EXHIBIT B4.1 FORM OF FLEXIBLE PREMIUM VARIABLE ANNUITY CONTRACT FPIVA99 AS AMENDED BY SUBSTITUTE PAGES FOR FLEXIBLE PREMIUM VARIABLE ANNUITY CONTRACT IVA2002 ----------------------------------------------------------------------- ---------Flexible Premium Variable Annuity Contract • September 5th, 2002 • Aul American Individual Variable Annuity Unit Trust
CONTRACT AMENDMENTFlexible Premium Variable Annuity Contract • August 18th, 2014 • Variable Annuity 1 Series Account
THIS AMENDMENT IS ISSUED BY GREAT‑WEST LIFE & ANNUITY INSURANCE COMPANY AS PART OF THE FLEXIBLE PREMIUM VARIABLE ANNUITY CONTRACT (THE “CONTRACT”) TO WHICH IT IS ATTACHED. Except as expressly aMENDED by this AMENDMENT, the terms and conditions of the contract shall remain in full force and effect. if there is any conflict between this amendment and the contract the terms of this amendment will prevail.
CONTRACT AMENDMENTFlexible Premium Variable Annuity Contract • August 18th, 2014 • Variable Annuity I Ser Acc of GRT West Li & Annu Ins Co of Ny
THIS AMENDMENT IS ISSUED BY GREAT‑WEST LIFE & ANNUITY INSURANCE COMPANY OF NEW YORK AS PART OF THE FLEXIBLE PREMIUM VARIABLE ANNUITY CONTRACT (THE “CONTRACT”) TO WHICH IT IS ATTACHED. Except as expressly aMENDED by this AMENDMENT, the terms and conditions of the contract shall remain in full force and effect. if there is any conflict between this amendment and the contract the terms of this amendment will prevail.
Flexible Premium Variable Annuity Contract - Nonparticipating Insured John Doe Policy Number 123456789 Agency 0123Flexible Premium Variable Annuity Contract • August 27th, 2002 • Kansas City Life Variable Annuity Separate Account
Annuity proceeds payable at maturity date. Death proceeds payable in event of death of Annuitant prior to maturity date. Flexible premiums payable until maturity date or prior death of Annuitant.
ContractFlexible Premium Variable Annuity Contract • April 29th, 2011 • Kansas City Life Variable Annuity Separate Account
Insured John Doe Flexible Premium Variable Annuity Contract - Nonparticipating Contract Number 9999999 Agency 0123 Annuity proceeds payable at maturity date. Death proceeds payable in event of death of Annuitant prior to maturity date. Flexible premiums payable until maturity date or prior death of Annuitant. The contract value of this contract may increase or decrease daily depending on the investment experience of the subaccounts. There is no guaranteed minimum contract value. Kansas City Life Insurance Company will pay the proceeds of this contract according to the provisions on this and the following pages, all of which are part of this contract. This contract is a legal contract between you and Kansas City Life Insurance Company. READ YOUR CONTRACT CAREFULLY. Signed for Kansas City Life Insurance Company, a stock company, at its Home Office, 3520 Broadway, PO Box 219139, Kansas City, MO 64121-9139. Secretary President 10-Day Right To Examine Contract Please examine this contract c
Insured John A. Doe Flexible Premium Variable Annuity Contract - Nonparticipating Contract Number 9999999 Agency 0001Flexible Premium Variable Annuity Contract • April 29th, 2011 • Kansas City Life Variable Annuity Separate Account
Annuity proceeds payable at maturity date. Death proceeds payable in event of death of Annuitant prior to maturity date. Flexible premiums payable until maturity date or prior death of Annuitant.
ContractFlexible Premium Variable Annuity Contract • April 29th, 2011 • Kansas City Life Variable Annuity Separate Account
Insured John Doe Flexible Premium Variable Annuity Contract - Nonparticipating Contract Number 9999999 Agency 0123 Annuity proceeds payable at maturity date. Death proceeds payable in event of death of Annuitant prior to maturity date. Flexible premiums payable until maturity date or prior death of Annuitant. The contract value of this contract may increase or decrease daily depending on the investment experience of the subaccounts. There is no guaranteed minimum contract value. Kansas City Life Insurance Company will pay the proceeds of this contract according to the provisions on this and the following pages, all of which are part of this contract. This contract is a legal contract between you and Kansas City Life Insurance Company. READ YOUR CONTRACT CAREFULLY. Signed for Kansas City Life Insurance Company, a stock company, at its Home Office, 3520 Broadway, PO Box 219139, Kansas City, MO 64121-9139. Secretary President 10-Day Right To Examine Contract Please examine this contract c
CONTRACT DATA PAGEFlexible Premium Variable Annuity Contract • November 30th, 2007 • Variable Annuity I Ser Acc of Fir GRT West Li & Annu Ins Co
DEATH BENEFIT: The Owner has elected Death Benefit Option 1: Return of Annuity Account Value. As described in the Death Benefit Provisions, the Death Benefit payable under this Contract will be equal to the Annuity Account Value as of the date the Request for payout is received. CHARGES: Mortality and Expense Risk Charge for Death Benefit Option 1: .65%
