Beacon Data Entry

Company & Identity

COMPANY *

BENEFIT NAME *

INTERNAL BENEFIT NAME

DTCC RIDER ID

Dates & Status

INCEPTION DATE *

CLOSED DATE Must be on or after inception date

VERSION BEGIN DATE

Terminated

Life & Age

BASED ON LIFE *

RIDER SELECT RULE

MIN AGE Must be ≥ 0

MAX AGE Must be ≥ Min Age

WAITING PERIOD

WAITING TERM

Benefit Base

MAXIMUM BENEFIT BASE

MAXIMUM BENEFIT BASE %

WITH REDUCE BENEFIT BASE

Coverage Flags

Single Life Joint Life Exclude Premium Bonus Spousal Continuation Spousal Continuation Option

Description & Notes

BENEFIT DESCRIPTION

During accumulation phase, upon death of owner, benefit will be greatest of - 1) contract value, 2) purchase payments, or 3) GMDB benefit base, which is step-up value on rider effective date increased by purchase payments less any withdrawals, compounded at 6% (5% if owner is age 70 or older on rider effective date or 3% for state WA) annually from rider effective date to contract anniversary immediately preceding owner's 81st birthday. If contract value is greater than GMDB benefit base on earlier of 7th contract anniversary following rider date or contract anniversary prior to owner's 81st birthday, step-up date is set equal to that contract anniversary, and step-up value is set equal to contract value on that step-up date. For total withdrawals up to 6% of GMDB Benefit Base, withdrawal adjustment is dollar amount of withdrawal, after processing applicable dollar for dollar portion of withdrawal, withdrawal adjustment for total withdrawals in a contract year in excess of 6% of GMDB Benefit Base is in same proportion.

OTHER INFO

NOTES

VERSION NOTE

Lifecycle Events

CANCELLATION

TERMINATION

AVAILABLE WHEN ADDED

EFFECT CHANGE OWNERSHIP

State Availability

Exception

Not available in states

Edit Death Benefit

6% Roll-Up Death Benefit

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