The Visible Policy
Statement for Policy Year 1

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Statement:  Year 1

Here is my statement for the end of the first policy year.

Unofficial Reproduction of Annual Statement
      NEW
YORK
LIFE

     
The Company You Keep ®
New York Life Insurance Company 
Annual Policy Summary 
Policy Number:  ## ### ### 
Page 2 of  2 
 

Insured: RICHARD W FRANZEN
Date Prepared: May 12, 1997


Life Insurance Death Benefit
as of May 10, 1997

  
Policy Cash Value
as of May 10, 1997

Base Plan Death Benefit $100,000.00
Base Plan Guaranteed Cash Value
$0.00
Death Benefit of Optional Paid up Life
  Insurance Rider (OPP)
877.00
Cash Value of Optional Paid up Life
  Insurance Rider (OPP)
286.26
Premiums paid beyond May 10, 2001
1,764.00
Premiums paid beyond May 10, 2001
1,764.00

TOTAL DEATH BENEFIT


$102,641.00



NET CASH VALUE


$2,050.26



Loan Summary
from May 24, 1996  to May 12, 1997



Dividend Summary
as of May 10, 1997

No activity during the period





No activity during the period






Summary of Our Disbursements
from May 24, 1996  to May 12, 1997

 
Summary of Your Payments
from May 24, 1996  to May 12, 1997

No activity during the period


Policy Premium
$3528.00



Payment(s) for Optional Paid up
  Insurance Rider (OPP) Premium
300.00




TOTAL PAYMENTS


$3,828.00

100% Unapproved --   No content within The Visible Policy is authorized or verified by NYL   -- 100% Unapproved


June 3, 1997

Policy Number:  ## ### ###
Insured:  RICHARD W FRANZEN

Dear RICHARD W FRANZEN

Thank you for your payment of $672.00.  It purchased paid-up additional insurance with a death benefit of $1,997 in accordance with your policy's Option to Purchase Paid Up Additional Insurance rider (OPP).

As of June 3, 1997, your policy, including riders, dividends and additional insurance less any loans and loan interest due has a net cash value of $1,078.13 and the net death benefit is $104,491.

If you have any questions or would like additional information, please contact your agent or one of our customer service representatives at 1-800-###-####.  Thank you for making New York Life The Company You Keep ®.

Sincerely,
 Francis J Donnelly
Corporate Vice President



<=-       Activity, Year 1 to Year 2       -=>
9 May 1998
Payments
Increase
in Value
Total
to Date
Base Death Benefit 1,764
3,528

100,000
OPP Death Benefit 672
972
1,997 2,874
Dividend Death Benefit


Total Death Benefit 2,436
$4,500
1,997
$2,874
$102,874
Inflation-Adjusted Total Cost
and Base Death Benefit

$4,610
30apr98
CPI=1.4%

$103,935
Guaranteed Cash Value


OPP Cash Value
¹ 9.14 / 877 = 1.04%g
651.84
928.96
9.14¹ 938.10
Dividend Cash Value


Total Cash Value to Date $928.96 $9.14 $938.10
potential partial refund of premium excluded from totals
10 May 1997
10may97
$286.26
BBAG = (286.26 - 0 - 2,064) / (0 + 2,064)
IWR CV = (286.26 - 2110) / 2,110
IWR DB = (100,877 - 102,500) / 102,500
-86.1%
-86.4%
-1.6%


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Accesses since 5 August 2001
last modified 27 July 2002
© 2001 - 2004 by Rich Franzen

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No content within The Visible Policy has been approved, authorized, or verified by New York Life or any of its representatives.  I have attempted to fairly and accurately portray the policy, but there are likely to be mistakes.  Over time, I shall endeavor to correct any misinformation found herein.
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