1022-Life of the Southwest-RetireMax Millennium Plus

8/8/2019 1022-Life of the Southwest-RetireMax Millennium Plus

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RetireMax

P L U S

Li e Insurance Company o the Southwest A Member of the National Life Group

Protecting Your Retirement Savings

LSWs

Single Premium De erred Annuity Serie


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Youve worked hard and steadily stashed awaysavings. But your retirement dream can turn into anightmare i you end up outliving your savings. As expectancy rates climb, people are living in retirememuch longer than previous generations. And its happening when Social Security and pensions are becoming less secure.

I working longer and spending less during yourretirement years dont appeal to you, you should craa solid retirement plan today that considers the riskslongevity, infation and market downturns. The longeyou live, the greater chance that you may outlive yoassets in retirement. Health care costs, infation andmarket downturns can erode your uture buying powand savings.

I a couple wants an annual retirement income o$85,000 and intends to stop working at age 65, theyneed about $838,000 in savings to supplement theirSocial Security income or 20 years. This exampleassumes a 7 percent rate o return and 4 percentinfation rate.

But i they both live to 100, theyll need more thone-and-a-hal times that amount a port olio woabout $1.3 million in order to preserve the sameli estyle in retirement.

Accumulate More for Retirement RetireMax Millennium Plusis a single premium

de erred annuity and a long-term savings vehicle thmay be an excellent addition to your overall nanciaretirement plan. RetireMax Millennium Pluscan be agreat way to accumulate money or retirement, i ywant retirement income beyond what you will receiv

rom Social Security or a pension plan. Your moneygrows tax de erred, which means you pay no taxes earnings until you begin to withdraw your money. Yalso can provide death bene ts to your heirs. I youdie prematurely, RetireMax Millennium Pluscan o ea death bene t to your bene ciaries without the costand delays o probate.

Integrity YouCan Retire On!


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Tax-De erred Growth RetireMax Millennium Plusis a single premium de erred annuity that may o er you multiple advantages over alternativeprograms. Because it is tax-de erred, you pay no taxes* on earn-ings until you decide to make a withdrawal. So...

You earn interest on your premium; You earn interest on your accumulated interest; You earn interest on the earnings that would usually be paid

in taxes.

RetireMax Millennium Pluscan be purchased as a qualifed ornonqualifed annuity.

Understanding Your Values Your Accumulation Value is your net premium, accumulated atinterest, less withdrawals. I you are the Annuitant and Owner,the Accumulation Value less any outstanding loans (i applicable), will be paid to your named Benefciaries in case o your death,outside the costs and delays o probate. I you withdraw all o your

annuity, you will receive the Accumulation Value less aning loans and applicable Withdrawal Charges. Applicabldrawal Charges are shown on the back panel o this broc

5% Additional Interest We currently are issuing this Policy with a frst-year rate

than the interest rate guaranteed in the second year. Oncethese rates are ully guaranteed. Then, interest will be dannually and credited daily. When we issue your policy, ithe minimum interest rate we will credit, which is guaran

or the li e o the policy. The minimum interest rate is ormula established by applicable regulation in your stat

be between 1% and 3%. For the current minimum guaraninterest rate, contact your agent or LSW.

* Unless your annuity is pledged or used as security or a loan. A ew states require the payment o premium taxes on annuities eit

at the time the Company receives the premium, upon annuitization owithdrawal. I LSW must pay such taxes, we will deduct them rom

Policy benefts.

RetireMax Millennium Plus

may give you peaceo mind knowing

your money is sa e. RetireMax

Millennium Plus is backed by theull assets o LSW.

About the CompanyEven when an annuity seems to be the right t or your nancial

plan, you want the reassurance that your money is sa e. RetireMax Millennium Plusis backed by the ull assets o Li e Insurance Companyo the Southwest. LSW has a corporate investment policy that stronglyemphasizes quality investments and sa ety.

LSW was incorporated in 1955 under the laws o Texas as a legalreserve insurance company. The Company is licensed in 49 states and the District o Columbia.

Please Note: Neither LSW nor any of its agents or representatives give legal, tax, or accounting advice. The information provided here is a summary of our understanding of the current tax laws and regulations as they relate to

annuities. All prospective purchasers should consult with their own attorneys, accountants, and tax advisors.

If you want further information on this annuity, please contactyour LSW agent or call LSW at the telephone number shown below.Li e Insurance Company o the Southwest, A Member of the National Life Group

1300 West Mockingbird Lane, Dallas, Texas 75247-4921800-579-2878, www.li eo southwest.com


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Accessing Your AnnuityValue Through Withdrawals/Payment Options RetireMax Millennium Pluso ers multipleoptions to access all or part o your annuity value. Withdrawals and payouts are subject to current IRSregulations. You may choose one o these options atany time when permitted by law.

Withdrawals A ter the frst annuity year, youmay withdraw up to 10% o your Accumulation Val-ue each annuity year with no charge. All withdraw-als rom annuities purchased with qualifed moniesare taxed as ordinary income (except withdrawals

rom Roth IRAs subject to IRS limitations). Undercertain conditions the IRS may impose a penalty tax on withdrawals made prior to age 59. Undercurrent tax law, all withdrawals rom an annuity purchased with non-qualifed monies are taxable tothe extent there is a gain in the policy. The mini-mum withdrawal is $500, and you must maintain

at least $5,000 in your annuity to keep it in orce. Payment Options 1 There is no Withdrawal Charge i you elect a

ormal Payment Option a ter fve years. Your annuity o ers a num-ber o ormal Payment Options including:

Installment Income This is an ideal choice i you want toreceive your money over a ixed period o 10 to 25 years.

Life Income Options You cannot outlive your income. LSW will continue to pay you as long as you live. I you elect a jointli e option, LSW will pay you or your surviving spouse as long as either o you are living. These choices can even be combined with a guaranteed minimum number o years or payment.

Nursing Care Rider 2LSWs RetireMax Millennium Plusincludes a Nursing CareRider that will eliminate Withdrawal Charges or policyowners whorequire long term care i :

the owner (under age 76 on the issue date o the Policy) staysin a hospital and/or pro essional long term care acility or 60days or longer. Withdrawal requests and documentation mustbe iled no later than 60 days a ter the end o the stay;

the policy has been in orce longer than one year when theowners hospital and/or long term care stay begins;

the maximum aggregate withdrawal or all o the ownerspolicies with this bene it does not exceed $250,000.

I the owner is 76 or older on the issue date o the Policy, all o theabove provisions will apply. However, the waiver o WithdrawalCharges will apply to a maximum o 25% o the Accumulation Value with only one withdrawal allowed.

1 Benefts at annuitization could be reduced i a misstatement o age or s has occurred.

2 Nursing Care Rider not available in IL, LA, MA, MT, NH, NJ, PA, SWV, WI. Restrictions and additional conditions apply, re er to Rider No. 7648.

3 A ew states require the payment o premium taxes on annuities eithe time the Company receives the premium, upon annuitization or withdra I LSW must pay such taxes, we will deduct them rom the Policy ben

4 Subject to change without notice.

Note: There are special rules or annuities owned by trusts, corporate entit qualifed plans. RetireMax Millennium Plus is Policy Form No. 7885. Loans are provided t

403(b) and 457 policies by endorsement in states where approved.

Death BeneftI you are the Annuitant and you die whilannuity is in orce, LSW will pay the Acction Value to your Benefciary as a Death Band will waive any remaining WithdrawalI you are the Owner but not the AnnuitanDeath Beneft will equal the Cash Value. Ioccurs a ter a payout option has been seleDeath Beneft, i any, will depend on the poption selected.

Defned Terms: Accumulation Valueis your initial premium, plcredited interest, minus any cash withdraw Withdrawal Charges assessed.

Cash Valueis the Accumulation Value less acable Withdrawal Charges.

Highlights Enjoy tax-de erred growth

5% additional irst-year interest No administration ees3 Partial withdrawal provisions 403(b)/457(b) loan rider Annual account statement Nursing Care Rider (in states where approved) at no ad

cost to you

Annuity Provisions Minimum premium: $5,000 Maximum premium: Issue Ages 0-75 $1,000,000. Issu

76-80 $500,0004 Issue age: Annuitant/Owner up to age 80 (actual age

Individual Owner and Annuitant must be the same per Plan Options: Quali ied and Non-quali ied Withdrawal Charges waived on the death o the Annu This Policy is not contestable A Withdrawal Charge may apply on amounts withdraw

o ree withdrawal

Withdrawal Charges

With RetireMax Millennium Plus,

you can select the retirement option

to t your needs.

Form No. 9386 (1106)

Cat. No. 100718

Policy Year 1 2 3 4 5 6 7 8 9 10 11+

WithdrawalCharge 10% 9% 8% 7% 6% 5% 4% 3% 2% 1% 0%


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SECTION III - Premium Amount Paid with Application Rollover/Trans er (Approximate) Documentation

Single Trans er(s) or Rollover(s)

SECTION II - Beneficiary Benefciary Relationship Shar

1) 2)

Contingent Benefciary Relationship Shar1)

2)

Section I - Owner/Joint Owner/Annuitant

Owners Name SS No or Taxpayer ID DOB (m/d/yy) Age

Home Address City State Zip Code

Home Phone Number Home Fax Number Home e-mail Address

Annuitants Name (i di erent rom Owner) SS No or Taxpayer ID DOB (m/d/yy)



Joint Owners Name(i applicable, non-qualifed only) SS No or Taxpayer ID DOB (m/d/yy)



Form NoForm No. 7909 I

Application for Annuity Li e Insurance Company o the Southwest (LSW) 1300 W. Mockingbird Ln. Dallas, TX 75247-4921 Custome

MILLENPL

SECTION IV - Plan Selected S RetireMax Millennium Plus

SECTION V - Plan Qualification 403 (b) TSA 457 De . Comp Pension/Proft Sharing IRA ROTH IRA IRA Rollover Non-Qualifed

Other (speci y)_______________________________________________________________________________________________


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SECTION VI - Existing Insurance S0Does the applicant have any existing policies and/or annuities? Yes No (Applicant to check box)I yes, will the annuity applied or replace any o the existing insurance or annuity? Yes No (Applicant to check box)I yes, provide_____________________________________________________________ and complete appropriate replacement and ex

(Name o Company)

SECTION VII - Remarks S0

SECTION VIII - For Home Office Endorsement Only S0(Not applicable in Pennsylvania or West Virginia)

SECTION X - Acknowledgments S

The Annuitant and the Owner, i other than the Annuitant; (1) represents, to the best o their knowledge and belie , that all statements andare ull, complete and true as written and are correctly recorded; and, (2) expressly agrees as ollows:1. This application and the answers and agreements contained herein shall be the basis o , a part o the consideration or and a part o the a2. The payment o premium constitutes consideration to the Company or the granting o an annuity and upon payment becomes the absol3. I proo o age is not given with this application, the Annuitant(s) will urnish the Company with such proo be ore annuity paymen4. The annuity applied or shall take e ect on the date the premium is received by the Company in its Home O fce. The SecurePlussingle premium de erred an

shall take e ect on the 7th, 14th, 21st or 28th o the month ollowing or coincident with the date the premium is received by the Compan5. The Company is authorized to amend this application by an appropriate notation in the space designated For Home O fce Endorseme

correct apparent errors or omissions. The acceptance o any annuity issued on this application shall constitute acceptance and ratifcatiodesignation, i any, in such annuity and o any amendments contemplated above except that no change shall be made in the plan o anthe written acceptance o the Annuitant(s) or o the Owner i other than the Annuitant(s).

W9: Under the penalties o perjury, I certi y that:(1) the number shown on this application is my correct taxpayer identifcation number;(2) the IRS hasnotifed me that I am subject to backup withholding, or has notifed me that I am no longer subject to such withholding or I am exempt rom(3) I am a U.S. person (including a U.S. resident alien).You must cross out item 2 i you have been notifed by the IRS that you are currently subject twithholding because o underreporting interest or dividends on your tax return.

SECTION XI - Signature and Agent Information SDated at (city/state) __________________________________on (month/day/year) ___________________________________________Signature o Owner __________________________________Signature o Annuitant (i di erent rom Owner) _________________Signature o Joint Owner (i applicable)______________________________________To the best o my knowledge, a replacement _______________ is is not involved in this transaction. (Agent to check box.) Florida LicSignature o Agent _____________________________ Soliciting Agent (print) _______________________ Agent No. _____________Agent Phone Number ___________________________ Other Agent (print) __________________________ Agent No. _____________ P

SECTION IX Fraud Warnings and Notices SDC / WA It is a crime to knowingly provide alse incomplete or misleading in ormation to an insurance company or the purposes o dePenalties include imprisonment, fnes and denial o insurance benefts.FL Notice: Any person who knowingly and with intent to injure, de raud, oinsurer fles a statement o claim or an application containing any alse, incomplete, or misleading in ormation is guilty o a elony in thKY/ME/O

Any person who knowingly and with intent to injure, de raud, or deceive any insurer fles an application or insurance containing any mor conceals or the purpose o misleading, in ormation concerning any act material thereto commits a raudulent insurance act, which iLA -Any perswho knowingly presents alse or raudulent claim or payment o a loss or beneft or knowingly presents alse in ormation in an applicaa crime and may be subject to fnes and confnement in prison.NJ Notice: Any person who includes any alse or misleading in ormation on an aan insurance policy is subject to criminal and civil penalties. AR/NM/PA Warning: Any person who knowingly and with intent to de raud any insuor other person fles an application or insurance or statement o claim containing any materially alse in ormation or conceals or the puin ormation concerning any act material thereto commits a raudulent insurance act, which is a crime and subjects such person to crimin V Any person who, with intent to de raud or knowing that he is acilitating a raud against an insurer, submits an application or fles a claideceptive statement may have violated state law.Notice to Residents o AZ: The annuity to which this application is attached may be returned withinit is received. Return it to our Home O fce or to the agent through whom it was purchased. I returned, we will cancel the annuity and retUpon written request rom the Owner, we will provide within a reasonable time, actual in ormation regarding the benefts and provisionsapplication is attached.

Documents

1022-Life of the Southwest-RetireMax Millennium Plus