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Exhibit 4
Allstate Life
Insurance Company
A Stock Company
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Home Office: 3100 Sanders Road, Northbrook, Illinois 60062-7154
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Single Premium Deferred Market Value Adjusted Equity Indexed Annuity Contract
This Contract is issued to the Owner in consideration of the purchase payment.
Allstate Life Insurance Company ("Allstate Life") will pay the benefits of this
Contract, subject to its terms and conditions.
Throughout this Contract, "you" and "your" refer to the Owner(s) of this
Contract. "We", "us" and "our" refer to Allstate Life Insurance Company.
Contract Summary
This single premium deferred annuity provides a cash withdrawal benefit and a
death benefit during the Accumulation Phase, and periodic income payments
beginning on the Payout Start Date during the Payout Phase.
The withdrawal benefit may be subject to a Market Value Adjustment which may
result in an upward or downward adjustment of the amount distributed.
This Contract does not pay dividends.
The tax status of this Contract as it applies to the Owner should be reviewed
each year
PLEASE READ YOUR CONTRACT CAREFULLY.
This is a legal Contract between the Owner(s) of this Contract and Allstate Life
Insurance Company.
Trial Examination Period
Upon written request, we will provide you with factual information regarding the
benefits and provisions contained in this Contract. If you are not satisfied
with this Contract for any reason, you may cancel it by written notification
within 20 days after you receive it. We will refund the purchase payment less
any withdrawals to you.
[GRAPHIC OMITTED] [GRAPHIC OMITTED]
Secretary Chairman and Chief Executive Officer
Single Premium Deferred Market Value Adjusted Equity Indexed Annuity
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TABLE OF CONTENTS
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THE PERSONS INVOLVED .........................................................3
ACCUMULATION PHASE ...........................................................4
PAYOUT PHASE ................................................................10
INCOME PAYMENT TABLES .......................................................11
GENERAL PROVISIONS ..........................................................13
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THE PERSONS INVOLVED
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Owner The person named at the time of application is the Owner of this Contract
unless subsequently changed. As Owner, you will receive any periodic income
payments, unless you have directed us to pay them to someone else. Only natural
(or living) persons may purchase the Contract. A non-natural person must not
purchase the Contract except if the Owner is a Custodial IRA or a Grantor Trust
where all grantors and all beneficiaries of the Grantor Trust are natural
(living) persons. If any Owner is not a living person or a Custodial IRA or a
Grantor Trust where all grantors and all beneficiaries of a Grantor Trust are
natural (living) persons, then we reserve the right to declare the Contract void
and return all premiums to the Owner.
If the Owner is a non-natural person, when the Annuitant dies, the Death of
Annuitant section will apply.
You may exercise all the rights stated in this Contract, subject to the rights
of any irrevocable Beneficiary.
You may change the Owner at any time by written request in a form satisfactory
to us. Each change is subject to any payment we make or other action we take
before we accept it. If we accept a change, the change will take effect on the
date you signed the request.
You may not assign an interest in this Contract as collateral or security for a
loan. However, you may assign periodic income payments under this Contract
before the Payout Start Date. We are bound by an assignment only if it is signed
by you and filed with us. We are not responsible for the validity of an
assignment.
You may assign a partial absolute interest in this Contract for purposes of
qualifying an exchange under Section 1035 of the Internal Revenue Code. You must
do so in writing. We are bound by an assignment only if it is signed by the
assignor and filed with us. No such assignment is binding on us until we receive
it. When we receive it, your rights and those of the Beneficiary will be subject
to the assignment. We are not responsible for the validity or tax consequences
of the partial absolute assignment.
If more than one person is designated as Owner:
. Owner as used in this Contract refers to all people named as Owners, unless
otherwise indicated;
. Any request to exercise ownership rights must be signed by all Owners;
. On the death of any person who is an Owner, the surviving person(s) named
as Owner(s) will continue as Owner(s), as described in the Death of Owner
section; and
. If any Owner is a non-living person, when the Annuitant dies, the Death of
Annuitant section will apply.
Annuitant The Annuitant is the person named on the Annuity Data Page. The
Annuitant must be a living person.
If the Owner is a living person, the Owner may change the Annuitant before the
Payout Start Date by written request in a timely manner, in a form satisfactory
to us. Once we accept a change, it takes effect on the date you signed the
request. Each change is subject to any payment we make or other action we take
before we accept it.
Beneficiary The two classes of Beneficiaries are Primary Beneficiaries and
Contingent Beneficiaries. Primary Beneficiaries and Contingent Beneficiaries are
individually and collectively referred to herein as "Beneficiaries."
The Primary Beneficiary is the person(s) named on the Annuity Data Page unless
later changed by the Owner. The Primary Beneficiary is the Beneficiary(ies) who
is first entitled to receive benefits under this Contract upon the death of the
sole surviving Owner.
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The Contingent Beneficiary is the person(s) named on the Annuity Data Page
unless later changed by the Owner. The Contingent Beneficiary is entitled to
receive benefits under the Contract upon the death of the sole surviving Owner,
when all Primary Beneficiary(ies) predecease the sole surviving Owner.
You may change or add Beneficiaries at any time by written request in a timely
manner, in a form satisfactory to us, unless you have designated an irrevocable
Beneficiary. Once we accept a request, the change will take effect on the date
you signed the request. Any change is subject to any payment we make or other
action we take before we accept the change.
If no named Beneficiary is living when the sole surviving Owner dies, or if a
Beneficiary has not been named, the new Beneficiary will be:
1. Your spouse, or if he or she is no longer living,
2. Your surviving children equally, or if you have no surviving children,
3. Your estate.
For the purposes of this Contract, children are natural children and legally
adopted children only.
Unless you have provided written directions to the contrary, in a form
satisfactory to us, the Beneficiaries will take equal shares. If there is more
than one Beneficiary in a class and one of the Beneficiaries predeceases the
Owner, the deceased Beneficiary's entire share will be divided among the
remaining Beneficiaries in that class in proportion to the remaining
Beneficiaries' original shares.
Survivor Clause
For purposes of this Contract, in determining whether a living person, including
an Owner, Primary Beneficiary, Contingent Beneficiary, or Annuitant ("Living
Person A") has survived another living person, including an Owner, Primary
Beneficiary, Contingent Beneficiary, or Annuitant ("Living Person B"), Living
Person A must survive Living Person B by at least 24 hours. Otherwise, Living
Person A will be conclusively deemed to have predeceased Living Person B.
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ACCUMULATION PHASE
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Accumulation Phase The "Accumulation Phase" is the first of the two phases of
this Contract. The Accumulation Phase begins on the Issue Date stated on the
Annuity Data Page. This phase will continue until the Payout Start Date unless
the Contract is terminated before that date.
Contract Year A "Contract Year" is the 365 day period (366 days for a leap year)
beginning on the Issue Date and on each anniversary of the Issue Date ("Contract
Anniversary").
Purchase Payment The amount of the purchase payment is shown on the Annuity Data
Page. We reserve the right to limit the amount of the Purchase Payment we will
accept to a minimum of $25,000 and a maximum of $1,000,000, without prior
approval. No additional purchase payments may be made to the Contract at any
time.
Guarantee Period We will offer term lengths you may choose for your Guarantee
Period Accounts from one to fifteen years. Each Guarantee Period Account has its
own term length.
If this Contract is issued as an Individual Retirement Annuity, then in no event
may a Guarantee Period extend beyond December 30 of the year before the year in
which the Contract Owner reaches age 70 1/2.
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We may add to, modify or eliminate the term lengths we offer at our discretion.
Guarantee Period Account A new Guarantee Period Account is established when you
allocate a portion of the purchase payment to establish a Guarantee Period
Account.
Each Guarantee Period Account is identified by the term length of the Guarantee
Period Account. You may not make transfers between existing Guarantee Period
Accounts.
At the expiration of a Guarantee Period Account, the Guarantee Period Account
Value will be transferred to the Standard Fixed Account.
Guarantee Period Account Value The Guarantee Period Account Value is equal to
the amount of the purchase payment allocated to a Guarantee Period Account:
. Less any withdrawals; and
. If any withdrawal is a Net Withdrawal, as defined in the Withdrawal section
below, any applicable Withdrawal Charge and taxes and any Market Value
Adjustment imposed for such withdrawal will also be deducted from the
Guarantee Period Account
At the end of the Guarantee Period Account the Guarantee Period Account Value is
equal to the purchase payment, less any withdrawals, plus interest, less any
applicable taxes.
Interest is only credited at the end of the applicable guarantee period or upon
the death of the Owner.
Standard Fixed Account The Standard Fixed Account is only available after a
Guarantee Period expires. Once a Guarantee Period expires that Guarantee Period
Account value will be moved into the Standard Fixed Account.
Standard Fixed Account Value The Standard Fixed Account Value is equal to the
total amount transferred into the Standard Fixed Account at the expiration of
the Guarantee Period Account:
. Less any withdrawals of purchase payments/and or interest;
. Less any applicable taxes;
. Plus Credited Interest
Contract Value Your "Contract Value" is equal to the sum of all the Guarantee
Period Account Values and the Standard Fixed Account Value.
Market Value Adjustment Withdrawals from a Guarantee Period Account will be
subject to a Market Value Adjustment, as set forth below.
A Market Value Adjustment is an increase or decrease in the amount withdrawn
reflecting changes in the level of interest rates since the Guarantee Period
Account was established. As used in the formula below, "Treasury Rate" means the
U. S. Treasury Constant Maturity Rate as reported in Federal Reserve Bulletin
Release H.15. If such yields cease to be available in Federal Reserve Bulletin
Release H. 15, then we will use an alternate source for such information in our
discretion. The Market Value Adjustment is based on the following:
I = the Treasury Rate for a maturity equal to the term length
of the Guarantee Period Account for the week preceding the
establishment of the Guarantee Period Account;
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J = the Treasury Rate for the same maturity as I, as of the week
preceding our receipt of your withdrawal request; and
N = the number of whole and partial years from the date we receive
your request until the end of the relevant Guarantee Period.
If the Federal Reserve Bulletin release H.15 does not contain a Treasury Rate
for a maturity equal to the length of the Guarantee Period Account, we will
calculate an interpolated rate from the Treasury Rates published bulletin.
An adjustment factor is determined from the following formula:
.9 x {I (J + .0025)} x N
The Market Value Adjustment equals the adjustment factor multiplied by the
amount withdrawn from a Guarantee Period Account that exceeds the Free
Withdrawal Amount for that account.
The Market Value Adjustment does not apply to the Standard Fixed Account.
Any Market Value Adjustment will be waived on withdrawals taken to satisfy IRS
minimum distribution rules but only to the extent the cumulative Free Withdrawal
Amounts of all your Guarantee Period Accounts have been depleted. The waiver of
any Market Value Adjustment under this provision is permitted only for
withdrawals that satisfy required distributions resulting solely from this
Contract.
Credited Interest Rate The Contract offers two indexed interest options for the
Guarantee Period Account declared by us on your Contract Issue Date. The indexed
interest rate is equal to the participation rate multiplied by the index
increase described in the options below. Your choice of crediting option appears
on the Annuity Data Page. You may choose only one crediting option for all
Guarantee Period Accounts. Once you choose your crediting option, it will be
irrevocable.
. Crediting Option A - Index increase is equal to the Index at time of
calculation divided by the Index at end of the day the Contract is
issued, minus 1.
. Crediting Option B - Index increase is equal to the average of the
Index over the last 6 Calendar Month Anniversaries ending at time of
calculation divided by the Index at end of the day the Contract is
issued, minus 1.
. Calendar Month Anniversaries fall on the same date each month as
the Contract issue date. If there is no corresponding date in the
month, the Calendar Month Anniversary date will fall on the first
day of the following month. If the Calendar Month Anniversary
date is a day when the Index does not trade, we will use the
Index value as of the previous business day. If the time of
calculation is less than six months after the Contract issue
date, then we will use the average of the Index over the number
of Calendar Month Anniversaries that have elapsed.
The index increase will never be less than zero for either crediting option.
If indexed interest is being calculated at the end of a guarantee period, and
the indexed interest at the end of the guarantee period is less than the minimum
guarantee, then the Guarantee Period Account will be credited with the minimum
guarantee. The minimum guarantee is shown on the Annuity Data Page. The minimum
guarantee may vary by crediting option and by Guarantee Period.
The Credited Interest Rate for the Standard Fixed Account will be credited daily
at a rate which compounds over one year to the annualized effective interest
rate we declare from time to time. The minimum guaranteed annualized effective
interest rate for the Standard Fixed Account is shown on the Annuity Data Page.
No interest will be credited to any Contract owned by a non-natural person,
unless such non-natural person is a Custodial IRA or is a Grantor Trust meeting
the requirements outlined under the section titled The Persons
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Involved.
Index The Index for this Contract is shown on the Annuity Data Page. The
accumulated value of this Contract is calculated using the Index, which is
guaranteed to apply while the Contract is in force unless publication of the
Index is discontinued, or the calculation of the Index is changed substantially.
If the publication of the Index is discontinued, or the calculation of the Index
is changed substantially, we will substitute a suitable index and notify you.
We reserve the right to change our offerings of indices.
The Index at time of calculation means the end of the day following the
calculation date. We will not issue a Contract on days when the Index does not
trade. If the day after a calculation date is a day when the Index does not
trade, the Index value will be the Index at close of the previous trading day.
Withdrawal You have the right, subject to the restrictions and charges described
in this Contract, to withdraw part or all of your Contract Value at any time
during the Accumulation Phase. A withdrawal must be at least $250. If any
withdrawal reduces the Contract Value to less than $3,000, we may treat the
request as a withdrawal of the entire Contract Value. If you withdraw the entire
Contract Value, this Contract will terminate.
Withdrawals are subject to deductions for applicable Withdrawal Charges and
taxes. They are also subject to Market Value Adjustments. When you make a
withdrawal, you must specify whether you choose to make a Gross Withdrawal or a
Net Withdrawal. Under a Gross Withdrawal, the deductions and adjustments are
made to the amount of your withdrawal request ("Withdrawal Request Amount").
Under a Net Withdrawal, these deductions and adjustments are made to the
Guarantee Period Account Value. If you do not specify which of these options you
choose, your withdrawal will be deemed to be a Gross Withdrawal.
You must specify the Guarantee Period Account(s) from which you wish to make a
withdrawal. If you do not specify the Guarantee Period Account(s) from which you
wish to make a withdrawal, we will withdraw funds in the proportion that the
Guarantee Period Account Value of that Guarantee Period Account bears to the
total Guarantee Period Account Value of all Guarantee Period Accounts.
Free Withdrawal Amount The Free Withdrawal Amount for a Guarantee Period Account
in a Contract Year is equal to 10% of each Guarantee Period Account Value
immediately before you make the first withdrawal from any Guarantee Period
Account in that Contract Year. The Free Withdrawal Amount for each Guarantee
Period Account is calculated for each Contract Year.
During each Contract Year you may withdraw the Free Withdrawal Amount for any
Guarantee Period Account without incurring a Withdrawal Charge or Market Value
Adjustment; however, the amount withdrawn may be subject to any applicable
taxes. If you do not withdraw the entire Free Withdrawal Amount from a Guarantee
Period Account during a Contract Year, any remainder is not carried forward to
increase the Free Withdrawal Amount in a subsequent Contract Year nor is it
carried forward to increase the Free Withdrawal Amount of any other Guarantee
Period Account. The Free Withdrawal Amount is only available during the
Accumulation Phase of the Contract.
The Free Withdrawal Amount will be reduced by the Withdrawal Request Amount for
each Gross Withdrawal; and by the Adjusted Withdrawal Request Amount for each
Net Withdrawal.
Withdrawal Charge A Withdrawal Charge may be assessed on certain withdrawals
from a Guarantee Period Account. Withdrawal charges for all available Guarantee
Period Accounts are shown on the Annuity Data Page. Your withdrawal charge will
be based on the Guarantee Period Account(s) chosen by you.
The Withdrawal Charge for a given Guarantee Period Account is determined by
multiplying the Withdrawal
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Charge Percentage corresponding to the Contract Year
as shown on the Annuity Data Page by the amount of each Withdrawal Request
Amount (for a Gross Withdrawal) or Adjusted Withdrawal Request Amount (for a Net
Withdrawal) that exceeds the Free Withdrawal Amount for that Account.
Withdrawals taken to satisfy Internal Revenue Code minimum distribution rules
will reduce the Free Withdrawal Amount for the Guarantee Period Account(s) from
which the withdrawals are made. Any Withdrawal Charge and Market Value
Adjustment will be waived on withdrawals taken to satisfy Internal Revenue Code
minimum distribution rules but only to the extent the cumulative Free Withdrawal
Amounts of all your Guarantee Period Accounts have been depleted. The waiver of
Withdrawal Charge and Market Value Adjustment under this section is permitted
only for withdrawals that satisfy required distributions resulting solely from
this Contract.
Subject to any such waiver of Withdrawal Charges or Market Value Adjustment, any
withdrawals taken to satisfy Internal Revenue Code minimum distribution rules
will reduce the Free Withdrawal Amount by the Withdrawal Request Amount, if such
withdrawal is a Gross Withdrawal; or the Adjusted Withdrawal Request Amount, if
such withdrawal is a Net Withdrawal.
Withdrawals from the Standard Fixed Account are not subject to withdrawal
charges.
Taxes Any premium tax and any other applicable taxes relating to this Contract
may be deducted from purchase payments or the Contract Value when the tax is
incurred or at a later time.
Death of Owner If you die before the Payout Start Date, the new Owner will be
the surviving Owner. If there is no surviving Owner, the new Owner will be the
Beneficiary(ies) as described in the Beneficiary section.
If there is more than one new Owner taking a share of the Death Proceeds,
described in the Death Proceeds section, each new Owner will be treated as a
separate and independent Owner of his or her respective share of the Death
Proceeds. Each new Owner will exercise all rights related to his or her share of
the Death Proceeds, including the sole right to elect one of the Option(s) below
for his or her respective share. Each new Owner may designate a Beneficiary(ies)
for his or her respective share, but that designated Beneficiary(ies) will be
restricted to the Option chosen by the original new Owner.
The Options available to the new Owner will be determined by the applicable
following Category in which the new Owner is defined. An Option will be deemed
to have been chosen on the day we receive written notification in a form
satisfactory to us and is effective on the date of death. Once an option is
selected, it will be irrevocable.
Category 1. If your spouse is the sole new Owner of the entire
Contract, the Contract will continue in the Accumulation
Phase, unless your spouse chooses from Options A, B, C or D,
described below. If the Contract continues in the Accumulation
Phase, the Contract Value will not be adjusted to include
Death Proceeds.
If you were also the Annuitant, then your spouse will be the
new Annuitant, unless he or she names a new Annuitant, as
described in the Annuitant section. Your spouse may make a
single withdrawal of any amount within one year of the date of
your death without incurring a Withdrawal Charge; however, the
amount withdrawn will be subject to a Market Value Adjustment.
Category 2. If the new Owner is a living person who is not your spouse,
or if there are multiple living new Owners, the new Owner(s)
must (each) choose from Options A, B, C or D, as described
below. If a new Owner does not choose one of these Options,
Option A will apply for such new Owner.
Category 3. If the new Owner is a Custodial IRA or a Grantor Trust
(meeting the requirements of the Section titled "The Persons
Involved", the new Owner must choose between Options A or D,
described below. If the new Owner does not choose either of
these Options, Option A will apply.
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The following Death of Owner Options are available, as applicable:
Option A. The new Owner may receive the Death Proceeds payable within
5 years of the date of your death. Withdrawal Charges will be
waived for any withdrawals made during this 5 year period;
however, the amount withdrawn will be subjec






