The Visible Policy
Statement for Policy Year 12

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Statement:  Year 12

Here is my statement for the end of the twelfth 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 3 of  3 
 

Insured: RICHARD W FRANZEN
Date Prepared: May 12, 2008


Life Insurance Death Benefit
as of May 10, 2008

  
Policy Cash Value
as of May 10, 2008

Base Plan Death Benefit $100,000.00

Base Plan Guaranteed Cash Value
$17,600.00
Death Benefit of Optional Paid up Life
  Insurance Rider (OPP)
26,462.00
Cash Value of Optional Paid up Life
  Insurance Rider (OPP)
12,017.98
Death Benefit of Paid up Additional
  Life Insurance purchased by Dividends
15,444.00
Cash Value of Paid up Additional Life
  Insurance purchased by Dividends
6,439.54

TOTAL DEATH BENEFIT


$141,906.00



NET CASH VALUE


$36,057.52



Loan Summary
from May 11, 2007  to May 12, 2008



Dividend Summary
as of May 10, 2008

No activity during the period






The 2008 DIVIDEND credited
  to your policy
    The dividend of $1,022.29 purchased
      $2,453 of increased Death Benefit
      Paid up Additional Life Insurance

$1022.29






Summary of Our Disbursements
from May 11, 2007  to May 12, 2008



Summary of Your Payments
from May 11, 2004  to May 12, 2008

No activity during the period


Policy Premium
$1,764.00



Payment(s) for Optional Paid up
  Insurance Rider (OPP) Premium
636.00




TOTAL PAYMENTS


$2,400.00

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


May 29, 2007

Policy:     ## ### ###
Insured:   Richard W Franzen
0000871
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, 2007.  The remaining $636.00 was applied towards the purchase of paid-up additional insurance as of May 21, 2007 for an added death benefit amount of $1,398.00.  This is in accordance with your policy's Option to Purchase Paid-Up Additional Insurance rider (OPP).  Please be advised that any Billable OPP remittances will be confirmed on the next Annual Policy Summary you receive.

As of May 29, 2007, your policy, including riders, dividends and paid-up additional insurance, less any loans and loan interest due, has a net cash value of $34,210.28 and a net death benefit of $139,538*.

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,
WP Tate
William P. Tate, CLU, ChFC
Service Center Vice President

*Amount does not include any refund or renewal of premium (if applicable).


For policy information and online service, please visit us at ==> www.newyorklife.com/vsc



<=-       Activity, Year 11 to Year 12       -=>
9 May 2008
Payments
Increase
in Value
Total
to Date
Base Death Benefit 1,764
21,168

100,000
OPP Death Benefit 636
10,432
1,398 26,462
Dividend Death Benefit 1022.29 2,453 15,444
Total Death Benefit 2,400
$31,600
3,851
$41,906
$141,906
Inflation-Adjusted Total Cost
and Base Death Benefit

$37,968
30apr08
CPI=3.9%

$137,227
Guaranteed Cash Value
¹ 2100 / 100,000 = 2.1%g

2,100.00¹ 17,600.00
OPP Cash Value
² 337.06 / 26,462 = 1.27%g
616.92
10,111.82
337.06²
1,906.16 
12,017.98
Dividend Cash Value
³ 169.27 / 12,991 = 1.30%g
1022.29
5,708.47
169.27³
731.07 
6,439.54
Total Cash Value to Date $15,820.29 $20,237.23 $36,057.52

10may07
$31,811.98
div. return = (1022.29 - 160) / 31,811.98
$160 + 2.71%
BBAG = (36,057.52 - 31,811.98 - 2,400) / (31,811.98 + 2,400)
IWR CV = (36,057.52 - 37,968) / 37,968
IWR DB = (141,906 - 137,227) / 137,227
5.4%
-5.0%
3.4%


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Accesses since 28 August 2010
last modified 22 November 2010
© 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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