ACCUMULATOR SELECT (IRA)
COMBINED GUARANTEED MINIMUM INCOME BENEFIT AND
GUARANTEED MINIMUM DEATH BENEFIT
DATA
PART A -- THIS PART LISTS YOUR PERSONAL DATA.
OWNER: JOHN DOE
ANNUITANT: JOHN DOE Age: 60 Sex: Male
CONTRACT: GROUP ANNUITY CONTRACT NO. AC 7625
CERTIFICATE NUMBER: 00000
ENDORSEMENTS ATTACHED: Minimum Income Benefit Endorsement
Endorsement Applicable to Non-Qualified
Certificates
Endorsement Applicable to Market Value Adjustment
Terms
Rider to Endorsement Applicable to Market Value
Adjustment Terms
ISSUE DATE: May 1, 1997
CONTRACT DATE: May 1, 1997
ANNUITY COMMENCEMENT DATE: August 22, 2027
THE MAXIMUM MATURITY AGE IS AGE 90 -- SEE SECTION 7.03.
The Annuity Commencement Date may not be later than the Processing Date
which follows the Annuitant's 90th birthday.
BENEFICIARY: JANE DOE
SUCCESSOR OWNER/ANNUITANT: JANE DOE
Data page 1
DATA PAGES (CONT'D)
PART B -- THIS PART DESCRIBES CERTAIN PROVISIONS OF YOUR CERTIFICATE.
INITIAL CONTRIBUTION RECEIVED (SEE SECTION 3.02): $25,000.00
INVESTMENT OPTIONS AVAILABLE (SEE PART II); YOUR ALLOCATION IS ALSO SHOWN.
INVESTMENT OPTIONS ALLOCATION (SEE SECTION 3.01)
- - ------------------ -----------------------------
o EQ/PUTNAM GROWTH & INCOME FUND
o EQ/PUTNAM INVESTORS GROWTH FUND
o EQ/PUTNAM INTERNATIONAL EQUITY FUND
o MFS RESEARCH FUND
o MFS EMERGING GROWTH COMPANIES FUND
o ALLIANCE MONEY MARKET FUND
o ALLIANCE HIGH YIELD FUND
o ALLIANCE COMMON STOCK FUND
o ALLIANCE AGGRESSIVE STOCK FUND
o ALLIANCE SMALL CAP GROWTH FUND
o GUARANTEE PERIODS (CLASS I)
EXPIRATION DATE AND GUARANTEED RATE
FEBRUARY 15, 1998
FEBRUARY 15, 1999
FEBRUARY 15, 2000
FEBRUARY 15, 2001
FEBRUARY 15, 2002
FEBRUARY 15, 2003
FEBRUARY 15, 2004
FEBRUARY 15, 2005
FEBRUARY 15, 2006
FEBRUARY 15, 2007
----------------------
TOTAL: $25,000.00
Investment Options shown are Investment Funds of our Separate Account No. 49
and Guarantee Periods shown are in the Guaranteed Period Account. See
Endorsement Applicable to Market Value Adjustment Terms.
Data page 2
DATA PAGES (CONT'D)
"TYPES" OF INVESTMENT OPTIONS (SEE SECTION 4.02): Not applicable
GUARANTEED INTEREST ACCOUNT (SEE SECTION 2.01): Not available under this
Certificate
BUSINESS DAY (SEE SECTION 1.05): A Business Day for this Certificate will mean
any day on which the New York Stock Exchange is open for trading.
PROCESSING DATES (SEE SECTION 1.20): A Processing Date is each Contract Date
anniversary.
AVAILABILITY OF INVESTMENT OPTIONS (SEE SECTION 2.04): (See Data pages, Part C;
Allocation Restrictions)
ALLOCATION OF CONTRIBUTIONS (SEE SECTION 3.01): Except as indicated below, your
initial and any subsequent Contributions are allocated according to your
instructions.
If you select Principal Assurance a portion of your initial Contribution is
allocated by us to a Guarantee Period you have selected. The remaining portion
of your initial Contribution is allocated to the Investment Funds according to
your instructions. Any subsequent Contributions will be allocated according to
your instructions. (See Data pages, Part C; Allocation Restrictions)
[APPLICABLE IF SPECIAL DOLLAR COST AVERAGING IS ELECTED]
Under the Special Dollar Cost Averaging program your initial Contribution is
allocated by us to the Alliance Money Market Fund. Thereafter, amounts will be
transferred monthly over a twelve month period from the Alliance Money Market
Fund to the other Investment Funds based on the percentages you selected. Any
subsequent Contributions will be allocated according to your instructions. (See
Data pages, Part C; Allocation Restrictions)
CONTRIBUTION LIMITS (SEE SECTION 3.02): Initial Contribution minimum: $25,000.
Subsequent Contribution minimum: $1,000. Subsequent Contributions can be made
at any time up until the Annuitant attains age 79. We may refuse to accept any
Contribution if the sum of all Contributions under your Certificate would then
total more than $1,500,000. We reserve the right to limit aggregate
Contributions made after the first Contract Year to 150% of first year
Contributions. We may also refuse to accept any Contribution if the sum of all
Contributions under all Equitable Life annuity accumulation
certificates/contracts that you own would then total more than $2,500,000.
TRANSFER RULES (SEE SECTION 4.02): Transfers among Investment Options may be
made at any time during the Contract Year. (See Data Pages, Part C)
Data page 3
DATA PAGES (CONT'D)
ALLOCATION OF WITHDRAWALS (SEE SECTION 5.01): Lump Sum Withdrawals - You must
provide withdrawal instructions indicating from which Investment Options the
Lump Sum Withdrawal and any withdrawal charge will be taken; Systematic
Withdrawals - Unless you specify otherwise, Systematic Withdrawals will be
withdrawn on a pro rata basis from your Annuity Account Value in the Investment
Funds. If there is insufficient value or no value in the Investment Funds, any
additional amount required or the total amount of the withdrawal, as
applicable, will be withdrawn from the Guarantee Periods in order of the
earliest Expiration Date(s) first.
WITHDRAWAL RESTRICTIONS (SEE SECTION 5.01): Minimum Distribution Withdrawals -
May be elected in the year in which you attain age 70 1/2 or at a later date.
Minimum Distribution Withdrawals will be made annually.
MINIMUM WITHDRAWAL AMOUNT (SEE SECTION 5.01): Lump Sum Withdrawals minimum -
$1,000; Systematic Withdrawals minimum - $250.
MINIMUM AMOUNT OF ANNUITY ACCOUNT VALUE AFTER A WITHDRAWAL (SEE SECTION 5.02):
Requests for a withdrawal must be for either (a) 90% or less of the Cash Value
or (b) 100% of the Cash Value (surrender of the Certificate).
We will NOT exercise our rights, described in Sections 5.02(b) and 5.02(c), to
terminate the Certificate.
Data page 4
DATA PAGES (CONT'D)
DEATH BENEFIT AMOUNT (SEE SECTION 6.01):
The Annuity Account Value, or, if greater, the Guaranteed Minimum Death Benefit
defined below.
Guaranteed Minimum Death Benefit
[ONLY APPLICABLE FOR ANNUITANT ISSUE AGES 20 THROUGH 75 IF THE CONTRACT OWNER
ELECTS THIS BENEFIT]
6% to Age 80 Roll Up - On the Contract Date, the Guaranteed Minimum Death
Benefit is equal to the initial Contribution. Thereafter, the Guaranteed
Minimum Death Benefit is credited with interest at 6% (4% for amounts in the
Alliance Money Market Fund and the Guarantee Periods) on each Contract Date
anniversary through your age 80 (or at your death if earlier), and 0%
thereafter, and is adjusted for any subsequent Contributions and withdrawals.
[APPLICABLE IF SPECIAL DOLLAR COST AVERAGING IS ELECTED] The Guaranteed Minimum
Death Benefit interest rate applicable to amounts in the Alliance Money Market
Fund under the Special Dollar Cost Averaging program will be 6%.
[APPLICABLE FOR ANNUITANT ISSUE AGES 76 THROUGH 78]
4% to Age 85 Roll Up - On the Contract Date, the Guaranteed Minimum Death
Benefit is equal to the initial Contribution. Thereafter, the Guaranteed
Minimum Death Benefit is credited with interest at 4% on each Contract Date
anniversary through your age 85 (or at your death if earlier), and 0%
thereafter, and is adjusted for any subsequent Contributions and withdrawals.
Your current Guaranteed Minimum Death Benefit will be reduced on a
dollar-for-dollar basis as long as the sum of your withdrawals in any Contract
Year is 6% or less of the beginning of Contract Year Guaranteed Minimum Death
Benefit. Once a withdrawal is made that causes cumulative withdrawals in a
Contract Year to exceed 6% of the beginning of Contract Year Guaranteed Minimum
Death Benefit, that withdrawal and any subsequent withdrawals in that Contract
Year will cause a pro rata reduction to occur.
[ONLY APPLICABLE FOR ANNUITANT ISSUE AGES 20 THROUGH 75 IF THE CONTRACT OWNER
ELECTS THIS BENEFIT]
Annual Ratchet to Age 80 - On the Contract Date, the Guaranteed Minimum Death
Benefit is equal to the initial Contribution. Thereafter, the Guaranteed
Minimum Death Benefit is reset through your age 80, to the Annuity Account
Value on a Contract Date anniversary if higher than the current Guaranteed
Minimum Death Benefit, and is adjusted for any subsequent Contributions and
withdrawals.
Each withdrawal will cause a reduction in your current Guaranteed Minimum Death
Benefit on a pro rata basis.
[IF A SUCCESSOR OWNER/ANNUITANT IS ELECTED]
On the Processing Date following your death, if the successor Owner/Annuitant
election is in effect at your death, the Guaranteed Minimum Death Benefit will
be reset at the greater of the then current Guaranteed Minimum Death Benefit
and the then current Annuity Account Value. In determining whether the
Guaranteed Minimum Death Benefit will continue to grow, we will use the age (as
of the Processing Date) of the successor Owner/Annuitant.
Data page 5
DATA PAGES (CONT'D)
NORMAL FORM OF ANNUITY (SEE SECTION 7.04): Life Annuity 10 Year Period Certain
AMOUNT OF ANNUITY BENEFIT (SEE SECTION 7.05): The amount applied to provide the
Annuity Benefit will be the Annuity Account Value.
INTEREST RATE TO BE APPLIED IN ADJUSTING FOR MISSTATEMENT OF AGE OR SEX (SEE
SECTION 7.06): 6% per year
MINIMUM AMOUNT TO BE APPLIED TO AN ANNUITY (SEE SECTION 7.06): $2,000, as well
as minimum of $20 for initial monthly annuity payment.
WITHDRAWAL CHARGES: None
CHARGES DEDUCTED FROM ANNUITY ACCOUNT VALUE (SEE SECTION 8.02):
(a) Combined Guaranteed Minimum Income Benefit and Guaranteed Minimum
Death Benefit Charge: For providing the Combined Guaranteed Minimum
Income Benefit and Guaranteed Minimum Death Benefit, we will deduct
annually on each Processing Date an amount equal to 0.30% of the
Guaranteed Minimum Income Benefit benefit base in effect on such
Processing Date. 0.30% is the maximum we will charge.
(b) Charges for State Premium and Other Applicable Taxes: A charge for
applicable taxes, such as state or local premium taxes generally will
be deducted from the amount applied to provide an Annuity Benefit
under Section 7.02. In certain states, however, we may deduct the
charge from Contributions rather than at the Annuity Commencement
Date.
The above charges will be deducted from the Annuity Account Value in the
Investment Funds on a pro rata basis. If there is insufficient value in the
Investment Funds, all or a portion of the charges will be deducted from the
Annuity Account Value with respect to the Guarantee Periods in order of the
earliest Expiration Date(s) first.
NUMBER OF FREE TRANSFERS (SEE SECTION 8.03): Unlimited
Data page 6
DATA PAGES (CONT'D)
DAILY SEPARATE ACCOUNT CHARGES (SEE SECTION 8.04):[*]
Mortality and Expense Risks Charge:
Current and Maximum Annual rate of 1.10% (equivalent to
a daily rate of 0.003032%).
Administration Charge:
Current and Maximum Annual rate of 0.25% (equivalent to
a daily rate of 0.000692%). We
reserve the right to increase this
charge to an annual rate of 0.35%.
Distribution Charge:
Current and Maximum Annual rate of 0.25% (equivalent to
a daily rate of 0.000695%)
[* These charges will not apply under the Special Dollar Cost Averaging
program.]
Data page 7
DATA PAGES (CONT'D)
PART C -- THIS PART LISTS THE TERMS WHICH APPLY TO THE ENDORSEMENT APPLICABLE
TO MARKET VALUE ADJUSTMENT TERMS (MVA ENDORSEMENT).
ALLOCATION RESTRICTIONS (SEE SECTION 3.01): If you are age 76 or older,
allocations may be made only to Guarantee Periods with maturities of five years
or less; however, in no event may allocations be made to Guarantee Periods with
maturities beyond the February 15th immediately following the Annuity
Commencement Date.
TRANSFERS AT EXPIRATION DATE (SEE ITEM 1 OF MVA ENDORSEMENT): If no election is
made with respect to amounts in the Guaranteed Period Account as of the
Expiration Date, such amounts will be transferred into the Guarantee Period
with the earliest Expiration Date.
GUARANTEED MINIMUM INCOME BENEFIT (SEE ITEM 1 OF MVA ENDORSEMENT): You may
apply your Annuity Account Value during the period of time indicated below to
purchase a minimum amount of guaranteed lifetime income under our Income
Manager (Life Annuity with a Period Certain) payout annuity certificate. The
Income Manager (Life Annuity with a Period Certain) payout annuity certificate
provides payments during a period certain with payments continuing for life
thereafter.
The period certain is based on your age at the time the Income Manager (Life
Annuity with a Period Certain) is elected. The period certain is 10 years for
ages 60 through 75; 9 years for age 76; 8 years for age 77; and 7 years for
ages 78 through 83.
[APPLICABLE FOR ANNUITANT ISSUE AGES 76 THROUGH 78]
The period certain is 90 less your age at election.
[APPLICABLE FOR ANNUITANT ISSUE AGES 20 THROUGH 44]
The Guaranteed Minimum Income Benefit is available only if it is exercised
following the 15th or later Contract Date anniversary under this Certificate.
[APPLICABLE FOR ANNUITANT ISSUE AGES 45 THROUGH 75]
The Guaranteed Minimum Income Benefit is available only if it is exercised
within 30 days following the seventh or later Contract Date anniversary under
this Certificate. However, it may not be exercised earlier than your age 60,
nor later than your age 83.
[APPLICABLE FOR ANNUITANT ISSUE AGES 76 THROUGH 78]
The Guaranteed Minimum Income Benefit is available only if it is exercised
within 30 days following the 7th or later Contract Date anniversary under this
Certificate. However, it may not be exercised later than your age 90.
On the Transaction Date that you exercise your Guaranteed Minimum Income
Benefit, the lifetime income that will be provided under the Income Manager
(Life Annuity with a Period Certain) will be the greater of (i) your Guaranteed
Minimum Income Benefit, and (ii) the amount of income that would be provided by
application of your Annuity Account Value as of the Transaction Date at our
then current annuity purchase factors.
Data page 8
DATA PAGES (CONT'D)
[APPLICABLE FOR ANNUITANT ISSUE AGES 20 THROUGH 75]
Guaranteed Minimum Income Benefit Benefit Base - The Guaranteed Minimum Income
Benefit benefit base is equal to the initial Contribution on the Contract Date.
Thereafter, the Guaranteed Minimum Income Benefit benefit base is credited with
interest at 6% (4% for amounts in the Alliance Money Market Fund and Guarantee
Periods) on each Contract Date anniversary through your age 80, and 0%
thereafter, and is adjusted for any subsequent Contributions and withdrawals.
[APPLICABLE IF SPECIAL DOLLAR COST AVERAGING IS ELECTED] The Guaranteed Minimum
Income Benefit benefit base interest applicable to amounts in the Alliance
Money Market Fund under the Special Dollar Cost Averaging program will be 6%.
[APPLICABLE FOR ANNUITANT ISSUE AGES 76 THROUGH 78]
Guaranteed Minimum Income Benefit Benefit Base - The Guaranteed Minimum Income
Benefit benefit base is equal to the initial Contribution on the Contract Date.
Thereafter, the Guaranteed Minimum Income Benefit benefit base is credited with
interest at 4% on each Contract Date anniversary through your age 80, and 0%
thereafter, and is adjusted for any subsequent Contributions and withdrawals.
Your Guaranteed Minimum Income Benefit benefit base is applied to guaranteed
minimum annuity purchase factors to determine the Guaranteed Minimum Income
Benefit. The guaranteed minimum annuity purchase factors are based on (i)
interest at 2.5% if the Guaranteed Minimum Income Benefit is exercised within
30 days following a Contract Date anniversary in years 7 through 9 and at 3% if
exercised within 30 days following the 10th or later Contract Date anniversary
and (ii) mortality tables that assume increasing longevity. See the attached
table.
Your Guaranteed Minimum Income Benefit benefit base does not create an Annuity
Account Value or a Cash Value and is used solely for purposes of calculating
your Guaranteed Minimum Income Benefit.
Your current Guaranteed Minimum Income Benefit benefit base will be reduced on
a dollar-for-dollar basis as long as the sum of your withdrawals in any
Contract Year is 6% or less of the beginning of Contract Year Guaranteed
Minimum Death Benefit. Once a withdrawal is made that causes cumulative
withdrawals in a Contract Year to exceed 6% of the beginning of Contract Year
Guaranteed Minimum Death Benefit, that withdrawal and any subsequent
withdrawals in that Contract Year will cause a pro-rata reduction to occur.
[IF A SUCCESSOR OWNER/ANNUITANT IS ELECTED]
If the successor Owner/Annuitant election is in effect at your death, the
Guaranteed Minimum Income Benefit will continue to be available on Contract
Date anniversaries based on the Contract Date of this Certificate, provided the
Guaranteed Minimum Income Benefit is exercise as specified above based on the
age of the successor Owner/Annuitant.
Data page 9
DATA PAGES (CONT'D)
MARKET VALUE ADJUSTMENT (MVA) ON TRANSFERS AND WITHDRAWALS (SEE ITEM 2 OF MVA
ENDORSEMENT): The MVA (positive or negative) resulting from a withdrawal or
transfer of a portion of the amount in a Guarantee Period will be a percentage
of the MVA that would be applicable upon a withdrawal of all the Annuity
Account Value from a Guarantee Period. This percentage is determined by (i)
dividing the amount of the withdrawal or transfer from the Guarantee Period by
(ii) the Annuity Account Value in such Guarantee Period prior to the withdrawal
or transfer.
TRANSFER RULES (SEE SECTION 4.02): Transfers may not be made to a Guarantee
Period maturing in the current calendar year. Guarantee Periods to which
transfers may be made are limited based on your attained age (see Allocation
Restrictions above).
MVA FORMULA (SEE ITEM 3 OF MVA ENDORSEMENT): The Guaranteed Rate for new
allocations to a Guarantee Period is the rate we have in effect for this
purpose even if new allocations to that Guarantee Period would not be accepted
at the time. This rate will not be less than 3%.
The current rate percentage we use in item (c) of the formula is 0.00%. For
purposes of calculating the MVA only, we reserve the right to add up to 0.25%
to such current rate percentage.
SEPARATE ACCOUNT (SEE ITEM 5 OF THE MVA ENDORSEMENT): The portion of the assets
of Separate Account No. 46 equal to the reserves and other contract liabilities
will not be chargeable with liabilities which arise out of any other business
we conduct.
Data page 10
DATA PAGES (CONT'D)
GUARANTEED MINIMUM INCOME BENEFIT
TABLE OF GUARANTEED MINIMUM ANNUITY
PURCHASE FACTORS
FOR INITIAL LEVEL ANNUAL INCOME (10 YEAR FIXED PERIOD)
SINGLE LIFE - MALE
PURCHASE FACTORS PURCHASE FACTORS
ON CONTRACT DATE ON CONTRACT DATE
ELECTION AGE ANNIVERSARIES 7 TO 9 ANNIVERSARIES 10 AND LATER
------------ -------------------- --------------------------
60 5.12% 5.47%
61 5.22 5.58
62 5.34 5.69
63 5.45 5.81
64 5.58 5.93
65 5.70 6.06
66 5.84 6.19
67 5.98 6.33
68 6.13 6.48
69 6.28 6.63
70 6.44 6.79
71 6.60 6.95
72 6.77 7.12
73 6.95 7.29
74 7.13 7.47
75 7.32 7.66
76 7.51 7.85
77 7.72 8.05
78 7.92 8.26
79 8.14 8.47
80 8.36 8.69
81 8.80 9.13
82 9.30 9.63
83 9.85 10.19
Interest Basis: 2.5% on Contract Date anniversaries 7 through 9 and 3%
on Contract Date anniversaries 10 and later
Non-participating
Mortality: 1983 Individual Annuity Mortality Table "a" for [Male]
projected with modified Scale G.
Factors required for annuity forms not shown in the above table will be
calculated by us on the same actuarial basis.
Data page 11
ACCUMULATOR SELECT (IRA)
GUARANTEED MINIMUM DEATH BENEFIT ONLY BENEFIT
DATA
PART A -- THIS PART LISTS YOUR PERSONAL DATA.
OWNER: JOHN DOE
ANNUITANT: JOHN DOE Age: 60 Sex: Male
CONTRACT: GROUP ANNUITY CONTRACT NO. AC 7625
CERTIFICATE NUMBER: 00000
ENDORSEMENTS ATTACHED: Endorsement Applicable to Non-Qualified
Certificates
Endorsement Applicable to Market Value Adjustment
Terms
Rider to Endorsement Applicable to Market Value
Adjustment Terms
ISSUE DATE: May 1, 1997
CONTRACT DATE: May 1, 1997
ANNUITY COMMENCEMENT DATE: August 22, 2027
THE MAXIMUM MATURITY AGE IS AGE 90 -- SEE SECTION 7.03.
The Annuity Commencement Date may not be later than the Processing Date
which follows the Annuitant's 90th birthday.
BENEFICIARY: JANE DOE
SUCCESSOR OWNER/ANNUITANT: JANE DOE
Data page 1
DATA PAGES (CONT'D)
PART B -- THIS PART DESCRIBES CERTAIN PROVISIONS OF YOUR CERTIFICATE.
INITIAL CONTRIBUTION RECEIVED (SEE SECTION 3.02): $25,000.00
INVESTMENT OPTIONS AVAILABLE (SEE PART II); YOUR ALLOCATION IS ALSO SHOWN.
INVESTMENT OPTIONS ALLOCATION (SEE SECTION 3.01)
- - ------------------ -----------------------------
o EQ/PUTNAM GROWTH & INCOME FUND
o EQ/PUTNAM INVESTORS GROWTH FUND
o EQ/PUTNAM INTERNATIONAL EQUITY FUND
o MFS RESEARCH FUND
o MFS EMERGING GROWTH COMPANIES FUND
o ALLIANCE MONEY MARKET FUND
o ALLIANCE HIGH YIELD FUND
o ALLIANCE COMMON STOCK FUND
o ALLIANCE AGGRESSIVE STOCK FUND
o ALLIANCE SMALL CAP GROWTH FUND
o GUARANTEE PERIODS (CLASS I)
EXPIRATION DATE AND GUARANTEED RATE
FEBRUARY 15, 1998
FEBRUARY 15, 1999
FEBRUARY 15, 2000
FEBRUARY 15, 2001
FEBRUARY 15, 2002
FEBRUARY 15, 2003
FEBRUARY 15, 2004
FEBRUARY 15, 2005
FEBRUARY 15, 2006
FEBRUARY 15, 2007
----------------------
TOTAL: $25,000.00
Investment Options shown are Investment Funds of our Separate Account No. 49
and Guarantee Periods shown are in the Guaranteed Period Account. See
Endorsement Applicable to Market Value Adjustment Terms.
Data page 2
DATA PAGES (CONT'D)
"TYPES" OF INVESTMENT OPTIONS (SEE SECTION 4.02): Not applicable
GUARANTEED INTEREST ACCOUNT (SEE SECTION 2.01): Not available under this
Certificate
BUSINESS DAY (SEE SECTION 1.05): A Business Day for this Certificate will mean
any day on which the New York Stock Exchange is open for trading.
PROCESSING DATES (SEE SECTION 1.20): A Processing Date is each Contract Date
anniversary.
AVAILABILITY OF INVESTMENT OPTIONS (SEE SECTION 2.04): (See Data pages, Part C;
Allocation Restrictions)
ALLOCATION OF CONTRIBUTIONS (SEE SECTION 3.01): Except as indicated below, your
initial and any subsequent Contributions are allocated according to your
instructions.
If you select Principal Assurance a portion of your initial Contribution is
allocated by us to a Guarantee Period you have selected. The remaining portion
of your initial Contribution is allocated to the Investment Funds according to
your instructions. Any subsequent Contributions will be allocated according to
your instructions. (See Data pages, Part C; Allocation Restrictions)
[APPLICABLE IF SPECIAL DOLLAR COST AVERAGING IS ELECTED]
Under the Special Dollar Cost Averaging program your initial Contribution is
allocated by us to the Alliance Money Market Fund. Thereafter, amounts will be
transferred monthly over a twelve month period from the Alliance Money Market
Fund to the other Investment Funds based on the percentages you selected. Any
subsequent Contributions will be allocated according to your instructions. (See
Data pages, Part C; Allocation Restrictions)
CONTRIBUTION LIMITS (SEE SECTION 3.02): Initial Contribution minimum: $25,000.
Subsequent Contribution minimum: $1,000. Subsequent Contributions can be made
at any time up until the Annuitant attains age 79. We may refuse to accept any
Contribution if the sum of all Contributions under your Certificate would then
total more than $1,500,000. We reserve the right to limit aggregate
Contributions made after the first Contract Year to 150% of first year
Contributions. We may also refuse to accept any Contribution if the sum of all
Contributions under all Equitable Life annuity accumulation
certificates/contracts that you own would then total more than $2,500,000.
TRANSFER RULES (SEE SECTION 4.02): Transfers among Investment Options may be
made at any time during the Contract Year.
Data page 3
DATA PAGES (CONT'D)
ALLOCATION OF WITHDRAWALS (SEE SECTION 5.01): Lump Sum Withdrawals - You must
provide withdrawal instructions indicating from which Investment Options the
Lump Sum Withdrawal and any withdrawal charge will be taken; Systematic
Withdrawals - Unless you specify otherwise, Systematic Withdrawals will be
withdrawn on a pro rata basis from your Annuity Account Value in the Investment
Funds. If there is insufficient value or no value in the Investment Funds, any
additional amount required or the total amount of the withdrawal, as
applicable, will be withdrawn from the Guarantee Periods in order of the
earliest Expiration Date(s) first.
WITHDRAWAL RESTRICTIONS (SEE SECTION 5.01): Minimum Distribution Withdrawals -
May be elected in the year in which you attain age 70 1/2 or at a later date.
Minimum Distribution Withdrawals will be made annually.
MINIMUM WITHDRAWAL AMOUNT (SEE SECTION 5.01): Lump Sum Withdrawals minimum -
$1,000; Systematic Withdrawals minimum - $250.
MINIMUM AMOUNT OF ANNUITY ACCOUNT VALUE AFTER A WITHDRAWAL (SEE SECTION 5.02):
Requests for a withdrawal must be for either (a) 90% or less of the Cash Value
or (b) 100% of the Cash Value (surrender of the Certificate).
We will NOT exercise our rights, described in Sections 5.02(b) and 5.02(c), to
terminate the Certificate.
Data page 4
DATA PAGES (CONT'D)
DEATH BENEFIT AMOUNT (SEE SECTION 6.01):
The Annuity Account Value, or, if greater, the Guaranteed Minimum Death Benefit
defined below.
Guaranteed Minimum Death Benefit
[ONLY APPLICABLE FOR ANNUITANT ISSUE AGES 20 THROUGH 78 IF THE CONTRACT OWNER
ELECTS THIS BENEFIT]
6% to Age 80 Roll Up - On the Contract Date, the Guaranteed Minimum Death
Benefit is equal to the initial Contribution. Thereafter, the Guaranteed
Minimum Death Benefit is credited with interest at 6% (4% for amounts in the
Alliance Money Market Fund and the Guarantee Periods) on each Contract Date
anniversary through your age 80 (or at your death if earlier), and 0%
thereafter, and is adjusted for any subsequent Contributions and withdrawals.
[APPLICABLE IF SPECIAL DOLLAR COST AVERAGING IS ELECTED]The Guaranteed Minimum
Death Benefit interest rate applicable to amounts in the Alliance Money Market
Fund under the Special Dollar Cost Averaging program will be 6%.
Your current Guaranteed Minimum Death Benefit will be reduced on a
dollar-for-dollar basis as long as the sum of your withdrawals in any Contract
Year is 6% or less of the beginning of Contract Year Guaranteed Minimum Death
Benefit. Once a withdrawal is made that causes cumulative withdrawals in a
Contract Year to exceed 6% of the beginning of Contract Year Guaranteed Minimum
Death Benefit, that withdrawal and any subsequent withdrawals in that Contract
Year will cause a pro rata reduction to occur.
[ONLY APPLICABLE FOR ANNUITANT ISSUE AGES 20 THROUGH 78 IF THE CONTRACT OWNER
ELECTS THIS BENEFIT]
Annual Ratchet to Age 80 - On the Contract Date, the Guaranteed Minimum Death
Benefit is equal to the initial Contribution. Thereafter, the Guaranteed
Minimum Death Benefit is reset through your age 80, to the Annuity Account
Value on a Contract Date anniversary if higher than the current Guaranteed
Minimum Death Benefit, and is adjusted for any subsequent Contributions and
withdrawals.
Each withdrawal will cause a reduction in your current Guaranteed Minimum Death
Benefit on a pro rata basis.
[IF A SUCCESSOR OWNER/ANNUITANT IS ELECTED]
On the Processing Date following your death, if the successor Owner/Annuitant
election is in effect at your death, the Guaranteed Minimum Death Benefit will
be reset at the greater of the then current Guaranteed Minimum Death Benefit
and the then current Annuity Account Value. In determining whether the
Guaranteed Minimum Death Benefit will continue to grow, we will use the age (as
of the Processing Date) of the successor Owner/Annuitant.
Data page 5
DATA PAGES (CONT'D)
NORMAL FORM OF ANNUITY (SEE SECTION 7.04): Life Annuity 10 Year Period Certain
AMOUNT OF ANNUITY BENEFIT (SEE SECTION 7.05): The amount applied to provide the
Annuity Benefit will be the Annuity Account Value.
INTEREST RATE TO BE APPLIED IN ADJUSTING FOR MISSTATEMENT OF AGE OR SEX (SEE
SECTION 7.06): 6% per year
MINIMUM AMOUNT TO BE APPLIED TO AN ANNUITY (SEE SECTION 7.06): $2,000, as well
as minimum of $20 for initial monthly annuity payment.
WITHDRAWAL CHARGES: None
CHARGES DEDUCTED FROM ANNUITY ACCOUNT VALUE (SEE SECTION 8.02):
Charges for State Premium and Other Applicable Taxes: A charge for applicable
taxes, such as state or local premium taxes generally will be deducted from the
amount applied to provide an Annuity Benefit under Section 7.02. In certain
states, however, we may deduct the charge from Contributions rather than at the
Annuity Commencement Date.
The above charge will be deducted from the Annuity Account Value in the
Investment Funds on a pro rata basis. If there is insufficient value in the
Investment Funds, all or a portion of the charge will be deducted from the
Annuity Account Value with respect to the Guarantee Periods in order of the
earliest Expiration Date(s) first.
NUMBER OF FREE TRANSFERS (SEE SECTION 8.03): Unlimited
DAILY SEPARATE ACCOUNT CHARGES (SEE SECTION 8.04):[*]
Mortality and Expense Risks Charge:
Current and Maximum Annual rate of 1.10% (equivalent to
a daily rate of 0.003032%).
Administration Charge:
Current and Maximum Annual rate of 0.25% (equivalent to
a daily rate of 0.000695%). We
reserve the right to increase this
charge to an annual rate of 0.35%.
Distribution Charge:
Current and Maximum Annual rate of 0.25% (equivalent to
a daily rate of 0.000695%)
[* These charges will not apply under the Special Dollar Cost Averaging
program.]
Data page 6
DATA PAGES (CONT'D)
PART C -- THIS PART LISTS THE TERMS WHICH APPLY TO THE ENDORSEMENT APPLICABLE
TO MARKET VALUE ADJUSTMENT TERMS (MVA ENDORSEMENT).
ALLOCATION RESTRICTIONS (SEE SECTION 3.01): If the Annuitant is age 76 or
older, allocations may be made only to Guarantee Periods with maturities of
five years or less; however, in no event may allocations be made to Guarantee
Periods with maturities beyond the February 15th immediately following the
Annuity Commencement Date.
TRANSFERS AT EXPIRATION DATE (SEE ITEM 1 OF MVA ENDORSEMENT): If no election is
made with respect to amounts in the Guaranteed Period Account as of the
Expiration Date, such amounts will be transferred into the Guarantee Period
with the earliest Expiration Date.
MARKET VALUE ADJUSTMENT (MVA) ON TRANSFERS AND WITHDRAWALS (SEE ITEM 2 OF MVA
ENDORSEMENT): The MVA (positive or negative) resulting from a withdrawal or
transfer of a portion of the amount in a Guarantee Period will be a percentage
of the MVA that would be applicable upon a withdrawal of all the Annuity
Account Value from a Guarantee Period. This percentage is determined by (i)
dividing the amount of the withdrawal or transfer from the Guarantee Period by
(ii) the Annuity Account Value in such Guarantee Period prior to the withdrawal
or transfer.
TRANSFER RULES (SEE SECTION 4.02): Transfers may not be made to a Guarantee
Period maturing in the current calendar year. Guarantee Periods to which
transfers may be made are limited based on your attained age (see Allocation
Restrictions above).
MVA FORMULA (SEE ITEM 3 OF MVA ENDORSEMENT): The Guaranteed Rate for new
allocations to a Guarantee Period is the rate we have in effect for this
purpose even if new allocations to that Guarantee Period would not be accepted
at the time. This rate will not be less than 3%.
The current rate percentage we use in item (c) of the formula is 0.00%. For
purposes of calculating the MVA only, we reserve the right to add up to 0.25%
to such current rate percentage.
SEPARATE ACCOUNT (SEE ITEM 5 OF THE MVA ENDORSEMENT): The portion of the assets
of Separate Account No. 46 equal to the reserves and other contract liabilities
will not be chargeable with liabilities which arise out of any other business
we conduct.
Data page 7
ACCUMULATOR SELECT (NQ)
COMBINED GUARANTEED MINIMUM DEATH BENEFIT
AND GUARANTEED MINIMUM INCOME BENEFIT
DATA
PART A -- THIS PART LISTS YOUR PERSONAL DATA.
OWNER: JOHN DOE
ANNUITANT: JOHN DOE Age: 60 Sex: Male
CONTRACT: GROUP ANNUITY CONTRACT NO. AC 7625
CERTIFICATE NUMBER: 00000
ENDORSEMENTS ATTACHED: Minimum Income Benefit Endorsement
Endorsement Applicable to Non-Qualified
Certificates
Endorsement Applicable to Market Value Adjustment
Terms
Rider to Endorsement Applicable to Market Value
Adjustment Terms
ISSUE DATE: May 1, 1997
CONTRACT DATE: May 1, 1997
ANNUITY COMMENCEMENT DATE: August 22, 2027
THE MAXIMUM MATURITY AGE IS AGE 90 -- SEE SECTION 7.03.
The Annuity Commencement Date may not be later than the Processing Date
which follows the Annuitant's 90th birthday.
BENEFICIARY: JANE DOE
SUCCESSOR OWNER/ANNUITANT: JANE DOE
Data page 1
DATA PAGES (CONT'D)
PART B -- THIS PART DESCRIBES CERTAIN PROVISIONS OF YOUR CERTIFICATE.
INITIAL CONTRIBUTION RECEIVED (SEE SECTION 3.02): $25,000.00
INVESTMENT OPTIONS AVAILABLE (SEE PART II); YOUR ALLOCATION IS ALSO SHOWN.
INVESTMENT OPTIONS ALLOCATION (SEE SECTION 3.01)
- - ------------------ -----------------------------
o EQ/PUTNAM GROWTH & INCOME FUND
o EQ/PUTNAM INVESTORS GROWTH FUND
o EQ/PUTNAM INTERNATIONAL EQUITY FUND
o MFS RESEARCH FUND
o MFS EMERGING GROWTH COMPANIES FUND
o ALLIANCE MONEY MARKET FUND
o ALLIANCE HIGH YIELD FUND
o ALLIANCE COMMON STOCK FUND
o ALLIANCE AGGRESSIVE STOCK FUND
o ALLIANCE SMALL CAP GROWTH FUND
o GUARANTEE PERIODS (CLASS I)
EXPIRATION DATE AND GUARANTEED RATE
FEBRUARY 15, 1998
FEBRUARY 15, 1999
FEBRUARY 15, 2000
FEBRUARY 15, 2001
FEBRUARY 15, 2002
FEBRUARY 15, 2003
FEBRUARY 15, 2004
FEBRUARY 15, 2005
FEBRUARY 15, 2006
FEBRUARY 15, 2007
---------------------
TOTAL: $25,000.00
Investment Options shown are Investment Funds of our Separate Account No. 49
and Guarantee Periods shown are in the Guaranteed Period Account. See
Endorsement Applicable to Market Value Adjustment Terms.
Data page 2
DATA PAGES (CONT'D)
"TYPES" OF INVESTMENT OPTIONS (SEE SECTION 4.02): Not applicable
GUARANTEED INTEREST ACCOUNT (SEE SECTION 2.01): Not available under this
Certificate
BUSINESS DAY (SEE SECTION 1.05): A Business Day for this Certificate will mean
any day on which the New York Stock Exchange is open for trading.
PROCESSING DATES (SEE SECTION 1.20): A Processing Date is each Contract Date
anniversary.
AVAILABILITY OF INVESTMENT OPTIONS (SEE SECTION 2.04): (See Data pages, Part C;
Allocation Restrictions)
ALLOCATION OF CONTRIBUTIONS (SEE SECTION 3.01): Except as indicated below, your
initial and any subsequent Contributions are allocated according to your
instructions.
If you select Principal Assurance a portion of your initial Contribution is
allocated by us to a Guarantee Period you have selected. The remaining portion
of your initial Contribution is allocated to the Investment Funds according to
your instructions. Any subsequent Contributions will be allocated according to
your instructions. (See Data pages, Part C; Allocation Restrictions)
[APPLICABLE IF SPECIAL DOLLAR COST AVERAGING IS ELECTED]
Under the Special Dollar Cost Averaging program your initial Contribution is
allocated by us to the Alliance Money Market Fund. Thereafter, amounts will be
transferred monthly over a twelve month period from the Alliance Money Market
Fund to the other Investment Funds based on the percentages you selected. Any
subsequent Contributions will be allocated according to your instructions. (See
Data pages, Part C; Allocation Restrictions)
CONTRIBUTION LIMITS (SEE SECTION 3.02): Initial Contribution minimum: $25,000.
Subsequent Contribution minimum: $1,000. Subsequent Contributions can be made
at any time up until the Annuitant attains age 84. We may refuse to accept any
Contribution if the sum of all Contributions under your Certificate would then
total more than $1,500,000. We reserve the right to limit aggregate
Contributions made after the first Contract Year to 150% of first year
Contributions. We may also refuse to accept any Contribution if the sum of all
Contributions under all Equitable Life annuity accumulation
certificates/contracts that you own would then total more than $2,500,000.
TRANSFER RULES (SEE SECTION 4.02): Transfers among Investment Options may be
made at any time during the Contract Year.
Data page 3
DATA PAGES (CONT'D)
ALLOCATION OF WITHDRAWALS (SEE SECTION 5.01): Lump Sum Withdrawals - You must
provide withdrawal instructions indicating from which Investment Options the
Lump Sum Withdrawal and any withdrawal charge will be taken; Systematic
Withdrawals - Unless you specify otherwise, Systematic Withdrawals will be
withdrawn on a pro rata basis from your Annuity Account Value in the Investment
Funds. If there is insufficient value or no value in the Investment Funds, any
additional amount required or the total amount of the withdrawal, as
applicable, will be withdrawn from the Guarantee Periods in order of the
earliest Expiration Date(s) first.
WITHDRAWAL RESTRICTIONS (SEE SECTION 5.01): Systematic Withdrawals - May not
start sooner than 28 days after issue of this Certificate. You may elect to
receive Systematic Withdrawals on a monthly, quarterly or annual basis subject
to a maximum of 1.2% monthly, 3.6% quarterly and 15.0% annually of the Annuity
Account Value as of the Transaction Date.
MINIMUM WITHDRAWAL AMOUNT (SEE SECTION 5.01): Lump Sum Withdrawals minimum -
$1,000; Systematic Withdrawals minimum - $250.
MINIMUM AMOUNT OF ANNUITY ACCOUNT VALUE AFTER A WITHDRAWAL (SEE SECTION 5.02):
Requests for a withdrawal must be for either (a) 90% or less of the Cash Value
or (b) 100% of the Cash Value (surrender of the Certificate).
We will NOT exercise our rights, described in Sections 5.02(b) and 5.02(c), to
terminate the Certificate.
Data page 4
DATA PAGES (CONT'D)
DEATH BENEFIT AMOUNT (SEE SECTION 6.01):
The Annuity Account Value, or, if greater, the Guaranteed Minimum Death Benefit
defined below.
Guaranteed Minimum Death Benefit
[ONLY APPLICABLE FOR ANNUITANT ISSUE AGES 20 THROUGH 75 IF THE CONTRACT OWNER
ELECTS THIS BENEFIT]
6% to Age 80 Roll Up - On the Contract Date, the Guaranteed Minimum Death
Benefit is equal to the initial Contribution. Thereafter, the Guaranteed
Minimum Death Benefit is credited with interest at 6% (4% for amounts in the
Alliance Money Market Fund and the Guarantee Periods) on each Contract Date
anniversary through the Annuitant's age 80 (or at the Annuitant's death if
earlier), and 0% thereafter, and is adjusted for any subsequent Contributions
and withdrawals. [APPLICABLE IF SPECIAL DOLLAR COST AVERAGING IS ELECTED] The
Guaranteed Minimum Death Benefit interest rate applicable to amounts in the
Alliance Money Market Fund under the Special Dollar Cost Averaging program will
be 6%.
[APPLICABLE FOR ANNUITANT ISSUE AGES 76 THROUGH 83]
4% to Age 85 Roll Up - On the Contract Date, the Guaranteed Minimum Death
Benefit is equal to the initial Contribution. Thereafter, the Guaranteed
Minimum Death Benefit is credited with interest at 4% on each Contract Date
anniversary through the Annuitant's age 85 (or at the Annuitant's death if
earlier), and 0% thereafter, and is adjusted for any subsequent contributions
and withdrawals.
Your current Guaranteed Minimum Death Benefit will be reduced on a
dollar-for-dollar basis as long as the sum of your withdrawals in any Contract
Year is 6% or less of the beginning of Contract Year Guaranteed Minimum Death
Benefit. Once a withdrawal is made that causes cumulative withdrawals in a
Contract Year to exceed 6% of the beginning of Contract Year Guaranteed Minimum
Death Benefit, that withdrawal and any subsequent withdrawals in that Contract
Year will cause a pro rata reduction to occur.
[ONLY APPLICABLE FOR ANNUITANT ISSUE AGES 20 THROUGH 75 IF THE CONTRACT OWNER
ELECTS THIS BENEFIT]
Annual Ratchet to Age 80 - On the Contract Date, the Guaranteed Minimum Death
Benefit is equal to the initial Contribution. Thereafter, the Guaranteed
Minimum Death Benefit is reset through the Annuitant's age 80, to the Annuity
Account Value on a Contract Date anniversary if higher than the current
Guaranteed Minimum Death Benefit, and is adjusted for any subsequent
Contributions and withdrawals.
Each withdrawal will cause a reduction in your current Guaranteed Minimum Death
Benefit on a pro rata basis.
[IF SUCCESSOR OWNER/ANNUITANT IS ELECTED]
On the Processing Date following your death, if the successor Owner/Annuitant
election is in effect at your death, the Guaranteed Minimum Death Benefit will
be reset at the greater of the then current Guaranteed Minimum Death Benefit
and the then current Annuity Account Value. In determining whether the
Guaranteed Minimum Death Benefit will continue to grow, we will use the age (as
of the Processing Date) of the successor Owner/Annuitant.
Data page 5
DATA PAGES (CONT'D)
NORMAL FORM OF ANNUITY (SEE SECTION 7.04): Life Annuity 10 Year Period Certain
AMOUNT OF ANNUITY BENEFIT (SEE SECTION 7.05): The amount applied to provide the
Annuity Benefit will be the Annuity Account Value.
INTEREST RATE TO BE APPLIED IN ADJUSTING FOR MISSTATEMENT OF AGE OR SEX (SEE
SECTION 7.06): 6% per year
MINIMUM AMOUNT TO BE APPLIED TO AN ANNUITY (SEE SECTION 7.06): $2,000, as well
as minimum of $20 for initial monthly annuity payment.
Data page 6
DATA PAGES (CONT'D)
GUARANTEED MINIMUM INCOME BENEFIT (SEE SECTION 7.08): You may apply your
Annuity Account Value during the period of time indicated below to purchase a
minimum amount of guaranteed lifetime income under our Income Manager (Life
Annuity with a Period Certain) payout annuity certificate. The Income Manager
(Life Annuity with a Period Certain) provides payments during a period certain
with payments continuing for life thereafter.
The period certain is based on the Annuitant's age at the time the Income
Manager (Life Annuity with a Period Certain) is elected. The period certain is
10 years for Annuitant ages 60 through 80; 9 years for Annuitant age 81; 8
years for Annuitant age 82; and 7 years for Annuitant age 83.
[APPLICABLE FOR ANNUITANT ISSUE AGES 76 THROUGH 83]
The period certain will be 90 less the Annuitant's age at election.
[APPLICABLE FOR ANNUITANT ISSUE AGES 20 THROUGH 44]
The Guaranteed Minimum Income Benefit is available only if it is exercised
following the 15th or later Contract Date anniversary under this Certificate.
[APPLICABLE FOR ANNUITANT ISSUE AGES 45 THROUGH 75]
The Guaranteed Minimum Income Benefit is available only if it is exercised
within 30 days following the seventh or later Contract Date anniversary under
this Certificate. However, it may not be exercised earlier than the Annuitant's
age 60, nor later than the Annuitant's age 83.
[APPLICABLE FOR ANNUITANT ISSUE AGES 76 THROUGH 83]
The Guaranteed Minimum Income Benefit is available only if it is exercised
within 30 days following the 7th or later Contract Date anniversary under this
Certificate. However, it may not be exercised later than the Annuitant's age
90.
On the Transaction Date that you exercise your Guaranteed Minimum Income
Benefit, the lifetime income that will be provided under the Income Manager
(Life Annuity with a Period Certain) will be the greater of (i) your Guaranteed
Minimum Income Benefit, and (ii) the amount of income that would be provided by
application of your Annuity Account Value as of the Transaction Date at our
then current annuity purchase factors.
[APPLICABLE FOR ANNUITANT ISSUE AGES 20 THROUGH 75]
Guaranteed Minimum Income Benefit Benefit Base - The Guaranteed Minimum Income
Benefit benefit base is equal to the initial contribution on the Contract Date.
Thereafter, the Guaranteed Minimum Income Benefit benefit base is credited with
interest at 6% (4% for amounts in the Alliance Money Market Fund and Guarantee
Periods) on each Contract Date anniversary through the Annuitant's age 80, and
0% thereafter, and is adjusted for any subsequent Contributions and
withdrawals. [APPLICABLE IF SPECIAL DOLLAR COST AVERAGING IS ELECTED] The
Guaranteed Minimum Income Benefit benefit base interest applicable to amounts
in the Alliance Money Market Fund under the Special Dollar Cost Averaging
program will be 6%.
Data page 7
DATA PAGES (CONT'D)
[APPLICABLE FOR ANNUITANT ISSUE AGES 76 THROUGH 83]
Guaranteed Minimum Income Benefit Benefit Base - The Guaranteed Minimum Income
Benefit benefit base is equal to the initial Contribution on the Contract Date.
Thereafter, the Guaranteed Minimum Income Benefit benefit base is credited with
interest at 4% on each Contract Date anniversary through the Annuitant's age
80, and 0% thereafter, and is adjusted for any subsequent Contributions and
withdrawals.
Your Guaranteed Minimum Income Benefit benefit base is applied to guaranteed
minimum annuity purchase factors to determine the Guaranteed Minimum Income
Benefit. The guaranteed minimum annuity purchase factors are based on (i)
interest at 2.5% if the Guaranteed Minimum Income Benefit is exercised within
30 days following a Contract Date anniversary in years 7 through 9 and at 3% if
exercised within 30 days following the 10th or later Contract Date anniversary
and (ii) mortality tables that assume increasing longevity. See the attached
table.
Your Guaranteed Minimum Income Benefit benefit base does not create an Annuity
Account Value or a Cash Value and is used solely for purposes of calculating
your Guaranteed Minimum Income Benefit.
Your current Guaranteed Minimum Income Benefit benefit base will be reduced on
a dollar-for-dollar basis as long as the sum of your withdrawals in any
Contract Year is 6% or less of the beginning of Contract Year Guaranteed
Minimum Death Benefit. Once a withdrawal is made that causes cumulative
withdrawals in a Contract Year to exceed 6% of the beginning of Contract Year
Guaranteed Minimum Death Benefit, that withdrawal and any subsequent
withdrawals in that Contract Year will cause a pro rata reduction to occur.
[IF A SUCCESSOR OWNER/ANNUITANT IS ELECTED]
If the successor Owner/Annuitant election is in effect at your death, the
Guaranteed Minimum Income Benefit will continue to be available on Contract
Date anniversaries based on the Contract Date of this Certificate, provided the
Guaranteed Minimum Income Benefit is exercise as specified above based on the
age of the successor Owner/Annuitant.
WITHDRAWAL CHARGES: None
Data page 8
DATA PAGES (CONT'D)
CHARGES DEDUCTED FROM ANNUITY ACCOUNT VALUE (SEE SECTION 8.02):
(a) Combined Guaranteed Minimum Income Benefit and Guaranteed Minimum
Death Benefit Charge: For providing the Combined Guaranteed Minimum
Income Benefit and Guaranteed Minimum Death Benefit we will deduct
annually on each Processing Date an amount equal to 0.30% of the
Guaranteed Minimum Income Benefit benefit base in effect on such
Processing Date. 0.30% is the maximum we will charge.
(b) Charges for State Premium and Other Applicable Taxes: A charge for
applicable taxes, such as state or local premium taxes generally will
be deducted from the amount applied to provide an Annuity Benefit
under Section 7.02. In certain states, however, we may deduct the
charge from Contributions rather than at the Annuity Commencement
Date.
The above charges will always be deducted from the Annuity Account Value in the
Investment Funds on a pro rata basis. If there is insufficient value in the
Investment Funds, all or a portion of the charges will be deducted from the
Annuity Account Value with respect to the Guarantee Periods in order of the
earliest Expiration Date(s) first.
NUMBER OF FREE TRANSFERS (SEE SECTION 8.03): Unlimited
DAILY SEPARATE ACCOUNT CHARGES (SEE SECTION 8.04):[*]
Mortality and Expense Risks Charge:
Current and Maximum Annual rate of 1.10% (equivalent to
a daily rate of 0.003032%).
Administration Charge:
Current and Maximum Annual rate of 0.25% (equivalent to
a daily rate of 0.000692%). We
reserve the right to increase this
charge to an annual rate of 0.35%.
Distribution Charge:
Current and Maximum Annual rate of 0.25% (equivalent to
a daily rate of 0.000695%)
[* These charges will not apply under the Special Dollar Cost Averaging
program.]
Data page 9
DATA PAGES (CONT'D)
PART C -- THIS PART LISTS THE TERMS WHICH APPLY TO THE ENDORSEMENT APPLICABLE
TO MARKET VALUE ADJUSTMENT TERMS (MVA ENDORSEMENT).
ALLOCATION RESTRICTIONS (SEE SECTION 3.01): If the Annuitant is age 76 or
older, allocations may be made only to Guarantee Periods with maturities of
five years or less; however, in no event may allocations be made to Guarantee
Periods with maturities beyond the February 15th immediately following the
Annuity Commencement Date.
TRANSFERS AT EXPIRATION DATE (SEE ITEM 1 OF MVA ENDORSEMENT): If no election is
made with respect to amounts in the Guaranteed Period Account as of the
Expiration Date, such amounts will be transferred into the Guarantee Period
with the earliest Expiration Date.
MARKET VALUE ADJUSTMENT (MVA) ON TRANSFERS AND WITHDRAWALS (SEE ITEM 2 OF MVA
ENDORSEMENT): The MVA (positive or negative) resulting from a withdrawal or
transfer of a portion of the amount in a Guarantee Period will be a percentage
of the MVA that would be applicable upon a withdrawal of all the Annuity
Account Value from a Guarantee Period. This percentage is determined by (i)
dividing the amount of the withdrawal or transfer from the Guarantee Period by
(ii) the Annuity Account Value in such Guarantee Period prior to the withdrawal
or transfer.
TRANSFER RULES (SEE SECTION 4.02): Transfers may not be made to a Guarantee
Period maturing in the current calendar year. Guarantee Periods to which
transfers may be made are limited based on your attained age (see Allocation
Restrictions above).
MVA FORMULA (SEE ITEM 3 OF MVA ENDORSEMENT): The Guaranteed Rate for new
allocations to a Guarantee Period is the rate we have in effect for this
purpose even if new allocations to that Guarantee Period would not be accepted
at the time. This rate will not be less than 3%.
The current rate percentage we use in item (c) of the formula is 0.00%. For
purposes of calculating the MVA only, we reserve the right to add up to 0.25%
to such current rate percentage.
SEPARATE ACCOUNT (SEE ITEM 5 OF THE MVA ENDORSEMENT): The portion of the assets
of Separate Account No. 46 equal to the reserves and other contract liabilities
will not be chargeable with liabilities which arise out of any other business
we conduct.
Data page 10
DATA PAGES (CONT'D)
GUARANTEED MINIMUM INCOME BENEFIT
TABLE OF GUARANTEED MINIMUM ANNUITY
PURCHASE FACTORS
FOR INITIAL LEVEL ANNUAL INCOME (10 YEAR FIXED PERIOD)
SINGLE LIFE - MALE
PURCHASE FACTORS PURCHASE FACTORS
ON CONTRACT DATE ON CONTRACT DATE
ELECTION AGE ANNIVERSARIES 7 TO 9 ANNIVERSARIES 10 AND LATER
------------ -------------------- --------------------------
60 5.12% 5.47%
61 5.22 5.58
62 5.34 5.69
63 5.45 5.81
64 5.58 5.93
65 5.70 6.06
66 5.84 6.19
67 5.98 6.33
68 6.13 6.48
69 6.28 6.63
70 6.44 6.79
71 6.60 6.95
72 6.77 7.12
73 6.95 7.29
74 7.13 7.47
75 7.32 7.66
76 7.51 7.85
77 7.72 8.05
78 7.92 8.26
79 8.14 8.47
80 8.36 8.69
81 8.80 9.13
82 9.30 9.63
83 9.85 10.19
Interest Basis: 2.5% on Contract Date anniversaries 7 through 9 and 3%
on Contract Date anniversaries 10 and later
Non-participating
Mortality: 1983 Individual Annuity Mortality Table "a" for [Male]
projected with modified Scale G.
Factors required for annuity forms not shown in the above table will be
calculated by us on the same actuarial basis.
Data page 11
ACCUMULATOR SELECT (NQ)
GUARANTEED MINIMUM DEATH BENEFIT ONLY BENEFIT
DATA
PART A -- THIS PART LISTS YOUR PERSONAL DATA.
OWNER: JOHN DOE
ANNUITANT: JOHN DOE Age: 60 Sex: Male
CONTRACT: GROUP ANNUITY CONTRACT NO. AC 7625
CERTIFICATE NUMBER: 00000
ENDORSEMENTS ATTACHED: Endorsement Applicable to Non-Qualified
Certificates
Endorsement Applicable to Market Value Adjustment
Terms
Rider to Endorsement Applicable to Market Value
Adjustment Terms
ISSUE DATE: May 1, 1997
CONTRACT DATE: May 1, 1997
ANNUITY COMMENCEMENT DATE: August 22, 2027
THE MAXIMUM MATURITY AGE IS AGE 90 -- SEE SECTION 7.03.
The Annuity Commencement Date may not be later than the Processing Date
which follows the Annuitant's 90th birthday.
BENEFICIARY: JANE DOE
SUCCESSOR OWNER/ANNUITANT: JANE DOE
Data page 1
DATA PAGES (CONT'D)
PART B -- THIS PART DESCRIBES CERTAIN PROVISIONS OF YOUR CERTIFICATE.
INITIAL CONTRIBUTION RECEIVED (SEE SECTION 3.02): $25,000.00
INVESTMENT OPTIONS AVAILABLE (SEE PART II); YOUR ALLOCATION IS ALSO SHOWN.
INVESTMENT OPTIONS ALLOCATION (SEE SECTION 3.01)
- - ------------------ -----------------------------
o EQ/PUTNAM GROWTH & INCOME FUND
o EQ/PUTNAM INVESTORS GROWTH FUND
o EQ/PUTNAM INTERNATIONAL EQUITY FUND
o MFS RESEARCH FUND
o MFS EMERGING GROWTH COMPANIES FUND
o ALLIANCE MONEY MARKET FUND
o ALLIANCE HIGH YIELD FUND
o ALLIANCE COMMON STOCK FUND
o ALLIANCE AGGRESSIVE STOCK FUND
o ALLIANCE SMALL CAP GROWTH FUND
o GUARANTEE PERIODS (CLASS I)
EXPIRATION DATE AND GUARANTEED RATE
FEBRUARY 15, 1998
FEBRUARY 15, 1999
FEBRUARY 15, 2000
FEBRUARY 15, 2001
FEBRUARY 15, 2002
FEBRUARY 15, 2003
FEBRUARY 15, 2004
FEBRUARY 15, 2005
FEBRUARY 15, 2006
FEBRUARY 15, 2007
---------------------
TOTAL: $25,000.00
Investment Options shown are Investment Funds of our Separate Account No. 49
and Guarantee Periods shown are in the Guaranteed Period Account. See
Endorsement Applicable to Market Value Adjustment Terms.
Data page 2
DATA PAGES (CONT'D)
"TYPES" OF INVESTMENT OPTIONS (SEE SECTION 4.02): Not applicable
GUARANTEED INTEREST ACCOUNT (SEE SECTION 2.01): Not available under this
Certificate
BUSINESS DAY (SEE SECTION 1.05): A Business Day for this Certificate will mean
any day on which the New York Stock Exchange is open for trading.
PROCESSING DATES (SEE SECTION 1.20): A Processing Date is each Contract Date
anniversary.
AVAILABILITY OF INVESTMENT OPTIONS (SEE SECTION 2.04): (See Data pages, Part C;
Allocation Restrictions)
ALLOCATION OF CONTRIBUTIONS (SEE SECTION 3.01): Except as indicated below, your
initial and any subsequent Contributions are allocated according to your
instructions.
If you select Principal Assurance a portion of your initial Contribution is
allocated by us to a Guarantee Period you have selected. The remaining portion
of your initial Contribution is allocated to the Investment Funds according to
your instructions. Any subsequent Contributions will be allocated according to
your instructions. (See Data pages, Part C; Allocation Restrictions)
[APPLICABLE IF SPECIAL DOLLAR COST AVERAGING IS ELECTED]
Under the Special Dollar Cost Averaging program your initial Contribution is
allocated by us to the Alliance Money Market Fund. Thereafter, amounts will be
transferred monthly over a twelve month period from the Alliance Money Market
Fund to the other Investment Funds based on the percentages you selected. Any
subsequent Contributions will be allocated according to your instructions. (See
Data pages, Part C; Allocation Restrictions)
CONTRIBUTION LIMITS (SEE SECTION 3.02): Initial Contribution minimum: $25,000.
Subsequent Contribution minimum: $1,000. Subsequent Contributions can be made
at any time up until the Annuitant attains age 84. We may refuse to accept any
Contribution if the sum of all Contributions under your Certificate would then
total more than $1,500,000. We reserve the right to limit aggregate
Contributions made after the first Contract Year to 150% of first year
Contributions. We may also refuse to accept any Contribution if the sum of all
Contributions under all Equitable Life annuity accumulation
certificates/contracts that you own would then total more than $2,500,000.
TRANSFER RULES (SEE SECTION 4.02): Transfers among Investment Options may be
made at any time during the Contract Year.
Data page 3
DATA PAGES (CONT'D)
ALLOCATION OF WITHDRAWALS (SEE SECTION 5.01): Lump Sum Withdrawals - You must
provide withdrawal instructions indicating from which Investment Options the
Lump Sum Withdrawal and any withdrawal charge will be taken; Systematic
Withdrawals - Unless you specify otherwise, Systematic Withdrawals will be
withdrawn on a pro rata basis from your Annuity Account Value in the Investment
Funds. If there is insufficient value or no value in the Investment Funds, any
additional amount required or the total amount of the withdrawal, as
applicable, will be withdrawn from the Guarantee Periods in order of the
earliest Expiration Date(s) first.
WITHDRAWAL RESTRICTIONS (SEE SECTION 5.01): Systematic Withdrawals - May not
start sooner than 28 days after issue of this Certificate. You may elect to
receive Systematic Withdrawals on a monthly, quarterly or annual basis subject
to a maximum of 1.2% monthly, 3.6% quarterly and 15.0% annually of the Annuity
Account Value as of the Transaction Date.
MINIMUM WITHDRAWAL AMOUNT (SEE SECTION 5.01): Lump Sum Withdrawals minimum -
$1,000; Systematic Withdrawals minimum - $250.
MINIMUM AMOUNT OF ANNUITY ACCOUNT VALUE AFTER A WITHDRAWAL (SEE SECTION 5.02):
Requests for a withdrawal must be for either (a) 90% or less of the Cash Value
or (b) 100% of the Cash Value (surrender of the Certificate).
We will NOT exercise our rights, described in Sections 5.02(b) and 5.02(c), to
terminate the Certificate.
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DATA PAGES (CONT'D)
DEATH BENEFIT AMOUNT (SEE SECTION 6.01):
The Annuity Account Value, or, if greater, the Guaranteed Minimum Death Benefit
defined below.
Guaranteed Minimum Death Benefit
[Only applicable for Annuitant issue ages 20 through 79 if the Contract Owner
elects this benefit]
6% to Age 80 Roll Up - On the Contract Date, the Guaranteed Minimum Death
Benefit is equal to the initial Contribution. Thereafter, the Guaranteed
Minimum Death Benefit is credited with interest at 6% (4% for amounts in the
Alliance Money Market Fund and the Guarantee Periods) on each Contract Date
anniversary through the Annuitant's age 80 (or at the Annuitant's death if
earlier), and 0% thereafter, and is adjusted for any subsequent Contributions
and withdrawals. [APPLICABLE IF SPECIAL DOLLAR COST AVERAGING IS ELECTED] The
Guaranteed Minimum Death Benefit interest rate applicable to amounts in the
Alliance Money Market Fund under the Special Dollar Cost Averaging program will
be 6%.
Your current Guaranteed Minimum Death Benefit will be reduced on a
dollar-for-dollar basis as long as the sum of your withdrawals in any Contract
Year is 6% or less of the beginning of year Guaranteed Minimum Death Benefit.
Once a withdrawal is made that causes cumulative withdrawals in a Contract Year
to exceed 6% of the beginning of Contract Year Guaranteed Minimum Death
Benefit, that withdrawal and any subsequent withdrawals in that Contract Year
will cause a pro-rata reduction to occur.
[Only applicable for Annuitant issue ages 20 through 79 if the Contract Owner
elects this benefit]
Annual Ratchet to Age 80 - On the Contract Date, the Guaranteed Minimum Death
Benefit is equal to the initial Contribution. Thereafter, the Guaranteed
Minimum Death Benefit is reset through the Annuitant's age 80, to the Annuity
Account Value on a Contract Date anniversary if higher than the current
Guaranteed Minimum Death Benefit, and is adjusted for any subsequent
Contributions and withdrawals.
[Applicable for Annuitant issue ages 80 through 83]
On the Contract Date, the Guaranteed Minimum Death Benefit is equal to the
initial Contribution. Thereafter, the initial Contribution is adjusted for any
subsequent Contributions and any withdrawals.
Each withdrawal will cause a reduction in your current Guaranteed Minimum Death
Benefit on a pro rata basis.
[IF A SUCCESSOR OWNER/ANNUITANT IS ELECTED]
On the Processing Date following your death, if the successor Owner/Annuitant
election is in effect at your death, the Guaranteed Minimum Death Benefit will
be reset at the greater of the then current Guaranteed Minimum Death Benefit
and the then current Annuity Account Value. In determining whether the
Guaranteed Minimum Death Benefit will continue to grow, we will use the age (as
of the Processing Date) of the successor Owner/Annuitant.
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DATA PAGES (CONT'D)
NORMAL FORM OF ANNUITY (SEE SECTION 7.04): Life Annuity 10 Year Period Certain
AMOUNT OF ANNUITY BENEFIT (SEE SECTION 7.05): The amount applied to provide the
Annuity Benefit will be the Annuity Account Value.
INTEREST RATE TO BE APPLIED IN ADJUSTING FOR MISSTATEMENT OF AGE OR SEX (SEE
SECTION 7.06): 6% per year
MINIMUM AMOUNT TO BE APPLIED TO AN ANNUITY (SEE SECTION 7.06): $2,000, as well
as minimum of $20 for initial monthly annuity payment.
WITHDRAWAL CHARGES: None
CHARGES DEDUCTED FROM ANNUITY ACCOUNT VALUE (SEE SECTION 8.02):
Charges for State Premium and Other Applicable Taxes: A charge for applicable
taxes, such as state or local premium taxes generally will be deducted from the
amount applied to provide an Annuity Benefit under Section 7.02. In certain
states, however, we may deduct the charge from Contributions rather than at the
Annuity Commencement Date.
The above charge will be deducted from the Annuity Account Value in the
Investment Funds on a pro rata basis. If there is insufficient value in the
Investment Funds, all or a portion of the charge will be deducted from the
Annuity Account Value with respect to the Guarantee Periods in order of the
earliest Expiration Date(s) first.
NUMBER OF FREE TRANSFERS (SEE SECTION 8.03): Unlimited
DAILY SEPARATE ACCOUNT CHARGES (SEE SECTION 8.04):[*]
Mortality and Expense Risks Charge:
Current and Maximum Annual rate of 1.10% (equivalent to
a daily rate of 0.003032%).
Administration Charge:
Current and Maximum Annual rate of 0.25% (equivalent to
a daily rate of 0.000695%). We
reserve the right to increase this
charge to an annual rate of 0.35%.
Distribution Charge:
Current and Maximum Annual rate of 0.25% (equivalent to
a daily rate of 0.000695%)
[* These charges will not apply under the Special Dollar Cost Averaging
program.]
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DATA PAGES (CONT'D)
PART C -- THIS PART LISTS THE TERMS WHICH APPLY TO THE ENDORSEMENT APPLICABLE
TO MARKET VALUE ADJUSTMENT TERMS (MVA ENDORSEMENT).
ALLOCATION RESTRICTIONS (SEE SECTION 3.01): If the Annuitant is age 76 or
older, allocations may be made only to Guarantee Periods with maturities of
five years or less; however, in no event may allocations be made to Guarantee
Periods with maturities beyond the February 15th immediately following the
Annuity Commencement Date.
TRANSFERS AT EXPIRATION DATE (SEE ITEM 1 OF MVA ENDORSEMENT): If no election is
made with respect to amounts in the Guaranteed Period Account as of the
Expiration Date, such amounts will be transferred into the Guarantee Period
with the earliest Expiration Date.
MARKET VALUE ADJUSTMENT (MVA) ON TRANSFERS AND WITHDRAWALS (SEE ITEM 2 OF MVA
ENDORSEMENT): The MVA (positive or negative) resulting from a withdrawal or
transfer of a portion of the amount in a Guarantee Period will be a percentage
of the MVA that would be applicable upon a withdrawal of all the Annuity
Account Value from a Guarantee Period. This percentage is determined by (i)
dividing the amount of the withdrawal or transfer from the Guarantee Period by
(ii) the Annuity Account Value in such Guarantee Period prior to the withdrawal
or transfer.
TRANSFER RULES (SEE SECTION 4.02): Transfers may not be made to a Guarantee
Period maturing in the current calendar year. Guarantee Periods to which
transfers may be made are limited based on your attained age (see Allocation
Restrictions above).
MVA FORMULA (SEE ITEM 3 OF MVA ENDORSEMENT): The Guaranteed Rate for new
allocations to a Guarantee Period is the rate we have in effect for this
purpose even if new allocations to that Guarantee Period would not be accepted
at the time. This rate will not be less than 3%.
The current rate percentage we use in item (c) of the formula is 0.00%. For
purposes of calculating the MVA only, we reserve the right to add up to 0.25%
to such current rate percentage.
SEPARATE ACCOUNT (SEE ITEM 5 OF THE MVA ENDORSEMENT): The portion of the assets
of Separate Account No. 46 equal to the reserves and other contract liabilities
will not be chargeable with liabilities which arise out of any other business
we conduct.
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