PRIME PLUS BENEFIT RIDER
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This rider forms a part of the Base Contract to which it is attached and is
effective as of the Rider Effective Date. If you selected the PRIME Plus Benefit
on your contract application at contract issue, the Rider Effective Date is the
Issue Date. If you add the PRIME Plus Benefit after the Issue Date, the Rider
Effective Date is listed on the Contract Schedule Addendum. In the case of a
conflict with any provision in the Base Contract, the provisions of this rider
will control. Defined terms and contractual provisions are set forth in the Base
Contract or are added in this rider. This rider will terminate and be removed
from the Base Contract as indicated in the CONDITIONS FOR TERMINATION OF THIS
RIDER section.
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The purpose of this rider is to provide a package of optional benefits designed
to turn your accumulated retirement assets into a stream of retirement income.
The PRIME Plus Benefits are the Enhanced Guaranteed Minimum Income Benefit and
the Guaranteed Partial Withdrawal Benefit.
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ACRONYMS
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ACRONYMS Acronyms used in this rider follow.
AIA Annual Increase Amount
GMIB Guaranteed Minimum Income Benefit
GPWB Guaranteed Partial Withdrawal Benefit
PB VALUE PRIME Plus Benefit Value
MAV Maximum Anniversary Value
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GUARANTEED MINIMUM INCOME BENEFIT
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GMIB BENEFIT This benefit provides for a guaranteed
minimum amount of fixed income in the form of
fixed Annuity Payments, called GMIB Payments,
during the Annuity Phase. The GMIB does not
create Contract Value or guarantee the
performance of any variable Investment Options.
GMIB PAYMENTS The GMIB guarantees that Annuity Payments will
be equal to the greater of (a) or (b), where:
(a) Fixed Traditional Annuity Payments based
on Annuity Payment rates declared by us on
the Income Date applied to the Adjusted
Contract Value; or
(b) GMIB Payments based on the guaranteed
fixed Annuity Payment rates, as defined in
the Annuity Options section of this Rider,
applied to the PB Value.
Under the GMIB you can take either a Full
Annuitization, or before you exercise the GPWB,
you can take Partial Annuitization(s) if the PB
Value is greater than the Contract Value. Once
you exercise the GMIB you cannot elect to
terminate GMIB Payments.
If you take a Partial Annuitization under the
GMIB you cannot:
(a) transfer amounts allocated to GMIB
Payments back to any portion of the
contract that is in the Accumulation
Phase;
(b) transfer amounts from one Annuity Payment
stream to another; and
(c) allocate additional PB Value, or Contract
Value, to an existing stream of Annuity
Payments.
We will reduce the Contract Value
proportionately by the percentage of PB Value
applied to any Partial Annuitization you take.
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GUARANTEED MINIMUM INCOME BENEFIT (CONTINUED)
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EXERCISING THE GMIB To begin GMIB Payments, the
appropriate form must be received in good order
at our Service Center within 30 days following
a Contract Anniversary beginning with the
Contract Anniversary following the Waiting
Period shown on the Contract Schedule or
Contract Schedule Addendum, if applicable.
If you exercise the GMIB you can no longer make
additional Purchase Payments to any portion of
the contract that is in the Annuity Period.
CONDITIONS FOR TERMINATION If you have not exercised the GMIB, the GMIB
OF THE GMIB will terminate upon the earliest of the
following:
(a) The termination of the Base Contract.
(b) The Business Day before the Income Date
that you take a Full Annuitization and
request Traditional Annuity Payments.
(c) The Business Day the PB Value and the
Contract Value are both zero.
(d) The death of any Owner unless the deceased
Owner's spouse continues the contract as
the new Owner.
(e) The termination of this rider.
If you have us make GMIB Payments, each portion
of the contract that you apply to GMIB Payments
will terminate upon the earliest of the
following:
(a) Under a life only Annuity Option, or a
joint and last survivor only Annuity
Option, the death of the last surviving
Annuitant.
(b) Under a life with monthly payments
guaranteed Annuity Option, or a joint and
last survivor with monthly payments
guaranteed Annuity Option, the death of
the last surviving Annuitant and
expiration of the guaranteed period.
(c) Under the refund life Annuity Option, the
death of the Annuitant and payment of any
lump sum refund.
(d) Under the Period Certain Annuity Option
listed in this Rider, the expiration of
the specified period certain.
(e) The termination of this rider.
(f) The termination of the Base Contract.
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GUARANTEED PARTIAL WITHDRAWAL BENEFIT
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GPWB BENEFIT This benefit provides for a guaranteed
minimum amount of income in the form of partial
withdrawals, called GPWB Payments, during the
Accumulation Period. We make GPWB Payments
under a [5]% payment option or a [10]% payment
option that you select.
GPWB PAYMENTS If you exercise the GPWB each GPWB
Payment for the Contract Year is equal to the
annual GPWB Payment divided by the number of
payments you selected, until the PB Value is
less than the GPWB Payment amount. Once the PB
Value is less than the GPWB Payment amount you
will receive one last GPWB Payment that will be
equal to the remaining PB Value.
You select the amount of the GPWB Payment
subject to the Minimum Initial GPWB Payment and
the GPWB Maximum shown on the Contract
Schedule.
GPWB Payments are non-cumulative. If you elect
to receive an annual GPWB Payment that is less
than the GPWB Maximum in a given Contract Year,
the difference will not carry over to the next
Contract Year.
You can continue to receive GPWB Payments until
the PB Value is exhausted, or the GPWB
terminates, even if the Contract Value is zero.
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GUARANTEED PARTIAL WITHDRAWAL BENEFIT (CONTINUED)
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GPWB PAYMENTS (CONTINUED) Once each Contract Year you can select one or
more of the following:
(a) change the frequency of the following
year's GPWB Payments.
(b) change the amount of the following year's
GPWB Payments.
(c) stop GPWB Payments for the following year.
(d) stop GPWB Payments completely and have us
make GMIB Payments under a Full
Annuitization based on the entire
remaining PB Value.
(e) stop GPWB Payments completely and take an
Excess Withdrawal of the entire Adjusted
Contract Value.
(f) stop GPWB Payments completely and have us
make Traditional Annuity Payments under a
Full Annuitization based on the entire
Adjusted Contract Value.
For options (a) through (c) your requested
change must be provided in good order to our
Service Center at least 30 days before the
Contract Anniversary. The change will be
effective on the Contract Anniversary and will
remain in effect for the entire following
Contract Year. Options (d) through (f) are
available at any time and will be effective
when your request is received in good order at
our Service Center.
Excess Withdrawals will not affect the GPWB
Payment amount or frequency, but they may
decrease the time over which you will receive
GPWB Payments.
If you request an Excess Withdrawal while
receiving GPWB Payments, you can instruct us to
stop the GPWB Payments remaining for that
Contract Year at the time you request the
Excess Withdrawal.
GPWB Payments are not subject to withdrawal
charges unless you have taken an Excess
Withdrawal and exhaust the GPWB Maximum for the
Contract Year.
GPWB STEP UP If you take GPWB Payments under the
[5]% payment option, on each third Contract
Anniversary after you exercise the GPWB and
before the older Owner's 91st birthday we will
increase the PB Value to be equal to the
Contract Value if that amount is greater than
the remaining PB Value.
If we step up the PB Value the new GPWB Maximum
will be equal to the greater of:
(a) the GPWB Maximum we previously calculated;
or
(b) [5%] of the stepped-up PB Value.
GPWB step ups are not available if you take
GPWB Payments under the [10%] option.
GPWB step ups are not available after the older
Owner reaches age 91.
CONTRACT VALUE UNDER Once you exercise the GPWB, the Contract Value
THE GPWB decreases with each Payment and any Excess GPWB
Withdrawals including applicable withdrawal
charges. GPWB Payments are deducted
proportionately from the Investment Options.
The Contract Value continues to be available
for withdrawals, Annuity Payments, and payment
of the death benefit and it will continue to
fluctuate as a result of Investment Option
performance. If there is Contract Value
remaining after the PB Value reaches zero, you
can elect to either:
(a) receive a lump sum payment of the remaining
Adjusted Contract Value, less any deduction
we make for withdrawal charges; or
(b) have us make Traditional Annuity Payments
based on the remaining Adjusted Contract
Value.
S40722 3
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GUARANTEED PARTIAL WITHDRAWAL BENEFIT (CONTINUED)
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EXERCISING THE GPWB To begin GPWB Payments, the appropriate form
must be received in good order at our Service
Center within 30 days following a Contract
Anniversary beginning with the Contract
Anniversary following the Waiting Period shown
on the Contract Schedule or Contract Schedule
Addendum, if applicable.
If you exercise the GPWB you can no longer make
additional Purchase Payments or take Partial
Annuitizations.
CONDITIONS FOR TERMINATION The GPWB will terminate upon the earliest of
OF THE GPWB the following.
(a) The termination of this rider.
(b) The termination of the Base Contract.
(c) The Business Day before the Income Date if
you take a Full Annuitization.
(d) The Business Day you take an Excess
Withdrawal of all remaining Contract Value.
(e) The Business Day the PB Value and the
Contract Value are both zero.
(f) The death of any Owner unless the
deceased Owner's spouse continues the Base
Contract as the new Owner.
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PRIME PLUS BENEFIT VALUE
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PB VALUE CALCULATION The PB Value before the date of your death or
exercise of the GPWB is equal to either
(a) The AIA; or
(b) The MAV.
If you exercise the GMIB the PB Value is equal
to the MAV if it is greater than the AIA.
However, if the AIA is greater than the MAV you
can decide whether to set the PB Value equal to
the AIA or the MAV.
If you exercise the GPWB and select the [5]%
payment option the PB Value is equal to the
greater of the MAV or the AIA. If you exercise
the GPWB and select the [10]% payment option
the PB Value is equal to the MAV.
After you take a GMIB Partial Annuitization the
AIA and MAV will decrease, but will continue to
be calculated. After you take a GMIB Full
Annuitization or exercise the GPWB and
establish a PB Value, the AIA and MAV cease to
exist. After you exercise the GPWB, only the PB
Value will remain and will continue to be
calculated.
If you exercise the GPWB and elect the [5%]
payment option, the PB Value will only increase
after you begin receiving GPWB Payments as a
result of any step ups. If you exercise the
GPWB and elect the [10%] payment option the PB
Value will stop increasing on the date you
begin receiving GPWB Payments. In addition, if
you exercise the GPWB the PB Value will
decrease:
(a) on a dollar for dollar basis for each
withdrawal (GPWB Payments and Excess
Withdrawals) taken that does not exceed
the GPWB Maximum,
(b) proportionately by the percentage of any
Contract Value taken as a withdrawal (GPWB
Payments and Excess Withdrawals),
including any withdrawal charge, for each
withdrawal taken that exceeds the GPWB
Maximum.
If you exercise the GPWB and later take a Full
Annuitization the PB Value will decrease to
zero.
S40722 4
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MAXIMUM ANNIVERSARY VALUE
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MAXIMUM ANNIVERSARY VALUE If the Rider Effective Date
is the Issue Date, the MAV is equal to the
initial Purchase Payment, not including any
applicable bonus, received on the Issue Date.
If the Rider Effective Date occurs after the
Issue Date, the MAV is initially equal to the
Contract Value on the Rider Effective Date.
On each Business Day other than a Contract
Anniversary, the MAV is equal to:
(a) its value on the immediately preceding
Business Day,
(b) plus any additional Purchase Payments, not
including any applicable bonus, received
that day,
(c) reduced proportionately by the percentage
of any Contract Value taken as a
withdrawal that day, including any
withdrawal charge,
(d) reduced proportionately by the percentage
of any Contract Value applied to
Traditional Annuity Payments under a
Partial Annuitization that day,
(e) reduced by the dollar amount applied to
GMIB Payments under a Partial
Annuitization based on the MAV taken that
day, and
(f) reduced proportionately by the percentage
of the AIA applied to GMIB Payments under
a Partial Annuitization based on the AIA
taken that day.
On each Contract Anniversary before the older
Owner's 81st birthday, the MAV is equal to the
greater of its value on the immediately
preceding Business Day, or the Contract Value
that occurs on that Contract Anniversary before
we process any transactions. We then process
any transactions we received on that Contract
Anniversary (such as additional Purchase
Payments, withdrawals, and Partial
Annuitizations) in the same way that we do on
each Business Day other than a Contract
Anniversary.
On every Contract Anniversary on or after the
older Owner's 81st birthday, we calculate the
MAV in the same way that we do on any Business
Day other than a Contract Anniversary.
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ANNUAL INCREASE AMOUNT
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ANNUAL INCREASE AMOUNT If the Rider Effective Date is
the Issue Date, the AIA is equal to the initial
Purchase Payment, not including any applicable
bonus, received on the Issue Date. If the Rider
Effective Date occurs after the Issue Date, the
AIA is equal to the Contract Value on the Rider
Effective Date. If you reset the AIA, on the
Reset Anniversary the AIA is equal to the
Contract Value on the Reset Anniversary.
On each Business Day other than a Contract
Anniversary, the AIA is equal to:
(a) its value on the immediately preceding
Business Day,
(b) plus any additional Purchase Payments, not
including any applicable bonus, received
that day,
(c) reduced proportionately by the percentage
of any Contract Value taken as a
withdrawal that day, including any
withdrawal charge,
(d) reduced proportionately by the percentage
of any Contract Value applied to
Traditional Annuity Payments under a
Partial Annuitization that day,
(e) reduced by the dollar amount applied to
GMIB Payments under a Partial
Annuitization based on the AIA taken that
day, and
(f) reduced proportionately by the percentage
of the MAV applied to GMIB Payments under
a Partial Annuitization based on the MAV
taken that day.
S40722 5
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ANNUAL INCREASE AMOUNT (CONTINUED)
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ANNUAL INCREASE AMOUNT For each of the first five Contract
(CONTINUED) Anniversaries that occur after the later of the
Rider Effective Date or Reset Anniversary and
before the older Owner's 81st birthday, the
AIA is the product of [1.07]times its value on
the immediately preceding Business Day. We then
process any transactions received on that
Contract Anniversary (such as additional
Purchase Payments, withdrawals, and Partial
Annuitizations) in the same way that we do on
each Business Day other than a Contract
Anniversary.
For each Contract Anniversary after the fifth
that occurs after the later of the Rider
Effective Date or Reset Anniversary and before
the older Owner's 81st birthday, the AIA is the
sum of (a) plus (b) where:
(a) is the total of all Purchase Payments
received on or after the later of the
fifth Contract Anniversary or Reset
Anniversary, and
(b) is the product of [1.07] times the
difference of (i) minus (ii) where:
(i) is the AIA on the immediately preceding
Business Day, and
(ii) is the total of all Purchase Payments
received on or after the later of the
fifth Contract Anniversary or Reset
Anniversary.
We then process any transactions received on
that Contract Anniversary (such as additional
Purchase Payments, withdrawals, and Partial
Annuitizations) in the same way that we do on
each Business Day other than a Contract
Anniversary.
On every Contract Anniversary on or after the
older Owner's 81st birthday, we calculate the
AIA in the same way that we do on each Business
Day other than a Contract Anniversary.
AIA CAP The AIA will never be greater than the AIA Cap.
If the Rider Effective Date is the Issue Date,
the AIA Cap is equal to two times the initial
Purchase Payment, not including any applicable
bonus, received on the Issue Date. If the Rider
Effective Date occurs after the Issue Date, the
AIA Cap is equal to two times the Contract
Value on the Rider Effective Date. If you reset
the AIA, on the Reset Anniversary the AIA Cap
is equal to two times the Contract Value on the
Reset Anniversary.
On each Business Day before the fifth Contract
Anniversary, the AIA Cap is equal to:
(a) its value on the immediately preceding
Business Day,
(b) plus two times any additional Purchase
Payments, not including any applicable
bonus, received that day,
(c) reduced proportionately by the percentage
of any Contract Value taken as a
withdrawal that day, including any
withdrawal charge,
(d) reduced proportionately by the percentage
of any Contract Value applied to
Traditional Annuity Payments under a
Partial Annuitization that day, and
(e) reduced proportionately by the percentage
of the PB Value applied to GMIB Payments
under a Partial Annuitization that day.
Beginning on the fifth Contract Anniversary the
AIA Cap will no longer increase, but it will
decrease if you take a withdrawal or Partial
Annuitization in the same way that it does on
each Business Day before the fifth Contract
Anniversary.
S40722 6
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ANNUAL INCREASE AMOUNT (CONTINUED)
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AIA RESET AIA resets are available once per
Contract Year before the older Owner's 80th
birthday and before you exercise the GPWB. To
reset the AIA your request must be received in
good order at our Service Center within 30 days
following a Contract Anniversary, and the
Contract Value on the Reset Anniversary must
exceed the AIA on the Reset Anniversary. We
will effect the reset on the Reset Anniversary.
If the Mortality and Expense Risk Charge for
this rider has changed between the Rider
Effective Date and the Reset Anniversary, we
will change your Mortality and Expense Risk
Charge to equal the charge declared by us on
the Reset Anniversary. A Contract Schedule
Addendum will be sent to you showing the
change.
If you reset the AIA you must wait to exercise
the GMIB or GPWB until after the expiration of
the Waiting Period shown on the Contract
Schedule, or Contract Schedule Addendum.
The AIA reset is not available:
(a) if the Contract Value on the Reset
Anniversary is less than the AIA,
(b) after you exercise the GPWB,
(c) after you take a Full Annuitization, or
(d) on or after the older Owner's 80th
birthday.
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ANNUITY OPTIONS
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AVAILABLE ANNUITY OPTIONS If the PB Value is the AIA, the
fixed Annuity Options that are available upon
exercise of the GMIB are Annuity Options 2 and
4, described in the Base Contract, with monthly
payments over at least 10 years.
If the PB Value is the MAV the fixed Annuity
Options that are available upon the exercise of
the GMIB are Annuity Options 1 through 5
described in the Base Contract and the Period
Certain Annuity Option specified in this rider.
TABLES OF GMIB PAYMENTS The following tables show the
guaranteed amount of the GMIB Payment for each
$1,000 of PB Value applied under a fixed
Annuity Option. The tables are based on an
interest rate of [1%] per year and the [1983(a)
Individual Mortality Table with mortality
improvement projected 32 years using Mortality
Projection Scale G]. Guaranteed period rates
will be provided upon request for Ages not
shown.
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GUARANTEED MONTHLY GMIB PAYMENT PER $1,000 OF PB VALUE
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FIXED PAYOUTS
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Age of
Annuitant OPTION 2
--------------- ----------------------------------------------------------------------------
--------------- ------------------- ------------------ ------------------- -----------------
GUARANTEED GUARANTEED GUARANTEED PERIOD GUARANTEED
Nearest
Birthday When
First payment PERIOD OF 10 PERIOD OF 20
is made PERIOD OF 5 YEARS YEARS OF 15 YEARS YEARS
--------------- ------------------- ------------------ ------------------- -----------------
M F M F M F M F
--------------- --------- --------- -------- --------- --------- --------- -------- --------
--------------- --------- --------- -------- --------- --------- --------- -------- --------
30 2.01 1.87 2.00 1.87 2.00 1.87 2.00 1.87
--------------- --------- --------- -------- --------- --------- --------- -------- --------
--------------- --------- --------- -------- --------- --------- --------- -------- --------
40 2.34 2.15 2.34 2.15 2.33 2.15 2.32 2.14
--------------- --------- --------- -------- --------- --------- --------- -------- --------
--------------- --------- --------- -------- --------- --------- --------- -------- --------
50 2.84 2.56 2.83 2.56 2.81 2.55 2.78 2.54
--------------- --------- --------- -------- --------- --------- --------- -------- --------
--------------- --------- --------- -------- --------- --------- --------- -------- --------
60 3.65 3.22 3.62 3.21 3.54 3.18 3.41 3.12
--------------- --------- --------- -------- --------- --------- --------- -------- --------
--------------- --------- --------- -------- --------- --------- --------- -------- --------
70 5.09 4.38 4.89 4.30 4.55 4.14 4.11 3.88
--------------- --------- --------- -------- --------- --------- --------- -------- --------
--------------- --------- --------- -------- --------- --------- --------- -------- --------
80 7.60 6.61 6.67 6.10 5.53 5.31 4.53 4.47
--------------- --------- --------- -------- --------- --------- --------- -------- --------
--------------- --------- --------- -------- --------- --------- --------- -------- --------
90 11.57 10.67 8.27 8.05 5.96 5.93 4.59 4.59
--------------- --------- --------- -------- --------- --------- --------- -------- --------
S40722 7
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OPTION 3
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LIFE ONLY
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---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
FEMALE AGE 30 40 50 60 70 80 90
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
MALE AGE
----------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
30 1.77 1.88 1.94 1.98 2.00 2.00 2.00
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
40 1.83 2.01 2.16 2.26 2.31 2.33 2.34
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
50 1.85 2.09 2.35 2.59 2.74 2.81 2.84
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
60 1.87 2.13 2.47 2.89 3.28 3.52 3.63
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
70 1.87 2.14 2.53 3.09 3.82 4.52 4.95
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
80 1.87 2.15 2.55 3.18 4.18 5.59 6.95
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
90 1.87 2.15 2.56 3.21 4.34 6.35 9.35
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
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GUARANTEED MONTHLY GMIB PAYMENT PER $1,000 OF PB VALUE
FIXED PAYOUTS
------------------------------------------------------------------------------------
----------------- -------------------------------- ---------------------------------
Age of Annuitant OPTION 1 OPTION 5
Nearest
Birthday When
First Payment
is Made
----------------- -------------------------------- ---------------------------------
----------------- -------------------------------- ---------------------------------
LIFE REFUND LIFE
----------------- -------------------------------- ---------------------------------
----------------- ---------------- --------------- ---------------- ----------------
M F M F
-----------------
----------------- ---------------- --------------- ---------------- ----------------
30 2.01 1.87 1.94 1.84
----------------- ---------------- --------------- ---------------- ----------------
----------------- ---------------- --------------- ---------------- ----------------
40 2.34 2.15 2.21 2.08
----------------- ---------------- --------------- ---------------- ----------------
----------------- ---------------- --------------- ---------------- ----------------
50 2.85 2.57 2.59 2.42
----------------- ---------------- --------------- ---------------- ----------------
----------------- ---------------- --------------- ---------------- ----------------
60 3.66 3.23 3.13 2.92
----------------- ---------------- --------------- ---------------- ----------------
----------------- ---------------- --------------- ---------------- ----------------
70 5.15 4.40 3.94 3.67
----------------- ---------------- --------------- ---------------- ----------------
----------------- ---------------- --------------- ---------------- ----------------
80 7.95 6.78 5.23 4.88
----------------- ---------------- --------------- ---------------- ----------------
----------------- ---------------- --------------- ---------------- ----------------
90 13.66 12.06 7.56 7.11
----------------- ---------------- --------------- ---------------- ----------------
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OPTION 4
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GUARANTEED PERIOD OF 5 YEARS
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---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
FEMALE AGE 30 40 50 60 70 80 90
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
MALE AGE
----------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
30 1.77 1.88 1.94 1.98 2.00 2.00 2.00
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
40 1.83 2.01 2.16 2.26 2.31 2.33 2.34
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
50 1.85 2.09 2.35 2.59 2.74 2.81 2.84
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
60 1.87 2.13 2.47 2.89 3.27 3.52 3.62
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
70 1.87 2.14 2.53 3.09 3.82 4.52 4.93
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
80 1.87 2.15 2.55 3.18 4.17 5.58 6.88
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
90 1.87 2.15 2.56 3.21 4.33 6.30 9.07
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
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OPTION 4
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GUARANTEED PERIOD OF 10 YEARS
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---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
FEMALE AGE 30 40 50 60 70 80 90
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
MALE AGE
----------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
30 1.77 1.88 1.94 1.98 2.00 2.00 2.00
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
40 1.83 2.01 2.16 2.26 2.31 2.33 2.34
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
50 1.85 2.09 2.35 2.59 2.74 2.81 2.83
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
60 1.87 2.13 2.47 2.89 3.27 3.51 3.60
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
70 1.87 2.14 2.53 3.09 3.81 4.48 4.83
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
80 1.87 2.15 2.55 3.18 4.15 5.44 6.42
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
90 1.87 2.15 2.56 3.20 4.28 5.99 7.72
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
S40722 8
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OPTION 4
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GUARANTEED PERIOD OF 15 YEARS
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---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
FEMALE AGE 30 40 50 60 70 80 90
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
MALE AGE
----------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
30 1.77 1.88 1.94 1.98 2.00 2.00 2.00
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
40 1.83 2.01 2.16 2.26 2.31 2.33 2.33
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
50 1.85 2.09 2.35 2.58 2.73 2.80 2.81
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
60 1.87 2.13 2.47 2.89 3.26 3.48 3.54
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
70 1.87 2.14 2.53 3.08 3.77 4.34 4.54
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
80 1.87 2.15 2.55 3.16 4.06 5.04 5.50
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
90 1.87 2.15 2.55 3.18 4.14 5.30 5.91
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
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OPTION 4
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GUARANTEED PERIOD OF 20 YEARS
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---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
FEMALE AGE 30 40 50 60 70 80 90
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
MALE AGE
----------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
30 1.77 1.88 1.94 1.98 1.99 2.00 2.00
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
40 1.83 2.01 2.16 2.26 2.30 2.32 2.32
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
50 1.85 2.09 2.35 2.58 2.72 2.77 2.78
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
60 1.87 2.13 2.47 2.88 3.23 3.39 3.41
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
70 1.87 2.14 2.52 3.06 3.66 4.04 4.11
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
80 1.87 2.14 2.54 3.11 3.86 4.42 4.53
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
---------------- -------------- -------------- ------------- -------------- -------------- -------------- --------------
90 1.87 2.14 2.54 3.12 3.88 4.47 4.59
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TABLE OF PERIOD CERTAIN If your PB Value is based on the MAV, you can
ANNUITY OPTION AND GMIB PAYMENTS select the following Period Certain Annuity
Option:
The following table shows the guaranteed amount
of the GMIB Payment for each $1,000 of MAV
applied under a fixed Annuity Option. Monthly
GMIB Payments are paid for a specified period
of time. The specified period certain is elected
by the Owner and must be specified as a whole
number of years from 10 to 30. If the last
Annuitant dies before the end of the specified
period certain, then we will continue to make
GMIB Payments to the payee for the rest of the
specified period certain. The Guaranteed Fixed
GMIB Payment rates below are based on an
interest rate of [1%] per year. Rates for other
specified period certain not shown will be
provided upon request.
-----------------------------------------------------------------------------------------------
GMIB PAYMENTS PER $1,000 OF PB VALUE - PERIOD CERTAIN ANNUITY OPTION
-----------------------------------------------------------------------------------------------
--------------------- ----------- ----------- ------------ ----------- ----------- ------------
SPECIFIED PERIOD 5 10 15 20 25 30
CERTAIN (IN YEARS)
--------------------- ----------- ----------- ------------ ----------- ----------- ------------
--------------------- ----------- ----------- ------------ ----------- ----------- ------------
GUARANTEED MONTHLY [17.08] [8.75] [5.98] [4.59] [3.76] [3.21]
GMIB PAYMENT
--------------------- ----------- ----------- ------------ ----------- ----------- ------------
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GENERAL PROVISIONS
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CONDITIONS FOR TERMINATION You can terminate this rider before you
OF THIS RIDER exercise the GMIB or GPWB by completing the
appropriate form. The rider will terminate on
the Contract Anniversary that occurs
immediately after the form is received in good
order at our Service Center.
Otherwise this rider will terminate upon the
earliest of the following:
(a) The termination of the Base Contract.
(b) The termination of both the GMIB and GPWB.
RIDER CHARGE The charge for this rider is included in
the Mortality and Expense Risk Charge shown on
the Contract Schedule, or Contract Schedule
Addendum, if applicable.
--------------------------------------------------------------------------------
CROSS REFERENCE OF TERMS
--------------------------------------------------------------------------------
TERMS USED INTERCHANGEABLY The term "Business Day" is used to also mean
BETWEEN BASE CONTRACT AND "Valuation Date", where applicable. The term
RIDER "withdrawal charges" is used to also mean
"Contingent Deferred Sales Charges", where
applicable. The term "withdrawal" is used to
also mean "surrender", where applicable.
--------------------------------------------------------------------------------
GLOSSARY
--------------------------------------------------------------------------------
DEFINITIONS Definitions specific to this rider that are not
in the Base Contract follow.
BASE CONTRACT The contract to which this rider is attached.
EXCESS WITHDRAWALS If you exercise the GPWB, this is an additional
withdrawal you take while we are making GPWB
Payments.
FULL ANNUITIZATION This occurs once you apply the
entire Contract Value to Annuity Payments. Once
you take a Full Annuitization, you cannot take
any additional Partial Annuitizations. If you
take a Full Annuitization, the Accumulation
Phase of the contract will end.
Once you take a Full Annuitization you can no
longer make additional Purchase Payments.
GMIB PAYMENTS Annuity Payments we make based on the PB Value.
GPWB PAYMENTS Withdrawal payments we make based on the PB
Value.
GPWB MAXIMUM The upper limit of annual GPWB Payments
available to you under the GPWB.
INVESTMENT OPTIONS The Investment Options available under the
Variable Account. The Investment Options are
shown on the Contract Schedule.
OWNER "You," "your" and "yours". The person or entity
(or persons or entities if there are Joint
Owners) named in the contract who may exercise
all rights granted by the contract.
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GLOSSARY (CONTINUED)
--------------------------------------------------------------------------------
PARTIAL ANNUITIZATION This occurs when you apply only part of the
Contract Value to Traditional Annuity
Payments, or part of the PB Value to GMIB
Payments. If you take a Partial Annuitization,
the Accumulation Phase and Annuity Phase of
the contract may occur at the same time.
[You can take one Partial
Annuitization every 12 months. The maximum
number of annuitizations we allow at any one
time is five. If you take a Partial
Annuitization, there can be only one Owner,
he/she must be the Annuitant, and we will not
allow the Owner to designate a joint Annuitant.
Partial Annuitizations are not available to
Joint Owners.]
Once you take a Partial Annuitization you can
no longer make additional Purchase Payments to
any portion of the Contract that is in the
Annuity Phase.
PB VALUE The PRIME Plus Benefit value.
RESET ANNIVERSARY The Contract Anniversary before the day that
your AIA reset request is received in good
order at our Service Date.
RIDER EFFECTIVE DATE The date on which this rider becomes effective.
TRADITIONAL ANNUITY PAYMENT Annuity Payments we make based on the Adjusted
Contract Value.
WAITING PERIOD The number of years before you can exercise a
GMIB or GPWB; shown on the Contract Schedule or
Contract Schedule Addendum, if applicable.
In all other respects the provisions, conditions, exceptions and limitations
contained in the Base Contract remain unchanged.
Signed for the Company at its home office.
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
[s/Xxxxx X. Xxxxxxxx] [s/Xxxx Xxxxxxxx]
Xxxxx X. Xxxxxxxx Xxxx Xxxxxxxx
Secretary President
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