VARIABLE ANNUITY

The SecureDesigns Variable Annuity offers a strategy that allows you to benefit from market participation, with the ability to choose from optional benefits and riders that can provide an immediate bonus, protect contract values or waive or modify withdrawal charges.

  • Investment Flexibility
  • Tax-deferred Growth
  • Customized Benefits and Riders
Overview

Product Materials
SecureDesigns Product Brochure (PDF)
SecureDesigns Fact Sheet (PDF)
Prospectus (PDF)

Investment Flexibility
With more than 90 underlying investment options from some of the most recognized and highly regarded money managers in the industry, you can build an investment strategy that aligns with your financial goals and risk tolerance.

Tax-deferred Growth
SecureDesigns offers the advantage of tax-deferred growth at a lower cost than many of today’s most popular annuities.

Customize Your Annuity
With SecureDesigns, you can select from a menu of benefits that fit your financial situation, putting you in the driver’s seat when it comes to product cost and features.

SecureDesigns Variable Annuity Forms
For help on filling out the forms, please view the instructions.

Annuitization

Use this form to begin annuity payments.

Annuity Loan Application & Agreement

Use this form to establish a loan on your account.

Asset Reallocation

Use this form to automatically transfer contract values to maintain a specific percentage allocation among your current and future investment options.

Change Investment Allocation

Use this form to modify your existing and/or future investment allocations. This includes a one-time re-balance and/or a transfer of Contract Value between investment options.

Collateral Assignment

Use this form to assign a Non-Qualified Contract/Policy (the "Contract") as collateral.

Dollar Cost Averaging

Use this form to request periodic exchanges from one investment option to one or more investment options.

Domestic Violence Confidential Communication

Form for victims of domestic violence in New York to submit a valid order of protection and request a confidential alternative means of communication. Use this form to provide an alternative address, telephone number or other method of contact.

Electronic Authorization

Use this form to activate electronic services such as telephone authorization.

Electronic Bank Info

Use this form to activate or update electronic bank deposits/withdrawals.

Incoming Funds Transfer-Rollover

Use this form to transfer funds from your current carrier to First Security Benefit Life.

Information Authorization

For replacing an existing life insurance policy or annuity contract with a First Security Benefit Life product.

Internal Exchange Statement & Agreement

Use this form to transfer funds internally from one account to another.

Investment Advisor Authorization

Use this form to establish authority for your investment advisor.

Non-Financial Change (Name, Address, Beneficiary, etc.)

Use this form to modify or change information regarding the roles on your account: Owner, Joint Owner, Annuitant and/or Beneficiary name and/or address change.

Proof of Death

This form is to be completed in order to claim proceeds payable upon death. A separate Proof of Death form should be completed and signed by each beneficiary.

Required Minimum Distribution

The Internal Revenue Service ("IRS") requires individuals to begin receiving a Required Minimum Distribution ("RMD") from qualified account(s) at 70 ½. Upon attaining this age, it is your responsibility to request these distributions. Use this form to request an RMD.

Salary Reduction Agreement

Use this form to set up contributions to your 457 or Tax Sheltered account from your paycheck. Please check with your employer to verify that this agreement meets your employer's requirements.

Scheduled Systematic Withdrawals

Use this form to establish or change a Scheduled Systematic Withdrawal (SSW) from your account.

Surrender Charge Waiver

This form must accompany each withdrawal requested under the Surrender Charge Waiver option. Certify your reason for waiver and have your physician complete and sign the Physician's Signature Section.

Form Completion Instructions
Please review these instructions prior to completing any of the forms online. The majority of our forms are designed in a fillable format so you may enter the required information online. If you experience problems and need assistance, please call our Service Center at 800.888.2461.

  • Select the form you wish to complete.
  • Enter the information into the fillable fields.
  • Save the form in a desired location on your computer.
  • Print a copy of the form.
  • Make sure you obtain all applicable signatures.
  • Return the form to First Security Benefit Life for processing. You may mail or fax the form.

First Security Benefit Life Administrative Office
P.O. Box 750497
Topeka, KS 66675-0497
Fax to: 785.368.1772

These forms are formatted in Adobe Acrobat. To view and print these forms, you will need the Adobe Acrobat “plug-in” for your browser. You may experience difficulties if you do not have the latest version installed on your computer. The link below will take you to the Adobe Acrobat site where you can download the “plug-in” free of charge.

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Talk to your financial representative to see if SecureDesigns is right for you.

Annuities are long-term investments suitable for retirement investing. All guarantees provided in an annuity are subject to the claims-paying ability of the issuing insurer.

Annuities are not insured by the FDIC or otherwise insured or guaranteed by the Federal government or any of its agencies. They are not obligations of, or guaranteed by, any bank, savings and loan or credit union.

The investment return and principal value of an investment in variable annuities will fluctuate and you may have a gain or loss at redemption.

You should carefully consider the investment objectives, risks, and charges and expenses of the variable annuity and its underlying investment options before investing. You may obtain a prospectus for the variable annuity and prospectuses or summary prospectuses (if available) for the underlying investment options by calling our Service Center at 1-800-888-2461. You should read the prospectuses carefully before investing. Investing in variable annuities involves risk and there is no guarantee of investment results.

Annuities are issued by First Security Benefit Life Insurance and Annuity Company of New York (FSBL), New York, NY. Variable annuities are distributed by Security Distributors, an affiliate of FSBL. The SecureDesigns® Variable Annuity (form FSB236 (10-10)) is a flexible premium deferred variable annuity issued by FSBL.

Neither FSBL nor Security Distributors is a fiduciary and the information provided is not intended to be investment advice. This information is general in nature and intended for use with the general public. For additional information, including any specific advice or recommendations, please visit with your financial professional.