The Visible Policy
Statement for Policy Year 5

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Statement:  Year 5

Here is my statement for the end of the fifth 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, 2001


Life Insurance Death Benefit
as of May 10, 2001

  
Policy Cash Value
as of May 10, 2001

Base Plan Death Benefit $100,000.00
Base Plan Guaranteed Cash Value
$4,400.00
Death Benefit of Optional Paid up Life
  Insurance Rider (OPP)
10,711.00
Cash Value of Optional Paid up Life
  Insurance Rider (OPP)
3,957.82
Death Benefit of Paid up Additional
  Life Insurance provided by Dividends
3,670.00
Cash Value of Paid up Additional Life
  Insurance Provided by Dividends
1,217.97
Premiums paid beyond May 10, 2001
1,764.00
Premiums paid beyond May 10, 2001
1,764.00

TOTAL DEATH BENEFIT


$116,145.00



NET CASH VALUE


$11,339.79



Loan Summary
from May 11, 2000  to May 10, 2001



Dividend Summary
as of May 10, 2001

No activity during the period






The 2001 DIVIDEND credited
  to your policy
    The dividend of $429.80 provided
      $1,296 of increased Paid up
      Additional Life Insurance

$429.80






Summary of Our Disbursements
from May 11, 2000  to May 10, 2001



Summary of Your Payments
from May 11, 2000  to May 10, 2001

No activity during the period


Policy Premium
$3528.00



Payment(s) for Optional Paid up
  Insurance Rider (OPP) Premium
1,272.00




TOTAL PAYMENTS


$4,800.00

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


June 1, 2000

Policy:     ## ### ###
Insured:   Richard W Franzen
0000765
Dear Richard W Franzen:

Thank you for your recent payment of $2,400.00.  We used $1,764.00 to pay the annual premium due May 10, 2000.  The remaining $636.00 was applied towards the purchase of paid-up additional insurance for an added death benefit amount of $1,721.00.  This is in accordance with your policy's Option to Purchase Paid-Up Additional Insurance rider (OPP).

As of June 1, 2000, your policy, including riders, dividends and paid-up additional insurance, less any loans and loan interest due, has a net cash value of $8,649.53 and a net death benefit of $113,063.

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 4 to Year 5       -=>
9 May 2001
Payments
Increase
in Value
Total
to Date
Base Death Benefit 1,764
8,820

100,000
OPP Death Benefit 636
3,180
1,721 9,041
Dividend Death Benefit 429.80 1,296 3,670
Total Death Benefit 2,400
$12,000
3.017
$12,711
$112,711
Inflation-Adjusted Total Cost
and Base Death Benefit

$12,990
30apr01
CPI=3.3%

$113,129
Guaranteed Cash Value
1500 / 100,000 = 1.5%g

1,500.00 4,400.00
OPP Cash Value
100.64 / 9041 = 1.1%g
616.92
3077.38
100.64
263.52 
3340.90
Dividend Cash Value
26.43 / 2374 = 1.1%g
429.80
1170.81
26.43
47.16 
1217.97
Total Cash Value to Date $4,248.19 $4,710.68 $8,958.87
early payment of $2,400 carried forward to next activity summary
10may00
$6,285.08
div. return = (429.80 - 160) / 6285.08
$160 + 4.29%
BBAG = (8,958.87 - 6,285.08 - 2,400) / (6,285.08 + 2,400)
IWR CV = (8,958.87 - 12,990) / 12,990
IWR DB = (112,711 - 113,129) / 113,129
3.2%
-31.0%
-0.4%


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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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