EX-99 6 ex99b4nlifepayspecpg.htm EX. 99-B.4(N) SPECIMENSCH.PAGETOLIFEPAYRIDER

Ex. 99-B.4(n)

[Specimen Copy]

 

SAMPLE SCHEDULE PAGE ENTRIES

 

[Optional Benefit Riders -

Minimum Guaranteed Withdrawal Benefit

 

 

 

MGWB Charge:

[.15%], deducted quarterly (annual rate [0.60%])

 

 

Maximum MGWB Charge:

[.30%], deducted quarterly (annual rate [1.20%])

 

 

Rider Date:

[January 15, 2005]

 

 

Ratchet Dates:

[Each Quarterly Contract Anniversary following the

Rider Date]

 

 

Reset Option Date:

[12 months after the Rider enters the Withdrawal Phase]

 

 

Reset Waiting Period:

[12 months]

 

 

Reset Charge Lock Period:

[The first 5 Contract Years]

 

 

Automatic MGWB

[Each Contract Anniversary following the

 

Rebalancing Dates:

Rider Date]

 

 

Accepted Funds:

[Lifestyle Moderate, Lifestyle Moderate Growth, Lifestyle Growth, MarketPro, Liquid Assets, Fixed Division(s)]

 

 

Fixed Allocation Funds:

[VP Intermediate Bond Fund]

 

 

Minimum Fixed Allocation Fund

[20%] of Accumulation Value allocated to Non-Accepted

 

Percentage:

Funds

                                       

Annuitant’s Age on Date Withdrawal Phase Begins

Maximum Annual Withdrawal Percentage

 

[0-59

4%

60-75

5%

76-80

6%

81+

7%]]

Maximum Annual

 

Withdrawal Percentage: