NWL INCOME PROTECTOR WITHDRAWAL BENEFIT RIDER

Similar documents
NWL PROTECTOR CONSUMER INFORMATION DISCLOSURE BROCHURE. A Flexible Premium Deferred Annuity

CONSUMER INFORMATION DISCLOSURE BROCHURE. A Flexible Premium Deferred Annuity

Protect your hard-earned money!

FUTURE. Protect your hardearned NWL. You may choose the advantage of interest accumulation based on a formula linked in part to an index!

C L A S S I C NWL. A Flexible Premium Deferred Equity Indexed Annuity For Long Term Accumulation

Protect your hard-earned money! You may choose the advantage of interest accumulation based on a formula linked in part to an index!

Protect your hard-earned money! You may choose the advantage of interest accumulation based on a formula linked in part to an index!

LIBERTY ANNUITY. Champion. Consumer Summary and Disclosure. WL Liberty Champion Annuity A ew Equity Indexed Annuity for Long Term Accumulation

APPLICATION FOR ANNUITY

850 East Anderson Lane Austin, Texas

PRODUCT GUIDE. The SOLUTION Before life presents the problem. fixed indexed annuity. Oxford Life Select SERIES S-SERIES A M BEST

Consumer Brochure. A Flexible Premium Adjustable Life Insurance Policy with Equity Index Options Policy Form and State Variations

Producer Guide. At Guggenheim Life and Annuity, we are dedicated to serving the needs and financial goals of our customers.

&NWL Secure Term. NWL Term CONSUMER INFORMATION. Term Life Policy - Issued by National Western Life Insurance Company

Safe G ard. Consumer Brochure. A Single Premium Universal Life Insurance Policy Policy Form ICC and State Variations

Protection That Offers Selection To Fit Your Lifestyle! More Choices More Control!

PRODUCT GUIDE. Royal Select. fixed indexed annuity. The SOLUTION Before life presents the problem.

Attention. Currently, Brighthouse SM Fixed Rate Annuity and Brighthouse SM Fixed Rate Annuity MVA are not available in New York.

NAC IncomeChoice 10 Fixed Index Annuity

A Life Insurance Solution Offering Guaranteed Protection with the Flexibility to fit your own needs! More Choices - More Control!

FG Guarantee-Platinum 5. A Single Premium, Fixed Deferred Annuity featuring a 5-year rate guarantee

MassMutual Odyssey Select SM Product Disclosure

Oxford Life BONUS TENTM FIXED INDEXED ANNUITY

Protection That Offers Selection To Fit Your Lifestyle! More Choices More Control!

Nassau MYAnnuity SM 5X Nassau MYAnnuity SM 7X A Single Premium Individual Deferred Annuity SAMPLE

Security Benefit Statement of Understanding

Attention. Currently, Brighthouse SM Fixed Rate Annuity and Brighthouse SM Fixed Rate Annuity MVA are not available in New York.

Elevate Your Retirement

Elevate Your Retirement

Prosperity Elite 7. Flexible Premium Fixed Deferred Indexed Annuity Options for your retirement planning

Prosperity Elite 7. Flexible Premium Fixed Deferred Indexed Annuity Options for your retirement planning

PHL Variable Insurance Company PO Box 8027, Boston, MA

Lifetime Income Benefit Rider

Performance Pro. Flexible Premium Fixed Deferred Indexed Annuity Options for your retirement planning

INCOME FOR LIFE ET-IBR(06-08) and ICC11-ET-IBR-B(11-11)

Prepared For. Prepared On. Prepared By

Annuity Product Reference Guide

ELITE 10 & 15. Make your money work for the long term. Fixed Indexed Annuity and Liquidity Rider

Charter Plus 10 Fixed Index Annuity

Lifetime Income Benefit Rider

Fixed Reference Guide

Lifetime Income Benefit Rider

Preserve Multi-Year Guaranteed Annuity Product

Give your beneficiaries an Edge

CENTURY PLUS ANNUITY. with Lifetime Income Rider. Single premium, deferred, fixed annuity. American National Insurance Company

Annuities at. MNL SecureVantage SM 10 Fixed Index Annuity. Annuity. their Best

INCOME PAY OPTIONAL GUARANTEED LIVING BENEFIT RIDER 14192Z PRT 08-10

Income Rider Issued by Athene Annuity and Life Company, West Des Moines, Iowa (05/16)

Summit 5 Fixed Annuity SM

Contract Year % 6% 5% 4% 3% 0% 7% 6% 5% 4% 3% 2% 1% 0%

Prepared For. Prepared On. Prepared By

No annual contract, mortality & expense, or administrative fees. 9% 8% 8% 7% 6% 0% 9% 8% 8% 7% 6% 4% 4% 0%

Dominator Plus SM Annuity Statement of Understanding

Allstate ChoiceRate Annuity

ANICO. Annuity PLUS. A Multi-Strategy Indexed Annuity Issued By American National Insurance Company

25296Z REV PrimePath 9 Fixed Index Annuity

FG Guarantee-Platinum. A Single Premium, Fixed Deferred Annuity featuring a choice of a 3, 5 or 7-year rate guarantee

Voya Fixed Annuities. Product Guide

FG Guarantee-Platinum 7. A Single Premium, Fixed Deferred Annuity featuring a 7-year rate guarantee

FG Retirement Pro. Modified Single Premium Deferred Annuity Options for your retirement planning

ProOption Multi-Year Guaranteed Annuity with Return of Premium Feature

Annuity. InfiniDex 10 TM. Statement of Understanding

Income Advantage SM. Pacific. Client Guide. with a Guaranteed Withdrawal Benefit. for Edward Jones

Withdrawal Charges & Fees No annual contract, mortality & expense, or administrative fees. 9% 8% 8% 7% 6% 4% 0%

Income Pay. Optional Guaranteed Lifetime Benefit Rider. Consumer Brochure Z REV Z REV 12-16

North American Charter 10

Stonebridgeseries. Term. 10, 15, 20, 30-Year Guaranteed Level Premium Term Policies. Features and Benefits

Guggenheim Life and Annuity Company. Preserve Multi-Year Guaranteed Annuity Product

3EXCITING Annuities!!!

Income Preferred Bonus Fixed Indexed Annuity

PHOENIX INDEX SELECT AND PHOENIX INDEX SELECT BONUS DISCLOSURE STATEMENT

Choose a new path for your retirement future.

Fixed 5 Annuity Fixed 7 Annuity

IncomeSustainer Plus B NW

Lifetime Income Riders Last Updated: July 16, 2014

Options A, D, and J: Interest on the Account Value is linked in part to the S&P 500 ** Composite Stock Index

Prepared For. Prepared On. Prepared By

Prosperity Elite 7. Flexible Premium Fixed Deferred Indexed Annuity Options for your retirement planning

ENHANCED LIFETIME INCOME BENEFIT 2

1035 Exchange - $ IRA or Roth IRA Contribution - $ for Tax Year

MNL IndexBuilder SM Fixed Index Annuity

INTRODUCING THE NEW. Summit Bonus Index. Sentinel Plan Summit Bonus Index

Midland National Fixed Annuity Product Guide

MassMutual Odyssey Select SM

MasterDex 10 Annuity Statement of Understanding

for a secure Retirement Foundation Gold (ICC11 IDX3)* *Form number and availability may vary by state.

INDEX CHOICE Deferred, Fixed Indexed Annuity

ANNUITY PRODUCTS PRODUCT OVERVIEW. Marquis SP SINGLE PREMIUM FIXED INDEXED ANNUITY LL-2755 (10/16)

American Equity s. RateShield 10+ With Lifetime Income Benefit Rider. Protection. Income. Guaranteed. The one who works for you!

SAMPLE. PHL Variable Insurance Company Annuity Operations Division PO Box 8027 Boston, MA Telephone (800)

FG Guarantee- Platinum 5 YOU. Tax-deferred growth at a fixed interest rate certainty in an uncertain market.

PRODUCT COMPARISON GUIDE

CONTRACT SUMMARY. Pacific Index Select Disclosure Contract Form Series

INDEX FOUNDATIONSM Deferred, Fixed Indexed Annuity

CRC GENERATIONS MODIFIED GUARANTEED ANNUITY CONTRACT HARTFORD LIFE INSURANCE COMPANY P.O. BOX 5085 HARTFORD, CONNECTICUT

Open MIC is open for anyone.

PRODUCT COMPARISON GUIDE

FG Immediate-Income. Single Premium Immediate Annuity. ADV 1011 ( ) Fidelity & Guaranty Life Insurance Company Rev.

Ready. Aim. Retire. Fixed Indexed Annuities. with Income Riders Issued by Athene Annuity and Life Company, West Des Moines, IA (09/28/15)

Notice of Changes to Prosperity Elite 7, 10 and 14

Transcription:

NWL INCOME PROTECTOR WITHDRAWAL BENEFIT RIDER Restricted States: General Annuitants Withdrawal Payment Withdrawal Payment Base Accumulation Period Guaranteed Annual Withdrawal Payment (GAWP) Additional Withdrawals RMD Rider Cancellation Guaranteed Withdrawal Percentages AK, IN, MA, MN, NV, NJ, OH, OK, OR, PA, SC, TX, UT, WA Available only with the NWL Income Protector annuity and only at issue. Provides guaranteed withdrawal payments for life beginning at age 60. Withdrawal Charges do not apply to the Withdrawal Payments. No current rider charge.* The annuitant may not be changed after issue. Joint annuitants are allowed, and the Withdrawal Payment will be paid to the owner until the death of the last surviving Annuitant. Annuitant must be age 60 before Withdrawal Payments can begin. Amount is selected by the Owner and guaranteed for life but cannot be greater than the Guaranteed Annual Withdrawal Payment (GAWP) unless it is to satisfy an RMD. Withdrawal Payments are deducted from the annuity s Account Value and Withdrawal Payment Base. Withdrawal Payments may begin after the first Policy Anniversary on any Policy Anniversary or Monthly Anniversary thereafter. Payment frequency remains the same for the duration of the Policy Year. Withdrawal Payment frequency may be annual, semi-annual, quarterly, or monthly. Withdrawal Payments may be taken during the Accumulation Period. Withdrawal Payments may be stopped after a full year s worth of payments have been taken. o o Once stopped, one GAWP may be taken each year without a reduction to the GAWP. Withdrawal Payments may be restarted on any Policy Anniversary or Monthly Anniversary thereafter. Any applicable penalty-free withdrawal amount that is available each Policy Year under the base annuity policy will be reduced by the Withdrawal Payment. Basis that determines the Guaranteed Annual Withdrawal Payment. Not available for cash surrender or annuitization. Accumulates all premiums paid at fixed interest rate(s) ( Rollup ) each year during the Accumulation Period. Alternate Death Benefit available in lieu of base policy Death Benefit: (1) Lump sum of 75% of Withdrawal Payment Base at time of death or (2) Equal periodic payments of 100% of Withdrawal Payment Base at time of death over 5 years. See Income Protector Withdrawal Benefit Rider Consumer Disclosure Brochure and rider for specifications and details. Period of time, beginning on the Policy Date, during which the Withdrawal Payment Base accumulates with interest. The interest rate ( Initial Rollup Rate ) is 4% during the Initial Rollup Period and a minimum of 1% thereafter. Maximum Roll Up Rate is 10%. The Accumulation Period (and therefore interest accumulation) ends on the later of either the Policy Anniversary on which the youngest Annuitant has attained age 80, or after 5 Policy Years. Maximum amount guaranteed to be paid each Policy Year. The GAWP is the Guaranteed Withdrawal Percentage multiplied by the Withdrawal Payment Base on date Withdrawal Period begins. The Guaranteed Withdrawal Percentage is determined by attained age when Withdrawal Payments begin. For joint annuitants, it will be the age of the younger annuitant. Recalculated each Policy Anniversary following an Additional Withdrawal. An Additional Withdrawal is any withdrawal that is not a regularly scheduled Withdrawal Payment. Additional Withdrawals reduce the Withdrawal Payment Base and the GAWP using the pro-rata adjustment factor. The pro-rata adjustment factor is based on the change in Account Value due to the Additional Withdrawal. Will not be considered an Additional Withdrawal even if larger than the Guaranteed Annual Withdrawal Payment. The rider may be cancelled at any time. It will terminate when the annuity terminates for any reason. The Guaranteed Withdrawal Percentage is based on the youngest annuitant s age on the Policy Anniversary that Withdrawal Payments begin Single Annuitant Joint Annuitants Age Percentage Age Percentage 60-90 3.846% 60-90 2.846% For Agent Use Only - This document has not been approved under the advertising laws of your state for dissemination to individual purchasers. The Income Protector Withdrawal Benefit Rider (Policy ICC16 01-3166-16 and state variations) is issued by National Western Life Insurance Company, Austin, Texas. Subject to certain conditions. Rider not approved in all states. Certain limitations and exclusions may apply. *Rates are current as of May 1, 2017 and subject to change; Current rider charge is guaranteed during the Initial Rollup Period with a maximum charge of 2% thereafter. DM-1326-VAR

p NWL INCOME PROTECTOR Consumer Information Disclosure Brochure A Flexible Premium Deferred Annuity Policy Form ICC16 01-1173-16 and state variations DM-1329-VAR National Western Life Insurance Company 850 East Anderson Lane, Austin, Texas 78752

About National Western Life Insurance Company National Western Life Insurance Company is a Colorado corporation with executive offices in Austin, Texas. The Company offers a full line of life insurance and annuity products in 49 states and the District of Columbia, and accepts applications from residents of several foreign countries. Since its start in 1956, National Western has emphasized financial strength for the protection of its policyholders. As a legal reserve insurance company, National Western must set aside a portion of its assets equal to reserves required by law. Annually, a financial statement is filed with each state s insurance department. These departments have authority to verify that the appropriate reserves are maintained. Excellent Ratings Rating agencies continue to recognize the strengths of National Western. As of the date of this printing, Standard and Poor s has rated National Western A (Strong), while A.M. Best Company s rating is A (Excellent). A Standard & Poor s rating is an opinion of a company s financial security with respect to its ability to pay under its insurance policies and contracts in accordance with their terms. Ratings range from AAA (extremely strong) to CC (extremely weak) and R (regulatory supervision). A.M. Best s ratings evaluate company factors in order to provide an opinion of the company s financial strength, operating performance, and ability to meet its obligations to policyholders. Ratings range from A++(superior) to F (in liquidation). p NWL INCOME PROTECTOR NWL Income Protector The NWL Income Protector Annuity is a flexible premium deferred annuity. It is a long-term contract intended as a secure planning vehicle for retirement accumulation and income with a terminal illness benefit. The NWL Income Protector Annuity provides the important benefits of many tax deferred annuities: interest accumulation, safety, tax-deferral, and liquidity. The NWL Income Protector Annuity is an excellent combination of performance and flexibility. Like any annuity issuer, National Western incurs expenses to sell and issue its annuity policies, including compensation to its agents, bonus amounts and/or additional interest (if applicable), and various other expenses, and these expenses are taken into consideration when interest rates are established and reset. You will receive all benefits as set forth in the contract. To help you fully understand what the NWL Income Protector annuity has to offer, National Western requires that your agent review this disclosure brochure with you so that you may ask any questions that you may have. You may also call National Western s Client Services Department at 1-800-922-9422 if you have any questions. National Western Life offers a wide variety of annuity products with different benefits, features, and limitations. Please ask your agent for more information. 1

NWL Income Protector Highlights Product Type Flexible Premium Deferred Annuity Contract Term 10 Years Issue Ages Annuitant/Owner 0-90: Non-Qualified/Qualified Initial Premium $5,000 Qualified / $10,000 Non-Qualified Additional First Year Interest 0.50% Minimum Guaranteed Interest Rate Free Withdrawals Systematic Interest Death Benefit Terminal Illness Benefit Waiver of Withdrawal Charge After Qualifying Medical Stay Policy Loan The Minimum Guaranteed Interest Rate is never less than 1.00% and never more than 3.00%. 10% of Account Value once annually after the 1st policy year. Systematic Withdrawal of Interest available in lieu of the Free Withdrawal option above. Each payment must be at least $100.00. See Policy for details. Prior to the Annuity Date, the Account Value payable as a single sum or a Settlement Option. Other options may be available. See Policy for details. Withdrawal charges will be waived for Terminal Illness of the Annuitant as outlined in the Policy. This benefit may not be available in all states. Withdrawal charges will be waived on withdrawals of up to 75% of the Account Value after certain medically necessary stays of the Annuitant as outlined in the Policy. This benefit may not be available in all states. Available on non-qualified contracts only, 30 days after issue, on up to 60% of the Contract Value. Loan Rate is 7.4% in advance. Premium Payment and Issue Ages A minimum initial premium payment of at least $5,000 (qualified) or $10,000 (non-qualified) is required. Additional premium payments of at least $100 can be made. Premium payments in excess of $500,000 may require prior Company approval. 100% of the premium deposits earn interest from the date funds are received at the Company. If applicable, Federal, State, and Municipal taxes, and any fees or assessments related to the policy, payment of which is required or authorized by law, will be deducted from the benefits under the policy as required or authorized by law. National Western Life will not issue this annuity if the age of the Annuitant or owner exceeds the maximum issue age, which is published from time to time. Interest Rate and Additional Interest The initial premium payment into the NWL Income Protector Annuity earns the first-year base interest rate, which is increased by first-year only additional interest of 0.50%. The first-year base rate and first-year additional interest are guaranteed for the first twelve months and are shown on page three of the Policy. Including this additional interest, the total rate of interest credited in the first year will be higher than the thirteenth month and after. After the first Policy Year, renewal rates will be declared from time to time and are subject to change, but are guaranteed to never be less than the Minimum Guaranteed Interest Rate during the deferred period. 2

Policy Values The Account Value is equal to 100% of premiums, less partial withdrawals and applicable withdrawal charges, accumulated with interest. The Cash Surrender Value is the Account Value less a withdrawal charge, if any, or the Minimum Guaranteed Contract Value, whichever is greater. The Minimum Guaranteed Contract Value will never be less than 87.5% of premiums received, less withdrawals (excluding withdrawal charges), accumulated at the Minimum Guaranteed Interest Rate. The Account Value will never be less than the premiums paid less any partial withdrawals, accumulated at the Minimum Guaranteed Interest Rate. National Western Life reserves the right to credit a different interest rate, not less than the Minimum Guaranteed Interest Rate, to the Account Value while the Account Value is less than $10,000. The Minimum Guaranteed Interest Rate is set for new policies each calendar quarter. It is never less than 1.00%, has a maximum of 3.00%, and is guaranteed for the Contract Term. At the end of the Contract Term, the Minimum Guaranteed Interest Rate will be re-determined. It is the average of the 5 Year Constant Maturity Treasury Rate minus 1.25% for the 6 month period ending 1 month prior to the beginning of the current calendar quarter. The Contract Value is the greater of the Account Value or the Minimum Guaranteed Contract Value. Early Withdrawal Charges This is a long-term accumulation annuity. An early withdrawal charge will apply during the first ten Policy Years on withdrawn amounts exceeding any penalty-free withdrawal amounts. Withdrawal charges are calculated by multiplying the Account Value by the Withdrawal Charge Rate shown on the schedule below. National Western Life reserves the right to defer payment for up to 6 months after we receive your withdrawal request. Policy Year 1 2 3 4 5 6 7 8 9 10 11+ % 9.00 9.00 8.25 7.25 6.25 5.00 4.00 3.00 2.00 1.00 0.00 Free Withdrawals or Systematic Interest Earnings Each Policy Year, after the first, one withdrawal of up to 10% of the Account Value may be withdrawn without a withdrawal charge. p Alternatively, each Policy Year after the first, systematic withdrawal of interest earnings can be made without a withdrawal charge as long as each payment is at least $100 and does not invade the principal. The systematic payments may be paid monthly, quarterly, semi-annually, or annually. All withdrawals may be subject to federal income tax. Withdrawals prior to age 59 1 2 may be subject to an additional 10% federal income tax penalty, and if a trust is named as the owner, such withdrawals may be subject to this additional 10% federal income tax penalty regardless of age. Terminal Illness or Injury Benefit Upon receiving satisfactory documentation, withdrawal charges will be waived for full surrender or partial withdrawal if the Annuitant is first diagnosed after the Policy Date with an illness or injury from which he or she is not expected to recover and is expected to die within twelve (12) months. National Western Life reserves the right to obtain a up to three medical opinions at the Company s expense. Benefit terms and/or benefit availability may vary by state. See Policy for complete details and requirements. 3

Waiver of Withdrawal Charge after Qualifying Medical Stay You may withdraw up to 75% of the Account Value without withdrawal charge after certain medically necessary stays as outlined in the Policy. The Annuitant must be 75 years or younger on the Policy Date, and each stay must be for at least 90 consecutive days. The stay must begin after the Policy Date. The stay must be in a hospital and/or nursing facility (as defined in the Policy), and the Annuitant must receive at least intermediate care (as described in the Policy) for 90 consecutive days during the stay. Any withdrawal in excess of 75% of the Account Value will be subject to the Policy s regular withdrawal charge. Benefit terms and/or benefit availability may vary by state. See Policy for complete details and requirements. Optional Withdrawal Benefit Rider There is a optional Withdrawal Benefit Rider that can be added to the NWL Income Protector annuity at issue. This rider can provide guaranteed minimum income benefits for the life of a single annuitant or joint annuitants without the election of a Settlement Option. A charge may apply to this rider, and this rider may not be available in all states. Please refer to the separate consumer disclosure brochure for a complete description of the benefits, features, and applicable charges for the rider. Settlement Options Settlement Options are based on the Contract Value and are available on the Annuity Date. The Annuity Date is stated in your Policy. The Annuity Date may be changed upon written request as long as it is not before the 10th Policy Anniversary and not after the Policy Anniversary when the Annuitant has reached age 100. See Policy for details. The Settlement Options that may be elected by the Owner include: 1. Income for Life 2. Life Income with a Guaranteed Period 3. Life Income with Installment Refund 4. Survivorship Annuity 5. Equal monthly income payments beginning on the Annuity Date to be made for a minimum of five years and no more than 30 years. 6. Equal annual payments made for a minimum of five years and no more than 30 years. Payments begin one year after the Annuity Date. 7. Proceeds Held at Interest Only for a period not less than 5 Years 4

A guaranteed interest rate of 1.00% is used in calculating payments. National Western Life may, at its option, use an interest rate that is higher than the guaranteed rate. Consult the Policy for complete details of these options. Death Benefits At the death of the Annuitant before the Annuity Date, the Beneficiary will receive the Account Value. The Beneficiary may choose to receive this benefit as a single sum or applied under one of the Settlement Options. At the death of the Annuitant after the Annuity Date, the Beneficiary will receive any unpaid guaranteed amounts under the Settlement Option in force on the date of death. No other death benefits will be paid. Spousal Continuation Benefit: If the surviving spouse is the named Beneficiary and the Owner dies, the surviving spouse may become the Owner and continue the annuity and the income tax-deferral. Free Look Period Your satisfaction is important to us! If you change your mind about whether this annuity fits your needs after you receive your Policy, or if you are dissatisfied for any reason, you have at least twenty days after receipt of the Policy during which you can return it without incurring charges (referred to as a free look period). This time period may be longer; please see your Policy for details. Account Statement Each calendar year the Owner will receive a detailed statement of the values of the Policy. Legal and Tax Advice National Western Life does not authorize its agents or employees to give legal or tax advice. Representations made in this brochure are based on the Company s understanding of current tax law. For an explanation of how those laws apply to you, consult with an attorney, accountant, or other tax advisor. All withdrawals from the NWL Income Protector may be subject to federal income tax and withdrawals made before age 59 1 2 may be subject to an additional 10% income tax penalty. Some or all of a non-qualified withdrawal will be reported as taxable income depending on the withdrawal amount and the amount of accrued interest earned in the policy. This is so because interest on non-qualified annuities is assumed to be withdrawn first. The NWL Income Protector is underwritten by National Western Life Insurance Company, 850 East Anderson Lane, Austin, Texas, 78752. Policy Form ICC16 01-1173-16 and state variations. Not approved in all states. 5

NWL Income Protector Annuity National Western Life Insurance Company Consumer Disclosure Signature Thank you for choosing to purchase the NWL Income Protector Annuity. If you have any questions after you receive your annuity Policy, please contact your agent or call National Western s Client Services Department at 1-800-922-9422. We want to be sure that you read all 6 pages of this disclosure brochure and are aware of the benefits and features explained within it. Please sign below, acknowledging that you understand the following: This is a deferred annuity, and it is a long-term savings vehicle. This annuity has a free look period, during which you can surrender the annuity Policy after receiving it without incurring withdrawal charges (described more fully in your annuity Policy). Any results shown, other than guaranteed minimum values, are not guarantees, promises, or warranties. Withdrawal charges may be deducted from your Account Value. For any Policy issued as a tax-qualified plan, you may have to make withdrawals to meet minimum distribution requirements. By signing below, I certify that I have received a copy of this disclosure brochure and that I have reviewed it with my agent. I further certify that I fully understand the disclosure brochure and the specific points outlined above, which have been explained to me in complete detail, and I will not contest the sufficiency of my signature below as a valid and enforceable acknowledgement of my understanding of the information contained in this disclosure brochure. I understand that the disclosure brochure is not a part of the annuity Policy and does not modify it in any way, and I further understand that the annuity Policy itself contains all terms, benefits, guarantees, limitations, restrictions, and exclusions. Applicant s Name (Printed) Applicant s Signature Date Joint Applicant s Name (Printed) Joint Applicant s Signature Date I certify that I reviewed this disclosure brochure with the applicant. Agent s Signature Agent No. Date National Western Life Insurance Company 850 E. Anderson Lane Austin, TX 78752 Client Services 1(800) 922-9422 www.nationalwesternlife.com 6 DM-1329-VAR-SIG

Client Services Toll Free 800-922-9422 www.nationalwesternlife.com