The Visible Policy
Statement for Policy Year 3

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Statement:  Year 3

Here is my statement for the end of the third 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 10, 1999


Life Insurance Death Benefit
as of May 10, 1999

  
Policy Cash Value
as of May 10, 1999

Base Plan Death Benefit $100,000.00
Base Plan Guaranteed Cash Value
$1,300.00
Death Benefit of Optional Paid up Life
  Insurance Rider (OPP)
5,554.00
Cash Value of Optional Paid up Life
  Insurance Rider (OPP)
1,929.96
Death Benefit of Paid up Additional
  Life Insurance provided by Dividends
1,345.00
Cash Value of Paid up Additional Life
  Insurance Provided by Dividends
416.94
Premiums paid beyond May 10, 1999
1,764.00
Premiums paid beyond May 10, 1999
1,764.00

TOTAL DEATH BENEFIT


$108,633.00



NET CASH VALUE


$5,410.90



Loan Summary
from May 12, 1998  to May 10, 1999



Dividend Summary
as of May 10, 1999

No activity during the period






The 1999 DIVIDEND credited
  to your policy
    The dividend of $241.17 provided
      $778 of increased Paid up
      Additional Life Insurance

$241.17






Summary of Our Disbursements
from May 12, 1998  to May 10, 1999



Summary of Your Payments
from May 12, 1998  to May 10, 1999

No activity during the period


Policy Premium
$3528.00



Payment(s) for Optional Paid up
  Insurance Rider (OPP) Premium
936.00




TOTAL PAYMENTS


$4,464.00

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


June 12, 1998

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

Dear RICHARD W FRANZEN

Thank you for your payment of $936.00.  It purchased paid-up additional insurance with a death benefit of $2,680 in accordance with your policy's Option to Purchase Paid Up Additional Insurance rider (OPP).

As of June 12, 1998, your policy, including riders, dividends and additional insurance less any loans and loan interest due has a net cash value of $3,581.13 and the net death benefit is $107,631.

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 2 to Year 3       -=>
9 May 1999
Payments
Increase
in Value
Total
to Date
Base Death Benefit 1,764
5,292

100,000
OPP Death Benefit 936
1,908
2,680 5,554
Dividend Death Benefit 241.17 778 1,345
Total Death Benefit 2,700
$7,200
3,458
$6,899
$106,899
Inflation-Adjusted Total Cost
and Base Death Benefit

$7,478
30apr99
CPI=2.3%

$106,326
Guaranteed Cash Value
1300 / 100,000 = 1.3%g

1,300
1,300
OPP Cash Value
53.99 / 5,554 = 0.97%g
907.92
1,843.54
53.99
86.42 
1,929.96
Dividend Cash Value
5.92 / 567 = 1.04%g
241.17
411.02
5.92 416.94
Total Cash Value to Date $2,254.56 $1,392.34 $3,646.90
early payment of $1,764 carried forward to next activity summary
10may98
$1,137.90
div. return = (241.17 - 160) / 1,137.90
$160 + 7.13%
BBAG = (3,649.90 - 1,137.90 - 2,700) / (1,137.90 + 2,700)
IWR CV = (3,646.90 - 7,478) / 7,478
IWR DB = (106,899 - 106,326) / 106,326
-5.0%
-51.2%
0.5%


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Accesses since 5 August 2001
last modified 22 November 2010
2001 - 2010 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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