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

Available during accumulation phase only. Upon death of owner, benefit will be greater of - 1) contract value, 2) GMDB maximum anniversary value base, or 3) GMDB Roll-up base. GMDB maximum anniversary value base is greater of - 1) contract value, or 2) maximum anniversary value, calculated on any contract anniversary, prior to owner's 80th birthday, increased by purchase payments made and adjusted for withdrawals. GMDB Roll-up base equals sum of GMDB Roll-Up Base A and GMDB Roll-Up Base B. GMDB Roll-up base A is equal to initial purchase payment compounded at 5% (3% for state WA) annually plus subsequent purchase payments compounded at 5% (3% for state WA) annually less withdrawals. GMDB Roll-up base B is equal to initial purchase payment compounded at 3% annually plus subsequent purchase payments compounded at 3% annually less withdrawals. Issuer will roll-up benefit base until earliest of - 1) 20th contract anniversary, 2) contract anniversary on or following owner's 80th birthday, or 3) death of owner.

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

Greater of Maximum Anniversary Value or Roll-Up GMDB - Standard Version

Alabama (AL)
Alaska (AK)
American Samoa (AS)
Arizona (AZ)
Arkansas (AR)
Bermuda (BERMUDA)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
Dist of Columbia (DC)
Florida (FL)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IND)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Puerto Rico (PR)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virgin Islands (VI)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)