Flexible Premium Adjustable Life Insurance Policy Illustration

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1 Flexible Premium Adjustable Life Insurance Policy Illustration Prepared for: d Client Prepared by: Sample Sample MetLife N Community House Rd Charlotte, North Carolina, Tel: MetLife Insurance Company USA North Community House Road Charlotte, NC Metlife Premier Accumulator Universal Life insurance policy is issued in New York only by Metropolitan Life Insurance Company, 200 Park Avenue, New York, NY on policy form #1E NY and by MetLife Insurance Company USA, North Community House Road, Charlotte, NC on policy form #5E NC. Date Prepared: 09/24/ :22:04 PM L [exp0317][xNY][xGU,MP,VI] W Page 1 of 14

2 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Initial Premium Outlay Illustrated Coverage Annual Semi-Annual Quarterly Monthly Bank Draft Policy Premiums $45, $22, $11, $3, Total Amount $45, $22, $11, $3, Please note, you have the option of choosing to have your life insurance policy premiums billed on a mode other than annual. Any changes to the amount, frequency and timing of premium payments as illustrated will have a direct impact on the policy's values. If premiums are paid more frequently than annually, the cash value will be lower than the cash values under an annual premium scenario. Based on the Initial Policy Premium shown in the header of this illustration, it is possible that other payment modes may be capped to prevent violation of certain premium rules and regulations. About This Illustration This illustration shows values for Metlife Premier Accumulator Universal Life (Flexible Premium Adjustable Life Insurance) insurance policy and any illustrated riders made part of this policy on a guaranteed and a non-guaranteed basis. This illustration does not change any provisions of your policy. Actual values and benefits may be more or less than those illustrated. If you apply for this policy and the insured's actual age, sex, or risk class, which is the basis on which the premiums are calculated, is different than shown above, the Representative will provide you with a revised illustration and can explain any differences to you. This illustration was designed to help you understand how this policy works and is not a projection of how it will perform on a nonguaranteed basis. A Brief Description of the Policy (Please read your policy for a more complete description and explanation of this coverage) Metlife Premier Accumulator (Flexible Premium Adjustable Life Insurance) is a permanent life insurance policy designed to allow flexible premiums and provide flexible death benefit protection. The non-guaranteed s and Death Benefits are based on the amount of premium payments, charges, and the interest credited to the policy. Metlife Premier Accumulator Universal Life is a non-participating policy and does not pay dividends. Product guarantees are subject to the financial strength and claims paying ability of the issuing insurance company, MetLife Insurance Company USA. The Minimum Annual Premium to Issue is $2, Premium to Guarantee Coverage - $22, is the amount of the level annual premium that would guarantee coverage until maturity based on guaranteed expenses, charges and interest crediting rate assuming no loans, withdrawals or policy changes. A Continuation of the Policy Beyond Attained Age 121 provision is part of this policy. This provision provides for the continuation of the policy beyond the policy anniversary at the insured s attained age 121, provided the policy remains in force to age 121. For a Death Benefit Option A policy, the death benefit on or after attained age 121 will be the greater of: 1. the face amount of the policy on the date of the insured s death plus any rider death benefits determined as of the day prior to attained age 121 (if indicated in the rider); or percent of the cash value on the date of the insured s death. Page 2 of 14

3 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation For a Death Benefit Option B policy, the death benefit on or after the attained age 121 will be the face amount of the policy on the date of the insured s death; plus any rider death benefits determined as of the day prior to attained age 121 (if indicated in the rider); plus the cash value on the date of the insured s death. Premiums cannot be paid on or after the maturity date, unless they are required under a Grace Period provision due to an excess loan and there will be no monthly deduction taken on or after the maturity date. Paying additional premiums will increase the cash value. What is Guaranteed There is a guaranteed minimum interest crediting rate. All net premiums less partial withdrawals, loans and policy charges and expenses, are credited daily with an interest rate guaranteed to be no less than 2.00% on an annualized basis. The portion of the policy cash value securing a loan is credited daily with an interest rate guaranteed to be no less than 2.00% on an annualized basis. The policy contract includes maximum cost of insurance rates and guaranteed expense and policy charges. What is Non-Guaranteed The interest rate actually credited may or may not exceed the guaranteed minimum interest crediting rate. All net premiums less partial withdrawals, loans and policy charges and expenses, are credited daily with a non-guaranteed, current interest rate of 4.45% as of 9/24/2015. The portion of the policy cash value securing a loan is credited daily with a non-guaranteed, current interest rate of 4.45% as of 9/24/2015. The cost of insurance rates and expense and policy charges may or may not be less than the maximum guaranteed rates and charges as stated in the policy contract. If the non-guaranteed, current crediting rate exceeds the guaranteed minimum interest crediting rate or, if the non-guaranteed, current cost of insurance rates and expense and policy charges are less than the guaranteed maximum rates and charges, your policy s can increase, thereby increasing the value of your life insurance policy. This illustration assumes that the currently illustrated non-guaranteed elements will continue unchanged for all years shown. This is not likely to occur, and actual results may be more or less favorable than those shown. Policy Charges and Expenses 1. A premium charge of 33.00% is assessed in the first year, 10.00% thereafter, until Target Premium is reached; and a premium charge of 3.00% is assessed in the first year, 5.00% thereafter after the Target Premium is reached under guaranteed assumptions on your policy. A premium charge of 33.00% is assessed in the first year, 8.00% thereafter, until Target Premium is reached and a premium charge of 3.00% is assessed in all years after Target Premium is reached under current assumptions on your policy. The Target Premium for your policy can be found in your contract, on page 4 of the Policy Specification pages and in the footer of this illustration. 2. A policy charge of $10.00 per month is assessed in all policy years. 3. The monthly coverage expense charge under guaranteed assumptions is $57.39 for years 1 through 20 and $0.00 thereafter. The monthly coverage expense charge under current assumptions is $52.18 for years 1 through 20 and $0.00 thereafter. These charges are calculated assuming that there are no Policy Changes; Policy Changes may change these charges. 4. The monthly cost of insurance is based on the insured s illustrated risk class. This amount will vary depending on the specifics of your policy. The monthly cost of insurance is calculated using a guaranteed rate or, for non-guaranteed values, the Company s current rate if lower. Page 3 of 14

4 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Surrender Charges There is a 15 year surrender charge which remains level for the first year and decreases monthly thereafter. The end of year full surrender charge for each of the 15 years from issue is respectively: $261, $251, $241, $230, $218, $196, $175, $153, $131, $109, $87, $66, $44, $22 and $0. These charges are calculated assuming that there are no Policy Changes; Policy Changes may change these charges. During the surrender charge period, a surrender charge will apply upon surrender, lapse, a withdrawal that decreases the Face Amount, a change in Death Benefit Option that decreases the Face Amount and a requested decrease in Face Amount. Page 4 of 14

5 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Life Insurance policies such as Metlife Premier Accumulator Universal Life must satisfy Section 7702 of the Internal Revenue Code (Code) utilizing one of two tests: the Guideline Premium/ Corridor Test (GPT) or the Accumulation Test (CVAT). Each test, in its own way, has the effect of placing limits on a policy s investment orientation. At issue, the policy owner must elect either the CVAT or the GPT test. Once elected, the test cannot be changed. If CVAT is elected, the Death Benefit payable on the death of the insured will never be less than the minimum amount necessary to cause the policy to meet the Accumulation Test set forth in Section 7702(b) of the Code, as in effect on the date the policy was issued. If GPT is elected, the Death Benefit payable on the death of the insured will in no case be less than the minimum amount necessary to cause the policy to meet the Guideline Premium/ Corridor Test set forth in Section 7702(c) and (d) of the Code, as in effect on the date the policy was issued. Which test best fits a client's needs depends on the specific facts and circumstances of a case. This illustration was run assuming Accumulation Test was selected. In order to receive favorable tax treatment under the Code on policy distributions,life insurance policy premiums must be within certain limits during the first 7 policy years and during the first 7 policy years after certain policy changes. Distributions include surrender of policy values, policy loans or pledges to secure a loan. Failure to satisfy this limitation would cause the policy to become a Modified Endowment Contract (MEC) and cause distributions to be taxable (and possibly subject to a tax penalty if received before the recipient s age 59 1/2) to the extent there is a gain (generally, in excess of remaining basis) in the policy. As illustrated, this policy is not a MEC. Changes to benefits, premiums, premium mode, or surrenders whether illustrated or not, may cause the policy to lose its favorable tax status. Death Benefit Proceeds from this policy are generally received by the beneficiary income tax free, subject to certain transferfor-value and other rules. In particular, in the case of a business owned policy, the provisions of section 101 (j) of the Code may limit the amount of the Death Benefit excludable from gross income unless a specified exception applies and a notice and consent requirement is satisfied. Consult your tax advisor. A Word About Taxes In most cases, you will not pay income taxes on Policy withdrawals until your cumulative withdrawn amounts exceed the cumulative premiums you have paid. If the Policy is a MEC, you will pay income taxes on loans and withdrawals to the extent of any gains (which is generally the excess of cash value over the premiums paid). In this case, an additional 10% penalty may also apply to recipients younger than 59 1/2. The death benefit may be subject to federal and state estate taxes, but your beneficiary will generally not be subject to federal income tax on the death benefit. As with any taxation matter, you should consult with, and rely on, the advice of your own tax advisor. This illustration assumes a tax bracket of 28.00% Please also note, if you surrender your policy, or if your policy lapses while loans are outstanding, income tax could be payable on borrowed amounts. Please consult your tax or legal advisor. Any discussion of taxes is for general informational purposes only and does not purport to be complete or cover every situation. MetLife, its agents and representatives, may not give legal, tax or accounting advice and the foregoing discussion about taxes should not be construed as such. Clients should confer with their qualified legal, tax and accounting advisors as appropriate. Page 5 of 14

6 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Interest Adjusted Indexes These indexes provide a means for evaluating the comparative cost of the policy under stated assumptions. In computing the indexes, an assumed rate of interest is applied in averaging the premiums paid and benefits available over a stated period of time, taking into account the time value of money. They can be useful in comparing Universal Life coverages only if the same premium and death benefit are assumed for each policy being compared. A lower index is better than a higher one. Indexes are approximate because they involve assumptions, including the rate of interest used. Interest Adjusted Indexes based on a 5.00% interest rate for the base policy: End of 10 Yrs. GUARANTEED End of 20 Yrs. NON-GUARANTEED End of 10 Yrs. End of 20 Yrs. Life Insurance Net Payment Cost Index $34.96 $21.66 $34.96 $21.48 Life Insurance Surrender Cost Index $11.18 $12.85 $4.59 $5.18 The difference between the total premiums paid and the cash value should not be used as the basis for determining policy cost. Page 6 of 14

7 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Premium Outlay columns below reflect the total of the annualized premium assumed to be paid during the policy year, less any values surrendered (partial withdrawals or force-outs), less any current loan, plus any loan interest paid out of pocket or any repayment of loans. This column assumes that premium payments are made as scheduled at the beginning of the modal period. End of Based on Guarantees Only At the Midpoint Scale At the Current Scale Death Premium Death Premium Surrender Benefit Outlay Surrender Benefit Outlay Surrender Premium Outlay Death Benefit Year 5 45, , ,512 45, , ,512 45, , ,512 Year , , , , , ,281 Year , , , , ,371 1,051,654 At Age , , , , ,778 1,099,850 Total to Age , , ,000 Based on Guarantees only, the policy would cease to be in force during policy year 35. At the Midpoint interest rate, the policy would cease to be in force during policy year 44. Signatures I have received a copy of this 14 page illustration and understand that any non-guaranteed elements illustrated are subject to change and could be either higher or lower. The Representative has told me that these elements are not guaranteed. I also understand the Riders that can be applied for on this policy, and all terms and conditions of these Riders have been explained to me. Further, I understand that this illustration was prepared using Accumulation Test. I realize this policy offers a choice of Internal Revenue Code Section 7702 tests and both were explained to me. This illustration may reflect future changes to the death benefit, the death benefit option, risk classifications or riders being terminated. It may also show future loans, withdrawals, and premium changes. These changes are included for illustrative purposes only. We will not process any policy changes until you request the change in writing. Please review your policy for details on when the changes will take effect. (Applicant) Date I certify that this illustration has been presented to the applicant in its entirety and that I have explained that any non-guaranteed elements illustrated are subject to change. I have made no statements that are inconsistent with the illustration. (Representative) Date Sample Sample MetLife Insurance Company USA N Community House Rd, Charlotte, North Carolina, Telephone: Page 7 of 14

8 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Year Year is the policy year. Age Age is the age the insured has attained by the end of the policy year. The insured s age is advanced by one year at the end of each policy year. The Age value is calculated by adding the corresponding Year value to the illustration issue age, identified in the illustration header as Age. The illustration issue age can be manually identified or automatically calculated based upon the insured s birthdate and the illustration effective date. In the issue age calculation, a 360 day year is assumed; therefore, if the insured s next birthday is 180 days or less from the illustration effective date, the insured s age on that next birthday becomes the issue age for the illustration purposes. Planned Annual Premium Outlay This column reflects the total of the annual out of pocket premiums net of any force-outs. It also includes any 1035 Exchange Amount or Lump Sum money received. Force-out is the money paid back to the policy owner so that the policy conforms to federal income tax guideline requirements for life insurance policies. Guaranteed s - Column, Surrender Column, and Death Benefit Column with Guaranteed Charges at a Guaranteed 2.00% Interest Rate These columns are determined and illustrated using the guaranteed interest rate of 2.00% and Guaranteed Cost of Insurance rates and other charges. The value of the policy at the end of the year, which is based upon the guaranteed interest rate, guaranteed insurance charges, and maximum expense and policy charges. Surrender The amount available on surrender of this policy, at the end of the policy year. It includes the values under the base policy and any illustrated riders. The amount shown reflects any illustrated withdrawals, illustrated policy loans and loan interest, and any applicable surrender charges. Column Definitions Death Benefit The amount payable if the insured should die while this policy is in force, determined as of the date of death, at the end of the policy year. The amount shown reflects any illustrated withdrawals, illustrated policy loans and loan interest. Non-Guaranteed s - Column, Surrender Column, and Death Benefits Column with Non-Guaranteed Charges at a Non-Guaranteed 4.45% Interest Rate These columns are determined and illustrated in the same manner as explained above for their guaranteed counterparts except that the current interest rate of 4.45% is used and current cost of insurance rates, premium charge, and current expense and policy charges are used rather than guaranteed assumptions. The non-guaranteed values shown in this illustration further assume that the illustrated interest rate, current cost of insurance rates, and expense and policy charges will continue unchanged for all years shown. This is not likely to occur, and actual results may be more or less favorable than those shown. The assumptions on which these values are based are subject to change by the insurer. Page 8 of 14

9 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Year Age Policy s Ledger s Assume Guaranteed Charges and a Guaranteed 2.00% Interest Rate Planned Annual Premium Outlay Surrender Death Benefit ,000 39,075 38, , ,000 79,958 79, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,527 99, , ,765 56, , ,306 5, , (*) 0(*) 0(*) 315,000 NOTES: Please see important notes on page 11 This report is not valid unless accompanied by all pages. Page 9 of 14

10 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Year Age Policy s Ledger s Assume Guaranteed Charges and a Guaranteed 2.00% Interest Rate Planned Annual Premium Outlay Surrender (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) 315,000 NOTES: Please see important notes on page 11 Death Benefit This report is not valid unless accompanied by all pages. Page 10 of 14

11 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Year Age Policy s Ledger s Assume Guaranteed Charges and a Guaranteed 2.00% Interest Rate Planned Annual Premium Outlay Surrender (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) (*) 0(*) 0(*) 315,000 Death Benefit NOTES: (1) Surrender and Death Benefit columns reflect withdrawals, any outstanding loans and any loan interest due. (2) 0(*)First appearing in value or benefit columns shows the year that your policy will lapse based on the premium shown, the indicated rate of return, and the applicable cost of insurance rates and other charges, unless a higher premium is paid. (3) Totals do not take into account that, because of inflation and interest, a dollar in the future may have less value than a dollar today. This report is not valid unless accompanied by all pages. Page 11 of 14

12 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Year Policy s Ledger s Assume Non-Guaranteed Charges and a Non-Guaranteed 4.45% Interest Rate Age Planned Annual Premium Outlay Surrender Death Benefit ,000 41,984 41, , ,000 87,812 87, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,821 1,004, , ,046 1,009, , ,789 1,015, , ,010 1,021, , ,650 1,026, , ,705 1,032, , ,168 1,038, , ,050 1,044, , ,371 1,051, , ,016 1,060, , ,219 1,069, , ,052 1,079, , ,565 1,089, , ,778 1,099, , ,672 1,110, , ,210 1,121, , ,345 1,133, , ,995 1,145, , ,044 1,157, , ,535 1,174, , ,799 1,191, , ,870 1,209, , ,672 1,228, , ,022 1,247, ,000 Refer to the guaranteed ledger starting on page 9 for any guaranteed components of the policy. *For rates, see Variable Rate Schedule in Variable Information section. NOTES: Please see important notes on page 14 This report is not valid unless accompanied by all pages. Page 12 of 14

13 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Year Policy s Ledger s Assume Non-Guaranteed Charges and a Non-Guaranteed 4.45% Interest Rate Age Planned Annual Premium Outlay Surrender Death Benefit , ,601 1,269, , ,681 1,291, ,027,129 1,027,129 1,314, ,061,846 1,061,846 1,338, ,096,724 1,096,724 1,361, ,131,879 1,131,879 1,385, ,167,299 1,167,299 1,410, ,203,094 1,203,094 1,435, ,239,633 1,239,633 1,462, ,277,035 1,277,035 1,490, ,315,138 1,315,138 1,520, ,353,882 1,353,882 1,551, ,393,272 1,393,272 1,583, ,433,282 1,433,282 1,617, ,474,006 1,474,006 1,651, ,515,730 1,515,730 1,686, ,558,816 1,558,816 1,724, ,603,704 1,603,704 1,763, ,650,774 1,650,774 1,805, ,700,092 1,700,092 1,850, ,751,761 1,751,761 1,897, ,805,663 1,805,663 1,948, ,861,796 1,861,796 2,000, ,920,126 1,920,126 2,055, ,980,598 1,980,598 2,112, ,043,259 2,043,259 2,171, ,108,187 2,108,187 2,232, ,175,419 2,175,419 2,295, ,245,024 2,245,024 2,361, ,317,030 2,317,030 2,429, ,391,373 2,391,373 2,499, ,460,344 2,460,344 2,565, ,529,799 2,529,799 2,633, ,597,529 2,597,529 2,703, ,662,816 2,662,816 2,771, ,000 Refer to the guaranteed ledger starting on page 9 for any guaranteed components of the policy. *For rates, see Variable Rate Schedule in Variable Information section. NOTES: Please see important notes on page 14 This report is not valid unless accompanied by all pages. Page 13 of 14

14 Insured: d Client Risk Class: Male Preferred Nonsmoker Age: 45 Life Insurance Test: Accumulation Year Policy s Ledger s Assume Non-Guaranteed Charges and a Non-Guaranteed 4.45% Interest Rate Age Planned Annual Premium Outlay Surrender Death Benefit ,725,180 2,725,180 2,836, ,784,586 2,784,586 2,897, ,841,928 2,841,928 2,955, ,899,736 2,899,736 3,012, ,963,740 2,963,740 3,067, ,047,055 3,047,055 3,124, ,182,650 3,182,650 3,214, ,324,279 3,324,279 3,357, ,472,210 3,472,210 3,506, ,626,724 3,626,724 3,662, ,000 Refer to the guaranteed ledger starting on page 9 for any guaranteed components of the policy. *For rates, see Variable Rate Schedule in Variable Information section. NOTES: (1) Surrender and Death Benefit columns reflect withdrawals, any outstanding loans and any loan interest due. (2) Coverage continues for the lifetime of the insured as long as sufficient premiums are paid. (3) Totals do not take into account that, because of inflation and interest, a dollar in the future may have less value than a dollar today. This report is not valid unless accompanied by all pages. Page 14 of 14

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