EX-99.(4)(C)(I) 6 d61207dex994ci.htm FORM OF ADDITIONAL BENEFIT SPECIFICATIONS FOR INCOME CONTROL GLWB RIDER Form of Additional Benefit Specifications for Income Control GLWB Rider

Exhibit (4)(c)(i)

ADDITIONAL BENEFITS SPECIFICATIONS

GUARANTEED LIVING WITHDRAWAL BENEFIT RIDER:

[Marketing Name]

 

Covered Person:    [John Doe]
Joint Covered Person:    [Jane Doe]
Effective Date:    [Issue Date]
Bonus Period:    [10] Contract Years
Bonus Rate:    [7.0]%
GLWB Maximum Annual   
Purchase Payment Amount:    [$50,000.00]
Annual Rider Fee Rate:    [1.25]%

The above-listed Rider Fee Rate is guaranteed for the life of the Rider unless you elect a Step-Up as described in the Rider. The Rider Fee Rate will never exceed the Maximum Annual Rider Fee Rate indicated below.

Maximum Annual Rider Fee Rate:            [1.95%]%

Maximum Withdrawal Benefit Base:     [$5,000,000]

Maximum Lifetime Withdrawal Percentages:

 

Attained Age of Covered    Benefit Percentage  
or Joint Covered Person    Single Life     Joint Life  

[55 – 59]

     [4.00 ]%      [3.60 ]% 

[60 – 64]

     [4.50 ]%      [4.10 ]% 

[65 – 69]

     [5.50 ]%      [5.10 ]% 

[70 – 75]

     [5.75 ]%      [5.35 ]% 

[75 – 79]

     [6.00 ]%      [5.60 ]% 

[80 – 84]

     [6.25 ]%      [5.85 ]%

[85-89]

     [6.50 ]%      [6.10 ]% 

[90+]

     [6.50 ]%      [6.10 ]% 

 

ICC20-VATRAD-ABPGLWB-02    [3-E]   


Designated Investment Option Subaccount Listing:

[AB VPS Balanced Wealth Strategy

American Funds IS® Asset Allocation

American Funds IS® Global Balanced

BlackRock iShares Dynamic Allocation V.I.

BlackRock Global Allocation V.I.

Columbia VP Balanced

First Trust/Dow Jones Dividend & Income Allocation

Franklin Allocation VIP

Franklin Income VIP

Invesco Oppenheimer VI Conservative Balanced

Invesco VI Core Plus Bond

Janus Henderson VIT Balanced

JPMorgan Insurance Trust Income Builder

MFS® VIT III Conservative Allocation

MFS® VIT III Moderate Allocation

MFS® VIT Total Return

Morgan Stanley VIF Global Strategist

Putnam VT George Putnam Balanced

Putnam VT Global Asset Allocation

QS Variable Conservative Growth]

 

ICC20-VATRAD-ABPGLWB-02    [3-E]