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ING Life
Insurance and Annuity Company
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[Windsor,
Connecticut]
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[Customer
Service Center
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Important terms
and definitions used in this
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P.O. Box
10450
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Contract appear
on page 4.
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909 Locust
Street
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Des Moines,
Iowa 50306-0450]
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[1-888-854-5950]
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Product
Name
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Contract
Number
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[ING
Innovations 7]
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[R123456]
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Annuitant(s)
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Age of
Annuitant(s)
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Sex of
Annuitant(s)
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[Thomas J.
Doe]
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[55]
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[Male]
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Owner/Joint
Owner
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Age of
Owner/Joint Owner
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Residence
State
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[John Q.
Doe]
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[35]
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[Connecticut]
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Contract
Date
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Issue
State
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[July 1,
2009]
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[Connecticut]
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Initial
Premium
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[$15,000.00]
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Maturity
Date
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Annuity
Plan
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[July 1,
2039]
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[Payments for
Life with 10 Year Period Certain]
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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
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TABLE OF
CONTENTS
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Page
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1.
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CONTRACT
SCHEDULE
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3
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2.
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IMPORTANT TERMS
AND DEFINITIONS
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4
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3.
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INTRODUCTION TO
THE CONTRACT
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3.1
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The
Contract
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6
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3.2
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The
Owner
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6
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3.3
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The
Annuitant
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6
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3.4
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The
Beneficiary
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6
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4.
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PREMIUMS
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4.1
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Premiums
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8
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4.2
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Allocating
Strategies
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8
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5.
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STRATEGIES
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5.1
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Strategies
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9
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5.2
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Fixed Rate
Strategy
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9
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5.3
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Point-to-Point
Cap Index Strategy
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9
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6.
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CONTRACT
VALUES
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6.1
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The
Accumulation Value
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11
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6.2
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The Cash
Surrender Value
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11
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6.3
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Charges
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11
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7.
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CONTRACT
BENEFITS
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7.1
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Contract
Surrender
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13
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7.2
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The Death
Benefit
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13
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7.3
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Annuity
Payments
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14
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8.
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OTHER IMPORTANT
INFORMATION
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8.1
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Annual Report
to Owner
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17
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8.2
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Assignment
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17
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8.3
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Misstatement
Made by Owner in Connection with the Purchase of this
Contract
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17
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8.4
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Payments We May
Defer
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17
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8.5
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Incontestability
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17
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8.6
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Basis of
Computation
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17
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8.7
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Rules for
Interpreting this Contract
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17
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8.8
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Non-Waiver
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17
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A.
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Charges
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Surrender
Charge Schedule:
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Contract
Year
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1
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2
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3
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4
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5
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6
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7
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8+
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Surrender
Charge Percentage
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9%
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8%
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7%
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6%
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5%
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4%
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3%
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0%
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See
Section 6.3 for details
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B.
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Available
Strategies and Indexes
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Fixed Rate
Strategy
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Initial
Premium applied to this Strategy
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[$7,500]
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Premium
Allocation Percentage of Initial Premium
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[50%]
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Initial
Fixed Rate Strategy Interest Rate
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[3.00%]
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Minimum
Guaranteed Interest Rate
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1.0%
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Point-to-Point
Cap Index Strategy
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Initial
Premium applied to this Strategy
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[$7,500]
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Premium
Allocation Percentage of Initial Premium
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[50%]
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Percentage
of
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Initial
Premium
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Initial
Premium
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Initial
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Index
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Allocated to
Each Index
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Allocated to
Each Index
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Index
Cap*
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[ 1 S&P 500]
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[$3,750.00]
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[25.0%]
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[6.0%]
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[ 2 Dow Jones EURO STOXX 50 ®
Index]
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[$3,750.00]
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[25.0%]
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[5.5%]
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[ 3 Insert Index Name]
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[$0.00]
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[0.0%]
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[0.0%]
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[ 4 Insert Index Name]
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[$0.00]
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[0.0%]
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[0.0%]
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*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]
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1. CONTRACT
SCHEDULE (cont.)
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C.
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Minimum
Guaranteed Contract Value
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The
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Minimum
Guaranteed Contract Value equals the greater of:
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(1)
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The sum of the
Minimum Guaranteed Strategy Value of each Strategy; or
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(2)
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100% of the
Premium, less premium taxes, if applicable, less:
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(a)
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Any Surrenders
of Accumulation Value; plus
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(b)
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Interest
credited and compounded daily in a manner to yield the annual rate
of 1.00%; less
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(c)
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Any Surrender
Charges.
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D.
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Minimum
Guaranteed Strategy Value
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Fixed Rate
Strategy
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Point-to-Point
Cap
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Index
Strategy
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Initial Minimum
Guaranteed Strategy Value Rate:
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[3.00%]
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[2.00%]
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The Minimum
Guaranteed Strategy Value of each Strategy equals:
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(1)
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87.5% of the
Premium allocated to the Strategy, less premium taxes, if
applicable; plus
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(2)
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Reallocations
into that Strategy; less
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(3)
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Reallocations
and Surrenders taken from Accumulation Value in that Strategy;
plus
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(4)
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Interest
credited and compounded daily in a manner to yield the applicable
Minimum Guaranteed Strategy Value Rate.
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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%.
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E.
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Reallocations
and Surrender Adjustments
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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.
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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).
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F.
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Attached
Endorsements
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[Form numbers
and name of all attached
Endorsements]
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[Endorsement
price if separate identified cost]
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[THIS PAGE
INTENTIONALLY LEFT BLANK]
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(
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 )
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[THIS PAGE
INTENTIONALLY LEFT BLANK]
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(
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
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D
)
PAGES
.
IN
ALL CASES ,
PAGE
4
MUST
BE A FACING PAGE IN THE CONTRACT )
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2. IMPORTANT
TERMS AND DEFINITIONS
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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.
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 o