Data Entry

Feature Name *

Introduction Date *

Closed Date

Rider Select Rule *

Participant Based On *

Notes

When Added

Cancellation / Termination

Feature termination

Subsequent Premium

Exception

Not available in states

Partial Withdrawals

Effect Change Ownership

Terminate Feature

Case Name *

Current Charge(%)

Maximum Charge(%)

Charge Basis

Deducted When *

Min Age of Owner (Yrs)

Max Age of Owner (Yrs)

Min Age of Annuitant (Yrs)

Max Age of Annuitant (Yrs)

Contract Value

Purchase Payments

Variable Account Value

Fixed Account Value

Indexed Account Value

Surrender Value

Payout Value

HAV Term

Rollup Term

Step Up Per.(%)

Maximum Benefit Base

Rollup Period

Rollup Per.(%)