Exhibit (g)(3)
652-2-0
ADDENDUM TO THE
AUTOMATIC REINSURANCE AGREEMENT DATED April 1, 1990
between
IDS LIFE INSURANCE COMPANY OF NEW YORK, Albany, New York
and
[name of reinsurance company], [city and state of reinsurance company]
This Addendum is Effective May 1, 1992
I. ADDITION OF LIFE PROTECTION PLUS PLAN
Effective May 1, 1992, reinsurance required by IDS LIFE INSURANCE COMPANY
OF NEW YORK on the policy plan and riders listed below will be assumed by
[name of reinsurance company] under the terms of this Agreement:
LIFE PROTECTION PLUS (LPP)
OTHER INSURED RIDER (OIR)
WAIVER OF MONTHLY DEDUCTIONS (WMD)
Exhibit B of this Agreement is hereby replaced by the attached Exhibit B
which now includes the above plan and riders in the list of plans covered.
The cover page for Exhibit C of this Agreement is hereby replaced by the
attached Exhibit C cover page which now includes the pay percentages for
Life Protection Plus and accompanying Other Insured Rider.
II. All provisions of the Automatic Reinsurance Agreement not specifically
modified herein remain unchanged.
IN WITNESS WHEREOF, both parties have executed this Addendum in duplicate as
follows:
IDS LIFE INSURANCE COMPANY OF NEW YORK
By: [ILLEGIBLE] By: [ILLEGIBLE]
---------------------------- ---------------------------------
Title: [ILLEGIBLE] Title: UNDERWRITING OFFICER
Date: May 20, 1992
[name of reinsurance company]
By: [signature] By: [signature]
Title: [title] Title: [title]
Date: May 13, 1992
EXHIBIT B
POLICY PLANS REINSURED
Effective Date
April 1, 1990 Universal Life
Base plans: UL25, UL100, UL500, VUL, EUL25, and EUL100
Riders: Other Insured Riders (OIR) and Waiver of
Monthly Deductions (WMD)
Fixed Premium, Fixed Benefit Whole Life
Base plan: Whole Life
Riders: Annual Reducing Term (ART) and Waiver of
Premium (WP)
Level Benefit Term Insurance
Base plans: YRT, YRT-7 and 10 Year Renewable Term
Riders: Annual Reducing Term (ART) and Waiver of
Premium (WP)
Decreasing Benefit Term Insurance
Base plans: ART
Riders: Annual Reducing Term (ART) and Waiver of
Premium (WP)
May 1, 1991 VUL-350
May 1, 1992 Life Protection Plus (LPP)
Other Insured Rider (OIR)
Waiver of Monthly Deductions (WMD)
LPP policies written with a Survivor Insurance Rider (SIR)
attached are excluded from the Automatic Risk Pool.
(Rev. 5-1-92)
EXHIBIT C
PREMIUMS
Life Reinsurance
The consideration payable for this coverage shall be based on the
appropriate life rate from the attached Rate Table C-1, multiplied by the
pay percentages listed below:
Covered plans and OIR and ART Riders other than
Life Protection Plus and accompanying OIR
Policy Year Percentage
----------- ----------
1 [percentage]
2 & After [percentage]
Life Protection Plus and accompanying OIR
Policy Year Percentage
----------- ----------
1 [percentage]
2 & After [percentage]
For substandard table ratings, the premiums will be increased by
[percentage] per table.
For permanent flat extra premiums (payable for six years or more) the
premium due will be zero in the first year and [percentage] of the amount
charged the insured on the amount reinsured in renewal years. For flat
extra premiums payable for five years or less, the premium due will be
based on the amount charged the insured on the amount reinsured,
multiplied by [percentage] in the first year and [percentage] in renewal
years.
Waiver of Premium Benefits
The premium to be paid for reinsurance of Waiver of Premium benefits will
be the premium charged the insured on the amount reinsured, multiplied by
[percentage] in the first year and [percentage] in renewal years.
(Rev. 5-1-92)
