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 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 241.17 778 1,345
Total Death Benefit 2,400
$9,600
2,544
$8,665
$108,665
Inflation-Adjusted Total Cost
and Base Death Benefit

$10,174
30apr00
CPI=3.0%

$109,516
Guaranteed Cash Value
¹ 1300 / 100,000 = 1.3%g

1,300.00¹ 1,300.00
OPP Cash Value
² 53.99 / 5554 = 0.97%g
616.92
2,453.80
53.99²
93.08 
2,546.88
Dividend Cash Value
³ 5.92 / 567 = 1.04%g
241.17
411.02
5.92³ 416.94
Total Cash Value to Date $2,864.82 $1,399.00 $4,263.82
potential partial refund of premium excluded from totals
10 May 1999
10may99
$3,646.90
div. return = (241.17 - 160) / 1,137.90
$160 + 7.13%
BBAG = (3,646.90 - 1,137.90 - 2,700) / (1,137.90 + 2,700)
IWR CV = (3,646.90 - 7,478) / 7,478
IWR DB = (106,121 + 778 - 106,326) / 106,326
-5.0%
-51.2%
0.5%


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Accesses since 5 August 2001
last modified 27 July 2004
© 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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