person reaches
age 91, or on or after the Business Day your Contract
Value reduces to zero.
|
• If we increased the Contract Value to equal the death benefit due to a spousal continuation of the Contract during the
last Benefit Year, we also subtract the amount of this increase from the
Contract Value on the next Benefit
Anniversary when determining annual payment increases.
|
• An assignment or change of ownership does not change the Covered Person(s). After an assignment or change of
ownership, if a Covered Person who was previously an Owner or Annuitant
no longer has that position, Income
Protector ends on the earlier of the date of death of an individual
Owner (or Annuitant if the Owner is a
non-individual), or last surviving Covered Person. Upon the death of an
individual Owner (or Annuitant if the Owner
is a non-individual), if the deceased’s spouse is a sole Beneficiary and
continues the Contract, Income Protector ends
on the earlier of the date of death of the surviving spouse or last
surviving Covered Person. If a surviving spouse
instead elects to receive payment of the death benefit, Income Protector
ends on the Business Day we receive his or
her Valid Claim. This means that Lifetime Plus Payments may end even if a Covered Person is still alive.
|
|
• The bonus may be more than offset by the Bonus Option’s higher M&E charge and withdrawal charge, especially
during periods of poor Investment Option performance.
|
• The IRS has not reviewed the Contract for qualification as an IRA and has not issued a ruling as to whether a bonus
benefit complies with IRA requirements.
|
Type of Contract
|
Persons and Entities that can own the Contract
|
IRA
|
Must have the same individual as Owner and Annuitant.
|
Roth IRA
|
Must have the same individual as Owner and Annuitant.
|
SEP IRA
|
Must have the same individual as Owner and Annuitant.
|
Certain Code Section 401 Plans
|
A qualified retirement plan is the Owner and the Annuitant must be an individual who is a
participant in the plan. If the qualified retirement plan is a defined benefit plan, the
individual must
be the only participant in the plan.
|
|
2021
|
2022
|
2023
|
Commission paid
|
$ 4,021,062.21
|
$ 3,184,063.30
|
$ 2,776,423.70
|
Investment Objectives
|
Investment Option and
Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of December 31, 2023)
|
||
1 Year
|
5 Years
|
10 Years
|
|||
Long-term capital appreciation with
preservation of capital as an
important consideration
|
AZL®
Balanced Index
Strategy Fund
Adviser: Allianz Investment
Management LLC
|
0.69%
|
13.21%
|
6.84%
|
5.33%
|
Long-term capital appreciation
|
AZL®
DFA Multi-Strategy
Fund
Adviser: Allianz Investment
Management LLC
|
0.86%
|
13.22%
|
8.04%
|
6.09%
|
Exceed total return of the
Bloomberg Capital U.S. Aggregate
Bond Index
|
AZL®
Enhanced Bond Index
Fund
Adviser: Allianz Investment
Management LLC
Subadviser: BlackRock
Financial Management, Inc.
|
0.66%
|
5.39%
|
0.78%
|
1.41%
|
High level of current income while
maintaining prospects for capital
appreciation
|
AZL®
Fidelity Institutional
Asset Management®
Multi-Strategy Fund – Class
2(1)
Adviser: Allianz Investment
Management LLC
Subadviser: FIAM®
LLC
|
0.71%
|
13.87%
|
7.65%
|
4.93%
|
High level of current income
|
AZL®
Fidelity Institutional
Asset Management®
Total
Bond Fund – Class 2
Adviser: Allianz Investment
Management LLC
Subadviser: FIAM®
LLC
|
0.84%
|
6.68%
|
2.16%
|
2.36%
|
Current income consistent with
stability of principal
|
AZL®
Government Money
Market Fund(1)
Adviser: Allianz Investment
Management LLC
Subadviser: BlackRock
Advisors, LLC
|
0.87%
|
4.28%
|
1.32%
|
0.77%
|
Investment Objectives
|
Investment Option and
Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of December 31, 2023)
|
||
1 Year
|
5 Years
|
10 Years
|
|||
Seeks to match the performance of
the MSCI EAFE® Index as closely
as possible
|
AZL®
International Index
Fund – Class 2
Adviser: Allianz Investment
Management LLC
Subadviser: BlackRock
Investment Management, LLC
|
0.71%
|
17.33%
|
7.66%
|
3.72%
|
Seeks to match the performance of
the Standard & Poor’s MidCap 400®
Index as closely as possible
|
AZL®
Mid Cap Index Fund –
Class 2
Adviser: Allianz Investment
Management LLC
Subadviser: BlackRock
Investment Management, LLC
|
0.57%
|
15.88%
|
12.19%
|
8.78%
|
Long-term capital appreciation
|
AZL®
Moderate Index
Strategy Fund(1)
Adviser: Allianz Investment
Management LLC
|
0.68%
|
14.82%
|
7.95%
|
6.14%
|
Seeks to match the performance of
the MSCI World Index as closely as
possible
|
AZL®
MSCI Global Equity
Index Fund – Class 2(1)
Adviser: Allianz Investment
Management LLC
Subadviser: BlackRock
Investment Management, LLC
|
0.65%
|
23.37%
|
12.41%
|
5.06%
|
Long-term capital appreciation with
preservation of capital as an
important consideration
|
AZL®
MVP Balanced Index
Strategy Fund(2)
Adviser: Allianz Investment
Management LLC
|
0.70%
|
12.85%
|
5.55%
|
4.64%
|
Long-term capital appreciation
|
AZL®
MVP DFA
Multi-Strategy Fund(1,2)
Adviser: Allianz Investment
Management LLC
|
0.87%
|
13.69%
|
6.52%
|
4.78%
|
High level of current income while
maintaining prospects for capital
appreciation
|
AZL®
MVP Fidelity
Institutional Asset
Management®
Multi-Strategy
Fund(2)
Adviser: Allianz Investment
Management LLC
|
0.87%
|
12.63%
|
6.08%
|
3.50%
|
Long-term capital appreciation with
preservation of capital as an
important consideration
|
AZL®
MVP Global Balanced
Index Strategy Fund(2)
Adviser: Allianz Investment
Management LLC
|
0.76%
|
13.85%
|
5.27%
|
3.50%
|
Long-term capital appreciation
|
AZL®
MVP Growth Index
Strategy Fund(2)
Adviser: Allianz Investment
Management LLC
|
0.68%
|
16.81%
|
7.82%
|
5.95%
|
Investment Objectives
|
Investment Option and
Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of December 31, 2023)
|
||
1 Year
|
5 Years
|
10 Years
|
|||
Long-term capital appreciation
|
AZL®
MVP Moderate Index
Strategy Fund(2)
Adviser: Allianz Investment
Management LLC
|
0.71%
|
14.59%
|
6.61%
|
5.03%
|
Long term capital appreciation with
preservation of capital as an
important intermediate-term
objective
|
AZL®
MVP T. Rowe Price
Capital Appreciation Plus
Fund(2)
Adviser: Allianz Investment
Management LLC
|
0.88%
|
17.36%
|
9.22%
|
8.11%
|
Seeks to match the total return of
the Russell 1000® Growth Index
|
AZL®
Russell 1000 Growth
Index Fund – Class 2(1)
Adviser: Allianz Investment
Management LLC
Subadviser: BlackRock
Investment Management, LLC
|
0.67%
|
42.69%
|
19.03%
|
14.20%
|
Seeks to match the total return of
the Russell 1000® Value Index
|
AZL®
Russell 1000 Value
Index Fund – Class 2(1)
Adviser: Allianz Investment
Management LLC
Subadviser: BlackRock
Investment Management, LLC
|
0.67%
|
11.56%
|
10.32%
|
7.74%
|
Seeks to match total return of the
S&P 500®
|
AZL®
S&P 500 Index Fund –
Class 2
Adviser: Allianz Investment
Management LLC
Subadviser: BlackRock
Investment Management, LLC
|
0.48%
|
25.68%
|
15.08%
|
11.48%
|
Seeks to match performance of the
S&P SmallCap 600 Index®
|
AZL®
Small Cap Stock Index
Fund – Class 2
Adviser: Allianz Investment
Management LLC
Subadviser: BlackRock
Investment Management, LLC
|
0.58%
|
15.36%
|
10.39%
|
8.06%
|
Long-term capital appreciation with
preservation of capital as an
important intermediate-term
objective
|
AZL®
T. Rowe Price Capital
Appreciation Fund(1)
Adviser: Allianz Investment
Management LLC
Subadviser: T. Rowe Price
Associates, Inc./T. Rowe Price
Investment Management, Inc.
|
1.00%
|
18.47%
|
12.44%
|
10.15%
|
Long-term growth of capital
|
Davis VA Financial
Portfolio(1,3)
Adviser: Davis Selected
Advisers, L.P.
|
0.78%
|
15.29%
|
10.25%
|
8.80%
|
Investment Objectives
|
Investment Option and
Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of December 31, 2023)
|
||
1 Year
|
5 Years
|
10 Years
|
|||
Income
|
Franklin U.S. Government
Securities VIP Fund – Class
2(1,3)
Adviser: Franklin Advisers, Inc.
|
0.77%
|
4.47%
|
0.22%
|
0.73%
|
Maximize total return
|
LVIP JPMorgan Core Bond
Fund – Service Class(1)
Adviser: Lincoln Investment
Advisors Corporation
Subadviser: J.P. Morgan
Investment Management, Inc.
|
0.74%
|
NA
|
NA
|
NA
|
Total return with an emphasis on
current income, but also considering
capital appreciation
|
MFS Total Return Bond
Series – Service Class(1)
Adviser: Massachusetts
Financial Services Company
|
0.78%
|
7.13%
|
1.58%
|
1.96%
|
Total return which exceeds that of its
benchmark
|
PIMCO Balanced Allocation
Portfolio – Admin. Class(1)
Adviser: Pacific Investment
Management Company LLC
|
0.90%
|
15.09%
|
7.21%
|
5.04%
|
Maximum real return consistent with
prudent investment management
|
PIMCO
CommodityRealReturn®
Strategy Portfolio – Admin.
Class(1)
Adviser: Pacific Investment
Management Company LLC
|
1.48%
|
-7.85%
|
8.55%
|
-0.80%
|
Maximum total return, consistent
with preservation of capital and
prudent investment management
|
PIMCO Emerging Markets
Bond Portfolio – Admin.
Class(1,3)
Adviser: Pacific Investment
Management Company LLC
|
1.27%
|
11.14%
|
2.25%
|
2.79%
|
Total return which exceeds that of its
benchmark
|
PIMCO Global Core Bond
(Hedged) Portfolio – Admin.
Class
Adviser: Pacific Investment
Management Company LLC
|
0.87%
|
7.98%
|
1.87%
|
1.45%
|
Maximum total return, consistent
with preservation of capital and
prudent investment management
|
PIMCO High Yield Portfolio –
Admin. Class(1,3)
Adviser: Pacific Investment
Management Company LLC
|
0.77%
|
12.25%
|
4.84%
|
4.16%
|
Maximum total return, consistent
with preservation of capital and
prudent investment management
|
PIMCO Long-Term U.S.
Government Portfolio –
Admin. Class
Adviser: Pacific Investment
Management Company LLC
|
2.01%
|
3.99%
|
-1.29%
|
-0.45%
|
Investment Objectives
|
Investment Option and
Adviser/Subadviser
|
Current
Expenses
|
Average Annual Total Returns
(as of December 31, 2023)
|
||
1 Year
|
5 Years
|
10 Years
|
|||
Maximum real return, consistent
with preservation of real capital and
prudent investment management
|
PIMCO Real Return Portfolio
– Admin. Class(1,3)
Adviser: Pacific Investment
Management Company LLC
|
0.84%
|
3.67%
|
3.17%
|
2.23%
|
Total return, which exceeds that of
its secondary benchmark index
consistent with prudent investment
management
|
PIMCO StocksPLUS®
Global
Portfolio – Advisor Class(1)
Adviser: Pacific Investment
Management Company LLC
|
0.91%
|
22.84%
|
11.41%
|
6.42%
|
Maximum total return, consistent
with preservation of capital and
prudent investment management
|
PIMCO Total Return Portfolio
– Admin. Class
Adviser: Pacific Investment
Management Company LLC
|
0.75%
|
5.94%
|
1.09%
|
1.71%
|
High current income, consistent with
preservation of capital, with capital
appreciation as a secondary
consideration
|
Templeton Global Bond VIP
Fund – Class 2(1,3)
Adviser: Franklin Advisers, Inc.
|
0.75%
|
2.88%
|
-2.13%
|
-0.66%
|
Investment Options Available with Versions:
11.17, 12.17, 01.18, 02.18, 03.18, 04.18, 05.18, 06.18, 07.18, 08.18, 09.18, 10.18, 11.18,
12.18, 01.19, 02.19, 03.19, 04.19v1, 04.19v2,
05.19, 06.19, 07.19, 08.19, 09.19, 10.19, 11.19, 12.19, 01.20, 02.20, 03.20, 04.20, 05.20,
06.20, 07.20, 08.20, 09.20, 10.20, 11.20,
12.20, 01.21, 02.21
|
|
AZL Enhanced Bond Index Fund
AZL Fidelity Institutional Asset Management® Total Bond Fund
AZL Government Money Market Fund
AZL MVP Balanced Index Strategy Fund
AZL MVP Global Balanced Index Strategy Fund
AZL MVP DFA Multi-Strategy Fund
AZL MVP Fidelity Institutional Asset Management® Multi-Strategy
Fund
|
AZL MVP Growth Index Strategy Fund
AZL MVP Moderate Index Strategy Fund
AZL MVP T. Rowe Price Capital Appreciation Plus Fund
LVIP JPMorgan Core Bond Fund
MFS Total Return Bond Portfolio
PIMCO Balanced Allocation Portfolio
PIMCO Global Core Bond (Hedged) Portfolio
PIMCO Total Return Portfolio
|
Investment Options Available with Versions:
10.12, 04.15, 04.16, 05.16, 06.16, 07.16, 08.16, 09.16, 10.16, 11.16, 12.16, 01.17, 02.17,
03.17, 04.17, 05.17, 06.17, 07.17, 08.17,
09.17, 10.17
|
|
AZL Enhanced Bond Index Fund
AZL Fidelity Institutional Asset Management® Total Bond Fund
AZL Fidelity Institutional Asset Management® Multi-Strategy Fund
AZL Government Money Market Fund
AZL MVP Balanced Index Strategy Fund
AZL MVP Global Balanced Index Strategy Fund
AZL MVP DFA Multi-Strategy Fund
AZL MVP Fidelity Institutional Asset Management® Multi-Strategy
Fund
AZL MVP Growth Index Strategy Fund
|
AZL MVP Moderate Index Strategy Fund
AZL MVP T. Rowe Price Capital Appreciation Plus Fund
Franklin U.S. Government Securities VIP Fund*
LVIP JPMorgan Core Bond Fund
MFS Total Return Bond Portfolio
PIMCO Balanced Allocation Portfolio
PIMCO Global Core Bond (Hedged) Portfolio
PIMCO High Yield Portfolio*
PIMCO Real Return Portfolio*
PIMCO Total Return Portfolio
Templeton Global Bond VIP Fund*
|
Income Focus
Available Investment Options:
|
|
AZL MVP Balanced Index Strategy Fund
AZL MVP DFA Multi-Strategy Fund
AZL MVP Global Balanced Index Strategy Fund
AZL MVP Fidelity Institutional Asset Management® Multi-Strategy
Fund
|
AZL MVP Growth Index Strategy Fund
AZL MVP Moderate Index Strategy Fund
AZL MVP T. Rowe Price Capital Appreciation Plus Fund
PIMCO Balanced Allocation Portfolio
|
TABLE 1: Available Investment Option Groups
|
|
Equity Group
|
|
AZL Balanced Index Strategy Fund
AZL DFA Multi-Strategy Fund
AZL Fidelity Institutional Asset Management® Multi-Strategy Fund
AZL International Index Fund
AZL Mid Cap Index Fund
AZL Moderate Index Strategy Fund
AZL MSCI Global Equity Index Fund
AZL MVP Balanced Index Strategy Fund
|
AZL MVP Growth Index Strategy Fund
AZL Russell 1000 Growth Index Fund
AZL Russell 1000 Value Index Fund
AZL S&P 500 Index Fund
AZL T. Rowe Price Capital Appreciation Fund
PIMCO Balanced Allocation Portfolio
PIMCO StocksPLUS® Global Portfolio
|
Fixed Income Group
|
|
AZL Enhanced Bond Index Fund
AZL Fidelity Institutional Asset Management® Total Bond Fund
AZL Government Money Market Fund
Franklin U.S. Government Securities VIP Fund*
LVIP JPMorgan Core Bond Fund
MFS Total Return Bond Portfolio
|
PIMCO Global Core Bond (Hedged) Portfolio
PIMCO High Yield Portfolio*
PIMCO Long-Term U.S. Government Portfolio
PIMCO Real Return Portfolio*
PIMCO Total Return Portfolio
Templeton Global Bond VIP Fund*
|
TABLE 2: Maximum Contract Value Allowed in the Equity Group
|
|||||||||||||||||
Number of
Rider
Years* to
the Initial
Target
Value Date
|
CV =
94%+
of TV
|
CV =
88%
to ˂
94%
of TV
|
CV =
82%
to ˂
88%
of TV
|
CV =
76%
to ˂
82%
of TV
|
CV =
70%
to ˂
76%
of TV
|
CV =
64%
to ˂
70%
of TV
|
CV =
58%
to ˂
64%
of TV
|
CV =
52%
to ˂
58%
of TV
|
CV =
46%
to ˂
52%
of TV
|
CV =
40%
to ˂
46%
of TV
|
CV =
34%
to ˂
40%
of TV
|
CV =
28%
to ˂
34%
of TV
|
CV =
22%
to ˂
28%
of TV
|
CV =
16%
to ˂
22%
of TV
|
CV =
10%
to ˂
16%
of TV
|
CV =
4%
to ˂
10%
of TV
|
CV ˂
4%
of TV
|
33+
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
32
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
31
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
30
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
29
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
28
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
27
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
26
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
25
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
24
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
23
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
22
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
21
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
20
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
19
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
18
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
17
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
16
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
15
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
14
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
13
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
12
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
11
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
9
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
8
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
7
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
6
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
5
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
4
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
3
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
2
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
1
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
Initial Target
Value Date
and beyond
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
|
Contract
Value
|
Total Income Value
(Income Focus) and
Traditional Death
Benefit Value
|
Benefit Base
(Income Protector)
|
Rider Anniversary
Value
(Investment Protector)
|
Maximum
Anniversary
Value
(Maximum
Anniversary
Death Benefit)
|
Issue Date
|
$100,000
|
$100,000
|
$100,000
|
$100,000
|
$100,000
|
1st Quarterly Anniversary
|
$101,000
|
$100,000
|
+ ($100,000)
x 1.25%)
|
$100,000
|
$100,000
|
|
|
|
= +1,250
|
|
|
|
|
|
$101,250
|
|
|
Partial
Withdrawal
|
Contract
Value
|
Total Income Value
(Income Focus) and
Traditional Death
Benefit Value
|
Benefit Base
(Income Protector)
|
Rider Anniversary
Value
(Investment Protector)
|
Maximum
Anniversary
Value
(Maximum
Anniversary
Death Benefit)
|
Prior to withdrawal
|
$ 101,000
|
$ 100,000
|
$101,250
|
$100,000
|
$100,000
|
$5,000 withdrawal
|
|
– [(5,000/ 101,000)
x 100,000)]
|
– [(5,000/ 101,000)
x 101,250)]
|
– [(5,000/ 101,000)
x 100,000)]
|
– [(5,000/ 100,000)
x 101,000)]
|
|
– 5,000
|
= – 4,950
|
= – 5,012
|
= – 4,950
|
= – 4,950
|
After withdrawal
|
$ 96,000
|
$ 95,050
|
$ 96,238
|
$ 95,050
|
$ 95,050
|
Lifetime Plus
Payment
|
Contract
Value
|
Traditional Death
Benefit guaranteed
value
|
Benefit
Base
|
Income Focus
Payment
|
Contract
Value
|
Traditional Death
Benefit guaranteed
value
|
Income
Value
|
Before payment
|
$ 97,000
|
$ 85,500
|
$ 120,000
|
Before payment
|
$ 97,000
|
$ 85,500
|
$ 85,500
|
$4,800 payment
|
|
– [(4,800/ 97,000)
|
|
$5,344 payment
|
|
– [(5,344/ 97,000)
|
|
|
|
x 85,500)]
|
|
|
|
x 85,500)]
|
|
|
– 4,800
|
= – 4,231
|
no change
|
|
– 5,344
|
= – 4,710
|
no change
|
After payment
|
$ 92,200
|
$ 81,269
|
$ 120,000
|
After payment
|
$ 91,656
|
$ 80,790
|
$ 85,500
|
Excess
Withdrawal
|
Contract
Value
|
Traditional Death
Benefit guaranteed
value
|
Benefit Base
|
Next anniverary’s
annual maximum
Lifetime Plus
Payment
|
Income Value
|
Next anniverary’s
annual
maximum
Income Focus
Payment
|
Prior to withdrawal
|
$ 92,000
|
$ 81,269
|
$ 120,000
|
$ 4,800
|
$ 85,500
|
$ 5,344
|
$5,000 withdrawal
|
|
– [(5,000/ 92,000)
|
– [(5,000/ 92,000)
|
– [(5,000/ 92,000)
|
– [(5,000/ 92,000)
|
– [(5,000/ 92,000)
|
|
|
x 81,269)]
|
x 120,000)]
|
x 4,800)]
|
x 85,500
|
x 5,344)]
|
|
– 5,000
|
= – 4,417
|
= – 6,522
|
= – 261
|
= – 4,647
|
= – 290
|
After withdrawal
|
$ 87,000
|
$ 76,852
|
$ 113,478
|
$ 4,539
|
$ 80,853
|
$ 5,054
|
Initial Income Value Percentage Table
|
|||
Age of the Covered Person on
the Rider Effective Date for
single Income Focus Payments
|
Initial Income Value
Percentage
|
Age of the younger Covered
Person on the Rider Effective
Date for joint Income Focus
Payments
|
Initial Income Value
Percentage
|
45 – 64
|
3.25%
|
45 – 64
|
2.75%
|
65 – 79
|
3.75%
|
65 – 79
|
3.25%
|
80+
|
4.75%
|
80+
|
4.25%
|
FOR BONUS OPTION CONTRACTS: Bonus amounts are not included in the parts of Income Values or Total
Income Value based on Purchase Payments.
|
|
• Performance Increases are not available once the older Covered Person reaches age 91.
|
• After the Benefit Date Performance Increases are only available while your Contract Value is positive and if
you took your annual maximum Income Focus Payment
during the last Benefit Year.
|
• If we increased the Contract Value to equal the death benefit due to a spousal continuation of the Contract during the
last Rider Year or Benefit Year, we also subtract the amount of this
increase from the Contract Value on the next
Rider Anniversary or Benefit Anniversary when determining Performance
Increases.
|
• For Qualified Contracts, if we calculate a required minimum distribution
(RMD) based on this Contract, after
making all Income Focus Payments for the calendar year, we determine
whether this calendar year’s total RMD has
been satisfied by these payments and any Excess Withdrawals. If the RMD
amount for this Contract has not been
satisfied, we send you this remaining amount as one RMD payment by the
end of the calendar year. We consider this
payment to be a withdrawal, but it is not an Excess Withdrawal and it is
not subject to a withdrawal charge.
|
• For required annuitization, if on the Annuity Date you are receiving
Income Focus Payments, we guarantee to pay
you the greater of your maximum Income Focus Payment or Annuity Payments
based on the Contract Value under
Annuity Option 1 or Annuity Option 3. If you select any other Annuity
Option, this guarantee does not apply. For
more information, see section 13, The Annuity Phase.
|
• An assignment or change of ownership does not change the Covered Person(s). After an assignment or change of
ownership, if a Covered Person who was previously an Owner or Annuitant
no longer has that position, Income
Focus ends on the earlier of the date of death of an individual Owner
(or Annuitant if the Owner is a non individual),
or last surviving Covered Person. Upon the death of an individual Owner
(or Annuitant if the Owner is a non
individual), if the deceased’s spouse is a sole Beneficiary and
continues the Contract, Income Focus ends on the
earlier of the date of death of the surviving spouse or last surviving
Covered Person. If a surviving spouse instead
elects to receive payment of the death benefit, Income Focus ends on the
Business Day we receive his or her Valid
Claim. This means that Income Focus Payments may end even if a Covered Person is still alive.
|
Investment Protector
(Version Identifier)
|
Available
Dates
|
Earliest Anniversary
used to determine
the initial Target
Value Date
|
Future Anniversary
used to determine
subsequent
Target Value Dates
|
Guarantee
Percentage used to
calculate the
Target Value
|
(07.13 through 10.16)
|
7/22/2013 –
10/16/2016
|
Tenth Rider
Anniversary
|
Fifth Rider
Anniversary
|
80%
|
(07.12)
|
4/29/2013 – 7/19/2013
|
Tenth Rider
Anniversary
|
Fifth Rider
Anniversary
|
100%
|
For Bonus Option Contracts, the bonus is not included in the parts of the Target Value based on Purchase Payments.
|
TABLE 1: Available Investment Option Groups
|
|
Equity Group
|
|
AZL Balanced Index Strategy Fund
AZL DFA Multi-Strategy Fund
AZL Fidelity Institutional Asset Management® Multi-Strategy Fund
AZL International Index Fund
AZL Mid Cap Index Fund
AZL Moderate Index Strategy Fund
AZL MSCI Global Equity Index Fund
AZL MVP Balanced Index Strategy Fund
|
AZL MVP Growth Index Strategy Fund
AZL Russell 1000 Growth Index Fund
AZL Russell 1000 Value Index Fund
AZL S&P 500 Index Fund
AZL T. Rowe Price Capital Appreciation Fund
PIMCO Balanced Allocation Portfolio
PIMCO StocksPLUS® Global Portfolio
|
Fixed Income Group
|
|
AZL Enhanced Bond Index Fund
AZL Fidelity Institutional Asset Management® Total Bond Fund
AZL Government Money Market Fund
Franklin U.S. Government Securities VIP Fund*
LVIP JPMorgan Core Bond Fund
MFS Total Return Bond Portfolio
|
PIMCO Global Core Bond (Hedged) Portfolio
PIMCO High Yield Portfolio*
PIMCO Long-Term U.S. Government Portfolio
PIMCO Real Return Portfolio*
PIMCO Total Return Portfolio
Templeton Global Bond VIP Fund*
|
TABLE 2: Maximum Contract Value Allowed in the Equity Group
|
|||||||||||||||||
Number of
Rider
Years* to
the Initial
Target
Value Date
|
CV =
94%+
of TV
|
CV =
88%
to ˂
94%
of TV
|
CV =
82%
to ˂
88%
of TV
|
CV =
76%
to ˂
82%
of TV
|
CV =
70%
to ˂
76%
of TV
|
CV =
64%
to ˂
70%
of TV
|
CV =
58%
to ˂
64%
of TV
|
CV =
52%
to ˂
58%
of TV
|
CV =
46%
to ˂
52%
of TV
|
CV =
40%
to ˂
46%
of TV
|
CV =
34%
to ˂
40%
of TV
|
CV =
28%
to ˂
34%
of TV
|
CV =
22%
to ˂
28%
of TV
|
CV =
16%
to ˂
22%
of TV
|
CV =
10%
to ˂
16%
of TV
|
CV =
4%
to ˂
10%
of TV
|
CV ˂
4%
of TV
|
33+
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
32
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
31
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
30
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
29
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
28
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
27
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
26
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
25
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
24
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
23
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
22
|
95%
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
21
|
95%
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
20
|
95%
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
19
|
95%
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
18
|
95%
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
17
|
95%
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
16
|
90%
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
15
|
85%
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
14
|
80%
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
13
|
75%
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
12
|
70%
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
11
|
65%
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10
|
60%
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
9
|
55%
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
8
|
50%
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
7
|
45%
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
6
|
40%
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
5
|
35%
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
4
|
30%
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
3
|
25%
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
2
|
20%
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
1
|
15%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
Initial Target
Value Date
and beyond
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
10%
|
a
|
=
|
The new required group allocation on the current Quarterly Anniversary.
|
b
|
=
|
The required allocation for each Investment Option at the end of the prior Business Day.
|
c
|
=
|
The required group allocation at the end of the prior Business Day.
|
|
• In any twelve-month period, we cannot reduce the maximum allowed Contract Value allocation in the Equity group
by more than 15%.
|
• Unless the maximum allowed allocation for the Equity group changes, the minimum required allocation for the Fixed
Income group does not change.
|
• We may move all of your Contract Value out of one or more of your selected Investment Options. However, we send
you a transaction confirmation each time we move Contract Value between
Investment Options.
|
• Unless you reset the initial Target Value Date, the maximum allowed in the Equity group never increases.
|
• The maximum allowed allocation to the Equity group reduces with negative Investment Option performance and as
the time until the initial Target Value Date decreases. If you allocate
less than the maximum allowed to the Equity
group, you may be subject to fewer Investment Option reallocations
resulting from negative Investment Option
performance.
|
CLOSED INVESTMENT OPTIONS
|
|
DAVIS
Davis VA Financial Portfolio
FRANKLIN TEMPLETON
Franklin U.S. Government Securities VIP Fund
|
PIMCO
PIMCO Emerging Markets Bond Portfolio
PIMCO High Yield Portfolio
PIMCO Real Return Portfolio
Templeton Global Bond VIP Fund
|
To send a check for an additional Purchase Payment,
or for general customer service, please mail to the appropriate address as follows:
|
REGULAR MAIL
|
Allianz Life Insurance Company of New York
P.O. Box 59060
Minneapolis MN 55459-0060
|
|
OVERNIGHT, CERTIFIED, OR REGISTERED MAIL
|
Allianz Life Insurance Company of New York
5701 Golden Hills Drive
Minneapolis MN 55416-1297
|
Checks sent to the wrong address for additional
Purchase Payments are forwarded to the 5701 Golden Hills Drive
address listed above, which may delay processing.
|
Firm Name
|
LPL Financial
|
MML Investors Services, Inc
|
Royal Alliance
|
Wells Fargo Advisors LLC – Wealth (ISG)
|
Wells Fargo Advisors LLC (PCG)
|
Calendar Year
|
Total Paid to Tata
|
2021
|
$2,112,265
|
2022
|
$2,015,485
|
2023
|
$2,503,039
|
UPON THE DEATH OF AN ANNUITANT AND THERE IS NO SURVIVING JOINT ANNUITANT
|
|
Action if the Contract is in the Accumulation Phase
|
Action if the Contract is in the Annuity Phase
|
• If the deceased Annuitant was not an Owner, and the
Contract is owned only by an individual(s), we do not pay a
death benefit. The Owner can name a new Annuitant subject
to our approval.
• If the deceased Annuitant was a sole Owner, we pay a death
benefit as discussed in the “Upon the Death of a Sole Owner”
table. If the Contract is continued by a surviving spouse, the
new surviving spouse Owner can name a new Annuitant
subject to our approval.
• If the deceased Annuitant was a Joint Owner, we pay a death
benefit as discussed in the “Upon the Death of a Joint Owner”
table. If the Contract is continued by a surviving Joint Owner
who is also a surviving spouse, the surviving spouse Joint
Owner can name a new Annuitant subject to our approval.
• If the Contract is owned by a non-individual, we treat the
death of the Annuitant as the death of a sole Owner, and we
pay a death benefit as discussed in the “Upon the Death of a
Sole Owner” table. NOTE: For non-individually owned
Contracts, spousal continuation is only available if the
Contract is Qualified, owned by a qualified plan or a
custodian, and the surviving spouse is named as the
sole primary beneficiary under the qualified plan or
custodial account.
|
• No death benefit is payable.
• If the deceased was the only surviving Annuitant, Annuity
Payments end or continue as follows.
– Annuity Option 1 or 3, payments end.
– Annuity Option 2 or 4, payments end when the
guaranteed period ends.
– Annuity Option 5, payments end and the Payee may
receive a lump sum refund.
• If we are still required to make Annuity Payments under the
selected Annuity Option and the deceased was a sole Owner,
the Beneficiary becomes the new sole Owner.
• If we are still required to make Annuity Payments under the
selected Annuity Option and the deceased was a Joint
Owner, the surviving Joint Owner becomes the sole Owner.
|
UPON THE DEATH OF THE ANNUITANT DURING THE ANNUITY PHASE AND THERE IS A SURVIVING JOINT
ANNUITANT
|
|
• Only Annuity Options 3 and 4 allow joint Annuitants. Under
Annuity Options 3 and 4, Annuity Payments to the Payee
continue during the lifetime of the surviving joint Annuitant
and, for Annuity Option 4, during any remaining guaranteed
period of time.
|
• No death benefit is payable.
• If we are still required to make Annuity Payments under the
selected Annuity Option and the deceased was a sole Owner,
the Beneficiary becomes the new Owner.
– If we are still required to make Annuity Payments under
the selected Annuity Option and the deceased was a
Joint Owner, the surviving Joint Owner becomes the sole
Owner.
|
(a)
|
Resolution of Board of Directors of the Company authorizing the establishment of the
Separate Account, dated February 26, 1988 incorporated by reference as exhibit EX-99.B1 from Registrant’s N-4 filing (File Nos. 333-19699 and 811-05716) electronically filed on January 13, 1997.
|
|||||
(b)
|
Not Applicable
|
|||||
(c)
|
1.
|
Principal Underwriter Agreement by and between Preferred Life Insurance Company of New
York on behalf of Preferred Life Variable Account C and NALAC Financial Plans, Inc. incorporated by reference as exhibit EX-99.B3.a. from Registrant’s Pre-Effective Amendment No. 1 to Form N-4 (File Nos. 333-19699 and 811-05716) electronically
filed on May 12, 1997. Preferred Life Insurance Company of New York is the predecessor to Allianz Life Insurance Company of New York. Preferred Life Variable Account C is the predecessor to Allianz Life of NY Variable Account C. NALAC Financial
Plans, Inc., is the predecessor to USAllianz Investor Services, LLC, which is the predecessor to Allianz Life Financial Services, LLC.
|
||||
2.
|
Broker-Dealer Agreement (amended and restated) between Allianz Life
Insurance Company of New York and Allianz Life Financial Services, LLC, dated June 1, 2010 incorporated by reference as exhibit EX-99.B3.b. from Registrant’s Post Effective Amendment No. 21 to Form N-4 (File Nos. 333-143195 and 811-05716)
electronically filed on October 21, 2010.
|
|||||
3.*
|
The current specimen of the selling agreement between Allianz Life
Financial Services, LLC, the principal underwriter for the Contracts, and retail brokers which offer and sell the Contracts to the public is filed herewith.
|
|||||
(d)
|
1.
|
Individual Variable Annuity "Base" Contract-L40534-NY incorporated by
reference as exhibit EX-99.B4.a. from Pre-Effective Amendment No. 1 to Registrant's Form N-4 (File Nos. 333-182990 and 811-05716), electronically filed on November 19, 2012.
|
||||
2.
|
Individual Variable Annuity "Bonus" Contract-L40535-NY incorporated by
reference as exhibit EX-99.B4.b. from Pre-Effective Amendment No. 1 to Registrant's Form N-4 (File Nos. 333-182990 and 811-05716), electronically filed on November 19, 2012.
|
|||||
3.
|
Income Protector Rider-S40844-NY incorporated by reference as exhibit
EX-99.B4.c. from Pre-Effective Amendment No. 1 to Registrant's Form N-4 (File Nos. 333-182990 and 811-05716), electronically filed on November 19, 2012.
|
|||||
4.
|
Income Focus Rider –S40848-NY incorporated by reference as exhibit
EX-99.B4.d. from Pre-Effective Amendment No. 1 to Registrant's Form N-4 (File Nos. 333-182990 and 811-05716), electronically filed on November 19, 2012.
|
|||||
5.
|
Investment Protector Rider-S408052-NY incorporated by reference as exhibit
EX-99.B4.e. from Pre-Effective Amendment No. 1 to Registrant's Form N-4 (File Nos. 333-182990 and 811-05716), electronically filed on November 19, 2012.
|
|||||
6.
|
Maximum Anniversary Death Benefit Rider-S40857-NY incorporated by reference
as exhibit EX-99.B4.f. from Pre-Effective Amendment No. 1 to Registrant's Form N-4 (File Nos. 333-182990 and 811-05716), electronically filed on November 19, 2012.
|
|||||
7.
|
Vision Contract Schedules-S40832-NY, S40833-NY, S40834-NY, S40835-NY,
S40845-NY, S40849-NY, S40854-NY, S40858-NY combined incorporated by reference as exhibit EX-99.B4.g. from Pre-Effective Amendment No. 1 to Registrant's Form N-4 (File Nos. 333-182990 and 811-05716), electronically filed on November 19,
2012.
|
|||||
8.
|
Investment Option Contract Schedules- S40847-NY, S40851-NY, S40856-NY,
S40860-NY combined incorporated by reference as exhibit EX-99.B4.h. from Pre-Effective Amendment No. 1 to Registrant's Form N-4 (File Nos. 333-182990 and 811-05716), electronically filed on November 19, 2012.
|
|||||
9.
|
Asset Allocation Rider-Investment Protector-S40853-NY incorporated by
reference as exhibit EX-99.B4.i. from Pre-Effective Amendment No. 1 to Registrant's Form N-4 (File Nos. 333-182990 and 811-05716), electronically filed on November 19, 2012.
|
|||||
10.
|
Inherited IRA/Roth IRA Endorsement - S40714-NY incorporated by reference as
exhibit EX-99.B4.j. from Registrant’s Post Effective Amendment No. 23 to Form N-4 (File Nos.333-19699 and 811-05716) electronically filed on April 27, 2005.
|
|||||
11.
|
Roth IRA Endorsement - P20041 incorporated by reference as exhibit EX-99.B4.k.
from Registrant’s Pre Effective Amendment No. 1 to Form N-4 (File Nos. 333-124767 and 811-05716) electronically filed on November 20, 2006.
|
|||||
12.
|
IRA Endorsement - P30012-NY incorporated by reference as exhibit EX-99.B4.i. from
Registrant’s Pre Effective Amendment No. 1 to Form N-4 (File Nos. 333-124767 and 811-05716) electronically filed on November 20, 2006.
|
|||||
13.
|
Unisex Endorsement(S20146) incorporated by reference as exhibit EX-99.B4.l. from
Registrant’s Pre Effective Amendment No. 1 to Form N-4 (File Nos. 333-124767 and 811-05716) electronically filed on November 20, 2006.
|
|||||
14.
|
403(b) Endorsement - P30014 incorporated by reference as exhibit EX-99.B4.j. from
Registrant’s Pre Effective Amendment No. 1 to Form N-4 (File Nos. 333-124767 and 811-05716) electronically filed on November 20, 2006.
|
|||||
15.
|
Waiver of Withdrawal Charge rider-S40749-NY, incorporated by reference as exhibit
EX‑99.B4.e. from Registrant's initial filing on Form N-4 (File Nos. 333-213128 and 811-05716), electronically filed on August 15, 2016.
|
|||||
(e)
|
1.
|
Application for Ind. Var. Annuity Contract-F60002-NY incorporated by
reference as exhibit EX-99.B5.a. from Pre-Effective Amendment No. 1 to Registrant's Form N-4 (File Nos. 333-182990 and 811-05716), electronically filed on November 19, 2012.
|
||||
(f)
|
1.
|
The Restated Articles of Incorporation of the Company (as amended March
17, 2011) incorporated by reference as exhibit EX-99.B6.(i). from Registrant’s N-4 filing (File Nos. 333-192949 and 811-05716) electronically filed on December 19, 2013.
|
||||
2.
|
The Restated Bylaws of the Company (effective March 9, 2011) incorporated
by reference as exhibit EX-99.B6.(iii). from Registrant’s N-4 filing (File Nos. 333-192949 and 811-05716) electronically filed on December 19, 2013.
|
|||||
(g)
|
Not Applicable
|
|||||
(h)
|
1.
|
Participation Agreement between BlackRock
Series Fund, Inc., BlackRock Distributors, Inc., Allianz Life Insurance Co. of New York, and Allianz Life Financial Services, LLC, dated 5/1/2008 incorporated by reference as exhibit EX-99.B8.c. from Registrant’s Post Effective Amendment No. 9
to Form N-4 (File Nos. 333-143195 and 811-05716) electronically filed on April 3, 2009.
|
||||
2.
|
Participation Agreement between Davis
Variable Account Fund, Inc., Davis Distributors, LLC and Preferred Life Insurance Company of New York, dated 11/1/1999 incorporated by reference as exhibit EX-99.B8.e. from Registrant’s Post-Effective Amendment No. 8 to Form N-4 (File
Nos.333-19699 and 811-05716) electronically filed on April 28, 2000.
|
|||||
3.
|
-
|
Amendment to Participation Agreement between Davis Variable Account Fund, Inc.,
Davis Distributors, LLC and Allianz Life Insurance Company of New York, dated 5/1/2008 incorporated by reference as exhibit EX-99.B8.f. from Registrant’s Post Effective Amendment No. 9 to Form N-4 (File Nos. 333-143195 and 811-05716)
electronically filed on April 3, 2009.
|
||||
4.
|
-
|
Amendment to Participation Agreement pursuant to the requirements of Rule 498
for Summary Prospectus between Davis Variable Account Fund, Inc., Davis Distributors, LLC and Allianz Life Insurance Company of New York, dated 9/1/2015 incorporated by reference as exhibit EX-99.B8.f. from Registrant’s Post-Effective Amendment
No. 13 to Form N-4 (File Nos.333-182990 and 811-05716) electronically filed on November 9, 2015.
|
||||
5.
|
Participation Agreement & Amendment between Fidelity Distributors Corporation and Allianz Life Insurance Company of New York, dated 09/29/10 incorporated by reference as exhibit EX-99.B8.q. from Registrant’s Post Effective Amendment No. 23 to Form N-4
(File Nos. 333-143195 and 811-05716) electronically filed on December 22, 2010.
|
|||||
6.
|
-
|
Amendment to Participation Agreement pursuant to the requirements of Rule
498 for Summary Prospectus between Fidelity Distributors Corporation and Allianz Life Insurance Company of New York, dated 9-1-2015 incorporated by reference as exhibit EX-99.B8.h. from Registrant’s Post-Effective Amendment No. 13 to Form N-4
(File Nos.333-182990 and 811-05716) electronically filed on November 9, 2015.
|
||||
7.
|
Participation Agreement between Franklin
Templeton Variable Insurance Products Trust, Franklin/Templeton Distributors, Inc., Allianz Life Insurance Company of New York and USAllianz Investor Services, LLC (the predecessor to Allianz Life Financial Services, LLC.), and dated 10/1/2003
incorporated by reference as exhibit EX-99.B8.n. from Registrant’s Post Effective Amendment No. 23 to Form N-4 (File Nos.333-19699 and 811-05716) electronically filed on April 27, 2005.
|
|||||
8.
|
-
|
Amendment to Participation Agreement between Franklin Templeton Variable
Insurance Products Trust, Franklin/Templeton Distributors, Inc., Allianz Life Insurance Company of New York and USAllianz Investor Services, LLC (the predecessor to Allianz Life Financial Services, LLC.), dated 5/1/2008 incorporated by
reference as exhibit EX-99.B8.j. from Registrant’s Post Effective Amendment No. 9 to Form N-4 (File Nos. 333-143195 and 811-05716) electronically filed on April 3, 2009.
|
||||
9.
|
-
|
Amendment to Participation Agreement between Franklin Templeton Variable
Insurance Products Trust, Franklin/Templeton Distributors, Inc., Allianz Life Insurance Company of New York and Allianz Life Financial Services, LLC., dated January 16, 2014 incorporated by reference as exhibit EX-99.B8.l. from Registrant’s
Post Effective Amendment No. 10 to Form N-4 (File Nos. 333-182990 and 811-05716) electronically filed on April 28, 2014.
|
||||
10.
|
-
|
Amendment to Participation Agreement pursuant to the requirements of Rule
498 for Summary Prospectus between Franklin Templeton Variable Insurance Products Trust, Franklin/Templeton Distributors, Inc., Allianz Life Insurance Company of New York and Allianz Life Financial Services, LLC., dated 9-1-2015 incorporated by
reference as exhibit EX-99.B8.l. from Registrant’s Post-Effective Amendment No. 13 to Form N-4 (File Nos.333-182990 and 811-05716) electronically filed on November 9, 2015.
|
||||
11.
|
Participation Agreement between Allianz Life Insurance Company of New York, JPMorgan Insurance Trust, JPMorgan Investment Advisers Inc., JPMorgan Investment Management Inc., and JPMorgan Funds Management Inc., dated April 24, 2009 incorporated by reference as exhibit EX-99.B8.t. from
Pre-Effective Amendment No. 1 to Registrant’s Form N-4 (File Nos. 333-180722 and 811-05716) electronically filed on July 27, 2012.
|
|||||
12.
|
-
|
Amendment to Participation Agreement between Allianz Life Insurance Company of New
York, JPMorgan Insurance Trust, JPMorgan Investment Advisers Inc., JPMorgan Investment Management Inc., and JPMorgan Funds Management Inc., dated July 1, 2012 incorporated by reference as exhibit EX-99.B8.y. from Post-Effective Amendment No. 4
to Registrant’s Form N-4 (File Nos. 333-167334 and 811-05716) electronically filed on April 24, 2013.
|
||||
13.
|
-
|
Amendment to Participation Agreement pursuant to the requirements of Rule
498 for Summary Prospectus between Allianz Life Insurance Company of New York, JPMorgan Insurance Trust, JPMorgan Investment Management Inc., and JPMorgan Funds Management Inc., dated 9-1-2015 incorporated by reference as exhibit EX-99.B8.o.
from Registrant’s Post-Effective Amendment No. 13 to Form N-4 (File Nos.333-182990 and 811-05716) electronically filed on November 9, 2015.
|
||||
14.
|
Participation Agreement between Allianz Life Insurance Company of New York, MFS Variable Insurance Trust, MFS Variable Insurance Trust II and MFS Fund Distributors, Inc., dated August 1, 2012 incorporated by reference as exhibit EX-99.B8.ae. from Post-Effective Amendment No. 4 to
Registrant’s Form N-4 (File Nos. 333-167334 and 811-05716) electronically filed on April 24, 2013.
|
|||||
15.
|
-
|
Fund/SERV and Networking Supplement to Participation Agreement between Allianz
Life Insurance Company of New York, MFS Variable Insurance Trust, MFS Variable Insurance Trust II and MFS Fund Distributors, Inc., dated August 1, 2012 incorporated by reference as exhibit EX-99.B8.af. from Post-Effective Amendment No. 4 to
Registrant’s Form N-4 (File Nos. 333-167334 and 811-05716) electronically filed on April 24, 2013.
|
||||
16.
|
-
|
Amendment to Participation Agreement pursuant to the requirements of Rule 498
for Summary Prospectus between Allianz Life Insurance Company of New York, MFS Variable Insurance Trust, MFS Variable Insurance Trust II and MFS Fund Distributors, Inc., dated dated 9-1-2015 incorporated by reference as exhibit EX-99.B8.r. from
Registrant’s Post-Effective Amendment No. 13 to Form N-4 (File Nos.333-182990 and 811-05716) electronically filed on November 9, 2015.
|
||||
17.
|
Participation Agreement between Preferred Life Insurance Company of
New York, PIMCO Variable Insurance Trust, and PIMCO Funds Distributors LLC, dated 12/1/1999 incorporated by reference as exhibit EX-99.B8.i. from Registrant’s Post-Effective Amendment No. 8 to Form N-4
(File Nos.333-19699 and 811-05716) electronically filed on April 28, 2000.
|
|||||
18.
|
-
|
Amendments to Participation Agreement between Allianz Life Insurance Company of
New York (formerly Preferred Life Insurance Company of New York), PIMCO Variable Insurance Trust, and Allianz Global Investors Distributors LLC (formerly PIMCO Funds Distributors LLC), dated 4/1/00, 5/1/02, 5/1/03, 4/30/04, 4/29/05 incorporated
by reference as exhibit EX-99.B8.w. from Registrant’s Post Effective Amendment No. 26 to Form N-4 (File Nos. 333-19699 and 811-05716) electronically filed on April 23, 2007.
|
||||
19.
|
-
|
Amendment dated May 1, 2011 to the Participation Agreement dated December 1,
1999, between Allianz Life Insurance Company of New York, PIMCO Variable Insurance Trust, and PIMCO Investments LLC, incorporated by reference as exhibit EX-99.B8.p. from Post-Effective Amendment No. 2 to Registrant's Form N-4 (File Nos.
333-171428 and 811-05716), electronically filed on October 18, 2011.
|
||||
20.
|
-
|
Amendment dated April 30, 2012 to Participation Agreement between Allianz
Life Insurance Company of New York (formerly Preferred Life Insurance Company of New York), PIMCO Variable Insurance Trust and PIMCO Investments LLC (formerly Allianz Global Investors Distributiors LLC) dated December 1, 1999 incorporated by
reference as exhibit EX-99.B8.q. from Registrant’s Post Effective Amendment No. 8 to Form N-4 (File Nos. 333-171428 and 811-05716) electronically filed on April 6, 2012.
|
||||
21.
|
-
|
Amendment dated September 17, 2012 to Participation Agreement between
Allianz Life Insurance Company of New York, PIMCO Variable Insurance Trust and PIMCO Investments LLC (formerly Allianz Global Investors Distributiors LLC) dated December 1, 1999 incorporated by reference as exhibit EX-99.B8.w. from
Post-Effective Amendment No. 34 to Registrant’s Form N-4 (File Nos. 333-143195 and 811-05716) electronically filed on February 4, 2013.
|
||||
22.
|
-
|
Amendment to Participation Agreement pursuant to the requirements of Rule
498 for Summary Prospectus between Allianz Life Insurance Company of New York, PIMCO Equity Series VIT, PIMCO Investments LLC (formerly Allianz Global Investors Distributors LLC, dated October 15, 2015 incorporated by reference as exhibit
EX-99.B8.y. from Registrant’s Post-Effective Amendment No. 13 to Form N-4 (File Nos.333-182990 and 811-05716) electronically filed on November 9, 2015.
|
||||
23.
|
Investor Services Agreement between Pacific Investment Management Company (PIMCO) and Allianz Life Insurance Company of New York, dated June 23, 2010 incorporated by reference as exhibit EX-99.B8.q. from Registrant’s Post Effective Amendment No. 8 to Form N-4 (File Nos. 333-171428
and 811-05716) electronically filed on April 6, 2012.
|
|||||
24.
|
-
|
Amendment dated 4-30-2012 to Investor Services Agreement between Pacific
Investment Management Company (PIMCO) and Allianz Life Insurance Company of New York, dated June 23, 2010 incorporated by reference as exhibit EX-99.B8.u. from Registrant’s Post Effective Amendment No. 8 to Form N-4 (File Nos. 333-171428 and
811-05716) electronically filed on April 6, 2012.
|
||||
25.
|
-
|
Amendment dated September 17, 2012 to Investor Services Agreement between
Pacific Investment Management Company (PIMCO) and Allianz Life Insurance Company of New York, dated June 23, 2010 incorporated by reference as exhibit EX-99.B8.x. from Post-Effective Amendment No. 34 to Registrant’s Form N-4 (File Nos.
333-143195 and 811-05716) electronically filed on February 4, 2013.
|
||||
26.
|
Amended and Restated Participation Agreement dated, November 1, 2015, between Allianz
Variable Insurance Products Trust, Allianz Life Insurance Company of New York, and Allianz Life Financial Services, LLC incorporated by reference as Exhibit (e)(3) from Post-Effective Amendment No. 53, to Registrant’s Form N-1A (File Nos.
333-83423 and 811-9491) filed on February 12, 2016.
|
|||||
27.
|
Amended and Restated Participation Agreement, dated November 1, 2015,
between Allianz Variable Insurance Products Fund of Funds Trust, Allianz Life Insurance Company of New York, and Allianz Life Financial Services, LLC incorporated by reference as Exhibit (e)(3) to Registrant’s Post-Effective Amendment No. 28,
to Registrant’s Form N-1A (File Nos. 333-119867 and 811-21624) filed on April 18, 2016.
|
|||||
(i)
|
1.
|
Adminstrative Services Agreement between BlackRock
Advisors, LLC and Allianz Life, dated 5/1/2008 incorporated by reference as exhibit EX-99.B8.d. from Registrant’s Post Effective Amendment No. 9 to Form N-4 (File Nos. 333-143195 and 811-05716) electronically filed on April 3, 2009.
|
||||
2.
|
Administrative Services Agreement between Franklin
Templeton Services LLC and Preferred Life Insurance Company of New York, dated 10/1/2003 incorporated by reference as exhibit EX-99.B8.ac. from Registrant’s Post Effective Amendment No. 23 to Form N-4 (File Nos.333-19699 and 811-05716)
electronically filed on April 27, 2005.
|
|||||
3.
|
-
|
Amendment to Administrative Services Agreement between Franklin Templeton
Services, LLC and Allianz Life Insurance Company of New York, dated 8/8/2008 incorporated by reference as exhibit EX-99.B8.h. from Registrant’s Post Effective Amendment No. 9 to Form N-4 (File Nos. 333-143195 and 811-05716) electronically filed
on April 3, 2009.
|
||||
4.
|
-
|
Amendment to Administrative Services Agreement between Franklin Templeton
Services, LLC and Allianz Life Insurance Company of New York, dated July 16, 2012 incorporated by reference as exhibit EX-99.B8.h. from Registrant's Post Effective Amendment No. 3 to Form N-4 (File Nos. 333-167334 and 811-05716) electronically
filed on August 21, 2012.
|
||||
5.
|
-
|
Amendment to Administrative Services Agreement between Franklin
Templeton Services LLC and Allianz Life Insurance Company of New York, dated August 16, 2022, incorporated by reference as 27(i)(5) from Post-Effective Amendment No. 24 to Registrant’s Form N-4 (File Nos.333-182990 and 811-05716,
electronically filed April 27, 2023.
|
||||
6.
|
Administrative Services Agreement between PIMCO
Variable Insurance Trust and Allianz Life Insurance Company of New York dated June 17, 2010 and Amendment dated April 1, 2012 incorporated by reference as exhibit EX-99.B8.v. from Registrant’s Post Effective Amendment No. 10 to Form N-4 (File
Nos. 333-171428 and 811-05716) electronically filed on June 7, 2012.
|
|||||
7.
|
Amended and Restated Services Agreement between Pacific Investment Management
Company LLC and Allianz Life Insurance Company of New York, dated 01/01/2007 incorporated by reference as exhibit EX-99.B8.u. from Registrant’s Post Effective Amendment No. 26 to Form N-4 (File Nos. 333-19699 and 811-05716) electronically filed
on April 23, 2007.
|
|||||
|
8.*
|
Service Agreement effective July 1, 2010, between Allianz Life
Insurance Company of North America and Allianz Life Insurance Company of New York is filed herwith.
|
||||
9.*
|
Amended and Restated Service Agreement for Subcontracted Services
effective January 1, 2023, between Allianz Life Insurance Company of North America and Allianz Life Insurance Company of New York is filed herewith
|
|||||
(j)
|
1.
|
22c-2 Agreements incorporated by reference as exhibit EX-99.B8.a. from
Registrant’s Post Effective Amendment No. 28 to Form N-4 (File Nos. 333-19699 and 811-05716) electronically filed on April 24, 2008.
|
||||
2.
|
22c-2 Agreement-BlackRock Distributors, Inc. dated 5/1/2008 incorporated by
reference as exhibit EX-99.B8.b. from Registrant’s Post Effective Amendment No. 9 to Form N-4 (File Nos. 333-143195 and 811-05716) electronically filed on April 3, 2009.
|
|||||
3.
|
Service Agreement between Allianz Life Insurance Company of New York, JPMorgan Investment Advisers Inc., and JPMorgan Investment Management Inc., dated April 24, 2009 incorporated by reference as exhibit EX-99.B8.u. from Pre-Effective Amendment No. 1 to Registrant’s Form N-4
(File Nos. 333-180722 and 811-05716) electronically filed on July 27, 2012.
|
|||||
4.
|
-
|
Amended and Restated Services Agreement between Pacific Investment Management
Company LLC and Allianz Life Insurance Company of New York, dated 01/01/2007 incorporated by reference as exhibit EX-99.B8.u. from Registrant’s Post Effective Amendment No. 26 to Form N-4 (File Nos. 333-19699 and 811-05716) electronically filed
on April 23, 2007.
|
||||
(k)*
|
||||||
(l)*
|
||||||
(m)
|
Not Applicable
|
|||||
(n)
|
Not Applicable
|
|||||
(o)
|
Not Applicable
|
|||||
(p)*
|
||||||
*
|
Filed herewith
|
|||||
**
|
To be filed by amendment
|
Unless noted otherwise, all officers and directors have the following principal business address:
|
|
5701 Golden Hills Drive
|
|
Minneapolis, MN 55416-1297
|
|
The following are the Officers and Directors of the Company:
|
|
Name and Principal Business Address
|
Positions and Offices with Depositor
|
Jasmine M. Jirele
|
Director, Board Chair and Chief Executive Officer
|
William E. Gaumond
|
Director, Chief Financial Officer and Treasurer
|
Walter R. White
|
Director
|
Udo Frank
|
Director
|
Eric J. Thomes
|
Director and President
|
Howard E. Woolley
|
Director
|
Karim Akhavan-Hezavei
|
Chief Operating Officer
|
Neil H. McKay
|
Chief Actuary
|
Gretchen Cepek
|
Chief Legal Officer and Secretary
|
Stephen W. Koslow
|
Vice President, Chief Ethics and Compliance Officer and Consumer Affairs Officer
|
Jean-Roch P.F. Sibille
|
Chief Investment Officer
|
Becca Wysocki
|
Vice President, Controller and Assistant Treasurer
|
Lorraine Lods
|
Director
|
Kevin E. Walker
|
Director
|
a.
|
Allianz Life Financial Services, LLC (previously USAllianz Investor Services, LLC) is the principal underwriter for the Contracts. It also is the principal underwriter for:
|
|||||
Allianz Life Variable Account A
|
||||||
Allianz Life Variable Account B
|
||||||
Allianz Funds
|
||||||
b.
|
The following are the officers (managers) and directors (Board of Governors) of Allianz Life Financial Services, LLC. All officers and directors have the following principal
business address:
|
|||||
5701 Golden Hills Drive
|
||||||
Minneapolis, MN 55416-1297
|
||||||
Name
|
Positions and Offices with Underwriter
|
|||||
Corey J. Walther
|
Governor and President
|
|||||
Eric J. Thomes
|
Governor, Chief Executive Officer, and Chief Manager
|
|||||
William E. Gaumond
|
Governor
|
|||||
Amy K. Borden
|
Chief Financial Officer and Treasurer
|
|||||
John C. Helmen
|
Assistant Vice President, Distribution National Accounts
|
|||||
Matthew C. Dian
|
Vice President, Chief Compliance Officer
|
|||||
Kristine M. Lord-Krahn
|
Chief Legal Officer and Secretary
|
|||||
Nicole D. Van Walbeek
|
Assistant Secretary
|
|||||
c.
|
For the period 1-1-2023 to 12-31-2023
|
|||||
Name of Principal Underwriter
|
Net Underwriting Discounts and Commissions
|
Compensation on Redemption
|
Brokerage Commissions
|
Compensation
|
||
Allianz Life Financial Services, LLC
|
$61,230,196.48
|
$0
|
$0
|
$0
|
||
The $61,230,196.48 that Allianz Life Financial Services, LLC received from Allianz Life of New York as commissions on the sale of Contracts issued under Allianz Life of NY
Variable Account C was subsequently paid entirely to the third party broker/dealers that perform the retail distribution of the Contracts and, therefore, no commission or compensation was retained by Allianz Life Financial Services, LLC.
|
1. |
Include appropriate disclosure regarding the redemption restrictions imposed by Section 403(b)(11) in each registration statement, including the prospectus, used in connection with the offer
of the contract;
|
2. |
Include appropriate disclosure regarding the redemption restrictions imposed by Section 403(b)(11) in any sales literature used in connection with the offer of the contract;
|
3. |
Instruct sales representatives who solicit participants to purchase the contract specifically to bring the redemption restrictions imposed by Section 403(b)(11) to the attention of the
potential participants;
|
4. |
Obtain from each plan participant who purchases a Section 403(b) annuity contract, prior to or at the time of such purchase, a signed statement acknowledging the participant's understanding of
(1) the restrictions on redemption imposed by Section 403(b)(11), and (2) other investment alternatives available under the employer's Section 403(b) arrangement to which the participant may elect to transfer his contract value.
|
Signature
|
Title
|
Jasmine M. Jirele(1)
|
Director, Board Chair and Chief Executive Officer
|
William E. Gaumond(1)
|
Director, Chief Financial Officer and Treasurer
(Principal Accounting Officer)
|
Lorraine Lods(1)
|
Director
|
Walter R. White(1)
|
Director
|
Eric Thomes(1)
|
Director and President
|
Udo Frank(1)
|
Director
|
Howard E. Woolley(1)
|
Director
|
Kevin Walker(1)
|
Director
|
(1) |
By Power of Attorney filed as Exhibit 27(p) to this Registration Statement.
|
INDEX TO EXHIBITS
|
|
27(c)3
|
The current specimen of the selling agreement
|
27(i)8
|
Service Agreement
|
27(i)9
|
Amended and Restated Service Agreement for Subcontracted Services
|
27(k)
|
Opinion and Consent of Counsel
|
27(l)
|
Consent of Independent Registered Public Accounting Firm
|
27(p)
|
Powers of Attorney
|
29
|
Insurance Company Organizational Chart
|