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Policy form numbers and issuing companies

The issuing company for the products listed below is: ING USA Annuity and Life Insurance Company and distributed by Directed Services, Inc, member NASD.

ING GoldenSelect Access
GA-CA-1034, GA-IA-1034, GA-IA-1035; State variations may apply.
Benefit rider forms: GA-RA-1047 (10/02); IU-RA-3023; GA-RA-1086 and GA-RA-1114.

ING GoldenSelect Access (WA State)
Contract form series GA-CA-1034, GA-IA-1034 and GA-IA-1035. State variations may apply.
Benefit rider form GA-RA-1047 (10/02) (WA), and IU-RA-3023.

ING GoldenSelect ESII/ Generations/Opportunities
Contract form series GA-CA-1074, GA-IA-1074 and GA-IA-1075. State variations may apply.
Benefit rider forms: GA-RA-1047 (10/02); IU-RA-3023; GA-RA-1086 and GA-RA-1114.

ING GoldenSelect ESII/ Generations/Opportunities (WA State)
Contract form series GA-CA-1074, GA-IA-1074 and GA-IA-1075. State variations may apply.
Benefit rider form GA-RA-1047 (10/02) (WA), and IU-RA-3023.

ING GoldenSelect Landmark/Landmark Merrill Lynch\Legends
Contract form series GA-CA-1082, GA-IA-1082 and GA-IA-1083. State variations may apply.
Benefit rider forms: GA-RA-1047 (10/02); IU-RA-3023; GA-RA-1086 and GA-RA-1114.

ING GoldenSelect Landmark/Landmark Merrill Lynch\Legends (WA State)
Contract form series GA-CA-1082, GA-IA-1082 and GA-IA-1083. State variations may apply.
Benefit rider form GA-RA-1047 (10/02) (WA), and IU-RA-3023.

ING GoldenSelect Premium Plus
Contract form series GA-CA-1036, GA-IA-1036 and GA-IA-1037. State variations may apply.
Benefit rider forms: GA-RA-1047 (10/02); GA-RA-1086, GA-RA-1114, and IU-RA-3023.

ING GoldenSelect Premium Plus (WA State)
Contract form GA-IA-1037.
Benefit rider form GA-RA-1047 (10/02) (WA); IU-RA-3023.

ING SmartDesign Variable Annuity
Contract Form Series: GA-CA-1080, GA-IA-1080 and
GA-IA-1081.

ING SmartDesign Advantage Variable Annuity
Contract Form Series: GA-CA-1090, GA-IA-1090,
GA-RA-1104, GA-RA-1045

ING Signature Variable Annuity
Contract Form Series: GA-RA-1045

ING Simplicity
Contract Form Series: IU-IA-3020

New York Products
In New York, ING variable annuities are issued by ReliaStar Life Insurance Company of New York and distributed by Directed Services, Inc., member NASD.

ING Empire Innovations
Contract Form: RLNY-IA-2027

ING SmartDesign Variable Annuity (NY)
Contract Form Series: RLNY-IA-1090, RLNY-RA-1089and RLNY-RA-1085

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