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


May 3, 2001

Policy:     ## ### ###
Insured:   Richard W Franzen
0000673
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, 2001.  The remaining $636.00 was applied towards the purchase of paid-up additional insurance for an added death benefit amount of $1,670.00.  This is in accordance with your policy's Option to Purchase Paid-Up Additional Insurance rider (OPP).

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 5 to Year 6       -=>
9 May 2002
Payments
Increase
in Value
Total
to Date
Base Death Benefit 1,764
10,584

100,000
OPP Death Benefit 636
3,816
1,670 10,711
Dividend Death Benefit 429.80 1,296 3,670
Total Death Benefit 2,400
$14,400
2,966
$14,381
$114,381
Inflation-Adjusted Total Cost
and Base Death Benefit

$15,635
30apr02
CPI=1.6%

$114,940
Guaranteed Cash Value
¹ 1500 / 100,000 = 1.5%g

1,500.00¹ 4,400.00
OPP Cash Value
² 100.64 / 9,041 = 1.11%g
616.92
3,687.64
100.64²
270.18 
3,957.82
Dividend Cash Value
³ 26.43 / 2,374 = 1.11%g
429.80
1,170.81
26.43³
47.16 
1,217.97
Total Cash Value to Date $4,858.45 $4,717.34 $9,575.79
potential partial refund of premium excluded from totals
10 May 2001
10may01
$8,958.87
div. return = (429.80 - 160) / 6,285.08
$160 + 4.29%
BBAG = (8,958.87 - 6,285.08 - 2,400) / (6,285.08 + 2,400)
IWR CV = (8,958.87 - 12,989) / 12,989
IWR DB = (111,415 + 1,296 - 113,130) / 113,130
3.2%
-31.0%
-0.4%


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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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