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MODIFIED SINGLE PREM. DEF. ANN. CONTRACT - 7 YEAR

Insurance Agreement

MODIFIED SINGLE PREM. DEF. ANN. CONTRACT - 7 YEAR | Document Parties: ING LIFE INSURANCE  ANNUITY CO | ING Life Insurance You are currently viewing:
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ING LIFE INSURANCE ANNUITY CO | ING Life Insurance

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Title: MODIFIED SINGLE PREM. DEF. ANN. CONTRACT - 7 YEAR
Date: 10/9/2009

50 of the Top 250 law firms use our Products every day

 

ING Life Insurance and Annuity Company  

 

[Windsor, Connecticut]  

 

 

 

[Customer Service Center  

 

Important terms and definitions used in this  

P.O. Box 10450  

 

Contract appear on page 4.  

909 Locust Street  

 

 

Des Moines, Iowa 50306-0450]  

 

 

[1-888-854-5950]  

 

 

 

Product Name  

 

                        Contract Number  

[ING Innovations 7]  

 

                        [R123456]  

Annuitant(s)  

Age of Annuitant(s)  

                        Sex of Annuitant(s)  

[Thomas J. Doe]  

[55]  

                        [Male]  

 

Owner/Joint Owner  

Age of Owner/Joint Owner  

                        Residence State  

[John Q. Doe]  

[35]  

                        [Connecticut]  

 

Contract Date  

Issue State  

 

[July 1, 2009]  

[Connecticut]  

 

Initial Premium  

 

 

[$15,000.00]  

 

 

Maturity Date  

Annuity Plan  

 

[July 1, 2039]  

[Payments for Life with 10 Year Period Certain]  

 

MODIFIED SINGLE PREMIUM DEFERRED ANNUITY CONTRACT

In this Contract "you" or "your" refers to the Owner shown above. "We," "our," or "us" refers to ING Life Insurance and Annuity Company.

READ THIS CONTRACT CAREFULLY. This is a legal contract between you and us.

RIGHT TO EXAMINE AND RETURN THIS CONTRACT

You may return this Contract by mailing or delivering it to our Customer Service Center at the address shown above or to the producer through whom you purchased it within twenty days (or thirty days if this is a replacement contract as defined by applicable state regulation) after the date you receive it. If so returned, we will promptly pay you any portion of the Premium paid and not previously Surrendered as of the date the returned Contract is received by us. If you are unsure whether your Contract is a replacement contract, please contact us at our Customer Service Center at the phone number or address set forth above.

WE WILL PROVIDE YOU WITH ADDITIONAL INFORMATION REGARDING THE BENEFITS AND PROVISIONS OF THIS CONTRACT UPON WRITTEN REQUEST. YOU MAY ALSO CALL OUR CUSTOMER SERVICE CENTER AT [1-888-854-5950] FOR INQUIRIES, INFORMATION OR ASSISTANCE.

      Cash Surrender Values may increase based on the Strategy you have selected. You may allocate your Premium between the Fixed Rate Strategy and the Point-to-Point Cap Index Strategy. Under the Point-to-Point Cap Index Strategy contract values are affected by the performance of an external index, but the Contract does not directly participate in such external index or other equity investments.

The initial interest rate for the Fixed Rate Strategy is guaranteed for one year only.

If you Surrender all or a portion of the Accumulation Value of the Contract, Surrender Charges may apply . Surrender Charges, when applied, will reduce the amount paid to you. Surrender Charges will not apply under certain conditions (see Section 6.3).

This Contract is non-participating which means it will not pay dividends resulting from any of the surplus or earnings of ING Life Insurance and Annuity Company.

IU-IA-3090


 

TABLE OF CONTENTS

 

 

 

 

 

 

Page  

 

1.  

CONTRACT SCHEDULE  

3  

 

2.  

IMPORTANT TERMS AND DEFINITIONS  

4  

 

3.  

INTRODUCTION TO THE CONTRACT  

 

 

3.1  

The Contract  

6  

 

3.2  

The Owner  

6  

 

3.3  

The Annuitant  

6  

 

3.4  

The Beneficiary  

6  

 

4.  

PREMIUMS  

 

 

4.1  

Premiums  

8  

 

4.2  

Allocating Strategies  

8  

 

5.  

STRATEGIES  

 

 

5.1  

Strategies  

9  

 

5.2  

Fixed Rate Strategy  

9  

 

5.3  

Point-to-Point Cap Index Strategy  

9  

 

6.  

CONTRACT VALUES  

 

 

6.1  

The Accumulation Value  

11  

 

6.2  

The Cash Surrender Value  

11  

 

6.3  

Charges  

11  

 

7.  

CONTRACT BENEFITS  

 

 

7.1  

Contract Surrender  

13  

 

7.2  

The Death Benefit  

13  

 

7.3  

Annuity Payments  

14  

 

8.  

OTHER IMPORTANT INFORMATION  

 

 

8.1  

Annual Report to Owner  

17  

 

8.2  

Assignment  

17  

 

8.3  

Misstatement Made by Owner in Connection with the Purchase of this Contract  

17  

 

8.4  

Payments We May Defer  

17  

 

8.5  

Incontestability  

17  

 

8.6  

Basis of Computation  

17  

 

8.7  

Rules for Interpreting this Contract  

17  

 

8.8  

Non-Waiver  

17  

 

IU-IA-3090

 

2


 

1.      

CONTRACT SCHEDULE

 

A.  

Charges  

 

 

 

 

 

 

 

 

 

 

Surrender Charge Schedule:  

 

 

 

 

 

 

 

 

 

 

          Contract Year  

  1  

2  

3  

4  

5  

6  

7  

8+  

 

          Surrender Charge Percentage  

9%  

8%  

7%  

6%  

          5%  

4%  

3%  

0%  

 

 

          See Section 6.3 for details  

 

 

 

 

 

 

 

 

 

 

B.  

Available Strategies and Indexes  

 

 

 

 

 

 

 

 

 

 

Fixed Rate Strategy  

 

 

 

 

 

 

 

 

 

          Initial Premium applied to this Strategy  

 

 

 

 

 

 

[$7,500]  

 

          Premium Allocation Percentage of Initial Premium  

 

 

 

 

 

[50%]  

 

          Initial Fixed Rate Strategy Interest Rate  

 

 

 

 

 

[3.00%]  

 

          Minimum Guaranteed Interest Rate  

 

 

 

 

 

 

1.0%  

 

 

Point-to-Point Cap Index Strategy  

 

 

 

 

 

 

 

 

 

 

          Initial Premium applied to this Strategy  

 

 

 

 

 

 

[$7,500]  

 

          Premium Allocation Percentage of Initial Premium  

 

 

 

 

 

[50%]  

 

 

 

 

 

 

 

Percentage of  

 

 

 

 

 

Initial Premium  

 

Initial Premium  

 

Initial  

 

          Index  

Allocated to Each Index  

 

Allocated to Each Index  

 

Index Cap*  

 

          [ 1 S&P 500]  

 

[$3,750.00]  

 

 

[25.0%]  

 

 

[6.0%]  

 

          [ 2 Dow Jones EURO STOXX 50 ® Index]  

 

[$3,750.00]  

 

 

[25.0%]  

 

 

[5.5%]  

 

          [ 3 Insert Index Name]  

 

[$0.00]  

 

 

[0.0%]  

 

 

[0.0%]  

 

          [ 4 Insert Index Name]  

 

[$0.00]  

 

 

[0.0%]  

 

 

[0.0%]  

 

*Any Index Cap declared in the future will never be less than 2% and will never exceed 100%

[ 1 “Standard & Poor’s ® ”, “S&P ® “, “S&P 500 ® “, “Standard & Poor’s 500”, and “500” are trademarks of The McGraw-Hill Companies, Inc. and have been licensed for use by ING Life Insurance and Annuity Company. The product is not sponsored, endorsed, sold or promoted by Standard & Poor's and Standard & Poor's makes no representation regarding the advisability of investing in the product.]

[ 2 STOXX and Dow Jones (“Licensors”) have no relationship to the Company, except the licensing of the Dow Jones EURO STOXX 50 ® Index, (the “Index”) and related trademarks for use with this fixed annuity Contract (the “Contract”). Licensors do not: sponsor, endorse, sell, promote or recommend the Contract; have any responsibility or liability for, or make any decisions on pricing administration, management or marketing of the Contract; or consider the needs of the Contract or its Owners in determining, composing or calculating the Index or have any obligation to do so.

Licensors will not have any liability in connection with the Contract. Specifically, Licensors do not make any warranty, express or implied and disclaim any and all warranty about: the results to be obtained by the Contract, the Contract Owner or any other person in connection with the use of the Index and the data included in the Index; accuracy or completeness of the Index and its data; merchantability and fitness for a particular purpose or use of the Index and its data; or have any have liability for any errors, omissions or interruptions in the Index or its data; Under no circumstances will Licensors be liable for any lost profits or indirect, punitive, special or consequential damages or losses, even if Licensors knows that they might occur.

The licensing agreement between the Company and Licensors is solely for their benefit and not for the benefit of the Contract Owners or any other third parties.]

[ 3 Insert Index Trademark Language]

[ 4 Insert Index Trademark Language]

IU-IA-3090

 

3


 

1. CONTRACT SCHEDULE (cont.)

 

C.      

Minimum Guaranteed Contract Value

 

The      

Minimum Guaranteed Contract Value equals the greater of:

 

(1)      

The sum of the Minimum Guaranteed Strategy Value of each Strategy; or

 

(2)      

100% of the Premium, less premium taxes, if applicable, less:

 

 

(a)      

Any Surrenders of Accumulation Value; plus

 

 

(b)      

Interest credited and compounded daily in a manner to yield the annual rate of 1.00%; less

 

 

(c)      

Any Surrender Charges.

D.      

Minimum Guaranteed Strategy Value

 

 

Fixed Rate Strategy  

Point-to-Point Cap  

 

 

Index Strategy  

 

Initial Minimum Guaranteed Strategy Value Rate:  

[3.00%]  

[2.00%]  

 

The Minimum Guaranteed Strategy Value of each Strategy equals:

(1)      

87.5% of the Premium allocated to the Strategy, less premium taxes, if applicable; plus

(2)      

Reallocations into that Strategy; less

(3)      

Reallocations and Surrenders taken from Accumulation Value in that Strategy; plus

(4)      

Interest credited and compounded daily in a manner to yield the applicable Minimum Guaranteed Strategy Value Rate.

The initial Minimum Guaranteed Strategy Value Rates shown above are set on the Contract Date and will not change for the first seven Contract Years. On the seventh Contract Anniversary and on each Contract Anniversary thereafter, the Minimum Guaranteed Strategy Value Rates for all Strategies will be set equal to the average of the five-year Constant Maturity Treasury Rate for each day that it is reported by the Federal Reserve during the month of October in the calendar year preceding the calendar year of the Contract Anniversary, less 1.25% for the Fixed Rate Strategy and less 2.25% for the Point-to-Point Cap Index Strategy. The Minimum Guaranteed Strategy Value Rate for both the Fixed Rate Strategy and the Point-to-Point Cap Index Strategy will be rounded to the nearest 0.05% and will not be greater than 3.0% or less than 1.0%.

E.      

Reallocations and Surrender Adjustments

 

A Reallocation of Accumulation Value will result in a pro-rata Reallocation of the Minimum Guaranteed Strategy Value in the same proportion as the Accumulation Value being reallocated bears to the total Accumulation Value of the Strategy and applicable Index, if any, attributable to the Allocation Anniversary.

 

Surrender of Accumulation Value from any Strategy will result in a dollar for dollar reduction of the Minimum Guaranteed Strategy Value of that Strategy equal to the amount of the Accumulation Value Surrendered (excluding the amount of any Surrender Charges deducted, if any).

F.      

Attached Endorsements

 

[Form numbers and name of all attached
Endorsements]

 

[Endorsement price if separate identified cost]

 

IU-IA-3090

 

3 (Cont.)


 

[THIS PAGE INTENTIONALLY LEFT BLANK]

      ( NOTE TO CODER ; DO NOT FILE WITH THIS NOTE : THIS PAGE WILL ALWAYS BE INSERTED . IF TEXT FROM PAGE 3 CONTINUES ONTO THIS PAGE , THE ABOVE STATEMENT IS DELETED . IF TEXT RUNS ONTO ANOTHER “3 ( CONT D )” PAGE , YOU MUST INSERT TWO SUCH 3 ( CONT D ) PAGES . IN ALL CASES , PAGE 4 MUST BE A FACING PAGE IN THE CONTRACT )

IU-IA-3090

 

3 (Cont.)


 

[THIS PAGE INTENTIONALLY LEFT BLANK]

      ( NOTE TO CODER ; DO NOT FILE WITH THIS NOTE : THIS PAGE WILL ALWAYS BE INSERTED . IF TEXT FROM PAGE 3 CONTINUES ONTO THIS PAGE , THE ABOVE STATEMENT IS DELETED . IF TEXT RUNS ONTO ANOTHER “3 ( CONT D )” PAGE , YOU MUST INSERT TWO SUCH 3 ( CONT D ) PAGES . IN ALL CASES , PAGE 4 MUST BE A FACING PAGE IN THE CONTRACT )

IU-IA-3090

 

3 (Cont.)


 

2. IMPORTANT TERMS AND DEFINITIONS

Accumulation Value is defined in Section 6.1.

Additional Premium means any payment, other than the Initial Premium, made by you and accepted by us for this Contract.

Allocation means apportioning your Premium among available Strategies and Indexes, if applicable.

Allocation Anniversary means the same date as the applicable Allocation Date each year. If the Allocation Date is February 29 th , in non-leap years the Allocation Anniversary shall be March 1 st .

Allocation Date means the date on which the Initial Premium, Reallocation or Additional Premium, as applicable, is allocated to any specific Strategy or Index.

Allocation Year means the period beginning on an Allocation Anniversary and ending on the day before the following Allocation Anniversary.

The Annuitant is designated by you as the individual upon whose life Annuity Payments will be based. There may be two Annuitants. The Annuitant(s) on the Contract Date are shown on the first page of this Contract. See Section 3.3 for additional details.

Annuity Payments are periodic payments made by us to you or, subject to our consent in the event the payee is not a natural person, to a payee designated by you.

The Annuity Plan is an option elected by you (or, if none is elected, is the option as described in Section 7.3) that determines the frequency, duration and amount of the Annuity Payments.

Beneficiary means the individual or entity you select to receive the Death Benefit.

Business Day means any day that the New York Stock Exchange ("NYSE") is open for trading, exclusive of federal holidays, or any day the Securities and Exchange Commission ("SEC") requires that mutual funds, unit investment trusts or other investment portfolios be valued.

The Cash Surrender Value is the amount you receive upon full Surrender of this Contract. See Section 6.2 for additional details.

Code means the Internal Revenue Code of 1986, as amended.

Company Death Benefit Rate means the effective annual interest rate that we will credit to the Death Benefit from the date of death until the Death Benefit is paid. See Section 7.2 for additional details.

The Contingent Annuitant is the individual who is not an Annuitant and will become the Annuitant if all named Annuitants die prior to the Maturity Date and the Death Benefit is not otherwise payable.

Contract means this Modified Single Premium Deferred Annuity Contract.

The Contract Anniversary is the same day and month each year as the Contract Date. If the Contract Date is February 29th, in non-leap years the Contract Anniversary shall be March 1 st .

Contract Date means the date on which this Contract becomes effective. The Contract Date is shown on the first page of this Contract.

A Contract Year is the period beginning on a Contract Anniversary (or, in the first Contract Year only, beginning on the Contract Date) and ending on the day preceding the next Contract Anniversary.

The Death Benefit is the amount payable to the Beneficiary upon death of any Owner (or, if the Owner is not a natural person, upon the death of any Annuitant) prior to the Maturity Date.

Endorsements are attachments to this Contract that add, change or supersede its terms or provisions.

IU-IA-3090

 

4


 

Extended Medical Care means confinement in a Hospital or Nursing Home prescribed by a Qualifying Medical Professional.

Fixed Rate Strategy is the Strategy that applies the declared Fixed Rate Strategy Interest Rate to the applicable Premium or Reallocation of Accumulation Value. See Section 5.2 for additional details.

Fixed Rate Strategy Interest Rate is the declared annual interest rate applicable to the Fixed Rate Strategy. The Fixed Rate Strategy Interest Rate is declared annually and in advance and is guaranteed for one year unless the Premium or Reallocation of Accumulation Value is reallocated to another strategy. The Fixed Rate Strategy Interest Rate shall be declared in our discretion and it will be at least equal to the Fixed Rate Strategy Minimum Guaranteed Interest Rate shown on the Contract Schedule.

Hospital or Nursing Home means a hospital or a skilled care or intermediate care nursing facility, operating as such according to applicable law and at which medical treatment is available on a daily basis. This does not include a rest home or other facility whose primary purpose is to provide accommodations, board, or personal care services to individuals who do not need medical or nursing care.

Index means an index applicable to the Point-to-Point Cap Index Strategy. See Section 5.3 for additional details.

Index Cap means the maximum Index Credit that may be applied at the end of each Indexing Period. It is declared annually in advance and is guaranteed for one year unless that Premium or Reallocation is reallocated to another Strategy or Index.

Index Credit means the rate credited to each Premium and Reallocation of Accumulation Value allocated to the Point-to-Point Cap Index Strategy and is based on the performance of the applicable Index as measured over the Indexing Period.

Index Number means the value of the Index. It excludes any dividends that may be paid by the firms that comprise the Index.

Indexing Period means the period over which the Index Cap is guaranteed and the Index Credit is calculated.

The Initial Premium is the payment made by you to us to put this Contract into effect.

An Irrevocable Beneficiary is a Beneficiary whose rights and interests under this Contract cannot be changed without his, her or its consent.

A Joint Owner is an individual who, along with another individual Owner, is entitled to exercise the rights incident to ownership. Both Joint Owners must agree to any change or the exercise of any rights under the Contract. The Joint Owner may not be an entity and may not be named if the Owner is an entity. The Joint Owner, if any, on the Contract Date is shown on the first page of this Contract. See Section 3.2 for additional details

Maturity Date means the date shown on the first page of this Contract. As long as this Contract is still in force on the Maturity Date, the Proceeds are used to determine the amount paid under the Annuity Plan chosen. The Maturity Date shall be the Contract Anniversary following the oldest Annuitant's attainment of age 85.

Minimum Guaranteed Contract Value is the minimum amount payable upon a full Surrender, at the Maturity Date or which would be payable as a Death Benefit. The Minimum Guaranteed Contract Value is defined in the Contract Schedule.

Minimum Guaranteed Interest Rate is the minimum interest rate that can be credited under the Fixed Rate Strategy. The Minimum Guaranteed Interest Rate is set forth in the Contract Schedule.

Minimum Guaranteed Strategy Value is the minimum value of any Strategy and is utilized only in the calculation of the Minimum Guaranteed Contract Value. The Minimum Guaranteed Strategy Value for each Strategy is defined in the Contract Schedule.

IU-IA-3090

 

5


 

Minimum Guaranteed Strategy Value Rates are the rates which are utilized to determine the Minimum Guaranteed Strategy Value for each Strategy. The initial Minimum Guaranteed Strategy Value Rates are set forth in the Contract Schedule.

Notice to Us means notice made in a form that: (1) is approved by or is acceptable to us; (2) has the information and any documentation we determine in our discretion to be necessary to take the action requested or exercise the right specified; and (3) is received by us at our Customer Service Center at the address specified on the first page of this Contract. Under certain circumstances, we may permit you to provide Notice to Us by telephone or electronically.

The Owner is the individual (or entity) who is entitled to exercise the rights incident to ownership. The terms "you" or "your," when used in this Contract, refer to the Owner. The Owner on the Contract Date is shown on the first page of this Contract. See Section 3.2 for additional details.

Point-to-Point Cap Index Strategy is the Strategy that credits interest to the applicable Premium or Reallocation of Accumulation Value based on the Index Change, as defined in Section 5.3, of the Index over the Indexing Period. See Section 5.3 for additional details.

Premium means collectively the Initial Premium and any Additional Premium.

Premium Allocation Percentage means the percentage of Premium allocated into any specific Strategy.

Proceeds means the greater of the Minimum Guaranteed Contract Value or the Accumulation Value.

Proof of Death means the documentation we deem necessary to establish death including, but not limited to: (1) a certified copy of a death certificate; (2) a certified copy of a statement of death from an attending physician; (3) a finding of a court of competent jurisdiction as to the cause of death; (4) or any other proof that we deem in our discretion to be satisfactory to us.

Qualifying Medical Professional means a legally licensed practitioner of the healing arts who: (1) is acting within the scope of his or her license; (2) is not a resident of your household or that of the Annuitant; and (3) is not related to you or the Annuitant by blood or marriage.

Reallocation means changing the Strategy and/or Index applicable to a portion or all of the Accumulation Value.

The Right to Examine and Return This Contract is the period of time during which you have the right to return the Contract for any reason, or no reason at all, and receive the payment as described in the Right to Examine and Return This Contract provision appearing on the first page of this Contract.

Strategy means any interest crediting strategy available under this Contract, as defined in Section 5.

A Surrender is a transaction in which all or a part of the Accumulation Value is taken from the Contract.

A Surrender Charge is a charge applied to certain full or partial Surrenders during the first seven Contract Years and will reduce the amount paid to you. See Section 6.3 for additional details.

The Surrender Charge Free Amount equals 10% of the Contract's Accumulation Value as determined on the date of the first partial Surrender during the Contract Year. This is the amount you may Surrender without any Surrender Charge.

Terminal Condition means an illness or injury that results in a life expectancy of twelve months or less, as measured from the date of diagnosis by a Qualifying Medical Professional.

" We ," " our ," or " us ," when used in this Contract, refers to ING Life Insurance and Annuity Company, a stock company domiciled in Connecticut.

IU-IA-3090

 

6


 

 

3. INTRODUCTION TO THE CONTRACT

3.1      

The Contract

 

This Contract and any attached application, amendments, or Endorsements constitute the entire contract between you and us. It is issued in consideration of the Initial Premium.

 

Only our President, a Vice President or Secretary is authorized to change or modify any of this Contract's terms, provisions or requirements. Any such change must be in writing. We may make changes to this Contract if required by law, including any changes necessary to continue to qualify such Contract as an annuity contract under applicable law. An Endorsement added to comply with applicable law does not require your consent but is subject to regulatory approval. Any such changes will apply uniformly to all contracts that are affected.

 

The provisions of this Contract shall, in all events, be construed to comply with applicable U.S. federal income tax requirements including the requirements of Section 72(s) of the Code.

3.2      

The Owner

 

The Owner owns the Contract and is entitled to exercise the rights incident to ownership. You are the Owner of this Contract. There may be Joint Owners; however, if there is more than one Owner, both Owners must agree to any change or exercise of the rights under this Contract.

 

You may change the ownership of this Contract at any time prior to the Maturity Date. Any change, addition or deletion of an Owner is treated as a change of ownership. To change ownership, you must provide Notice to Us of such change. Change of ownership will take effect as of the date we receive Notice to Us.

3.3      

The Annuitant

 

The Annuitant is the individual upon whose life the Annuity Payments are based. The Annuitant must be a natural person and is designated by you at the time this Contract is issued and cannot be changed. There may be two Annuitants.

In      

addition to the Annuitant, you may also name a Contingent Annuitant. The Contingent Annuitant cannot

be      

changed while he or she is living.

If      

at the time of any Annuitant's death the Owner is not a natural person, the death of such An


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