N.Y. Comp. Codes R. & Regs. tit. 11, § 44.8
(a) Each statement of preliminary information delivered to an applicant for a contract pursuant to section 3209 of the Insurance Law must be accompanied or preceded by a description of the market-value adjustment formula, if any, contained in the contract, and by a description of the withdrawal charge formula, if any, contained in the contract.
(1) The description of any market-value adjustment formula should include:
(2) The description of any withdrawal charge formula should include: