P.O. Box 9271 Owner and we, our, or us refers to ING USA Des Moines, Iowa 50306-9271] company. Product Name Contract Number [Premium Plus] [123456] Annuitant Annuitant’s Age Annuitant’s Sex [Thomas J. Doe] [55] [Male] Owner Owner’s Age Residence State...Separate Account B of Ing Usa Annuity Life Insurance Co • September 22nd, 2008
If this Contract is in force on the Annuity Commencement Date, we will commence Annuity Payments based on the Annuity Plan you have selected according to the terms on this and the following pages. If you die prior to the Annuity Commencement Date and this Contract is in force, we will pay the Death Benefit to the Beneficiary.
