Filed On 12/17/98 · SEC Files 33-75292, 811-03240 · Accession Number 950129-98-5074
As Of Filer Filing On/For/As Docs:Pgs Issuer Agent
12/17/98 Variable Annuity Life Ins Co S..A 485BPOS 1/04/99 9:457 950129
Subsequent Filings That Reference This Filing:
4/30/03 Variable Annuity Life Ins Co S..A 485BPOS 4/30/03 10:509 899243
Variable Annuity Life Insurance Co Separate Account A
4/30/04 Variable Annuity Life Ins Co S..A 485BPOS 4/30/04 3:508 1193125
Variable Annuity Life Insurance Co Separate Account A
2/11/05 Variable Annuity Life Ins Co S..A 485APOS 1:257 1193125
Variable Annuity Life Insurance Co Separate Account A
4/29/05 Variable Annuity Life Ins Co S..A 485BPOS 5/02/05 3:512 1193125
Variable Annuity Life Insurance Co Separate Account A
Post-Effective Amendment
Filing Table of Contents
Document/Exhibit Description Pages Size
1: 485BPOS Valic Separate Account a (Pd Plus) 367 2,143K
2: EX-99.B4.BVII Specimen Simple Individual Retirement Annuity 18 112K
3: EX-99.B5.AIII Specimen Application for Portfolio Director 9± 38K
Plus
4: EX-99.B5.AIV Specimen Application for Portfolio Director Plus 9± 41K
5: EX-99.B5.BI Specimen Portfolio Director Plus Group Master 5± 24K
6: EX-99.B5.BII Specimen Portfolio Director Plus Group Master 4± 20K
7: EX-99.B8.J Agreement - T. Rowe Price Investment Services, Inc 13 63K
8: EX-99.B8.K Form of Participation Agreement - Evergreen Equity 31 65K
9: EX-99.B10 Consent of Independent Auditors 1 8K
EX-99.B5.BI · Specimen Portfolio Director Plus Group Master
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EXHIBIT 5(b)(i)
[VALIC LOGO] PORTFOLIO DIRECTOR PLUS GROUP MASTER APPLICATION
FOR USE WITH ALL PLAN TYPES EXCEPT NQDA
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THE VARIABLE ANNUITY LIFE INSURANCE COMPANY
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APPLICANT- [ ] Employer OR [ ] Other:
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Name:
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Tax I.D.#:
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Address:
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City: State: Zip:
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Telephone #:
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TYPE OF PLAN (choose one)
[ ] 403(b) Voluntary Deferred Annuity
[ ] 403(b) State Optional Retirement Plan
[ ] 403(b) Employer Retirement Plan
[ ] Deferred Compensation Plan (choose one):
[ ] 457(b) Public Employer [ ] 457(b) Private Non-Profit
[ ] Other:
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[ ] 401(a) or 403(a) Employer Retirement Plan
[ ] 401(a) or 403(a) Self Employed Retirement Plan
[ ] Other:
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Name of Plan:
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TYPE OF ORGANIZATION (choose one)
[ ] PS - Public Educational Institutions
[ ] NP - Non-Profit Organizations (choose one):
[ ] 501(c)(3)-Attach IRS determination letter [ ] Other
[ ] PFP - Private For-Profit Organizations
[ ] SLGOV - State and Local Governments
[ ] SELF - Self Employed Individuals
Nature of Business:
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STATEMENTS AND AGREEMENTS
A current prospectus for the Company's Separate Account for the contract was
provided with this application. Also, a current prospectus was provided for each
Fund selected in this plan. The prospectus for the Separate Account provides
sales expenses and other data. It is understood that annuity payments (and
termination values, if any) provided by the contract applied for are variable
and not guaranteed as to dollar amount when based on the investment experience
of the Company's Separate Account. It is understood and agreed that the
investment options under the contract will be limited to those options selected
on this form, except as otherwise indicated on the application or modified by
agreement between the Company and the Applicant, and will be subject to any
other limitations described in the contract. I hereby acknowledge that I have
read and understand the following information provided on the Information and
Instructions page:
o Fraud Warning (If applicable)
o Receipt of Premium Payments Prior to Establishing an Account
Dated at (City, State)
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Applicant Signature Date
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Applicant Title Employer Client #
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Agent Signature Date
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Print Agent Name State License #
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Manager Signature Date
PRIMARY INVESTMENT OPTIONS A maximum of thirty (30) variable funds may be chosen
by the group contract owner, which must include at least one money market fund
(see Receipt of Premium Payments Prior to Establishing an Account section). For
group contract owners who do not select investment options below, the investment
options available under the contract shall be the Primary Investment Options.
[ ] AGSPC Stock Index Fund
[ ] AGSPC Growth Fund
[ ] American General International Growth Fund
[ ] American General International Value Fund
[ ] American General Large Cap Growth Fund
[ ] American General Large Cap Value Fund
[ ] American General Mid Cap Growth Fund
[ ] American General Mid Cap Value Fund
[ ] American General Small Cap Growth Fund
[ ] American General Small Cap Value Fund
[ ] Founders Growth Fund
[ ] Putnam Global Growth Fund
[ ] Putnam New Opportunities Fund
[ ] Scudder Growth and Income Fund
[ ] Templeton International Fund
[ ] T. Rowe Price Small-Cap Stock Fund
[ ] Vanguard/Windsor II
[ ] American General Balanced Fund
[ ] Vanguard/Wellington Fund
[ ] American General Domestic Bond Fund
[ ] AGSPC Science & Technology Fund
[ ] American General Socially Responsible Fund
[ ] American General Money Market Fund
[ ] American General Conservative Growth Lifestyle Fund
[ ] American General Growth Lifestyle Fund
[ ] American General Moderate Growth Lifestyle Fund
ADDITIONAL OPTIONS These may be selected by the employer in addition to, or in
place of, those listed above for Employer-Sponsored Plans.
[ ] AGSPC International Equities
[ ] AGSPC MidCap Index Fund
[ ] AGSPC Small Cap Index Fund
[ ] AGSPC Growth & Income Fund
[ ] American Century-Twentieth Century Ultra Fund
[ ] Dreyfus Small Cap Portfolio
[ ] Neuberger & Berman Guardian Trust
[ ] Putnam OTC & Emerging Growth Fund
[ ] Templeton Foreign Fund-Class 1
[ ] AGSPC Capital Conservation Fund
[ ] AGSPC Government Securities Fund
[ ] AGSPC International Government Bond Fund
[ ] American General Core Bond Fund
[ ] American General High Yield Bond Fund
[ ] American General Strategic Bond Fund
[ ] Vanguard Fixed Income Securities Fund-Long-Term Corporate Portfolio
[ ] Vanguard Fixed Income Securities Fund-Long-Term U.S. Treasury Portfolio
[ ] AGSPC Social Awareness Fund
[ ] AGSPC Money Market Fund
[ ] Vanguard LifeStrategy Conservative Growth Portfolio
[ ] Vanguard LifeStrategy Growth Portfolio
[ ] Vanguard LifeStrategy Moderate Growth Portfolio
[ ] AGSPC Asset Allocation Fund
[ ] Templeton Asset Allocation Fund
FIXED INVESTMENT OPTIONS AVAILABLE UNDER THE CONTRACT
Fixed Account Plus and Short-Term Fixed Account
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Original Copy--Group Holder/Applicant, Two Copies--VALIC Home Office.
One Copy--Field Office
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INFORMATION AND INSTRUCTIONS
FRAUD WARNING
IN SOME STATES WE ARE REQUIRED TO ADVISE YOU OF THE FOLLOWING: Any person who
knowingly intends to defraud or facilitates a fraud against an insurer by
submitting an application or filing a false claim, or makes an incomplete or
deceptive statement of a material fact, may be guilty of insurance fraud.
FLORIDA RESIDENTS ONLY: Any person who knowingly and with intent to injure,
defraud or deceive any insurer, files a statement of claim or an application
containing any false, incomplete or misleading information, is guilty of a
felony of the third degree.
NEW JERSEY RESIDENTS ONLY: Any person who includes any false or misleading
information on an application for an insurance policy is subject to criminal
and civil penalties.
COLORADO, KENTUCKY AND PENNSYLVANIA RESIDENTS ONLY: Any person who knowingly
and with intent to defraud any insurance company or other person files an
application for insurance or statement of claim containing any materially false
information or conceals for the purpose of misleading, information concerning
any fact material thereto, commits a fraudulent insurance act, which is a crime
and subjects each person to criminal and civil penalties.
PREMIUM PAYMENT PROCESSING
VALIC has established certain standards for group premium remittances and
premium processing instructions to facilitate efficient processing of premium
payments. Premium processing instructions should be provided before or
concurrent with the group premium remittance. The instructions and remittance
should be in balance. VALIC's standards may require that premium processing
instructions be provided in one of several approved electronic formats,
depending upon the number of participants included in the remittance.
RECEIPT OF PREMIUM PAYMENTS PRIOR TO ESTABLISHING AN ACCOUNT
If we receive Purchase Payments for a participant before we receive the
participant's enrollment form, we will not be able to establish a permanent
account for that participant. Under those circumstances, we will take one of
the following actions:
RETURN PURCHASE PAYMENTS. If we do not have the participant's name, address or
social security number, we will return the Purchase Payment to you unless this
information is immediately provided to us.
EMPLOYER-DIRECTED ACCOUNT. If we have your participant's name, address and
social security number and we have entered into an Employer-Directed Account
Agreement with you, generally we will deposit the Purchase Payment in an
"Employer Directed" account invested in the Money Market Division selected. The
participant may not transfer these amounts until VALIC has received a completed
application or enrollment form.
STARTER ACCOUNT. If we have the participant's name, address and social
security number, but we do not have an Employer-Directed Account Agreement, we
will deposit the Purchase Payment in a "starter" account invested in the Money
Market Division selected. We will send the participant follow-up letters
requesting the information necessary to complete the application, including the
participant's allocation instructions. Unless a completed application or
enrollment form is received by us within 105 days of establishment of the
starter account, the account balance, including earnings will be returned to
you. VALIC will not be responsible for any adverse tax consequences to the
participant that may result from the return of the participant's contributions.
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