EXHIBIT 4(b)
CONTRACT CONTENTS
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----GOLDEN SINGLE PREMIUM
-------AMERICAN DEFERRED MODIFIED
---------LIFE INSURANCE GUARANTEED ANNUITY
-----COMPANY MASTER CONTRACT
Golden American is a stock company domiciled in Delaware.
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Offices: ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇▇ 19380
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|CONTRACTHOLDER: GROUP CONTRACT NUMBER: |
|GOLDEN INVESTORS TRUST G000018-OE |
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|ISSUED IN: CONTRACT ISSUE DATE: |
|DELAWARE [JUNE 19, 2000] |
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In this Contract, we, our and us refer to the Golden American Life
Insurance Company.
In consideration of application for this Contract and the payment of
Premiums, we agree, subject to the terms and considerations of this
Contract, to provide the benefits described in this Contract to the
persons eligible under the terms of this Contract.
If this Contract is in force, we will make income payments to the
Certificate Owner starting on the Annuity Commencement Date shown in
each Certificate. If the Certificate Owner or the Annuitant (if the
Certificate Owner is other than a natural person) dies prior to the
Annuity Commencement Date shown in each Certificate, we will pay a
death benefit to the Beneficiary. The amounts of such benefits are
subject to the terms of this Contract.
All death proceeds due under this Contract will be paid according to
the Beneficiary designation and the provisions of this Contract.
Payment of such death proceeds by us will completely discharge our
liability with respect to the amounts so paid.
All provisions set forth on the following pages are a part of this
Contract.
Signed for Golden American Life Insurance Company on the Contract Date.
Customer Service Center Secretary: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ---------------------
West Chester, PA 19380 President: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇
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SINGLE PREMIUM DEFERRED MODIFIED GUARANTEED ANNUITY MASTER CONTRACT
Annuity benefit payable at Commencement Date. Death benefit payable
in event of the Certificate Owner's death prior to Commencement Date.
Benefits guaranteed if the Certificate is held for a period equal to
the current Guarantee Period. The Cash Surrender Values are based on
a separate account Market Value Adjustment formula if the annuity is
held for a shorter period. CASH SURRENDER VALUES MAY INCREASE OR
DECREASE BASED ON THE MARKET VALUE ADJUSTMENT FORMULA. Nonparticipating.
GA-MC-1070 6/00
CONTRACT CONTENTS
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THE SCHEDULE......................3 THE CONTRACT'S BENEFITS......10
Cash Surrender Value Benefit
IMPORTANT TERMS...................4 Partial Withdrawal Option
Proceeds Payable to the
INTRODUCTION TO THIS CONTRACT.....6 Beneficiary
Exemption of Benefits
The Contract
The Certificate Owner
The Annuitant CHOOSING AN INCOME PLAN......12
The Beneficiary
Change of Owner or Beneficiary Annuity Benefits
Annuity Commencement Date
HOW WE MEASURE THE CERTIFICATE'S Selection
ACCUMULATION VALUE................8 Frequency Selection
The Income Plan
Single Premium Payment The Annuity Options
Accumulation Value Payment When Named Person Dies
Fixed Account
Guarantee Periods OTHER IMPORTANT INFORMATION.....14
Market Value Adjustments
Entire Contract
Sending Notice to Us
Reports to the Certificate Owner
Assignment
Changing a Certificate
Contract Changes - Applicable
Tax Law
Misstatement of Age or Sex
Non-Participating
Payments We May Defer
Authority to Make Agreements
Required Note on Our Computations
Copies of any additional riders and endorsements are at the back of
this Contract.
GA-MC-1070 2 6/00
THE SCHEDULE
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|Contractholder Group Contract Number |
|[GOLDEN INVESTORS TRUST] [123456] |
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|Issue State Contract Issue Date |
|[DELAWARE] [JUNE 19, 2000] |
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|Separate Account(s) |
|[FIXED ACCOUNT] |
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Surrender Charges
The Surrender Charge is imposed if a Certificate is surrendered or an
excess Partial Withdrawal is taken at any time other than the 30 days
immediately preceding the Maturity Date of a Guarantee Period. The
Surrender Charge is calculated as a percentage of the Accumulation
Value withdrawn or surrendered, adjusted by the Market Value
Adjustment. Surrender Charges vary according to the duration of the
Guarantee Period. The Surrender Charges are 8% in the first year,
then decrease 1% per year thereafter until the end of the Guarantee
Period as shown in the following schedule:
YEAR IN
GUARANTEE PERIOD 1 2 3 4 5 6 7 8 9 10
____________________________________________________________________
% 8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 0.0
Surrender Charges restart at the beginning of each Guarantee Period for
the life of the Certificate. We currently offer Guarantee Periods of
[1, 3, 5, 6, 7, 8, 9, and 10] year(s).
Premium Taxes
We deduct the amount of any Premium or other state and local taxes
levied by any state or governmental entity when such taxes are
incurred.
We reserve the right to defer collection of Premium Taxes until
surrender or until the application of Accumulation Value to an Annuity
Option. An excess Partial Withdrawal will result in the deduction of
any Premium Tax then due us on such amount. No interest will be
credited on Premium Tax deducted. We reserve the right to change the
amount we charge for Premium Tax charges to conform with changes in the
law or if a Certificate Owner changes state of residence.
GA-MC-1070 3 6/00
IMPORTANT TERMS
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ACCUMULATION VALUE - The Accumulation Value of a Certificate equals
the Single Premium Paid less Partial Withdrawals and any Premium Taxes
accumulated with interest. Interest is calculated from the Certificate Date.
ANNUITANT - The person designated by the Certificate Owner to be the
measuring life in determining Annuity Payments.
ANNUITY COMMENCEMENT DATE - For each Certificate, the date on which
Annuity Payments begin.
ANNUITY OPTIONS - Options a Certificate Owner selects that determine
the form and amount of annuity payments.
ANNUITY PAYMENT - The periodic payment a Certificate Owner receives.
It may be either a fixed or a variable amount based on the Annuity
Option chosen.
BENEFICIARY - The person designated to receive benefits in the case of
the death of the Certificate Owner.
CASH SURRENDER VALUE - The amount a Certificate Owner receives upon
surrender of a Certificate.
CERTIFICATE ANNIVERSARY - The anniversary of the Certificate Date.
CERTIFICATE DATE - The date we received the Premium and upon which we
begin determining the Certificate values. It may not be the same as
the Certificate Issue Date. The Certificate Date is the date used to
determine Certificate months, processing dates, years, and
anniversaries.
CERTIFICATE ISSUE DATE - The date the Certificate is issued at our
Customer Service Center.
CERTIFICATE OWNER - The person (persons if there is a joint
Certificate Owner, or entity if the Certificate Owner is not an
individual) who owns a Certificate and is entitled to exercise all
rights of the Certificate. This person's death also initiates payment
of the death benefit.
CERTIFICATE YEAR - The period between Certificate Anniversaries.
CONTINGENT ANNUITANT - The person designated by the Certificate Owner
who, upon the Annuitant's death prior to the Annuity Commencement
Date, becomes the Annuitant.
CONTRACTHOLDER- The entity to whom this group Contract is issued.
CONTRACT ISSUE DATE - The date the group contract is issued at our
Customer Service Center
GUARANTEE PERIOD - The period of years a rate of interest is
guaranteed to be credited to the Accumulation Value of a Certificate.
GUARANTEED INTEREST RATE - The effective annual interest rate which we
will credit for a specified Guarantee Period.
ISSUE AGE - The Annuitant's or Certificate Owner's age on the last
birthday on or before the Certificate Date.
MARKET VALUE ADJUSTMENT - A positive or negative adjustment. It may
apply if all or part of the Cash Surrender Value is withdrawn prior to
the Maturity Date of the Guarantee Period.
MATURITY DATE - The date on which a Guarantee Period matures. The
Maturity Date is the last day of the last Certificate Year in the
Guarantee Period.
GA-MC-1070 4 6/00
IMPORTANT TERMS (continued)
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NONPARTICIPATING - This Contract and any Certificates will not pay
dividends. They will not participate in any of our surplus or
earnings.
PREMIUM - The payment amount required to put each Certificate in
effect.
PREMIUM TAX - Premium Tax means any tax or fee imposed or levied by
any federal or state government, or political subdivision thereof, on
the Premium of a Certificate.
GA-MC-1070 5 6/00
INTRODUCTION TO THIS CONTRACT
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THE CONTRACT
This Contract creates a legal contract between you, the
Contractholder, and us, the Insurer. Only our President, a Vice
President or Secretary can change, modify or waive the provisions of
the Contract or a Certificate.
A Certificate outlines the terms of this Contract. It is issued to
members of the eligible class in consideration of the payment of the
Single Premium.
The provisions of this Contract and the Certificate shall, in all
events, be construed to comply with the requirements of Section 72(s)
of the Internal Revenue Code of 1986, as amended.
THE CERTIFICATE OWNER
The Certificate Owner is also the Annuitant unless another Annuitant
has been named by the Certificate Owner and is shown in the
Certificate. The Certificate Owner has the rights and options
described in the Certificate and this Contract, including but not
limited to the right to receive the Annuity Benefits on the Annuity
Commencement Date.
One or more people may own a Certificate. In the case of a sole
Certificate Owner who dies prior to the Annuity Commencement Date, we
will pay the Beneficiary the death benefit then due. If the sole
Certificate Owner is not an individual, we will treat the Annuitant as
Certificate Owner for the purpose of determining when the Certificate
Owner dies under the death benefit provision (if there is no
Contingent Annuitant), and the Annuitant's age will determine the
applicable death benefit payable to the Beneficiary. The sole
Certificate Owner's estate will be the Beneficiary if no Beneficiary
designation is in effect, or if the designated Beneficiary has
predeceased the Certificate Owner. In the case of a joint Certificate
Owner dying prior to the Annuity Commencement Date, the surviving
Certificate Owner(s) will be deemed as the Beneficiary(ies).
THE ANNUITANT
The Annuitant is the measuring life of the Annuity Benefits provided
under a Certificate. The Certificate Owner may name a Contingent
Annuitant. The Annuitant may not be changed during the Annuitant's
lifetime.
If the Annuitant dies before the Annuity Commencement Date, the
Contingent Annuitant becomes the Annuitant. The Certificate Owner
will be the Contingent Annuitant unless the Certificate Owner names
someone else. The Annuitant must be a natural person. If the
Annuitant dies and no Contingent Annuitant has been named, we will
allow the Certificate Owner sixty days to designate someone other than
themselves as an Annuitant. If all Certificate Owners are not
individuals and, through the operation of this provision, a
Certificate Owner becomes Annuitant, we will pay the death proceeds to
the Beneficiary. If there are joint Certificate Owners, we will treat
the youngest of the Certificate Owners as the Contingent Annuitant
designated, unless the Certificate Owner elects otherwise.
THE BENEFICIARY
The Beneficiary is the person to whom we pay death proceeds if any
Certificate Owner dies prior to the Annuity Commencement Date. See
Proceeds Payable to the Beneficiary for more information. We pay
death proceeds to the primary Beneficiary (unless there are joint
Certificate Owners in which case the death benefit proceeds are
payable to the surviving Certificate Owner). If the primary
Beneficiary dies before the Certificate Owner, the death proceeds are
paid to the Contingent Beneficiary, if any. If there is no surviving
Beneficiary, we pay the death proceeds to the Certificate Owner's
estate.
GA-MC-1070 6 6/00
INTRODUCTION TO THIS CONTRACT (continued)
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Unless otherwise provided, benefits will be paid as though the
Beneficiary died before the Certificate Owner if:
(1) the Beneficiary dies at the same time as the Certificate Owner;
or
(2) within 24 hours of the Certificate Owner's death.
One or more persons may be named as primary Beneficiary or contingent
Beneficiary. In the case of more than one Beneficiary, we will assume
any death proceeds are to be paid in equal shares to the surviving
Beneficiaries. The Certificate Owner can specify other than equal
shares.
The Certificate Owner has the right to change Beneficiaries, unless
the Certificate Owner designates the primary Beneficiary irrevocable.
When an irrevocable Beneficiary has been designated, the Certificate
Owner and the irrevocable Beneficiary may have to act together to
exercise the rights and options under this Contract and Certificate.
CHANGE OF OWNER OR BENEFICIARY
During the Certificate Owner's lifetime and while a Certificate is in
effect the Certificate Owner can transfer ownership of the Certificate
or change the Beneficiary. To make any of these changes, the
Certificate Owner must send us written notice of the change in a form
satisfactory to us. The change will take effect as of the day the
notice is signed. The change will not affect any payment made or
action taken by us before recording the change at our Customer Service
Center. See Proceeds Payable to Beneficiary.
GA-MC-1070 7 6/00
HOW WE MEASURE THE CERTIFICATE'S ACCUMULATION VALUE
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SINGLE PREMIUM PAYMENT
The Single Premium Payment is required to put a Certificate in effect.
The amount of the Single Premium Payment is shown in the Certificate.
If any check presented as payment of any part of the Premium for a
Certificate is not honored, the Certificate will be void.
ACCUMULATION VALUE
The Accumulation Value of a Certificate equals the Single Premium
Paid, less any Partial Withdrawals and any Premium Taxes, accumulated
with interest. Interest is calculated from the Certificate Date.
The rates of interest will be as we declare. The Initial Guaranteed
Interest Rate will be credited each Certificate Year during the
Initial Guarantee Period. Guaranteed Interest Rates will be
determined for subsequent Guarantee Periods at the beginning of that
period and credited each Certificate Year during the current Guarantee
Period. Interest will be credited daily at a rate to yield the
declared annual Guaranteed Interest Rate. The Initial Guaranteed
Interest Rate and any Guaranteed Interest Rates declared for
subsequent Guarantee Periods will not be less than 3%.
In case of a full or Partial Withdrawal, interest will be credited on
the portion of the Accumulation Value surrendered up to the date the
surrender is requested. Accumulation Values at any date within a
Certificate Year will be determined by us with allowance for the time
elapsed in the Certificate Year. No interest will be credited on any
Premium Tax deducted.
FIXED ACCOUNT
The Fixed Account is a separate account under state insurance law and
is not required to be registered with the Securities and Exchange
Commission under the Investment Company Act of 1940. The Fixed
Account includes the Single Premium Paid which we credit with fixed
rates of interest for the Guarantee Period the Certificate Owner
selects. We reset the interest rates for subsequent Guarantee Periods
based on our sole discretion.
GUARANTEE PERIODS
The Initial Guarantee Period is selected by the Certificate Owner from
among the durations then being offered by the Company and is shown in
the Certificate. The length of the Initial Guarantee Period will
determine the Initial Guaranteed Interest Rate.
Upon the expiry of a Guarantee Period, a subsequent Guarantee Period
will begin. Each subsequent Guarantee Period will be the same length
as the previous Guarantee Period, unless a) the Certificate Owner
elects a different duration from among those then being offered by the
Company; or b) the new Guarantee Period would extend beyond the
Annuity Commencement Date then in effect. If the period remaining
from the expiry of the previous Guarantee Period to the Annuity
Commencement Date is less than the period the Certificate Owner has
elected or the period expiring, the next shortest period then
available that will not extend beyond the Annuity Commencement Date
will be offered to the Certificate Owner.
We will notify the Certificate Owner prior to the Maturity Date of
their options for renewal. In order to elect a different Guarantee
Period, the Certificate Owner must notify the Company in writing
before the end of the 30-day period immediately preceding the Maturity
Date of the current Guarantee Period. The Certificate Owner may not
select a Guarantee Period that would extend beyond the Annuity
Commencement Date then in effect.
We reserve the right to offer Guarantee Periods of durations other
than those available on the Certificate Date. We also reserve the
right to cease offering a particular Guarantee Period or Periods.
GA-MC-1070 8 6/00
HOW WE MEASURE THE CERTIFICATE'S ACCUMULATION VALUE (continued)
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MARKET VALUE ADJUSTMENTS
A Market Value Adjustment will be applied upon withdrawal or
application to an Income Plan if made more than 30 days prior to the
Maturity Date of the current Guarantee Period, except on free Partial
Withdrawal amounts as described on page 10.
Market Value Adjustments will be applied as follows:
(a) The Market Value Adjustment will be applied to the amount
withdrawn before deduction of any applicable Surrender Charge.
(b) For a Partial Withdrawal, the Market Value Adjustment will be
calculated on the total amount that must be withdrawn, in order to
provide the amount requested.
The Market Value Adjustment is determined by multiplying the amount of
the Accumulation Value withdrawn by the following factor:
(( 1 + I ) N/365
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( 1 + J + .0050)) -1
Where I is the Index Rate on the first day of the applicable Guarantee
Period; J is the Index Rate for new Guarantee Periods equal to the
number of years (fractional years rounded up to the next full year)
remaining in the Guarantee Period at the time of the calculation; and
N is the remaining number of days in the Guarantee Period at the time
of calculation.
The Index Rate is the average of the Ask Yields for the U.S. Treasury
Strips as reported by a national quoting service for the applicable
maturity. The average is based on the period from the 22nd day of the
calendar month two months prior to the calendar month of Index Rate
determination to the 21st day of the calendar month immediately prior
to the month of determination. The applicable maturity date for these
U.S. Treasury Strips is on or next following the last day of the
Guarantee Period. If the Ask Yields are no longer available, the
Index Rate will be determined using a suitable replacement method.
We currently set the Index Rate once each calendar month. However, we
reserve the right to set the Index Rate more frequently than monthly,
but in no event will such Index Rate be based on a period less than 28
days.
GA-MC-1070 9 6/00
THE CONTRACT'S BENEFITS
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While this Contract is in effect, there are important rights and
benefits that are available to the Certificate Owner. We discuss
these rights and benefits in this section.
CASH SURRENDER VALUE BENEFIT
Cash Surrender Value
The Cash Surrender Value, while the Annuitant is living and before the
Annuity Commencement Date, is determined as follows:
(1) We take the Certificate's Accumulation Value;
(2) We adjust for any applicable Market Value Adjustment;
(3) We deduct any Surrender Charges as shown on the Certificate
Schedule Page;
(4) We deduct any charges shown in the Certificate that have been
incurred but not yet deducted, including any applicable Premium
Tax.
BEGINNING ON THE THIRTIETH DAY IMMEDIATELY PRECEDING THE MATURITY DATE
OF A GUARANTEE PERIOD THERE IS NO SURRENDER CHARGE OR MARKET VALUE
ADJUSTMENT. A WRITTEN REQUEST BY THE CERTIFICATE OWNER FOR SURRENDER
OR TRANSFER TO ANOTHER GUARANTEE PERIOD MUST BE RECEIVED IN OUR
CUSTOMER SERVICE CENTER BEFORE THE END OF SUCH 30-DAY PERIOD OF THE
INITIAL OR SUBSEQUENT GUARANTEE PERIOD. SURRENDER CHARGES AND THE
MARKET VALUE ADJUSTMENT APPLY TO EACH SUBSEQUENT GUARANTEE PERIOD.
SURRENDER CHARGES FOR EACH SUBSEQUENT GUARANTEE PERIOD START AT 8% FOR
THE FIRST YEAR, THEN DECREASE BY 1% PER YEAR BEGINNING IN YEAR 2 UNTIL
THE MATURITY DATE OF THAT GUARANTEE PERIOD.
Canceling to Receive the Cash Surrender Value
At any time while the Annuitant is living and before the Annuity
Commencement Date, a Certificate Owner may surrender a Certificate to
us. To do this, a Certificate Owner must return the Certificate with
a signed request for cancellation to our Customer Service Center.
The Cash Surrender Value will vary daily. We will determine the Cash
Surrender Value as of the date we receive the Certificate and the
Certificate Owner's signed request in our Customer Service Center.
All benefits under the Certificate will then end.
We will usually pay the Cash Surrender Value within seven days; but,
we may delay payment as described in the Payments We May Defer
provision.
PARTIAL WITHDRAWAL OPTION
The Certificate Owner may make a Partial Withdrawal at any time by
giving written notice to us.
The maximum amount that can be withdrawn each Certificate Year without
being considered an excess Partial Withdrawal is described below. We
will collect a Surrender Charge and Market Value Adjustment for excess
Partial Withdrawals and a charge for any unrecovered Premium Taxes.
The minimum Partial Withdrawal amount is $100. After a Partial
Withdrawal, the remaining Cash Surrender Value must be at least $1000
to keep the Certificate in force.
The free withdrawal amount for a Certificate Year is equal to 12
months of interest earned and not previously withdrawn in the prior 12
months.
Systematic Partial Withdrawals of interest may be elected to commence
after 28 days from the Certificate Issue Date and may be taken on a
monthly, quarterly or annual basis. The Certificate Owner selects the
day withdrawals will be made, but no later than the 28th date of the
month. If the Certificate Owner does not elect a day, the Certificate
Date will be used. The maximum withdrawal amount is equal to the
interest earned for the prior month, quarter, or year (depending on
the frequency selected).
GA-MC-1070 10 6/00
THE CONTRACT BENEFITS (continued)
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For any Certificate Year in which the total amount withdrawn exceeds
the free withdrawal amount, a Surrender Charge and Market Value
Adjustment will apply to the excess Partial Withdrawal. If the
Certificate is surrendered, the Surrender Charge and Market Value
Adjustment will apply to the total amount withdrawn in that
Certificate Year, including any Partial Withdrawals.
NO SURRENDER CHARGE OR MARKET VALUE ADJUSTMENT WILL APPLY TO PARTIAL
WITHDRAWALS OR SURRENDERS DURING THE 30 DAYS IMMEDIATELY PRECEDING THE
MATURITY DATE OF A GUARANTEE PERIOD.
PROCEEDS PAYABLE TO THE BENEFICIARY
Prior to the Annuity Commencement Date
If the sole Certificate Owner dies prior to the Annuity Commencement
Date, we will pay the Beneficiary the death benefit. The death
benefit is equal to the Accumulation Value as of the date of death.
No Surrender Charge or Market Value Adjustment will be applied. If
there are joint Certificate Owners and any Certificate Owner dies, we
will pay the surviving Certificate Owners the death benefit. We will
pay the amount on receipt of due proof of the Certificate Owner's
death at our Customer Service Center. Such amount may be received in
a single lump sum or applied to any of the Annuity Options (see
Choosing an Income Plan). When the Certificate Owner (or all
Certificate Owners where there are joint Certificate Owners) is not an
individual, the death benefit will become payable on the death of the
Annuitant prior to the Annuity Commencement Date (unless a Contingent
Annuitant survived the Annuitant). Only one death benefit is payable
under a Certificate. In all events, distributions under a Certificate
must be made as required by applicable law.
Spousal Continuation upon Death of Certificate Owner
If at the Certificate Owner's death, the surviving spouse of the
deceased Certificate Owner is the Beneficiary, then such surviving
spouse may elect to continue the Certificate as their own pursuant to
Internal Revenue Code Section 72(s) or the equivalent provisions of
the U.S. Treasury Department rules for qualified plans.
How to Claim Payments to Beneficiary
We must receive proof of the Certificate Owner's (or the Annuitant's)
death before we will make any payments to the Beneficiary. We will
calculate the death benefit as of the date we receive due proof of
death. The Beneficiary should contact our Customer Service Center for
instructions.
EXEMPTION OF BENEFITS
All payments of Benefits under this Contract and any Certificate will
be made from our Customer Service Center. To the extent allowed by
law, the Benefits will be free from creditor's claims or legal
process.
GA-MC-1070 11 6/00
CHOOSING AN INCOME PLAN
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ANNUITY BENEFITS
If the Annuitant and Certificate Owner are living on the Annuity
Commencement Date, we will begin making payments to the Certificate
Owner. We will make these payments under the Annuity Option (or
Options) as chosen initially or as subsequently selected. The
Certificate Owner may choose or change an Annuity Option by making a
written request at least 30 days prior to the Annuity Commencement
Date. Unless the Certificate Owner has chosen otherwise, Option 2 on
a 10-year period certain basis will become effective. The amounts of
the payments will be determined by applying the Accumulation Value
adjusted by a Market Value Adjustment, if applicable, on the Annuity
Commencement Date in accordance with the Annuity Options section below
(see Payments We Defer). Surrender Charges will be waived. A Market
Value Adjustment may apply if the Annuity Commencement Date is more
than 30 days prior to the Maturity Date of the Guarantee Period.
Before we pay any Annuity Benefits, we require the return of the
Certificate. If the Certificate has been lost, we require the
applicable lost Certificate form.
ANNUITY COMMENCEMENT DATE SELECTION
The Certificate Owner selects the Annuity Commencement Date. The
Certificate Owner may select any date following the first Certificate
Anniversary but before the required date of Annuity Commencement as
shown in the Certificate. If the Certificate Owner does not select a
date, the Annuity Commencement Date will be in the month following the
required date of Annuity Commencement.
FREQUENCY SELECTION
The Certificate Owner may choose the frequency of the Annuity
Payments. They may be monthly, quarterly, semi-annually or annually.
If we do not receive written notice from the Certificate Owner, the
payments will be made monthly.
THE INCOME PLAN
While a Certificate is in effect and before the Annuity Commencement
Date, the Certificate Owner may chose one or more Annuity Options for
the payment of death benefit proceeds. If, at the time of the
Certificate Owner's death, no Option has been chosen for paying the
death benefit proceeds, the Beneficiary may choose an Option within
one year. The Certificate Owner may also elect an Annuity Option on
surrender of the Certificate for its Cash Surrender Value. For each
Option we will issue a separate written agreement putting the Option
into effect.
Our approval is needed for any Option where:
(1) the person named to receive payment is other than the
Certificate Owner or Beneficiary; or
(2) the person named is not a natural person, such as a
corporation; or
(3) any income payment would be less than the minimum annuity
income payment shown in the Certificate.
THE ANNUITY OPTIONS
There are three Options to choose from. They are:
Option 1. Income for a Fixed Period
Payment is made in equal installments for a fixed number of years.
The payment period cannot be more than 30 years nor less than 5 years.
We guarantee each monthly payment will be at least the Income for
Fixed Period amount shown in the Certificate. Values for annual,
semiannual or quarterly payments are available on request.
GA-MC-1070 12 6/00
CHOOSING AN INCOME PLAN (continued)
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Option 2. Income for Life Payment is made to the person named in equal
monthly installments and guaranteed for at least a period certain. The
period certain can be 10 or 20 years. Other periods certain are available
on request. A refund certain may be chosen instead. Under this arrangement,
income is guaranteed until payments equal the amount applied. If the person
named lives beyond the guaranteed period, payments continue until his
or her death.
We guarantee each payment will be at least the amount shown in the
Certificate. By age, we mean the named person's age on his or her
nearest birthday before the Option's effective date. Amounts for ages
not shown are available on request.
Option 3. Joint Life Income
This Option is available if there are two persons named to receive
payments. At least one of the persons named must be either the
Certificate Owner or Beneficiary of the Certificate. Monthly payments
are guaranteed and are made as long as at least one of the named
persons is living. The monthly payment amounts are available upon
request. Such amounts are guaranteed and will be calculated on the
same basis as the Table for Income for Life, however, the amounts will
be based on two lives.
The minimum rates for Option 1 are based on 3% interest, compounded
annually. The minimum rates for Options 2 and 3 are based on 3%
interest, compounded annually, and the Annuity 2000 Mortality Table.
We may pay a higher rate at our discretion.
PAYMENT WHEN NAMED PERSON DIES
When the person named to receive payment dies, we will pay any amounts
still due as provided by the Option agreement. The amounts still due
are determined as follows:
(1) For Option 1 or for any remaining guaranteed payments in
Option 2, payments will be continued.
(2) For Option 3, no amounts are payable after both named
persons have died.
GA-MC-1070 13 6/00
OTHER IMPORTANT INFORMATION
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ENTIRE CONTRACT
This Contract, including any attached riders, endorsements, or
amendments constitutes the entire Contract between the Contractholder
and us. All statements made by the Contractholder, any Certificate
Owner or any Annuitant will be deemed representations and not
warranties.
SENDING NOTICE TO US
Any written notices or requests should be sent to our Customer Service
Center.
REPORTS TO THE CERTIFICATE OWNER
We will send the Certificate Owner a report at least once during each
Certificate Year. The report will show the Accumulation Value and the
Cash Surrender Value as of the end of the Certificate processing
period. The report will also show the amounts deducted from or added
to the Accumulation Value since the last report. The report will also
include any information that may be currently required by the
insurance supervisory official of the jurisdiction in which the
Contract is delivered.
ASSIGNMENT
Benefits under a Certificate may be assigned as collateral security
for a loan or other obligation. This does not change the Certificate
ownership. The Certificate Owner's rights and any Beneficiary's
rights are subject to terms of the assignment. To make or release an
assignment, we must receive written notice satisfactory to us, at our
Customer Service Center. We are not responsible for the validity of
any assignment.
CHANGING A CERTIFICATE
A Certificate may be changed to another annuity plan according to our
rules at the time of the change.
CONTRACT CHANGES - APPLICABLE TAX LAW
We reserve the right to make changes in this Contract to the extent we
deem it necessary to continue to qualify this Contract as an annuity.
Any such changes will apply uniformly to all Contracts that are
affected. The Contractholder and any Certificate Owners will be given
advance written notice of such changes.
MISSTATEMENT OF AGE OR SEX
If an age or sex has been misstated, the amounts payable or benefits
provided by a Certificate will be those that the Premium Payment made
would have bought at the correct age or sex.
NON-PARTICIPATING
This Contract and any Certificates will not participate in the
divisible surplus of Golden American Life Insurance Company.
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OTHER IMPORTANT INFORMATION (continued)
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PAYMENTS WE MAY DEFER
We may, at any time, defer payment of the Cash Surrender Value for up
to six months after we receive a request for it. We will allow
interest of at least 3.00% a year on any Cash Surrender Value payment
derived from requests that we defer 30 days or more. If the applicable
state law requires interest at a greater rate, we will pay the greater
rate.
AUTHORITY TO MAKE AGREEMENTS
All agreements made by us must be signed by one of our officers. No
other person, including an insurance agent or broker, can:
(1) change any of this Contract's or a Certificate's terms;
(2) extend the time for Premium Payments; or
(3) make any agreement binding on us.
REQUIRED NOTE ON OUR COMPUTATIONS
We have filed a detailed statement of our computations with the
insurance supervisory official in the jurisdiction where this Contract
is delivered. The values are not less than those required by the law
of that state or jurisdiction.
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SINGLE PREMIUM DEFERRED MODIFIED GUARANTEED ANNUITY MASTER CONTRACT
Annuity benefit payable at Commencement Date. Death benefit payable
in event of the Certificate Owner's death prior to Commencement Date.
Benefits guaranteed if the Certificate is held for a period equal to
the current Guarantee Period. The Cash Surrender Values are based on
a separate account Market Value Adjustment formula if the annuity is
held for a shorter period. CASH SURRENDER VALUES MAY INCREASE OR
DECREASE BASED ON THE MARKET VALUE ADJUSTMENT FORMULA.
Nonparticipating.
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