EX-3 5 ex164a-gama1080.htm EXHIBIT 16(4)(A) ex164a-gama1080.htm - Generated by SEC Publisher for SEC Filing

Exhibit 16(4)(a): Form of Group Flexible Premium Deferred Combination Variable and Fixed Annuity Master Contract (GA-MA-1080)

[LOGO] GOLDEN   GROUP FLEXIBLE PREMIUM
AMERICAN   DEFERRED COMBINATION
LIFE INSURANCE   VARIABLE AND FIXED
COMPANY   ANNUITY MASTER CONTRACT

 

GOLDEN AMERICAN IS A STOCK COMPANY DOMICILED IN DELAWARE.

Golden American Life Insurance Company, herein called GALIC, agrees to pay the benefits stated in this Contract.

SPECIFICATIONS --------------------------------------------------------------------------------Plan [SPECIMEN] --------------------------------------------------------------------------------Type of Plan [SPECIMEN] --------------------------------------------------------------------------------Contract Holder [SPECIMEN] --------------------------------------------------------------------------------Contract No.

[SPECIMEN] --------------------------------------------------------------------------------Contract Effective Date [SPECIMEN]

--------------------------------------------------------------------------------This Contract is delivered in Delaware and is subject to the laws of that jurisdiction.

THE VARIABLE FEATURES OF THE GROUP CONTRACT ARE DESCRIBED IN PARTS III, IV AND V.

RIGHT TO CANCEL --------------------------------------------------------------------------------

The Contract Holder may cancel this Contract within 10 days by returning it to the agent from whom it was purchased, or to GALIC at the address shown below. Within seven days of receiving the Contract at its Customer Service Center, GALIC will return the amount of Certificate Holder Purchase Payment(s) received, plus any increase, or minus any decrease, on the amount, if any, allocated to the Separate Account Subaccount(s).

This page and the pages that follow constitute the entire Contract.

Signed at the Customer Service Center on the Contract Effective Date.

Customer Service Center   Secretary:   /s/ Myles R. Tashman
1475 Dunwoody Drive        
West Chester, PA 19380   President:   /s/ Barnett Chernow

 

Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. AMOUNTS ALLOCATED TO THE FIXED ACCOUNT, IF WITHDRAWN BEFORE THE GUARANTEED TERM MATURITY DATE, MAY BE SUBJECT TO A MARKET VALUE ADJUSTMENT. THE MARKET VALUE ADJUSTMENT MAY RESULT IN AN INCREASE OR A DECREASE IN THE ACCOUNT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

GA-MA-1080 <PAGE> SPECIFICATIONS

--------------------------------------------------------------------------------
GUARANTEED   There is a minimum guaranteed rate for Purchase Payment(s)
RATE   held in the Fixed Account. (SEE SCHEDULE - ACCUMULATION
    PERIOD. )
 
--------------------------------------------------------------------------------
DEDUCTIONS FROM   There will be deductions for mortality and expense risk
THE SEPARATE   as well as administrative charges. (SEE SCHEDULE -
ACCOUNT   ACCUMULATION PERIOD AND SCHEDULE - ANNUITY PERIOD. )

 

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--------------------------------------------------------------------------------
DEDUCTION FROM   Purchase Payment(s) may be subject to a deduction for
PURCHASE   premium taxes. (SEE SECTION III - PURCHASE PAYMENT. )
PAYMENT(S)    
 
--------------------------------------------------------------------------------
DEFERRED SALES   There may be a charge deducted upon withdrawal. (SEE
CHARGE   SCHEDULE - ACCUMULATION PERIOD. )

 

This Contract is a legal contract and constitutes the entire legal relationship between GALIC and the Contract Holder.

READ THIS CONTRACT CAREFULLY. This Contract sets forth, in detail, all of the rights and obligations of both you and GALIC. THEREFORE, IT IS IMPORTANT THAT YOU READ THIS CONTRACT CAREFULLY.

GA-MA-1080   Page 2
<PAGE>    

 

SCHEDULE - ACCUMULATION PERIOD

OPTION PACKAGE --------------------------------------------------------------------------------

OPTION PACKAGE SELECTED - A different SCHEDULE - ACCUMULATION PERIOD will apply to each Account depending upon the Option Package selected. (SEE SECTION IV -OPTION PACKAGES.)

Option Package III was selected.

SCHEDULE EFFECTIVE DATE

[June 1, 1998]

SEPARATE ACCOUNT --------------------------------------------------------------------------------

SEPARATE ACCOUNT

Separate Account B

CHARGES TO SEPARATE ACCOUNT

A daily charge is deducted from any portion of the Account Value allocated to the Separate Account. The deduction is the daily equivalent of the annual effective percentage shown in the following chart:

Administrative Charge   [0.15%]
Mortality and Expense Risk Charge   [1.25%]
    -------
Total Separate Account Charges   [1.40%]

 

FIXED ACCOUNT --------------------------------------------------------------------------------

MINIMUM GUARANTEED RATE

3.0% (effective annual rate of return)

SEPARATE ACCOUNT AND FIXED ACCOUNT --------------------------------------------------------------------------------

TRANSFERS

An unlimited number of Transfers are allowed during the Accumulation Period. GALIC allows 12 free Transfers in any Account Year. Thereafter, GALIC reserves the right to charge [$10] for each subsequent Transfer.

MAINTENANCE FEE

The annual Maintenance Fee is [$30.] If the Account Value is $50,000 or more on the date the Maintenance Fee is to be deducted, the Maintenance Fee is $0.

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<PAGE>    

 

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SCHEDULE - ACCUMULATION PERIOD (CONTINUED)

SEPARATE ACCOUNT AND FIXED ACCOUNT --------------------------------------------------------------------------------

DEFERRED SALES CHARGE

For each withdrawal, the Deferred Sales Charge will be determined as follows:

<TABLE>
<CAPTION>

    DEFERRED SALES CHARGE
LENGTH OF TIME FROM RECEIPT OF   (AS PERCENTAGE OF
PURCHASE PAYMENT (YEARS)   PURCHASE PAYMENT)
-----------------------------------------------------------------------------
<S>   <C>
[Less than 2 years   7%
 
More than 2 but less than 4 years   6%
 
More than 4 but less than 5 years   5%
 
More than 5 but less than 6 years   4%
 
More than 6 but less than 7 years   3%
 
7 years or more   0%]

 

</TABLE>

SEE SECTION I - DEFINITIONS for explanations.

GA-MA-1080   Page 4
<PAGE>    

 

SCHEDULE - ANNUITY PERIOD

SEPARATE ACCOUNT - VARIABLE ANNUITY PAYMENT --------------------------------------------------------------------------------

CHARGES TO SEPARATE ACCOUNT

A daily charge is deducted at an annual effective rate of [1.25%] for mortality and expense risks. The administrative charge is established upon election of an Annuity Payout Option. This charge will not exceed [0.25%].

ASSUMED INTEREST RATE (AIR)

If a variable Annuity Payment is chosen, an AIR of 5.0% may be elected. If 5.0% is not elected, GALIC will use an AIR of 3.5%.

The AIR factor for 3.5% per year is 0.9999058.

The AIR factor for 5.0% per year is 0.9998663.

If the portion of a variable Annuity Payment for any Subaccount is not to decrease, the annuity return factor under the Separate Account for that Subaccount must be:

(a)      4.75% on an annual basis plus an annual return of up to 0.25% to offset the administrative charge set at the time Annuity Payments commence if an AIR of 3.5% is chosen; or
 
(b)      6.25% on an annual basis plus an annual return of up to 0.25% to offset the administrative charge set at the time Annuity Payments commence, if an AIR of 5% is chosen.
 

TRANSFERS

When a variable Annuity Payment has been elected, four free Transfers are allowed each Account Year among the Subaccounts available during the Annuity Period. Thereafter, GALIC reserves the right to charge [$10] for each subsequent Transfer.

GENERAL ACCOUNT - FIXED ANNUITY PAYMENT --------------------------------------------------------------------------------

MINIMUM GUARANTEED INTEREST RATE

3.0% (effective annual rate of return)

SEE SECTION I - DEFINITIONS for explanations.

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GA-MA-1080   Page 5    
<PAGE>            
 
TABLE OF CONTENTS
 
I.   DEFINITIONS   PAGE
    1.01   Account   8
    1.02   Account Effective Date   8
    1.03   Account Value   8
    1.04   Account Year   8
    1.05   Accumulation Period   8
    1.06   Adjusted Account Value   8
    1.07   Annuitant   8
    1.08   Annuity Payment   8
    1.09   Annuity Payout Options   8
    1.10   Annuity Period   8
    1.11   Beneficiary   9
    1.12   Certificate Holder   9
    1.13   Claim Date   9
    1.14   Code   9
    1.15   Contract   9
    1.16   Contract Holder   9
    1.17   Deferred Sales Charge   9
    1.18   Deposit Period   9
    1.19   Dollar Cost Averaging   9
    1.20   Fund(s)   10
    1.21   General Account   10
    1.22   Fixed Account   10
    1.23   Guaranteed Rates - Fixed Account   10
    1.24   Guaranteed Term   10
    1.25   Guaranteed Term(s) Groups   10
    1.26   Maintenance Fee   10
    1.27   Market Value Adjustment (MVA)   11
    1.28   Matured Term Value   11
    1.29   Maturity Value Transfer   11
    1.30   Maturity Date   11
    1.31   Option Package   11
    1.32   Purchase Payment(s)   11
    1.33   Reinvestment   11
    1.34   Schedule Effective Date   11
    1.35   Separate Account   11
    1.36   Subaccount(s)   12
    1.37   Systematic Distribution Option   12
    1.38   Transfers   12
    1.39   Withdrawal Value   12
    1.40   Valuation Date   12
 
II.   GENERAL PROVISIONS    
    2.01   Change of Contract   12
    2.02   Change of Fund(s)   13
    2.03   Nonparticipating Contract   13
    2.04   Payments and Elections   13
    2.05   State Laws   13
    2.06   Control of Contract   13
    2.07   Designation of Beneficiary   14
    2.08   Misstatements and Adjustments   14
    2.09   Incontestability   14
    2.10   Grace Period   14
    2.11   Individual Certificates   14
 
 
GA-MA-1080   Page 6    
<PAGE>            
 
III.   PURCHASE PAYMENT, ACCOUNT VALUE, AND WITHDRAWAL PROVISIONS    
    3.01   Purchase Payment   14
    3.02   Certificate Holder's Account   14
    3.03   Accumulation Units - Separate Account   15
    3.04   Net Investment Factor(s) - Separate Account   15
    3.05   Accumulation Unit Value - Separate Account   15
    3.06   Market Value Adjustment (MVA)   15
    3.07   Transfer of Account Value from the Subaccount(s) or    
        Fixed Account During the Accumulation Period   16
    3.08   Notice to the Certificate Holder   17
    3.09   Loans   17
    3.10   Systematic Distribution Options   17
    3.11   Death Benefit Amount   17
    3.12   Death Benefit Options Available to Beneficiary   18
    3.13   Liquidation of Withdrawal Value   19
    3.14   Deferred Sales Charge   19
    3.15   Payment of Withdrawal Value   19
    3.16   Payment of Adjusted Account Value   19
    3.17   Reinstatement   19
 
IV.   OPTION PACKAGES    
    4.01   Election of Option Packages   20
    4.02   Description of Option Package I   20
    4.03   Description of Option Package II   21
    4.04   Description of Option Package III   23
 
V.   ANNUITY PAYOUT PROVISIONS    

 

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5.01   Annuity Payout Options   25
5.02   Annuity Payment Choices   26
5.03   Terms of Annuity Payout Options   27
5.04   Death of Annuitant/Beneficiary   27
5.05   Annuity Units - Separate Account   28
5.06   Annuity Unit Value - Separate Account   28
5.07   Annuity Net Return Factor(s) - Separate Account   28

 

GA-MA-1080   Page 7
<PAGE>    

 

I.      DEFINITIONS
 
--------------------------------------------------------------------------------     
 
1.01      ACCOUNT:
 

A record that identifies contract values accumulated on each
Certificate Holder's behalf.

1.02 ACCOUNT EFFECTIVE DATE:

The date on which an Account is established on a Certificate Holder's behalf.

1.03 ACCOUNT VALUE:

As of the most recent Valuation Date, the Account Value is equal to the total of the Purchase Payment(s) made to the Account;

(a)      Plus or minus the investment experience for the amount, if any, allocated to one or more of the Subaccounts
 
(b)      Plus interest added to the amount, if any, allocated to the Fixed Account;
 
(c)      Plus any additional amount deposited to the Account (SEE SECTION IV - OPTION PACKAGES);
 
(d)      Less the amount of any Maintenance Fee deducted;
 
(e)      Less any additional fee(s), charges, or taxes, if applicable, deducted;
 
(f)      Less any amount(s) withdrawn; and
 
(g)      Less any amount(s) applied to an Annuity Payout Option.
 

1.04 ACCOUNT YEAR:

A period of twelve months measured from the Account Effective Date or an anniversary of such Account Effective Date.

1.05 ACCUMULATION PERIOD:

The period during which the Purchase Payment(s) are applied to an
Account to provide future Annuity Payment(s).

1.06 ADJUSTED ACCOUNT VALUE:

The Account Value plus or minus the aggregate Market Value Adjustment (MVA), if applicable, for the amount(s) allocated to the Fixed Account (SEE SECTION III - MARKET VALUE ADJUSTMENT).

1.07 ANNUITANT:

The person on whose death, during the Accumulation Period, a death
benefit becomes payable and on whose life or life expectancy the
Annuity Payments are based under the Contract.

1.08 ANNUITY PAYMENT:

A series of payments for life, a definite period or a combination of the two. The Annuity Payments may be variable or fixed in amount or a combination of both.

1.09 ANNUITY PAYOUT OPTIONS:

The Certificate Holder may choose to receive Annuity Payments under one of the following options:

(a)      For the life of one or two persons;
 
(b)      For a stated period; or
 
(c)      For some combination of (a) and (b) .
 

1.10 ANNUITY PERIOD:

The period during which Annuity Payments are made.

GA-MA-1080   Page 8
<PAGE>    
 
1.11 BENEFICIARY:    

 

The individual(s) or entity entitled to receive any death benefit due under the Contract. Any designated Beneficiary has the right to name

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another Beneficiary. If the Account is owned by joint Certificate Holders, the survivor will be deemed the designated Beneficiary and any other Beneficiary on record will then be treated as the primary or contingent Beneficiary, as originally designated, unless and until changed by the new designated Beneficiary.

1.12 CERTIFICATE HOLDER:

A person who purchases an interest in this Contract as evidenced by a certificate. GALIC reserves the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder will be a joint Certificate Holder. Joint Certificate Holders have joint ownership rights and both must authorize exercising any ownership rights unless GALIC allows otherwise.

1.13 CLAIM DATE:

The date when proof of death and the Beneficiary's entitlement to the death benefit are received in good order at GALIC's Customer Service Center. This is also the date that the excess of the death benefit over the Account Value, if any, is allocated to the money market fund available through the Separate Account.

1.14 CODE:

The Internal Revenue Code of 1986, as it may be amended from time to time.

1.15 CONTRACT:

This agreement between GALIC and the Contract Holder. 1.16 CONTRACT HOLDER: The entity to which the Contract is issued.

1.17 DEFERRED SALES CHARGE:

The charge that is applied to a Purchase Payment(s) upon withdrawal. This charge may be waived under certain circumstances or after a certain length of time (SEE SECTION III - DEFERRED SALES CHARGE).

1.18 DEPOSIT PERIOD:

A day, a calendar week, a calendar month, a calendar quarter, or any other period of time specified by GALIC during which a Purchase Payment(s), Transfer(s) and/or Reinvestment(s) may be allocated to one or more Fixed Account Guaranteed Terms. GALIC reserves the right to shorten or to extend the Deposit Period.

During a Deposit Period, GALIC may offer any number of Guaranteed Terms and more than one Guaranteed Term of the same duration may be offered.

1.19 DOLLAR COST AVERAGING:

A program that permits the Certificate Holder to systematically transfer amounts from one of the available Subaccounts, or an available Fixed Account Guaranteed Term, to one or more of the Subaccounts. If the Certificate Holder elects a Fixed Account Guaranteed Term available for Dollar Cost Averaging, no MVA applies to amounts transferred under Dollar Cost Averaging. If Dollar Cost Averaging from a Fixed Account Guaranteed Term is discontinued before the end of the Dollar Cost Averaging period elected, GALIC will automatically transfer the balance to a Guaranteed Term of the same duration and an MVA will apply. The Certificate Holder may initiate a Transfer to another investment option and an MVA will apply. If a Guaranteed Term of the same duration is not available, GALIC will transfer the amount to the Guaranteed Term with the next shortest duration. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used. GALIC reserves the right to establish and change terms and conditions governing Dollar Cost Averaging.

GA-MA-1080   Page 9
<PAGE>    
 
1.20 FUND(S):    

 

The open-end registered management investment companies whose shares are purchased by the Separate Account to fund the benefits provided by the Contract.

The Funds, and the number of Funds, available during the Accumulation Period may be different from those available during the Annuity Period. GALIC reserves the right to limit the number of Funds available at any one time and to limit the number of investment options the Certificate Holder may select during the Accumulation Period and/or during the Annuity Period.

1.21 GENERAL ACCOUNT:

The account holding the assets of GALIC, other than those assets held in GALIC's separate accounts.

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1.22 FIXED ACCOUNT:

A nonunitized separate account, established by GALIC under Delaware Statutes, that holds assets for Guaranteed Terms. There are no discrete units for this account. The Certificate Holder does not participate in any gain or loss resulting from the performance of the investments held in the account. Income, gains or losses realized or unrealized, are gains or losses of GALIC.

1.23 GUARANTEED RATES - FIXED ACCOUNT:

GALIC will declare the interest rate(s) applicable to a specific Guaranteed Term at the start of the Deposit Period for that Guaranteed Term. The rate(s) are guaranteed by GALIC for the period beginning with the first day of the Deposit Period and ending on the Maturity Date. Guaranteed Rates are credited beginning with the date of allocation. The Guaranteed Rates are annual effective yields. That is, interest is credited daily at a rate that will produce the Guaranteed Rate over the period of a year. No Guaranteed Rate will ever be less than the minimum Guaranteed Rate shown on the SCHEDULE - ACCUMULATION PERIOD.

For Guaranteed Terms of one year or less, one Guaranteed Rate is credited for the full Guaranteed Term. For longer Guaranteed Terms, an initial Guaranteed Rate is credited from the date of deposit to the end of a specified period within the Guaranteed Term. There may be different Guaranteed Rate(s) declared for subsequent specified time intervals throughout the Guaranteed Term.

GALIC may offer more than one Guaranteed Term of the same duration and credit one with a higher rate contingent upon use only with Dollar Cost Averaging.

1.24 GUARANTEED TERM:

The period of time specified by GALIC for which a specific Guaranteed Rate(s) is offered on amounts invested during a specific Deposit Period. Guaranteed Terms are made available subject to GALIC's terms and conditions, including, but not limited to, GALIC's right to restrict allocations to new Purchase Payments (such as by prohibiting Transfers into a particular Guaranteed Term from any other Guaranteed Term or from any of the Subaccounts, or by prohibiting Reinvestment of a Matured Term Value to a particular Guaranteed Term). More than one Guaranteed Term of the same duration may be offered within the Contract.

1.25 GUARANTEED TERM(S) GROUPS:

All Fixed Account Guaranteed Term(s) of the same duration (from the close of the Deposit Period until the designated Maturity Date).

1.26 MAINTENANCE FEE:

The Maintenance Fee (SEE SCHEDULE - ACCUMULATION PERIOD) will be deducted during the Accumulation Period from the Account Value on each anniversary of the Account Effective Date and upon withdrawal of the entire Account.

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1.27 MARKET VALUE ADJUSTMENT (MVA):    

 

An adjustment that may apply to an amount withdrawn or transferred from a Fixed Account Guaranteed Term prior to the end of that Guaranteed Term. The adjustment reflects the change in the value of the investment due to changes in interest rates since the date of deposit and is computed using the formula given. The adjustment is expressed as a percentage of each dollar being withdrawn (SEE SECTION III- MARKET VALUE ADJUSTMENT).

1.28 MATURED TERM VALUE:

The amount due on a Fixed Account Guaranteed Term's Maturity Date.

1.29 MATURITY VALUE TRANSFER:

During the calendar month following a Fixed Account Maturity Date, the Certificate Holder may notify GALIC's Customer Service Center in writing to Transfer or withdraw all or part of the Matured Term Value, plus accrued interest at the new Guaranteed Rate, from the Fixed Account without an MVA. This provision only applies to the first such written request received from the Certificate Holder during this period for any Matured Term Value.

1.30 MATURITY DATE:

The last day of a Fixed Account Guaranteed Term.

1.31 OPTION PACKAGE:

The version of the Contract selected which defines, among other
things, the amount of the mortality and expense risk charge, the

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calculation of the death benefit, and the availability of certain
withdrawals without imposition of a Deferred Sales Charge.

1.32 PURCHASE PAYMENT(S):

The Purchase Payment(s) less premium taxes, if applicable, accepted by GALIC at its Customer Service Center. GALIC reserves the right to refuse to accept any Purchase Payment at any time for any reason. No advance notice will be given to the Contract Holder or Certificate Holder.

1.33 REINVESTMENT:

GALIC will mail a notice to the Certificate Holder at least 18 calendar days before a Guaranteed Term's Maturity Date. This notice will contain the Terms available during current Deposit Periods with their Guaranteed Rate(s), and projected Matured Term Value. If no specific direction is given by the Certificate Holder prior to the Maturity Date, each Matured Term Value will be reinvested in the current Deposit Period for a Guaranteed Term of the same duration. If a Guaranteed Term of the same duration is unavailable, each Matured Term Value will automatically be reinvested in the current Deposit Period for the next shortest Guaranteed Term available. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used. GALIC will mail a confirmation statement to the Certificate Holder the next business day after the Maturity Date. This notice will state the Guaranteed Term and Guaranteed Rate(s) which will apply to the reinvested Matured Term Value.

1.34 SCHEDULE EFFECTIVE DATE:

The date that an Option Package becomes effective. This date is indicated on the SCHEDULE - ACCUMULATION PERIOD. At initial purchase, this date is the same as the Account Effective Date.

1.35 SEPARATE ACCOUNT:

A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to other income, gains or losses of GALIC. GALIC owns the assets held in the Separate Account and is not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The assets of the Separate Account, to the extent of reserves and other contract liabilities of the Separate Account, shall not be charged with other GALIC liabilities.

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1.36 SUBACCOUNT(S):    

 

The portion of the assets of the Separate Account that is allocated to a particular Fund. Each Subaccount invests in the shares of only one corresponding Fund.

1.37 SYSTEMATIC DISTRIBUTION OPTION:

An option elected by the Certificate Holder during the Accumulation Period which establishes a schedule of withdrawals to be made automatically from the Certificate Holder's Account.

1.38 TRANSFERS:

The movement of invested amounts among the available Subaccount(s) and/or any Fixed Account Guaranteed Term made available, subject to terms and conditions established by GALIC, during the Accumulation Period or the Annuity Period.

1.39 WITHDRAWAL VALUE:

The amount payable by GALIC upon the withdrawal of any portion of an Account.

1.40 VALUATION DATE:

The date and time for which a Subaccount calculates its net asset value, usually from 4:00 p.m. Eastern time each day the New York Stock Exchange is open, to 4:00 p.m. the next such business day.

II.      GENERAL PROVISIONS
 
--------------------------------------------------------------------------------     
 
2.01      CHANGE OF CONTRACT:
 

Only an authorized officer of GALIC may change the terms of this Contract. GALIC will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity Payout Option which begins before the change.

GALIC may make any change that affects the Market Value Adjustment
(SEE SECTION III- MARKET VALUE ADJUSTMENT) with at least 30 days
advance written notice to the Contract Holder and the Certificate

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Holder. Any such change shall become effective for any new Guaranteed Term and will apply to all present and future Accounts.

Any change that affects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:

The following will not be changed:

(a)      Account Value
 
(b)      Guaranteed Rates - Fixed Account
 
(c)      Purchase Payment
 
(d)      Withdrawal Value
 
(e)      Transfers
 
(f)      Net Investment Factor(s) - Separate Account (SEE SECTION III)
 
(g)      Minimum Guaranteed Interest Rates (SEE SECTION V)
 
(h)      Annuity Unit Value - Separate Account (SEE SECTION V)
 
(i)      Annuity Payout Options (SEE SECTION V) .
 

Any change that affects the Annuity Payout Options and the tables for the Annuity Payout Options may be made:

(a)      No earlier than 12 months after the Account Effective Date; and
 
(b)      No earlier than 12 months after the effective date of any prior change.
 
GA-MA-1080   Page 12
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2.01 CHANGE OF CONTRACT (CONT'D):    

 

Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under the Contract. The Contract may also be changed as deemed necessary by GALIC to comply with federal or state law.

2.02 CHANGE OF FUND(S):

The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if, in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, GALIC may cease to make such Fund shares available for investment under the Contract prospectively, or GALIC may substitute shares of another Fund for shares already acquired. GALIC may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. GALIC reserves the right to substitute shares of another Fund for shares already acquired without a proxy vote.

2.03 NONPARTICIPATING CONTRACT:

The Contract Holder, Certificate Holders or Beneficiaries will not
have a right to share in the earnings of GALIC.

2.04 PAYMENTS AND ELECTIONS:

While the Certificate Holder is living, GALIC will pay the Certificate Holder any Annuity Payments as and when due. After the Certificate Holder's death, or at the death of the first Certificate Holder if the Account is owned jointly, any Annuity Payments required to be made will be paid in accordance with SECTION V - DEATH OF ANNUITANT/BENEFICIARY. GALIC will determine other payments and/or elections as of the end of the Valuation Date in which the request is received at its Customer Service Center. Such payments will be made within seven calendar days of receipt at its Customer Service Center of a written claim for payment which is in good order, except as provided in SECTION III - PAYMENT OF WITHDRAWAL VALUE.

2.05 STATE LAWS:

The Contract and Certificate comply with the laws of the state in which they are delivered. Any withdrawal, death benefit amount, or Annuity Payments are equal to or greater than the minimum required by such laws. Annuity tables for legal reserve valuation shall be as required by state law. Such tables may be different from annuity tables used to determine Annuity Payments.

2.06 CONTROL OF CONTRACT:

This is a Contract between the Contract Holder and GALIC. The Contract Holder has title to the Contract. Contract Holder rights are limited to accepting or rejecting Contract modifications. The Certificate Holder has all other rights to amounts held in his or her Account.

Each Certificate Holder shall own all amounts held in his or her Account. Each Certificate Holder may make any choices allowed by this Contract for his or her Account. Choices made under this Contract must be in writing. If the Account is owned jointly, both joint Certificate Holders must authorize any Certificate Holder change in writing. Until receipt of such choices at GALIC's Customer Service Center, GALIC may rely on any previous choices made.

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The Contract is not subject to the claims of any creditors of the
Contract Holder or the Certificate Holder, except to the extent
permitted by law.

The Certificate Holder may assign or transfer his or her rights under the Contract. GALIC reserves the right not to accept assignment or transfer to a nonnatural person. Any assignment or transfer made under the Contract must be submitted to GALIC's Customer Service Center in writing and will not be effective until accepted by GALIC.

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2.07 DESIGNATION OF BENEFICIARY:    

 

Each Certificate Holder shall name his or her Beneficiary and when designating the Beneficiary may elect to specify in writing the form of payment to the Beneficiary. GALIC will honor the specified form of payment to the extent permitted under section 72(s) of the Code. If the Account is owned jointly, both joint Certificate Holders must agree in writing to the Beneficiary designated. The Beneficiary may be changed at any time. Changes to a Beneficiary must be submitted to GALIC's Customer Service Center in writing and will not be effective until accepted by GALIC. If the Account is owned jointly, at the death of one joint Certificate Holder, the survivor will be deemed the designated Beneficiary; any other Beneficiary on record will then be treated as a primary or a contingent Beneficiary, as originally designated unless and until changed by the new designated Beneficiary. If a designated Beneficiary defers taking payment of a death benefit, the designated Beneficiary has the right to name another Beneficiary.

2.08 MISSTATEMENTS AND ADJUSTMENTS:

If GALIC finds the age of any Annuitant to be misstated, the correct facts will be used to adjust payments.

2.09 INCONTESTABILITY:

After two years, the Contract will be incontestable.

2.10 GRACE PERIOD:

The Contract will remain in effect even if Purchase Payments are not continued except as provided in the Payment of Adjusted Account Value provision (SEE SECTION III - PAYMENT OF ADJUSTED ACCOUNT VALUE).

2.11 INDIVIDUAL CERTIFICATES:

GALIC shall issue a certificate to each Certificate Holder. The
certificate will summarize certain provisions of the Contract.
Certificates are for information only and are not a part of the
Contract.

III.      PURCHASE PAYMENT, ACCOUNT VALUE, AND WITHDRAWAL PROVISIONS
 
--------------------------------------------------------------------------------     
 
3.01      PURCHASE PAYMENT:
 

This amount is the actual Purchase Payment. GALIC reserves the right to pay premium taxes when due and deduct the amount from the Account Value when we pay the tax or at a later date.

Each Purchase Payment will be allocated, as directed by the
Certificate Holder, among:

(a)      Fixed Account Guaranteed Terms made available, subject to terms and conditions established by GALIC; and/or
 
(b)      The Subaccount(s) offered through the Separate Account.
 

For each Purchase Payment, the Certificate Holder shall tell GALIC the percentage of each Purchase Payment to allocate to any available Fixed Account Guaranteed Term and/or each Subaccount. Unless different allocation instructions are received for any additional Purchase Payment, the allocation will be the same as for the initial Purchase Payment. If the same Guaranteed Term is no longer available, the Purchase Payment will be allocated to the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.

3.02 CERTIFICATE HOLDER'S ACCOUNT:

GALIC will maintain an Account for each Certificate Holder.

GALIC will declare from time to time the acceptability and the minimum amount for initial and additional Purchase Payments.

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3.03 ACCUMULATION UNITS - SEPARATE ACCOUNT:

 

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The portion of the Purchase Payment(s) applied to each Subaccount under the Separate Account will determine the number of accumulation units for that Subaccount. This number is equal to the portion of the Purchase Payment(s) applied to each Subaccount divided by the accumulation unit value (SEE SECTION III - ACCUMULATION UNIT VALUE -SEPARATE ACCOUNT) for the Valuation Date in which the Purchase Payment is received in good order at GALIC's Customer Service Center.

3.04 NET INVESTMENT FACTOR(S) - SEPARATE ACCOUNT:

The net investment factor is used to measure the investment performance of a Subaccount from one Valuation Date to the next. The net investment factor for a Subaccount for any Valuation Date is equal to the sum of 1.0000 plus the net investment rate. The net investment rate equals:

(a)      The net assets of the Subaccount on the current Valuation Date, minus
 
(b)      The net assets of the Subaccount on the preceding Valuation Date, plus or minus
 
(c)      Taxes or provisions for taxes, if any, attributable to the operation of the Subaccount;
 
(d)      Divided by the total value of the Subaccount's accumulation and annuity units on the preceding Valuation Date;
 
(e)      Minus a daily charge at the annual effective rate for mortality and expense risks as stated in the SCHEDULE - ACCUMULATION
 
  PERIOD and SCHEDULE - ANNUITY PERIOD, and an administrative charge of 0.15% (unless reduced or eliminated) during the Accumulation Period and up to 0.25% during the Annuity Period (currently 0% during the Annuity Period) .
 

The net investment rate may be either positive or negative.

3.05 ACCUMULATION UNIT VALUE - SEPARATE ACCOUNT:

An accumulation unit value is computed by multiplying the net investment factor for the current Valuation Date by the accumulation unit value for the previous Valuation Date. The dollar value of accumulation units, Separate Account assets, and variable Annuity Payments may go up or down due to investment gain or loss.

3.06 MARKET VALUE ADJUSTMENT (MVA):

An MVA will apply to any withdrawal from the Fixed Account before the end of a Guaranteed Term when the withdrawal is:

(a)      A Transfer (including a Transfer from a Fixed Account Guaranteed Term if Dollar Cost Averaging is discontinued); except for Transfers under Dollar Cost Averaging, or as specified in SECTION I - MATURITY VALUE TRANSFER;
 
(b)      A full or partial withdrawal (including a free withdrawal, SEE SECTION III - DEFERRED SALES CHARGE), except for a payment made: (1) Under a Systematic Distribution Option, or (2) Under a qualified Contract, when the amount withdrawn is equal to the required minimum distribution for the Account calculated using a method permitted under the Code and agreed to by GALIC; or
 
(c)      Due to an election of Annuity Payout Option 1. Only a positive MVA will apply upon election of Annuity Payout Option 2 or 3 (SEE SECTION V - ANNUITY PAYOUT OPTIONS) .
 

Full and partial withdrawals and Transfers made within six months
after the date of the Annuitant's death will be the greater of:

(a)      The aggregate MVA amount which is the sum of all market value adjusted amounts resulting from a withdrawal(s) . This total may be greater or less than the Account Value of those amounts; or
 
(b)      The applicable portion of the Account Value in the Fixed Account.
 

After the six-month period, the withdrawal or Transfer will be the aggregate MVA amount, which may be greater or less than the Account Value of those amounts.

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3.06 MARKET VALUE ADJUSTMENT (MVA) (CONT'D):

 

Market value adjusted amounts will be equal to the amount withdrawn multiplied by the following ratio:

x
-------
365

(1 + i)
-----------------------
x
-------
365
(1 + j)

Where:

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i      is the Deposit Period yield
 
j      is the current yield
 
x      is the number of days remaining in the Guaranteed Term, computed from Wednesday of the week of withdrawal.
 

The Deposit Period yield will be determined as follows:

(a)      At the close of the last business day of each week of the Deposit Period, a yield will be computed as the average of the yields on that day of U. S. Treasury Notes which mature in the last three months of the Guaranteed Term.
 
(b)      The Deposit Period yield is the average of those yields for the Deposit Period. If withdrawal is made before the close of the Deposit Period, it is the average of those yields on each week preceding withdrawal.
 

The current yield is the average of the yields on the last business day of the week preceding withdrawal on the same U.S. Treasury Notes included in the Deposit Period yield.

In the event that no U.S. Treasury Notes which mature in the last three months of the Guaranteed Term exist, GALIC reserves the right to use the U.S. Treasury Notes that mature in the following quarter.

3.07      TRANSFER OF ACCOUNT VALUE FROM THE SUBACCOUNT(S) OR FIXED ACCOUNT DURING THE ACCUMULATION PERIOD:
 

Before an Annuity Payout Option is elected, all or any portion of the Adjusted Account Value of the Certificate Holder's Account may be transferred from any Subaccount or Guaranteed Term of the Fixed Account:

(a)      To any other Subaccount; or
 
(b)      To any Guaranteed Term of the Fixed Account made available in the current Deposit Period, subject to terms and conditions specified by GALIC.
 

Transfer requests can be submitted as a percentage or as a dollar amount. GALIC may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be withdrawn or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

The Certificate Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by GALIC is shown on the SCHEDULE - ACCUMULATION PERIOD. Additional Transfers may be subject to a Transfer fee as shown on the SCHEDULE -ACCUMULATION PERIOD.

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3.07      TRANSFER OF ACCOUNT VALUE FROM THE SUBACCOUNT(S) OR FIXED ACCOUNT DURING THE ACCUMULATION PERIOD (CONT'D):
 

Amounts transferred from the Fixed Account under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month of a Maturity Date do not count against the annual Transfer limit.

Amounts allocated to Fixed Account Guaranteed Terms may not be transferred to the Subaccounts or to another Guaranteed Term during a Deposit Period or for 90 days after the close of a Deposit Period except for:

(a)      Matured Term Value(s) during the calendar month following the Maturity Date;
 
(b)      Amounts applied to an Annuity Payout Option;
 
(c)      Amounts transferred under the Dollar Cost Averaging program;
 
(d)      Amounts distributed under a Systematic Distribution Option; and
 
(e)      Amounts transferred by GALIC if Dollar Cost Averaging is discontinued.
 

3.08 NOTICE TO THE CERTIFICATE HOLDER:

The Certificate Holder will receive quarterly statements from GALIC of:

(a)      The value of any amounts held in:
 
  (1)      The Fixed Account; and
 
  (2)      The Subaccount(s) under the Separate Account;
 
(b)      The number of any accumulation units; and
 
(c)      The accumulation unit value.
 

Such number or values will be as of a specific date no more than 60 days before the date of the notice.

3.09 LOANS:

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Loans are not available under this Contract.

3.10 SYSTEMATIC DISTRIBUTION OPTIONS:

GALIC may, from time to time, make one or more Systematic Distribution Options available during the Accumulation Period. When a Systematic Distribution Option is elected, GALIC will make automatic payments from the Certificate Holder's Account. No Deferred Sales Charge or MVA will apply to the automatic payments made under a Systematic Distribution Option.

Any Systematic Distribution Option will be subject to the following criteria:

(a)      Any Systematic Distribution Option will be made available on the basis of objective criteria consistently applied;
 
(b)      The availability of any Systematic Distribution Option may be limited by terms and conditions applicable to the election of such Systematic Distribution Option; and
 
(c)      GALIC may discontinue the availability of a Systematic Distribution Option at any time. Except to the extent required to comply with applicable law, discontinuance of a Systematic Distribution Option will apply only to future elections and will not affect Systematic Distribution Options in effect at the time an option is discontinued.
 

3.11 DEATH BENEFIT AMOUNT:

The amount of the death benefit is described in SECTION IV - OPTION

PACKAGES.

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3.12 DEATH BENEFIT OPTIONS AVAILABLE TO BENEFICIARY:

 

Prior to any election, or until amounts must be otherwise distributed under this section, the Account Value will be retained in the Account. The Beneficiary has the right to allocate or reallocate any amount to any of the available investment options (subject to an MVA, if applicable). If the Certificate Holder has specified the form of payment to the Beneficiary, the death benefit will be paid as elected by the Certificate Holder in the Beneficiary designation, to the extent permitted by section 72(s) of the Code. If the Certificate Holder has not specified a form of payment, the Beneficiary may elect one of the following options.

(a)      When the Certificate Holder is the Annuitant or when the
 
  Certificate      Holder is a nonnatural person, and the Annuitant
 
  dies:     
 
  (1)      If the Beneficiary is the surviving spouse, the spousal
 
   Beneficiary      will be the successor Certificate Holder and
 
   may      exercise all Certificate Holder rights under the
 
   Contract      and continue in the Accumulation Period, or may
 
   elect      (i) or (ii) below. Under the Code, distributions
 
   from      the Account are not required until the spousal
 
   Beneficiary's      death. The spousal Beneficiary may elect to:
 
   (i)      Apply some or all of the Adjusted Account Value to an Annuity Payout Option (SEE SECTION V); or
 
   (ii)      Receive, at any time, a lump sum payment equal to the Adjusted Account Value.
 
  (2)      If the Beneficiary is other than the surviving spouse,
 
   then      options (i) or (ii) above apply. Any portion of the
 
   Adjusted      Account Value not applied to an Annuity Payout
 
   Option      within one year of the death must be distributed
 
   within      five years of the date of death.
 
  (3)      If no Beneficiary exists, a lump sum payment equal to the
 
   Adjusted      Account Value must be made to the Annuitant's
 
   estate      within five years of the date of death.
 
  (4)      If the Beneficiary is an entity, a lump sum payment equal
 
   to      the Adjusted Account Value must be made within five
 
   years      of the date of death, unless otherwise permitted by
 
   IRS      regulation or ruling.
 
(b)      When the Certificate Holder is not the Annuitant and the
 
  Certificate      Holder dies:
 
  (1)      If the Beneficiary is the Certificate Holder's surviving
 
   spouse,      the spousal Beneficiary will be the successor
 
   Certificate      Holder and may exercise all Certificate Holder
 
   rights      under the Contract and continue in the Accumulation
 
   Period,      or may elect (i) or (ii) below. Under the Code,
 
   distributions      from the Account are not required until the
 
   spousal      Beneficiary's death. The spousal Beneficiary may
 
   elect      to:
 

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(i)      Apply some or all of the Adjusted Account Value to an Annuity Payout Option (SEE SECTION V); or
 
(ii)      Receive, at any time, a lump sum payment equal to the Withdrawal Value.
 
(2)      If the Beneficiary is other than the Certificate Holder's surviving spouse, then options (i) or (ii) under (1) above apply. Any portion of the death benefit not applied to an Annuity Payout Option within one year of the Certificate Holder's death must be distributed within five years of the date of death.
 
(3)      If no Beneficiary exists, a lump sum payment equal to the Withdrawal Value must be made to the Certificate Holder's estate within five years of the date of death.
 
(4)      If the Beneficiary is an entity, a lump sum payment equal to the Withdrawal Value must be made within five years of the date of death, unless otherwise permitted by IRS regulation or ruling.
 
(c)      When the Certificate Holder is a natural person and not the
 
  Annuitant      and the Annuitant dies, the Beneficiary (or the
 
  Certificate      Holder if no Beneficiary exists) may elect to:
 
  (1)      Apply all or some of the Adjusted Account Value to an Annuity Payout Option within 60 days of the date of death; or
 
  (2)      Receive a lump sum payment equal to the Adjusted Account Value.
 
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3.13 LIQUIDATION OF WITHDRAWAL VALUE:

 

All or any portion of the Account Value may be withdrawn at any time. Withdrawal requests may be submitted as a percentage of the Account Value or as a specific dollar amount. Purchase Payment amounts are withdrawn first, and then the excess value, if any. Partial withdrawal amounts are withdrawn on a pro rata basis from the Subaccount(s) and/or the Guaranteed Term(s) Groups of the Fixed Account in which the Account Value is invested. Within a Guaranteed Term Group, the amount to be withdrawn or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

After deduction of the Maintenance Fee, if applicable, the withdrawn amount shall be reduced by a Deferred Sales Charge, if applicable. An MVA may apply to amounts withdrawn from the Fixed Account.

3.14 DEFERRED SALES CHARGE:

The Deferred Sales Charge only applies to the Purchase Payment(s) portion withdrawn and varies according to the elapsed time since deposit (SEE SCHEDULE - ACCUMULATION PERIOD). Purchase Payment amounts are withdrawn in the same order they were applied.

No Deferred Sales Charge is deducted from any portion of the Purchase Payment which is paid:

(a)      To a Beneficiary due to the Annuitant's death before Annuity Payments start, up to a maximum of the aggregate Purchase Payment(s) minus the total of all partial surrenders, amounts applied to an Annuity Payout Option and deductions made prior to the Annuitant's date of death;
 
(b)      For an Annuity Payout Option (SEE SECTION V);
 
(c)      As a distribution under a Systematic Distribution Option;
 
(d)      For a full withdrawal of the Account where the Account Value is $2,500 or less and no withdrawals have been taken from the Account within the prior 12 months;
 
(e)      By GALIC under SECTION III - PAYMENT OF ADJUSTED ACCOUNT VALUE;
 
(f)      Under a qualified Contract when the amount withdrawn is equal to the minimum distribution required by the Code for the Account, calculated using a method permitted under the Code and agreed to by GALIC;
 
(g)      As a free withdrawal as described in SECTION IV - OPTION PACKAGES; or
 
(h)      Under the Nursing Home Waiver, if available, and as described in SECTION IV - OPTION PACKAGES.
 

3.15 PAYMENT OF WITHDRAWAL VALUE:

Under certain emergency conditions, GALIC may defer payment:

(a) For a period of up to six months (unless not allowed by state

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law); or
(b) As provided by federal law.

3.16 PAYMENT OF ADJUSTED ACCOUNT VALUE:

Upon 90 days written notice to the Certificate Holder, GALIC will terminate any Account if the Account Value becomes less than $2,500 immediately following any partial withdrawal. GALIC does not intend to exercise this right in cases where an Account is reduced to $2,500 or less solely due to investment performance. A Deferred Sales Charge will not be deducted from the Adjusted Account Value.

3.17 REINSTATEMENT:

The Certificate Holder may reinstate the proceeds of a full withdrawal, subject to terms and conditions established by GALIC.

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IV.      OPTION PACKAGES
 
--------------------------------------------------------------------------------     
 

The Contract offers three Option Packages regarding calculation of the death benefit and the ability to withdraw money free of Deferred Sales Charge. The Option Package selected is reflected in the SCHEDULE-ACCUMULATION PERIOD attached to the Certificate. At initial purchase, the Schedule Effective Date is the same as the Account Effective Date. If, at a later date, the Certificate Holder wishes to replace the current Option Package with another available Option Package, the Certificate Holder may do so upon any anniversary of the Account Effective Date.

A different SCHEDULE-ACCUMULATION PERIOD may apply to each Certificate Holder depending upon the Option Package selected.

Below is a description of the ability to elect other Option Packages and the contractual provisions of each Option Package.

4.01 ELECTION OF OPTION PACKAGES:

Any Certificate Holder, who meets the applicable minimum Account Value required by GALIC, may elect to replace the Option Package in effect with one of the other available Option Packages. The eligible Certificate Holder may make the election during the sixty day period prior to and including any anniversary of the Account Effective Date. Such election must be made in writing and received in good order at GALIC's Customer Service Center during the election period.

The effective date of the newly elected Option Package is the anniversary of the Account Effective Date at the end of the sixty day election period. GALIC will issue another Schedule reflecting the new Option Package chosen. The new Schedule will reflect the revisions to the Certificate Holder's benefits during the Accumulation Period, namely:

The new Schedule Effective Date,
The revised Charges to Separate Account,
The calculation of the death benefit, and
The revised ability to withdraw money free of Deferred Sales
Charge

All other Contract features remain in effect from the Account
Effective Date.

4.02 DESCRIPTION OF OPTION PACKAGE I:

DEFERRED SALES CHARGE:

In addition to the events described in Section III - Deferred Sales Charge, the total amount that may be withdrawn each Account Year without a Deferred Sales Charge cannot exceed 10% of the Account Value less:

(1)      Any amount(s) withdrawn and/or requested for withdrawal under a Systematic Distribution Option, or
 
(2)      Any amount(s) taken as a minimum required distribution as described in SECTION III - DEFERRED SALES CHARGE.
 

DEATH BENEFIT CALCULATION DURING THE ACCUMULATION PERIOD:

If the Certificate Holder or Annuitant dies before an Annuity Payout Option starts, the Beneficiary is entitled to a death benefit. If the Account is owned jointly, the death benefit applies at the death of the first joint Certificate Holder to die. The amount of the death benefit is determined as follows:

(a)      DEATH OF THE ANNUITANT.
 
  The      death benefit is the greater of:
 
  (1)      The sum of all Purchase Payment(s) made, adjusted for amount(s) withdrawn or applied to an Annuity Payout Option as of the Claim Date; or
 

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(2)   The Account Value on the Claim Date.
 
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4.02 DESCRIPTION OF OPTION PACKAGE I (CONT'D):

 

On the Claim Date, if the amount of the death benefit is greater than the Account Value, the amount by which the death benefit exceeds the Account Value will be deposited and allocated to the money market fund available through the Separate Account.

The amount paid to the Beneficiary will equal the Adjusted Account Value on the date the payment request is processed. This amount may be greater or less than the amount of the death benefit on the Claim Date. The Beneficiary may elect a death benefit payment option as permitted in SECTION III - DEATH BENEFIT OPTIONS AVAILABLE TO BENEFICIARY.

(b)      DEATH OF THE CERTIFICATE HOLDER IF THE CERTIFICATE HOLDER IS NOT THE ANNUITANT.
 

On the Claim Date, the amount of the death benefit equals the Account Value.

The amount paid to the Beneficiary will equal the Adjusted Account Value on the date the payment request is processed. A Deferred Sales Charge may apply to any full or partial payment of the death benefit. The Beneficiary may elect a death benefit payment option as permitted in SECTION III - DEATH BENEFIT OPTIONS AVAILABLE TO BENEFICIARY.

(c)      DEATH OF A SPOUSE WHO IS THE BENEFICIARY OF A CERTIFICATE HOLDER/ANNUITANT AND WHO BECOMES A SUCCESSOR CERTIFICATE
 
  HOLDER/ ANNUITANT.
 

The amount of the death benefit paid to the Beneficiary at the death of a successor Certificate Holder/Annuitant is the greater of the values as described in (a) above except that in calculating (a)(1), the Account Value on the Claim Date for the prior Certificate Holder's death is treated as the initial Purchase Payment.

CHARGES TO SEPARATE ACCOUNT:

SEE SCHEDULE-ACCUMULATION PERIOD.

4.03 DESCRIPTION OF OPTION PACKAGE II:

DEFERRED SALES CHARGE:

In addition to the events described in SECTION III - DEFERRED SALES CHARGE, the total amount that may be withdrawn each Account Year without a Deferred Sales Charge cannot exceed 10% of the Account Value less:

(1)      Any amount(s) withdrawn and/or requested for withdrawal under a Systematic Distribution Option, or
 
(2)      Any amount(s) taken as a minimum required distribution as described in SECTION III - DEFERRED SALES CHARGE.
 

No Deferred Sales Charge is deducted from any portion of the Purchase Payment(s) which is withdrawn:

If the Annuitant has spent at least 45 consecutive days in a
licensed nursing care facility and each of the following
conditions are met:

(1)      More than one Account Year has elapsed since the Schedule Effective Date; and
 
(2)      The withdrawal is requested within three years of admission to a licensed nursing care facility.
 

This waiver does not apply if the Annuitant was in a licensed
nursing care facility for at least one day during the two week
period immediately preceding or following the Schedule Effective
Date.

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4.03 DESCRIPTION OF OPTION PACKAGE II (CONT'D):

 

DEATH BENEFIT CALCULATION DURING THE ACCUMULATION PERIOD:

If the Certificate Holder or Annuitant dies before an Annuity Payout Option starts, the Beneficiary is entitled to a death benefit. If the Account is owned jointly, the death benefit applies at the death of the first joint Certificate Holder to die. The amount of the death benefit is determined as follows:

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(a)      DEATH OF THE ANNUITANT.
 
  The      death benefit is the greatest of:
 
  (1)      The sum of all Purchase Payment(s) made, adjusted for
 
   amount(s)      withdrawn or applied to an Annuity Payout Option
 
   as      of the Claim Date; or
 
  (2)      The Account Value on the Claim Date; or
 
  (3)      The "Step-up Value" on the Claim Date.
 
  On      the Schedule Effective Date, the Step-up Value is the greater
 
  of:     
 
  (1)      The Account Value; or
 
  (2)      The Step-up Value, if any, calculated on the anniversary
 
   prior      to the Schedule Effective Date, adjusted for
 
   Purchase      Payments(s) made and amount(s) withdrawn or
 
   applied      to an Annuity Payout Option during the prior
 
   Account      Year.
 
   Thereafter,      on each anniversary of the Schedule Effective
 
   Date      until the anniversary immediately preceding the
 
   Annuitant's      85th birthday or death, whichever is earlier,
 
   the      Step-up Value is equal to the greater of:
 
   (a)      The Step-up Value most recently calculated, adjusted for Purchase Payment(s) made and amount(s) withdrawn or applied to an Annuity Payout Option during the prior Account Year; or
 
   (b)      The Account Value on that anniversary of the Schedule Effective Date.
 
    On the Claim Date, the Step-up Value shall equal the Step-up Value calculated prior to death. It is adjusted for Purchase Payment(s) made and amount(s) withdrawn or applied to an Annuity Payout Option since the anniversary on which the Step-up Value was calculated.
 

On the Claim Date, if the amount of the death benefit is greater than the Account Value, the amount by which the death benefit exceeds the Account Value will be deposited and allocated to the money market fund available through the Separate Account.

The amount paid to the Beneficiary will equal the Adjusted Account Value on the date the payment request is processed. This amount may be greater or less than the amount of the death benefit on the Claim Date. The Beneficiary may elect a death benefit payment option as permitted in SECTION III - DEATH BENEFIT OPTIONS AVAILABLE TO THE BENEFICIARY.

(b)      DEATH OF THE CERTIFICATE HOLDER IF THE CERTIFICATE HOLDER IS NOT THE ANNUITANT.
 
  On the Claim Date, the amount of the death benefit equals the Account Value.
 
  The amount paid to the Beneficiary will equal the Adjusted Account Value on the date the payment request is processed. A Deferred Sales Charge may apply to any full or partial payment of the death benefit. The Beneficiary may elect a death benefit payment option as permitted in SECTION III - DEATH BENEFIT OPTIONS AVAILABLE TO THE BENEFICIARY.
 
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4.03      DESCRIPTION OF OPTION PACKAGE II (CONT'D):
 
  (c)      DEATH OF A SPOUSE WHO IS THE BENEFICIARY OF A CERTIFICATE
 
   HOLDER/ANNUITANT      AND WHO BECOMES A SUCCESSOR CERTIFICATE
 
   HOLDER/      ANNUITANT.
 
   The      amount of the death benefit paid to the Beneficiary at the
 
   death      of a successor Certificate Holder/Annuitant is the greater
 
   of      the values as described in (a) above except that:
 
   (1)      In calculating (a)(1), the Account Value on the Claim Date for the prior Certificate Holder's death is treated as the initial Purchase Payment; and
 
   (2)      In calculating (a)(3), the Step-up Value on the Claim Date for the prior Certificate Holder's death is the initial Step-up Value.
 
CHARGES      TO SEPARATE ACCOUNT:
 

SEE SCHEDULE-ACCUMULATION PERIOD.

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4.04 DESCRIPTION OF OPTION PACKAGE III:

DEFERRED SALES CHARGE:

In addition to the events described in SECTION III - DEFERRED SALES CHARGE, the total amount that may be withdrawn each Account Year without a Deferred Sales Charge cannot exceed 10% of the Account Value less:

(1)      Any amount(s) withdrawn and/or requested for withdrawal under a Systematic Distribution Option, or
 
(2)      Any amount(s) taken as a minimum required distribution as described in SECTION III - DEFERRED SALES CHARGE.
 

If the entire 10% of Account Value free of Deferred Sales Charge is not taken in any Account Year, the Certificate Holder may accumulate in successive Account Years the percentage not taken. The amount eligible each Account Year for withdrawal without a Deferred Sales Charge cannot exceed 30% of the Account Value less any amount(s) withdrawn and/or requested for withdrawal under a Systematic Distribution Option, or taken as a minimum required distribution as described in SECTION III - DEFERRED SALES CHARGE, during the Account Year.

No Deferred Sales Charge is deducted from any portion of the Purchase Payment(s) which is withdrawn:

If the Annuitant has spent at least 45 consecutive days in a
licensed nursing care facility and each of the following
conditions are met:

(1)      More than one Account Year has elapsed since the Schedule Effective Date; and
 
(2)      The withdrawal is requested within three years of admission to a licensed nursing care facility.
 

This waiver does not apply if the Annuitant was in a licensed
nursing care facility for at least one day during the two week
period immediately preceding or following the Schedule Effective
Date.

GA-MA-1080   Page 23
<PAGE>    
 
4.04 DESCRIPTION OF OPTION PACKAGE III (CONT'D):

 

DEATH BENEFIT CALCULATION DURING THE ACCUMULATION PERIOD:

If the Certificate Holder or Annuitant dies before an Annuity Payout Option starts, the Beneficiary is entitled to a death benefit. If the Account is owned jointly, the death benefit applies at the death of the first joint Certificate Holder to die. The amount of the death benefit is determined as follows:

(a)      DEATH OF THE ANNUITANT.
 
  The      death benefit is the greatest of:
 
  (1)      The sum of all Purchase Payment(s) made, adjusted for amount(s) withdrawn or applied to an Annuity Payout Option as of the Claim Date; or
 
  (2)      The Account Value on the Claim Date; or
 
  (3)      The Step-up Value on the Claim Date; or
 
  (4)      The "Roll-up Value" on the Claim Date.
 
On      the Schedule Effective Date, the Step-up Value is the greater of:
 
(1)      The Account Value; or
 
(2)      The Step-up Value, if any, calculated on the anniversary prior
 
  to      the Schedule Effective Date, adjusted for Purchase
 
  Payments(s)      made and amount(s) withdrawn or applied to an
 
  Annuity      Payout Option during the prior Account Year.
 

Thereafter, on each anniversary of the Schedule Effective Date until the anniversary immediately preceding the Annuitant's 85th birthday or death, whichever is earlier, the Step-up Value is equal to the greater of:

(a)      The Step-up Value most recently calculated, adjusted for Purchase Payment(s) made and amount(s) withdrawn or applied to an Annuity Payout Option during the prior Account Year; or
 
(b)      The Account Value on that anniversary of the Schedule Effective Date.
 

On the Claim Date, the Step-up Value shall equal the Step-up Value calculated prior to death. It is adjusted for Purchase Payment(s) made

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and amount(s) withdrawn or applied to an Annuity Payout Option since the anniversary on which the Step-up Value was calculated.

On the Schedule Effective Date, the Roll-up Value is equal to the
Account Value.

Thereafter, on each anniversary of the Schedule Effective Date until the anniversary immediately preceding the Annuitant's 76th birthday or death, whichever is earlier, the Roll-up Value is equal to the Roll-up Value most recently calculated, multiplied by a factor of 1.05, adjusted for Purchase Payment(s) made, and amount(s) withdrawn or applied to an Annuity Payout Option during the prior Account Year. The Roll-up Value may not exceed 200% of the Account Value on the Schedule Effective Date, adjusted for additional Purchase Payments made, and amount(s) withdrawn or applied to an Annuity Payout Option.

On the Claim Date, the Roll-up Value shall equal the Roll-up Value
calculated prior to death. It is adjusted for additional Purchase
Payment(s) made and amount(s) withdrawn or applied to an Annuity
Payout Option since the anniversary on which the Roll-up Value was
calculated.

On the Claim Date, if the amount of the death benefit is greater than the Account Value, the amount by which the death benefit exceeds the Account Value will be deposited and allocated to the money market fund available through the Separate Account.

The amount paid to the Beneficiary will equal the Adjusted Account Value on the date the payment request is processed. This amount may be greater or less than the amount of the death benefit on the Claim Date. The Beneficiary may elect a death benefit payment option as permitted in SECTION III - DEATH BENEFIT OPTIONS AVAILABLE TO THE BENEFICIARY.

GA-MA-1080   Page 24
<PAGE>    

 

4.04      DESCRIPTION OF OPTION PACKAGE III (CONT'D):
 
  (b)      DEATH OF THE CERTIFICATE HOLDER IF THE CERTIFICATE HOLDER IS NOT
 
   THE      ANNUITANT.
 
   On      the Claim Date, the amount of the death benefit equals the
 
   Account      Value.
 
   The      amount paid to the Beneficiary will equal the Adjusted
 
   Account      Value on the date the payment request is processed. A
 
   Deferred      Sales Charge may apply to any full or partial payment
 
   of      the death benefit. The Beneficiary may elect a death benefit
 
   payment      option as permitted in SECTION III - DEATH BENEFIT
 
   OPTIONS      AVAILABLE TO THE BENEFICIARY.
 
  (c)      DEATH OF A SPOUSE WHO IS THE BENEFICIARY OF A CERTIFICATE
 
   HOLDER/ANNUITANT      AND WHO BECOMES A SUCCESSOR CERTIFICATE
 
   HOLDER/      ANNUITANT.
 
   The      amount of the death benefit paid to the Beneficiary at the
 
   death      of a successor Certificate Holder/Annuitant is the greater
 
   of      the values as described in (a) above except that:
 
   (1)      In calculating (a)(1), the Account Value on the Claim Date for the prior Certificate Holder's death is treated as the initial Purchase Payment; and
 
   (2)      In calculating (a)(3), the Step-up Value on the Claim Date for the prior Certificate Holder's death is the initial Step-up Value; and
 
   (3)      In calculating (a)(4), the Roll-up Value on the Claim Date for the prior Certificate Holder's death is the initial Roll-Up Value.
 
CHARGES      TO SEPARATE ACCOUNT:
 

SEE SCHEDULE-ACCUMULATION PERIOD.

V.      ANNUITY PAYOUT PROVISIONS
 
--------------------------------------------------------------------------------     
 
5.01      ANNUITY PAYOUT OPTIONS:
 

ANNUITY PAYOUT OPTION 1 - PAYMENTS FOR A SPECIFIED PERIOD:

Payments are made for the number of years specified by the Certificate Holder. The number of years must be at least five and not more than 30.

ANNUITY PAYOUT OPTION 2 - LIFE INCOME BASED ON THE LIFE OF ONE
ANNUITANT:

When this option is elected, the Certificate Holder must choose
one of the following:

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(a)      Payments cease at the death of the Annuitant;
 
(b)      Payments are guaranteed for a specified period from five to 30 years;
 
(c)      Cash refund: when the Annuitant dies, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity Payout Option (less any premium tax, if applicable) less the total amount of Annuity Payments made prior to such death. This cash refund feature is only available if the total amount applied to the Annuity Payout Option is allocated to a fixed Annuity Payment.
 
GA-MA-1080   Page 25
<PAGE>    
 
5.01 ANNUITY PAYOUT OPTIONS (CONT'D):

 

ANNUITY PAYOUT OPTION 3 - LIFE INCOME BASED ON THE LIVES OF TWO
ANNUITANTS:

Payments are made for the lives of two Annuitants, one of whom
is designated the primary Annuitant and the other the secondary
Annuitant, and cease when both Annuitants have died. When this
option is elected, the Certificate Holder must also choose one
of the following:

(a) 100% of the payment to continue after the first death;
(b) 66 2/3% of the payment to continue after the first death;
(c) 50% of the payment to continue after the first death;
(d) 100% of the payment to continue after the first death and
payments are guaranteed for a period of five to 30 years;
(e) 100% of the payment to continue at the death of the
secondary Annuitant and 50% of the payment to continue at
the death of the primary Annuitant; or
(f) 100% of the payment continues after the first death with
a cash refund feature. When the primary Annuitant and
secondary Annuitant die, the Beneficiary will receive a
lump sum payment equal to the amount applied to the
Annuity Payout Option (less any premium tax) less the
total amount of Annuity Payments paid prior to such
death. This cash refund feature is only available if the
total amount applied to the Annuity Payout Option is
allocated to a fixed Annuity Payment.

If a fixed Annuity Payment is chosen under Annuity Payout Option
1, 2 (a) or (b), or 3 (a) or (d), the Certificate Holder may
elect, at the time the Annuity Payout Option is selected, an
annual increase of one, two or three percent compounded
annually.

As allowed under applicable state law, GALIC reserves the right
to offer additional Annuity Payout Options.

5.02 ANNUITY PAYMENT CHOICES:

The Certificate Holder may tell GALIC to apply any portion of
the Adjusted Account Value (minus any premium tax, if
applicable,) to any Annuity Payout Option . The first Annuity
Payment may not be earlier than one calendar year after the
initial Purchase Payment nor later than the later of:

(a)      The first day of the month following the Annuitant's 85th birthday; or
 
(b)      The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity Payout Option, the Certificate Holder may tell GALIC to make a lump sum payment.
 

When an Annuity Payout Option is chosen, GALIC must also be told
if payments are to be made other than monthly and whether to
pay:

(a)      A fixed Annuity Payment using the General Account;
 
(b)      A variable Annuity Payment using any of the Subaccount(s) available under this Contract for the Annuity Period; or
 
(c)      A combination of (a) and (b) .
 

If a fixed Annuity Payment is chosen, the payment rate for the
option chosen, shown on the tables immediately following,
reflects at least the minimum guaranteed interest rate (SEE
SCHEDULE - ANNUITY PERIOD), but may reflect a higher interest
rate.

If a variable Annuity Payment is chosen, the initial Annuity
Payment for the option elected reflects the Assumed Interest
Rate (AIR) elected (SEE SCHEDULE - ANNUITY PERIOD). The
Certificate Holder must allocate specified amounts among the
Subaccounts available during the Annuity Period. GALIC reserves

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the right to limit the number of Subaccounts available at one
time and to limit the number of Subaccounts the Certificate
Holder may select during the Annuity Period. Subject to terms
and conditions established by GALIC, the Certificate Holder may
transfer all or any portion of the amount allocated to a
Subaccount to another Subaccount. The number of Transfers
allowed without charge each year is shown on SCHEDULE - ANNUITY
PERIOD.

Transfer requests must be submitted as a percentage of the
allocation among the Subaccounts. GALIC reserves the right to
establish a minimum transfer amount. Transfers will be effective
as of the Valuation Date in which GALIC receives a transfer
request in good order at its Customer Service Center.

GA-MA-1080   Page 26
<PAGE>    

 

5.03      TERMS OF ANNUITY PAYOUT OPTIONS:
 
  (a)      When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95.
 
  (b)      An Annuity Payout Option may not be elected if the first payment would be less than $50 or if the total payments in a year would be less than $250 (less if required by state law). GALIC reserves the right to increase the minimum first Annuity Payment amount and the minimum annual Annuity payment amount based upon increases reflected in the Consumer Price Index-Urban, (CPI-U) since July 1, 1993.
 
  (c)      If a fixed Annuity Payment is chosen GALIC will use the applicable current rate if it will provide higher fixed Annuity Payments.
 
  (d)      For purposes of calculating the guaranteed first payment of a variable or fixed Annuity Payment, the primary Annuitant's and secondary Annuitant's adjusted age will be used. The primary Annuitant's and secondary Annuitant's adjusted age is his or her age as of the birthday closest to the Annuity Payment commencement date reduced by one year for commencement dates occurring during the period of time from July 1, 1993 through December 31, 1999. The primary Annuitant's and secondary Annuitant's age will be reduced by two years for commencement dates occurring during the period of time from January 1, 2000 through December 31, 2009. The primary Annuitant's and secondary Annuitant's age will be reduced by one additional year for Annuity commencement dates occurring in each succeeding
 
  decade.     
 
  The      attached payment rates for Annuity Payout Options 2 and 3
 
  are      based on mortality from 1983 Table a.
 
  (e)      Assumed Interest Rate (AIR) is the interest rate used to
 
  determine      the amount of the first Annuity Payment under a
 
  variable      Annuity Payment as shown on SCHEDULE - ANNUITY PERIOD.
 
  The      Separate Account must earn this rate plus enough to cover
 
  the      mortality and expense risks charges (which may include
 
  profit)      and administrative charges if future variable Annuity
 
  Payments      are to remain level, (SEE SCHEDULE - ANNUITY PERIOD) .
 
  (f)      Once elected, Annuity Payments cannot be commuted to a lump sum
 
  except      for variable Annuity Payments under Annuity Payout
 
  Option      1.
 
  5.04      DEATH OF ANNUITANT/BENEFICIARY:
 
  (a)      CERTIFICATE HOLDER IS THE ANNUITANT: When the Certificate Holder
 
  is      the Annuitant and the Annuitant dies under Annuity Payout
 
  Option      1 or 2(b), or both the primary Annuitant and the
 
  secondary      Annuitant die under Annuity Payout Option 3(d), any
 
  remaining      payments will continue to the Beneficiary, or if
 
  elected      by the Beneficiary and not prohibited by the Certificate
 
  Holder      in the Beneficiary designation, the present value of any
 
  remaining      payments will be paid in one sum to the Beneficiary.
 
  If      Annuity Payout Option 3 has been elected and the Certificate
 
  Holder      dies, the remaining payments will continue to the
 
  successor      payee. If no successor payee has been designated, the
 
  Beneficiary      will be treated as the successor payee. If the
 
  Account      has joint Certificate Holders, the surviving joint
 
  Certificate      Holder will be deemed the successor payee.
 
  (b)      CERTIFICATE HOLDER IS NOT THE ANNUITANT: When the Certificate
 
  Holder      is not the Annuitant and the Certificate Holder dies, any
 
  remaining      payments will continue to the successor payee. If no
 
  successor      payee has been designated, the Beneficiary will be
 
  treated      as the successor payee. If the Account has joint
 
  Certificate      Holders, the surviving joint Certificate Holder will
 
  be      deemed the successor payee.
 
  If      the Annuitant dies under Annuity Payout Option 1 or 2(b), or
 
  both      the primary Annuitant and secondary Annuitant die under
 
  Annuity      Payout Option 3(d), any remaining payments will continue
 
  to      the Beneficiary, or if elected by the Beneficiary and not
 

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prohibited by the Certificate Holder in the Beneficiary
designation, the present value of any remaining payments will be
paid in one sum to the Beneficiary. If Annuity Payout Option 3
has been elected and the Annuitant dies, the remaining payments
will continue to the Certificate Holder.

GA-MA-1080   Page 27
<PAGE>    

 

5.04      DEATH OF ANNUITANT/BENEFICIARY (CONT'D):
 
  (c)      No Beneficiary Named/Surviving: If there is no Beneficiary, the present value of any remaining payments will be paid in one sum to the Certificate Holder, or if the Certificate Holder is not living, then to the Certificate Holder's estate.
 
  (d)      If the Beneficiary or the successor payee dies while receiving Annuity Payments, any remaining payments will continue to the successor Beneficiary/payee or upon election by the successor Beneficiary/payee, the present value of any remaining payments will be paid in one sum to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining payments will be paid in one sum to the Beneficiary's/payee's estate.
 
  (e)      The present value will be determined as of the Valuation Date in which proof of death acceptable to GALIC and a request for payment is received at GALIC's Customer Service Center.
 
5.05      ANNUITY UNITS - SEPARATE ACCOUNT:
 

The number of annuity units is based on the amount of the first
variable Annuity Payment which is equal to:

(a)      The portion of the Account Value applied to pay a variable Annuity Payment (minus any applicable premium tax); divided by
 
(b)      1,000; multiplied by
 
(c)      The payment rate on the tables immediately following, for the option chosen.
 

Such amount, or portion, of the variable Annuity Payment will be divided by the appropriate annuity unit value (SEE SECTION V - ANNUITY UNIT VALUE - SEPARATE ACCOUNT) on the tenth Valuation Date before the due date of the first payment to determine the number of annuity units. The number of annuity units remains fixed. Each future payment is equal to the sum of the products of each annuity unit value multiplied by the appropriate number of annuity units. The annuity unit value on the tenth Valuation Date prior to the due date of the payment is used.

5.06 ANNUITY UNIT VALUE - SEPARATE:

For any Valuation Date, an annuity unit value is equal to:

(a)      The value for the previous Valuation Date; multiplied by
 
(b)      The annuity net return factor(s) (SEE SECTION V - NET RETURN FACTOR(S) - SEPARATE ACCOUNT) for the Valuation Date; multiplied by
 
(c)      A factor to reflect the AIR (SEE SCHEDULE - ANNUITY PERIOD) .
 

The annuity unit value and Annuity Payment amount may go up or down due to investment gain or loss.

5.07 NET RETURN FACTOR(S) - SEPARATE ACCOUNT:

The net return factor(s) are used to compute all variable Annuity Payments for any Subaccount.

The net return factor for each Subaccount is equal to 1.0000000 plus the net return rate.

The net return rate is equal to:

(a)      The value of the shares of the Subaccount at the end of a Valuation Date; minus
 
(b)      The value of the shares of the Subaccount at the start of the Valuation Date; plus or minus
 
(c)      Taxes (or reserves for taxes) on the Separate Account (if any); divided by
 
(d)      The total value of the annuity units at the start of the Valuation Date; minus
 
GA-MA-1080   Page 28
<PAGE>    
 
5.07 NET RETURN FACTOR(S) - SEPARATE ACCOUNT (CONT'D):

 

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(e)      A daily charge for mortality and expense risks, which may include profit, and a daily administrative charge at the annual rate as shown on SCHEDULE - ANNUITY PERIOD.
 
A      net return rate may be more or less than 0%.
 

The value of a share of the Subaccount is equal to the net assets of the Subaccount divided by the number of shares outstanding.

Annuity Payments shall not be changed due to changes in the mortality or expense results or administrative charges.

GA-MA-1080       Page 29    
<PAGE>            
 
    OPTION 1: PAYMENTS FOR A SPECIFIED PERIOD    
 
<TABLE>            
<CAPTION>            
---------------------------------------------------------------------------------------
Monthly Amount for Each $1,000*
Rates for a Fixed Annuity with a 3% Guaranteed Interest Rate
---------------------------------------------------------------------------------------
Years   Payment   Years   Payment
---------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>
5   $17.91   18   $5.96
6   15.14   19   5.73
7   13.16   20   5.51
8   11.68   21   5.32
9   10.53   22   5.15
10   9.61   23   4.99
11   8.86   24   4.84
12   8.24   25   4.71
13   7.71   26   4.59
14   7.26   27   4.47
15   6.87   28   4.37
16   6.53   29   4.27
17   6.23   30   4.18
---------------------------------------------------------------------------------------
 
<CAPTION>            
 
---------------------------------------------------------------------------------------
First Monthly Amount for Each $1,000*
Rates for a Variable Annuity with a 3.5% AIR
---------------------------------------------------------------------------------------
Years   Payment   Years   Payment
---------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>
5   $18.12   18   $6.20
6   15.35   19   5.97
7   13.38   20   5.75
8   11.90   21   5.56
9   10.75   22   5.39
10   9.83   23   5.24
11   9.09   24   5.09
12   8.46   25   4.96
13   7.94   26   4.84
14   7.49   27   4.73
15   7.10   28   4.63
16   6.76   29   4.53
17   6.47   30   4.45
---------------------------------------------------------------------------------------
 
<CAPTION>            
 
---------------------------------------------------------------------------------------
First Monthly Amount for Each $1,000*
Rates for a Variable Annuity with a 5% AIR
---------------------------------------------------------------------------------------
Years   Payment   Years   Payment
---------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>
5   $18.74   18   $6.94
6   15.99   19   6.71
7   14.02   20   6.51
8   12.56   21   6.33
9   11.42   22   6.17
10   10.51   23   6.02
11   9.77   24   5.88
12   9.16   25   5.76

 

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13       8.64           26       5.65                    
14       8.20           27       5.54                    
15       7.82           28       5.45                    
16       7.49           29       5.36                    
17       7.20           30       5.28                    
---------------------------------------------------------------------------------------                
</TABLE>                                                
 
    * Net of any applicable premium tax deduction                            
 
 
GA-MA-1080           Page 30                                    
<PAGE>                                                
 
    OPTION 2: LIFE INCOME BASED ON THE LIFE OF ONE ANNUITANT                        
 
<TABLE>                                                
<CAPTION>                                                
------------------------------------------------------------------------------------------------------------------------------------
Monthly Payment Amount for Each $1,000*
            Rates for a Fixed Annuity with 3% Guaranteed Interest Rate                
------------------------------------------------------------------------------------------------------------------------------------
    Option 2(a):   Option 2(b):   Option 2(b):   Option 2(b):   Option 2(b):   Option 2(c):
    payments for   payments   payments   payments   payments   Cash Refund
Adjusted       life   guaranteed   guaranteed   guaranteed   guaranteed        
Age of           5 years   10 years   15 years   20 years        
Annuitant   ------------------------------------------------------------------------------------------------------------------------
    Male   Female   Male   Female   Male   Female   Male   Female   Male   Female   Male   Female
------------------------------------------------------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>
50   $4.27   $3.90   $4.26   $3.90   $4.22   $3.89   $4.17   $3.86   $4.08   $3.82   $4.04   $3.78
51   4.34   3.97   4.33   3.96   4.30   3.95   4.23   3.92   4.14   3.88   4.10   3.84
52   4.43   4.03   4.41   4.03   4.37   4.01   4.30   3.98   4.20   3.93   4.16   3.89
53   4.51   4.10   4.50   4.10   4.45   4.08   4.37   4.04   4.26   3.99   4.23   3.95
54   4.60   4.18   4.59   4.17   4.54   4.15   4.45   4.11   4.32   4.04   4.29   4.01
 
55   4.70   4.25   4.68   4.25   4.62   4.22   4.53   4.18   4.39   4.11   4.37   4.07
56   4.80   4.34   4.78   4.33   4.72   4.30   4.61   4.25   4.45   4.17   4.44   4.13
57   4.91   4.42   4.89   4.41   4.82   4.38   4.69   4.32   4.51   4.23   4.52   4.20
58   5.03   4.52   5.00   4.51   4.92   4.47   4.78   4.40   4.58   4.30   4.61   4.28
59   5.15   4.61   5.12   4.60   5.03   4.56   4.87   4.48   4.65   4.37   4.69   4.35
 
60   5.28   4.72   5.25   4.70   5.14   4.66   4.96   4.57   4.71   4.44   4.78   4.43
61   5.43   4.83   5.39   4.81   5.27   4.76   5.06   4.66   4.78   4.51   4.88   4.52
62   5.58   4.95   5.53   4.93   5.39   4.87   5.16   4.75   4.84   4.58   4.98   4.60
63   5.74   5.08   5.69   5.05   5.53   4.98   5.26   4.85   4.90   4.65   5.09   4.70
64   5.91   5.21   5.85   5.18   5.66   5.10   5.36   4.95   4.96   4.72   5.20   4.80
 
65   6.10   5.36   6.03   5.32   5.81   5.22   5.46   5.05   5.02   4.79   5.31   4.90
66   6.30   5.51   6.21   5.47   5.96   5.36   5.56   5.16   5.08   4.86   5.44   5.01
67   6.51   5.67   6.41   5.63   6.12   5.50   5.66   5.26   5.13   4.93   5.56   5.12
68   6.73   5.85   6.62   5.80   6.28   5.65   5.77   5.37   5.18   5.00   5.70   5.24
69   6.97   6.04   6.84   5.98   6.44   5.80   5.86   5.49   5.23   5.06   5.84   5.37
 
70   7.23   6.25   7.07   6.18   6.61   5.97   5.96   5.60   5.27   5.12   5.98   5.51
71   7.51   6.47   7.32   6.39   6.79   6.14   6.05   5.71   5.31   5.18   6.14   5.65
72   7.80   6.71   7.58   6.62   6.96   6.32   6.14   5.83   5.34   5.23   6.30   5.80
73   8.12   6.98   7.85   6.86   7.14   6.50   6.23   5.94   5.37   5.28   6.47   5.96
74   8.46   7.26   8.14   7.12   7.32   6.69   6.31   6.04   5.40   5.32   6.65   6.13
 
75   8.82   7.57   8.45   7.40   7.50   6.89   6.38   6.14   5.42   5.35   6.83   6.31
------------------------------------------------------------------------------------------------------------------------------------
</TABLE>                                                
 
    * Net of any applicable premium tax deduction                            

 

GA-MA-1080           Page 31                            
<PAGE>                                        
 
    OPTION 2: LIFE INCOME BASED ON THE LIFE OF ONE ANNUITANT                
 
<TABLE>                                        
<CAPTION>                                        
-------------------------------------------------------------------------------------------------------------------
First Monthly Payment Amount for Each $1,000*
Rates for a Variable Annuity with 3.5% AIR
-------------------------------------------------------------------------------------------------------------------
    Option 2(a):   Option 2(b):   Option 2(b):   Option 2(b):   Option 2(b):
    payments for   payments   payments   payments   payments
Adjusted       life   guaranteed   guaranteed   guaranteed   guaranteed
Age of           5 years   10 years   15 years   20 years
Annuitant   ----------------------------------------------------------------------------------------------------
    Male   Female   Male   Female   Male   Female   Male   Female   Male   Female
-------------------------------------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>
50   $4.56   $4.20   $4.55   $4.19   $4.51   $4.18   $4.45   $4.15   $4.36   $4.11
51   4.64   4.26   4.62   4.25   4.58   4.24   4.51   4.21   4.42   4.16
52   4.72   4.32   4.70   4.32   4.66   4.30   4.58   4.26   4.48   4.21
53   4.80   4.39   4.79   4.38   4.74   4.36   4.65   4.32   4.53   4.27
54   4.89   4.46   4.87   4.46   4.82   4.43   4.73   4.39   4.59   4.32

 

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55   4.99   4.54   4.97   4.53   4.91   4.50   4.80   4.46   4.65   4.38
56   5.09   4.62   5.07   4.61   5.00   4.58   4.88   4.53   4.72   4.44
57   5.20   4.71   5.17   4.70   5.10   4.66   4.96   4.60   4.78   4.50
58   5.32   4.80   5.29   4.79   5.20   4.75   5.05   4.68   4.84   4.57
59   5.44   4.90   5.41   4.88   5.31   4.84   5.14   4.76   4.91   4.63
 
60   5.57   5.00   5.53   4.99   5.42   4.93   5.23   4.84   4.97   4.70
61   5.71   5.11   5.67   5.09   5.54   5.03   5.32   4.93   5.03   4.77
62   5.86   5.23   5.81   5.21   5.66   5.14   5.42   5.02   5.09   4.84
63   6.02   5.36   5.97   5.33   5.79   5.25   5.51   5.11   5.16   4.91
64   6.20   5.49   6.13   5.46   5.93   5.37   5.61   5.21   5.21   4.98
 
65   6.38   5.64   6.31   5.60   6.07   5.49   5.71   5.31   5.27   5.05
66   6.58   5.79   6.49   5.75   6.22   5.63   5.81   5.41   5.32   5.12
67   6.79   5.95   6.69   5.91   6.38   5.76   5.91   5.52   5.38   5.18
68   7.02   6.13   6.89   6.08   6.53   5.91   6.01   5.63   5.42   5.25
69   7.26   6.32   7.11   6.26   6.70   6.06   6.11   5.74   5.47   5.31
 
70   7.52   6.53   7.35   6.45   6.86   6.23   6.20   5.85   5.51   5.37
71   7.80   6.75   7.59   6.66   7.03   6.39   6.29   5.96   5.54   5.42
72   8.09   6.99   7.85   6.89   7.21   6.57   6.38   6.07   5.57   5.47
73   8.41   7.26   8.12   7.13   7.38   6.75   6.46   6.17   5.60   5.51
74   8.75   7.54   8.41   7.39   7.55   6.94   6.53   6.28   5.63   5.55
 
75   9.12   7.85   8.71   7.66   7.73   7.13   6.61   6.38   5.65   5.59
-------------------------------------------------------------------------------------------------------------------
</TABLE>                                        
 
    * Net of any applicable premium tax deduction                    
 
 
 
 
GA-MA-1080           Page 32                            
<PAGE>                                        
 
    OPTION 2: LIFE INCOME BASED ON THE LIFE OF ONE ANNUITANT                
 
<TABLE>                                        
<CAPTION>                                        
-------------------------------------------------------------------------------------------------------------------
First Monthly Payment Amount for Each $1,000*
Rates for a Variable Annuity with 5% AIR
-------------------------------------------------------------------------------------------------------------------
    Option 2(a):   Option 2(b):   Option 2(b):   Option 2(b):   Option 2(b):
    payments for   payments   payments   payments   payments
Adjusted       life   guaranteed   guaranteed   guaranteed   guaranteed
Age of           5 years   10 years   15 years   20 years
Annuitant   ----------------------------------------------------------------------------------------------------
    Male   Female   Male   Female   Male   Female   Male   Female   Male   Female
-------------------------------------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>
50   $5.48   $5.12   $5.46   $5.11   $5.41   $5.09   $5.34   $5.06   $5.24   $5.01
51   5.55   5.17   5.53   5.17   5.48   5.14   5.40   5.11   5.29   5.05
52   5.63   5.23   5.61   5.23   5.55   5.20   5.46   5.16   5.34   5.10
53   5.71   5.30   5.69   5.29   5.62   5.26   5.53   5.22   5.40   5.15
54   5.80   5.37   5.77   5.36   5.70   5.33   5.60   5.27   5.45   5.20
 
55   5.89   5.44   5.86   5.43   5.79   5.39   5.67   5.34   5.51   5.25
56   5.99   5.52   5.96   5.51   5.87   5.47   5.74   5.40   5.56   5.31
57   6.10   5.60   6.06   5.59   5.97   5.54   5.82   5.47   5.62   5.37
58   6.21   5.69   6.17   5.67   6.06   5.62   5.90   5.54   5.68   5.42
59   6.33   5.79   6.29   5.77   6.17   5.71   5.98   5.61   5.74   5.48
 
60   6.46   5.89   6.41   5.87   6.28   5.80   6.06   5.69   5.79   5.55
61   6.60   6.00   6.55   5.97   6.39   5.90   6.15   5.77   5.85   5.61
62   6.75   6.11   6.69   6.08   6.51   6.00   6.24   5.86   5.91   5.67
63   6.91   6.23   6.84   6.20   6.64   6.10   6.33   5.95   5.96   5.73
64   7.09   6.37   7.00   6.33   6.77   6.22   6.42   6.04   6.02   5.80
 
65   7.27   6.51   7.18   6.46   6.91   6.34   6.52   6.13   6.07   5.86
66   7.47   6.66   7.36   6.61   7.05   6.46   6.61   6.23   6.12   5.92
67   7.68   6.82   7.55   6.76   7.20   6.60   6.70   6.33   6.16   5.99
68   7.91   7.00   7.76   6.93   7.35   6.74   6.80   6.43   6.21   6.04
69   8.15   7.19   7.98   7.11   7.51   6.89   6.89   6.54   6.25   6.10
 
70   8.41   7.39   8.21   7.30   7.67   7.04   6.97   6.64   6.28   6.15
71   8.69   7.62   8.45   7.51   7.83   7.21   7.06   6.74   6.32   6.20
72   8.99   7.86   8.70   7.73   8.00   7.38   7.14   6.85   6.35   6.25
73   9.31   8.12   8.97   7.97   8.16   7.55   7.21   6.95   6.37   6.29
74   9.65   8.41   9.26   8.23   8.33   7.73   7.29   7.04   6.39   6.33
 
75   10.02   8.72   9.55   8.50   8.50   7.92   7.35   7.14   6.41   6.36
-------------------------------------------------------------------------------------------------------------------
</TABLE>                                        
 
    * Net of any applicable premium tax deduction                    
 
 
 
 
GA-MA-1080           Page 33                            
<PAGE>                                        

 

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OPTION 3: LIFE INCOME BASED ON THE LIVES OF TWO ANNUITANTS

<TABLE> <CAPTION> ------------------------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Primary Annuitant is Female and Secondary Annuitant is Male ------------------------------------------------------------------------------------------------------------------------------------Adjusted Ages ------------------------------

                    payments        
                    guaranteed        
Primary   Secondary               10 years        
Annuitant   Annuitant   Option 3(a)   Option 3(b)   Option 3(c)   Option 3(d)   Option 3(e)   Option 3(f)
------------------------------------------------------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>   <C>   <C>   <C>   <C>
55   50   $3.75   $4.07   $4.26   $3.75   $3.98   $3.72
55   55   3.88   4.25   4.47   3.87   4.06   3.85
55   60   3.99   4.44   4.71   3.98   4.12   3.94
 
60   55   4.06   4.47   4.71   4.06   4.37   4.02
60   60   4.24   4.71   4.99   4.23   4.47   4.17
60   65   4.38   4.97   5.32   4.38   4.54   4.29
 
65   60   4.49   5.01   5.32   4.48   4.89   4.39
65   65   4.72   5.33   5.70   4.71   5.02   4.59
65   70   4.93   5.68   6.15   4.91   5.14   4.74
 
70   65   5.07   5.75   6.17   5.05   5.60   4.87
70   70   5.40   6.21   6.70   5.36   5.79   5.13
70   75   5.69   6.68   7.32   5.62   5.96   5.29
 
75   70   5.89   6.82   7.40   5.81   6.63   5.48
75   75   6.37   7.45   8.15   6.23   6.92   5.78
75   80   6.78   8.11   8.99   6.54   7.15   5.93
------------------------------------------------------------------------------------------------------------------------------------
</TABLE>                            
 
    * Net of any applicable premium tax deduction                

 

GA-MA-1080   Page 34
<PAGE>    

 

OPTION 3: LIFE INCOME BASED ON THE LIVES OF TWO ANNUITANTS

<TABLE> <CAPTION> --------------------------------------------------------------------------------------------------------------------------First Monthly Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% AIR

Primary Annuitant Is Female and Secondary Annuitant Is Male --------------------------------------------------------------------------------------------------------------------------Adjusted Ages ----------------------------------

                    payments    
                    guaranteed    
Primary   Secondary               10 years    
Annuitant   Annuitant   Option 3(a)   Option 3(b)   Option 3(c)   Option 3(d)   Option 3(e)
--------------------------------------------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>   <C>   <C>   <C>
55   50   $4.03   $4.36   $4.55   $4.03   $4.27
55   55   4.16   4.54   4.76   4.15   4.34
55   60   4.27   4.73   5.00   4.26   4.40
 
60   55   4.34   4.76   5.00   4.34   4.65
60   60   4.51   4.99   5.27   4.50   4.74
60   65   4.66   5.25   5.61   4.65   4.82
 
65   60   4.76   5.29   5.60   4.75   5.16
65   65   4.99   5.61   5.99   4.98   5.30
65   70   5.19   5.97   6.44   5.17   5.41
 
70   65   5.34   6.03   6.46   5.31   5.88
70   70   5.67   6.49   6.99   5.62   6.07
70   75   5.95   6.96   7.61   5.87   6.23
 
75   70   6.16   7.10   7.68   6.07   6.90
75   75   6.64   7.73   8.43   6.48   7.19
75   80   7.04   8.39   9.29   6.79   7.42
--------------------------------------------------------------------------------------------------------------------------
</TABLE>                        
 
    * Net of any applicable premium tax deduction            

 

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GA-MA-1080   Page 35
<PAGE>    

 

OPTION 3: LIFE INCOME BASED ON THE LIVES OF TWO ANNUITANTS

<TABLE> <CAPTION> --------------------------------------------------------------------------------------------------------------------------First Monthly Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% AIR

Primary Annuitant is Female and Secondary Annuitant is Male --------------------------------------------------------------------------------------------------------------------------Adjusted Ages ----------------------------------

                    payments    
                    guaranteed    
Primary   Secondary               10 years    
Annuitant   Annuitant   Option 3(a)   Option 3(b)   Option 3(c)   Option 3(d)   Option 3(e)
--------------------------------------------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>   <C>   <C>   <C>
55   50   $4.93   $5.27   $5.46   $4.93   $5.17
55   55   5.04   5.44   5.66   5.04   5.23
55   60   5.15   5.63   5.91   5.14   5.29
 
60   55   5.21   5.65   5.89   5.21   5.53
60   60   5.37   5.87   6.16   5.37   5.62
60   65   5.52   6.14   6.51   5.51   5.70
 
65   60   5.61   6.16   6.49   5.60   6.03
65   65   5.83   6.49   6.87   5.82   6.15
65   70   6.04   6.84   7.34   6.00   6.27
 
70   65   6.17   6.90   7.33   6.13   6.73
70   70   6.49   7.35   7.87   6.44   6.91
70   75   6.77   7.84   8.51   6.68   7.07
 
75   70   6.97   7.96   8.56   6.87   7.75
75   75   7.45   8.60   9.33   7.27   8.04
75   80   7.86   9.28   10.20   7.57   8.27
--------------------------------------------------------------------------------------------------------------------------
</TABLE>                        
 
    * Net of any applicable premium tax deduction            

 

GA-MA-1080   Page 36
<PAGE>    

 

OPTION 3: LIFE INCOME BASED ON THE LIVES OF TWO ANNUITANTS

<TABLE> <CAPTION> --------------------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Primary Annuitant is Male and Secondary Annuitant is Female --------------------------------------------------------------------------------------------------------------------------------Adjusted Ages -----------------------------

                    payments        
                    guaranteed        
Primary   Secondary               10 years        
Annuitant   Annuitant   Option 3(a)   Option 3(b)   Option 3(c)   Option 3(d)   Option 3(e)   Option 3(f)
--------------------------------------------------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>   <C>   <C>   <C>   <C>
55   50   $3.69   $4.05   $4.27   $3.69   $4.13   $3.67
55   55   3.88   4.25   4.47   3.87   4.25   3.85
55   60   4.06   4.47   4.71   4.06   4.36   4.02
 
60   55   3.99   4.44   4.71   3.98   4.55   3.94
60   60   4.24   4.71   4.99   4.23   4.70   4.17
60   65   4.49   5.01   5.32   4.48   4.85   4.39

 

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65   60   4.38   4.97   5.32   4.38   5.10   4.29
65   65   4.72   5.33   5.70   4.71   5.32   4.59
65   70   5.07   5.75   6.17   5.05   5.54   4.87
 
70   65   4.93   5.68   6.15   4.91   5.86   4.74
70   70   5.40   6.21   6.70   5.36   6.18   5.13
70   75   5.89   6.82   7.40   5.81   6.49   5.48
 
75   70   5.69   6.68   7.32   5.62   6.92   5.29
75   75   6.37   7.45   8.15   6.23   7.40   5.78
75   80   7.07   8.34   9.16   6.78   7.85   6.17
--------------------------------------------------------------------------------------------------------------------------------
</TABLE>                            
 
    * Net of any applicable premium tax deduction                

 

GA-MA-1080   Page 37
<PAGE>    

 

OPTION 3: LIFE INCOME BASED ON THE LIVES OF TWO ANNUITANTS

<TABLE> <CAPTION> --------------------------------------------------------------------------------------------------------------------------First Monthly Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% AIR

Primary Annuitant is Male and Secondary Annuitant is Female --------------------------------------------------------------------------------------------------------------------------Adjusted Ages ----------------------------------

                    payments    
                    guaranteed    
Primary   Secondary               10 years    
Annuitant   Annuitant   Option 3(a)   Option 3(b)   Option 3(c)   Option 3(d)   Option 3(e)
--------------------------------------------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>   <C>   <C>   <C>
55   50   $3.97   $4.35   $4.56   $3.97   $4.42
55   55   4.16   4.54   4.76   4.15   4.54
55   60   4.34   4.76   5.00   4.34   4.64
 
60   55   4.27   4.73   5.00   4.26   4.83
60   60   4.51   4.99   5.27   4.50   4.98
60   65   4.76   5.29   5.60   4.75   5.13
 
65   60   4.66   5.25   5.61   4.65   5.39
65   65   4.99   5.61   5.99   4.98   5.60
65   70   5.34   6.03   6.46   5.31   5.81
 
70   65   5.19   5.97   6.44   5.17   6.14
70   70   5.67   6.49   6.99   5.62   6.47
70   75   6.16   7.10   7.68   6.07   6.77
 
75   70   5.95   6.96   7.61   5.87   7.20
75   75   6.64   7.73   8.43   6.48   7.68
75   80   7.33   8.62   9.45   7.02   8.13
--------------------------------------------------------------------------------------------------------------------------
</TABLE>                        
 
    * Net of any applicable premium tax deduction            

 

GA-MA-1080   Page 38
<PAGE>    

 

OPTION 3: LIFE INCOME BASED ON THE LIVES OF TWO ANNUITANTS

<TABLE> <CAPTION> --------------------------------------------------------------------------------------------------------------------------First Monthly Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% AIR

Primary Annuitant Is Male and Secondary Annuitant is Female --------------------------------------------------------------------------------------------------------------------------Adjusted Ages ----------------------------------

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                    payments    
                    guaranteed    
Primary   Secondary               10 years    
Annuitant   Annuitant   Option 3(a)   Option 3(b)   Option 3(c)   Option 3(d)   Option 3(e)
--------------------------------------------------------------------------------------------------------------------------
<S>   <C>   <C>   <C>   <C>   <C>   <C>
55   50   $4.88   $5.26   $5.48   $4.88   $5.34
55   55   5.04   5.44   5.66   5.04   5.43
55   60   5.21   5.65   5.89   5.21   5.53
 
60   55   5.15   5.63   5.91   5.14   5.73
60   60   5.37   5.87   6.16   5.37   5.86
60   65   5.61   6.16   6.49   5.60   6.01
 
65   60   5.52   6.14   6.51   5.51   6.28
65   65   5.83   6.49   6.87   5.82   6.47
65   70   6.17   6.90   7.33   6.13   6.67
 
70   65   6.04   6.84   7.34   6.00   7.03
70   70   6.49   7.35   7.87   6.44   7.33
70   75   6.97   7.96   8.56   6.87   7.62
 
75   70   6.77   7.84   8.51   6.68   8.08
75   75   7.45   8.60   9.33   7.27   8.55
75   80   8.14   9.49   10.35   7.80   8.98
--------------------------------------------------------------------------------------------------------------------------
</TABLE>                        
 
    * Net of any applicable premium tax deduction            

 

GA-MA-1080   Page 39
<PAGE>    

 

--------------------------------------------------------------------------------

GROUP FLEXIBLE PREMIUM DEFERRED COMBINATION VARIABLE
AND FIXED ANNUITY MASTER CONTRACT
NONPARTICIPATING

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ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. AMOUNTS ALLOCATED TO THE FIXED ACCOUNT, IF WITHDRAWN BEFORE THE GUARANTEED TERM MATURITY DATE, MAY BE SUBJECT TO A MARKET VALUE ADJUSTMENT. THE MARKET VALUE ADJUSTMENT MAY RESULT IN AN INCREASE OR A DECREASE IN THE ACCOUNT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

GA-MA-1080
</TEXT>
</DOCUMENT>

https://www.sec.gov/Archives/edgar/data/836687/000091205701522500/a2051672zex-99... 11/06/2017