The Visible Policy
Statement for Policy Year 4

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Statement:  Year 4

Here is my statement for the end of the fourth 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, 2000


Life Insurance Death Benefit
as of May 10, 2000

  
Policy Cash Value
as of May 10, 2000

Base Plan Death Benefit $100,000.00
Base Plan Guaranteed Cash Value
$2,900.00
Death Benefit of Optional Paid up Life
  Insurance Rider (OPP)
7,320.00
Cash Value of Optional Paid up Life
  Insurance Rider (OPP)
2,623.34
Death Benefit of Paid up Additional
  Life Insurance provided by Dividends
2,374.00
Cash Value of Paid up Additional Life
  Insurance Provided by Dividends
761.74

TOTAL DEATH BENEFIT


$109,694.00



NET CASH VALUE


$6,285.08



Loan Summary
from May 11, 1999  to May 10, 2000



Dividend Summary
as of May 10, 2000

No activity during the period






The 2000 DIVIDEND credited
  to your policy
    The dividend of $329.99 provided
      $1,029 of increased Paid up
      Additional Life Insurance

$329.99






Summary of Our Disbursements
from May 11, 1999  to May 10, 2000



Summary of Your Payments
from May 11, 1999  to May 10, 2000

No activity during the period


Payment(s) for Optional Paid up
  Insurance Rider (OPP) Premium
636.00




TOTAL PAYMENTS


$636.00

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


June 10, 1999

Policy:     ## ### ###
Insured:   Richard W Franzen
0000255
Dear Richard W Franzen:

Thank you for your recent payment of $636.00.  Your payment has purchased $1,766 of paid-up additional insurance.  This is in accordance with your policy's Option to Purchase Paid-Up Additional Insurance rider (OPP).

As of June 10, 1999, your policy, including riders, dividends and paid-up additional insurance, less any loans and loan interest due, has a net cash value of $6,007.75 and a net death benefit of $110,309.

If you need additional information, or if you have any questions about your policy, please contact your agent, or call one of our customer service representatives at 1-800-###-####.

Sincerely,
Steven L Nelson
Service Center Vice President



<=-       Activity, Year 3 to Year 4       -=>
9 May 2000
Payments
Increase
in Value
Total
to Date
Base Death Benefit 1,764
7,056

100,000
OPP Death Benefit 636
2,544
1,766 7,320
Dividend Death Benefit 329.99 1,029 2,374
Total Death Benefit 2,400
$9,600
2,795
$9,694
$109,694
Inflation-Adjusted Total Cost
and Base Death Benefit

$10,175
30apr00
CPI=3.0%

$109,515
Guaranteed Cash Value
1600 / 100,000 = 1.6%g

1,600.00 2,900.00
OPP Cash Value
76.46 / 7320 = 1.04%g
616.92
2,460.46
76.46
162.88 
2,623.34
Dividend Cash Value
14.81 / 1,345 = 1.10%g
329.99
741.01
14.81
20.73 
761.74
Total Cash Value to Date $3,201.47 $3,083.61 $6,285.08

10may99
$3,646.90
div. return = (329.99 - 160) / 3,646.90
$160 + 4.66%
BBAG = (6,285.08 - 3,646.90 - 2,400) / (3,646.90 + 2,400)
IWR CV = (6,285.08 - 10,175) / 10,175
IWR DB = (109,694 - 109,515) / 109,515
3.9%
-38.2%
0.2%


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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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