AMENDATORY AGREEMENT
Contract Number: XX0000000
AMENDATORY AGREEMENT
Misstatement of Age or Sex.
In the provision entitled Misstatement of Age or Sex, "age or sex" is amended to read "age."
Optional Plans of Settlement.
In the provision entitled Optional Plans of Settlement, "sex and
adjusted age" is amended to read "adjusted age" and the tables for
Options 4 and 4V - 3% and Options 5 and 5V - 3% are replaced with
the following tables:
OPTIONS 4 and 4V - 3%
Monthly Life Income
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Option 4 - Guaranteed Monthly Life Income for Each $1,000 of Proceeds
Option 4V - First Monthly Life Income Payment for Each $1,000 of Proceeds
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Adjusted Payments Payments Adjusted Payments Payments Adjusted Payments Payments
Age of
Age of Payee Guaranteed Guaranteed Payee Guaranteed Guaranteed Age of Payee Guaranteed Guaranteed
on Date of for for on Date of for for on Date of for for
First Payment 10 years 20 years First 10 years 20 years First 10 years 20 years
Payment Payment
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40 3.43 3.41 65 5.23 4.78 75 6.82 5.33
66 5.36 4.85 76 7.01 5.36
45 3.64 3.60 67 5.50 4.91 77 7.20 5.39
50 3.90 3.83 68 5.64 4.98 78 7.39 5.41
55 4.24 4.11 69 5.79 5.04 79 7.58 5.44
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60 4.67 4.43 70 5.95 5.10
61 4.77 4.50 71 6.11 5.15 80 7.76 5.45
62 4.88 4.57 72 6.28 5.20 85 8.60 5.50
63 4.99 4.64 73 6.45 5.25 90 9.16 5.51
64 5.11 4.71 74 6.63 5.29 95 9.48 5.51
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OPTIONS 5 and 5V - 3%
Monthly Life Income - Two Payees
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Option 5 - Guaranteed Monthly Life Income for Each $1,000 of Proceeds
Option 5V - First Monthly Life Income Payment for Each $1,000 of Proceeds
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Adjusted Age Payment Guaranteed for 10 Years Payment Guaranteed for 20 Years
of First
Payee on
Date of
First Payment
----------------------------------------------------------------------------------------------------
Adjusted Age of Second Payee on Date of First Adjusted Age of Second Payee on Date of First
Payment Payment
----------------------------------------------------------------------------------------------------
60 65 70 75 60 65 70 75
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60 4.09 - - - 4.05 - - -
65 4.26 4.52 - - 4.21 4.42 - -
70 4.41 4.75 5.10 - 4.32 4.59 4.83 -
75 4.52 4.95 5.42 5.89 4.39 4.70 4.98 5.18
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Rates not shown will be calculated on the same basis as the above rates and will be provide upon request.
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XX-XX-FPVA-U (02)
Contract Number: XX0000000
AMENDATORY AGREEMENT
Optional Plans of Settlement (continued).
In the provision entitled Optional Plans of Settlement, the tables for Option 4V - 4% and Option 5V - 4% are replaced with the
following tables:
OPTION 4V - 4%
Monthly Life Income
------------------------------------------------------------------------------------------------------------------
First Monthly Life Income Payment for Each $1,000 of Proceeds
------------------------------------------------------------------------------------------------------------------
Adjusted Payments Payments Adjusted Payments Payments Adjusted Payments Payments
Age of
Age of Payee Guaranteed Guaranteed Payee Guaranteed Guaranteed Age of Payee Guaranteed Guaranteed
on Date of for for on Date of for for on Date of for for
First Payment 10 years 20 years First 10 years 20 years First 10 years 20 years
Payment Payment
------------------------------------------------------------------------------------------------------------------
40 4.05 4.02 65 5.78 5.31 75 7.34 5.83
66 5.91 5.37 76 7.52 5.86
45 4.24 4.20 67 6.05 5.43 77 7.71 5.89
50 4.49 4.41 68 6.19 5.49 78 7.89 5.91
55 4.82 4.68 69 6.33 5.55 79 8.08 5.93
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60 5.23 4.98 70 6.49 5.61 80 8.26 5.95
61 5.33 5.04 71 6.65 5.66
62 5.44 5.11 72 6.81 5.71 85 9.07 5.99
63 5.55 5.17 73 6.98 5.75 90 9.62 6.00
64 5.66 5.24 74 7.16 5.79 95 9.92 6.00
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OPTION 5V - 4%
Monthly Life Income - Two Payees
------------------------------------------------------------------------------------------------------------------
First Monthly Life Income Payment for Each $1,000 of Proceeds
------------------------------------------------------------------------------------------------------------------
Adjusted Age Payment Guaranteed for 10 Years Payment Guaranteed for 20 Years
of First
Payee on
Date of
First Payment
----------------------------------------------------------------------------------------------------
Adjusted Age of Second Payee on Date of First Adjusted Age of Second Payee on Date of First
Payment Payment
----------------------------------------------------------------------------------------------------
60 65 70 75 60 65 70 75
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60 4.65 - - - 4.61 - - -
65 4.82 5.06 - - 4.76 4.96 - -
70 4.96 5.30 5.64 - 4.87 5.13 5.35 -
75 5.08 5.49 5.95 6.41 4.94 5.23 5.50 5.69
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Rates not shown will be calculated on the same basis as the above rates and will be provide upon request.
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Contract Number: XX0000000
AMENDATORY AGREEMENT
Optional Plans of Settlement (continued).
In the provision entitled Optional Plans of Settlement, the tables for Option 4V - 5% and Option 5V - 5% are replaced with the
following tables:
OPTION 4V - 5%
Monthly Life Income
------------------------------------------------------------------------------------------------------------------
First Monthly Life Income Payment for Each $1,000 of Proceeds
------------------------------------------------------------------------------------------------------------------
Adjusted Payments Payments Adjusted Payments Payments Adjusted Payments Payments
Age of
Age of Payee Guaranteed Guaranteed Payee Guaranteed Guaranteed Age of Payee Guaranteed Guaranteed
on Date of for for on Date of for for on Date of for for
First Payment 10 years 20 years First 10 years 20 years First 10 years 20 years
Payment Payment
------------------------------------------------------------------------------------------------------------------
40 4.69 4.66 65 6.35 5.85 75 7.87 6.35
66 6.48 5.92 76 8.05 6.38
45 4.88 4.82 67 6.61 5.97 77 8.23 6.40
50 5.11 5.02 68 6.75 6.03 78 8.41 6.42
55 5.42 5.26 69 6.89 6.09 79 8.59 6.44
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60 5.82 5.55 70 7.04 6.14
61 5.92 5.61 71 7.19 6.19 80 8.77 6.46
62 6.02 5.67 72 7.36 6.23 85 9.55 6.50
63 6.12 5.73 73 7.52 6.28 90 10.08 6.51
64 6.24 5.79 74 7.69 6.31 95 10.38 6.51
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OPTION 5V - 5%
Monthly Life Income - Two Payees
------------------------------------------------------------------------------------------------------------------
First Monthly Life Income Payment for Each $1,000 of Proceeds
------------------------------------------------------------------------------------------------------------------
Adjusted Age Payment Guaranteed for 10 Years Payment Guaranteed for 20 Years
of First
Payee on
Date of
First Payment
----------------------------------------------------------------------------------------------------
Adjusted Age of Second Payee on Date of First Adjusted Age of Second Payee on Date of First
Payment Payment
----------------------------------------------------------------------------------------------------
60 65 70 75 60 65 70 75
------------------------------------------------------------------------------------------------------------------
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60 5.23 - - - 5.20 - - -
65 5.40 5.63 - - 5.33 5.53 - -
70 5.54 5.86 6.19 - 5.44 5.68 5.89 -
75 5.65 6.05 6.49 6.94 5.51 5.78 6.03 6.21
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Rates not shown will be calculated on the same basis as the above rates and will be provide upon request.
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Signed for Thrivent Financial for Lutherans
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President
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Secretary
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