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Variable Annuity
Edit 125% Principal Guarantee Benefit
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Nirmala
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125% Principal Guarantee Benefit
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Identity
COMPANY
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AIG Annuity Insurance Company
Acacia Life Insurance Company
Aetna Insurance and Annuity Company
Allianz Life Insurance Company of New York
Allianz Life Insurance Company of North America
Allstate Life Insurance Company of New York
AmFirst Insurance Company (an Axonic Insurance Services Company)
AmeriBest Life Insurance Company
American Equity Investment Life Insurance Company
American Equity Investment Life Insurance Company of New York
American Family Life Insurance Company
American Fidelity Assurance Company
American General Life Insurance Company
American Heritage Life Insurance Company
American Investors Life Insurance Company
American Life & Security Corp
American Mayflower Life Insurance Company of New York
American National Insurance Company
American National Life Insurance Company of New York
American Pioneer Life Insurance Company
American Progressive Life & Health Insurance Company
American Skandia Life Assurance Corporation
American United Life Insurance Company
Americo Financial Life and Annuity Company
Ameritas Life Insurance Corp
Annuity Investors Life Insurance Company
Aspida Life Insurance Company
Athene Annuity & Life Assurance Company
Athene Annuity & Life Insurance Company of New York
Athene Annuity and Life Company
Atlantic Coast Life Insurance Company
AuguStar Life Insurance Company
AuguStar Life Insurance Company - The
Auto Club Life Insurance Company
Aviva Life and Annuity Company
Banker's Life Insurance Company of New York
Bankers Life Insurance Company
Bankers Life and Casualty
Bradford National Life Insurance Company
Brighthouse Life Insurance Company
Brighthouse Life Insurance Company of NY
C.M. Life Insurance Company (Mass Mutual)
CIGNA (Connecticut General Life Insurance Company)
CMFG Life Insurance Company
COVA Financial Services Life Insurance Company
Canada Life Assurance Company
Capitol Life Insurance Company
Centurion Life Insurance Company
Ceres Life Insurance Company
Certified Life
Chase Insurance Life Company of New York
Chase Insurance Life and Annuity Company
Clarica Life Insurance Company
Clear Spring Life and Annuity Company
College Retirement Equities Fund (CREF)
Colorado Bankers Life Insurance Company
Columbia Universal Life Insurance Company
Commonwealth Annuity and Life Insurance Company
Conseco Annuity Assurance Company
Delaware Life
Delaware Life Insurance Company
Delaware Life Insurance Company of New York
Delta Life & Annuity
Eagle Life Insurance Company
Empire Fidelity Investments Life Insurance Company
Employers Modern Life Company
Empower Annuity Insurance Company of America
Empower Life & Annuity Insurance Company of New York
EquiTrust Life Insurance Company
EquiTrust Life Insurance Company_old
Equitable Financial Life Insurance Company
Equitable Financial Life Insurance Company of America
Everlake Life Insurance Company
Farm Bureau Life Insurance Company
Farm Family Life Insurance Company
Farmers Life Insurance Company
Farmers New World Life Insurance Company
Fidelity & Guaranty Life Insurance Company
Fidelity & Guaranty Life Insurance Company of New York
Fidelity Investments Life Insurance Company
Financial Benefit Life Insurance Company
First Colony Life Insurance Company
First Security Benefit Life Insurance & Annuity Co of NY
First Security Benefit Life Insurance and Annuity Company of New York
First SunAmerica Life Insurance Company
First Symetra National Life Insurance Company of New York
First Variable Life Insurance Company
Foresters Life Insurance and Annuity Company
Forethought Life Insurance Company
Fort Dearborn Life Insurance Company
Fortitude Life Insurance & Annuity Company
GBU Financial Life
GCU
Gainbridge Life Insurance Company
General American Life Insurance Company
Genworth Life Insurance Company
Genworth Life Insurance Company of New York
Genworth Life and Annuity Insurance Company
Gleaner Life Insurance Society
Glenbrook Life and Annuity Company
Global Atlantic
Government Personnel Mutual Life Insurance Company
Grand Pacific Life Insurance - Ltd.
Great Northern Insurance and Annuity
Greater Beneficial Union of Pittsburgh
Greek Catholic Union of the U.S.A.
Grinnell Life Insurance Company
Guaranty Income Life Insurance Company
Guardian Insurance & Annuity Company - The
Harleysville Life Insurance Company
Horace Mann Life Insurance Company
ING Life Insurance and Annuity Company
Ibexis Life & Annuity Insurance Company
Independent Order of Foresters -The
Indianapolis Life Insurance Company
Integrity Life Insurance Company
Investors Heritage Life Insurance Company
Investors Insurance Corporation
Investors Life Insurance Company of North America
Jackson National Life Insurance Company
Jackson National Life Insurance Company of New York
Jefferson National Life Insurance Company
Jefferson Pilot LifeAmerica Insurance Company
Jefferson-Pilot Life Insurance Company
John Hancock Life Insurance Company
John Hancock Life Insurance Company (U.S.A.)
John Hancock Life Insurance Company of New York
Kansas City Life Insurance Company
Kemper Investors Life Insurance Company
Keyport Life Insurance Company
Lafayette Life Insurance Company
Liberty Bankers Life Insurance Company
Liberty Life Assurance Company of Boston
Life Insurance Company of the Southwest
Lincoln Benefit Life Company
Lincoln Life & Annuity Company of New York
Lincoln National Life Insurance Company
London Pacific Life & Annuity Company
MEMBERS Life Insurance Company
MONY Life Insurance Company
MONY Life Insurance Company of America
Manhattan Life Insurance Company
MassMutual (CM Life Insurance Company)
MassMutual Ascend Life Insurance Company
Massachusetts Mutual Life Insurance Company
Merit Life Insurance Company (Knighthead)
MetLife Insurance Company of CT
MetLife Investors
Metropolitan Life Insurance Company
Midland Life Insurance Company
Midland Life Insurance Company, The
Midland National Life Insurance Company
Midland National Life Insurance Company (Sammons Retirement Solutions)
Minnesota Life Insurance Company
Minnesota Life Insurance Company - a Securian Company
Modern Woodmen of America
Mutual of America Life Insurance Company
Nassau Financial Group
Nassau Life Insurance Company
Nassau Life and Annuity Company
National Guardian Life Insurance Company
National Integrity Life Insurance Company
National Life Insurance Company
National Life Insurance Company - Montpelier - Vermont
National Security Insurance Company
National Security Life and Annuity Company
National Western Life Insurance Company
National Western Life Insurance Company
Nationwide Life Insurance Company
Nationwide Life and Annuity Insurance Company
New England Life Insurance Company
New York Life Insurance Company
New York Life Insurance and Annuity Corporation
North American Company for Life and Health
OM Financial Life Insurance Company
OM Financial Life of New York
Oceanview Life and Annuity Company
Ohio State Life Insurance Company
Order of the Sons of Hermann in the State of Texas - The
Oxford Life Insurance Company
PHL Variable Insurance Company
PHL Variable Life Insurance Company
Pacific Guardian Life Insurance Company
Pacific Life & Annuity Company
Pacific Life Insurance Company
Penn Mutual Life Insurance Company
Pennsylvania Life Insurance Company
Physicians Life Insurance Company
Presidential Life Insurance Company
Principal Life Insurance Company
Protective Life Insurance Company
Protective Life and Annuity Insurance Company
Provident Mutual Life Insurance Company
Providentmutual Life & Annuity Company
Pruco Life Insurance Company
Pruco Life Insurance Company of New Jersey
Prudential Insurance Company of America
Prudential Life Insurance Company -The
RBC Insurance
RBC Insurance (Liberty Life Insurance Company)
ReliaStar Life Insurance Company
ReliaStar Life Insurance Company of New York
Reliance Standard Life Insurance Company
Revol One Insurance Company
RiverSource Life Insurance Co of New York
RiverSource Life Insurance Company
Royal Life Insurance Company of New York
Royal Maccabees Life Insurance Company
Royal Neighbors of America
S.USA Life Insurance Company
SAFECO Life Insurance Company
SBLI USA Life Insurance Company
SILAC Insurance Company
Sagicor Life Insurance Company
Samaksh Test 1
Samaksh Test 2
Samaksh jain co
Seaboard Life Insurance Company
Securian Life Insurance Company
Security Benefit Life Insurance Company
Security First Life Insurance Company
Security Mutual Life Insurance Company of New York
Sentinel Security Life Insurance Company
Shenandoah Life Insurance Company
Southern Farm Bureau Life Insurance Company
Southwestern Life Insurance Company
Standard Insurance Company
State Farm Life Insurance Company
State Farm Life and Accident Assurance Company
Sun Life Assurance Company of Canada (U.S.)
Sun Life Insurance and Annuity Company of New York
SunAmerica Life Insurance Company
Supan_Shah_Company
Symetra Life Insurance Company
TIAA-CREF Life Insurance Company
Talcott Resolution Life Insurance Company
Teachers Insurance and Annuity Association of America
Test company
The Guardian Insurance & Annuity Company
The Northwestern Mutual Life Insurance Company
The State Life Insurance Company
The Variable Annuity Life Insurance Company
Thrivent
Thrivent Financial for Lutherans
Transamerica Advisors Life Insurance Company
Transamerica Advisors Life Insurance Company of New York
Transamerica Financial Life Insurance Company
Transamerica Life Companies
Transamerica Life Insurance Company
Transamerica Occidental Life Insurance Company
Transamerica Premier Life Insurance Company
Travelers Life and Annuity Company
Trustmark Insurance Company
USAA Life Insurance Company
USAA Life Insurance Company of New York
Union Central Life Insurance Company
Union Security Insurance Company
Union Security Life Insurance Company of New York
United Life Insurance Company
United States Life Insurance Company In the City of New York
United States Life Insurance Company in the City of New York
United of Omaha Insurance Company
Unity Mutual Life Insurance Company
Universal Life Insurance Company
Upstream Life Insurance Company
Valley Forge Life Insurance Company
Vantis Life Insurance Company
Vantis Life Insurance Company of NY
Variable Annuity Life Insurance Company
Voya Insurance And Annuity Company
Voya Retirement Insurance And Annuity Company
West Coast Life Insurance Company
Western Bankers Life Insurance Company
Western National
Western United Life Assurance Company
Western-Southern Life Assurance Company
Woodmen of the World Life Insurance Society
Zurich American Life Insurance Company
RIDER TYPE
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GLWB
GMAB
GMIB
GMWB
NAME
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INTERNAL NAME
DTCC RIDER ID
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PRODUCT POLICY TYPE
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Fixed Annuity
Indexed Annuity
RILA
Variable Annuity
Rules & Limits
RIDER SELECT RULE
Default
Mandatory
Optional
BASED ON LIFE
Annuitant
Owner
Owner (or Annuitant if owner is a natural entity)
Owner (or Annuitant if owner is a non-natural person)
Owner and Annuitant
MIN AGE
MAX AGE
ELIGIBLE PP
ELIGIBLE PP TERM
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Age
Contract year
Days
Months
Years
MAX BENEFIT BASE
MAX BENEFIT BASE %
WITH REDUCE BENEFIT BASE
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Dollar for Dollar
Proportionally
FORMULA
— None —
Dates
INCEPTION DATE
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CLOSED DATE
State Availability
Exception
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)
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Status Flags
Terminated
Exclude Premium Bonus
Single Life
Joint Life
Spousal Continuation Option
Formula Case Available
Notes & Descriptions
BENEFIT DESCRIPTION
Benefit protects from poor investment performance during accumulation phase. Benefit base is 125% of initial purchase payment, increased by any subsequent purchase payment, reduced for withdrawals. Benefit guarantees that contract value will not be less than benefit base at rider maturity date. If contract value is less than benefit base at rider maturity date, Issuer will apply additional amount to increase contract value equal to benefit base. Subsequent purchase payments are not permitted after six contract months.
RIDER CANCELLATION
Once elected may not be cancelled.
RIDER TERMINATION
Once elected may not be terminated.
AVAILABLE WHEN ADDED
Only at contract issue.
SUBSEQUENT PREMIUM
Subsequent purchase payment will increase benefit base by dollar-for-dollar amount.
WITHDRAWAL NOTES
PARTIAL WITHDRAWALS
Withdrawals will reduce benefit base by dollar-for-dollar amount.
REQUIRED MIN DISTRIBUTIONS
SPOUSAL CONTINUATION OPTION
Surviving spouse may elect to continue benefit after death of owner.
EFFECT CHANGE OWNERSHIP
Change in ownership will result in termination of rider except under certain conditions.
OTHER INFO
VERSION NOTES
INTERNAL NOTES
SCRAP BOOK