Qualified Plan Rider Sample Contracts

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY Springfield, MA 01111-0001

Qualified Plan Rider • October 10th, 2003 • Massachusetts Mutual Variable Annuity Separate Account 4

• Contract Type
  Qualified Plan Rider
• Filed
  October 10th, 2003
• Company
  Massachusetts Mutual Variable Annuity Separate Account 4

This Contract is issued by the Company at its Home Office, 1295 State Street, Springfield, Massachusetts 01111-0001, on the Issue Date. The Contract is issued in exchange for the payment of the initial Purchase Payment.