50 Ill. Adm. Code 1551.APPENDIX
A Variable Annuities Only
Section 1551.APPENDIX A
Variable Annuities Only
[Name
of Company]
Hypothetical
Illustration of Benefits
From
An Immediate Variable Annuity
Prepared for
John Doe
Age & Sex
65 Male
Annuity Form
Life Annuity with 120
Months Certain
Single Purchase Payment
$15,000
Annuity payments will vary as
described in the prospectus, and in accordance with the actual investment
results.
An interest rate of 3½% is used
in calculating the initial payment. If the investment result after charges and
taxes, as described in the prospectus, is equal to the interest rate assumed
for the annuity, the annuity payment for that period will be unchanged. If the
investment result is greater, the annuity payment will increase; if less, the
payment will decrease.
The table below illustrates the
effect of three hypothetical annual rates of investment return. The
hypothetical rates of investment return shown are after provision for any taxes
chargeable to the account, but before deduction of other charges.
MONTHLY
ANNUITY PAYMENT
AT
AGE
Hypothetical
Investment Result
First
Payment
70
75
80
85
8%
$92.64
$109.40
$129.19
$152.56
$180.16
4%
92.64
90.42
88.26
86.15
84.09
0%
92.64
74.18
59.39
47.56
38.08
The investment results bear no
relationship to past or future investment results. Actual investment results
will vary from month to month and actual payments may be more or less than
shown above.
Use of this material is
prohibited unless preceded or accompanied by a current prospectus which sets
forth the sales expenses and other material information.