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Профессиональный Документы
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SUPPLEMENTAL ILLUSTRATION
Supplemental Illustration
This is a supplemental illustration that must be accompanied by the full product
illustration. Refer to the illustration ledger of guaranteed values within the full
product illustration for the policys guaranteed elements and other important
information. Illustrated loans are shown as 100% participating (indexed) loans.
Using the assumptions shown in the table at the right and the premium and policy
benefits specified in this illustration, this policy will mature in year 67.
Nonguaranteed Values
Age
End of
policy
year
54
55
56
57
58
59
60
61
62
63
Premium
outlay
Net
distributions
Accumulation
value
Cash
value
Death
benefit
1
2
3
4
5
6
7
8
9
10
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,467
$3,003
$4,608
$6,285
$8,042
$9,934
$11,973
$14,173
$16,555
$19,143
$0
$0
$1,557
$3,615
$5,754
$8,027
$10,448
$13,029
$15,793
$18,762
$101,467
$103,003
$104,608
$106,285
$108,042
$109,934
$111,973
$114,173
$116,555
$119,143
64
65
66
67
68
69
70
71
72
73
11
12
13
14
15
16
17
18
19
20
$2,640
$2,640
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$22,591
$26,239
$27,647
$29,109
$30,624
$32,193
$33,836
$35,559
$37,367
$39,264
$22,591
$26,239
$25,881
$25,489
$25,057
$24,581
$24,078
$23,546
$22,987
$22,399
$122,591
$126,239
$98,234
$96,379
$94,432
$92,388
$90,241
$87,987
$85,620
$83,135
74
75
76
77
78
79
80
81
82
83
21
22
23
24
25
26
27
28
29
30
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$41,251
$43,332
$45,516
$47,813
$50,236
$52,765
$55,396
$58,135
$60,991
$63,986
$21,777
$21,118
$20,425
$19,701
$18,953
$18,152
$17,287
$16,354
$15,354
$14,302
$80,526
$77,786
$74,909
$71,889
$68,717
$65,387
$61,890
$58,219
$54,363
$50,315
84
85
86
87
31
32
33
34
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$67,131
$70,459
$73,984
$77,753
$13,196
$12,061
$10,900
$9,749
$46,065
$41,602
$36,916
$31,996
This supplemental illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the
nonguaranteed values shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this supplemental illustration is based are
subject to change on an annual basis. This supplemental illustration is not valid without all 2 pages and must be accompanied by the full product illustration.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 1 of 2
Allianz Life Pro+ Fixed Index Universal Life Insurance Supplemental Illustration
Supplemental Illustration
SUPPLEMENTAL ILLUSTRATION
continued
Nonguaranteed Values
Age
End of
policy
year
88
89
90
91
92
93
Premium
outlay
Net
distributions
Accumulation
value
Cash
value
Death
benefit
35
36
37
38
39
40
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$81,829
$86,305
$91,327
$97,094
$103,808
$111,066
$8,659
$7,710
$7,036
$6,823
$7,257
$7,922
$26,830
$21,405
$15,709
$11,677
$11,410
$11,254
94
95
96
97
98
99
100
101
102
103
41
42
43
44
45
46
47
48
49
50
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$118,955
$127,587
$137,062
$147,248
$158,198
$169,969
$182,623
$196,226
$210,849
$226,570
$8,887
$10,249
$12,091
$14,263
$16,797
$19,732
$23,108
$26,970
$31,364
$36,344
$11,266
$11,525
$12,091
$14,263
$16,797
$19,732
$23,108
$26,970
$31,364
$36,344
104
105
106
107
108
109
110
111
112
113
51
52
53
54
55
56
57
58
59
60
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$243,469
$261,635
$281,164
$302,158
$324,726
$348,987
$375,067
$403,103
$433,242
$465,642
$41,965
$48,291
$55,386
$63,325
$72,185
$82,053
$93,021
$105,188
$118,666
$133,570
$41,965
$48,291
$55,386
$63,325
$72,185
$82,053
$93,021
$105,188
$118,666
$133,570
114
115
116
117
118
119
120
61
62
63
64
65
66
67
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$500,471
$537,913
$578,163
$621,432
$667,945
$717,947
$771,700
$150,030
$168,184
$188,181
$210,184
$234,369
$260,927
$290,062
$150,030
$168,184
$188,181
$210,184
$234,369
$260,927
$290,062
This supplemental illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the
nonguaranteed values shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this supplemental illustration is based are
subject to change on an annual basis. This supplemental illustration is not valid without all 2 pages and must be accompanied by the full product illustration.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 2 of 2
Prepared For
Jesus Gavioloa
Prepared On
July 06, 2015 at 11:36
Agent Information
Rosalinda Diestro
2622 Night Song Dr
Pearland, Texas 77584
Issue State
Texas
P54350-TX
Contents
Overview
Policy Description
Illustration Ledgers
14
Numeric Summary
23
Allianz Life Insurance Company of North America 5701 Golden Hills Drive, Minneapolis, MN 55416
800.950.7372 www.allianzlife.com
MLIF-1066
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
OVERVIEW
ILLUSTRATION LEDGERS
This section includes the Basic Concepts
below, a one-page introduction describing
how Allianz Life Pro+ works, and the rates and
assumptions used in your policy illustration.
POLICY DESCRIPTION
This section provides a high level overview of
your life insurance policys features and
benefits. It also defines certain terms used
throughout this illustration. For complete
information about Allianz Life Pro+, please
refer to your policy.
NUMERIC SUMMARY
This is a one-page summary of the illustration
information and contains important
disclosures for you to review. We ask both
you and your financial professional to sign this
page to confirm you fully understand the
features, benefits, and limitations of your
illustration.
The Overview and Policy Description comprise the Narrative Summary of this illustration.
Basic Concepts
As you review your illustration, please keep the following concepts in mind:
What is Life Insurance?
Many Possibilities
Interest rates and policy charges are only two of the many factors
that can affect your policys actual performance. Please be
aware that your actions can impact your policy as well. The
timing and amount of any premiums you pay, loans or
surrenders you take, and policy benefit changes you make will
have a large effect on your policy values.
Length of Coverage
If your policys cash value drops below a certain level, your policy
will lapse unless you pay additional premium or lower your policy
benefits. If your policy lapses, you will lose the death benefit,
you will no longer be able to take money from your policy, and
you may owe income taxes on the money you took out
(including any loan balance).
In this illustration, your length of coverage will vary based on the
assumptions used. Your projected lapse years for the
guaranteed and nonguaranteed scenarios are shown in the
Numeric Summary.
Guarantees are backed by the financial strength and claimspaying ability of Allianz Life Insurance Company of North
America.
Page 2 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
OVERVIEW
While the insured is still living, you can take money from your
policy in a number of ways.
Lapse Protection
When you buy your policy, your policy will be guaranteed to
remain in force for 10 policy years so long as the total premiums
you have paid into the policy (less any surrenders and
outstanding loan balance) exceed the total minimum monthly
premiums due. Note that as long as the total premium paid
meets this policy protection test, you do not have to pay the
minimum monthly premium each month.
Policy Charges
We deduct charges from your policy to offset various expenses we
incur in connection with a life insurance policy including, but not
limited to, the expenses of underwriting, issuing and
administering the policy, agent compensation, and the mortality
risks we assume.
Allianz Life: Over 115 years old and still going strong.
Since 1896, we've had the strength and stability to fulfill our promises. Through bull markets and bear
markets, we've stayed true to our careful planning, disciplined investing, and risk management expertise.
That's why we're well positioned for what's ahead.
MLIF-1066, Ver5.3.22.21 (Rev 11/14)
Page 3 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
OVERVIEW
Annual point-to-point ||
Barclays US Dynamic
Balance Index
Monthly average
Blended Index
Avg. annual
index rate
0%
0%
11.00% / 100%
15.00% / 100%
6.69%
8.12%
% allocated
Current par.rate/
floor
Avg. annual
index rate
0%
100.00% /2.00%
7.48%
Current par.rate
Avg. annual
index rate
Current cap/
par.rate
The illustrated policy values have been reduced by the cost of these
riders and benefits unless marked with an asterisk (*).
Chronic Illness Accelerated Benefit Rider*
% allocated
Trigger
130.00%
9.24%
Current cap/
par.rate/floor
Avg. annual
index rate
6.46%
% allocated
Current cap/
par.rate
Avg. annual
index rate
0%
3.80% / 100%
7.90%
Current par.rate
Avg. annual
index rate
% allocated
0%
145.00%
6.51%
% allocated
Current trigger
interest rate
Avg. annual
index rate
0%
8.00%
5.70%
% allocated
Current cap/
par.rate
Avg. annual
index rate
0%
19.00% / 115%
9.82%
% allocated
Current fixed
interest rate
0%
4.40%
Fixed Allocations
Fixed Interest
Illustration scenarios
The assumptions used in your illustration ledgers will vary based on
the scenario that applies for each ledger.
Current Scenario
The interest rates used in the current scenario are chosen by you
and your financial professional and are subject to the maximum
illustrated rates described above.
Indexed interest rates
7.50% (nonguaranteed)
Policy charges
Current (nonguaranteed)
Policy years
1-Maturity
Policy years
All policy years
Page 4 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
OVERVIEW
Guaranteed Scenario
The interest rates used in the guaranteed scenario are the rates
credited to the guaranteed accumulation value.
Interest rates
1.50% (guaranteed)
Policy charges
Maximum guaranteed
Policy years
All policy years
Policy years
All policy years
Moderate Scenario
The interest rates used in the moderate scenario are the average of
the current interest rates and 0% and are subject to a 3% maximum.
Indexed interest rates
3.00% (nonguaranteed)
Policy charges
Current (nonguaranteed)
Policy years
1-Maturity
Policy years
All policy years
Midpoint Scenario
The interest rates used in the midpoint scenario are the average of
the current interest rates and 0%.
Indexed interest rates
3.75% (nonguaranteed)
Policy charges
Average of current
(nonguaranteed) and
guaranteed
Policy years
1-Maturity
Policy years
All policy years
% allocated
Indexed
Fixed
100%
0%
Illustration timing
Premiums are assumed to be paid at the beginning of the year (or
of each modal period if non-annual), and are immediately allocated
to the allocations you choose. Withdrawals and loans are assumed
to be taken at the beginning of the policy year.
Policy values are illustrated as of the end of the year.
Page 5 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
POLICY DESCRIPTION
Earning Interest
Your policy has four different values, each of which is used for its
own purposes.
When you buy your policy, you can choose to allocate your current
value among several allocations. You can put all your current value
in one allocation or divide it up among multiple allocations.
Accumulation Value
Accumulation value is equal to the greater of the current value or
the guaranteed accumulation value.
Current Value
Current value reflects the money you put into the policy (less
premium charges) plus any fixed and/or indexed interest earned,
minus any money taken out (such as surrenders and policy
charges). Interest earned and policy charges are based on current
(nonguaranteed) rates that can change throughout the life of your
policy.
Cash Value
Cash value is the amount you would get if you cancelled (cashed
in) your policy. Its equal to your accumulation value minus the
full surrender charge and any outstanding loan balance.
Premium
Allianz Life Pro+ has different measures of premium, each of
which is used for its own purposes.
Planned premium. When you buy your policy, you specify your
planned premium, which is the amount of premium you plan to
pay each policy year. You can pay more or less than the planned
premium in any policy year. You can change the amount of your
planned premium once per policy year. The change will be
effective on the next monthly anniversary.
Base premium. During the first policy year, your base premium is
equal to your planned premium. In later years, its equal to the
lesser of your planned premium and the actual amount of
premium you paid during the previous policy year.
Minimum monthly premium. Minimum monthly premium is
used during the first 10 policy years to determine if your policy
passes the policy protection test, as described earlier in this
document.
Current value tied to premium you pay each year up to the base
premium will be placed in the allocations according to your
allocation choices. Any current value tied to premium you pay in
excess of the base premium will be placed in an interim allocation
where it will earn fixed interest until the end of the policy year. At
that time, we will distribute the interim current value to your
allocations according to your choices.
You can change your allocation once a policy year, by sending a
request to us during the first 21 days of the policy year. You can
send a request to change your allocation at other times, but your
request wont be processed until the beginning of the next policy
year.
Once the insured reaches age 120, we allocate 100% of the current
value to the fixed allocation.
Indexed Allocations
With these allocations, how much interest we credit to your current
value depends on the performance of an external index (or indexes)
and which interest crediting method you choose.
We offer standard index options and select index options. Select
index options offer higher caps and/or participation rates than their
corresponding standard index options in return for an allocation
charge. The available crediting method and index combinations are
shown below.
Standard Indexes
Blended Index
Barclays US
Dynamic Balance
Index
Select Indexes
Blended Index
Annual point-to-point
Page 6 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
POLICY DESCRIPTION
Crediting Methods
Allianz Life Pro+ gives you different options for determining how
external index performance will translate into the amount of
interest credited. For all crediting methods, we determine the
interest rate on the last day of each policy year.
Annual Point-to-Point Crediting For each indexed allocation with
this method, we start by setting an annual cap, which is the
maximum possible interest rate for the policy year. The annual
cap can be reset every policy year, but it will never be less than 3%.
Your annual interest rate will always be between 0.00% and the
cap amount.
For each single index option, we look at the change in the external
index for the policy year. If the index went up more than the cap
percentage, your interest rate will be equal to the cap for the
option. If the index went down, your interest rate will be 0.00%. If
the index change is somewhere between 0.00% and the cap, then
your interest rate is the same as the change of the index.
For the blended index option, we look at the change in each
external index for the policy year. We multiply each index change
by the corresponding index weight. We then add up the four
weighted index changes, and apply the cap and 0.00% minimum
to determine your interest rate.
Annual Point-to-Point Crediting ||. For this method, we start by
setting a participation rate and an annual floor. They can be reset
every policy year, but the participation rate will never be less than
10% and the annual floor will never be less than 1%.
We then look at the change in the external index for the policy
year and multiply the change by the participation rate. If the result
is more than the annual floor, your interest rate will be equal to the
result. Otherwise, your interest rate for that year will be equal to
the annual floor.
We then look at the change in the external index for the policy
year and multiply the change by the participation rate. If the result
is more than 0.00%, your interest rate will be equal to the result.
Otherwise, your interest rate for that year will be 0.00%.
At the end of each policy year, we look at the change in the external
index for the policy year. If the index change was zero or more, your
interest rate will be equal to the trigger interest rate. If the index
went down, your interest rate will be 0.00%.
Monthly Sum
Monthly Average
Page 7 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
POLICY DESCRIPTION
Surrenders
You can also withdraw part of your cash value. Partial surrenders
must be at least $500, and may be subject to a partial surrender
charge of up to $50. Partial surrenders (and any partial surrender
charges) reduce your policy values and death benefit dollar for
dollar. The amount of current value allocated to each allocation
decreases by the same percentage as the overall value decreases.
Policy Loans
Policy loans reduce your cash value and death benefit dollar for
dollar. If you do not pay loan interest when it is due, your loan
balance will increase, and the interest will reduce your cash value
and death benefit dollar for dollar.
When you take a policy loan, we link it to your current value in the
same percentages that your current value is allocated. You may
also choose to have your policy loan allocated differently than your
current value on any policy anniversary. You may change the type
of loan you have on any policy anniversary by reallocating your
policy loan. If you do so, the current value linked to the policy loan
will be reallocated in the same percentages. We must receive your
request to reallocate your policy loan during the first 21 days of the
policy year. You can send a request to change your policy loan
allocation at other times, but your request wont be processed
until the beginning of the next policy year.
Under the base policy, you may take a portion of the death benefit
in a lump sum if the insured becomes terminally ill and you have
not already taken an accelerated benefit payment under the policy
or any attached riders. You will receive a payment equal to the
accelerated benefit amount discounted for one half years interest
using a 1.96% discount rate.
The accelerated benefit payment must be at least $10,000 and
cannot exceed the death benefit (or $1 million, whichever is
smaller). If you accelerate less than the full death benefit, the
remaining death benefit must be at least $10,000.
Page 8 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
POLICY DESCRIPTION
Policy Charges
Death Benefit
Your beneficiaries can take the death benefit in a lump sum, income
tax-free payment, or as a stream of income payments. If your
beneficiaries choose an income stream payout option of at least 10
years, Allianz Life Pro+ will increase the death benefit by 10%.
After your policy is issued, you may decide to make a change to your
policy. Changes typically fall under two categories: material
changes and reductions in benefits. Before you make either type of
policy change, we recommend that you request a new policy
illustration, and then review your policy with a knowledgeable tax or
legal advisor.
Material Changes
Policy Lapse
If the cash value is less than the amount of a policy charge due,
and your policy does not pass the policy protection test as
described earlier in this document, your policy will enter a 60-day
grace period. If you do not send us premium sufficient to keep the
policy in force by the end of the grace period, your policy will lapse.
If your policy lapses, you will lose the death benefit, you will no
longer be able to take money from your policy, and you may
owe income taxes on the money you took out (including any
outstanding loan balance).
Under certain circumstances, we may allow a policy reinstatement
within three years of the policy lapse.
Page 9 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
POLICY DESCRIPTION
Reductions in benefits
Interest: Any interest you earn will be tax deferred, meaning you
will not owe taxes unless you take a taxable distribution from your
policy.
Federal Taxes
Everyones tax situation is different; we suggest that you ask a
knowledgeable tax or legal advisor about your own tax situation.
We do not give legal or tax advice, but for your convenience, we
provide the following general information on federal taxes. (Be
aware that you could have state tax considerations as well.)
This policy is intended to comply with the definition of life
insurance in Section 7702 of the Internal Revenue Code. When
you buy your policy, you must specify whether you want the
guideline premium test (GPT) or the cash value accumulation test
(CVAT) to use to qualify your policy as life insurance. Once you
choose a test, you cannot change it.
The most common test used for Allianz Life Pro+ is GPT, which
specifies the maximum amount of premium you can pay into your
policy. The total premiums paid for the policy must not exceed the
guideline single premium or the cumulative guideline level annual
premiums, whichever is greater.
The guideline premiums for this policy are:
Guideline Annual Premium: $7,507.57
Guideline Single Premium: $33,437.77
If you plan to fund your policy with a single premium payment,
CVAT may be the test you choose. This test compares the
relationship between the cash value and death benefit, and
generally allows a larger single premium payment than the GPT.
We will refund any premium that exceeds the life insurance
qualification limits under Section 7702 of the Internal Revenue
Code. We make this determination based on our interpretation of
tax law.
The tax treatment of life insurance under federal tax law is subject
to change. You should review the tax status of your policy with a
knowledgeable tax or legal advisor each year.
Page 10 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
Available Riders
The following optional benefits may be available to you at an
additional charge. Unless otherwise noted, riders must be
selected on your original policy application/worksheet.
POLICY DESCRIPTION
After coverage has been in effect for 10 policy years, the policy
anniversary after a child turns 25, or the policy anniversary after the
insured turns 65 (whichever is earlier), coverage can be converted
to an approved Allianz permanent insurance policy without medical
underwriting.
You can add this rider to your policy at issue, or on the policy
anniversary following the birth or adoption of the insureds first
child. The monthly rider charge for this benefit is a percentage of
the rider specified amount.
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
POLICY DESCRIPTION
When you deposit money into the PDF, you must pay enough to
fund at least three transfers, and there is a 10 transfer maximum.
After the last transfer, if there is value remaining in the PDF, we will
pay you the excess. If the amount credited to the policy is less than
the amount required to keep your policy in force, you may need to
pay additional premium to keep your policy in force.
We will pay you the remaining value in the PDF if the rider
terminates. Conditions for termination are described in the PDF
rider. There is no charge for this rider.
Rider availability
Page 12 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
Definitions
Age
The insured's age at the end of the policy year.
Chronically ill
Certification by a licensed health practitioner that:
Due to a loss of functional capacity, the insured individual is
unable to perform at least two activities of daily living (bathing,
continence, dressing, eating, toileting, and transferring) without
substantial assistance, and substantial assistance is expected to be
required for at least 90 continuous days; or
Due to a cognitive impairment, the insured individual requires
substantial supervision.
Distributions
The total policy loans, partial surrenders, and accelerated benefits
you take. Distributions are assumed to be taken at the beginning
of the policy year.
Loan Charges
The interest charges for the loans you take. Loan charges are
taken at the beginning of the policy year and based on your
chosen loan allocations.
Loan Credits
The amount of fixed and/or indexed interest credited to the
portion of current value that is linked to a loan.
Net Distributions
Loan repayments less the total policy loans, partial surrenders, and
accelerated benefits you take.
Policy Charges
The sum of all premium charges, policy fees, per unit charges, cost
of insurance charges, asset based charges, and rider charges.
Note: Loan charges are not considered policy charges.
POLICY DESCRIPTION
Totally Disabled
During the first 24 months of a benefit, the complete and
continuous inability of the insured to perform the duties of the
insured's occupation as a result of injury or sickness that requires
the regular care of a physician.
After the benefit has been in effect for 24 months, the complete
and continuous inability of the insured to perform the duties of
any occupation for which the insured is reasonably qualified by
education, training, or prior experience as a result of injury or
sickness that requires the regular care and attendance of a
physician. The insured will not be considered totally disabled solely
because of the loss or restriction of the insureds license to engage
in the insureds occupation.
$24.28
$17.84
$17.77
$0.00
$11.21
$11.71
Sound Ratings
The ratings Allianz receives from independent rating
organizations confirm our financial strength. These independent
agency ratings are based on an analysis of financial results and an
evaluation of management objectives and strategies. The ratings
do not indicate approval by the analysts and are subject to change.
Organization
Rating
Rank
Affirmed
A.M. Best
A (Excellent)
3 of 16
July 2014
AA (Very strong)
3 of 21
February 2014
Moodys
A2 (Good)
6 of 21
March 2014
Policy Credits
For the current and moderate scenarios: the fixed and/or indexed
interest credited to the current value. For the guaranteed
scenario: the interest credited to the guaranteed accumulation
value.
Premium Outlay
Premium paid. Premiums are assumed to be paid at the beginning
of the year (or of each modal period if non-annual), and are
immediately allocated to the allocations you choose. A negative
amount under Premium Outlay in any year reflects premium
refunded in order to preserve the favorable tax treatment of the
policy as life insurance under federal tax law.
Terminal Illness
A diagnosis by a physician of a medical condition that is expected
to result in the death of the insured within 12 months.
Page 13 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
ILLUSTRATION LEDGERS
Age
End of
policy
year
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
Premium
outlay
Net
distributions
Policy
credits
Policy
charges
Loan
charges
Accumulation
value
Cash
value
Death
benefit
1
2
3
4
5
6
7
8
9
10
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$10
$29
$47
$64
$81
$97
$112
$126
$139
$150
$1,371
$1,428
$1,492
$1,559
$1,623
$1,688
$1,763
$1,855
$1,967
$2,097
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,279
$2,520
$3,715
$4,861
$5,959
$7,008
$7,997
$8,909
$9,721
$10,414
$0
$0
$664
$2,191
$3,671
$5,101
$6,472
$7,765
$8,959
$10,033
$101,279
$102,520
$103,715
$104,861
$105,959
$107,008
$107,997
$108,909
$109,721
$110,414
11
12
13
14
15
$2,640
$2,640
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$159
$167
$161
$138
$79
$2,240
$2,389
$2,242
$2,422
$1,741
$0
$0
$84
$172
$265
$10,973
$11,391
$9,311
$7,027
$0
$10,973
$11,391
$7,545
$3,406
$0
$110,973
$111,391
$98,234
$96,379
$0
This illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the nonguaranteed values
shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this illustration is based are subject to change on an annual basis. This
illustration is not valid without all 25 pages.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 14 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
ILLUSTRATION LEDGERS
Nonguaranteed Values
Age
End of
policy
year
54
55
56
57
58
59
60
61
62
63
Premium
outlay
Net
distributions
Policy
credits
Policy
charges
Loan
charges
Accumulation
value
Cash
value
Death
benefit
1
2
3
4
5
6
7
8
9
10
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$57
$166
$279
$398
$522
$653
$796
$949
$1,114
$1,294
$1,230
$1,270
$1,314
$1,360
$1,405
$1,401
$1,396
$1,388
$1,373
$1,346
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,467
$3,003
$4,608
$6,285
$8,042
$9,934
$11,973
$14,173
$16,555
$19,143
$0
$0
$1,557
$3,615
$5,754
$8,027
$10,448
$13,029
$15,793
$18,762
$101,467
$103,003
$104,608
$106,285
$108,042
$109,934
$111,973
$114,173
$116,555
$119,143
64
65
66
67
68
69
70
71
72
73
11
12
13
14
15
16
17
18
19
20
$2,640
$2,640
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,514
$1,771
$1,946
$2,050
$2,157
$2,268
$2,384
$2,506
$2,633
$2,767
$707
$762
$538
$588
$642
$700
$741
$783
$826
$870
$0
$0
$84
$172
$265
$362
$465
$572
$685
$803
$22,591
$26,239
$27,647
$29,109
$30,624
$32,193
$33,836
$35,559
$37,367
$39,264
$22,591
$26,239
$25,881
$25,489
$25,057
$24,581
$24,078
$23,546
$22,987
$22,399
$122,591
$126,239
$98,234
$96,379
$94,432
$92,388
$90,241
$87,987
$85,620
$83,135
74
75
76
77
78
79
80
81
82
83
21
22
23
24
25
26
27
28
29
30
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$2,907
$3,054
$3,208
$3,370
$3,541
$3,720
$3,906
$4,100
$4,302
$4,513
$921
$973
$1,025
$1,074
$1,118
$1,190
$1,275
$1,361
$1,446
$1,518
$927
$1,058
$1,195
$1,339
$1,490
$1,648
$1,815
$1,990
$2,173
$2,366
$41,251
$43,332
$45,516
$47,813
$50,236
$52,765
$55,396
$58,135
$60,991
$63,986
$21,777
$21,118
$20,425
$19,701
$18,953
$18,152
$17,287
$16,354
$15,354
$14,302
$80,526
$77,786
$74,909
$71,889
$68,717
$65,387
$61,890
$58,219
$54,363
$50,315
84
85
86
87
88
31
32
33
34
35
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$4,735
$4,969
$5,216
$5,480
$5,764
$1,590
$1,641
$1,692
$1,711
$1,687
$2,568
$2,781
$3,004
$3,238
$3,484
$67,131
$70,459
$73,984
$77,753
$81,829
$13,196
$12,061
$10,900
$9,749
$8,659
$46,065
$41,602
$36,916
$31,996
$26,830
This illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the nonguaranteed values
shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this illustration is based are subject to change on an annual basis. This
illustration is not valid without all 25 pages.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 15 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
ILLUSTRATION LEDGERS
continued
Using the assumptions shown in the table at the right and the premium and policy
benefits specified in this illustration, this policy will mature in year 67. Illustrated
loans are shown as 100% participating (indexed) loans.
See the Basic Ledger, Guaranteed Scenario on the preceding pages for an
illustration of guaranteed values.
Nonguaranteed Values
Age
End of
policy
year
89
90
91
92
93
Premium
outlay
Net
distributions
Policy
credits
Policy
charges
Loan
charges
Accumulation
value
Cash
value
Death
benefit
36
37
38
39
40
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$6,073
$6,417
$6,808
$7,260
$7,765
$1,597
$1,395
$1,041
$546
$507
$3,743
$4,014
$4,299
$4,598
$4,912
$86,305
$91,327
$97,094
$103,808
$111,066
$7,710
$7,036
$6,823
$7,257
$7,922
$21,405
$15,709
$11,677
$11,410
$11,254
94
95
96
97
98
99
100
101
102
103
41
42
43
44
45
46
47
48
49
50
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$8,313
$8,910
$9,565
$10,276
$11,040
$11,861
$12,744
$13,693
$14,713
$15,810
$424
$279
$90
$90
$90
$90
$90
$90
$90
$90
$5,241
$5,588
$5,951
$6,333
$6,733
$7,154
$7,596
$8,060
$8,547
$9,058
$118,955
$127,587
$137,062
$147,248
$158,198
$169,969
$182,623
$196,226
$210,849
$226,570
$8,887
$10,249
$12,091
$14,263
$16,797
$19,732
$23,108
$26,970
$31,364
$36,344
$11,266
$11,525
$12,091
$14,263
$16,797
$19,732
$23,108
$26,970
$31,364
$36,344
104
105
106
107
108
109
110
111
112
113
51
52
53
54
55
56
57
58
59
60
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$16,989
$18,256
$19,619
$21,084
$22,658
$24,351
$26,170
$28,126
$30,229
$32,490
$90
$90
$90
$90
$90
$90
$90
$90
$90
$90
$9,595
$10,159
$10,751
$11,373
$12,026
$12,711
$13,431
$14,186
$14,980
$15,813
$243,469
$261,635
$281,164
$302,158
$324,726
$348,987
$375,067
$403,103
$433,242
$465,642
$41,965
$48,291
$55,386
$63,325
$72,185
$82,053
$93,021
$105,188
$118,666
$133,570
$41,965
$48,291
$55,386
$63,325
$72,185
$82,053
$93,021
$105,188
$118,666
$133,570
114
115
116
117
118
119
120
61
62
63
64
65
66
67
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$34,919
$37,532
$40,340
$43,359
$46,604
$50,092
$53,842
$90
$90
$90
$90
$90
$90
$90
$16,688
$17,606
$18,571
$19,583
$20,646
$21,763
$22,935
$500,471
$537,913
$578,163
$621,432
$667,945
$717,947
$771,700
$150,030
$168,184
$188,181
$210,184
$234,369
$260,927
$290,062
$150,030
$168,184
$188,181
$210,184
$234,369
$260,927
$290,062
This illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the nonguaranteed values
shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this illustration is based are subject to change on an annual basis. This
illustration is not valid without all 25 pages.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 16 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
ILLUSTRATION LEDGERS
See the Basic Ledger, Guaranteed Scenario on the preceding pages for an
illustration of guaranteed values.
Nonguaranteed Values
Age
End of
policy
year
54
55
56
57
58
59
60
61
62
63
Premium
outlay
Net
distributions
Policy
credits
Policy
charges
Loan
charges
Accumulation
value
Cash
value
Death
benefit
1
2
3
4
5
6
7
8
9
10
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$23
$65
$108
$150
$192
$235
$279
$325
$373
$422
$1,230
$1,270
$1,314
$1,360
$1,405
$1,401
$1,396
$1,388
$1,373
$1,346
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,433
$2,869
$4,302
$5,731
$7,158
$8,632
$10,154
$11,731
$13,370
$15,086
$0
$0
$1,251
$3,061
$4,870
$6,725
$8,629
$10,587
$12,608
$14,705
$101,433
$102,869
$104,302
$105,731
$107,158
$108,632
$110,154
$111,731
$113,370
$115,086
64
65
66
67
68
69
70
71
72
73
11
12
13
14
15
16
17
18
19
20
$2,640
$2,640
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$484
$556
$589
$588
$585
$580
$573
$563
$550
$535
$707
$762
$576
$641
$714
$795
$863
$936
$1,017
$1,106
$0
$0
$84
$172
$265
$362
$465
$572
$685
$803
$17,504
$19,937
$19,950
$19,897
$19,769
$19,554
$19,264
$18,890
$18,424
$17,853
$17,504
$19,937
$18,183
$16,277
$14,201
$11,942
$9,505
$6,878
$4,045
$988
$117,504
$119,937
$98,234
$96,379
$94,432
$92,388
$90,241
$87,987
$85,620
$83,135
74
21
$0
$1,682
$0
$99
$927
$0
$0
$0
This illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the nonguaranteed values
shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this illustration is based are subject to change on an annual basis. This
illustration is not valid without all 25 pages.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 17 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
ILLUSTRATION LEDGERS
Moderate
Current
$0.00
$1,682.00
See the Basic Ledger, Guaranteed Scenario on the preceding pages for an illustration of guaranteed values.
Nonguaranteed Values1
Age
End of
policy
year
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Partial
surrender
Fixed
loan
Indexed
loan
Loan
charges
Loan
credits
Outstanding
loan
balance
Cash
value
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$84
$172
$265
$362
$465
$572
$685
$803
$927
$1,058
$1,195
$1,339
$1,490
$1,648
$1,815
$1,990
$2,173
$2,366
$2,568
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$132
$272
$418
$571
$732
$901
$1,078
$1,265
$1,461
$1,666
$1,882
$2,108
$2,346
$2,596
$2,858
$3,134
$3,423
$3,726
$4,045
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,766
$3,621
$5,568
$7,612
$9,759
$12,013
$14,380
$16,865
$19,474
$22,214
$25,091
$28,111
$31,283
$34,613
$38,110
$41,781
$45,637
$49,685
$53,935
$0
$0
$1,557
$3,615
$5,754
$8,027
$10,448
$13,029
$15,793
$18,762
$22,591
$26,239
$25,881
$25,489
$25,057
$24,581
$24,078
$23,546
$22,987
$22,399
$21,777
$21,118
$20,425
$19,701
$18,953
$18,152
$17,287
$16,354
$15,354
$14,302
$13,196
This illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the nonguaranteed values
shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this illustration is based are subject to change on an annual basis. This
illustration is not valid without all 25 pages.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 18 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
ILLUSTRATION LEDGERS
continued
The nonguaranteed values shown below highlight the loan charges accrued each
year, and use the assumptions shown in the table at the right.
The loan amount shown in this illustration is the maximum you can take without
causing your policy to lapse based on the current scenario assumptions. The actual
loan amount you can take without causing your policy to lapse could be more or
less depending on the interest rate you earn, as shown below.
Scenario
Moderate
Current
$0.00
$1,682.00
See the Basic Ledger, Guaranteed Scenario on the preceding pages for an illustration of guaranteed values.
Nonguaranteed Values1
Age
End of
policy
year
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
Partial
surrender
Fixed
loan
Indexed
loan
Loan
charges
Loan
credits
Outstanding
loan
balance
Cash
value
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$2,781
$3,004
$3,238
$3,484
$3,743
$4,014
$4,299
$4,598
$4,912
$5,241
$5,588
$5,951
$6,333
$6,733
$7,154
$7,596
$8,060
$8,547
$9,058
$9,595
$10,159
$10,751
$11,373
$12,026
$12,711
$13,431
$14,186
$14,980
$15,813
$16,688
$17,606
$18,571
$4,380
$4,731
$5,100
$5,488
$5,895
$6,322
$6,770
$7,241
$7,736
$8,255
$8,800
$9,373
$9,974
$10,605
$11,268
$11,964
$12,694
$13,461
$14,267
$15,113
$16,001
$16,933
$17,912
$18,941
$20,020
$21,153
$22,344
$23,593
$24,905
$26,283
$27,730
$29,249
$58,398
$63,084
$68,004
$73,170
$78,595
$84,291
$90,271
$96,551
$103,145
$110,068
$117,338
$124,971
$132,985
$141,401
$150,237
$159,515
$169,257
$179,485
$190,226
$201,503
$213,344
$225,778
$238,833
$252,541
$266,934
$282,046
$297,915
$314,577
$332,072
$350,441
$369,729
$389,982
$12,061
$10,900
$9,749
$8,659
$7,710
$7,036
$6,823
$7,257
$7,922
$8,887
$10,249
$12,091
$14,263
$16,797
$19,732
$23,108
$26,970
$31,364
$36,344
$41,965
$48,291
$55,386
$63,325
$72,185
$82,053
$93,021
$105,188
$118,666
$133,570
$150,030
$168,184
$188,181
This illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the nonguaranteed values
shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this illustration is based are subject to change on an annual basis. This
illustration is not valid without all 25 pages.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 19 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
ILLUSTRATION LEDGERS
continued
The nonguaranteed values shown below highlight the loan charges accrued each
year, and use the assumptions shown in the table at the right.
The loan amount shown in this illustration is the maximum you can take without
causing your policy to lapse based on the current scenario assumptions. The actual
loan amount you can take without causing your policy to lapse could be more or
less depending on the interest rate you earn, as shown below.
Scenario
Moderate
Current
$0.00
$1,682.00
See the Basic Ledger, Guaranteed Scenario on the preceding pages for an illustration of guaranteed values.
Nonguaranteed Values1
Age
End of
policy
year
117
118
119
120
64
65
66
67
Partial
surrender
Fixed
loan
Indexed
loan
Loan
charges
Loan
credits
Outstanding
loan
balance
Cash
value
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$19,583
$20,646
$21,763
$22,935
$30,844
$32,518
$34,277
$36,123
$411,247
$433,576
$457,021
$481,638
$210,184
$234,369
$260,927
$290,062
At the current interest rates and current charges, and the premium and policy benefits specified in this illustration, this policy will mature
in year 67. If the amount of indexed interest earned on the loan is less than the assumed rate illustrated, the policy may lapse before the
time illustrated unless you pay additional premium or lower your policy benefits.
1
Policy loans and surrenders will reduce available cash values and death benefits, and may cause the policy to lapse, or affect guarantees
against lapse. Additional premium payments may be required to keep the policy in force. In the event of a lapse, outstanding policy loans
in excess of unrecovered cost basis will be subject to ordinary income tax. Tax laws are subject to change and you should consult your tax
professional.
This illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the nonguaranteed values
shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this illustration is based are subject to change on an annual basis. This
illustration is not valid without all 25 pages.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 20 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
ILLUSTRATION LEDGERS
Age
End of
policy
year
Year ending
Premium
outlay
Net
distributions
Annual
index rate
Accumulation
value
Cash
value
Death
benefit
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
12/31/1991
12/31/1992
12/31/1993
12/31/1994
12/31/1995
12/31/1996
12/31/1997
12/31/1998
12/31/1999
12/31/2000
12/31/2001
12/31/2002
12/31/2003
12/31/2004
12/31/2005
12/31/2006
12/31/2007
12/31/2008
12/31/2009
12/31/2010
12/31/2011
12/31/2012
12/31/2013
12/31/2014
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$2,640
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
$1,682
22.46 %
5.98 %
10.44 %
0.00 %
36.42 %
12.78 %
19.94 %
13.26 %
5.74 %
3.57 %
0.00 %
1.58 %
15.24 %
6.53 %
1.44 %
14.38 %
5.29 %
0.00 %
13.00 %
11.85 %
5.40 %
7.97 %
14.01 %
6.17 %
$1,582
$3,091
$4,814
$6,094
$9,791
$12,367
$16,211
$19,702
$22,140
$24,249
$26,182
$28,490
$32,264
$33,796
$33,672
$37,789
$39,081
$38,353
$42,489
$46,667
$48,344
$51,293
$57,518
$60,182
$0
$0
$1,763
$3,424
$7,503
$10,460
$14,686
$18,558
$21,378
$23,868
$26,182
$28,490
$30,498
$30,175
$28,105
$30,177
$29,323
$26,340
$28,110
$29,802
$28,870
$29,079
$32,428
$32,071
$101,582
$103,091
$104,814
$106,094
$109,791
$112,367
$116,211
$119,702
$122,140
$124,249
$126,182
$128,490
$98,234
$96,379
$94,432
$92,388
$90,241
$87,987
$85,620
$83,135
$80,526
$77,786
$74,909
$71,889
At the current interest rates and current charges, and the premium and policy benefits specified in this illustration, this policy will mature
in year 67.
1
This illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the nonguaranteed values
shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this illustration is based are subject to change on an annual basis. This
illustration is not valid without all 25 pages.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 21 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
ILLUSTRATION LEDGERS
Year
Ending
S&P 500
Index
Monthly
Sum
S&P 500
Index
Annual
Pt-to-Pt
Barclays US
Barclays US
Dynamic
Dynamic
Balanced Index
Balanced Index
Annual
Annual
Pt-to-Pt
Pt-to-Pt
with Floor
Blended
Index
Annual Ptto-Pt
Blended
Index
Annual Ptto-Pt
with Floor
Blended
Index
Monthly
Average
Blended
Index
Select
Annual Ptto-Pt
S&P 500
Trigger
Method
12/31/1990
12/31/1991
12/31/1992
12/31/1993
12/31/1994
12/31/1995
12/31/1996
12/31/1997
12/31/1998
12/31/1999
12/31/2000
12/31/2001
12/31/2002
12/31/2003
12/31/2004
12/31/2005
12/31/2006
12/31/2007
12/31/2008
12/31/2009
12/31/2010
12/31/2011
12/31/2012
12/31/2013
12/31/2014
0.00%
13.31%
4.49%
7.00%
0.00%
29.32%
13.97%
15.31%
10.90%
12.29%
0.00%
0.00%
0.00%
15.65%
8.82%
3.24%
12.99%
3.38%
0.00%
6.19%
0.96%
0.00%
12.19%
23.50%
10.62%
0.00%
11.00%
4.46%
7.06%
0.00%
11.00%
11.00%
11.00%
11.00%
11.00%
0.00%
0.00%
0.00%
11.00%
8.99%
3.00%
11.00%
3.53%
0.00%
11.00%
11.00%
0.00%
11.00%
11.00%
11.00%
4.79%
22.46%
5.98%
10.44%
0.00%
36.42%
12.78%
19.94%
13.26%
5.74%
3.57%
0.00%
1.58%
15.24%
6.53%
1.44%
14.38%
5.29%
0.00%
13.00%
11.85%
5.40%
7.97%
14.01%
6.17%
3.69%
17.28%
4.60%
8.03%
2.00%
28.02%
9.83%
15.34%
10.20%
4.41%
2.75%
2.00%
2.00%
11.73%
5.02%
2.00%
11.06%
4.07%
2.00%
10.00%
9.12%
4.15%
6.13%
10.78%
4.75%
0.00%
15.00%
6.36%
15.00%
0.00%
15.00%
15.00%
15.00%
14.73%
15.00%
0.95%
0.00%
0.00%
15.00%
5.70%
5.23%
11.94%
5.77%
0.00%
15.00%
7.52%
0.72%
8.24%
15.00%
5.31%
2.00%
9.50%
6.36%
9.50%
2.00%
9.50%
9.50%
9.50%
9.50%
9.50%
2.00%
2.00%
2.00%
9.50%
5.70%
5.23%
9.50%
5.77%
2.00%
9.50%
7.52%
2.00%
8.24%
9.50%
5.31%
0.00%
18.81%
5.35%
13.59%
0.00%
18.15%
10.95%
18.85%
12.96%
11.49%
0.00%
0.00%
0.00%
8.40%
1.58%
1.98%
7.81%
6.29%
0.00%
3.69%
2.23%
2.69%
7.31%
11.79%
3.27%
0.00%
19.00%
7.31%
19.00%
0.00%
19.00%
18.87%
19.00%
16.94%
19.00%
1.09%
0.00%
0.00%
19.00%
6.55%
6.01%
13.73%
6.64%
0.00%
17.72%
8.64%
0.83%
9.47%
18.23%
6.11%
0.00%
8.00%
8.00%
8.00%
0.00%
8.00%
8.00%
8.00%
8.00%
8.00%
0.00%
0.00%
0.00%
8.00%
8.00%
8.00%
8.00%
8.00%
0.00%
8.00%
8.00%
0.00%
8.00%
8.00%
8.00%
25
Year
Historical
7.90%
6.69%
9.24%
7.48%
8.12%
6.46%
6.51%
9.82%
5.70%
This illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the nonguaranteed values
shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this illustration is based are subject to change on an annual basis. This
illustration is not valid without all 25 pages.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 22 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
NUMERIC SUMMARY
Numeric Summary
The assumptions used in the guaranteed, midpoint, and current scenarios are described in the Rates and Assumptions section of this
illustration.
Guaranteed Values
Nonguaranteed Values
GUARANTEED SCENARIO
Year
Age
5
10
20
17
58
63
73
70
MIDPOINT SCENARIO
CURRENT SCENARIO
Total
premium
outlay
Total
distributions
Cash
value
Death
benefit
Cash
value
Death
benefit
Cash
value
Death
benefit
$13,200
$26,400
$31,680
$31,680
$0
$0
$13,456
$8,410
$3,671
$10,033
N/A
N/A
$105,959
$110,414
N/A
N/A
$4,523
$13,392
N/A
$2,051
$106,811
$113,773
N/A
$90,241
$5,754
$18,762
$22,399
$24,078
$108,042
$119,143
$83,135
$90,241
Lapse Year
15
18
67
Your Signature
By signing below, you indicate that the following are true:
I have received and read a copy of this illustration and
I acknowledge that this illustration is only a summary, that
understand that nonguaranteed values, caps, spreads, and
the policy contains the only complete description, and that
participation rates are subject to change and could be either
this illustration is not part of the policy.
higher or lower.
I understand that external indexes are volatile, even though
I understand that nonguaranteed values shown in this
this illustration used a constant rate.
illustration are not promises or warranties. My financial
professional has told me they are not guaranteed.
I understand that this is a life insurance policy, and not a
source of guaranteed income. If my policy lapses, I will lose
the death benefit, will no longer be able to take money from
my policy, and I may owe income taxes on the money I took
out.
o If I check the preceding box, the Loan Protection Rider will NOT be automatically added to my policy and cannot be added later.
Owner/Applicant's Signature
Date
Date
Date
This illustration is not an offer, contract, or promise of future policy performance. Actual policy values may be more or less favorable than the nonguaranteed values
shown. Coverage is subject to the terms and conditions of the policy. The assumptions on which this illustration is based are subject to change on an annual basis. This
illustration is not valid without all 25 pages.
Prepared For: Jesus Gavioloa, Male, 53, Standard Nontobacco
Agent Information: Rosalinda Diestro
Issued In: Texas; July 06, 2015; 11:36
GS: $33,437.77
GA: $7,507.57
PM: $220.00
Page 23 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
The S&P 500 Index is comprised of 500 stocks representing major U.S. industrial
sectors. The Dow Jones Industrial Average is a popular indicator of the stock market
based on the average closing prices of 30 active U.S. stocks representative of the
overall economy.
S&P is a registered trademark of Standard & Poors Financial Services LLC (S&P)
and Dow Jones is a registered trademark of Dow Jones Trademark Holdings LLC
(Dow Jones). These trademarks have been licensed for use by S&P Dow Jones
Indices LLC. S&P marks are trademarks of S&P and Dow Jones marks are
trademarks of Dow Jones. These trademarks have been sublicensed for certain
purposes by Allianz Life Insurance Company of North America (Allianz). The S&P
500 Index (the Index) and Dow Jones Industrial AverageSM (the DJIA) are
products of S&P Dow Jones Indices LLC and/or its affiliates and have been licensed
for use by Allianz.
Allianz products are not sponsored, endorsed, sold, or promoted by S&P Dow Jones
Indices LLC, Dow Jones, S&P, or any of their respective affiliates (collectively, S&P
Dow Jones Indices). S&P Dow Jones Indices make no representation or warranty,
express or implied, to the owners of the Allianz products or any member of the
public regarding the advisability of investments generally or in Allianz products
particularly or the ability of the Index and Average to track general market
performance. S&P Dow Jones Indices only relationship to Allianz with respect to
the Index and Average is the licensing of the Index and Average and certain
trademarks, service marks, and/or trade names of S&P Dow Jones Indices and/or its
third-party licensors. The Index and Average are determined, composed, and
calculated by S&P Dow Jones Indices without regard to Allianz or the products. S&P
Dow Jones Indices have no obligation to take the needs of Allianz or the owners of
the products into consideration in determining, composing, or calculating the
Index and Average. S&P Dow Jones Indices are not responsible for and have not
participated in the design, development, pricing, and operation of the products,
including the calculation of any interest payments or any other values credited to
the products. S&P Dow Jones Indices have no obligation or liability in connection
with the administration, marketing, or trading of products. There is no assurance
that investment products based on the Index and Average will accurately track
index performance or provide positive investment returns. S&P Dow Jones Indices
LLC and its subsidiaries are not investment advisors. Inclusion of a security or
futures contract within an index is not a recommendation by S&P Dow Jones
Indices to buy, sell, or hold such security or futures contract, nor is it considered to
be investment advice. Notwithstanding the foregoing, CME Group Inc. and its
affiliates may independently issue and/or sponsor financial products unrelated to
products currently being issued by Allianz, but which may be similar to and
competitive with Allianz products. In addition, CME Group Inc., an indirect minority
owner of S&P Dow Jones Indices LLC, and its affiliates may trade financial products
which are linked to the performance of the Index and Average. It is possible that
this trading activity will affect the value of the products.
S&P DOW JONES INDICES DO NOT GUARANTEE THE ADEQUACY, ACCURACY,
TIMELINESS, AND/OR THE COMPLETENESS OF THE INDEX AND AVERAGE OR ANY
DATA RELATED THERETO OR ANY COMMUNICATION, INCLUDING BUT NOT
LIMITED TO, ORAL OR WRITTEN COMMUNICATION (INCLUDING ELECTRONIC
COMMUNICATIONS) WITH RESPECT THERETO. S&P DOW JONES INDICES SHALL
NOT BE SUBJECT TO ANY DAMAGES OR LIABILITY FOR ANY ERRORS, OMISSIONS, OR
DELAYS THEREIN. S&P DOW JONES INDICES MAKE NO EXPRESS OR IMPLIED
WARRANTIES, AND EXPRESSLY DISCLAIM ALL WARRANTIES, OF MERCHANTABILITY
OR FITNESS FOR A PARTICULAR PURPOSE OR USE OR AS TO RESULTS TO BE
OBTAINED BY ALLIANZ, OWNERS OF THE PRODUCTS, OR ANY OTHER PERSON OR
ENTITY FROM THE USE OF THE INDEX AND AVERAGE OR WITH RESPECT TO ANY
DATA RELATED THERETO. WITHOUT LIMITING ANY OF THE FOREGOING, IN NO
EVENT WHATSOEVER SHALL S&P DOW JONES INDICES BE LIABLE FOR ANY
INDIRECT, SPECIAL, INCIDENTAL, PUNITIVE, OR CONSEQUENTIAL DAMAGES
INCLUDING BUT NOT LIMITED TO, LOSS OF PROFITS, TRADING LOSSES, LOST TIME,
OR GOODWILL, EVEN IF THEY HAVE BEEN ADVISED OF THE POSSIBLITY OF SUCH
DAMAGES, WHETHER IN CONTRACT, TORT, STRICT LIABILITY, OR OTHERWISE.
THERE ARE NO THIRD-PARTY BENEFICIARIES OF ANY AGREEMENTS OR
ARRANGEMENTS BETWEEN S&P DOW JONES INDICES AND ALLIANZ OTHER THAN
THE LICENSORS OF S&P DOW JONES INDICES.
The Russell 2000 Index is an equity index that measures the performance of the
2,000 smallest companies in the Russell 3000 Index, which is made up of 3, 000 of
the biggest U.S. stocks. The Russell 2000 Index is constructed to provide a
comprehensive and unbiased small-cap barometer and is completely reconstituted
annually to ensure larger stocks do not affect the performance and characteristics
of the true small-cap index.
Allianz products are not sponsored, endorsed, sold or promoted by Frank Russell
Company ("Russell"). Russell makes no representation or warranty, express or
implied, to the owners of Allianz products or any member of the public regarding
the advisability of investing in securities generally or in Allianz products particularly
or the ability of the Russell 2000 Index to track general stock market performance
or a segment of the same. Russell's publication of the Russell 2000 Index in no
way suggests or implies an opinion by Russell as to the advisability of investment in
any or all of the securities upon which the Russell 2000 Index is based. Russell's
only relationship to Allianz Life Insurance Company of North America (Allianz) is
the licensing of certain trademarks and trade names of Russell and of the Russell
2000 Index which is determined, composed and calculated by Russell without
ADDITIONAL INFORMATION
regard to Allianz or Allianz products. Russell is not responsible for and has not
reviewed the Allianz products nor any associated literature or publications and
Russell makes no representation or warranty express or implied as to their accuracy
or completeness, or otherwise. Russell reserves the right, at any time and without
notice, to alter, amend, terminate or in any way change the Russell 2000 Index.
Russell has no obligation or liability in connection with the administration,
marketing or trading of Allianz products.
RUSSELL DOES NOT GUARANTEE THE ACCURACY AND/OR THE COMPLETENESS OF
THE RUSSELL 2000 INDEX OR ANY DATA INCLUDED THEREIN AND RUSSELL SHALL
HAVE NO LIABILITY FOR ANY ERRORS, OMISSIONS, OR INTERRUPTIONS THEREIN.
RUSSELL MAKES NO WARRANTY, EXPRESS OR IMPLIED, AS TO RESULTS TO BE
OBTAINED BY ALLIANZ, INVESTORS, OWNERS OF ALLIANZ PRODUCTS, OR ANY
OTHER PERSON OR ENTITY FROM THE USE OF THE RUSSELL 2000 INDEX OR ANY
DATA INCLUDED THEREIN. RUSSELL MAKES NO EXPRESS OR IMPLIED WARRANTIES,
AND EXPRESSLY DISCLAIMS ALL WARRANTIES OF MERCHANTABILITY OR FITNESS
FOR A PARTICULAR PURPOSE OR USE WITH RESPECT TO THE RUSSELL 2000 INDEX
OR ANY DATA INCLUDED THEREIN. WITHOUT LIMITING ANY OF THE FOREGOING,
IN NO EVENT SHALL RUSSELL HAVE ANY LIABILITY FOR ANY SPECIAL, PUNITIVE,
INDIRECT, OR CONSEQUENTIAL DAMAGES (INCLUDING LOST PROFITS), EVEN IF
NOTIFIED OF THE POSSIBILITY OF SUCH DAMAGES.
The EURO STOXX 50, Europe's leading Blue-chip index for the Eurozone, provides
a blue-chip representation of supersector leaders in the Eurozone. The index
covers 50 stocks from 12 Eurozone countries: Austria, Belgium, Finland, France,
Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal and Spain.
STOXX has no relationship to Allianz Life Insurance Company of North America
(Allianz), other than the licensing of the EURO STOXX 50 and the related
trademarks for use in connection with Allianz products.
STOXX does not: sponsor, endorse, sell or promote Allianz products, recommend
that any person invest in Allianz products or any other securities, have any
responsibility or liability for or make any decisions about the timing, amount or
pricing of Allianz products, have any responsibility or liability for the administration,
management or marketing of Allianz products, consider the needs of Allianz
products or the owners of Allianz products in determining, composing or
calculating the EURO STOXX 50 or have any obligation to do so.
STOXX will not have any liability in connection with Allianz products. Specifically,
STOXX does not make any warranties, express or implied and disclaims any and all
warranties about: the results to be obtained by Allianz products, the owner of
Allianz products or any other person in connection with the use of the EURO STOXX
50 and the data included in the EURO STOXX 50; the accuracy or completeness of
the EURO STOXX 50 and its data; the merchantability and the fitness for a particular
purpose or use of the EURO STOXX 50 and its data; STOXX has no liability for any
errors, omissions or interruptions in the EURO STOXX 50 or its data; under no
circumstances will STOXX be liable for any lost profits or indirect, punitive, special
or consequential damages or losses, even if STOXX knows that they might occur.
The licensing agreement between Allianz and STOXX is solely for their benefit and
not for the benefit of the owners of Allianz products or any other third parties.
The Barclays US Dynamic Balance Index is comprised of the Barclays US Aggregate
Bond Index and the S&P 500 Index and shifts weighting daily, up to 5%, between
them based on realized market volatility. The Barclays US Aggregate Bond Index is
comprised of Barclays US investment-grade, fixed-rate bond market securities,
including government agency, corporate, and mortgage-backed securities.
Barclays Risk Analytics and Index Solutions Limited and its affiliates (""Barclays"") is
not the issuer or producer of Allianz products and Barclays has no responsibilities,
obligations or duties to investors in respect of any Allianz products. The Barclays US
Aggregate Bond Index and the Barclays US Dynamic Balance Index are trademarks
owned by Barclays, and Barclays US Aggregate Bond Index and Barclays US
Dynamic Balance Index are licensed for use by Allianz Life Insurance Company of
North America (Allianz) as the Issuer of Allianz products. Barclays only
relationship with the Issuer in respect of the Barclays US Aggregate Bond Index and
the Barclays US Dynamic Balance Index is the licensing of the Barclays US
Aggregate Bond Index and the Barclays US Dynamic Balance Index, which are
determined, composed and calculated by Barclays, or any successor thereto,
without regard to the Issuer or the Allianz product or the owners of the Allianz
products. Additionally, while Allianz may for itself execute transaction(s) with
Barclays in or relating to the Barclays US Aggregate Bond Index or the Barclays US
Dynamic Balance Index in connection with Allianz products investors acquire the
Allianz products from Allianz Life Insurance Company of North America and
investors neither acquire any interest in the Barclays US Aggregate Bond Index or
the Barclays US Dynamic Balance Index nor enter into any relationship of any kind
whatsoever with Barclays upon making an investment in the Allianz product. The
Allianz products are not sponsored, endorsed, sold or promoted by Barclays.
Barclays does not make any representation or warranty, express or implied
regarding the advisability of investing in the Allianz product or the advisability of
investing in securities generally or the ability of the Barclays US Aggregate Bond
Index or the Barclays US Dynamic Balance Index to track corresponding or relative
market performance. Barclays has not passed on the legality or suitability of the
Allianz product with respect to any person or entity. Barclays is not responsible for
and has not participated in the determination of the timing of, prices at, or
quantities of the Allianz product to be issued. Barclays has no obligation to take the
Page 24 of 25
Allianz Life Pro+ Fixed Index Universal Life Insurance Policy Illustration
ADDITIONAL INFORMATION
needs of the Issuer or the owners of the Allianz product or any other third party
into consideration in determining, composing or calculating the Barclays US
Aggregate Bond Index or the Barclays US Dynamic Balance Index. Barclays has no
obligation or liability in connection with administration, marketing or trading of the
Allianz product.
The licensing agreement between Allianz Life Insurance Company of North
America and Barclays is solely for the benefit of Allianz Life Insurance Company of
North America and Barclays and not for the benefit of the owners of the Allianz
products, investors or other third parties.
BARCLAYS SHALL HAVE NO LIABILITY TO THE ISSUER, INVESTORS OR TO OTHER
THIRD PARTIES FOR THE QUALITY, ACCURACY AND/OR COMPLETENESS OF THE
BARCLAYS US AGGREGATE BOND INDEX OR THE BARCALYS US DYNAMIC BALANCE
INDEX OR ANY DATA INCLUDED THEREIN OR FOR INTERRUPTIONS IN THE DELIVERY
OF THE BARCLAYS US AGGREGATE BOND INDEX OR THE BARCALYS US DYNAMIC
BALANCE INDEX. BARCLAYS MAKES NO WARRANTY, EXPRESS OR IMPLIED, AS TO
RESULTS TO BE OBTAINED BY THE ISSUER, THE INVESTORS OR ANY OTHER PERSON
OR ENTITY FROM THE USE OF THE BARCLAYS US AGGREGATE BOND INDEX OR THE
BARCALYS US DYNAMIC BALANCE INDEX OR ANY DATA INCLUDED THEREIN.
BARCLAYS MAKES NO EXPRESS OR IMPLIED WARRANTIES, AND HEREBY EXPRESSLY
DISCLAIMS ALL WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A
PARTICULAR PURPOSE OR USE WITH RESPECT TO THE BARCLAYS US AGGREGATE
BOND INDEX OR THE BARCALYS US DYNAMIC BALANCE INDEX OR ANY DATA
INCLUDED THEREIN. BARCLAYS RESERVES THE RIGHT TO CHANGE THE METHODS
OF CALCULATION OR PUBLICATION, OR TO CEASE THE CALCULATION OR
PUBLICATION OF THE BARCLAYS US AGGREGATE BOND INDEX OR THE BARCALYS
US DYNAMIC BALANCE INDEX, AND BARCLAYS SHALL NOT BE LIABLE FOR ANY
MISCALCULATION OF OR ANY INCORRECT, DELAYED OR INTERRUPTED
PUBLICATION WITH RESPECT TO ANY OF THE BARCLAYS US AGGREGATE BOND
INDEX OR THE BARCALYS US DYNAMIC BALANCE INDEX. BARCLAYS SHALL NOT BE
LIABLE FOR ANY DAMAGES, INCLUDING, WITHOUT LIMITATION, ANY SPECIAL,
INDIRECT OR CONSEQUENTIAL DAMAGES, OR ANY LOST PROFITS AND EVEN IF
ADVISED OF THE POSSIBLITY OF SUCH, RESULTING FROM THE USE OF THE
BARCLAYS US AGGREGATE BOND INDEX OR THE BARCALYS US DYNAMIC BALANCE
INDEX OR ANY DATA INCLUDED THEREIN OR WITH RESPECT TO THE ALLIANZ
PRODUCT.
None of the information supplied by Barclays Risk Analytics and Index Solutions
Limited and used in this publication may be reproduced in any manner without the
prior written permission of Barclays Risk Analytics and Index Solutions Limited.
Barclays Risk Analytics and Index Solutions Limited is registered in England No.
08934023.
Page 25 of 25
Input Summary
Activities Page
Producer Information
Producer:
Jurisdiction:
Rosalinda Diestro
Texas
Source Information
Jurisdiction:
Product Type:
Presentation Type:
Universal Life
None
Product Selection
Product:
Client Page
Client Information - First Insured
First Name:
Last Name:
Gender:
Age Calculation:
Issue Age:
Jurisdiction:
Jesus
Gavioloa
Male
Enter Age
53
Texas
Standard Nontobacco
None
$0.00
Maturity
None
Death Benefit
Tax Compliance:
Additional Term Rider:
Face Amount
Face Solve Type:
Minimum
Term Amount
From
Through
Solve
Death Benefit Option
TP: $2,605.00
MP: $2,605.00
GA: $7,507.57
7P: $6,225.99
Ver.: 5.3.22.21
GS: $33,437.77
(Rev 11/14)
From
1
13
Through
12
Maturity
Premium
MEC Avoidance:
First Year Lump Sum:
Existing Contract is a MEC:
1035 Exchange Amount:
1035 Exchange Basis:
Yes
$0.00
Not Selected
0.00
0.00
Scheduled Premium
Premium Solve Type:
None
Frequency
Monthly
Premium
Specify Amount
Amount
220
Adjustment
0
From
1
Through
12
Disbursement
Disbursement Method
Type
Solve
Amount
Loan Allocation:
Loan Interest Type:
Method
Loan
From
13
Through
Maturity
From
Through
GS: $33,437.77
7P: $6,225.99
100% Participating
Capitalized
Loan Repayment
Type
None
Amount
Solve
Target:
Target Amount:
Target Duration:
Adjustment
Riders Page
Rider Information
Waiver:
First Insured Waiver of
Specified Premium:
None
$0.00
Not Selected
None
Yes
None
No
No
TP: $2,605.00
MP: $2,605.00
GA: $7,507.57
Ver.: 5.3.22.21
(Rev 11/14)
No
Premium Allocations
Account
Monthly Sum S&P 500
Annual Point-to-Point S&P 500
Annual Point-to-Point Blended Index
Annual Point-to-Point Blended Index with Floor
S&P 500 Trigger Method
Annual Point to Point Barclays US Dynamic Balance Index, with participation rate
Annual Point to Point Barclays US Dynamic Balance Index, with participation rate and floor
Monthly Average Blended Index
Interest Earning Account
Allocation
0%
0%
0%
0%
0%
100%
0%
0%
0%
Assumed Rate
Assumed Rate
7.50%
From
1
Through
Maturity
Reports Page
Reports Options
Revised Illustration:
Not Selected
Producer Information
Producer:
Rosalinda Diestro
Producer Override
Organization Name:
Business Name:
Address Line 1:
Address Line 2:
City:
Jurisdiction:
Zip:
Phone Number:
Fax Number:
Reports Display
Hypothetical Reports
Supplemental Illustration
Cover Page
TP: $2,605.00
MP: $2,605.00
Selected
Selected
GA: $7,507.57
7P: $6,225.99
Ver.: 5.3.22.21
GS: $33,437.77
(Rev 11/14)
TP: $2,605.00
MP: $2,605.00
GA: $7,507.57
7P: $6,225.99
Ver.: 5.3.22.21
GS: $33,437.77
(Rev 11/14)