SEC Info - Minnesota Life Individual Variable Universal Life Account, et al. - ‘485BPOS’ on 4/25/17

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Minnesota Life Individual Variable Universal Life Account, et al. – ‘485BPOS’ on 4/25/17 – ‘EX-99.26.E.1’

On: Tuesday, 4/25/17, at 9:44am ET · Effective: 5/1/17 · Accession #: 1193125-17-135898 · File #s: 811-22093, 333-183590

Previous ‘485BPOS’: ‘485BPOS’ on 4/25/17 · Next: ‘485BPOS’ on 4/25/17 · Latest: ‘485BPOS’ on 4/26/24 · 50 References:

  As Of                Filer                Filing    For·On·As Docs:Size              Issuer               Agent

 4/25/17  Minnesota Life Individual V… Acct 485BPOS     5/01/17   11:974K                                   Donnelley … Solutions/FA
          → Minnesota Life Individual Variable Universal Life Account ⇒ ML Premier Variable Universal Life

Post-Effective Amendment
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 485BPOS     Post-Effective Amendment                             271   1.38M 
 2: EX-99.26.E.1  Miscellaneous Exhibit                                8     44K 
 3: EX-99.26.E.2  Miscellaneous Exhibit                                2     14K 
 4: EX-99.26.E.3  Miscellaneous Exhibit                                2     14K 
 5: EX-99.26.E.4  Miscellaneous Exhibit                                8     49K 
 6: EX-99.26.E.5  Miscellaneous Exhibit                                9     55K 
 7: EX-99.26.K  Miscellaneous Exhibit                                  2±     8K 
 8: EX-99.26.L  Miscellaneous Exhibit                                  2±     8K 
 9: EX-99.26.M  Miscellaneous Exhibit                                  2±    10K 
10: EX-99.26.N  Miscellaneous Exhibit                                  1      6K 
11: EX-99.26.R  Miscellaneous Exhibit                                  2     11K

EX-99.26.E.1 — Miscellaneous Exhibit

EX-99.26.E.1 1st Page of 8 TOC ↑Top Previous Next ↓Bottom Just 1st
 
                                                                EXHIBIT 26(e)(1)

APPLICATION PART 1                                                              

INDIVIDUAL LIFE INSURANCE                                                       

                                                        [Enlarge/Download Table]
                                                                                             
MINNESOTA LIFE INSURANCE COMPANY - A Securian Company                                        
Life New Business . 400 Robert Street North . St. Paul, Minnesota 55101-2098  [SECURIAN LOGO]

                                                        [Enlarge/Download Table]
                                                                                                                        
A. PROPOSED INSURED INFORMATION                                                                                         

If the insured is 17 or younger, also submit the Proposed Insured Juvenile                                              
Information for Ages 0-17 form.                                                                                         

Proposed insured name (last, first, middle)                                                                             

Social Security number      Date of birth (month, day, year)   Gender                                                   
                                                               [ ] Male   [ ] Female                                    

Primary telephone number                              Birthplace (state or, if outside the US, country)                 
                               [ ] Landline   [ ] Cell                                                                  

Street address (no P.O. Box)                                                       Apartment or unit number             

City                                                    State                      Zip code                             

E-mail address                                          Occupation                                   Years in occupation

Earned income           Unearned income                 Total net worth            Liquid net worth                     

Driver's license number                                 Issue state                Expiration date                      

[ ] Exercise the Exchange of Insureds Agreement on policy number___________ for                                         
    (name of previous insured)______________________.                                                                   

B. OWNER (APPLICANT) INFORMATION                                                                                        

Only complete this section if the owner is different than the insured. If                                               
multiple owners, all must sign as owner on the Application Part 3 and submit the                                        
Authorization and Release for Joint Communication Involving Multiple Owners                                             
form.                                                                                                                   

Owner name (last, first, middle)                                     Relationship to proposed insured                   

Owner is:                                                                                                               

[ ] Individual(s)                                                                                                       

[ ] Trust (submit Certification of Trustee Authority form)                                                              

[ ] Corporation (submit Corporate/Non-Profit Resolution form) If the owner is                                           
    the employer of the proposed insured, please also submit the Employer                                               
    Notification Regarding the Potential Taxation of Death Benefit forms.                                               

[ ] Partnership (submit Partnership/LLC Resolution form) If the owner is the                                            
    employer of the proposed insured, please also submit the Employer Notification                                      
    Regarding the Potential Taxation of Death Benefit forms.                                                            

Social Security or tax ID number                             Gender                    Date of birth or trust date      
                                                             [ ] Male  [ ] Female                                       

Street address (no P.O. box)                                                           Apartment or unit number         

City                                                                 State             Zip code                         

Primary telephone number                                Email address                                                   

                               [ ] Landline   [ ] Cell                                                                  


ICC16-59410                                                               1 of 8

EX-99.26.E.1 2nd Page of 8 TOC 1st Previous Next ↓Bottom Just 2nd
C. SPECIAL MAILING ADDRESSES                                                    

Complete this section for any requests to mail items anywhere other than the    
home address listed in Section A or B. If this section is not filled out,       
everything will be mailed to the address listed in Section A or B. (If there is 
more than one special address needed, please note in Section O (Additional      
Remarks).                                                                       

[ ] Third party notification - The address listed below will receive notice     
of overdue premium or pending lapse.                                    

[ ] Billing address - All premium notices will be sent to the address below.    

[ ] Special mailing address - The address listed below will receive all         
correspondence for this policy. If a billing address is requested, the  
special mailing address will not receive a copy of the premium notice.  

                                                        [Enlarge/Download Table]
>                                                                                                  
                                                                                                   

Name (last, first, middle)                                                                         

Address                                                                                            

City                                                    State          Zip code                    

D. PRODUCT                                                                                         

PRODUCT 1                                                                                          

Product applied for                                Amount of insurance (face amount)               

Annual planned premium                             Custom pay whole life (indicate number of years)
(not applicable to term or whole life products)                                                    

Pay to age (for whole life products only, defaults to age 121 if not specified)                    

Death benefit qualification test (for universal life products only, defaults to                    
GPT if none selected)                                                                              
[ ] Guideline Premium Test (GPT)   [ ] Cash Value Accumulation Test (CVAT)                         

Death benefit option (for universal life products only, defaults to level if                       
none selected)                                                                                     
[ ] Level    [ ] Increasing    [ ] Sum of Premiums                                                 

Dividend option (for whole life products only, defaults to paid-up additions if                    
none selected) IRS form W-9 is required for accumulation at interest                               

PRODUCT 2                                                                                          

Product applied for                                Amount of insurance (face amount)               

Annual planned premium                             Custom pay whole life (indicate number of years)
(not applicable to term or whole life products)                                                    

Pay to age (for whole life products only, defaults to age 121 if not specified)                    

Death benefit qualification test (for universal life products only, defaults to                    
GPT if none selected)                                                                              
[ ] Guideline Premium Test (GPT)   [ ] Cash Value Accumulation Test (CVAT)                         

Death benefit option (for universal life products only, defaults to level if                       
none selected)                                                                                     
[ ] Level     [ ] Increasing       [ ] Sum of Premiums                                             

Dividend option (for whole life products only, defaults to paid-up additions if                    
none selected) IRS form W-9 is required for accumulation at interest                               

ICC16-59410                                                               2 of 8

EX-99.26.E.1 3rd Page of 8 TOC 1st Previous Next ↓Bottom Just 3rd
E. ADDITIONAL BENEFITS AND AGREEMENTS                                           

SELECT ONLY THOSE AGREEMENTS AVAILABLE ON THE PRODUCT(S) APPLIED FOR.           

                                                        [Enlarge/Download Table]
                                                                                                           
PRODUCT                                                                                                    
 1     2                                                                                                   
[ ]   [ ]  Accelerated Death Benefit/Accelerated Death Benefit for Terminal Illness Agreement              
           (For whole life and term, submit Outline of Coverage Accelerated Benefit Agreement)             
           (For universal life, submit Outline of Coverage Accelerated Death Benefit for Terminal Illness  
           Agreement)                                                                                      
[ ]   [ ]  Accelerated Death Benefit for Chronic Illness Agreement (Submit Outline of Coverage Accelerated 
           Death)                                                                                          
           Benefits for Chronic Illness Agreement and Chronic Illness Supplemental Application)            
[ ]   [ ]  Accidental Death Benefit Agreement $___________________(Coverage Amount)                        
[ ]   [ ]  Additional Insurance Agreement $____________________(Coverage Amount)                           
[ ]   [ ]  Benefit Distribution Agreement (Submit Benefit Distribution Agreement Supplemental Application) 
[ ]   [ ]  Business Continuation Agreement (Submit Business Continuation Agreement Covered Individuals)    
[ ]   [ ]  Business Value Enhancement Agreement                                                            
[ ]   [ ]  Children's Term or Family Term - Child Agreement (Submit Family/Children's Term Application)    
[ ]   [ ]  Chronic Illness Conversion Agreement (Submit Chronic Illness Supplemental Application)          
[ ]   [ ]  Death Benefit Guarantee Flex Agreement                                                          
[ ]   [ ]  Early Values Agreement                                                                          
[ ]   [ ]  Estate Preservation Agreement                                                                   
[ ]   [ ]  Estate Preservation Choice Agreement ___________________________(Designated Life Name)          
[ ]   [ ]  Exchange of Insureds Agreement                                                                  
[ ]   [ ]  Extended Conversion Agreement                                                                   
[ ]   [ ]  First to Die Agreement $____________________(Coverage Amount)                                   
[ ]   [ ]  Flexible Term Agreement                                                                         
           [ ] 10-year Flexible Term Agreement $____________________ (Coverage Amount)                     
           [ ] 20-year Flexible Term Agreement $____________________ (Coverage Amount)                     
[ ]   [ ]  Guaranteed Income Agreement                                                                     
[ ]   [ ]  Guaranteed Insurability Option Agreement $____________________ (Coverage Amount)                
[ ]   [ ]  Guaranteed Insurability Option for Business Agreement    $____________________ (Coverage Amount)
[ ]   [ ]  Income Protection Agreement (Submit Income Protection Agreement Supplemental Application)       
[ ]   [ ]  Inflation Agreement                                                                             
[ ]   [ ]  Interest Accumulation Agreement ________________% (Increase Factor Percentage)                  
[ ]   [ ]  Level Term Insurance Agreement $____________________ (Coverage Amount)                          
[ ]   [ ]  Overloan Protection Agreement                                                                   
[ ]   [ ]  Performance Death Benefit Guarantee Agreement                                                   
[ ]   [ ]  Premium Deposit Account Agreement (Submit IRS Form W-9)                                         
[ ]   [ ]  Single Life Term Agreement______________________________(Designated Life Name)                  
           $___________________ (Coverage Amount)                                                          
[ ]   [ ]  Single Premium Paid-Up Additional Insurance Agreement $________________(Premium Amount)         
[ ]   [ ]  Surrender Value Enhancement Agreement                                                           
[ ]   [ ]  Term Insurance Agreement $___________________ (Coverage Amount)                                 
[ ]   [ ]  Waiver of Charges Agreement                                                                     
[ ]   [ ]  Waiver of Premium Agreement                                                                     
[ ]   [ ]  Other _____________________________________________________________________                     
[ ]   [ ]  Other _____________________________________________________________________                     

THE FOLLOWING BENEFITS AND AGREEMENTS WILL BE ADDED IF AVAILABLE FOR YOUR       
POLICY, UNLESS YOU CHOOSE TO OMIT THEM:                                         

                                                                [Download Table]
                                                  
PRODUCT                                           
 1    2                                           
[ ]   [ ]    Omit Automatic Premium Loan Provision
[ ]   [ ]    Omit Indexed Loan Agreement          
[ ]   [ ]    Omit Policy Split Agreement          

ICC16-59410                                                               3 of 8

EX-99.26.E.1 4th Page of 8 TOC 1st Previous Next ↓Bottom Just 4th
F. SPECIAL POLICY DATE                                                          

Select one of the following for special dating requests:                        
[ ] Date to save age                                                            
OR                                                                              
[ ] Specific date (month/day/year):____________________(cannot select 29th,     
30th, or 31st of the month)                                                     

Are there any other Minnesota Life applications associated with  [ ] Yes  [ ] No
this application?                                                               

If yes, provide the names of the associated applicants: ________________________
________________________________________________________________________________

If there are multiple applications, should they all have the     [ ] Yes  [ ] No
same date?                                                                      

(If yes is checked, this will require all applications to be held until all are 
underwritten.)                                                                  

G. IN FORCE, PENDING AND REPLACEMENT                                            

Submit the appropriate replacement forms (may be needed even if no replacement  
is indicated; not needed if only replacing group coverage except in MI and WA). 

Excluding this policy, does the proposed insured have any life   [ ] Yes  [ ] No
insurance or annuities in force or pending? (This includes life                 
insurance sold or assigned, or that is in the process of being                  
sold or assigned.) If yes, provide details in the chart below.                  

Excluding this policy, has there been, or will there be,         [ ] Yes  [ ] No
replacement of any existing life insurance or annuities as a                    
result of this application? (Replacement includes a lapse,                      
surrender, 1035 Exchange, loan, withdrawal, or other change to                  
any existing life insurance or annuity.) If yes, provide                        
details in the chart below.                                                     

Please indicate all life insurance or annuities currently in force, pending or  
that have been in force within the last 12 months and identify below if any of  
this coverage will be replaced. Replacement forms may be required.              

IN FORCE AND PENDING                                                            

                                                        [Enlarge/Download Table]

                            Year                                                          Will it be
Full Company Name  Amount  Issued   Product Type     The Policy is            Type         Replaced?
-----------------  ------  ------  -------------  --------------------  ----------------  ----------
                                                                                                    
                                   [ ] Annuity    [ ] In Force          [ ] Individual      [ ] Yes 
                                                  [ ] Pending           [ ] Group                   
                                   [ ] Life       [ ] Pending w/        [ ] Personal        [ ] No  
                                                      money submitted   [ ] Business                
                                   [ ] Annuity    [ ] In Force          [ ] Individual      [ ] Yes 
                                                  [ ] Pending           [ ] Group                   
                                   [ ] Life       [ ] Pending w/        [ ] Personal        [ ] No  
                                                      money submitted   [ ] Business                
                                   [ ] Annuity    [ ] In Force          [ ] Individual      [ ] Yes 
                                                  [ ] Pending           [ ] Group                   
                                   [ ] Life       [ ] Pending w/        [ ] Personal        [ ] No  
                                                      money submitted   [ ] Business                
                                   [ ] Annuity    [ ] In Force          [ ] Individual      [ ] Yes 
                                                  [ ] Pending           [ ] Group                   
                                   [ ] Life       [ ] Pending w/        [ ] Personal        [ ] No  
                                                      money submitted   [ ] Business                
                                   [ ] Annuity    [ ] In Force          [ ] Individual      [ ] Yes 
                                                  [ ] Pending           [ ] Group                   
                                   [ ] Life       [ ] Pending w/        [ ] Personal        [ ] No  
                                                      money submitted   [ ] Business                
                                   [ ] Annuity    [ ] In Force          [ ] Individual      [ ] Yes 
                                                  [ ] Pending           [ ] Group                   
                                   [ ] Life       [ ] Pending w/        [ ] Personal        [ ] No  
                                                      money submitted   [ ] Business                

ICC16-59410                                                               4 of 8

EX-99.26.E.1 5th Page of 8 TOC 1st Previous Next ↓Bottom Just 5th
H. BENEFICIARY                                                                  

All designated beneficiaries will be considered primary beneficiaries, sharing  
equally, unless otherwise indicated. If there is more than one primary or       
contingent beneficiary, the total for each beneficiary class must equal 100%.   

Class:   [ ] Primary_______%   [ ] Contingent_______%                           
Name (first, middle, last)                                                      

Relationship to insured                         Birth/trust date                

Address                                         City, state, zip code           

Telephone number                                Social Security/tax ID number   

Email address                                                                   

Class:   [ ] Primary_______%   [ ] Contingent_______%                           
Name (first, middle, last)                                                      

Relationship to insured                         Birth/trust date                

Address                                         City, state, zip code           

Telephone number                                Social Security/tax ID number   

Email address                                                                   

Class:   [ ] Primary_______%   [ ] Contingent_______%                           
Name (first, middle, last)                                                      

Relationship to insured                         Birth/trust date                

Address                                         City, state, zip code           

Telephone number                                Social Security/tax ID number   

Email address                                                                   

Class:   [ ] Primary_______%   [ ] Contingent_______%                           
Name (first, middle, last)                                                      

Relationship to insured                         Birth/trust date                

Address                                         City, state, zip code           

Telephone number                                Social Security/tax ID number   

Email address                                                                   

Class:   [ ] Primary_______%   [ ] Contingent_______%                           
Name (first, middle, last)                                                      

Relationship to insured                         Birth/trust date                

Address                                         City, state, zip code           

Telephone number                                Social Security/tax ID number   

Email address                                                                   

ICC16-59410                                                               5 of 8

EX-99.26.E.1 6th Page of 8 TOC 1st Previous Next ↓Bottom Just 6th
I. PREMIUM INFORMATION                                                          

PAYMENT METHOD:                                                                 

[ ] Annual       [ ] Quarterly                                                  
[ ] Semi-Annual  [ ] Monthly Electronic Funds Transfer (EFT) Plan               
 Number_________________________________
 (if new plan, submit EFT Authorization)

[ ] Premium Deposit Account (submit a completed IRS form W-9)                   

[ ] List Bill Plan Number  _________________________  (if a new plan,  submit   
List Bill Setup form)                                                   

SOURCE OF FUNDS                                                                 

Indicate below how the policy(ies) will be funded. Select all that apply:       

                                                        [Enlarge/Download Table]

QUALIFIED ASSETS                      NON-QUALIFIED ASSETS               OTHER               
                                                                                             
[ ] Non-Governmental 403(b) plan      [ ] Non-qualified annuity          [ ] Earnings        
[ ] Employer sponsored qualified      [ ] Existing insurance             [ ] Gift/Inheritance
    retirement plan (401(k) plan,     [ ] Non-qualified retirement plan  [ ] Home equity     
    pension plan)                     [ ] Sale of investments                                
[ ] Governmental  or  non-electing    [ ] Savings                                            
    church qualified retirement plan                                                         
[ ] IRA (Including Roth IRA and                                                              
    Individual Retirement Annuities)                                                         
[ ] Section 457 plan                                                                         
[ ] Governmental or ministers 403(b)                                                         
    plan                                                                                     

If you are partially or wholly liquidating taxable funds such as income         
producing funds, qualified retirement assets (including IRA's), annuities or    
investments, your signature on this application confirms your understanding that
there may be tax consequences to doing so. You should consult your tax advisor. 

J. ADDITIONAL PREMIUM                                                           

1035 EXCHANGE                                                                   

                                                        [Enlarge/Download Table]
                                                                                                             
$____________________________________________                                                                
(If yes, submit 1035 Exchange Agreement form)                                                                

UNIVERSAL LIFE ADDITIONAL PREMIUM (EXCLUDING 1035)                                                           

$____________________________________________                                                                

WHOLE LIFE ADDITIONAL PREMIUM (EXCLUDING 1035)                                                               

$____________________________________________  [ ]Billable  [ ] Paid at issue  [ ] Billable and paid at issue

K. MONEY SUBMITTED WITH APPLICATION (NOT AVAILABLE FOR APPLICATIONS TAKEN IN    
KANSAS)                                                                         

Make all checks payable to Minnesota Life.                                      

COLLECT MONEY ONLY IF THE LIFE RECEIPT AND TEMPORARY INSURANCE AGREEMENT FORM IS
LEFT WITH THE PROPOSED OWNER, AND THE APPLICATION MEETS THE CONDITIONS OF THE   
LIFE RECEIPT.                                                                   

MONEY COLLECTED SHOULD BE GREATER THAN OR EQUAL TO THE INITIAL MINIMUM PREMIUM  
FOR THE POLICY APPLIED FOR.                                                     

Has the owner submitted money with this application?           [ ] Yes   [ ] No 
If yes, amount: $_______________                                                

Was the Life Receipt and Temporary Insurance Agreement given?  [ ] Yes   [ ] No 

ICC16-59410                                                               6 of 8

EX-99.26.E.1 7th Page of 8 TOC 1st Previous Next ↓Bottom Just 7th
L. ILLUSTRATION INFORMATION                                                     

LIFE INSURANCE ILLUSTRATION (REQUIRED WHEN APPLYING FOR NON-VARIABLE LIFE       
INSURANCE PRODUCTS EXCLUDING TERM)                                              

A life insurance illustration is a projection intended to demonstrate the impact
of premium payments and policy charges on the accumulation value and death      
benefit under a set of assumptions.                                             

IF A SIGNED ILLUSTRATION IS NOT SUBMITTED WITH THIS APPLICATION, CHECK THE      
APPROPRIATE BOX INDICATING THE REASON BELOW:                                    

[ ] An illustration was presented to me during the sales process, however, it is
  not being submitted because the policy I am applying for is different than
what was illustrated.                                                   

[ ] An illustration was not presented to me during the sales process.           

By signing the application and checking a box above, both the representative and
owner certify that i) no illustration is submitted with the application for the 
reason indicated above, ii) that a signed illustration will be obtained at the  
time the policy is delivered to the owner and iii) that the signed illustration 
will be returned to Minnesota Life after the policy is delivered.               

M. INSURABLE INTEREST, PREMIUM FINANCING AND SUITABILITY                        

1. Is this policy in accordance with the owner's insurance        [ ] Yes [ ] No
objectives and anticipated financial needs?                               

2. Has the representative discussed with the owner: the need      [ ] Yes [ ] No
for the policy, the ability to continue to pay premiums and               
whether the policy is suitable for the proposed owner?                    

3. Will the owner and/or beneficiary, and/or any individual or    [ ] Yes [ ] No
entity on the owner's behalf, receive any compensation,                   
whether via the form of cash, property, an agreement to pay               
money in the future or otherwise as an inducement to apply                
for this policy?                                                          

4. Has the representative recommended that the owner use          [ ] Yes [ ] No
qualified plan or IRA funds to purchase this policy?                      

   If yes, has the representative recommended to the owner which  [ ] Yes [ ] No
qualified plan or IRA the premium amounts should come from?               

5. Has the representative recommended that the owner modify       [ ] Yes [ ] No
distribution payments from a pension plan, IRA or other                   
qualified plan?                                                           

6. Has the owner been involved in any discussion about the        [ ] Yes [ ] No
possible sale or assignment of this policy or a beneficial                
interest in a trust, LLC, or other entity created on the                  
owner's behalf? If yes, provide details and a copy of the                 
applicable entity's controlling documents.                                

_____________________________________________________________             
_____________________________________________________________             

7. Is this policy being funded via a premium financing loan or    [ ] Yes [ ] No
with funds borrowed, advanced or paid from another person or              
entity (including a loan against your home or other assets)?              
If yes, submit the Premium Financing Advisor Attestation and              
Premium Financing Client Disclosure forms.                                

_____________________________________________________________             
_____________________________________________________________             

8. Has the proposed insured had a life expectancy report or       [ ] Yes [ ] No
evaluation done by an outside entity or company? If yes,                  
explain why the expectancy report was obtained.                           

_____________________________________________________________             
_____________________________________________________________             

9. Has the owner previously sold or assigned, or is in the        [ ] Yes [ ] No
process of selling or assigning a life insurance policy on                
the proposed insured to a life settlement, viatical or                    
secondary market provider?                                                
If yes, provide details.                                                  

_____________________________________________________________             
_____________________________________________________________             

10. Reason for purchasing policy:                                               

    a.  Accumulation                                              [ ] Yes [ ] No
    b.  Business Planning/Key Person                              [ ] Yes [ ] No
    c.  Charitable Giving                                         [ ] Yes [ ] No
    d.  Death Benefit Protection                                  [ ] Yes [ ] No
    e.  Estate Planning                                           [ ] Yes [ ] No
    f.  Retirement/Deferred Compensation                          [ ] Yes [ ] No
    g.  Other_________________________________                    [ ] Yes [ ] No

ICC16-59410                                                               7 of 8

EX-99.26.E.1 Last Page of 8 TOC 1st Previous Next ↓Bottom Just 8th
N. PROPOSED INSURED UNDERWRITING INFORMATION                                    

1. Is the proposed insured a U.S. citizen?                        [ ] Yes [ ] No

If no, citizen of ____________________________                            

Indicate visa type ___________________________                            

2. Does the proposed insured plan to travel or reside outside     [ ] Yes [ ] No
the U.S. in the next two years? If yes, please complete a                 
Foreign Travel Questionnaire.                                             

3. Has the proposed insured within the last five years, or does   [ ] Yes [ ] No
the proposed insured plan, within the next two years, to                  
engage in piloting an aircraft (including gliders, ultralight             
vehicles, or any other type of airframe)? If yes, complete                
the Military and Aviation Statement.                                      

4. Has the proposed insured within the last five years, or does   [ ] Yes [ ] No
the proposed insured plan, within the next two years, to                  
engage in skin diving (scuba or other), sky diving,                       
mountain/rock climbing, horse racing, rodeo, bull fighting,               
bungee jumping, BASE jumping, canyoneering, combat                        
sports (boxing, mixed martial arts or other), professional                
wrestling, extreme skiing/snowboarding, or motor sports?                  
If yes, complete the Sports and Avocation Statement.                      

5. Is the proposed insured in the Armed Forces, National Guard,   [ ] Yes [ ] No
or Reserves?                                                              
If yes, complete the Military and Aviation Statement.                     

6. Has the proposed insured applied for insurance within the      [ ] Yes [ ] No
last six months?                                                          
If yes, provide details below (number of applications and                 
face amounts, etc.).                                                      

_____________________________________________________________             
_____________________________________________________________             

7. Has the proposed insured applied for life insurance in the     [ ] Yes [ ] No
past five years that was declined or rated? If yes, provide               
details below.                                                            

_____________________________________________________________             
_____________________________________________________________             

8. Has the proposed insured, within the past five years, been     [ ] Yes [ ] No
convicted of a driving while intoxicated violation, had a                 
driver's license restricted or revoked, or been convicted of              
a moving violation?                                                       
If yes, provide dates and details below.                                  

_____________________________________________________________             
_____________________________________________________________             

9. Except for traffic violations, has the proposed insured ever   [ ] Yes [ ] No
been convicted of a misdemeanor or felony? If yes, provide                
dates and details below.                                                  

_____________________________________________________________             
_____________________________________________________________             

10. A. Has the proposed insured smoked cigarettes in the past 12  [ ] Yes [ ] No
months?                                                           
    B. Has the proposed insured ever smoked cigarettes? If yes,   [ ] Yes [ ] No
complete the table below.                                         

    ----------------------------------------------------------------------------
                                             Date last
  Current smoker  Past smoker   Packs per day  cigarette smoked (mm, dd, yy)
[ ]            [ ]                                            
    ----------------------------------------------------------------------------

    C. Has the proposed insured used tobacco or nicotine of any   [ ] Yes [ ] No
kind, other than cigarettes, in any form, in the last 12          
months?                                                           

    D. Has the proposed insured ever used tobacco or nicotine of  [ ] Yes [ ] No
any kind, other than cigarettes, in any form? If yes,             
complete the table below.                                         

    ----------------------------------------------------------------------------
                                                       Date of
  What type    Current user    Past user    How much   last use (mm, dd, yy)
[ ]            [ ]                  
    ----------------------------------------------------------------------------

O. ADDITIONAL REMARKS                                                           

ICC16-59410                                                               8 of 8

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50 Subsequent Filings that Reference this Filing

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 4/26/24  Minnesota Life Individual V… Acct 485BPOS     5/01/24   26:7.7M                                   Donnelley … Solutions/FA
 4/26/24  Minnesota Life Individual V… Acct 485BPOS     5/01/24   26:10M                                    Donnelley … Solutions/FA
 4/26/24  Minnesota Life Individual V… Acct 485BPOS     5/01/24    7:2.2M                                   Donnelley … Solutions/FA
 4/26/24  Minnesota Life Individual V… Acct 485BPOS     5/01/24   26:10M                                    Donnelley … Solutions/FA
 4/26/24  Minnesota Life Individual V… Acct 485BPOS     5/01/24    8:2.6M                                   Donnelley … Solutions/FA
 4/26/24  Minnesota Life Var Life Account   485BPOS     5/01/24    6:2M                                     Donnelley … Solutions/FA
 4/26/24  Minnesota Life Var Life Account   485BPOS     5/01/24    6:1.9M                                   Donnelley … Solutions/FA
 4/26/24  Minnesota Life Var Life Account   485BPOS     5/01/24    6:1.9M                                   Donnelley … Solutions/FA
 4/26/24  Minnesota Life Var Life Account   485BPOS     5/01/24    6:2M                                     Donnelley … Solutions/FA
 4/26/24  Minnesota Life Var Life Account   485BPOS     5/01/24    6:2.1M                                   Donnelley … Solutions/FA
 8/30/23  Minnesota Life Individual V… Acct 485BPOS     8/30/23    5:1.9M                                   Donnelley … Solutions/FA
 8/30/23  Minnesota Life Individual V… Acct 485BPOS     8/30/23    5:2.3M                                   Donnelley … Solutions/FA
 4/27/23  Minnesota Life Individual V… Acct 485BPOS     5/01/23   25:6.6M                                   Donnelley … Solutions/FA
 4/27/23  Minnesota Life Individual V… Acct 485BPOS     5/01/23   22:8.4M                                   Donnelley … Solutions/FA
 4/27/23  Minnesota Life Individual V… Acct 485BPOS     5/01/23    6:2.1M                                   Donnelley … Solutions/FA
 4/27/23  Minnesota Life Individual V… Acct 485BPOS     5/01/23   23:8.8M                                   Donnelley … Solutions/FA
 4/27/23  Minnesota Life Individual V… Acct 485BPOS     5/01/23   15:2.9M                                   Donnelley … Solutions/FA
 4/27/23  Minnesota Life Var Life Account   485BPOS     5/01/23   20:5.2M                                   Donnelley … Solutions/FA
 4/27/23  Minnesota Life Var Life Account   485BPOS     5/01/23   20:5.1M                                   Donnelley … Solutions/FA
 4/27/23  Minnesota Life Var Life Account   485BPOS     5/01/23   20:5.2M                                   Donnelley … Solutions/FA
 4/27/23  Minnesota Life Var Life Account   485BPOS     5/01/23   20:5.3M                                   Donnelley … Solutions/FA
 4/27/23  Minnesota Life Var Life Account   485BPOS     5/01/23   20:5.4M                                   Donnelley … Solutions/FA
 2/23/23  Minnesota Life Individual V… Acct 485APOS               14:14M                                    Donnelley … Solutions/FA
11/08/22  Minnesota Life Individual V… Acct N-6/A                 11:5.1M                                   Donnelley … Solutions/FA
 8/01/22  Minnesota Life Individual V… Acct N-6                    8:2.4M                                   Donnelley … Solutions/FA
 4/27/22  Minnesota Life Individual V… Acct 485BPOS     4/29/22    6:2.2M                                   Donnelley … Solutions/FA
 4/27/22  Minnesota Life Individual V… Acct 485BPOS     4/29/22    6:1.3M                                   Donnelley … Solutions/FA
 4/27/22  Minnesota Life Individual V… Acct 485BPOS     4/29/22    7:2.2M                                   Donnelley … Solutions/FA
 4/27/22  Minnesota Life Individual V… Acct 485BPOS     4/29/22    6:1.6M                                   Donnelley … Solutions/FA
 4/27/22  Minnesota Life Var Life Account   485BPOS     4/29/22    6:1.3M                                   Donnelley … Solutions/FA
 4/27/22  Minnesota Life Var Life Account   485BPOS     4/29/22    6:1.2M                                   Donnelley … Solutions/FA
 4/27/22  Minnesota Life Var Life Account   485BPOS     4/29/22    6:1.3M                                   Donnelley … Solutions/FA
 4/27/22  Minnesota Life Var Life Account   485BPOS     4/29/22    6:1.3M                                   Donnelley … Solutions/FA
 4/27/22  Minnesota Life Var Life Account   485BPOS     4/29/22    6:1.5M                                   Donnelley … Solutions/FA
 2/23/22  Minnesota Life Individual V… Acct 485APOS                6:2.2M                                   Donnelley … Solutions/FA
12/15/21  Minnesota Life Individual V… Acct 485BPOS    12/15/21    6:1.2M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Individual V… Acct 485BPOS     5/01/21    9:2.5M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Individual V… Acct 485BPOS     5/01/21    5:1.2M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Individual V… Acct 485BPOS     5/01/21    9:2.4M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Individual V… Acct 485BPOS     5/01/21    9:1.9M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Var Life Account   485BPOS     5/01/21    6:1.2M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Var Life Account   485BPOS     5/01/21    6:1.2M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Var Life Account   485BPOS     5/01/21    6:1.3M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Var Life Account   485BPOS     5/01/21    6:1.4M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Var Life Account   485BPOS     5/01/21    6:1.3M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Var Life Account   485BPOS     5/01/21    6:1.2M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Var Life Account   485BPOS     5/01/21    6:1.2M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Var Life Account   485BPOS     5/01/21    6:1.3M                                   Donnelley … Solutions/FA
 4/28/21  Minnesota Life Var Life Account   485BPOS     5/01/21    6:1.4M                                   Donnelley … Solutions/FA
 2/23/21  Minnesota Life Individual V… Acct 485APOS¶    2/23/21    6:2.2M                                   Donnelley … Solutions/FA

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Filing Submission 0001193125-17-135898 – Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

Minnesota Life Individual Variable Universal Life Account, et al. – ‘485BPOS’ on 4/25/17 – ‘EX-99.26.E.1’

On: Tuesday, 4/25/17, at 9:44am ET · Effective: 5/1/17 · Accession #: 1193125-17-135898 · File #s: 811-22093, 333-183590

Post-Effective AmendmentFiling Table of Contents

EX-99.26.E.1 — Miscellaneous Exhibit

50 Subsequent Filings that Reference this Filing

Post-Effective Amendment
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