Exhibit #4 Home Office: 1 Horace Mann Plaza Springfield, Illinois 62715-0001 1-800-999-1030 Individual Deferred Fixed And Variable Retirement Annuity Contract Flexible purchase payments Nonparticipating -- dividends not paid. All payments and values...Individual Deferred Fixed and Variable Retirement Annuity Contract • April 30th, 1998 • Mann Horace Life Insurance Co Separate Account
