Edit GMIB I

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 minimum level of future income regardless of investment performance of underlying investment options. Annuity payments equals greater of - 1) determined by GMIB Plus annuity table or 2) in accordance with base contract for same annuity option. Benefit base is greater of - 1) Highest anniversary value or 2) Annual Increase Amount. Highest anniversary value equals highest contract value on any contract anniversary prior to annuitant's 81st birthday less adjusted for withdrawals added to any purchase payments made. Annual increment amount equals initial purchase payments plus additional purchase payments increased for 6% annual increase rate prior to annuitant's 81st birthday adjusted for withdrawals. Annual increase amount, including step-up, can never be more than 270% of purchase payments. Owner may only elect from 1) Single Life annuity with 10 years of annuity payments guaranteed or 2) Joint and last survivor annuity with 10 years of annuity payments guaranteed, annuity payment options upon election of this rider. Under certain circumstances, Issuer will enhance GMIB purchase pay-out rates to equal or exceed 5.5% or 5% of Income base.

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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