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Systematic withdrawal program election

AnnuitiesMPPSWP-PACK (11/17)Page 1 of 12 Fs/f Systematic withdrawal program election This form is used to start or change a Systematic withdrawal program for the Preference Premier variable annuity product. Metropolitan Life Insurance Company Things to know before you begin Distributions prior to age 59 may be subject to tax penalties. Any Systematic withdrawal plan should be reviewed by your tax advisor to determine the impact, if any, of such requirements. The company assumes no liability with regard to the tax treatment of withdrawals or compliance with minimum distribution/early withdrawal requirements imposed by the IRS. The Owner s signature is required in Section 7 of this form.

systematic withdrawal plan should be reviewed by your tax advisor to determine the impact, if any, of such requirements. ... • Systematic withdrawals cannot be coded as transfers. Withdrawal or surrender ... if you transfer assets among the funding options, you may need to adjust your systematic withdrawal allocation accordingly. Funding options.

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Transcription of Systematic withdrawal program election

1 AnnuitiesMPPSWP-PACK (11/17)Page 1 of 12 Fs/f Systematic withdrawal program election This form is used to start or change a Systematic withdrawal program for the Preference Premier variable annuity product. Metropolitan Life Insurance Company Things to know before you begin Distributions prior to age 59 may be subject to tax penalties. Any Systematic withdrawal plan should be reviewed by your tax advisor to determine the impact, if any, of such requirements. The company assumes no liability with regard to the tax treatment of withdrawals or compliance with minimum distribution/early withdrawal requirements imposed by the IRS. The Owner s signature is required in Section 7 of this form.

2 If there is more than one Owner, all Owners must sign. Please use black ink. Systematic withdrawals cannot be coded as or surrender requests in which the money has already been received in your bank account cannot be 1: Owner information (Please print)Annuity contract numberFirst nameMiddle nameLast nameSocial Security numberDate of birth (mm/dd/yyyy)Street addressCityStateZIPSECTION 2: Type of withdrawal Please check one of the following categories and provide proof of reason. (We need this information to properly code your IRS Form 1099-R.)Regular distribution - Reason code 7 I am age 59 or older, and: 1) I have never taken substantially equal periodic payments from this account or 2) I have taken substantially equal periodic payments beginning before age 59 for at least 5 years.

3 Pre - 59 Distribution with substantially equal periodic payments - Reason code - 59 Distribution - Reason code - 59 Distribution that is part of a stream of substantially equal periodic payments started before you reached 59 . - Reason code 2. Page 2 of 12 Fs/f MPPSWP-PACK (11/17)SECTION 3: Payment amount and funding option Please complete payment option 3a or 3b. If payment option 3a is selected, please also indicate the source of funds in 3c. If payment option 3b is selected, withdrawals will be processed pro rata across all funding want to withdraw the following dollar amount, to be paid to me in the following frequency:Monthly $Quarterly $Semiannually $Annually $Note: During the first contract year, only monthly or quarterly payments can be selected.

4 There is a $50 per monthly payment, $125 per quarterly payment, and a $500 per year minimum. (This is not an annuitization or an immediate annuity.) There is no guarantee that a payment amount made under the program will not incur any early withdrawal charges. Please be aware that withdrawing more than your guaranteed withdrawal amount, called excess withdrawals , may permanently reduce your future guaranteed withdrawal amounts. If you are considering making an excess withdrawal but are uncertain as to how it will affect your future guaranteed withdrawal amounts, we encourage you to contact us prior to requesting the withdrawal to obtain a personalized, transaction-specific calculation showing the effect of the excess withdrawal .

5 Important: If you elected the GMIB Max IV, or GMIB Max IV with EDB Max IV and you take your first withdrawal prior to the 5th contract anniversary, your dollar-for-dollar withdrawal rate will be of the Annual Increase Amount (AIA) each year. If you take your first withdrawal on or after the 5th contract anniversary, your dollar-for-dollar withdrawal rate will be 5% of the AIA each year. If you elected the GWB v1 rider and wish to withdraw an amount that is equal to your Annual Benefit Payment (ABP) and take a withdrawal prior to the 5th contract anniversary, your ABP will be 5% of your Total Guaranteed withdrawal Amount (TGWA) each year. If you take a withdrawal on or after the 5th contract anniversary, but prior to your 10th contract anniversary, your ABP payment will be 7% of your TGWA each year.

6 Cumulative withdrawals in a contract year that exceed your ABP will reduce your TGWA and Remaining Guaranteed withdrawal Amount (RGWA) on a proportional basis, which may significantly reduce your future benefits. If you elected the GWB v1 rider and wish to take a withdrawal for a specific dollar amount, that withdrawal amount may not exceed the annual benefit payment amount allowed under the rider. I f you elected a FlexChoice living benefit r ider and take a w ithdr aw al pr ior to the lifetime w ithdr aw al age (59 ), your benefit base and death benefit base w ill be r educed in the same pr opor tion as the amount of the w ithdr aw al (including withdrawal charges, if any) divided by the account value pr ior to the w ithdr aw al (a proportional adjustment).

7 This can cause a substantial r eduction in your benefits. Pr ior to the Lifetime w ithdraw al age ther e is no Annual Benefit Payment (ABP). Any w ithdr aw al that occur s after 59 is consider ed either a non-excess w ithdr aw al or an excess w ithdr aw al. You ABP is the maximum amount that may be w ithdr aw n in a contr act year w ithout tr igger ing a pr opor tional adjustment to the benefit base. Your fir st w ithdr aw al after the lifetime w ithdr aw al age deter mines your w ithdr aw al r ate. Once deter mined, the w ithdr aw al r ate w ill not change for the r emainder of the contr act. A "non-excess withdrawal " is a withdrawal that does not exceed the ABP for the current contract year.

8 Non-excess withdrawals do not reduce the benefit base but will reduce the death benefit base. An "excess withdrawal " is a withdrawal that causes the cumulative withdrawals for the current contract year to exceed the ABP. An excess withdrawal , and any subsequent withdrawals that occur in that contract year, trigger a proportional adjustment to the benefit base and death benefit base and can cause a substantial reduction in your 3 of 12 Fs/f MPPSWP-PACK (11/17) of withdrawal :MonthlyQuarterlySemi-AnnualAn nualIncreasing amount equal to the annual benefit payment allowed under the GWB or LWG Rider. The annual Systematic withdrawal amount will equal the annual benefit payment and will be increased only on any contract anniversary on which the annual benefit payment increases due to an optional reset or automatic step-up*.

9 (This option is only available if the GWB or LWG Rider is selected at issue.) If selecting this option at issue, the initial Systematic withdrawal amount will equal the current annual benefit payment annually; otherwise the initial Systematic withdrawal amount will equal the remaining annual benefit payment for the current contract year.** I understand withdrawals will be deducted prorata from the active subaccounts and fixed account, if amount equal to 100% of the withdrawal rate applied to the annual increase amount ("compounding income base") under the GMIB and/or EDB Riders. The Systematic withdrawal amount will be increased only if the annual increase amount increases due to, 1) additional payments made within 120 days of contract issue or 2) an optional reset or optional automatic reset.

10 (This option is only available if the GMIB or EDB rider is selected at issue.)** I understand withdrawals will be deducted pro-rata from the active subaccounts, if applicable. 100% of the current withdrawal Rate under the FlexChoice Level or FlexChoice Expedite living benefit rider. (This option only applies to contracts where the FlexChoice level or FlexChoice expedite living benefit rider has been elected.) * Optional resets or Optional automatic step-ups are elected by separate election forms. ** Note: If you already have an active Systematic withdrawal program on you contract, both the amount and mode of your withdrawals will not be affected as described.


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