required in 2015, must satisfy the Firm Element requirement by attending the RR/Agent Firm Element meeting by Nov. 30, 2015.

(1)

Field News

_{Registered Representatives & Agents}

2015 Firm Element Training for

To:

Field Management

From:

Sandra N. Gill, Vice President, Agency

R. Morris Sims, MSM, CLU, ChFC, Vice President, Agency

Summary

All agents, both registered representatives (RR) and non-registered agents, for whom a supervisory interview is

required in 2015, must satisfy the Firm Element requirement by attending the RR/Agent Firm Element meeting by

Nov. 30, 2015.

All field managers must attend the entire RR/Agent Firm Element Meeting and also attend a Management Firm

Element meeting held in the General Office. Materials for the RR/Agent Firm Element meeting will include a

complete Leader Guide, a Video to be shown during the meeting, a Handout Package, and all the information and

documents needed to conduct the meeting.

Two copies of a DVD containing the Leader Guide, Video, Handout Package materials, and Attendance Sheet will

be sent to Sales Development Manager in each GO, who will provide one copy to their Agency Standards

Consultant. The Management Firm Element will be delivered by Zone Standards Officers as part of their review of

the General Office. There will be a Firm Element CBT Requirement to be completed for 2015, and additional

information will be provided on this in a future

Field News

.

Requirements for 2015

Attendance at the entire 2015 RR/Agent Firm Element meeting is required for the following parties by Nov. 30,

2015:



All field managers



All agents, both registered representatives and non-registered agents, for whom a supervisory interview is

required in 2015 (this includes all corporate contracts except non-registered non-soliciting sub-agents).



All registered service assistants



All TAS agents triggered prior to Oct. 1, 2015



All agents who have become RRs of NYLIFE Securities by either passing their Series 6 or 7 Exam or

transferring their registration to NYLIFE prior to Oct. 1, 2015.

All field managers (Managing Partners, Senior Partners, Partners, Sales Development Managers, Agency Standards

Consultants, the Chief Operating Officer, the Executive Partner, Administrative Managers, as well as newly

appointed and directly appointed managers-whether registered or not), must satisfy ALL of the following

requirements:

1. Attend a Firm Element group meeting conducted in your General Office, which includes viewing of the

new 2015 Firm Element Video in its entirety.

2. Attend the 2015 Management Firm Element meeting conducted by a member of the Zone Agency

Standards staff.

(2)

Issue 18, M1 - 2 May 4, 2015

There will be a Firm Element CBT Requirement in addition to the Annual Compliance Questionnaire requirement

for all agents in 2015. Additional information will be provided in a future Field News.

If a direct appointment manager becomes registered with NYLIFE Securities LLC after either the Firm Element or

Management Firm Element meetings have been held, the Managing Partner or Agency Standards Consultant must

cover the material with the new manager within 90 days of his/her appointment or by year-end, whichever is

earlier. Completion of these requirements must be recorded on the appropriate attendance log and maintained

with the GO's Firm Element records. The Sales Development Manager (SDM) must record and track attendance at

the Management Firm Element meeting for all field managers in their GO.

Penalties for Non-Compliance with Firm Element Requirement

Registered representatives who fail to satisfy required aspects of their 2015 Firm Element training by Dec. 31, 2015

and field managers who fail to satisfy required aspects of their 2015 Firm Element training by Dec. 31, 2015 may

have their securities license(s) suspended and will be subject to disciplinary action, up to and including possible

termination.

Non-registered agents who do not complete their Firm Element requirement will be subject to suspension and

disciplinary action up to and including possible termination.

Checklist for Managers: The 2015 Firm Element Meeting



Notify your non-registered agents, registered representatives and management staff of your intent to

conduct a group meeting to satisfy the Firm Element training requirement.



Schedule more than one Firm Element group meeting so all agents can satisfy their Firm Element training

requirement. To help ensure deadlines are met, it is recommended that you schedule one meeting to take

place in October.



Two copies of a DVD containing the Leader Guide, Video, Handout Package materials, and Attendance

Sheet will be sent to the Sales Development Manager in each GO, who will provide one copy to their

Agency Standards Consultant.

Copy the Leader Guide, Video, Handout Package materials, and Attendance Sheet from the DVD onto

your computer. Sales Development Managers are expected to provide the DVD to the GO Agency

Standards Consultant.



Distribute the "Handout Package" which supplements the Video to non-registered agents and registered

representatives electronically. There is no requirement to distribute a paper copy of the Handout Package

at the group meetings, nor are attendees required to bring the Handouts to the meeting. Attendees will

acknowledge via the attendance sheet that they received the Handout Package either electronically or in

hard copy.



The Sales Development Manager is responsible for monitoring and recording attendance at each

Agent/RR Firm Element meeting and Management Firm Element meeting, including recording attendance

data for all attendees (agents, registered representatives and management). For offices with more than

one SDM, please ensure that it is clearly understood which SDM is to be held accountable for these

responsibilities.

(3)



Keep copies of all attendance logs (for both agent/RR, and management meetings) in the General Office

training log.



Periodically notify non-registered agents, registered representatives and managers who have not

attended a group meeting that required participants must attend a meeting before Nov. 30, 2015.

Managers must attend the Agent/RR Firm Element meeting and the Management Firm Element meeting

by Dec. 31, 2015.

Questions

If you have questions about accessing the 2015 Firm Element materials, contact Corporate Vice President Mark

Mantell at 914-846-3324. All other questions should be directed toward the Agency Standards or Training staff in

your Zone.

(4)

(5)

Field News

Annuity Updates

To:

Agent and Field Management

From:

Eileen Allen, Director and Actuary, Fixed Deferred Annuity Product Management

Summary



Preferred Choice Fixed Annuity Renewal Rate Update: In 2014, we introduced a new renewal rate

strategy for our Preferred Choice Fixed Annuity. Please see below for details and tips on communication.



New Training Requirements for Fixed Deferred Annuities: Effective July 6, 2015, product-specific

training for New York Life Fixed Deferred Annuities will be required regardless of those states that have

adopted the NAIC Model suitability training requirements. Please see below for details and minor

variations.

Reminder: Preferred Choice Fixed Annuity Renewal Rate Update

What you need to know: In 2014, we introduced a new renewal rate strategy for our Preferred Choice Fixed

Annuity. This new interest rate strategy converts potential upside in renewal rates to higher up front guaranteed

rates. For policies issued on or after July 14, 2014, this results in:

1) Higher initial rates in the guarantee period.

2) Lower in-surrender renewal rates (at or near the GMIR).

3) In-surrender renewal rates

are still tied to the Preferred Choice base rate

, specifically the 1-year

guarantee/6-year surrender period option.

What to say: You should describe the renewal rate expectation as follows:

At the end of the initial interest rate guarantee period, the policy will receive a new renewal rate at each

anniversary. You should generally expect your renewal rate within the surrender charge period to reset at

or near the guaranteed minimum interest rate (GMIR) stated in your policy but never lower.

Marketing Materials: A new marketing piece entitled “Telling our renewal rate story” has been created and can

be found on Agency Portal through the following path.

Resources>Annuities>Non-Registered Products>FDA

Other applicable marketing materials will now use phrasing similar to the above statement. Updated materials can

be found on Agency Portal.

Renewal Rate Updates: Product specific renewal rates for inforce policies will continue to be updated weekly and

can be found on Agency Portal through the following path.

Resources>Annuities>Non-Registered

Products>Interest Rates

Please direct any further questions regarding the Preferred Choice Fixed Annuity Renewal Rate Update to the

Investments Sales Desk at 1-800-NYLife8, option 3.

(6)

Issue 18 A1 - 2 May, 04, 2015

Fixed Deferred Annuity Training Requirements

Due to the intricacies associated with a number of our products, effective July 6, 2015, product specific training

will be required in all jurisdictions for the New York Life Secure Term MVA Fixed Annuity and New York Life Clear

Income Fixed Annuity. In addition, product-specific training is required, in all cases, for all new Fixed Deferred

Annuity products introduced after Jan. 1, 2015. Please note, agents in jurisdictions that have not adopted the

NAIC Model suitability training requirements, or their equivalent, are not required to take training for the Secure

Term Choice, Preferred Choice, and Flexible Premium Fixed Annuities. The following table summarizes the

changes:

Application Signature Date

Secure Term MVA, Clear Income

All New Products Introduced After 1/1/2015

Preferred Choice, Secure Term Choice, Flexible Premium Fixed Annuity

Secure Term MVA, Clear Income

All New Products Introduced After 1/1/2015

Preferred Choice, Secure Term Choice, Flexible Premium Fixed Annuity

Pre 7/6/2015 Yes Yes Yes No Yes No

7/6/2015 & Later Yes Yes Yes Yes Yes No

Product-Specific Training Required?

NAIC States* Non NAIC States**

* As of 1/1/15, states that have adopted the NAIC Model suitability training requirements, or their equivalent, are Alaska, California, Colorado, Connecticut, District of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Mississippi, Nebraska, New Hampshire, New Jersey, New York, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Texas, Utah, Washington, West Virginia, Wisconsin, Wyoming

** As of 1/1/15, states that have not adopted the NAIC Model suitability training requirements, or their equivalent, are Alabama, Arkansas, Arizona, Delaware, Georgia, Massachusetts, Maine, Missouri, Montana, North Carolina, New Mexico, Nevada, Oklahoma, Pennsylvania, Tennessee, Virginia, Vermont

If the applicable product specific training is not passed prior to the application signed date, the business

submitted will be considered Not in Good Order (NIGO) and a new application will be required after successful

completion of the relevant training course. We advise all agents that have not yet taken the required training to

login to NYLICU at their earliest convenience and pass the necessary courses in order to avoid NIGO designations

due to lack of training.

(7)

Field News

May Forms Release

To:

Agents, Registered Representatives and Field Management

From:

VP, Mitch Ascione, VP, John DiRago, and VP, Stephanie Frawley

– Insurance & Agency Group – Service Organization

Summary

We are pleased to announce our forms release for May 4, 2015.

Forms Release

Beginning May 4, 2015 the updated forms can be obtained from the Forms Library or from the applicable forms

vendor using your standard ordering procedures. Please contact your General office Administrative Manager if

you have questions about how to order a particular form.

The next scheduled forms distribution is June 1, 2015. If you have any questions about any of the updated forms,

please e-mail:

[email protected]

.

The following forms have been updated:

Form Name

Form Number

State

1. Request for Acceptance of Premiums in Advance with Discount

(“Lock-In”) (05/15) 6813 General

2. New York Life Guaranteed Future Income Annuity Additional

payments Form (05/15) 18951 General

3. Internal NYLIAC Annuity Roth IRA Conversion Form (05/15) 18739C General

4. Periodic Partial Withdrawal/Partial Withdrawal Request Form (05/15) 18484 General

5. Periodic Partial Withdrawal/Partial Withdrawal Request Form for Tax

Sheltered Annuities (05/15) 18484T General

6. Periodic Partial Withdrawal/Partial Withdrawal Request Form for Tax

Sheltered Annuities (05/15) 18484FT General

7. Periodic Partial Withdrawal/Partial Withdrawal Request Form (05/15) 18484F General

8. One-Time Total Reallocation, Future Payment Allocation, Automatic

Asset Reallocation and Individual Fund Transfer Form (VA) (05/15) 18485 General

9. Tax Deferred Annuity (403 (b)) Policy Loan Agreement Form (05/15) 18505F General

10. Tax Deferred Annuity (402(b)) Policy Loan Agreement Form for

Variable Products (05/15) 18505V General

11. Full Surrender Form (05/15) 18510 General

12. Full Surrender From for Tax Sheltered Annuities (05/15) 18510T General

13. Interest Sweep – Dollar Cost Averaging Form (05/15) 18523 General

14. New York Life Variable Annuities Investor Profile (05/15) 18745A CA, CT, DE, DC, FL, NY, ND,

SD

(8)

Issue 18 A1 - 2 May 04, 2015

Form Name

Form Number

State

16. Request for Acceptance of Premiums in Advance with Discount

(05/15) 19877 General

17. Notice Concerning Policyholder Rights in an Insolvency Under the

Minnesota Life & Health Ins. Assoc (03/15) 20829 General

18. One-Time Total Reallocation, Future Payment Allocation, Automatic

Asset Reallocation and Individual Fund Transfer Form (VUL) (05/15) 21130 General

19. Policy Loan Request Form (05/15) 21135PL General

20. Dividend Withdrawal Request Form (05/15) 21135WD General

21. New York Life Deferred Variable Annuity Application Kit NY(05/15) 213-A230NY NY

22. New York Life Deferred Variable Annuity Application Form -

NY(05/15) 213-A2030NY NY

23. New York Life Deferred Variable Annuity Application Kit (Interstate

Compact) (05/15) ICC15-AA70 AK, AZ, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME,

MI, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, VT, WA, WI, WV, WY

24. New York Life Deferred Variable Annuity Application Form (Interstate

Compact) (05/15) ICC15-AA70 AK, AR, AZ, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA,

MD, ME, MI, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, VT, WA, WI, WV, WY

Compact) - AL (05/15) ICC15-AA70AL AL

Compact) - AL (05/15)

ICC15-AA70AL AL

Compact) - AR (05/15) ICC15-AA70AR AR

Compact) - PA (05/15) ICC15-AA70PA PA

Compact) - VA (05/15) ICC15-AA70VA VA

30. New York Life Clear Income Fixed Annuity Application Kit (05/15) 214-AA20 CA, DC, DE, ND, SD

31. New York Life Clear Income Fixed Annuity Application Form (05/15) 214-AA20 CA, CT, DC, DE, ND, SD

32. New York Life Clear Income Fixed Annuity Application Kit – CT (05/15) 214-AA20CT CT

33. New York Life Clear Income Fixed Annuity Application Kit – FL (05/15) 214-AA20FL FL

34. New York Life Clear Income Fixed Annuity Application Form – FL

(05/15) 214-AA20FL FL

35. New York Life Clear Income Fixed Annuity Application Kit (Interstate

Compact) (05/15) ICC14-AA20 AK, AZ, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME,

MI, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, VT, WA, WI, WV, WY

(9)

Form Name

Form Number

State

36. New York Life Clear Income Fixed Annuity Application Form

(Interstate Compact) (05/15) ICC14-AA20 AK, AR, AZ, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA,

Compact) - AL (05/15) ICC14-AA20AL AL

(Interstate Compact) - AL (05/15) ICC14-AA20AL AL

Compact) - AR(05/15) ICC14-AA20AR AR

Compact) - PA (05/15) ICC14-AA20PA PA

Compact) - VA (05/15) ICC14-AA20VA VA

42. Individual Life Insurance Application - Part I (05/15) 215-500 DE

43. Individual Life Insurance Application - Part I (CT) (05/15) 215-500CT CT

44. Individual Life Insurance Application - Part I (DC) (05/15) 215-500DC DC

45. Individual Life Insurance Application - Part I (FL) (05/15) 215-500FL FL

46. Individual Life Insurance Application - Part I (ND) (05/15) 215-500ND ND

47. Individual Life Insurance Application - Part I (SD) (05/15) 215-500SD SD

48. Individual Life Insurance Application - Part I (Interstate Compact)

(05/15) 215-500 ICC14 AK, AR, AZ, CO, GA, HI, IA, ID, IL, IN, KY, LA, MA, MD,

MI, MN, MO, MN, MT, NC, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, WI, WV, WY

49. Individual Life Insurance Application - Part I (Interstate Compact) (AL)

(05/15) 215-500AL ICC14 AL

50. Individual Life Insurance Application - Part I (Interstate Compact) (KS)

(05/15) 215-500KS ICC14 KS

51. Individual Life Insurance Application - Part I (Interstate Compact) (ME)

(05/15) 215-500ME ICC14 ME

52. Individual Life Insurance Application - Part I (Interstate Compact) (NE)

(05/15) 215-500NE ICC14 NE

53. Individual Life Insurance Application - Part I (Interstate Compact) (PA)

(05/15) 215-500PA ICC14 PA

54. Individual Life Insurance Application - Part I (Interstate Compact) (VA)

(05/15) 215-500VA ICC14 VA

55. Individual Life Insurance Application - Part I (Interstate Compact) (VT)

(05/15) 215-500VT ICC14 VT

56. Individual Life Insurance Application - Part I (Interstate Compact)

(WA) (05/15) 215-500WA ICC14 WA

57. Medical Questionnaire – Non-Medical Application – Part II (05/15) 215-510 DC, DE

58. Medical Questionnaire – Non-Medical Application – Part II -

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Issue 18 A1 - 4 May 04, 2015

Form Name

Form Number

State

59. Medical Questionnaire – Non-Medical Application – Part II - FL(05/15) 215-510FL FL

60. Medical Questionnaire – Non-Medical Application – Part II - ND

(05/15) 215-510ND ND

61. Medical Questionnaire – Non-Medical Application – Part II - SD

(05/15) 215-510SD SD

62. Medical Questionnaire – Non-Medical Application – Part II –

(Interstate Compact) (05/15) ICC14-215-510 AK, AL, AR, AZ, CA, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA,

MA, MD, MI, MN, MO, MT, MS, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, VA,, WV, WI, WY

(Interstate Compact) (05/15) ICC14-215-510ME ME

(Interstate Compact) – PA, WA (05/15) ICC14-215-510PAWA PA, WA

(Interstate Compact) - VT (05/15) ICC14-215-510VT VT

66. Medical Examiner’s Report Application – Part II (05/15) 215-525 DC, DE

67. Medical Examiner’s Report Application – Part II - CT (05/15) 215-525CT CT

68. Medical Examiner’s Report Application – Part II - FL (05/15) 215-525FL FL

69. Medical Examiner’s Report Application – Part II - ND (05/15) 215-525ND ND

70. Medical Examiner’s Report Application – Part II - SD (05/15) 215-525SD SD

71. Medical Examiner’s Report Application – Part II (Interstate Compact)

(05/15) ICC14-215-525 AK, AL, AR, AZ, CA, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA,

MA, MD, MI, MN, MO, MT, MS, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, VA,, WV, WI, WY

72. Medical Examiner’s Report Application – Part II (Interstate Compact) -

ME (05/15) ICC14-215-525ME ME

73. Medical Examiner’s Report Application – Part II (Interstate Compact) –

PA, WA (05/15) ICC14-215-525PAWA PA, WA

VT (05/15) ICC14-215-525VT VT

75. Individual Life Insurance Application – Additional Insured - Part I

(05/15) 215-500OI DE

76. Individual Life Insurance Application – Additional Insured - Part I - FL

(05/15) 215-500FLOI FL

77. Individual Life Insurance Application – Additional Insured - Part I – CT

(05/15) 215-500CTOI CT

78. Individual Life Insurance Application – Additional Insured - Part I – ND

(05/15) 215-500NDOI ND

79. Individual Life Insurance Application – Additional Insured - Part I - SD

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Form Name

Form Number

State

(Interstate Compact) (05/15) ICC14-215-500OI AK, AL, AR, AZ, CO, GA, HI, IA, ID, IL, IN, KY, KS, LA, MA,

MD, MI, MN, MO, MN, MT, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, VA, WI, WV, WY

(Interstate Compact) – PA, WA (05/15) ICC14-215-500PAWAOI PA, WA

(Interstate Compact) - ME (05/15) ICC14-215-500MEOI ME

(Interstate Compact) - VT (05/15) ICC14-215-500VTOI VT

84. Interest Sweep – Dollar Cost Averaging Form (05/15) 21412 General

85. Partial Withdrawal/ Periodic Partial Withdrawal Request Form (05/15) 21575 General

86. Dollar Cost Averaging (DCA) Advantage Election (05/15) 22156 General

87. Investment Protection Plan Rider election Form (05/15) 22203 AK, AL, AR, AZ, CA, CO, CT,

DC, DE, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WI, WV, WY

88. Investment Protection Plan Rider election Form - FL (05/15) 22203FL FL

89. Investment Protection Plan Rider election Form - ME (05/15) 22203.50 ME

90. Investment Protection Plan Rider election Form - NY (05/15) 22203NY NY

91. Investment Protection Plan Rider election Form - TX (05/15) 22203TX TX

92. Investment Protection Plan Rider election Form - WA (05/15) 22203WA WA

93. Investment Protection Plan (IPP)/(IPPII)/Guaranteed Invest Protection

Rider (GIPR/GIPR 2.0) Svc Form (05/15) 22204 All states except OR

94. Accumulation Value Protect Plan (AVPP)/(IPPII)/Guaranteed Invest

Protect Rider (GIPR/GIPR 2.0) Svc Form (05/15) 22204OR OR

95. Client Profile for Deferred Variable Annuities (05/15) 22089 AK, AL, AR, AZ, CO, GA, HI,

IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, VT, WA, WI, WV, WY

96. Investor Profile Package – Variable Universal Life (VUL) Accumulator

(05/15) 22183 DE, DC, ND

97. Investor Profile Package – Variable Universal Life (VUL) Accumulator -

FL (05/15) 22183.28 FL

98. Investor Profile Package – Variable Universal Life (VUL) Accumulator -

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Issue 18 A1 - 6 May 04, 2015

Form Name

Form Number

State

(Interstate Compact) (05/15) ICC1522183 AK, AL, AR, AZ, CO, DC, DE, GA, HI, IA, ID, IL, IN, KS, KY,

LA, MA, MD, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, TN, UT, VA, VT, WA, WI, WV, WY

100. Dollar Cost Averaging Plus Change Request Form (05/15) 22592 General

101. Custom Whole Life /CSWL – Option 1 Election of Periodic Payment

from Dividends (For Mec) (05/15) 22797 General

102. Custom Whole Life /CSWL – Option 1 Election of Periodic Payment

from Dividends (For Non Mec) (05/15) 22798 General

103. Election of Periodic Payment from Dividends for Modified

Endowment Contracts (MEC) (05/15) 22799 General

104. Election of Periodic Payment from Dividends for Modified

Endowment Contracts (Non MEC) (05/15) 22800 General

105. CWL/CSWL – Option 2 Election of Periodic Payment Funded by Loans

(For MEC) (05/15) 22801 General

106. CWL/CSWL – Option 2 Election of Periodic Payment Funded by Loans

(For Non MEC) (05/15) 22802 General

107. Change of Expense Allocation/Prem. Funds Transfer, and Full

Reallocation of Existing Funds Form (05/15) 22962 General

108. Automatic Asset Reallocation – Interest Sweep – Dollar cost

Averaging Form (Lifetime Wealth VUL) (05/15) 22963 General

109. Periodic Partial Withdrawal/Partial Withdrawal Request Form (Lifetime

Wealth VUL) (05/15) 22964 General

110.Investor Profile for New York Life Income Plus Variable Annuities

(05/15) 23087A AK, AL, AR, AZ, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA,

111.Investor Profile for New York Life Income Plus Variable Annuities

(05/15) 23087B CA, DE, DC, FL, ND, SD

112. Income Plus Model Portfolio Allocation Change Form (05/15) 23091 General

113. Income Start Date Change Request (05/15) 23097 General

114. Discretionary Income Benefit Purchase Form (05/15) 23098 General

115. Successor Owner Verification (05/15) 23145 General

116. CA VUL Policy & Illustration Delivered by Mail (05/15) 23243 General

117. Future Income Purchase Form (05/15) 23330 General

118. CorpExec Accumulator Variable Universal Life (CEAVUL) Simplified

Issue Application (05/15) 315-600 CT, DC, SD

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Form Name

Form Number

State

Issue Application (Interstate Compact) (05/15) ICC15-315-600 AK, AL, AR, CO, GA, HI, IA, ID, IN, KS, KY, LA, MA, MD,

MI, MN, MO, MS, NC, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WV, WY 121. CorpExec Accumulator Variable Universal Life (CEAVUL) Simplified

Issue Application (Interstate Compact) - IL (05/15) ICC15-315-600IL IL

Issue Application (Interstate Compact) - ME (05/15) ICC15-315-600ME ME

Issue Application (Interstate Compact) - VT (05/15) ICC15-315-600VT VT

124. Guaranteed Issue Application for Executive Benefits Application

(051/5) 315-650 AZ, CT, DC, MT

125. Guaranteed Issue Application for Executive Benefits Application - ND

(051/5) 315-650ND ND

126. Guaranteed Issue Application for Executive Benefits Application - SD

(051/5) 315-650SD SD

(Interstate Compact) (051/5) ICC15-315-650 AK, AL, AR, CO, GA, HI, IA, ID, IN, KS, KY, LA, MA, MD,

MI, MN, MO, MS, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, VA, WI, WV, WY

(Interstate Compact) - IL (051/5) ICC15-315-650IL IL

(Interstate Compact) – PA, WA (051/5) ICC15-315-650PW PA, WA

130. Partial Withdrawal Request Form (05/15) 4377P General

131. Full Surrender Request Form (05/15) 4377F All states except NY

132. Full Surrender Request Form - NY (05/15) 4377FNY NY

133.New York Life Variable Annuity Application – Agent Statement

(05/15) 995-593 (AST) AK, AR, AZ, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA,

134.New York Life Variable Annuity Application – Agent Statement - AL

(05/15) 995-593AL (AST) AL

135.New York Life Variable Annuity Application – Agent Statement - NY

(05/15) 995-593NY (AST) NY

136. Application for Reinstatement of Life Insurance To: (05/15) 998-585 AK, AL, AZ, CA, CT, DE, GA,

Hi, IA, ID, IL, IN, KS, LA, MI, MN, MO, MS, MT, ND, NE,NV, OK, OR, RI, SC, SD, TN, TX, UT, VT, WA, WV, WI, WY

137. Application for Reinstatement of Life Insurance To: (05/15) 998-585.10 AR, KY, NM, OH

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Issue 18 A1 - 8 May 04, 2015

Form Name

Form Number

State

139. Application for Reinstatement of Life Insurance To: (05/15) 998-585.15 FL

140. Application for Reinstatement of Life Insurance To: (05/15) 998-585.17 NJ

141. Application for Reinstatement of Life Insurance To: (05/15) 998-585.18 CO

142. Application for Reinstatement of Life Insurance To: (05/15) 998-585.19 VA

143. Application for Reinstatement of Life Insurance To: (05/15) 998-585.20 MD

144. Application for Reinstatement of Life Insurance To: (05/15) 998-585.23 DC

145. Application for Reinstatement of Life Insurance To: (05/15) 998-585.80 NH, NC, MA

146. Application for Reinstatement of Life Insurance To: (05/15) 998-585.89 ME

147. Guaranteed Lifetime Income Annuity Client Suitability Determination

(05/15) GLIA General

148. Guaranteed Future Income Annuity Suitability Standards (05/15) GFIA General

149. NYLIFE Securities LLC AdviserOne Application & Investor Profile Form

“FOR RR USE ONLY” (05/15) IS02 General

150. NYLIFE Security Non-Proprietary Variable Products Investor Profile

“FOR RR USE ONLY” For use 5/1/15 IS22 General

151. NYLIFE Securities LLC – AdviserOne Premiere Select IRA App Investor

Profile “FOR RR USE ONLY” (05/15) IS51 General

152. NYLIFE Sec Premiere Select Simple IRA App & Investor Profile “FOR

RR USE ONLY” 5/1/15 IS31 General

153. MainStay Funds Transfer/Registration Change Form (01/14) & May 1,

2015 NYLIFE Securities MainStay Funds Investor Profile (05/15) IS601 General

154. MainStay Funds Retail Account Application & NYLIFE Sec Mainstay

Funds Investor Profile (05/15) MS03NYL General

155. MainStay Funds IRA Account Application & NYLIFE Sec Mainstay

Funds Investor Profile (MS55NYL) (05/15) MSIRA03NYL General

156. MainStay Funds CESA Account Application & NYLIFE Sec Mainstay

Funds Investor Profile (MS55NYL) (05/15) MSESA03NYL General

157. MainStay Funds Retirement Plan Account Application (05/15) MSRPS55a General

158. NYL Retirement SIMPLE IRA Application (05/14) & NYLIFE Sec

MainStay Funds Investor Profile (05/15) RPSSIMIPN General

159. NYLIFE Securities LLC Non-Proprietary Group Annuity Plan

Application Form – For Use 5/1/15 NP04 General

160. NYLIFE Security Non-Proprietary Mutual Funds Investor Profile &

Account Application “FOR RR USE ONLY” For use 5/1/15 NPFMP General

161. NYLIFE Securities Non-Proprietary Retirement Plan Application “FOR

RR USE ONLY” (05/15) NPRPA General

162. NYLIFE Securities Non-Proprietary Section 519 Investor Profile “FOR

RR USE ONLY” For use 5/1/15 NPS529 General

163. New York Life Variable Annuities Prospectus Supplement Pension

Plans Only (05/15) PPKSUP General

164. Partial 1035 Exchange – Fund LTCi Premiums from Variable Annuities

(15)

The following forms have been deleted:

Form Name

Form Number

State

1. Individual Life Insurance Application – Part I (05/14) 214-500 DC, DE

2. Individual Life Insurance Application – Part I (05/14) 214-500CT CT

3. Individual Life Insurance Application – Part I (05/14) 214-500FL FL

4. Individual Life Insurance Application – Part I (05/14) 214-500ND ND

5. Individual Life Insurance Application – Part I (05/14) 214-500SD SD

6. Individual Life Insurance Application – Part I (Interstate Compact)

(05/14) 214-500 ICC13 AK, AL, AR, AZ, CO, GA, HI, IA, ID, IL, IN, KY, KS, LA, MA,

7. Individual Life Insurance Application – Part I (Interstate Compact) - AL

(05/14) 214-500AL ICC13 AL

8. Individual Life Insurance Application – Part I (Interstate Compact) - KS

(05/14) 214-500KS ICC13 KS

9. Individual Life Insurance Application – Part I (Interstate Compact) -

ME (05/14) 214-500ME ICC13 ME

10. Individual Life Insurance Application – Part I (Interstate Compact) - NE

(05/14) 214-500NE ICC13 NE

11. Individual Life Insurance Application – Part I (Interstate Compact) - PA

(05/14) 214-500PA ICC13 PA

12. Individual Life Insurance Application – Part I (Interstate Compact) - VA

(05/14) 214-500VA ICC13 VA

13. Individual Life Insurance Application – Part I (Interstate Compact) - VT

(05/14) 214-500VT ICC13 VT

14. Individual Life Insurance Application – Part I (Interstate Compact) -

WA (05/14) 214-500WA ICC13 WA

15. New York Life Deferred Variable Annuity Application kit - AZ(05/14) 213-A203AZ AZ

16. New York Life Deferred Variable Annuity Application Form -

AZ(05/14) 213-A203AZ AZ

17. New York Life Deferred Variable Annuity Application kit (Interstate

Compact) (05/14) ICC13-A203 AK, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI,

MN, MO, MN, MT, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, VT, WA, WI, WV, WY

Compact) (05/14) ICC13-A203 AK, AR, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME,

MI, MN, MO, MN, MT, NC, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, VT, WA, WI, WV, WY

Compact) - AL (05/14) ICC13-A203AL AL

20. New York Life Deferred Variable Annuity Application Form –

(Interstate Compact) - AL (05/14) ICC13-A203AL AL

(16)

Issue 18 A1 - 10 May 04, 2015

Form Name

Form Number

State

Compact) - PA (05/14) ICC13-A203PA PA

Compact) - VA (05/14) ICC13-A203VA VA

24. New York Life Clear Income Fixed Annuity Application kit (10/14) 214-A300 DC, ND, SD

25. New York Life Clear Income Fixed Annuity Application Form (10/14) 214-A300 CT, DC, ND, SD

26. New York Life Clear Income Fixed Annuity Application kit – CT (10/14) 214-A300CT CT

27. New York Life Clear Income Fixed Annuity Application kit – FL (10/14) 214-A300FL FL

28. New York Life Clear Income Fixed Annuity Application Form – FL

(10/14) 214-A300FL FL

29. New York Life Clear Income Fixed Annuity Application kit (Interstate

Compact) (10/14) ICC14-A300 AK, AZ, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME,

MI, MN, MO, MN, MT, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, VT, WA, WI, WV, WY

(Interstate Compact) (10/14) ICC14-A300 AK, AR, AZ, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA,

MD, ME, MI, MN, MO, MN, MT, NC, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, VT, WA, WI, WV, WY

31. New York Life Clear Income Fixed Annuity Application kit – (Interstate

Compact) - AL (10/14) ICC14-A300AL AL

(Interstate Compact) - AL (10/14) ICC14-A300AL AL

Compact) - AR (10/14) ICC14-A300AR AR

Compact) - PA (10/14) ICC14-A300PA PA

Compact) - VA (10/14) ICC14-A300VA VA

(Interstate Compact) (11/14) ICC1322183 AK, AL, AR, AZ, CO, DC, DE, GA, HI, IA, ID, IL, IN, KS, KY,

LA, MA, MD, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, TN, UT, VA, VT, WA, WI, WV, WY

37. Medical Questionnaire – Non-Medical Application – Part II (11/12) 213-510 DC, DE, MT

38. Medical Questionnaire – Non-Medical Application – Part II – CT

(11/12) 213-510CT CT

39. Medical Questionnaire – Non-Medical Application – Part II - FL

(11/12) 213-510FL FL

40. Medical Questionnaire – Non-Medical Application – Part II – ND

(11/12) 213-510ND ND

41. Medical Questionnaire – Non-Medical Application – Part II – SD

(11/12)

(17)

Form Name

Form Number

State

42. Medical Questionnaire – Non-Medical Application – Part II (Interstate

Compact) (11/12) ICC12-213-510 AK, AL, AR, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA,

MD, MI, MN, MO, MT, MS, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, VA, WA, WV, WY

Compact) - ME (11/12) ICC12-213-510ME ME

Compact) - VT (11/12) ICC12-213-510VT VT

45. Medical Examiner’s Report Application – Part II (02/14) 213-525 DC, DE, MT

46. Medical Examiner’s Report Application – Part II - CT (02/14) 213-525CT CT

47. Medical Examiner’s Report Application – Part II - FL (02/14) 213-525FL FL

48. Medical Examiner’s Report Application – Part II - ND (02/14) 213-525ND ND

49. Medical Examiner’s Report Application – Part II - SD (02/14) 213-525SD SD

50. Medical Examiner’s Report Application – Part II (Interstate Compact)

(02/14) ICC12-213-525 AK, AL, AR, CO, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA,

MD, MI, MN, MO, MT, MS, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TN, TX, UT, VA, WA, WV, WY

ME (02/14) ICC12-213-525ME ME

VT (02/14) ICC12-213-525VT VT

(02/14) 214-500OI DC, DE

(02/14) 214-500AZOI AZ

55. Individual Life Insurance Application – Additional Insured - Part I - CT

(02/14) 214-500CTOI CT

(02/14) 214-500FLOI FL

(02/14) 214-500NDOI ND

(02/14) 214-500SDOI SD

(Interstate Compact) (02/14) ICC13-214-500OI AK, AL, AR, AZ, CO, GA, HI, IA, ID, IL, IN, KY, KS, LA, MA,

(Interstate Compact) - ME (02/14) ICC13-214-500MEOI ME

(Interstate Compact) – PA, WA (02/14) ICC13-214-500PAWAOI PA, WA

(18)

Issue 18 A1 - 12 May 04, 2015

Form Name

Form Number

State

Issue Application (11/13) 313-600 CT, SD

Issue Application - ND (11/13) 313-600DC DC

Issue Application - ND (11/13) 313-600ND ND

Issue Application (Interstate Compact) (11/13) ICC13-313-600 AK, AL, AR, CO, GA, HI, IA, ID, IN, KS, KY, LA, MA, MD,

MI, MN, MO, MS, NC, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WV, WY 67. CorpExec Accumulator Variable Universal Life (CEAVUL) Simplified

Issue Application (Interstate Compact) - IL (11/13) ICC13-313-600IL IL

Issue Application (Interstate Compact) - ME (11/13) ICC13-313-600ME ME

Issue Application (Interstate Compact) - VT(11/13) ICC13-313-600VT VT

(12/12) 313-650 AZ, CT, MT

71. Guaranteed Issue Application for Executive Benefits Application - DC

(12/12) 313-650DC DC

72. Guaranteed Issue Application for Executive Benefits Application - ND

(12/12) 313-650ND ND

73. Guaranteed Issue Application for Executive Benefits Application - SD

(12/12) 313-650SD SD

(Interstate Compact) (12/12) ICC12-313-650 AK, AL, AR, CO, GA, HI, IA, ID, IN, KS, KY, LA, MA, MD,

MI, MN, MO, MS, NC, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WV, WY

(Interstate Compact) - IL (12/12) ICC12-313-650IL IL