Edit i4LIFE Advantage

Identity

COMPANY *

RIDER TYPE *

NAME *

INTERNAL NAME

DTCC RIDER ID *

PRODUCT POLICY TYPE *

Rules & Limits

RIDER SELECT RULE

BASED ON LIFE

MIN AGE

MAX AGE

ELIGIBLE PP

ELIGIBLE PP TERM

MAX BENEFIT BASE

MAX BENEFIT BASE %

WITH REDUCE BENEFIT BASE

FORMULA

Dates

INCEPTION DATE *

CLOSED DATE

State Availability

Exception

Not available in states

Status Flags

Terminated

Exclude Premium Bonus

Single Life

Joint Life

Spousal Continuation Option

Formula Case Available

Notes & Descriptions

BENEFIT DESCRIPTION

Benefit guarantees lifetime of future income regardless of investment performance of underlying investment options. Initial benefit base is equal to contract value on periodic income commencement date. Issuer will establish Access Period (minimum 10 years and maximum till owner's age 115 for NQ and 100 for QP) at election of i4LIFE Advantage. During Access Period contract value will be increased or decreased by investment gains or losses respectively and will be reduced by regular and guaranteed income payments made and withdrawals taken. After Access Period ends, remaining contract value will be applied to continue regular income payments for life of annuitant. Amount of initial regular income payment is determined on periodic income commencement date by dividing contract value or purchase payment if elected at contract issue, less premium taxes by 1000 and multiplying result by an annuity factor. Subsequent purchase payments are not permitted for NQ and allowed during access period if 4Later Advantage Guaranteed Income Benefit or i4Life Advantage Guaranteed Income Benefit is not elected. Annuity factor is based upon - 1) age and sex of annuitant and secondary life, 2) length of Access Period elected, 3) frequency of regular income payments, 4) AIR elected and 5) Individual Annuity Mortality table specified in contract. Owner may elect this benefit only if contract value is or exceeds $50,000. Maximum issue age is 85 for QP.

RIDER CANCELLATION

RIDER TERMINATION

AVAILABLE WHEN ADDED

SUBSEQUENT PREMIUM

WITHDRAWAL NOTES

PARTIAL WITHDRAWALS

REQUIRED MIN DISTRIBUTIONS

SPOUSAL CONTINUATION OPTION

EFFECT CHANGE OWNERSHIP

OTHER INFO

VERSION NOTES

INTERNAL NOTES

SCRAP BOOK

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