Deferred Combination Variable and Fixed Annuity Group Master Contract Sample Contracts

CONTRACTHOLDER: GROUP CONTRACT NUMBER: ISSUED IN: CONTRACT ISSUE DATE:
Deferred Combination Variable and Fixed Annuity Group Master Contract • February 5th, 2018 • VOYA INSURANCE & ANNUITY Co • Life insurance

In consideration of application for this Contract and the payment of premiums, we agree, subject to the terms and conditions of this Contract, to provide the benefits described in this Contract to the persons eligible (herein called "Annuitant[s]") under the terms of this Contract.

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Offices: 1475 Dunwoody Drive, West Chester, Pennsylvania 19380 CONTRACTHOLDER: [Golden Investor Trust, Inc.] GROUP CONTRACT NUMBER:[12345]
Deferred Combination Variable and Fixed Annuity Group Master Contract • February 5th, 2018 • VOYA INSURANCE & ANNUITY Co • Life insurance

In consideration of application for this Contract and the payment of premiums, we agree, subject to the terms and conditions of this Contract, to provide the benefits described in this Contract to the persons eligible (herein called "Annuitant[s]") under the terms of this Contract.

GOLDEN -------- AMERICAN ---------- LIFE INSURANCE ------- COMPANY DEFERRED COMBINATION VARIABLE AND FIXED ANNUITY GROUP MASTER CONTRACT
Deferred Combination Variable and Fixed Annuity Group Master Contract • February 5th, 2018 • VOYA INSURANCE & ANNUITY Co • Life insurance

In consideration of application for this Contract and the payment of premiums, we agree, subject to the terms and conditions of this Contract, to provide the benefits described in this Contract to the persons eligible (herein called "Annuitant[s]") under the terms of this Contract.

Offices: 1475 Dunwoody Drive, West Chester, Pennsylvania 19380
Deferred Combination Variable and Fixed Annuity Group Master Contract • February 5th, 2018 • VOYA INSURANCE & ANNUITY Co • Life insurance

In consideration of application for this Contract and the payment of premiums, we agree, subject to the terms and conditions of this Contract, to provide the benefits described in this Contract to the persons eligible (herein called "Annuitant[s]") under the terms of this Contract.

Offices: 1475 Dunwoody Drive, West Chester, Pennsylvania 19380
Deferred Combination Variable and Fixed Annuity Group Master Contract • February 5th, 2018 • VOYA INSURANCE & ANNUITY Co • Life insurance

In consideration of application for this Contract and the payment of premiums, we agree, subject to the terms and conditions of this Contract, to provide the benefits described in this Contract to the persons eligible (herein called "Annuitant[s]") under the terms of this Contract.

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