EX-4.D 5 dex4d.txt OPTIONAL RIDERS EXHIBIT 4(d) OPTIONAL RIDERS Peoples Benefit Life Insurance Company Home Office: Cedar Rapids, IA RETURN OF PREMIUM DEATH BENEFIT RIDER This Rider has been made a permanent part of your Contract. This Rider adds a cost provision and a coverage provision that replaces the Death Benefit section of your Contract. This Rider is issued in consideration of the Contract Owner's agreement to the changes described below: Cost The Mortality and Expense Risk Charge will be assessed daily at a rate of 0.20% annually. For the Death Benefit described below, there will be an additional charge of 0.0125% to be assessed quarterly based on the Contract Anniversary Date. This additional equivalent annual charge of 0.05% will be assessed for a period of 10 years from the Contract Date. Therefore, the total Mortality and Expense Risk Charge for that specific 10 year period will be 0.25% annually. Death Benefit This Rider replaces "The Death Benefit" section of your Contract with the following: The Death Benefit payable upon the death of the Annuitant will be the greater of: 1) The Accumulated Value of the Contract as of the date due Proof of Death of the Annuitant is received by the Company; or 2) The sum of all Premium Payments, less any Adjusted Partial Withdrawals and Premium Taxes, if any. This Rider takes effect and expires concurrently with the Contract to which it is attached. Signed for the Company at the Home Office. Craig D. Vermie Bart Herbert, Jr. Secretary President VVAP RP 1101 Peoples Benefit Life Insurance Company Home Office: Cedar Rapids, IA ANNUAL STEP-UP DEATH BENEFIT RIDER This Rider has been made a permanent part of your Contract. This Rider adds a cost provision and a coverage provision that replaces the Death Benefit section of your Contract. This Rider is issued in consideration of the Contract Owner's agreement to the changes described below: Cost The Mortality and Expense Risk Charge will be assessed daily at a rate of 0.20% annually. For the Death Benefit described below, there will be an additional charge of 0.03% to be assessed quarterly based on the Contract Anniversary Date. This additional equivalent annual charge of 0.12% will not be assessed on or after the Annuitant's 80th birthday. Therefore, the total Mortality and Expense Risk Charge for the period up until the Annuitant's 80th birthday will be 0.32% annually. Death Benefit This Rider replaces "The Death Benefit" section of your Contract with the following: The Death Benefit payable upon the death of the Annuitant will be the greatest of: 1) the Accumulated Value of the Contract as of the date due Proof of Death of the Annuitant is received by the Company; 2) the sum of all Premium Payments, less any Adjusted Partial Withdrawals and Premium Taxes, if any; or 3) the highest Accumulated Value on any Contract Anniversary prior to the earlier of the Annuitant's date of death or the Annuitant's 80th birthday, plus any subsequent Premium Payments received by the Company after such date, less any Adjusted Partial Withdrawals after such date, and Premium Taxes, if any. This Rider takes effect and expires concurrently with the Contract to which it is attached. Signed for the Company at the Home Office. Craig D. Vermie Bart Herbert, Jr. Secretary President VVAP SU 1101