Edit i4LIFE Advantage Guaranteed Income Benefit (Version 4)

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 is only available in conjunction with i4LIFE Advantage. Benefit guarantees minimum level of future income regardless of investment performance of underlying investment options. Initial Guaranteed Income Benefit will be an amount equal to a specified percentage of contract value ranges from 2.00% (for age 39 or younger) to 5.00% (for age 75 or older) for single life and for joint life ranges from 2.00% (for age 39 or younger) to 4.50% (for age 75 or older), based on the age of annuitant at rider issue. After Access Period, remaining contract value will applied to continue regular income payments for life of annuitant and contract value will be reduced to zero. If benefit is elected, certain restrictions will apply - 1) 4% AIR will be used to calculate regular income payments, 2) minimum Access Period required is longer of 20 years or difference between age and age 100 and 3) maximum Access Period available is to age 115 for NQ, to age 100 for QP contracts. If amount of i4LIFE Advantage regular income payment has fallen below Guaranteed Income Benefit, because of poor investment results, a payment equal to i4LIFE Advantage Guaranteed Income Benefit is minimum payment owner will receive. If contract value reaches zero, Access Period will end and Lifetime Income Period will begin. Owner must be age 95 or younger for NQ and 80 or younger for QP contracts at rider issue.

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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