Form D Raw Data - Electronic Filing Depository

EFDID: 315003EFD: Raw Data

Issuer: Group Variable Annuity Series I Separate Account (0001780188) - D/A

Accession: 0001780188-24-000001 () (EDGAR Files) (Form D)

Edgar Posted: Apr. 19, 2024
EFD Posted: Apr. 19, 2024

- < edgarSubmission >

< schemaVersion > X0708 </ schemaVersion >

< submissionType > D/A </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001780188 </ cik >

< entityName > Group Variable Annuity Series I Separate Account </ entityName >

- < issuerAddress >

< street1 > 1299 ZURICH WAY </ street1 >

< city > SCHAUMBURG </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 425-577-5100 </ issuerPhoneNumber >

< jurisdictionOfInc > ILLINOIS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Other </ entityType >

< entityTypeOtherDesc > Insurance Company Separate Account </ entityTypeOtherDesc >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2019 </ value >

</ yearOfInc >

</ primaryIssuer >

- < issuerList >

- < issuer >

< cik > 0000351754 </ cik >

< entityName > Zurich American Life Insurance Co </ entityName >

- < issuerAddress >

< street1 > 1299 ZURICH WAY </ street1 >

< city > SCHAUMBURG </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 425-577-5100 </ issuerPhoneNumber >

< jurisdictionOfInc > ILLINOIS </ jurisdictionOfInc >

- < edgarPreviousNameList >

< previousName > KEMPER INVESTORS LIFE INSURANCE CO </ previousName >

</ edgarPreviousNameList >

< entityType > Corporation </ entityType >

- < yearOfInc >

< overFiveYears > true </ overFiveYears >

</ yearOfInc >

</ issuer >

</ issuerList >

- < relatedPersonsList >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > David </ firstName >

< lastName > Fike </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1299 Zurich Way </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > President, Chairman & Chief Executive Officer of Zurich American Life Insurance Company (ZALICO) </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Prithpal </ firstName >

< lastName > Ruprai </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 15303 Dallas Parkway </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President, Treasurer and Chief Financial Officer of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Laura </ firstName >

< lastName > Lazarczyk </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1299 Zurich Way </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Director, Vice President, General Counsel and Corporate Secretary of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Susan </ firstName >

< lastName > Havrish </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1299 Zurich Way </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President, Head of Product & Underwriting of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Michael </ firstName >

< lastName > Rohwetter </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 4 World Trade Center </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President, Chief Investment Officer of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Dave </ firstName >

< lastName > Dampman </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 7045 College Boulevard </ street1 >

< city > Overland Park </ city >

< stateOrCountry > KS </ stateOrCountry >

< stateOrCountryDescription > KANSAS </ stateOrCountryDescription >

< zipCode > 66211 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President, Operations of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Stacy </ firstName >

< lastName > Patacsil </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1299 Zurich Way </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > 38a-1 Chief Compliance Officer of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Farah </ firstName >

< lastName > Rehman </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 200 Sam Houston Parkway </ street1 >

< city > Houston </ city >

< stateOrCountry > TX </ stateOrCountry >

< stateOrCountryDescription > TEXAS </ stateOrCountryDescription >

< zipCode > 77042 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President and Responsible Officer, Illustrations of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Christopher </ firstName >

< lastName > Howard </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1299 Zurich Way </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President, Head of Market Management of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Stefan </ firstName >

< lastName > Dunajewski </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 4 World Trade Center </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President, Illustration Actuary and Chief Actuary of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Eoin </ firstName >

< lastName > McNamara </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 4 World Trade Center </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President, Chief Risk Officer of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Girish </ firstName >

< lastName > Rao </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1299 Zurich Way </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President, Chief Operations Officer, Technology and Innovation of ZALICO </ relationshipClarification >

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Insurance </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06c </ item >

< item > 3C </ item >

< item > 3C.7 </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > true </ isAmendment >

< previousAccessionNumber > 0001780188-23-000001 </ previousAccessionNumber >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2019-08-29 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > true </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isOtherType > true </ isOtherType >

< descriptionOfOtherType > Interests in ZALICO's Group Variable Annuity Series I Separate Account issued pursuant to group variable annuities. </ descriptionOfOtherType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

< clarificationOfResponse />

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 3000000 </ minimumInvestmentAccepted >

- < salesCompensationList >

- < recipient >

< recipientName > J. Alden Associates, Inc. </ recipientName >

< recipientCRDNumber > 40002 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 37 West Ave </ street1 >

< street2 > Suite 301 </ street2 >

< city > Wayne </ city >

< stateOrCountry > PA </ stateOrCountry >

< stateOrCountryDescription > PENNSYLVANIA </ stateOrCountryDescription >

< zipCode > 19087 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > DE </ state >

< description > DELAWARE </ description >

< state > IL </ state >

< description > ILLINOIS </ description >

< state > TX </ state >

< description > TEXAS </ description >

< state > IN </ state >

< description > INDIANA </ description >

< state > FL </ state >

< description > FLORIDA </ description >

< state > MS </ state >

< description > MISSISSIPPI </ description >

< state > AK </ state >

< description > ALASKA </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

< state > CO </ state >

< description > COLORADO </ description >

< state > CT </ state >

< description > CONNECTICUT </ description >

< state > MA </ state >

< description > MASSACHUSETTS </ description >

< state > MD </ state >

< description > MARYLAND </ description >

< state > IA </ state >

< description > IOWA </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > OH </ state >

< description > OHIO </ description >

< state > GA </ state >

< description > GEORGIA </ description >

< state > NJ </ state >

< description > NEW JERSEY </ description >

< state > DC </ state >

< description > DISTRICT OF COLUMBIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > BENEFIT FINANCE SECURITIES, LLC </ recipientName >

< recipientCRDNumber > 45113 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > SIX CITYPLACE DRIVE, SUITE 400 </ street1 >

< city > ST LOUIS </ city >

< stateOrCountry > MO </ stateOrCountry >

< stateOrCountryDescription > MISSOURI </ stateOrCountryDescription >

< zipCode > 45113 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > DE </ state >

< description > DELAWARE </ description >

< state > IL </ state >

< description > ILLINOIS </ description >

< state > TX </ state >

< description > TEXAS </ description >

< state > IN </ state >

< description > INDIANA </ description >

< state > FL </ state >

< description > FLORIDA </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

< state > CO </ state >

< description > COLORADO </ description >

< state > CT </ state >

< description > CONNECTICUT </ description >

< state > MA </ state >

< description > MASSACHUSETTS </ description >

< state > MD </ state >

< description > MARYLAND </ description >

< state > IA </ state >

< description > IOWA </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > OH </ state >

< description > OHIO </ description >

< state > GA </ state >

< description > GEORGIA </ description >

< state > NJ </ state >

< description > NEW JERSEY </ description >

< state > DC </ state >

< description > DISTRICT OF COLUMBIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > KESTRA INVESTMENT SERVICES </ recipientName >

< recipientCRDNumber > 42046 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 5707 SOUTHWEST PARKWAY </ street1 >

< street2 > Building 2, Suite 400 </ street2 >

< city > Austin </ city >

< stateOrCountry > TX </ stateOrCountry >

< stateOrCountryDescription > TEXAS </ stateOrCountryDescription >

< zipCode > 78735 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > DE </ state >

< description > DELAWARE </ description >

< state > IL </ state >

< description > ILLINOIS </ description >

< state > TX </ state >

< description > TEXAS </ description >

< state > IN </ state >

< description > INDIANA </ description >

< state > FL </ state >

< description > FLORIDA </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

< state > CO </ state >

< description > COLORADO </ description >

< state > CT </ state >

< description > CONNECTICUT </ description >

< state > MA </ state >

< description > MASSACHUSETTS </ description >

< state > MD </ state >

< description > MARYLAND </ description >

< state > IA </ state >

< description > IOWA </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > OH </ state >

< description > OHIO </ description >

< state > GA </ state >

< description > GEORGIA </ description >

< state > NJ </ state >

< description > NEW JERSEY </ description >

< state > DC </ state >

< description > DISTRICT OF COLUMBIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

</ salesCompensationList >

- < offeringSalesAmounts >

< totalOfferingAmount > Indefinite </ totalOfferingAmount >

< totalAmountSold > 585000000 </ totalAmountSold >

< totalRemaining > Indefinite </ totalRemaining >

< clarificationOfResponse />

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 15 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 2115000 </ dollarAmount >

< isEstimate > true </ isEstimate >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

< clarificationOfResponse />

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

</ grossProceedsUsed >

< clarificationOfResponse > Zurich American Life Insurance Company deducts charges from premium and contract values per terms of applicable annuity contract. </ clarificationOfResponse >

</ useOfProceeds >

- < signatureBlock >

< authorizedRepresentative > true </ authorizedRepresentative >

- < signature >

< issuerName > Group Variable Annuity Series I Separate Account </ issuerName >

< signatureName > Dave Dampman </ signatureName >

< nameOfSigner > Dave Dampman </ nameOfSigner >

< signatureTitle > Vice President </ signatureTitle >

< signatureDate > 2024-04-19 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >