0001104659-09-069524 Sample Contracts

HARTFORD LIFE INSURANCE COMPANY 200 HOPMEADOW STREET SIMSBURY, CT 06089 (a stock life insurance company, herein called "We", "Us", "Our")
Hartford Life Insurance Co • December 10th, 2009 • Life insurance

SURRENDER CHARGE: This charge is determined by multiplying the applicable rate specified below by the amount of the Full or Partial Surrender that exceeds the Annual Free Withdrawal Amount. This charge does not apply to: - [Transfers from the current Guarantee Period into a new Guarantee Period or into the Default Guarantee Period made at the end of the then current Guarantee Period. - Surrenders during the 30 day period at the beginning of a subsequent Guarantee Period; or - Annuitization; or - The Death Benefit; or - The Default Guarantee Period.] This charge varies according to initial and subsequent Guarantee Periods and equals:

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